Department of Health and Social Care: Treasury Funding

Debate between Jonathan Lord and Robert Halfon

Wednesday 4th September 2019 Commons Chamber

[Robert Halfon]

I thank my hon. Friend. He has attended every debate I have secured on the Princess Alexandra Hospital in Harlow. That shows that there is not just support across Essex and Hertfordshire, but from as far afield as his constituency of Strangford and across Northern Ireland. His question, in essence, is about important funding for devolution and fair funding across the board. I completely agree with him and I thank him again for coming, on this fifth occasion, to support my campaign for a new hospital in Harlow.

We need a new hospital for four substantive reasons. First, and there are no two ways about it, the hospital estate is falling down. It is crumbling around staff, patients and visitors, so much so that it is inhibiting the work of our hardworking NHS staff who brought the hospital out of special measures in 2018. The Health Secretary himself, having visited the hospital at the start of this year, stated in this Chamber that:

“the basement of Harlow hospital is in a worse state of disrepair than the basement of this building.”—[Official Report, 1 July 2019; Vol. 662, c. 941.]

That is saying something, Madam Deputy Speaker.

Given that the Palace of Westminster has been promised a £3 billion restoration, I ask the Minister: when will the Treasury prioritise the crumbling basement of our NHS hospital in Harlow? Whenever I visit Princess Alexandra Hospital—as a patient, visitor, or in my capacity as an MP—I am genuinely astounded by the quality of care and exceptional service that is delivered, as was the Health Secretary on his visit. Following a comprehensive tour, he said:

“I’m incredibly impressed with how much the staff are managing to do in the current facilities.”

My inbox, however, is filled with the anxieties of constituents about the pressure on A&E and the condition of the estate. The doctors, nurses and specialists are working in extremely tight spaces, in an immensely pressurised environment. Staff simply cannot be expected to make service improvements, nor to meet NHS waiting time guidelines. I ask the Minister: how can we expect our NHS staff to deliver the high standards that we demand when they do not have the physical space, bed capacity or modern equipment to carry out their jobs?

In no other working environment would we expect as much in the 21st century. The remarkable hospital staff —everyone from the cleaners, porters, ancillary staff, nurses, doctors and consultants to the management team, led by a very special chief executive, Lance McCarthy —have progressed in leaps and bounds. I am particularly grateful to the chief executive for his decision to keep domestic services in-house, protecting the jobs and livelihoods of many Harlow residents.

In July, I was delighted to welcome Kathy Gibbs into Westminster for the NHS parliamentary awards. She was a finalist for the lifetime achievement award after dedicating her entire career to Princess Alexandra Hospital in Harlow. The neonatal unit has received a number of accolades for its dedicated care and has recently been shortlisted as a finalist to receive the Bliss neonatal excellence team award. Should the Minister wish to see at first hand the brilliant work that is done in the busy maternity ward, I encourage him to catch up with the latest series of W Channel’s documentary following TV personality Emma Willis as she joined our Harlow hospital team to train as a maternity care assistant.

All across the hospital, there is a collective effort to raise standards. The entire catering team at the hospital’s restaurant were celebrating recently, having again been awarded a five-star food hygiene rating from environmental health officers. Despite the challenges that they face, Princess Alexandra NHS staff are making progress beyond expectations. In the light of their hard work and proven capabilities, does the Minister agree that our NHS staff are some of the most deserving of a new hospital and place of work that is fit for purpose? They have shown us what they can do in an outdated, difficult working environment—just imagine what they could achieve if they were given the tools to succeed.

Our population is growing at an extraordinary rate, placing enormous strain on local healthcare resources. Our hospital, and town, was built in the 1950s to serve a population of approximately 90,000. Since then, Harlow has seen considerable change, going from strength to strength. We have a thriving enterprise hub—Kao Park—which is home to a state-of-the-art data centre and international businesses such as Pearson and Raytheon, offering unparalleled employment opportunities to thousands of residents. Thousands of new housing developments are under construction to accommodate our fast-growing population and help first-time buyers to get on the ladder of opportunity.

Yet, with this extraordinary population growth, there is unbearable pressure on staff at the Princess Alexandra. Our hospital is struggling to cope with healthcare demands from around 350,000 people, exacerbated by the closure of nearby A&E units at Chase Farm Hospital and the Queen Elizabeth II Hospital. We have one of the busiest A&E units in the country and this trajectory of growth is only set to continue. Soon, Harlow will become home to Public Health England, and we have the chance to become the public health science capital of the world, offering employment to hundreds of people and bringing in many new residents. The near completion of junction 7A on the M11 will improve accessibility to our town, encouraging investment and prospects for business expansion. Given this faster-than-average population growth, does my hon. Friend the Minister agree that we cannot expect our NHS staff to bear the brunt of such demand without giving them the proper resource—a new health campus—to do so?

It is not only about numbers. The third challenge that Harlow faces has been caused by out-of-area placements into large-scale, commercial-to-residential conversions. Permitted development rights legislation has been a disaster for our town. Many of the families placed in temporary accommodation in Harlow by London councils have additional healthcare needs and come to our hospital for medical support, yet neither our local council nor the Princess Alexandra Hospital are given any extra funding to provide this. We face unique pressures on our health and social care resources in Harlow. Does the Minister not agree that a healthcare campus would help to alleviate these pressures as well as offering space for further expansion?

Fourthly, as a champion of skills and the ladder of opportunity, which I know the Minister in his previous role cared deeply about, we need this health campus to create a hub for learning, skills, training, research and development in Essex. Already, the Princess Alexandra Hospital is winning awards for its high-quality training, mentoring and career progression. Fair Train, a national organisation championing work-based learning, awarded our Harlow hospital the gold rating—the top rating—for its workplace opportunities.

That said, the hospital faces immense challenges with recruiting and maintaining qualified professionals, in part due to the appeal of London hospitals and private practices just 40 minutes away. The new health campus would bring with it exciting opportunities for scientific research collaborations with Public Health England and local enterprises. Apprenticeships and unrivalled training courses with Harlow College would help to upskill our workforce and give Essex residents new opportunities to further their life chances.

The new healthcare campus in Harlow could lead the way in health science education and training. Does the Minister recognise the wider benefits that the new healthcare campus would have in upskilling people of all ages in Essex and Hertfordshire, creating employment and research opportunities and boosting our economic prospects? Will he help to make Harlow the health science capital of the world by granting the capital funding to make that a reality?

As the steady stream of investment into our Harlow hospital shows, the Government are aware of the unique pressures that the Princess Alexandra Hospital faces. At the start of this year, I was privileged to open the Charnley ward, a desperately needed £3.3 million development constructed in just four months. Last December, we received £9.5 million to provide additional bed capacity, and in the autumn there was a £2 million investment to make preparations for the busy winter period ahead. Does the Minister not agree, however, that it is the Conservative way to consider what is best value for money for the taxpayer and that, while short-term cash investment provides much-needed relief, it does not go to the heart of the problem?

[Mr Jonathan Lord (Woking) (Con)]

My right hon. Friend is making a brilliant case for a new health campus in Harlow. Will he allow the Minister in response to dilate a bit on the need for money to follow where population growth has taken place, as it has in Surrey and Woking? He makes a very good case for that in terms of his constituency, but of course there are wider effects as well, particularly in terms of capital investment, as he rightly says.

University Technical Colleges

Debate between Jonathan Lord and Robert Halfon

Wednesday 2nd November 2011 Commons Chamber

[Robert Halfon]

I would be delighted to look at that website, and I would like to study it more, because it is good to see successful examples in action.

So far, 18 new UTCs have received support from the Education Secretary, with 13 announced last month, and 130 companies are supporting them, which I think is a record in industrial investment. For the past three years the Baker Dearing Educational Trust has worked with the Department for Education, the private sector, universities and further education colleges to build the network. The Chancellor has doubled the funding for UTCs and found money for at least 24. The Opposition always go on about cuts and the legacy of youth unemployment—left by the last Government, as I have mentioned—but we are talking about a concrete investment of at least £150 million, with more funds levered in from the private sector, to tackle that very issue. This is not small beer.

[Jonathan Lord (Woking) (Con)]

I agree with the thrust of everything that my hon. Friend is saying, so is it not disappointing that at least one union leader in the education sector has come out against UTCs? Is that not incredible?

[Robert Halfon]

My hon. Friend is almost a mind reader, because I was about to say that it is disappointing that, not so long ago, John Bangs of the National Union of Teachers said of UTCs:

“There is a real fear about a move towards selection by division, selection by direction and selection by assumption, with these routes being mapped out for kids for evermore”

That is the mindset of the left, which we have to consign to the dustbin, because UTCs will create opportunity and social justice for everyone. He is also wrong, because there are no tests to enter a UTC at 14: they are inclusive, not exclusive. To be fair, it is no accident that the Baker Dearing Educational Trust is a cross-party project that is strongly supported by Lord Adonis—who, although he is from the other side of the fence, is someone I admire greatly. The chief executive officer of the Baker Dearing Educational Trust, Peter Mitchell, was a head teacher for 18 years in Walsall and Staffordshire. He turned round a failing school and was mentioned twice in the chief inspector’s report as “outstanding”. I believe that the UTC movement should unite the House, not divide it.

In conclusion, I want to talk briefly about Harlow’s bid for a UTC, which I mentioned at the beginning of my speech. Harlow is a new town. It was built after the second world war, with a vision to change people’s lives and create jobs and growth, but its potential is still unfulfilled. School results have risen sharply over the past 10 years. Most secondary schools now perform around the national average, and this year two secondary schools became academies. I am sure that the Minister will have watched the excellent recent television programme about Passmores school.

Harlow college is now widely recognised as one of the best further education colleges in the country, with pass rates exceeding 99.5%. Anglia Ruskin university opened a campus in the town this term that now has approximately 200 students studying for degrees. Wherever I go in Harlow, parents are delighted with the idea of a new apprentice school, which is exactly what it is, and they have no ideological objections. In fact, the Harlow bid for a UTC is not opposed by the local state schools. Harlow council and Essex county council have said that they support UTCs, and would like to see a UTC in Harlow.

In the first round, we assembled a strong bid, but found out only very late in the process that Harlow was to benefit from an enterprise zone, specialising in bio-tech and medical technology. In his feedback, Lord Hill was very fair and made the point that we should now reflect the new enterprise zone in our bid. That was the right decision; it is worth taking the time to get the bid right.

The Harlow partners are responding to that feedback. Anglia Ruskin is broadening its university courses, to meet the needs of the emerging “MedTech” enterprise zone, with firms like Bupa Home Healthcare. Harlow council is delivering the proposed “MedTech” campus—a specialised industrial estate, which will employ the highly skilled technicians that a UTC provides. Harlow already has several biotech and pharmaceutical firms, such as GlaxoSmithKlein, and is in the London-Cambridge science corridor. We have several strong local hospitals—primarily Princess Alexandra hospital and the Rivers private hospital in Sawbridgeworth. The Health Protection Agency is considering a move to Harlow, partly because of its own financial position, and partly because of the enterprise zone. I hope that in due course it too will have a need for medical technicians and engineers. In the second wave of UTC applications we hope to include medical technology as one of the Harlow specialisms, and to submit an even stronger bid. I hope that the Minister was listening very carefully to that last statement.

If there is one thing that I would urge the Minister to do, it would be to go much further and much faster. As the Baker Dearing Educational Trust has said:

“The Government has committed to funding 24 UTCs. But we hope to see 100 within five years.”

We know that public spending is constrained, but UTCs offer us the chance to get back to the great vision of Rab Butler, who sought to establish a high-quality technical education in Britain for the first time. It is worth quoting what Rab Butler said in this very House about his Bill in 1944:

“It is very wrong that in so many parts of England, particularly in industrial areas, which I have visited myself, that decades have been allowed to elapse before the technical development necessary for education in those areas has come to anything at all. There are many towns and cities I have been to in which the technical college has always been the mirage in the distance across the other side of the desert. We cannot allow that state of affairs to go on, and that is why we insist that there should be a proper development of technical education...Compared to our competitors, friends and enemies, we shall…depend more than anything else on the skill of our people...therefore…we must concentrate upon producing the most highly-skilled technologists the world can show.”—[Official Report, 23 March 1944; Vol. 398, c. 1086.]

Exactly the same is true today.

It is not enough just to support and fund UTCs; we have to evangelise about them. Just the other week the statement on UTCs was tacked on to the end of the statement on free schools at the end of a long day—just after the former Defence Secretary had also addressed the House. UTCs, however, are not just an extension of free schools; they will transform our skills base and the lives of young people, and they will be a conveyor belt to professional apprenticeships. They are the phase 1 of an apprentice revolution in Britain and the reaction from the public—parents, students and others—has been unbelievably positive. That is why they have to be centre-stage, not backstage. When the second round is announced next year—including Harlow, I hope—I would like UTCs to get a separate statement in their own right, showing that they are a forceful answer to the youth unemployment that we have inherited. They will then prove that the apprenticeships are no longer second class, and are now first class.

I hope that, ultimately, every British student will be able to say—just as my hon. Friend the Minister for Further Education, Skills and Lifelong Learning said yesterday at a UTC reception in the House—“I only became an academic because I wasn’t clever enough to be practical.”