Health and Care Bill

Debate between Derek Thomas and Edward Argar

Report stage
Tuesday 23rd November 2021 Commons Chamber

[Derek Thomas (St Ives) (Con)]

I rise to speak on amendment 10 on workforce planning, in the name of my right hon. Friend the Member for South West Surrey (Jeremy Hunt). However, surely the Government’s urgent priority is to look at effective ways to attract back into the NHS all those consultants, nurses and social care workers who have left, and to find any way they can to bring back that experience and expertise.

With your permission, Mr Deputy Speaker, I would like to talk about some lived experience. Just last Friday, I came across a lady who had fallen over and clearly injured herself. I phoned 999, knowing full well that I would be entering a system under severe stress and pressure. I confess that, as it happened. I put the phone down, because the priority for me was to ensure that she was safe, warm and comfortable.

The ambulance service called me back and told me it would be a wait of several hours. I knew that that was caused by the pressure on the ambulance service and on A&E and the subsequent pressure on beds, hindering the effective and timely treatment of people who go to hospital. The pressure on admission to A&E also affects surgery. All that pressure goes down to one place in Cornwall, and Cornwall will not be unique: delayed transfers of care.

We have been in this place before: in 2016, a system-wide review of the situation in Cornwall found far too many people who would be better off in the community, being looked after in homes or care homes, but were stuck in hospital. In Cornwall today I understand the figure is more than 100 people in that exact situation. The pressure on the whole system is largely to do with those delayed transfers of care. While much has been said about the workforce planning for the NHS, I will quickly touch on workforce planning for the care workforce.

The emphasis on workforce planning should transform the current state of the care workforce, leading to better support, better training, better pay and better status. I am hopeful that the White Paper will address that, as it is the only way to effectively ease the pressure on acute NHS settings. There is an urgent need to understand and address the pressure on care staff, GP practices and community care across the board.

Maybe I should have said this at the beginning, but I chair the all-party parliamentary group on diabetes. Several years ago, we found that, in the whole of the south-west, training for podiatry was coming to an end because of a lack of funding and the way it was delivered across the region. That had an immediate impact on community care and how people could be cared for and enabled to live with and manage their condition, which ultimately puts more pressure on urgent care.

As we look at workforce planning and how to understand exactly what is needed, I particularly thank the NHS staff who have worked so hard, especially those I met at the beginning of the year, who, as they delivered the vaccine roll-out, told me they were doing it for the national effort. Workforce planning and the commitment to ensuring that we have the workforce where they are needed, with the skills they need, is the best way to reward our NHS workforce.

[Edward Argar]

This is a little more generous than the six minutes I feared I might have to work with, Mr Deputy Speaker.

If I may, I will address each set or theme of amendments in turn. First, I am grateful to my hon. Friend the Member for North West Durham (Mr Holden) for the work he has done. He rightly highlights that in a sense he is but the voice of the campaigners who have worked so hard on this issue over a very long period. I am pleased that today, while it is not his exact amendment, we have been able to work together to table an amendment that I hope will command cross-party support across the House to deliver on what he has campaigned so effectively for.

I have known my hon. Friend a very long time, so I should not have been surprised by the persistence with which he beat a path to my door to seek to secure agreement on exactly this policy issue.

Health Infrastructure Plan

Debate between Derek Thomas and Edward Argar

Monday 30th September 2019 Commons Chamber

[Edward Argar]

I am grateful to the hon. Gentleman for that question and for the tone in which he asks it; it is an extremely important point and he makes it well. The investment in CT scanners and X-ray machines is an important start. It means that none of them will be over 10 years old, which is hugely important. He is absolutely right to talk about treatment, the workforce and the many parts of the system that provide effective cancer care. Although it is a specialist hospital, I recently visited the Royal Marsden Hospital in London to see the amazing research and work being done there. He is absolutely right that we must continue to promote that specialism and expertise right across the country to ensure that everyone gets the diagnosis, treatment and cancer care that they deserve. I would be happy to meet him subsequently to discuss the manifesto he highlighted.

[Derek Thomas (St Ives) (Con)]

I welcome this fantastic announcement. Our fantastic NHS staff are expected to deliver modern NHS services in buildings that were designed for a completely different era. Therefore, when considering the proposals that will come forward from Cornwall, will he pay particular attention to those that involve modern technology, so that people do not have to travel to the centre to receive diagnosis and treatment?

[Edward Argar]

My hon. Friend makes a good point. Local NHS trusts will be developing their plans and proposals on how they wish to see services modernised, but he is absolutely right and I am sure that they will have heard him, just as I have.

UK Fishing Industry

Debate between Derek Thomas and Edward Argar

Thursday 7th December 2017 Commons Chamber

[Derek Thomas (St Ives) (Con)]

It is a pleasure to follow the hon. Member for Great Grimsby (Melanie Onn). I am delighted that we were able to secure this debate through my hon. Friend the Member for South East Cornwall (Mrs Murray).

Fishing is perhaps the oldest industry in all the south-west and it is deeply ingrained in the culture and heritage of my west Cornwall and Isles of Scilly constituency. Fishing and its supporting industries provide high-quality, skilled jobs that offer year-round employment—a vital factor in a part of the country where seasonal work often dominates.

EU fisheries policies have often seemed to ride rough-shod over the interests of the UK fishing fleet. That is perhaps why fishermen were one of the most vocally pro-Brexit groups in the country. I am sure that colleagues will agree, therefore, that leaving the EU presents a real opportunity for the Government to right some historical wrongs and build a sustainable and prosperous future for the UK fishing industry. I think that we can also agree that, as has been said, this will not be without its challenges. However, until we leave the EU, we are still bound by EU regulations, and I am glad to be able to speak in this debate today ahead of the annual EU Fisheries Council meeting in Brussels.

I have spoken to the Cornish Fish Producers Organisation, which is based in my constituency, has a membership of over 250 boats and is one of the largest fishermen’s organisations in the UK, and to other local fishermen about their key concerns for the future of fishing. Their message is clear. Fishermen want the UK fishing industry to regain control of access to UK waters out to the 200-mile limit. They want to be able to make use of funding opportunities and to a have a regulatory regime determined by the UK Government, not the EU, that permits UK vessels to secure a greater share of total allowable catch.

With regard to the Commission’s proposals on Celtic sea cod, haddock and whiting, I have heard serious concerns expressed about their effect on all parts of the fleet in the south-west. The proposals show a lack of understanding of the dynamics of the ultra-mixed fisheries in this area—something that I know the Minister appreciates. I ask that he makes a case for mixed-fisheries-model analysis of these stocks to ensure that the Commission’s approach is science-led.

I would also like to highlight, as have others, concerns about the European Commission’s proposals on bass fishing for 2018, as clearly set out by my hon. Friend the Member for North Cornwall (Scott Mann). The Commission’s proposals are based on an inadequate understanding of the bass fisheries, which now comprise, almost exclusively, unavoidable by-catch. Under the proposals, every bass caught in a gillnet, a beam trawl or a trawl will be discarded dead. The key to good fisheries management is to control total fishing mortality, but this fundamental principle seems to have escaped the Commission.

[Edward Argar (Charnwood) (Con)]

I am grateful to my hon. Friend for giving way, not least because I represent, I think, the most land-locked constituency of any Member in the Chamber at this time. However, my constituents enjoy eating fish and care about the marine environment and fish stocks. Does he agree with me, consumers, and myriad campaigning organisations such as the World Wildlife Fund, On The Hook and Greenpeace about the importance of transparency in labelling so that when consumers buy what they believe is sustainably fished fish, they can be confident that it is?

[Derek Thomas]

My hon. Friend is absolutely right, and that has been quite successful, particularly in Newlyn. Newlyn bass is worth a premium in London simply because of clear and correct labelling.

The word ‘by-catch’ implies that it is unavoidable. The Commission is damaging fishermen’s integrity by implying that they are deliberately fishing their by-catch. At the same time, high domestic and continental demand make sea bass a valuable species, so chucking the already dead by-catch back seems senseless. I ask that more time be given to looking at the results of the measures introduced over recent years, which have led to a 70% reduction in landings from the commercial fleet. Steady rebuilding is the right way forward, but avoiding unnecessary discards must be a key part of the policy.

I mentioned earlier that I was grateful to have the Minister and Secretary of State on a visit to Newlyn harbour. The Minister was kind enough to have a Q and A session at the CFPO’s annual general meeting, and I make no apology for the thorough quizzing that CFPO members gave him on the future of their livelihood. I note that Councillor Adam Paynter, the leader of Cornwall Council, also accepted my invitation and visited Newlyn last month. I mention those visits, because the team at Newlyn Harbour have developed plans for much-needed investment, under which the harbour would offer a greater range of services and deliver the infrastructure needed to service a vibrant fishing fleet. Their aim is to support innovation, unlock potential within the local fishers and bring in necessary improvements to current infrastructure. That work is aimed at reinforcing Newlyn’s leading role in UK fisheries.

Newlyn is ideally located to serve export markets as well as premium UK markets such as London and elsewhere. It will be vital to secure public funding support for international hubs such as Newlyn as we navigate our way out of the EU. Such support will provide Newlyn with extra capacity for boats and enable it to offer better services, such as engineering and boat maintenance. Newlyn has the potential to expand its international enterprise.

The current funding systems do not adequately recognise the needs of the Cornish and wider fishing industries. Small fishing businesses in my constituency that do not have reliable cash flows struggle to capitalise on reimbursement-based grants. Businesses looking to undertake larger projects may look despairingly at their Scottish counterparts, who have long been able to use European regional development funding for ports and harbours, because Scotland negotiated a block exemption on state aid rules. Please, as we leave the EU and look to secure a sustainable fishing industry across the UK’s coastal towns, can we provide equal access to funds?