(7 years, 5 months ago)
Commons ChamberUrgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.
Each Urgent Question requires a Government Minister to give a response on the debate topic.
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I draw the House’s attention to my declaration of interest as a working NHS doctor. My right hon. Friend has talked rightly about the effect that increments have on progression pay, and the staff affected have received an increase in their pay. However, in the NHS half a million staff are at the top of their pay scale and have received a real-terms pay cut over the past few years. They work incredibly hard, above and beyond the call of duty. They are the people who gave up their days off to go in when the terrorist attacks happened in London and Manchester. Those people do need a pay rise. Does she recognise that many of those staff are now turning to agency work? The locum and agency bill in the NHS is £4 billion and rising. Does she recognise that part of dealing with the cost of locum and agency staff must be to increase the pay of permanent staff?
I completely agree with my hon. Friend that doctors and other medical staff do a vital job and have faced real challenges. We are reducing the agency spend in the NHS over time. It is important that we look overall at the affordability for the public sector. That is the remit of the independent pay review bodies. They hear evidence from the experts on the frontline and make their recommendations. We accepted the recommendation for doctors that was put to us. We accepted the recommendation for nurses and other NHS workers as well. We respect that pay review body process.
(7 years, 9 months ago)
Commons ChamberI can assure the hon. Gentleman that it is on the same timescale as the public sector programme, so we will deliver it over the next year and a half.
I commend my right hon. Friend for much of what she is doing in this Bill. Given that she takes great pains to stress the importance of mental health and its link with reoffending and the need to reduce self-harm and other issues in prisons, I am curious as to why one of the fundamental duties in clause 1 is not to promote and protect the mental health and wellbeing of prisoners.
I know my hon. Friend takes a very strong interest in this area. I assure him that the commissioning arrangements for governors will give them the power to specify mental health treatment in their own prisons. Governors have complained to me that, at the moment, mental health services are available only five days a week. That is an issue if somebody arrives in a prison at a weekend with serious mental health issues.
Governors will be able to co-commission those services. Under the categories of reforming and rehabilitating offenders, we have announced specific performance metrics, some of which will cover health issues. I issued a written ministerial statement recently containing the detail of that, and we will say more about it in due course. That is among the reform measures that we are putting in place, and it will be covered in the performance agreements that individual prisons have with me, as Secretary of State.