Oral Answers to Questions
Debate between Liz Twist and Steve Barclay(4 years, 10 months ago)
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Liz Twist (Blaydon) (Lab)
The Secretary of State for Exiting the European Union (Stephen Barclay)
Ministers and officials in the Department for Exiting the European Union have regular discussions with their counterparts in the Department of Health and Social Care, who are working closely with industry to ensure that the NHS and patients are prepared for all exit scenarios.
Liz Twist
Before March, the NHS was stockpiling medical supplies, including body bags, medicines and blood. Many people with long-term conditions fear that essential drugs or specialist food supplies such as those for people with PKU—phenylketonuria—will not be available. What discussions is the Secretary of State having with the Secretary of State for Health and Social Care to ensure that medicines and other medical supplies are consistently available, on time, for people who need them?
Stephen Barclay
The hon. Lady raises a very important point—one that has, sadly, been subject to quite a lot of misleading scare stories. She will have seen the written statement we published yesterday setting out steps we are taking to ensure the smooth flow of goods, and medicines will be the priority within that. She will be aware that it is not simply an issue of flow, but also of stock and of regulation. The Department of Health, in particular, is doing considerable work on these issues.
NHS Wholly Owned Subsidiary Companies
Debate between Liz Twist and Steve Barclay(6 years, 1 month ago)
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Stephen Barclay
The trust has stressed that the organisation remains in public ownership. Let me deal with the hon. Gentleman’s substantive point—it was also raised by the hon. Member for Bradford South— that this is about exploitation. I discussed that point with the trust ahead of the debate.
Previously, the trust had difficulty in attracting and retaining quality maintenance staff because the salaries paid in the local market were about £19,000 per annum. Under the subsidiary company, multi-skilled craftspeople are employed at about £25,000 per annum, plus a performance bonus, attracting better-qualified staff and ending retention issues, in exchange for the fact that they do not have access to the NHS pension.
Stephen Barclay
I will happily give way to the hon. Lady in due course.
That is not about exploitation; it is about empowering members of staff. They get higher pay in the short term in return for a less generous pension. The hon. Member for Stockton North might disagree—
Stephen Barclay
I signalled that I will give way to the hon. Member for Blaydon. She called the debate, so she should go first.
It is not accurate to say that this is simply about exploiting people if their base salary is increasing from £19,000 to £25,000, as it is in that trust. One can look at the wider bundled package of benefits and total remuneration, but one cannot describe a salary increase of £6,000 as exploitation.
Liz Twist
The Minister is raising an issue of great concern to me, which I have discussed with the chief executive of the foundation trust, so this is not coming as news to him. If we move away from a structured pay system and give additional salary payments over and above allowed recruitment and retention bonuses, we are laying the trust or the organisation open to the claim that they are not providing equal pay for work of equal value. A huge amount of work went into creating “Agenda for Change” to avoid exactly that problem and to address recruitment and retention.
Stephen Barclay
The hon. Lady is ignoring the fact that that already happens in the NHS, for existing trust staff: some staff opt out of the NHS pension, and not all the staff who TUPE-ed across in this arrangement were in the NHS pension. Once again, those on the Labour Benches want to deny the choice and options that apply to NHS staff.
Stephen Barclay
Within the NHS as a whole—nothing to do with subsidiaries—there is a range of treatment of staff on pensions. First, there are the legacy pension arrangements for staff in previous schemes and, secondly, people opt out of existing pension arrangements in the NHS. Again, it is a complete mischaracterisation of this debate on subsidiaries to suggest that there are differences. The point, however, is that there are also differences in pay, as has come out of this debate: the maintenance staff for whom the trust is paying a premium can be paid so because of the subsidiary.
Liz Twist
I thank the Minister for giving way—the only way I can get a response in is by intervening. I have a few separate points. First, on the Labour legislation, is it not strange that the subsidiary companies have only started to appear in this form since 2014? As my colleagues said, that is a reflection of the fact that we have a shortfall in funding for the NHS. Secondly, I want to mention the path lab example the Minister gave. As I said in my speech, there is no reason why existing NHS staff in the NHS trust cannot make the improvements—they do all the time—
Motion lapsed (Standing Order No. 10(6)).