NHS England Funding: Announcement to Media

Debate between Mark Harper and Edward Argar

Monday 25th October 2021 Commons Chamber

[Edward Argar]

The hon. Lady and I have spent many days in recent weeks sitting opposite each other in the Health and Care Bill Committee, and she knows of what she speaks given her background in the NHS. She is right about the validation of those lists and then the prioritisation, but although it is absolutely vital that we ensure that patients and those on the waiting lists are kept informed and included in the decisions and discussions about their care, her key point was about clinical decision making. In this context, the decision making and prioritisation must be clinically led.

I have spoken with the Royal College of Surgeons and others of the royal colleges about how we approach the issue. We should look at a number of factors. Is it possible with these new approaches to deal quickly with a large number of high-volume, low-complexity treatments that impact on quality of life? Equally, there are very complex treatments for which a month, a week or even a day longer can lead to more adverse clinical outcomes.

It is right that we go for clinical prioritisation. Although I am keen that we should keep people informed and engaged as participants in the process, it is vital that we see this issue as clinically led.

[Mr Mark Harper (Forest of Dean) (Con)]

I warmly welcome the funds that have been provided to the NHS to deal with the backlogs, particularly for those who stayed away from the NHS during the pandemic. Does the Minister agree that this is effectively a deal—a contract, if you like—with the NHS? We are providing the resources, which we voted for; it is the job of NHS chief executives to take those resources and now turn them into the healthcare that our constituents need. It is not their job to send their representatives on the radio to try to get us to shut down the economy. If we do not have an economy to generate the wealth, we will not have the resources that we need to fund our NHS.

[Edward Argar]

I always listen with great care to my right hon. Friend. He is right that we in this House, on behalf of taxpayers, provide the resources to the NHS and others to deliver the outcomes that we want for all of our constituents, but it is absolutely right that the NHS and others set out their plans for doing so, and that we hold the NHS to account for delivery against those plans. Ministers will draw up those plans in tandem with the NHS because, quite rightly, just as I will hold the NHS to account, I know that my right hon. Friend will hold me to account in this House. A key element of those plans for tackling the backlog must also be reform and innovation rather than simply more of the same.

Covid-19 Restrictions: South Yorkshire

Debate between Mark Harper and Edward Argar

Wednesday 21st October 2020 Commons Chamber

[Edward Argar]

I am grateful to the hon. Lady. I think she actually made the case very well for the approach that the Government are adopting, which is local tiering, rather than a blanket national approach, because she is absolutely right that different areas of the country are different and have different circumstances. To her substantive point about early engagement and continued engagement, I am very happy to say that I am very happy to work with her. We can start that off, if she wants, with a conversation about the data and so on. I am very happy to ensure that those channels of communication are open.

[Mr Mark Harper (Forest of Dean) (Con)]

Enforcement is important in South Yorkshire, as it is elsewhere, and I am pleased that on today’s Order Paper there is a statutory instrument putting the requirement to self-isolate in law. However, the Minister will be aware that I have grave concerns about the powers to use reasonable force that have been given to state officials other than police officers who simply are not trained to use those powers safely. As a former Home Office Minister, I think that risks the safety and lives of individuals. May I ask the Minister to give me an assurance from the Dispatch Box that, at the earliest opportunity, those powers will be limited only to police officers? I regret to say that if he cannot give me that assurance, I will be unable to support the measures on today’s Order Paper.

[Edward Argar]

I am grateful to my right hon. Friend for his question, and I am conscious of the context in which he speaks. As a former junior Minister handling prisons at the Ministry of Justice, I am conscious of the issues that he alludes to in that context and of the importance of proper training and restraint and similar. We appreciate concerns about the reasonable force allowances in the regulations. The powers to authorise persons other than the police and police community support officers to use reasonable force have not been used, and there are no intentions to use them. However, my right hon. Friend makes his point well, as always, and we are urgently reviewing those powers, given the concerns that he and others have raised around the proportionality of enforcement.