(2 years, 8 months ago)
Commons ChamberThe hon. Gentleman has long been a campaigner on this issue and I commend him for that. He is right to continue pushing. I do not want to pre-empt the outcome of the independent review because it is just that, a review fully independent of Government. However, once it is complete—I hope to publish it in May—we can set out our plans.
The past few years have shown that we are strongest when we work together. Earlier this year we published the integration White Paper, drawing on our experience of the pandemic to develop a plan that will bring together the NHS and local government to deliver jointly for local communities. We have also created integrated care partnerships, such as the programmes in mid-Nottinghamshire and Northamptonshire, through which we are already showing how we can bring together health and local social care services.
As covid regulations come to an end, I understand that the discharge fund is also set to end. This could leave local government vulnerable where there are no formal procedures locally to pass funding from the NHS to local government services and local authorities. Particularly as we seek to reduce hospital backlogs, it is vital that we get people out of hospital and into appropriate care settings. Will my right hon. Friend assure me that, where local authorities seek to tackle such backlogs, they will have access to appropriate funding?
I can give my hon. Friend that assurance. Of course, we are already putting in record funding for local authorities and the NHS to deal with backlogs. I believe the plan we set out earlier this month for the integration of NHS and local authority care services will make a real difference.
(2 years, 10 months ago)
Commons ChamberWhere the hon. Lady and I will absolutely agree is on the service that we have seen as a country from care home workers and domiciliary care workers over the pandemic. It has been the test of a lifetime for anyone working in that sector and each and every one of those people has risen to that challenge and provided the best care that they could in the most difficult circumstances. As the hon. Lady will know, there is an inquiry into the pandemic, where I am sure that many of the issues will be looked at, such as whether better support could have been provided under the circumstances. Looking ahead, however, it is important that we continue to do everything we can to continue to support that vital sector.
I welcome the Secretary of State’s decision, which is important for the continuity and delivery of our local services. We were faced with losing more than 3,000 health and care staff in Nottinghamshire alone in a few weeks’ time, so this will massively take the pressure off come March and April. I urge him to go further if possible: I do not think it is fair to present the decision that care home workers made in November as leaving by choice. The truth is that we need those staff and more if we are to implement the reforms that the Government are asking the care sector to deliver on at a local level in the coming months, rather than having to focus all our energy on everyday firefighting. Will he change the view that he has stated so far, reach out to those staff and try to help them back into the sector?
Yes, I agree with my hon. Friend. As I said, we need more people in care and in the NHS. We have a waiting list in both sectors. There are many people out there who will have experience and will want to do that. He asked whether we can work with the sector to reach out and to support and help people to re-enter it where they wish to do so. Of course we can. At the same time, we can continue to give any information that may be helpful and necessary to help to persuade those who remain unvaccinated to make that positive choice and get vaccinated.
(3 years, 5 months ago)
Commons ChamberWe can no longer just think of a health system; we have to think about the health and social care system. We want people’s experiences of care to be seamless, which is why we have introduced the Health and Care Bill and will debate its Second Reading today.
In order to better integrate and support local services in Nottinghamshire, we would benefit greatly from working with a single integrated care footprint for a simpler and fairer service. A boundary congruous with our county boundary would allow us to offer more equitable care across the whole area. I understand that the decision on the integrated care system boundaries is imminent, so will my right hon. Friend meet me to discuss the potential benefits?
I am aware that several factors are helpful in fostering stronger partnerships between the NHS and local authorities, including alignment of boundaries. My hon. Friend will know that the former Secretary of State, my right hon. Friend the Member for West Suffolk (Matt Hancock), asked NHS England to conduct a boundary review for integrated care systems. That review, which is just being completed, will certainly look at and give advice on the best ICS footprint for alignment. No final decision has yet been made, but it is a priority for me. I would be happy to arrange a meeting for my hon. Friend with Ministers to discuss the matter further.
(5 years, 1 month ago)
Commons ChamberEven my nine-year-old daughter could do that impact assessment; she would not even need a calculator. It would crash the economy, like every Labour Government do.
My hon. Friend the Member for Tonbridge and Malling (Tom Tugendhat) has somewhat stolen my thunder. There is a lot of talk about economic impact assessments, but what about rising income tax, rising corporation tax, death duties, taxes on flights and holidays, and voting against nearly £10,000 of tax cuts in this place under this Government? That is the shadow Chancellor’s Policy. What is my right hon. Friend the Chancellor’s economic impact assessment of what that would do to the pockets of my constituents?
I will come on to just that, and I thank my hon. Friend for reminding us; we know the impact of that would be again to crash our economy.
(6 years, 5 months ago)
Commons ChamberI thank my right hon. Friend for making that important point. He speaks with experience of the Home Office, and my predecessor as Home Secretary established the Serious Violence Taskforce for precisely this reason. I have already held my own first meeting of the taskforce. Each meeting leads to action, and, as I mentioned earlier, the last one led to action on social mobility and online activity. However, there are also roles for the Department for Education, the Department for Culture, Media and Sport, and other Departments. They will need to do their bit, because, as my right hon. Friend says, this will require cross-governmental action.
My right hon. Friend has spoken of the drivers of this type of crime, and the changing nature of the drugs market. I wrote to him this week about the “zombie” drugs, such as mamba, which are affecting my town centre. Is the Bill likely to lead to crackdowns on those new drugs?
The Bill does not focus on drugs, but my hon. Friend has made an important point. It is clear from the evidence that we have seen at the Home Office that changes in the drugs market are a major factor in the rise in serious violence, not just in the UK but in other European countries and the United States. We want to take a closer look at the issue to establish whether more work can be done on it.
The Bill covers three main areas: acid attacks, knife crime, and the risks posed by firearms. We have consulted widely on these measures, and have worked closely with the police and others to ensure that we are giving them the powers that they need. The measures on corrosives will stop young people getting hold of particularly dangerous acids, the measures on online knife sales will stop young people getting hold of knives online, and the measures on the possession of offensive weapons will give the police the powers that they need to act when people are in possession of flick knives, zombie knives, and other particularly dangerous knives that have absolutely no place in our homes and communities. I believe that the Bill strengthens the law where that is most needed, and gives the police the tools that they need to protect the public.