(8 years, 4 months ago)
Commons ChamberThe Secretary of State and others have sought to reassure us that nothing changes immediately with Brexit, but that is not right for the NHS. The impact on the economy is already clear, and that will have a knock-on effect on our health service. That is why I will meet local leaders in Wirral on Friday to try to formulate a Brexit plan for the NHS. Will the Secretary of State receive that plan and take all necessary steps to protect the health service in Wirral?
Of course, and we will take every step necessary to protect the NHS throughout the country, because it remains our most important public service. I am sure that, economically, the period ahead will be difficult, but now that we have had the argument and the British people have made their decision, it is also important that we talk up the opportunities from the new relationships that we may have in the future, and the extra funding that those could generate for the NHS, and I certainly hope that that is what happens.
(8 years, 7 months ago)
Commons ChamberInterestingly, A&E departments will benefit from the new contract because there are special premiums to encourage more people to go into A&E as a specialty. However, on his broader point, I agree: when someone is paid a high salary, that comes with the responsibilities of a profession. That is why, however much people disagree with the new contract, and however much they may not agree with the Government’s plans for a seven-day NHS, it is totally inappropriate to withdraw emergency care in the way that will happen tomorrow and the next day. That is why doctors should be very careful about the impact this will have on their status in the country.
The Secretary of State said in his statement: “Taking strike action is a choice”. However, when someone’s back is against the wall, and the person in charge will not listen, it never feels like a choice. A month ago, the Secretary of State could not answer my question about how big the NHS provider deficit would be in the last financial year—it was about £3 billion—so will he answer my question now, because money is at the heart of this? What will the NHS provider deficit be in the next financial year?
(8 years, 8 months ago)
Commons ChamberThe financial year ends next week. What does the Secretary of State expect the NHS provider budget deficit to be by then?
We know that the deficit will be bigger this year, and that there is extreme pressure. Part of the reason for that is that NHS trusts have rightly said that, in the wake of what happened at Mid Staffs, they want to ensure that their wards are properly staffed, but they have done that by using unsustainable agency staff. The most important thing that we need to do is to move to permanent full-time staff rather than agency staff who are too expensive and not good for care.
(8 years, 11 months ago)
Commons ChamberI have always believed that a negotiated agreement will be better for doctors, patients and the NHS, because I am sure that the BMA has value that it can add in the negotiating process to make sure that we implement the spirit and not just the letter of what the Government want to do. I agree with my hon. Friend, and I hope that we can enter into constructive, serious negotiations.
I have watched my hon. Friend the Member for Lewisham East (Heidi Alexander) fight night and day, and for seven days a week, for services in her constituency, so I would counsel the Secretary of State against saying that she has not fought for seven-day-a-week services. May I help the Secretary of State? In order to restart the process with trust, will he confirm that he has heard from junior doctors—as I have heard from junior doctors who are constituents of mine—that their primary concern is for nothing but patient safety?
I do think that that is the primary concern of the vast majority of junior doctors, which is why I think it was wrong for the BMA to refuse even to sit down and discuss with the Government how we were going to implement a manifesto commitment. I now hope we can get past that, so I will not say any more other than that I think it is now possible to get a better agreement for the NHS, and I hope we will now be able to do that.
(9 years, 1 month ago)
Commons ChamberYes, I can. I should have said that seven-day hospital services will be available to a quarter of the country by March 2017. We are putting an extra £10 billion into the NHS in the course of this Parliament, which will help in the roll-out of seven-day services—I hope in Croydon, as well. I commend my hon. Friend for his efforts in that respect.
I met a large group of junior doctors in my constituency on Friday, and we talked a lot about seven-day working. They asked me to put two things straight with the Health Secretary: first, the vast majority of junior doctors are already working seven days a week; and, secondly, on their contract, it was not terms and conditions that they were worried about, as I thought they were, but safety. In respect of those new contracts for junior doctors, what assessment has the Secretary of State’s Government made about patient safety?
I am very happy to do that, and to correct some of the misleading impressions given by the BMA about what the changes are. The changes are about patient safety. They are about the fact that someone is 15% more likely to die if admitted on a Sunday than on a Wednesday because we do not have as many doctors in our hospitals at the weekends as we have mid-week. I want to give better support to the doctors who work weekends by making sure that they have more of their colleagues and more consultants there, as well as proper safeguards, which I do not believe we have at the moment. I will be getting that message out, and I hope that the hon. Lady will, too, when she next meets her junior doctors.