Debates between James Cartlidge and Steve Brine during the 2019-2024 Parliament

Tue 11th Oct 2022
Health and Social Care Levy (Repeal) Bill
Commons Chamber

Committee stage: Committee of the whole House

Oral Answers to Questions

Debate between James Cartlidge and Steve Brine
Monday 8th January 2024

(10 months, 2 weeks ago)

Commons Chamber
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Steve Brine Portrait Steve Brine (Winchester) (Con)
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Ministers know that Sir John Moore barracks in my constituency is due for disposal in 2026 as part of the future soldier programme, which will bring phase 1 capability to the Pirbright site and put 900 houses in its place. Will a Minister meet me to ensure that the current ministerial team is right behind the move and, if it is, that we have an intelligent masterplan that does not just help Winchester City Council to meet its housing targets?

James Cartlidge Portrait James Cartlidge
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I am more than happy to meet my hon. Friend.

Health and Social Care Levy (Repeal) Bill

Debate between James Cartlidge and Steve Brine
Steve Brine Portrait Steve Brine
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I know why Dame Rosie is smiling: she thinks that I have possibly attempted to fit my Second Reading speech into this response to new clause 1. If I go down the road of energy policy, I may test her patience. All I would say to my hon. Friend is that, if the energy price guarantee was a price cap, and people could not pay more than the amount at which the cap was set, there would be some argument for not having a public campaign advising people on their energy use. It is not a cap; it is an energy price guarantee. If people use more energy, they will pay for more energy. It therefore seems logical to me, on lots of levels, to help people save energy—but what do I know?

I was just coming to diabetes. The NHS spends about £10 billion a year—that was about 10% of its budget, when I was in the Department—on diabetes care. That is a phenomenal amount of money, yet type 2 diabetes is preventable and, as we have heard from Members, people can turn it around. Why would we not want to encourage people to manage their weight better, when weight is one of the big drivers of diabetes?

Finally, stoke is a big killer in this country. It costs the NHS billions. During conference recess, I visited a group in my constituency called Say Aphasia—I figured it was a better use of my time. I met a group of 15 men who had had strokes. One was two years younger than me. They had severe communication difficulties. I see my hon. Friend the Member for Bury St Edmunds (Jo Churchill), a former public health Minister, by the Front Bench. She knows what I am going to say. Why would we not want to help the NHS prevent stroke through a proper salt reduction strategy? Given my surname, when I tried to suggest one to the Department, it caused some amusement among officials, but I think it is the right thing to do. If we cannot prevent stroke, I will meet a lot more people like those I met in the Say Aphasia group last week. Their ongoing cost to the NHS is significant.

In conclusion, the point I am trying to make, and maybe I am not making it very well, is that, if we do not believe in prevention—and in my heart I believe that those on the Front Bench do believe in prevention—the costs of the NHS predicted in the OBR book are going to look quite conservative. I think I am right in saying that those projections include this levy being in place, not repealed—

James Cartlidge Portrait James Cartlidge
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And corporation tax.

Steve Brine Portrait Steve Brine
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And corporation tax, as my hon. Friend says from a sedentary position. If we believe in prevention—and, as I say, I believe that those on the Front Bench do—we need to have the courage to act on that. That will mean doing unpopular things, but sometimes we have to do unpopular things to do the right things, and that means preventing some of the major killers and some of the major causes of ill health that I have mentioned. If we do not do that, the NHS will continue to cost unsustainable amounts of money and it will become unsustainable. There endeth the lesson of Dr Brine.