Finance (No. 2) Bill

Caroline Johnson Excerpts

2nd reading: House of Commons
Monday 11th December 2017 Commons Chamber

[Dr Caroline Johnson (Sleaford and North Hykeham) (Con)]

I rise to welcome the Bill. It continues the Government’s prudent financial management that has delivered growth, reduced the deficit, and reduced unemployment to its lowest level not just in my lifetime, but since before I was born. This prudent management has allowed us to invest in our public services such as the national health service. There is perhaps no public service so dear to the heart of the British people than the NHS. As a consultant paediatrician, I have worked in the NHS for the past 15 to 20 years. I have seen the very important work done by its staff on a daily basis.

The Government’s investment of £2.8 billion to 2019-20, and another £10 billion in capital investment to upgrade buildings and facilities, is extremely welcome, but that money is not just about numbers. It will save lives, improve people’s care and help us to achieve many of the targets that have been set, such as reducing stillbirths and equilibrating mental and physical healthcare. It will allow us to buy the most up-to-date diagnostic equipment, such as 3T scanners for magnetic resonance imaging, and the very newest and best medical drugs. It will ensure that the locally designed plans of sustainability and transformation partnerships have the investment that they need.

We all know that in winter the NHS is under more pressure than it is during the summer, especially given the change in the demographic of our country as people become relatively older. I therefore welcome the £350 million in the Budget that will give an extra boost to the health service—not next year, but now—by giving doctors, nurses and allied health professionals access to the resources that they need to save lives this winter. It is important to ensure that the money is well spent, and I have every confidence that our Secretary of State will ensure that it is. It needs to be spent in areas where it will directly improve patient care.

[Rachel Maclean]

My hon. Friend is making good comments about investment in the NHS. Will she join me in welcoming additional funds to support mental health services in schools, which will benefit young people by helping them to secure the best start in life and to deal with the challenges in their lives?

[Dr Johnson]

I certainly will. As a children’s doctor, I have seen a dramatic increase in the number of young people who are admitted to hospital because they have taken an overdose or self-harmed. When I was a very junior doctor, a senior house officer, a young person would be admitted on a Friday—it was usually on a Friday—who had been in such severe mental distress that he or she had taken an overdose or self-harmed in some other way. Now it is normal to see children—sometimes several—admitted to the ward every day with similar symptoms. This investment cannot come soon enough to ensure that every one of those young people is given the best possible care. As my hon. Friend said, we must ensure that it is translated into care that makes people feel better.

We must bear in mind that care is not just provided by frontline staff. People often say that we need to get rid of managers and administration, but we should not forget that secretarial support for clinicians is particularly important. None of us wants letters to be sent by secretaries weeks after they were dictated, which is something that I have experienced during my clinical career.

We need to measure outcomes. It is important for us to know how many patients we have treated, how effective their treatments were, and how long people are waiting so that we know how best to direct the funds that we have to the areas that will make the greatest difference to our constituents. We also need to avoid spending large amounts on recording and measuring so that we can spend it on treating and diagnosing.

With the advent of GP at Hand, digital taxation and online access to the Driver and Vehicle Licensing Agency, more and more of our life has entered the online world, so I welcome the Government’s investment in technology of £500 million to ensure that our economy is fit for the future. They have invested in artificial intelligence and 5G, for instance.

[Alex Burghart]

Given my hon. Friend’s experience of the NHS, I should be interested to hear how that £500 million investment in future technologies could benefit the health service in the future.

[Dr Johnson]

I shall give an example from my constituency. United Lincolnshire Hospitals NHS Trust is considering setting up a body to look at how best to deliver rural care, examining ideas such as using Skype to have consultations with people who might otherwise have to travel a long distance. There are also the possibilities of using telemedicine to monitor patients’ blood pressure, for example, while they are in the community. In such ways, we can ensure that we deliver the best possible care using very modern technology.

[Kevin Hollinrake]

Does my hon. Friend agree that all these opportunities to reduce the cost of providing health services in rural areas mean we also need to invest in superfast broadband and digital networks to make sure that people can actually receive this kind of new innovative care?

[Dr Johnson]

My hon. Friend brings me to my next point. These investments are welcome, but we also need to invest for those people who are currently receiving poor service. Church Lane in Kirkby-la-Thorpe in my constituency has among the lowest broadband speeds in the entire country. In some parts of this country, downloading a film takes longer than flying from London to Sydney. There are children in that area who are unable to do their homework, while shopping is impossible and dealing with tax online is difficult. The Government have invested strongly in this, and now over 90% of people have access to superfast broadband, but I urge them to take any steps they possibly can as soon as possible to ensure that those few remaining homes that cannot yet do so can receive superfast broadband and are connected to this vital utility which, as my hon. Friend the Member for Thirsk and Malton (Kevin Hollinrake) said, will be vital for the provision of healthcare.

People in rural communities face long travelling distances when they go from their home to school or work. That is why I welcome the Chancellor’s freezing of the fuel duty for the eighth consecutive year. This is the longest such freeze for 40 years.

[Robert Courts (Witney) (Con)]

My hon. Friend is making many excellent points. Does she agree that there is a link between the point she has just made about broadband and what she is saying about long travelling distances? The quicker the broadband speed, the shorter the distance anyone will have to go to work, because instead of having to go to an office, they might just have to go from their kitchen to their living room.

[Dr Johnson]

It is indeed true that slow broadband speeds can be a challenge for people running businesses in rural areas.

The freezing of fuel duty means that the average car driver in the UK is £850 better off since 2010, which is not an insignificant amount, while the average van driver is £2,100 better off. Therefore, through this measure, the Government are supporting hard-working families and small businesses, particularly in rural areas.

[Ian Paisley (North Antrim) (DUP)]

The economy of our kingdom largely turns on the wheels of white van man. The initiative the hon. Lady speaks in support of is critical to ensuring that our economy moves forward. I would welcome further reductions in that tax.

[Dr Johnson]

I thank the hon. Gentleman for his intervention.

Finally, I welcome the £668,000 the Government have given through LIBOR grant to the International Bomber Command Centre in my constituency. Bomber Command No. 166 Squadron suffered the highest losses of any allied forces unit during world war two, with an attrition rate of 44%. The centre will open next year, the year of RAF100, which is a good time for it to open in terms of remembrance. It will serve as a point for the recognition and remembrance of the sacrifice of people from 62 nations around the globe, 57,861 of whom lost their lives saving the future for us and our children and grandchildren.

The International Bomber Command Centre will record for the future the memories of those who served in Bomber Command. They include people such as 92-year-old William Leslie Anderson, my constituent and relative through marriage. He served as a flight engineer in No. 166 Squadron. A flight engineer works not only on the planes on the ground to ensure that they are fit for take-off, but with the pilot throughout the flight and then again preparing the aeroplane once it is back on the ground. People such as Mr Anderson worked hard to secure our future, and it is important that we think about the future of those who will go ahead. That is why I reject completely the Labour party’s plans to spend, spend, spend. It is our children, our children’s children, and our children’s children’s children who would pay the debt interest on such ever-increasing spending plans.

We have asked Labour Members so many times today—perhaps 25 or 26 times—how much their plans would cost, but still we have had no answer—[Interruption.] I appreciate that we have had an answer. We have been told that we can look it up on the internet, but I would like to know which page and document to look at, please, because I have not been able to find it.

[Stephen Kerr]

My hon. Friend will be aware that the Opposition’s position is that it will cost what it will cost. Sounds horrific, doesn’t it?

[Dr Johnson]

It certainly does sound horrific. Spending money might sound lovely now, but we would be spending the money of our children, and it is they who would suffer for it.

[Alex Burghart]

We were asked earlier to look things up on the internet, so I looked up something about universal credit. It turns out that £2 billion has been set aside for universal credit but, according to the shadow Secretary of State for Work and Pensions, the £1.5 billion set aside by the Chancellor in the Budget represents only £1 in £10 that needs to be put in, therefore creating a £13.5 billion black hole. Does my hon. Friend agree that that is unacceptable?

[Dr Johnson]

I do, and that is why I will be supporting the Finance Bill today. It is good for my constituents and it will ensure that we have an economy that is fit for the future.

--- Later in debate ---

[Rachel Maclean]

I thank the right hon. Gentleman for his intervention. I was not in the House at that time, but I am certain one of my Front-Bench colleagues will pick up on that point in the wind-up. What I do know is that we are imposing more measures on the banks. We are bringing in more measures in this Finance Bill, which is collecting more money from the banks. We are clamping down on that regime—that lax regulation—that led to the banking crash, which put thousands of people out of their jobs, crashed the economy and led to a lot of the problems that we see today in our country. I find it astonishing that Labour Members talk so much about the banks and what they would do. They say that they are the party for the many and not for the few, but it is actually the Conservative party that has done more for the many, getting them into work, getting jobs for people and creating an environment in which businesses can flourish.

Let us just look at the facts—let us just look at the businesses that have started up under this Government. These are businesses backed by entrepreneurs—wealth creators—who are creating jobs for people to feed their families. We asked the hon. Member for Bootle many times to explain how he was going to pay for his policies. My hon. Friend the Member for Sleaford and North Hykeham said that we had asked 26 times—it might be 27, 28 or 29, I am not sure—but he cannot do this. That is why people in Redditch, and people up and down the country, are terrified of the idea of a Government led by—

[Dr Caroline Johnson]

Does my hon. Friend think Labour Members are not answering this question about how much their spending plans would cost because they do not know or because they do not want the public to know what the answer is?