NHS

Debate between Guy Opperman and Andy Burnham

Wednesday 5th February 2014 Commons Chamber

[Andy Burnham]

My hon. Friend puts his finger on it. There are families who are choosing between eating, heating or other essentials, such as prescriptions. That is the reality for many families and it is having an impact on their health. For those on the Government Benches not to recognise that that is the reality of life for many people, I fear for the state that we are in. They have been shouting at me for the past few minutes about scurvy. I can tell the hon. Member for Taunton Deane (Mr Browne) that the number of admissions has doubled. There are a relatively small number of cases, but they are on the rise. He really should not sit there barracking and dismissing the whole problem. He would do well to look at the facts.

Today, the Secretary of State says that the NHS got better in the past year. He should say that to the 131,000 people left waiting on trolleys for more than four hours. He should say that to the people finding it harder to get a GP appointment under his Government, left ringing the surgery at 9 am to be told that nothing is available. He should tell that to the families of children who have suffered a mental health crisis, but are told that there are no beds available anywhere in the country and end up being held in police cells. The truth is that the Government have failed to get the A and E crisis under control and it is threatening to drag down the rest of the NHS. In the past 12 months trolley waits are up, waiting times are up, emergency admissions are up, cancelled operations are up and delayed discharges are up, too. That is the reality of what is happening in the NHS.

One of the main reasons for the intense pressure on A and E is the collapse of social care in England. In December, a report from the Personal Social Services Research Unit found that, due to local government cuts, social care support in the home has been withdrawn from about 500,000 older and vulnerable people. These are people who were receiving support in the home, but are no longer getting any help. Even for those people still receiving some support, we continue to hear stories of corners being cut: slapdash 15-minute visits where staff have to choose between helping people wash or helping people eat. If we carry on like this, our hospitals will become more and more full of older people. A and E will be overwhelmed by the pressure and that really is no answer to the ageing society. That brings me to the second part of our debate today: the solution.

What is clear to most people is that there will not be a solution to the sustained pressure on A and E without better integration of hospital services with social care, primary care and more collaboration between the two. What is also clear is that there is now great frustration among people working in the NHS that they are being prevented from developing solutions to the A and E crisis by a large barrier standing in their way: the Health and Social Care Act 2012. This Government like to talk about integration, but the fact is that they have legislated for fragmentation. Under this Government, market madness has run riot throughout the NHS and is now holding back solutions to the care that older people need.

[Guy Opperman (Hexham) (Con)]

Will the right hon. Gentleman welcome the exact example that he so urgently seeks: Haltwhistle hospital in Northumberland? It is currently being built and I have been around it. It is integrated, with the local authority on the top floor and the NHS on the bottom floor. That is surely the model and the way forward.

[Andy Burnham]

I agree with the hon. Gentleman. There are examples of good practice out there, but I suggest that he speaks to chief executives of clinical commissioning groups and trusts. They are telling me that the competition regime introduced by his Government is a barrier to that kind of sensible collaboration. The chief executive of a large NHS trust near here says that he tried to create a partnership with GP practices and social care, but was told by his lawyers that he could not because it was anti-competitive. Does the hon. Gentleman support that? Is that what he thought he was legislating for when he voted for the Health and Social Care Act? People are being held back from doing the right thing for fear of breaking this Government’s competition rules.

Recently, we heard of two CCGs in Blackpool that have been referred to Monitor for failing to send enough patients to a private hospital. The CCG says that there is a good reason for that: patients can be treated better in the community, avoiding costly unnecessary hospital visits. That is not good enough for the new NHS, however, so the CCG has had to hire an administrator to collect thousands of documents, tracking every referral from GPs and spending valuable resources that could have been spent on the front line.

Funding and Schools Reform

Debate between Guy Opperman and Andy Burnham

Wednesday 17th November 2010 Commons Chamber

[Andy Burnham]

My hon. Friend has made a very important point. I have invited the Secretary of State to set out how he will ensure that no school sees a huge loss of funding to the pupil premium, with that then causing a problem in terms of service continuation.

As I said, I ask the Liberal Democrats to examine their consciences, and I got the impression that the hon. Gentleman was thinking about it. If they do not, for goodness’ sake they should speak up and show that they have some influence in the Government. They should speak up for the kids in the school that I went to this morning. We need to hear their voice to ensure that the pupil premium is what we were told it would be. At the moment, it is nothing more than a con.

The real trouble is that we do not have a new and additional pupil premium at all. The danger for the Liberal Democrats is that this issue goes to the very heart of the politics of the coalition. In the post-election talks with Labour, the right hon. Member for Yeovil (Mr Laws) told my right hon. Friend the Member for Morley and Outwood (Ed Balls) that he had secured from the Conservatives a pupil premium additional to a schools budget protected in real terms. Let there be no debate about that—that was what the Liberal Democrats said they had secured.

The Minister of State, the hon. Member for Brent Central, told the House many times that that would indeed be delivered. Well after the coalition talks, on 7 June, she told us that it would involve

“substantial extra money from outside the education budget.”—[Official Report, 7 June 2010; Vol. 511, c. 15.]

That was meant to be the Liberal Democrats’ big win, and it was paraded as the consolation prize on the day of the tuition fees announcement. The painful truth for them is that they have failed to deliver it. They have been chewed up and spat out by the Tories. We are now looking at a pupil premium that will take money off her constituency in Brent, where more than 20% of kids are on free school meals, and give it to the Secretary of State’s constituency in Surrey, where less than 10% of children receive them. That Liberal Democrat fig leaf of credibility for staying in the coalition has been snatched away.

Because the education budget is not rising—it is falling in real terms—the pupil premium is simply a relabelling of existing funding. There will be more losers than winners. The IFS estimates that 60% of primary school children and 80% of secondary school children will be in schools whose real budgets are cut. On the day when the budgets for those schools land, the “Schools protected” spin will be wearing very thin indeed.

The problem with this ministerial team is that they simply have not got a grip on the detail. They simply do not know what the changes will mean for schools. However, the situation is still worse than that. They are also obsessed with costly, untested structural reform. That lethal combination of incompetence and ideology is toxic for our schools. The Government’s preoccupation with structures risks a loss of focus on standards. Under Labour, school standards rose year on year, with some of the highest ever results at every stage and the best ever results this year in GCSEs and A-levels. In 1997, half of all schools fell below the basic benchmark of 30% of students getting five good GCSEs graded A to C. [Interruption.] I hear Conservative Members speaking up, but those were our schools and our children in our constituencies that were being failed. Many children were leaving school without any hope of a better life—that was the reality.

[Guy Opperman (Hexham) (Con)]

Is it not accepted that in science, for instance, the UK has gone from fourth to 14th position? In literacy we have gone from seventh to 17th, and in mathematics from eighth to 24th. That has to mean we have less, not more.

[Andy Burnham]

I must say, the hon. Gentleman’s literacy was very impressive there when he read the Whips’ handout. He almost read it word for word, and he did not have any help.

The hon. Gentleman cannot deny the figures that I have just read out, which show a transformation in our secondary schools. Half of schools were not achieving the basic benchmark in 1997, but today it is fewer than one in 12. Just think how many thousands of kids have hope of a better life because of that transformation in our schools, particularly in our most deprived communities.