Summer Adjournment

Debate between Bob Stewart and Jeremy Lefroy

Thursday 25th July 2019 Commons Chamber

[Jeremy Lefroy (Stafford) (Con)]

It is a great honour to follow the hon. Member for Preston (Sir Mark Hendrick). In Stafford, we, too, have the issue with county lines, which our police force is going after at the moment. I accompanied police on a raid just two weeks ago, when they managed to seize a considerable quantity of drugs, but that is just the tip of the iceberg. A lot more has to be done.

I want to start by talking about development, particularly unauthorised development. Later today, with your permission and your favour, Mr Speaker, I shall present a petition that I should have presented on Monday. It is about authorised development in Penkridge that should not have been authorised. The council and local people objected to it, but because, on a technicality, the council had slipped below the five-year land supply for a short period, the developer claimed that the council was in breach and that this totally unnecessary and unwanted development should therefore go through. We must listen more to local people on things such as this, not just have a tick-box exercise and permit developments that are long term and not wanted. This is in an area where we are building more than twice the national average in terms of housing. This is not about nimbyism at all.

I also want to point out the importance of the quality of new housing. Many of the new houses that are being built are not up to standard, and it is vital that that should be tackled, but not only that—we should go further, including with insulation. We should ensure that all new houses are built to the highest possible energy saving standards; that they have, where possible, integrated solar; that they have car charging points; and that they have the highest quality insulation.

My local hospital, County Hospital, has had its difficulties over the years, but I want to praise the work that it has done such that, in most weeks, more than 95% of people are seen, admitted, treated or discharged within four hours. That is one of the best records in the country and the hospital deserves great credit for that, but it is under consultation at the moment, and one of the issues is, again, the future of our emergency department. However, I am glad that the trust has made it clear that that department is secure. It has my absolute support in that. I will not tolerate the downgrading in any way, shape or form of the emergency department.

However, the stand-alone maternity department is at more risk. The reason is that people are not using it. This is one of those “use it or lose it” cases. I urge all those in my area who are talking with their patients—pregnant women—to say, “Look, there is this alternative.” Clearly, it has to be a safe alternative, which I fully understand, but I want that stand-alone maternity unit—

[Bob Stewart (Beckenham) (Con)]

I know Stafford quite well. If those people are not using the unit, where are they going?

[Jeremy Lefroy]

Most women will be going to a consultant-led unit in Stoke, Wolverhampton or Walsall. I understand that, and they may have received advice from their GP on the issue—this has to be clinically led—but I very much value the stand-alone unit in Stafford and want it to continue.

We also have a problem with shortage of general practitioners in Stafford. In fact, there is a shortage across the country, so I welcome the new medical schools that are being opened. I am delighted that my wife, who is a GP, was up in Sunderland this week giving some training at the new medical school, which is about to be opened. I welcome the ones that are going to be opened in Chelmsford and other places.

I want to raise a few other issues, such as visas, including for foreign spouses and partners. Many people have come to my surgery with real problems in getting visas, including visas to visit, let alone visas for residence, and those issues need to be looked at more sympathetically, as does the issue of visas for visitors from Africa. Last week, the hon. Members for Glasgow North (Patrick Grady) and for Newcastle upon Tyne Central (Chi Onwurah) and I published a report on the difficulties that African visitors have in getting visas. These are Government officials and business people. I had one case recently involving the headmaster of a school in Ghana who was coming to visit his brother for a couple of weeks—a very distinguished man. Of course he does not want to stay in this country—he would much rather go back and teach his students in Ghana—but it has taken ages and he still does not have that visa. We must, must do better and I urge all Members to read the report that we jointly produced.

Turning to business, this is a minor matter, although not so minor for those affected by it—bailiffs. The behaviour of bailiffs has been considered by the House and new rules have been put in place. However, there is also the matter of fees. Sometimes, fees go up enormously—exponentially—over time. We should look at capping bailiff fees. I understand that bailiffs are necessary; their role is important in enforcing payment of debt, but it must be carried out in a reasonable manner.

We also need to look at the infrastructure for charging electric vehicles. We talk about needing to move to electric transportation. Quite frankly, the charging infrastructure is very poor. It is getting better, although not nearly fast enough, but the grid is simply not there to support it, nor is the generating capacity. I have asked questions about this in the past. I believe that we are too complacent. If we are to move to electric vehicles fast—we are making them in the west midlands and in Sunderland—we need the infrastructure to support that.

Finally, two issues. First, I welcome the start, after about 30 years of discussion, of the African continental free trade area. This will be tremendous for the African continent, but also for all those such as the United Kingdom who wish to trade and invest far more with our friends and neighbours across the Mediterranean in Africa.

Secondly, I have recently had the pleasure of being appointed to the Environmental Audit Committee. We have heard that Natural England is grossly underfunded and cannot do the work that needs to be done on all these fantastic sites of special scientific interest, so I ask the Treasury to look carefully at restoring the funding that has been cut from Natural England.

Christmas Adjournment

Debate between Bob Stewart and Jeremy Lefroy

Thursday 20th December 2018 Westminster Hall

[Jeremy Lefroy (Stafford) (Con)]

It is an honour to serve under your chairmanship, Mr Robertson, and also to follow the hon. Member for York Central (Rachael Maskell). I will come on later to the issue of NHS land, but I will first concentrate on a serious situation that is still ongoing—the closure of Gatwick airport due to drones.

I led a debate in this Chamber on 18 July 2017 on drones and their conflict with aircraft. I mentioned that, on 2 July 2017, the runway at Gatwick was closed twice—once for nine minutes and once for five minutes—due to drone activity. Five flights were diverted and nine were held in a holding pattern. The runway has now been closed for more than 18 hours and will not reopen until 7 pm at the earliest. This is an incredibly serious situation involving the criminal activity of someone flying industrial-type drones in and over the airspace of an airfield.

When this situation is over, the Government and the aviation industry must look at this incredibly seriously. This kind of disruption to hundreds of thousands of people going about their ordinary business—seeing their loved ones at Christmas, going on honeymoons, going on holidays—is completely unacceptable. Technical measures, whether geofencing or guns that can fire nets to ensnare drones, must be put in place. If not, we will see this happen again. We warned about it when it happened on a small scale a year and a half ago. It has now happened on a large and costly scale.

[Bob Stewart]

I do not understand why the runway has been closed for so long. Surely, if a drone is flying, people identify it, find out where it has come from and bring it down. The runway has been closed for a heck of a long time. Are there a series of these damn things going up?

[Jeremy Lefroy]

As I understand it, the drones had gone but came back again, and the police are trying to find out who is controlling them. They have no means of stopping them flying other than by shooting them down, which they are loth to do because of stray bullets. We have to look immediately at serious measures to deal with this threat. If this happens again at Heathrow or other major airports, we will see considerable disruption to people’s lives and losses to the economy.

Nearly six years ago, the Francis report came out as a result of the terrible things that happened in Stafford Hospital over several years. Since then, a huge amount has been done to put that right and to make the County Hospital, as it is now called, one of the best-performing hospitals in the country for A&E services. For many weeks now, the A&E there has either admitted or discharged more than 95% of patients, and sometimes as much as 98%, within four hours. I pay tribute to the staff who have been through that difficult time since the 2000s and stuck at it right through to now, making the hospital a credit to the NHS.

The hospital still faces a lot of challenges. There is not enough activity there; we need to see more day case and elective work. I have been talking with the clinical commissioning groups and the University Hospitals of North Midlands trust to see that that happens, because it is vital that the hospital is maintained and grows. I also pay tribute to Paula Clark, the trust’s retiring chief executive. She took over at a difficult time from Mark Hackett, who himself had steered the hospital and the trust through difficult times. Paula has done a great job in the last three years, and I wish her well in retirement.

On the matter mentioned by the hon. Member for York Central, there is additional NHS land in the hospital’s grounds that is currently not being used. It is my firm belief that that land should be retained for health purposes—NHS purposes or allied health purposes, such as care. This kind of land, in or near to a town centre, is precious. There is other land. We are already building housing at two and a half times the national average. We do not need more housing in that area. We need to preserve that land for other related activities.

I will turn to several issues that I have dealt with over recent years and will, I hope, continue to deal with next year. The first is the work of unpaid carers, which goes unsung. They work year in, year out to look after their loved ones, without reward; they sometimes receive a carer’s allowance, but that has not gone up in recent years. They do it for love, because they are devoted to the people whom they care for. In Staffordshire we have had certain funds available for breaks for carers, but those funds have been reduced and may eventually not be there at all. It is vital that carers, particularly unpaid carers, and other support services have the opportunity to take those short breaks, which they would not otherwise be able to do.

I intend in the coming year to concentrate on this area and to try to encourage both local government and national Government to look at it. Of course, it is not just down to local and national Government. Local charities and other organisations are vital in the support for unpaid carers, and at Christmas, I want particularly to pay tribute to them.

The businesses in the Stafford constituency are an outstanding bunch. There are all types, from the smallest to the largest. A couple of weeks ago, I had the honour of taking the ambassador of China to businesses in my constituency—both to General Electric, where he saw the plans for a bid for a major offshore wind farm, off the east coast of Scotland, which is potentially coming to fruition, and to Perkins, a subsidiary of Caterpillar, that makes wonderful large diesel engines; they are getting more efficient all the time. It also manufactures: it has a manufacturing plant in China.

I took the ambassador to Shugborough Hall. Shugborough is the former home of Admiral Anson and of Patrick Lichfield. Shugborough has been retaken by the National Trust in the last couple of years. It was an honour to show the ambassador the dinner service presented to Admiral Anson in, I think, 1744, when his ship, which was on a round-the-world voyage, limped into Canton at the time that it was going up in flames. His men helped to put out the fire of Canton and, as a result, he was given that magnificent dinner service by the grateful inhabitants.

I had the honour, on another occasion, of visiting a local business set up by Barry Baggott and now owned by German investors, who have put a great deal of money into it. That shows how small-scale manufacturing can and does thrive in the United Kingdom. The business makes high-speed washing machines for glasses and cups that are used in Costa Coffee and other such places around the country. It is a local, British business. It gets an order one day; it makes the machine and delivers it the next day. That is the kind of just-in-time manufacturing that can and does take place on a small scale, not just on the large scale of motor plants.

As I mentioned, Stafford is building housing at two and a half times the national average, in accordance with the plan that we have, and that is right, but I want to see the infrastructure. I am not prepared to see, in our next plan, large-scale housing being proposed without the relevant infrastructure being put in at the same time or in advance. I would also like to see more green belt. It is fine that we are allocating greenfield as well as brownfield land for new housing. I have no problem with that: we have to meet housing needs. But I think that if we also brought back or introduced some more green belt—that would protect, for instance, Stafford from merging into Stone, which I see as a risk at the moment—people would be prepared to accept more housing, because they would see that more green belt was being put in place. At the moment, people do not know where the expansion of Stafford northwards and Stone southwards will end, because they just see more and more proposals for housing on greenfield land.

I come now to the issue of Stafford town centre. A major part of it is thriving. We have just seen the newest Odeon cinema in the country open. We have now two cinemas, having a few months ago had none, because the old one was closed: it has now reopened, I am very glad to say. That part of the town centre is thriving, but the north part of the town centre and the market square need a great deal of support and help. We need to repurpose some of the buildings. We need more people living in the town centre. However, we also need to see more local independent businesses thriving, and that relates to something else that the hon. Member for York Central mentioned—absentee landlords for properties, who keep rent prices high. Even if the properties come within the rates support, whereby rates do not have to be paid, the rent is too high and the overheads are too high, and local businesses cannot afford to be there. We need to work on that and to encourage the parts of town centres that are currently neglected to come back into use and thrive. That is also right at the top of my agenda.

It was a great honour to welcome a few weeks ago the Under-Secretary of State for Housing, Communities and Local Government, my hon. Friend the Member for South Derbyshire (Mrs Wheeler), for a visit to Staffordshire Women’s Aid’s new refuge in Stafford. Building it up over the last few years has been a magnificent achievement by that organisation and the local community. We also had the opportunity to take the Minister to Eagle House to see the work of the Housing First project, which Stafford Borough Council has introduced and which has had a great effect. At this point, I pay tribute to my hon. Friend the Member for Harrow East (Bob Blackman) for all the work that he has done on homelessness. I am sure that the Housing First project is partly due to his sterling work.

One issue that has come up and which has been raised by colleagues is the new psychoactive substances, which are causing great distress. In Staffordshire and particularly in Stoke and Stafford, we have a terrible thing called monkey dust. I do not know whether others have seen this problem across the country. Monkey dust seems to be in our area particularly and it has a terrible effect on the people who take it. It makes them more aggressive and has led to quite some problems with antisocial behaviour. The police are on to it, but we have to be vigilant all the time to ensure that new psychoactive substances are dealt with and the production, wherever it is, is closed down as soon as possible.

I would like to turn to one or two international matters, Mr Robertson. Given your strong interest in Ethiopia—where I am a trade envoy for my right hon. Friend the Prime Minister—you are well aware of the importance of creating jobs and livelihoods for the hundreds of millions of young people across the developing world and particularly across Africa. The population of Africa is expected to double from 1.2 billion to 2.4 billion and it will have the highest number of young people on the globe, on this planet, by 2060. Therefore it is critical that the United Kingdom supports Governments such as that of Ethiopia, whose population is now more than 100 million, and others as they try to develop opportunities for young people.

The alternative to that is what we have seen over the last few years, which is migration and, often, migration under the compulsion of human traffickers. I saw some Ethiopians in Calais at the beginning of this year. They had reached Calais through that kind of pressure and were seeking to come over to the United Kingdom to work. Unless we provide and see created the kind of opportunities that I have described for young people across Africa and in developing countries elsewhere, the kind of crisis with refugees that we saw in 2015 will be as nothing compared with what we see in the future.

It is critical that we work together. That is why, as chair of the international Parliamentary Network on the World Bank and International Monetary Fund, I have tried to set up a global coalition for youth employment. But the issue is not just Africa. In September, I was in Kosovo, talking with its Government and Parliament, at the invitation of its Parliament, about its problem. It has 60% youth unemployment, and that is a country in the heart of Europe.

As chair of the all-party parliamentary group on malaria and neglected tropical diseases, it has been a great honour to see the work done by so many British institutions around the world to tackle malaria and the 18 or so neglected tropical diseases. Those institutions include the London School of Hygiene and Tropical Medicine, the Liverpool School of Tropical Medicine, the University of York, Keele University and, in Scotland, the University of Stirling. The problem is that progress, which had been superb since 2000 under Labour, coalition and Conservative Governments, has stalled because of the resistance of the malaria parasite to the drugs and the resistance of mosquitoes to the insecticides on bed nets, which had been so successful in helping to reduce deaths and incidences by more than half over that period. Therefore it is vital that we keep going with the work and research that is being done, across our universities, for new insecticides and drugs.

I will close with the issue of human rights and, in particular, religious freedom. I am sad to say that I see the space for human rights closing in many parts of the world, rather than opening up, and the same goes for religious freedom. It is vital that this country remains a beacon for human rights and religious freedom and that we do not succumb to the kinds of pressures that we see in other countries, where people are forced to keep quiet about their sincere beliefs. When we see our international partners going in the wrong direction, and we know which countries those are, it is vital that we encourage them—often this is better done privately—to recognise that allowing people to practise their faith, or lack of faith, is vital to the human soul. With that, I wish everybody here a happy Christmas and new year.

May Adjournment

Debate between Bob Stewart and Jeremy Lefroy

Thursday 3rd May 2018 Commons Chamber

[Jeremy Lefroy]

My right hon. Friend may very well ask!

If we look at the World Health Organisation’s report on people’s perceptions of access to good quality healthcare in 2013, under a Conservative-led coalition Government, I am glad to say, we find that 82% of France’s population and 85% of Germany’s felt they had access to good quality healthcare, whereas in the UK the figure was 96%. For all its faults, and there are many, as I know personally from my constituency experience, our system is held in high regard and it provides almost everybody—96% is not 100%—with access to high-quality healthcare.

[Bob Stewart]

In my constituency, when an ambulance goes by with its alarms going off, this usually signals a heart attack or a stroke and someone being rushed to a really good hospital. The NHS is the place you want to go if you have a heart attack—private healthcare does not even start to deal with strokes and heart attacks. We are really well served by the people who do this.

[Jeremy Lefroy]

My hon. and gallant Friend is right about that. As far as I know, we will not find an accident and emergency department that is privately run in the UK. If there is such a department, we are probably talking about only one or two. It is not possible to do that because of the cost of running A&E departments. Parliamentary colleagues in France will talk about healthcare deserts in parts of rural France, where people cannot get access to the highest quality of healthcare that they want. I am not trying to play us off against France or Germany here; I am just trying to state a few facts, as we tend to run ourselves down sometimes.

I wanted to start by discussing the health service because it is now five years since the Francis report on the Mid Staffordshire NHS Foundation Trust, which is in my constituency and that of my hon. Friend the Member for Cannock Chase (Amanda Milling). That was a very difficult time for us all in Stafford. I am still very proud of the Stafford people and the Cannock people, who put so much into the work to preserve health services in Stafford and Cannock during that time. I am also proud of the work that has been done since then, and of the people who stood up and pointed out the real problems that were going on at the time, which needed to be corrected. If we consider what has happened since then, we see that patient safety has become an absolute priority for the NHS and for this Government, and I pay tribute to my right hon. Friend for taking that on. If we look at the recommendations in the Francis report, we can see that most of them are now in place. When I talk to colleagues from around the country, they say, “You know, that Francis report made a huge difference for my local hospital”. It made a difference not just for Stafford or Cannock, but for hospitals throughout the country, where patient safety has gone to the top of the agenda.

I pay tribute to the staff of the County Hospital, as Stafford hospital is now known, for what they have done over the past five years. In the past couple of weeks, more than 96% of patients in our A&E have been seen within four hours. That is well above the national target. I am most grateful to the staff for achieving that. Other things must still be done—there are more services that I want to see back in the hospital, or brought to it and the Stafford area for the first time—but I put on record my thanks to everybody who has made that happen over the past five years.

To return to the general point about the health service, it is quite true that they have a different system in Germany and France, and there are merits in that. It is a different system that requires co-payments: people have health insurance, whether it is largely state-funded, as in France, or done through private or co-operative health insurance systems, as in Germany. People still pay often several hundred euros a year on average to access healthcare when they need it. It is a serious issue and a political debate that we need to have. I am not necessarily saying that my hon. Friend the Member for Gainsborough’s points should be disregarded—not at all; they should be considered very seriously—but we have to look into what is sustainable.

Christmas Adjournment

Debate between Bob Stewart and Jeremy Lefroy

Thursday 21st December 2017 Commons Chamber

[Jeremy Lefroy (Stafford) (Con)]

It is an honour to follow the hon. Member for Ilford South (Mike Gapes), and I will come on to the point he made a little later in my remarks.

I also extend to all those working on our behalf over Christmas and the new year, whether in the private sector or public services, my grateful thanks. They give up their family time on our behalf. In my constituency of Stafford, I particularly think of the workers at General Electric, some of whom are facing an uncertain future, with a consultation going on over the loss of 500 jobs. I assure them of my commitment to see that, if there are other opportunities locally or regionally, they are made aware of them and that all support possible is given to them.

I want to tackle three subjects, the first of which is health and social care. I have spoken often on this subject, particularly in respect of Stafford Hospital, now County Hospital. It is great to be able to say that the care at County Hospital, formerly the Stafford Hospital, has improved tremendously over the past few years. I pay tribute to the workers there, who have gone through a very difficult period, both at the time of the Francis public inquiry and then at the time of the trust special administration—the only trust special administration under the Health and Social Care Act 2012.

[Bob Stewart]

I should like to pay tribute to my hon. Friend. He has worked tirelessly to sort out that hospital, and he has been a great advocate of getting it fixed.

[Jeremy Lefroy]

I am most grateful, but I think my hon. Friend perhaps exaggerates my own part in this. It is really the workforce at the hospital who have done it, but I accept his thanks on behalf of all those at the County hospital and in Stafford who have fought for it.

I want to talk about the forthcoming Green Paper on social care, and my remarks will include both health and social care. It will provide a really important opportunity for us to change things in health and social care for the better and for the long term, but it will need cross-party working. The area of social care and health has been blighted too often by infighting between the parties. We also need to take an integrated approach.

We score highly, internationally, in regard to people’s opinion of their access to good healthcare. In a survey carried out not so long ago, 35% of people in the USA said that they did not have good access to good quality healthcare. In France, the figure was 18%, in Germany it was 15%, and in the UK it was only 4%. That is the glory of our national health service: by and large, it gives people access to high-quality healthcare, whatever their income and wherever they live in the United Kingdom. However, it is also generally accepted that more money is required. I do not have time to go into the detailed figures, but something between 1% and 2% more GDP needs to be spent on health and social care. The question that needs to be asked in our contributions to the Green Paper next year is: how is that money to be raised?

I have always said that we need a ring-fenced health and social care levy, on top of our present budgeted expenditure on health and social care. It needs to be a broad-based levy, and it needs to be income based, so that it is fair across the country and the population. Such a levy would not provide for everything that we need to do, but it would help to ensure that the £10 billion to £20 billion of additional resources that we need to put into the health and social care system as a minimum in the coming years, on top of what we already spend, was available. What is more, I think that it would be accepted by the general population. If the money were ring-fenced for health and social care, they would know that it would be spent on things that they really cared about and needed. Let us not forget that the national health service is one of the biggest sources of cohesion in our country; it is something that we all rely on.

I want briefly to touch on the European Union negotiations, which are incredibly important to all of us. The Prime Minister has said that she wants the best possible deal, and I absolutely support her in that. We need a unique, long-term deal that is the best possible for our jobs and tax revenues, and also for bringing back control to this country in certain areas. The deal must include goods and services—not just goods—and it must be frictionless. It must fully respect the Belfast agreement. It must also respect the people of Gibraltar. It must cover security, aviation, data and many other areas, including agreements with other countries, of which there are dozens.

There has been discussion over whether we should be closer to Norway or Canada—mention has been made of “Canada plus-plus-plus”—but I simply make the observation that geographically, and probably in spirit, we are closer to Norway than to Canada when it comes to this type of agreement. I urge the Government to look closely at that matter. I also suggest that we look at the European Free Trade Association. It is not perfect, and it might not be something for the near term, but I believe that in the medium term we cannot stand on our own. We need to work together with other like-minded nations, which might include Iceland, Norway, Switzerland, Liechtenstein and perhaps others. When it comes to negotiating agreements and working together on trade, it is better to work with a number of countries rather than just on our own.

We also need to consider the idea of associate European citizenship, on a voluntary basis, for all those United Kingdom citizens who want to retain strong, close allegiances with our friends and neighbours in the European Union. It has been raised as a possibility by Guy Verhofstadt in the European Parliament and by others. Let us take it into consideration in the negotiations.

Finally, but in some ways most importantly of all, I want to touch on humanitarian work. There are possibly more refugees across the world now than at any other time since the end of the second world war. Whether from Syria, Yemen, South Sudan, the Democratic Republic of the Congo, Somalia, Burma or Burundi, there are possibly up to 50 million refugees, not including the people who are suffering within their own countries.

I welcome the recent news about Hodeidah in Yemen, and the fact that the port has been opened up for a minimum of 30 days for humanitarian and relief supplies. I pay tribute to Her Majesty’s Government for their work on that, but we must keep an eagle eye on the situation over this Christmas and new year recess. In the Democratic Republic of the Congo, 1.7 million have had to flee their homes this year—more than in any other country in the world—yet it sadly receives hardly a mention in the news and even in this place. Four million people have been displaced, and 7 million people are struggling to feed themselves. In 2018, it is absolutely vital that the UK maintains the work that it is doing all over the world on humanitarian affairs, in which we lead in so many cases. With that, Mr Speaker, I wish you a very happy Christmas.

Tropical Diseases

Debate between Bob Stewart and Jeremy Lefroy

Tuesday 27th October 2015 Westminster Hall

[Jeremy Lefroy]

I do indeed. I am most grateful to the hon. Gentleman for that intervention. I recognise the huge amount of work done by faith groups and missions around the world. They often run remote hospitals, which even the state health system cannot afford to maintain. I have seen the work that they do. Indeed, my wife ran a public health education programme for 11 years in Tanzania and saw at first hand the work that was done when she worked for the Lutheran Church there.

I will not go through the London declaration in detail, because I want other hon. Members to speak, but I will quote the final words:

“We believe that, working together, we can meet our goals by 2020 and chart a new course toward health and sustainability among the world’s poorest communities to a stronger, healthier future.”

Real progress has been made in the past few years. To take one example of many highlighted by the Overseas Development Institute last year, Sierra Leone made great strides in preventing four of the five diseases that make up 90% of the world’s NTD burden: onchocerciasis, lymphatic filariasis, soil-transmitted helminth and schistosomiasis. In particular, on schistosomiasis, which can lead to death through liver disease and bladder cancer, 562,000 people in Sierra Leone received preventative treatment in 2009. By 2012, that figure had reached 1.4 million, which was 99% of those needing treatment. We have heard of the tragic trials of Sierra Leone in the past year and a half, but it is important that we also recognise the huge amount of work that Sierra Leoneans have done to treat many of these other diseases.

[Bob Stewart (Beckenham) (Con)]

When my hon. Friend refers to elimination, does he mean the elimination of a disease in human beings or the elimination of the scourge of these diseases from the face of the earth? Have I got that wrong, or is it a combination of the two?

[Jeremy Lefroy]

My hon. Friend is absolutely right to raise that distinction. The recent leader article on malaria in The Economist discussed eradication, which is what I believe we have to go for. There are slightly different meanings to elimination and eradication, but whatever it is, we have to aim for what we have seen with smallpox and are approaching with polio, with no one getting these diseases anymore.

--- Later in debate ---

[Bob Stewart]

I am sorry, but my question was really about the distinction between getting rid of a disease from the face of the earth, so that it is never there again and human beings cannot catch it, and dealing with a disease in a human being.

[Jeremy Lefroy]

Ultimately it is about making sure that human beings cannot catch a disease. Whether we can get rid of a disease from the face of the earth is another matter, because they have a tendency to come back. We have to ensure that we have the tools in place so that if a disease does return when we think it is eliminated, we can deal with it.

I have three questions for the Minister. What progress has been made in investing the additional £195 million committed by the coalition Government to work on neglected tropical diseases? Given the tremendous cost-effectiveness of interventions—we are talking about tackling diseases that affect 1.4 billion people by committing over four years the cost of running an average district general hospital in the UK for just one year—will the Minister look carefully at increasing the UK’s support for NTD work, especially drug discovery and support for programmes that strengthen health systems as they deliver prevention, diagnosis and cure? Finally, will he update us on the progress made on implementing the London declaration? We hosted the conference, so it is important that we take the lead in ensuring that the declaration comes to fruition.

Over the past 15 years great progress has been made on malaria and NTDs. The UK has been a vital part of that work, not just via funding from DFID, but through our scientists, universities, NGOs and voluntary organisations such as the Rotary Foundation, which has done tremendous work on malaria on top of its work on polio, and most certainly through our private pharmaceutical sector, whether in its commitment to research and development in unfashionable areas or in its direct donations of billions of doses of essential drugs. Nevertheless, the job is only half done for malaria, and even less so for NTDs. If the UK remains committed over the coming 15 years, I remain hopeful that we can make substantial progress. I ask the Minister to make that commitment. It is not about specific sums of money, but about an overall approach that recognises how much difference this work makes to billions of people and what an effective use of UK taxpayers’ money it is.

Let me conclude by quoting the leader article in The Economist from 10 October:

“Throughout history, humans and disease have waged a deadly and never-ending war. Today the casualties are chiefly the world’s poorest people. But victory against some of the worst killers is at last within grasp. Seize it.”

Christmas Adjournment

Debate between Bob Stewart and Jeremy Lefroy

Thursday 19th December 2013 Commons Chamber

[Jeremy Lefroy (Stafford) (Con)]

It is a great honour to follow the hon. Member for Falkirk (Eric Joyce). If he wishes, I invite him to my constituency, because South Staffordshire and Shropshire mental health care trust has an excellent unit dealing precisely with eating disorders. I had the pleasure of visiting it a few months ago, at the invitation of Sarah Robertson, a constituent of mine. He is most welcome to come and see the excellent work it does and find out more about it.

I wish to remember the men and women of 3 Mercian who are currently serving in Afghanistan. It is one of the regiments due to be disbanded, but I am glad that the name of the Staffords will be remembered. As my hon. Friend the Member for Beckenham (Bob Stewart) will know, it will be combined—we hope—with the names of the Cheshires and the Sherwood Foresters.

[Bob Stewart]

It is definite that the Staffordshire regiment will live on in the Mercian regiment. It must do. It is a great regiment. It will combine with the Cheshires and the Worcestershire and Sherwood Foresters. From my point of view, as an ex-Cheshire officer, we will get a huge number of Victoria Crosses when the Staffords join us; my regiment only has two.

[Jeremy Lefroy]

I am most grateful to my hon. Friend. We all share his sentiments, and our thoughts and prayers are with 3 Mercian and the other regiments and units serving in Afghanistan, including the tactical supply wing of the RAF, which is also based in my constituency.

I want to dwell for a moment on the report of the trust special administrators on the Mid Staffordshire NHS Foundation Trust, which came out yesterday. There are a number of good things in the report. Within the remit they were given—I think that that will need to be considered by this House because it needs quite a lot of change—they have done some good things. Those include recommending a merger of the University Hospital of North Staffordshire with the Stafford element of the Mid Staffordshire NHS Foundation Trust. They have also recommended that Cannock hospital goes to the Royal Wolverhampton Hospitals Trust. For Stafford, that is a good thing. We will become part of a large university hospital trust and be able to share services across a wider area. In addition to the excellent staff that we already have, we will be able to attract high-quality staff from across the country.

We are also retaining our accident and emergency department. At the moment, it is open for only 14 hours a day, but that is better than the nothing that was proposed earlier this year. However, I still believe that we need a 24/7 A and E department. Perhaps our use of the current department will reveal the need for an increase in hours, but at least we have retained the department and we can build on it in the future.

We have also retained acute services. At the start of the year, it was thought that Stafford would become a community hospital—not an acute hospital. I am glad to say that those fears have not been realised. The recommendations also include, for the first time, provision for a frail elderly unit, which is incredibly important as it builds on the work of the Cure the NHS group, founded by Julie Bailey, and the Francis report that came out as a result of that. I hope it will be a beacon for the care of elderly people across the country. It will show that in Stafford we can do such things to the highest standards. We will also have a large range of other services. The trust special administrators have said that 90% or more of current attendees at Stafford and Cannock will be able to continue to use those services. Cannock hospital has also been retained. In fact, more work will go on at Cannock, 60% of which has been unused for many years. I welcome that, as does my hon. Friend the Member for Cannock Chase (Mr Burley).

A lot of good things are going on in Stafford, and I welcome that. However—and this is a big however—there are things that I oppose and will continue to oppose, the most important of which revolves around paediatric services. Yes, there will be a paediatric assessment unit, but it will be linked with A and E and, therefore, open for only 14 hours a day. That means that children who get sick overnight will have to travel 20 or more miles to the nearest unit. That is not acceptable for my constituents or indeed for the constituents of surrounding constituencies. In addition, it will not be a consultant-led paediatric unit, and it will have no in-patient beds for children. That is a problem for children who turn up at night with serious illnesses, or perhaps a very high temperature. Their parents will be extremely worried and will want their child to be taken in and observed for perhaps a day or two before they return home. If the child’s condition is more serious, they will want them sent to a major unit such as in Stoke or Birmingham.

Provision for those who need in-patient child and adolescent mental health services in Staffordshire—indeed, throughout the country—is not nearly sufficient. Our general hospital in Stafford takes in a number of such young people, some of whom are suicidal. It should not have to do that, but it takes them in because there is nowhere else for them to go. I do not believe that the administrators’ proposals take that into account, although the issue was raised in the consultation.

The original proposals said that no women could give birth in Stafford, unless they were having a home delivery, but I am glad to say that the administrators have listened to the people and have recommended that we should have a midwife-led maternity unit. However, that is still not enough, because we need a consultant-led unit. With our growing town, the Army coming in and the number of houses being built, we will get up to the 2,500 to 3,000 births a year in the coming year, and that will justify such provision, networked together with the University Hospital of North Staffordshire. I will continue to make that case to Monitor and to the Secretary of State.

The question of the critical care unit was also raised. I am glad to say that the administrators accepted the need for a level 3 critical care unit at Stafford, but we need to look at the details in the report, because I want to ensure that the unit is robust and will be maintained and sustained. There are question marks over that, but as I am not an expert on the matter, I will have to wait for the consultants and clinicians in my constituency to get back to me with the details.

I pay tribute to the community in Stafford, Cannock and the surrounding areas who have shown such resilience. When downgrading the hospital to a community hospital was first proposed, they showed tremendous support for its work. As is well known, the hospital has been greatly troubled over the years, but it has come on tremendously in the past two or three years. Only two weeks ago Stafford had the best hospital standardised mortality ratio in the whole of the west midlands. That is a far cry from where it was four or five years ago. I pay great tribute to the community for coming together in marches of up to 50,000 people.