Oral Answers to Questions
Debate between Andrew Gwynne and Rachael Maskell(1 month, 1 week ago)
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Rachael Maskell (York Central) (Lab/Co-op)
Andrew Gwynne
My hon. Friend is incredibly knowledgeable about public health matters both at national and local level. Lord Darzi’s investigation into the NHS set out the impact of past reductions in local government public health funding. We will confirm public health grant allocations for the next financial year as part of the forthcoming spending review, but the points she made have been made loudly and clearly.
Petitions
Debate between Andrew Gwynne and Rachael Maskell
Andrew Gwynne (Denton and Reddish) (Lab)
Yesterday at Treasury questions, the Chancellor of the Exchequer, in response to my right hon. Friend the Member for Kingston upon Hull North (Dame Diana Johnson), said:
“I gently say to the right hon. Lady that I stand by every word I said when I gave evidence, twice, to the infected blood inquiry. The Government have an absolute moral responsibility, not just to pay the compensation owed, but to pay it as speedily as possible.”—[Official Report, 19 March 2024; Vol. 747, c. 804.]
My constituents have one clear response: if the Chancellor accepts the case, why has it not been done?
This petition from the constituents of Denton and Reddish therefore calls on the House of Commons to urge the Government to implement the recommendations in the second interim report of the infected blood inquiry without delay.
Following is the full text of the petition:
[The petition of residents of the constituency of Denton and Reddish.
Declares that people who received infected blood and who as a consequence have, along with their families, waited far too long for redress.
The petitioners therefore request that the House of Commons urges the Government to implement the recommendations in the Second Interim Report of the Infected Blood Inquiry without delay.
And the petitioners remain, etc.]
[P002935]
Rachael Maskell (York Central) (Lab/Co-op)
Too many people have died without justice or compensation for being provided with infected blood. Their families suffer today, and such injustices are deepened given that the interim report has not been implemented and the interim compensation payments have not being paid, when there is an opportunity for that to be done.
I thank Sir Brian Langstaff, who is due to publish his report in May, Sir Robert Francis, who has worked on the compensation payments, and my right hon. Friend the Member for Kingston upon Hull North (Dame Diana Johnson) for the tenacious way in which they have sought to secure compensation and learning from one of the greatest tragedies of the last 50 years.
Yet there was nothing in this year’s Budget to say that the compensation would be paid. People and their families have suffered enough. The petitioners therefore request that the House of Commons should urge the Government to implement the recommendations of the second interim report of the infected blood inquiry without delay.
Following is the full text of the petition:
[The petition of residents of the constituency of York Central,
Declares that people who received infected blood and who have suffered as a consequence have, along with their families, waited far too long for redress.
The petitioners therefore request that the House of Commons urges the Government to implement the recommendations in the Second Interim Report of the Infected Blood Inquiry without delay.
And the petitioners remain, etc.]
[P002938]
World Stroke Day
Debate between Andrew Gwynne and Rachael Maskell(1 year ago)
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Andrew Gwynne (Denton and Reddish) (Lab)
It is a pleasure to serve under your chairmanship, Mr Hollobone. Like others, I begin by thanking my hon. Friend—I will call him that, because we are friends—the Member for Bromley and Chislehurst (Sir Robert Neill) for securing this important debate to mark World Stroke Day. I thank him for not just his continued advocacy and the work he does here in Parliament, but sharing his personal experiences. On behalf of the whole House, we send our love to his wife and to him for the work he does to look after her.
We have had a small but perfectly formed debate. I want to thank my hon. Friend the Member for York Central (Rachael Maskell) in particular for her powerful contribution. She speaks with experience that I could only ever dream of; it is so important that her expertise, knowledge and past experiences should shape and inform the debate. I thank her for that. Likewise, I thank the hon. Member for Strangford (Jim Shannon) and the hon. Member for Motherwell and Wishaw (Marion Fellows), who leads on health issues for the SNP, for their contributions. We have had a good, thorough debate, covering a lot of issues. Hopefully we have marked World Stroke Day well in this place today.
It is stating the obvious to say that stroke can have a life-changing impact. As we have already heard, the statistics show that in the time we are here this afternoon, 14 people across the United Kingdom will have had a stroke—that is one stroke every five minutes. Although often a sudden event, the lasting impact of stroke for patients can be devastating. It is one of the leading causes of adult disability across the United Kingdom. Two thirds of stroke patients—let that sink in—will leave hospital with a permanent disability, often needing lifelong care. Sadly, stroke is often fatal, causing around 35,000 fatalities across the UK every year, making it the fourth leading cause of adult death.
What those statistics demonstrate to me is that however far we have come on the journey with stroke, we need more concerted action going forwards—not just from a patient care perspective, but given the significant impact that not acting on stroke has on the economy. There is an economic argument, not just a patient care argument.
I pay tribute to the work of the Stroke Association, which does incredible advocacy, campaigning and research in this area, as well as other organisations across the UK. Stroke Association research shows that by 2035, stroke is expected to cost the British economy £75 billion a year. That is up from £26 billion as recently as 2015—a rise of 190% in just two decades. Given the strain already on stroke pathways across our health and care system, that is simply unsustainable. The need is clear, and the need is now.
One of the issues holding us back in our fight against stroke is the workforce, as is so often the case and as we have heard today in other contributions. A well-skilled, well-resourced workforce is vital to saving lives and improving the outcomes for patients. However, for too many across the United Kingdom, the workforce is simply not there for them or not there for them in adequate numbers. Half of all stroke units across the country have at least one vacant consultancy post, with the average vacancy being left open for 18 months.
When it comes to thrombectomy—a life-changing treatment that can have a fundamental impact on patient outcomes, as the hon. Member for Bromley and Chislehurst set out—the postcode lottery for care only gets worse. A third of clinicians in this country who can perform thrombectomy are based in London. That is good for Londoners but not for other parts of the country. Given that speed of treatment is critical when it comes to long-term outcomes for strokes, this lottery facing so many people cannot be allowed to continue.
Further along the stroke treatment pathway, other issues persist. Only a quarter of community rehab teams and early supported discharge services are offering support seven days a week. That is not good enough. With patients waiting too long for treatment when they need it and too long for support in the community following treatment, it is clear that the system is broken. That is why I am proud of Labour’s firm commitments on giving our NHS the workforce it needs to get patients seen on time, by delivering an extra 7,500 medical school places, training an extra 700 district nurses each year and ensuring that at every stage of the treatment pathway stroke patients will have access to the care they need when they need it.
But there is so much more work we can do to break down the barriers that too many stroke patients face on their care journey. Breaking down those barriers will take innovation and all parts of the system to be pulling in the same direction. For stroke patients, that is exactly what is needed. Given the crucial role played by primary, acute and social care services in delivering positive, long-term outcomes for stroke patients, co-ordination is the key. However, in too many cases, that co-ordination is simply not happening, and patients are suffering as a result.
We have a primary care system with vast variety in detection of key stroke indicators, such as heart conditions, atrial fibrillation and so on. We have people not getting to the right place in hospital, with only 40% of stroke patients admitted to a stroke unit within four hours of arrival. We have a community care system without the resources it needs to deliver for patients, with the Stroke Association’s report about life after stroke highlighting that only 37% of stroke patients receive a six-month post-stroke review of their needs. It smacks of a system that is not working for anyone.
Rachael Maskell
My hon. Friend is making an excellent speech. When it comes to social care, people are often untrained and as a result could cause more harm than good if they do not know how to care for a patient who has had a stroke. Will he ensure that Labour discusses how it will train our care workforce to have the right skills to deliver ongoing care?
Andrew Gwynne
My hon. Friend makes an important point. Some of the discussions that I have had, including this week, with professionals in the care sector have been about how we upskill care professionals working in our social care system so that they are able to genuinely—in an integrated fashion, with the NHS—work in accordance with the interests of the person they are caring for and take that person’s needs as a whole. It is also important for these workers to have the professional development, and parity of esteem, terms and conditions and so on with the NHS, to be able to take on those extra responsibilities. My hon. Friend is absolutely right, and that issue is certainly on the radar of the shadow health and social care team as we develop our plans—not just Labour’s workforce plan for coming into government, but our plans on the road map to a national care service.
Whether it is by training more GPs to ease the immense pressure on our primary care system, by putting an end to dangerous hospital waits or through a 10-year plan for fundamental social care reform delivered in partnership with users and their families, Labour is determined to get the system working again. We are determined to build a national health service that is fit for the future, with a long-term vision for a national care service firmly integrated within it. Only by doing all that, getting it right and taking people with us on that journey can we deliver on our long-term mission of cutting stroke deaths by a quarter within the next decade. That is a mission. It is something we are determined to do, because at the heart of this are people’s lives and we want to ensure that we have in place the stroke services that patients deserve.
School Building Conditions
Debate between Andrew Gwynne and Rachael Maskell(3 years, 2 months ago)
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This information is provided by Parallel Parliament and does not comprise part of the offical record
Andrew Gwynne
The advice that I have is that that will be very difficult and probably a futile task by the local authority. One of the real issues that rankles, not just with me but with the headteacher, the chair of governors, the whole governing body and the local authority, is that there is no comeback on these shysters. It is not just Carillion but its subcontractors that did a botched job and took a hefty sum of public money, destroying a perfectly good, structurally sound public building in the process.
I have talked about the funding problems that Tameside council is experiencing, but the issue is even more serious because its budget gap and other financial pressures basically mean that it is unable to borrow to fund the project. Bluntly, it will be served with a section 114 notice if it even tries, so precarious are its finances. I recognise that there are many pressures on capital budgets, but I believe that Russell Scott is an extraordinary case that requires national intervention and help. I am pleading with the Minister for that. The school was poorly refurbished by a contractor that we are now essentially unable to hold to account in the way that my hon. Friend the Member for Huddersfield (Mr Sheerman) suggested. The issue is now financially beyond the scope of the local education authority, Tameside council, to address on its own.
The situation at Russell Scott is causing significant distress to staff, who are having to teach in completely unsuitable conditions, and will no doubt be affecting the learning experiences of pupils at a pivotal age.
Rachael Maskell (York Central) (Lab/Co-op)
Just as my hon. Friend describes his school, I would like to draw the Minister’s attention to All Saints Roman Catholic School in York, which is over 400 years old. It has accessibility challenges as well as many of the construction problems that are being described. To refurbish a listed school costs an excessive amount of money. That school needs to be rebuilt and brought on to one site. Does he agree that we need to ensure that the estate is fit for purpose, particularly as this issue affects the learning opportunities of young people?
Andrew Gwynne
I absolutely do agree. I do not know my hon. Friend’s school, so I take her word that it is in the kind of condition that Russell Scott is in. I could list other schools in my constituency that need to be rebuilt. There is a fundamental issue here about how we upgrade our school stock so that it is fit for purpose for the 21st century and fit for the best possible teaching and learning experiences, which all our children deserve. I fully support her in trying to get improvements for her 400-year-old school in the magnificent city of York.
Given the reasons that I have outlined, I raised Russell Scott at Education questions, and the then Secretary of State for Education, the right hon. Member for South Staffordshire (Gavin Williamson), promised me a meeting with Baroness Berridge, the then Parliamentary Under-Secretary of State for the School System. I and representatives of Tameside Metropolitan Borough Council, both elected members and officers, were very grateful to Baroness Berridge for swiftly arranging a meeting. She was very open in recognising the severity of the situation. She advised us of a possible route that could, if the Government’s officials agreed with the structural assessments of the council’s officers, potentially open the door to the Government’s capital rebuilding programme. I think that the next stage of the programme that can be accessed will be in 2023.
I understand that the capital programme is much in demand. While 50 new schools a year for the next 10 years sounds a lot—and it is in one respect—the fact that they are spread across the whole of England means that demand is always going to outstrip supply, and the application process for funds will no doubt be incredibly competitive.
Local Government and Social Care Funding
Debate between Andrew Gwynne and Rachael Maskell(5 years, 7 months ago)
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Andrew Gwynne
I remind the hon. Gentleman that the 2017 Labour manifesto said that we would put money back into our public services, something that he has failed to do in the almost three years since that general election.
Rachael Maskell (York Central) (Lab/Co-op)
My hon. Friend is making an incredibly pertinent speech. Does he not agree that it is completely perverse that public health budgets in York under the Tory-Liberal Democrat council have been slashed, when the NHS 10-year plan says we have to invest in public health?
Andrew Gwynne
It shows precisely the short-sighted way that the Government have approached funding local government. The fact that they passed on public health budgets to local government was, I think, a good move. It was one of the few things in the Lansley Act—the Health and Social Care Act 2012—that I thought was good, because it took back to local councils precisely what they were invented to tackle, which is to improve the health and wellbeing of the citizen. Of course, many councils started off their lives 150 or so years ago as local boards of health. Having that focus on public health and on health and wellbeing is absolutely right, but we cannot do that while cutting those budgets. That is the scandal: the areas that have seen the biggest cuts to their spending power, the areas that have seen the biggest cuts to the revenue support grant, and the areas that have seen the biggest cuts to the public health grant are the ones that need that resource the most.