Oral Answers to Questions Debate

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Department: Cabinet Office

Oral Answers to Questions

Jeremy Corbyn Excerpts
Wednesday 23rd May 2018

(6 years, 6 months ago)

Commons Chamber
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Baroness May of Maidenhead Portrait The Prime Minister
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The deeply moving testimonies we have already heard and will continue to hear this week from survivors and the bereaved leave absolutely no room for doubt. We must learn everything we can about what happened, and we must take the strongest possible action to stop such an unimaginable tragedy from ever happening again.

As my hon. Friend says, Dame Judith Hackitt’s recommendations do not include banning inflammable cladding. We are minded to go further by banning combustible materials in cladding on high-rise buildings. We are meeting our legal duty to consult on these proposals, and we will not delay any necessary action.

Jeremy Corbyn Portrait Jeremy Corbyn (Islington North) (Lab)
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Indeed it is almost a year since the Grenfell tragedy, and sadly justice has not yet been done. Many of those families have still not been rehoused and many are still living in tower blocks. People across the country are worried about the safety of cladding. More needs to be done more quickly.

I agree with what the Prime Minister says about the anniversary of the Manchester bomb. We were there at the service yesterday, and I pay tribute to the people of Manchester for the fantastic event they held last night in Albert Square, which brought all communities across Manchester together. That is the answer to terrorism, that is the answer to threats: bring people together.

In 2010, £4 billion of NHS services were outsourced to private companies. How much is it today?

Baroness May of Maidenhead Portrait The Prime Minister
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First, I echo the right hon. Gentleman’s comments. Terrorists attacked in Manchester, and we sadly saw a number of other terrorist attacks in this country last year. They were trying to divide us, and I think the response of all communities, whether here in London or in Manchester, has shown that we will not be divided by the terrorists. We will not let the terrorists win. We will defeat them.

The right hon. Gentleman asks about the outsourcing of services within the NHS. Of course, what we do know is that spend on the independent sector nearly doubled in the last four years of a Labour Government.

Jeremy Corbyn Portrait Jeremy Corbyn
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My question was about the amount spent now. NHS budgets have increased by just 1% per year under this Government, but it is jackpot time for the privateers, whose share is up by 100% to over £9 billion per year. We have also learned that Surrey NHS has just paid Virgin Care £1.5 million, not for any service that it has delivered, but because its bid was not chosen—£1.5 million wasted on Virgin Care that should have been spent on healthcare. Is the Prime Minister concerned that the National Audit Office said this week that NHS England’s handling of private contractors had put

“patients at risk of serious harm”?

Baroness May of Maidenhead Portrait The Prime Minister
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The NAO report said that

“no actual harm has been identified.”

It is also the case that, in relation to the contracts that the NAO was talking about, the savings that have been made have all been reinvested into frontline NHS patient care and have helped to fund the equivalent of an extra 30,000 operations. The right hon. Gentleman talks about the percentage of money that has been spent on the private sector, and I must say that the proportion of spend in the NHS in England that was outsourced to the private sector last year did not go up at all. There was somewhere where it went up by 0.8%. Ah yes—Wales.

Jeremy Corbyn Portrait Jeremy Corbyn
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The NAO criticised NHS England’s Capita contract, saying that it had put

“patients at risk of serious harm”.

Thousands of women were dropped from the national cervical cancer screening programmes. Another element of the contract handed over to Capita was for GP services, which resulted in two thirds of GP practices receiving incorrect medical records, and 500,000 new patient letters were left unsent. Is that not the inevitable consequence of this Government tearing up the founding principles of the NHS and putting private profit before public service?

Baroness May of Maidenhead Portrait The Prime Minister
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At every general election since the NHS was formed, the Labour party has scaremongered about the Conservative approach to the NHS. At every general election, Labour has made claims about privatisation and about funding cuts. What has every elected Conservative Government done? We have protected the NHS; we have improved NHS services; we have put more funding into the NHS; and we have ensured that we remain true to the founding principle of the NHS: that it is free at the point of delivery.

Jeremy Corbyn Portrait Jeremy Corbyn
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From the party that opposed the NHS in the first place, that is a bit rich. [Interruption.]

John Bercow Portrait Mr Speaker
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Order. There is far too much noise on both sides of the House. I have plenty of time, and I am sure that the principals have as well. We will get through the questions, but preferably in an atmosphere of calm.

Jeremy Corbyn Portrait Jeremy Corbyn
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The Royal College of General Practitioners says:

“The long list of failures made by Capita have been incredibly frustrating for GPs and our teams, and we are still dealing with the fallout”.

Public servants are bearing the brunt of private failure. GPs are leaving the profession in despair—4,000 have retired early in the past five years, which is one in 10. In 2015, the Health Secretary said that he would hire another 5,000 GPs. How many more GPs are there than there were in 2015?

Baroness May of Maidenhead Portrait The Prime Minister
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We now have more than 14,900 more doctors in our NHS than we had in 2010. We are indeed committed to delivering 5,000 more GPs. We have increased the number training to be GPs. The right hon. Gentleman talks about the private sector being used in the national health service, but he might ask the shadow Health Secretary for his view. The shadow Health Secretary has said, “We are still going to buy from the private sector where we haven’t got capacity in the NHS.” The right hon. Gentleman’s shadow Health Secretary is committed to it.

Jeremy Corbyn Portrait Jeremy Corbyn
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The shadow Health Secretary has a very good understanding of the needs of patients and will always put them first. He will not be the one putting the private sector first.

The reality is that there are 1,000 fewer GPs and the number is falling. It is no wonder that more and more people are writing to me every week saying how difficult it is to get a GP appointment. GPs are the bedrock of the NHS. We need more of them.

I had a letter this week from Anne, who is retired. Until recently, she cared for her mother at home. She wrote:

“The NHS pay a private nursing home for mum’s care…day after day we experience a catalogue of disasters. I can’t leave my mum knowing that her needs aren’t catered for, so I spend hours at the nursing home”.

What action are the Government taking to deal with the substandard care that providers give in the private care sector, which is so upsetting for so many people?

Baroness May of Maidenhead Portrait The Prime Minister
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I say to the right hon. Gentleman and to Anne that I fully understand that people want to have the confidence and reassurance of knowing that the care their loved ones receive is of a good quality. That is why this Government have put in place the various steps to ensure that we are looking into the quality of care provided in those sectors.

The right hon. Gentleman talks about the shadow Health Secretary recognising the needs of patients. I think he was saying that he recognises the needs of patients, which is why the private sector will be used in some cases. The former Health Secretary, now the Mayor of Manchester, said that

“the private sector puts its capacity into the NHS for the benefit of NHS patients, which I think most people in this country would celebrate”.

Jeremy Corbyn Portrait Jeremy Corbyn
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The shadow Health Secretary is dedicated to the NHS, not to handing it over to private contractors. That is the difference.

The Care Quality Commission said last year that

“there is too much poor care”.

A fifth of care providers require improvement. Year after year, private sector care providers are letting down our elderly.

This year is the 70th birthday of the national health service—I pay tribute to all its staff over all of those 70 years—but the NHS reaches that milestone with the worst A&E waits on record, the worst delays for cancer referrals on record, falling numbers of GPs, falling numbers of nurses and the longest funding squeeze in its history, while this Government open the door to even more profiteering. Why does the Prime Minister not act now to end the siphoning off of billions of pounds from patient care and give the NHS the funding it needs?

Baroness May of Maidenhead Portrait The Prime Minister
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We do indeed pay tribute to all those who have worked in the NHS over its 70 years and those who work there today. We want to see a bright future for the NHS, which is why we will be coming forward with a long-term plan for it. What we see today is a national health service not only with more funding going into it, but, crucially, with more people being treated and more operations being undertaken. There are people alive today who have suffered from cancer and would not have been alive just eight years ago, because our cancer outcomes have improved. That is the reality of our national health service. What we also see is that this Government can put money into the NHS only because we have a balanced approach to our economy. What did we learn this week that the Labour party and the shadow Chancellor want to do? They want to “overthrow capitalism”. What would that mean? It would mean families paying higher taxes—[Interruption.] It is supported by parts of the Labour party; now we know where the Labour party really stands on this issue. I say to the shadow Chancellor and others: what would this mean? It would mean families paying higher taxes; more debt for our children in future; fewer people in jobs; and less money for our schools and hospitals. A Labour party that would bankrupt our economy would do lasting damage to our national health service.