Oral Answers to Questions

Debate between Jeremy Hunt and Catherine West

Tuesday 7th February 2023 Commons Chamber

[Jeremy Hunt]

First, I congratulate my hon. Friend on his extraordinary campaigning for Eden Project North, which is a model for MPs standing up for their constituencies; he deserves huge congratulations on that. I will happily look at his proposals on VAT tapering. We already have the highest VAT threshold in the G7, but anything we can do to help small businesses, this Conservative Government always do.

[Catherine West (Hornsey and Wood Green) (Lab)]

Question 5, Mr Speaker.

Nazanin Zaghari-Ratcliffe

Debate between Jeremy Hunt and Catherine West

Tuesday 16th November 2021 Westminster Hall

[Jeremy Hunt]

I believe that during the period when I was Foreign Secretary, the decision whether we owed that money was settled. There was an understanding, confirmed publicly by the Defence Secretary, that the money is owed and should be paid. It was going to take, and will take, a real effort to deal with the practicalities. But the Americans managed it and we can most certainly manage it, if necessary by getting an RAF plane to fly gold over to Tehran. There are lots of ways of doing it.

[Catherine West]

Will the right hon. Gentleman give way?

[Jeremy Hunt]

I will make some progress. One other thing needs to happen to ensure that Nazanin and the other dual nationals can come home: we must completely de-link their fates from the outcome of the Vienna talks on the joint comprehensive plan of action. Just as we tell Iran it should not make anyone a pawn in a diplomatic game, we too must live by those words and ensure they are not being used in any way by any country to put pressure on Iran to sign up to that deal. Their fates should be completely separate.

This is a terrible tragedy. It is a shame not just on Iran but on Britain that it has taken us five and a half years to solve it. There must be two outcomes: first, the reuniting of all the families who have been separated by this vile detention in Iran, including Nazanin’s family; and secondly, the legacy of this tragedy must be the end of the vile practice of hostage diplomacy, which must be consigned back to the 19th century where it belongs. Britain needs to learn from this to lead a diplomatic initiative with other countries, so that if someone is taken hostage from one country, we treat it as if they had been taken hostage from any of us. We act accordingly; we deter it and it never happens again.

NHS Pay

Debate between Jeremy Hunt and Catherine West

Wednesday 13th September 2017 Commons Chamber

[The Secretary of State for Health (Mr Jeremy Hunt)]

I thank the shadow Health Secretary for introducing this debate. NHS staff are doing a superb job in tough circumstances, and it is right for this House to debate whether we are giving them an appropriate level of support.

I start by addressing the areas on which we agree with the Opposition. First, it is incredibly important to have motivated staff, simply because motivated staff give better care to patients. It is critical for patient safety that we have enough staff in our NHS and social care system, so recruitment and retention matter. It is also true that, right now, it is very tough on the frontline for NHS staff as they cope with the pressures of an ageing population, of financial constraints that have not been as tough in many years, and of changing consumer expectations of what the NHS should deliver. We agree on all that, but there are some fundamental disagreements that I also need to surface.

The shadow Health Secretary talks about the former 1% cap and the pay restraint that we have indeed had for the last seven years, which his party frequently characterises as austerity—some ideological mission by the Conservatives to reduce the size of the state. [Interruption.] I can see some nods, but it is absolute nonsense.

I remind Labour Members that in 2010 we inherited the worst financial crisis in our history and the worst recession since the great depression. The shadow Health Secretary was an adviser to Gordon Brown in 2010—he does not talk about that very much—and he knows just how serious the crisis was. He uses the phrase “Tory economics,” but the 2010 Labour manifesto, which he may well have had a hand in drafting, wanted to cut the NHS budget. The Health Secretary at the time, Andy Burnham, said that it would be “irresponsible” not to cut the NHS budget.

In 2015, five years on from that terrible crisis, the Labour party wanted to put £5.5 billion less into the NHS than the Conservative party did. In short, the austerity that the shadow Health Secretary criticises today is austerity that Labour wanted to go much further with when it comes to the NHS. Labour needs to recognise that if we had followed its advice we would not even have been able to honour a 1% pay rise, we would not have been able to recruit 12,000 more nurses for our wards, we would not have record numbers of doctors and we would not have record funding for the NHS.

[Catherine West]

Will the Health Secretary apologise for the current dreadful state? We have thousands and thousands of nurse places, and hospital trusts are having to go as far as the Philippines to recruit student nurses. Student nurses are coming out of university with £56,000 fees. NHS recruitment and retention is in a deep crisis. Will he apologise?

[Mr Hunt]

What I will not apologise for is the dreadful short staffing on NHS hospital wards that we inherited in 2010, which led directly to the problems of Mid Staffs. Nor will I apologise for sorting that out and making sure that we have 12,000 more nurses on our hospital wards today than we had in 2010.

--- Later in debate ---

[Mr Hunt]

I agree with the right hon. Gentleman that when deciding policy on pay we absolutely have to look at the impact on recruitment and retention, and that if we are going to deal with the pressures of an ageing population in the way that he and I would both want, we are going to need to recruit many more doctors and nurses for the NHS over the years ahead.

The progress that we have made in the NHS in improving outcomes for patients, despite the huge pressure on the frontline, is possible because of the brilliant staff we have in the NHS. I want to recognise that pay restraint has been extremely challenging, which is why yesterday my right hon. Friend the Chief Secretary to the Treasury announced a new policy, allowing Departments flexibility where there are recruitment and retention issues, and where productivity savings can be found. We will also honour the commitment we made prior to yesterday’s announcement, which was that before we take any decisions we will listen to the independent advice of the pay-review bodies.

To value staff also means to look at non-pay issues as well. It means we should look at making sure that we are training enough staff, so that when hospitals have the budgets to employ staff, they are there for them to employ; it means we should look at flexible working—on which, frankly, the NHS can do a lot better—if we are to tackle the agency bill that the shadow Health Secretary spoke about; it means we should put in place measures to encourage nurses to return to practice, which is why Health Education England is increasing the number of return-to-practice training places to 1,250 from 2019-20; it means we should look at new support roles for nurses, such as the 2,000 nurse associates who are starting training this year; and it means we should look at new routes into nursing, such as the nurse apprentice route that we are opening this year.

[Catherine West]

rose—

[Rachel Maclean]

rose—

[Mr Hunt]

I am going to wind up my comments now, because lots of people wish to speak. [Hon. Members: “Oh!”] Okay, the House has persuaded me. I shall give way first to the hon. Member for Hornsey and Wood Green (Catherine West) and then to my hon. Friend the Member for Redditch (Rachel Maclean).

[Catherine West]

I thank the Secretary of State for his generosity in giving way to me twice. Will he look again at the issue of student bursaries? It is such mistake.

[Mr Hunt]

I assure the hon. Lady that we are making reforms because we want to train more nurses and to fund more nurse training places. There has been a dip in the number of people taking up nurse training places this year, as there was when the higher education reforms were introduced in 2012, but it recovered soon after that and we now see in other parts of higher education record numbers of students from poorer backgrounds going to university.

NHS and Social Care Funding

Debate between Jeremy Hunt and Catherine West

Wednesday 11th January 2017 Commons Chamber

[Mr Hunt]

First, I would like to use this moment to congratulate the hon. Gentleman’s local trust on coming out of special measures last year and on the progress it is making. In a way, that is the answer to his point. His local trust was in special measures, and North Cumbria is still in special measures. We had some profound worries about patient care in both trusts, and we still do in the North Cumbria trust. That is why the status quo is not an option, but we understand the concerns of his constituents and many others about some of the proposals being made.

[Catherine West (Hornsey and Wood Green) (Lab)]

What does the Secretary of State make of the talk among professionals at the moment about the potential for a flu epidemic? What does he make of the comments by the doctor who wrote to me on Sunday saying that she is extremely concerned that staff are too busy to isolate patients who are coming in—who need oxygen—so that others do not potentially catch flu?

[Mr Hunt]

There is a concern at the moment about a growth in respiratory infections, and that is causing capacity constraints. We are watching what is happening on flu very carefully, but we have a record 13 million people vaccinated against flu, and I hope that that will put the NHS in a good position.

Mental Health and NHS Performance

Debate between Jeremy Hunt and Catherine West

Monday 9th January 2017 Commons Chamber

[Mr Hunt]

I welcome my hon. Friend’s contribution as a practising nurse; it adds greatly to the House. I am more than happy to pay tribute to our brilliant mental health nurses. They have one of the most stressful jobs anyone can have, and I pay particular tribute to the ones in Sussex, which has those tragic suicide hotspots.

[Catherine West (Hornsey and Wood Green) (Lab)]

Given that the cold weather is coming, I want to return to the risk of a flu epidemic. A desperate doctor wrote to me last night to say:

“Sooner or later, there will be an epidemic and let me tell you: we cannot cope. Another shift, another full hospital. Another gridlocked A&E, more desperate but often implausibly understanding patients. Another 13 or 14 hour shift with one 10 or 15 minute break. Some patients and relatives get angry, some despair, most watch us and realise we can’t physically do anything more.”

Please help me, as her MP, to represent her, and please help us to have more staff.

[Mr Hunt]

That doctor speaks for many doctors who are working incredibly hard, particularly in our emergency departments. I would say to that doctor that we recognise the need for more doctors and we are recruiting more doctors, not just across the NHS but in emergency departments in particular. We also recognise that we need to find a different way to deal with some of the patients who come to the hospital front door, so that we can alleviate the pressure. That is what we are looking at.

Junior Doctors Contract

Debate between Jeremy Hunt and Catherine West

Monday 30th November 2015 Commons Chamber

[Mr Hunt]

Absolutely. We want to reduce the number of doctors working unsafe hours and make sure that we have binding ways of ensuring that hospitals cannot ignore the intention of any agreement we make and ask doctors to work extra hours that they do not want to work and that might be unsafe, or indeed to trade on the good will that means many doctors work extra hours unpaid. That is an important part of the discussions that I hope we will now be able to enter into.

[Catherine West (Hornsey and Wood Green) (Lab)]

I have received a number of emails from constituents about this matter. What impact does the Secretary of State believe this fiasco will have on the long-term morale of staff in the national health service?

Oral Answers to Questions

Debate between Jeremy Hunt and Catherine West

Tuesday 13th October 2015 Commons Chamber

[Mr Hunt]

I will look into the individual case that my hon. Friend has raised, but I think patients recognise that sometimes they need to travel further for the most specialist care, and can receive better care if they do so. However, the way in which what we are doing will help my hon. Friend’s constituents, and other people with cancer, is not just about consultants and junior doctors working at the weekends; it is about seven-day diagnostic tests, which will enable us to get the answers back much more quickly and catch cancers earlier.

[Catherine West (Hornsey and Wood Green) (Lab)]

4. What progress his Department has made in introducing a cap on care costs.

NHS Reform

Debate between Jeremy Hunt and Catherine West

Thursday 16th July 2015 Commons Chamber

[Mr Hunt]

As ever, my hon. Friend is spot on. At the heart of what I am saying today is creating a new learning culture inside the NHS where people are able to be open. In the airline industry, it is much easier for a junior pilot to talk to a senior pilot about a mistake they think the senior pilot has made without feeling it will impact on their career. We need to break down the barriers, so that when people talk about their concerns—even about what their boss has done, which is never easy—they are listened to and treated seriously, and there are no consequences as a result. We absolutely have to make that change.

[Catherine West (Hornsey and Wood Green) (Lab)]

Are the Government considering the introduction of charging in the NHS, as a member of the Secretary of State’s ministerial team, Lord Prior, suggested in the other place in response to Lord Patel?

[Mr Hunt]

No, that is not the case, and the hon. Lady should avoid scaremongering.