Future of the NHS

Debate between John McDonnell and Alex Cunningham

Thursday 23rd February 2023 Commons Chamber

[John McDonnell]

Anyone who has talked with them will have heard local police officers say that they have become social workers, mental health workers and so on. In many instances, they are doing the best job that they can, but they need expert support, including from health workers in the community.

I looked at the figures, and there are now 1.6 million people on the waiting list for specialist mental health services. One of my concerns, which was raised in a debate some months ago, is what is happening with CAMHS —child and adolescent mental health services. Delays in treatment have increased massively since 2019, and waiting lists are getting longer. I have looked at the stats: 77% of CCGs froze or cut their CAMHS budgets between 2013-14 and 2014-15, which was the crunch year; 55% of the local authorities in England that supplied data froze or increased their budgets below inflation; and 60% of local authorities in England have cut or frozen their CAMHS budgets since 2010-11. Again, that is staggering.

To come back to mental health nurses, in 2010, we had 40,297 of them; we are now down to just 38,987. That does not seem a significant drop, but it is still a drop. As a number of Members on both sides of the House have mentioned recently, we are going through a mental health crisis—one that affects young people and young men in particular, as my right hon. Friend the Member for Islington North has pointed out.

Let me come to the stats on social care. Age UK estimates that more than 1.5 million people aged 65 and over have some form of unmet or under-met need—[Interruption.] Excuse me—[Interruption.] Thanks a lot; I could do with something stronger.

[Alex Cunningham]

That can be arranged later.

[John McDonnell]

That’s right.

The social care figures are startling. Some 1.5 million people aged 65 and over have some form of unmet care need. There are 165,000 vacancies in the social care sector across England and Wales—a 52% increase in the last year. The Health Foundation estimates that an extra £6.1 billion to £14.4 billion will be required by 2030-31 to meet the demand. As others have said, that has meant delayed discharges from the NHS, and—as I mentioned on Tuesday—it places a huge burden on unpaid carers, who are living on the pittance of the £70-a-week carer’s allowance.

The Institute for Government published a report today in which it basically argues for social care overhaul. It describes how social care has been overwhelmed in recent years and states that 50,000 fewer posts are filled than a year ago—the highest vacancy rate ever in social care. Then, there are the stats on what has happened as a result of under-funding—and I am afraid that it is because of under-funding; we cannot get away from that fact. I would be saying the same thing on these statistics no matter which party was in power. We need to go further in the coming month’s Budget.

Miners Strike 1984-85: UK-wide Inquiry

Debate between John McDonnell and Alex Cunningham

Wednesday 29th June 2022 Westminster Hall

[Alex Cunningham (Stockton North) (Lab)]

It is a pleasure to serve under your chairmanship, Ms McVey. I am sorry for my dodgy voice; excuse me occasionally if I have to drink.

I congratulate the hon. Member for Midlothian (Owen Thompson) on securing this debate. He spoke powerfully to the experience of miners and their communities throughout the strikes, and of how the Scottish review has helped to begin to heal some decades-old wounds. He referred to bowling green bevvies among police and miners; sadly they are no more, and I do not think it is a legacy any of them would have wanted.

I pay tribute to the Orgreave Truth and Justice campaign and all those who have campaigned to shine a light on the policing of the 1984-85 strike. My hon. Friend the Member for Pontypridd (Alex Davies-Jones) spoke of the police charges, but she also spoke of her pride in her dad. It is lovely to hear people talk about pride in their dads. My dad is nearly 91, and his dad worked in the mines, so I also have that legacy—it helped to shape me as well.

Labour has long supported calls for a full and independent public inquiry into the matter, and particularly into the events at the Orgreave coking plant on 18 June 1984. My hon. Friend the Member for Sheffield, Hallam (Olivia Blake) spoke of the horrors of what happened there. As I have indicated, I grew up in a mining community with a proud family heritage in the industry, so I understand the impact of the Government’s handling of the strikes on miners and their families and communities. It is an impact that endures to this day.

My hon. Friend the Member for Wansbeck (Ian Lavery) spoke openly and honestly about his own history, but also spoke about those hard-working individuals in the mines who were criminalised during the strike. He also spoke of his continuing pride in his colleagues.

In 2015, and for most of 2016, it looked as though the Government were moving in the right direction on the issue. Following the findings of the Independent Police Complaints Commission scoping exercise in June 2015, the right hon. Member for Maidenhead (Mrs May), then Home Secretary, invited submissions for why a public inquiry was needed. In September 2016, a meeting took place with the subsequent Home Secretary, the former Member for Hastings and Rye, at which the potential format of an inquiry or investigation was discussed.

Many across the House were understandably confused and deeply disappointed when, only a couple of months later in October 2016, the then Home Secretary confirmed, in response to a parliamentary question, that no inquiry of any kind would take place. There was great sadness on that day. Will the Minister confirm that that was not for the reasons raised in Sasha Swire’s book—that an inquiry into Orgreave would

“slur the memory of Thatcher and the…party won’t like it”?

If that was true, it would be disgraceful. That said, even the official reasons given by the former Member for Hastings and Rye are extremely thin.

It is important that we address the wrongdoings of the past—not just for Orgreave, but across the whole country. Just because no one died as a result of the state’s handling of the strikes does not mean there are not valuable lessons to be learned from examining them. This morning, I spoke to Chris Pearce from the Orgreave Truth and Justice Campaign, who reminded me that time is of the essence. Many of the miners affected have already died; others are elderly, but still hope for a fair hearing.

[John McDonnell (Hayes and Harlington) (Lab)]

We all have history on this. As a youngster, I was the deputy head of the social insurance department at the National Union of Mineworkers, managing the mineworkers’ pension scheme. As my hon. Friend says, many of the miners are now elderly. They, or their widows, are pensioners. There could be an act of good will by the Government on this matter by their implementing the recommendations of the Business, Energy and Industrial Strategy Committee on the mineworkers’ pension scheme. The elderly mineworkers and their widows could then have a greater share of the pension scheme that they funded throughout their lives.

[Alex Cunningham]

My right hon. Friend makes the point clearly and concisely: action needs to be taken. It is about not just the miners who have died, but their families who follow them.

As has been outlined in this debate, a number of developments have occurred since 2016. Home Office files from ’84 and ’85 have been released to the National Archives. The National Police Chiefs’ Council has disclosed the existence and location of files from the Association of Chief Police Officers relating to Orgreave and the miners strike, which I understand were actually embargoed until 2066. I will be 111 in 2066, if I live that long. New evidence has come to light as a result of the ongoing undercover police inquiry, to which others have referred, in which the National Union of Mineworkers is a core participant. I hope the Minister gives each of those developments full and proper consideration.

Perhaps more significant is the trigger for this debate: the findings of the Scottish miners review. I wonder if seeing the support from MSP colleagues for the Scottish review and its outcome will encourage the Minister, Conservative MPs and the rest of the UK to reconsider their position. I certainly hope it will. Over the past six years, however, the Government have continually rejected calls for an inquiry. In November 2021, the Minister present said that such an inquiry:

“is not in the wider public interest or required for any other reason.”—[Official Report, 22 November 2021; Vol. 704, c. 2P.]

Opposition Members completely disagree. We believe that it is only by properly investigating those events that we can secure the justice that has long evaded all those affected.

In the words of the former Conservative Home Secretary, the right hon. Member for Maidenhead, in her speech to the Police Federation annual conference in 2016, we must all understand

“the need to face up to the past and right the wrongs that continue to jeopardise the work of police officers today. Because historical inquiries are not archaeological excavations. They are not purely exercises in truth and reconciliation…they are about ensuring justice is done…We must never underestimate how the poison of decades-old misdeeds seeps down through the years and is just as toxic today as it was then. That’s why difficult truths, however unpalatable they may be, must be confronted head on.”

No matter how long it takes, justice must be done and be seen to be done. The Labour party does not turn a blind eye to and shrug off historic injustices; from the quote I have just read from the former Home Secretary and Prime Minister, we can see that there was once a time that the Conservative party did not, either.

Instead of heeding the lessons of historic heavy policing, the Home Office is presiding over draconian changes in protest legislation, some of which came into force just yesterday, and expanding police powers for protest disproportionately through the Public Order Bill. The deplorable actions of this Home Office show more than ever why learning the lessons of the past through inquiries such as the one we are discussing is the necessary work of good government. I hope the Minister will do the right thing and order the inquiry without further delay.

Charter for Budget Responsibility

Debate between John McDonnell and Alex Cunningham

Wednesday 20th July 2016 Commons Chamber

[John McDonnell]

He is not the economic adviser and never has been, because we doubted his judgment, unfortunately. He is a tax accountant, not an adviser. He is actually excellent on tax evasion and tax avoidance, but he leaves a lot to be desired on macroeconomic policy.

Turning to the Government’s performance, their charter for budget responsibility lacked credibility from the moment it passed into law and has now lost what shreds it retained this year. Since last September’s debate, every target in the charter that could have been missed has been missed. By the time of the March Budget, the OBR announced that the Government were on track to miss their target for the welfare cap for every year of this Parliament. The charter also insisted that the debt to GDP ratio would fall in each year of this Parliament, but the OBR said in March:

“We now expect the debt-to-GDP ratio to rise between 2014-15 and 2015-16”.

The Government managed to stay on target for its 2020 surplus only through some accountancy that might best be described as imaginative. The writing was already on the wall and then in June the then Chancellor used the backdrop of his fiscal charter as the pretext for threatening British people with a further austerity Budget should they vote to leave the EU.

[Alex Cunningham (Stockton North) (Lab)]

This is all very technical, but politics is about people. I was told today that unemployment in my constituency is higher than it was this time last year and remains more than double the UK average. Stockton Council, the Tees Valley local enterprise partnership and local companies are doing their bit, but our people are suffering more under the Government’s austerity measures. Is it not time that the Government looked again at council and development budgets and based them on the real needs of our communities?

[John McDonnell]

Saying that the fiscal charter is a technical matter is a good point, but it is the foundation upon which these poor—to say the least—decisions are being made, and a lack of investment is the result.

Following the vote to leave the EU, despite the threat of a punishment Budget we have seen an entirely predictable U-turn. No punishment Budget is scheduled and we have been told by both the old and new Chancellors that one will not happen and that, on the contrary, we must be realistic and accept that the deficit will not be gone by 2020, as predicted by the charter. From the responses at Prime Minister’s questions, it seems as though the surplus target for 2019-20 has now been dropped or has at least slipped to some unknown date in the future. Let us be clear: the Conservatives claimed that their approach would eliminate the deficit in five years, but it will not have happened after 10 years. Three targets set—every target missed. The 2015 charter appears to be dead in the water.

--- Later in debate ---

[John McDonnell]

I will come on to that, but I have to say that there are some concerns about the sale of British assets, and I am simply echoing what the Prime Minister herself said only a few weeks ago.

[Alex Cunningham]

Energy-intensive industries are also concerned about the lack of planning in the country. They are extremely anxious about the future of emissions trading schemes inside and outside the EU, and many are desperate for British Government action to ensure that they can stay in business in the longer term. They want action on crippling carbon taxes now, and after we leave the EU. Does my hon. Friend agree that the Government must address these issues, and that it is time the Chancellor made a commitment to champion and help to finance carbon capture and storage?

[John McDonnell]

I am sure that those on the Treasury Bench were listening to that. The Chancellor has a long list of issues that he needs to address to give some certainty, certainly if we are to see long-term investment in such things. I share my hon. Friend’s views: there is too much uncertainty with regard to a whole range of taxation and support initiatives from the Government. To be frank, it is jeopardising jobs as well as the future of our planet.