Covid-19 Update

Debate between Debbie Abrahams and Matt Hancock

Monday 17th May 2021 Commons Chamber

[Matt Hancock]

My right hon. Friend is right to praise the incredible efforts in Bournemouth, which I know he has played a very direct and personal part in delivering, and I look forward very much to visiting as soon as I can get down there—and, by the way, I agree with Sir John Bell that Bournemouth is a great place to go on holiday and I am sure my right hon. Friend agrees about that too.

On global support, of course as and when we have excess doses we will look to support countries around the world with those doses, but the number of doses that we can support around the world from our excess purchases is small compared with the spectacular support we have already given the whole world with the more than 400 million doses of Oxford-AstraZeneca vaccine that have been delivered at cost. The majority of Oxford-AstraZeneca doses have been injected in low and middle-income countries, and 98% of all COVAX jabs given so far have been that vaccine delivered on the back of British science, supported by the UK Government, Oxford university and AstraZeneca, doing this all without taking a profit. We should be very proud of that.

[Debbie Abrahams (Oldham East and Saddleworth) (Lab) [V]]

The wider the gap between the rich and poor, the bigger the difference in our life expectancy and healthy life expectancy. That has been laid bare over the last year: the UK’s high and unequal covid death toll has been driven by the rampant poverty and inequality that successive Conservative Governments have allowed to go unchecked. In January, the Prime Minister promised to implement Professor Sir Michael Marmot’s recommendations to address that and to build back fairer, so what discussions has the Health Secretary had with the Prime Minister on that, and will investigating the UK’s structural poverty and inequality be part of a covid inquiry?

[Matt Hancock]

I discussed this issue with the Prime Minister. The office for health promotion is intended to be able to tackle some of those issues, led clinically by the chief medical officer, to make sure we can strengthen the public health case around Government, because so many policies of Departments outwith the Health Department are critical in addressing the question the hon. Lady raises.

Covid-19 Update

Debate between Debbie Abrahams and Matt Hancock

Monday 19th April 2021 Commons Chamber

[Matt Hancock]

It is incredibly important that all care workers take up the jab if they possibly can, unless they have a vital medical reason not to, because the jab of course not only protects us, but protects people we are close to, and care workers are close to people who are vulnerable—that is in the nature of the job. That is why I think it is right to consider saying that people can be deployed in a care home only if they have had the jab, and we are looking into that. We have not said that for those who work in domiciliary care—caring for people in their own homes, rather than in a care home—because those in care homes are at the highest risk of all, but I would absolutely urge anybody who is a carer, whether they work in social care or are an unpaid carer, who has not already got the jab to please do get it, to protect not just them, but those to whom they have a duty of care.

[Debbie Abrahams (Oldham East and Saddleworth) (Lab) [V]]

As the UK rolls back lockdown restrictions, the global death toll has reached 3 million, and the World Health Organisation is warning that the world is approaching the highest rate of infection so far. With three new variants in three continents, all these variants now in the UK and the reduced efficacy of the different covid vaccinations against these variants, it is clear that the UK’s success in fully emerging from this pandemic is co-dependent on how well the rest of the world is doing. I asked the Health Secretary about global co-ordination of surveillance of new variants back in February, and the World Health Organisation is now consulting on this, so can he update the House on our response to this consultation?

[Matt Hancock]

This is an incredibly important subject. I agree with the substance of what the hon. Lady asked in the question, and she is quite right to raise this. We have put in place the new variant assessment platform, allowing any country around the world to use our enormous genomic sequencing capability if they want to sequence positive cases to discover what is happening in their countries, but our borders testing system, in which all positives are sequenced, also means that we in fact get a survey from around the world through those who have travelled to the UK, and we can relay that data back to individual countries so that they understand that better. Of course, it would be far better if something like the new variant assessment platform was run on a multilateral basis globally—for instance, by an organisation such as the WHO. We are engaged with the WHO on making sure that it is available, but my view was that we needed to get on and offer this to everybody and then build a network of labs around the world that can make such an offer so that sequencing can be available in every country, because it is currently far too patchy.

Future of Health and Care

Debate between Debbie Abrahams and Matt Hancock

Thursday 11th February 2021 Commons Chamber

[Matt Hancock]

Yes, these are very important measures and I am glad that they have my hon. Friend’s support, not least because of his extensive knowledge as a practising GP who has done so much during the crisis—the whole House is grateful for his commitment and work. On the timing of legislation, unfortunately I am not permitted to go into any further detail ahead of Her Majesty’s next visit to the other place, but the White Paper sets out the reforms that we hope to have in place by April 2022, and I hope that he can take from that some indication of our sense of pace.

[Debbie Abrahams (Oldham East and Saddleworth) (Lab) [V]]

With one of the highest covid death rates in the world, and with NHS workers under such incredible pressure, this is hardly the best time to be talking about yet another NHS reorganisation. In his response to me two weeks ago, the Prime Minister committed to addressing the key underlying causes of the high and unequal covid death toll: primarily, socioeconomic inequalities driven by 10 years of austerity. He said that he would be implementing Professor Sir Michael Marmot’s recommendations, to “build back fairer.” How do the White Paper proposals address those inequalities and their impact on our declining life expectancy and on the highest excess mortality rate in Europe?

[Matt Hancock]

I gently say that I disagree entirely with the hon. Lady’s pessimism about the ability of improvements in the health service to assist in the closing of health inequalities and the provision of care. As a Greater Manchester MP, she will understand better than most the benefits that come from that sort of integration. The idea that we should fail to act on what the NHS has itself asked for because of the challenges it is facing is completely the wrong way round. I see it entirely the other way round; it is incumbent on us to act in order to deliver the improvements that the NHS is calling for.

Covid-19 Update

Debate between Debbie Abrahams and Matt Hancock

Tuesday 2nd February 2021 Commons Chamber

[Matt Hancock]

Yes, I am glad to say that we are working with our EU counterparts to ensure the fair distribution and manufacture of vaccines according to signed contracts, which is the right and proper way that it should be. Thankfully we signed those contracts early and we made sure that we got solid contracts to deliver the necessary doses to the UK. I look forward to those being delivered on, and I have assurances from all quarters that that is what will now happen.

[Debbie Abrahams (Oldham East and Saddleworth) (Lab) [V]]

We know that there is a reduced antibody response against the new covid variants for vaccinated blood, but what is the level of change in vaccine efficacy, and what action is under way to update and approve new vaccines to address this? I am particularly thinking of the E484K mutation found in both the Brazilian and South African variants.

[Matt Hancock]

The hon. Lady is absolutely right to ask this critical question. We are doing a huge amount with the scientists and the pharmaceutical industry to develop modified vaccines should they be necessary. We are also monitoring the results of work to understand the efficacy of the existing vaccines against the variants of concern. We do not have a point estimate for the difference in the efficacy of the vaccine. The efficacy needs to be measured both in terms of someone’s likelihood of catching the disease and in terms of their likelihood of being hospitalised or dying from the disease. There is a significant amount of work under way to understand all those things, both in labs and in the field. For instance, AstraZeneca has a trial in South Africa that it is revisiting to understand the progress of those who were vaccinated as part of the trial. We will publish as much information as we get as soon as we credibly can. I wish I could give a number in answer to the hon. Lady’s very astute question, but unfortunately it is not scientifically credibly available yet.

Covid-19 Update

Debate between Debbie Abrahams and Matt Hancock

Tuesday 20th October 2020 Commons Chamber

[Matt Hancock]

The answer is yes. We absolutely want to use this sort of testing as it becomes more widely available to do exactly the sort of thing that my right hon. Friend sets out.

[Debbie Abrahams (Oldham East and Saddleworth) (Lab) [V]]

May I say how shocked I am at some of the responses from the Health Secretary? All Andy Burnham and the leaders of the Greater Manchester local authorities have been trying to do is to ensure that their constituents— our constituents—are not plunged into poverty, homelessness and worse. That is all they have been trying to do. To describe it in the way that he has is really upsetting.

International evidence shows that key requirements for local lockdowns to work are, first, to have a competent test, trace and isolate system; secondly, that businesses and workers are supported by a financial package equivalent to existing incomes; and, finally, that national Government support local leaders. The Government have failed to deliver any of those. Are they following the evidence or not?

[Matt Hancock]

We are working incredibly hard to support the action that is needed to suppress this virus, while protecting the NHS and schools and supporting the economy as much as is possible. When it comes to the work in Greater Manchester, that is absolutely our goal. That is the work that we are doing and, given that support proportionate to that already agreed in Lancashire and Liverpool is on the table, I hope that local leaders will work with us.

Covid-19 Update

Debate between Debbie Abrahams and Matt Hancock

Monday 5th October 2020 Commons Chamber

[Matt Hancock]

Yes, absolutely. People are asking questions about how the vaccine will be rolled out and of course I understand why people are so interested in that. We will of course protect the most vulnerable first and we will do that on the basis of clinical advice. The JCVI brings together the best clinicians in this area and it meets very regularly. Decisions of the JCVI will not be on the critical path to the roll-out of the vaccine—I have been assured of that.

[Debbie Abrahams (Oldham East and Saddleworth) (Lab) [V]]

One of my 15-year-old constituents had a covid test over a week ago, and in spite of chasing, is still none the wiser as to whether she has covid or not. Not only is she having to self-isolate, but her mum, a nurse, is having to take the precaution of self-isolating, something she says her ward can ill afford. On top of that, last month, the time taken to get test results back from the national Test and Trace programme to Oldham’s public health team, to enable them to trace the cases that the national programme is failing to get in touch with, was 12 days—12 days, not 24 hours. Will the Health Secretary please tell my constituent how many of the 16,000 or so lost test results were from Oldham, and how many contacts—not cases— have not yet been traced?

[Matt Hancock]

The good news is that the turnaround time of test results has been coming down. I would love to take up the case of the individual who has not had a result back, as the hon. Lady has described, because that is rare: the majority of cases now come back the next day. I will specifically look into turnaround times in Oldham, because an average of 12 days seems a lot longer than I expected, and I will make sure to get back to the hon. Lady at the appropriate opportunity.

Coronavirus

Debate between Debbie Abrahams and Matt Hancock

Tuesday 15th September 2020 Commons Chamber

[Matt Hancock]

Yes. The NHS covid-19 app, which will be available this month, will, as one of its features, ensure that people can go to a pub, restaurant or hospitality venue and scan the QR code quickly. Contact details will then be safely collected in case they are needed for contact tracing purposes. We are making the scheme mandatory. It has been very successful voluntarily and we are going to roll it out mandatorily, so I urge hospitality businesses in Bridgend, and right across England and Wales, to download a QR code for themselves and put it where it is very easy to use and obvious, so that all of us, when we go to the pub in Bridgend or anywhere else, can very easily scan in. If there is an outbreak, we can then contact trace that outbreak and keep the virus under control.

[Debbie Abrahams (Oldham East and Saddleworth) (Lab)]

I do not underestimate the challenges the Health Secretary has faced over the past few months, but six months on, after many, many warnings of the likelihood of a second wave and of what would happen without a fully operational test, track and isolate system in place before lifting the lockdown, unfortunately the Government are still not getting the basics right. That is happening in my constituency in Oldham. We did not have a mobile testing unit turn up and we are still not getting the data we need to trace covid-positive cases.

For starters, will the Secretary of State sort out the private contractors for the national test and trace system; make sure that public health directors are getting timely, high-quality data on covid cases, including occupational workplace details; and, fundamentally, make sure our local authorities have the resources they need to trace all contacts, and ensure restrictions are understood and observed?

[Matt Hancock]

The answer is yes. In Oldham in particular, where there has been a very serious outbreak, making sure we have that connection between the national system and the data flowing through to local contract tracers is incredibly important. We are working on some innovative solutions proposed by the local authority and others in Manchester to enhance that system as much as we possibly can to keep control of the virus.

Coronavirus Response

Debate between Debbie Abrahams and Matt Hancock

Monday 20th July 2020 Commons Chamber

[Matt Hancock]

I will look precisely at putting mobile testing units in Maltby and Dinnington and look, again, at the local data, along with the local authority, to see what we can do.

[Debbie Abrahams (Oldham East and Saddleworth) (Lab) [V]]

I, too, welcome the Health Secretary’s change of heart and his assurance that complete pillar 2 testing data will be sent to local public health departments each day and not each week. The delay has inhibited local public health departments’ ability to contact and trace covid-infected people, letting the virus spread in some areas. Given that many of us have been asking for these data for a number of weeks now, what is his assessment of the number of people who have been infected as a result of the delay, the impact on public confidence, and the hit that local economies will take because of these failures?

[Matt Hancock]

We have been building the test and trace system and improving the data that flows from it and underpins it all the way through this crisis, and I am glad that the hon. Lady is pleased by the continued progress that we are making. That is the way to look at this. We have been building this extraordinary service at extraordinary pace, and I am really glad we are able to get more.

Coronavirus

Debate between Debbie Abrahams and Matt Hancock

Tuesday 7th July 2020 Commons Chamber

[Matt Hancock]

My right hon. Friend the Secretary of State for Business, Energy and Industrial Strategy is working closely with the beauty industry regarding how it can open in a covid-secure way, taking into account clinical advice. We have, however, been able to change some advice to allow for the reopening of camp sites. I am very pleased about that, and it will help lots of families to enjoy summer safely. It is disappointing to hear of the blanket approach taken to not having any camping in the New Forest—I went camping there as a child, and enjoyed it very much. On a campsite people must be particularly careful of shared facilities, and ensure that they are cleaned properly, but there is a way to open campsites safely and securely, and doing that in the New Forest, and elsewhere, will help people to enjoy summer safely.

[Debbie Abrahams (Oldham East and Saddleworth) (Lab) [V]]

The Secretary of State’s comments on Sunday, when he suggested that my Greater Manchester public health colleagues needed help in interpreting the pillar 2 data that they received from centrally contracted private labs, was nothing short of insulting. These are some of the most talented, dedicated and professional people with whom I have had the privilege to work. They do not need help; they need timely, patient-identifiable, and complete data, which they have not been getting. Instead of trying to shift the blame for the Government’s mess in handling the covid crisis on to our amazing public health teams and care home staff, what is the Secretary of State doing to ensure that people get those data? Why will he not announce local thresholds for easing and reinstating lockdowns, as Germany and other countries have done? Finally, will he apologise for his patronising remarks to my public health colleagues?

[Matt Hancock]

I will not allow a divisive approach to tackling this crisis. We will all work together. We will work together with local authorities, local Mayors and local areas, and we will do that in Manchester and across the board. I just hope that the hon. Lady will take the message back to Manchester about how keen we are to work collegiately and together. That is the right way forward.

I have already answered the question on thresholds for changes to local lockdowns. We have to apply judgment. Again, we do this in consultation with and working hand in glove with the local area. On the point about data, the hon. Lady might want to have a word with her friend, the shadow Secretary of State, because he was right to acknowledge that the sharing of this sort of data, which is a complicated task, is constantly improving.

Covid-19 Update

Debate between Debbie Abrahams and Matt Hancock

Monday 29th June 2020 Commons Chamber

[Debbie Abrahams (Oldham East and Saddleworth) (Lab) [V]]

The age- standardised covid mortality rate for severely disabled men is nearly 200 per 100,000, and for severely disabled women, it is over 141 per 100,000. That compares with death rates of 70 and 36 per 100,000 for non-disabled men and women respectively. When poverty is factored in, it will show even higher death rates for disabled people. Will the Secretary of State undertake an immediate analysis of the impact of covid on disabled people living in poverty? Will he speak to his counterpart in the Department for Work and Pensions about releasing data on the disabled social security claimants who have died during the covid pandemic, as to date those data have been very limited?

[Matt Hancock]

I am absolutely determined to address the questions and the impact of covid on those who live with disabilities. The hon. Lady’s point is important and this will form part of our work on inequalities and the response to covid. The Minister for Equalities is taking that work forward.

Coronavirus

Debate between Debbie Abrahams and Matt Hancock

Wednesday 11th March 2020 Commons Chamber

[Matt Hancock]

Yes, Ofsted absolutely will take a lenient view of the impact of coronavirus on what happens in schools. When it comes to the broader point about what households should do when one person tests positive, that is of course something we are considering very closely. At the moment, the number of cases is at a level such that we can give individual advice to each household. It is likely that that will not be possible throughout this situation, so we will make sure that there is formal public guidance for everybody, so that everybody knows what to do.

[Debbie Abrahams (Oldham East and Saddleworth) (Lab)]

Will the Secretary of State clarify a point that was made by the Secretary of State for Work and Pensions on Monday? She said that social security claimants who were due to take a work capability or work-related activity assessment would not have their social security support stopped, but those claimants were omitted from the group that the Chancellor talked about in the Budget statement, so will the Secretary of State clarify who is right? Will he also make sure that information is available for the deaf and the visually impaired? There is a gap in the information in that respect.

[Matt Hancock]

On the latter point, I entirely agree, and it goes with the earlier point about communications in foreign languages. On the first point, I will ensure that the Work and Pensions Secretary writes to the hon. Lady with the answer.

Social Care

Debate between Debbie Abrahams and Matt Hancock

Tuesday 25th February 2020 Commons Chamber

[Matt Hancock]

The hon. Lady is dead right, and I have changed that direction of travel. This year is the first year for a generation when there has been an increase in the proportion of the NHS budget going to primary and community care. That change was at the core of the long-term plan. I insisted on that because I entirely agree with her analysis that getting more support out into the community is critical. This has been going in the wrong direction for a generation, and we are just starting to fix it.

[Debbie Abrahams (Oldham East and Saddleworth) (Lab)]

I want to pick the Secretary of State up on the point that he made a few moments ago. We had an exchange at the end of January about life expectancy. He says that life expectancy is increasing. It is absolutely clear from Professor Sir Michael Marmot’s report, and it has been clear since 2017, that life expectancy is stalling. Sir Michael said that

“life expectancy actually fell in the most deprived communities outside London for women and in some regions for men.”

I have written to the Secretary of State and I have not yet had a response, but he has an opportunity to correct the record now.

[Matt Hancock]

I saw the letter and I absolutely will reply to the hon. Lady. What I have said before, and I repeat now, is that life expectancy in this country is rising. There are parts of the country where that is not true.

[Debbie Abrahams]

It is flat.

[Matt Hancock]

It is not flat, it is rising, and it is really important that this debate, which is so critical, is based on the facts. The increase in life expectancy should be shared right across the country, and it is not, and we are determined to fix that. We are determined to ensure that life expectancy in this country rises everywhere. That is not the case and it needs to be the case, but life expectancy overall is going up. That is the fact.

[Debbie Abrahams]

The report says that it has almost ground to a halt since 2011. These are the facts, and there is an onus on the Minister to be absolutely clear about this. We cannot fudge this issue.

[Matt Hancock]

As I said, life expectancy is rising, Madam Deputy Speaker.

--- Later in debate ---

[Matt Hancock]

My hon. Friend is absolutely right, and that is the sort of analysis on which we can make decent policy progress, because it based on the facts, rather than on making things up.

[Debbie Abrahams]

rose—

[Matt Hancock]

I will give way to the hon. Lady one more time and then I will move on, because we need to make some progress.

[Debbie Abrahams]

Again, for the record, let me say, as a former public health consultant, that healthy life expectancy is also going down.

NHS Funding Bill

Debate between Debbie Abrahams and Matt Hancock

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

[Matt Hancock]

Exactly. That is precisely true, and what is so frustrating is this—perhaps my hon. Friend knows the answer to this question: what did they do with the half a billion pounds that they did not put into their NHS? It is a disgrace.

[Debbie Abrahams (Oldham East and Saddleworth) (Lab)]

As well as the question of what the money will be spent on—and I welcome the extra investment—there is the question of—[Interruption.]

The National Health Service

Debate between Debbie Abrahams and Matt Hancock

Wednesday 23rd October 2019 Commons Chamber

[Matt Hancock]

Yes, I can give that confirmation. I have seen some reports from the local Labour party putting fears into people’s minds about the future of the Parsons Green walk-in centre. There are no plans to close the centre, and anybody who says so is simply scaremongering. I am absolutely delighted at the campaign that my right hon. Friend ran to save the A&E and to save the services in west London; it was thanks to him and his efforts that we managed to do exactly that.

[Debbie Abrahams]

Does the Health Secretary not feel ashamed that we have the highest rate of child mortality in western Europe? We also have a declining life expectancy; for women it is getting worse and for deprived areas it is getting worse. We are one of the only developed countries where that is happening, and it is partly as a result of the underfunding of the NHS but more widely because of austerity.

[Matt Hancock]

I have great regard for the campaigning that the hon. Lady does on many topics, but I am afraid to say that she was factually inaccurate in what she said just now; it is not true. We are putting the largest and longest investment into the NHS in its history, and I think that that is the right thing to do.

Health

Debate between Debbie Abrahams and Matt Hancock

Tuesday 14th May 2019 Commons Chamber

[Matt Hancock]

Yes. We can only fund a stronger health service and we can only fund strong public services if we have a strong economy and that would be put at risk by the recklessness of the Labour party. Let us talk about the details of how we are going to improve healthcare in this country, but let us say first and foremost that we can fund public services only if we can ensure that the economy is run well.

[Debbie Abrahams (Oldham East and Saddleworth) (Lab)]

Would the Secretary of State like to address the issues that my hon. Friend the Member for Leicester South (Jonathan Ashworth) raised? We are seeing a flatlining of life expectancy, with the infant mortality rate having increased for the first time in 100 years. Will he address that in his response, please?

Oral Answers to Questions

Debate between Debbie Abrahams and Matt Hancock

Tuesday 26th March 2019 Commons Chamber

[Matt Hancock]

My right hon. Friend was not only a very good Whip, but is a very good constituency MP. He has made his case very well. “Shaping a healthier future” is no longer supported by the Department of Health and Social Care, NHS Improvement or NHS England. The NHS will look at parts of the proposals that are in line with the long-term plan, such as the aspects that are focused on expanding the treatment of people in the community. As for the changes in A&E in west London that are part of “Shaping a healthier future”—for instance, those at Charing Cross Hospital, which he mentioned—these will not happen.

[Debbie Abrahams (Oldham East and Saddleworth) (Lab)]

T6.   My constituent, who has terminal secondary breast cancer, has had her personal independence payment assessment refused and is having to appeal the decision, in spite of doctors’ letters detailing her debilitating condition and the treatment regimen she has to go through. What discussions has the Health Secretary had with the Secretary of State for Work and Pensions on how to ensure that medical evidence of that sort is accepted, so that people with terminal and progressive conditions do not have to go through this awful process?

NHS Long-term Plan

Debate between Debbie Abrahams and Matt Hancock

Monday 7th January 2019 Commons Chamber

[Matt Hancock]

My hon. Friend is absolutely right. When people are in hospital, there will now be much more aggressive provision of counselling and support to stop them smoking. It is also about targeting support, rather than treating everyone the same and giving them the same messages. It is absolutely right to include micro-targeting and to use social media to communicate with people. There are luddites who say that we should not use these modern approaches, but we on the Government Benches believe in the future.

[Debbie Abrahams (Oldham East and Saddleworth) (Lab)]

I am pleased that the Secretary of State is keen to improve public health and reduce health inequalities, and I assume that he will therefore support my new clause 5 to the Finance (No. 3) Bill, which is specifically about ensuring that the Government’s economic policies reduce health inequalities. On social care, is he aware that in 2017 alone 50,000 people with dementia had an emergency hospital admission because there was not adequate social care? What will he do to ensure that his plan, which we are still waiting for, will avoid such emergency admissions in 2019? Please do not say that more has been given in the Budget, because that is a sticking plaster compared with all the cuts that the Government have made in social care.

[Matt Hancock]

Page 32 of the document sets out details on the integration with social care that the hon. Lady rightly calls for. Clearly, ensuring better integration in cases of dementia is absolutely vital. Some parts of the country are doing that brilliantly with integrated commissioning, but we need to ensure that is spread across the whole country.

Prevention of Ill Health: Government Vision

Debate between Debbie Abrahams and Matt Hancock

Monday 5th November 2018 Commons Chamber

[Matt Hancock]

I am working with the Department for Transport. Transport Ministers feel very strongly about this question. The document details some of the things that we are going to do, but I am sure that there are a lot more.

[Debbie Abrahams (Oldham East and Saddleworth) (Lab)]

May I suggest that the Secretary of State has a look at the report, “Fair Society, Health Lives”, by Professor Sir Michael Marmot, particularly at his recommendation about a minimum income for healthy living? With this in mind, what assessment has the Secretary of State made of the impact of universal credit and cuts to that scheme on poverty and healthy life expectancy?

[Matt Hancock]

I have of course looked at that report. It is important, and it is important that we get the answers to it right.

Budget Resolutions

Debate between Debbie Abrahams and Matt Hancock

Tuesday 30th October 2018 Commons Chamber

[Matt Hancock]

It is true that the Labour party in office has always left unemployment higher than it found it; it is true that, while Labour left the deficit higher, we are bringing it down; and it is true that inequality, too, is coming down. Page 8 of the distributional analysis shows that, contrary to what we heard in that paean of gloom from the shadow Chancellor, the biggest rises in full-time employee gross weekly real earnings over the last three years have been among the 10% least well paid in our country. That is what this Conservative Government are doing—delivering for everybody in our country.

[Debbie Abrahams (Oldham East and Saddleworth) (Lab)]

On inequalities, does the Secretary of State recognise that life expectancy is stalling under his Government? In some regions it is getting worse. For women, it is getting worse. Perhaps he can answer the question he could not answer last week—why, for the first time in 100 years, do four babies in 1,000 not reach their first birthday?

[Matt Hancock]

As the hon. Lady knows, life expectancy is increasing, and we are forecast to see an increasing number of people live to a good old age. Indeed, the number of people aged 75 and over is set to double in the next 30 years. That is a brilliant achievement, which is in part down to the hard work of our NHS. Cancer survival rates are at a record high, strokes are down by a third and deaths from heart failure are down by a quarter. Of course, those successes have brought new challenges. The biggest health challenge we face is that people are living longer, often with multiple chronic conditions. The money is only one part of the plan to safeguard the NHS and ensure it is fit for the 21st century. The Budget delivers the funding, and later this year we will deliver the plan for how we will set the NHS fair for the future.

Oral Answers to Questions

Debate between Debbie Abrahams and Matt Hancock

Tuesday 23rd October 2018 Commons Chamber

[Debbie Abrahams (Oldham East and Saddleworth) (Lab)]

Last week, the Royal College of Paediatrics and Child Health revealed that there has been an increase in infant mortality for the first time in 100 years. Four in every 1,000 babies will not reach their first birthday, compared with 2.8 in every 1,000 babies in Europe. This was warned against as an effect of austerity. What assessment has the Health Secretary done on the effects of next week’s Budget on child health and the longevity of our children?

[Matt Hancock]

I saw that report and we are analysing it. Last week was Baby Loss Awareness Week, and I am glad that there is more awareness of the issue now than there was previously. It is a very important issue that we are looking at right across the board.

Social Care Funding

Debate between Debbie Abrahams and Matt Hancock

Wednesday 17th October 2018 Commons Chamber

[Matt Hancock]

As I said, progress has been made. There has been a reduction of 17% in the number of in-patients—down from 2,875 in March 2015 to 2,375 on the latest figures—but I would fully acknowledge that there is more to do and I am determined to see that happen.

Our population is ageing. More people are living longer and, as a society, we must address the challenge that that creates for social care. To put that into context, over the next 25 years, the number of people aged 75 and over is set to double and the number of people aged 85 will rise by more still. Of course, this is good news. It is down in part to the hard work of our NHS. Cancer survival rates are at a record high and strokes are down by a third, but with such successes come new challenges. For instance, we are seeing a rise in dementia and in age-related conditions, with 70% of people in residential care homes now suffering with dementia.

[Debbie Abrahams]

Will the Secretary of State agree to support a dedicated dementia fund, as proposed by the Alzheimer’s Society, to recognise the inequity given the additional care costs that such people would be paying?

[Matt Hancock]

I have seen that proposal from the Alzheimer’s Society and we are looking at it now. At the same time, we are working on both the Green Paper for the future of social care, which will come before the end of the year, and the long-term plan for the future of the NHS. The interaction between the two is important.

Oral Answers to Questions

Debate between Debbie Abrahams and Matt Hancock

Wednesday 9th March 2016 Commons Chamber

[Matthew Hancock]

I certainly do. Keeping a record of our laws on vellum is a long-held tradition, and we should safeguard our great traditions. I am looking forward to the debate on this tomorrow. In 1,000 years, I want people to be able to look at the laws that we pass in this House, so I hope to see a strong turnout in support.

[Debbie Abrahams (Oldham East and Saddleworth) (Lab)]

T2. The Government are finally reviewing Atos contracts after several National Audit Office and Select Committee reports going back four years have highlighted poor performance and a lack of value for money for taxpayers. In addition, there have been devastating impacts on disabled people. Why have the Government taken so long to do that? Will the Minister also confirm that the anticipated savings have not been made?

Oral Answers to Questions

Debate between Debbie Abrahams and Matt Hancock

Thursday 26th March 2015 Commons Chamber

[The Minister for Business and Enterprise (Matthew Hancock)]

The Small Business, Enterprise and Employment Bill contains radical steps to tackle late payment. We have prohibited the practice of paying to join or remain on supplier lists in certain circumstances. We recently consulted on going further and will now require large companies to report on these practices.

[Debbie Abrahams]

I have been campaigning for four years to end the blight of late payments to small businesses, including by ending controversial “pay to stay” contracts. The small business Bill is too little too late. Labour tabled amendments in Committee to end and outlaw the controversial “pay to stay” arrangements. Why did the Government oppose them, and in the light of recent revelations, will they now drop their opposition?

[Matthew Hancock]

I pay tribute to the hon. Lady’s long-standing and effective campaign on late payment. The amendments did not work technically, but I am prepared to consider anything to tackle the culture of late payment. We will make 30 days the normal payment term and 60 days the maximum. That is the culture change we need, and I look forward to working with her to make it happen.

Small Business, Enterprise and Employment Bill

Debate between Debbie Abrahams and Matt Hancock

Tuesday 18th November 2014 Commons Chamber

[Matthew Hancock]

Of course, if we can achieve the regulatory objectives with a lower burden on business, we can get the best of both worlds. Almost all the examples the hon. Lady gave were about the crash and the banks, but systemically important financial institutions are excluded from the one-in, two-out approach, precisely because we need to ensure that we have regulations so that we do not repeat the messes of the previous Administration.

Very briefly, let me speak to Government new clause 5, on the independent complaints commissioner duty, which I commend to the House, and Government amendments 27 and 28, on the business impact target. I made a commitment to look at what more parliamentary scrutiny of that target there should be. We are proposing that the report should be to the House. I look forward to building on the cross-party support for these measures and to explore whether a Select Committee can take a formal role in scrutinising the target. I therefore support those provisions.

[Debbie Abrahams]

I beg to ask leave to withdraw the motion.

Clause, by leave, withdrawn.

Oral Answers to Questions

Debate between Debbie Abrahams and Matt Hancock

Thursday 26th June 2014 Commons Chamber

[Debbie Abrahams (Oldham East and Saddleworth) (Lab)]

I am very grateful, Mr Speaker.

I am pleased that the Government have finally produced a Bill to deal with late payments to small businesses by large companies. It includes some of the recommendations from my inquiry last summer into late payments. However, it does not go far enough and will give little comfort to the small businesses whose viability is threatened. Why are these measures so timid?

[Matthew Hancock]

I pay tribute to the hon. Lady for the work that she has done on this subject. We consulted on all the potential options, including statutory maximums for payment terms. We put the consultation out with an open mind and a wide range of options. In fact, the small business groups that came forward with proposals in response to the consultation favoured transparency, not a statutory limit. We followed the evidence and the response to the consultation. Like her, I am determined to do everything we can to tackle this problem while not getting in the way of freedom of contract between businesses. We have taken these measures because of what the evidence demonstrated, and I think they will have a big impact. That is all part of our long-term economic plan.

Vocational Qualifications

Debate between Debbie Abrahams and Matt Hancock

Wednesday 5th March 2014 Commons Chamber

[Matthew Hancock]

Yes, I absolutely will. I wish the hon. Gentleman luck in reaching 100 apprentices in 100 days, and I suggest that he take on an apprentice himself.

[Debbie Abrahams (Oldham East and Saddleworth) (Lab)]

Small and micro-businesses in Oldham have told me that they find the process for recruiting apprentices cumbersome and bureaucratic. Given that nearly half the work force are employed in small businesses, what more can we do to engage businesses and make the process to recruit apprentices much simpler?

[Matthew Hancock]

One thing that the hon. Lady could do to make the process simpler is to support the measures in the Deregulation Bill that is going through the House. We are taking a whole series of measures, but if she has specific examples of bureaucracy getting in the way, I would be very keen to look at them.

Oral Answers to Questions

Debate between Debbie Abrahams and Matt Hancock

Monday 6th January 2014 Commons Chamber

[Debbie Abrahams (Oldham East and Saddleworth) (Lab)]

6. What plans he has for future funding for students in the further education sector; and if he will make a statement.

[The Minister for Skills and Enterprise (Matthew Hancock)]

We announced the 16-to-19 funding policy changes for the academic year 2014-15 last month, and we will confirm the allocation of funding for individual institutions by the end of March.

[Debbie Abrahams]

Oldham sixth-form college and Oldham college were notified, without any consultation, that their funding would be cut by 17.5%. That has a devastating impact on young people in our area and it is anticipated that 700 young people in Oldham will be affected. Long-term youth unemployment in Oldham has more than doubled since November 2010, and we know that the national figure is 1 million people. Given the Prime Minister’s pledge that our young people should “earn or learn”, is this move not another example of this Government’s hypocrisy?

[Matthew Hancock]

Not only are unemployment and youth unemployment falling—thankfully—from the very high levels we inherited from the Labour party, but we have had to make savings in the 16-to-19 budget. We think it is fair to make this change affecting those who have already had two years of post-16 learning; many 18-year-olds in full-time education do not study as many hours as 16 or 17-year-olds. I also say to the hon. Lady that her Front-Bench colleague, the hon. Member for Manchester Central (Lucy Powell), said on television earlier that she wanted the deficit to fall faster. I am not sure that she got the memo from the shadow Chancellor, but Labour has opposed every single cut, no matter how difficult.

Oral Answers to Questions

Debate between Debbie Abrahams and Matt Hancock

Thursday 5th December 2013 Commons Chamber

[Debbie Abrahams (Oldham East and Saddleworth) (Lab)]

T7. The Government have consistently been on the back foot when it comes to addressing the issue of late payments to small businesses. In the review of that, how will they address the central issue that late payment is a cultural and leadership issue, and needs to be seen as unethical as tax evasion?

[Matthew Hancock]

Late payment is indeed a cultural and leadership issue. I held a meeting in the Department last week with all those concerned. As the hon. Lady well knows, we will be publishing a consultation paper very shortly. I commend her for her continued action and pressing on this issue.

Small Businesses

Debate between Debbie Abrahams and Matt Hancock

Thursday 28th November 2013 Commons Chamber

[Matthew Hancock]

The Department is of course doing what it can to mitigate the impact of that decision. The hon. Gentleman is quite right, as is my hon. Friend the Member for Carlisle (John Stevenson), who spoke passionately about the impact of small businesses, which are embedded in their local communities through jobs and their contributions to local and national life, as well as the role of local authorities in planning, property and procurement.

There have been some fantastic contributions to the debate. My hon. Friend the Member for Brentford and Isleworth (Mary Macleod), as well as recounting the various questions that she has asked at Prime Minister’s questions in the recent past, spoke about drilling enterprise through our education system, which I strongly support. My hon. Friend the Member for North Swindon (Justin Tomlinson) also made that argument. Every time I speak to him, he seems to have another idea about how we can get more content about enterprise into the education system.

Many Members raised the issue of red tape, not least my hon. Friend the Member for Reading West (Alok Sharma), who spoke about the impact of EU red tape. Members across this House must recognise that problem. It is wrongly dismissed by some, but it is an important issue that we need to address. We are doing so through the Prime Minister’s challenge to the EU. The taskforce of six business leaders who are looking at reforming EU regulations is putting the voice of business at the heart of the debate. It has made 30 recommendations on how to remove or improve the most burdensome EU rules. We are working with business to encourage the EU to take up those recommendations over the next year.

My hon. Friends the Members for Rugby (Mark Pawsey) and for Daventry (Chris Heaton-Harris) raised the issue of regulations on employers, especially with regard to micro-businesses. We have made progress by ensuring that employees cannot go to a tribunal until they have been employed for two years and by introducing fees for tribunals. We need to keep this area under constant review because, fundamentally, what we must do is make it easier to employ people and create jobs. That is what growing small businesses is all about.

It is a great pleasure to see you take the Chair, Madam Deputy Speaker. This is the first time that I have been in a debate that you have chaired.

My hon. Friend the Member for Norwich North (Chloe Smith) was here earlier, but apologised that she had an engagement with some small businesses. I pay tribute to the work that she did to open up procurement to small businesses. However, as my hon. Friend the Member for Daventry said, what we are doing in that area is not complete. There is much more to do to improve the formal rules and to ensure that they are seen, exercised and stuck to not only across central Government, but throughout the public sector, including in local authorities. The Department for Business, Innovation and Skills has just reached the target of sending 25% of its invoices to small businesses. That target applies to the whole of central Government and all other Departments are working towards it.

Many hon. Members raised the issues of access to finance and late payment, not least the hon. Member for Oldham East and Saddleworth (Debbie Abrahams). The Government pay more than 85% of undisputed invoices within five days. That is a big change and an impressive feat.

[Debbie Abrahams]

Will the Minister confirm whether that includes suppliers in all tiers? I think that he is referring just to tier 1 suppliers.

[Matthew Hancock]

I was coming on to exactly that point. That figure refers to tier 1 and there is much more to do to drill prompt payments through the supply chain. We must spread that culture across the private sector as well. I will reflect on the hon. Lady’s point that we should make late payment just as culturally negative as tax avoidance and evasion. We will be launching a consultation on late payment shortly.

The right hon. Member for Hazel Grove (Sir Andrew Stunell) raised the issue of the banking appeals system. I do not want to pre-empt what my right hon. Friend the Chancellor will say in the autumn statement in a week’s time, so I recommend that the right hon. Gentleman attends the House on that day.

Opposition Members raised various issues and spoke from different perspectives. The important issue of GRG and the treatment of small companies that have got into difficulties with the banks was raised. The Financial Conduct Authority is looking into the report that was published this week and RBS has appointed Clifford Chance to go through the cases that were raised in detail.

The hon. Member for Glasgow North East (Mr Bain), in typically ebullient fashion, called for firm action and better communication of what we are doing. I certainly agree with him about firm action. That is what I hope to achieve.

On better communication, we have launched the Business is Great campaign, which Members may see on billboards and social media across the country, and the Great Business website brings together in one place the different things the Government and private sector are doing to support small businesses. It is a single portal—greatbusiness.gov.uk—and worth exploring.

The hon. Member for Ogmore (Huw Irranca-Davies) mentioned access to finance, and particularly green measures. Although the Government have reduced the subsidy from energy bill payers and taxpayers to sponsor solar, by ensuring that the scheme was proportionate but still affordable, more than 1 million people are now living with solar panels on their roofs. The hon. Member for Rochdale (Simon Danczuk) spoke passionately about starting his own business with his wife. I hope he gets the chance to have a word with the Leader of the Opposition, who says he wants to ban Members from engaging in any outside employment, including a small business. I strongly hope that the idea that someone can run a small business and be an MP at the same time will continue because of the wealth of insight it brings to people in this place.

There were good speeches from Opposition Members, and it was a pity there were so few of them, given that support from the Government Benches was very powerful. The hon. Member for Colchester (Sir Bob Russell) and my hon. Friend the Member for Rossendale and Darwen (Jake Berry) raised the important issue of business rates. I am glad that one of the first things this Government did was stop the extension of business rates proposed by the previous Government because that would have been a great mistake. In fact, we have extended business rate relief every year, but I have no doubt that had the previous Government remained in office, they would have put up and extended business rates because that is what they were planning.

Apprenticeships

Debate between Debbie Abrahams and Matt Hancock

Thursday 14th March 2013 Commons Chamber

[Matthew Hancock]

With a background in small business, I understand entirely. These plans will make it easier for small businesses to access apprenticeships.

[Debbie Abrahams (Oldham East and Saddleworth) (Lab)]

In my constituency and across Oldham, 8.6% of young people are not in education, employment or training, and we have a lower than average number of 16-to-18 year olds in apprenticeships. As I understand it, the Minister is saying that there will be no response until autumn on the recommendations for engaging with employers. Can we therefore assume that, four years into this Parliament, the Government will have done little or nothing on apprenticeships?

[Matthew Hancock]

No, I said that actions are already being taken forward and I have announced some direct actions today. We are introducing traineeships in the autumn, which aim to ensure that young people have the skills they need to get a job and to hold down a job. That is part of our response too.