Jeremy Corbyn
Main Page: Jeremy Corbyn (Independent - Islington North)Department Debates - View all Jeremy Corbyn's debates with the Leader of the House
(11 years, 10 months ago)
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Keith Vaz (Leicester East) (Lab)
It is a pleasure to follow my hon. Friend the Member for Easington (Grahame M. Morris). I share the concerns of all right hon. and hon. Members who have spoken so far about the importance of our national health service and our concerns about its current state. I think that the Minister—I have said this to him privately—is one of the most effective of the junior Ministers who have appeared at the Dispatch Box since the reshuffle. Because he is a doctor, I hope that he will take the concerns that I raise today on diabetes extremely seriously.
I suffer from type 2 diabetes—I declare my interest—having discovered it only five years ago after a routine test. I thought I had it under control, because I was taking my medication and doing a little exercise every day, walking from Norman Shaw North to the Palace of Westminster, until I read the national diabetes audit report published on 10 December. It states that people with diabetes are 48% more likely to suffer a heart attack, 65% more likely to have heart failure, 144% more likely to need kidney dialysis, 210% more likely to have leg amputations, 331% more likely to have part of a foot removed and 25% more likely to suffer a stroke. Overall, those with diabetes are, on average, 40% more likely to die each year than those without it. Members will understand my concern, as we approach Christmas, after reading statistics of that kind.
I know that other hon. Members have subsequently discovered that they, too, have diabetes. My hon. Friend the Member for Sedgefield (Phil Wilson), who is in the Chamber, discovered he had it only after being tested here in Parliament by the Silver Star charity. He went to see his GP and then knew that he had been diagnosed.
We are facing a diabetes epidemic, and I ask the Government to take more note of what is happening as far as diabetes is concerned. Generally, people with diabetes look fairly normal—I do not know whether you think I look normal, Mr Deputy Speaker—and do not make a virtue of telling people we have diabetes, except in debates of this kind. That normality lulls us into a false sense of security. We need a national campaign on diabetes in the same way as for other illnesses. Because people are getting treatment and are able to go and get their Metformin or other medication on a regular basis, they feel that everything is going to be all right.
This issue will not only not go away but will get worse. At the moment, 3.7 million people have diabetes, and that figure will rise by another 700,000 in a few years. Some 80% of amputations are preventable with proper care and management. I say to Ministers that this is something we can help the population with now. If we do so, we can save the 10% of the budget that is currently spent on diabetes care and the £1 million an hour that is spent on medication and care in our hospitals. These issues are very much in our hands.
I welcome the new Minister with responsibility for diabetes, the Under-Secretary of State for Health, the hon. Member for Broxtowe (Anna Soubry), who has made an excellent start. The first thing she did was to hold a summit for those with an interest in diabetes. It included Diabetes UK, which does some fantastic work on the subject, Silver Star, a charity of which I am privileged to be the patron, and others, including clinicians. She said what very few Ministers have said in my career in this House—“I want you to tell me what I should do about this subject”—and she was given a lot of good advice and ideas about how to take these matters further.
One thing that we could do immediately is to send out the message to GPs, even in the current climate of ongoing changes within the NHS, that it takes only a minute to offer each patient who comes to see them a diabetes test. I know that we are having screening for those of a certain age and disposition, but people go to see GPs for all kinds of reasons. Campaigning organisations such as Silver Star and Diabetes UK are able to go out to communities and conduct these tests. Indeed, anyone can conduct them. I have my kit with me, and although I am obviously not medically qualified, I can still conduct the test on people and am happy to do so. It is very easy to do. We should say to GPs, “Don’t wait for the screening process—begin now by testing anyone who comes to your surgery.”
We need to send out through the Department of Health a message about what we eat. You have changed physically, Mr Deputy Speaker, in all the years I have known you. I know of your great interest in rugby. You used to be a very beefy character when you were first elected to this House, but you have slimmed down, perhaps since you have been an occupant of the Chair. If people look after their lifestyles better by taking exercise and being careful about what they eat, that could help them. Every time anyone drinks a glass of Coke, eight teaspoons of sugar go straight into their system. When I went over to Atlanta and met the chief executive of Coca-Cola, I asked him what he was doing about it, and he said that Coke Zero is the answer, but it is only part of the answer. The kids in our schools are offered drinks in vending machines which have a huge amount of sugar, and then they get addicted to it for the rest of their lives. This is about things that we can do ourselves and things that parents can do to bring down the bill for the NHS.
When I finish this speech, and after I have listened to the Minister, I will be going to the Tea Room. When we get to the very helpful people there, we find that we have chocolates and mince pies on offer to us. If we turn to the left, we see a lot of food that is totally unfit for diabetics. Of course, I continue to eat this food because we do not have a choice, but it would be possible, through labelling of the drinks and food that we consume, as for people with a nut allergy, to add the words “Suitable for diabetics” or “Unsuitable for diabetics”.
Jeremy Corbyn (Islington North) (Lab)
My right hon. Friend is making an absolutely excellent speech. Does he think that we should take the bull by the horns and legislate to reduce the amount of sugar in all food products? If we look at any kind of food, we often find totally unnecessary sugar in it as well as in all the soft drinks that he mentions.
Keith Vaz
Yes, I do. However, I remember that one time I met my hon. Friend when he was off to have dinner with his sons and was taking them to McDonald’s.
Jeremy Corbyn
No, that is not true. I wish to place on the record that my right hon. Friend has been deeply misled on this matter. I have not taken my sons to McDonald’s, I have no intention of taking them to McDonald’s, and I have no intention of visiting McDonald’s myself. Is that clear?
Keith Vaz
I will not tease my hon. Friend, but I think that the word “McDonald’s” did enter the conversation somewhere. However, I accept that his response is now on the record.
I would support legislation aimed at ensuring that we are very careful about the amount of sugar, and salt, in our diet. Indeed, I have introduced a ten-minute rule Bill that says exactly that. Denmark started a “fat tax” but then decided that it was unworkable because the food industry lobbied so heavily against it, and so the tax was removed. I am not saying that the Government are going to legislate on this; I do not think they will. The food industry is one of the most powerful in this country. The sugary drinks industry, from Red Bull, a can of which contains more than eight teaspoons of sugar, right down to the people who make Coke and all these other drinks, will fight very hard on this. In the meantime, let us send out a message and work together to stop this epidemic consuming and subsuming our country.
Jeremy Corbyn (Islington North) (Lab)
It is a pleasure to follow my Friend the Member for Derby North (Chris Williamson). I pay tribute to him for the incredible campaign he has run in support of the workers in his constituency and the skills that have been brought to the country by the decades—over a century—of train manufacturing in Derby. It would be a crime if we lost that. The danger is that, unless the Bombardier contract is issued, there will be further job losses and further loss of train-making skills in this country.
We do not understand or value enough the heritage of the rail industry in this country, the skills involved in train manufacture and railway development, or the future of the industry. Following the closures, we have around 10,000 miles of track. We have a programme of railway network expansion, and more people travel by train than at any time since the second world war. The majority of the public who have access to railways prefer to use them—there is no question about that.
If we involve ourselves in a procurement process that specifically encourages sustainable, local-ish or UK-based employment, we will develop our industrial base and provide great opportunities for railway expansion in this country and other places. However, sadly, the model of privatisation adopted by the Conservative Government in the 1990s not only broke up our railway system but handed all the rolling stock to rather dubious leasing companies. Huge profits were made as a result, but 10 years into privatisation the Department for Transport’s procurement policies have moved much more into a totally market-based international comparator system rather than the system used for Transport for London, which has deliberately sought to develop UK-based employment, and fair wages and employment practices and so on.
The Minister of State, Department for Transport (Mr Simon Burns)
If privatisation has been as bad as the hon. Gentleman describes, why, since privatisation, have the number of journeys taken and the number passengers doubled, and why, in 13 years in government, did Labour not seek to reverse it?
Jeremy Corbyn
I had a discussion in 1997 with the then Transport Secretary, Lord Prescott, in which I suggested that we would serve ourselves well if we took the railways back into public ownership. In fact, our discussion took place very close to where the Minister sits now. We were standing next to the mace during a Division—it was an historic moment. His reply was, “We haven’t got the money for that kind of thing. We can’t afford it. It would cost too much”, but the figures show that we are putting more money in subsidy into the private sector-run railways than we ever did into British Rail in the days of public ownership—and the private companies are making considerable profits. The increase in passenger numbers and train services is welcome, as is public investment in railways, but if, for example, we put £8 billion into the west coast main line upgrading, the public should gain the benefit rather than Virgin Trains or another train operating company making a considerable profit.
I support the points made by my Friend the Member for Derby North on fair employment practices. I hope the Minister can give us some good news. I hope he is not befuddled by Siemens’s claim that it is financially sustainable, because a company that owns its own bank is quite likely to claim that—the two things tend to go together—but instead will consider the huge skill base and traditions in Derby. He should also think forward to the electrification programme and the new rolling stock that will be needed in five, 10, 15 and 20 years’ time. We will have problems if we allow our manufacturing capacity to disappear.
My Friend the Member for Hayes and Harlington (John McDonnell), who is in his place, has supported the railway cleaners around the country because of the problems they face. I hope the Minister spares a thought for them. In the midst of all the money that goes into the railway system and the profits that are taken out, some people working for distant contract cleaning companies and others are appallingly paid and badly treated, but nevertheless do important and valuable jobs. Will he say he is in favour of a living wage for everyone working in the railway industry as an absolute basic, and in favour of companies employing station and cleaning staff far more directly?
Virgin Trains has apparently been given a contract to continue running its service because of the collapse of the train operating company tendering process a few months ago. I have five brief questions for the Minister, and I hope he will help us. What discussions were held in the EU prior to awarding the 23-month west coast main line contract to Virgin Trains? Is a copy of the new agreement available? Will existing staffing levels and catering facilities be protected? What taxpayer subsidy will be paid to Virgin for the duration of the contract? Finally, what non-taxpayer or fare payer-supported investment will Virgin Trains make during the 23-month contract? We have reached a pretty pass. The incompetence of the process resulted in a gap, which would have been the ideal opportunity to return the service to public ownership and run it, which is what happens on the east coast main line—a very good service runs on the east coast main line as a result. The east coast main line is a ready-made example of running an effective, publicly owned railway system.
The Minister will not be surprised that my last point is a local one—I have often spoken of the need for a wider system of electrification. I welcome the Government’s announcement that the midland main line and the Great Western service will be electrified, and that there will be an electrified service in Wales. That is very good indeed. I have raised many times the question of the north London link. The Barking to Gospel Oak line is not electrified, which means that electrically hauled freight services from Felixstowe or Harwich must change to a diesel-hauled locomotive, or that the freight must be diesel-hauled all the way through. Proposals for the electrification of the line have been made and costed, and the Secretary of State assured me that the Department was considering that again—he also promised to meet me and a delegation of north London MPs in that respect. Electrification would make London Overground more efficient and effective and be far more environmentally sustainable for heavy-hauled freight that currently uses the line.
The Minister of State, Department for Transport (Mr Simon Burns)
I welcome this short debate on transport. Given the shortness of time I have and the wide ranging number of questions raised, particularly by the hon. Member for Islington North (Jeremy Corbyn), I assure hon. Members that if I do not manage to cover all their points, I will write to them.
To begin with, I should like to deal with two specific issues, the first of which was raised by the hon. Member for Sedgefield (Phil Wilson). As he will accept—he referred to this from time to time during his comments—tough decisions have had to be taken across the board because of the economic deficit we inherited, and support for bus services could not be exempt. This has meant not only getting the best value for every pound of taxpayers’ money spent, but prioritising the spending that can best support growth, jobs and prosperity. That is one of the reasons transport came out of the spending review in a much stronger position than most people expected.
I recognise that public transport is, as the hon. Gentleman eloquently pointed out, important for the sustainability and independence of rural communities. Decisions such as where to run services, the frequency of services, the type of vehicle used and the fares charged are mainly a matter for the commercial judgment of the operator concerned. However, where there is not enough demand for a bus route to be commercially profitable in its own right, local authorities do have powers to subsidise bus services. It is essentially a matter for these individual authorities to decide which services are most appropriate for support in their respective areas. These could be traditional bus services or other, more flexible options such as the Link2 service in Durham—a bookable dial-a-ride bus for people making local journeys of up to five miles for which there is no other suitable bus—and the Access Bus scheme, which provides a similar service for people with limited mobility.
It is for local authorities, working in partnership with their communities, to identify the right transport solutions that meet the economic and environmental challenges faced in their areas and deliver the greatest benefits for their communities. It is heartening to note the proactive role that Darlington and Durham councils have taken to engaging with local people, for instance through the area action partnership boards set up by Durham county council in 2009 as a key way of listening to and working with communities, and the Darlington community partnerships, led by residents, working in partnership with the local authority and other bodies, which take a lead in regenerating their local neighbourhoods. I would also encourage smaller communities such as Hurworth, Sadberge, Middleton St George and Brafferton to continue their excellent work with the Community Transport Association to secure a reliable and affordable local transport network service.
In the past year, the Government have provided £20 million of new funding for distribution to rural local transport authorities in England, of which around £400,000 in total has been allocated to Durham and Darlington councils to support and kick-start the development of community transport services in their areas. In addition, the local sustainable transport fund has provided both areas with a combined total of more than £6 million, specifically for transport related projects.
For reasons that we are all aware of, times are tough and we have to be careful with our money, making sure that we get the best value. But I am pleased about the work that has been done locally by local communities and local authorities in the hon. Gentleman’s area to seek to develop the best forms of sustainable transport with the best value for money available.
I turn now to the final point raised by the hon. Member for Islington North, about the Gospel Oak to Barking scheme, which he has rightly raised on many occasions in the House. I recognise the case for electrification of that line at the same time as we electrify the strategic electric spine route from Southampton to Yorkshire. Transport for London has said it is prepared to pay a share of the Gospel Oak to Barking electrification costs, which I welcome, but the cost is very high—approximately £90 million for 12 miles of railway through suburban London.
We will work with Network Rail, Transport for London and rail freight operators over the coming year to see whether electrification costs might be reduced and to explore ways of funding. The national rail funding for the five years to 2019 has been committed on our strategic priorities, but if further funding can be found and the business case continues to be robust, I would welcome adding another 12 miles of railway to the 850 route miles we have already funded and authorised for electrification this decade. Either my right hon. Friend the Secretary of State or I would be happy to meet the hon. Gentleman and a delegation of Members from north London if that would be useful.
Jeremy Corbyn
I thank the Minister and I look forward to having such a meeting so that we can, I hope, make progress to electrify that last bit of the line.
Mr Burns
In that spirit, I hope that any meetings we have would be positive so that we could make progress.
I now turn to the contribution from the hon. Member for Derby North (Chris Williamson) about rail procurement and Bombardier. The coalition Government are committed to continuing to invest in rail, building on its success and facilitating future economic growth. As he knows, we are investing £18 billion in this spending review period alone on a programme of rail improvements as large in scale as anything seen since the Victorian era. I am aware that the hon. Gentleman, as well as my hon. Friends the Members for South Derbyshire (Heather Wheeler), for Mid Derbyshire (Pauline Latham), for Erewash (Jessica Lee) and for Amber Valley (Nigel Mills) have been active campaigners on behalf of Bombardier, which has a key role in Derby’s economy.
Therefore, I am pleased to be responding to this debate shortly after Southern has announced its intention to exercise an option for 40 additional rolling stock vehicles to be delivered by Bombardier in 2014. Furthermore, Southern is working with the Department to develop proposals for a potential competitive procurement for 116 new vehicles, including options for further vehicles. Ministers expect to be able to make a further announcement on this matter shortly. Bombardier is also among the shortlisted bidders for the Crossrail rolling stock procurement.
These procurements offer Bombardier and other train manufacturers new opportunities to bid for work. The Thameslink rolling stock contract is complex, as the hon. Gentleman understands, and it introduces much greater responsibility for the train’s performance in service on the part of the train manufacturer and maintainer than is traditionally the case. Therefore it has—quite rightly— taken some time to get the details right. Siemens and its partners in Cross London Trains have been working very closely with the Department for Transport to reach commercial agreement on the Thameslink rolling stock project. I am pleased to say that there has been substantive progress in recent weeks and the Department has now reached commercial agreement on the key elements of the deal with the Cross London Trains consortium. Last night the Cross London Trains consortium published its information memorandum to potential funders.
This important milestone enables the next stage of the process of further engagement with the debt market to continue to put the necessary financing in place for the deal. Our target, once the necessary credit approvals have been secured, is to reach financial closure as soon as possible in the new year. I hope that hon. Members will appreciate the importance of the statement I have just made, which is crucial as part of the continuing investment in improving and enhancing the infrastructure and performance of our railways.
In passing, I note that the hon. Gentleman suggested that the same civil servants who were responsible for the franchising deal for the west coast main line were working on the procurement deals, but I can assure him that that is not the case. I hope that that reassures him.
Regarding the Crossrail rolling stock contract, we are clear that our priority is to secure the right train at the right price, through a strong and fair procurement competition. This competition is different from rolling stock procurements such as Thameslink that were launched by the previous Administration. It has taken account of the package of measures to reform public procurement announced in the 2011 autumn statement, and it also includes, for example, the commitment of £350 million of public investment to this £1 billion programme. Four bidders—Bombardier, CAF of Spain, Hitachi and Siemens—have submitted initial bids. Crossrail Ltd is responsible for the procurement and is currently assessing bids received at the end of October.