NHS Funding (Ageing)

Debate between Gareth Thomas and Edward Leigh

Tuesday 25th March 2014 Westminster Hall

[Mr Gareth Thomas (Harrow West) (Lab/Co-op)]

It is a pleasure to serve under your chairmanship, Sir Edward, and to follow the hon. Member for Suffolk Coastal (Dr Coffey). I apologise to the House and in particular to the Front-Bench spokesmen for the fact that, because of a long-standing commitment, I shall have to read their responses to the debate in Hansard.

I want to raise a concern similar to the one raised by the hon. Member for Suffolk Coastal, about the funding formula, although there are constituency differences. Many health professionals in my constituency are concerned that Harrow does not receive an appropriate share of NHS funding and that that is already affecting elderly people there, and may affect many others. The context is that both the key hospital serving my constituency, Northwick Park hospital, and its parent trust, the North West London hospitals NHS trust, have been in a challenging financial position for many years.

In 2010-11, the trust made a tiny operating surplus; in 2011-12, it had an operating deficit of some £7.5 million; and in 2012-13, the operating deficit had increased to £20.5 million, approximately. Figures in papers submitted to the NHS Trust Development Authority’s recent board meeting suggest that the trust is again heading for a sizeable deficit this financial year, of about £20 million. Although final 2013-14 accounts are clearly not yet available for Harrow’s clinical commissioning group, the prediction, from NHS England information, is for an end-of-year deficit of £10.4 million. Indeed, Harrow clinical commissioning group is one of only four in London where there is significant concern about financial performance.

By setting out that information, I do not mean to criticise the trust management, the clinical commissioning group or their staffs. I have been treated at Northwick Park hospital several times, and I think the staff and management do a first-class job. I know the chair and many of those who serve on the board of the Harrow clinical commissioning group, and they, too, do a first-class job in extremely difficult circumstances. Those circumstances are made difficult by the amount of funding that Harrow receives from the NHS.

To humanise the consequences of those statistics on the financial situation that Northwick Park hospital and Harrow clinical commissioning group face, I should make it clear that there are increasing concerns about cancelled operations and longer waiting times in the A and E department at Northwick Park. Given the cuts to local government funding, there are fears that Harrow council’s social care budgets, which are already hard hit, will be cut further by an estimated £70 million over the next three years. The concern is that the NHS in Harrow will come under even greater pressure to meet the needs of elderly people in our area because of an inevitable lack of access to social care.

Additionally, the popular Alexandra Avenue polyclinic, which was open from 8 am to 8 pm for 365 days a year and provided an excellent walk-in service, has for some time been closed to patients without an appointment for all but a short period on Saturdays and Sundays. Again, the service was heavily used by elderly people, as well as by many others in my constituency. The closure of large parts of the Alexandra Avenue polyclinic’s service is particularly galling because health professionals in Harrow accept that the polyclinic was making a difference by helping to improve health care opportunities and access to health care for elderly people and many others in my constituency. That is the context of my participation in this debate, and I am concerned about whether the funding formula properly reflects the needs of the NHS and my constituents.

The hon. Member for Suffolk Coastal set out some of the funding formula issues, and I will present them in a slightly different way; that is perhaps a reflection not only of our different political parties but of the different nature of the seats we represent. The Minister and the shadow Minister, my hon. Friend the Member for Copeland (Mr Reed), will be far more aware of the debate on changes to the funding formula than I am. Like the hon. Member for Suffolk Coastal, I understand that a weighted capitation formula based on population, the local cost of providing health services, the level of health care need and health inequality is used to determine allocations to each clinical commissioning group. I also understand, as she set out, that the Advisory Committee on Resource Allocation was charged with developing a revised funding formula based on the standardised mortality ratio for those aged under 75—the so-called fair shares formula.

After substantial consultation—the hon. Lady made this point—the board of NHS England decided not to adopt the fair shares formula, and clinical commissioning group allocations were initially uprated based on their estimated share of previous primary care trust allocations. In December 2013, the board of NHS England decided on CCG funding allocations for 2014-15 and 2015-16. I understand that, again, the board decided to reject proposals for a faster move towards CCG allocation targets. I do not intend to make a party political speech, but I gently insert the point that perhaps the board might have felt differently if it had had access to the £3 billion that has been spent on reorganising the NHS, about which Opposition Members are somewhat sceptical.

The hon. Lady alluded to distances from target figures for 2014-15 and 2015-16. The figures indicate that Harrow’s allocation was almost 10% away from the target for 2014-15 and almost 9% away from the target for 2015-16. The total estimated funding shortfall for Harrow is some £23.4 million over the next two financial years. That information was provided to me by statisticians from the House of Commons Library based on estimates using the closing target allocations per head and our estimated CCG population.

I recognise that, as the Minister will presumably point out, the figure is not completely settled and that there may be movement given how far Harrow clinical commissioning group is from receiving its target allocation, but I hope that I can persuade the Minister today to scrutinise the Harrow figures. I hope he will ask his officials to talk to Harrow clinical commissioning group to see whether there is more information that might justify a further funding increase for the NHS in Harrow, to close the funding gap that has been identified.

A little like the hon. Member for Suffolk Coastal, I have tried not to be party political in this debate, although she will understand that I think I have managed it better than she did. In that spirit, I hope the Minister will take seriously my concerns about the NHS in Harrow and will ensure that his officials talk to those who do an excellent job working for Harrow clinical commissioning group.

[Sir Edward Leigh (in the Chair)]

When the Minister replies, I have no doubt that he will refer to Harrow’s ageing population.

European Union (Referendum) Bill

Debate between Gareth Thomas and Edward Leigh

Friday 22nd November 2013 Commons Chamber

[Mr Thomas]

Two weeks ago, the Minister for Europe was asked by the hon. Member for Gainsborough (Sir Edward Leigh), who is not in his place today—

[Sir Edward Leigh (Gainsborough) (Con)]

rose—

[Mr Thomas]

I beg the hon. Gentleman’s pardon. He was hiding at the back. His question to the Minister for Europe two weeks ago was extremely pertinent. He asked when the Prime Minister—or perhaps the Minister—would reveal which powers and competences the Prime Minister wants to repatriate to the UK as a result of the treaty change that is coming. Two weeks ago the Minister would not answer his hon. Friend, so perhaps he will give us an answer today.

--- Later in debate ---

[Mr Thomas]

It is a pleasure to follow my hon. Friend the Member for Derby North (Chris Williamson) and the contributions from my hon. Friend the Member for Glasgow North East (Mr Bain), my right hon. Friend the Member for Neath (Mr Hain), and my hon. Friends the Members for Ilford South (Mike Gapes) and for Sedgefield (Phil Wilson), and to have had the chance to listen to the contributions from the hon. Member for Windsor (Adam Afriyie) and more recently the hon. Member for Basildon and Billericay (Mr Baron).

I shall come to amendment 68, the lead amendment, in due course, but I begin with amendment 3 in the name of the hon. Member for Windsor. I pay tribute to him. Despite considerable pressure to present a façade of party unity, he has stuck to his guns and followed through on his determination to press for a referendum next year. I can immediately see three tempting reasons why the House might want to support the hon. Gentleman’s amendment. First, as the hon. Member for Basildon and Billericay reminded us, the whole House knows that the Prime Minister and many in the Conservative party are obviously on different pages with regard to Europe. Amendment 3 therefore offers us the chance to underline once again just how divided the Conservative party is on that great European obsession of theirs.

The second tempting reason to support the amendment is that if one believed that the Prime Minister will not or cannot repatriate sufficient powers and competences from the European Union to Britain, which I think is the view of the hon. Member for Stone (Mr Cash), through the treaty change that he believes is coming, and by the entirely arbitrary deadline that the Bill establishes, one might be tempted to think, “Well, let’s just crack on with a referendum next year.” The third tempting reason is that the pragmatist in all of us in the House today can recognise that the British and the European calendars are likely to be so busy in the run-up to the end of 2017 that the best time for a referendum might be next year.

[Sir Edward Leigh]

If Labour forms the next Government, will they give the British people a referendum?

[Mr Thomas]

I do not know whether the hon. Gentleman attended the Second Reading debate. My right hon. Friend the Member for Paisley and Renfrewshire South (Mr Alexander), the shadow Foreign Secretary, clearly set out our position on the question of a referendum. Let me restate it for the benefit of the House. If there has been a significant transfer of powers to the European Union, of course we are committed to the principle of a referendum.

Indeed, that was the position of every one of the main parties in this House. The only party that has changed its position since is the Conservative party, and we all know that that is because the hon. Member for Gainsborough (Sir Edward Leigh) and other Conservative Back Benchers have bullied the Prime Minister into bringing forward this commitment now.

Let me go into a little more detail on the three tempting reasons to support the amendment tabled by the hon. Member for Windsor. All of us remember that the Bill and its 2017 end date is the Prime Minister’s best effort to bridge the chasm within the Conservative party on Europe. It is the product of the unprecedented Back-Bench rebellion against the Queen’s Speech earlier this year. I suspect that the hon. Gentleman and many of those who want to vote for his amendment either simply want to leave the EU or are quite frightened of UKIP. They know that the Prime Minister’s pledge is a stunt to keep them on board. Conservative councillors in the constituency of the hon. Member for Stockton South (James Wharton) certainly know it is a stunt. We have seen a three-line Whip, photos on College green, and Michael Green getting involved. It is just Lynton Crosby weaving away at the emperor’s new clothes so that the Prime Minister can put on the pretence of a united party.

--- Later in debate ---

[Mr Thomas]

My hon. Friend makes his point. The Minister for Europe should be intervening to tell us what powers and competences the Prime Minister wants to get back, but he has shown no signs of wanting to give that clarity to the debate in the House.

[Sir Edward Leigh]

I cannot speak for the Minister, only for myself, but some of us want something very simple. We want to be able to control our own borders, fishing, agriculture and courts, and we want to stop small businesses being hit by ever more regulation. That is very clear and very simple, and that is the renegotiation that we want.

Hindi Radio Service (BBC)

Debate between Gareth Thomas and Edward Leigh

Monday 14th March 2011 Commons Chamber

[Mr Edward Leigh (Gainsborough) (Con)]

This is an important Adjournment debate about the future of the BBC’s Hindi radio service. At the moment, it is broadcast for three hours a day, divided between the morning and the evening, and reaches no fewer than 10 million listeners, mostly in the northern Hindi-speaking regions of Uttar Pradesh, Bihar and Jharkhand. Hindi is the second largest language audience of the BBC World Service worldwide—of course, English is the first—and it is precisely these three poorer states in India that the Department for International Development has committed to support until 2015 to the tune of £280 million.

The BBC is cutting its shortwave Hindi service, which costs £1 million a year, but once cut, it will save just 2.5p per listener. This, I contend, is the wrong saving to make, and I very much hope that the BBC will think again. The BBC Hindi service began in May 1940, on the very same day that Churchill became Prime Minister, and it employed I. K. Gujral, who later became the 13th Prime Minister of India. The Hindi service was also the first news outlet to break the news of Indira Gandhi’s assassination.

There has been a so-called partial reprieve—I would call it a climbdown—after the massive outcry over the total abolition of a radio service that serves 10 million people, and which most radio stations in the world would give their eye tooth to have. However, all that will do is save one hour of Hindi broadcasting for just one year, and that is not enough. The work schedules of the poorest Indians mean that they can often hear only one broadcast or the other. Many listeners want their radio news in the morning. This decision will wipe out a large proportion of the audience overnight.

[Mr Gareth Thomas (Harrow West) (Lab/Co-op)]

Does the hon. Gentleman agree that there is widespread concern across the UK about the decision that the BBC appears to be making? Many of my constituents share his concerns about the future direction of the BBC on this service.

[Mr Leigh]

I am grateful for that intervention, which shows the wide cross-party support on this issue, in a well-attended debate, and a lot of determination, in all parts of the House, to resist the BBC’s short-sighted decision.