(5 years, 5 months ago)
Commons ChamberWe are very concerned about the situation in the middle east and the risks of an accidental war. We have made serious efforts to de-escalate tension, including the visit by my right hon. Friend the Minister for the Middle East to Tehran at the end of last week.
I think the whole House appreciates the efforts that were made by the Minister for the Middle East at the weekend to de-escalate this crisis, but can the Secretary of State tell us what work is being done with the UN to make further progress?
The hon. Gentleman is right to ask that question. We have been doing extensive work. The message that we are sending with our partners in the European Union, particularly the French and the Germans, is that, with respect to Iran’s nuclear programme, this is a crucial week. Iran has said that it will reach the limits of what it is allowed for low-enriched uranium by 27 June, which is later on this week. It is absolutely essential that it sticks to that deal in its entirety for it to be preserved and for us to have a nuclear-free middle east.
(5 years, 6 months ago)
Commons ChamberThe Prime Minister and I are delighted that the President of the United States will come to the UK for a state visit in June. It will be an opportunity to celebrate our close and special relationship in areas such as trade, investment, security and defence, and Venezuela.
Many would say that the President should not be getting a state visit at all. In this country, when a bully elbows their way to the front of the queue, we might remonstrate in a politely British way, but we certainly do not reward that bad behaviour by inviting them back for tea. Could the Government perhaps be tactful and polite about this and say that we are all going to be rather busy in June—especially the Foreign Secretary, perhaps—and say that it might be better to reschedule for a later date, preferably long after the President is slung out?
Can we just deal with this ridiculous anti-Americanism on the Opposition Benches? One million jobs in this country depend on US inward investment, more than 400,000 American troops died in the second world war, and the President is coming here to mark the anniversary of D-day. We should honour that relationship, which goes far beyond differences in partisan politics.
(7 years, 10 months ago)
Commons ChamberThe way to deal with those kinds of terrible problems is to have a strong economy that allows us to support people through difficult periods in their life. We have one of the strongest economies—in fact, I think we will be the strongest economy in the G7 this year. That allows us to do things such as invest in our health and social care system. It is the Conservative party that can deliver that.
I have spoken before about the staggering rise in the number of patients presenting at A&E at Addenbrooke’s in Cambridge, and the hospital confirmed to me this morning that it continues to see more than 300 people each day, with high levels of delayed transfers of care. The impact was brought home to me by a constituent, Ann, who told me that on Thursday last week the facilities were so overcrowded that an adjacent seminar room was pressed into use. Bloods were being taken in the room, and she was treated there behind a makeshift curtain, reclining on a standard chair. Those are awful conditions in which to be treated, and in which to have to work. The Secretary of State says that it is not about funding; if it is not, will he come to Cambridgeshire and sit down with his Conservative colleagues on the county council and tell them where they are going wrong?
I went to Addenbrooke’s in the autumn and saw at first hand how hard the staff there are working. That is another trust that is in special measures, but it has made huge progress in trying to turn things around. I met several staff in the emergency department as well, and I pay tribute to them for their very hard work. I have never said that it is not about funding; what I say is that it is not just about funding. There is huge variation. In parts of the country, emergency departments avoid precisely the kind of overcrowding that the hon. Gentleman described at Addenbrooke’s. Hospitals that do that very successfully include Luton and Dunstable. We need all hospitals to adopt what the best hospitals do.
(8 years ago)
Commons ChamberUrgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.
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I congratulate my hon. Friend on her excellent question. I absolutely agree with her, as someone who worked in healthcare before she came to this House, that it is vital to nurture the links between the health and social care systems if we are to deal with some of the issues that concern Members on both sides of the House. There are some very good examples of where this is working well, but it is not happening in as many places as it needs to, and we all must focus on that.
The Secretary of State was in Cambridge on Friday. Did he have an opportunity to notice that at Addenbrooke’s, the hospital that serves Cambridge, the number of over-85s coming into A&E has risen by almost 12% year on year, and on Friday there were 100 over-85s in that hospital who should have been out in the community? Does he agree that that is proof perfect of the failure of this Government’s policies on social care, which are the root cause of the problems in our NHS?
The hon. Gentleman is looking at the record of this Government: we have 1,200 more doctors in our A&E departments, who are treating within four hours 2,500 more people every single day. We are also putting more money into the NHS and into the social care system. Addenbrooke’s is a hospital under great pressure, but it is determined to co me out of special measures and do its best for patients, and I salute all the staff, whom I much enjoyed meeting there on Friday. The one thing they would not want is the NHS budget to be cut from current levels.
(8 years, 1 month ago)
Commons ChamberThe hon. Gentleman makes an important point. It will be for this House and the Government to reflect prior to 2019 on whether it is worth carrying on with two schemes, which has been the arrangement for many years. Successive PPRS voluntary agreements have covered the vast majority of sales to the NHS and the statutory scheme has been a back-up for people who do not want to participate in the voluntary scheme. Recently, however, there has been an element of gaming the system whereby more and more firms have been moving from the voluntary scheme into the statutory scheme. The Bill will remove the incentives for them to switch between schemes and will make the benefits to the NHS essentially the same whichever scheme people choose. It will be for this House to reflect on and for the Government to consider whether the dual structure is right going forward.
The Secretary of State tells us that £1.24 billion has come back through the rebate, but many are puzzled about where that money has been spent. Can the Secretary of State tell us?
Absolutely. The money comes back to the Department of Health and is invested in the NHS. Indeed, it would be wonderful if it was more than £1.24 billion, because there is an awful lot of need on the NHS frontline right now; the funds are much needed. Our concern is that companies have been exploiting the differences between the voluntary and statutory schemes, particularly the loophole, which the Bill seeks to close, that if companies have drugs in both schemes, we are unable to regulate at all the prices of the drugs that would ordinarily fall under the statutory scheme. That is why the Bill is so important.
(9 years ago)
Commons ChamberI can absolutely give my hon. Friend that assurance. This is essential for the constituents of all hon. Members, whichever side of the House they sit on, and this Government will always stand on the side of patients. The weekend mortality rates are not acceptable. That is why we are doing something about them.
Given the acute pressures on the national health service, we are a long way from the vision that the Secretary of State wants to achieve. I met the Indian Workers Association this morning. Thousands and thousands of care workers of Indian origin are trained nurses and could be in our NHS, but the bar for the language test has been set so high that they are excluded. Will the Secretary of State look again at the test?
I commend the extraordinary contribution made by NHS front-line workers of Indian origin. I have met the Indian doctors association, the British Association of Physicians of Indian Origin, and have had many discussions on that front. It is very important, however, that people speak good English if they are providing care in the NHS. There are real issues for clinical safety when the standard of English is not high enough. We have a lot of fantastic support from immigrants who do a great job on the NHS frontline, but good English is an absolute pre-requisite.