Oral Answers to Questions

Debate between Jeremy Hunt and Wes Streeting

Tuesday 19th November 2024 Commons Chamber

[Wes Streeting]

I, too, pay tribute to Norman and to family carers like him, who play such a vital role supporting loved ones. Through the carer’s allowance uplift in the Budget, the Chancellor announced the largest increase to the weekly earnings limit since the introduction of carer’s allowance in 1976. As well as that investment, we will have a 10-year plan for social care, and I see the care workforce, care providers and family carers as all being important partners in building that plan.

[Jeremy Hunt (Godalming and Ash) (Con)]

I welcome the Secretary of State’s plans to reform the NHS, but may I caution against the idea that the answer is to fire more incompetent managers? The problem is not bad management: it is micromanagement from the centre that sees hospitals managed with more than 100 targets by NHS England, making ours one of the most micromanaged healthcare systems in the world. Will the Secretary of State’s plans allow managers more autonomy, helping them to innovate, save money and improve care for patients?

[Wes Streeting]

I am happy to confirm that it is my view that, when there are too many targets and everything is being measured, nothing ends up being measured. We need to give more freedom and autonomy to good leaders, including clinical leaders and managers in the NHS who are coming up with some of the best productivity gains in the system. That is why we have announced new support for, and investment in, the college of leadership for both clinical and executive leaders in the NHS. I would be delighted to meet the right hon. Gentleman to discuss those issues. He was a great Chair of the Health and Social Care Select Committee, but back in July, we saw a great example of how we can improve things by sacking bad managers.

Death of Jamal Khashoggi

Debate between Jeremy Hunt and Wes Streeting

Monday 22nd October 2018 Commons Chamber

[Mr Hunt]

That is an important question, which is, in a way, linked to the previous statement we had from the Prime Minister. My hon. Friend is absolutely right that such incidents remind us and our EU friends of the importance of our ongoing diplomatic partnership and friendship with Europeans. In such an instance of human rights violations, it is easy for the country responsible to start picking off people who say things that it does not like. That is why standing side by side with others—not just Germany and France but, I am sure, in this case, the United States—is a very important tool to have in one’s diplomatic armoury.

[Wes Streeting (Ilford North) (Lab)]

The integrity of the rules-based international system relies on red lines and on consequences for breaching those red lines. What has happened to Jamal Khashoggi should be a red line, but so should the bombing of a bus full of children in Yemen, and so should the detention of the Lebanese Prime Minister.

If, as appears to be the case today, the Foreign Secretary is not yet willing to put forward a UN resolution, as the shadow Foreign Secretary has suggested; if he is not willing to call for an independent investigation, as the shadow Foreign Secretary has suggested; and if he is not willing to put in place the immediate suspension of arms sales to Saudi Arabia, as the shadow Foreign Secretary has suggested, will he at the very least make sure that not a single Minister or a single official goes to that conference, which has been dubbed “Davos in the desert”? If the Foreign Secretary sends British officials to the conference in such circumstances, all the words that we have heard today—Labour Members welcome them—will ring hollow, and he will send a message to every tyranny in the world that they can do what they like, because there will be no consequences from the democracies of this world.

[Mr Hunt]

The hon. Gentleman is somewhat misrepresenting the Government’s position. In answer to an earlier question, I said that it was highly unlikely that any British official would be attending, and we are reviewing the position at the moment. We have already said that the Trade Secretary will not be going. If we are to have red lines, they have to be credible and they have to be based on evidence. We cannot make decisions when an investigation has not yet been completed. That is against due process, and it would not be the right thing to do. We have to allow the investigation to happen and the full facts to emerge before we take our decision.

NHS Long-Term Plan

Debate between Jeremy Hunt and Wes Streeting

Monday 18th June 2018 Commons Chamber

[Mr Hunt]

Obviously, that would be for the CCG to look at; it will focus on anything that allows it to focus on prevention and not cure. I do not know the specifics of that case, but in general there is a strong and important role for community hospitals, although not always doing exactly the same things they have done in the past. Often, they can become local NHS hubs, offering a wide range of services. That tends to be the best way to preserve their future.

[Wes Streeting (Ilford North) (Lab)]

Standing at that Dispatch Box, the Secretary of State made the astonishing claim that when it comes to NHS funding, the Conservatives write the cheques and Labour writes the speeches. Let me tell him about increases in health spending under every Government in my lifetime: a measly 1.4% increase under David Cameron; 2.7% under Mrs Thatcher; even John Major managed a better 4.7%. It was only under the Labour Governments of Gordon Brown and Tony Blair that we saw increases in NHS spending of 5.4%, under Gordon Brown, and 6.1%, under Tony Blair. Does that not demonstrate that we cannot trust the Conservatives on the Brexit dividend and we cannot trust their claims on NHS spending? Until the Conservatives sort out social care and public health spending, the Labour Governments will have a record that this Government cannot even begin to touch.

[Mr Hunt]

The hon. Gentleman has just proved my point about Labour making speeches about the NHS. He talked about a “measly” increase under David Cameron; what he forgot to tell the House was that his own party’s plans that year were to cut the NHS budget because of the train crash of an economy that they left the country with.

Oral Answers to Questions

Debate between Jeremy Hunt and Wes Streeting

Tuesday 20th March 2018 Commons Chamber

[Mr Hunt]

I congratulate my hon. Friend on being born five years before the NHS was founded—a very short while ago. Kent is an area that, although it is the garden of England, has some profound challenges in its health economy. One of those challenges is attracting doctors to work in Kent and other more geographically remote areas, so I am very hopeful that this big new announcement for the University of Kent will be a big help.

[Wes Streeting (Ilford North) (Lab)]

The GP-patient ratio in my constituency is unacceptably high, meaning that many people cannot get a GP appointment when they need it and they are turning up at the A&E—not only creating additional pressure but costing more in the process. What is the Secretary of State going to do to make sure that outer-London boroughs such as mine get the GP support that they need, because frankly, the assurances that he has already given are not manifesting themselves on the ground in terms of practical results for patients?

[Mr Hunt]

I appreciate that there are pressures in the hon. Gentleman’s constituency. I think most hon. Members would say that there are pressures in their constituency when it comes to general practice, so what have we done so far? Let me put it that way. This year, 3,157 medical school graduates will go on to specialise in general practice, which is the highest ever, but we still have to do more to improve the retention of GPs who are approaching retirement.

NHS Winter Crisis

Debate between Jeremy Hunt and Wes Streeting

Wednesday 10th January 2018 Commons Chamber

[Mr Hunt]

I thank my hon. Friend for his work as a first responder; that is a fantastic example in his community. We have 1,700 more paramedics than we did seven years ago. My hon. Friend is absolutely right because the role of paramedics has changed dramatically over recent years. It used to be about scooping people up and taking them to hospitals; now, we are treating many more people on the spot. Paramedics have an extraordinarily important role, but it has changed. There is a changed emphasis, as in other parts of the NHS—a move towards doing as much as we can to treat people safely outside hospitals and to keep them at home, because we know that is the safest way.

[Wes Streeting (Ilford North) (Lab)]

I am grateful to the Health Secretary for giving way. The simple fact is that if we want more care in the community, the Government have to stop slashing social care budgets. If we want to stop people appearing at hospital with preventable conditions, we need to stop cutting public health funding. The Government do not have an economic record to be proud of, but even looking at the public spending that is being made, we see that the Government are penny wise and pound foolish.

[Mr Hunt]

I am sorry, but 3 million additional jobs have been created, so we do have a strong economic record, and that is why we have increased funding for social care recently. We have increased NHS funding significantly. As for slashing funding, the hon. Gentleman’s local trust received £9.7 million before Christmas.

Social Care

Debate between Jeremy Hunt and Wes Streeting

Wednesday 16th November 2016 Commons Chamber

[Mr Hunt]

We are absolutely determined to clamp down on employers who do not pay the national living wage. If the hon. Gentleman or any other hon. Member has any evidence at all of that happening, they should let HMRC know. HMRC has a policy of naming and shaming employers who do not do the right thing and rightly so.

[Wes Streeting (Ilford North) (Lab)]

rose—

[Toby Perkins]

rose—

[Mr Hunt]

I will give way to the hon. Member for Ilford North (Wes Streeting) first.

[Wes Streeting]

It is welcome that the minimum wage will increase and that money will hopefully reach the workers we are discussing. Will the Secretary of State acknowledge, however, that the consequence of the increase is that the precept that local authorities charge residents for social care will be eaten up by the wage increase—even in local authorities such as the London Borough of Redbridge, of which I am still an elected member? What will he do to alleviate the very real financial burden on my local authority and others to ensure that everyone gets the quality of care they need?

[Mr Hunt]

I acknowledge the financial impact of the national living wage and will talk about the funding of local authorities.

NHS Funding

Debate between Jeremy Hunt and Wes Streeting

Monday 31st October 2016 Commons Chamber

[Mr Hunt]

My hon. Friend is absolutely right about that, which is why we need to make difficult efficiency savings—around £22 billion during this Parliament. We made about £18 billion to £19 billion-worth of savings in the previous Parliament, so I think it is doable. It will not be easy, but she is right in what she says.

[Wes Streeting (Ilford North) (Lab)]

If things are as rosy as the Secretary of State is making out, why is the London Borough of Redbridge, where I am an elected Member, suffering from public health cuts and, even while charging the social care precept, is still barely able to cover the costs of wage increases, let alone improve the service? He should have been lobbying the Chief Secretary this afternoon, not painting this ridiculously unjustifiable rosy picture.

[Mr Hunt]

I do not think the hon. Gentleman was listening to my statement, which said clearly that the NHS is under unbelievable pressure. It does not really work for the Labour party to campaign for increases in the minimum wage, which we read about today, and then to criticise the increasing costs in the adult social care system caused by the national living wage that was introduced by this Government.

NHS Reform

Debate between Jeremy Hunt and Wes Streeting

Thursday 16th July 2015 Commons Chamber

[Mr Hunt]

I absolutely agree. I commend the Royal Derby, which is an excellent hospital, and thank my hon. Friend for mentioning it. It is really interesting: around the country the number of people per thousand who use A&E varies from 166 to 355—a dramatic variation—and a lot of that relates to the availability of good primary care services, which is why our plans for seven-day GP appointments are also a very important part of the programme.

[Wes Streeting (Ilford North) (Lab)]

I welcome the partnership on patient safety that is being announced today between Queen’s hospital in Romford and King George hospital in Ilford and the Virginia Mason Institute, and echo some of the comments made by my hon. Friends about the Government taking staff with them and looking at issues around pay and workforce. May I gently point out to the Secretary of State that it is now two months since I wrote to him about pressures in our local health economy and the future of our A&E department. Can he offset my disappointment by agreeing to meet me and my hon. Friend the Member for Ilford South (Mike Gapes) and other local MPs to discuss those issues?

[Mr Hunt]

I know that the hon. Member for Ilford South (Mike Gapes) secured a Westminster Hall debate on this yesterday, during which I hope the hon. Member for Ilford North (Wes Streeting) covered most of the issues he wants to address, but I am happy to arrange to meet him or to get the Under-Secretary of State for Health with responsibility for hospitals, my hon. Friend the Member for Ipswich (Ben Gummer), to meet him to discuss those issues in more detail. The hospital trust that the hon. Gentleman talks about—Queen’s and King George are covered by the same trust—has been through a very challenging period. It is a big trust; it is going through special measures, but I think it has good new management. I think they have really turned things around, and that staff are to be absolutely commended. The link with Virginia Mason in Seattle will be as inspirational for them as it has been for me to see what is possible.