Economic Update

Debate between Jeremy Hunt and Helen Whately

Monday 17th October 2022 Commons Chamber

[Jeremy Hunt]

The right hon. Gentleman asks a very important question. I remind him that what I have announced today has been very largely the cancellation of planned tax cuts, rather than being new tax increases. This has a very important impact, in a positive direction, on national finances, but unfortunately it will not be the end of the story. If we are to deliver a credible Budget in which we can demonstrate—my right hon. Friend the Member for West Suffolk (Matt Hancock) asked about this earlier—that debt is falling as a percentage of GDP by the end of the period, we will have further difficult decisions ahead. This Government will not shirk from them.

[Helen Whately (Faversham and Mid Kent) (Con)]

With a pandemic followed by a war, our constituents do not expect this time to be easy, but they do expect us to set out the difficult choices, make the difficult choices and then set out the path to a better future. May I ask my right hon. Friend, particularly considering his experience of many years, to continue to press ahead with our commitment to reforming social care, knowing as he does how social care and the NHS go hand in hand and how important they are to our constituents?

[Jeremy Hunt]

My hon. Friend and I have had very many discussions about social care over the years, mainly when I was a Back Bencher and she was a Minister. The sector is in great difficulty at the moment; I am very aware of those concerns, and I am also very aware of the pressures in the NHS at the moment. I am not making any commitments as to what exactly we will do, but as I said earlier, all these decisions will be taken through the prism of what matters most to the people who need help the most.

NHS Update

Debate between Jeremy Hunt and Helen Whately

Wednesday 21st July 2021 Commons Chamber

[Jeremy Hunt (South West Surrey) (Con)]

May I start by echoing the Minister’s thanks to Lord Stevens, who is about to step down as chief executive of the NHS? One of my proudest achievements as Health Secretary was to secure a £20 billion annual rise in the NHS budget, and that would not have been possible without a close partnership with Lord Stevens. Indeed, he taught me a number of things about how to negotiate with the Treasury. He is someone who believes in the NHS to his fingertips, and he will be missed in all parts of the House, both on the Opposition Benches, but also on this side, where we have long forgiven him for his new Labour origins. We wish him well for the future.

This statement is about the NHS. The biggest pressure facing the NHS, apart from covid patients themselves, is the covid backlog, and I draw to the Minister’s attention the concerns that I and a number of people have as we face these enormous waiting lists. The previous Labour Government had considerable success in bringing down waiting lists, to their credit. They would also say that there were unintended consequences in terms of lapses in parts of the system with the safety and quality of care. Will the Minister, as we once again try to bring down waiting lists, agree that the Government will redouble their focus on safety and quality of care so that we do not have to relearn the lessons of Mid Staffs, Morecambe Bay and a number of other sad tragedies?

[Helen Whately]

I thank my right hon. Friend for his question. I know that in his time as Health Secretary, he did a huge amount to raise the standards of safety and have a greater focus on patient safety in the NHS. That is still clearly making a difference today. He is absolutely right that we need to ensure that we focus on that as we work to bring down the backlogs from the pandemic. It is not only that; I am mindful of making sure that we continue to support our NHS workforce as they, on the one hand, look after patients with covid and, on the other, work to reduce the backlog. That pressure is continuing, but I am determined that as we bring down the backlog, staff will continue to be supported and will, in fact, continue to have time off, annual leave, the breaks they need and the wider support so that we look after our workforce as well as providing the care that patients need.

Social Care Reform

Debate between Jeremy Hunt and Helen Whately

Wednesday 23rd June 2021 Commons Chamber

[Helen Whately]

Of course we have focused on supporting social care through the pandemic over the past 18 months; that absolutely had to be the right thing to do when facing an unprecedented challenge. During the pandemic we not only supported social care, including, as I said, over £1.8 billion of extra funding direct to the care sector, but supported local authorities with over £6 billion of extra funding. But yes, we are determined to bring forward proposals for social care reform. We have been absolutely clear that we shall do that. The hon. Lady asked about particular meetings. Actually, the Health Secretary and the Prime Minister talk about social care reform all the time. In fact, I spoke to the Prime Minister only last week about social care reform. These are complex matters. The hon. Lady will know that nearly 25 years ago, Labour Prime Minister Tony Blair said that we needed reform of social care, but during the 13 years of Labour government, was there a plan for social care reform? No, there was not. We are the Government who are going to bring forward social care reforms. I would welcome her support for that. We are a Government who deliver. We have delivered Brexit, we are delivering vaccinations at a phenomenal pace, and we will deliver social care reform.

[Jeremy Hunt (South West Surrey) (Con)]

I know that the Minister is working hard behind the scenes to get a resolution to these issues, and I thank her for her efforts to do that. Does she agree that the NHS will fail in its objective to deal with the covid backlog if the social care system continues to export its most vulnerable patients to our hospitals, filling up hospital beds that cannot then be used to deal with the enormous backlog of cancer and other operations that we have? Does she also agree that the founding principle of the NHS—that no matter who you are, rich, poor, young or old, you should be able to access the care you need—is fundamentally undermined by the way we treat people with dementia, whereby people who are wealthy are able to pay expensive care home fees but people of limited means find that they are cleaned out of absolutely everything when a loved one gets dementia?

[Helen Whately]

I thank my right hon. Friend for his support for our determination to reform social care. He makes an important point that we have to look at the NHS and social care together as the two parts of the system affect each other. That is one important reason why the health and care Bill needs to improve the join-up between health and social care. On his point about dementia, it is true that some people who suffer from dementia need care for very many years and this is extremely costly. That is one of the things we want to address as part of our social care reforms.

NHS Staff Pay

Debate between Jeremy Hunt and Helen Whately

Monday 8th March 2021 Commons Chamber

[Helen Whately]

My apologies, Mr Speaker.

I do not think that we should play politics with these very serious questions as we come through a pandemic that has hit us and the world so hard, when people have lost their lives, people have lost their jobs, and we as a Government have had to spend so much to support the economy, individuals and, indeed, the NHS. I have been speaking to staff on the frontline of health and social care throughout this pandemic, and I and the Government are grateful to them and thank them from the bottom of our hearts for what they have done and are still doing. While so much of the public sector is having a pay freeze, NHS staff will get a pay rise.

In these difficult times, the Government have submitted their evidence to the pay review bodies and, as I said in my opening statement, they will report back to us. They will look at a wide range of evidence, including, for instance, evidence from trade unions, inflation, and the wider situation with the economy and pay levels, and we will of course look at their recommendations carefully.

The right hon. Gentleman talked about the vote that we had on the NHS Funding Act and, yes, we absolutely did vote for it. We are fulfilling our commitment to record investment in the NHS—£34 billion more. He also referred to the long-term plan and, although not something we voted on, the 2.1% increase within it will be invested in the NHS workforce this year. That will include not only these pay rises, but pay progression and further investment in the NHS workforce.

We will continue to invest in more doctors and more nurses for the NHS, and I wish that the right hon. Gentleman would welcome that. We will continue to support the recovery of our economy and restore our public finances, so that we can fund our NHS not just through the pandemic, but into the future.

[Jeremy Hunt (South West Surrey) (Con) [V]]

The long-term plan budgeted for a 2.1% increase in salaries, which has now gone down to 1%, but an even bigger gap in last week’s Budget was identified by the Office for Budget Responsibility as a lack of funding from next year for annual covid vaccinations, for Test and Trace, for long covid and for millions of catch-up operations delayed by the pandemic. What discussions has the Health Secretary had with the Chancellor about that gap in funding, and where will that money come from?

[Helen Whately]

I thank my right hon. Friend for his question. He mentions the 2.1% increase within the long-term plan. That figure covers not only this pay rise for the NHS workforce, but the pay deals that have been agreed for staff in other multi-year pay deals, pay progression, and other investment in the workforce. As for his question on funding for the broader extra covid costs, that is not in the main NHS budget. Just as we had £63 billion invested in those costs throughout this year, there is an extra £22 billion set aside for covid costs outside the NHS budget and also £3 billion specifically for recovery and bringing down waiting lists.

Oral Answers to Questions

Debate between Jeremy Hunt and Helen Whately

Tuesday 10th March 2020 Commons Chamber

[Helen Whately]

Work has already been done by the regulating bodies. For instance, we are already speeding up the process for nurses from overseas who want to come here to work in the NHS. I would be very happy to have further correspondence with the right hon. Member about the specific problem, and would be delighted if he could send me an invitation to make the visit that he mentioned.

[Jeremy Hunt (South West Surrey) (Con)]

I congratulate the Department on securing the NHS visa but, as the Minister knows, it does not apply to nurses and care workers in the social care sector. What is the Department’s assessment of the gap there will be in the social care workforce as a result of this new immigration policy, and how are discussions going with the Home Office and No. 10 on that issue?

[Helen Whately]

I thank my right hon. Friend for his question. I am well aware of concerns in the social care sector, particularly in areas where there are higher vacancy rates. It is important that employers make sure that they are taking the steps they can take to make sure that social care jobs are attractive and, of course, well paid, as they should be. I recognise as well a role for Government in this, supporting the role of working in social care, and overall making sure that we come together and fix the social care crisis.

Oral Answers to Questions

Debate between Jeremy Hunt and Helen Whately

Tuesday 14th May 2019 Commons Chamber

[Helen Whately (Faversham and Mid Kent) (Con)]

T1. If he will make a statement on his departmental responsibilities.

[The Secretary of State for Foreign and Commonwealth Affairs (Mr Jeremy Hunt)]

Time is short, so I have three brief one-sentence updates for the House. First, following my trip to Africa, I can announce that the Africa investment summit will happen on 20 January 2020.

Secondly, I know that the whole House was greatly relieved by the pardoning of the Reuters journalists, Wa Lone and Kyaw Soe Oo, and I thank the Burmese Government for listening to representations made by us and many others.

Thirdly, I think the whole House will want to congratulate and thank United Nations envoy, Martin Griffiths, and the head of the UN monitors, General Michael Lollesgaard, for their extraordinary efforts in Yemen, which have led to the Houthis redeploying out of Hodeidah, which is the first real ray of sunlight since the Stockholm talks.

[Helen Whately]

I welcome the decision by the Sultan of Brunei not to sentence LGBT people to death by stoning, but it is still a crime to be gay in Brunei. Will my right hon. Friend use his influence to urge the Kingdom to repeal that law?

[Mr Hunt]

I thank my hon. Friend for that question. That is a very good example of some important lobbying by both me and the Minister of State for Asia, because that law is totally repugnant to us and our values. We recognise Brunei is a sovereign state, and it is for it to make its own laws, but that is contrary to British values.

Death of Jamal Khashoggi

Debate between Jeremy Hunt and Helen Whately

Monday 22nd October 2018 Commons Chamber

[Mr Hunt]

I have made it very clear that we need to find out who was ultimately responsible for happened and act accordingly, but on the question about arms sales, I think the hon. Lady is misrepresenting the approach we have in this country, which, as I mentioned earlier, was set up by Robin Cook, a Labour Foreign Secretary. In the past few years, we have suspended or revoked licences for arms sales to Russia, Ukraine, Egypt, Libya and Yemen. In 2015 alone, we refused 331 licences. We have one of the strictest regimes in the world, and we will follow the proper processes that we have in place in the case of Saudi Arabia as well.

[Helen Whately (Faversham and Mid Kent) (Con)]

The idea that a man walked into the Saudi embassy and did not walk out while his wife was outside is simply appalling, and the accounts we have heard lack credibility. I have said in this place before that I was glad to see what seemed to be progress on women’s rights and opportunities in Saudi, but this is not the sort of behaviour that we can accept from an ally. May I support my right hon. Friend’s demand for a robust account of what happened and his plan to take robust action?

[Mr Hunt]

Absolutely—we will be extremely robust if these reports turn out to be true.

Gosport Independent Panel: Publication of Report

Debate between Jeremy Hunt and Helen Whately

Wednesday 20th June 2018 Commons Chamber

[Mr Hunt]

The right hon. Gentleman is absolutely right: we have a regulatory landscape that is very complex, does not achieve the results we want, and forces regulators to spend time doing things they do not want to do and does not give them enough time for things they do want to do. Obviously, because of the parliamentary arithmetic, if we are able to get parliamentary consensus on such a change, that would speed forward the legislation.

[Helen Whately (Faversham and Mid Kent) (Con)]

There are many “if onlys”, but one of them is: if only the junior doctors and others who spoke up had been listened to. I know my right hon. Friend is committed to making sure that people and whistleblowers are listened to and that he is committed to transparency. Will he say a bit more about what he is doing to make sure that everyone involved in patient care—from consultants to healthcare assistants, porters, patients and families—are listened to and that their concerns are acted on?

[Mr Hunt]

I think we have made progress when it comes to whistleblowing because every trust now has a “freedom to speak up” guardian—an independent person inside the trust whom clinicians can contact if they have patient safety concerns. That is a big step forward, which was recommended by Robert Francis. Where I am less clear that we have solved the problem is in relation to having someone for families to go to if they think that everyone is closing ranks, and we now need to reflect on that.

NHS Staff Pay

Debate between Jeremy Hunt and Helen Whately

Wednesday 21st March 2018 Commons Chamber

[Mr Hunt]

The hon. Lady speaks eloquently and my right hon. Friend the Secretary of State for Northern Ireland was listening to her comments. It is a matter of great sadness that nurses’ pay has fallen behind in Northern Ireland, not because the money was not available, but simply because the Administration were not in place to implement changes. I know that my right hon. Friend will do everything she can.

[Helen Whately (Faversham and Mid Kent) (Con)]

I welcome the proposed pay rise, especially the increase for the lowest paid in the NHS. Nurses at my local hospitals tell me that as well as a pay rise, what they really want is flexibility in relation to things that happen in their lives, so I particularly welcome that aspect of the proposal. Does my right hon. Friend agree that flexibility and investment in training will enable NHS employers to show their appreciation for the valuable contribution that each individual member of staff makes to the care of patients?

[Mr Hunt]

My hon. Friend is absolutely right and speaks with a great deal of knowledge. Let me give an example of something we are doing that is not part of this deal, but that backs up what she says. We are prioritising the use in every hospital of an effective e-rostering system that enables people to book the shifts that they want on their phones and to change them very easily through a modern IT system. That makes an enormous difference to the control that they have over the hours they work, and I think that, in combination with the new deal, that will make a big difference.

Oral Answers to Questions

Debate between Jeremy Hunt and Helen Whately

Tuesday 20th March 2018 Commons Chamber

[Helen Whately (Faversham and Mid Kent) (Con)]

May I welcome today’s announcement on a new medical school for Kent? In an area that struggles to attract doctors, this will make a huge difference: it is genuinely a game changer. Will my right hon. Friend congratulate the University of Kent and Canterbury Christ Church University on their successful bid?

[Mr Hunt]

I absolutely congratulate them, but I also congratulate my hon. Friend, because I know that she worked incredibly hard on this bid. Thanks to that, I am sure, they are among the successful bidders today.

Medicines and Medical Devices Safety Review

Debate between Jeremy Hunt and Helen Whately

Wednesday 21st February 2018 Commons Chamber

[Mr Hunt]

I can give the hon. Gentleman an absolute assurance that she will do so. In the case of valproate it is very clear what the next steps should be, because there is no dispute over the science. When there is controversy over the science—and I appreciate how distressing that is for the families involved—the first thing we must do is establish the truth of the situation, and that is why we have given Baroness Cumberlege a free hand to look at the whole issue.

[Helen Whately (Faversham and Mid Kent) (Con)]

I welcome the statement, which is consistent with my right hon. Friend’s track record of driving the NHS to stop causing harm to patients. May I ask him to continue to focus on encouraging, requiring and supporting all healthcare professionals to make the shift from a defensive to a learning mindset, so that they listen and learn not just from NHS experience, but from patients as well?

[Mr Hunt]

My hon. Friend, who has huge experience in healthcare, is right to say that at the heart of dealing with these very complex issues is the need for us to be careful not to inadvertently encourage a culture of defensive medicine. If doctors feel unable to be open about mistakes that may have happened because they are worried about legal consequences, we will not benefit from the learning that is so incredibly important, and one of the purposes of the review is to ensure that we support that open learning culture.

Oral Answers to Questions

Debate between Jeremy Hunt and Helen Whately

Tuesday 14th November 2017 Commons Chamber

[Helen Whately (Faversham and Mid Kent) (Con)]

Local A&Es serving my constituents in Kent now have 24/7 mental health services, thanks to this Government’s determination to improve mental healthcare. Can my right hon. Friend assure me that the Government will fulfil their commitment to increase mental health spending by at least £1 billion by 2020?

[Mr Hunt]

We are absolutely committed to that. We are spending around £1.4 billion more than we were three years ago, and there is more that we need to invest. I am pleased that my hon. Friend mentioned crisis care, because for people who believe in parity of esteem, ensuring that people can get help in a mental health crisis as quickly as they could go to A&E for a physical health crisis is one of the big gaps that we have to fill.

Oral Answers to Questions

Debate between Jeremy Hunt and Helen Whately

Tuesday 10th October 2017 Commons Chamber

[Mr Hunt]

I welcome what I think is my first question from the hon. Lady, and I can give her some good news: the pay cap has been scrapped.

[Helen Whately (Faversham and Mid Kent) (Con)]

In the work that I have done in hospitals, staff have told me that they are most unhappy about too much reliance on temporary staff, rota gaps and not feeling valued, as opposed to issues around pay. The latter—not feeling valued—often goes hand in hand with poor management practices. What is my right hon. Friend doing about those causes of staff unhappiness?

[Mr Hunt]

My hon. Friend, who has a lot of experience of working in the NHS, is absolutely right. The new Care Quality Commission inspection regime is designed precisely to identify good, strong leadership, because that has the best impact on staff and, through that, the best impact on patients.

NHS Pay

Debate between Jeremy Hunt and Helen Whately

Wednesday 13th September 2017 Commons Chamber

[Mr Hunt]

I will give way to some Conservative Members.

[Helen Whately]

Opposition Members are raising concerns about staff shortages and about recruiting staff from overseas. I am sure we all have hospitals serving our constituents that have had to go overseas to recruit. We do not want to see that; we want to see nurses trained in the UK and British nurses. I welcome the fact that the Secretary of State has taken action to remove the cap on nurses in training so that we can train more home-grown nurses.

[Mr Hunt]

My hon. Friend is right about that, because at the heart of this problem is getting the training of nurses right and making sure we train enough nurses.

Oral Answers to Questions

Debate between Jeremy Hunt and Helen Whately

Tuesday 21st March 2017 Commons Chamber

[Mr Hunt]

The one simple thing the Government are not going to do is refuse to listen to what the British people said when they voted on 23 June. We will do what they said—it is the right thing to do. However, the right hon. Gentleman is absolutely right to highlight the vital role that the around 10,000 EU doctors in the NHS play in this country. I can reassure him that the number of doctors joining the NHS from the EU was higher in the four months following the referendum result than in the same four months the previous year.

[Helen Whately (Faversham and Mid Kent) (Con)]

23. Does my right hon. Friend agree that Kent, with its excellent academic institutions and strong life sciences sector, would be an ideal location for a new medical school, and will he support emerging plans to establish one?

[Mr Hunt]

I can absolutely confirm that the garden of England would be an ideal place for a new medical school—alongside many other parts of the country that are actively competing to start medical schools as a result of the expansion in doctor numbers. It is an independent process run by the General Medical Council, and we will await what it says with great interest.

NHS and Social Care Funding

Debate between Jeremy Hunt and Helen Whately

Wednesday 11th January 2017 Commons Chamber

[Mr Hunt]

My right hon. Friend is right. That is the worst kind of gesture politics, because it may get the Leader of the Opposition a few votes or a few more Momentum supporters, but it would damage the NHS.

[Helen Whately]

Does my right hon. Friend agree that Opposition Members, rather than making meaningless and totally unfunded promises of more money for the NHS, contrary to their manifesto back in 2015, would do better to recognise demographic changes, such as the ageing population, and the need for the NHS to change, and support the locally developed plans for change in the national health service—the sustainability and transformation plans?

[Mr Hunt]

My hon. Friend is absolutely right. I think people in the country will find it hugely ironic that the party that spent so much energy in the last Parliament campaigning against top-down reorganisations is now campaigning against locally driven changes.

Mental Health and NHS Performance

Debate between Jeremy Hunt and Helen Whately

Monday 9th January 2017 Commons Chamber

[Mr Hunt]

If the hon. Lady is worried about funding, she might explain why funding for the NHS in England went up by double the rate of funding for the NHS in Scotland over the last Parliament—[Interruption.] I will get her the figures on Northern Ireland, but I say that by way of reference. I apologise for my error.

I agree with the hon. Lady that it is not just about the ageing society; it is about changing consumer expectations and the fact that people want access to healthcare 24/7 today in a way that was not the case 10 or 20 years ago. That in itself is the cause of a lot of the additional pressure.

[Helen Whately (Faversham and Mid Kent) (Con)]

I welcome today’s announcement on mental health. It is absolutely clear that the Government are serious about improving mental health treatment and prevention. The challenge is to translate ambitions into action. Will my right hon. Friend assure me that he will put in place mechanisms to ensure that the proposals and those in the five-year forward view for mental health become reality? Specifically, will he look at ensuring that no sustainability and transformation plan is signed off without clear plans and funding for improving mental healthcare?

[Mr Hunt]

I can assure my hon. Friend that that is happening. Indeed, one of the key metrics by which we will judge STPs is their progress on delivering our mental health targets. She is absolutely right to say that ambitions need to turn into action, but she will find that, because of the comments that she and many other hon. Members have made over the past few years, there is much more understanding in the NHS that mental healthcare is a big priority, and more understanding that we need to stop resources constantly being sucked into the acute sector, as has happened over many years.

Social Care

Debate between Jeremy Hunt and Helen Whately

Wednesday 16th November 2016 Commons Chamber

[Mr Hunt]

I want to conclude the section about the role of social care staff.

Whatever disagreements we have in this afternoon’s debate, I want the message to go out loud and clear to all social care staff that Members from all parts of the House recognise the work that they do, and that they value it and support them to do that work better. That is part of the definition of a civilised society.

[Helen Whately]

On the point about the need for a long-term sustainable health and social care system, is it not the case that the Secretary of State is driving through work in devolution deals and sustainability and transformation plans, which aim to achieve exactly that—bringing together health and social care to create a much more sustainable system?

[Mr Hunt]

My hon. Friend is absolutely right. Although this afternoon’s debate is about the social care system, the sustainability and transformation plans are a critical part of the long-term solution for financial efficiency and for improving the quality of care.

I congratulate the hon. Member for Worsley and Eccles South (Barbara Keeley) on introducing this debate, which is the first Opposition day debate that she has led. I also pay tribute to the fact that she has had a long-standing interest in these issues. She has asked me questions about the social care system on many occasions. She was particularly right to focus on the impact on the NHS, which is real, and on the impact on family carers, which is also real. She talked about Susan and about the impact on people who are finding that they are giving more hours of care than they were planning or are sometimes even able to give. That is something of which we must all be aware. She asked me to answer a direct question: do I recognise the scale and seriousness of the issues faced by the social care system? The answer is, yes, I do. I want to try to address, as comprehensively as I can, some of the substantive issues faced in the social care system.

Let me start by saying that, although today’s debate and the majority of the hon. Lady’s comments were around funding, the issue is not only about funding. The hon. Member for Chesterfield (Toby Perkins) mentioned that social care is not just about older people. In 2011, we had the shock of what was uncovered at Winterbourne View by a BBC “Panorama” programme. We have had a number of examples of horrific abuse at care homes. The Ash Court Care Home case in Kentish Town was one that came to light in 2012. The abuse there was filmed by a relative on a hidden camera. Those issues were primarily not about funding, but about cruelty—a strong word—that we have tolerated in our system. We have had some very significant policy responses since then, which are making a real difference. The first is that this Government, under the coalition, introduced the toughest system of care home inspection in the world.

We often talk in this House about the work of the chief inspector of hospitals, but I wish to pay tribute today to the work done by the chief inspector of adult social care, Andrea Sutcliffe, and her team. She has completed the inspection of nearly 90% of care homes and domiciliary care services. It is encouraging that, despite the pressures that we have been talking about this afternoon, 72% of the places that she inspected were good or outstanding. More importantly, the 28% that are not are the 28% that we know about and are therefore able to do something about.

I take issue with the way the shadow Health Minister presented her findings. She said that a quarter of the inadequate places were unable to improve following re-inspection. However, the reality is that more than three quarters of places that got an inadequate inspection did improve, which is a huge step forward from where we were a few years ago when we did not know where those places were and when there was no change happening at all.

NHS Funding

Debate between Jeremy Hunt and Helen Whately

Monday 31st October 2016 Commons Chamber

[Mr Hunt]

I do recognise the pressures in the social care system, but, in an era of very constrained national finances, funding for the social care system is going up by £3.5 billion a year by the end of this Parliament, which is a significant and important rise. I say to the hon. Lady that it is this Government who have set the CQC free to tell us the honest truth about the quality of care in our hospitals, GP surgeries and social care system, and it is because of that that we are able to have the kinds of questions and answers we are having today.

[Helen Whately (Faversham and Mid Kent) (Con)]

This Government have shown their commitment to the NHS, promising and delivering increases in funding, unlike the Opposition parties. My right hon. Friend recognises the connections between health and social care and is driving the integration of those two areas. May I urge him to continue looking at both the funding and performance of health and social care in the round?

[Mr Hunt]

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.

Junior Doctors Contract

Debate between Jeremy Hunt and Helen Whately

Wednesday 6th July 2016 Commons Chamber

[Mr Hunt]

Let me tell the hon. Lady the words that Dr Malawana actually said:

“I will happily state that I think this is a good deal.”

He talked about junior doctors benefiting from

“massively strengthened areas of safety precautions…equalities improvements, improvements to whistleblowing protection and appropriate pay for unsocial hours.”

He thought this deal was a big step forward. As I said, if I thought that there was any prospect of further negotiations leading to a consensus that could get the support of the BMA membership, that is what I would be doing, but my honest assessment of the situation—given that the people who most strongly opposed the Government recommended accepting this deal and still they were not listened to—is that there is no such prospect, and I therefore need to take the difficult decision that I have taken this afternoon.

[Helen Whately (Faversham and Mid Kent) (Con)]

There has been a negotiation, the Secretary of State has listened to the concerns of junior doctors, we now have a better contract, and we heard today that there will a phased introduction of it. Does my right hon. Friend agree that junior doctors now need to move forward and that they should take up the offer to be involved in work to improve the experience of junior doctors in training? We know that junior doctors do not feel valued. They should feel valued. They need to play their part in making sure that they are valued.

[Mr Hunt]

My hon. Friend is right to say that. One of the things that is clear to me is that the reason that the May deal is better than the deal that we were going to introduce in February is because of the involvement of the BMA and the BMA leaders in telling us the concerns of junior doctors at the coalface, and the specific niggles and annoyances, many of which we were able to sort out very straightforwardly. I strongly hope that junior doctors will remain in all the discussions that we have, so that we try to get even better solutions.

Junior Doctors Contract

Debate between Jeremy Hunt and Helen Whately

Thursday 19th May 2016 Commons Chamber

[Mr Hunt]

I reassure the hon. Gentleman that we are in constant touch with the devolved regions and countries to make sure that they know the changes that we are making, and to share any learning that we have from the processes that we have been through, so we will certainly do that. Across the country, we are doing everything we can to catch up with the backlog of operations, procedures and out-patient appointments—all the things that have been affected by the industrial relations dispute. Trusts will always prioritise the areas where clinical need is the greatest, but I know that that work is ongoing across the country.

[Helen Whately (Faversham and Mid Kent) (Con)]

I very much welcome the agreement that has been reached. We know that the Secretary of State recognises the importance of having a happy and well-motivated workforce, and this contract addresses many of the causes of unhappiness for junior doctors. It is particularly good to hear the points made today about addressing the problems of couples who are both junior doctors. However, there is clearly more to do, as has been acknowledged, especially on the reasons why junior doctors feel unsupported and often not valued by their employers. My right hon. Friend commissioned Professor Sue Bailey to carry out a review of the underlying problems experienced by junior doctors during training. Will he advise us whether the review will now proceed?

[Mr Hunt]

The request from the BMA was to find a new way of proceeding with that very important work, and that is what we will do. We will do so with the input of Professor Bailey, because she has a very important contribution to make. My hon. Friend is absolutely right to say that, as well as more flexible working for people with family commitments, the big issue for many junior doctors is the way in which the training process happens. In particular, the issue is about the way that continuity of training has been undermined by the new shift system—we need that system for reasons of patient safety—and that often means that someone is given advice by a different consultant on different aspects of care from one day to the next, which is frustrating. We will look at all those issues with Professor Bailey, Health Education England and the BMA to see whether we can find a better way forward.

Oral Answers to Questions

Debate between Jeremy Hunt and Helen Whately

Tuesday 10th May 2016 Commons Chamber

[Helen Whately (Faversham and Mid Kent) (Con)]

14. What progress his Department has made on delivery of the NHS five year forward view.

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

We are making good progress in implementing the five year forward view, including £133 million invested in new models of care and 18 million people benefiting from extended GP access.

[Helen Whately]

It is estimated that a third of patients in acute hospitals could be better treated elsewhere, for instance at home, and in east Kent our vanguard aims to address this with new models of care, but it is early days. Will my right hon. Friend advise us of what he is doing to drive progress on new models of care, bringing together health and social care so that more people are cared for in the right place?

[Mr Hunt]

My hon. Friend is absolutely right to draw attention to what is, in a way, the most fundamental point of the five year forward view, which is getting care to people earlier to help them live healthily and happily at home. Perhaps the most significant announcement we have had in the past few weeks has been the extra £2.6 billion a year that will be invested by the end of the Parliament in general practice. That is a 14% increase that will allow us to recruit many more GPs and, I hope, dramatically improve care for her constituents and others.

Junior Doctors Contracts

Debate between Jeremy Hunt and Helen Whately

Monday 18th April 2016 Commons Chamber

[Mr Hunt]

I hope the hon. Lady understands that I am not going to go into the details of the legal cases that we are currently arguing. However, let me make it clear that the Secretary of State does have that power and that we are using it correctly, and we will argue that case very strongly in the High Court.

[Helen Whately (Faversham and Mid Kent) (Con)]

Many hundreds of operations were cancelled during the last strike. The next strike will see the unprecedented step of emergency cover being withdrawn, and many junior doctors are themselves worried about that. Does my right hon. Friend agree that it is time for the BMA’s leaders, who are calling for the strike, to heed the worries of those junior doctors and of patients, and to call it off?

[Mr Hunt]

I absolutely agree. It is entirely legitimate to disagree with the Government of the day about contract reform—we have tried to make the case as to why that reform is important—but it is wrong for patients to pay the price for that disagreement. While the NHS can cope with the withdrawal of labour for elective care, it is a much bigger deal when emergency care is withdrawn, and people throughout the NHS are extremely worried about the impact of that. Doctors should also worry about how the public will view their profession if they proceed with this wholly unnecessary step.

Oral Answers to Questions

Debate between Jeremy Hunt and Helen Whately

Tuesday 22nd March 2016 Commons Chamber

[Mr Hunt]

We consulted widely with NHS leaders about the terms of the new contract, and they confirmed that it was fair and reasonable. Any decision to proceed with a new contract when it is not possible to have a negotiated settlement is inevitably controversial, but we wanted to ensure that independent people thought that the terms of the contract were fair. I think we have done that, and when junior doctors see their new contracts—as they will do shortly—they will realise that we were right to say that.

[Helen Whately (Faversham and Mid Kent) (Con)]

Underlying the dispute over the junior doctors contract is a long-standing problem of morale among junior doctors, and a failure to pay enough attention to their experiences in training. I welcome the Government’s decision to launch an independent review led by Professor Dame Sue Bailey, and I ask my right hon. Friend to update the House on the progress and timing of that review.

Junior Doctors Contract

Debate between Jeremy Hunt and Helen Whately

Monday 30th November 2015 Commons Chamber

[Helen Whately (Faversham and Mid Kent) (Con)]

Thank you, Mr Speaker.

I welcome the fact that the BMA is returning to talks and that there is a potential agreement on the table. The dispute has focused on pay and hours, but I think that its roots might go deeper. For instance, juniors often do not feel valued or part of the team. Does my right hon. Friend agree that the best way to improve the situation for juniors is for them to engage in talking, rather than striking, and that talking, which they are doing, is the right choice by juniors, who are the future leaders of the NHS?

[Mr Hunt]

I agree with my hon. Friend, who has great knowledge of NHS matters. I simply say to junior doctors that this is not just about contracts and pay; it is also about training. Having consultants more available at weekends will help improve training for junior doctors. We will also need to look at continuity of training, which I think has been undermined in recent decades. If junior doctors are looking for a visible reflection of this Government’s commitment to the NHS, they should look at last week’s spending review statement and the extra resources we are putting into the NHS in very tight circumstances. This Government are backing the NHS, and we are doing everything we can to back junior doctors as part of that.

Junior Doctors’ Contracts

Debate between Jeremy Hunt and Helen Whately

Wednesday 28th October 2015 Commons Chamber

[Mr Hunt]

Let us look at some of the facts. What is the most important thing for people admitted to hospital at the weekend? It is that they are seen quickly by a consultant. Currently, across all key specialties, in only 10% of our hospitals are patients seen by a consultant within 14 hours of being admitted at the weekend. Only 10% of hospitals provide vital diagnostic services seven days a week. Clinical standards provide that patients should be reviewed twice a day by consultants in high-dependency areas but, at weekends, that happens in only one in 20 of our hospitals across all key services.

[Helen Whately (Faversham and Mid Kent) (Con)]

Is the Secretary of State shocked, as I am, that the shadow Health Secretary seemed to say that the NHS should continue as it is, and that she appears to deny the weekend effect, which means that people are dying unnecessarily?

[Mr Hunt]

Yes, I am shocked. I am really shocked about the suggestion that there is a difference between what is right for patients and what is right for doctors. The shadow Secretary of State spent a lot of time talking about morale. The worst possible thing for doctors’ morale is their being unable to give their patients the care they want to give.

NHS Reform

Debate between Jeremy Hunt and Helen Whately

Thursday 16th July 2015 Commons Chamber

[Mr Hunt]

I thank the hon. Lady for the responsible approach that she took to the changes at Trafford general. Of course, I will listen to her concerns carefully, alongside those of her colleagues, and take them up with the NHS. Perhaps if she comes to the meeting that I am organising for her colleagues, that will provide an opportunity for me to do that.

[Helen Whately (Faversham and Mid Kent) (Con)]

I welcome a huge amount of the statement, particularly about the balance between transparency and more autonomy and the combination of scrutiny and support. Does the Secretary of State agree that not only hospitals and GPs but community and social care services need to be 24/7?

[Mr Hunt]

My hon. Friend speaks with great knowledge about health matters, because of her previous job. [Hon. Members: “McKinsey.”] Yes, McKinsey, which does some important work for the NHS. She is absolutely right that we need to be able to discharge into the community on all seven days, and it is important that the primary care and social care systems are part of that change.

Oral Answers to Questions

Debate between Jeremy Hunt and Helen Whately

Tuesday 7th July 2015 Commons Chamber

[Helen Whately (Faversham and Mid Kent) (Con)]

In the last Parliament we made great strides using transparency to drive improvement in the quality of patient care. Does my right hon. Friend agree that we can and should go further, particularly on the transparency of performance in primary and community care?

[Mr Jeremy Hunt]

My hon. Friend is absolutely right and has great experience in this area. We are now having a lot of transparency at an institutional level, but individual doctors and nurses in primary and secondary care are still finding it too hard to speak out if they have concerns. Getting that culture right has to be a big priority for this Parliament.