Junior Doctors’ Contract Negotiations

Fiona Mactaggart Excerpts

Monday 8th February 2016 Commons Chamber

[Ben Gummer]

I entirely agree. Rather like an arsonist who pours petrol on a fire and then runs to offer help to put it out, the Opposition have done very little to help to get the contract into the place where it needs to be, and to stop the industrial action. I am afraid that the patients whose operations will be cancelled this week will suffer partly because of the Opposition’s failure to take a firm stand.

[Fiona Mactaggart (Slough) (Lab)]

As the Minister will know, Wexham hospital in Slough has enormously improved the care that it gives to its patients. It has done that with the same staff, but with a leadership which says to the people who work there that it has confidence in them and shares their values. The Minister is saying that he is the only person who cares about patient safety, and that doctors do not. What does that do for morale and for doctors’ ability to improve the quality of care for patients?

[Ben Gummer]

I am not sure how to answer the right hon. Lady’s question, given that she has wilfully misconstrued what I said. I have never once suggested that only the Government care about patient safety. Almost every doctor out there cares for nothing other than patient safety and patient care. However, according to the 10 clinical standards of the Academy of Medical Royal Colleges, if there are to be consistent levels of care over the weekends, part of that will be achieved through reform of staff contracts. One of those is the junior doctors’ contract, which is why we must press ahead with it.

NHS Bursary

Fiona Mactaggart Excerpts

Monday 11th January 2016 Westminster Hall

[Maria Caulfield]

I thank the hon. Gentleman for his intervention. Those routes sounds like the state-enrolled nurse or state-registered nurse route again, and they worked pretty well in years gone by.

[Fiona Mactaggart (Slough) (Lab)]

Will the hon. Lady give way?

[Maria Caulfield]

I have almost finished, so I will not take any more interventions. The Minister told me that those routes are alternatives to the proposals that have been put forward today. I urge him to highlight those alternative routes and to give a timescale. If those alternatives are realistic, they need to be in place as the bursary system is phased out, if not before, so that student nurses have choices on how they become nurses. When I was running a clinical team, we used the assistant practitioner role effectively and made some great progress. Some of those assistant practitioners are in the process of becoming qualified nurses themselves.

I have a couple more points to make. One thing that we are missing is a return-to-nursing scheme. Under the proposals, money will be saved from the bursary scheme. Huge numbers of nurses go off to have children or take a break from their career, like me, and they have to do a six-month course and pay for that themselves. An efficient way of building up nursing numbers quite quickly would be to fund return-to-nursing courses, so that we can easily and quickly increase the number of nurses who can get back into the profession. They have huge amounts of experience.

It is hard to be a student nurse. Although it was a long time ago, I still bear the scars of my nurse training. Not only do student nurses have to learn and take exams, but their placement changes every eight to 12 weeks. They go to a new ward, new day unit or new community placement, and they never really feel part of any team. As soon as they start to get that feeling, they are moving on to the next team. They are struggling to survive on less than £4,000 a year and have to rely on family and friends. We are now asking student nurses to take on more debt to do their training. They may or may not come to nursing with a lot of life experience, but they are telling people that either they may die or their loved ones are dying. Student nurses witness death at first hand—sometimes that death is expected and sometimes it is not. They are kept going, however, by the thought that one day they will be a qualified nurse with that bit of paper that says, “You are registered.”

We have an extremely high turnover of student nurses. Many are leaving before they are qualified, and my concern is that, if we add to their financial pressures, the turnover will be even higher. We are spending nearly £12,000 a nurse to recruit from overseas and fill our vacancies, and I would prefer to see that money being used to sponsor nurses to get into their nurse training, whether that is through the associate route, the apprenticeship route, which sounds exciting, or through encouraging and paying nurses to come back into nursing. We need to have that Virgin philosophy, where a student nurse is part of the team from day one. I hope the Minister can give us some positive feedback from the petition.

Oral Answers to Questions

Fiona Mactaggart Excerpts

Tuesday 5th January 2016 Commons Chamber

[Mr Hunt]

We are very pleased with the progress that is being made in Herefordshire and in many other areas, and we are looking at how to maintain funding for those areas. Already, 16 million people are benefiting from enhanced access to GPs in the evenings and at weekends, and we would not want to see the clock being turned back on that.

[Fiona Mactaggart (Slough) (Lab)]

Today I received a letter from the chair of Slough’s clinical commissioning group, in which he bemoaned the fact that GP practices were making 95% of patient contacts yet receiving only 8% of the NHS’s resources. He also claimed that there had been a 30% reduction in GP partners’ incomes in the past five years, and said that more and more GPs in Slough were turning to private practice. I have noticed that they are also resisting the creation of new GP practices. What is the Secretary of State doing to ensure that under-doctored areas such as mine get more GPs?

[Mr Hunt]

First, may I ask the right hon. Lady to congratulate, on my behalf, GPs in Slough, who have benefited from the Prime Minister’s challenge fund? Alongside a number of other schemes, it has had a significant impact on reducing emergency admissions in her area. The answer to the point she makes is that we are investing an extra £8 billion in the NHS over the course of this Parliament—it is £10 billion when we include the money going in this year. We have said that we want more of that money to go into general practice, to reverse the historical underfunding of general practice, which I completely agree needs to be reversed.

Health and Social Care

Fiona Mactaggart Excerpts

Tuesday 2nd June 2015 Commons Chamber

[Jane Ellison]

That is another example of trying to weaponise the NHS. [Hon. Members: “Answer.”] There were 700,000 more cancer patients treated in the last Parliament. Figures show that 12,000 more people are surviving cancer at the end of the last Parliament than were at the beginning. There were millions more diagnostic tests, for cancer and a range of other issues, so there is a great record here. We acknowledge—

[Fiona Mactaggart (Slough) (Lab)]

rose—

[Jane Ellison]

No, I cannot give way at this moment.

The coalition Government had an excellent record on cancer. Yes, there is further to go, and that is why we have made it central to our plans. We want to see the NHS go further and faster on diagnostics. That is why NHS England has an independent taskforce looking at this issue. We got its interim report in March. We will get its final report in the summer and we will act on it.

--- Later in debate ---

[Jane Ellison]

No. I shall make some more progress.

On tackling health inequalities, although I missed his speech I pay tribute to the right hon. Member for Rother Valley (Kevin Barron), with whom I have made common cause on public health issues a number of times. He has been a great champion of the health inequalities agenda.

Over the past five years, we have done much to improve people’s health. In my own area we have legislated to introduce plain packaging of tobacco products and banned smoking in cars with children to protect our children from the deadly harms of tobacco. We have worked with industry to take 1.3 billion units of alcohol off our shelves, and today we had good news of another big fall in the number of under-18s being admitted to our hospitals for alcohol-related illnesses. Two thirds of products on our shelves now have colour-coded front-of-pack labelling thanks to our world-leading voluntary scheme, helping people to understand more about what is in the food and drink they consume. We also have a world-leading salt reduction programme, which has led to a fall in the number of strokes.

[Fiona Mactaggart]

The hon. Lady is talking about methods of reducing lung cancer and other cancers, which we welcome, yet one in four patients diagnosed with lung cancer and bowel cancer are waiting more than 62 days, sometimes more than four or five months, for treatment after their diagnosis. How is that tolerable?

[Jane Ellison]

The issue of people surviving cancer and getting proper treatment at the right time is something that we all feel passionately about. We inherited some of the worst cancer survival rates in the world, and the previous Government did a great deal to address that, but of course there is more to do. We have always acknowledged that there is more to do to help our health system respond to issues such as cancer. That is exactly why we are looking forward to the report in the summer from the independent cancer taskforce, which will challenge us all to go further and faster on early diagnosis and treatment.

NHS (Five Year Forward View)

Fiona Mactaggart Excerpts

Monday 1st December 2014 Commons Chamber

[Mr Hunt]

That document is very powerful and I have said before that I hope that in our lifetimes this will become a smoke-free country. It is shocking that we still have 85,000 deaths every year linked to smoking. However, we are a free country so this is about supplying the information, incentives and nudges and not about compelling people.

[Fiona Mactaggart (Slough) (Lab)]

The right hon. Gentleman knows that GPs in my constituency have, on average, 4,500 patients on their list, which is about twice the average for England. Earlier he told my hon. Friend the Member for Stockport (Ann Coffey) that in constituencies such as hers and mine, where funding is so far from the target, we have to depend on NHS England, not him, to remedy the gap. How can we influence NHS England? What pressure is he putting on it to get fair funding for every area?

[Mr Hunt]

The reason we decided to give that decision to NHS England—it is now decided at arm’s length from Ministers—was to remove the worry people had that politicians might make these decisions for political purposes, rather than for what is right for the NHS. I encourage the hon. Lady to make representations to NHS England before its board meeting on 17 December.

Oral Answers to Questions

Fiona Mactaggart Excerpts

Tuesday 21st October 2014 Commons Chamber

[Norman Lamb]

I am very happy to meet my right hon. Friend to discuss the concerns in her area. I heard similar concerns when I was in Devon last week and clearly the objective must be to have facilities close to where people live, rather than their having to travel long distances.

[Fiona Mactaggart (Slough) (Lab)]

I assume that the Secretary of State has read the National Audit Office’s report on local funding for health care. In the 17 years for which I have been Member of Parliament for Slough, we have never reached our target for funding and now the gap between Slough’s target and our actual funding is greater than ever before. What is he going to do to ensure that areas get the funding they need to provide the health care their residents require?

[Mr Jeremy Hunt]

First, we have made the decision an independent one, taken at arm’s length from Ministers, to try to take the party politics out of it. Secondly, we protected the NHS budget. Thirdly, one of the most important and significant things for the hon. Lady’s constituents has been the way in which the Heatherwood and Wexham Park NHS Trust has been turned round from failing and being in special measures to being taken over and run by Frimley Park NHS Trust—the most successful trust in the country.

Ebola

Fiona Mactaggart Excerpts

Monday 13th October 2014 Commons Chamber

[Mr Hunt]

Essentially, the plan is to start with the Royal Free, which has capacity to go from two beds to four. Then we have six beds available in Newcastle and Liverpool and two beds available in Sheffield. Following that we can further expand capacity at the Royal Free.

[Fiona Mactaggart (Slough) (Lab)]

Will the Secretary of State ensure that British citizens fleeing Ebola-affected countries are not left destitute and homeless? My constituents Mr and Mrs Mahmood have been working in Sierra Leone for the past four years. When they returned, they were told that they were not eligible for income-based jobseeker’s allowance or housing benefit. Will the Secretary of State speak to his counterparts at the Department for Work and Pensions to ensure that no British citizen is left in such a state when they have to flee a country that is affected by Ebola?

[Mr Hunt]

If the hon. Lady lets me know the details of the individuals concerned, I will happily take up the case.

Hospital Car Parking Charges

Fiona Mactaggart Excerpts

Monday 1st September 2014 Commons Chamber

[Mr Robin Walker (Worcester) (Con)]

I congratulate my hon. Friend the Member for Thurrock (Jackie Doyle-Price) on introducing the debate, and my hon. Friend the Member for Harlow (Robert Halfon) on his excellent speech and championing of this cause.

This is a huge issue in Worcester and has been for the eight years I have been banging on doors in the area. It came up regularly over the summer recess, so I apologise to the House if I am a little parochial in my arguments. As my hon. Friend the Member for Hereford and South Herefordshire (Jesse Norman) pointed out, the private finance initiative is a big part of this. In Worcester it is a big part of the problem with capacity rather than just cost, and a lot of the land that was originally intended for parking was sold off because of the appallingly bad negotiations over PFI by the previous Labour Government.

Parking is not just a problem for patients, as the motion states, but for family visiting and—as my hon. Friend the Member for Hexham (Guy Opperman) pointed out—for staff. On top of that, it is a massive problem for people who live in the local area around the hospital when staff are effectively encouraged to park for free in residential streets. I have had complaints over the years from residents of Leopard rise, Aconbury close, Darwin avenue and Linksview crescent, which are all close to Worcestershire Royal hospital, about people not being able to park outside their homes.

Charges at Worcestershire Royal hospital are not quite as high as those mentioned in the motion, but as my hon. Friend the Member for Redditch (Karen Lumley) pointed out, they still start at £3 for two hours, which is more than people are charged for parking in Worcester city centre. For many people, costs can swiftly mount up. Someone visiting for one hour each day for a week could end up paying at least £21, and information about concessions, which is badly needed, does not always reach those who need it most. The hospital trust currently makes more than £400,000 profit on its parking overall, and by contrast with the new guidelines there is no difference in charges for the disabled and other users of parking spaces. There are some reserved bays, but 52 bays out of 1,543 does not seem enough to me or most of my constituents.

As I said, parking capacity is a massive problem for staff, and it is about to become much worse because the park and ride used by many staff was, until recently, subsidised by the county council. It has had to reduce that subsidy, and the hospital trust has agreed to take it over, but only temporarily. This is an urgent time for the Worcestershire Acute Hospitals NHS Trust to review its approach to charging staff and the public.

[Fiona Mactaggart (Slough) (Lab)]

May I reinforce the hon. Gentleman’s point about staff? Enabling nurses in particular to park near where they work means that hospitals can recruit nurses. In my constituency, if nurses live within 5 miles of the hospital, they are not able to get a parking space and have to pay high charges. In practice, most of them get on the train to St Mary’s in Paddington and work there rather than in Slough. That means that my constituents get a less good quality of care.

[Mr Walker]

The hon. Lady makes an excellent point, and I welcome the fact that the Government’s new guidelines suggest a concession for staff who may not be able to get to work by public transport. That is important, but it would be so much better if the charges were not there in the first place.

Concessions for patients at Worcestershire Acute Hospitals NHS Trust are largely good. There are £1 tickets for a day, including for terminally ill patients, people undergoing coronary care and those in an intensive therapy unit or in oncology and paediatrics, but not for those who may have suffered a premature birth, for example, or have complexities during maternity leave—my hon. Friend the Member for Harlow was right to raise those issues. The concessions are also for relatives attending the bereavement office but not for other relatives. An £8 weekly ticket is available for next of kin, which most people do not know about, and there are £1 weekly tickets for renal patients and people undergoing radiotherapy, but they still have to be applied for on the wards, and only after people have paid £3 for parking in the hospital in the first place. That is one of the absurdities of the current system of charging on entry, rather than on exit as the Government suggest.

I would like much better advertising of concessions, and I think a simpler system would be good as it would be easier for people to understand. As many colleagues have said, getting rid of parking charges altogether would put us in a better place. My only worry about that would be if it disincentivised hospitals to invest in capacity, because in hospitals such as mine there is a clear need for new capacity. Lack of parking capacity at Worcester has been made worse by temporary disruption from the construction of a new radiotherapy unit—something I strongly support. Other hospitals, however, such as that in the constituency of my hon. Friend the Member for Harrogate and Knaresborough (Andrew Jones), have delivered multi-storey car parks in time for such upgrades to their hospital, and I wish that Worcestershire Royal hospital had been able to do that. I welcome the fact that the planned breast unit at the hospital will come with its own parking, which I hope will contribute to addressing overall demand. I have raised the concerns of my constituents about hospital parking time and again, but it is right to show leadership in the House and for the Government to address the matter properly.

My final point is about accessibility and ease of payment. Asking people to pay in cash up front is unacceptable in this day and age. Worcester city centre has schemes where people can pay for parking by card or with their phone. People use those schemes; they are popular, and I urge Worcestershire Acute Hospitals NHS Trust to consider how it can implement such a scheme to make it easier for people who do not have ready cash to hand. If I take one thing from this debate it is that I hope my trust acts like that of the right hon. Member for Sutton and Cheam (Paul Burstow), and reviews its policies on these issues immediately, taking a lead from the guidance the Government have set and the arguments made in the House.

Oral Answers to Questions

Fiona Mactaggart Excerpts

Tuesday 1st April 2014 Commons Chamber

[Jane Ellison]

I would like to thank all the organisations behind the excellent HeadSmart campaign for their amazing work. To mark the first anniversary of the new public health arrangements, I am planning to write to local health and wellbeing boards to make them aware of the issues of particular interest to Parliament, and this is one that I intend to highlight. Public Health England has also agreed to contact all directors of public health. We fully support the HeadSmart campaign’s aims and encourage local bodies to help drive improvements in this crucial area of care.

[Fiona Mactaggart (Slough) (Lab)]

My constituent Raj Rana, who is now four, is a survivor of a brain tumour. One group that really can assist in this area is schools. Will the Minister talk to the Department for Education about how they can become alert to early symptoms of brain tumours?

[Jane Ellison]

That is one of the points people from the HeadSmart campaign raised when I met them, and of course I am happy to draw the attention of colleagues in the Department for Education to the hon. Lady’s concerns and make them aware of this exchange.

Oral Answers to Questions

Fiona Mactaggart Excerpts

Tuesday 26th November 2013 Commons Chamber

[Mr Hunt]

My hon. Friend is absolutely right. One of the biggest mistakes made in health care over the past decade was the introduction of the disastrous changes in the GP contract in 2004, which broke the personal link between GPs and their patients. Hard-pressed A and E departments, including the one at Kettering hospital, say that one of the things that will make the biggest difference to them is the provision of a named GP for the over-75s, so that they know that someone is responsible for those people when they are not in hospital.

[Fiona Mactaggart (Slough) (Lab)]

Is it not the chaotic and overstretched nature of many A and E departments that makes A and E an unattractive discipline for people to work in? Ever since the closure of the A and E department at Wycombe general hospital in my constituency, Wexham Park hospital has been unable to cope. What will the Secretary of State do about that?

[Mr Hunt]

We have gained more than 600 additional A and E doctors over the last three years, so the numbers are rising. However, the best thing that we can do for A and E staff is to give them a sense that we are addressing the long-term challenges that they face. The issues of integration with social care and delayed discharges are being addressed through the health and social care integration transformation fund, but we must also ensure that there are better primary care alternatives. The named GP for the over-75s will make a big difference in that regard.