National Insurance Contributions: Healthcare

Debate between Karin Smyth and Rachael Maskell

Thursday 14th November 2024 Commons Chamber

[Karin Smyth]

The hon. Lady makes an excellent point about the importance of GPs and primary care to the wider sector. Immediately after taking office this summer, we freed up the system to employ 1,000 extra GPs through the additional roles reimbursement scheme—which the previous Government refused to implement—because we recognised the need for that extra capacity. We will be talking to general practice as part of the contract reforms over the next few months, following the normal process, to determine allocations for next year.

[Rachael Maskell (York Central) (Lab/Co-op)]

If this Government’s ambition, stemming from Lord Darzi’s report, is to be realised, significant investment is required not only in primary care but in third sector organisations. However, these organisations are concerned about the increased cost pressures on their services. Will the Minister ensure that there is sufficient support within the trickle-down approach, which the Department will now have to apply, to maintain current service levels and facilitate the urgently needed transition across health services?

[Karin Smyth]

I respect my hon. Friend’s expertise in this area. She is right, and we understand that the pressures are real, which is why we have committed to supporting the NHS and the social care system with the additional funding that my right hon. Friend the Secretary of State for Health and Social Care secured as part of the Budget settlement.

We are also working closely with the NHS, in a new relationship, to understand its needs. That is a dynamic conversation, because we want to understand what is happening in local systems as we continue to invest in them.

Management of NHS Property

Debate between Karin Smyth and Rachael Maskell

Wednesday 4th July 2018 Westminster Hall

[Karin Smyth]

I recognise that the management of NHS property is not the most enthralling subject, but many hon. Members from across the country will recognise that it is a growing problem in their constituencies. The problems are varied and many. My focus today will be on the community and primary care estate.

I will not talk about bricks and mortar or leaking pipes, or outline the detailed and manifold operational challenges posed by an NHS estate that in many parts of the country still relies on pre-1948 infrastructure. Instead, I want to talk about the places our constituents go to when they need care, where they welcome their children into the world and where they say a final goodbye to those they love. They are places where some of our most precious memories are forged, capable of delivering huge happiness and hosting unimaginable grief. They are hard-wired into our emotional DNA and the fabric of the communities in which they sit. They are places that are paid for by our constituents through their taxes, which our constituents feel ownership of and an enormous attachment to. It is in this difference that the notion of local or personal ownership is blown apart. The harsh reality is that our constituents do not own these properties. Moreover, they do not even have a say in how they are run or in their future.

Who owns them? Who runs them? How do they operate? How can users or stakeholders such as MPs influence change? Those questions are hard to answer as control of these special buildings is opaque to the point of absurdity. The lines of accountability are unfathomable and, as so many colleagues will know, incredibly frustrating to deal with. I have spoken to numerous colleagues across the House about these issues.

[Rachael Maskell (York Central) (Lab/Co-op)]

I am grateful to my hon. Friend for giving way, and grateful to the Minister for listening to my concerns about the Bootham Park Hospital site and intervening on that. A real programme of change for healthcare in York has now been put together. Does my hon. Friend agree that when looking at the estate it is important to develop plans that improve healthcare rather than seeing it just as buildings?

[Karin Smyth]

I agree. The building that my hon. Friend has been working on is iconic, and that case is a good illustration. My hon. Friend the Member for Bristol West (Thangam Debbonaire) has been dealing with a GP surgery in her constituency for a long time and can get no resolution. I have also spoken to my hon. Friends the Members for Stoke-on-Trent Central (Gareth Snell), for Stroud (Dr Drew), for Bishop Auckland (Helen Goodman) and for High Peak (Ruth George)—these problems are happening across the piece.

Haulage Permits and Trailer Registration Bill [Lords] (Second sitting)

Debate between Karin Smyth and Rachael Maskell

Committee Debate: 2nd sitting: House of Commons
Tuesday 22nd May 2018 Public Bill Committees

[Karin Smyth (Bristol South) (Lab)]

On the point about compliance, which is part of the purpose of my amendment, it is also distressing for the people carrying out those checks, in garages and such places, to tell people that they are not compliant and would fail a test, and, because they have no real ability to make that person do something about it, then see that trailer go onto the road. We need to find some way of supporting the next stage of those checks.

[Rachael Maskell]

I thank my hon. Friend, who has so much expertise in this field: I think we are all in awe of her knowledge. She is right. We debate things in this House because we care about public safety. We want to know the detail because that is important in order to make informed and correct decisions. If there is risk—and clearly there is; we have heard the evidence—we need to respond to it. It is on our watch, and we fail the public if we do not; and, tragically, we could fail the public severely. My hon. Friend makes an excellent point about how we should take this issue forward. It is incumbent on the Minister to look into these matters and give assurances that he will bring forward proposals about how we address the whole issue of the safety of trailers, attachments, tow bars and operators’ use of them. We can then inform the industry that we have heard them and take these issues seriously; that, ultimately, should legislation be required, we will not be afraid to enact it; or, should stronger advice and support from the Department for Transport be needed to educate and support the industry and users of trailers, that we will take that forward as well. I trust that the Minister will consider that and I look forward to hearing his remarks.

[Karin Smyth]

It is a pleasure to serve under your chairmanship this afternoon, Mr Robertson. My purpose in trying to amend the Bill, working with the noble Lords, on Second Reading and here in Cttee, has always been safety, following the representation made by my constituents, Donna and Scott Hussey, about their tragic loss. I am grateful to the Minister and Baroness Sugg for their support through the Bill and for the wider campaign on the family’s behalf.

My main issue with the Minister’s amendment was the loss of “comprehensive”, without specifying any new consideration. That led me to be concerned about the Government making a further report based on the existing data, which would not take us any further forward than we were before the Lords debated it. I therefore tabled the amendment to push the Government to make an assessment of roadworthiness and, as we have just said, of compliance, which would inform that report.

I am assured by the Minister’s comments. He has said that they will look at the existing data and what else needs to be included. Although he reiterated that the data is considered comprehensive, those statements acknowledge the need to look further and wider.

On the STATS19 form, the Department has admitted that it is difficult for a police officer who attends the scene after an accident to identify the factors that contributed to that accident. For those who have not read it—I can send it round—the STATS19 form is hugely complicated and difficult. Hon. Members can imagine filling it in on a quiet road of a dimly lit evening and deciding what it is necessary to report in it. It is the basis of the evidence collated. There are 78 factors to choose from. It is a subjective issue for the police, who I have been working with to inform the system from the bottom up. That is my concern—that we look more widely at doing that. The Minister has heard that loud and clear on a few occasions, and I look forward to working with the civil servants to try to address it.

My work in the last three years has convinced me that the wider issue is weight and its distribution. Driver awareness is really important, and I am grateful to the DVSA for its campaign, which will continue. On driver behaviour, we want to make driving with an unsafe trailer as socially unacceptable as drink-driving or driving with a mobile phone. As my hon. Friend the Member for Rotherham said, tow bars and their attachments are also very important. Those issues apply in the commercial and non-commercial sectors, which is a point that has been made well today, including by my hon. Friend the Member for York Central.

I, too, have met the National Caravan Council, which is concerned about the issue. It has been running a scheme for several years, as have others. We need to learn from best practice across the industry. No one wants to have unsafe trailers on the road, and I look forward to working with all those organisations to continually get the best data, share good practice and inform the report.

Haulage Permits and Trailer Registration Bill [ Lords ] (Second sitting)

Debate between Karin Smyth and Rachael Maskell

Tuesday 22nd May 2018 Public Bill Committees

[Karin Smyth (Bristol South) (Lab)]

On the point about compliance, which is part of the purpose of my amendment, it is also distressing for the people carrying out those checks, in garages and such places, to tell people that they are not compliant and would fail a test, and, because they have no real ability to make that person do something about it, then see that trailer go onto the road. We need to find some way of supporting the next stage of those checks.

[Rachael Maskell]

I thank my hon. Friend, who has so much expertise in this field: I think we are all in awe of her knowledge. She is right. We debate things in this House because we care about public safety. We want to know the detail because that is important in order to make informed and correct decisions. If there is risk—and clearly there is; we have heard the evidence—we need to respond to it. It is on our watch, and we fail the public if we do not; and, tragically, we could fail the public severely. My hon. Friend makes an excellent point about how we should take this issue forward. It is incumbent on the Minister to look into these matters and give assurances that he will bring forward proposals about how we address the whole issue of the safety of trailers, attachments, tow bars and operators’ use of them. We can then inform the industry that we have heard them and take these issues seriously; that, ultimately, should legislation be required, we will not be afraid to enact it; or, should stronger advice and support from the Department for Transport be needed to educate and support the industry and users of trailers, that we will take that forward as well. I trust that the Minister will consider that and I look forward to hearing his remarks.

[Karin Smyth]

It is a pleasure to serve under your chairmanship this afternoon, Mr Robertson. My purpose in trying to amend the Bill, working with the noble Lords, on Second Reading and here in Cttee, has always been safety, following the representation made by my constituents, Donna and Scott Hussey, about their tragic loss. I am grateful to the Minister and Baroness Sugg for their support through the Bill and for the wider campaign on the family’s behalf.

My main issue with the Minister’s amendment was the loss of “comprehensive”, without specifying any new consideration. That led me to be concerned about the Government making a further report based on the existing data, which would not take us any further forward than we were before the Lords debated it. I therefore tabled the amendment to push the Government to make an assessment of roadworthiness and, as we have just said, of compliance, which would inform that report.

I am assured by the Minister’s comments. He has said that they will look at the existing data and what else needs to be included. Although he reiterated that the data is considered comprehensive, those statements acknowledge the need to look further and wider.

On the STATS19 form, the Department has admitted that it is difficult for a police officer who attends the scene after an accident to identify the factors that contributed to that accident. For those who have not read it—I can send it round—the STATS19 form is hugely complicated and difficult. Hon. Members can imagine filling it in on a quiet road of a dimly lit evening and deciding what it is necessary to report in it. It is the basis of the evidence collated. There are 78 factors to choose from. It is a subjective issue for the police, who I have been working with to inform the system from the bottom up. That is my concern—that we look more widely at doing that. The Minister has heard that loud and clear on a few occasions, and I look forward to working with the civil servants to try to address it.

My work in the last three years has convinced me that the wider issue is weight and its distribution. Driver awareness is really important, and I am grateful to the DVSA for its campaign, which will continue. On driver behaviour, we want to make driving with an unsafe trailer as socially unacceptable as drink-driving or driving with a mobile phone. As my hon. Friend the Member for Rotherham said, tow bars and their attachments are also very important. Those issues apply in the commercial and non-commercial sectors, which is a point that has been made well today, including by my hon. Friend the Member for York Central.

I, too, have met the National Caravan Council, which is concerned about the issue. It has been running a scheme for several years, as have others. We need to learn from best practice across the industry. No one wants to have unsafe trailers on the road, and I look forward to working with all those organisations to continually get the best data, share good practice and inform the report.

Air Rifles

Debate between Karin Smyth and Rachael Maskell

Monday 9th October 2017 Commons Chamber

[Karin Smyth]

I am grateful for that intervention, and I certainly want to learn from other hon. Members’ experience and work in this area. I assured the Studley family in my constituency that, on issues such as this, hon. Members will work together cross party to achieve the best legislation.

In his speech last year, my right hon. Friend the Member for Delyn informed the House that 17 children had died as a result of air weapons in the last 27 years. Sadly, it appears that that number has risen again, and I repeat that we need to do something about that. I ask the Minister to reconsider the response given last year to my right hon. Friend; it is simply not good enough to review the text of a leaflet.

In this House, on 20 April, the then Leader of the House of Commons, the right hon. Member for Aylesbury (Mr Lidington), told me the Government have

“no plans to ban or licence”—[Official Report, 20 April 2017; Vol. 624, c. 801.]

air weapons, on the basis that misuse applies only to a small minority of people. Many of the people we represent would argue that many of the laws that currently protect them from all sorts of heinous acts are in place to protect them from a small minority, and even if only a small minority is affected, the consequences of their actions are grave and merit our attention, regardless of the numbers.

Many hon. Members share an interest in animal welfare, and I would add that, since successfully securing this debate, I have been contacted by Cats Protection, the International Fund for Animal Welfare and others.

[Rachael Maskell (York Central) (Lab/Co-op)]

My hon. Friend is making an excellent speech. I became aware of this issue when cats in my constituency were shot and I looked into it. We now know that over 1,800 cats have been shot since 2012. Cats Protection has a live petition, which already has 72,000 signatures, calling for the licensing of airguns. Does my hon. Friend agree that it is time we updated our legislation in line with Scotland and Northern Ireland?

[Karin Smyth]

I am grateful to my hon. Friend for her intervention and I know from my reading of previous debates that she has done a lot of work on this issue. I shall certainly be asking for more updates on the comparison with Scotland to identify whether that is the right way to go.

Most of the law in England and Wales on air weapons dates from the 1960s and it is time properly to re-examine the legislation to see whether it is fit for the 21st century. When an issue has such a devastating effect on the lives of families with such regularity, I would expect the Government to be considering such action already. It is for the Minister to decide what any review should cover, but at the very least I would expect a detailed consideration of licensing in the light of the change to the law in Scotland; of whether the fitting of trigger locks should be mandatory for all new air weapons sold; and of whether the reasonable precautions requirement on all airgun owners for the safe storage of air weapons and ammunition is adequate. My constituents are also interested in laws governing the registration and transfer of these weapons and would be grateful for an explanation of the current position and any proposed changes.

I am grateful for the opportunity to raise these questions and stress in closing that the purpose of my securing this debate is not to ban air weapons outright. It is about their safe use. I want children and young people in my constituency to be protected from future tragedies like those that have been all too common in recent years. Surely Bristol South’s children deserve the same protection as children living in Scotland.