Christmas Adjournment Debate

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Department: HM Treasury
Thursday 21st December 2017

(6 years, 4 months ago)

Commons Chamber
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Jeremy Lefroy Portrait Jeremy Lefroy (Stafford) (Con)
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It is an honour to follow the hon. Member for Ilford South (Mike Gapes), and I will come on to the point he made a little later in my remarks.

I also extend to all those working on our behalf over Christmas and the new year, whether in the private sector or public services, my grateful thanks. They give up their family time on our behalf. In my constituency of Stafford, I particularly think of the workers at General Electric, some of whom are facing an uncertain future, with a consultation going on over the loss of 500 jobs. I assure them of my commitment to see that, if there are other opportunities locally or regionally, they are made aware of them and that all support possible is given to them.

I want to tackle three subjects, the first of which is health and social care. I have spoken often on this subject, particularly in respect of Stafford Hospital, now County Hospital. It is great to be able to say that the care at County Hospital, formerly the Stafford Hospital, has improved tremendously over the past few years. I pay tribute to the workers there, who have gone through a very difficult period, both at the time of the Francis public inquiry and then at the time of the trust special administration—the only trust special administration under the Health and Social Care Act 2012.

Bob Stewart Portrait Bob Stewart
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I should like to pay tribute to my hon. Friend. He has worked tirelessly to sort out that hospital, and he has been a great advocate of getting it fixed.

Jeremy Lefroy Portrait Jeremy Lefroy
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I am most grateful, but I think my hon. Friend perhaps exaggerates my own part in this. It is really the workforce at the hospital who have done it, but I accept his thanks on behalf of all those at the County hospital and in Stafford who have fought for it.

I want to talk about the forthcoming Green Paper on social care, and my remarks will include both health and social care. It will provide a really important opportunity for us to change things in health and social care for the better and for the long term, but it will need cross-party working. The area of social care and health has been blighted too often by infighting between the parties. We also need to take an integrated approach.

We score highly, internationally, in regard to people’s opinion of their access to good healthcare. In a survey carried out not so long ago, 35% of people in the USA said that they did not have good access to good quality healthcare. In France, the figure was 18%, in Germany it was 15%, and in the UK it was only 4%. That is the glory of our national health service: by and large, it gives people access to high-quality healthcare, whatever their income and wherever they live in the United Kingdom. However, it is also generally accepted that more money is required. I do not have time to go into the detailed figures, but something between 1% and 2% more GDP needs to be spent on health and social care. The question that needs to be asked in our contributions to the Green Paper next year is: how is that money to be raised?

I have always said that we need a ring-fenced health and social care levy, on top of our present budgeted expenditure on health and social care. It needs to be a broad-based levy, and it needs to be income based, so that it is fair across the country and the population. Such a levy would not provide for everything that we need to do, but it would help to ensure that the £10 billion to £20 billion of additional resources that we need to put into the health and social care system as a minimum in the coming years, on top of what we already spend, was available. What is more, I think that it would be accepted by the general population. If the money were ring-fenced for health and social care, they would know that it would be spent on things that they really cared about and needed. Let us not forget that the national health service is one of the biggest sources of cohesion in our country; it is something that we all rely on.

I want briefly to touch on the European Union negotiations, which are incredibly important to all of us. The Prime Minister has said that she wants the best possible deal, and I absolutely support her in that. We need a unique, long-term deal that is the best possible for our jobs and tax revenues, and also for bringing back control to this country in certain areas. The deal must include goods and services—not just goods—and it must be frictionless. It must fully respect the Belfast agreement. It must also respect the people of Gibraltar. It must cover security, aviation, data and many other areas, including agreements with other countries, of which there are dozens.

There has been discussion over whether we should be closer to Norway or Canada—mention has been made of “Canada plus-plus-plus”—but I simply make the observation that geographically, and probably in spirit, we are closer to Norway than to Canada when it comes to this type of agreement. I urge the Government to look closely at that matter. I also suggest that we look at the European Free Trade Association. It is not perfect, and it might not be something for the near term, but I believe that in the medium term we cannot stand on our own. We need to work together with other like-minded nations, which might include Iceland, Norway, Switzerland, Liechtenstein and perhaps others. When it comes to negotiating agreements and working together on trade, it is better to work with a number of countries rather than just on our own.

We also need to consider the idea of associate European citizenship, on a voluntary basis, for all those United Kingdom citizens who want to retain strong, close allegiances with our friends and neighbours in the European Union. It has been raised as a possibility by Guy Verhofstadt in the European Parliament and by others. Let us take it into consideration in the negotiations.

Finally, but in some ways most importantly of all, I want to touch on humanitarian work. There are possibly more refugees across the world now than at any other time since the end of the second world war. Whether from Syria, Yemen, South Sudan, the Democratic Republic of the Congo, Somalia, Burma or Burundi, there are possibly up to 50 million refugees, not including the people who are suffering within their own countries.

I welcome the recent news about Hodeidah in Yemen, and the fact that the port has been opened up for a minimum of 30 days for humanitarian and relief supplies. I pay tribute to Her Majesty’s Government for their work on that, but we must keep an eagle eye on the situation over this Christmas and new year recess. In the Democratic Republic of the Congo, 1.7 million have had to flee their homes this year—more than in any other country in the world—yet it sadly receives hardly a mention in the news and even in this place. Four million people have been displaced, and 7 million people are struggling to feed themselves. In 2018, it is absolutely vital that the UK maintains the work that it is doing all over the world on humanitarian affairs, in which we lead in so many cases. With that, Mr Speaker, I wish you a very happy Christmas.