(4 years, 2 months ago)
Commons ChamberAbsolutely. My hon. Friend is an incredible voice for Peterborough. We discussed the local lockdown having its effect in Leicester, and the Prime Minister mentioned Luton yesterday; the work of the people of Peterborough is another example that we could cite—[Interruption.] My hon. Friend the Member for Shipley (Philip Davies) shouts from a sedentary position, “What about Bradford?” The truth is that we took Shipley out of the measures because the numbers came right down, but unfortunately they then rose again, so in a way he makes my point for me.
The Secretary of State knows that I can get passionate and even angry with some of my questions to him, but not today. He will know that as a West Yorkshire MP I will support anything—any measure—that stops this virus spreading at this perilous time when tens of thousands of students are moving around our county and our country. I will support any measure that is effective. The old social scientist in me suggests that the Secretary of State was right when he said that all these measures should be closely monitored. There is no doubt that experts, whether it is Professor John Edmunds or others, worry that the 10 o’clock curfew has quite serious unintended consequences. Will the Secretary of State give me his word that he will keep it under review, because there seem to be some problems with it?
(4 years, 3 months ago)
Commons ChamberI agree with that 100%. We put in place support bubbles for single households—those who live alone—during the lockdown precisely for that reason. I remember having a Zoom with a whole load of people and somebody said, “I haven’t seen anybody in person for four months,” and I thought that could not be good or right. We have put in place support bubbles for single households for that purpose and of course bear such impacts in mind when we take the decisions we take.
I am sure the Secretary of State will agree that we in Kirklees and West Yorkshire are working hard as a team to meet the crisis in these uncertain times, with tens of thousands of students now moving across the country. Will he bear in mind the fact that our system relies on fit and healthy NHS staff? The crisis we are in is getting worse, and if we get a virulent flu virus this winter, which is coming soon, and that knocks out a large percentage of NHS staff, we are going to be in serious trouble. A significant percentage of NHS workers are refusing to get a flu jab; what can we do about that?
The hon. Gentleman and I have occasionally tangled across these Dispatch Boxes, but I wholeheartedly support what he said and agree with him entirely. It is policy that everybody in the NHS should get a flu jab. The NHS flu programme has already started to roll out and will shortly roll out more broadly. Although it is not mandated this year, I can see no good reason why somebody in the NHS should not get a flu jab, unless they have a very specific clinical condition. We look to all NHS staff to provide leadership in their communities by getting the flu jab. It is free for everybody who works in health and social care and they should get it.
(4 years, 5 months ago)
Commons ChamberI can certainly confirm that we will be consulted on those proposals as they are brought forward. I have not yet seen them. I know that work is ongoing, and I think that they are incredibly important. It is important that parliamentarians such as my hon. Friend, who have a long and proud history of fighting smoking and the consequences of it on people’s health—not only the health of smokers but of others—can ensure that those considerations are brought to bear as we bring the proposals forward. He knows what I think.
I thank the Secretary of State. He will know that I have reputation in the past for being a bit hard on him, but in recent weeks he and his team have been very supportive when there have been challenges in my part of the world. I thank him sincerely for his and his team’s actions and good communication.
There is a news story today that there is a rise in infections in France, so this dreadful virus is still there. Does the Secretary of State agree that more firm leadership on the importance of wearing masks is very important, and will he take my assurance that the anti-vaxxers have to be confronted? I have just seen statistics that a quite high percentage of NHS employees are very resistant to getting the flu jab in the winter. That is a great challenge. Together, does he agree that we can face it down?
Yes, I like the new Barry—he is like the old Barry, before he got very cross with me over Brexit. Welcome back; it is really nice to see you. If I may, I will make this clinical point, which I normally avoid: it is also really good for your blood pressure.
We have been working really hard with Huddersfield and the local authorities in the hon. Gentleman’s part of the world to bring the virus under control. It has been a real team effort and an example of how things should be done working together. I appreciate the hon. Gentleman’s words on that. I hope that the whole local team will see that this is a big cross-party effort and that there is not some sort of fake attempt to create division. This is everybody working together to try to tackle this virus, and that is how it should be.
On the latter point, I agree with the hon. Gentleman very strongly about tackling the anti-vax movement, and he is right to raise that. He is also right that this is not just about the covid vaccine, but the flu vaccine too. We are moving to make sure that a far higher proportion of people in the NHS get the flu vaccine. This winter, the expectation will be that every single person who works in the NHS will get the flu vaccine, unless there is a very good, essentially clinical, reason. Making that happen is a big part of the work I am doing with Simon Stevens and the NHS leadership, to drive that through.
(4 years, 7 months ago)
Commons ChamberYes, I would be very happy to meet my hon. Friend, possibly via Zoom—other videoconferencing services are available—to discuss what Makers 4 the NHS and other voluntary organisations and groups of volunteers have come together to deliver with regard to PPE: it is absolutely fantastic. I pay tribute, too, to the Daily Mail’s PPE campaign, which has raised an enormous amount to bring in PPE from China. But those who are making it here in Britain I salute and I thank.
Does the Secretary of State remember that about a month ago I upset him by telling him that his Government’s policy during this crisis was a shambles? I thought they were actually getting a grip on this crisis until last Sunday’s disastrous performance by his Prime Minister. Now we have relaxed the advice to the country at a time when Yorkshire and the north-east is doubling its R rate. What is he going to do about that? Can he not get a grip? Can he not stand up to the Prime Minister?
The R rate has not doubled in Yorkshire or indeed anywhere else in the country. By contrast, as I said at the start of my statement, the good news is that things are progressing: the number of people in hospital is significantly down, and the number of people in critical care is down by two thirds. I think we should be thanking and supporting our NHS staff and others, and working together to get to the best possible outcome.
(4 years, 7 months ago)
Commons ChamberThe current level of incidence is unknown until we expand testing yet further, but it is far higher than where it needs to be. Although, as I have said, we have high confidence that we are at a peak in this disease, obviously we need to see that come down. The reason I am not giving a numerical answer is because it is a question of degree. The fewer new cases, the more effective test, track and trace are as a way of keeping the disease down, and therefore the more social distancing measures can be lifted. This is all a question of degree, and we do not have an answer to the question of when that will all be doable, because we have not yet seen the curve start to come down and we do not know the pace at which the curve will come down under the current social distancing rules.
I have known the Secretary of State ever since he came into Parliament. I know he has been unwell, but he would expect me to be robust in my question. As the Member of Parliament for Huddersfield and from the Yorkshire point of view, I think the management and leadership of the present crisis has been shambolic. We should never have been in a position where we lag so far behind Germany, a similar country to ours, and behind many of the other European nations. We are predicted to be the worst. Eight hundred and twenty-three people died—that is like two jumbo jets crashing. It is a large number. Every time the Secretary of State speaks, he thinks what he is doing is a triumph, but it is a shambles of leadership and management, and we are letting down NHS staff. They have been let down, and I am particularly angry about the fact that—as I understand—the early whistleblowers were leaned on and threatened with disciplinary action to stop brave young doctors and nurses standing up and telling us what it was like on the frontline. Is that the fact? Can he get his act together, because many of us do not believe that he is telling the truth to the people of this country—
(4 years, 9 months ago)
Commons ChamberI would be more than happy to meet the right hon. Gentleman to talk about his ambitions. The funding is going up and, as I have said before, it is always welcome to me when cancer charities drive awareness, so that people are more aware of the symptoms, particularly of cancers where we are not moving forward fast enough.
I strongly urge all parents to ensure that they vaccinate their children. Public Health England and the NHS are implementing actions from the measles and rubella UK elimination strategy, designed to increase the take-up of the MMR vaccination in children, adolescents and adults. That includes providing additional opportunities to catch up on missed vaccines and improving information to the public that emphasises the importance of getting the MMR vaccination.
I hear what the Minister says and of course all our thoughts are on coronavirus virus at the moment, but is she aware that last year 143,000 people, mainly children and young people, died from measles and that the measles epidemic is going to come here as the rate of protection from the MMR vaccine decreases? This is a real issue. Will she join my campaign to make sure that every child who goes into pre-school care and early school has a certificate saying they have had the MMR vaccine?
I would love to meet the hon. Gentleman to talk about his campaign because the Government are looking at any way we can improve vaccination rates. Vaccinations work on protecting the herd and losing the World Health Organisation status on measles last year was very sad. That is something that we should all be mindful of. We should make sure that we all look to help people to access MMR vaccines for their children.
(4 years, 9 months ago)
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Order. A lot of people are standing, and I cannot really let this business run much past quarter past 4. People are being quite brief and the Secretary of State has been brief, but I give notice that not everybody will be called.
May I press the Secretary of State on this matter? Yes, it is very important that we follow good science, but we also need good management. It is all right having a national Cobra, but what about local Cobras? Every community and every local authority has to deliver on the ground as this gets worse, and that needs partnership across health, the police and local authorities. Is he sure that is in train?
Absolutely. This is a national effort, and a national effort involves the Government, the NHS, every single individual, local authorities, local resilience fora and local police. It is a national effort.
(5 years, 1 month ago)
Commons ChamberThe Government are very open to such an approach. Genomics is transformative, and the early detection of disease means that we can treat patients from birth better and more efficiently.
Surely all this must be put in the context of the Topol review, with so much innovation and not just in genomics? There is so much innovation going on in the health service, but we have to make sure that there are well-managed and efficient hospital trusts running these programmes. Many are not like Huddersfield and are not up to speed, and we have to get hospitals up to speed in using the new technologies.
I totally agree with the hon. Gentleman, and my constituency neighbour, the Secretary of State, is totally on this programme.
(5 years, 1 month ago)
Commons ChamberYes, I can. In the light of the extensive representations that my hon. Friend made regarding the A&E in Cheltenham, I have spoken to the chief executive of Gloucestershire Hospitals NHS Foundation Trust and I can announce that the A&E will remain open and that no proposals to close the A&E at Cheltenham will be part of the forthcoming consultation.
The Secretary of State might need some help when I tell him that I am quite thankful, because after a massive and wonderful campaign in Huddersfield, we are keeping our A&E open. The £20 million that we got for that and for some other maintenance work is very acceptable, but will he accept an invitation to come to Huddersfield to see the potential for a new hospital that could be an absolutely iconic building in a future innovative national health service?
I will absolutely look at that, and I think that the new hospital is going to be absolutely terrific up in his part of the world. I will also put on record my gratitude to my hon. Friend the Member for Calder Valley (Craig Whittaker), who as a Whip has not been allowed to speak on this issue in the House, but who privately has been campaigning hard. This shows what happens when local MPs have a positive attitude towards the future of our NHS.
My hon. Friend is absolutely right about getting community beds closer to home. I wish to mention four other measures in the Queen’s Speech—
On a point of order, Madam Deputy Speaker. The Secretary of State has made a serious allegation about my hon. Friend the Member for Leicester South. I have been in this House for a long time and I recall when PFI started under the John Major Government. [Interruption.]
Order. That is a point of information, not a point of order. I will make no comment on it.
(5 years, 1 month ago)
Commons ChamberI thank the right hon. Gentleman for that point. Of course, Governments can borrow at a much lower interest rate than any private business. Money is being sucked out of the NHS through the PFI across the UK, but there are also other ways in which money is being sucked out of the NHS, particularly NHS England—for example, through outsourcing under the Health and Social Care Act 2012. Private companies have to make a profit. Their chief executive is bound to make profit for the shareholders. They are not bound to deliver quality of care. We have seen clinical commissioning groups get trapped in this way. Six commissioning groups in Surrey tried to bring community care back into the NHS—they were not breaking a contract—but Virgin did what Virgin always does if it does not get a franchise renewed. It sued the CCGs. It is all hidden behind a commercial veil, but we know that at least one of those commissioning groups paid over £300,000 to settle out of court, and six groups together means that the figure was likely to be well over £2 million.
I agree with almost everything the hon. Lady says about PFI contracts. We got a terrible PFI contract in Halifax and Calderdale. It is still a millstone around our necks. When I chaired the Education and Skills Committee, we looked at PFI contracts. The fact is that they are financial agreements, and some were better than others. But a lot of very clever City types came to places like Halifax and ran rings around the trust, so it got a bad deal. That is the truth of the matter.
That is true, and this obviously applies to the process of bidding and tendering for delivering services. An NHS orthopaedic department will not be able to compete with a major multinational with regards to its bid team, its tendering team and its ability to put in loss leaders. The problem is that all this money is being lost in a circular reorganisation that has been going on in NHS England literally for the last 25-plus years, with people being made redundant and given a big package, but then someone quite similar being re-employed or the same person being re-employed somewhere else with a different title—health authorities to primary care trusts to clinical commissioning groups. It is a huge waste of money, which is being sucked away from patient care, and that is where we want the money actually to go.
I shall rattle through my speech. I always like to speak in the Queen’s Speech debate. I thought I was going to be robbed this time, but here we are, back with the opportunity.
I am not an expert on health, but I do take a great interest in it, and I have a real interest in management, so I want to say something about the big issue in health. We have a brilliant national health service, and we will all, politically speaking, keep on fighting about it, but I agree with the right hon. Member for Penrith and The Border (Rory Stewart): at some stage, we will need a royal commission, especially on social care, which will become very expensive as people live longer and as the challenge of providing decent care increases. Furthermore, everyone loves the NHS, but not many people want to pay much more in their taxation. We have to crack that and find a way to fund the NHS properly.
Not only that, but we are getting cleverer all the time. I had the pleasure of a breakfast meeting with Professor Topol, who wrote an innovative paper for the Government about new technology, science and our ability to identify cancers and diagnose earlier. It is all so exciting, and it is going to happen, but it will cost money.
Where our health service is severely deficient is in the quality of management. I spent some time in hospital a couple of years ago. It was not serious, but I had the chance to look at how a hospital was run, and the more I looked, the more I realised that people were not trained properly: doctors do not get trained as managers. We often promote highly skilled medical people to manage our health service, but there is no great institution educating the best administrators and managers in the health service. They have them in some parts of the United States and in other countries, such as France, but we do not have that very high-quality management, and we need to do something about it, because the future needs high-quality people.
May I strike a slightly discordant note at this point? What causes ill health is poverty. We all know about the relationship between the two. We know about it in my constituency, and we know about it everywhere. The fact is that poorer people get ill, and in the last few years austerity has made a lot of people ill. One of the indicators of poverty and ill health that I have noticed is dentistry: in this country, people have to be really, really poor to get any free dentistry. There are very few NHS dentists in my constituency, and we are beginning to see people with awful-looking teeth. You need wealth these days to afford good dentistry. It is a dreadful, dreadful thing that we have pushed dentistry out of the national health service. It is unacceptable to so many people.
On the other hand, I believe that there are very exciting signs. We now need a new model of hospital and a new model of GP surgery, and some of the very best that I have visited are top-class. I think we have learnt that big, big hospitals are no longer the most appropriate for most communities. I am delighted that, after a massive campaign in Huddersfield, we have money for a new A&E service in our old hospital that Harold Wilson opened, but that hospital is out of date. We need a new build, and I can tell the Secretary of State and his ministerial team that we would build a modern, techie, innovative, wonderful hospital on that Harold Wilson site. We already have some money for the A&E, but we could go further and build a wonderful, futurist hospital.
I have done a lot in public health. I organised the seat-belt legislation that banned people from allowing children to be unrestrained in cars. That is one of the things that I have done with the World Health Organisation on an international basis. Every year, 1,780 people are killed on the roads and 10 times that number are seriously injured, and the impact on our hospitals is massive.
We need much better public health education. Where has it gone? People talk about it, but then they turn it off. Local authorities do not have the money to deliver it, and to deal with the problems of obesity, drug addiction—which was mentioned earlier by the hon. Member for Totnes (Dr Wollaston)—alcohol addiction and smoking. We could make such changes if there were more relevant public education on those matters, and on matters such as atrial fibrillation: half the people in this country do not know that they have an irregular pulse and are likely to have a stroke.
There are all sorts of things that we can do in our wonderful health service. We just need the time and the resources.