Health and Social Care Workers: Recognition and Reward

Dean Russell Excerpts

Thursday 25th June 2020 Commons Chamber

[Dean Russell (Watford) (Con)]

I want to place on record my thanks to the pharmacists, GPs, hospital staff and everyone in between across Watford for the amazing work they have done recently and over many years. I sit on the Health Committee—now the Health and Social Care Committee, importantly—which has given me great insight into the challenges that the health and social care sector has faced over the past few months. Over the past 10 or 11 weeks, I have also been a volunteer at Watford General Hospital, literally on my knees cleaning Zimmer frames at times and carrying water to staff. I have been proud to be part of the volunteer hub there, alongside people like Monica, Theo, George, Denise, Linda and so many more who are offering their time for free to help our brave NHS staff as they tackle this terrible pandemic. The hospital has also been working closely with Watford football club, which has provided amazing facilities, including a sanctuary for staff’s mental health.

During this time, I have also been listening. One of our jobs as parliamentarians is to listen. What I have been hearing is that the pandemic has shown how this Government are trying to be innovative, trying to use technology in different ways and, ultimately, trying to unbind the red tape that has held back so many people on the frontline. For so long, we have been stuck in a process of looking at points and targets, and we have forgotten what frontline workers really want. They want respect. They want trust. They want us to cut through the red tape, so that they can get on with their jobs across the health and social care sector. I am hearing loud and clear that, during this pandemic, we have enabled that to happen because we have had to, but we need to continue that.

We also need to listen to what staff really want. I had an eye-opening moment when I was delivering sandwiches to one of the wards, and the nurse said, “Don’t worry about the sandwiches—we’re getting fed over at Watford football club. We get delicious pizza over there, so we probably won’t eat those.” That really opened my eyes to the fact that, while salary is critical, it is also about what life is like on the frontline day after day.

We need to listen to what staff really want, and that is partly about career pathways and opportunities such as sabbaticals after 10 years of working in the same job. It is about corporate discounts, working with the private sector to enable not just NHS staff but social care workers to have free opportunities and discounts and go to the front of the queue. It is also about innovation and the use of data and technology. I believe that, if we look at all those things, although it may not happen overnight—it might take years, perhaps even decades—we can really make a change for the better for all our brave staff and be, not just the biggest employer, but the best employer in the world.

Social Distancing: 2 Metre Rule

Dean Russell Excerpts

Monday 15th June 2020 Commons Chamber

[Dean Russell (Watford) (Con)]

Across my constituency of Watford, lots of people are today going to the intu centre and many of the shops and using the high street. I am hearing from many businesses that we need to allow them a certain level of flexibility as we come out of this review. Some shops where customers can wear face coverings should be allowed to have 1 metre distancing, and other areas should perhaps remain at 2 metres, but we should do it in a way that helps customers and helps shops and businesses get back to business.

[Edward Argar]

My hon. Friend is right to highlight the different pieces of the jigsaw that we have in use at the moment, be it distance, face covering or a whole range of other measures. I can reassure him that all those will be considered in the context of the review.

Covid-19 Update

Dean Russell Excerpts

Tuesday 5th May 2020 Commons Chamber

[Matt Hancock]

Yes. The hon. Lady makes an incredibly important point, and I agree with every word of the question. We are already investing in more support for the mental health of frontline workers, making sure that resources are available to all. Of course, at the moment there are other challenges to delivering that because of social distancing, but I commit to continuing and strengthening that over the long term. It is something that I have thought important throughout my time as Health Secretary; I pushed this agenda even before coronavirus, and now it is even more important, and I look forward to working with the hon. Lady on it.

[Dean Russell (Watford) (Con) [V]]

Across Watford, as a volunteer, I have seen first-hand the many inspirational frontline workers, ranging from pharmacists to hospital volunteers to GP receptionists to cleaners. Can the Secretary of State confirm that everyone—everyone—on the frontline will have the full support of the Government, so that nobody who works on the frontline is missed out as we continue our incredibly important fight against coronavirus?

[Matt Hancock]

Yes, it is a big team effort and all play their part. People have different roles, of course, and people on the frontline have been incredibly flexible in the roles that they play, but all play a critical part and all deserve our support.

Covid-19

Dean Russell Excerpts

Monday 16th March 2020 Commons Chamber

[Matt Hancock]

Of course I understand that, and it is part of the discussions I have been having with the Welfare Secretary and the Chancellor of the Exchequer.

[Dean Russell (Watford) (Con)]

I thank my right hon. Friend for his statement and everyone in the House for their calm response. I have two brief questions. One has been raised several times, and although it may sound flippant, it is important. People are asking whether they can walk their pet if they are self-isolating. I ask because people want to know whether self-isolating means that they should be fully housebound, or that they can go to a park and walk their pet.

The second question—[Interruption.] I will be very quick. In Watford, we have a great volunteer network popping up. I am sure that is happening across the country. Will there be guidance for volunteers on how to ensure they do not spread the virus by doing the right thing?

[Matt Hancock]

The answer to the second question is yes. The answer to the first is yes, people should go outside. Walk your pets. People in household isolation should go out, but they should try to avoid other people. It is very important that we look out for others in our communities and that people get the exercise they need.

Coronavirus

Dean Russell Excerpts

Wednesday 11th March 2020 Commons Chamber

[Matt Hancock]

Yes. That is a really important point, and that will be part of the provision.

[Dean Russell (Watford) (Con)]

I congratulate my right hon. Friend—[Interruption.]

[Mr Deputy Speaker (Mr Nigel Evans)]

Order. The hon. Gentleman has been here throughout, and it is up to hon. Members to decide if they wish to catch my eye.

[Dean Russell]

Thank you, Mr Deputy Speaker.

I congratulate my right hon. Friend the Secretary of State on this campaign, which has kept the level of conversation stable and consistent throughout. This week, sadly, we also had a constituent pass away at Watford General Hospital, and I pay tribute to the family and to the staff who work so hard.

My question is on the broader responsibility of this place, councils, local government and anybody in a public position. Does my right hon. Friend agree that the main message we need to get out is for people to remember that, on the frontline, the most important thing they can do is regularly wash their hands for 20 seconds? That is not much to ask of the general public, but it is the most frontline thing they can do to stop the spread.

[Matt Hancock]

That is incredibly important, and we have to keep reiterating it, even though we may have heard it a thousand times—I may have said it even more than that. Although there is a huge debate about coronavirus and what we can do as a country, there are some really simple things that are really effective.

Coronavirus

Dean Russell Excerpts

Wednesday 26th February 2020 Commons Chamber

[Matt Hancock]

We should thank Border Force, which has done a fantastic job, and the staff at the international ports. We are constantly engaged with them, through the Department for Transport—and the Home Office in the case of Border Force—to ensure they get the right information and support, but if the hon. Member has any specific worries, I would be happy to answer them.

[Dean Russell (Watford) (Con)]

The Secretary of State and the Government have done a fantastic job on public information, but does he agree that it would be helpful, given our reach on social media and through our constituency surgeries, if Members were to put up posters and broadcast the necessary information to our constituents in our tweets and elsewhere on social media in order to maximise that reach?

[Matt Hancock]

I am very happy to do that. More broadly, I am open to ideas on how to improve our response, including learning from where things have not gone well. Our approach is to make the UK response the best it can be—that is my only goal—and when there are good ideas, such as that one from my hon. Friend, we will act on them.

Social Care

Dean Russell Excerpts

Tuesday 25th February 2020 Commons Chamber

[Dean Russell (Watford) (Con)]

I pay tribute to the hon. Member for Luton South (Rachel Hopkins) for making such a powerful speech.

I want to talk a little bit about technology, but before I do so, I just want to make a quick point. We talked earlier about an ageing population and the word burden was used a few times. I just want to send a message from the Chamber to anyone who is a member of the older generation. They should never feel that they are a burden. People using the social care system should never feel that they are a burden on the system. It is the older generations who built the foundation on which we now stand. They are the generations we should care for because they cared for us. They are the ones who enabled us to have the lives we lead and the freedoms we have, so I do not believe that the word burden should ever be used in relation to older people.

One of the challenges in society—I have talked about loneliness in the Chamber before—is the isolation that people can feel. When it comes to caring, there is an ongoing sense of isolation for both carers and those being cared for. The trouble with that is not just the challenges around social care—how to reach people, how to visit them or how to get nurses or doctors to them—but a real loss to society. What we lose by isolating older generations in particular is their wisdom. It is the stories of their lives and the passion they had once that they may now feel has been diminished. The opportunity we have through social care is not just to fix bones or mend injuries, but to release those stories. The stories people share enable us, as a society, to be stronger through the lessons they have learned in their lives.

That is important to me, because of one aspect not often talked about when we talk about health generally, and social care in particular: the role of technology. Technology is not just there for us to Google an answer or share a tweet. It can also be there to connect the dots. The lifeblood of the beating heart of society is in the charities and organisations that go out and help, and in the people who really care for others. One challenge is to ensure that we do not lose those interconnections. Before Christmas I went out with a fantastic organisation, Small Acts of Kindness, run by Lynne Misner, which helps people who are struggling with loneliness and the drop in temperatures and who need blankets. Another amazing lady, Margaret Hudson, cooks for the lonely and isolated on Fridays in Watford.

I mention them, because they are all little dots across the whole of Watford and the country that we are not connecting. There is an opportunity here for us to use technology in a different way. Businesses increasingly use data to create a single customer view, which connects the dots of customers in the private world so they know what they are buying, where they are sharing content, what they are talking about and what they are interested in. Sadly, in the private world that is used for advertising. However, we can look at the social system and the NHS in the round, and start to look at people not in isolation—whether they have broken a bone, had a fall, where they live or how old they are—and connect the dots so that we can start to say, “How do we look at them as human beings and look at their life stories, and what that might mean for how we predict what might happen to them.” Somebody with the onset of arthritis in their in their 60s no doubt has the potential to get worse in their 70s, 80s and 90s, so why do we not start to plan early on?

We should therefore not just look at technology, the social care system and data in isolation. We need to look at pathways for people as they get older, so we can start to predict how injuries might happen and what issues might come up. We can use that information to create a more cohesive society, so that everybody who touches that person’s life in some way can feed into it and make a difference. The idea of watching people might sound like a scary big brother moment to some, but if we do it in the right way, we will save the economy millions, if not billions, because we will have predicted things and prevented them. We will also have made life better for so many more people in our community.

Let us work together. Let us not put up political barriers and be isolationist in how we look at the world and challenge the problem. Let us work across the House. Let us put people before politics. Let us make sure that together we make a better country for anybody who needs social care. We can make a real difference together. In four or five years’ time, the whole of the electorate will benefit. More importantly, society will benefit too.

NHS Funding Bill

Dean Russell Excerpts

2nd reading & 2nd reading: House of Commons
Monday 27th January 2020 Commons Chamber

[Matt Hancock]

I am very glad that my hon. Friend has raised this matter, because I was concerned to read the reports in the newspapers and have had a briefing this morning. There is work on a new contract to replace the old one, and I very much hope that that is settled and agreed as soon as possible.

[Dean Russell (Watford) (Con)]

First, I thank my right hon. Friend the Secretary of State for visiting Watford during the election, when he came to Watford General Hospital with me and very kindly met the chief executive. As part of that, he assured me that we would get £400 million of investment from the Government for West Herts trust, primarily to secure a new Watford General Hospital, one of six new hospitals—and many more—over the next few years. Given press speculation about the money being a loan and not funding from the Government, will he reassure my Watford constituents that that is not the case?

[Matt Hancock]

Yes, that is exactly right. I enjoyed visiting Watford at the invitation of my hon. Friend. It is fantastic that Watford will get a new hospital. Watford General Hospital needs to be rebuilt and it will be rebuilt with a grant from the Government. The money will go to Watford general—to the trust—as he mentions. It will not be a loan; it will be a grant. I know that there has been some speculation about that. I do not know where it came from, but it is not true. The money will come as a grant.

--- Later in debate ---

[Dean Russell (Watford) (Con)]

I would like to talk a little bit about the future of the NHS. Quite rightly, we have talked a lot about funding, bricks and mortar, nurses and porters, which is fabulous, but we also need to look at where we are heading over the next 10, 20 or 30 years. I think that technology has a big role to play, so I am pleased that the Health Secretary has a great legacy in the digital world. That brings great power to the direction in which the NHS is headed.

Look at how the world has changed. It is no longer just about infrastructure; although that is key, the data we use and how we consume it are also important. We have heard brilliant speeches today about prevention, but prevention is not just about leaflets telling people not to shake hands if they have a cold or the flu; it is about understanding what is happening in the world around us and connecting the dots of data on patient health. Many people in the Chamber probably wear a watch that tracks how many steps they take. Sadly, I never quite hit my target, but the truth is that we are constantly gathering data on what we do and where we go—health statistics. The beauty of this in relation to the NHS in the coming years is that if we overcome the fear of creepiness versus convenience when it comes to data, we can start to think about how data can offer a powerful way to prevent illness, to connect the dots between patients and see trends, to analyse. If we no longer see such data as scary or as a threat to privacy in the way we heard about in the earlier debate about Huawei, we can think about what it might mean in terms of prevention.

There are many opportunities in the future, but there is also a risk of jumping in with innovation that costs a lot of money but gets us nowhere. About 10 years back, in my business capacity, I was involved in a review of every single NHS website in England and Wales. Hon. Members might think that 10 years ago there were perhaps 20 or 30. In fact, there were 4,121 NHS websites. I did a financial calculation as part of that review. This was all in the Health Service Journal. Sadly, my name was not against it, but now it will be—in Hansard. I remember sitting up late doing the analysis, and checking it over and over again. What I found was that the Labour Government back then were spending between £87 million and £121 million a year just to keep those sites live; although, to be fair, it was about innovation. We can look at the way the digital economy is driven and the way the digital world has shifted, but we have to ensure that we are not wasting money. We need to look at outcomes and impact, and how we can use them to prevent, but we also need to look at how we can prevent future illness and issues.

The use of technology in today’s world is going to be a core part of the way we are investing, and of the future of the NHS. We cannot ignore the conversation about demystifying people’s fears around providing their own health data. People are currently very happy to give away their own information by clicking on an ad to buy something at a discount, but they are very fearful of giving their data away for health reasons or sharing it with their GP. Over the next few years, there has to be a really big demystifisation, if there is such a word—that is one for Hansard to work out.

[Matt Western (Warwick and Leamington) (Lab)]

I welcome the hon. Member to his place. He is making an important point. I think most of us recognise the crucial opportunity for the UK given that the NHS has a massive pool of data over many decades, but does he share my concern about the future ownership of that data in any free trade deal?

[Dean Russell]

The key part is understanding the single patient view—how we best use it, and where that data is held and stored. I am very confident that privacy and the risk described by the hon. Gentleman will be very high on the Government’s agenda. I am in no doubt about that.

My point is that we should look at how we can break down the barriers so that we are not generating fear through people having a lot of concerns about where their data is going to go. We do need safeguards, but we also need to look at technology as the way forward so that we can, for example, reduce cancer risks because we spot the ailments earlier. That is really powerful. We used to swallow tablets to get better; now we can use them in the Chamber and elsewhere, to check out apps and find out more about improving our own health.

I am very fortunate that Watford is getting a new hospital at Watford General in the coming months and years, but as part of that project we need to look at where we head next, what that means, how we can use technology and how we can provide freedom for everybody to have ownership over their single patient view, and take those ideas forward.

--- Later in debate ---

[Craig Mackinlay (South Thanet) (Con)]

I am delighted to see you in your place, Mr Deputy Speaker; it is the first time we have been in the Chamber together since you were elected—congratulations to you.

I am pleased to support the Second Reading of the Bill, which displaces any doubt that the Conservatives’ commitment to the NHS is absolute. It will be cast in legislation, and the budget will rise way into the future. The Bill reflects what we have: an ageing population; even more advanced, very expensive machines, which one has only to go round a modern hospital to see; procedures that were not even thought about just a generation ago; and pharmaceutical products that are advancing and by their very nature expensive. In the future, the NHS will be even more important. As we advance into an age of gene and DNA mapping, insurance providers will know the conditions that we are likely to have in 40 to 50 years’ time—we may not want to hear about some of them. The NHS will be much more at the heart of everyone’s healthcare.

However, I have concerns about throwing money out unless there is proper administration and great care about looking after it. I fear that NHS trusts may simply reach out again for the locum hotline and that the money will not be spent where it ought to be on the frontline. In South Thanet, we have an issue with GP numbers—just one GP per 2,500 of population. That is among the worst figures in the country: the average is one per 1,600. It is little wonder that our A&E departments find themselves under stress. The GPs issue is complex: it is about retention, early retirements and morale. We have tried to implement an international recruitment scheme, but it has not gone as well as many of us would have hoped.

I am particularly worried about procurement. A couple of years ago, I launched an extensive freedom of information request aimed at NHS trusts and clinical commissioning groups, police and fire authorities, and even universities, across the entire country. I published the results with The TaxPayers’ Alliance in January 2018. I asked a simple question: how much did they pay for a ream—500 sheets—of 80 gsm photocopy paper, which every institution uses by the pallet load? Any one of us could probably go to the high street and pick up a ream for £2.50. The average NHS trust procures 25,000 reams a year.

I found that the highest price paid by a CCG was Wokingham CCG at £5 a ream; the lowest price—very well done—was paid by Haringey CCG at £1.62. The lowest price paid per ream by an NHS trust was £1.40, by Colchester Hospital University NHS Foundation Trust; the highest was £4.65 by Portsmouth Hospitals NHS Trust. That was a simple issue to ask questions about, and one wonders what else is being procured badly. How much are trusts paying per kilowatt-hour for electricity? What do they pay for their telecommunications, their medicines and everything else?

[Dean Russell]

One of the big challenges as we move into the digital economy is the procurement of advertising, especially social media advertising. Facebook, Google and so on all take huge amounts but in small pockets across the country—not just from NHS trusts, but from all aspects of Government and businesses as well. I would love that issue to be looked at.

[Craig Mackinlay]

My hon. Friend makes a good point. How much do trusts spend on recruitment consultants? There is a whole panoply of expenditure on other things that the NHS, as a very big procurer, could get at competitive, keen prices.

My hon. Friend the Member for North Dorset (Simon Hoare) made a good point about the cost of medicines and repeat prescriptions. That has to be a major issue: across the country, £20 billion a year—nearly one sixth of the NHS budget—is spent on medicines, many of which are on free, repeat prescription. My wife, a pharmacist in the community, far too often sees bags full of expensive drugs come back to the pharmacy after the demise of a loved one. They have to be thrown away, and the money is completely wasted. We need to ask some difficult questions about the NHS. Let us not try to throw more money at it in the hope of a better outcome, because we need to be rather more clever. Great as it is—it has become a national institution, greatly loved—the NHS does not always do things perfectly.

Health and Social Care

Dean Russell Excerpts

Thursday 16th January 2020 Commons Chamber

[Dean Russell (Watford) (Con)]

Thank you, Madam Deputy Speaker. It is wonderful to see you in the Chair. I am incredibly humbled to be here. As a working-class lad, to be sitting on these Benches is an enormous honour, but to be sitting among so many other working-class Conservatives is just as fabulous. I must thank the people of Watford for putting me in this wonderful place and for giving me the honour and the opportunity to hopefully make a change in this country.

First, however, I want to pay tribute to my predecessor. Everyone who knows him will know that he works tirelessly and is a true gentleman: Mr Richard Harrington. When I first became a candidate, people would say to me, “Dean, you’ve got big shoes to fill.” At first I thought it was a dig at my height, but I soon found it was because of Richard’s amazing legacy and the work he has done for the people of Watford. Today’s debate focuses on health, and there are so many things I could talk about—from his jobs fairs to the work he has done on social housing and tenancies—but I will specifically pay tribute to his work to ensure that Watford General Hospital and the local NHS got additional funding. I am proud that Watford will get one of the six new hospitals in the coming months and years, as was alluded to in a previous speech. Richard was a true champion for Watford, and I hope I can fill his shoes in the coming years. I will work tirelessly to do so, although my height may not change.

As you know, Madam Deputy Speaker, Watford General is on Vicarage Road, right next to the legendary, most fabulous Watford football club, which famously once had Elton John as its chairman. I would like to steal one of his song titles and say that I would like to be the first rocket man of Watford as we soar to the stars.

Sadly, to be totally honest, Elton John was not actually born in Watford—I cannot do anything about that—but we do have an incredible wealth of world-famous Watfordians. We have our very own Spice Girl in Geri Halliwell. [Hon. Members: “Hear, hear!”] You have to give a whoop for that. We have our own boxing heavyweight champion of the world in Anthony Joshua. We have our own political heavyweight, too, in the dearly departed Mo Mowlam. And we have the England football manager with the best waistcoats in the world, Mr Gareth Southgate.

As a science fiction fan myself, it is particularly exciting that we have our very own member of Doctor Who’s time-travelling Tardis team in Mr Bradley Walsh. Many Members will know that Bradley Walsh hosts a famous game show called “The Chase”, in which he battles with “The Beast” Mark Labbett. As a Conservative, I feel that in this election we battled our own “Chase” and our own beast—the beast of socialism—and we won. We defeated that beast.

One of the most world-famous parts of Watford is a magical place, and it was mentioned earlier in a brilliant maiden speech: Warner Brothers studio and the Harry Potter tour. Given his love of buses, I would like to invite the Prime Minister to visit the studio, because we have neither a boring single-decker bus nor a boring double-decker bus; we have the world-famous Harry Potter triple-decker “Knight Bus.” Who can beat that?

Watford is not just a hub for entertainment. We are also a massive magnet for investment and business. We have several UK headquarters. We have Hilton hotels, so people have somewhere to sleep. We have TJX, the home of TK Maxx—looking around the Chamber, I am sure everyone has recently bought their clothes from there. We have a place to drink in JD Wetherspoon, and we have a place to win millions and to help millions more in Camelot and the lottery. We also have our very own pharmacy, a fabulous business called Sigma Pharma. Of course, every Member will want to visit our incredible market, our high street and the Intu centre for a most delectable day out.

Madam Speaker—sorry, Madam Deputy Speaker; I promoted you—at heart I am really just a family man, and it is my family who inspire me. My working-class roots may have defined who I am, but my family are the ones who drive me forward. I give credit to my parents and my sister for all the work they have done over the years and for the support they have given me. I am sure it is the same for many Members. Our families make such a difference to our lives and keep us grounded. In that sense, my wife and my daughter truly are my beating heart and soul.

However, not everyone in society has a family or even friends to support them, and, through no fault of their own, they may feel that they are on their own. That is where community comes into play. Let us all be role models to support people who feel as though they have no one. That is the role of a Member of Parliament: not just to make laws, but to help those around us. We must let everyone know that opportunity has no gender. Opportunity should have no race and it should have no age. Whoever someone is, wherever they are, they should be able to be the best version of themselves. I believe that my party is helping to represent that.

Community is very important to me, which is why I worry about modern times. Mental health has been a big issue today, but so, too, is loneliness. We used to talk about being lonely in a crowd, but today there are so many who are lonely in the cloud. The digital world, modern life and social media mean that probably more people are aware of the names of the Kardashian family than they are of those of the neighbours on their own street.

For many years, I have felt that we need to bring the world back together, to be less divisive and to try to tie those threads together. I have had a daily philosophy for many years, and it goes like this: HOPE is an acronym and it stands for Help One Person Everyday. If we all do that in our own lives, in a way that changes people’s lives, we will have a better world. I feel honoured to be in this place as a Conservative, to enable that on a much bigger scale. We may be able to effect laws and change legislation, but changing people’s lives is surely why we are here.

In the past few years, we have seen lots of divisiveness, but let us have an age of decisiveness. Let’s not just get Brexit done—let’s get stuff done, to make people’s lives better. I believe that our manifesto and the Queen’s Speech have shown that that is our goal. As we enter 2020, let us lead the world in relentless positivity, optimism and can-do-ism, and turn this into the soaring 20s. As I complete my speech—I may be going over time; I apologise—I just want to thank people for electing me to be on this Bench and tell them that I will work tirelessly for the people of Watford, and with all Members here, to make the world a better place.

[Madam Deputy Speaker (Dame Eleanor Laing)]

I thank everyone who is speaking today but not making a maiden speech for their kindness towards the maiden speech makers, who are being given a lot more leeway. That means that we will now have to impose a time limit of four minutes on people who are not making maiden speeches and still one of six minutes or so for maiden speeches. There is no point in people looking shocked; there are only so many hours in a day and that is where we are.