Health

Anna Soubry Excerpts

Tuesday 14th May 2019 Commons Chamber

[The Secretary of State for Health and Social Care (Matt Hancock)]

It is a great pleasure to respond to this Opposition day debate on health. It is worth saying at the start that, for all we have heard from the hon. Member for Leicester South (Jonathan Ashworth), today’s debate gives the House the chance to discuss the record £33.9 billion of extra funding that we are putting into health services in the UK, how we are going to spend that money and what we will do to improve the nation’s health.

I will respond to the many points that the hon. Gentleman made and explain why it is important to look at the facts when debating these things, but let me start by being crystal clear about what he is trying to do. This debate should start from a point of welcoming the record investment that is going into the NHS. Instead, all we get is Opposition Members talking down the NHS. I will get on to the details but, before I do, let us remember why we can put £33.9 billion extra into the NHS. It is because we have a strong economy, with record employment, not through increasing the tax that people pay, but by having more people in work paying income tax. [Interruption.] I hear those on the Opposition Front Bench say “No”, but just this morning we have seen record numbers of jobs—yet again, record numbers of women in work and record numbers across the board—which means that we can have this money.

It was Gordon Brown who said, “When you lose control of the public finances, it’s the most vulnerable who pay the price”. It is certainly true that we have had to do a big job of fixing the public finances, but now we are able to put in this record investment to be able to make sure that the NHS is always there in the future.

[Anna Soubry (Broxtowe) (Change UK)]

I am grateful that the right hon. Gentleman has confirmed that this investment in the NHS, which we should all welcome, is as a result of an improvement in our economy and has absolutely nothing to do with what was written on the side of a bus. In other words, whether or not we leave the European Union, does he agree that this money is guaranteed to go to the NHS and it has nothing to do with Brexit?

[Matt Hancock]

Yes. We can only fund a stronger health service and we can only fund strong public services if we have a strong economy and that would be put at risk by the recklessness of the Labour party. Let us talk about the details of how we are going to improve healthcare in this country, but let us say first and foremost that we can fund public services only if we can ensure that the economy is run well.

--- Later in debate ---

[Geraint Davies]

rose—

[Anna Soubry]

rose—

[Matt Hancock]

I give way first to the right hon. Lady.

[Anna Soubry]

As a former Public Health Minister, I understand the huge remit of what we call public health. The Secretary of State is right that we should invest more in prevention, particularly with regard to certain diseases and conditions, but the real concern about the Government’s plan is that, while that is happening, all the other important services not in the “prevention is better than cure” envelope, such as sexual health and the treatment of alcohol and smoking, delivered at a local level, will be cut in real terms.

[Matt Hancock]

I respect the right hon. Lady’s work as Public Health Minister—she was excellent in that role—and I was going to turn to this point. It is very important that we understand the base we are starting from, but we also have the spending review, in which these budgets will be settled, and that is clearly an important cross-Government question that we will be addressing in the coming months.

Smoking cessation services have been mentioned. Now, the smoking rate has fallen since 2010 from 20.1% of the population to 14.9%, which is excellent, although it is part of a fall over a generation, not just the last 10 years. Likewise, the drug use rate has fallen from over 10% to 8.5%. We have to provide the services for those we still need to get off smoking and to support people to stop using drugs, but the number of people smoking and using drugs has fallen too.

On clean air, the World Health Organisation has called the clean air strategy we published an example for the rest of the world to follow, so I think in this area the necessary action we are taking should be being welcomed across this Chamber.

[Matt Hancock]

The Secretary of State for Environment, Food and Rural Affairs and I are working incredibly closely on this because clean air is a public health matter. The challenge is that, although measuring outdoor air quality is essentially a public matter and in public buildings it may well be a public matter, inside most people’s homes it is far harder to make a direct intervention, but I accept the premise of the hon. Gentleman’s point. It may be something we can look at in public spaces. [Interruption.] He mentions schools and hospitals. I accept the premise of that point and I think it is something we can take away. The same is true inside vehicles, but that is a wider question.

[Anna Soubry]

I want to come back to the Secretary of State’s answer to my intervention. I am worried because, if I may say so, it is rather simplistic to say—I think this is what he said—that because the levels are falling we can accordingly reduce the amount of money being spent on those services. I would suggest that he listen to the experts and the evidence, because I suspect they will say that we must continue to invest to make sure those reductions continue and to take account of any eventualities. Police spending is a good example of how Government can cut too far.

[Matt Hancock]

I am glad I took that intervention because that was not the intention I was trying to convey at all. We need to do more to tackle smoking, and we will, and we need to continue to tackle the abuse of drugs, and we will. My argument is that this House decided that public health was better delivered through a broad approach by local councils working with the NHS than separately. On sexual health services, I gently say that many such services—for instance, the provision of PrEP—are preventive, not just reactive. However, the boundary between what is prevention and what is cure in sexual health services is, by nature, more complicated.