NHS Long-term Workforce Plan

Debate between Martin Vickers and Steve Barclay

Monday 3rd July 2023 Commons Chamber

[Steve Barclay]

The question started by saying that we do not want plans for the future, we want to deal with the present, and finished by asking if we can have a plan for the future rather than for the present. The plan sets out significant additional numbers. Significant investment is going into eye services here and now. Let me give the House one example: at King’s Lynn hospital, in addition to our investment in a new hospital to replace the reinforced autoclaved aerated concrete hospital, and in addition to the new diagnostic centre, I had the opportunity in the summer to open a new £3 million eye centre, which is doubling the number of patients who receive eye care in King’s Lynn. That is just one practical example of our investment in eye services now.

[Martin Vickers (Cleethorpes) (Con)]

May I add my words of condolence for Lord Kerslake, who served on the greater Grimsby regeneration board, which oversees regeneration in the Grimsby-Cleethorpes area? We greatly valued his experience and advice. Following the question from my hon. Friend the Member for Scunthorpe (Holly Mumby-Croft), it is important that we tie in dentists—and I would suggest GPs—to NHS services, but could they also be directed to areas of greatest need, such as northern Lincolnshire?

[Steve Barclay]

The Under-Secretary of State for Health and Social Care, my hon. Friend the Member for Harborough (Neil O'Brien) is looking at how we deliver more services within the existing contract, and at what incentives and reforms can be put in place to ensure that the parts of the country that find it hardest to recruit dentists are best able to do so, through both our domestic supply and international recruitment.

Urgent and Emergency Care

Debate between Martin Vickers and Steve Barclay

Monday 5th September 2022 Commons Chamber

[Steve Barclay]

One of my reasons for going out with the London Ambulance Service—among others—over the summer was to answer the charge about what Ministers were doing, and to observe at first hand the challenges that the service had been facing. As the hon. Lady will know, performance has improved since the summer, but the service remains challenged. That is why we are considering a range of measures, such as boosting emergency departments, looking at pre and post-cohorting, looking at how we work with the taskforce, and looking at single points of access. One issue that paramedics emphasise to me is the need for, in particular, a better way for frail elderly patients to gain access to a single point for social care provision. We are working closely on that range of measures with colleagues in the London Ambulance Service.

[Martin Vickers (Cleethorpes) (Con)]

In recent weeks I have been supporting a constituent who has complained to the East Midlands Ambulance Service. The complaint centred on the fact that it took nine hours and 26 minutes following a 999 call for an ambulance to arrive at the home of my constituent’s mother. When she arrived at Scunthorpe Hospital, it took another two hours and seven minutes before she was handed over to the hospital staff. I find it particularly disturbing that the letter from the chairman of the East Midlands ambulance service, after explaining the procedure and protocol that was followed, says:

“I can confirm that the 999 call had been responded to appropriately.”

Needless to say, my constituent, who is a retired senior police officer and well aware of pressures on the emergency services, would not agree that it was dealt with appropriately. If I forward the details to my right hon. Friend the Minister, could he follow up with the East Midlands ambulance service and come back to me? Hopefully, that will mean the service provided to my constituents by the ambulance service can be improved.

[Steve Barclay]

I am very happy to ensure that that specific case, which is obviously concerning, is looked at. As my hon. Friend will know from my earlier remarks, we are boosting the number of 999 call handlers—those numbers are up and there are around 350 more call handlers than in September 2021—and we are also training more paramedics. Numbers are going up, but obviously demand has increased exponentially as well.

Lockdown: Economic Support

Debate between Martin Vickers and Steve Barclay

Tuesday 3rd November 2020 Commons Chamber

[Steve Barclay]

Such has been the number of times that the matter has been raised in the House and through the campaign, we have looked at it. Some of those issues have not changed—for example, the difficulty of determining what is dividend income as opposed to earned income, as I referred to in my answer to my right hon. Friend the Member for Wokingham (John Redwood). We took a decision to target those below the £50,000 threshold. Some of those issues have not changed from the previous period.

The hon. Gentleman is right that the furlough allows some of those who were excluded to come within scope, but I draw the House’s attention to the fact that, even within the House, there is a degree of conflict here. The Treasury Committee has said that we should be more willing to bring the cohort of the self-employed into scope, yet the Public Accounts Committee has expressed concern that we need to have much stricter operational controls because of the risks, for example, of fraud. We see that difference even between the two Select Committees in this House. Of the different cohorts within what is known as the ExcludedUK campaign, some of those on furlough will be able to come back into scope, but much of the rationale has not changed. Of course, we will continue to look at it.

[Martin Vickers (Cleethorpes) (Con)]

May I seek further clarification on the previous answer and on the point raised by my right hon. Friend the Member for Wokingham (John Redwood)? Self-employed people who have in effect created a limited company and draw dividends are being prevented by the Government from trading. Rather than just outlining the difficulties, will the Chief Secretary commit to saying we will find a way around that, so we can actually tell our constituents what support they will receive over the next few weeks?

[Steve Barclay]

For reasons I set out some time ago to the Treasury Committee, and for the reasons set out by the Chancellor, operationally the concern is that while there will of course be many legitimate circumstances where people wish to make a claim, unfortunately there will also be significant risk of fraud. I pointed to the fact that within the House itself part of the challenge is how we ensure we have the right balance between the speed of delivery—we move quickly to get schemes to people—with the operational controls we put in place. That is why we have taken the position we have.

Oral Answers to Questions

Debate between Martin Vickers and Steve Barclay

Thursday 5th September 2019 Commons Chamber

[Stephen Barclay]

Not just this Government will pay attention; I am sure the people of Scotland will pay attention to a vote against democracy. It is not the first time that those on the SNP Benches have ignored the votes of the British people, whether in the referendum in 2014 that they want to overturn or in the referendum of the United Kingdom in 2016. They seem to have a problem with listening to the democratic will of the people.

[Martin Vickers (Cleethorpes) (Con)]

In my discussions with Associated British Ports, which manages the port of Immingham and the other Humber ports, there is a clear indication that they are well prepared in their contingency plans to handle any problems that may occur. Can the Secretary of State confirm that our ports are indeed well prepared for no deal and also that they can take much heart from the advantages, such as free-port status, that will be available post Brexit?

[Stephen Barclay]

My hon. Friend is absolutely right. Before the reshuffle, I met the ABP and others looking at these issues, and their preparations are well advanced. He will also know that the Government have allocated additional funding for those ports, and he will be aware that, although in this place a huge amount of the debate tends to focus on Dover because of the vehicle flow through it, in terms of the containers and value of goods, the other ports are actually more significant.

Oral Answers to Questions

Debate between Martin Vickers and Steve Barclay

Thursday 16th May 2019 Commons Chamber

[Stephen Barclay]

I do not think that any Member of this House thinks that my right hon. Friend is anything other than virtuous in all that he does. In our commitment to bring forward the withdrawal agreement Bill, we have listened to the concerns of Members across the House and have reflected that in the draft legislation that is being prepared. It will be for Members to reach a decision on that or one of the two other alternatives—either we risk not leaving at all, which I think would be a huge betrayal of the 17.4 million people who voted to leave, or we leave with no deal, which would create issues for the Union and the economic disruption that would flow.

[Martin Vickers (Cleethorpes) (Con)]

Many of my constituents tell me that they would not vote in a second referendum because they are angry and frustrated that Parliament has not delivered on the first one. Does the Secretary of State agree that a second referendum would continue the divisiveness and uncertainty, and would almost certainly not settle the issue, because the turnout would be smaller?

[Stephen Barclay]

I very much agree with my hon. Friend on that. I would urge his constituents to vote, and to vote Conservative, in that election, but he is right to say that any such second referendum would be both divisive and not necessarily decisive. They have perhaps taken their lead from many Members of the House, who seem unwilling to confront the real choice that lies before them and vote, which is why they are seeking to have a second referendum.

--- Later in debate ---

[Stephen Barclay]

What I am saying is that there will be consequences to both options. Revoke would involve a betrayal of democracy, going back on the commitments that this House has given and having a divisive, but not decisive, second referendum that could end up with the same result as before. Businesses are experiencing uncertainty, including in Dundee, where I was on Thursday. It has the fastest growing chamber of commerce in the United Kingdom, and people there want to see a deal and to see this country move forward. That is the way forward, but if we do not support a deal, a no-deal would have consequences. However, the much more severe consequences would be those for our democracy and for our international reputation as a country if we were to undermine such a major democratic decision.

[Martin Vickers (Cleethorpes) (Con)]

Is planning still continuing for a no-deal situation, and is the Treasury providing adequate resources for it?

[Stephen Barclay]

I can absolutely confirm to my hon. Friend that planning is continuing for no deal and that funding is allocated. It is important for the Government to use the time that we have between now and 31 October to ensure that we are prepared, should that eventuality arise, but it is in our interests to secure a deal so that that becomes unnecessary.

Oral Answers to Questions

Debate between Martin Vickers and Steve Barclay

Thursday 28th February 2019 Commons Chamber

[Stephen Barclay]

The hon. Gentleman puts the same question a second time—[Interruption.] The point is that he talks about ending uncertainty, and the way to end uncertainty is for the Labour party not to go back on its manifesto and have a second referendum, because a second referendum will prolong the uncertainty. We may end up with the same result but just a further level of uncertainty as we go through a second referendum. What we need to do is back the deal, move on and give businesses—as he and I agree—the certainty they need.

[Martin Vickers (Cleethorpes) (Con)]

Further to the Secretary of State’s comments about a second referendum, does he agree that there is considerable cross-party support opposing a second referendum?

[Stephen Barclay]

As so often on these matters, my hon. Friend speaks a lot of sense. There is no consensus not just about a second referendum, but about what the question would be in a second referendum, because those supporting the second referendum do not even seem able to agree on what question would be put.

Oral Answers to Questions

Debate between Martin Vickers and Steve Barclay

Tuesday 19th June 2018 Commons Chamber

[Martin Vickers (Cleethorpes) (Con)]

The Minister of State visited my hospital trust last month. Is he in a position to support its requests, and will he say whether he is satisfied with the progress it is making to remove itself from special measures?

[The Minister for Health (Stephen Barclay)]

I very much enjoyed visiting the trust with my hon. Friend. As he will be aware from our discussion during that visit a process for capital bids is under way. As my right hon. Friend the Secretary of State set out, the date for that is mid-July and I look forward to seeing the bid from my hon. Friend’s trust.

Acute and Community Health

Debate between Martin Vickers and Steve Barclay

Thursday 8th February 2018 Commons Chamber

[Stephen Barclay]

I am happy to reassure the hon. Gentleman, but he has raised an important point. The question of people moving within the United Kingdom is not the only issue; another potential issue is the question of people moving to a charity or a private company that is providing services for the NHS, or taking up other roles in the healthcare landscape.

[Martin Vickers (Cleethorpes) (Con)]

May I press the Minister a little further on his worrying suggestion that revolving doors are often facilitated by those who are tasked with regulating them? Will he also look at democratic accountability not just in the appointments of officials, but more widely in the NHS?

[Stephen Barclay]

I referred earlier to my desire to work on these issues with members of the Health Committee, who include my hon. Friend, and I shall be happy to look into the points that he has raised. The previous statement was about the culture in the House of Commons. I think that what goes to the heart of my hon. Friend’s question and the matters that we are discussing is that issue of culture, and the need for the culture in pockets of the NHS to change. My right hon. Friend the Secretary of State has done a great deal to bring about such change, particularly in respect of patient safety, but I shall be happy to work with my hon. Friend to take that further.

Oral Answers to Questions

Debate between Martin Vickers and Steve Barclay

Tuesday 6th February 2018 Commons Chamber

[Stephen Barclay]

I think the hon. Lady prepared her follow-up before hearing the answer. There is an improvement board established within the trust, chaired by NHS Improvement, that is tasked with reducing waiting times and ensuring that the standard is improved. Currently, the average time waited is 11 weeks for out-patients and seven weeks for in-patients.

[Martin Vickers (Cleethorpes) (Con)]

Will the Minister give an assurance that the support that NHS Improvement is giving to the trust will continue? He will know that this is the second time that the trust has been in special measures, and clearly we need continuing support. Will he also assure us that he will visit the trust—a promise that was made by his predecessor?

[Stephen Barclay]

My hon. Friend is right to point out the need to give support to this trust. That is why a wider package of £1.6 billion of funding has been given to the NHS to improve accident and emergency and elective care performance. Alongside that, we have specific work through NHS Improvement to address some of the particular issues that he alluded to in his trust.