NHS Spending

Jamie Reed Excerpts

Wednesday 6th July 2016 Commons Chamber

[Mr Hunt]

The point that many of us made in the referendum campaign is that even the net figure—the more like £100 million net contribution that we make to the EU—is not a figure that we can bank on with any certainty because, even if it did materialise after an exit from the EU, it would be negated by the very smallest of contractions in the economy, which would itself reduce the tax base and the amount of public spending available. The Institute for Fiscal Studies said that that £100 million a week would be negated by a contraction in the economy as small as 0.6%. I do not think any of the economic forecasts said that the contraction would be as small as that; all of them said that it would be much bigger than that.

[Mr Jamie Reed (Copeland) (Lab)]

I share the right hon. Gentleman’s concerns about—with your permission, Mr Speaker—the lie on the side of the bus. As Secretary of State for Health, will he now, on behalf of the whole country, and particularly on behalf of people who were deceived and let down by that claim, take up with the Electoral Commission why that lie was allowed to stand for so long?

[Mr Hunt]

I understand the hon. Gentleman’s concerns. Let me give him a challenging reply. The trouble that we have—those of us who disagree with the outcome—is that that issue was exhaustively debated and, for whatever reason, people chose to disbelieve our concerns or decided that they were not worried about it.

I understand why the shadow Health Secretary has brought the motion before the House, but the reason it is a difficult one to debate is that essentially the argument about the £350 million, or the £120 million, or the £100 million is dependent on the state of the economy. That is something that we cannot know now, only 12 days after the Brexit vote result. However worried we are about the impact of that vote, in discussions about the economy we have to be careful not to talk it down, because in the end we have a responsibility to recognise that there may be opportunities and we need to make the most of the ones that exist.

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[Mr Jamie Reed]

On the point my hon. Friend the Member for Harrow West (Mr Thomas) has just made about having an assessment if we do end up, essentially, forcibly repatriating EU citizens in the United Kingdom, there will of course be a flip side: something like 3 million British expats in the EU would have to return to the UK as well. Many of them are, to put it politely, of pensionable age, with challenging health demands in many regards. Will the Secretary of State also provide an assessment of what effect that would have on the national health service?

[Mr Hunt]

I am sure that that is analysis we can do, but I cannot do it at the Dispatch Box as a direct response to the hon. Gentleman. However, as I am sure he is well aware—we made this point during the whole Brexit referendum debate—we have reciprocal health arrangements with other EU countries at the moment. Those are immensely convenient to people travelling to and visiting other European countries, because they mean those people can access healthcare completely free of charge. The bill is actually sent to the Government, and that arrangement includes pensioners who have retired to Spain and France and Italy as well. It would be very sad if, as a result of the new relationship with the EU, we lost that convenience. That is one of the reasons why I am confident that other EU countries will be happy for British pensioners to remain in them. As long as those countries are able to charge us for the healthcare costs, the burden to them should be minimal.

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[Joan Ryan]

If the hon. Lady looks at my constituency she will see a perfect storm when it comes to health funding. We are underfunded in public health, in social care, in primary care and in acute care. She can come up with whatever figure she likes, but the experience on the ground is that we are suffering very badly.

I will come on to talk about the Care Quality Commission report, out today, on our hospital. I do not know whether the hon. Lady has seen it, but if she wants to talk about increased spending, I suggest she look at that report. What it says about what is going on in an acute care hospital is unprecedented.

[Mr Jamie Reed]

Two of the prominent leave campaigners who endorsed the £350 million figure are now running to be leader of the Conservative party and our future Prime Minister. Does my right hon. Friend agree that those two people should be brought to this House and made to explain to the country just where they will get the £350 million from?

[Joan Ryan]

I absolutely agree. Nothing makes the public feel more disillusioned and separated from the political and democratic process than to be given promises by politicians who, once the public have given their vote to them, walk away from those promises. That is not acceptable.

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[Mr Jamie Reed (Copeland) (Lab)]

Before I begin, may I apologise to you, Madam Deputy Speaker, and the House authorities for posting a picture of this Chamber on the popular social media and networking site Twitter? Its purpose—it has now been removed—was purely to demonstrate that, at the point of taking the picture, only two Conservative MPs were in the Chamber and both were Ministers. The other point I would like to make before moving on is how much, as a bereft supporter of the English national football side, I am looking forward to cheering on Wales in what I hope will be a victory against Portugal this evening.

The Cumbrian health economy is experiencing the most prolonged period of intense pressure, strain and threat that it has ever faced.

[Madam Deputy Speaker (Mrs Eleanor Laing)]

Order. Before the hon. Gentleman gets into the body of his speech—I do not want to interrupt his argument—I want to thank him for the point he made and for his immediate action in removing the picture that he had tweeted. For the avoidance of doubt, it is simply not allowed, but as soon as he realised that he had done something that was not allowed, he acted immediately, and I thank him for doing so.

[Mr Reed]

That is greatly appreciated, Madam Deputy Speaker.

Despite the dedicated and incredible efforts of local NHS staff in my constituency, I see health inequalities on a daily basis, and many of my constituents experience profound access challenges to health services in my constituency and elsewhere across Cumbria, caused in part by our inadequate transport infrastructure, but also by a clearly insufficient profile of investment in local services. So far, I am afraid to say, my calls for improvement have fallen upon deaf ears.

In north and west as well as east Cumbria, we are currently subject to the ongoing success regime process. Funding for the important second phase of the West Cumberland hospital has not yet been released by the Government, and the communities I represent are gravely concerned about the uncertain future facing our local health services, including beds not just at the West Cumberland, but at our local community hospitals in Keswick, Millom, Maryport and elsewhere—and that is before we even consider the profound challenges to primary care, too.

In spite of the challenges that we face and the strength of feeling in my constituency, the Health Secretary, who is no longer in his place, has paid not one visit to the West Cumberland hospital, or any of our community hospitals on whose behalf I speak tonight, in the four years in which he has held his position. Moreover, he has refused my invitation to visit West Cumbria to see for himself the unique challenges that we face in our part of the world. Without visiting the hospital, experiencing the transport inadequacies and seeing the vital work of consultant-led accident and emergency, maternity and paediatric services that the West Cumberland hospital provides, the Health Secretary cannot and does not understand the necessity for his immediate intervention in our troubled health economy.

Most recently, owing to the fact that the Health Secretary would not come to us, my constituents and I—health campaigners from across the piece—decided to go to him. West Cumbrian health campaigners, including Mike Bulman, Mahesh Dhebar, Rachel Holliday, Siobhan Gearing and the fantastic Pamela McGowan from the News & Star newspaper, planned to make a 700 mile round trip to London to meet the Health Secretary, to outline the challenges that our health economy faces and to put our case to him. However, at short notice, but coincidentally on the day after he announced his ambition to stand as leader of the Conservative party, the Health Secretary cancelled the meeting. The decision to cancel that meeting was seen by my community as the calculated insult that I am afraid it surely was.

I led the local campaigners instead to the Department of Health to meet the gracious and approachable Under-Secretary responsible for care quality—the Minister in his place today. The delegation handed to him a confidential document containing the cases given to local campaigners by local mothers about babies who were likely to have suffered fatalities—and maternal fatalities, too—if consultant-led maternity services had been unavailable at the West Cumberland hospital in Whitehaven. The Government are well aware that consultant-led maternity services at that hospital are non-negotiable and absolutely essential—whatever the successor regime that comes forward in the immediate future. Any other option would compromise the safety of local mothers and their babies.

It is clear to me, to my community and to Simon Stevens, the chief executive of the NHS, who visited my constituency only a few months ago, that consultant-led services must be retained and improved at West Cumberland hospital. Removing those services from Whitehaven would be dangerous—

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Question agreed to.

[Mr Reed]

As I was saying, the removal of those consultant-led maternity services would actively undermine the principle of a truly national health service, and will never be accepted by me or by my community. I am therefore deeply concerned by a recent report, based on a leaked e-mail, which suggests that the success regime is indeed considering the removal of maternity services from Whitehaven as one of the options on which it wishes to consult. That is appalling. If the success regime turns out to be a Trojan horse initiated by the Government to slash budgets and remove services, I have just one message to send to the Government today: my community will never accept that, and cannot and will never forgive it.

There is no doubt that consultant-led maternity services are what west Cumbrian women and their families need, want and deserve. Removing those services from the remotest constituency from Westminster in England, in terms of accessibility, would be not only unsafe, but without precedent in our country. It is clear that this move is being driven by the Government’s determination to cut costs, and not by the safety of mothers and babies.

My community now calls on the Government and those responsible for the success regime to make the immediate, clear and unequivocal commitment to consultant-led maternity services at West Cumberland hospital—and other services—that communities in west Cumbria deserve. Without a clear commitment to our consultant-led services, including a fully functioning consultant-led maternity service at West Cumberland hospital, it will be impossible for us to support the work of the success regime in the future.

I have since urged the entire community of west Cumbria to join me, and our local campaigners, in fighting any proposals to remove essential consultant-led services from West Cumberland hospital. We are a community of campaigners, patients, families and NHS staff, united in our commitment to our local national health service, and we are determined to build a 21st century health economy, equipped to overcome the challenges that we face in my incredibly rural constituency. We will not allow the Government, by any means, to strip away our services, leaving a threadbare health service, unfit for purpose, to future generations in the community of west Cumbria. My community is determined; what we are missing is the immediate commitment, support and investment from the Government that we so clearly require.

Just two weeks ago the country voted to leave the European Union, and I regret that. Many of those voters, including a large number of my constituents, voted on the basis of their belief that a Brexit vote would result in an extra £350 million per week for the NHS. Since that vote, prominent members of the leave campaign have been quick to renege on a key promise that swung so many people behind their prospectus. As we observe the Conservative leadership contest, it appears likely that those prominent campaigners will wash their hands of the responsibility of delivering on the commitments that they made. In communities like mine, where people voted in the belief that their vote would help to fund the investments that we need in our health services, that is an unforgivable betrayal.

Now is the time for the Government to fulfil their responsibility to provide a truly national health service. My community needs and deserves no less than an immediate intervention to ensure the release of funding for the second phase of the redevelopment of West Cumberland hospital and a commitment to the retention and improvement of consultant-led services, including accident and emergency, maternity and paediatric services. We also require a commitment to the retention of beds at our community hospitals. Brexit campaigners in the Government, especially those who aspire to be not just the next leader of the Conservative party but the next leader of our country, have a particular responsibility to stand before the House and the country, and explain to all the people whom they knowingly deceived why they did it, where the money is coming from, and what they are going to do about it.