Oral Answers to Questions
Debate between Debbie Abrahams and Guto Bebb(8 years, 7 months ago)
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Guto Bebb
The hon. Lady is absolutely right to highlight the support of Airbus, Horizon Nuclear Power and the farming unions, but I make this point to her: the Conservative party is a democratic party that believes passionately that the people who can make a decision about this issue are the people of this country. We have offered them a referendum and their votes will result in a decision in 10 weeks’ time.
Debbie Abrahams (Oldham East and Saddleworth) (Lab)
7. What assessment he has made of the effectiveness of support for employment for disabled people in Wales.
The Parliamentary Under-Secretary of State for Wales (Guto Bebb)
The Government believe every disabled person who wants to work should be able to work. As announced in the spending review, there will be a real-terms spending increase on supporting disabled people into work. That will ensure that valuable talent and skill will be further recognised in the Welsh workforce. [Interruption.]
Mr Speaker
Order. We are discussing the situation of disabled people in Wales.
Debbie Abrahams
Thank you, Mr Speaker. Disability rights organisations, the Equality and Human Rights Commission and many others have decried the lack of evidence in support of the Government’s cutting £1,500 a year from disabled people who have been found not fit for work. How many employers in Wales have the Government signed up as active Disability Confident employers for those disabled people who are fit for work?
Guto Bebb
It is important to point out, first, that supporting disabled people into the workplace is incredibly important, and this Government have a track record of success. Over the past 12 months, we have seen 150,000 disabled people enter the workplace; the figure is more than 300,000 over the past 24 months. I am proud of the fact that Swansea is the first disabled-friendly city in the UK, supporting disabled people into employment. On the specific numbers, I will write to the hon. Lady with the details that she requests.
Fairness and Inequality
Debate between Debbie Abrahams and Guto Bebb(10 years, 9 months ago)
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Guto Bebb
I would reject that argument. We talk about VAT, we often forget the exemptions. If somebody is buying a new Ferrari, I have no problem with their paying £50,000 in VAT. If somebody buys their food in a supermarket, they pay 0% in VAT. If VAT were 20% on every single item, it would be a regressive tax. For those who spend a significant proportion of their income on food, or on household fuel, which is taxed at 5% rather than 20%, the VAT issue is not as clear cut as Opposition Members try to make it.
Guto Bebb
Not at the moment.
When we talk about inequality, it is important to recognise that the Government’s work on pensioner benefits has significantly reduced pensioner poverty. We should also recognise that in a country such as Wales, with such a high dependence on self-employment, the Government’s moves to introduce a single-tier state pension will make a huge difference for those who are self-employed and will result in less inequality when people reach retirement.
The hon. Member for Carmarthen East and Dinefwr, who has now, unfortunately, left his seat, said that there was a need for more investment in a Welsh context. Let me be very specific about the situation in Wales. Since 2000 and 2001, the Welsh Government, supported by European structural funding, has invested billions of pounds in so-called initiatives to deal with Wales’s lack of economic progress. When people talk about the need for public sector investment to create wealth and employment opportunities, it is important to consider the case study of how European funding, spent under the guidance of the Welsh Labour Government—and under the Welsh Labour and Plaid Government for four years—was used through so-called interventions that were meant to create employment opportunities and ensure that we had a more equal society. That has failed dramatically and for the entire period of intervention by the Welsh Government and the EU, west Wales and the valleys have gone backwards rather than prospering.
Future of the NHS
Debate between Debbie Abrahams and Guto Bebb(13 years, 7 months ago)
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Debbie Abrahams
How will breaking up the NHS improve that? The hon. Gentleman should be concerned that some of the measures PCTs are having to take are increasing the risks of cardiovascular disease for many patients. As for international comparison of our NHS, it is known to be one of the most cost-efficient health systems in the world.
Bariatric surgery provides another example of where the National Institute for Health and Clinical Excellence guidelines have been replaced with more stringent criteria, rationing access to care in order to balance the books. There are many other examples. According to one survey published last week, demands for bariatric surgery have risen by 17%, but approval for such surgery has fallen by 22%. These are the so-called efficiency savings, as we heard from the Secretary of State, of £20 billion nationally and 4% each year.
Guto Bebb (Aberconwy) (Con)
We hear a lot about the effect of efficiency savings on the NHS in England. Under Labour party proposals, Wales is not suffering from efficiency savings, but from cuts of £435 million in the NHS budget this year and £1 billion in the next four years.
Debbie Abrahams
Does not the hon. Gentleman think that that is why we won the election in Wales?
The savings required are 4%, and if the Government get their way with the new economic regulator Monitor, they could go as high as 7% each year—far more than our NHS is capable of coping with.
My constituent, Peter, was refused a cataract operation, yet his vision was so poor that he was able to see the world only through a haze; as a precision engineer, furthermore, he was not able to do his job and faced the threat of redundancy. In other cases, non-compliance with NICE guidelines—on familial hypercholesterolaemia, for example—is leaving people at extreme risk of untreated cardiovascular disease.
Health professionals have almost without exception castigated the Bill for what it will do to the NHS in completely opening it up to the market, with competition law applying in full and allowing private health care providers to cherry-pick profitable services. A hospital medical director said last week that he did not know how his hospital could continue to provide care for unprofitable patients.
The unprofitable services for most hospitals are elderly care, mental health, paediatrics and maternity, which are essential services for all communities. Instead of service providers and commissioners working together to provide the best quality care they can for their patients, the trend is for hospital trusts to maximise income and compete against each other. We are already seeing that lack of co-operation when PCTs look at alternatives in commissioning. Trusts are reluctant to collaborate when they see that it might reduce their income, even if it improves the quality of patient care. Similarly, the Bill gives GPs a financial interest in restricting or refusing treatment in order to make savings and to get bonus payments from the NHS commissioning board.
Labour wants genuine savings that will enhance patient outcomes rather than produce the diminishing effect that we are currently seeing, and we believe that we can achieve that. We want hospital specialists and GPs to work together to deliver clinical care pathways that improve the quality of patient care and bring care closer to home. One local PCT is trying to introduce the use of drugs that are cheaper—and unlicensed—to treat age-related macular degeneration, but it is under severe pressure from the pharmaceutical industry. That is another way in which we could reduce costs.
There is no doubt in my mind that, unamended, the Bill threatens the founding principles and values of the NHS. It removes the duty to provide a comprehensive health service, and provides an opportunity for the new NHS commissioning board and GP consortia to charge for services. It involves a costly, ideologically driven reorganisation of the NHS that has no mandate from the British people, and no support from health professionals and that will mean the end of the NHS that we know and love. As I have said before, the NHS is not just an organisation that plans and provides our health care; it reflects the values of our society on which this country set such store.
I know that there are many members on this side of the House—