(9 years, 9 months ago)
Commons ChamberI wish to start by thanking NHS staff. I agree with the Secretary of State that they should be recognised for all their work, so I ask him to consider giving them the 1% pay rise that has been recommended by an independent body. That would be a real way of recognising all their hard work.
I wish to talk about the Royal Bolton hospital in my constituency; it is the third largest accident and emergency department in the north-west. Last year, it saw 114,510 people. A and E admissions numbered 26,267 and in 2013-14, elective operations stood at 14,865 and non-elective at 1,407. The staff—porters, cleaners, care assistants and clinical staff—do an excellent job in a very difficult situation. My hospital needs more resources.
As I attend regular meetings with the chief executive officer and the chair of the Royal Bolton hospital, I also often visit the A and E department to see the situation at first hand. Recently, the hospital declared a major incident when it could not take in 76 patients. By cancelling non-emergency elective operations, it managed to free 40 beds. However, as a consequence of cancelling those operations, it lost £600,000.
As the hospital will now no longer be able to meet the target of the clinical commissioning group, it will end up getting penalised as well. To meet that target, the hospital may have to resort to using private companies, which may cost it even more. Whichever way we look at it, the hospital stands to lose quite a lot of money. Over the past two years, it has had to make £40 million of cost savings, and it will have to carry on cutting in light of the demands that it is facing.
The main reason for the long waits in A and E was that many people could not get GP appointments or go to walk-in centres, so they had to go to A and E as a first port of call rather than as a last one. Secondly, many elderly and frail people could not be discharged, which then led to bed blocking. There were 94,046 acute delayed days last November, which then created even bigger blockages. The hospital is caught bang in the middle of the problem—there are problems at the start, before people go to hospital, and there are problems at the end, because people are not being transferred or discharged. That situation must change. One reason for the delays in transfers and discharges is the cut in the budget for social services and adult care. More than 300,000 people no longer receive state funding for social care.
In 2009-2010, the Labour Government spent 8.2% of GDP on the NHS, whereas in 2013-14, the figure was 7.9%. It is quite clear, therefore, that less money is going into the sector. It has been recognised in this Chamber that, with more people living longer and with growing health needs, that money has to go up. To say that nothing further can be done with regards to putting more finance into hospitals is completely wrong.
In Bolton, the local authority, the hospital and the clinical commissioning group are trying to work together. When I recently visited my local A and E, 17 cubicles were in full use and two people were on trolleys. The situation is not good enough, because Bolton is an incredibly large area, serving about 300,000 people. People from Wigan and other surrounding areas also use the hospital.
Another problem is the shortage of GPs and the fact that walk-in centres have been closed down. We know that we need at least another 400 GPs and more walk-in centres. If we had an increase in those areas, the problem would not be so acute. Finally, not enough nurses are being trained, which will lead to a big shortage. That is another tsunami waiting to happen.
(9 years, 10 months ago)
Commons ChamberThe hon. Lady’s opportunity is now. Her moment has arrived; her voice should be heard.
Thank you, Mr Speaker. Will the Minister confirm that 10 million households will be affected by the two-year freeze on tax credits and benefits and that the average household will be £974 worse off? This will hit working people the most, and women in particular, so will the Government reconsider their position?
(10 years, 10 months ago)
Commons ChamberOrder. I should explain to the House that I have exercised some latitude so that the hon. Member for Chichester (Mr Tyrie) could offer a bit of background on the parliamentary investigation. I did that because I thought that it would be genuinely helpful to the House and because there would be no other opportunity for those observations to be made. That said, I would not want it to be thought that that will be the normal rubric on these occasions. The normal rule of thumb, which must continue to apply, is that Members should attend to and focus their remarks exclusively on the amendments and should not engage in what might be called a wider dilation. I hope that that is helpful to the House.
I will bear in mind your observations, Mr Speaker, but I hope you will indulge me if I occasionally say something a bit different. I will of course spend most of my time on the amendment.
I want to set the matter in context. I volunteered to serve on the Bill Committee. I am told that it is traditional for Members to have to be nudged into serving on Committees for Finance Bills, unless of course they are Ministers or shadow Ministers. I wanted to serve on the Committee perhaps because I am a bit geeky or because I am interested in esoteric things; perhaps it is because of my legal background that I am interested in these matters.
I also had a more serious reason for volunteering. We need to bear in mind that this country’s economy relies heavily on the financial services industry, and that a massive banking and financial crisis occurred in 2008, not only in the UK but in similar economies around the world. We know that the crisis started as a result of the collapse of Lehman Brothers and of the sub-prime mortgage market in the United States, which led to the collapse of many banks around the world. Economies like ours—in the USA, Japan, France and Germany, for example—suffered as well.
(10 years, 11 months ago)
Commons ChamberWhat would the hon. Lady say to my constituents, Mr and Mrs Wilkes? Mrs Wilkes has a back problem and is disabled. Her husband cannot share a bed with her, much as he would like to, and has to stay in the second room. They are having to pay the bedroom tax. [Interruption.]
Order. Interventions must be brief. I think we got the gist and we are grateful to the hon. Lady.
(11 years, 12 months ago)
Commons ChamberDoes my hon. Friend agree that we were a bit surprised to hear the Secretary of State say that Labour is asking for national pay and opposing regional pay because the unions are bankrolling us? My hon. Friend said that she had received many e-mails. I am sure that, like me, other Opposition Members have received hundreds of e-mails from people who work in the health service—ordinary people, working people—who say that they do not want regional pay. That has nothing to do with any union.
Order. Interventions on both sides should be brief, and rather briefer than that.
(12 years, 4 months ago)
Commons ChamberI wish to start by talking about the young men and women who serve in our front-line services. I pay tribute to all members of the armed services, be they in the back room or on the front line, but special consideration has to be given to those on the front line, such as those in Afghanistan and Iraq. I went to Afghanistan in 2007 and met some of the young men who were fighting for us. They were 18, 19, 20, and they were being faced by and had to see all sorts of cruelties. They had to face so much hurt and they had to see so many injuries among their comrades. When they come back, we need to look after their physical and psychological needs. That means that if they have been injured in combat, all the best treatment should be made available to them. Even if they have not suffered any physical harm, they must be treated in respect of their emotional and psychological needs as well. They must be supported appropriately when they leave the Army and come into civilian life. That means that if they want to go to university, they should be given free tuition. Although we rightly always pay respect to our fallen heroes, we forget that what people are exposed to in war and in battles is an experience that nobody else is ever going to see and hear. So we should spend a lot more money on looking after our armed personnel who have served on the front line when they come back.
It is also important to equip these people properly when they are on the front line. They should be properly trained, and the armour, the helicopters and everything else that is required for them to do their job properly should be in place. That also means that the right amount of personnel should be there; 100 people should not be sent to do a job that requires 300 soldiers to do it. That means that the Government should reconsider the abandoning of certain regiments. The fighting force, the infantry and the regiments that go out to fight should not be reduced. One of my constituents who served in the Yorkshire Regiment, which was founded by the Duke of Wellington, says that it is one of the best regiments and has received many Victoria Crosses for the services it has rendered to the country, so I ask Ministers to reconsider reducing the number of soldiers on the front line.
We are told that some of these re-evaluations of our defence expenditure are to do with the money. I want the Minister, and indeed Labour Members, to consider whether we really need Trident. I know that people think that this is a debate of the left, but everyone knows that four years ago a number of generals and senior people in the Army and the Air Force said that Trident is actually irrelevant and is no longer required, as a result of the end of the cold war. They have also said that it is not ready to deal with the current levels of international terrorism. The generals set that out in a letter to The Times in January 2009. I have copies of the documents where they have asked that more money be spent on conventional forces, which we require to deal with the imminent threats we face. As I said, those people are not pacifists and they are not people who do not know what they are talking about; they are—
Order. We are extremely grateful to the hon. Lady for her contribution. I call Oliver Colvile.