A&E Services

Baroness Laing of Elderslie Excerpts

Wednesday 24th June 2015 Commons Chamber

[James Cleverly]

I am not taking interventions.

The fact that the ability to discharge patients back into the community is dependent on the ability to care for them while they are in the community means that adult social care must be considered an essential and integral part of the A&E mix. If general wards are not able to discharge into the community, they are not able to make bed spaces available and, in turn, A&E departments are not able to transfer to other wards within the hospital.

I therefore pay tribute to the excellent work done on the Manchester model, putting together NHS provision and adult social care, so that the obvious inter-relationship between the two could be looked at holistically. I am happy that some Opposition Members—perhaps only some of them—welcomed the introduction of the Manchester model. Again, if we could work in a cross-party, collegiate way to learn the lessons from that integrated service model in Manchester and roll it out nationally, I think we would be in a much better place for looking at and subsequently dealing with the problem of A&E waiting times.

It has been alleged—I am sure Opposition Members will all leap to their feet to deny it—that Labour Members were keen during the last general election to weaponise the NHS. [Interruption.] Those were not my words. This is too important an issue to turn into a party political football. I will make this commitment—[Interruption.]

[Madam Deputy Speaker (Mrs Eleanor Laing)]

Order.

[James Cleverly]

I am obliged, Madam Deputy Speaker.

Let me make this commitment: if I perceive that my own Front Benchers are trying to turn the issue into a political football, I will be as critical of them as I am of Opposition Members.

Money is a very important part of the NHS mix, and I welcome the fact that my party has committed itself to funding the NHS to the levels recommended by experts in the field, but money alone is not enough. More money has been given to GPs’ surgeries, but the St Lawrence medical practice in my constituency is still struggling, which is forcing a number of people to use local A&E services.

This is an important issue; let us discuss it with decorum. I commend the Government’s actions.

--- Later in debate ---

[Richard Arkless (Dumfries and Galloway) (SNP)]

It is indeed a huge honour, Madam Deputy Speaker, to be called by you today to make my maiden speech in this very important debate on A&E services in the NHS. As an introduction, I can report with a small measure of glee that the NHS in Dumfries and Galloway has treated 96.8% of all A&E out-patients within the Scottish Government’s target of four hours. The NHS remains safe in public hands north of the border.

As is customary, I wish to pay tribute to my predecessor, Mr Russell Brown, who was elected to this House in 1997 on a tidal wave of Blairite euphoria, ousting the seemingly immoveable Sir Hector Monro. My election to this House has absolutely nothing to do with Russell Brown as a person or as a constituency MP. He was merely a victim of the political reawakening that has occurred all over Scotland, and the resultant Scottish National party tsunami, and he was let down badly by his party. My message to Russell is simple: thank you, Russell, for your tireless dedication to the people of Dumfries and Galloway.

The Labour party has left the people of Dumfries and Galloway and of Scotland; it is not the other way round. My message to those on the Labour Benches is simple: can they please get their act together? We had an opportunity to defeat this Tory Government last week to create a referendum fairness board, and they blew it. They would rather sit on their hands or vote with the Tories than support an SNP proposal. They should ditch the tribal opposition and work with us so that we can put this wafer-thin majority to its full test.

This SNP group is determined to dismantle the myths that surround our brand of nationalism. Perhaps I am in the best position to dispel those particular myths, because I am not from a traditional SNP nationalist household. Independence is not an argument that I used to subscribe to; I actually voted no to devolution in 1997, and I only joined the SNP four days after the independence referendum. My conversion has been protracted, evidence-based and not led by blind patriotism. As a dual qualified lawyer and businessman, I was invited to speak at a town hall debate, a mere 15 months ago, during the referendum, alongside my hon. Friend the Member for Ochil and South Perthshire (Ms Ahmed-Sheikh). I kept getting invited back—almost 50 times in fact. Here I am, 15 months later, in this world famous Chamber representing the people of my home region. What a privilege it is. A special mention goes to my wonderful wife, Anne, whose dedication to our two young children allows me to take up the privilege in this House.

Dumfries and Galloway, or the Scottish Riviera as I prefer to call it, is a constituency of serene beauty, abundant wildlife, vast forestry, rolling hills and a coastline that stretches almost 200 miles. It runs from my home town of Stranraer in the west to Wigtown, Newton Stewart and Whithorn in the Machars, to Gatehouse of Fleet, Kirkcudbright, Castle Douglas in the Stewartry, all the way across to Dalbeattie and Dumfries in the east. There is something for everyone. It is a place that I love dearly, and we are indeed a resilient bunch. It is, and should be even more, a tourist mecca. There are so many festivals and community initiatives—simply too many to mention in total. Members should visit the book town of Wigtown, the artists’ town of Kirkcudbright, and the Wickerman festival. They should watch out for the UK’s finest oyster festival in Stranraer, coming soon. We are a region of entrepreneurs, innovators and inventors. We invented the pedal bicycle and discovered electro-magnetism, and we gave Christianity to Scotland in the fifth century through St Ninian of Whithorn.

In my view, Dumfries and Galloway is dynamic and growing, with more small businesses employing fewer than 10 people per head of population than any other constituency in Scotland—a remarkable statistic, given the rural economic disadvantages that we suffer. Small businesses are our largest employers, the lifeblood of our community and the lifeblood of our economy, but they need serious help to fulfil their potential. Throughout my constituency, 3G networks are very rare and 4G virtually non-existent; fibre-optic cables do not reach the outlying areas. That is simply not good enough. Would it not be fantastic if 5G was rolled out with 100% geographical coverage in the rural areas of the UK that need the help the most—places like Dumfries and Galloway? That is the real way we can rebalance our economy and it is something I pledge to fight extremely hard for in the coming years.

No maiden speech by an MP for Dumfries and Galloway would be complete without reference to our national treasure, Robert Burns. Although he was born in Ayrshire, we in Dumfries and Galloway claim Scotland’s national bard as our very own. Burns wrote of the River Nith, which runs through the heart of Dumfries,

“The banks of the Nith are as sweet poetic ground as any I ever saw”.

It is hard to disagree. Dumfries was inspirational to Burns, who was at his most productive when living there, composing classics such as “Auld Lang Syne” and the masterpiece “Tam o’ Shanter”. However, poverty and hunger were ever present in Robert Burns’ life. We have food banks in Dumfries and Galloway, frequented not only by the poor and the disadvantaged, but by victims of draconian benefits sanctions and, more important, the working poor—people who work full time but still find themselves living in poverty. In 2015 in my constituency, children are going to school hungry. Austerity policies are literally starving our children not just of a happy childhood, but of a successful future. Burns’ gratitude for good nourishment was clear when he wrote:

“Some hae meat and canna eat,

And some wad eat that want it,

But we hae meat and we can eat,

Sae let the Lord be thankit.”

[Madam Deputy Speaker (Mrs Eleanor Laing)]

I call Andrea Jenkyns. The time limit is now four minutes.