Autumn Statement

Debate between Jeremy Hunt and Julian Lewis

Thursday 17th November 2022 Commons Chamber

[Dr Julian Lewis (New Forest East) (Con)]

I welcome what the Chancellor just said about his focus on mortgages and avoiding repossessions. On the need not to send the wrong signal about defence expenditure, I note that he skilfully linked that to a future defence review. When would that defence review come to fruition, and in the meantime will he guarantee that there would be no real decrease in defence expenditure?

[Jeremy Hunt]

I would expect my right hon. Friend to look forensically at any comment that I make about defence. I was very clear in my words, first, that the Prime Minister and I recognise the need to increase defence spending, and secondly, that the update to the integrated review needs to happen before the spring Budget. This is not pushing something into the long grass; it is making sure we get the decisions right.

Oral Answers to Questions

Debate between Jeremy Hunt and Julian Lewis

Tuesday 15th November 2022 Commons Chamber

[Mr Speaker]

You might save something for Thursday as well. [Laughter.]

[Dr Julian Lewis (New Forest East) (Con)]

I was encouraged by the Economic Secretary’s answer to the question from my right hon. Friend the Member for Ludlow (Philip Dunne) about mortgages. I know that the Chancellor believes that the restoration of economic stability is essential for mortgages to come under control in the future, but will he confirm that he will bring in imaginative plans to protect people who took out mortgages in good faith and now find them unaffordable?

[Jeremy Hunt]

I can absolutely give my right hon. Friend that confirmation. Indeed, I intend to meet a group of lenders later this month to discuss that very issue.

--- Later in debate ---

[Dr Julian Lewis (New Forest East) (Con)]

Given that we both agree on the need for a substantial increase in defence spending, does the Chancellor accept that any immediate, necessary freeze on it should not prejudice the goal of 3% of GDP in the medium term?

[Jeremy Hunt]

Let me just say to my right hon. Friend that he and I both agree on the vital responsibility of any Government to defend their shores and their peoples, and we are committed to doing what it takes to make sure we do that.

Economic Update

Debate between Jeremy Hunt and Julian Lewis

Monday 17th October 2022 Commons Chamber

[Jeremy Hunt]

I do not know, but I will write to the right hon. Lady.

[Dr Julian Lewis (New Forest East) (Con)]

May I warmly welcome the Chancellor’s remarks about defence and security? As it took us very many years to pay off this country’s colossal second world war debt, am I right in thinking that the huge costs of covid and Putin’s aggression in Ukraine cannot possibly be cleared completely in the short to medium term?

[Jeremy Hunt]

I wish I could answer that question. As my right hon. Friend will know better than me, this appalling saga is far from over, so we do not know what the total costs will be. I thank him for his rapid and not entirely unexpected lobbying on defence budget issues since I took up this post. I think the job of the Chancellor of the Exchequer is to make sure that our economy is strong enough to fund the role that Britain wants to play in defence of democracy and freedom all over the world.

Situation in the Gulf

Debate between Jeremy Hunt and Julian Lewis

Monday 22nd July 2019 Commons Chamber

[Mr Speaker]

It is right and typically gracious of the Foreign Secretary that he congratulated the hon. Member for East Dunbartonshire (Jo Swinson) on her election, and I myself do so. I wish her every possible success in the important work that she now has to undertake.

[Dr Julian Lewis (New Forest East) (Con)]

Does the Foreign Secretary accept that the taking of hostages and the flouting of international law have been the signature strategy of Iran ever since the Islamic revolution in 1979? If he does accept that, was it not entirely predictable—and, indeed, predicted—that by impounding this Iranian ship, however legally justified that was, the consequence would be an attempt to retaliate by grabbing a British vessel? What consideration was given, before the original decision was taken, to the adequacy of the number of ships in the Gulf, either ours or those of our allies? What attempts were made to persuade vessels that had to navigate the strait that they should do so in small convoys, which would at least enable two, or at most three, frigates to protect a larger number of ships? Sailing independently and separately meant that one or more were bound to be seized.

[Mr Hunt]

My right hon. Friend is right: we did foresee that this could be one of the reactions from the Iranian Government. That is why we took a number of steps after the detention in Gibraltar on 4 July, including the despatch of HMS Duncan and a lot of extra activity from HMS Montrose over the past few days in escorting 30 vessels, a number of which were British-flagged. There has been a lot of additional activity, but we wanted to do it in a way that was not a red rag to a bull and did not end up with even bigger consequences than the ones we faced, and that gave diplomatic channels a chance to work. I think that it was right to start in that way, but regrettably Iran has not chosen to follow the path that we hoped, so we are taking much more robust action today.

Oral Answers to Questions

Debate between Jeremy Hunt and Julian Lewis

Tuesday 22nd January 2019 Commons Chamber

[Dr Julian Lewis (New Forest East) (Con)]

Will Ministers use the United Nations as a forum where the United States can expose the Russian violation of the intermediate-range nuclear forces treaty so that if America does withdraw, responsibility will lie where it should?

[Mr Hunt]

We are absolutely sure that Russia has been violating the terms of the INF treaty and that the way forward in this is to get back to compliance because it is vital for Europe’s security, but that starts with Russia recognising what it has done wrong.

Gosport Independent Panel: Publication of Report

Debate between Jeremy Hunt and Julian Lewis

Wednesday 20th June 2018 Commons Chamber

[Mr Hunt]

First, I again pay tribute to the role that the right hon. Gentleman played. One of the most difficult things for any Minister is knowing when to accept advice, which is what we do most of the time, and when to overrule it. His instincts have been proved absolutely right. It is not an easy thing to do, and it causes all sorts of feathers to be ruffled, but he stuck to his guns, and rightly so. Bishop James Jones, who is a truly remarkable public servant, talked in the Hillsborough panel report about the

“patronising disposition of unaccountable power”.

That is what we have to be incredibly on guard against.

The right hon. Gentleman is right: at the heart is the problem that we did not listen to families early enough and we did not listen to whistleblowers inside the NHS early enough. My reason for saying that all these things need to see the sunlight of transparency much sooner is frankly that if they had come to light sooner and if proper attention had been given to this in 2001—we all know that Mid Staffs started in 2005—how many other lessons and tragedies throughout the health service could have been avoided? That is why I think it would be the wrong reaction today to say that we are getting there on patient safety and that transparency problems are solved: there is a lot further to go.

[Dr Julian Lewis (New Forest East) (Con)]

Within the last few hours, I have learned that I have a constituent whose grandmother had recovered from successful hip surgery without the need for any drug interventions and was sent to Gosport War Memorial Hospital for rehabilitation, only to be given a lethal cocktail of drugs that killed her. The matter was reported to Gosport police when it happened in 1998. Does the Secretary of State agree that if people are found wilfully to have administered lethal drug doses unnecessarily, they deserve to lose their liberty, and that if people are found wilfully to have covered up such crimes—for that is what they are—they deserve to lose their jobs?

[Mr Hunt]

I think everyone in the House would share my right hon. Friend’s sentiments, but we have to let the law take its course, and we have to make sure that justice is done, because it has been denied for too long.

Breast Cancer Screening

Debate between Jeremy Hunt and Julian Lewis

Wednesday 2nd May 2018 Commons Chamber

[Mr Hunt]

We will look at whether we are able to get in contact with people and will get in contact whenever we can, but there is of course a helpline through which anyone can contact us. It is also important to say that, according to the advice I have received, missing the final screening will in many cases not make a difference to a patient’s cancer or the treatment they receive, but we will do everything we can to support everyone who thinks they might have been affected.

[Dr Julian Lewis (New Forest East) (Con)]

While it will be for the review to investigate and report on why the fault with the algorithm was not discovered earlier, can the Secretary of State throw any more light on the circumstances in which it eventually came to be discovered? He said, for example, that it was in the course of a computer upgrade. Obviously, the circumstances that led to its discovery could be a pointer towards greater safeguards for the future.

[Mr Hunt]

That is a very good point. The original issue—or the original potential issue—was identified by people working on the AgeX trial for Oxford University, who then brought it to the attention of Public Health England in early January. One of the issues seems to have been the confusion about whether the scans stopped when someone turned 70 or whether they should carry on until their 71st birthday. That is why we think the original coding error happened, but obviously this is a matter for the review, and we need to learn everything from it.

NHS Staff Pay

Debate between Jeremy Hunt and Julian Lewis

Wednesday 21st March 2018 Commons Chamber

[Mr Hunt]

I disagree that the deal will not be believed—it is a concrete deal. NHS staff still have to vote for it, but the Government have committed to significant rises in pay. I agree, however, that we will need to find the best way of getting more money into the NHS and social care system as we face the pressures of an ageing population.

[Dr Julian Lewis]

Will the Secretary of State expand a little on what he briefly said about flexibility of working hours and family bereavement among NHS staff? After this urgent question, will he kindly give a short tutorial to those of us with an interest in defence on his successful techniques for extracting £5 billion from the Treasury for a Department that urgently needs it?

Mental Health and NHS Performance

Debate between Jeremy Hunt and Julian Lewis

Monday 9th January 2017 Commons Chamber

[Mr Hunt]

I will happily take a look at that. Obviously, when it comes to the allocation of capital, we prioritise any projects that will help us to improve the situation in A&E departments and reduce the stresses.

[Dr Julian Lewis (New Forest East) (Con)]

The Secretary of State has acknowledged that there is a shortage of acute mental health beds. That arises from the decision by many health trusts to close beds in favour of putting resources into services in the community. One effect is that people approaching a mental health crisis find it harder to know where to turn for help. Will he explain more about the crisis provision in which we are investing the extra £15 million? Is there a common way of knowing how one can easily access those vital services?

[Mr Hunt]

I am happy to supply more details. The £15 million is for places of safety—it is very specifically focused on support for the police service so that we can ensure that we live up to our legal commitment from this year not to send young people into police cells when they actually need mental health support.

More broadly, my right hon. Friend is right that there is a policy change—most people think it is the right thing—to treat more people in the community where we can. What is not working is the system that divides people up into four tiers, which means that we sometimes say to people, “We can’t treat you because you are tier 3.” People get sent away, which is not acceptable. That is why we are producing a Green Paper. We want to look at a better way forward.

Junior Doctors: Industrial Action

Debate between Jeremy Hunt and Julian Lewis

Monday 5th September 2016 Commons Chamber

[Dr Julian Lewis (New Forest East) (Con)]

In other words, I am totally unqualified as a medical doctor. Therefore, may I ask a question about democratic mandates? I appreciate that, unlike a referendum, a general election does not give an entirely specific mandate on every proposal put forward, but will the Secretary of State take the opportunity to remind the House and the country of how central the proposal for a seven-day NHS was to the Conservative manifesto as far as his Department was concerned?

[Mr Hunt]

My right hon. Friend is right, as that was our only really substantive promise in terms of a commitment to the NHS at the last election. We are funding it and we have an absolute obligation to the British people to deliver on it. That is why in that short period after the last election I felt I had to be clear with the BMA that we were going to deliver on that manifesto promise. If the BMA had reflected on that, it might have perhaps behaved differently from how it did.

Junior Doctors Contracts

Debate between Jeremy Hunt and Julian Lewis

Monday 25th April 2016 Commons Chamber

[Mr Hunt]

We have had eight studies in the past six years—those were independent studies, not commissioned by the Government, and they covered areas such as paediatric and cancer care, emergency surgery and a whole range of other areas. Six of those eight studies mentioned staffing levels at weekends as something that seriously needs to be investigated. Today there are higher mortality rates for weekend admissions, and the Government have a responsibility to do something, not to commission further studies. That is why we are determined to press ahead.

[Dr Julian Lewis (New Forest East) (Con)]

May I reiterate my concern that there appears to have been no ballot of junior doctors specifically on the question of withdrawal of emergency care? Does the Secretary of State share my fear that if, despite his best efforts, people die as a result of this withdrawal of emergency cover, public demand for a legislative change to ensure that that can never happen again will become irresistible?

[Mr Hunt]

My right hon. Friend is right to say that the public will be extremely disappointed that professionals are putting patients at risk in such a way, and it is extremely tragic that they are doing so. I am afraid that I think this is a crossing of the Rubicon—crossing a line in a way that has not happened before. I think it is totally tragic, and I support the concern of my right hon. Friend.

Junior Doctors Contracts

Debate between Jeremy Hunt and Julian Lewis

Monday 18th April 2016 Commons Chamber

[Mr Hunt]

With respect, not very far away from the hon. Lady’s constituency is the Salford Royal, whose very respected chief executive concluded that a negotiated outcome was not possible. That is why I reluctantly took the decision to proceed with the new contracts. As for the studies on mortality rates, we have had eight studies in the past six years, six of which have said that staffing levels at weekends are one of the things that need to be investigated. The clinical standards say that we need senior decision makers to check people who are admitted at the weekends, and junior doctors, when they are experienced, count as senior decision makers, which is why they have a very important role to play in delivering seven-day care.

[Dr Julian Lewis (New Forest East) (Con)]

I know that the BMA very properly balloted its members before embarking on a policy of industrial action, but has it yet balloted junior doctors on the specific question of withdrawing emergency cover?

[Mr Hunt]

No, it has not, and I think that is what is causing many junior members to pause for thought. Many people say that this escalation is something that the BMA should consults its members on, once again.

Junior Doctors Contracts

Debate between Jeremy Hunt and Julian Lewis

Thursday 11th February 2016 Commons Chamber

[Mr Hunt]

As someone who I fully concede may have more experience of industrial relation disputes than me, let me just say this: it is very clear that we are able to progress when there is give and take from both sides; when both sides are prepared to negotiate and come to a deal that is in the interests of the service and in the interests of the people working in the service. That was not possible. It is not me who is saying that; that is was what Sir David Dalton, a highly respected independent chief executive, said in the letter he wrote to me last night.

Some of the things that the BMA put out about the offer—for example, it put up on its website a pay calculator saying that junior doctors were going to have their pay cut by 30% to 50%—caused a huge amount of upset, anger and dismay, and were completely wrong. I do not think it would be very constructive for me to put in the House of Commons Library a list of all those things, when what I want to try to do is build trust and confidence. The differential between doctors and other workers in hospitals is what the BMA was seeking to protect. It still exists, but we have reduced it from what it was before because we think it is fairer that way and better for junior doctors.

[Dr Julian Lewis (New Forest East) (Con)]

May I add to what my long-time comrade, my hon. Friend the Member for Gainsborough (Sir Edward Leigh) said by delving into a bit of history? In 1977, I was knocked off a motorcycle by a careless driver on a Sunday. Because staff were not in the hospital, the wound could not be cleaned until it was x-rayed and because the wound could not be cleaned, I got an infection. This is not just about increased mortality rates; it is about the prolongation and exacerbation of small or routine episodes and injuries. Will the Secretary of State, in his calm and measured way, say again to the House that when we look back on this episode people will be very surprised that it took nearly 40 years—from my accident—to bring about this long-overdue reform?

Mid Staffordshire NHS Foundation Trust

Debate between Jeremy Hunt and Julian Lewis

Tuesday 19th November 2013 Commons Chamber

[Mr Hunt]

Never has the hon. Lady spoken with so much support from this side of the House—I do not wish to destroy her credibility with her own party! She points to something that the public feel very strongly about and that is an issue in some parts of the nursing profession. We looked carefully at whether we should remove the requirement for graduate qualifications and decided that nurses are now asked to do a great deal more than they were 20, 30 or 40 years ago in, for example, giving people medication and the clinical procedures they are asked to be involved in. We need to make sure that there is the right culture in nursing. That is why I proposed—it was very controversial at the time, although I think it has been quite broadly accepted now—that before becoming a nurse people should spend some time, potentially up to a year, on the front line as a health care assistant to make sure that those going into nursing had the right values and recognised that giving this personal care is a fundamental part of what being a nurse should always be about.

[Dr Julian Lewis (New Forest East) (Con)]

Will the package of reforms and the greater accountability put into effect as a result of the Mid Staffs tragedy have any bearing on other areas such as the all-too-prevalent cases of people being injured or even dying as a result of hospital-acquired infections?

[Mr Hunt]

Absolutely, because this is a package designed to deal with all avoidable harm, and hospital-acquired infections are an avoidable harm. It is designed not only to have much more transparency on the levels of harm in our hospitals, but to make sure that there is a culture of openness so that when people spot things that are going wrong, it is in their interests and in those of their hospital that they speak out. The changes are likely to result in—my hon. Friend will be the first to notice this—an increase in the amount of reported harm over the next few months. That will not be a bad thing, because it will mean that hospitals will be reporting harm that up until now they have not reported. We should welcome the fact that that will then mean that this harm will be addressed.

Mid Staffordshire NHS Foundation Trust

Debate between Jeremy Hunt and Julian Lewis

Tuesday 26th March 2013 Commons Chamber

[Mr Hunt]

We will have a full statutory duty, in line with what Robert Francis says, when it comes to the boards of hospitals. We are carefully considering whether that should apply to individual hospital employees, but we want to wait until we have Don Berwick’s review of zero harm.

[Dr Julian Lewis (New Forest East) (Con)]

Does my right hon. Friend accept that the best system in the world will not succeed if individuals who behave inhumanely get away with it and people who observe them behaving inhumanely do not report it? I therefore re-emphasise what my hon. Friend the Member for Cardiff North (Jonathan Evans) has just said: if individuals see this inhumane behaviour, they must report it.

[Mr Hunt]

I agree with what my hon. Friend says.

Social Care Funding

Debate between Jeremy Hunt and Julian Lewis

Monday 11th February 2013 Commons Chamber

[Mr Hunt]

The hon. Lady might show a little humility after her Government did nothing about this for 13 years. We are doing something about it, as quickly as we possibly can.

[Dr Julian Lewis (New Forest East) (Con)]

I warmly welcome the rise in the assets threshold, but I am not clear about one aspect. People such as my father had to sell their home to pay the costs of residential care. It is being suggested that accommodation and food will not be covered by the proposals, but, given that the residential care aspect is so important, can my right hon. Friend give us reassurance?

[Mr Hunt]

These proposals cover the care costs, but we will be making an allowance for accommodation and food of £1,000 a month at 2017-18 prices. The reason for doing that is that a person would face those costs whether or not they were in a residential care home, and we think it would be wrong to create a system where that person was better off financially being in a residential care home than living at home.