Elective Care Recovery in England

Debate between Chris Bryant and Edward Argar

Monday 7th February 2022 Commons Chamber

[Edward Argar]

I am grateful to my hon. Friend, who puts his finger on an extremely important point. I believe that one in five in Wales is on a waiting list. This Government have put in place measures already to help bring down waiting lists, and the plan is due to published imminently, but we are still waiting to see what the Welsh Government intend to do—or whether they even have a plan.

[Chris Bryant (Rhondda) (Lab)]

May I urge the Government to abandon this talk of a “war on cancer”? It was Richard Nixon’s term and it was thought to be outdated back then. To many people, when Ministers talk about fighting cancer and how somebody has been particularly plucky or courageous for fighting cancer, it feels as though they are telling off the people who do not survive for not being courageous enough. I know that that is not what anybody means, so may we completely change that language? As I understand it, the Prime Minister has also announced another cancer target today: to get to 75% of all cancer diagnoses being made at stage 1 or stage 2. How on earth is he intending to get to that?

[Edward Argar]

I am grateful to the hon. Gentleman for his remarks. He speaks often on this topic from experience, and it is right that we listen carefully to him. I take his point about the importance of language and how different terms and approaches to it will be interpreted by people who are undergoing treatment or a diagnosis for cancer, and I take the point in the spirit in which he meant that observation. On the Prime Minister’s target, the Prime Minister is unapologetically ambitious in seeking to tackle waiting lists and improve performance on cancer care. That is why we are investing record levels in our NHS and bringing forward new diagnostic hubs. It is also why the hon. Gentleman will see measures in the plan, when it is published imminently—coupled with the plan that the Secretary of State set out on Friday—that will help to reassure him, but I am always happy to talk to him about these issues.

Health and Social Care

Debate between Chris Bryant and Edward Argar

Friday 3rd December 2021 Commons Chamber

[Edward Argar]

I am grateful to my hon. Friend for highlighting both the investment and the need for us, as the custodians of the taxpayer’s pound, to make sure that the money is well spent by implementing innovation and reform so that it gets to the frontline and delivers patient care, which is exactly what we are doing.

[Chris Bryant (Rhondda) (Lab)]

I have a sneaking suspicion that we will not get to the second private Member’s Bill today, so I hope it is okay if I mention that I am enormously grateful to the Government. The Secretary of State for Health and Social Care has just texted me with the good news that the Government and I, and all the charities, will be working together on acquired brain injury. We will now have a national strategy across all Departments. It is a miracle that the Government have suggested that I should co-chair it with the Minister for Care and Mental Health, because I can be very irritating—[Laughter.] I see I have united the House. Seriously, this is a really good day and I hope we will be able to make a dramatic difference to the millions of people in this country who have suffered an acquired brain injury. Answer that!

[Edward Argar]

I have never found the hon. Gentleman to be irritating in any way, and I have always enjoyed my interactions with him on a range of issues. On a serious point, I pay tribute to him for his campaigning work on this issue. It is a huge step forward, and I know the insight he will bring, working with the Minister for Care and Mental Health, will genuinely make this a strategy of which we can all be proud. I congratulate him on his achievement.

NHS England Funding: Announcement to Media

Debate between Chris Bryant and Edward Argar

Monday 25th October 2021 Commons Chamber

[Edward Argar]

I always listen with great care to my right hon. Friend. He is right that we in this House, on behalf of taxpayers, provide the resources to the NHS and others to deliver the outcomes that we want for all of our constituents, but it is absolutely right that the NHS and others set out their plans for doing so, and that we hold the NHS to account for delivery against those plans. Ministers will draw up those plans in tandem with the NHS because, quite rightly, just as I will hold the NHS to account, I know that my right hon. Friend will hold me to account in this House. A key element of those plans for tackling the backlog must also be reform and innovation rather than simply more of the same.

[Chris Bryant (Rhondda) (Lab)]

I honestly despair. This announcement will not make the blindest bit of difference to the backlog. There will not be the kit in place anywhere near in time to make sure that people get their biopsies back in the next 18 months or two years. There will not be enough staff, because we are not training enough this year even to backfill the number of people who are leaving all of these professions this year. The problem will get worse, not better, unless the Government can tell us how they will make sure that more doctors, oncologists, pathologists and dermatologists stay in the profession and that more of them do more additional sessions a week, for instance, by increasing their overtime payments. The Government might want to sort out the pension problems, which mean that many people are leaving. They might want to provide some kind of golden staying-on bonus for people and make sure that they have a few extra days’ holidays. Most of them are not desperate for money; they are desperate for just a moment to be able to draw breath so that they can do a decent job. However, if we do not have the people, this is all a waste of money.

[Edward Argar]

I know that the hon. Gentleman genuinely feels strongly about this issue. He and I discussed it in a recent debate in Westminster Hall, and I think I am due to meet him to discuss the 10 points that he flagged up then as genuinely practical suggestions to help improve both retention and recruitment in the NHS workforce. He knows that I am always happy to do that. Hopefully, my office will have been in touch with him. If it has not been in touch, it will be, because I want to have that conversation with him.

On the hon. Gentleman’s key point, there are number of things. This is about not only tackling the urgent backlogs now, but building a system that is resilient for the future and that can actually tackle the broader challenges that we as a society face. That means more diagnostic capacity and more diagnostic capacity at an earlier stage, as some other countries have. I am quite happy to acknowledge that, under Governments of both political complexions, we could have done more, and that is why we are doing more now, and I say that to him gently. He talks about urgency; he is right. He also makes a very important point, which I tried to allude to in my earlier answer. If I did not land it clearly, I will attempt to do so now. He is absolutely right to highlight the risk of burn out and exhaustion, for want of a better way of putting it. As I said, it is very easy for people to say that X specialty was not working during the pandemic because that surgery was not happening, but you can bet your bottom dollar that the people involved were probably helping out—the anaesthetists and theatre nurses were—so we do need to address that point. I will be happy to see the hon. Gentleman.

Future of the National Health Service

Debate between Chris Bryant and Edward Argar

Wednesday 22nd September 2021 Westminster Hall

[Edward Argar]

I appreciate why Opposition Members might not want to hear what Labour Governments did in the past, given the extent to which they massively accelerated the privatisation of our NHS. To address the hon. Lady’s point directly, we do believe that there is a role for private providers, the independent sector, voluntary organisations and others in providing healthcare services in this country.

Workforce is an issue that a number of colleagues have rightly raised. I am afraid I cannot say to the hon. Member for Tooting and others that, among other things, I am taking on responsibility for mental health in my new portfolio. However, following the departure of my hon. Friend the Member for Faversham and Mid Kent (Helen Whately) to the Treasury, as of about three days ago, I will be assuming responsibility for workforce alongside the other responsibilities in my portfolio. I look forward to working with her and the hon. Member for Ellesmere Port and Neston (Justin Madders), who I believe is the shadow Minister, as well as meeting with Opposition Members who take a close interest.

The hon. Member for Rhondda (Chris Bryant) spoke with typical wisdom on that matter and made a number of very powerful points. At the risk of a negative impact on my career prospects—although the reshuffle has just happened, so hopefully I can get away with it now—I agree with a lot of what he said. He highlighted that, were it not for a prompt diagnosis, he would not be here. For what it is worth, I think I speak for everyone in the Chamber—if not on all points, then certainly on this one—when I say we are all extremely pleased that he is still with us. He is a man of great integrity and strong beliefs, and I look forward to working with him. We meet on a number of things. I am happy to meet with him to talk about his suggestions and how they might factor in to how we move forward, in the spirit of bipartisan and constructive discussion.

[Chris Bryant]

Get on with it.

[Edward Argar]

With the meeting or the job, or both? A number of hon. Members have raised “Agenda for Change” and pay and conditions. I hope I can reassure them, as I sought to do with the hon. Member for York Central (Rachael Maskell). It is not our intention that integrated care boards depart from “Agenda for Change”. The Bill is drafted in such a way as to seek to replicate what is currently there. On Second Reading, I offered to have a meeting with her. I would be very happy to have that meeting, if she gets in touch.

On funding, this Government have passed legislation increasing NHS funding by £33.9 billion by 2023-24 and put £2 billion into elective recovery. In addition, the Prime Minister announced a massive cash injection into our NHS a couple of weeks ago.

I want to give the hon. Member for Leeds East a little time at the end, so I will just make a couple of quick points. The hon. Member for East Kilbride, Strathaven and Lesmahagow (Dr Cameron) is right: we are always happy to learn from our Scottish friends. In response to the hon. Member for Strangford (Jim Shannon), that is a matter of medicine supply which I discuss regularly with the Northern Ireland Health Minister, and it is absolutely vital that we seek a resolution. I believe that the previous approach by Lord Frost is the right one to find a sustainable way forward.

Covid-19: Government’s Publication of Contracts

Debate between Chris Bryant and Edward Argar

Tuesday 9th March 2021 Commons Chamber

[Edward Argar]

I am grateful to my hon. Friend. I have set out in my answers that what I think is most important for this country is that we work together— the public, private and voluntary sectors, and the Great British public—as we did, in this context. We have pulled together and done everything we can, including, as he alludes to, building that capacity for UK businesses to meet more of our need for PPE. That is a great success for those businesses and I pay tribute to them.

[Chris Bryant (Rhondda) (Lab)]

The Minister is adorable, but I am not falling for that old trick. The truth of the matter is that the Government did not even get PPE out fast enough to people who really needed it, especially in our care homes, which is why so many people died and we have the highest excess death rate of any country in the world. So I am not taking any of this nonsense about how, “We had to focus on that, which meant we could not deal with transparency.” The truth is that they set up a VIP track for some people to be able to get massive contracts, and some people enriched themselves phenomenally during this pandemic, many of whom, surprise, surprise, happen to be Conservative party donors. I have to say that it looks like corruption, and the only way the Government can wipe that slate clean is if they come clean with all the contracts. Otherwise, it just looks like a cover-up.

[Edward Argar]

I will take the hon. Gentleman’s first comment as a compliment, I think, from a colleague I know well. Having said that, I do not recognise his characterisation of what happened. He is right that challenges were faced not just in frontline NHS situations, but in social care. He is absolutely right to highlight that, and I alluded to it earlier, and that is why we increased the number of organisations that we were able to supply centrally from 226 to 58,000. That is why we massively ramped up the purchases of PPE and the stocks of PPE that were available to get to the frontline to ensure that staff could access what they needed to keep them safe. He mentions the assessments of the contracts and how they were awarded. I merely take him back, very gently, to the point that I made to my right hon. Friend the Member for Gainsborough (Sir Edward Leigh), which is that these contracts, as set out to the Public Accounts Committee, went through an eight-stage assessment process undertaken by civil servants. I know the hon. Gentleman well, that he would not be impugning the integrity of those civil servants and that he has great respect for them. But I say very gently that there has been no evidence cited and no findings in court of any Minister in terms of conflicts of interest or having behaved inappropriately.

DHSC Answers to Written Questions

Debate between Chris Bryant and Edward Argar

Thursday 19th November 2020 Commons Chamber

[Edward Argar]

I am grateful to my right hon. Friend. As a former member of the Procedure Committee, I recall when she kindly appeared before the Committee to answer questions on parliamentary questions at the Home Office. I look forward to the reversal of the position in the coming weeks.

[Chris Bryant (Rhondda) (Lab)]

Was she any good?

[Edward Argar]

I would say that she gave exemplary answers, which fully satisfied the Committee. I have received the letter that she recently sent to my right hon. Friend the Secretary of State. We are grateful for the pragmatic and reasonable approach that her Committee has adopted. She will, quite rightly, want to scrutinise performance, and I look forward to appearing before her Committee to answer detailed questions on the matter.

--- Later in debate ---

[Edward Argar]

I am happy to give my hon. Friend that assurance. Perhaps the best mechanism by which lessons learned can be shared will be through my written response—in due course—to and my appearance before the Procedure Committee, chaired by my right hon. Friend the Member for Staffordshire Moorlands (Karen Bradley). If appropriate, Mr Speaker, I will of course share that response with you and with the Leader and shadow Leader of the House.

[Chris Bryant (Rhondda) (Lab)]

On the plus side, because I have the Minister’s and the Secretary of State’s mobile numbers, when I really want an answer, I just text them. To be fair to them, they have been phenomenally helpful at key moments. I think many hon. Members feel that. At the same time, to be honest, the comms strategy this year has been a complete mess and a disaster. I urge the Minister to go back to the Department and say that Parliament should not be used only for accountability but to try to speak to the people of this country and to get across clear messages in a timely fashion. In that regard, will he tell us when he will publish the national cancer recovery plan, because lots of people have major anxiety at the moment about when their cancer will be treated?

[Edward Argar]

I am always pleased to receive messages and inquiries from the hon. Gentleman. He raises two important points. The Under-Secretary of State for Health and Social Care, my hon. Friend the Member for Bury St Edmunds (Jo Churchill) is working on the national cancer recovery plan at pace. I am happy to revert to the hon. Gentleman when I have had an opportunity to speak to her. On his broader point, he is right that it is important that we in this House recognise that, in our democracy, people consent and comply because they are persuaded. It is important that we use this House and all the mechanisms within it to persuade and bring the public with us.