Doctor Training

Debate between Andrew Selous and George Howarth

Tuesday 17th January 2023 Westminster Hall

[Andrew Selous (South West Bedfordshire) (Con)]

It is upsetting for young British students who have the grades and desperately want to be doctors in a country that desperately needs them to be turned down. I nearly went through that as a parent; I have an interest because my eldest daughter is a junior doctor, and the agonies that she went through, and that we went through as parents, wondering whether she would get the grades and get a place, were awful. Many British families go through that, and it is simply not right when, as my hon. Friend the Member for South Cambridgeshire (Anthony Browne) has said, we have 30,000 doctors from India and 3,000 from Iraq. We should be able to train more.

I am encouraged that the Chancellor of the Exchequer has at last said that the Government will introduce a plan to ensure that the NHS has the workforce it requires to meet future need. The plan will be for the next five, 10 and 15 years, taking into account improvements in retention. That is absolutely right and, frankly, we should have backed it when he was Chair of the Health and Social Care Committee and made the same point. But better late than never—a sinner who repents and all that.

I want to talk mainly about general practice, but we have to get the training right for our doctors everywhere—in hospitals and in general practice. They work incredibly hard under huge stress. I will be delighted to visit the junior doctors’ mess at the Luton and Dunstable Hospital, as I had an invitation recently. I will listen very carefully to what is said there. Today I want to talk about general practice, and in particular about ensuring we have somewhere to train those young GPs as they go through their career. I was very upset to learn last Wednesday that my integrated care board—Bedfordshire, Luton and Milton Keynes—had to turn away eight trainee GPs, because there is nowhere for them go. That is an appalling situation.

Some 14,000 new homes are being built in my constituency. The NHS uses the measure of 2.4 people per home, which means 33,600 new residents, and we are really struggling to expand general practice. Last Wednesday, my integrated care board scrapped 30 of the 53 proposed expansions in primary care across its area—where we could have trained young GPs—for the lack of £2.95 million out of a £1.7 billion budget.

I think about those eight trainee GPs that Bedfordshire, Luton and Milton Keynes had to turn away. My constituents are particularly angry because to the east of Leighton Buzzard is a big new development called Clipstone Park. I have with me a copy of what Barratt Homes, Taylor Wimpey and David Wilson Homes say in the planning application, which states that the development will see the delivery of a doctor’s surgery. No ifs, no buts, no caveats; it will happen. People bought those homes on the basis that there would be a surgery where we could train the young doctors we are talking about. It is not happening, so is it surprising that there is a breakdown in trust among our constituents? It is simply not good enough. Two health hubs that desperately believe in integrated health and care have also not been given the go-ahead. Furthermore, I have discovered that of the £7 billion of section 106 money to fund facilities, including healthcare facilities to train doctors, less than £187 million went into health. That is simply not good enough.

We either take health seriously or we do not. We need to get waiting times down in hospitals. However, we also need to get down the time that many of our constituents spend waiting at 8 o’clock every morning, day after day, trying to see a young doctor, so many more of whom we need to train.

[Sir George Howarth (in the Chair)]

I remind Members that I will be calling speakers from the Front Benches at 10.30 am. To get everybody in, I will now impose a formal four-minute limit on speeches.

Planning System: Gypsies and Travellers

Debate between Andrew Selous and George Howarth

Wednesday 29th January 2020 Westminster Hall

[Andrew Selous (South West Bedfordshire) (Con)]

I want to consider the policy intentions on this matter and what good outcomes look like, both for the Government and for everyone else. I hope that we agree across the House that we want to see really well-integrated, cohesive communities and to have good outcomes for all citizens—Travellers and settled alike. Critically, that depends on giving everyone, particularly children, good life chances so that they can get those good outcomes. As we know from the race disparity audit, introduced by the last Prime Minister, my right hon. Friend the Member for Maidenhead (Mrs May), Traveller children have some of the worst educational, employment and health outcomes in the country.

For many of my settled residents who live close to large numbers of Traveller sites, the current situation is not a happy one. I am sent here to speak truthfully and to speak up for all my constituents, Travellers and settled alike. I receive quite a large number of emails from constituents telling me that they do not feel safe in my constituency anymore, and are looking to leave if they can afford to. A large number of businesses that regularly suffer theft, and whose staff are threatened, are very concerned. Businesspeople have recently come to tell me that they will not invest in my area.

I choose my words very carefully. There are good and bad in every community and many, many law-abiding Travellers absolutely respect the law, but I have to speak as I find and as my constituents tell me as individuals and as businesspeople in large and small businesses. It is not a happy situation for many of my settled residents, and many do not feel safe as a result.

My contention is that, unfortunately, and not because any Government wanted this to be the case, the current set of policies completely fails Traveller children, who have terrible outcomes, and causes great unhappiness and even suffering among many settled residents. What we have is not working for anyone at all. At the heart of Gypsy and Traveller policy is a fundamental muddle.

Planning policy for Traveller sites talks about “fair and equal treatment” for Travellers—absolutely: we all sign up to that—and about facilitating

“the traditional and nomadic way of life”.

The assumption seems to be that a Traveller site is needed to facilitate travelling. Why is that the case? Many of my settled constituents travel regularly. Many are caravaners, perhaps with a caravan they keep in their front garden. Indeed, many travel a lot more than my Traveller constituents do.

The situation is a muddle. To facilitate a traditional and nomadic way of life, we might need somewhere to keep caravans or somewhere safe for horses to be kept—unfortunately, a number of members of the British Horse Society have reported to me some pretty horrible incidents of cruelty to horses locally, so we need to look at that issue as well. There is a muddle because we do not need a Traveller site to enable people to travel. If we were honest, we would realise that we are prioritising the provision of sites and allowing the nomadic way of life over and above the right of Traveller children to have a good education.

I was so concerned that I asked the Children’s Commissioner for England to come to my constituency to visit one of the main village primary schools— lower schools. It has a lot of Traveller children. She went and reported back to me, in writing, that most Traveller children are not in school at all over the summer, when exams are taken, and that most stop their education in schools altogether around the age of 15. How can we expect Traveller children to be the engineers, lawyers, accountants and scientists of the future when the result of our current policy is that we do not value their education?

I have some of the best education and welfare officers in the business—I name Andrew Copperwheat in particular, from Central Bedfordshire Council—who try their very best to ensure that Traveller children go to school, but it is a losing game again and again. My constituents who volunteer in food banks tell me that it is common for adult Travellers who come to ask for food to say, “I can’t read and I can’t write”. We may think that Traveller children might get home education, but how will that happen if the parents are illiterate, through no fault of their own?

We need a little honesty. The people who speak for Travellers are the adults, but I am concerned about the outcomes for Traveller children—beautiful, wonderful children, who deserve the same chances as all of our children. When I went around six or seven Traveller sites a couple of weeks ago, I saw those children and my heart felt for them, because I could see their trajectory. Let us have a little more honesty about what “good” looks like, and let us think about what we are prioritising, whether it is right and whether we can do it better.

To cheer Members up—this has been a bit of a gloomy debate in some ways—let me say that there have been some great outcomes when my council has managed to get Traveller families into local authority housing in my constituency. The children go to school regularly, the parents have regular work and they are all making friends in the local community—people are being integrated. My constituency has proudly integrated wave after wave of Italian, Polish and Irish people happily and well over recent decades. We all pull together, get on and make a great contribution, and I want that for Travellers as well.

If Travellers are here legally, they should be part of our communities and be contributing and paying taxes; their children should be in our schools and having the amazing opportunities that all our children should have. But that is not happening at the moment. When I go around some of our Traveller sites, I see terrible housing conditions, green mould in water tanks, hot water coming out of toilets and conditions that, frankly, we would not keep animals in. That is not good enough. The legislation is not fit for purpose. Environmentally, we have sewage going into ditches, and a lot of the time the situation is not healthy. There is also a lot of sub-letting, often with violence. There are no tenancy contracts—this is sub-letting to non-Travellers on Traveller sites, enforced with vigilante violence, by quite wealthy Traveller landlords who have a lot of cash. That is not a good situation.

At the start of a five-year Parliament, I tell the Minister, who is a decent, humane and reasonable man: act with compassion. He should be progressive, do something good in this space, create brilliant outcomes for Traveller children and dial down the antipathy, the anger and the hatred between our communities. Do something that we can all be proud of in this space.

[Sir George Howarth (in the Chair)]

I will start to call the Front Benchers at 10.40 am.