Oral Answers to Questions

Debate between Alistair Burt and Liz McInnes

Tuesday 15th May 2018 Commons Chamber

[Alistair Burt]

The events of yesterday were the culmination of many things, but one of the things they were the culmination of was the failure of respective leaders over time to grapple with the situation and to realise how urgent and desperate it has become. The situation in Palestine and Gaza and the occupied territories will not simply be managed; it will get worse unless it is grasped and something is done to make it better.

[Liz McInnes (Heywood and Middleton) (Lab)]

At this moment of abject crisis, following yesterday’s events in Gaza and west Jerusalem, the Palestinian people are sorely pressed to retain hope and faith in a two-state solution. Will the Foreign Secretary give them some hope and faith today by choosing this moment officially to recognise the state of Palestine, and will he lead a global effort to persuade other countries to do the same?

[Alistair Burt]

We have said before that we will recognise the state of Palestine at a time when it is most conducive to securing peace in the area, but the hon. Lady is absolutely correct in saying that the absence of hope and the increase of despair in the area is of great concern to all of us and needs to be recognised and dealt with.

Oral Answers to Questions

Debate between Alistair Burt and Liz McInnes

Tuesday 27th March 2018 Commons Chamber

[Alistair Burt]

I wish I could say yes, but that would not be entirely correct. The efforts being made by Staffan de Mistura, whom I also spoke to over the weekend, deserve our full commendation and support, but it is a difficult process. On the ground, there is the determination of the regime and its allies to continue their attacks against both the civilian population and others in the enclaves and areas that they are attacking now. If the regime would co-operate fully with the Geneva process, which it should do, these attacks could end instantly and the political process could be changed overnight.

[Liz McInnes (Heywood and Middleton) (Lab)]

It was simply appalling to see the victorious militias backed by Turkey rampaging around Afrin, looting shops and houses, and tearing down the city’s Kurdish cultural heritage. May I ask the Minister what that vandalism has to do with what the Foreign Secretary described as Turkey “protecting” its “legitimate interest”?

[Alistair Burt]

I cannot speak in any way for the conduct of Turkish forces or anything of the like. As I said to the House earlier, our aims in Syria are coherent: lasting defeat of Daesh, and political transition to a Government who protect the rights of all, including Kurdish communities and all minority groups. All activity that affects the Kurdish community should remember that the ultimate destination of Syria will depend on Kurdish communities feeling part of it, without the risk of terror across its borders, and that should be considered by all.

Oral Answers to Questions

Debate between Alistair Burt and Liz McInnes

Tuesday 20th February 2018 Commons Chamber

[Alistair Burt]

As my hon. Friend is aware, we continue to condemn incitement and violent activities in the region at all times. The attacks that he mentions are absolutely not conducive to peace and should not be celebrated. However, the context of the situation means that we must continue to work for an end to the conflict between Israel and the Palestinians, because only when that happens will the seeds of conflict be taken away. In the meantime, we unreservedly condemn all terrorist and violent attacks.

[Liz McInnes (Heywood and Middleton) (Lab)]

After the US halved its funding for the United Nations Relief and Works Agency last month, President Trump explained the decision by saying that the Palestinians

“disrespected us…by not allowing our great vice president to see them...that money is not going to them unless they sit down and negotiate peace.”

May I ask the Minister to state, on behalf of this House, that extorting the Palestinian Authority to bend the knee to Mike Pence by removing essential healthcare and education from impoverished Palestinian families is nothing short of a disgrace?

[Alistair Burt]

The actions of the United States Government in this case have nothing to do with us. Our view on UNRWA remains absolutely clear. I met the director of UNRWA just this morning at the Department for International Development. We will continue to support it and to fund it. To leave refugees in Lebanon and Jordan without support would be a disaster. UNRWA needs to continue to get support, and it will do so from the United Kingdom.

Saudi Arabia: Anticipated Executions

Debate between Alistair Burt and Liz McInnes

Monday 17th July 2017 Commons Chamber

[Alistair Burt]

I congratulate my hon. Friend on his election to the office of Chairman of the Select Committee on Foreign Affairs. It is an important office, which was well held by his predecessor, my hon. Friend the Member for Reigate (Crispin Blunt), to whom we would all pay tribute. These are difficult jobs done by colleagues, and my hon. Friend did it particularly well, but we are very pleased to see my hon. Friend the Member for Tonbridge and Malling (Tom Tugendhat) in his place.

It is so difficult to try to prove a negative. The authorities with which we deal in Saudi Arabia are not necessarily in a position to make their judicial decisions dependent on external pressure, and nor would we be in a similar situation. We know that allegations are made about possible executions, including those of minors, and that they then do not happen, but we do not know whether that can be laid at the door of any specific representation. I can assure my hon. Friend and the House that these representations are regularly made to a changing society and a changing judicial process in Saudi Arabia, which must, of necessity, be theirs and not ours.

[Liz McInnes (Heywood and Middleton) (Lab)]

I add my thanks to you, Mr Speaker, for granting this urgent question today. I also thank the right hon. Member for Carshalton and Wallington (Tom Brake) for bringing such an important matter to the House and for speaking so eloquently on the subject.

I am sure that all Members present today share my concern about the impending executions. Saudi Arabia is one of the world’s most prolific executioners, and the death penalty is increasingly being used there as a punishment for non-violent acts. In January 2016, the Saudi authorities executed 47 men in a single day for alleged terrorism offences, and just last Monday, six men were killed. It is becoming clear that these executions are being used not only as a form of draconian punishment but as a tool to suppress political opposition, to fight sectarian religious battles against the Shi’a minority and to antagonise regional rivals in the process.

It is just over six years since the then Foreign Secretary, William Hague, declared that there would be

“no downgrading of human rights under this Government”.

He went on to argue that

“pursuing a foreign policy with a conscience is…in the long term enlightened national interest of our country.”

It is striking how far the Conservatives have strayed from that commitment. When it comes to our relationship with Saudi Arabia, it would appear that human rights concerns are now of secondary importance to trade. This Government have treated Riyadh’s human rights record as an inconvenient embarrassment rather than a cause for serious concern. Their reluctance to champion the values of human rights runs counter to who we are as a country and risks eroding our international standing, just when we need it most. My party’s position on this matter is clear: the 14 executions—including those of two juveniles and one disabled man—must not take place. I call on the Government to use their influence to stand up for human rights and unreservedly condemn these planned executions.

[Alistair Burt]

rose—

Oral Answers to Questions

Debate between Alistair Burt and Liz McInnes

Tuesday 11th July 2017 Commons Chamber

[Alistair Burt]

The hon. Gentleman understands this issue extremely well, and I agree with his analysis that this is a complex issue, where there are many different building blocks to try to revitalise the peace process, and settlements are far from the only barrier to that. Trade and investment remain important, but we will be looking further at what prospects there are for any new initiatives. I am aware of the co-existence projects that he mentions, and I will certainly be looking at that when carrying out my joint responsibilities in the Department for International Development.

[Liz McInnes (Heywood and Middleton) (Lab)]

We are all glad to see the Minister for the Middle East back and working on this issue again, but this is the second time in the space of a week that the Foreign Secretary has declined to speak about the middle east and devolved the job to the Minister instead—and that follows his failure even to mention Israel or Palestine in the Tory election manifesto. I simply ask the Minister: when are we going to hear the Foreign Secretary stand up and condemn the new illegal settlements?

[Alistair Burt]

I thank the hon. Lady for her warm welcome. I much enjoy being back in this role, no matter what is thrown at me as part of it. The Foreign Secretary strongly condemned the proposals that were announced for the west bank recently. I like to think he has confidence in his Minister for the Middle East—as he has confidence in his full ministerial team—to answer appropriate questions, although I have never known him to be shy of answering a question when necessary.

Oral Answers to Questions

Debate between Alistair Burt and Liz McInnes

Tuesday 10th May 2016 Commons Chamber

[Alistair Burt]

I am aware of significant problems in Cornwall that a number of Members have brought to me, and they are very complex. The clinical commissioning group is building on existing work with NHS England to address the financial challenges facing NHS Kernow and the wider local health and care system. Statutory directions were put in place late last year to support the CCG’s work with local partners in ensuring that services are affordable as well as good. An independently led capability and capacity review is being completed and an action plan is being implemented. I encourage the CCG to continue to work closely with NHS England to help to put its finances on a firmer foundation to achieve its integration plans. There is a further meeting planned locally tomorrow.

[Liz McInnes (Heywood and Middleton) (Lab)]

We recently had a Westminster Hall debate on care workers not even being paid the national minimum wage, and now we have private social care providers saying that they will not be able to afford the new national living wage. How does the Department intend to address this impending crisis?

[Alistair Burt]

It is absolutely essential that workers are paid the national minimum wage, and for care workers that includes travel. The Department has been very clear in that regard. Extra money is being provided to local authorities to pay for social care, as we know, but matters are tight—I am well aware of that. We are looking to providers and local authority providers to meet their statutory obligations to ensure that hard-pressed care workers have the financial support they need to do their vital job.

Cities and Local Government Devolution Bill [Lords]

Debate between Alistair Burt and Liz McInnes

Monday 7th December 2015 Commons Chamber

[Alistair Burt]

It is not about the centre not liking the decision. The Secretary of State has statutory duties that Parliament has given him. He has to exercise his power both to grant and revoke power based on those duties, not because he likes or does not like a decision. It is that statutory duty for which he is responsible that is so important. The House of Lords pressed that matter, but the House of Commons has accepted it. It is the maintenance of those duties that is so important. Liking or disliking a decision does not come into it.

Let me make further progress on the other amendments that the Government wish to push through. Amendment 35 is a further amendment to clause 18, which applies valuable safeguards to local devolution of health functions, including where certain functions and duties should continue to be held nationally. The clause was inserted in the Bill by an amendment tabled by Lord Warner in the other place and was amended in Committee in the Commons to give further definition and clarity to support its valuable principles. Clause 18 provides that regulatory functions of national bodies held in respect of health services will not be available for transfer to a combined or local authority.

Amendment 35 makes it clear that, in addition to NHS England’s responsibilities for assurance and review of clinical commissioning groups, all its supervisory and oversight functions set out in chapter A2 of part 2 of the National Health Service Act 2006 are out of scope of a transfer order. These include functions relating to CCGs’ institutional and constitutional arrangements, including their establishment.

Briefly, amendments 46, 47, 48 and 49 amend schedule 4, which makes amendments to the 2006 Act to provide a wider menu of flexible, voluntary options for local bodies, including combined authorities, to work with each other and with NHS England in respect of health functions.

One of the amendments introduced by schedule 4 includes provision under proposed new section 13ZA of the 2006 Act for new “devolved arrangements”, whereby NHS England is able to delegate its functions to a group of local commissioners exercising them together, or to make arrangements to exercise its functions jointly with that group. The group of local partners must consist of at least one clinical commissioning group and at least one combined authority or local authority, and the delegates or partners must exercise the function jointly.

Amendments 46, 47 and 48 are minor and technical amendments, which make it clear that “devolved arrangements” may relate to one or more of NHS England’s functions.

New clause 12, which was tabled by the hon. Member for Hemsworth, says:

“The Secretary of State must, within 15 months of this Act being passed, publish a review of health services devolved under the provisions of this Act.”

The review must include an assessment of how standards have been maintained, particularly of the quality and outcomes delivered by the devolved health service.

Maintaining the integrity of the NHS standards and ensuring that there is clear accountability for quality of outcomes is a key objective, as reflected by a number of vital safeguards provided for by the Bill. An order to confer health functions on a combined authority can only be made if a proposal to do so satisfies the Secretary of State that such a transfer will lead to the improvement of statutory functions.

As the House has debated a number of times, the requirements to monitor and regulate the functions that have been devolved remain exactly the same as if they had been with the NHS. It is the Secretary of State’s responsibility to ensure that the quality of services devolved is of NHS quality. For that reason, a full formal review is not necessary. There will be constant review of the quality of work done locally, and putting a formal review in the legislation is therefore not necessary. It is inconceivable that the authority delivering the functions on behalf of the NHS would not keep up a full review and the quality of regulatory work and monitoring work ensures that a full review is carried out in any case.

I hope that the new clauses will not be pressed to a vote and that I have been able to satisfy the House about the functions that need to be retained by the Secretary of State. I hope that the technical amendments will also be agreed to.

[Liz McInnes]

I want to support new clause 12, although the Minister has made his case for turning it down. I think it is important that we build a review stage into the devolution of health simply because the implications of the Bill for the English NHS and social care system are not clear. The Bill regulates for important new powers to remove functions from NHS hospitals, commissioners and other bodies and to transfer them to the local regional authority. Depending on the implementation, interpretation and limits of the powers, such transfers might fundamentally reshape the health service in the years to come. We must ensure that the national health service stays national. We do not want a postcode lottery for healthcare.

Accountability and scrutiny remain crucial for a well-run national health service, delivering the best care it can for everyone no matter where they live. The Bill’s light-touch nature and the pace with which the agenda is moving leave a number of crucial and unresolved questions, some of which I would now like to ask. Will central and regional government argue over the responsibility for meeting population needs and making difficult decisions, such as those on whether to close hospitals or prop up overspending healthcare providers? What will happen to neighbouring areas?

Deals permissible under the Bill create the possibility of NHS funding melting into wider regional authority budgets, making ring-fencing or protecting impossible. Given the importance of healthcare spending as an issue, it needs clarity and scrutiny. Devolution to combined authorities under the Bill might actually have a centralising effect for many health and social care functions, taking power away from councils that represent smaller communities and the clinical commissioning groups that represent clinicians. Although that might be desirable in some cases, it is also important to consider how the positive developments brought to health and social care by these bodies can be preserved.

Clauses 7, 16 and 17 allowed the piecemeal transfer of health care commissioning responsibilities from clinical commissioning groups and NHS England to local government. I am concerned about the impact that will have on the NHS, especially as regards local variation in service levels, further allocation of resources and the cross-border impact of decisions. The Opposition believe that there should be a statutory duty on the Secretary of State for Health to secure and provide universal health care and that core national NHS standards should remain in place.

Junior Doctors Contract

Debate between Alistair Burt and Liz McInnes

Friday 20th November 2015 Commons Chamber

[Alistair Burt]

I am quite sure I can say to my hon. Friend that no one ever wants to see anyone hurt, but, if there is a withdrawal of labour, it is not possible to say that certain procedures to relieve the discomfort of existing patients will take place. That is obviously the point of the action and why no one wishes to see it happen. I repeat that no doctor wishes to put a patient in a situation of harm. No Minister wants to see that and none of us here does. This process has been going on for three and a half years; there has been reference to independent people, recommendations that the BMA played a part in making and an open offer always to come back to negotiations. That does not seem an unreasonable position for the Secretary of State to take. That is why it should be backed by everyone sitting in the House today.

[Liz McInnes (Heywood and Middleton) (Lab)]

Negotiations have clearly reached an impasse, and winter pressures and a winter crisis in the NHS are looming. In the interests of patient safety, let us bring in ACAS. Talks have clearly stalled. If the Secretary of State is doing everything he can, will the Minister tell me where he is today?

[Alistair Burt]

The impasse was not created by the Secretary of State. The impasse was created by the BMA walking away from negotiations last year and not returning to negotiations after the recommendations of the independent body came through. That is not an impasse; that is one side deciding it does not want to take part. The Secretary of State’s response has been to say: keep the negotiations going, the door is always open.

The hon. Lady asks where the Secretary of State is today. He is working on the spending review plans for the support the NHS needs—a financial commitment the Labour party did not make at the general election. He is also working on contingency plans to make sure the NHS is safe if action takes place. I think that is pretty important work that he should be doing.