Health, Social Care and Security

Debate between Baroness Laing of Elderslie and Gill Furniss

Wednesday 28th June 2017 Commons Chamber

[Gill Furniss (Sheffield, Brightside and Hillsborough) (Lab)]

Thank you for calling me, Madam Deputy Speaker, and congratulations on being back in the Chair.

During the election campaign, I spoke to many doctors, nurses and other NHS professionals in my constituency, as well as service users, and listened to what they said about the state of our NHS and social care. At each and every meeting, I listened to people, many of whom felt demoralised by the state of the profession after seven years of this Tory Government. From longer waiting times to missed A&E targets to the cancelling of operations to record numbers of nurses leaving the profession, the NHS has suffered greatly since 2010.

The anger and frustration felt during the election campaign were reflected in the result: a vote that reduced the number of Conservative Members and wiped out the majority of the Government. The public have simply rejected the Tories’ austerity agenda. I hope I shall be forgiven for being hopeful—like many others—that that would be reflected in the Queen’s Speech, which, instead, reflected a continued total disconnect between the Prime Minister and Government and the wider public.

The Queen’s Speech failed to begin to tackle the issue of chronic underfunding in our NHS. Among the top 10 economies in the EU, the UK spends the smallest proportion of its GDP on health: 9.8%, compared to a 10.4% average. If the UK only half-matched the EU average, there could be 35,000 extra hospital beds and 10,000 more GPs, and the cuts in public health budgets could be reversed.

After the election, the Prime Minister and her Ministers appeared to be listening to the electorate when they were reported to have said that austerity was over. Sadly, that was just Tory rhetoric, and far from the reality. Only this week, secret cost-cutting plans drawn up by the Tories were leaked, suggesting shocking details that could pose further danger to our NHS. Reports suggest that NHS managers are being told to “make difficult choices” to curb overspending in a drive to cut costs. Full details of those plans have not been announced; in fact, I do not believe that the Secretary of State had any intention of announcing them before the leaks occurred. Instead, they are being worked out secretly behind closed doors. They could lead to even longer waiting times, rationing of care, job losses, and ward closures in hospitals. I am deeply concerned about what that could mean for my constituents, and I ask the Government to disclose the plans fully for the purpose of public scrutiny. The NHS belongs to the public, and should therefore be accountable both to Members of Parliament and to the public at large.

As for pay, while workloads have increased, nurses have been handed a 1% pay cap for seven years in a row. That does not even cover the rise in inflation. During the election campaign, the PM said that nurses went to food banks “for a variety of reasons”. I suggest that the only reason is that the Government have made them £3,000 worse off since 2010, while continuing to give tax breaks to the richest.

We know that their current conditions are causing more staff to leave the NHS out of desperation. Many of those vacancies are left unfilled. According to the Royal College of Nursing, there are 40,000 registered nurse vacancies in England, and an average vacancy rate of 11.1%. The rate has doubled in the past three years, and we are seeing the effects in NHS hospitals up and down the country. Furthermore, the Government’s shambolic approach to Brexit has created a feeling of uncertainty among EU nationals. No wonder the number of applications from EU nurses to work in the UK has plummeted by 96% since last year.

Nurses and doctors are not crying wolf when they warn us about the health and safety issues that are arising from the lack of proper staffing levels. Has the Secretary of State made any assessment of the impact of the drop in applications on the NHS, and, if so, what action does he propose to take to ensure that it does not affect the health and safety of patients?

The proposal in the Queen’s Speech for an immigration Bill provides no details to reassure those EU citizens currently living in the UK. Labour has been calling for all their rights to be guaranteed since the referendum was decided. I concede that the Prime Minister has finally made an offer for EU citizens, but it is a half-hearted one at best, containing little clarity.

I welcome any suggestion that would help and support the NHS, and I therefore welcome the Government’s commitment to reforming mental health legislation to give it greater priority. However, last Wednesday the Prime Minister gave no assurances that no mental health trust would see its budget cut this year, as 40% of them did last year. If the Government want to be taken seriously, they must back their rhetoric with the financial support that is needed. They have not done this. It is clear that the Prime Minister will find the money to cling to power, but not to secure mental health spending.

Finally, the debacle over the dementia tax revealed that this Government will gladly force the most vulnerable, particularly those suffering from long-term debilitating diseases such as dementia, to cover their own social care bill entirely. Surely we need to merge health and social care to get the best results, but we must pool the risk and not let the most vulnerable fend for themselves in old age.

[Madam Deputy Speaker (Mrs Eleanor Laing)]

To make a maiden speech, I call Alex Burghart.