Health, Social Care and Security

Jonathan Ashworth Excerpts

Wednesday 28th June 2017 Commons Chamber

[Amber Rudd]

Those discussions have not yet concluded. We have said that people will have this special right depending on from when we negotiate the cut-off date—whether it is when article 50 was invoked or when we actually leave the EU—but there will be existing rights in place for all those who can accumulate the five years and those who can, depending on when the cut-off date is, add to them because they arrived before that.

[Jonathan Ashworth (Leicester South) (Lab/Co-op)]

Will the Home Secretary give way?

[Amber Rudd]

Not now, I am afraid. I am going to carry on because I want to cover some of the other Bills that are going to be introduced in the next two years.

We will also bring forward a domestic violence and abuse Bill. It is truly chilling that, every day, women and girls across the UK are being subjected to the most horrific abuse in their own homes. I am incredibly proud of the work that the Conservative Government have done to support victims, bring perpetrators to justice, and prevent those vicious crimes from ever taking place. In the previous Parliament, we published our strategy to end violence against women and girls. We made it clear that everyone needs to play their part—friends, family, employers, health providers, and the police—and to support this we pledged £100 million of funding. We also brought in domestic violence protection orders and the domestic violence disclosure scheme, and introduced a specific offence of controlling or coercive behaviour.

Our focus on this terrible crime has contributed to improvements for women, but the number of people experiencing domestic abuse is still far too high. Despite record numbers of prosecutions and convictions, there are 2 million victims of domestic abuse every year in England and Wales, and that is 2 million too many. All too often, domestic abuse is not properly understood, recognised or dealt with, and that can leave a devastating impact. Our landmark domestic violence and abuse Bill is one part of our programme of work aimed at addressing this insidious crime.

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[Amber Rudd]

My right hon. Friend is absolutely right. We are absolutely committed to healthcare for women, and that includes access to terminations.

We are a Government with purpose.

[Jonathan Ashworth]

rose—

[Amber Rudd]

I am sure that the hon. Gentleman will have an opportunity to speak on health at the end of this debate.

We are determined to deliver the best Brexit deal to secure our future as we leave the EU. We are determined to enhance our standing in the world and bring our United Kingdom closer together, and intent on building a stronger economy and a fairer society, taking action to keep families, communities and our country safe.

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[Jonathan Ashworth (Leicester South) (Lab/Co-op)]

On behalf of Her Majesty’s Opposition, may I associate myself with the tributes paid by Members on both sides of the House to the extraordinary efforts of our public servants who have been tested in recent weeks and months and who never faltered? They make us proud, and we pay tribute to them today.

It is my happy task to congratulate the six hon. Members who have made their maiden speeches today. My hon. Friend the Member for Stockton South (Dr Williams)—a Labour gain in the general election—will bring to our debates considerable clinical experience from which we will all benefit. As someone who recently ran the London marathon, I may join him for the 6 o’clock boot camp to which he has invited us—but only if the Secretary of State comes along as well.

We also heard fine maiden speeches by three Conservative Members, each of whom follows in the footsteps of parliamentarians who have made immense contributions to public life. On the basis of their maiden speeches, the House will be confident that all three of them will also make a huge contribution to public life in the years ahead.

May I also pay tribute to the hon. Member for Edinburgh West (Christine Jardine), who made an excellent maiden speech? I believe she also made a point of order earlier this week, so she is quickly finding her feet in this place.

The hon. Member for South Antrim (Paul Girvan) made an excellent speech. He said that he was worried that he was not articulate, but he was incredibly articulate. He talked about his concerns for the agricultural industry in his constituency. Given how valuable his vote is going to be in the House of Commons, I think he will get the investment he will be calling for.

A number of retreads also made fine speeches. It is my pleasure to welcome back to the House my hon. Friends the Members for Keighley (John Grogan) and for Vale of Clwyd (Chris Ruane) and the right hon. Member for Kingston and Surbiton (Sir Edward Davey).

An immense number of Members spoke in the debate. I cannot do justice to all the contributions, so I apologise in advance, but a few of them interested me. The right hon. Member for Mid Sussex (Sir Nicholas Soames) made a typically fine, gracious and thoughtful contribution. I was interested to hear him say that he believed we should abolish tuition fees for certain subjects. He is almost a Corbynista, it would seem. We will send him a “Jez We Can” T-shirt in the post.

I mean no discourtesy to the right hon. Member for East Devon (Sir Hugo Swire), but I did not realise that he is now on the Back Benches. I remember his time as a very good Foreign Office Minister. He made a very thoughtful speech, and on that basis I think he deserves to be elevated back to the Front Bench. The hon. Member for Totnes (Dr Wollaston) made a typically thoughtful contribution. I hope that in the coming weeks she will be suitably elevated to a position that enables her to speak more widely on NHS matters.

Members of my own party also made some excellent speeches. My hon. Friends the Members for Dudley North (Ian Austin), for Wirral West (Margaret Greenwood) and for West Lancashire (Rosie Cooper) all talked about the disastrous fragmentation of the national health service and raised deeply serious concerns about the way in which outsourcing takes places. I hope that the Secretary of State will respond to them when he sums up. It is noteworthy that more Labour than Conservative Members spoke in this debate. When it comes to the NHS, it seems that Tory MPs know they can no longer defend the indefensible.

With that in mind, may I pass on my personal congratulations to the Secretary of State on his reappointment? I did not expect to see him in place—I am not sure whether he expected it either. When an anonymous Tory MP learned of the Secretary of State’s reappointment, they were said to be baffled and told The Huffington Post:

“He was the most toxic thing on the doorstep among public sector workers”.

I do not know whether that Tory MP is in the Chamber tonight, but if they are, let me tell them that we are delighted that the Secretary of State is still in place, and we will be reminding public sector workers in every constituency of that.

I also wish to send my warm regards to David Mowat and Nicola Blackwood. They were dedicated public servants, and I would be grateful if the Secretary of State could pass that message to them.

We have a national health service with waiting lists close to 4 million; 26,000 people waiting for more than two months for cancer treatment; 560,000 people waiting on trolleys in corridors; the 18-week target downgraded and abandoned, a move in breach of the NHS constitution and the 2012 regulations; and vacancies for 40,000 nurses, for 10,000 GPs and for 3,500 midwives. We have seen applications for training plummet following the axing of the bursary, and today the Secretary of State stands accused of reneging on his promise to fund new nurse training places.

What was in the Queen’s Speech for the NHS and social care? Nothing, and no attempt was made to rise to the challenges that our NHS faces.

[Alex Norris (Nottingham North) (Lab/Co-op)]

Health and social care integration is prized on both sides of the House. Does my hon. Friend agree that it is jeopardised by Government plans to base it on pounds and pence, not the needs of people?

[Jonathan Ashworth]

I welcome my hon. Friend to his place, and he makes a valid point.

We will engage constructively with the Government on mental health, but if they genuinely want to improve mental health provision, why not ring-fence the money going to CCGs and end the scandal of the raiding of child and adolescent mental health budgets to plug wider gaps in the NHS?

We welcome the measures on patient safety, and we will engage positively with them.

During the election, in secret, the NHS was told to carry out something called the capped expenditure process. Up and down the country, local NHS bosses were asked to “think the unthinkable”—rationing of treatment, cuts to services and the closing of wards. I challenge the Health Secretary to tell us, here and now, when he learned of the capped expenditure process. When did he order the NHS to introduce it? When did he sign off the plans? Why was the NHS told to keep it secret? I challenge him to abandon the capped expenditure process and give the NHS the money it needs.

The Gracious Speech ignored hard-working public sector workers. For seven years they have been expected to do more and more on less and less. Nurses have been forced to use food banks to make ends meet. The Health Secretary told the NHS Confederation that he had sympathy for underpaid NHS staff, but sympathy will not put food on the table. Nor is it good enough for the Prime Minister’s press spokesperson to brief the lobby after Prime Minister’s questions that the issue is under review, but then say three hours later that the policy has not changed—a U-turn on a U-turn. The Government cannot even do a U-turn competently. What a shambles. It could be described as weak, unstable and chaotic. Public sector workers deserve a lot better.

This is a self-defeating policy. To all the Conservative Members who have spoken out and said that public sector workers deserve a pay rise, I say we can give them a pay rise tonight if those hon. Members join us in the Lobby. The Gracious Speech should have been an opportunity to take action to support our hard-pressed public sector workers. Instead they will get nothing, and No. 10 has confirmed today that the policy has not changed. A pay rise for nurses, paramedics, police officers, firemen and women—for all public sector workers who live in all our constituencies—is fair and affordable. It would also mean Barnett consequentials for Northern Ireland. On behalf of the 5 million public sector workers, including the 1.2 million in the NHS, I proudly support our amendment and urge Conservative Members to join us in the Lobby tonight.

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[Mr Hunt]

I am going to make some progress. The shadow Health Secretary talked about underfunding of the NHS. He did not, of course, mention the new £43 million emergency floor at Leicester Royal Infirmary, which opened in April and is benefiting his constituents. There are indeed funding pressures in the NHS as we deal, like all countries, with the pressures of an ageing population, but they would be a whole lot worse if we had followed the advice of the Labour party in 2010 and cut the NHS budget; or followed the advice of the Labour party in Wales, which did cut the NHS budget; or followed the advice of the Labour party in 2015, when it promised £5.5 billion less than the Conservatives. The difference between this side of the House—

[Jonathan Ashworth]

rose—

[Mr Hunt]

I will just make my point. The difference between this side of the House and the other side is not the desire to fund the NHS, but the ability to fund it through a strong economy, and that is exactly what we did. By 2014, we had created 2 million more jobs and the fastest growth in the G7, and what was our first priority? The NHS. Its budget has gone up by £6 billion in real terms since 2014. That is a 7% rise, and it is £2.6 billion more than the Labour party promised in 2015.

[Jonathan Ashworth]

Our advice was to put an extra £7 billion into the NHS this year, but will the Secretary of State tell me whether he thinks it fair that the people of Northern Ireland will receive an extra £1 billion—which I do not begrudge—while there is not a penny piece of extra investment for the English NHS? Is that fair?

[Mr Hunt]

Let me tell the hon. Gentleman that our manifesto was very clear: it referred to an extra £8 billion for the NHS, funded by the strong economy that Labour can never deliver.

When the hon. Gentleman talked about problems in the NHS, and problems in care in the NHS, it sounded as if all those problems had started with the Conservatives. He did not mention the most challenging and difficult problem that his party left behind: the legacy of atrocious care at Mid Staffs, Morecambe Bay and many other trusts. Unlike the last Labour Government, we did not sweep those problems under the carpet. We did the opposite: we introduced the toughest inspection regime in the world. Thirty-five trusts went into special measures, and 20 exited from those special measures. Wrexham Park, George Eliot, Hinchingbrooke, Cambridge, Morecambe Bay, Tameside and East Lancashire went from special measures to good standards. The proportion of NHS patients who say that their care is safe has never been greater.