(10 months, 1 week ago)
Commons ChamberOn precisely that point, is there not a further practical addition to my hon. Friend’s argument, which is that overriding the ECHR in this instance, as opposed to following a broader debate, may lead to the Rwandan side being less enthusiastic and pulling out of the deal, practically sending us back to square one?
I thank my right hon. Friend for that intervention. It is good to see him.
On rule 39, the pyjama injunction, where judges get out of bed in the middle of the night, I do not even know why our Government are still agreeing to abide by these rules. As far as I can see, it should be a matter of principle that rule 39 injunctions are advisory until such time as we wish to adopt them. Maybe the Minister has something he would like to tell us about that. It would be wonderful if he did. As part of the conversation, we are in a period of flux. As our electorate rightly become more concerned about issues relating to crime, sovereignty, and legal and illegal immigration, we start to talk about our relationship with the European human rights conventions. I am up for that, but now is not necessarily the time to do that.
(3 years, 9 months ago)
Commons ChamberOn the contrary—this White Paper covers health and care. It covers the integration of the NHS and social care at a local level. Of course there is further work on funding, as we have committed to in our manifesto, but the integration of those services, which has been so important during the pandemic, is one of the critical pieces of the forthcoming health and care Bill.
I congratulate the Secretary of State on this very important plan and announcement. As he knows, the Island is already piloting some ideas, so I thank his team of excellent advisers and the Secretary of State himself. May we have more pilot schemes to support his work? As he knows, the benefit of his approach may be felt more strongly on the Isle of Wight than anywhere else in Britain, due to our excellent but unavoidably small hospital at St Mary’s, the smallest county council in England, and our age profile. We want to help him and we want to be at the front of the queue. Will he also please consider the position of the 12 unavoidably small hospitals in England as part of the programme, of which St Mary’s is the most unique because it is on an island? I thank the Secretary of State and his team for their great work.
With an ask like that, it is hard to say anything other than yes, enthusiastically. I am keen to work with my hon. Friend, who is such an incredible voice for the Isle of Wight. The services on the Isle of Wight, by its island nature, are more closely aligned together than in many other parts of the country, but nevertheless suffer from some of the bureaucratic silo requirements in current legislation. I hope that these proposals will be received enthusiastically by all those involved in the provision of health, social care and public health on the Isle of Wight because they will remove the legislative barriers to closer integration and allow them to continue in the direction in which I know they are enthusiastically working with my hon. Friend’s support.
(3 years, 10 months ago)
Commons ChamberThe Government’s response to the pandemic has been informed by a considerable range of expert scientific and medical advice, and we have seen an increasing understanding of coronavirus globally. The UK has produced new scientific evidence throughout the pandemic. When we take decisions, they are based on and guided by the best possible science, but of course policy decisions are for Ministers.
Regarding the stats and science on the island, our vaccine hub at the Riverside centre is expected to be ready on 15 July. We may not receive sign-off and vaccines for that centre until 25 July or later. Given rising infections on the island, our demographic profile and our isolation, I am concerned we are not high enough on the vaccine supply list, despite the great work being done by the Isle of Wight-Hampshire team. I have written to the Secretary of State and the vaccine Minister, my hon. Friend the Member for Stratford-on-Avon (Nadhim Zahawi), about this. What can be done to improve the situation, and what reassurance can the Secretary of State give me about the focus on the Isle of Wight?
(4 years, 8 months ago)
Commons ChamberThe threshold is to do with staff shortages. I say gently to the hon. Lady that I understand her concerns, but in fact the purpose of these measures is precisely the opposite: it is to make sure that when there is a shortage of social care workers, those who need social care to live their everyday life get it and can be prioritised ahead of those who have a current legal right to social care under the Care Act 2014 but for whom it is not a matter of life and death. This is absolutely about prioritising the vulnerable. That is the purpose of the legislation, but I understand her concern, and that is why we put the safeguards in place to ensure that the prioritisation works as intended.
I have a general question about the supply of medicine. Paul Howard, a consultant in palliative medicine at our excellent hospice on the Island, says that under patient group direction—that is, group prescriptions—nurses can give out morphine, but due to a quirk in the rules they cannot give similar powerful opiate painkillers. Will the Bill enable nurses to give controlled drugs as part of patient group direction? I ask not only in case medical supplies run short, but specifically because we on the Island rely on ferries, and such a provision would give us slightly more diversity in patient treatment.
I will look into those specific points. There are parts of the Bill that would help to tackle the problem my hon. Friend describes if it is appropriate to do so, but I think it is better if I get some medical advice and then get back to him.
The third part of the Bill contains measures to slow the spread of the virus. As the disease accelerates, our goal is to protect life, to protect the vulnerable and to protect the NHS by flattening the curve and minimising unnecessary social contact. This is a national effort, and everyone has their part to play—self-isolating if someone or anyone in their house has symptoms, working from home wherever possible, avoiding social gatherings and, of course, regularly washing your hands.
The Bill provides for us to go further: it gives us stronger powers to restrict or prohibit events and public gatherings and, where necessary, to shut down premises; and it gives the police and Border Force the power to isolate a person who is or may be infectious. This part of the Bill also allows us to close educational settings or childcare providers, and to postpone for one year elections that were due to take place in England in May. These are not measures anyone would want to take, but they are absolutely necessary in this crisis.
(4 years, 8 months ago)
Commons ChamberI have addressed the question on testing repeatedly. I am delighted that we go into this situation with a record number of people in our NHS, and I pay tribute to each and every one of them.
Covid-19 may put particular pressure on the dozen or so unavoidably small hospitals that serve isolated and island communities. We have one respiratory consultant on the Island, and we are ferry-dependent. I know that the Secretary of State is very busy, but will he assure me that isolated communities will not be forgotten about when it comes to mutual aid, clear advice and the supply of medicine and equipment?
(5 years, 4 months ago)
Commons ChamberYes, and I suggest we meet also with the Secretary of State for Communities and Local Government. I have met the Northants MPs to progress this, and I have also meet the Communities Secretary about it. My hon. Friend is dead right. There is a serious problem, but there is also an opportunity for much more integrated health and social care. If Northants MPs, the Communities Secretary and I can find an opportunity to meet, perhaps we will be able to crack through this one.
I thank the Secretary of State for his announcement. I have two questions. First, do he and his Department accept that there are additional costs in providing healthcare on an Island that is of an equal standard to that provided elsewhere? Secondly, will he and his officials agree to meet Island officials to discuss plans for a pilot scheme to help integrate healthcare, adult social care and other local government services to ensure maximum efficiency in the delivery of services, as my hon. Friend the Member for Kettering (Mr Hollobone) just talked about, and to ensure that as much money as possible goes to frontline services?
Yes, I shall be happy to ensure that that meeting happens. As for Island healthcare costs, my hon. Friend is right to say that the Isle of Wight is unique in its health geography, and that there are places in this country—almost certainly including the Isle of Wight—where healthcare costs are higher because of the geography. There is a programme for smaller hospitals that are necessarily smaller because of the local geography, as they need special attention.
As I have said, I shall be happy to ensure that the meeting goes ahead, and I shall continue to talk to my hon. Friend, who makes the case for the Isle of Wight better than any other.
(6 years, 5 months ago)
Commons ChamberI would like it to become universal, but we are not requiring it to be universal because we want people to want to be on the programme. However, I think the message is increasingly getting out there that this should be done.