Oral Answers to Questions

Debate between Gavin Williamson and Jeremy Lefroy

Monday 9th September 2019 Commons Chamber

[Gavin Williamson]

I can absolutely assure the hon. Gentleman that that is very much the case. It is very important that we teach children about the Britain we live in today.

[Jeremy Lefroy (Stafford) (Con)]

I welcome the additional revenue funding for schools in Staffordshire. Will the Secretary of State outline the plans for capital funding, of which there is an urgent need in Staffordshire and in many other schools across the country?

[Gavin Williamson]

I always recall that when my hon. Friend and I were first elected to the House we, as constituency neighbours, campaigned very hard to get a better funding settlement for Staffordshire, but also for all schools across the country. We are working on the capital settlement, and we will be working with the Treasury to bring forward announcements in the not-too-distant future.

Oral Answers to Questions

Debate between Gavin Williamson and Jeremy Lefroy

Monday 5th March 2018 Commons Chamber

[Jeremy Lefroy (Stafford) (Con)]

Will my right hon. Friend pay tribute to UK peacekeepers in South Sudan and elsewhere across the world?

[Gavin Williamson]

I would very much like to pay tribute to the amazing peacekeeping work that our armed forces do in so many areas, South Sudan being a perfect example. It goes to show what an amazing impact our armed forces have in projecting Britain’s influence in all parts of the globe.

National Security Capability Review

Debate between Gavin Williamson and Jeremy Lefroy

Monday 15th January 2018 Commons Chamber

[Gavin Williamson]

Our commitment was to maintain the size of the armed forces, and we absolutely stick by that commitment.

[Jeremy Lefroy (Stafford) (Con)]

On Saturday, together with my hon. Friend the Member for Lichfield (Michael Fabricant), the hon. Member for Stoke-on-Trent North (Ruth Smeeth) and several other colleagues, I had the honour to be at the laying-up of the colours of 3 Mercian, the Staffords, in Lichfield cathedral. It was a great privilege to be there and to recognise their service, but at the same time it was a reminder of the difficult decisions that had to be made. I agree with colleagues that 82,000 is an absolute minimum for the Army, and we must go higher—possibly to see the return of 3 Mercian—and certainly not lower.

[Gavin Williamson]

I would very much like to reintroduce the Staffordshire Regiment as part of any changes, and that is something I would like to look at going forward—I may have some more battles to win before I get to that stage. However, I take on board my hon. Friend’s comments, and I am very conscious of the important role that the armed forces—especially the Royal Signals—play in Stafford, of how they are so involved in the local community and of how important the money we spend on our armed forces is to the economic prosperity of Stafford and Staffordshire.

UK Automotive Industry

Debate between Gavin Williamson and Jeremy Lefroy

Tuesday 1st April 2014 Westminster Hall

[Gavin Williamson]

The hon. Gentleman is absolutely right. Let us not forget that the west midlands are the beating heart of the automotive industry in this country. The west midlands are what drive the automotive industry and have the most to gain from an expanding automotive industry. Almost one third of those employed in the industry live and work in the west midlands. That is why many hon. Members from the west midlands are present for today’s debate. We know that it is important to our constituencies and our region to drive economic growth and success. We have to be committed, both as a Government and as constituency Members of Parliament, in order to support businesses, whether foreign or domestic, to invest.

While much has been done, there is much more to do. The hon. Member for Coventry South (Mr Cunningham) pointed to the success of Jaguar Land Rover, much of which is down to research and development and which, importantly, leads to excellent products that people want to buy.

[Jeremy Lefroy (Stafford) (Con)]

I congratulate my hon. Friend on securing this debate and on all the work that he has put in to ensure that JLR’s move to South Staffordshire will be a great success.

Does my hon. Friend agree that one of the areas in which the UK has a tremendous competitive advantage, based on excellent, top-quality R and D, is the development of engines? We have engine plants all over the country, including in my constituency—although not for the automotive industry—Perkins Engines, which makes the largest engines. It is vital that long-term investment in research and development in an area in which we have such a competitive advantage continues to grow.

[Gavin Williamson]

My hon. Friend is absolutely right. He is right to point out the valuable work that Perkins Engines does to supply the heavy construction sector. We are seeing a build-up of expertise in engine design and manufacture, not just in the west midlands but right across the UK. That can be seen not just in JLR’s investment in its new plant or in Perkins’s work, but in BMW, which produces many of its engines in Hams Hall, and in Ford, as a third of its cars, which are produced across the globe, have engines manufactured in the UK. That is why it is vital that the Government keep their commitment to invest in research and development, whether through the Technology Strategy Board or the regional growth fund.

I am pushing for the Government to support and commit to the regional growth fund, and I hope the Minister will reassure us on that. I seek real Government commitment to help British industry and automotive production so that the technology and research and development bases may grow and develop. It is vital that R and D is based here in the United Kingdom, because if we can get businesses to invest in R and D in the UK, they will often base their manufacturing here, too.

--- Later in debate ---

[Gavin Williamson]

I congratulate companies such as Ford on their work. In the run-up to 2018, the automotive sector hopes to take on 7,600 new apprentices and 1,700 new graduates. The sector is a growth area for young people, which is one reason why I am championing a £5 million investment in an engineering studio at my local high school in Codsall. Such a studio will concentrate on training the engineers and designers of the future so that South Staffordshire can provide the very best work force to Jaguar Land Rover and the aerospace sector and companies can grow with the best talent.

[Jeremy Lefroy]

Does my hon. Friend agree that we also need electronic engineers and software engineers? So much of the inside of a car these days is made up of electronics and software.

[Gavin Williamson]

My hon. Friend makes a valid point. At the weekend, I took my two daughters to the Enginuity museum at Ironbridge near Telford. We saw a cross-section of a Mini. Although the design is amazing and out of this world, it is all pulleys and levers. Now, much of a Mini’s design is down to electronics. We must not forget how high tech or capital-intensive the automotive industry is, but it is about getting the skills and technology in line, and the Government have an important role in ensuring that that happens. Let us not forget that if youngsters and people of all ages do not have the skills, and if we do not support companies constantly to skill up and improve their work force so that they can move forward, we will lag behind.

I am conscious that other people want to take part in this debate. In summary, I seek assurance from the Minister that the Government are committed to ensuring that the regional growth fund continues to deliver jobs and investment not just for the west midlands but for the whole country. The fund has already achieved a great deal, but it can do more. Let us not kid ourselves, because the automotive sector is one of the most international industries in the world. The sector can move to virtually any country. We would be very naive to think that countries such as Germany, Italy, France, Spain, Portugal, India, China, Russia, Brazil and the United States are sitting back and not being proactive in attracting investment, because those Governments are going out to seek and deliver investment. I want to see the Government continuing to do that, ensuring that it is clear to everyone not only that we have the most skilled work force and the best designers in the world and produce the best cars, but that we are the best place to produce them.

Mid Staffordshire NHS Foundation Trust

Debate between Gavin Williamson and Jeremy Lefroy

Tuesday 7th January 2014 Westminster Hall

[Gavin Williamson (South Staffordshire) (Con)]

Most of my constituents and, I am sure, many of my hon. Friend’s, would find it deplorable if Stafford hospital did not have a consultant-led maternity unit. The pressure that that will place on so many hospitals—Walsall, Manor, New Cross, Queen’s or the University hospital of North Staffordshire—will be unsustainable. I urge Ministers to look at the issue again.

[Jeremy Lefroy]

I am most grateful to my hon. Friend. I will come to that important point.

I pay tribute to the work of Support Stafford Hospital, because the impact of its campaign has shown just how much the community values the services at Stafford and Cannock. I also pay tribute to the working group, which I set up, and all those who have worked with me on that to provide us with the detail on alternative proposals, some of which I shall outline.

There is no doubt that the administrators listened carefully to what was said in the consultation and made a number of changes in their final proposals. However, the proposals as they stand are insufficient. What I am setting out requires not a re-doing of all the work of the trust special administrator—given what I have said about the urgency of the situation, that would not be sensible—but a modification of the detail.

I do not believe that such a modification would necessarily require more money than is currently proposed, although that remains to be seen, but it would be of huge benefit to many thousands of my constituents, and those of hon. Friends and other hon. Members. It will also ensure that both Monitor and the Secretary of State can fully comply with their legal obligations under the Health and Social Care Act 2012, in respect of health inequalities, as I will show later.

My proposal is that rather than cutting three areas of service in Stafford, those continue in a more cost-effective form, at least for two or three years. I, and the clinicians at Mid Staffs, consider that it will be quite possible to show how these services can be run across the two sites in Stoke and Stafford on a networked basis. The areas concerned are paediatrics, obstetrics and maternity and critical care.

First, the report proposes a reduction of the critical care unit to four beds. It says that the possibility of the highest level of critical care—level 3—should be maintained, but it is not clear how this will be possible without a rota for specialists in critical care. The critical care department at Stafford made its own submission to the consultation, which suggested a reduction in beds and a networked specialist rota. That seemed eminently sensible. Given that the CCU at Stafford is a net contributor and supports several other activities, I urge Monitor and the Secretary of State to determine that this model is tried for a period, during which it will, hopefully, be proven to operate well, clinically, operationally and financially.

The TSA’s final report also proposes, as my hon. Friend the Member for South Staffordshire (Gavin Williamson) mentioned, removing the consultant-led obstetrics and maternity service and replacing it with a midwife-led unit dealing with approximately 350 to 400 births a year. That is a step forward from the draft report, which proposed no childbirth at all at Stafford. However, my constituents and I do not believe that it is sufficient.

Currently, Stafford sees more than 2,000 births a year and that is likely to rise, with extensive house building, various new business parks being built and the doubling of the size of MOD Stafford, to mention but some developments, resulting, in the coming years—even with a MLU—probably in some 2,000-plus babies being born in other maternity units, mainly at Stoke and Wolverhampton. UHNS in Stoke already sees some 6,000 a year and its population is also growing. With at least 1,000 births, and probably more from Stafford, UHNS will probably approach 8,000, which is the number currently born at the largest unit in the country, in Liverpool.

The NHS rightly promotes choice for women about where to have their babies and the Prime Minister has spoken out against the trend towards ever larger units. Yet that is precisely what is being proposed here for women who are unable to use a MLU, due to the possibility of complications in childbirth. There would also be an impact on those who currently use UHNS and the Royal Wolverhampton, as their local units will become even busier—probably including Walsall as well—taking in women from a much wider area.

My proposal, and that of clinicians at Stafford, is to continue with the current service, fully networked with UHNS, while the impact of the current rise in both the population and birth rate is assessed. That would also enable the special care baby unit at Stafford to continue to support the regional intensive care network for babies, as it currently does. An added benefit would be that women will continue to have a local obstetric and gynaecology service, which I am sure the Minister will appreciate as he comes from that specialty. Again, that would relieve pressure on the larger University hospital of North Staffordshire and the Royal Wolverhampton hospital.

Thirdly, the TSAs propose to reduce the paediatric assessment unit to 14 hours a day from 24 hours a day and to do away with in-patient paediatric beds. There will be no paediatric rota, although A and E doctors will receive extra paediatric training and paediatric out-patient services will continue. The principal reason given by the TSAs is the national standards of the Royal College of Paediatrics and Child Health, which state that such services should be provided by a full consultant rota, which is usually between eight and 10 consultants, whereas at Stafford it is between five and six.

Let me be clear about the consequences: if the proposal is allowed to happen, the clear logic is that dozens of other paediatric units across the country that have similar numbers of consultants, or indeed fewer consultants, must be closed or have their activities drastically curtailed. Monitor cannot use the argument that that must happen at Stafford but not at other foundation or NHS trusts for which Monitor or the NHS Trust Development Authority are responsible, and neither can the Government.

The argument that all in-patient paediatric care should take place in the largest hospitals is not accepted by the general public. They fully understand why very sick children should go to specialist units; they do not understand why their local general hospital cannot receive sick children at night or for short stays, and neither do I. If experts at the Royal College insist on making that argument, however, let it be open, let it be consistent across the land and let it be agreed by all political parties. The proposal should not be implemented by stealth through a trust special administration that in no way arose because of the performance of the paediatrics department at Stafford.

I have one final point.

Stafford Hospital

Debate between Gavin Williamson and Jeremy Lefroy

Thursday 4th July 2013 Commons Chamber

[Jeremy Lefroy (Stafford) (Con)]

Thank you, Madam Deputy Speaker, for this opportunity for a debate on Stafford hospital.

On 31 July, the administrators of the Mid Staffordshire NHS Foundation Trust will present their proposals for the future of health services at Stafford and Cannock hospitals. They, as well as Monitor, to which they report, and the Government, have a tremendous opportunity to show the way forward for the NHS as a whole, which celebrates 65 years this week. This trust special administration is the first under the Health and Social Care Act 2012 and is a chance to show how emergency, acute and maternity services can continue to be provided affordably, locally, safely and to the highest standards. We are also talking about the administration of a trust that has been the subject of intense scrutiny since the revelation of appalling standards of care in some parts of Stafford hospital in the period to 2009. Since then the improvement has been marked, as the Care Quality Commission has evidenced, although there is no complacency about that on our part.

When tens of thousands of people marched through Stafford on 20 April this year to a rally that I had the honour to address, along with the Bishop of Stafford, we were showing just how much we value the services provided at Stafford and Cannock. We were also expressing our concerns about the future—a future that the contingency planning team’s report, which came out earlier this year, said was unlikely to include the provision of most acute, emergency and maternity services in Stafford, even though our maternity services have some of the best outcomes in the country. When the trust special administrators produce their report, I hope they will provide us with complete access to the data on which they worked, as well as the assumptions made—something that did not happen with the contingency planning team.

We were also making it clear that we cannot see how other, neighbouring hospital trusts, which are already under so much pressure, could cope with substantial numbers of additional patients who would have to come for treatment, travelling considerable distances on routes that are not well served by public transport.

[Gavin Williamson (South Staffordshire) (Con)]

Does my hon. Friend agree that if we do not keep a strong core of services in Stafford and at Cannock, the consequence for other trusts could be a deterioration in the care they can give patients, which would be highly detrimental for patient care right across Staffordshire?

[Jeremy Lefroy]

I entirely agree with my hon. Friend. Many people, including those with more experience of these matters than I have, have said the same.

The coincidence of the publication of the Francis report—which was commissioned by my right hon. Friend the Member for South Cambridgeshire (Mr Lansley), whom I am glad to see in his place—and Monitor’s contingency planning team report into the future of services at Stafford and Cannock was, I have to say, unfortunate. Both organisations were running to independent timetables, but the coincidence gave rise to the incorrect impression that the proposed downgrading of services at Stafford was somehow the direct consequence of the failures in care until 2009. Let us be absolutely clear: it is not. In fact, the financial problems of the trust are long standing. It should never have been granted foundation trust status by Monitor back in 2008.

However, the impression that exposing poor care somehow resulted in threats to services had a double effect. First, blame was completely unjustifiably put on those who spoke out. Secondly, the impression was given that if people speak out in future anywhere else, local services might be at risk. The result is that Stafford has experienced ups and downs in the last few months. They include the wonderful coming together of a community of all ages and a group supporting the services at the hospital working across the political divide. Sadly, however, we have also seen cases of threatening behaviour against Julie Bailey and members of Cure the NHS, who courageously brought the serious problems at Stafford to light. I will not mince my words: it has been heartbreaking to hear people—good people, with the welfare of the community at heart—on opposite sides of an argument that should never have happened.

At the same time, hundreds of people in the community have put in a huge amount of time and effort to support Stafford hospital. I want to mention some by name. They include Sue Hawkins, Cheryl Porter, Karen Howell, Brian Henderson, Diana Smith, James Cantrill, Chris Thomas, James Nixon, Councillors Mike Heenan, Rowan Draper and Ann Edgeller, and Ken Lownds—who has put in a huge amount of expert work—together with my hon. Friends the Members for Stone (Mr Cash), for Cannock Chase (Mr Burley) and for South Staffordshire (Gavin Williamson).

But I wish to focus on the future, and I am going to concentrate on Stafford hospital although Cannock, too, is vital. Stafford is one of the many small district general hospitals up and down the country that play a vital part in our emergency and acute infrastructure. The number of acute beds has fallen substantially in the past 20 years, including in Staffordshire. The new PFI-funded hospital that opened recently in Stoke has 250 fewer beds than its predecessor, although it is none the less a wonderful hospital. We all welcome the fact that the length of hospital stays has fallen sharply, to an average of less than four days, but a report from the Royal College of Physicians published last year pointed out that there is little room for further reduction. Indeed, as the population begins to age, the average length of stay might start to creep up again.

The only way to manage acute beds, even at the current capacity, is to ensure that people do not have to be admitted in the first place. I am sure that we all want to see that happen, but it will depend on expanded community provision and the better integration of health and social care. That will happen, but it is not happening yet. Even when it does, my firm belief is that although it might halt the increase in demand for acute services, it will not reduce it at this time of a rising and ageing population. The Government are listening to experts who say that we need substantially increased rail capacity by 2035, so I am sure that they will also listen to the experts who say that we cannot cut any further the local and regional capacity for emergency, acute and maternity care. I say to Monitor and to the Government that Stafford is ready to be a national leader in such integration, with patients and the provision of the highest quality of care put first. However, that demands time and co-operation.

The first element of co-operation involves a larger acute trust. In the case of Stafford, the obvious partner is the University Hospital of North Staffordshire in Stoke. Working with UHNS as one team will bring advantages to both hospitals and both communities. For Stafford, the chance to become part of a university hospital will be an exciting prospect. We already welcome third, fourth and fifth-year medical students from Keele university medical school, and they report that they value the experience of working in a busy district general hospital. For the clinical staff at Stafford and at Stoke, the chance to work as a much bigger team across two sites would bring greater opportunities for them to develop their skills and experience. Frankly, for Stafford, it would also ensure that there was much less chance of a return to the complacent culture of the past that the Francis report identified as a major problem in parts of the hospital. For Stoke, which is already under considerable pressure as a result of the reduction in beds and has had to reopen up to 100 old ones, coming together with Stafford would offer welcome additional capacity. It would also create a larger catchment area, which would make some specialties that are currently marginal at Stoke much more viable.

But this would not be easy, as UHNS also has a substantial deficit and a PFI cost that is frankly unsustainable. I urge the Government to do everything within their power to cut the cost of UHNS’s PFI so that the 750,000 and more people who would rely on a combined major acute trust—whether in Stoke, Newcastle-under-Lyme, Leek Stafford, Cannock or further afield—can continue to have access to services delivered as locally as possible.

Manufacturing (West Midlands)

Debate between Gavin Williamson and Jeremy Lefroy

Tuesday 15th January 2013 Westminster Hall

[Gavin Williamson]

The hon. Gentleman makes a valid point. I want to ensure that we have a level playing field in procurement. We must recognise the fact that many Governments—whether in Germany or France—put a great value on ensuring that local employment is created as a result of their procurement.

Northern Ireland has benefited significantly, whether by buses being produced in Ballymena or other things. We would like to see various parts of the UK—whether Northern Ireland, the west midlands, Yorkshire, the north-east or the north-west—all benefiting from a Government who are passionate about buying British. I hope that we are starting to see that, but I would certainly like to see a lot more of it.

[Jeremy Lefroy (Stafford) (Con)]

I am most grateful to my hon. Friend for giving way, and I congratulate him on securing this debate. On Friday, I visited Alstom with the Government’s chief scientific adviser at the Department of Energy and Climate Change, because Alstom is a major investor in energy, particularly high-voltage direct current. One of the points I noted was that our national grid buys most of its transformers from overseas. Stafford is the only place in the UK with a transformer manufacturer. However, the real reason that the national grid is buying from abroad is that in our procurement in the UK we do not take into account the quality of UK products and hence their longevity. The value-for-money approach needs to take longevity into account. If that were the case, I believe that we would be buying more from UK manufacturers.

[Gavin Williamson]

My hon. Friend, who is a constituency neighbour of mine, makes a valid point. Alstom also has a significant impact on my constituency. Looking at how things are procured, the value that is gained over a long period and the investment, in terms of jobs, training and apprenticeships that are brought to the UK, are all incredibly important points that must be recognised in Government procurement.

--- Later in debate ---

[Gavin Williamson]

My hon. Friend is getting a very early bid in there; again, I will leave the Minister to respond to that request himself. However, I of course join her in congratulating that company on its work. I am sure that one of the great reasons it has seen such export success is its investment in research and development. R and D is important in the west midlands. Indeed, 72% of all R and D is derived from the manufacturing sector, so we must appreciate what a significant role the sector plays in terms of our universities and developing new technologies. One of the finest examples is the Warwick Manufacturing Group, which is based in the west midlands and really leading the way. It is a shining example of what we want to see more of, not only in the west midlands but right across the UK.

[Jeremy Lefroy]

I just want to point out the importance of the Government’s regional growth fund. In the case of Alstom—I have already mentioned Alstom, and I would be grateful if the Minister could visit it to see for himself the impact of the RGF—the fund has been used to invest in world-beating high-voltage direct current technology. For instance, last year Alstom received an order worth 250 million euros from the Swedish grid, even in the face of stiff Swedish opposition.

[Gavin Williamson]

I certainly concur with all the points that my hon. Friend has made, and my right hon. Friend the Minister will have a very busy diary by the time that he leaves Westminster Hall after this debate.

I am very conscious of time, and that other people want to contribute to the debate. So I will try to go through some of the points that I want to make very rapidly, and I hope that Members will not think me discourteous if I try not to take too many interventions from this point on. As I say, I am very conscious that others want to an opportunity to speak.

South Staffordshire has seen some enormous manufacturing successes since 2010. Last year, McCain Foods announced it was investing £3 million in its Wombourne factory, introducing new product lines, securing the factory’s future and creating jobs. We have seen a massive investment by Moog’s aviation division, which has moved from its old site in Bilbrook, in my constituency, just a couple of miles down the road to the new i54 site, which is also in my constituency. It has invested many tens of millions of pounds, securing British jobs—jobs that have a significant impact in not only South Staffordshire, but Wolverhampton. We have seen investment from Eurofins. Of course, the most significant investment came from Jaguar Land Rover, which invested £350 million in the i54 business park. That will, I hope, create 750 jobs and make sure that all the company’s engines are manufactured in the UK. The firm is investing significantly in new technology, such as its new four-cylinder engine, which will reduce emissions and, I hope, drive exports and domestic sales.

health

Debate between Gavin Williamson and Jeremy Lefroy

Tuesday 18th September 2012 Commons Chamber

[Jeremy Lefroy (Stafford) (Con)]

May I, too, welcome the Minister to his place? Last week, two decisions were taken affecting the Mid Staffordshire NHS Foundation Trust, which covers the Stafford and Cannock hospitals. The first was the decision by Monitor to undertake a review of the trust’s finances. The second was the decision of the commissioners not to reopen the accident and emergency department at night, although the trust had said that it was in a position to do so. What is common to both decisions is that there has been no consultation so far with my constituents or those of my hon. Friends the Members for Cannock Chase (Mr Burley), for Stone (Mr Cash) and for South Staffordshire (Gavin Williamson). These are their health services, which is why I have established a working group specifically to look at Stafford hospital, so that my constituents can make their proposals and views clear, both to Monitor and to the commissioners.

As hon. Members will know, there has been a public inquiry into the failings of Stafford hospital, especially those in the period 2005 to 2009, although the failings go back much further. The Francis report in 2010 exposed shocking care, particularly of the elderly and vulnerable. The public inquiry, which looks at why the NHS and others failed to pick up these problems, is due to report later this year, so I will not comment on that. The time of publication will be the time for very careful and mature reflection on what happened and how the NHS must change in response. As a senior member of the Royal College of Physicians said to me, it is the most important inquiry into the NHS in two or three decades.

Standards at Stafford hospital have improved considerably in the past three years, although there is no room for complacency. The Care Quality Commission recently lifted all its remaining areas of concern and the accident and emergency waiting time target has been met for the first time in a long time. There remains a substantial financial deficit, however, with an operating deficit of some £16.5 million last year and one of £15 million predicted for this year. At this point, I thank the previous Secretary of State for Health, my right hon. Friend the Member for South Cambridgeshire (Mr Lansley), who is in his place as Leader of the House, and the former Minister of State, my right hon. Friend the Member for Chelmsford (Mr Burns), for their steadfast support for the trust as it sought to recover, as well as the staff of the hospital and those from the Ministry of Defence who helped out at A and E for a few weeks.

The financial problems facing the Mid Staffordshire trust that Monitor wishes to tackle arise, in my analysis, from three sources. The first is underuse of the estate in Stafford and Cannock. It is essential in my view, and that of my hon. Friend the Member for Cannock Chase, that both hospitals remain open, but the estate must be used efficiently as money that is needed for services is being spent on empty property.

Secondly, the consequences of the events at Stafford mean that patients who would normally attend Stafford no longer do so. Confidence in the hospital needs to return, and that confidence must be based on real progress. There are welcome signs that that is happening, but it will take time.

Thirdly, and most importantly by far, endemic problems face medium-sized acute trusts across the country. Mid Staffordshire is far from unique and that is where the Monitor review is vital as it has the chance to establish a sustainable model for district general hospitals around the country. There seems to be a view gaining currency that all medical care in the future will either be highly specialised or general, based in community hospitals, which will squeeze out the medium-sized acute hospitals. Not only does that not accord with the evidence, it goes against the wishes of the public.

I do not dispute the need to concentrate highly specialised care in larger hospitals where consultants in each specialty are available around the clock. That has happened for some time. However, there is an increasing and substantial need for emergency and acute care, particularly for the elderly, which is much better given as locally as possible and in close co-ordination with social care services. District general hospitals such as Stafford remain the best place for that.

Monitor therefore has an excellent opportunity to work together with the people of Stafford and Cannock to show how a medium-sized acute trust can flourish in the tough financial climate we face. Indeed, Monitor has a duty to do so under section 62 of the Health and Social Care Act 2012, which states that its main duty

“in exercising its functions is to protect and promote the interests of people who use health care services by promoting provision of health care services which…is economic, efficient and effective, and…maintains or improves the quality of the services.”

It also states that:

“In carrying out its main duty, Monitor must have regard to the likely future demand for health care services.”

The last paragraph is very important as not only is the population of the area predicted to rise substantially in the coming years, but there will be a greater demand for acute care.

It may be argued that none of Monitor’s duties requires that services be provided locally. I reject that. To provide services locally is economic, efficient, effective and an intrinsic part of their quality, so Monitor has a duty to promote health care services that are as local as possible. We also need to be very careful in the definition of the word “services”. In the debate in Committee on what was then clause 69, I said that

“it is extremely important to have clarity on what constitutes a service. Services can be salami-sliced down to very small items or, as others have said, they can be an agglomeration. One could say that, in an acute hospital, a service is not only the accident and emergency, but some—not necessarily all—of the other wards associated with it. That might constitute a block of service or, under other definitions, several services. How will Monitor interpret that word?”––[Official Report, Health and Social Care Public Bill Committee, 22 March 2011; c. 943.]

[Gavin Williamson (South Staffordshire) (Con)]

Everyone in Staffordshire knows how hard my hon. Friend has fought on behalf of Stafford hospital. Does he agree that the closure of Stafford A and E at night will put an increasing burden on many other local hospitals, including New Cross hospital in Wolverhampton and the University hospital of North Staffordshire?

[Jeremy Lefroy]

I entirely agree. Of course, the hon. Member for Walsall South (Valerie Vaz) has the Manor hospital in her constituency, too, and I pay tribute to the work done by her hospital, by my hon. Friend’s hospital in New Cross and by Stoke and Burton hospitals.

So, how will Monitor interpret the word “services”? To date, as far as I am aware, we do not know the answer to that question. I want to make a very clear case that Monitor must, in the case of emergency and acute services, view the matter in the round and not engage in accountancy-based salami slicing. One cannot separate an A and E from a medical admissions unit, a surgical admissions unit, a paediatric admissions unit, an intensive care unit and the related diagnostic and therapeutic services. They must be considered as a service block. Of course, there will be a difference between the block in a district general hospital and that in a major specialist hospital, as the latter will cover emergency and acute events that a district general hospital cannot.

That brings me to the question of the accident and emergency department at Stafford, which has been closed between 10pm and 8am since 1 December last year. Today a petition is being presented in Downing street to urge the reopening of the department at night. Up until Sunday 16 September, 4,381 patients who would have been treated at Stafford at night have gone to other hospitals. To put that in perspective, the A and E department treated 51,000 people in 2011-2012. That is more than 4,000 patients who could not use their local acute hospital in an emergency when previously they could. We need to see them back at Stafford.

The reason given for closing the A and E department at night was that it was not safe for 24/7 reopening. Subsequent events have proved that to be the right decision as the department was close to breaking point. However, a set of criteria were given for reopening and the trust considers that, after much hard work, they have now been met, although there are concerns about sustainability. The commissioners have decided not to go ahead with night-time reopening but instead to pursue what they call a model of 24/7 emergency and urgent care. My constituents and I were very disappointed with that, because, nearly 10 months after night-time closure, we still do not have an A and E 24/7 but also because we do not have details of what that emergency and urgent care model might be. What are the similarities and differences between emergency and urgent care and A and E as traditionally understood? That needs to be made clear, not just in Stafford and Cannock but everywhere such a model is proposed.

The commissioners’ statement made it clear that even while A and E was closed, children, maternity and GP cases continued to be received at Stafford at night. They are also working on how to bring back to Stafford the 15 or so patients who currently have to go elsewhere each night. That is welcome and sounds similar to the service prior to closure. So what is different? Can we not return to an open-door 24/7 service with effective triaging to filter out the unnecessary attendances that place a strain on emergency departments everywhere?

Mid Staffordshire trust may be exceptional in the long hard road it has to travel to regain the confidence of local people—and it has come a long way down that road—but it is not exceptional in the pressures it faces as a district general hospital. The Government have a chance to show how district general hospitals can thrive, providing emergency, acute and elective services to their people, working closely with social care and with the specialist hospitals in their neighbourhood.

Noise Reduction (M54)

Debate between Gavin Williamson and Jeremy Lefroy

Tuesday 17th January 2012 Westminster Hall

[Gavin Williamson (South Staffordshire) (Con)]

It is a pleasure to serve under your chairmanship, Mr Howarth. I compliment the Under-Secretary of State for Transport, my hon. Friend the Member for Hemel Hempstead (Mike Penning), on his management of the previous debate, and I hope that he feels a lot more comfortable with this one, which is far more firmly within his brief. It is a great privilege to have secured this debate in Westminster Hall, and I thank my hon. Friend the Member for Harrogate and Knaresborough (Andrew Jones), who inspired me to request it, by pointing out what the Government could do to reduce the negative impact of road noise in many constituencies, including mine.

Often, when we talk about new developments such as motorways and railways, people who object to them are accused of being nimbys—not in my back yard—and of not wanting the developments because they are not concerned about the national interest. However, the fact is that they are often concerned because they are not fully confident that the Government, of whatever political colour, will do all that they can to mitigate the effects of noise from roads, railways or other major infrastructure projects.

[Jeremy Lefroy (Stafford) (Con)]

I congratulate my hon. Friend and neighbour on securing this debate. I completely agree with him, and I re-emphasise how much the Government can do. In my constituency, the resurfacing four to five years ago of the M6 between junctions 12 and 13 greatly improved the lives of people living round and about who were plagued by the noise from the old surface.

[Gavin Williamson]

My hon. Friend is absolutely correct. It is not that the Government are unable to act or incapable of doing anything to improve the lives of people who live close or adjacent to motorways; they can have an enormous effect and make enormous improvements in people’s lives.

One of the key reasons for requesting this debate was the fact that road noise had once again been highlighted in my constituency, on the back of some very good and positive news: the announcement by Jaguar Land Rover that it is to build a major new engine factory on the i54 South Staffordshire industrial estate. That is fantastic news, because the new factory will bring many jobs and great prosperity, not just to my constituency, but to my hon. Friend’s constituency of Stafford and many others right across the west midlands. However, to secure the development, our local authorities—South Staffordshire district council and Staffordshire county council, working in conjunction with Wolverhampton city council—had to put money forward for a direct link between the i54 site and the M54.

Any such major construction project will have an effect on local residents, and in this case the residents of Coven Heath village adjacent to the motorway are particularly affected. Residents of not just Coven Heath but neighbouring villages up and down the M54 have raised many concerns about the impact a Jaguar Land Rover plant will have, with increased traffic movement from heavy goods vehicles and from the many people who will visit the site every day. That has focused many people’s minds on the inadequacies of the M54 and on the failure of many Governments in the past to take action to reduce the impact of noise on local communities.

I am not sure whether hon. Members have had the pleasure of driving along the M54 regularly, but perhaps I can tell them a bit about it. The Minister will probably correct me if I make a mistake, but I believe that the motorway was one of the first to use the construction method of concrete slabs. That was a revolutionary idea, and it became incredibly fashionable in motorway construction throughout the country, but unfortunately, as with many things that were fashionable in the 1970s, with the benefit of hindsight, the idea was not such a good one. Concrete construction causes excessive road noise, much more than the tarmacadam system used on many motorways, and the problem has been recognised often, including by the 1994 royal commission and the 1997 addition to that.

Road noise has a very detrimental effect on many people’s lives, and the Government have recognised both that and the need to reduce its impact on people living near motorways, as outlined in the Hansard list back in, I think, 2000 or 2001. It is my firm belief that the M54 meets the criteria of that list because the noise coming off it causes sufficient disturbance to the many communities not just in South Staffordshire but in Wolverhampton and across the county boundary into Shropshire.

When people leave the M6 and turn on to the M54, they immediately drive on a tarmacadam road until junction 2. Unfortunately, it is not a low-noise-impact surface, and as soon as they pass junction 2, there is a concrete slab construction all the way to Telford. We all know that rather than absorbing noise, concrete sends it out, causing local residents great concern.

I appreciate that finances are tight, and I do not imagine that the Minister has a bottomless pit of money—if he does, I am keen to hear about it—but I urge him to look at the issues on the M54, not just in connection with the Jaguar Land Rover development on the i54 site, which, I emphasise, all my constituents welcome. We do not stand in the way of progress in South Staffordshire; we embrace it and make it happen, as we have been doing with the development on the i54. However, we look to the Government to reduce the impact of such developments, and I ask the Minister to look very closely at junction 2 and the flyover that will be constructed from the i54 to the M54 and to reassure my constituents that the Government will do all they can to reduce the impact of noise, light and other pollution, including by ensuring that sound barriers are constructed.

[Jeremy Lefroy]

My hon. Friend is being generous in giving way again. Does he agree that when the M6 managed motorway scheme that the Government recently announced, for which I am extremely grateful—I thank the Minister for his part in that—is being progressed, improving sound insulation, in particular between junctions 13 and 14, as the M6 passes right through the middle of Stafford, could be looked at, for the benefit of my residents who live right up against the motorway?

Stafford Hospital

Debate between Gavin Williamson and Jeremy Lefroy

Tuesday 20th December 2011 Westminster Hall

[Gavin Williamson (South Staffordshire) (Con)]

I congratulate my hon. Friend on securing this debate. He touches on an important point, especially at this time of peak demand for hospitals. New Cross hospital and hospitals in Walsall and Stoke-on-Trent are under a lot of pressure. It is vital that we ensure that this closure is only temporary and that we resume full-time, 24-hour accident and emergency services.

[Jeremy Lefroy]

I am most grateful to my hon. Friend for making that point. I reiterate my thanks to those hospitals for taking on the extra patients in the night-time hours during this difficult time in the winter. Stafford accounts for 14% of the entire number of A and E admissions for the whole region, which includes Staffordshire, Wolverhampton and Walsall.

Fourthly, with Stafford being shut at night, most patients have to travel considerably further for emergency care. The University hospital of North Staffordshire in Stoke is 19 miles away, New Cross in Wolverhampton is 18 miles away, Manor hospital in Walsall is 19 miles away and the hospital in Burton is 27 miles away. The absence of Stafford, even for 10 hours at night, leaves a very large hole in accident and emergency provision for the region. It is a matter not only of distance, but of the amount of traffic on the roads. Night-time travel is usually reasonable in the area, but congestion can be substantial during the day, particularly when the M6 is closed between junctions 12 and 14 and all motorway traffic is diverted through the middle of Stafford.

It has only been possible to cope with the temporary night-time closure with the use of several additional ambulances and increasing staff cover. Such facilities are expensive. Indeed, they are more expensive than keeping the A and E department open 24/7, which emphasises the fact that the decision was taken for reasons not of cost but of patient safety.

It is essential that Stafford hospital has a full-time accident and emergency service, but not every emergency can be treated there. Given the advances in medical science and treatment, it makes sense for some of the most serious emergencies to be treated by top specialists who will only be in the largest hospitals. Patients with major trauma, severe strokes or major heart attacks already go to regional centres such as UHNS. That is understood and generally accepted. However, a district general hospital should be able to respond safely to a number of emergency conditions and provide a minimum set of services, such as acute medical, including rheumatology and geriatric; acute surgical and orthopaedic; paediatric; maternity; and mental health, particularly for overdoses. In some cases, hospitals may have to stabilise a patient before they can be transferred to a specialist centre.

Retaining a core set of emergency services in district general hospitals is important to protect their viability. As John Donne said:

“No man is an island.”

That can equally be said of many acute services. It is not possible to retain acute medicine, which provides the lion’s share of the income of an acute hospital, without having access to surgical opinion on the spot. Any emergency service also needs the full-time support of critical care units and radiology, to name but two. That is not to say that there can be no change—there must be changes to make district general hospitals financially sustainable in a difficult climate—but we must not put so much pressure on them that their only option is to close their doors to emergencies from the communities that they serve, forcing people to travel considerable distances for all but minor injuries.

Changes must be thought through and discussed openly with those communities. There should be no sudden changes and nothing hidden in the small print. The NHS is paid for by the British people and is a service that gives us great reassurance, even if we are fortunate enough rarely to need it.

I have set out clearly why Stafford hospital needs a full-time accident and emergency service. I am making the argument from the point of view not of the hospital itself, the bricks and mortar, but of the patients—my constituents and those of my hon. Friends the Members for Cannock Chase (Mr Burley), for Stone (Mr Cash) and for South Staffordshire (Gavin Williamson), many of whom rely on its services.

Stafford hospital provides a first-class service to many people in our area. The management, the staff, my parliamentary colleagues and I are not complacent; we recognise that there is more to be done. None of us will be satisfied until our hospital is known nationally, as I believe it will be, for its high-quality treatment and care and it has the confidence of all those whom it serves.

Country of Origin Marking

Debate between Gavin Williamson and Jeremy Lefroy

Monday 9th May 2011 Commons Chamber

[Gavin Williamson]

That is a great tragedy, and it is common not just in food manufacturing. So many of the products that we see on the shelves of so many retailers right across the country are passed off as British when actually they are not. They are often manufactured to far lower standards. We have to take a lead on this issue.

I must confess that when I got this debate my heart fell slightly. In my heart of hearts I know that the Minister will probably not quite be able to give me answers that I so desperately want to hear coming from his lips—that he is a passionate believer in country of origin markings and that this is something that we will roll out as a Government, helping manufacturing businesses large and small, right across the country. I had a look through something that the Department for Business, Innovation and Skills had produced setting out some of its concerns. I know that the Minister always listens closely to Members of Parliament, as we want to guide him away from the sometimes, let us say, constraining influence of officials and give him some exciting information to go back and challenge them with.

One thing that officials constantly say is that the benefits to consumers are questionable. I cannot understand how any official could ever say that the benefits to consumers were questionable, when all that we would be doing is telling them where products come from. What could be more pure, more innocent or more helpful to consumers than telling them about the integrity of the products that they are buying—that is, about whether they are right and true—or where they have come from? Officials will probably say that country of origin marking will increase costs. I assure the Minister that it will not, for the simple reason that companies that are significant producers in furniture manufacturing, domestic appliances, chinaware, glassware or other sectors will already have to do country of origin labelling if they want to export into the US, Japan, South Korea and China. I remember exporting an awful lot of chinaware to China, and I always had to put the country of origin on the product. There is therefore no extra cost to manufacturers, because we already do it.

I spoke just this morning to the chief executive of Royal Crown Derby, Hugh Gibson. I asked him, “Why do you want this country of origin marking?” and he said to me, simply, “Gavin, on every piece of ware that I produce, I put my Royal Crown Derby back stamp on it, and proudly, ‘Made in England’.” He added, “Other producers put their back stamp on products but no country of origin. I can only assume that they are ashamed of where they produced that product.”

[Jeremy Lefroy (Stafford) (Con)]

My hon. Friend makes a powerful case. Does he agree that such labelling is in the interests of British exports? All around the world, whenever I pick up a coffee cup in a hotel, I automatically, as a true Staffordshire man, turn it over to see whether it has come from Staffordshire, whether from Steelite, Dudson or one of the other fine companies that the hon. Member for Stoke-on-Trent North (Joan Walley) so ably represents.

[Gavin Williamson]

We cannot forget that “Made in England” and “Made in Great Britain” have value for consumers in this country, but probably more so around the globe. If we are not seen jealously to guard the labels “Made in England”, “Made in Great Britain”, “Made in Staffordshire” or “Made in the West Midlands”, and show that they are important to us, why should they mean anything to the rest of the world? We need to show the world that we are proud of “Made in Great Britain”, but if we do not insist upon having such labels on our products, why should the world believe it?

The Department for Business, Innovation and Skills will probably say that it is difficult to enforce such a provision. However, if we introduced it initially to some sectors and then further, it would be self-enforcing, because businesses that are involved in the manufacture of the product will be on to trading standards immediately if they see any products that do not have country of origin marking. I must speak very highly of Staffordshire trading standards. I am sure that it and Stoke-on-Trent trading standards and many others throughout the country would be very proactive in enforcing the measure and in ensuring that the law and writ of the land is obeyed by all.

The Minister’s officials might say that businesses do not want such a measure, but manufacturers do. Oddly enough, retailers and importers do not want it, but 95% of companies that employ people to manufacture products in this country will say, “Yes, we want it. Yes, we need it,” because that labelling is showing our added value on the products that we produce in this country when we create British jobs.

I should like to extend an invitation to the Minister. I shall put a week of my recess aside to take him around as many manufacturing businesses that produce goods in this country as possible, so that he can listen to every single one of them say, “Yes, we want country of origin labelling on products so that people know that ‘Made in Britain’ means something in this country.”

Gypsy and Traveller Sites

Debate between Gavin Williamson and Jeremy Lefroy

Tuesday 7th December 2010 Westminster Hall

[Gavin Williamson]

Very much so; that is precisely the case. Often, a distorting factor is created in the local agricultural market, and small pockets of land that could be purchased for about £4,000 to £6,000 per acre suddenly have an inflated value. One part of the population can increase the value of a development by turning it into a Gypsy and Traveller site. Unfortunately, in some areas that I have seen proposed for development, people seek to get planning permission to create a Gypsy and Traveller site and then, at a later stage, apply for a change of use or another potential form of development. That is a real concern. It will not happen over the next one or two years, but that is the route that people seem to be taking in the medium to long term.

What do I want to hear from the Minister? I could give him a long list of issues. There have been many positive words from the Department for Communities and Local Government about recognising localism. There have been warm words suggesting that the Department understands people’s concerns, and positive responses to show that it understands the problem in the community. I have heard a lot, but I have seen little done.

I am sure that the Minister has, in his briefing papers, news of an awful lot that is about to be done. However, in late August, just before the debate secured by my hon. Friend the Member for East Hampshire, it was announced that planning circulars 01/2006 and 04/2007 were to be changed and new policies put in place. Unfortunately, everything seems to have gone quiet since then, although the announcement has encouraged a large number of people to make applications before there is a change in the planning circulars. In my constituency alone, there have been 13 applications, including in the villages of Hatherton and Coven Heath. Those people recognise that the loophole may be closed, but although there has been an announcement from the Department, I have not yet seen any action, and people are rushing to take the opportunity to get applications through the loophole.

[Jeremy Lefroy (Stafford) (Con)]

I apologise because I shall have to leave the Chamber to attend a Select Committee shortly. Does my hon. Friend agree that apart from the fact that many of the developments are on green belt, one of the problems that his constituents and mine have is that often there is development before any application for planning permission? That causes great upset. People want to see the rules being followed.

[Gavin Williamson]

Absolutely. I know the problems that my hon. Friend has had to deal with in the village of Penkridge, where extensive development has occurred. That is truly horrifying for the people who live there, because they see the development happening and local authorities have so few real powers to stop it. A similar situation arose in the village of Coven Heath, in my constituency, just a few months ago. Thankfully, when the bulldozers and everything else went in on the Saturday morning, the planning officers were there and were able to get the legal measures in place to get that stopped. However, there is a real problem, and there is a perceived view that if people apply retrospectively, they are treated more leniently. I hope that the Minister will pick up on that point and possibly explain how that will be changed.