(2 years, 6 months ago)
Commons ChamberMy right hon. Friend’s point is important and well made, and I will look at the issue closely and get back to him, if I may.
As we have already heard today—but it is such an important point—the challenge for NHS dentistry predated the pandemic. It is not just about the number of dentists in England, but about the completely outdated contracts under which they are working, which were signed under a Labour Government. [Interruption.] Labour Members do not like it, but it is true. These contracts mean that we are operating almost with one hand tied behind our backs. They do not incentivise prevention, they hold back innovation, and they mean that hard-working families cannot get the dental services that they deserve. However, we will now be changing that; our work with the sector, along with the work of Health Education England on recruitment and retention, will be vital for the future.
I will in a moment.
If there is one thing that unites all our work on primary care and dentistry, it is this. We are shifting to a new mode of operating—one that is about helping the whole population to stay healthy, not just about treating those who ask for help. We need to get to a place where we are healthier for longer, because freedom is hollow without our health.
Our new Health and Social Care Act 2022 is an important step in that ambition. Statutory integrated care systems will be responsible for the funding to support the health of their respective areas—not just treating people, but helping people to stay healthy in the first place. The Act also allows us to make safe and effective public health interventions such as water fluoridation, and we will set out further plans for that shortly.
Prevention, personalisation, people and performance: those will be our watchwords for modernising NHS services. They will sit at the heart of everything to come, from the health disparities White Paper to the update of the NHS long-term plan. While the Opposition continue to go off the rails, we remain firmly on track, laying down our plans to deliver a truly 21st-century offer for the profession and, most of all, for patients.
(2 years, 11 months ago)
Commons ChamberFirst, I agree with my hon. Friend about the points she has made on these issues. On her final point about travelling, as she has seen just in the last few days, the UK Government keep our travel rules under constant review. The moment we have been able to safely remove any of those rules based on the evidence, we have done so, and I know my hon. Friend has respected that. When it comes to the rules of other countries for British citizens wishing to travel for holiday, business or otherwise, those are of course their rules. However, we are working at many levels—in my Department, the Department for Transport, the Foreign Office and others—with those countries to see how we can best co-ordinate on such rules.
I am delighted that JVT is returning to the University of Nottingham, but I am worried about what he will hear from local clinicians. This week, I received an email from a doctor working in our local NHS. She says:
“I am crying as I write this. For years now the talk has been that the NHS is ‘at breaking point’. Well that point has passed. We are broken. We are on our knees.”
Of course, covid has taken a huge toll on staff, but we went into the pandemic with huge waiting lists and chronic staff shortages as a direct result of under-investment and mismanagement over the previous decade. Has not the right hon. Gentleman’s party failed my constituent and her NHS colleagues?
As I have mentioned, JVT’s move is the country’s loss, but Nottingham’s gain, and I am glad that the hon. Lady is delighted. On investment in the NHS, she will know that, even before covid-19, the Government had already set out, in the long-term plan for investment in the NHS, the extra £30 billion going into the NHS by the end of that period, with huge investment in areas such as cancer care, mental health care and electives. Then during the crisis, which has of course been very challenging for our health and care services, as it has been across the world, we have set out over £40 billion of extra investment, including this year, to help us get through this crisis.
(3 years ago)
Commons ChamberI very much agree: the omicron emergency is UK-wide and all parts of the UK should respond by increasing whatever they are doing on the booster programme further. I think that that view is shared throughout the UK. We will provide more support to Wales, Northern Ireland and Scotland to make sure that they can increase their booster programmes.
Testing and self-isolating are vital in preventing transmission, but for people in precarious jobs who are struggling to make ends meet, it can be incredibly worrying and difficult. Why have the Government still not fixed sick pay so that everyone is properly supported to do the right thing, including those who might be worried about getting their vaccination or booster due to possible side effects and the need to take time off work?
We of course keep under review the support that is available throughout the pandemic. It is important that the House decided to extend the availability of sick pay from day one. There is also a hardship fund that is administered by local authorities.
(3 years, 1 month ago)
Commons ChamberYes, I can certainly make that commitment to my hon. Friend. She may know from the information that the Government have already shared that we identified the significance of this variant only two or three days ago, and we did not hesitate to take action, because, as we have always said, we will protect our borders when it comes to this pandemic.
As the Secretary of State has reiterated, getting vaccinated is vital, and I am looking forward to my booster jab tomorrow. However, as he knows, some groups and some communities are more hesitant and more fearful about being vaccinated. I am conscious that vaccination rates in the city of Nottingham are below those in the wider county, and also that our local health services are already under huge pressure. What is the Secretary of State doing to drive up vaccination rates in areas where there has been low take-up, and will he now offer places such as Nottingham additional support as we head into winter?
I want to ensure that all the support that is needed for our vaccination programme is there, across England. The hon. Lady rightly asked what we were doing to reach out to those who, for whatever reason, have so far been a bit hesitant. We have been working actively for months with many community leaders. We have added many more venues and ways in which to receive the vaccine, so access has been improved. Significant work is also being done on communications and ensuring that the right messages are there, and that people, including clinicians, are available to answer questions. However, the hon. Lady was right to point to the importance of this issue, and I am pleased to hear that she will be getting boosted this weekend.
(5 years, 10 months ago)
Commons ChamberSuccessive Governments have failed the Windrush generation, but it remains this Government’s priority to put those wrongs right. On 8 February, I issued a written ministerial statement to inform the House that the Government response to the Windrush compensation scheme consultation will set out the details of the scheme along with accompanying guidance and rules. The response will be published shortly.
When the Home Secretary was appointed he told this House that it was his first priority to help those affected by the Windrush situation. That was in July last year—over seven months ago. The consultation ended on 16 November, but he still cannot—or will not—tell us when the final details of the scheme will be announced. If this is how he treats his first priority, I would hate to think how he treats the others. When can my constituents expect the compensation they so desperately need and deserve?
It remains a first priority, which is why since I have been appointed we have helped more than 2,000 people through the Windrush taskforce; created the Windrush scheme; helped almost 3,500 people to apply for citizenship; waived thousands of pounds in costs; and set up an urgent assistance programme for exceptional cases. The hon. Lady is right to raise the compensation scheme. It is hugely important that we do it properly and get it right. That is why we have held a consultation, with an independent reviewer, to make sure that we look at all the issues and it is done properly.
(5 years, 10 months ago)
Commons ChamberI am happy to clarify that there is absolutely no cap on student numbers. There is no limit on the number of students we wish to welcome into our country.
Does the Secretary of State share my concern that the rhetoric that has built up around migration is already having an impact on student recruitment? The University of Nottingham tells me that there has been a significant drop-off in recruitment, particularly at postgraduate level. Is not his policy simply exacerbating those problems?
I am sorry, but I do not accept the hon. Lady’s point. The current number of international students in this country—I believe that the figure is more than 450,000—is the highest we have ever had, so the facts do not bear out the hon. Lady’s comments.
This Bill is fundamental to our future immigration system. First, it will end freedom of movement. All related EU legislation that is retained in UK law under the withdrawal Act will be repealed. This will make European economic area and Swiss nationals, and their families, subject to UK immigration rules. Like people from other countries around the world, they will need permission to enter and remain in the UK. In place of that, we will introduce a new system that will level the playing field by ending preferential treatment for EU citizens. It will mean that everyone will have the same opportunity to come to the UK, regardless of where they are from.
The business rates pilot will certainly help Lincolnshire and give it more incentives to attract more local business. Today’s announcement of an additional £15 million for the rural services delivery grant will help Lincolnshire and many other local authorities. If we exclude any extra income from the business rates pilot, today’s announcement will mean £11.5 million of additional spending power for Lincolnshire, which I know will be welcomed.
Whether it is the community protection officers who keep our neighbourhoods safe, the social workers who protect vulnerable children or the workers in libraries, museums, schools and day centres, local government staff are working harder than ever and deserve a pay rise. What resources will the Secretary of State provide to ensure that councils can afford to give them one without making even deeper cuts to services?
I can mention a few changes that will help local councils to deliver services: the increase in the police precept, on which there will be a further statement after this one; the adult social care funding that was provided in the Budget; and today’s announcement of additional flexibility in council tax.
(7 years, 2 months ago)
Commons ChamberUrgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.
Each Urgent Question requires a Government Minister to give a response on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
The House cannot commend enough the work done by the fire service—not just what it did in response to this terrible tragedy, but its work in general up and down the country. With respect to the response to the tragedy, there is no evidence that there was a resource issue; however, it is correct that the ongoing independent inquiries are the ones properly to assess that, not us in this House. I direct the hon. Gentleman to the work that is being done through the independent review of not only building regulations, but fire safety rules and regulations. It is just the kind of thing that the review can look at.
The Secretary of State has confirmed that it is for local authorities to seek expert advice in determining what work is essential to keep tower block residents safe. As my hon. Friend the Member for Eltham (Clive Efford) said, fire chiefs’ advice is unambiguous: the retrofitting of sprinklers cannot be optional or a “nice-to-have”; it is something that must happen. Why, then, did the Minister for Housing and Planning tell Nottingham City Council that sprinklers were “additional rather than essential”? Is he wrong?
We have asked Nottingham City Council for further information. What I have said generally for every council, whether it is Nottingham or others, is that it is for the council to determine what is genuinely essential, and that must be based on expert advice.
My hon. Friend reminds us that it is the legal responsibility of all landlords, whether in the private or public sector, to ensure that their properties are safe for all their tenants. I think that he was also implying that, in the wake of the tragedy at Grenfell Tower, we should be looking at what more can be done.
17. I am concerned that a survey of social landlords carried out by HouseMark has found that they had little confidence that they would be able to take enforcement action under the Housing Act 2004 to ensure that leaseholders complied with fire safety regulations, including through fitting fire doors, which is obviously essential, given what the Secretary of State has just said about keeping all tenants safe. Will he respond to the request from Nottingham City Council, which is seeking additional powers to enable this to happen?
That is an important issue and I will certainly look carefully at that request. It is important that all leaseholders recognise their responsibilities as legal owners of their properties. A number of towers were evacuated in Camden recently and a lot was found to be wrong with the internal fire safety of the buildings, including fire doors that should have been in place but simply were not.
T9. Will the Secretary of State join me in congratulating Nottingham Community Housing Association, which has been recognised by the Almshouse Association for its refurbishment of the William Woodsend memorial homes in my constituency? Will he also listen to NCHA and give it the certainty to enable future investment by dropping his plans to cut housing benefit for supported and sheltered tenants?
I join the hon. Lady in commending Nottingham Community Housing Association and so many other housing associations across the country on their work. I think that the housing association sector welcomes our provision of record funding and of new flexibility so that it can do more of what it does.
I will certainly pass on that request to the Secretary of State for Health, but I know that the whole Department of Health is taking the issue very seriously and is absolutely prioritising any buildings in the NHS estate that may have been clad.
I note from the Secretary of State’s statement that he has asked owners, landlords and managers of private sector residential blocks to consider their own buildings, but there are around 150 such privately owned residential blocks in Nottingham alone. What is he doing to ensure that those owners, landlords and managers do not just “consider” but act to ensure the safety of their residents? What is he doing to support local authorities, such as Nottingham City Council, that are working to secure such reassurances on behalf of their citizens?
(7 years, 10 months ago)
Commons ChamberWhich councils are eligible to be part of the pilot on the 100% retention of business rates and which ones are not?
All councils that are in two-tier areas.
The second key area where we have listened and responded is funding for adult social care. That issue transcends party politics. Local government may have the statutory duty to look after our most vulnerable citizens, but we all have a moral duty to help it to do so.
The spending review put in place up to £3.5 billion of additional funding for adult social care by 2019-20, but we recognise that the coming year is the most difficult in the settlement period for many councils. There are immediate challenges in the provision of care, and they must be met now before those substantial additional resources become fully available. This settlement creates a new £240 million adult social care support grant, and it allows councils to raise the adult social care precept by up to 3% next year and the year after. Together, those measures make up almost £900 million of additional funding for adult social care available over the next two years. That means that the total dedicated funding available for adult social care over the next four-year settlement period is £7.6 billion.
(7 years, 10 months ago)
Commons ChamberWe expect all councils to come up with the right plans for their area. One of the tests that we apply is to ask the independent Planning Inspectorate to look at those plans, which cannot be adopted until they have gone through that process. When my hon. Friend looks at the changes, he will welcome how we have become more robust about that.
Nottingham City Homes recently won national recognition for Palmer Court, its newly built scheme for older people in Lenton, but across our city vulnerable tenants in supported housing are deeply worried by the proposal to cap local housing allowance. If the Secretary of State is serious about providing safe and secure homes, why does he not take this opportunity to drop that proposal?
One of the things the hon. Lady will find in the White Paper is a requirement for all local authorities to account in their plans for everyone in their community, including older people and disabled people. She specifically asks about how we can help supported housing, and there is an ongoing consultation. We are carefully looking at all the issues.
My hon. Friend is absolutely right and I am glad he highlights that point. This issue is not just about money. Of course resources play an important role, and today’s announcement helps with that, but it is also about finding a better way to deliver services. One of the key things that is required is more integration between health and social care, and Oxfordshire is an excellent example of that.
Since 2011-12, Nottingham City Council, which as the Secretary of State knows serves a population with high levels of deprivation, has seen its spending power reduced by 23%, while more prosperous areas have seen their funding rise. As the King’s Fund has shown, the precept will further widen those inequalities. Nottingham city organisations recently won a Health Service Journal award for the quality of their partnership working on integrating health and social care, but the portfolio holder describes them as at “breaking point”. I listened carefully to the Secretary of State’s answer to the hon. Member for Wellingborough (Mr Bone). Will he confirm whether he will take up the offer of a cross-party review to tackle the crisis in social care funding—yes or no?
Turning first to Nottinghamshire, the hon. Lady is right to highlight Nottingham as an example of an area that, through the precept, cannot raise as much as even some of its neighbouring areas. That is why the better care fund, which is already in place, takes account of the tax-raising powers that are available locally. Beyond the precept, the other allocation I have talked about today, the £240 million fund, will be based on need, which will mean a relative benefit for Nottingham. She might be interested to know that the precept alone is worth £12.5 million to Nottingham next year. On talks, I think I have made it clear that I am happy to talk to everyone. This is just such an important issue.
It is very important that local government, whether through the LGA or otherwise, has a say in the process of leaving the EU. I think we all agree that it is important that that is done properly, and I will certainly be taking it up with my right hon. Friend the new Secretary of State for Exiting the European Union.
13. Whether his Department plans to maintain infrastructure investment in deprived communities at the level currently provided by the EU.
(11 years, 3 months ago)
Commons Chamber11. What recent estimate he has made of the effect of fiscal policy on the level of child poverty.
The Government have protected vulnerable groups as far as possible while urgently taking action to tackle the record deficit we inherited. Work remains the best and the most immediate way out of poverty, and the Budget took action to support families and make the tax and welfare system simpler, including further increases in the income tax allowance to take 2.7 million people on low incomes out of tax altogether.
Work remains the best and the most immediate way out of poverty. The hon. Gentleman will be concerned that his constituency saw a 72% rise in unemployment during Labour’s last term in office. It has now fallen under this Government. He is rightly concerned about workless households, so he should welcome the fact that the number of children living in workless households is at an all-time low—the lowest since records began in 1996.
Thirty-two per cent. of Nottingham children live in poverty compared with a national average of 20%, and we have the worst affected local authority in the east midlands. For all the Government’s warm words on early intervention, the city’s early intervention grant has been cut by £2.8 million. Is it not the case that across the country this Government’s policies are making child poverty worse?
I have taken five questions from Opposition Members so far, and not one of them has mentioned plan B; I wonder why. It is not very nice for Mr B. The best way to deal with poverty is by tackling the causes of poverty, and work remains the best way out of poverty. The hon. Lady should welcome the fact that jobs are growing at a record rate in our country, with 1.3 million jobs generated in the private sector in three years and more people employed than at any other time in our history.
(11 years, 10 months ago)
Commons ChamberMy hon. Friend is right to raise this issue, and he has contributed to many debates on it in this House. Making the change would mean lost revenue, and we would have to find another way to cover that loss. He may find it useful if I point out some Government measures that have helped pubs, such as the changes in the annual investment allowance, the cut in the small profits rate of corporation tax and the extension of small rate relief holiday.
Why does the Chancellor refuse to review the impact of alcohol taxation? Is he worried that it will show the effect of VAT on the prices in our pubs, and the impact that is having on our pub sector?
The hon. Lady will know that the beer duty escalator was introduced by her Government. This Government have inherited those plans and are carrying them out. If she does not like this tax, perhaps she could make a stronger case if she tells us how she would cover the lost revenue.
(12 years, 3 months ago)
Commons ChamberI thank my hon. Friend for her welcome. I will take a look at that, but given the amount of money from APD on which the Government rely to deal with the fiscal deficit we inherited, it is appropriate to point out that, if we changed the banding, APD might have to rise for others.
13. What assessment he has made of the effect on families with children of the tax and benefit changes made in 2012-13.
The Government have taken unprecedented steps to increase the transparency of decision making. All but the highest income decile have on average gained from direct tax changes. The Government continue to help and protect the most vulnerable with, for example, increases in the child element of the child tax credit by £180 per annum above inflation in April 2011.
Up to 1,000 households in my constituency face having their tax credits withdrawn this year, and 275 families with 625 children faced losing working tax credit if parents could not increase their hours. Why is the Chancellor trying to balance the books on the backs of hard-working families, and will he concede that children are bearing the brunt of this Government’s failed policies?
Under the previous Government, spending on tax credits was out of control, having risen from £18 billion in 2003 to £30 billion in 2010, meaning that nine out of 10 families with children were eligible for tax credits. This Government have reduced that to six out of 10 by taking a more targeted approach. It is important that we support those on the lowest incomes while ensuring that those who can contribute to deficit reduction do so. There is nothing fair about running huge deficits for our children.