NHS Bursaries

Debate between Heidi Alexander and John Bercow

Wednesday 4th May 2016 Commons Chamber

[Heidi Alexander (Lewisham East) (Lab)]

I beg to move,

That this House recognises the contribution of student nurses, midwives, allied health professionals and other healthcare staff; has serious concerns about the potential impact of removing NHS bursaries on the recruitment and retention of staff; and calls on the Government to drop their plans to remove NHS bursaries and instead to consult on how they can best fund and support the future healthcare workforce.

I have been told that the Under-Secretary of State for Health, the hon. Member for Ipswich (Ben Gummer), will be opening this debate for the Government. Given that the Health Secretary is sitting next to him, may I ask the Minister why we will not be hearing from his boss today? If he would like to give a genuine reason I would be happy to take an intervention, but if not I will take it that the Health Secretary simply does not want to defend his policy to the House. [Interruption.]

[Mr Speaker]

Order. There is a certain amount of chirruping from the Treasury Bench and elsewhere on this matter, and I simply make two points. It is entirely for the Government to decide which Minister to field, but I say gently to the Secretary of State, and to the Deputy Leader of the House, that to sit on the Bench rather than to participate while these matters are debated, is one thing—particularly in the case of the Secretary of State—but to sit there fiddling ostentatiously with an electronic device defies the established convention of the House that such devices should be used without impairing parliamentary decorum. They are impairing parliamentary decorum, and in very simple terms the Secretary of State and the Deputy Leader of the House are being rank discourteous to the shadow Secretary of State and to the House. It is a point so blindingly obvious that only an extraordinarily clever and sophisticated person could fail to grasp it.

[Heidi Alexander]

Thank you, Mr Speaker. This is not the first time that the Health Secretary has chosen not to respond to debates that I have secured or questions that I have put. [Interruption.]

[Mr Speaker]

Order. I say to the Deputy Leader of the House: put the device away. If you do not want to put it away, get out of the Chamber. It is rude for the—[Interruption.] Order! I am not inviting a response from the hon. Lady. [Interruption.] Order! I am simply telling her that it is discourteous to behave like that—a point that most people would readily understand.

[Heidi Alexander]

Thank you, Mr Speaker. I will leave my comments on that matter there.

In the past few months, Ministers and I have had a number of exchanges across the Dispatch Box about the unnecessary and dangerous fight the Government are picking with junior doctors. You might think that having totally alienated one section of the NHS workforce, Ministers would think twice about doing it again, but you would be wrong. Not content with junior doctors, the Government are now targeting the next generation of nurses, midwives and other allied health professionals: podiatrists, physiotherapists, radiographers and many more. Instead of investing in healthcare students, and instead of valuing them and protecting their bursaries, which help with living costs and cover all their tuition fees, the Government are asking them to pay for the privilege of training to work in the NHS: scrap the bursary, ask tomorrow’s NHS workforce to rack up enormous debts, and claim that this is the answer to current staff shortages.

Junior Doctors Contracts

Debate between Heidi Alexander and John Bercow

Thursday 11th February 2016 Commons Chamber

[Heidi Alexander (Lewisham East) (Lab)]

I am grateful to the Secretary of State for advance sight of his statement. It would have been good to have previewed this exchange during the urgent question on Monday, but we all know that the Secretary of State could not be bothered to turn up. You might also think, Mr Speaker, that the Health Secretary would do me the courtesy of responding to the two letters I have sent to him in the last week, but you would be wrong. So much for a seven-day health service! A five-day-a-week Health Secretary would be nice.

This whole dispute could have been handled so differently. The Health Secretary’s failure to listen to junior doctors, his deeply dubious misrepresentation of research about care at weekends and his desire to make these contract negotiations into a symbolic fight for delivery of seven-day services has led to a situation that has been unprecedented in my lifetime. Everyone, including the BMA, agrees with the need to reform the current contract, but hardly anyone thinks the need to do that is so urgent that it justifies imposition, and all the chaos that will bring.

The Health Secretary said NHS leaders had asked him to “end the uncertainty”, but can he confirm that that means they support “imposing” a new contract? One hospital chief executive, who the Secretary of State claims is supporting him, tweeted this morning:

“I have supported the view that the offer made is reasonable…I have not supported contract imposition”.

For the purpose of clarity, can the Secretary of State say categorically that all the NHS leaders whom he mentioned fully support his actions? Can he not see that imposing a new contract that does not enjoy the confidence of junior doctors will destroy morale, which is already at rock bottom? Does he not realise that this decision could lead to a protracted period of industrial action that would be distressing for everyone—patients, doctors, and everyone else who works in or depends on the NHS? [Interruption.]

[Mr Speaker]

Order. There is far too much noise in the Chamber. Let me say this to Members on both sides of the House who are shouting: do it again, and you will not be called. It is as simple as that. If Members cannot exercise the self-restraint to be quiet while the Front Benchers are speaking, they have no business taking part in the exchanges.

[Heidi Alexander]

I am grateful to you, Mr Speaker.

What impact does the Secretary of State honestly think an imposed contract will have on recruitment and retention? Earlier this week, a poll found that nearly 90% of junior doctors would be prepared to leave the NHS if a contract were imposed. How does the Secretary of State propose to deliver seven-day services with one tenth of the current junior doctor workforce? How can it possibly be right for us to be training junior doctors and the consultants of tomorrow, only to export them en masse to the southern hemisphere? The Secretary of State needs to stop behaving like a recruiting agent for Australian hospitals, and start acting like the Secretary of State for our NHS.

What advice did the Secretary of State take before making this decision? He may not want to respond to my letters, but what does he say to the Royal College of Surgeons, the Royal College of Obstetricians and Gynaecologists, and the Royal College of Paediatrics and Child Health, all of which have urged him not to impose a contract? What legal advice has he taken about how an imposed contract would work in practice? What employment rights do junior doctors have in this context, and what will happen if they simply refuse to sign?

The Secretary of State has been keen to present a new junior doctors contract as the key that will unlock the delivery of seven-day services, but that is a massive over-simplification, and he knows it. Although research shows that there is a higher mortality rate among patients who are admitted to hospital at weekends, there is absolutely no evidence to show that it is specifically caused by a lack of junior doctors. Will the right hon. Gentleman state, for the record, that he accepts that?

One of the real barriers to more consistent seven-day services is the consultants contract. Until now, at least, the BMA and the Government were making progress in those negotiations. Could not a decision to impose a new junior doctors contract put the consultant negotiations at risk, and make the delivery of seven-day services even harder? Will the Secretary of State also make it clear how the definition of unsocial hours will need to change in other contracts in order for seven-day services to be delivered, and which groups of staff that will apply to?

What we heard from the Secretary of State today could amount to the biggest gamble with patient safety that the House has ever seen. He has failed to win the trust of the very people who keep our hospitals running, and he has failed to convince the public of his grounds for change. Imposing a contract is a sign of failure, and it is about time the Secretary of State realised that.

Oral Answers to Questions

Debate between Heidi Alexander and John Bercow

Monday 16th March 2015 Commons Chamber

[Heidi Alexander]

In the light of today’s admission by the Minister without Portfolio, the right hon. Member for Welwyn Hatfield (Grant Shapps)—or perhaps I should say Michael Green—that he continued with a second job after his election as an MP, is the Secretary of State satisfied that it did not continue while the right hon. Gentleman served as a Minister in his Department, and can he confirm that the ministerial code was followed properly in respect of declaring any registrable interests? [Interruption.]

[Mr Speaker]

Order. The hon. Member for Shrewsbury and Atcham (Daniel Kawczynski), wittering from a sedentary position, can leave me to handle these matters, which I shall do with no difficulty at all. The hon. Member for Lewisham East (Heidi Alexander) has put her point on the record, but I simply make the point that it is not a responsibility of this Secretary of State to answer. The ministerial code, rightly or wrongly, is the responsibility of the Prime Minister, but the point is on the record and Members can find other ways to raise these matters if they wish. They should not trouble Secretary Pickles with them at this time.

Oral Answers to Questions

Debate between Heidi Alexander and John Bercow

Thursday 8th January 2015 Commons Chamber

[Mr Speaker]

Question 11. Sir Peter Luff is not here. I call Heidi Alexander.

[Heidi Alexander (Lewisham East) (Lab)]

12. What assessment he has made of recent trends in the number of apprenticeship starts for people under 19; and if he will make a statement.

Oral Answers to Questions

Debate between Heidi Alexander and John Bercow

Thursday 23rd October 2014 Commons Chamber

[Mr Speaker]

I hope that Dover also enjoyed the right hon. Gentleman.

[Heidi Alexander (Lewisham East) (Lab)]

Ministers will know that the growth in rail usage in recent years is unevenly distributed across the regions. London has seen the highest growth and the most journeys, which has a knock-on impact in the form of overcrowded trains. What percentage of national investment in rolling stock and infrastructure will go into London commuter services over the next decade?

Oral Answers to Questions

Debate between Heidi Alexander and John Bercow

Thursday 3rd July 2014 Commons Chamber

[Heidi Alexander (Lewisham East) (Lab)]

2. What steps she is taking to close the gender pay gap.

[Mr Speaker]

I call Minister Jo Swinson. Welcome back, Minister.

[The Parliamentary Under-Secretary of State for Women and Equalities (Jo Swinson)]

Thank you very much, Mr Speaker. It is good to be back. May I place on the record my thanks to my hon. Friend the Member for Cardiff Central (Jenny Willott) for the fantastic job she did in covering my maternity leave?

The full-time pay gap has now been almost eliminated for women under the age of 40, but we must close the gap across all ages and for part-time workers. We are promoting transparency through the “Think, Act, Report” initiative. As the pay gap is partly driven by the different sectors and jobs in which men and women work, we are encouraging girls and young women to consider a wider range of careers through the “Your Life” initiative.

Health Services (North-West)

Debate between Heidi Alexander and John Bercow

Thursday 11th July 2013 Commons Chamber

[Mr Speaker]

Order. May I say to the hon. Member for Lewisham East (Heidi Alexander) that I am sure that she would not seek to use this statement as a back-door method of talking about health services in Lewisham? If she wishes to expatiate on health services in the north-west, we will hear from her.

[Heidi Alexander (Lewisham East) (Lab)]

I am grateful, Mr Speaker.

The Health Secretary repeatedly said that changes will be made at Trafford only if the neighbouring hospitals that have to take additional patients are consistently meeting their waiting time targets for A and E. Will he define “consistently” and clarify exactly what he means by that? Will it apply to all A and E reconfigurations throughout the country?

Oral Answers to Questions

Debate between Heidi Alexander and John Bercow

Tuesday 26th February 2013 Commons Chamber

[Mr Speaker]

I am disappointed, but never mind. We will hear from the hon. Gentleman ere long on another matter, I feel sure.

[Heidi Alexander (Lewisham East) (Lab)]

Demand for A and E services at Guy’s and St Thomas’ and at King’s will go through the roof if Lewisham’s full A and E closes. The Secretary of State may claim that he is keeping a smaller A and E at Lewisham, but that is nothing more than dangerous spin. No blue-light ambulances will call at Lewisham under his plans, and even the College of Emergency Medicine says that they do not meet its definition of an emergency department. How on earth can the Secretary of State be so confident that other hospitals in south-east London will be able to cope once he has taken the axe to Lewisham?

Oral Answers to Questions

Debate between Heidi Alexander and John Bercow

Tuesday 15th May 2012 Commons Chamber

[Mr Speaker]

I thank the hon. Gentleman; I, too, welcome him to the Dispatch Box. It is a pleasure to hear him. We need now—not on account of the hon. Gentleman’s answers, but more generally—to make somewhat brisker progress.

[Heidi Alexander (Lewisham East) (Lab)]

6. What progress he has made on reform of probation services.

Oral Answers to Questions

Debate between Heidi Alexander and John Bercow

Monday 27th June 2011 Commons Chamber

[Mr Speaker]

Order. I am extremely grateful to the Minister. I think we will take that as a yes and perhaps make some progress.

[Heidi Alexander (Lewisham East) (Lab)]

This Friday, the Metropolitan Police Authority will consider a report that, if agreed, would halve the number of safer neighbourhood team sergeants in my constituency. If the Minister is so adamant that police numbers in London will not be reduced, what will he do stop the planned reductions in Lewisham?

Oral Answers to Questions

Debate between Heidi Alexander and John Bercow

Thursday 20th January 2011 Commons Chamber

[Mr Speaker]

I am grateful to the Minister and to the hon. Gentleman.

Liz Kendall. Not here. I call Heidi Alexander.

[Heidi Alexander (Lewisham East) (Lab)]

5. What recent discussions his Department has had with the Department for Communities and Local Government and the Greater London authority on the economic legacy of the London 2012 Olympic and Paralympic games.