National Insurance Contributions: Healthcare
Josh Fenton-Glynn Excerpts(1 month ago)
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Karin Smyth
Well, really. I am quite dumbfounded by the hon. Gentleman’s response. I respect him for his professional practice, and he knows the state of the NHS that we inherited from the previous Government, as reported in Lord Darzi’s report. He talks about joy, but there was no joy when we inherited the mess they left back in July. He talks about people being tipped to the brink, and they absolutely were, as Lord Darzi made clear.
As I said, we will go through the allocation of additional funding in the normal process, which will be faster than under the previous Government because we are committed to giving the sector much more certainty. The normal process, as the hon. Gentleman should know from his time in government, is to go through the mandate and the planning guidance and to talk to the sector about the allocations due next April, as I said in my opening statement.
Josh Fenton-Glynn (Calder Valley) (Lab)
Does my hon. Friend join me in welcoming the Opposition’s new interest in social care? Does she further agree that the problems that social care faces owe more to the previous Government’s failure to do anything with Andrew Dilnot’s 2011 report than they do to anything that is happening now with national insurance?
Karin Smyth
My hon. Friend makes an excellent point. When I joined this House in 2015, I remember that the first act of the new, non-coalition Conservative Government was to take the legs from underneath that social care commitment by postponing the Care Act 2014. They cynically said at the time that they would bring it forward by 2020, which they thought would coincide with the next general election. We all saw how that went.
Income Tax (Charge)
Josh Fenton-Glynn Excerpts(1 month, 1 week ago)
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Edward Argar
I welcome the hon. Lady to her place as well. I think this is the first opportunity I have had to respond to a intervention or question from her.
In fact, we put record funding into the NHS—£164.9 billion per year—and on top of that we recruited more doctors and more nurses. We did not do that by piling tax hikes on hospices and general practices, among others. I am not sure how hitting primary care, social care or charities supporting NHS services will help the Secretary of State to deliver his aim of cutting waiting lists. I hope that the Chief Secretary will tell the House what steps the Treasury is taking to ensure that those organisations are not hit by these changes.
Let me take a moment to consider what was not included in the Budget.
Edward Argar
I will make a bit of progress, if I may.
There were no plans for social care reform after the Chancellor broke Labour’s promise to deliver the cap on social care costs. I hear what the Secretary of State says about a willingness to work on what is a challenge facing our whole country and society: with an ageing population, how do we address the challenge of social care? There were no further detailed plans for NHS dentistry, despite the election pledge to deliver more dental appointments. There was no support for pharmacies or for the day-to-day running of general practice, and there were still no additional resources for the NHS this winter—or, indeed, the details of reform to go with them.
Access to Primary Healthcare
Josh Fenton-Glynn Excerpts(2 months ago)
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Josh Fenton-Glynn (Calder Valley) (Lab)
I am glad that this debate has been called. Across the House, stories of failings in primary care are too familiar and, frankly, too distressing. The Darzi report makes it clear that since the announcement in the late 2000s of the so-called left shift—the shift from hospital care to care in the community—we have seen the number of people treated in hospitals rising. Indeed, 58% of the NHS budget is now spent on hospitals compared with 47% in the late 2000s. As Darzi said, there is no left shift, just a “right drift”.
Let us be clear: GPs work hard and do a fantastic job. Just a few weeks ago, I visited the fantastic Hebden Bridge group practice in my constituency. The 13 doctors conduct about 2,000 appointments a week, and while they are fantastically efficient, that is taking its toll. The General Medical Council’s national training survey—I used to be proud to work on that report every year—found that 68% of GP trainers said they always felt worn out at the end of the day. This is simply unsustainable.
We see the impact of the unsustainable model and the underfunding in our constituencies every week. In my constituency, the Calder community practice in Todmorden closed with over 2,800 patients on its books because there simply was not anyone able to take it on. The Darzi report makes it clear that we need to prioritise primary care and care in the community. The left shift must not be a slogan, but create real action. It cannot be right that, last year, 2,000 patients each day were admitted to hospital for something that could have been treated elsewhere and closer to home.
I look forward to supporting the Government amendment, and to working across the House week in and week out to make sure that we rebuild the NHS and get it the support it needs.
NHS Performance: Darzi Investigation
Josh Fenton-Glynn Excerpts(2 months, 1 week ago)
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Wes Streeting
I must make some progress; I will try to take more interventions shortly.
The public are clear that they do not want the NHS to be sacrificed. They gave Labour our marching orders at the general election to rescue the NHS and turn it around, and that is what we will do. I appreciate that the shadow Health Secretary must be embarrassed by all this, not just by the state that she and her Conservative predecessors left the NHS in, but by what Conservative Members have been saying. I was going to say, “Members who are sat behind her,” but they are actually not—I think they are hiding in shame. [Interruption.] The shadow Health Secretary says from a sedentary position that we have already had this discussion. The Conservatives would rather we just moved on and forgot their abysmal record. Well, I am afraid that we are not ready to do that just yet. At least some of her Back Benchers now say what they refused to say when they were in office: that the NHS is broken. Some of them even admit that only Labour can fix it.
When the shadow Secretary of State stands up, I wonder whether she can tell us whether she agrees with the hon. Member for Mid Norfolk (George Freeman), who said:
“I applaud Wes Streeting for having the political courage. I think only Labour can really say this. The NHS is sort of their thing…I really hope that we can get behind him”.
It is not just Back Benchers. What about the shadow Foreign Secretary, the right hon. Member for Sutton Coldfield (Mr Mitchell)? He said:
“I’m very supportive of what Wes Streeting is saying… The Conservative government put a lot of money into the NHS, the record is there for all to see… I’m not one of those who is seeking to attack…the Labour Party on the NHS.”
He is going for my vote, but sadly—or gladly—I am not qualified to vote in that particular election. Perhaps the shadow Health Secretary can tell us what the shadow Foreign Secretary meant when he said we were not—[Interruption.] She is clearly enjoying this. Was the shadow Foreign Secretary speaking for the shadow Cabinet? [Interruption.] No, he was not.
Let me move to my favourite comments on the NHS from a Tory MP. This right hon. Member said:
“We were not obsessed with how we can ensure that it actually delivers the experience that patients actually deserve…Out of fear of our opponents mischaracterising our efforts, we shirked the difficult decisions…If Wes Streeting comes forward with genuine reforms I think we should back him.”
Those are the words of the candidate that the shadow Health Secretary is backing to lead her party, so does she agree with the right hon. Member for Newark (Robert Jenrick)? Will she finally apologise for her part in the Tories’ abysmal record and have the humility to admit that when it came to NHS reform their cupboard was bare, and that actually they quite agree with our efforts to clean up the mess that they left behind?
For all the agreement with our diagnosis and praise of our plans, the problem is that there is no apology. Of the four leadership candidates and eight former Health Secretaries, not a single one has apologised for the state they left the NHS in. Would the shadow Health Secretary like to correct that record today and finally say sorry? I expect that we might have to wait a long time. While the Conservatives continue the longest leadership election in history, we are getting on with the job of cleaning up their mess.
Josh Fenton-Glynn (Calder Valley) (Lab)
The reform that we desperately need includes the so-called “left shift” out of hospitals and into primary care. Yet under the previous Government, the amount of money spent on hospitals went from 47% to 58% of the NHS budget. According to Age UK, every day 2,000 people are admitted to hospital who could be treated elsewhere and earlier. Does my right hon. Friend agree that the only way to fix the NHS is to get more and better care in the community?
Wes Streeting
My hon. Friend is absolutely right, and that brings me to our reform agenda.
To deliver the Government’s reform agenda, we will have to take on both left and right-wing orthodoxies—for simplicity’s sake, we will call them The Guardian and the Daily Mail. The Daily Mail agrees on the need for health service reform, but attacks proposals for public health reform as “nanny state”. The Guardian loves prevention, but all this talk about health service reform makes it very nervous. The truth is that the Daily Mail and The Guardian are half right and half wrong. We all need to face up to the challenges of today. Our society is getting older and living longer but becoming sicker sooner. Those rising tides of demands and costs are combining to form a perfect storm that threatens to shipwreck the NHS.
NHS: Independent Investigation
Josh Fenton-Glynn Excerpts(3 months ago)
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Josh Fenton-Glynn (Calder Valley) (Lab)
I truly learned to appreciate the NHS when I became a parent and saw the care given to my family and children. It therefore horrified me, having sat in A&E with an ill child, to see in Lord Darzi’s report that 100,000 infants waited for over six hours in A&E last year. Does the Secretary of State agree that that is a shocking state in which to leave the NHS? Will he commit to bringing the numbers down and making sure that parents do not have to endure that terrible wait?
Wes Streeting
I am delighted to see my hon. Friend representing Calder Valley. He has captured the fear and anxiety about the length of the wait experienced by far too many parents when they access A&E departments. It is a terrifying experience, particularly for parents with small children, to be in that situation. Frankly, the lack of focus on paediatric waiting lists and waiting times, whether in A&E or for electives, really is shameful. We have got to put children first and that is exactly what this Government will do.