Delivery of Public Services

Margaret Greenwood Excerpts

Tuesday 28th June 2022 Commons Chamber

[James Daly (Bury North) (Con)]

It is an honour to follow the hon. Member for Stirling (Alyn Smith), who seemed to argue that incompetence is justified as long as a party gets the democratic mandate to continue to act in that manner. I welcome his straightforward comments accepting that the SNP Government, who have responsibility for the matters that we are discussing, have faced the same challenges, including those resulting from the pandemic, as the rest of the world, and, like others, found difficulties in overcoming them, hence some of the bad figures that I quoted. I thank him for his straightforward response.

In talking about the delivery of public services—the Labour party, who brought forward the motion, do so with such certainty of criticism and purpose—we must look back to Labour’s previous actions as well as at its current actions, because clearly it must be doing something right. I gave the example—it is worthy of repetition—that Labour politicians criticise Conservative politicians for challenges regarding waiting times, yet in Wales 700,000 people are waiting for planned care, which is a 50% increase on February 2020, and no Opposition Member makes any reference to it. If the Welsh Government have any idea of how to address that, I would welcome Members sharing the news with us. What is the idea? What will they do? There is nothing on that. [Interruption.] I will not give way.

So we go on and look back further. The criticism in respect of the NHS is that, in effect, money has been put in but wasted in various ways. I thought, “I must look back at when Labour ran our NHS. I’m sure that there is a real record of investment and getting a really good bang for the taxpayer’s buck.” Although I am the very proud MP for Bury North, I am from Huddersfield and my local hospital was under threat under the last Labour Government because of the decision to build Calderdale Royal Hospital.

[Margaret Greenwood (Wirral West) (Lab)]

The hon. Gentleman is talking about the Labour party’s delivery of the NHS. Is he not aware that public satisfaction with the NHS was the highest it has ever been when Labour left office?

[James Daly]

The hon. Lady talks about public opinion. Calderdale Royal Hospital was constructed with a £34 million private finance initiative deal that, at the last reckoning, cost the taxpayer £740 million. The last Labour Government wasted millions upon millions of pounds on the NHS that should have been invested in modernising and developing frontline services—it was absolutely criminal. We have made record investments throughout our time in government, as shown in the increased number of nurses and the increased services that my constituents are able to access, although there are challenges.

[Margaret Greenwood]

The hon. Gentleman is being generous with his time. Surely he must be aware that his Government’s Health and Care Act 2022, which was enacted just a month or so ago, opens up the NHS to private sector takeovers that will be deeply inefficient because money that should be spent on patient care will be taken out and given to shareholders.

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[Anna Firth (Southend West) (Con)]

It is, of course, a pleasure to follow the hon. Member for Birmingham, Hall Green (Tahir Ali). He talked a great deal about the need for free prescriptions; I think it must have escaped his notice that the Government have now vaccinated 150 million people with free covid prescriptions.

Listening to the Opposition, one would think that this was a Government who were failing at everything. We have heard nothing but doom and gloom. There has been no recognition that when the whole world was hit by the worst global pandemic for a century, this Government delivered the first approved vaccine roll-out anywhere on the globe. We have heard nothing about the fact that that was followed by the fastest vaccine roll-out in Europe—and at the same time the Government delivered £400 billion of support for businesses, which preserved 14.5 million jobs: that is why unemployment is now at its lowest since 1974.

[Margaret Greenwood]

Will the hon. Lady not acknowledge that it was actually the national health service that delivered the vaccine roll-out?

[Anna Firth]

The national health service was funded and run by those on the Government side of the House. Perhaps the hon. Lady has not noticed that. If the Opposition had been in charge, she would of course be saying that it was they who had rolled out the vaccine.

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[Anna Firth]

I think the hon. Gentleman is missing the entire point that I am making. I am acknowledging that our health service has quite rightly been treating covid patients. Now that the pandemic is over, we are of course looking towards dealing with the backlog.

In Southend West, I, like many Members in other constituencies, receive complaints every week from constituents who are experiencing delays in getting appointments with their GPs. One constituent who wrote to me had suffered a minor head injury and ended up having to call an ambulance and go to the local A&E because they could not get a GP appointment. I have raised the issue of ambulances in the House before. However, we have a Secretary of State who is focusing on the issue and is already making progress. That is why we were able to announce this week that we are set to eliminate two-year waiting lists by July, and that is why, because of our management of the economy, the NHS budget is set to grow by an average of 3.8% every year up to 2024-25. As we have heard, by the end of this Parliament we will be spending £188 billion on the NHS, up from £133 billion. That is an increase of £54 billion—over 40%. That is possible despite the poor financial circumstances that we inherited. This Government have increased investment in the NHS every year since we came into office in 2010.

In Southend West, which I represent, we are leading the way in improving people’s healthcare. Due to the actions of myself and other Essex MPs, we will have an increase of 111 ambulance staff over the coming months and 11 new ambulances will be on our roads by the end of July. Earlier this month, Southend Hospital began an innovative enhanced discharge service. This is a collaboration between the council, the clinical commissioning group and the hospital, and it is helping people to get home when they have been in hospital, and to stay there. It is a brilliant therapy-led assessment service that really puts people at the heart of ongoing care, and I am delighted that the Government are supporting the scheme.

[Margaret Greenwood]

The hon. Lady is talking about the discharge from hospital process that was brought into law through the Health and Care Act 2022. Is she aware that the Government do not even know the clinical outcomes of these people? I have submitted written questions on a number of occasions to ask how many patients who were discharged under the discharge to assess process were readmitted to hospital within 30 days, but the Government do not know. Does she agree that the Government should really have done the work and found that out before going ahead with a process that puts very vulnerable patients at risk?

[Anna Firth]

I suggest that the hon. Lady should be congratulating this Government on delivering a £36 billion package to reform the NHS and social care and on tackling issues that Labour Members have ducked for years.

I want to return to the improvements at my own hospital. Patients are now being welcomed through the doors of a new two-storey outpatients building that is creating space for an extra 200 people every week. This state-of-the-art £1.2 million building includes 14 new consulting rooms, seven offices and a large waiting area. It is initiatives such as these that are leading the fightback against delays and waiting lists at the hospital, as opposed to just talking about them. There are also exciting new plans to build a brand-new £8.6 million entrance at the hospital, improving clinical provision, accessibility and the whole experience of patients, staff and visitors. This building will attract private capital funding. There will be no extra cost to the hospital trust or to the taxpayer. It is exactly this sort of innovation that we are looking for.

I am also pleased that our local GPs are looking at ways to improve their waiting lists. As I have mentioned, waiting lists are a huge problem. Having people waiting in a queue on the phone at 8 o’clock in the morning and being unable to book an appointment is something that none of us wants to see continue. The Pall Mall surgery in my constituency, which I had the pleasure of visiting earlier this week, has introduced a new e-consult scheme. Patients can enter their details online, which are then triaged by a clinician. This allows the surgery to triage 100 patients in the same time that traditional appointments would have taken to triage 15. The point of this is not to deny people who need to see a GP a face-to-face appointment but to ensure that our resources are used to their maximum effect so that the GPs can see as many patients as possible face to face.

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[Matt Rodda (Reading East) (Lab)]

It is a pleasure to follow the hon. Member for Southend West (Anna Firth).

I wish to speak in favour of the motion and to pick up on some of the serious concerns about backlog Britain, illustrating how it is linked to the long period of low growth and under-investment in key public services that goes back to the austerity period and the decisions made by Governments since 2010. Before I do, I wish to pay tribute to our public sector and public service workers, who have done the most incredible job for a very long time—for their whole careers—but particularly in the past couple of years, during this unprecedented crisis the country has faced. I am sure that all of us, across the House, want to wish them the very best and show our support for them. We respect them and think they do the most wonderful job for our communities across this country.

While I touch on the work that those workers have carried out, I want to ask Ministers to think seriously about what it feels like to be a frontline public sector worker. I ask them to imagine themselves into the position of a nurse in the Royal Berkshire Hospital in Reading, of a local GP or of many other local public sector workers in my constituency. I ask them to think about that and respond in the fullness of time.

In particular, I ask Ministers to think about not only the pressures caused by the pandemic, but the long effect of austerity, the lack of funding and particular local problems we face in our area. For example, two GP practices have closed in my constituency and others are under severe pressure. We have a problem with looming GP retirements and other pressures arising from severe shortages of skilled staff. We have problems with numbers being reduced in Thames Valley police. Admittedly, the Government are recruiting more police, but they are doing so belatedly and there are questions as to whether they will be able to replace the officers who have been lost. There are serious problems with school funding and pressures on school budgets, because of the misunderstanding of the way in which the teachers’ pensions need to be funded by schools. There is a series of serious problems, and I ask Ministers to think deeply about that and address them when they respond to us later today. I hope they can learn the lessons of these mistakes and rethink Government policy.

In the time available, I wish to focus on one service that has caused serious problems in my constituency. I refer to the mismanagement of the passport service during the past few months, as we have come out of the pandemic. Let me illustrate some of the problems that I have encountered as a constituency MP. I have dealt with 59 cases in recent weeks of people waiting for passports, sometimes for up to 12 or 14 weeks. Those affected include not just families who want to go on holiday and rightly deserve to do so after the awful time of the pandemic, but people waiting to see terminally ill relatives and people who need to go abroad for urgent reasons. The delays are lengthy and there is a lack of communication with residents in my area, and I understand that colleagues from across the House have suffered with this as well. People are not being given updates. I have often had residents come to me saying, “I am about to go on holiday. I am due to go in two weeks but I still have not heard anything from the Passport Office.” That is not good enough and it reflects a wider lack of planning, which I want to pick up on in a moment.

[Margaret Greenwood]

My hon. Friend is making an excellent speech. We know that the Government want to cut 91,000 jobs from the civil service. On 2021 figures, that would mean the loss of almost a fifth of all civil servants. Those cuts could mean more than 11,000 job losses in the north-west, where my constituency is based, with 3,500 in Merseyside and 400 in Wirral. Does he agree that if the Government go ahead with these job cuts, my constituents, the region’s economy and the level of services that people receive will suffer?

[Matt Rodda]

My hon. Friend makes an excellent point. She is highlighting clearly the issues in her area, and the same applies across the whole country. The Government are expecting public service workers to catch up and deal with an unprecedented backlog, while threatening deep cuts. As she has rightly said, many of the services provided by the civil service are in Government agencies rather than in Whitehall, which employs only a tiny proportion of the overall headcount.