(6 years, 1 month ago)
Commons Chamber(9 years, 10 months ago)
Commons Chamber17. What assessment his Department has made of the future role of community hospitals.
Community hospitals can play a hugely important role in the 21st-century NHS. The NHS “Five Year Forward View” explicitly recognised the role of smaller hospitals, including community hospitals, as part of the new care models towards which we need to evolve. Specific local commissioning decisions are rightly taken by local clinical commissioning groups, reflecting local need.
We have excellent hospitals in Tiverton, Honiton, Axminster and Seaton, and there could be a much greater link between them and the Royal Devon and Exeter NHS Foundation Trust. For example, patients could be moved to the community hospital in Axminster after acute operations, thereby creating space at the RD and E and keeping Axminster hospital open with beds, which the population is keen to see.
I pay tribute to my hon. Friend for his tireless work on this matter. I know that he recently met the Secretary of State to discuss it and that he has been very active locally and here in Parliament. He is right that local community hospitals can play a key role in supporting patient convalescence, providing particularly good care in the community close to home, which is convenient for elderly patients, and relieving pressure on acute hospital beds. You do not have to take it from me, Mr Speaker; take it from Simon Stevens, the chief executive of NHS England. He recently said:
“A number of other countries have found it possible to run viable local hospitals serving smaller communities than sometimes we think are sustainable in the NHS…The NHS needs to abandon a fixation with ‘mass centralisation’”.
I hugely welcome that.
(12 years, 1 month ago)
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The shadow Minister is exactly right, and he leads me down a path towards making a point on which not all will agree with me, which is that the one thing that is being denied to European and British farmers is biotechnology and science. No other industry in this country is hampered by not being able to use the best science. A blight-resistant potato used for starch production is in existence. Eventually, we will have a blight-resistant potato fit for human consumption; will we then deny ourselves the use of it? Many in the House are better historians than me, but was it not potato blight that caused the potato famine in Ireland? Solving the problem of having to spray potatoes 20 times a year—probably more this year, because of the terrible weather conditions—would be a great bonus. Similarly, as always promised, we might soon have nitrogen-enhancing wheats and oilseed rapes. Will Europe deny itself those, too?
As a Government, we need to be a little more proactive in discussing biotechnology. It is not for the Monsantos and Syngentas to promote it, but perhaps for our universities and others, so that we can tell people about the possible green bonus from crops that need to be sprayed less and that use less artificial fertiliser—all part of science and technology.
On science, technology and innovation, as my hon. Friend knows, because he has attended meetings of the all-party group on science and technology in agriculture, of which I am chair, the Government have just launched a call for evidence on precisely that—a strategy for agricultural science and research, as part of a comprehensive life sciences strategy. Does he agree that, as we think about greening the CAP, we should consider how Europe’s farming and its agriculture, science and research base, often led by this country, can play a part globally in tackling the challenge of sustainable intensification, as laid out in the foresight report?
My hon. Friend makes a good point. I congratulate him on chairing the all-party group. We need to bring to the attention of the world what is needed, with biotechnology. We have a moral duty not only to look after the environment, but to feed people. As there is more and more global warming, northern Europe, and we in particular, will need to produce more and more food, and using biotechnology is the way forward. Europe, however, has dragged its feet, as has this country. The debate would be worth having if the potential for environmental and productive gains and slightly cheaper food could be presented to the British public, and if they could see some financial benefits—people’s hearts are on the left and their pockets are on the right.
If we look at the protein that we feed our chickens, our pigs in particular, and our dairy cows, most comes from South America and America, and most is genetically modified soya, so the idea that we are living in a world free from GM is absolutely wrong. The Americans, dare I say it—I never was politically correct—might in part be slightly overweight, but they have not died from eating GM products, which have been used to good effect in America. If we want a more competitive agriculture in Europe and Britain, denying ourselves GM in the future would be wrong. A Government who brought up that subject for debate would be brave, although I think that the public might just about be ready for it. I am interested in what our new Agriculture Minister will say. I am tempting him, ever so slightly, to comment on the subject.
We have some good stewardship schemes in this country, probably among the best in Europe. The trouble is that the Ciolos reform is trying to go down to the lowest common denominator. Of the 27 countries, some have monocultures of maize, maize and more maize, so Ciolos is trying to bring in such things as a four-crop rotation, but if we have land in stewardship schemes or permanent pasture, or hill land that is extremely valuable for its landscape, the last thing we want to do is encourage farmers to plough up part of it. Some of what is coming through from Ciolos, therefore, is complete madness. One idea is that every farm has to have 7% set aside, but some farms have anywhere between 20% and 40% of their land in a stewardship scheme—some more—while other, highly productive farms are much better off producing food and getting on with it. That is why “one size fits all” is not the way forward, as my hon. Friend the Member for Thirsk and Malton said.
We will have to fight hard in Europe—I look forward to the Minister fighting his corner—because in this country we run very productive farms. We farm pretty competitively. When some of my farmers in the west country get excited if the Commission talks about small farmers, I warn them, “Don’t get too excited,” because the Commission means farmers of about 5 acres, or 2 hectares, not farmers of 50, 100 or 150 acres. Poland has more farmers than the rest of the European Union, or certainly did when it entered, because it has so many small farms. Be careful when the Commission offers handouts to small farmers, because it does not mean ours.
That brings me to a key point. As we green the CAP, what is needed is agricultural environmental policy, and at the moment too much social policy is involved. Many member states will talk about labour requirements that very much favour the huge amount of labour on the very small farms in some countries, which will put British farming at a disadvantage. That will also take the CAP from where we want it to go, because the whole idea—probably with cross-party support—is to see farmers not only farming in a green way, but producing food competitively, and we also want them to get more money out of the marketplace. That is where I disagree with the hon. Member for Banff and Buchan (Dr Whiteford), who spoke before me. It is not a matter of finding more money from the CAP to support farming; it is about enabling farmers to be competitive and produce food well. I do, however, agree with the need to look much more at what land is given the CAP payments; that is where Scotland may well benefit.