Social Care Funding

Debate between David Mowat and Rebecca Pow

Monday 12th December 2016 Commons Chamber

[David Mowat]

Today is not the day on which to announce a royal commission on the funding of care in the future, but I do agree that it is important that we put care funding on to a better structural footing for the future. The right hon. Gentleman is right to say that.

[Rebecca Pow (Taunton Deane) (Con)]

I applaud the Government’s commitment to £10 billion to the NHS by 2020, but does my hon. Friend agree that social care and healthcare must be better integrated across the whole country? Somerset County Council’s sustainability and transformation plan has that at its heart. It is a good model. Does my hon. Friend agree that such models should be copied, but that councils must be given the tools?

[David Mowat]

The STP for Somerset is excellent in that regard and my hon. Friend is right to raise it. She is also right to emphasise again the integration of health and social care, which is the holy grail of this. Those councils and health systems that do it best are making a huge difference.

Coeliac Disease and Prescriptions

Debate between David Mowat and Rebecca Pow

Tuesday 1st November 2016 Westminster Hall

[David Mowat]

That is an interesting idea, which I will consider, but I am not briefed to talk about it. The position of most Members on this issue is very clear from the tone of this debate and the points being made, and we will respond to that.

[Rebecca Pow]

Will the Minister give way?

[Liz McInnes (Heywood and Middleton) (Lab)]

Will the Minister give way?

[David Mowat]

First to my hon. Friend, and then to the hon. Lady.

[Rebecca Pow]

This is highly relevant. I, too, have been contacted by constituents who have suggested this voucher idea—that the bona fide coeliacs get the staples and so many vouchers a month, not for all their products, but for the bread, pasta and absolute staples.

Community Pharmacies

Debate between David Mowat and Rebecca Pow

Monday 17th October 2016 Commons Chamber

[David Mowat]

The Government spend more than the OECD average on the NHS. We spend more than the commitments made by the Labour party before the last election. That does not mean that we do not have a duty to spend that money as effectively as we can, however, and that is exactly what we intend to do. The money that may be saved by the measures we are consulting on will not go to the Treasury; it will be recycled back into NHS England. That is what NHS England wants to happen.

The hon. Gentleman mentions the excellent PwC report, which reaffirmed the value of community pharmacists to this country. PwC did not consider whether that same value could be still provided after some savings to the network. That is what we are looking at, and it is reasonable and responsible for the Government to do so. To say that that is not the case is simply incorrect.

The hon. Gentleman mentioned that the previous Minister talked about 3,000 pharmacies closing. We do not believe that the number will be anything like that big. In some areas, there are 10 or 11 pharmacies within half a mile of each other. [Hon. Members: “Where?”] Leicester, Birmingham—we can talk more about this. It is quite possible that at the end of the review, some of those pharmacies will merge. If that happens, it will not mean that provision has been reduced. We do not believe that patient provision will suffer at all from the changes that we are considering.

[Rebecca Pow (Taunton Deane) (Con)]

Community pharmacies play a very important role locally. Many of them have taken on useful services, such as eye tests and hearing tests, which definitely help to reduce the workload of GPs and of the NHS. Does my hon. Friend agree that we need a community pharmacy service that is better integrated with primary care and public health in line with NHS England’s five-year forward view?

[David Mowat]

It will not surprise the House to learn that I agree. Last Thursday night, I announced to over 1,000 pharmacists at their annual dinner that we are moving ahead with an urgent access scheme. From the beginning of December, all 111 calls for repeat prescriptions will go directly to pharmacists, not to the out-of-hours GP service. That is a tangible difference. We will do just the same with a minor ailments scheme, which will be commissioned right across the country so that, by April 2018, pharmacists will be paid—over and above any money that comes out of this settlement—for minor ailments work on things such as earache and so on. Those are exactly the sort of sensible steps that need to be taken to integrate pharmacy more closely into GP practice, and that is what we are doing.

Paris Climate Change Conference

Debate between David Mowat and Rebecca Pow

Thursday 19th November 2015 Commons Chamber

[Rebecca Pow]

I am not going to disagree with that, but it is again no reason for not doing something. That is historic, and we did not have all the science at that time. We do have the science now, which is why we are going to move forward.

[David Mowat]

The hon. Member for Brighton, Pavilion (Caroline Lucas) is quite right that the UK is more responsible than Indonesia, but that is why it is disappointing that Germany is building brand-new coal-fired power stations, as in Holland. The point about Indonesia is right; it does not apply to Germany. While we are on the subject of coal, we need to understand that the world is still increasing its use of coal in absolute terms at a faster rate than its use of renewables.

[Rebecca Pow]

I thank my hon. Friend for that valuable intervention. While we are talking about the best kinds of energy that we should use, it is of course important to mention nuclear energy, which is another crucial part of our clean energy strategy. I mention it in particular because Hinkley C is on my doorstep and it will have a massive knock-on effect on Taunton Deane. It is the first new nuclear power station that we have built for 20 years. This is low carbon energy, and it will provide 7% of our energy requirements and keep the lights on for 6 million homes. It is so important as the baseload of non-fossil fuel energy.

The right hon. Member for Exeter (Mr Bradshaw), who is almost a parliamentary neighbour, was talking about jobs lost in the renewables sector, but 25,000 jobs should be created with the development of Hinkley C, and 5,000 of them are going to be in Somerset. Hinkley C will spawn a raft of low carbon technologies, which are already starting up. That is very positive and heartening, and we should raise the flag, because this is the direction in which we should be going. Moreover, this power station is largely fuelled by private investment, which we must encourage, because we cannot keep demanding that the state supply everything. It is a model for the way forward, and I have high hopes that it will be used as a model for other nuclear power stations built in this country.

We have made progress on renewables, although things are changing slightly at the moment. It is welcome that 16% of our energy comes from renewables, and that £42 billion has been invested in renewable energy so far. Yes, the tariffs are changing, but the Secretary of State is considering what to do about solar companies that are in that “in-between” phase. We are continuing to encourage the use of offshore wind, which is a valuable addition to our energy supplies. However, in developing what I would describe as a new model for energy production in the UK, we must ensure that it does not damage the environment. As I said earlier, it must be sustainable. It must also be affordable, involving the lowest possible cost to the taxpayer. We must meet the Government’s fuel poverty targets, and we must do so at a time when the country is still in debt. The Pope was at pains to point out that energy costs must not penalise the poor and the vulnerable.

Given that we are getting hot under the collar, this is an appropriate moment at which to mention heat. A third of our emissions in the UK result from the inefficient use and waste of heat. I have spoken to the Secretary of State about the issue, and she assures me that the Department will look into it. It is a difficult issue to deal with, and it is expensive, but it is essential that we tackle it at a later stage. Decarbonising heat from buildings will definitely help us to close the carbon gap. Local authorities could work with low carbon roadmaps. The development of zero-carbon homes—which we should encourage when it is possible—and of more localised heating systems, such as district heating systems, will also help us to cut our emissions and secure higher energy efficiency, lower carbon emissions and less climate-warming.

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[Rebecca Pow]

That is a good point, although China’s population is already falling, and we hope that it will continue to fall. We have to advise other countries, which is why Paris is so important. We must set the trend, and explain why it is important for others to buy into this.

[David Mowat]

It is interesting to note that China’s emissions per capita are the same as ours this year. I know that that does not detract from the point about embedded carbon, but it is interesting none the less.

[Rebecca Pow]

I thank my hon. Friend for that intervention.

Trees have been mentioned only briefly, but I am a great tree person, and I must speak up for them. We must encourage partnerships to reduce deforestation. We need to work with countries such as Brazil to stop the cutting down of rain forests, which is the single largest contributor to the release of carbon. Reducing cutting will have an enormous impact on climate change, and will also maintain our biodiversity—and placing a value on the benefits of biodiversity is part and parcel of the climate change debate. In that context, I am pleased that the Government are now talking about the importance of nature capital. Maintaining tree cover, whether it is done in Brazil or elsewhere in the world—including on the Somerset levels—will reduce flooding and soil erosion, aid soil maintenance, and give us cleaner water.

The Pope has called for increased action. We should bear in mind that not everything can be achieved in a stuffy room in Paris; a lot can be done there, but we in the House can do a lot as well.