Oral Answers to Questions

Helen Whately Excerpts

Tuesday 17th October 2023 Commons Chamber

[Gavin Newlands (Paisley and Renfrewshire North) (SNP)]

6. What recent assessment he has made of the impact of the UK’s departure from the EU on trends in the level of recruitment in the health and social care sector.

[The Minister for Social Care (Helen Whately)]

rose—

[Mr Speaker]

You can respond sitting down if you wish.

[Helen Whately]

It is fine; thank you, Mr Speaker.

Since Brexit, we have more than 13,000 more doctors and 48,000 more nurses working in the NHS in England, and 40,000 more full-time equivalent staff in adult social care. Our points-based immigration system means that we can recruit the talent we need from all over the world for our health and social care system, including from the European Union.

[Patrick Grady]

If everything is as rosy as the Minister says, why did a spokesperson for the Nuffield Trust say last year that

“greater costs, more paperwork and uncertainty over visas because of Brexit have been among the biggest barriers to recruiting and keeping EU and EFTA doctors”?

Cannot she admit that Brexit is exacerbating difficulties with recruiting appropriate staff for the NHS across the whole of the UK? Scotland did not vote for Brexit. Why are we having to pay the price?

[Helen Whately]

I suggest it is really time that the hon. Gentleman stops blaming Brexit. He should in fact look to his SNP colleagues in Holyrood and ensure that they make Scotland’s NHS a better place to work. If he had listened to my answer, he would have heard me say that since Brexit we have recruited more than 13,000 more doctors to the NHS in England. In fact, we are doing so well that we recently recruited a doctor from the SNP Benches. [Laughter.]

[Gavin Newlands]

Very droll. I congratulate the Minister on that one.

If not the Nuffield Trust, perhaps BMA Scotland’s Chair Dr Iain Kennedy will be good enough. He recently said that the recruitment and retention of senior medical staff across the NHS in Scotland remains a huge challenge, with the health immigration surcharge cost increases announced by this Government potentially further deterring foreign workers from joining the NHS. Given the recently announced NHS long-term workforce plan, what steps is the Minister taking to ensure that Scotland has the immigration we need for future recruitment and retention for our health service?

[Helen Whately]

We have the health and social care visa, which supports our health and social care services to recruit doctors, nurses and other professionals, as well as social care staff, helping to boost those numbers. The hon. Gentleman referred to the important NHS workforce long-term plan, which will increase the home-grown staff in our health service. That will give us 60,000 more doctors, 170,000 more nurses and 70,000 more allied health professionals in our NHS over the next 15 years.

[Mr Speaker]

I call the SNP spokesperson.

[Amy Callaghan (East Dunbartonshire) (SNP)]

It has been reported that the Home Secretary plans to tighten the rules for those arriving on a health and care worker visa, to block most from bringing dependents with them—yet another in a long list of her vendettas against children coming to these isles. What recent assessments has the Secretary of State made of how that will impact international recruitment and capacity in our already struggling health and care services?

[Helen Whately]

I work closely with colleagues in the Home Office to ensure that the health and care visa achieves the objectives set out. We are seeing real success in social care—the recent Skills for Care workforce report showed that we have 20,000 more care workers in England. We are doing well on recruitment to social care.

--- Later in debate ---

[Justin Madders (Ellesmere Port and Neston) (Lab)]

12. What recent assessment he has made of the effectiveness of integrated care systems.

[The Minister for Social Care (Helen Whately)]

Integrated care systems and the organisations within them are making real progress in understanding the health needs of their populations, setting out their plans, developing the infrastructure needed for collaboration, and bringing health and social care organisations together to serve the needs of their communities.

[Justin Madders]

NHS Cheshire and Merseyside integrated care board has instructed all NHS providers to make cuts of 5% in their services. Its instruction is not being discussed with members of the public, Members of Parliament or indeed anyone, and it is clear there is no mandate for this action. Given that the Government have made great play of the NHS having more funds than ever before, I am at a loss to understand why the cuts are necessary, so will the Minister intervene to ensure that they do not happen on her watch?

[Helen Whately]

NHS England determines the funding received by integrated care systems. That follows a formula which takes into account the needs of local populations, demographic deprivation and so on, and ICSs are then able to direct resources as they are best needed across those populations. Part of their value, and part of the intention in setting them up along with the organisations within them, lies in that ability to understand the health needs of local populations and direct resources accordingly.

[Virginia Crosbie (Ynys Môn) (Con)]

Integrated care systems bring partner organisations together to improve health, tackle inequalities, and enhance value for money. Detailed data such as that produced by NHS Digital is critical to their work, but we learnt this week that A&E waiting times in Wales had been under-reported for the last 10 years. Does the Minister agree that without accurate data, the Labour Government in Cardiff are scuppering the attempts of NHS Wales to deliver better health outcomes throughout Wales?

[Helen Whately]

My hon. Friend has made a good point about the importance of transparency and accurate data. As she said, just this week we learnt that Labour-run NHS Wales had been under-reporting its A&E waiting times. According to the Royal College of Emergency Medicine, about 45,000 patients are missing from the data. While we are working hard to improve services in the NHS in England, the Labour-run NHS in Wales is merely fudging the figures.

[Mr Speaker]

I call the shadow Minister.

[Andrew Gwynne (Denton and Reddish) (Lab)]

The whole purpose of integrated care systems is to join up social care and NHS services in a better way. We know, for example, that fracture liaison services keep 100,000 people out of hospital, but only 50% of English NHS trusts have them, and despite the commitment given by the Under-Secretary of State for Health and Social Care—the hon. Member for Lewes (Maria Caulfield—to providing more, nothing has happened, and Lord Evans has walked back from her commitment. I realise that I am pushing at an open door in directing this question to a Minister whose leg is strapped up, but when will the Government finally deliver for the “back better bones” campaign to help older people to survive and thrive?

[Helen Whately]

As the hon. Member has mentioned, I have a broken ankle, and I am taking my responsibility as Minister with oversight of urgent and emergency care very seriously in making use of several of those services. As for my oversight of integrated care systems, what I am seeing is that they are making a very good job of enabling the integration of services. For instance, we are seeing real success in the growth of virtual wards—or “hospital at home”—which bring together acute and community services to look after people in their homes and help them to be discharged earlier. The NHS has achieved its target of having 10,000 “hospital at home” places ready for this winter.

[Mr Tanmanjeet Singh Dhesi (Slough) (Lab)]

13. What steps he is taking to improve access to primary care services.