Health, Social Care and Security

Debate between Kevin Barron and Anne Main

Wednesday 28th June 2017 Commons Chamber

[Sir Kevin Barron (Rother Valley) (Lab)]

It is a pleasure to follow the hon. Member for Totnes (Dr Wollaston), who chaired the Health Select Committee in the last Parliament.

It is now widely accepted that the adult social care sector in the UK is in a state of crisis. Over recent years, funding has fallen and demand has risen, and the sector has not kept pace. The Queen’s Speech has failed to address the long-term funding issues behind this crisis that are currently overwhelming not only the social care sector but the NHS. Our hospitals and surgeries are full, social care is on its knees and staff are working under impossible conditions in a system struggling to cope. The Government’s choice to provide less funding than the health service needs is compromising safe staffing levels. They talk about providing extra funding, but this is set against the backdrop of enforced savings in the NHS that are far in excess of the extra money that they tell us, in every debate, that the NHS is going to get.

It is wrong and counterproductive to look at social care simply as care for the elderly. Nearly 33% of all the people receiving long-term social care in 2015-16 were under 65 years of age. They account for almost 50% of the expenditure on social care, at approximately £6.6 billion a year. Working-age adults with a learning disability accounted for 33% of the total expenditure, at almost £4.6 billion a year. We need to recognise the full cost of social care in this country and decide how those costs are going to be met. In the fading final few months of the last Labour Government, tripartite talks took place between Labour Ministers, Conservatives and Liberal Democrats about how to meet those costs. Two Members who have spoken today—the right hon. Member for Mid Sussex (Sir Nicholas Soames) and the hon. Member for Totnes—have emphasised that we need, as a nation, to take control of this. If any example is needed, it is the shambolic mess that the Conservatives got into during the general election campaign. Was there going to be a cap? Was there not going to be a cap? We need to take national action on this, and the sooner the better.

As a past officer of the all-party parliamentary group on smoking and health, I urge the Government to publish the new tobacco control plan. We have been waiting some 18 months for it now. A great deal was achieved under the previous plan: progressive tobacco control legislation was introduced; smoking rates among adults and children have fallen below the target levels; and rates of smoking during pregnancy are very nearly below 10%, which is a huge improvement on a decade ago. This is why Britain is a world leader in tobacco control, with the UK coming top in a European survey measuring the implementation of key tobacco control policies and passing legislation that goes further than the requirements set out in European Union directives.

[Mrs Main]

Does the right hon. Gentleman share my concern that those improvements might start to tail off, now that the EU tobacco directives include vaping, because it is becoming more and more difficult for people to take up vaping and get themselves off cigarettes?

[Sir Kevin Barron]

As I was saying, we have gone much further than the European directives have told us to do. My understanding is that the new tobacco control plan will have vaping in it. NHS England has told us that vaping is 95% safer than using cigarettes, and it is not a way to get into cigarettes. Some 2.8 million smokers have voluntarily gone on to vaping, which is 95% safer, and we need to ensure that the action plan for tobacco recognises that fact. More will need to be done to support vaping, perhaps in public places as well.

Health and Social Care

Debate between Kevin Barron and Anne Main

Monday 13th May 2013 Commons Chamber

[Mr Kevin Barron (Rother Valley) (Lab)]

I have to say to the hon. Member for Mid Bedfordshire (Nadine Dorries): welcome back to the Conservative party. I heard what she has been saying today from the Conservatives about 20 years ago. It led to their spending 13 years in opposition, and I hope it has the same result in a couple of years’ time. I look forward to that.

This debate seems to be more about what is not in the Queen’s Speech than what is, but immigration and access to the national health service are addressed, and the tone of this debate has been quite distasteful. We know that, from time to time, some of our constituents go to work in other European economic area countries; they pay their taxes and social insurance contributions there, and as a consequence they are allowed to obtain health care in those countries. Immigrants are not coming to this country to use our national health service, and they do not use it for free: they pay, as they should.

We need be very careful when we talk about people moving around Europe. Tens of thousands of our fellow citizens have gone to live in Spain, Portugal and France, not to work but to retire. If they return to this country en bloc, consider the impact on the health service, social care and care for the elderly. We need to have a rational debate on this issue.

[Mrs Main]

In the last Parliament, I was privileged to serve on the Communities and Local Government Committee. We produced a report on community cohesion and integration under the right hon. Gentleman’s Government. It said that the pace of change, the resources and facilities were all wrong, and many of the communities we visited said that. He needs to show a little humility when talking about immigration and numbers, because his own Government condemned the situation in that report.

[Mr Barron]

It was not a Government report but a Select Committee report, and I do not remember it, quite frankly.

Community cohesion is important and has been important in this country for centuries—not just since we joined the European economic area or the EU expanded to 27 countries, with people having the right to come and work here, as indeed we have the right to go out and work in other EEA countries. A lot of this debate is distasteful and is not the truth. In a recent by-election, a political party that is not represented here and I hope will not be was saying that, as of January next year, probably nearly half the population of Bulgaria will come and work in this country. That is nonsense, and neither Back Benchers nor Front Benchers should have a knee-jerk reaction to that type of debate. We should have sensible debates about what immigration does or does not do in this country.