(6 years, 6 months ago)
Commons ChamberMy right hon. Friend is absolutely right. One thing that we have historically got wrong in the NHS is not having a long-term workforce plan. Whatever Members’ views on the Brexit debate, it was always a false economy to say that we could get away with not training enough people because we could import them from other EU countries. The truth is that we are not the only country with an ageing population: France, Spain and Portugal need their doctors and nurses as well, as indeed, as he rightly says, do poorer countries.
For the sake of the record, is the Minister aware that, when John Major’s Government fell and Labour came into office, £33 billion was being spent on the national health service? By the time the Labour Government left office, they had trebled the amount of money in real terms to an average of 5.9%. People like me are proud of that achievement. The reason why the people will not listen to him and his 10-year plan is that he is the same man who, only two years ago, was calling on the junior hospital doctors to work seven days a week. He caused chaos in the national health service and he is not fit to run it.
Okay, may I decisively say to the hon. Gentleman, if he was so proud of what the last Labour Government did, why did he say nothing when, at the last election, his party was only offering a 2.2% increase? If he thinks it is important to be generous, he should be welcoming what we are saying today.
(7 years ago)
Commons ChamberIs the Secretary of State aware that in the course of this hour there have been more questions about hospital closures than about almost anything else, covering East Yorkshire, Berwick on his own side, Warwickshire on our side, and High Peak in Derbyshire, including Bolsover and Bakewell Hospitals? There is a growing suspicion that what this Secretary of State is up to is leaving those hospitals and losing all the beds in them forever so that the private sector can move in and take the lot. That is what is going to happen.
I thank the hon. Gentleman for his Christmas cheer. Let me just say to him that if that were the Government’s intention, we would not have found an extra £2.8 billion for the NHS in the Budget, including £1.95 million for Chesterfield Hospital, which will benefit his own constituents.
(7 years, 5 months ago)
Commons ChamberUrgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.
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How many more times is the Secretary of State going to come to this House, as he has done on countless occasions, when he personally is at the centre of a controversy? Even a cat has only nine lives.
(7 years, 11 months ago)
Commons ChamberMy right hon. Friend did a huge amount of good work on mental health when he was a colleague in the Department of Health. On perinatal mental health, we know that 20% of mothers suffer some form of pre or post-natal depression, which has a huge impact on the child, with lifetime costs of around £10,000 for every birth in this country, caused by lack of proper mental health provision. The plan announced today means that we will be able to treat an extra 30,000 women better—we think that is the number who need to be treated. He makes an important point about transparency. I would put it like this: funding matters, and we have some of the best mental health provision in the world, but it is not consistent. The only way that we can make it consistent is by shining a light on the relative performance of different parts of the country, so that we can bring all areas up to the standard of the best.
The Minister says that there are 9 million more patient visits now than there were in 2000. Is he aware that in that climate, shutting hospitals such as the Bolsover community hospital, led by the Hardwick clinical commissioning group, makes no sense at all? He turns a blind eye to it. Will he look at this question, because when those hospitals are shut, the beds are gone forever? Get stuck in.
I actually think that broadly the hon. Gentleman makes an important point. It is not just about decisions to downgrade or close A&E departments when there is no alternative provision; it is also about community hospitals, which are very important places for A&E departments and hospitals to step people down to. He is right to say that the NHS—[Interruption.] I am getting comments from a sedentary position. With the greatest respect, this process has been going on in the NHS for decades, and I do not think that we always got it right under both parties, but I think that he is right to say that when there are changes in provision in community hospitals, we need to ensure that we have good alternative plans.
(8 years ago)
Commons ChamberHe is a mine of information, isn’t he? He would like to contribute, really.
Does the Secretary of State not think that it is a scandal to be shutting Bolsover hospital, with 16 valuable beds that will go for ever, at a time when people are lined up on trolleys in nearly every hospital in Britain? Why does the Secretary of State not give Bolsover a Christmas present and announce that Bolsover hospital will be saved? Come on!
I add my congratulations to those of the Speaker on the hon. Gentleman’s long service, which has included campaigning for Bolsover hospital. I simply say to him that we will look very carefully at all proposals to change the services offered. I think community hospitals have an important role in the future of the NHS, but the services they provide will change as more people want to be treated at home.
(8 years, 1 month ago)
Commons ChamberUrgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.
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I absolutely agree with that. This House should be very proud of the fact that, according to the UN, when it comes to public health this is the fifth healthiest country on the planet—after Iceland, Andorra, Singapore and Sweden, if my memory serves me correctly. That is a record we want to continue.
A lot of figures have been bandied about today. For the record, when Labour inherited office in 1997 the amount spent on the NHS was £33 billion, whereas by the time we left office in 2010, 13 years later, the figure had gone up to £100 billion. It is an easy figure to calculate: three times more in real terms. We can contrast that with this Secretary of State for Health, who is coming here today fiddling figures and shutting Bolsover hospital.
I gently say to the hon. Gentleman that if he thinks his party was so right to increase funding during Labour’s time in office—and I think it was right—he should support the Conservative party when it is increasing NHS funding by three times more than his party is promising.
(8 years, 2 months ago)
Commons ChamberI thank my hon. Friend for standing up for her constituents—it is absolutely right that she should do so. She would agree that that has to be a local matter led by commissioners locally, but she can be reassured that we are always watching what is happening to ensure that people follow due process, and that the results of any changes proposed benefit patients as intended. I will therefore watch very carefully what is happening in Telford and in Shropshire more broadly.
About half a dozen times in the last hour, the Secretary of State has bragged about the extra money he is putting in to the national health service, so why is Bolsover hospital, like many others that have been referred to in the past half hour, due to close? Why are neighbouring hospitals in countless constituencies in Derbyshire closing? Why does he not use some of that money to save the Derbyshire hospitals?
The extra money we are putting in to the NHS is going to better cancer care, better mental health care and better GP provision—it is going to all the things that Members on both sides of the House know matter. It will also mean that we can support our hospitals better. With our ageing population, we will continue to have great demand for hospital care, but the best way to relieve pressure on those hospitals is to invest in better out-of-hospital care, which has not been done for many years.
(8 years, 3 months ago)
Commons ChamberMy hon. Friend is absolutely right on that. In May, the BMA leadership, with whom we were having a very open discussion, had satisfied themselves that on the concerns many junior doctors have about their working conditions, many of which I accept are wholly legitimate, we had done pretty much everything we could inside a contract and the work that needed to be done was on the extra-contractual things. I am talking about the way the training system works when people are being rotated to a different hospital every six months, the fact that some people were being sent to a different city from their partner and how bad that was for family life, and all sorts of other things that need to be sorted out. Ironically, since the introduction of the working time directive, things have got a lot worse for many people, although we do not want to go back to the excessive hours of before. Those were the things we were patiently working through, and the way that is done is through dialogue, not confrontation, which is why this action is such a step backwards.
Is it not a weakness of the Secretary of State’s argument that it is just conceivable that he is wrong about imposing a settlement on a seven-day week for the NHS? It takes two to cause a strike, which is why he should look at this proposal again. He is very airy-fairy about training these doctors for the future. He is not being clinically correct at all. He has heard from people who have recently worked there, so why does he not reassess this seven-day week, get around the table, stop imposing a settlement and come to a negotiated agreement?
With great respect to the hon. Gentleman, if I am wrong about this, so are the leaders of the BMA, because they said the contract that he says I should not impose was a good contract, safer for patients and for doctors, and good for the NHS, for equalities and for a range of things. The contract we are proceeding with is one that doctors’ leaders said was a good deal for junior doctors, so if we are going to resolve this, that is the contract we should proceed with.
(8 years, 5 months ago)
Commons ChamberI am happy to do that—I visited a GP practice with my hon. Friend in the run-up to the last election, and I know the close interest that he takes in this issue. As I said, we are making huge efforts to recruit more GPs during this Parliament, and to do that we must increase the number of medical school graduates to 3,250 a year. We are making progress in that direction, and we have also introduced tough new rules on the use of agencies, including maximum hourly rates for agency doctors and nurses.
Will the Secretary of State do something about the Hardwick commissioning group in north Derbyshire? I met it a week last Friday to talk about dementia care, which he knows is due to change a little, according to the local authorities and so on. Will he tell the group that the mad idea to close Bolsover hospital, and the hospital in Bakewell in Derbyshire Dales, should be stopped? Will he tell Hardwick commissioning group that it has gone beyond its terms of reference, and that those hospitals should remain open?
I recognise the important role that community hospitals play in many of our constituencies, and that role will change as we get better at looking after people at home, which is what people want. We can all be proud of significant progress on dementia in recent years. Dementia diagnosis rates have risen by about 50%—indeed, we think we have the highest diagnosis rates in the world. However, it is not just about diagnosis; it is about what happens when someone receives that diagnosis, and the priority of this Parliament will be to ensure that we wrap around people the care that they need when they receive that diagnosis.
(8 years, 7 months ago)
Commons ChamberMy right hon. Friend is right to draw attention to the difficult paradox that we face. Earlier this year, we came close to an agreement and, had there been a willingness to negotiate rather than what I fear was the BMA’s desire to settle for nothing less than a full Government climb-down, we could have had a deal. The outstanding issues were about pay for antisocial hours and particularly about Saturday hours pay. That is where the main difference lay. We proposed a sensible compromise on that but, as Sir David Dalton, the chief executive at Salford Royal, said, we had to decide quickly what we were going to do because the contracts are coming in this August and there is a process we have to go through. So that will be in the new contracts from this August, but we are very willing to talk to all parties, including the BMA, about the implementation of these contracts, about the contents of future contracts and about anything to ensure that this contract works, because we would much rather have a negotiated agreed solution and it is a great tragedy that we were not able to do that this time.
When the Secretary of State came into the Chamber today, I do not know whether he realised that there was a smirk and an arrogance about him that almost betrayed the fact that he is delighted to be taking part in this activity. He could start negotiations today, wipe that smirk off his face and get down to some serious negotiations. It has had to be done in the past, but instead he comes here to try and blame the Opposition for what is taking place. This strike can only be caused by two sides: the junior hospital doctors and the Government. He is almost giving the impression that he is revelling in standing up to the junior hospital doctors. Start negotiating now and sort the matter out!
The hon. Gentleman has made many memorable contributions in the House, but that was unworthy of his track record. Let me tell him exactly what the Government have been trying to do to solve the issue. We have been talking to the BMA for over three years. We have had three independent processes. We have had 75 meetings to try to resolve the issues. He may be interested to know that we made 74 concessions in those meetings. There has been a huge effort. It is about not just talking, but both sides compromising to reach a solution. The BMA’s junior doctors committee was not willing to have constructive discussions, which is why we face the tragic situation that we face now. When the hon. Gentleman says that it takes “two sides”, I hope he recognises that we need a counterparty with which we can have sensible negotiations. We have not had that this time.
(8 years, 8 months ago)
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It is totally incomprehensible, and I know that many doctors will be wrestling with their consciences. However, I think that, in the context of the House, this could be an occasion for us to put aside party differences. I think that there was a time when Members in all parts of the House would have condemned the withdrawal of life-saving care in a pay dispute, but that day has sadly passed, and it is the Conservatives who must now show leadership in this regard. As we heard from my right hon. and learned Friend the Member for Rushcliffe (Mr Clarke), the NHS faces huge challenges, but we will not tackle those challenges if we allow obstructive unions to hold a gun to the Government’s head and refuse to allow us to proceed with really important changes—modern contracts that will allow safer care for patients and better terms for doctors. We are determined to do the right thing for the NHS, and, indeed, to be the party of the NHS.
If the Secretary of State wanted to do a deal with anybody, does he not think it is a bit unwise to say to my hon. Friend the Member for Lewisham East (Heidi Alexander) that she planted a story in a newspaper? That is accusing her of reprehensible conduct. I think he ought to be looking at withdrawing that. I am an expert on this subject. Somebody said to me on the picket line, “Do you know what sums up this Government, Dennis? ‘When first they practise to deceive’”—I had better not finish it. [Interruption.] “Oh what a magic web they weave, when first they practise to deceive.” That is what they are.
Well, if planting a story in a newspaper is reprehensible, I do not think many Members of this House would survive the scrutiny of the hon. Gentleman’s very high code of moral conduct for long. Let me say this to him and to all Labour Members: we should be honest about the problems we face in the NHS, whatever those problems might be, and we should not sweep them under the carpet. One problem that we face—not the only one—is the excess mortality rates for people admitted at weekends. There was a time when Labour Members would have recognised that their own constituents were the people who depended most on services such as the NHS and who had the most to gain from a full seven-day NHS. Labour Members should be supporting us, not opposing us.
(8 years, 9 months ago)
Commons ChamberSomeone looking at our current system independently might say that some things are difficult to understand, including the point raised by my hon. Friend and the fact that we tend to give bigger awards to wealthier families because we sometimes take into account family incomes when we make them. We are considering that area, but we are cautious about reducing the legal rights of patients to secure a fair settlement when something has gone wrong. In the end, this is about doing the right thing for patients, and the most effective way of reducing large litigation bills—I know my hon. Friend will agree with this—is to stop harm happening in the first place, and that is what today is about.
If anybody should be learning from mistakes in the health service, it is the Secretary of State for Health. I have been down to the picket line today, as I have on every occasion, and I can tell him that it is hardening. There are more people on that picket line down at St Thomas’ today than I have seen in all the months since the strike began. I am a bit of an expert on picket lines; I know what it is like. Quite frankly, the biggest mistake that the Secretary of State has made is to think that he can get away with imposing a seven-day week on hospital doctors and everybody else who works in the health service, because he wants to avoid proper premium payments. When I worked in the coal mines, miners got double pay on Sundays, and they got time and a half all day Saturday. It is time he recognised that not just hospital doctors but nurses, radiologists and all the others who will have to work a seven-day week should be paid the proper money. Otherwise, pack the job in, and then he’ll be doing a service to the whole national health service.
Under our proposals, doctors will receive higher premium rates than lower paid nurses, paramedics and healthcare assistants. I thought the hon. Gentleman campaigned for the lower paid! The day that I stop this job will be the day that I stop doing the right thing for patients. He has constituents who need a seven-day NHS, as do I, and this Government will be there for them and will do the right thing.
(9 years, 5 months ago)
Commons ChamberAbsolutely. May I say how pleased I am to welcome my hon. Friend’s experience to the Conservative Benches? It makes a big difference. She is absolutely right. NHS England will be saying more about how we intend to deal with the problem of late diagnosis of cancer, which is critical if we are to improve our cancer survival rates. One point that links to the announcements I have made today is better collaboration between senior cancer consultants and GPs. If GPs are to be able to spot cancers earlier, they will need to link into the learning they can receive through closer contact with consultants and hospitals. That is something we need to think about.
As someone who has spent quite a bit of time going to hospitals over the past 16 years, I have learned a little about it. I suspect that some people, like the doctors who the Secretary of State wants to collaborate with, just might have reflected on why this Tory Government are more concerned with getting in agency nurses and doctors than giving nurses a decent pay increase. Has it not crossed his mind that by telling nurses they are worth only 1% more, he will finish up with more agency nurses? The truth is that doctors see this happening every day. The main reason is that the Government have tried to reform and privatise the NHS for the past five years. The doctors and the nurses do not trust him—it is time he got out.
Let me tell the hon. Gentleman what the doctors and nurses working in our NHS hospitals see. They see 8,000 more hospital nurses on full-time contracts than when his party was in power, because we are doing something about the scandal of short-staffed wards that was left behind by his Government.
(10 years, 2 months ago)
Commons ChamberUrgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.
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My right hon. Friend is absolutely right. We know that perinatal mental health problems have a big impact on the child as well as on the mother. This report says that we must stop looking at conditions such as mental health as separate to physical health conditions. We need to look at people’s whole condition in the round. If we start to do that, we will make the NHS sustainable by making the kind of investments that will bring down the overall cost of treatments. Putting mental health centre-stage in that approach will be an important part of our strategy.
The NHS has been a political football ever since the 1947 Government decided to take it under public control. The Tories fought against it then, and they have fought against it ever since. The important thing to remember is that this report does not commend the Government for carrying out their reconstruction of the health service, which has cost billions. What we did when we were in power for 13 years was increase the amount of money for the health service from £33 billion to £100 billion—a threefold increase in real terms. Had we continued with that approach over the past five years, people would not be dying of cancer because they had not been tested early enough. The Tories talk about all-party agreement, but it is high time that they understood that since 1947 the Secretary of State and his posh people on millionaires’ row have opposed the very essence of the health service, which is why it will be the biggest political issue at the next election. It will also help us to win and get this lousy mob out.
I think that is the kind of rhetoric that does the whole country a massive disservice. If the Government had the kind of views about the NHS that the hon. Gentleman talks about, we would not have protected its budget during the most difficult recession we have had since the second world war. We actually increased the NHS budget over that period, because we believe in the NHS. With regard to what he says about the report, the chief executive of NHS England, a former Labour special adviser, said this, and it is a fact: “Over the past five years, despite growing pressure, the NHS has been remarkably successful.” That is what Labour people are saying.
(10 years, 6 months ago)
Commons ChamberIn the last hour I have heard the Secretary of State and his Ministers complain about the problems with A and Es; I have heard them talk about the problems with GPs; now we hear that they have lost control of care of the elderly. Instead of continuing to blame the last Labour Government of four years ago, why does the right hon. Gentleman not admit that the NHS is not safe in his hands? Let us have an election and get a Labour Government.
Because we are making the NHS safe. We are taking action to deal with the issues that the hon. Gentleman’s Government swept under the carpet. The NHS is getting safer and more compassionate. It is delivering more care to more people than ever happened under the Labour Government. We are proud of our record on the NHS, and we will not make the NHS better by pretending that problems do not exist when they do.
(11 years, 1 month ago)
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This Government have been in power for three and a half years. They could have chosen to remedy some of the continuing problems in the health service, but what did they do? They decided to reorganise it from top to bottom. Is there any wonder there is a crisis this winter? Instead of closing A and Es and walk-in centres, why does the Secretary of State not walk away? It would give him more time to count his money.
Let me tell the hon. Gentleman that thanks to the reorganisation that he is so bitterly against, we have 5,500 more doctors on the front line and 8,000 fewer managers. We would not be managing to hit our A and E target today if we had not taken the difficult decisions that the Leader of the House took when he was doing my job.
(11 years, 8 months ago)
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No one will be refused treatment in a life or death situation. It is important that we state that up front. However, we also want to remove any expectation that people who are not entitled to NHS care are able to come to the UK and get it, and to ask whether we should be giving free NHS care to people such as foreign students who come to the UK and get it. If they went to Australia or America—our two main competitor countries—they would have to take out health insurance or pay a levy to access the local health care system. If those countries do that, I think we should do the same.
Is the Health Secretary aware that when I was in a London hospital some years ago I counted more than 40 staff from different nations? I am proud of my United Nations heart bypass. The message from this Government and many others, including the UK Independence party, is that those of a similar colour, of different colours and of different nationalities can change the bed sheets and operate, but woe betide them if they want to put their head on a pillow when they are ill. What hypocrisy.
The hon. Gentleman should do a lot better than that. He should think of his elderly constituents—people with multiple long-term conditions—who are having to wait much longer than they need to because A and Es not just in London, but in many parts of the country, are clogged up with people who may not be entitled to free NHS care because we have a system that culturally and operationally is not able to track these measures. It is in their interests that we must ensure that the NHS is available to people who are entitled to free care. When people are not entitled to free care, the point is not that the NHS is not available to them, but that they should pay for it.
(12 years, 1 month ago)
Commons ChamberThere are parts of the country where acupuncture is available on the NHS. This will be clinically led. It needs to be driven by the science, but where there is evidence, and where local doctors think that it would be the best clinical outcome for their patients, that is what they are able to do.
As a customer of the national health service, I was lucky enough to have cancer treatment and a heart bypass in those days—halcyon days, almost, by comparison—when 80,000 nurses and 20,000 doctors were recruited, and the money increased from £33 billion to well over £100 billion. Does the Secretary of State know that the optimistic outlook that existed in those days has now been replaced by a climate of fear? That is what I find at the sharp end in hospitals when I go to see the same people I met at the end of the last century. What I say to you is that the figures might sound grand and all the rest of it, but when you start sacking 60,000 people in the national health service, set against a background of elderly people living longer—people like me who need the treatment—the net result will be a catastrophe and not those halcyon days of yesteryear.
Let me say to the hon. Gentleman that we have 17,000 fewer managers than when his party was in power. We also have 3,500 more doctors and there are more clinical staff in the NHS today than when his party left office, so I think the record speaks for itself. There is not a climate of fear—I reject that. There is an understanding that the NHS is under a lot of pressure, with an ageing population and more people using and needing its services every year. That is why today’s package is so important to support the NHS in delivering what the public need.
(12 years, 7 months ago)
Commons ChamberThe Culture Secretary’s adviser has now lost his job. Does that not prove the theory that when posh boys are in trouble, they sack the servants? Why doesn’t the Secretary of State do the decent thing: tell dodgy Dave and Gideon, and get out and resign?
Adam Smith’s resignation is a matter of huge regret to me. I believe him to be a person of integrity and decency, but my responsibility to this House is to the integrity of this process—the objectivity and impartiality with which this process was conducted—and I believe I have presented evidence to the House that demonstrates that I behaved in a judiciously impartial way throughout.
Is it not convenient that this absent Prime Minister has been able to dodge the real questions—what did he know about criminal activities from Murdoch, when did he know it, and is it not time, based upon the British public’s reaction, that we sent this non-tax-paying Murdoch back whence he came and, for the final humiliation, got the Secretary of State for Energy and Climate Change to drive him to the airport? [Laughter.]
We are happy to hear all views, whether they agree or disagree with the proposals. There is an e-mail address on my departmental website to enable anyone to contribute. I encourage members of the public—whatever their views—to take part in the consultation, and indeed I encourage all hon. Members to do so.
Whatever spin is put on this business today, there is no doubt that this is a disastrous day for democracy. The Murdoch empire—a political organisation—has now decided to gobble up this Government like it has gobbled up Governments before, which means that elected Members of Parliament have to play second fiddle to it. Is it not remarkable that Murdoch also operates the hereditary principle, and hands down power like a middle eastern despot from father to son?
In which case Mr Murdoch would not agree with my view on reform of the House of Lords. If the hon. Gentleman cares about freedom and democracy and looks at the details of the deal, he will find that if it proceeds—if I accept it after 15 or 17 days’ consultation—it will make Sky News more independent than it is at the moment. That strengthens media plurality, which should reassure the many people who are understandably concerned to ensure that no one person has too much control. If James Murdoch wanted more control over news media in this country, he would not have proceeded with this deal. It is in order to buy the shares in the rest of Sky that he must cede significant control in Sky News.
(14 years, 1 month ago)
Commons ChamberThe broadband pilots that we have announced are not technology-specific. If the right hon. Gentleman had asked me what I thought the likely solution would be, I should have said that there was likely to be a mix of fibre, wi-fi and mobile technologies that deliver universal connection. However, we want to wait for the pilots to establish the most cost-effective way of achieving that.
When will this super-duper roll-out reach the 25 ex-pit villages in Bolsover? People keep asking me when that will happen. The Secretary of State has painted a wonderful picture, but will it be this year, next year, some time or never?
I have good news for the hon. Gentleman to take back to the villages of Bolsover. Our commitment is that we will achieve that during the present Parliament. We will have the best superfast broadband network in Europe. The difference between the Government and the Opposition is that under us there will be no phone tax, no increase in the licence fee, and nearly £1 billion of investment. Who says that you cannot do more for less?