(7 months, 4 weeks ago)
Commons ChamberThe Secretary of State is right to say that the threat is intensifying. Late last year, the Joint Committee on the National Security Strategy urged the Government to offer more active support on cyber-security to local authorities. He may be aware that last month my own local authority, Leicester City Council, suffered a hugely sophisticated attack, which disrupted many local authority services and has hugely inconvenienced many of my constituents, who rely on those services. Given that we are seeing more of these ransomware group attacks on public institutions across the world and that he says, rightly, that the threat is intensifying, what urgent support and guidance is he offering local councils, such as mine in Leicester?
(9 months, 3 weeks ago)
Commons ChamberWe have not just had the infamous Baroness Mone scandal; at the time, there were reports of a hedge fund in Mauritius that got a £250 million contract for face masks that could not be used and a jeweller in Florida that got a multimillion-pound contract for gowns that could not be used. The Government had to incinerate billions of pounds-worth of faulty personal protective equipment. That is taxpayers’ money literally going up in smoke. In the pandemic the then Health Secretary, the right hon. Member for West Suffolk (Matt Hancock), told me at the Dispatch Box
“where a contract is not delivered against, we do not intend to pay taxpayers’ money”.—[Official Report, 23 February 2021; Vol. 689, c. 758.]
But taxpayers’ money was spent, wasn’t it? Why was that promise not met?
(11 months ago)
Commons ChamberI, too, wish to put on the record my condolences to Tony Lloyd’s family. He will be missed across the House, and across the Labour movement as a whole.
The Government lost £9 billion through duff, unusable PPE. The Prime Minister, when Chancellor, signed off £7 billion-worth of dodgy covid loans. Even today, the Government are losing £10 billion to tax fraud, £6 billion to universal credit fraud, and billions more across the public sector as a whole. Is the truth not that families are paying £1,200 more on average in tax because the Government simply cannot be trusted with taxpayers’ money?
(1 year, 1 month ago)
Commons ChamberI welcome the Paymaster General to his place. In his new role, he will have responsibility for the efficient delivery of Government services and entitlements on which our constituents rely. One such entitlement, of course, is the winter fuel payment. Earlier this week, he was reported as saying that some pensioners do not need the winter fuel payment, so can he tell us which group of pensioners he had in mind when talking about who should lose the winter fuel payment?
(1 year, 6 months ago)
Commons ChamberOrder. May I remind the Secretary of State that these are topical questions? Questions and answers are meant to be short and punchy. We are getting carried away. Let us see how it works now: I call the shadow Secretary of State.
I listened to the “Chopper’s Politics” podcast recently. The Secretary of State was the guest, and revealed that he was saying to his friends in their 50s who were not working:
“Why don’t you just go and serve in the local restaurant or do something in the pub?”
Well, a very prominent 59-year-old has just taken early retirement. Will the Secretary of State be voting to sanction him, or is he advising him to just go away and work in the pub?
(1 year, 9 months ago)
Commons ChamberI understand that Ministers are struggling to convince the Office for Budget Responsibility that their inactivity plan will get half a million people back to work. One way in which the Secretary of State could hit his target is by encouraging more parents to move into work. Of course, many women, in particular, are blocked from returning to work because of childcare costs. Given that we should be doing more to help parents move into work, why has he now frozen the childcare cost cap in universal credit for the seventh year in a row?
(2 years ago)
Commons ChamberThe Secretary of State will know that employment is lower than before the pandemic, that 2.5 million people are out of work for reasons of sickness—a record high—and that half a million young people are not in education, employment or training. There is a £1 billion underspend on Restart and other schemes, so why not use that money to help the economically inactive get back to work?
(2 years, 6 months ago)
Commons ChamberI join the Secretary of State in congratulating all those who worked over the weekend, and in saying that it was a fabulous platinum jubilee weekend. May I congratulate her on her sung prayer that she shared on Twitter yesterday, which shows that it is not just at karaoke where her singing excels?
Work should be the best defence from the rising cost of living, yet millions in work are in poverty. The numbers in overall employment are down by 500,000 since before the pandemic, and there are 3 million people on out-of-work benefits not looking for work. Sheffield Hallam University estimates that about 800,000 of those people on out-of-work benefits, often in places such as Wakefield, could be helped back into work with the right support and a plan. The Secretary of State promised to help the economically inactive find work. Why is she failing?
I thank the hon. Member for her point of order and for giving me advance notice of it. It is disappointing that the Secretary of State has not confirmed his promised meeting with her. I am sure that he will want to correct that as he is a right hon. Gentleman. The hon. Member has put her frustration about this on record and I hope that Members on the Treasury Bench will have noted her comments and that a meeting can now be arranged promptly.
On a point of order, Mr Speaker. I am sure that you will have seen overnight the analysis that, thanks to the Chancellor’s cuts to universal credit, his real-terms cuts to disability benefits, and his real-terms cuts to the state pension and other measures, an extra 1.3 million people, including pensioners and 500,000 children, will be pushed into absolute poverty. Can you advise me, Mr Speaker, whether the Secretary of State for Work and Pensions has given you any indication that she will come to this House and provide an analysis of constituency data for Members, of the increased number of pensioners and children who will go into poverty, or should we assume that rising child and pensioner poverty for this Government is considered a price worth paying?
I can assure the right hon. Gentleman that I have not been notified of a statement coming forward, but I notice that the Leader of the House is in his place and he could well be the messenger to convey the hon. Member’s point to Government.
Royal Assent
(2 years, 9 months ago)
Commons ChamberFamilies and retirees are facing rising energy bills so unaffordable, tax rises so punishing, real-terms cuts in the basic state pension so deep, and cuts in universal credit and disability benefits so severe that money-saving expert Martin Lewis has said that people will either starve or freeze. Secretary of State, Mr Lewis is correct, is he not?
(3 years ago)
Commons ChamberI welcome the shadow Secretary of State to his new position.
Thank you very much, Mr Speaker. May I ask the Secretary of State about Christmas? My question is not what her latest recommendation is should I find myself under the mistletoe, or indeed whether she hosted karaoke Christmas parties in lockdown in her office, but a very simple one: how many children will go hungry this Christmas?
(3 years, 2 months ago)
Commons ChamberIf I may, Mr Speaker, I will, with your indulgence, take a moment to express my deep sadness at the loss of James and David and my utter shock at what we saw this weekend, but also to remember David as someone who was always smiling, who always encouraged me, particularly as a rookie MP when my office was just down the corridor from his, who always asked after my children and who always gave me tips. I sometimes get in a bit of trouble for being friends with Tories, but I will hugely miss David and James and send my condolences and sympathies to their friends and families.
I also welcome the new Ministers to the Treasury Bench. In recent weeks we have seen a patient at Preston wait over 40 hours for a bed, we have seen a child with mental health problems wait nearly 48 hours for a bed at Ipswich A&E, we have seen ambulances backed up outside hospitals—in Norfolk a patient died of a heart attack waiting in the back of an ambulance—and we have seen ever more patients, who cannot bear the wait for surgery, paying for operations. This is an NHS not just under pressure, but under water. What is the Secretary of State personally going to do to avert a winter crisis of misery for patients?
(3 years, 9 months ago)
Commons ChamberIt is indeed, Mr Speaker. The Prime Minister has twice, from that Dispatch Box, said that the Labour Opposition voted against the NHS Funding Bill and the 2.1% increase for NHS staff. This is not the case. Indeed, in the debate, as Hansard will show, I was explicit that we would not divide the House. Can you, Mr Speaker, use your good offices to get the Prime Minister to return to the House to correct the record? And do you agree that if the Prime Minister wants to cut nurses’ pay, he should have the courage of his convictions and bring a vote back to the House?
May I just say that that is not a point of order? It is certainly a point of clarification, and that part has been achieved. But I am certainly not going to be drawn into a debate, as the shadow Secretary of State well knows.
I will now suspend the House for three minutes to enable the necessary arrangements for the next business to be made.
(4 years, 2 months ago)
Commons ChamberI will give way, but I will not take more interventions because I am well aware that there are plenty on the list to speak.
Order. Those who keep intervening are also on the list, which I think is unfair when others lower down the list will not or may not get in.
Briefly, does the hon. Member recognise that, although he is quite right that nobody came here to restrict liberties—in fact, most of us came to this place to promote liberties—the whole point of promoting liberty in this place is that we must balance liberties? There is obviously the liberty of individuals who are seeking to work, and he spoke about the poorest members of our community, but many of the poorest members of the communities I represent are the ones who are suffering from lockdowns in different ways. Would it not therefore be right for this House to debate—quite rightly not to reject all lockdowns, but at least to debate—the different political choices that are being made as these questions are being asked?
(4 years, 3 months ago)
Commons ChamberI thank the right hon. Member for giving me notice. I am very sympathetic to the main point he makes. I accept that decisions have been taken in a fast-moving situation, but timings for statements are known to Ministers. It is really not good enough for the Government to make decisions of this kind in a way that shows insufficient regard to the importance of major policy announcements being made first to this House and to Members of this House wherever possible. I have already sent a letter to the Secretary of State. I think the total disregard for this Chamber is not acceptable. I know that the Prime Minister is a Member of Parliament as well and that he will ensure that statements should be made here first, especially as this particular Secretary of State requests statements. To then ignore the major fact that he wanted to put to the country, and not put it before this House, is not acceptable and I hope he will apologise to Members.
Further to that point of order, Mr Speaker. Not only did we not get a convincing explanation yesterday from the Secretary of State on the ongoing testing fiasco, but in fact Mr Robert Peston of ITV wrote on Twitter, ahead of the Secretary of State’s statement, that the Government were planning to shift the regulations down from 30 people to six. There was no reason why the Secretary of State could not have told the House yesterday that that was the Government’s plan. Has the Secretary of State given you, Mr Speaker, notice that he is coming to the House to update MPs on that change in policy, or should we assume that Ministers do not know what they are doing from one day to the next?
(4 years, 6 months ago)
Commons ChamberI am grateful for the chance to update the House on the urgent matter of coronavirus.
Yesterday’s treatment breakthrough shows that British science is among the best in the world. As a nation, we can be incredibly proud of our scientists. The UK is home to the best clinical trials, the most advanced immunology research, and the most promising vaccine development work of any country. We have backed the science from the start, and I am sure the whole House welcomes the life-saving breakthrough that was announced yesterday. Today, I will briefly update the House on all three aspects of that national scientific effort.
First, on clinical trials, our recovery programme, which looks at the effects of existing treatments in real-world hospital settings, is the largest of its kind. As of yesterday, 11,547 NHS patients had been recruited to the programme, which is operating across 176 sites in all four nations. In Oxford University’s dexamethasone trial, over 2,000 NHS covid patients were given a course of the drug—a commonly used steroid—over 10 days. For patients who were ill enough to require oxygen, the risk of dying fell by a fifth, and for the most seriously ill patients on mechanical ventilators, the risk of dying fell by over a third.
This is an important moment in the fight against this virus, and the first time that anyone in the world has clinically proven that a drug can improve the survival chances for the most seriously ill coronavirus patients. In February we began the trial, supported by £25 million of Government funding, and in March we began recruiting patients, and started the process of building a stockpile in case the trial was successful. As of today, we have 240,000 doses in stock, and on order. That means that treatment is immediately available, and already in use on the NHS. I am incredibly proud that this discovery has happened right here in Britain, through a collaboration between the Government, the NHS, and some of our top scientists. It is not by any means a cure, but it is the best news we have had.
Throughout this crisis, our actions have been guided by the science, and that is what good science looks like: randomised control trials; rigorous and painstaking research; moving at pace, yet getting it right. The result is that we now have objective proof—not anecdotes, but proof—that this drug saves lives, and that knowledge will benefit many thousands of people all around the world.
Seven other drugs are currently being trialled as part of the recovery process, and a further nine drugs are in live clinical trials as part of the ACCORD programme, which is looking at early-stage treatments. We look forward to seeing the results of those trials. I thank everyone involved in that process, and put on the record my thanks to our deputy chief medical officer, Professor Jonathan Van-Tam, who led the work in Government, as well as to NHS clinicians, the scientific teams, and the participants in the trial who took the drug before they knew that it worked.
Our immunology research, again, is world leading. Last month I announced a new antibody testing programme to help us understand the immunological response to the disease, and whether someone acquires resistance to coronavirus once they have had it and recovered. I am part of that programme, and as of yesterday, 592,204 people have had an NHS antibody test. The nature of immunity research means that it takes time, and we must wait to see whether someone with antibodies gets reinfected. However, with every test, we improve our picture of where the virus has been, and we grow the evidence to discover whether people who have had the disease and have antibodies are at lower risk of getting or transmitting the virus again.
Crucially, that work will help to inform how we deploy a vaccine, and it is moving at pace. Earlier this week Imperial College began its first phase of human clinical trials, and 300 participants will receive doses of the vaccine. Should they develop a promising response, Imperial will move to a large phase-3 trial later this year. Yesterday, AstraZeneca signed a deal for the manufacture of the Oxford vaccine, AZD-1222, which is the world’s most advanced vaccine under development. Its progress, while never certain, is promising.
None of that happened by accident. It happened because the British Government, scientists, and the NHS put in place a large-scale, programmatic, comprehensive, well-funded, systematic, rigorous, science-led system of research and innovation. We have been working on it since the moment we first heard of coronavirus. There is more to do in this national effort, but that is how we will win the battle. We will leave no stone unturned as we search for the tools to hunt down, control, and ultimately defeat this dreadful disease.
May I just say to the Secretary of State that he has gone way over the allocated time? It would have been easier for him to make a statement rather than having to have an urgent question. In future, perhaps he could come forward with a statement if he needs the extra time, and I will certainly grant that and support him in doing so. Some extra time for Jonathan Ashworth as well, and for Philippa Whitford.
I am grateful, Mr Speaker. I welcome the news from the Secretary of State about Dexamethasone. As he said, this is an important moment and good news, and I congratulate all those involved. It is a reminder that we can be immensely proud of our science base in this country. I note what the Secretary of State said about vaccinations. A vaccine is crucial, and I hope he will join me—I am sure he will—in saying that when a vaccine is available, we must have no truck with those who spread poisonous anti-vax propaganda on social media. Vaccinations save lives, and ultimately that will be the exit strategy from this dreadful, horrific disease.
The good news is tempered by the high death rate. The Prime Minister likes to boast of flattening the sombrero, and it is certainly true that deaths from hospitalisations are coming down, but we still have 58,000 excess deaths across England and 13,000 in care homes; and 300 health and care staff have sadly lost their lives. All our NHS staff deserve great praise, so may I ask the Health Secretary about a specific matter that has emerged in the past couple of days? Why are student nurses who joined the frontline six months ago as part of the coronavirus effort now seeing their paid placement schemes terminated early, leaving them with no income? That is no way to treat student nursing staff.
This week, the World Health Organisation has warned that the UK remains in a “very active phase of the pandemic”.
The right hon. Gentleman will accept that if a second wave comes, especially if it coincides with flu season, that would be completely disastrous. Can he reassure the House that the decisions that he and the Prime Minister are making on easing lockdown measures, such as the mooted relaxation of the 2-metre rule and the opening of non-essential retail this week, will not precipitate a deadly second wave of the virus? Would he update us on the latest thinking on that by the Home Department? In the past, the right hon. Gentleman has said that he is prepared to institute local lockdowns, but local authorities continue to say that they do not have the resources or powers to enforce that. Can he update us on when he will give local authorities powers to enforce those lockdowns?
Yesterday, the Health Service Journal said that for people in the shielding group, shielding will come to an end at the end of July. We were promised a full update on shielding on 15 June, two days ago. Can the right hon. Gentleman update the House now on what is happening and what the future is for the shielding group with regards to getting their medicines and supplies and whether they will be able to leave their homes by the end of July?
We have always said that testing, tracing and isolating is crucial to the safe easing of the lockdown. On testing, local authorities say that they are still not getting the specific test data that they need. Indeed, the Deloitte contract, as confirmed in a written answer from the Minister for Patient Safety, Mental Health and Suicide Prevention, did not specify that it needed to report test results to GPs and local directors of public health. We need to fix that.
Why is the right hon. Gentleman still not publishing the number of people who have been tested, and can he explain something that is puzzling many of us? The tracing figures that he revealed—we are grateful for them—suggested that 8,000 people went into the contact tracing system in England, but in that week, the Government testing figures said that there were around 12,500 positive cases in the UK. Even if we can make an assumption about how many of those cases are in England, that still suggests that there are around 2,000, perhaps 3,000, cases not being traced and contacted. Can he explain why that is and what he is going to do to fix it?
Finally, we have now seen Public Health England recommendations on the impact of covid on those from black, Asian and minority ethnic communities. Those recommendations are welcome. Many of them, such as mandated ethnicity data collection and recordings on death certificates, should have been done years ago, but when will those recommendations be implemented? Black people are nearly four times as likely to die from covid as white people, and over 90% of doctors who have died during the pandemic were from black, Asian and minority ethnic communities, so surely this is a matter of urgency. We cannot wait, and we need those recommendations to be implemented straight away.
(4 years, 7 months ago)
Commons ChamberOn symptoms, the right hon. Gentleman will know that many healthcare specialists were making these warnings eight weeks ago, so can he explain why there has been a time lag in updating the case definition?
I note what the right hon. Gentleman said about social care, but he will be aware that more than 12,500 people have sadly died in care homes because of covid-19. Last week, he said that he had put a protective ring around care homes from February, but yesterday a care home provider wrote in The Sunday Times:
“Elderly people weren’t a priority”
They also wrote:
“The government was asleep at the wheel.”
Is the reality not that there was no early lockdown of care homes when needed, and there was no testing of people transferred from hospital to care homes until mid-April, seeding the virus? Personal protective equipment was requisitioned from care home staff and given to the NHS because of wider shortages. There was guidance suggesting that infection was unlikely, and that guidance was still in place when there was community transmission.
We still do not have full testing of all residents and care home staff 12 weeks later. No wonder Age UK has said that this is “too little, too late”. I note that the right hon. Gentleman said that testing will be expanded. Can he bring forward the date by which all care home residents and staff will be routinely tested? The document last week says that it will be by 6 June. Why can the date not be sooner?
Has this crisis not shown that our care sector is staffed by exceptional, dedicated people, and that migrant care workers are not low skilled but immensely able? Does the right hon. Gentleman agree that the Home Office should acknowledge that, and praise such potential workers, not penalise them?
I welcome the wider roll-out of testing. The right hon. Gentleman did not mention the antibody test. Could he update the House on that front? It has also been reported today that 20% of hospital patients got covid while in for another illness. Two weeks ago, he suggested to me in the House that he planned to roll out screening of all healthcare workers, whether symptomatic or not. Can he update us on that front?
On tracing, I have long argued that the safe way to transition out of the lockdown is by having a test, trace and isolation strategy in place, but it depends on a quick turnaround of test results. Can the right hon. Gentleman tell us the current median time for test results to be received by someone when carried out by the Deloitte and other private sector testing facilities, and how soon do directors of public health and GPs receive those results?
The right hon. Gentleman knows that I believe he should be making better use of local public health services. None the less, he is pressing ahead with the national call centre delivered by Serco. Can he tell us by what date that tracing service will be operational? Will it be operational by 1 June?
The right hon. Gentleman did not talk about isolation as one of his key elements of the test-trace strategy. Many poorer people will not be able to self-isolate. Will he look at providing facilities for such people, such as empty hotel rooms so they can quarantine? Will those in insecure work be guaranteed sick pay if they are asked to isolate for seven or 14 days?
On the R number, will the right hon. Gentleman guarantee that every easing of restriction, such as asking children to return to school, is accompanied by a Government statement on the expected impact on the R number and the underlying prevalence of infection? If R rises to be greater than one in a region or local area, how will the Government respond?
As the right hon. Gentleman says, this is Mental Health Awareness Week. We are very fearful of a growing burden of mental health issues, especially in children, as a result of the lockdown. What extra investment is he putting into mental health services, particularly children’s health services? NHS staff, who are threatened not only by exposure to the virus, but the trauma, emotional distress and burnout associated with working on the frontline, need support as well. They need PPE, they need fair pay, they need mental health support. Those care workers who are caring for us need us to care for them and we should thank them again in Mental Health Awareness Week.
(4 years, 10 months ago)
Commons ChamberYou rather surprised me then, Mr Speaker!
The Secretary of State mentioned primary care networks. As he will know, two weeks ago GPs rejected the new service specifications in those networks. This has been described as a debacle, and as leading to more red tape and taking GPs away from patients. If the Secretary of State is going to fix these contracts, can he tell us how he is going to do it—or is he content to see more GPs walk out of primary care networks before they have even got off the ground?
(6 years, 7 months ago)
Commons ChamberOn a point of order, Mr Deputy Speaker. Could the record please record that indeed the leader of Nottingham City Council does not run NUHT, but he is responsible for social care in the city? That was the point I was making.
I am grateful to the right hon. Lady for that. I invite her to make another point of order, because Nottinghamshire County Council is closing five care homes.
I am happy to take that up. My understanding is that Nottinghamshire County Council is looking responsibly at the provision of—[Interruption.] Well, the hon. Gentleman invites me to give him information; I am trying to assist him. In my constituency, the county council is making sure that the money that it spends on social care goes to the very many care homes in my constituency that are rated as good or outstanding—
Order. May I just help a little? We have 25 speakers to come in after the Front Benchers, so I appeal to the Front Benchers to leave time for Back Benchers to contribute.
I shall take your guidance, Mr Deputy Speaker. It is always a pleasure to indulge the right hon. Lady, but I have to point out to her that Councillor Cutts of Nottinghamshire County Council is cutting care homes across Nottinghamshire. The record will show that.
I thank the hon. Gentleman for giving way. I remember well when I worked in the NHS under a Labour Government, before I was a Member of Parliament. All around me was talk of independent sector treatment centres, offering more choice through bringing in more private sector provision to the NHS, and PFI contracts. That was under the previous Labour Government, who I believe were trying to make the NHS give better patient care, but Labour has changed its tune. I am concerned that this seems to be all about ideology. I care—
Order. Members cannot make speeches in interventions.
I greatly respect the hon. Lady, and I greatly enjoyed her Red Box blog on mental health provision last week. I know she thinks carefully about these matters, but this is not about ideology. It is about what works. Let us take the example of the East Kent contract for integrated NHS 111 and GP out-of-hours services, which began in January 2017. After only seven months of Primecare running it, the service was placed in special measures after it was rated inadequate. That is happening in her own backyard. This is not working, and that is the point we are making.
The history of PFI is that when we came into government, a third of hospitals were more than 50 years old. That is why we carried on with the John Major PFI scheme, which was the creation of that Government. Current Cabinet Ministers such as the shadow Health Secretary at the time, now the Secretary of State for International Trade, stood at the Dispatch Box and congratulated the Labour Government on taking up the private finance initiative developed under the previous Government. He said he would not object to the use of PFI
“exclusively to fund private capital projects”—[Official Report, 8 January 2003; Vol. 397, c. 181.]
In this House, the current Chancellor of the Duchy of Lancaster gave a “warm welcome” to a PFI in his own constituency. The Brexit Secretary said in this House:
“The PFI has many virtues—after all, it was a Conservative policy in the first instance.”—[Official Report, 10 March 1999; Vol. 327, c. 429.]
The Business Secretary said:
“PFI was initiated by the previous Conservative Government”—[Official Report, 12 February 2013; Vol. 558, c. 787.]
The Scottish Secretary has said that PFI is a “successful basis for funding”. The Welsh Secretary said:
“I am a fan of PFI in general.”—[Official Report, 4 November 2010; Vol. 517, c. 1124.]
We will take no lessons from the Tories when it comes to PFI.
We have not only seen facilities management contracts having to be brought back in-house in Leicestershire and Nottingham; we have also seen them deliver a poor quality of service across Lewisham and Greenwich. Those contracts at Lewisham Hospital should come back in-house. I know that the Labour candidate in Lewisham East will be campaigning to bring them back in-house, and I hope the Tory candidate will do the same.
My hon. Friend, who is an authority on these matters and campaigned on them for many years before entering this place, speaks well and she is absolutely right.
I will take an intervention from the hon. Lady from Wales, but then I will not take any more because I fear I am really testing your patience, Mr Deputy Speaker.
It is not about my patience, but about Back Benchers.
I have only one question: will the hon. Gentleman explain why the Welsh Labour Government have outsourced dialysis services at Wrexham?
We have always said that there is a small role for the private sector. This is what I said earlier—[Interruption.]
Order. I want to hear Members on both sides, and I certainly want to hear the answer, but I cannot do so if everybody is shouting.
We have always said that, and I do not know why Government Members are so surprised about it. Indeed, the Prime Minister, thinking she had a humdinger, quoted me at Prime Minister’s questions, but I was decidedly nonplussed by her response to my right hon. Friend the Leader of the Opposition.
Perhaps the biggest area in which private contracts have gone out is in community services, where the private sector has taken over 39% of contracts compared with the 21% in the NHS. NHS Providers said last week:
“The fragmentation of the community sector is…due to the private provider share of the community…service market being much larger than in other sectors”.
It also said:
“it is almost always a legal requirement for commissioners to go out to tender competitively for community services. Tendering for contracts is therefore much more competitive in the community sector than in the acute sector, and contracts are sometimes won on cost savings, rather than improvements in the quality of care.”
We have seen this time and again. For example, Serco was awarded a £140 million contract in Suffolk, but could not meet key response times, such as the four-hour response time for nurses and therapists to reach patients at home 95% of the time. Before Serco took over the contract, the target was achieved 97% of the time.
(7 years, 3 months ago)
Commons ChamberOn a point of order, Mr Deputy Speaker. Is it not now clear that the House has been unanimous in saying that we should end the pay cap in the NHS and give health workers a fair pay rise? Is it not also clear that the reason the Government did not divide on this motion is that they knew they would lose?
The point of order is well made. It is not for me to judge, but I am sure many people will make a judgment, whatever side of the House they may be on.
(11 years, 1 month ago)
Commons ChamberThank you, Mr Deputy Speaker. It is a pleasure to be called so early, not least because I have just returned from two weeks’ paternity leave.
Is the hon. Member declaring an interest in the debate?
I will take your guidance, Mr Deputy Speaker. I am the father of a two-year-old toddler and now a two-week-old baby girl, as well, so perhaps I should declare an interest. [Interruption.] My hon. Friend the Member for Cardiff West (Kevin Brennan) asks me their names. My two girls are called Gracie and Annie, but enough about my family; let me move on to the substance of the debate.
Investment in child care is one of the most important sets of investment that any Government can make. I think it was my hon. Friend the Member for Manchester Central (Lucy Powell) who made the point a few weeks ago in one of the many articles she writes that we often talk about the importance of infrastructure investment—very topical at the moment, given the controversies over High Speed 2—and that child care should be viewed as an infrastructure investment. I entirely agree. Investment in child care is good not only for our future economic capacity, but for our children. That is what I shall focus on in my speech.
There is a general debate about how to raise the trend rate of growth in this country and how to rebalance the economy. We also debate how, if growth happens, it should be shared fairly and not snaffled away by the privileged few, as seems to be happening under this Government. Investment in child care must be an absolutely central part of building the economy of the future that we all want to see. I consider it to be one of the best social and economic investments that we can make. However, today I want to emphasise the benefits that it has for children.
I am sure all Members will agree that learning begins at birth. The first few years of a child’s life are critical to its development. Children need a stimulating, caring environment: they need opportunities to interact, to be talked to, to play, and to explore in safe surroundings. While I entirely accept that academic researchers differ on what is the right balance for a child between being in child care and being at home and that there are different conclusions to be drawn, it is undeniable that good-quality, affordable child care is central to a child’s development.
Both Front Benchers mentioned Baroness Morgan’s observations on preparing children for school. Academic evidence suggests that children who have experienced child care are much further ahead when it comes to development and readiness for school, but we also know that child care gives society an equality dividend. It helps women, in particular, to move into the labour market, but all too often they are priced out of that market by the cost of child care.
Ministers boast about the state of the economy, and say that we have turned the corner. Some top Tories even claim that they are on the glide path to victory, which I would describe as a brave and, indeed, arrogant prediction. In reality, however, the economic benefits that exist are not being shared. There is a huge squeeze on living standards, and hard-working people are worse off and therefore cannot afford child care. We know from the figures that 2 million children in poverty live in households containing a single earner, and that nine out of 10 of the workless partners are female. Securing good-quality, affordable child care and helping mothers to return to the labour market is one of the best ways in which we can make a significant dent in child poverty numbers. But what is the record of the present Government?
As the Minister knows, I have tremendous respect for her. I listen carefully to her speeches, and read a great deal of what she says. However, the fact remains that the cost of nursery places has risen by 30%, and Ofsted figures show that there are 35,000 fewer child care places. The average bill for a part-time nursery place providing 25 hours a week has risen to £107. Breakfast clubs have been scaled down, and the cost of summer holiday child care places has passed the £100-a-week mark for the first time ever. Although all the academic research tells us of the advantages enjoyed by children and toddlers who have been exposed to books, the Secretary of State—who likes to think of himself as a champion of academic rigour—has halved the Bookstart grant.
The Government have implemented a range of policies that affect mothers. For instance, they have cut the child care element of working tax credit: a total of £7 billion has been cut from working parents’ tax credit. In two months’ time, many of the higher-earning parents whose child benefit is being clawed away will have the taxman knocking on their doors because of the Government’s woeful handling of the situation.
Perhaps the Government’s worst act of vandalism against early-years provision is the fact that there are 578 fewer Sure Start centres. My hon. Friend the Member for Stoke-on-Trent Central (Tristram Hunt) quoted what the Prime Minister said before the last election, but as the Tories have taken it off their website, it is worth quoting again. He said that we were scaremongering. He said that the Government would back Sure Start. He said that it was “a disgrace” that my right hon. Friend the Member for Kirkcaldy and Cowdenbeath (Mr Brown) was “trying to frighten people”. The fact remains, however, that we have 578 fewer Sure Start centres. The Tories can take that quotation off their website, like some Bolshevik politburo apparatchik trying to doctor photographs, but we will continue to remind the British people that the Prime Minister promised to maintain Sure Start centres, and that under his Government we are losing them.
(12 years, 9 months ago)
Commons ChamberOrder. Before the hon. Gentleman answers, let me remind hon. Members that the idea behind imposing a time limit is to get everybody in. He is well placed, but every time there is an intervention, that adds another minute, which means that somebody else will drop off the bottom.