(2 months ago)
Commons ChamberFurther to those points of order, Mr Speaker. I associate myself with so many of the comments from Members across the House. I first encountered Alex Salmond as a star-struck teenager, and a member of the 79 group attending a particularly fractious SNP conference in Ayr in 1982. So fractious was the conference that Alex was subsequently expelled from the party, albeit briefly. At the meetings that followed, even though he was less than 10 years older than me, I listened to the spellbinding oratory of this young man. He was destined for greatness then.
Alec and I became close allies in the late 1980s. I was part of the campaign team that saw him elected as SNP leader in 1990. Our paths took wildly different trajectories, clearly, but we kept in touch on and off over the decades. I would not be here today were it not for Alec having arranged for me to go through to Edinburgh so that he could persuade me to put my hat in the ring for the SNP in Argyll and Bute in the 2015 election. I am far from alone in being an SNP politician who owes a huge debt to Alec Salmond. He was a titan of our movement, an irreplaceable force without whom our independence, when it does come—which it surely will—would never have been achieved.
My thoughts are with Moira, as are those of so many in this House. My experience of Moira is that she is a very quiet but absolutely formidable force. I learned very quickly that if we wanted to get Alec to change his mind, we should go not to him but to Moira. She is an incredible force in herself. My deepest condolences and sympathies are with Moira and Alec’s immediate family. I do wonder when we will see his like again.
Further to those points of order, Mr Speaker. I am grateful to you for allowing this time to pay tribute to Alex Salmond; he absolutely deserves it and it is great that we are doing it.
The leader of the SNP, the right hon. Member for Aberdeen South (Stephen Flynn), spoke very well and very movingly about Alex’s contribution to life, which I think is very generous. The SNP clearly treats its former leaders with great respect, and I think that is a good idea. [Laughter.] I also thank the right hon. Member for Goole and Pocklington (Sir David Davis) for what he said. Alex did go through the most appalling stress and personal pressure, and no doubt he had moments of self-doubt and real concern about the whole thing. The fact that the right hon. Member spoke so well about that really is a testament to what Alex was made of.
During his time here, Alex was a good friend to lots of us. He always opposed wars, and he always stood up for civil liberties and justice. His strength of character, in Scotland and in the wider world, made the SNP the party it is and the formidable force it became. He made the arguments for Scottish independence cogent, realistic and understandable.
We should remember that Alex Salmond lived life to the full and spoke to the full. He was totally involved in absolutely everything he did, and was an amazing and very friendly force around this place. I, for one, will miss him. I send my condolences to Moira, his wider family, and all his colleagues in both Alba and the SNP in Scotland.
Further to those points of order, Mr Speaker. “Consequential” and “impactful” are words that we have heard about Alec over the past few days, from across the political spectrum and beyond. Which of us would not want such an epitaph, regardless of our politics?
Alec was also impactful on so many of us on an individual basis. I got dragged back into politics on more than one occasion, having unwisely tried to pursue a career elsewhere. Obviously, his desire for independence and to remove, as he would see it, this unnecessary layer of government was at the heart of his politics, but he was a profoundly impactful MP in this place. He knew the Standing Orders inside out, which could make it tricky for Ministers, opponents and Speakers from time to time. That hard work meant that he was—frustratingly, from my experience—always one step ahead. It was impossible to spend time with Alec and not learn something—absolutely impossible.
My hon. Friend the Member for Argyll, Bute and South Lochaber (Brendan O’Hara) was right to talk about Moira Salmond as being formidable. She was also wonderful. I can remember on more than one occasion being passed to Moira for a chat after a very robust exchange with Alec. She was always there so we could figure things out and smooth things over.
Finally, the hon. Member for Caithness, Sutherland and Easter Ross (Jamie Stone) mentioned Parnell. Alec mentioned Parnell as well. Parnell was somebody who laid the groundwork for independence and for whom—to paraphrase Alec, when it came to independence—“the dream shall never die.”
(5 years, 7 months ago)
Commons ChamberMy hon. Friend raises a very important point. We recognised that we have been asking schools to do more and responded with the highest level of school funding on record, and we introduced the new national funding formula to make the distribution fairer, but of course it is still the case that local authorities are responsible for determining individual schools’ budgets from the overall sum they have received. They have a responsibility, and I am sure that hon. Members will look to their local authorities to make sure that where schools should be receiving extra money, the local authorities are passing it on. But I will also ask those at the Department for Education, who will have heard my hon. Friend’s question, to write to her in more detail about it.
I join the Prime Minister in sending condolences to the family and friends of Guardsman Mathew Talbot, who died while on anti-poaching activities. It is a reminder of the diverse work that the armed forces do, and we thank them for it and for the help they are giving to the people of Malawi. I join her also in welcoming the birth of the baby to the Duke and Duchess of Sussex, and, along with all of us, in recognising and enjoying Ramadan and Vaisakhi at this time. It is important to show the diversity of this country and celebrate all religious festivals.
I hope the whole House will also join me in congratulating a great football team: Manchester City, on winning the women’s FA cup. In view of Liverpool’s amazing performance last night, perhaps the Prime Minister could take some tips from Jürgen Klopp on how to get a good result in Europe.
Our national health service is our country’s greatest social achievement. Its staff show amazing dedication, but this Government’s failures are taking their toll. An NHS staff survey found that 40% of staff had reported suffering work-related stress in the past year alone. Can the Government explain why staff are being so severely let down by this Government?
First, may I say to the right hon. Gentleman that when we look at the Liverpool win over Barcelona last night, we see that it shows that when everybody says, “It’s all over and your European opposition have got you beat. The clock’s ticking down, it’s time to concede defeat”, actually we can still secure success if everyone comes together.
The right hon. Gentleman asks about staffing in the NHS. For too long Governments have failed to produce the proper workforce planning to give our staff in the NHS the care they deserve. It is this Government, with their long-term plan, who are ensuring that we give that care to staff. NHS staff work hard, caring for patients, and this Government will care for NHS staff. It is only because we are able to give the NHS its biggest cash boost in its history and to give it that long-term plan that we will deliver for NHS staff.
Under the last Labour Government, NHS investment rose by 6% a year, but under this Government it has barely reached 1.5%. Five thousand nurses and midwives from European Union countries have left the NHS in the past two years, and there are 100,000 staff vacancies across the NHS in England alone. The Royal College of Radiologists recently said the shortage of cancer doctors “puts care at risk”. What is the Prime Minister doing to remedy this dangerous situation?
What have seen this year? We have seen the numbers of doctors and nurses in the NHS at their highest level in its 70-year history. As I say, our NHS staff work hard 24/7 and their dedication is second to none. I am proud of our NHS. The right hon. Gentleman talks down our NHS. Let us just remember this: at the last general election, the Labour party promised to give the NHS less money than the Conservative Government are giving it. The Labour party in government would crash the economy, which would mean less money available for the NHS. And who is the only party in government that has cut funding to the NHS? It is the Labour party.
Nobody on this side of the House ever talks down the NHS—it is Labour’s greatest achievement. The principle of healthcare free at the point of need as a human right was a Labour achievement, and every Tory MP voted against it.
Today is World Ovarian Cancer Day. As for all cancers, the early diagnosis of ovarian cancer is essential. In February, almost a quarter of patients waited more than two months to start cancer treatment following a GP referral—the worst performance on record. Will the Prime Minister apologise to the thousands of cancer patients who are enduring weeks of unbelievable stress and worry while they wait to start the treatment that, to have a better chance of survival, they should be able to start quickly after they have been referred?
We recognise the importance of the early diagnosis and treatment of ovarian cancer, of other cancers and of other conditions as well, which is why a key part of the 10-year plan—the long-term plan for the NHS that is being put forward under this Government—is about early diagnosis. We recognise the importance of that. The right hon. Gentleman might like to reflect on the fact that there is a part of the United Kingdom in which the urgent cancer treatment target has not been met since June 2008. Where is that? In Wales, under Labour.
Under the NHS in Wales, more people are surviving cancer than ever before. We should welcome the work that has been done.
The Royal College of Radiologists said,
“our workforce projections are increasingly bleak”,
and almost half of all women with ovarian cancer reported having to visit the GP three times before they were referred for a test. Today, we learned that GP numbers are experiencing their first sustained fall for 50 years. GPs often play the vital role in the early identification of cancers and other serious problems. Does the Prime Minister think it is acceptable that one third of people who need an urgent GP appointment on the day that they ask for one are being turned away because of the shortage of GPs?
We recognise that GPs are a vital part of the NHS, and there are actually more GPs in the NHS today than there were in 2015. We have made it easier for people to access their GPs by ensuring that GP surgeries are open for more days of the week. We are incentivising GP trainees to work in hard-to-recruit areas and making it easier and quicker for qualified doctors to return to the NHS. Under our NHS long-term plan, we will see—for the first time in its 70-year history—the proportion of funding for primary medical and community care increasing as a percentage of the NHS budget. That is because it is this Government who recognise the importance of primary care in our national health service, and it is this Government whose careful management of the economy means there is money available to put into our national health service.
Mr Speaker, if you go to any A&E department in the country, you will find that staff are under enormous pressure precisely because there is a shortage of GPs available to see people in the first place. At the same time as he promotes private GP services, the Conservative Secretary of State for Health and Social Care is overseeing the biggest drop in NHS GPs for 50 years. One in 10 GPs are now seeing twice as many patients as is safe for them to see—that is the pressure they are under. The NHS has failed to meet its A&E waiting time target for nearly four years. In March this year, more than one in five patients waited more than four hours to be seen. Will the Prime Minister, on behalf of the Government, apologise to the tens of thousands of people waiting for too long in deep distress just to get seen at an A&E department, because of the pressure A&Es are under?
We recognise the importance of these targets in the NHS. That is why one of the elements of the 10-year long-term plan in the NHS—funded by the biggest cash boost in the NHS’s history, which was given by this Conservative Government because of their good management of the economy—is to ensure that we are improving those targets. Perhaps the right hon. Gentleman would like to stand up and apologise for the fact that the A&E waiting-time target has not been met not for four years, but for over a decade under a Labour Government in Wales.
The reality is that, under a Tory Government, spending and investment in the NHS is less than it was under Labour, and, even with the Prime Minister’s funding announcements, that remains the case. The complacent attitude and platitudes hide the reality that, under the Tories, our health service is going through the longest funding squeeze in history: 20,000 jobs in mental health units are unfilled; public satisfaction with GP services is the worst on record; cancer treatment delays are the worst on record; A&E waiting times are the worst on record; and, tragically, infant mortality is rising. Will the Prime Minister admit that the Government have failed the health service, failed NHS staff, and, therefore failed the patients who rely on the NHS?
There are more people alive today because our cancer treatment has improved than would have been the case in 2010. At the previous election, someone said that an extra £7 billion for the NHS would
“give our NHS the resources it needs to deliver the best possible care for patients.”
I wonder who that was. It was none other than the Leader of the Opposition. Are this Government giving the NHS £7 billion? No! Are they giving it twice that—£14 billion? No! They are giving the NHS £20 billion. I am proud of this Government’s record and the Conservative party’s record on the NHS. It is the Conservative party that is giving the NHS its biggest cash boost in its history. It is the Conservative party that is giving it a sustainable 10-year long-term plan to ensure that it is there for people in the future. Under the Conservative party, we have seen more nurses and more doctors in our national health service dedicated to caring for patients. That is only possible because it is the Conservative Government who manage our economy and manage our public finances. A Labour party in government would crash our economy, meaning less money for the NHS, less money for its staff and less care for its patients.
(6 years, 10 months ago)
Commons ChamberMy hon. Friend makes an important point. The issue of engineering, and particularly the need for more women to see engineering as a career, is something that I have promoted for many years now. Engineers are vital to our economy, which is why we want to see everyone, whatever their background—this is about not only gender but background and ethnicity—having a chance to build a good career in engineering. The Year of Engineering gives us a great opportunity to work together with business to do exactly that. If my diary allows, I would be happy to attend the fair to which my hon. Friend referred.
I join the Prime Minister in commemorating Holocaust Memorial Day. Many Members will be signing the book of remembrance and attending the event tomorrow. We have to teach all generations that the descent into Nazism and the holocaust must never, ever be repeated anywhere on this planet.
Does the Prime Minister agree with the Foreign Secretary that the national health service needs an extra £5 billion?
As I recall, the right hon. Gentleman was in the Chamber for the autumn Budget speech delivered by my right hon. Friend the Chancellor of the Exchequer, in which he announced that we will be putting £6 billion more into the national health service.
The only problem with that is that it was £2.8 billion, spread like thin gruel over two years. Two weeks ago, the Prime Minister told the House that
“it is indeed the case that the NHS was better prepared this winter than ever before.”—[Official Report, 10 January 2018; Vol. 634, c. 315.]
Sixty-eight senior A&E doctors have written to the Prime Minister about what they describe as
“very serious concerns we have for the safety of our patients.”
They say that patients being treated in corridors are “dying prematurely”. Who should the public believe—the Prime Minister or A&E doctors?
It is right that the NHS was better prepared for this winter than it ever has been before. We saw 3,000 more beds being brought into use over the winter period; we saw the use of the 111 call system leading to a significant reduction in the number of call-outs and the number of people having to go into hospital; and we saw the changes made in accident and emergency, with GP streamlining, helping to ensure that people who did not need to go into hospital did not go into hospital. Overall, we saw 2.8 million more people last year visiting accident and emergency than did so in 2010. Our NHS is indeed providing for patients. There are winter pressures; we were prepared for those winter pressures. We will ensure, as we have done every year under this Conservative Government, that the NHS receives more funding.
Since 2010, we have lost 14,000 NHS beds. The King’s Fund, the Health Foundation and the Nuffield Trust all agree that the NHS needs another £4 billion. In December, the month just gone, NHS England recorded its worst ever A&E performances, with more patients than ever waiting more than four hours. Now the UK Statistics Authority says that the numbers may be worse because the figures have been fiddled. Can the Prime Minister tell the House when figures calculated in line with previous years will be published?
I have to say to the right hon. Gentleman that the NHS is open in publishing a whole variety of figures in relation to its targets. We are putting more money into the NHS, year in and year out, and we are continuing to do that. If he wants to talk about figures and about targets being missed, yes, the latest figures show that, in England, 497 people were waiting more than 12 hours, but the latest figures also show that, under the Labour Government in Wales, 3,741 people were waiting more than 12 hours.
The Prime Minister is responsible for the underfunding of the Welsh Government and the needs of Wales. Despite that, the overall Welsh Labour Government health budget has grown by 5% in 2016-17. It is Labour Wales that has a problem of underfunding from a Conservative Government based in Westminster. So far this winter, 100,000 patients have been forced to wait more than 30 minutes in the back of an ambulance in NHS England, for which she is responsible, yet still she refuses to give the NHS the money that it needs. Can she tell us how many more patients will face life-threatening waits in the back of ambulances this winter?
I say to the right hon. Gentleman that of course we want to ensure that people are not waiting in those ambulances, but the only answer that he ever comes up with is on the question of money. The question—[Interruption.] No, the question is this: why are there some hospitals where the percentage of patients waiting more than 30 minutes is zero and other hospitals where the percentage of patients waiting more than 30 minutes is considerably higher? If he wants to talk about funding, perhaps we should look at what the Labour party promised at the last general election last year. [Interruption.] It is all very well shadow Ministers shouting about the comparison of money. The point is that, at the last election, the Institute for Fiscal Studies said this:
“Labour and the Conservatives are pretty much on the same page…there’s not much to choose between them in terms of the money they’ll put into the NHS.”
A Labour Government would not be underfunding the NHS. A Labour Government would not be privatising the NHS. A Labour Government would not be underfunding social care. A Labour Government would be committed to an NHS free at the point of use as a human right.
According to a whistleblower, as many as—[Interruption.] Hang on, hang on. According to a whistleblower, as many as 80 patients were harmed or died following significant ambulance delays over a three-week period this winter. This is a very serious situation, and the Prime Minister must be aware of it. What investigation is the Department of Health carrying out into these deeply alarming reports?
When we hear reports of that sort, of course they are very alarming. That is why the Department of Health makes sure that investigations take place. That may be undertaken by the Department of Health or by the particular trust involved—the ambulance trust or the hospital. These issues are properly investigated, because we do not want to see this happening; we do want to see people being properly cared for. If there are lessons to be learned, then they will be learned, because our support for our NHS is about providing it with the funding, the doctors, the nurses, the treatments and the capabilities that it needs in order to be able to deliver for patients. That is why we are backing the NHS with more funding. It is why we are ensuring that it gets the best treatments; survival rates for cancer are higher than they have ever been before. It is why we are ensuring that we have better joined-up services across the NHS and social care so that people who do not need to go into hospital are able to be cared for at home. And it is why we are ensuring that we are reducing waste in the NHS so that taxpayers’ money is spent as effectively as may be on patient care. That is a plan for the NHS, but it is a plan that puts patients first.
The Prime Minister must be aware of ambulances backed up in hospital car parks, with nurses treating patients in the back of ambulances. Ambulance drivers and paramedics desperate to get on to deal with the next patient cannot leave because the patient they are dealing with at that moment cannot get into the A&E department. It has been reported that a man froze to death waiting 16 hours for an ambulance. Last week, a gentleman called Chris wrote to me, saying:
“My friend’s 93 year old father waited 4 hours for an ambulance after a fall.”
These are not isolated cases; they are common parlance all over the country. It needs money, it needs support, and it needs it now.
The Prime Minister is frankly in denial about the state of the NHS. Even the absent Foreign Secretary recognises it, but the Prime Minister is not listening. People using the NHS can see from their own experience that it is being starved of resources. People are dying unnecessarily in the back of ambulances and in hospital corridors. GP numbers are down, nurses are leaving, the NHS is in crisis—[Interruption.] Tory MPs might not like it, but I ask this question of the Prime Minister: when is she going to face up to the reality and take action to save the NHS from death by a thousand cuts?
There is only one part of the NHS that has seen a cut in its funding—the NHS in Wales under a Labour Government. This is a Government backing the NHS plan, putting more money into the NHS, recruiting more doctors and nurses, and seeing new treatments come on board which ensure that people are getting the best treatment that they need, because this is a Government who recognise the priorities of the British people: to ensure that our NHS remains a world-class healthcare system—indeed, the best healthcare system in the world—to build the homes that people need, and to make sure that our kids are in good schools. This is a Government who are building a country that works for everyone, and a country in which people can look to the future with optimism and hope.
(9 years, 9 months ago)
Commons ChamberMy hon. Friend is absolutely right to say that this is an important breakthrough. It has been made possible by our reforms. It will help to bring the NHS and social care together. The shadow Health Secretary, who presumably knew absolutely nothing about this, does not understand that eight Labour authorities in Greater Manchester have been talking to us and working with us about how to make this a reality. What a contrast: people working together to improve the NHS, instead of trying to weaponise it across the Dispatch Box.
Last year, more than 3,000 desperate migrants drowned in the Mediterranean. Several hundred have already died this year trying to reach a place of safety. Many people, in absolute desperation, turn to traffickers to try to escape the crisis in Libya and in many other places. They are victims of war and oppression. The European Union is closing down Mare Nostrum, which has saved a very large number of lives, and is instead instituting something that will only protect Europe’s borders, not search for and rescue people. Will the Prime Minister go back and ensure that Europe adopts a humanitarian approach of saving these desperate people and supporting these desperate migrants who are trying to survive—that is all, survive—in Libya?
The hon. Gentleman makes a very important point, but I am afraid that the statistics do not necessarily back up the case he is making. Mare Nostrum was a genuine attempt by the Italians to deal with this problem, but I think I am right in saying that more people died during the operation of that policy than when it was brought to an end. There are some answers. We need to make sure we press ahead with the Modern Slavery Bill, an historic piece of legislation taken through by this Government, that is doing a huge amount to deal with the problem of people trafficking. Yes, we need to do more to stabilise countries such as Libya and others on the Mediterranean, from which many of the problems derive. That serves to underline the important work done by our development budget.
(10 years, 5 months ago)
Commons ChamberMy hon. Friend is absolutely right. There is interest in this right across the House. All parties are now committed to making local enterprise partnerships work and to not going back to the old regional development agencies. It is important that LEPs are business-led and it is important they are strong in every part of the country. Members of Parliament can play a real role in encouraging prominent businessmen and businesswomen to get involved with LEPs and in making sure they deliver for local areas.
Q8. May I take the Prime Minister back to the question of the private rented sector in Britain? Across London, there are thousands and thousands of families—people in work and on benefits—who are frightened of rent increases, frightened of short-term tenancies and frightened of the consequences, for themselves and their children, of being evicted or forced to move out of the area in which they live. What is happening in central London is social cleansing, and it is coming to the rest of the country. Will he give me an assurance that, in addition to any regulation of the agencies, serious consideration will be given to the need to bring back rent control to protect people and ensure they have somewhere secure and decent to live?
Where I would agree with the hon. Gentleman is on the need for greater transparency in the work of letting agents in terms of fees. There is a need for alternative options, which we have put forward, for longer-term tenancies, but in the end we must allow customers to choose what they want. Where I part company with him is on the idea of introducing full-on rent controls. Every time they have been tried, wherever they have been tried in the world, they have failed. That is not just my view; it is also the view of Labour’s own shadow housing Minister, who is on the record as saying that she does not think rent controls will work in practice. Perhaps he might want to have a word with her before coming to me.
(14 years, 4 months ago)
Commons ChamberI strongly agree with my hon. Friend that it was simply a moral outrage that last year the Labour Government imprisoned, behind bars, 1,000 children who were innocent of any wrongdoing whatsoever. This coalition Government, like so many other things, will once again restore a sense of decency and liberty to the way in which we conduct ourselves. That is why I can confirm that the Government will make an announcement shortly about how we will deliver on our pledge to end child detention and to close the Yarl’s Wood detention centre for good.
Q8. What recent discussions he has had with President Obama on coalition policy in Afghanistan.
As the hon. Gentleman knows, my right hon. Friend the Prime Minister is currently in the United States and will be discussing Afghanistan with President Obama during his visit. Yesterday, as the hon. Gentleman may have seen, they reaffirmed their joint commitment to the existing strategy, reflected on the bravery and shared sacrifice of United Kingdom and United States armed forces in Afghanistan, and agreed that the importance of progress on the political track to complement the military effort was essential.
Is it not time, after nearly 10 years of British deployment in Afghanistan, that the whole strategy should be reconsidered? Last year, 1,000 Afghan people died, and 300 and more British soldiers have lost their lives in Afghanistan, as have many from other coalition forces. Opinion polls in Afghanistan show declining support for western involvement there. If British troops are going to remain there for another five years, how many more are going to die, how much deeper is the civil war going to get and how much deeper are we going to be involved in conflicts in that region? Is it not time to say that this strategy has run its course and that it is time, now, to withdraw from Afghanistan?
My right hon. Friend the Foreign Secretary will be giving a statement on Afghanistan imminently. I do not agree with the hon. Gentleman’s stance on Afghanistan, but I admire his consistency in arguing his case. It is right that the coalition Government have been crystal clear that we want our troops to come home as soon as possible. We do not want a single British serviceman or servicewoman to spend an extra day more than is necessary in Afghanistan. That is why we have been clear that we will not have soldiers in a combat role in Afghanistan in 2015. However, I agree with the hon. Gentleman that history teaches us that insurgencies cannot be defeated by military means alone. That is why we are pushing very hard for a new political strategy involving reconciliation and reintegration so that the political strategy and the military strategy are better aligned than has been the case in the past.