Hospital Car Parking Charges

Debate between Lilian Greenwood and Yasmin Qureshi

Monday 1st September 2014 Commons Chamber

[Yasmin Qureshi (Bolton South East) (Lab)]

I congratulate the hon. Member for Thurrock (Jackie Doyle-Price) on securing this debate. I start with the point on which she finished, which is that the NHS is supposed to be free at the point of use. When we set sometimes exorbitant charges at different hospitals, we are effectively taxing the ill and their families.

Members have talked about the families of patients in hospital for the long term, with all the costs involved for relatives who visit them. This is honestly not a party political point, but in 2009, when my right hon. Friend the Member for Kirkcaldy and Cowdenbeath (Mr Brown) was Prime Minister, the Labour party suggested that those who had family members in hospital for a long time should get special permits to enable them to visit without having to pay each time, but that was scrapped in 2010 when the current Government came in. I ask them to reconsider that proposal. One way in which they could act very positively would be to have a similar provision such that the family of those in hospital for the long term can get and use special permits. That would certainly deal with the problem of the long-term ill.

There is another group of people whom we have not mentioned. We now have an elderly population and most older people have not just one health issue, but several health complications, so they often end up having to go to hospital to see consultants and doctors for six, eight or nine different illnesses or health issues. Each time they go, they or the person accompanying them has to pay hospital parking charges.

I give the example of my mother, who is 82 years of age. She has several different health issues, and every time I take her to my local hospital—I am her carer—it costs £3, just for five or 10 minutes. I am in the privileged position of being able to afford that, but there are many people in my constituency, who have caring responsibilities for adult and often elderly family members, who may only be on the minimum wage.

[Lilian Greenwood (Nottingham South) (Lab)]

Does my hon. Friend agree that for the many elderly people who do not drive, public transport is a really important issue, just like parking charges? Is she aware that Queen’s medical centre in Nottingham is soon to have the first dedicated hospital tram stop, which will improve access for older and disabled people in particular?

[Yasmin Qureshi]

I did not know about the Nottingham tram, but I am pleased that people there will have a tram stop to deal with the problem. Something like that would be brilliant in my constituency. There is a bus that goes to my hospital, the Royal Bolton, but because of its location the service is not frequent, so getting there is quite difficult. Such public transport solutions can help people as well. My hon. Friend is absolutely right that many older people cannot drive, so they also have that challenge.

Perhaps we do not think enough about the number of appointments most older patients have, as do those who are generally ill and have to go in and out of hospital for appointments numerous times. The way forward may be to abolish car park charging full stop, so that a scheme can be applied nationally. The minute we have a discretionary system and leave each hospital trust to decide for itself, some—perhaps because where they are located means they have a large parking space—can charge a small amount, such as 50p, while other hospitals that lack space because of where they are must charge a bit more. Leaving things to discretion means having, as everyone says, a postcode lottery. A better solution might be to make special dispensation, across the whole country, for those going to hospital appointments or those who are in hospital for some days.

Although I have a legal background, I am not normally an advocate for a lot more law, because it is not always a good idea to have loads of legislation. In this case, however, it is worth thinking about having legislation or a directive with the even more novel approach of abolishing such charges altogether. At the end of the day, nobody goes to hospital for pleasure; they go out of necessity and because they are unwell. Therefore, a hospital that raises £500,000 or £1 million, with all the budget it has—

Rolling Stock (North of England)

Debate between Lilian Greenwood and Yasmin Qureshi

Wednesday 12th March 2014 Westminster Hall

[Yasmin Qureshi]

rose—

[Lilian Greenwood]

I am sorry, but I am not going to give way, as we have limited time.

We heard powerful examples of the difficulties commuters face from hon. Members from across the House, including the hon. Members for Cleethorpes (Martin Vickers) and for Southport (John Pugh), my hon. Friends the Members for Kingston upon Hull North (Diana Johnson), for Hartlepool (Mr Wright) and for Gateshead (Ian Mearns) and, briefly but eloquently, my hon. Friends the Members for Middlesbrough (Andy McDonald), for Stalybridge and Hyde (Jonathan Reynolds) and for Bolton South East (Yasmin Qureshi). As First TransPennine Express has said, even a relatively small reduction in the size of its fleet could have a profound impact on services. The company said:

“Our timetable from May 2014 through to the end of our current franchise term requires all of our existing fleets to be able to deliver the significant capacity increase that we have committed to provide. Similarly, the same total number of vehicles would be required to sustain the same level of service into the new ten-month franchise extension period from April 2015.”

If replacement rolling stock is transferred from Northern Rail, the same problem will be repeated. Passengers, transport authorities and operators now face years of uncertainty over rolling stock availability before electrification is completed. Drivers cannot be trained and new services cannot be planned. If still more trains are lost, those problems will only become more unmanageable.

I understand that Chiltern’s agreement to operate the Class 170s contains a sub-lease that would allow the trains to remain in use on the trans Pennine routes until replacement rolling stock can be found. I also understand that the Department for Transport, First TransPennine Express and Chiltern Railways are parties to that lease. Will the Minister tell us whether the sub-lease can go ahead only with the full agreement of the Department and Chiltern Railways? It is important that we have an answer to that question and to the other questions that hon. Members have raised today.

When the Minister responds I hope that he is not tempted to downplay the issue by saying that this situation is simply part of the normal process of cascading rolling stock. If that is so, why is the industry press reporting that the loss of the Class 170s is

“likely to produce a serious reduction in capacity”

on the TransPennine routes? As my hon. Friend the Member for Liverpool, Riverside (Mrs Ellman), who chairs the Transport Committee, has said,

“this issue is causing considerable uncertainty over the future viability of TPE’s timetable.”

The Minister might say that this is simply a matter for the market to decide, and, of course, the split between infrastructure, train operators and rolling stock companies was established in the botched privatisation by the previous Conservative Government. However, if it is simply something for the industry to decide, why has the Department been involved in discussions between Chiltern Railways and the rolling stock leasing company at every stage in the process? He might try to insist that the situation is simply business as usual, but after today’s debate, that simply would not be credible. The problem is the direct consequence of the panicked direct awards programme introduced following the collapse of the west coast competition. In turn, that was caused by Ministers imposing their new franchise model on one of the most complex routes in Europe. At every stage, Ministers are directly accountable, and they will be accountable for any reduction of services that results from that chain of events.

The truth is that, for all the talk of cutting red tape, the coalition will leave a record of five years of disastrous decisions in Whitehall, a top-heavy failure to manage key projects, and a huge expansion in the Department’s involvement in the rail network. I accept that the Minister may be an unlikely occupant of a Marxist universe, but perhaps we should not be surprised by the coalition’s switch to old-fashioned command and control. After all, last year, the Business Secretary said that a “rail revolution” was taking place. With services threatened and rolling stock taken away, we now know what the rallying cry of that strange revolution—it unites MPs across party boundaries—will be: “Passengers of the north, unite! You have nothing to lose but your trains.”

Season ticket prices have risen by an average of 20% since the election. Passengers deserve better than this. The Government must face up to the scale of the problem, set out a clear plan for meeting the north’s rolling stock requirements and get the improvements in the region’s rail services back on track.