Oral Answers to Questions

Debate between Andrew Gwynne and Steve Barclay

Tuesday 6th June 2023 Commons Chamber

[Andrew Gwynne (Denton and Reddish) (Lab)]

As my hon. Friend the Member for Rhondda (Sir Chris Bryant) pointed out, the brutal truth is that the Tories have consistently missed England’s cancer treatment target since 2013. Last year, 66,000 cancer patients waited more than two months for their first treatment following an urgent GP referral, and the UK now has the worst cancer survival rate in the G7. Labour will give the NHS the staff, the technology and the reform it needs, and we make no apologies for expecting cancer waiting times and diagnosis targets to be met once again. That is our mission. Why is theirs so unambitious?

[Steve Barclay]

We are making significant progress. The hon. Gentleman specifically mentions GP referrals, and there were more than 11,000 urgent GP referrals for suspected cancer per working day in March 2023, compared with just under 9,500 in March 2019, so we are seeing more patients.

Let me give an indication of how we are innovating on cancer. We have doubled the number of community lung trucks, which means the detection of lung cancer at stages 1 and 2 is up by a third in areas with the highest smoking rates. In the most deprived areas, we are detecting cancer much sooner, and survival rates are, in turn, showing a marked improvement.

Oral Answers to Questions

Debate between Andrew Gwynne and Steve Barclay

Thursday 9th June 2022 Commons Chamber

[Andrew Gwynne (Denton and Reddish) (Lab)]

T8. As a former member of the Home Affairs Committee, I still take great interest in its work. I am reliably informed by my right hon. Friend the Member for Kingston upon Hull North (Dame Diana Johnson) that yesterday the Independent Chief Inspector of Borders and Immigration told the Committee that he had asked to meet the Chancellor of the Duchy of Lancaster to talk about the cross-Government approach to channel crossings and had been refused a meeting, and that the Home Secretary had cancelled requested meetings with him six times. Is this an acceptable approach to such a serious issue, and when will there be a meeting?

[Steve Barclay]

One of the purposes of Cabinet Office questions is to enable Ministers to respond to issues as they arise. Obviously I have a range of external meetings that reflect the responsibilities that we have discussed in the House, not least my roundtable on food security and resilience, an issue that was raised earlier. As for the wider approach to illegal immigration, that is a policy matter for the Home Secretary, who leads external engagement on the issue, but of course the Cabinet Office plays a supporting role in relation to Home Office colleagues.

Oral Answers to Questions

Debate between Andrew Gwynne and Steve Barclay

Thursday 31st March 2022 Commons Chamber

[Andrew Gwynne (Denton and Reddish) (Lab)]

Many moons ago, after the global financial crash, Tameside Council developed an initiative called “Tameside Works First”, which was a way of circumnavigating the then Official Journal of the European Union rules on public procurement and meant that the council could award far more contracts to local companies, massively benefiting those local companies. We do not have OJEU rules any more, so I would like to offer Tameside Works First to the Minister. Let us have a Britain Works First initiative and encourage local government and central Government to do more to award contracts to British companies.

[Steve Barclay]

The hon. Gentleman raises a legitimate point. We have all seen in our communities that local businesses often have a pride in the service they give because it is within their locale and they know the local school, business or hospital involved. Their own workforce have an interaction with it, so it is not just about the quality of the service, but the pride in what they are delivering. That is not always reflected in simple tender prices that are bid. It is very much at the heart of the procurement legislation that we look at social value, for example, how many disabled employees a bidding company has. We need to consider that wider social value, looking at issues such as food miles and quality, not simply at the money that is bid. This is also part of having a more transparent, accessible and simple process that enables SMEs such as the ones to which he alludes to take part in those contracts.

--- Later in debate ---

[Andrew Gwynne (Denton and Reddish) (Lab)]

Earlier, the Minister for Brexit Opportunities decried an Act of Parliament from 1972. There was a further Act of Parliament that year that also changed the face of England and Wales: the Local Government Act 1972. Much of that made sense for the delivery of public services, but the lords lieutenant have no role in local government. They are Her Majesty’s representatives in a county, and as a patron of the Friends of Real Lancashire, I can say that much damage was done to historic Lancashire. Will the Chancellor of the Duchy of Lancaster look at restoring the lords lieutenant to cover the historic counties for ceremonial purposes, so that the Duke of Lancaster’s representative can cover all the Duke of Lancaster’s county palatine, from the Mersey to the Furness fells, and from the Irish sea to the Pennines?

[Steve Barclay]

I fear it is not just me who has to declare an interest in this—Mr Speaker himself may have to declare an interest. Any question that starts with reinforcing the county of Lancashire is extremely welcome. Before the hon. Gentleman’s siren call draws me on to the rocks of constitutional propriety, I would want to take advice as to what the interaction is with the Palace and other quarters that may have a view on this. I take this moment—I am sure the hon. Gentleman will agree—to pay tribute to the incredible work that the lords lieutenant do up and down the country. They are at the heart of so much civic activity within our constituencies and make a hugely valuable contribution through their work.

Oral Answers to Questions

Debate between Andrew Gwynne and Steve Barclay

Thursday 24th February 2022 Commons Chamber

[Steve Barclay]

I very much agree. That is why the south-west is already home to 45,000 civil servants. The recent levelling-up White Paper highlighted the range of Departments that will be relocating, including to the south-west.

[Andrew Gwynne (Denton and Reddish) (Lab)]

We know it is important to have a good breadth of civil service jobs out in the country, but it is also important to have a diverse civil service. Will the Minister explain what he will do to ensure that the top jobs in the civil service better reflect the nation they seek to serve?

[Steve Barclay]

I could not agree more. The hon. Gentleman is right to champion diversity, which is at the heart of the Places for Growth programme. If we want a meritocracy, we need diversity as a part of that, recognising, as the Prime Minister has frequently said, that talent is equally distributed but opportunity often is not. People should be able to fulfil their careers closer to home. Moving senior-level jobs—for example, with the Treasury in Darlington—is a key part of enabling people from all backgrounds to access the very best jobs in our civil service.

Oral Answers to Questions

Debate between Andrew Gwynne and Steve Barclay

Thursday 13th January 2022 Commons Chamber

[Steve Barclay]

I think he is a hugely talented colleague. I work extremely closely with him and I look forward to doing so. One of the points that has come out through departmental questions is the commitment from many across the House, although not those on the Scottish National party Benches, to the importance of the Union. That is an absolutely central commitment of the Government and the Prime Minister and the entire Cabinet are committed to defending it.

[Andrew Gwynne (Denton and Reddish) (Lab)]

Can I give a bit of friendly advice to the Paymaster General, who has been valiantly defending the indefensible? When the ship is about to sail, you jump on it because it is leaving without you. The ministerial code matters, standards in public life matter and trust in politics matters. The case against the Prime Minister is clear. Why is the Paymaster General destroying his own integrity to save a man who has none?

Lockdown: Economic Support

Debate between Andrew Gwynne and Steve Barclay

Tuesday 3rd November 2020 Commons Chamber

[Steve Barclay]

I drew attention earlier to the fact that more than £13 billion had been allocated to the self-employed income support scheme and through the income support grant. That indicates the support that the Treasury has given. The hon. Gentleman draws out, as the Chair of the Treasury Committee did, the specific issues around company directors. I have set out to the House the difficulty of clarifying precisely what is earned income as opposed to dividend income, but it is worth drawing the House’s attention to the fact that more than £13 billion of support has been allocated.

[Andrew Gwynne (Denton and Reddish) (Lab) [V]]

Before lockdown 2, more than 2,000 jobs based at Manchester Airport were reported to be at risk. The Government have provided business rates relief to thousands of retail businesses, including £700 million to the likes of Tesco, which have seen huge increases in profits throughout lockdown. Will the Government now step in to relieve 2020-21 airport business rates, following the introduction of a new travel ban, by funding the difference to local councils?

[Steve Barclay]

As I mentioned earlier, within the £1.1 billion of support to local authorities, we have given them discretion to respond to local needs, and that includes Greater Manchester as a region. On the airport sector specifically, one reason why we have allocated more than £12 billion to test and trace is that one of the key issues, as I was told by that sector, is the importance of travellers being able to be tested quickly and released sooner than has been the case in recent weeks. We are working extremely hard on that issue, because that is one of the key measures, alongside the financial support to local authorities, that would make a real difference to the airport sector.

Oral Answers to Questions

Debate between Andrew Gwynne and Steve Barclay

Tuesday 15th September 2020 Commons Chamber

[The Chief Secretary to the Treasury (Steve Barclay)]

My hon. Friend is right to draw attention to the particular impact on that sector. It is something we are engaging on closely with it, and I am very happy to continue to have dialogue with my hon. Friend on the issue.

[Andrew Gwynne (Denton and Reddish) (Lab) [V]]

Tackling the covid crisis relies on us all doing the right thing, but for many that is just an impossible choice financially, as we heard from the shadow Chancellor. The lowest-paid workers who self-isolate must do so on statutory sick pay of £190 in total for two weeks. Can the Chancellor even begin to imagine how impossible it is to bring up a family for a fortnight on about the same amount as the cost of his £180 high-tech coffee cup?

[Steve Barclay]

I think my right hon. Friend addressed this in his reply to the shadow Chancellor. The key issue is to look at the package of measures the Government are putting in place. First and foremost among those is retaining people’s link to employment. That is the most important issue. Alongside that, the measures on welfare, including support for businesses that are in lockdown, are part of the comprehensive response, and statutory sick pay is one of a suite of measures.

European Union (Withdrawal) Act

Debate between Andrew Gwynne and Steve Barclay

Monday 25th March 2019 Commons Chamber

[Stephen Barclay]

If the hon. Gentleman had kept up with my speech last time, he would realise that I spoke to the three amendments, all of which were defeated last time. I hope that the same will happen tonight and that all the amendments will be defeated. That is the purpose of my speech once again. This is not the first time that SNP Members have not been awake during speeches.

The House has also been asked to consider amendment (f) in the name of the right hon. Member for Derby South (Margaret Beckett) regarding the recalling of the House in the event of a no-deal exit being imminent. The House has been further asked to vote on amendment (d) in the name of the Leader of the Opposition, which calls on the Government to provide sufficient time this week for a series of votes, including on the Opposition’s plan. The Government have committed to providing that time, but that does not change the fact that the plan from Her Majesty’s Opposition has already been rejected by this House and the EU has suggested that key aspects are not negotiable.

[Andrew Gwynne (Denton and Reddish) (Lab)]

So has yours!

[Stephen Barclay]

The hon. Gentleman is correct. That is referenced in the amendment tabled by the Leader of the Opposition, but he is silent on the fact that his own proposed deal has also been rejected. That points to the lack of consistency that we see so often in his approach.

Let me turn to amendment (a). My right hon. Friend the Member for West Dorset said that his proposal was little different from established practice on a Friday in respect of private Members’ Bills. I gently suggest to my right hon. Friend, who is an experienced and senior Member of the House, that there is a difference between the Government choosing to make time available to Members for private Members’ Bills and Members taking time from the Government to control the very business of the House.

NHS Negligence Cases

Debate between Andrew Gwynne and Steve Barclay

Tuesday 30th January 2018 Westminster Hall

[The Minister of State, Department of Health and Social Care (Stephen Barclay)]

As always, it is a pleasure to serve under your chairmanship, Mr Rosindell.

I begin by commending the hon. Member for Denton and Reddish (Andrew Gwynne) for securing this debate. Although he opened it by saying that it is perhaps unusual for a member of the shadow Cabinet to secure a debate such as this one, it is absolutely right that he is doing so on behalf of his constituent and bringing these matters before the House. I am very sorry to hear about Mr Hawkins’s experiences, which have clearly caused him distress.

As you are well aware, Mr Rosindell, the NHS complaints process operates independently of Government, to prevent political bias in the handling of individual complaints. However, a number of points arise from the hon. Gentleman’s remarks, in respect of his contention that Mr Hawkins was let down by a number of individuals and organisations within the NHS. Specifically, it is alleged by Mr Hawkins that the hospital failed him by prioritising then Government targets, which delayed his operation; that the clinician failed him through clinical error; that the duty surgeon failed him by falsely reporting that his wound had healed; that the hospital failed him by not correcting the alleged mistake and by instructing lawyers; that Hempsons solicitors failed to disclose full records; that his own solicitors failed him by not obtaining his records; that his own clinical medical expert failed him; that the hospital failed him, regarding his report; that the ombudsman failed him; and that the NHS Litigation Authority failed him.

Although the Department of Health does not comment on individual cases, and it is not for me to adjudicate whether all of those claims by Mr Hawkins are valid, it is worth noting that a very wide range of both individuals and organisations are alleged by Mr Hawkins either to have conspired against him or, indeed, to have failed him in this matter.

It is also worth placing on the record that NHS Resolution, which was formerly the NHS Litigation Authority, informs me that in January 2016 it first became aware of an independent medical report commissioned by Thompsons, Mr Hawkins’s own solicitors, which had not been previously disclosed to NHS Resolution in the course of Mr Hawkins making his claim. That medical report concluded that there was nothing to suggest that the operation in question had been performed anything but competently. Although I very much recognise that the hon. Gentleman’s constituent is of a different view, and he is perfectly entitled to be of a different view, it is worth placing on the record that his own medical expert, who reviewed this case, did not feel that the operation had been performed in the way that Mr Hawkins has claimed.

I note that Mr Hawkins referred this matter to the Parliamentary and Health Service Ombudsman, which is independent of both the NHS and Government, but the ombudsman ruled that the claim was out of time. Ombudsman decisions are final and there is no automatic right for them to be reviewed. However, the law provides for the ombudsman to consider whether to review a decision if it was demonstrated that the ombudsman made their decision based on inaccurate facts, or that there was new and relevant information that was not previously available, or that they had overlooked or misunderstood parts of the complaint or relevant information.

If a complainant believes that there has been maladministration in the handling of their complaint, they can apply to the courts for a judicial review. However, that must be done within three months of the conclusion of the complaints process.

[Andrew Gwynne]

The Minister hits the nail on the head there, and it is where the system has let Mr Hawkins down; Mr Hawkins will have been listening very attentively to the case that I set out. Mr Hawkins was denied that ability to apply for a judicial review because of the way that the hospital itself had delayed the process by not informing him that the case had been formally closed, so that by the time he was advised that the case was closed, the time limit by which he was able to take a legal route had passed.

[Stephen Barclay]

I very much recognise the point that the hon. Gentleman is making. Obviously, I do not want to get drawn into the specifics of this individual case, for the reasons that I have already set out, but within this case and within the claim made by Mr Hawkins a number of factors have been outlined, and I recognise that the hon. Gentleman’s point is one limb of the claim that Mr Hawkins has made.

What brings the various issues together is a question that I think applies to all of us, from all parties in the House: in the future, how do we collectively avoid cases such as Mr Hawkins’s case, and how do we improve the complaints process? That is an area where the Government have been particularly active, not least following “Hard Truths”, the report into Mid Staffordshire and the issues that arose there. The Department of Health has established the complaints improvement board to take forward a series of projects to improve the complaints process. So I hope that—irrespective of the specifics that we are discussing today—as part of the “closure” that the hon. Gentleman referred to, the improvements in the complaints process in the future will be a source of some comfort to Mr Hawkins.

As part of that process, the complaints improvement partnership was established by the Department and system partners, including NHS England, NHS Improvement, the Care Quality Commission, the Parliamentary and Health Service Ombudsman, and NHS Resolution. That partnership is currently examining options for delivering a more effective complaints management system, and better use of all forms of feedback to improve NHS services. That includes expanding the role of the “freedom to speak up” guardians, to give them powers to initiate whistleblower complaints processes where possible. My predecessor, the hon. Member for Ludlow (Mr Dunne), particularly championed that when he was a Minister, and he did a huge amount to progress it.

The complaints improvement partnership also engages with non-executive directors to explore options for them to have responsibility for monitoring the progress of complaints and serious incidents within trusts, and with Healthwatch England, to empower local healthwatch organisations. As constituency Members, I think we all work with and see the value of that body. Working with the ombudsman, the partnership also promotes best practice in the handling of complaints by providing information, advice and training. In addition, NHS Resolution has recently launched a service to increase the use of mediation in the NHS, to resolve issues at an earlier stage without the need for protracted litigation. My hon. Friend the Member for Central Suffolk and North Ipswich (Dr Poulter) has previously championed reducing the impact of lawyers when disputes arise.

It is important that patients receive the safest care possible from the NHS and that when things go wrong clinicians are open and honest, and able to learn from their mistakes. It is equally important that patients and their families are listened to and their concerns taken seriously and addressed.

[Andrew Gwynne]

That brings us back to the point made by the hon. Member for Central Suffolk and North Ipswich (Dr Poulter). When Mr Hawkins complained that his Achilles tendon had adhered to the back of his foot again, it surely would have been better for Tameside General Hospital’s old management—the hospital has come a long way since it was in special measures—to investigate and put it right at that point, rather than immediately going down the legal route.

[Stephen Barclay]

The hon. Gentleman will appreciate that the events took place more than 11 years ago and that it is, therefore, not for me to comment on what the trust knew at that time or their actions accordingly. I think we all, across the House, recognise that resolving issues without recourse to litigation is preferable, where possible, to lawyers being involved at an early stage—and I say that as a former lawyer. That is why the Government seek to improve how complaints are handled, including improving the regulation. The Care Quality Commission now rigorously inspects all trusts and primary and adult care providers, and a duty of candour—a new protection for whistleblowers—encourages staff to speak up for safety and hence fosters greater transparency. There is also the development of a culture of learning, through patient safety collaboratives and the national Sign up to Safety campaign, and last April the healthcare safety investigation branch became a fully operational and independent branch of NHS Improvement, to investigate serious incidents in the NHS with a strong focus on system-wide learning.