Future of the National Health Service

Debate between Edward Argar and Chris Green

Wednesday 22nd September 2021 Westminster Hall

[Edward Argar]

The hon. Lady has rightly highlighted the benefits of technology, while my hon. Friend the Member for Bolton West (Chris Green) highlighted the need for us to continue to move with the times and seize those initiatives. I fear that my noble friend Lord Bethell will not be visiting, as he left the Government at the end of last week. However, I have received a very kind invitation from the hon. Member for Central Ayrshire (Dr Whitford) to come and see how the NHS in Scotland is innovating and driving change. I look forward to taking her up on that invitation as soon as I can.

[Chris Green]

Just as medical devices and drugs innovate change over time, does the Minister agree that the place where the NHS operates and works must also change? Whether those are local surgeries or hospitals, they have to move with the times. In that context, would he also turn his mind to any needs that Bolton Royal Hospital may have in terms of new hospital infrastructure?

[Edward Argar]

My hon. Friend makes a fair point about the need for us to create the conditions—the physical spaces with the technology—in which the workforce, which is the heart of our NHS, can work. He makes a subtle—or not so subtle—plea for his own local hospital. He will not be surprised that I will not comment on the detail of that.

To finish my response to the hon. Member for Strangford, the Command Paper recognises the challenges posed by the current arrangements in the Northern Ireland protocol around the supply of medicines and other goods, for example. The approach that the hon. Member set out, of removing medicines and medical devices from the orbit of the protocol, is reasonable. I hope that discussions between the European Commission and Lord Frost are productive, and that a consensus can be reached on the way forward.

I have to take issue slightly with the hon. Members who raised the role of Sam Jones, one of the Prime Minister’s advisers. They focused on one particular aspect—that for a brief period she worked for an independent provider. What they did not do, which is extremely unfair to a dedicated public servant, is highlight that she worked for NHS England, running new care models; that she has been an NHS paediatric and general nurse; that she was the chief executive of Epsom and St Helier University Hospitals NHS Trust; that she was the chief executive of West Hertfordshire Hospitals NHS Trust; and that she was the Health Service Journal chief executive of the year for 2014 and was highly commended for her work in driving forward patient safety. I gently say that it ill behoves Members of the House to attack public servants, who cannot answer for themselves in this Chamber, with partial references to their careers rather than recognising that they have contributed a huge amount in the past.

The hon. Member for York Central was absolutely right to highlight health inequalities as one of the greatest challenges—not the only challenge—that we face as a society and as a health system. The measures on integration and change in the Bill will help us tackle those health inequalities. I suspect that on Report and Third Reading she may test and challenge me on those assertions and assumptions, but she is absolutely right to highlight the centrality of health inequalities.

The hon. Member for Liverpool, Wavertree (Paula Barker) spoke about residential care and the link to social care. While I am not the social care Minister, everything that I do in my role as Health Minister must have an eye to social care. I was a cabinet member for adult social care in the dim and distant past, when I had rather more hair, and I also sat on the primary care trust, as it then was, at that time. I recognise the need for those two parts of the system to work together to achieve the best outcomes for our constituents. She makes a valid and important point.

I found what the hon. Member for Wirral West (Margaret Greenwood) said about the US experience of great interest and instructive, but it is utterly divorced from what the Bill and the Government are doing in respect of our NHS. It was an interesting reflection on what is going on in America, but it certainly does not bear any resemblance to what is happening or will happen in this country.

Covid-19

Debate between Edward Argar and Chris Green

Monday 22nd February 2021 Commons Chamber

[Edward Argar]

My right hon. Friend makes an important point. Often in this Chamber we look at the impact in terms of hospitalisations, infection rates and deaths from covid, but—absolutely rightly—we also look at the impacts more broadly, and she highlights that it is not just deaths or illnesses directly attributable to covid that have an impact on people’s lives, health and wellbeing. However, I come back to the point that the programme and the dates we have set out are reasonable, pragmatic and supported by what we believe reflects the roll-out of the vaccine to the different groups, and they give the public a degree of predictability that has not been there before. I share what I surmise is her view: I would not wish these restrictions to stay in place a day longer than absolutely necessary—I hope I do not misattribute a view to her there. What the Prime Minister set out earlier today achieves that, and does it in a very measured and sensible way that reduces significantly any risk of our seeing things slide backwards.

I am conscious of time. As the Prime Minister has set out before the House, all schools and colleges will return to face-to-face education on 8 March—

[Chris Green (Bolton West) (Con)]

Will my hon. Friend give way?

[Edward Argar]

Very briefly, but this is the last intervention I will take from colleagues, I am afraid.

[Chris Green]

I thank my hon. Friend for giving way. Will he confirm one way or the other whether secondary school children will be compelled to wear masks in the classroom while they are trying to learn?

[Edward Argar]

I am grateful to my hon. Friend, who highlights a point that, along with others, will be concerning parents and pupils. As we set out the plan for unlocking and reopening our schools, which my right hon Friend the Education Secretary will add more detail to, we will look at how we can create an environment that is not only safe but that allows children and young people to learn, socialise and enjoy the benefits of not just education but being back in school. I know that my right hon. Friend will have listened carefully to my hon. Friend’s point.

As I have just alluded to, we know how important being in school is for children—not only for their education but, as I said, for their social development and mental health. That is why it is a crucial first step, and getting children back into classrooms has unquestionably been the Government’s chief priority.

Within that first step, we also want to begin to meet that other great desire—for families to see those they love. From 8 March, every care home resident will be able to nominate a named visitor, who will be able to visit. From 29 March, up to six people, or two households, will be able to meet outdoors. At that point, outdoor sports will also be permitted, as long as they are in groups of up to six.

In respect of households meeting outdoors, I—I dare say along with many others in this House—look forward to that very much. Aside from a family funeral, 2019 was the last time I saw my parents in person, and I suspect that that goes for many people in this Chamber and, indeed, up and down the country. So we do understand just how important this issue is, and I believe that these first steps recognise that vital desire for human contact and for seeing friends and family. Our ambition is to maintain a healthy lifestyle, while also reflecting our continuing need to save lives, but until 29 March, our message continues to be, “Stay at home and stay local.”

As the Prime Minister set out, the road map sets out a broader package of measures for step two, which will be no earlier than 12 April. The rule of six, or two households, will continue to apply outdoors. Non-essential retail and personal care will be permitted to reopen, and domestic overnight stays in England will be allowed for individual households and bubbles in self-contained accommodation. The majority of outdoor settings will reopen, and hospitality, such as pubs and restaurants, will be allowed to resume table service to customers outdoors. At this point, we will also take a decision on whether we can extend the number of visitors to residents in care homes and set out a plan for the next phase of visits.

Step three, no earlier than 17 May, will take us closer to that normal life we yearn for, with the majority of legal restrictions on meeting others outdoors removed, although gatherings will be capped at 30 people. Six people or two households will be able to meet indoors, and indoor hospitality, entertainment and sports will be allowed. Finally, step four, no earlier than 21 June, will see us take key steps to larger scale events.

The Prime Minister set out in more detail the reviews that would underpin the steps and the support being put in place at this time and the support being continued for those who are affected. Conscious of time, I will not recount everything that my right hon. Friend said at this Dispatch Box just a short hour or two ago.

As we look to brighter days ahead, there are still difficult days immediately in front of us. My right hon. Friend the Chancellor of the Exchequer will be setting out how we will continue to support businesses and individuals through this difficult time and how we can build back better in his Budget statement on 3 March. We will do all we can to ensure that British people remain safe: working to keep uptake of the vaccine high, continuing to ramp up testing, including normalising workplace testing as people return to their workplace in increasing numbers, and ensuring that we take proportionate steps at our borders to protect against new variants from abroad and, indeed, to protect the progress we have made as a country.

It is right, even as we move forward, that we tread carefully through the weeks ahead. I understand and can entirely appreciate the points made by hon. and right hon. Friends from their understandable desire to move faster where we can. The Prime Minister understands that, too. I know him well, and no one more than he will want to see restrictions in place a single day longer than is necessary, but we have learned that this virus can move in unpredictable ways.

We owe it to the NHS and social care staff on the frontline, to everyone involved in our incredible vaccine roll-out and, of course, to everyone in this country who has made such tremendous sacrifices over the past year to hold on to and build on the progress we have made. I believe we can do it by once more working together as a country, unified by a shared determination to see this disease beaten and to see our country return to normal. It has been a long and challenging path we have taken together, but as I stand here today, I do so with confidence in this road map—that route back to the future we all wish to see.

Health Infrastructure Plan

Debate between Edward Argar and Chris Green

Monday 30th September 2019 Commons Chamber

[Edward Argar]

I am grateful to the hon. Gentleman for that note of deep positivity, which has not necessarily been universally heard from Opposition Members. Again, I would be happy to meet him.

[Chris Green (Bolton West) (Con)]

As we all recognise, the NHS is coming under increasing pressure to meet people’s health needs. Does my hon. Friend agree that the new Bolton College of Medical Sciences will play a key part in delivering the next generation of health professionals to meet those needs?

[Edward Argar]

My hon. Friend is absolutely right to highlight the huge contribution that that new medical school will make to delivering a highly trained, highly motivated local workforce. There is strong evidence that when people graduate from medical school their first post tends to be in the near vicinity of that school. I therefore think that he can look forward to, as I say, a highly motivated, highly trained workforce to continue delivering first-class healthcare to his constituents.

Middle East

Debate between Edward Argar and Chris Green

Monday 30th November 2015 Commons Chamber

[Edward Argar]

I agree entirely with my hon. Friend. The United Kingdom, with its historical links and understanding of the region, has the potential to play a positive role in helping to move us towards peace not only between Israel and Palestine but in the wider region more generally.

The basic ingredient of a long-term settlement must include an Israel secure within her borders, recognised fully by her neighbours, freed from all acts of aggression and threats of terrorism, and living peacefully alongside a viable, independent Palestine. Alongside these key elements, sharing Jerusalem must be part of any agreement, as would be compromise from the Palestinians on their claim to a right of return and the recognition by Israel that settlements on Palestinian land are illegal and wrong and must be given up. Too often in this debate, people say that they are pro-Israel or pro-Palestinian. I believe that in order to be pro-peace, one must be pro-both. While the urgency of finding a solution can at times appear to be lesser, the importance of doing so has never been greater, and we must play our role in restarting stalled peace talks.

Reassuringly, I do not often agree with the hon. Member for Hammersmith (Andy Slaughter), but on this occasion I did when he referred to Yemen’s as the unseen or hidden war: the “forgotten war”, in his words. He is absolutely right. The right hon. Member for Leicester East (Keith Vaz) has spoken similarly eloquently about it.

[Chris Green]

Does my hon. Friend think that the media have a responsibility to highlight what is going on in Yemen far more than they are doing, and that in so doing they will show the British people more clearly the wider problems in the middle east?

[Edward Argar]

I agree entirely with my hon. Friend. Not only do the media have a responsibility to cover conflicts such as that in Yemen, but all of us in this House must take the opportunity to highlight the issue. I know that in the Minister we have an hon. Member of this House who cares passionately about that country.

I have visited Yemen on a number of occasions, though sadly not recently, and have grown to understand, just a little, this proud and complex country, of which I am also proud to declare myself a friend. The former President of Yemen, Ali Abdullah Saleh, described governing the country as being like

“dancing on the heads of snakes”,

so complex is its recent history and mix of tribal, religious, sectional, economic and political differences. It is currently in the throes of a war bringing untold humanitarian suffering to millions of people, and it faces many daunting challenges. It has a population of about 30 million with incredibly low incomes and a burgeoning young male population with limited economic prospects. It is a dangerous cocktail. This is coupled with genuine security threats from al-Qaeda in the Arabian Peninsula, and across the country a fractured polity and religious and tribal differences. Underpinning that are basic infrastructure challenges such as the dwindling supplies of water. And, of course, for many decades—possibly centuries—Yemen has often been used as the geopolitical playground of other powers playing out their own internal politics.

In the immediate term, we must do what we can to alleviate humanitarian suffering. I pay tribute to the UK Government and my right hon. Friend the Secretary of State for International Development for their focus, and, of course, to non-governmental organisations such as UNICEF, Save the Children and Médecins Sans Frontières, which do so much in extremely challenging circumstances.

We must urgently find ways to reopen the shuttered Hodeidah port to deliveries of aid and, crucially, fuel, upon which so much of the country’s economic prospects and life depend, and ensure that the security situation is such that the means are found to distribute it beyond those entry points. Central to that, of course, is a meaningful and real ceasefire. I welcome the peace talks in prospect, which offer the best chance for a lasting settlement between President Hardi and the Houthi rebels. The UK has the potential to play a very important role in facilitating such peace talks, and I pay tribute to my hon. Friend the Minister in that regard, and to my right hon. Friend the Member for Rutland and Melton (Sir Alan Duncan) for his work both as a DFID Minister and, to this day, as an envoy. We have done much, but there is much more to do.

Whatever emerges from those peace talks must emerge from the Yemenis themselves and not be imposed from outside. There is an old Arabian saying that goes, “Me and my brother against my cousin, but me and my cousin against a stranger.” We must be very conscious of the fact that, if it is going to stick, anything potentially successful that emerges must reflect not only the needs of the Yemeni people, but the diversity of opinion and interests across the whole of Yemeni society.

In the long term, we must invest in rebuilding Yemen, including modernising its creaking water infrastructure and, in particular, helping to give economic hope to millions. Yemen’s water infrastructure has been struggling for many years, with 60% of water that goes through its pipes lost to leaks. A large proportion of its water is used to grow khat, rather than other crops, and wells are being dug for industrial purposes, even though the law says they should be used only for domestic water purposes. All those issues need to be addressed. In the rebuilding of the country, I hope the Government will support desalination plants, which would genuinely give Yemen the long-term prospect of a secure water future.

Finally, in the context of regional players—Iran and Saudi Arabia included—everyone in the region needs to play their part in bringing peace. I want briefly to highlight one great success story in the region, in a country that has been a true and close friend of the UK, namely Oman. Our relationship with the Sultanate of Oman goes back decades, even centuries, and is based on mutual trust, respect and understanding. Under His Majesty Sultan Qaboos, Oman has trodden a measured and steady path to modernisation and change, while retaining all that makes Oman and its culture what it is. Regionally, Oman continues to play a vital role in advancing peace and acting as a bridge, particularly in the context of Yemen, between Iran and Saudi Arabia and the broader region. Oman has developed, grown and diversified its economy and brought representative democracy in a measured way, allowing each step forward to settle.

We must always remember that change that sticks must emerge from within and go with the grain of a country, not simply be imposed from outside. The democracy and civil society we enjoy took centuries to establish and we must beware of any quick fixes. I will conclude by highlighting that, with our unparalleled links and understanding in the region, the UK has a great role to play.