Oral Answers to Questions

Louise Haigh Excerpts

Tuesday 19th December 2017 Commons Chamber

[Mr Speaker]

The challenge is of single-sentence questions and answers.

[Louise Haigh (Sheffield, Heeley) (Lab)]

You may recall, Mr Speaker, that I raised earlier in the year the issue of a private mental health hospital in my constituency where a young woman had MRSA and was infecting staff and patients. Since then, there have been numerous inspections in relation to children having access to ligatures and medicines in order to overdose. Will the Secretary of State commit to a policy to ensure that no child or young person is placed in a mental health facility that is deemed unsafe?

[The Parliamentary Under-Secretary of State for Health (Jackie Doyle-Price)]

I commend the hon. Lady for raising this issue, which she and I have met to discuss before. She is right to highlight the ongoing inspections and issues, and I have written to her to offer to discuss the matter with her again. It is absolutely unacceptable that anybody is placed in a facility that is deemed unsafe.

NHS Pay

Louise Haigh Excerpts

Wednesday 13th September 2017 Commons Chamber

[Jonathan Ashworth]

I have been very generous to Government Members, and the hon. Lady has already had a chance.

The pay cap must be scrapped, and it must be done by giving the NHS extra investment. The self-defeating nature of this policy means that we are already spending £3 billion on agency workers, and the Government have found billions for corporation tax and inheritance tax giveaways, so this new flexibility must mean more investment. We will not tolerate hospital bosses being forced to cut services to find these funds.

[Louise Haigh (Sheffield, Heeley) (Lab)]

Will my hon. Friend give way?

[Jonathan Ashworth]

I have been very generous, and I want to wrap up because a huge number of Members want to speak in the debate.

As the Government are briefing that the pay cap has gone, we expect the Health Secretary or, if he cannot do it, the Chief Secretary to the Treasury to tell us what extra investment will be made available to the national health service in the coming year to get rid of this pay cap. If they are not prepared to put the extra investment in the health service to get rid of this pay cap, we can quite rightly conclude that the consequence will be further cuts to services at the frontline.

NHS Shared Business Services

Louise Haigh Excerpts

Monday 27th February 2017 Commons Chamber

[Mr Hunt]

My hon. Friend is absolutely right—that has been our primary concern. It needs to be our primary concern as we examine the lessons that need to be learned in both the setting and the monitoring of contracts with the private sector, which were clearly deficient in this case.

[Louise Haigh (Sheffield, Heeley) (Lab)]

The Secretary of State was responsible for the entirety of the contract, yet has come to the House to respond to the urgent question and told us that he does not know how the situation came to light to NHS England, and that he has no answers. Mr Speaker, do you think he should have been better prepared today? What assurances can he give us that he now has controls in place to monitor any future contracts?

[Mr Hunt]

The hon. Lady should have listened to the facts when I told her. When this came to light, more than 700,000 records were checked: 2,500 of the higher-risk ones are being checked by two clinicians—80% of them have already been checked. A huge amount of work has been done to clear up the situation. I completely agree with her that it was unacceptable that it happened in the first place, but I gently say to her that we are not the first Government to be let down by suppliers.

Mental Health and NHS Performance

Louise Haigh Excerpts

Monday 9th January 2017 Commons Chamber

[Mr Hunt]

As we discussed earlier when my hon. Friend the Member for Gainsborough (Sir Edward Leigh) spoke, there are places where the service that the ambulance service provides to rural areas is not as good as it should be, sometimes because of the perverse incentives relating to how the targets work. I have been nervous about changing the targets, because that can sometimes be taken as a signal to relax and I am absolutely determined that we should meet the current targets, but I did make a commitment to him that I would look into this issue and I will do so.

[Louise Haigh (Sheffield, Heeley) (Lab)]

Last year, just 67% of category red 1 ambulance calls in Sheffield were answered within eight minutes. Last week, I met a constituent whose husband died while he waited for an ambulance for two hours and 40 minutes. Can the Secretary of State continue to stand at that Dispatch Box and say that there is no link between the underfunding of our NHS and these irresponsible and completely unacceptable response times?

[Mr Hunt]

First, of course what happened in that situation is totally unacceptable, but the hon. Lady makes a mistake to continually bring this back to funding, as it is also about demand pressures and models of care. Let me reassure her about the extra funding that has gone into ambulance services. We have about 200 more ambulances and about 2,000 more paramedics, and every day the ambulance service is doing about 3,400 more blue-light calls than it was six years ago. Significant investment has been made, but clearly more needs to happen.

Social Care Funding

Louise Haigh Excerpts

Monday 12th December 2016 Commons Chamber

[David Mowat]

That was a decision made by Cambridgeshire County Council, and a number of other councils, such as Hammersmith and Fulham, made the same choice not to increase the precept. Presumably, they did not feel as though they needed to use that money for adult social care. That is a choice that those councils have, and it is a choice that they must take to their voters.

[Louise Haigh (Sheffield, Heeley) (Lab)]

Sheffield is about to lose its last emergency respite care centre for patients with complex dementia needs. Those patients cannot be cared for in the community, and people desperately do not want to see that centre go. Sheffield already has the second-largest better care fund in the country. If today is not the day for the Minister to issue a royal commission, when will he act?

[David Mowat]

I am not aware of the specific issue that the hon. Lady has raised about the respite care centre in Sheffield that is on the point of closure, and I would be happy to discuss that with her so that I understand it better. I can only repeat that today is not the day that we are going to announce a royal commission into funding.

Carers

Louise Haigh Excerpts

Thursday 9th June 2016 Commons Chamber

[Sue Hayman (Workington) (Lab)]

I thank the hon. Member for Eastleigh (Mims Davies) for securing the debate. I am sure that this is an issue that touches many hon. Members. In my family, my father needs caring for, and the circumstances will be the same for many of us. As our population ages, the situation will only get worse.

I want to focus particularly on carers’ finances, as the struggle that many carers face in making ends meet has been raised with me repeatedly by my constituents, including Graeme McGrory, who cares for his partner Ann, and who has explained to me that the carer’s allowance—the main benefit for carers—is the lowest benefit of its kind. It works out at £1.77 an hour. If we compare that with £7.20 for the national living wage, we can see that there is a huge gap. In a 35-hour week, that gives a difference of £170 a week. I cannot imagine that there are many carers out there who work only 35 hours a week; I imagine most work much longer.

It is not just that the carer’s allowance is so low. The Government also need to make sure that when any changes are made—for example, to the minimum wage— or when any welfare reform is implemented, the impact on carers is properly assessed, so that they are not affected negatively. For example, at the moment the carer’s allowance threshold is £110 a week. Before April, if a carer worked for 16 hours a week on the minimum wage, they would earn £107.20 a week, but the rise in the minimum wage that came in in April means that the same person is now earning £115.20. That is not a lot more, but it is enough to take them above the earnings limit. That puts carers in a difficult position. What are they supposed to do?

[Louise Haigh (Sheffield, Heeley) (Lab)]

This has happened to a constituent of mine, and I can tell my hon. Friend what she had to do: she had to drop her working hours from 16 to 15 a week, because working 16 hours a week put her £5.20 over the income threshold and took away every penny of her carer’s allowance. I implore the Minister to look into this, as it would only mean a £5.20 increase in the income threshold for carer’s allowance. I would really appreciate it if he could come back to this issue in his remarks.

[Sue Hayman]

I thank my hon. Friend for that incredibly important point. If someone has to choose between cutting back on work or losing their entitlement, they are between a rock and a hard place. I do not want to believe that the Government would want to punish carers in such a way. I agree with my hon. Friend that this needs to be reviewed urgently. I hope that the Minister will consider reviewing the threshold, and that in future any changes will be considered from the perspective of the impact on people in receipt of carer’s allowance, to ensure that they do not suffer unnecessarily.

There was the same problem of the Government not looking at the impact of new policies on carers when the bedroom tax was introduced. The Government introduced the change without considering the impact on carers, and without properly understanding why a spare bedroom can be so vital for families with a disabled, chronically ill or terminally ill member.

These are the reasons carers are struggling so much to cover basic living costs. That is particularly hard when family members have had to cut back on working hours to care for somebody; often, they will have given up well-paid careers. If the person being cared for has also had to give up their job—for example, because of an accident at work—that means that the family has to cope with a really steep drop in income. On top of that, if the family have children or are caring for elderly relatives, they are under a lot of stress and pressure. As the hon. Member for Eastleigh said, carers do society a huge service, saving all of us taxpayers a lot of money—an estimated £132 billion a year. If carers were to go on strike—perhaps they should if they want to get attention—imagine the impact on the NHS and local authorities. The people they care for could not just be abandoned.

The Government need to commit to helping, and to improving dramatically the situation for many carers. They also need to recognise that this dramatic loss of income often leaves carers with an increase in other costs. Carers UK’s recent inquiry found that carers can face higher utility bills, transport costs and shopping bills. On top of that, they might also need to bear the cost of adaptions in the home. The recent report by the New Policy Institute found that there are now 1.2 million carers living in poverty. That is simply not good enough.

If we consider ourselves to be decent, compassionate people; if we believe in society and community; and if we recognise that any one of us here might become a full-time carer, or might need care, we must pledge to do more. We must come together to support carers, who do such an important job in our society and who are often exhausted, both physically and emotionally. We have to say: enough is enough. It is time that the Government stopped the shameful situation in which carers and their families are pushed into poverty. It is time that we all said, “Enough.”

NHS Bursary

Louise Haigh Excerpts

Monday 11th January 2016 Westminster Hall

[Wes Streeting (Ilford North) (Lab)]

It is a pleasure to serve under your chairmanship, Mr Pritchard. I am delighted that, thanks to the response of more than 150,000 people, we are having this important and timely debate, which will allow me to raise some of the issues outstanding from the Adjournment debate that I secured before Christmas and address those that the Government have not yet addressed.

It is encouraging to see three members of the shadow Cabinet here at this debate: the shadow Health Secretary, my hon. Friend the Member for Lewisham East (Heidi Alexander); the shadow Minister for mental health, my hon. Friend the Member for Liverpool, Wavertree (Luciana Berger); and the shadow Foreign Secretary, my right hon. Friend the Member for Leeds Central (Hilary Benn), who has shown an interest during the course of these proceedings. This weekend, the shadow Health Secretary and I, along with other right hon. and hon. Members, joined thousands of students, nurses and supporters marching through the streets of London to raise their concerns about the implications of the Government’s decision. A statement of support from the Leader of the Opposition, my right hon. Friend the Member for Islington North (Jeremy Corbyn), was well received by all in attendance.

I begin by emphasising that, often as shorthand, we have been discussing the implications of the policy changes for student nurses and midwives, but of course the changes extend to a range of allied health professionals, as I said in my Adjournment debate. It is important not to lose sight of that when discussing the Government’s proposed approach.

To recap the Adjournment debate, we are discussing the biggest shake-up in the funding of nursing, midwifery and allied health subjects since the Health Services and Public Health Act 1968. It would mean the end of the non-means-tested grant of up to £1,000, the end of the means-tested NHS bursary of up to £3,191 and the imposition of tuition fees of £9,000 a year, which would burden nurses, midwives and other allied health professionals at the start of their career with huge debts of at least £51,600. Thanks to the repayment threshold, now shamefully frozen at £21,000, they will begin to pay back those debts immediately on starting their career and will face an average pay cut of £900.

Given that such professionals are required to work at least 2,300 more hours across the course of their degree, it is an absolute disgrace that we are seeking to balance the books on the backs of the front-line staff who form the backbone of our NHS. No wonder so many NHS professionals across the board are angered by the Government’s approach. It seems to be a trend under this Government. We are seeing it not just in the treatment of nurses, midwives and allied health professionals but in the Government’s intransigent approach to the junior doctors dispute, in which people could go out on industrial action, not out of choice but out of apparent necessity.

To follow on from the Adjournment debate, a number of questions are still outstanding. My concerns about the Government’s approach involve both the policy content and the process that they are choosing to follow. I asked the Minister during the Adjournment debate whether he could confirm that the Government would consult on the principle of policy changes, not merely their implementation. He told the House that

“we will not consult on the principle, because that has been decided”.—[Official Report, 14 December 2015; Vol. 603, c. 1379.]

Yet, as I will go on to outline, many fundamental aspects of the policy and the detail underpinning it have not yet even been considered by the Government. I am surprised that Ministers are confident embarking on such a radical course of action without having thought through the consequences properly. I have asked the Minister what analysis the Government have conducted of students receiving NHS bursaries for tuition and maintenance costs, but have received no answer. I do not believe that the analysis has yet been conducted. I am sure that it is under way, because he has confirmed that the Government will publish an impact assessment alongside the consultation, which he expects to start next month, but was that impact assessment conducted before the Government embarked on this approach, or is the Chancellor just shooting in the dark to balance his books?

[Louise Haigh (Sheffield, Heeley) (Lab)]

Is my hon. Friend aware of research by the trade union Unison showing that nine out of 10 student nurses surveyed said that they would not have gone into training if the new proposals had been in place? Given that this month London issued a critical alert after its vacancy rate jumped 26% to 10,000, should the impact assessment not cover the impact on the recruitment and retention of nurses in our system?

[Wes Streeting]

Those statistics concern me greatly. I should probably have said at the outset of this debate that I am a member and supporter of Unison. I also draw the House’s attention to my entry in the Register of Members’ Financial Interests. For completeness, I should also say that I am a former president of the National Union of Students and have a long-standing interest in such issues.

It concerns me that there might be a detrimental impact on recruitment, particularly given that my local NHS trust had to fly nurses over from Portugal to fill vacancies. I have no problem with those Portuguese nurses coming over to help plug the gap, but we have plenty of home-grown talent in the form of nurses who would welcome such a job opportunity. That is felt strongly by local people in my area.

A&E Services

Louise Haigh Excerpts

Wednesday 24th June 2015 Commons Chamber

[Ben Howlett]

Yes, absolutely, I did. When I was speaking to countless residents on the doorsteps across Bath, I found that the quality of provision of the Royal United hospital and other hospitals around the rest of the UK was tremendous. I spend a lot more time than Opposition Members do in thanking NHS professionals for the work they are doing in my constituency and elsewhere.

[Louise Haigh (Sheffield, Heeley) (Lab)]

rose—

[Ben Howlett]

I am coming to my conclusion, so I will not take an intervention.

In conclusion, I very much hope that the Secretary of State will continue to find the investment that is needed in our A&Es to keep up with the pressures; think about the need to encourage better access to primary care and community care; and reduce the burdens of bureaucracy that have afflicted our NHS for so long, and that resulted in my brother and his wife fleeing to New Zealand to escape.