(8 years ago)
Commons ChamberI will just make one or two observations because my hon. Friend the Member for Coventry North West (Mr Robinson) has covered the subject very well. Like him, I have received representations. Since the last reorganisation of the NHS, problems such as this seem to be coming to light. There is a pattern. There was the problem with Concentrix and benefits, which of course is nothing to do with the NHS. We had debates about that a couple of weeks ago. Now this problem with Capita and primary care support is emerging.
When the Government look at such companies, they should look at a schedule of terms and conditions for the service they are going to deliver, the people they are going to employ and their qualifications, and whether people will be employed on zero-hours contracts. I have heard all sorts of stories about companies that subcontract out to smaller companies. That is where the problems start to arise.
There was a ruling a couple of weeks ago on taxis after a case was brought by a trade union. It may well mean that there will be a problem with zero-hour contracts, holiday pay and so on. The Government should look at that when they award contracts.
Like my hon. Friend, I have had GPs in Coventry complain to me about the inadequacy of the services, delays across the board and records being lost. Even the British Medical Association has accused Capita of failures. These delays are making it impossible for GPs’ surgeries in my constituency and across the country to do their job properly. For example, a surgery in my constituency faced delays in receiving patients’ notes. As my hon. Friend has mentioned, that can go on for a long time, and if someone is terminally ill, the situation can be life-threatening. Doctors sometimes have to meet patients without records or knowledge of their medical history, so they have to rely on the patient to provide their history. Patients at the end of the day are not doctors; they can only express in layman’s terms what they think is wrong with them. They need qualified doctors.
Does my hon. Friend agree that the difficulties experienced by GP practices are being compounded by the inability of Primary Care Support England service centres to deal with inquiries about ongoing problems either by phone or email? Staff from one practice in Coventry said that any response to emails was unusual, long-awaited and often failed to address the question posed. This type of comment is echoed time and again by exasperated practice staff across the city.
My hon. Friend puts it very adequately. I and all my colleagues behind me have all experienced that and the Minister as a constituency MP may well have experienced something like that because it is widespread.
At the end of the day, GPs are having to bear the brunt of the failings of Capita. It is unacceptable that a private company can bid for an NHS contract without the infrastructure in place to deliver. I have already explained to the Minister what that means. Will she allow GPs to be given additional support and help to cope with overstretched services? As I said, a lot of this came about with the last reorganisation of the health service. When people provide a service that is funded on the basis of a policy of cuts, they can expect people to take shortcuts. The patient is important, the GPs are important, but the employment rights of those people who are subcontractors or sub-subcontractors should be upheld.
The Minister should really look into this. I detect a pattern of Government contracting out of services and problems developing with those services. I have already mentioned the problems with the benefit service. Sometimes services are contracted out because Ministers do not want to be answerable at the Dispatch Box. We have had that in the past. The Minister says, “I am not responsible.” We try to get through to the company that is providing the service for the public; we cannot get through to them and the Government pass the buck. I had that last Christmas with Concentrix, but that is another debate. I will end my comments there.
(9 years ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
I congratulate my hon. Friend the Member for Brentford and Isleworth (Ruth Cadbury) on securing this important debate on a subject that affects women in every constituency the length and breadth of the country, my own included. I intend to keep my contribution brief, focusing on low pay in Coventry and the impact on women locally.
Nearly one fifth of all jobs in Coventry, equivalent to 26,000 roles across the city, paid less than the living wage last year. The majority of those low-paid jobs are concentrated in sectors and roles within the labour market that are overwhelmingly dominated by women, such as care assistants, cleaners, caterers and those working in the leisure and service industry. Although we know those types of job are crucial and help to hold the fabric of society together, they are all too often part time and low skilled, with few progression opportunities.
My hon. Friend will be as aware as I am that Coventry was one of the leading authorities in implementing the living wage. More importantly, she mentioned that carers are among the lowest paid. If a carer wants to go to a tribunal without trade union support—I have seen cases of this—on average it costs £1,200, and most carers cannot afford that. That is a direct result of this Government’s policies.
Westminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
A strategic economic plan is needed at a regional level, and I have never disputed that. The big fear is that the other functions of local authorities could be taken away. The police, the fire service and that sort of thing are dealt with at the regional level at the moment. I have no problem with strategic or economic planning—there has to be some sort of plan—but the role of local authorities should not be diminished in relationship to that, nor should they lose any powers.
We are told by the Government that substantial further devolution of power to combined authorities must be accompanied by the introduction of an elected metro mayor. It is not clear, however, which new powers would be available to those areas that choose to have an elected metro mayor and which would be available to those areas that choose to not have one. Does my hon. Friend agree that we need clarity from the Government on that?