Oral Answers to Questions

Debate between Kevin Hollinrake and Peter Aldous

Thursday 25th January 2024 Commons Chamber

[Peter Aldous (Waveney) (Con)]

1. What steps she is taking with the Chancellor of the Exchequer to help increase access to finance for small and medium-sized enterprises.

[The Parliamentary Under-Secretary of State for Business and Trade (Kevin Hollinrake)]

Please may I take this opportunity, Mr Speaker, to pay tribute to Tony Lloyd? I worked with him very closely on the all-party groups on poverty and fair business banking. He was a thoroughly decent man. On behalf of myself and the Department, I pass on our deep condolences to his friends and family.

The Government work with the British Business Bank to improve access to finance for smaller businesses through targeted programmes, such as the £12.4 billion of finance that is backing more than 90,000 businesses across the UK and the £1 billion in start-up loans for 105,000 small businesses since 2012.

[Peter Aldous]

I am grateful to my hon. Friend for that reply. Many SMEs and new businesses are finding it increasingly difficult to open a bank account and to then obtain the support and services that used to be available in the rapidly diminishing branch network. What steps is he taking to address those challenges that SMEs are facing?

[Kevin Hollinrake]

My hon. Friend raises an important point. Leading banks and alternative lenders are committed to the SME finance charter to help small businesses and start-ups. We continue to work with the UK finance and banking industry to make sure that SMEs have the support from banking services that they require. Many leading challenger banks, such as Metro, Aldermore and Starling, provide additional application support. Banking hubs are also available for those without a bank on their high street to offer face-to-face support. Thirty have already opened, and 70 more are in the pipeline.

Horizon: Compensation and Convictions

Debate between Kevin Hollinrake and Peter Aldous

Monday 8th January 2024 Commons Chamber

[Kevin Hollinrake]

The hon. Lady is absolutely right. These are complex matters, and there are two ends to the compensation journey. One is the compilation of a claim by the claimant, which may include legal advice and assessments of health conditions, for example, so it can take time to compile a claim.

Under the GLO scheme, which is the most recent scheme, we have committed to responding to 90% of claims within 40 days. We believe we have the right level of resources at our end to make sure we can respond fairly and quickly. The assessments are made on the compensation side by independent individuals and panels. We think it is a good process and we think it is resourced properly but, of course, we will continue to give it proper oversight.

[Peter Aldous (Waveney) (Con)]

No current or former sub-postmaster in the Waveney constituency had been in touch with me before today, but I have received two emails today from constituents whose lives have effectively been destroyed. This raises two questions. How many people were simply bullied and intimidated into keeping quiet and paying up? And what justice and recompense will be available to them?

[Kevin Hollinrake]

Although it is tragic to hear that anybody has been involved in these kinds of cases, it is good to hear that people are coming forward. Again, one of the added benefits of the dramatisation is that people are more willing to come forward, and we have seen a good number coming forward. I am very happy to make sure that my hon. Friend’s constituents are pointed in the right direction and that they have access to the appropriate scheme to get compensation, because they should be compensated to the degree of both their non-pecuniary losses, for any impacts on, for example, their health or any distress or reputational issues, and of their financial situation, as we return them to the position they were in prior to the episode taking place. We are keen that his constituents get access to those schemes.

Oral Answers to Questions

Debate between Kevin Hollinrake and Peter Aldous

Thursday 14th September 2023 Commons Chamber

[Kevin Hollinrake]

The hon. Member raises an important point about the cost of living impact on businesses. These are global issues, not domestic issues, and she should be clear on that with her businesses. As I said in response to the question from her hon. Friend, the hon. Member for Edinburgh North and Leith (Deidre Brock), the Scottish Government might look at increasing the generosity of the business rates relief scheme, as the rest of the UK has.

[Peter Aldous (Waveney) (Con)]

In the period leading up to 2021, sector deals were a very effective means of boosting productivity, innovation and skills in such sectors as aerospace, AI and offshore wind. What plans are there to review, revitalise and extend those effective public-private sector partnerships?

Oral Answers to Questions

Debate between Kevin Hollinrake and Peter Aldous

Thursday 18th May 2023 Commons Chamber

[Kevin Hollinrake]

Paying the national living wage is the law, and failing to pay workers the correct wage can result in significant fines, public naming and, for the most serious offences, criminal prosecution. The national living wage applies to all those who are classified as employees or limb (b) workers. If an individual feels that their employment status has been misclassified, they have the right to go to an employment tribunal.

[Peter Aldous (Waveney) (Con)]

T1. If she will make a statement on her departmental responsibilities.

Access to NHS Dentistry

Debate between Kevin Hollinrake and Peter Aldous

Thursday 10th February 2022 Westminster Hall

[Peter Aldous]

While there are particular problems in rural, coastal and more peripheral locations, which it is difficult to get dentists to move to, it is clear from looking around the Chamber today that the problem is not confined to such areas and is an issue in metropolitan areas as well. Sir Robert Francis, chair of Healthwatch England, has commented:

“Every part of the country is facing a dental care crisis, with NHS dentistry at risk of vanishing into the void.”

I believe there are five issues that need to be tackled to address the problem. First, a secure, long-term funding stream must be provided. Secondly, we need to step up the recruitment and retention of dental professionals. Thirdly, it is vital that work on the new NHS dental contract, which has been being developed for more than a decade, is completed as soon as practically possible. Fourthly, it is important to highlight the role that water fluoridation can play. Finally, there is a need for greater accountability and for dentistry to have a voice in the emerging integrated care boards and partnerships.

[Kevin Hollinrake (Thirsk and Malton) (Con)]

I congratulate my hon. Friend on securing this important debate. Another point that needs developing is that in Helmsley, in my constituency, the commissioners have still not recommissioned services after 20 months. The commissioning of dental services by the NHS is simply too slow and too bureaucratic. It is a real deterrent for new dentists to take these contracts.

[Peter Aldous]

I thank my hon. Friend for that intervention, and he is right. There has been a recent procurement process in East Anglia, but it has been only half successful. There are places that have not been able to get dentists to fill those voids.

Figures published in March 2020, before the pandemic, show that 25% of patients new to practices in England could not get an appointment. The situation has got worse: the most recent figures, from 2021, show that that number has increased to 44%; in my area, it is 56%. Dentistry was locked down from March to June 2020 and the ongoing restrictions on dentists—fallow time between appointments—are still limiting the ability to see more patients.

The latest figures on workforce, published in August 2021, show that 951 fewer dentists performed NHS dental activity than 12 months earlier, with 174 of those losses in the east of England. Those figures confirm that parts of England are becoming dental deserts; beyond Suffolk and Norfolk, that includes the east Yorkshire coastline, Cornwall, Portsmouth and the Isle of Wight.

The lack of access to NHS dentistry has a fivefold impact on patients. First, millions are missing appointments. Secondly, there has been a significant increase in DIY tooth extraction. Thirdly, the poor are hit hardest. Fourthly, mouth cancers are going undiagnosed. Finally, children are suffering. This very serious situation has been confirmed by the “Great British Oral Health Report” carried out by mydentist.

I apologise for going on at length, Mr Efford, but it is important to emphasis the crisis we are facing. I will now briefly outline some of the solutions. The first issue that must be tackled is getting more dentists and dental practitioners working in the NHS. The Association of Dental Groups has put forward its “six to fix” proposals for solving the workforce crisis, which I will summarise. First, we need to increase the number of training places in the UK. That is a long-term measure. Secondly, in the short term, the Government should continue to recognise EU-trained dentists. Thirdly, there needs to be a recognition of other overseas qualifications. We have an opportunity to make more of our links with Commonwealth countries such as India, which has a surplus of highly skilled English-speaking trained dentists.

Fourthly, the process for overseas dentists to complete the performers list validation by experience—or PLVE—so that they can practise in the NHS must be simplified and sped up. Fifthly, whole teams in dental practices should be allowed to initiate treatments. The largest barrier to better use of the skills mix under the current NHS contractual arrangements is that allied dental professionals are unable to open a course of treatment, which means they cannot raise a claim for payment for work delivered.

Finally, the Government must create a new strategy for NHS workforce retention. The current contract through which NHS dentistry is provided was introduced in 2006 and for some time it has been widely recognised as not being fit for purpose. It is a major driver of dentists leaving NHS dentistry. Reforming the NHS contract is needed to deliver better access and preventive care so as to improve the nation’s oral health. Flexible commissioning, aimed at increasing access to vulnerable groups such as those in care homes should be an important part of the reform. The current dental contract is target-based, and it was accepted before the pandemic that it needed to be reformed. We must complete that reform as soon as possible. I would welcome an update from the Minister as to progress on that and when we might see a new contract.

It is important that NHS dentistry receives a sustainable long-term financial settlement and not a short-term fix. Additional funding is vital if long-term and sustainable improvements to NHS dentistry are to be secured. The pledge of £50 million on 25 January for a dentistry treatment blitz is welcome, and £5.73 million is available to the east of England. However, that is a time-limited one-off injection of funding that is available only until the end of March, and there is a concern that it will barely make a dent in the unprecedented backlogs that NHS dentistry now faces. The British Dental Association estimates that it would take £880 million per annum to restore dental budgets to 2010 levels.

Since my Adjournment debate on NHS dentistry in Waveney last May, there have been improvements to the local service, which it is important to acknowledge. A temporary contract was awarded to a Lowestoft-based NHS dentist to see additional patients, which has definitely helped prevent the situation from getting any worse. Tomorrow I shall be with Community Dental Services, which along with Leading Lives, a Suffolk-based not-for-profit social enterprise, is launching its toolkit to help improve the oral health of people with learning difficulties. It is also good news that from 1 July a contract has been awarded to Apps Smiles for the delivery of NHS dentistry in Lowestoft, but it is concerning that it was not possible to do that in nearby Leiston and across the border in Norfolk, in Fakenham and Thetford. It will be interesting to receive further details as to why that happened, but one can speculate dentists might not have been interested in those opportunities and might have been put off by the existing, unattractive contract.

I have concerns about the procurement process that go back a long time. I am concerned that it does not encourage traditional partnerships to put forward proposals. I urge the Minister to carry out a whole review of the procurement process.

A vital strand of NHS dentistry should be the prevention of oral health challenges—prevention rather treatment. Fluoridation of water supplies can play a vital role in that, so it is welcome that the Health and Care Bill allows for it. There is also a need for greater accountability.

Income tax (charge)

Debate between Kevin Hollinrake and Peter Aldous

Tuesday 17th March 2020 Commons Chamber

[Peter Aldous]

I thank my right hon. Friend for that intervention. I have internal drainage boards in my constituency, although I sense they may not be such big players as those in the fens in his constituency. From what I see of them, however, they are the ones who know the local area best and are best placed to come up with tailored, bespoke solutions.

[Kevin Hollinrake]

My hon. Friend briefly mentioned the Green Book. One of the reasons the A64 in my constituency has not been dualled is that, according to Highways England, it was competing with the Oxford to Cambridge corridor and the lower Thames crossing. How ludicrous is that? How easy would he feel explaining to his constituents that such an iniquitous situation is baked into the system for deciding where money is invested?

[Peter Aldous]

I thank my hon. Friend for raising that issue. The Green Book is long overdue a complete overhaul. It has held back communities all around the country—those we are looking to help with their issues—for far too long. It is right that we are now getting on with giving it a complete, radical overhaul.

My second request to the Government is not to forget the east. Our region is a net contributor to the Treasury, notwithstanding that at present we get poor local government, education and transport funding settlements. With the right investment, we could deliver so much more. The New Anglia local enterprise partnership recently published its report “Delivering an infrastructure revolution in Norfolk and Suffolk”, which outlines 12 connectivity infrastructure improvements that will boost productivity and make us global leaders in clean growth. I will not list the “clean dozen”, but I urge the Government to study these compelling schemes closely and to respond positively.

The third aspect of levelling up is to highlight the threat to our towns and their high streets, which are the heart of local economies all around the UK. There is an urgent need for towns to reinvent themselves. With the towns fund, the Government have recognised that, and Lowestoft is one of 101 towns eligible to bid for money that can be used to promote change and attract inward investment. That needs to be accompanied by a comprehensive reform of, and quite probably a replacement for, business rates. It is good news that the Government are committed to a fundamental review, although we have been talking about that for a long time and we now need to get on with it.

Investment in bricks and mortar and in concrete and steel is very important, but it is investment in people that matters most. The fact that the Government recognise the importance of further education in achieving levelling up is extremely good news. The additional £1.5 billion for capital investment in further education colleges and the £5 billion national skills fund to improve adult technical skills are welcome, and it is very good news for colleges like East Coast College, which last week achieved a good Ofsted rating. Those announcements follow on from the increase in revenue funding for 16 to 18 education that was announced last autumn, although there is still some way to go to get that day-to-day funding up to a sustainable level that will enable colleges to provide the full education, training and support needed to properly prepare young people for the workplace.

In conclusion, I welcome the Budget and I support its ambitions. I believe we are pursuing the right course. That said, there are hazards, obstacles and pitfalls lying immediately in front of us. It is important that the Government are flexible, and prepared to adapt and vary policy to meet challenges that will suddenly present themselves.