(4 years ago)
Commons ChamberYes. Stoke-on-Trent has had a tough time recently, but the work by Stoke-on-Trent City Council and the community testing that is going on in Stoke-on-Trent is very impressive. All of us, as MPs, can lean into that and help to support the councils, the military and others in delivering testing in our communities. We have set out details of how we can all do that today so that every single one of us can play our part.
Can I return to the vaccination of those with terminal illnesses? The wife of one of my constituents, aged 70, who has stage 4 bowel cancer and is receiving palliative care, contacted me at the weekend. If his only priority is being 70 and extremely vulnerable, he is in the fourth cohort for vaccination. The terminally ill should be in the first group. Will the Secretary of State make that change, and will he give a timescale for each of the nine priority groups for receiving the vaccine?
The hon. Member asks a very sensitive and reasonable question. Of course it is right that we should follow the clinical guidance in terms of the order of priority, and that does include those who are clinically extremely vulnerable to this disease. On the timescales, I am afraid that the answer is the same to him as to my hon. Friend the Member for Newbury (Laura Farris), which is that we do not know because it depends on the speed at which the manufacturers can produce the vaccine.
(4 years, 1 month ago)
Commons ChamberMy hon. Friend makes another important contribution to this debate. There is inevitably a discussion within the medical profession about this important question. That should be taken into account, alongside the views, as the hon. Member for Leicester South (Jonathan Ashworth) said, of faith leaders, the public and those who face terminal disease, as Parliament debates this subject.
Terminally ill people are travelling prematurely and alone to end their lives abroad for a number of reasons, including covid. Another is that they wish to save relatives from the risk of prosecution. Will the Secretary of State liaise with his Home Office colleagues and the police, who themselves find these cases difficult, to ensure that any response is sensitive and proportionate?
That incredibly important and sensitive matter needs to be considered as part of the overall approach. These questions should all be brought out in a debate on this subject. That is Parliament’s role, given that this is an area of conscience on which the Government do not take a view.
(4 years, 9 months ago)
Commons ChamberThat is an incredibly important point. Public Health England is addressing the order of prioritisation, and we are also trying to drive up the number of tests available, as we have discussed many times earlier.
Schools are closing. London Oratory School in Fulham, which had 1,300 pupils, closed today. One effect of that is that other schools in the vicinity then come under pressure to do likewise from the school community. That is no criticism of anyone, but can the Secretary of State review and clarify the policy on schools and what happens if they have to downsize or if the policy changes?
We are of course reviewing all those points, and there are some measures in the Bill tomorrow to enable them to be addressed directly.
(4 years, 9 months ago)
Commons ChamberThis is really important and quite difficult. Our general approach is that people who become ill should stay where they are and be treated in the country in which they find themselves. This comes back to the previous question, because the first two victims of coronavirus in the UK were not British citizens, but they were treated brilliantly by the hospital in Newcastle. The treatment they received was fantastic, and rightly so. Of course there are cases and examples where we have to support people to come back to the UK. For instance, this afternoon a flight from California landed, bringing people from the cruise ship that had been off California. But the general principle should be that people are supported and treated where they are.
Will the Secretary of State review the criteria for testing? A constituent of mine has returned from the United States with symptoms of the virus but has been refused testing because she has not come into contact with a known case. Will he also say what the policy is on NHS staff wearing masks when on duty, primarily to avoid to the risk of the virus being spread by undiagnosed medical staff?
I am grateful for the constructive tone in which the hon. Gentleman asked the questions. This is an example of the House working well, because he and I have sometimes had cross words across this Chamber, but he has asked these two questions quite rightly. The advice given on 111 has to be dependent on the circumstances presented to the clinician giving that advice on the other end of the phone. It is really important that I do not fetter their discretion, but if he comes to me with details of the individual case and wants me to double-check that his constituent got the right advice, I am happy to do so.
On the second point, the deputy chief medical officer had a discussion with the Prime Minister today that was videoed and put on Facebook, and in that she was clear on this question about masks. There is not an advantage in wearing a mask if you are healthy—that is the advice from the medics here—but there is an advantage in respect of keeping others safe if someone who is ill wears a mask. There are also examples of when medical staff will need to wear the right type of mask to keep them safe. But the general advice is: don’t wear a mask unless you are advised to by PHE; or if you are ill, it is perfectly reasonable to wear a mask to stop infecting others—that is an act of generosity.
(5 years, 7 months ago)
Commons ChamberYes, I am always happy to meet my hon. Friend to talk about interesting new policy innovations like that. It sounds right up my street. In fact, I met the Mayor of the West Midlands combined authority to discuss this subject only last week. There is a huge amount of enthusiasm and energy in this policy area, which will enable us to improve patients’ lives across Birmingham and, indeed, the whole country.
As the Secretary of State knows, because he is a member, the Babylon Health GP at Hand digital service is based in Hammersmith and Fulham. By the end of this year, it will have run up a deficit of about £35 million for my clinical commissioning group. Given that the clinical commissioning group is cutting GP hours and closing an urgent care centre overnight because it is so short of funds, when are we going to be reimbursed for that £35 million?
I do not recognise the number that the hon. Gentleman talks about, but we are changing the way in which the GP contract works to ensure that this new technology can be most effectively harnessed to deliver patient need in a way that also works for the NHS. I am slightly surprised that he has not yet got up to say thank you for our announcement on primary care services in his part of London, which we are going to be expanding while stopping the closure of A&E. A little bit of gratitude for that would also go down well.
(5 years, 8 months ago)
Commons ChamberYes, of course, I would be delighted to meet my hon. Friend and his constituent. He is right that the fall in deaths from breast cancer is huge progress that we have made as a country. I pay tribute to the work of the NHS on that but, of course, every such death is a tragedy and we need to do yet more.
“Shaping a healthier future” was the biggest hospital closure programme in the history of the NHS, with the loss of two major hospitals, including Charing Cross in my constituency. It was fully supported by the Conservative party not only nationally, but locally, as the right hon. Member for Chelsea and Fulham (Greg Hands) well knows. After seven years, millions of pounds wasted in consultants, staff leaving through insecurity and 2 million people across west London threatened with the loss of essential and world-class hospitals, is that it today? Abandoning “Shaping a healthier future” is a victory for the people of Hammersmith, for the Save our Hospitals campaigners and for our Labour council, but there has been appalling judgment by a succession of Governments and Secretaries of State. Will this Secretary of State now apologise to my constituents?
It is astonishing, is it not? My right hon. Friend the Member for Chelsea and Fulham (Greg Hands) has made this case with objective clarity and reasonableness, is supporting his constituents and led to a very positive outcome, keeping the A&Es open but still doing the positive work in the community, and all we continue to get is information that I regard as erroneous from the hon. Gentleman, who has campaigned in the most terrible way on this over many years.
(5 years, 10 months ago)
Commons ChamberThere is a variability in availability. Of course the current model of delivery is a trial—we have doubled the size of that trial but it is still a trial that runs until 2021. I am very happy to work with my hon. Friend as well as with the hon. Member for Hove (Peter Kyle) to try to make sure that it is as available as possible.
Hammersmith is one of the sites that is now closed. When will PrEP be made freely available? Here we have a drug that has almost 100% effectiveness and that will save money for the NHS through HIV protection. When will we see it available to anyone who needs it?
As I have said, last month we doubled the availability of PrEP, which is an important step in the right direction.
(5 years, 11 months ago)
Commons ChamberYes, my hon. Friend is absolutely right about this. I pay tribute to the work that he did as a Minister in this area. We have put forward £30 million to support mental health services for rough sleepers. It is about so much more than just the money, though—it is about co-ordinating care and co-ordinating different agencies. There is a lot of work going on on this inside Government that he was very much involved with.
My clinical commissioning group has to make more than £40 million of cuts in the next 15 months and is proposing to cut GP and urgent care centre opening hours. It also has an £11 million risk thanks to the predatory private “GP at hand” scheme, of which the Secretary of State is a member. We have had GP practices suspended, palliative care beds closed, and our major hospital under threat of demolition for seven years. Will he accept that the self-regarding statement he has just made will be unrecognisable to people who work in and use the NHS, which is reeling from the crisis that his Government have caused?
I will take advice and consideration from many people, but not from the hon. Gentleman, who for seven years has run a frankly outrageous campaign based on scare stories about hospital closures that are totally unreasonable, unrealistic and wrong. He will never be somebody I listen to, because I care about improving the future, not political point-scoring.
(6 years, 4 months ago)
Commons ChamberThe Chair of the Health and Social Care Committee makes a really important point. There is no greater enthusiast for technology than me—as you well know, Mr Speaker—but the thing about new technology is that the rules sometimes need to be updated to take changes in technology into account. The response when there are challenges such as the one my hon. Friend raises is not to reject the technology, but the opposite: to keep improving the technology so that it gets better and better, and to make sure that the rules keep up to pace. I spoke to Simon Stevens at NHS England about this only this morning—we have had a series of conversations in the past couple of weeks since I have been in post—and he is reviewing this exact question. I am absolutely sure that we will get to the right answer.
Is the Secretary of State familiar with the “GP at hand” online service? It is a partnership between a private company and a Fulham GP surgery, and it has poached thousands of profitable patients from GPs all over London, to the alarm of the British Medical Association and of GPs generally. My clinical commissioning group is investigating it, and in the meantime CCGs have blocked Babylon’s expansion to Birmingham on safety grounds. This is creating a two-tier system for GPs, so will the Secretary of State investigate it?
I am acutely aware of the question that the hon. Gentleman raises, not least because I am a user of the Babylon service myself—it is my GP. The important thing is to ensure that the rules are kept up to date so that we can get the benefits of the new technology, but make sure that it works in a way that ensures everybody gets high-quality primary care.
(6 years, 7 months ago)
Commons ChamberFurthermore, IPSO has now been granted powers to require front-page corrections—we saw it recently flex its muscles and use this power. When two years ago Sir Joseph Pilling concluded that IPSO largely complied with Sir Brian’s recommendations, the one major omission was compulsory arbitration. IPSO has now introduced compulsory low-cost arbitration, which the major national newspapers have signed up to, so that claims can be made for as little as £50. With the five further concessions today, we are clear that this will be the start of a tougher regime, not the conclusion.
We now have the basis of a stronger and fairer system in which everyone has accessible recourse to justice when things go wrong but in which the press are free to challenge those in power and bring them to account.
IPSO and its so-called compulsory arbitration are wholly inadequate. The only independent redress is through the courts, but that is much weakened because, under the Legal Aid, Sentencing and Punishment of Offenders Act 2012, no win, no fee arrangements are no longer available, so the public actually have no clear independent remedy.
The hon. Gentleman has clearly not been following the debate. IPSO’s introduction of low-cost arbitration and the guidance on how to access it will ensure a stronger system of self-regulation.
All sides in this debate agree that our press must be free to report without fear or favour, to uncover wrongdoing and to hold the powerful to account. It is now a more difficult time than ever to produce high-quality journalism that does hold power to account. It was journalists who helped to bring Stephen Lawrence’s killers to justice; it was journalists who uncovered appalling child abuse, such as in Rotherham, and gave a voice to its victims; and it was journalists who reported on horrific allegations of sexual abuse in football, which led to many more victims coming forward.
As my right hon. Friend the Member for Maldon (Mr Whittingdale) put it last week, newspapers are under threat from online media platforms that do not employ a single journalist.
(6 years, 7 months ago)
Commons ChamberThe Secretary of State has talked about victims of abuse, but he seems to have forgotten that Leveson was set up because of the victims of press harassment and abuse in the first place. Many of those victims have written to Members on both sides of the House, rejecting the ridiculous IPSO scheme and asking for part 2 of Leveson to proceed. He has heard concerns from Members on both sides of the House today, so why will he not think again? What has changed his mind about those victims over the last three or four years?
In the period in which people have raised concerns and said that they must be looked into in Leveson 2, every one that has been raised with me was covered in Leveson 1. Leveson 1 was exhaustive, and there were then police investigations, which went further. My judgment is about what is right now, and the challenges the press face now are fundamentally different.
(6 years, 9 months ago)
Commons ChamberUrgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.
Each Urgent Question requires a Government Minister to give a response on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
Not only is the Secretary of State’s fig-leaf excuse that the world has changed wrong, but it ignores the fact that the delay in part 2 was always built into the inquiry to allow police investigations to take place. The Sunday Times revelations show that evidence is there to be investigated. Does not his wilful refusal to allow the inquiry to proceed just make it look as though he and the media have something to hide?
No. The hon. Gentleman says that this morning’s evidence shows that there needs to be further investigation. This is of course why we have the police to investigate and, if necessary, the courts to ensure that justice is done.
(6 years, 9 months ago)
Commons ChamberThe Secretary of State is not sounding any more convincing than he did in his statement on Thursday. Failure to proceed with part two of Leveson and section 40 of the Crime and Courts Act 2013 is a disgusting and cowardly betrayal of the victims of media harassment. It does not even leave those victims in the same position as before, because since Leveson the Legal Aid, Sentencing and Punishment of Offenders Act 2012 has hobbled the ability of claimants in privacy and defamation actions to access no-win, no-fee representation. Therefore, section 40 is now the only way to ensure access to justice, which is as helpful to small publishers as it is to citizens. Why does the Secretary of State not put their interests before those of big newspaper groups, instead of currying favour for himself and his weak Government?
We debated this at length on Thursday and discussed the fact that it is vital that we look to what is needed for the media now, to ensure that instead of having a set of proposals that were designed several years ago and that would lead to any claimant being able to claim costs no matter the merits of their case, we have measures that enable our press to be sustainable for the future.
(8 years, 9 months ago)
Commons ChamberUrgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.
Each Urgent Question requires a Government Minister to give a response on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
The Lord Chancellor has an important constitutional job, but he cannot do it under these restrictions. At the weekend, we heard that the so-called British Bill of Rights was going to be postponed again, for at least six months. If the Lord Chancellor wants his lawyers or civil servants to put together well-crafted arguments on parliamentary sovereignty or the powers of the European Court of Justice, should not they be allowed to do that? Otherwise, we shall be getting second-class government, and God forbid that we should have that.
Of course the Lord Chancellor can continue to do the work that he is doing in reforming the courts system and in all sorts of areas. Indeed, I visited a prison with him on Friday, as I have mentioned. That shows that the Government are getting on with their work. On top of that, we are having a debate in the country and between Ministers on both sides on the specific question of an in/out referendum.
(12 years, 1 month ago)
Commons Chamber9. What steps he is taking to raise the status and quality of vocational education.
As Minister for Skills, it is my mission to raise the status and quality of vocational education. Following the Wolf review, we have reformed school performance tables to encourage the take-up of high-value vocational qualifications before the age of 16. From this September, all those in apprenticeships were required to study English and maths, but there is more to do.
That is utter waffle. Is not the truth that the Secretary of State has downgraded the engineering diploma, excluded practical subjects from the English baccalaureate and has no plans to follow my hon. Friend the Member for Liverpool, West Derby (Stephen Twigg) in offering a technical baccalaureate? What do the Government have against vocational education? Is it spreading the privilege a little bit too far?
I do not think that requiring all those in apprenticeships to study English and maths if they do not have level 2 is “waffle”; I think it is extremely important for improving the rigour and quality of vocational education. Vocational education is vital to this country’s future, and that is why I will put all my effort into championing it.
(13 years, 9 months ago)
Commons ChamberAbsolutely. My own county council, Suffolk, did not do very well in the distribution of the local authority grant, but because it is making savings in back-office costs, re-engineering how it delivers services, reducing the cost of services and being flexible in how it delivers them, it is able to keep its centres open. I absolutely take the hon. Lady’s point, and the crucial point is that councils ought to be making savings in the back office and re-engineering their services to protect front-line services, as Suffolk is doing.
I will try to keep this non-party political, but since the hon. Gentleman makes that point, I will ask him the same question that I asked the Chair of the Education Committee. If councils are closing most of their Sure Start centres, should we just shrug and say, “Well, that’s a matter for localism”, or, given what the hon. Gentleman has said, should the Minister take an interest?
There is of course a statutory amount of Sure Start provision that must be in place, as I am sure the Minister will spell out in more detail. The question is whether services can be provided in a way that delivers better value for money, through savings in the back office. I recently chaired a report on councils’ ability to save money and deliver services better by bringing together the delivery of local services. Reference was made earlier in the debate to the fact that when that has been done, it has not only saved money but actually improved services. The right hon. Member for Birkenhead (Mr Field) talked about Sure Start centres that also have health and social services, so that they are a one-stop shop. Those are exactly the sort of innovative solutions that we need to examine.
One example of a council that is doing that extremely well is local to the hon. Member for Hammersmith (Mr Slaughter). Hammersmith council, and others across the country, are saving money by changing how services are delivered. That is far better than cutting front-line services, and I commend that approach. I mention that not to make a party political point but to argue that by allowing local councils on the ground to spend money in the way that they see fit, with the flexibility to deliver early intervention as best they can, we allow innovation and improvements in delivery instead of the attitude that the man in Whitehall knows best, which top-down provision and tight ring-fencing bring.
The theory sounds fine, but the practice is different. I am trying not to be party political, but let us say that a council decides it is going to cut the Sure Start budget by about half and close most of its centres. That cannot be dressed up as back-office services, and for many children, the essential services with which they are currently provided will not be there. Should that be a matter for the Government to take an interest in?
That is why it is important to have a specified national minimum level of provision, and then allow councils to ensure that they meet—and, one hopes, exceed—that level. The reason for allowing local innovation and flexibility with a national minimum level is to enable different approaches to be taken in different places, so that best practice can emerge. That lets local councils and people deliver in the way that is most helpful and appropriate to local people, but it is also about ensuring that instead of a centralised, bureaucratic system, we have a local system that responds to local need.
We heard earlier from the hon. Member for Huddersfield (Mr Sheerman) that we need better management, but we have had a centralised system for years. As a member of the Public Accounts Committee I am obviously well aware of National Audit Office reports, and, sad to say, the NAO found that the amount of formal child care among the most disadvantaged fell between 2004 and 2008. Instead of leading to more provision for those people, the centralised approach actually led to less, so let us try a different way.