Future of the NHS

Debate between Alex Cunningham and Christopher Chope

Thursday 23rd February 2023 Commons Chamber

[Sir Christopher Chope]

The hon. Lady makes a very good point, and I am glad that I gave way to her to enable her to make it. We must do everything possible to increase the size and quality of the workforce and enable people who are already in it to improve their qualifications and progress through their chosen profession.

Constituents also tell me that there is a problem with retention. When nurses retire, they are expected to continue with continuous professional development; if they do not do that and fill in a lot of bureaucratic forms, they become ineligible to return to nursing later on. One of my constituents contrasted the situation in our country with that in the United States, where there are not so many bureaucratic barriers to someone’s carrying on nursing after they have retired, perhaps temporarily. I raised that point with the Government, thinking that it was a really good idea and that they should be getting to grips with it, but their answers to my questions suggested that it was not really on their radar and they were not interested in investigating it. Their response was, “We have a graduate-based profession, we have a retention scheme that we are not interested in changing, and the register will stay as it is.” I thought that that was a remarkably complacent response to what I considered to be quite a constructive suggestion from a qualified nurse.

Many people have made the point that we are training nurses and doctors at great public expense, and they then leave the profession and the national health service before they have paid back their dues. Again, there is a big contrast between what happens here and what happens in the United States. I am not saying that help with people’s development as they go through university should be conditional on their being forced to work for a particular employer or for the NHS when they graduate, but I do think there should be a system similar to the one in the United States, whereby those who are not going to work for the NHS are expected to pay back some of the costs of their training. There is a great deal of talk in this country about increasing the number of doctors and nurses, and the newspapers today refer to the need to increase the number of graduates, but that is not much use if so many of those graduates do not provide their services to the NHS.

[Alex Cunningham]

The same problem applies to dentists, who have no responsibility whatsoever to work for the NHS when they finish their training, which, of course, is funded by the state. Perhaps the hon. Gentleman would encourage Ministers to look at some form of requirement for them to work in the NHS at least for some time, which might shorten the waiting list for my constituents.

--- Later in debate ---

[Sir Christopher Chope]

That, too, is a good point. I am not saying that the hon. Gentleman has necessarily got the right answer, but the Government should be looking at this. I listened with interest to the earlier references to NHS dentistry. In my constituency, there are a fair number of NHS dentists who would like to take on more patients, but the rules require them not to exceed 110% of their quota. Some of them are saying, “I would love to take on more patients,” but they are being told by the local bureaucrats that if they do so, they will suffer financial penalties.

[Alex Cunningham]

One of the main problems with dentistry when it comes to resources is the difference between the unit prices that dentists receive for their work. One practice in my area has two parts, each of which is paid a different rate per unit from the other, and it is much lower than that paid in some other parts of the country. Does the hon. Gentleman agree that the Government need to look at the fee structure and make sure that dentists are being properly paid to work in the community?

[Sir Christopher Chope]

In fairness to the Government, they say that they are now looking at it—a bit late in the day, I think; a review should have been instituted much earlier—but the hon. Gentleman is right. It is ridiculous to have a structure in NHS dentistry in which the rewards are linked to the number of specific procedures that have been carried out. Each procedure is given a different rating, and then they are all added up to establish whether the total exceeds the permitted 110% capacity. That is another case of there being plenty of scope for reform and fresh thinking, but it seems to be almost a culture in the NHS not to be receptive to such ideas.

Cammell Laird Workers Imprisoned in 1984

Debate between Alex Cunningham and Christopher Chope

Tuesday 7th February 2023 Westminster Hall

[Alex Cunningham (Stockton North) (Lab)]

It is a pleasure to serve under your chairmanship, Sir Christopher. I, too, congratulate my hon. Friend the Member for Harrow West (Gareth Thomas) on securing this debate and bringing further attention to this historic injustice to the Cammell Laird workers, some of whom sadly are no longer with us. I also pay tribute to the GMB union, which has provided continuous support to the workers so that they and their families can finally achieve recognition of that injustice, and for their suffering and hardship. It is good to recognise that three of the men—Eddie Marnell, Billy Albertina and Sam Morley—are joining us this afternoon in this Chamber.

The Cammell Laird shipyard in Birkenhead has a proud history. The site has played a strategic role in British shipbuilding for 200 years. Importantly, it has proved pivotal in supporting the Wirral community, sustaining vital jobs and creating a lifeline for the local economy. I remember well the 1970s and ’80s, when I was a young newspaper reporter and spent a lot of my time reporting on shipbuilding, on both Teesside and Clydeside. I know that shipyard workers are proud and loyal workers, and they are pleased to have their role in society. But as we have heard, in September 1984, Cammell Laird Ltd, through the High Court, conducted legal proceedings that would mark the history of this impressive hub of industry in Merseyside in a way that surely no one could have desired. It followed the decision by Cammell Laird to implement masses of job cuts, and a decision by the workers and their trade union to fight for their future. From July of that year through to September, the dispute escalated from picket lines to the occupation of a rig under construction and a blockage preventing access to HMS Edinburgh, which was under construction at the time.

The company then sought an injunction, which in turn led to the 37 people occupying the area being arrested for contempt of court between 1 and 3 October and imprisoned in the then category A Walton prison. History tells the story of injustice and the horrendous impact that it has, not just on those imprisoned but on the whole community. Those workers were fighting principally to make a difference, to protect jobs and the area in which they lived, but they paid a terrible price. They were faced with a month-long detention in prison, followed by blacklisting and the loss of redundancy, pension rights and their livelihoods. They have since spoken of the feeling among the workers that the dispute could have been resolved, but that the authorities were in no mood to negotiate. My hon. Friend the Member for Liverpool, West Derby (Ian Byrne) spoke of the decimation of manufacturing jobs in Liverpool at the time—a loss from which the city is yet to fully recover. More importantly, he spoke of the fact that these men were never allowed the right to defend themselves.

Eddie Marnell, one of the persons present today, is a former shipyard worker and one of the 37 men who spent those 28 days in prison after being arrested at Cammell Laird. He has campaigned heavily for the release of documents about the case. He believes the workers were used by Thatcher’s Government as a warning to the miners and any other organisation that posed a challenge. I understand that some of the documents have been released, but others remain secret to this day.

Those 37 men were fearful that the end of Cammell Laird was imminent, taking Birkenhead’s economic and social health with it. This case of injustice is not isolated. Too often, we have seen successive Governments sweep issues under the rug and hope to avoid culpability. As my hon. Friend the Member for Wansbeck (Ian Lavery) said, this is simple. It is about justice for ordinary people who were incarcerated despite not breaking the law, and locked away from their families. Recognition of that injustice by the Government would be an uncomplicated action towards bringing solace to these workers and their families for all the misfortune they have suffered. More generally, as has been said, we cannot ignore the comparison between the 1980s and what we are seeing today. After 13 years of Tory Administrations, workers are once again seeing their rights disregarded. Contempt for workers now is not dissimilar to what it was then.

We know the Government have form for deterring workers from exercising industrial action. In the ’80s, we saw the Tory Government introduce successive laws restricting industrial action. A matter of weeks ago, this Tory Government introduced legislation once again set on doing the utmost to quash strike action by threatening people with the sack. The Government apparently believe in the right to strike, but the shoddy legislation they have introduced—the Strikes (Minimum Service Levels) Bill—is yet another attack on working people’s freedoms. Labour strongly opposes this Bill on principle. It is simply unworkable. We voted against it on Second Reading and we will repeal it in Government.

The past few months have seen the greatest strike disruption in decades, with rail workers, ambulance workers and nurses taking unprecedented industrial action. Yesterday saw both NHS nurses and ambulance staff striking simultaneously for the first time. Unlike this Government, Labour is proud of the trade union movement’s historic achievements in giving people a voice at work through collective action. Standing up for workers is in our history and in our future. A Labour Government will champion these rights and transform people’s lives for the better.

On the matter under discussion, can the Minister say what appetite the Government have for looking again at the Cammell Laird injustice to recognise it for what it was? Do the Government accept that those 37 people had their lives ruined by the heavy-handed use of the law, and that it was unfair and unjust?

There appears to be some confusion over the routes to having these matters looked into again. I pay tribute to my hon. Friend the Member for Birkenhead (Mick Whitley), who submitted a parliamentary question on the merits of looking again at what happened to the 37 Cammell Laird workers. In response to that question, the former Justice Minister, the right hon. Member for Croydon South (Chris Philp), said:

“The appropriate route to challenge a conviction and/or sentence is by way of appeal.

Anyone who has been convicted of a criminal offence in England, Wales or Northern Ireland can apply to the Criminal Cases Review Commission, which can review and investigate possible miscarriages of justice. Where there is a real possibility that the conviction or sentence will not be upheld, the Commission can refer the case to the appropriate court.”

The Minister present will know, as I do, that these workers were jailed for contempt of court. Can he confirm whether the legal route described by the former Minister would apply in this case? If not, does he have sympathy with the request of my hon. Friend the Member for Harrow West that a change in the law be sought, allowing issues associated with contempt to be subject to the same rules and therefore applicable to the work of the Criminal Cases Review Commission?

To be clear, a Labour Government will always stand up for the rule of law and challenge injustice wherever we find it. Labour would release documents held by Government relating to the Cammell Laird prosecutions and carry out a review into the jailing of the striking workers. Sadly, our history is littered with injustices, with the lives of hard-working people ruined as a result. As such, I would very much welcome the Minister’s acknowledgement that what happened four decades ago was wrong, and that, rather than develop new ways to foster conflict between employers and workers, we should see them work together for everybody’s advantage.

[Sir Christopher Chope (in the Chair)]

I call the Minister.