Future of Health and Care

Debate between Bob Stewart and Matt Hancock

Thursday 11th February 2021 Commons Chamber

[Matt Hancock]

Of course health is an important consideration in all policy decisions. The overall response to the pandemic has demonstrated that.

The hon. Lady is right to raise the issue of integration and to ask what plans there are for the integration of health and social care. Indeed, that is at the core of the proposals, as I set out clearly in my statement, and at the core of the White Paper. The integration of health and social care has improved significantly this year as a result of people having to work together in the pandemic. Fundamentally, social care is accountable to local authorities, which pay for it, and therefore to the local taxpayer, whereas the NHS is accountable to Ministers and central Government. The combination of these two vital public services is a challenge that I think can be addressed through the integrated care systems. We have been working very closely with the Local Government Association in England and the NHS to try to effect that integration as much as possible.

The hon. Lady raises the issue of funding. Of course, the NHS has record funding right now, and rightly so, but these reforms are about spending that money better to improve the health of the population, to allow new technology to be embraced, and to remove bureaucracy. It is not about having to spend more money on a reform; it is about reforming in order to spend money as well as possible.

[Bob Stewart (Beckenham) (Con)]

When I was in the Army, I was badly hurt, and I was put under the care of the NHS. In turn, it sent me to a private practitioner, in Harley Street actually, who did me the world of good, and I paid nothing. Now, as an MP, I am frequently asked, “Are the Government intending to privatise the NHS?”. My reply is, “No, of course they aren’t, and very little of the NHS is privatised.” Could I ask my right hon. Friend to inform me how much of the NHS is privatised as a percentage and whether the plans are to increase it or not?

[Matt Hancock]

The NHS is not privatised at all. The NHS is delivered free at the point of care, or free at the point of use, according to need, not ability to pay. Of course, the NHS buys all sorts of things—it buys goods, technology, scalpels and services of different scales and sizes—and it employs people, and this combination is essentially what the NHS is made up of. It matters not the name of the provision; what matters is the care for the patients, and the quality of support for the population’s health. The pandemic has demonstrated that what matters is the outcomes, and the coming together of different types of provision has always contributed to the delivery of care for patients, as my hon. Friend set out. That will no doubt happen for the entire future of the NHS, which I have absolutely no doubt will go from strength to strength, not just now, after the last 72 years, but for the next 72 years, and after that.

Covid-19 Update

Debate between Bob Stewart and Matt Hancock

Tuesday 2nd February 2021 Commons Chamber

[Matt Hancock]

We have put in place the £500 support to ensure that everybody can afford to self-isolate. As for the South African variant that has been discovered in Southport, we are, with the local authority, undertaking very significant action to try to isolate it and any spread. It is vital that all members of the community play their part: stay at home and get a test when it is offered by the local authority. There is more information on the Sefton website. I pay tribute to my hon. Friend the Member for Southport (Damien Moore), who was not able to get on the call list, with whom I have been corresponding on this matter. He, along with the hon. Gentleman, has been playing an important part.

The cases in Liverpool I mentioned were in fact raised in the local media and described by Liverpool City Council a couple of weeks ago. I included them for completeness to describe all those cases where we have seen a mutation, along with the 11 cases in the Bristol area that I also described, which have been set out in a scientific study from the University of Leicester today. We have been working very closely with Liverpool City Council and Bristol City Council on those two clusters, along with the councils of all those where a variant of concern, such as the South African variant, has been found. I hope that that is a complete enough answer and I am very happy to talk to the hon. Gentleman if he has any further questions.

[Bob Stewart (Beckenham) (Con)]

Yesterday I was speaking on the telephone to Mrs Bunny England, who was a WAAF in the second world war, and, at 92, is very, very young. She tells me that she is housebound and no one has contacted her about a vaccination. I assured her that I would inform the quite excellent and responsive South East London Clinical Commissioning Group about her case, and that I was sure she would be contacted very quickly. Can I ask my right hon. Friend, who is doing extremely well, whether we are going to be able to get to every single person in groups 1 to 4 who is housebound by 15 February?

[Matt Hancock]

Mrs Bunny England is certainly going to get her jab now. I am very grateful to my hon. Friend for raising her case. I will get straight on to the CCG, which, as he says, is excellent. Of course, we have roving teams right across the country going to people who are housebound. It is very important that we reach all with that offer, and we are on track to ensure that everybody can have the offer of a vaccination by 15 February. I appreciate that somebody in their 90s will have been waiting for that call for a couple of weeks now, but we are making good progress and I will make sure that Mrs England gets her jab.

Covid-19 Vaccine Roll-out

Debate between Bob Stewart and Matt Hancock

Tuesday 8th December 2020 Commons Chamber

[Matt Hancock]

We consider all those figures, and because we consider them alongside special factors such as whether there is an outbreak, we do not put a specific figure on that, as the hon. Lady well knows. But what we have done is put in more economic support than almost any other country in the world, as the International Monetary Fund has recognised. We have tried as best we possibly can to support people through what has been an incredibly difficult year. We have not been able to save every job, but with the economic measures of support for business and the furlough scheme in place, we have put in very significant support. But the best support that people in the north-east, and elsewhere in the country, can have until this vaccine is rolled out is to continue to follow the restrictions that are necessary and then, if they get the call from the NHS, take that vaccine.

[Bob Stewart (Beckenham) (Con)]

A charming lady of 92 has contacted me. She lives on her own, and she cannot get out of the house. I have assured her that the Secretary of State for Health will make especial efforts to ensure that she is looked after and gets her vaccination as soon as possible. Is that correct?

[Matt Hancock]

Yes, if she can travel. When the NHS calls, my advice to my hon. Friend’s constituent is to get that card with that invitation and to phone up my hon. Friend, and he will give her a lift.

Covid-19 Update

Debate between Bob Stewart and Matt Hancock

Thursday 26th November 2020 Commons Chamber

[Matt Hancock]

Yes, I agree with every word of what the hon. Lady said.

[Bob Stewart (Beckenham) (Con)]

My constituency of Beckenham is very relieved to be in tier 2. Very kind of you, Secretary of State. I have had a couple of constituents ask me whether they have to have a vaccination. I have said that no, they do not, as far as I know. Can he tell the House what percentage of the population is required to be vaccinated in order for the measures to be effective, so we can get back to normal?

[Matt Hancock]

I would urge everybody to get a vaccination, if we manage to get a vaccine that is approved by the authorities, because the regulator will only approve a vaccine if it is safe and effective. Having said that, we are not planning to make it mandatory, because we hope that the vast majority of people will take it up, not least because it will help to protect them and their community, and get the whole country and indeed the world out of the mess we are in.

Coronavirus Regulations: Assisted Deaths Abroad

Debate between Bob Stewart and Matt Hancock

Thursday 5th November 2020 Commons Chamber

[Matt Hancock]

That incredibly important and sensitive matter needs to be considered as part of the overall approach. These questions should all be brought out in a debate on this subject. That is Parliament’s role, given that this is an area of conscience on which the Government do not take a view.

[Bob Stewart (Beckenham) (Con)]

It is very sad that anyone has to go abroad to end their lives when they have a terminal illness—I find that dreadfully sad. I ask my right hon. Friend, because I am unsure of this: how many people on average go abroad to end their lives every year?

Covid-19

Debate between Bob Stewart and Matt Hancock

Thursday 22nd October 2020 Commons Chamber

[Matt Hancock]

I want to keep it that way. It is true that the all-cause mortality rates are around the typical levels for this time of year, and that is partly because non-covid deaths are actually lower at the moment than in most years, and because, thus far, we have worked to keep this virus under control. We know from the basic mathematics of compounding growth and the exponential nature of the growth of any virus that the number of deaths will increase if the number of cases increase exponentially, hence the need for the actions that we in this House have voted for.

[Bob Stewart (Beckenham) (Con)]

On that point, many of my constituents were frightened to go to hospital because they thought that they might get infected with covid. With that in mind—I am quite sure my right hon. Friend has thought of this—would it not be an idea to separate out hospitals, so that we have a covid centre of excellence, say using the Nightingale hospitals, where everyone goes, and then the normal hospitals that deal with everything else? Forgive me for raising this point, because I am quite sure that the Secretary of State has a very good answer.

[Matt Hancock]

It is a brilliant idea—so brilliant that the NHS has spent the summer working on that concept. We cannot do it as perfectly as my hon. Friend suggests, and the reason is the practicalities of the treatment of covid—for instance, if someone has covid and something else, they need a normal intensive care unit. But the Nightingale hospitals are there—in fact today, sadly, the Nightingale hospital in Manchester is reopening. For all the rest of the hospitals, we are making sure that different parts of the hospital are deemed either blue or green—essentially covid-free or at risk of covid. Some of the different buildings are covid-free or non-covid, or, in some cases, whole hospitals are covid green sites and people cannot go to them unless they have tested negative. That means we can have a high degree of confidence because, for instance, if we are treating cancer patients, we want to ensure that there is not any covid in there.

We need these long-term solutions and, like other liberal democracies around the world, we are wrestling with this question—as we have wrestled with it in the last few minutes—of how to keep people safe from the virus while protecting other important things in life: our liberties, our livelihoods and the things that we love. That is what leads us to the strategy of suppressing the virus and supporting the economy, education and the NHS. The NHS needs to be supported to do all the other things that it needs to do until a vaccine is available.

I reject the false choice that says we must pick a side and choose between a healthy economy and a healthy nation, because the two are intrinsically linked. If, God forbid, we were to let the virus unleash its full force, the damage to not just the NHS and the hundreds of thousands of lives, but our livelihoods would be catastrophic. We can only get our economy and our society going gangbusters again if we drive this virus down, so that people have the confidence that they need to live their lives to the full—and drive it down we must.

This is a deadly virus, and, yes, it reserves its biggest impact for the oldest in society, which means the rise in the number of cases among the over-60s gives me a lot of cause for concern. We also just heard compellingly from the Minister for Equalities about the impact on people from ethnic minority backgrounds, but the impact is not confined to these groups. The virus can affect anyone of any age and any background, and we have already seen worrying numbers of young, fit, healthy people suffering debilitating symptoms months after contracting covid. Yesterday, a study by King’s College London showed that one in 20 people with coronavirus is likely to have virus symptoms, such as fatigue, breathlessness, muscle pain and neurological problems, for eight weeks or more. Yesterday, I visited the cutting-edge long covid clinic at University College London hospital. I have met people in their 20s and 30s unable to work, sapped of all their energy, living with the long-term effects of a virus that has completely changed their lives. Therefore, to anyone of any age, catching covid can be very grave indeed. Long covid underpins, again, our strategy for suppressing the virus until a vaccine arrives.

Wuhan Coronavirus

Debate between Bob Stewart and Matt Hancock

Monday 3rd February 2020 Commons Chamber

[Matt Hancock]

Yes, absolutely. We are to hold a briefing with the lead Minister and the chief medical officer that is open to all MPs from across the House, so they can put questions directly to the chief medical officer and get the clinical evidence behind the decisions we are taking.

Specifically on the hon. Lady’s question, the Royal Liverpool is one of the best hospitals in the world for dealing with these sorts of disease. It is one of the hospitals that we identified in advance as a place where people with coronavirus would be taken. One of the advantages of using the facilities at Arrowe Park was its proximity. Transit from A to B will of course be in secure conditions, so that no one is affected on the way. People can rest assured that if a case emerges in the isolation area at Arrowe Park, we have plans in place to get those affected to Liverpool and into the hospital in a way that does not affect nearby residents. To be frank, local residents should be very proud of their hospital.

[Bob Stewart (Beckenham) (Con)]

Apparently, there have been 361 deaths from coronavirus in China, with many more infected. Can my right hon. Friend assure me that in the worst-case scenario—if it does get into this country—and people develop symptoms, their chances of dying are not that great?

[Matt Hancock]

One part of that is true and another is sadly not, in that it is no longer “if” it comes to this country—it is here. However, the thrust of what my hon. Friend says is absolutely right: the current rate of mortality—those who die having contracted the disease—is around 2%, which is significantly lower than other recent diseases of this type, such as SARS, and a lot lower than Ebola. However, as the shadow Secretary of State said, the rate of transmission appears to be higher, and the number of cases appears to be doubling around every five days. We have the challenge of a disease that is transmitting relatively quickly, but the vast majority of people who have it survive.

Mental Capacity (Amendment) Bill [Lords]

Debate between Bob Stewart and Matt Hancock

2nd reading: House of Commons & Money resolution: House of Commons & Programme motion: House of Commons & Ways and Means resolution: House of Commons
Tuesday 18th December 2018 Commons Chamber

[Matt Hancock]

The hon. Gentleman is absolutely right about the importance of getting highly trained social workers to make these judgments and about the importance of making sure such training is provided for and embedded in the Bill. He speaks powerfully, and I agree with how he puts it.

The Bill introduces a new liberty protection safeguards system, and it makes the authorisation simpler and more straightforward. It removes some bureaucracy and duplication, and it makes the system easier to navigate for individuals and their family. People will get their rights protections sooner, there will be greater independence when decisions are taken to restrict liberty, and the NHS and social care providers will be given a bigger role in the decision-making process so that people under their care receive the right care and their rights will be protected. It will introduce an explicit duty to consult the person being cared for and to consider their wishes and feelings.

[Bob Stewart (Beckenham) (Con)]

An appropriate person will be appointed when dealing with vulnerable people. Who are these appropriate people, and what will be their role?

[Matt Hancock]

An appropriate person will have greater involvement in any decision to restrict liberty, so their role is essentially to speak for those whose liberty is potentially being restricted. We have framed this in terms of an “appropriate person” because in large part this will be a family member or a carer, but that cannot always be the case.

[Bob Stewart]

It could be a nurse.

[Matt Hancock]

It could easily be a carer, yes. Some people have no family and in others cases the family are not the appropriate people to be the spokesperson for those who are mentally incapacitated. The appropriate person—the families and carers—will have greater powers to intervene or to object. Crucially, where there is no family or an appropriate person to advocate for the individual, the person has the right to an independent mental capacity advocate. So in all cases there should be a person whose role in the system is to advocate on behalf of the person whose liberty is being restricted.

EU Referendum: Civil Service Guidance

Debate between Bob Stewart and Matt Hancock

Monday 29th February 2016 Commons Chamber

[Matthew Hancock]

Making what is called a direction, such as that which I made on Kids Company because I thought that it was worth spending the money to look after those kids—it is right that Ministers should be able democratically to override the advice of civil servants when they choose to, so long as that is published—is about the expenditure of money. The EU debate is not specifically about the expenditure of money, although there are debates about growth, jobs and the economy, and so the question would not arise.

[Bob Stewart (Beckenham) (Con)]

Several of my constituents have contacted me and asked where they can get the facts to decide in their own minds how to vote. It is, after all, the people, not the Government, who will decide this matter, so is it not the duty of the civil service to provide facts to our people to enable them to decide how to vote? In these circumstances, is it not fair to ask the Cabinet Secretary, in his capacity as a neutral observer, to prepare a document for the people who will make this decision?

[Matthew Hancock]

It is absolutely necessary to ensure that information is available on questions about the referendum. For instance, that is why this morning we published a document on the process for leaving the European Union should that be the decision at the referendum. My hon. Friend is right that it is for the people to decide. The Cabinet Secretary is not neutral; he supports the Government position because he is a civil servant, and the whole civil service supports the Government position. If my hon. Friend is responding to his constituents and they really want information, I can always recommend a website called strongerin.co.uk, which has some great information.

[Bob Stewart]

It has to be impartial.

[Matthew Hancock]

There will be a campaign to leave, as well, and I hope that this debate continues so that by 23 June everybody feels fully informed.

Transatlantic Trade and Investment Partnership

Debate between Bob Stewart and Matt Hancock

Thursday 15th January 2015 Commons Chamber

[Matthew Hancock]

If a case is lost in another member state on its domestic regulation, I would not expect that to have any implications for the UK.

As on regulation, so on the NHS, which has been brought up many times. We are quite clear that there is no threat to the NHS from TTIP. Public services and publicly funded health services are not included in any of the EU trade commitments. I will go further and read what the former Trade Commissioner said to the BBC:

“Public services are always exempted—there is no problem about exemption. The argument is abused in your country for political reasons but it has no grounds.”

My hon. Friend the Member for Totnes (Dr Wollaston), the Chair of the Health Committee, gave a very clear enunciation of the exemption of the NHS set out by not only the EU but the US side in these negotiations. I would say this to anybody who continues to campaign against the inclusion of the NHS in TTIP: you have already achieved your aim, and continuing to campaign is continuing actively to mislead, because public services and publicly funded health services are not included in this negotiation.

[Bob Stewart (Beckenham) (Con)]

May I clarify one thing? It is probably not as important as the whole thrust of this debate, but when I was badly hurt in the Army and the NHS took responsibility for helping me get better, we used an American system to put me back on my feet. I hope, and assume, that use of American techniques and systems by the NHS is still allowed.

[Matthew Hancock]

Of course that will be allowed, but the point is that we would still have control over our public health policy. I can give that reassurance, which was sought by the hon. Member for Edinburgh South (Ian Murray) on the Labour Front Bench, so I hope he will now remove that objection. I do not want to conclude that some Opposition Members do not want to be reassured, but increasingly that is the only view I can reasonably come to.

EU-US Trade and Investment Agreement

Debate between Bob Stewart and Matt Hancock

Thursday 18th July 2013 Commons Chamber

[Matthew Hancock]

Yes, of course. I was just about to move on to scrutiny, which came up in many Members’ contributions and is important. I agree with my hon. Friend the Member for Stone (Mr Cash) about the uncertainty of forecasts and numbers, but I will give the Committee the analysis. The Committee will play an important part in scrutinising the negotiations. Of course, as many Members have said, the negotiations will be led by the Commission, so we must ensure that we do not get in the way of positive developments of substance by publishing things that the Commission would not want us to publish, but within those constraints we will ensure that we engage with the Committee, and indeed with Members on both sides. I think that it would be positive to have debates such as this one as the process goes forward.

[Bob Stewart (Beckenham) (Con)]

Will the Minister give way?

[Matthew Hancock]

Of course.