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.