Oral Answers to Questions

Debate between Martyn Day and Edward Argar

Tuesday 19th April 2022 Commons Chamber

[Martyn Day (Linlithgow and East Falkirk) (SNP)]

The Scottish Government have recently bought Carrick Glen, a private healthcare hospital, in order for it to become part of the national network of treatment centres, which once fully operational will have capacity for over 40,000 additional surgeries and procedures each year. In contrast, the UK Government have taken the path of further privatisation of the NHS, so what recent assessment has the Minister made of the impact on the workforce of further privatisation of NHS England?

[Edward Argar]

I am grateful to the hon. Gentleman, and had we been going further down the route of privatisation, his question might have had a little more resonance. What we are doing in the NHS in England is investing in our workforce and investing in our national health service, while of course working closely with the independent sector to maximise the use of its capacity in parallel to make sure we bring down waiting lists and waiting times.

Integration White Paper

Debate between Martyn Day and Edward Argar

Wednesday 9th February 2022 Commons Chamber

[Edward Argar]

My right hon. Friend speaks with typical wisdom and common sense on these issues. I will briefly address each of his three points in turn.

On pooled and shared budgets, I have to say that I think section 75 of the National Health Service Act 2006 has worked well. When I was cabinet member for health and adult social care at my council—I had more hair then, and it was not grey—I also sat on a primary care trust board as a non-executive member. I had a senior director of that PCT on my management team; we forged a common purpose, recognising that there would be some areas in which NHS moneys were greater than those put in by the local authority and vice versa, but the shared goal was achievable only when we worked together. I think that there is genuinely something to build on, and the ICSs, ICBs and ICPs at the upper level will be the vehicle to move the process forward. When I was doing it, there was a degree of personal relationship moving it forward, rather than necessarily a systematised approach, but I genuinely think that there is a willingness and a recognition of the need for this.

On public access to electronic records, my right hon. Friend’s central point is absolutely right: it is important to recognise that such data is our data and individuals’ data. We must always be wary about doing something to someone, as opposed to in partnership with them. That principle will underpin our approach in this space.

Finally, my right hon. Friend referred to a single responsible professional—not a single point of contact, but someone who brings together an individual’s care. He is right to highlight the importance of general practitioners. May I put on record my gratitude to GPs not only for all their work over the past two years, and for all they do day in, day out, but for the wisdom and care that they bring to addressing their patients’ needs?

Since my right hon. Friend’s time as Secretary of State, there has been a continual drive to increase the number of doctors in our health service. Not all will become general practitioners, but we need to continue to make general practice accessible and to encourage people to choose it as an incredibly exciting and rewarding career. One of the key elements of making what he describes work is building up a body of general practitioners who are able to perform such tasks. I pay tribute to his work; we are continuing that work and building on his foundations. I am grateful for his questions and for his contributions.

[Martyn Day (Linlithgow and East Falkirk) (SNP)]

I am grateful to the Minister for advance sight of his statement. I think it fair to say that England is late to the integration game; Scotland and Wales have been legislating and moving in that direction for 20 years. The Scottish Government are pushing forward plans for a national care service to ensure that social care is fit for the 21st century, and have developed the NHS Pharmacy First Scotland scheme to spread the burden of frontline care and make pharmacies the first port of call for patients when GP and hospital visits are not necessary.

What lessons have been learned from the devolved nations? Any new plan for the NHS will not change the reality of the challenges facing the NHS organisation across all four of our nations, including that of vacancies. While Scotland’s workforce has grown by 20% under the SNP, Brexit is still hampering our ability to recruit from EU nations. Will the Minister discuss loosening Brexit and immigration controls with his fellow Ministers to help alleviate that situation?

[Edward Argar]

I saw the hon. Gentleman’s final point coming. To his original point, we are always happy to speak to the devolved Administrations and learn from their ideas, just as I am sure they occasionally look to England to see what they can learn—that is part of being a member of this Union. I speak regularly to the hon. Member for Central Ayrshire (Dr Whitford), including about such matters. To his final point, all I would say is that since 2010 we have seen around 30,000 more doctors and 38,000 more nurses in the English NHS—I have highlighted the role that my right hon. Friend the Member for South West Surrey (Jeremy Hunt) played in that—so I think we are doing a pretty good job of continuing to grow the workforce. There is much more to do, but we have a plan and we are delivering on it.

Oral Answers to Questions

Debate between Martyn Day and Edward Argar

Tuesday 18th January 2022 Commons Chamber

[Edward Argar]

There is local flexibility to allow residents to be safely admitted to a care home during outbreak restrictions, following a risk-based approach that takes into account the size of outbreaks, who is affected, care home size and layout, rates of booster vaccination and current Care Quality Commission rating. The CQC supports risk-based decisions made on admissions to support the discharge of people with a negative covid test result, but, of course, we must continue to ensure the safety of those in care homes.

[Martyn Day (Linlithgow and East Falkirk) (SNP)]

The workforce are absolutely central to growing NHS capacity. The advice in a Migration Advisory Committee report was to amend migration policies, make

“Care Workers and Home Carers…immediately eligible for the Health and Care Worker Visa and place the occupation on the Shortage Occupation List.”

When will the UK Government start listening to their advisers and change migration policies to alleviate the pressures facing our NHS?

[Edward Argar]

I am grateful to the hon. Gentleman for his question and for the tone of his question. He is absolutely right to highlight the importance of the workforce. The workforce are the golden thread that runs through the heart of everything we do in our NHS, which is why we have already taken a number of steps to increase our workforce. We are well on target to meet our target of 50,000 more nurses. As I mentioned in my initial answer, in August last year we had over 20,000 more clinically qualified staff compared with August 2020, so we continue to grow the workforce.

NHS England Funding: Announcement to Media

Debate between Martyn Day and Edward Argar

Monday 25th October 2021 Commons Chamber

[Edward Argar]

My right hon. Friend will know that by far and away the overwhelming majority of that money was one-off spending to tackle the pandemic in its most acute phase. We will need to continue to spend some of that on therapeutics, vaccinations and similar. On other things, such as the significant increase in infrastructure and understanding that we have built in test and trace and in testing and diagnostic capacity, I am looking at how a long-term legacy can be born of that and how we can transition the learnings and infrastructure from that to continue to deliver for patients in more normal times.

[Martyn Day (Linlithgow and East Falkirk) (SNP)]

This announcement goes to the very heart of what is wrong with the Union. Ministers make decisions from here in real time for England based on their perception of needs, while the devolved nations get the consequentials. The Health Secretary’s announcement mentioned that consequentials would be coming. Can the Minister tell us today exactly how much money is coming to Scotland and when the Treasury will send it?

[Edward Argar]

The hon. Gentleman is absolutely right that the Secretary of State said that there would be Barnett consequentials. The details of those will be set out on Wednesday.

DHSC Answers to Written Questions

Debate between Martyn Day and Edward Argar

Thursday 19th November 2020 Commons Chamber

[Edward Argar]

I would say that she gave exemplary answers, which fully satisfied the Committee. I have received the letter that she recently sent to my right hon. Friend the Secretary of State. We are grateful for the pragmatic and reasonable approach that her Committee has adopted. She will, quite rightly, want to scrutinise performance, and I look forward to appearing before her Committee to answer detailed questions on the matter.

[Martyn Day (Linlithgow and East Falkirk) (SNP)]

I am grateful for the Minister’s answer at the beginning of the debate. I initially thought that it was perhaps a tad unfair to single out his Department in the circumstances. In my experience, others have been worse—I hope his Treasury colleagues are listening. However, I will confine my remarks to his Department. My hon. Friend the Member for Central Ayrshire (Dr Whitford), the SNP health spokesperson, was delighted yesterday to receive an answer to a named day question that she tabled on 22 June. It referred her to a table of data that, unfortunately, was absent from the answer. Perhaps the Minister could ask his colleagues to get that table over to her, rather than her having to wait six months for a response.

[Edward Argar]

I am again grateful for the tone that the hon. Gentleman adopts. We have adopted in our recovery plan an attempt to deal with the oldest questions first, to try to get as up to date as we can. If he or the hon. Member for Central Ayrshire (Dr Whitford) lets me know the detail of that question, I will be happy to look into what he raises and to get that table to her.

Covid-19 Restrictions: South Yorkshire

Debate between Martyn Day and Edward Argar

Wednesday 21st October 2020 Commons Chamber

[Edward Argar]

My hon. Friend is a consistently strong voice for his constituents in this House and in conversations with Ministers. I am clear, as are the Government, that no area should remain in a tier longer than is absolutely necessary to address the infection rate and protect the health of local people, so I can give him the reassurance that his area will stay in that tier no longer than is necessary to address the current rise in hospitalisations and infections.

[Martyn Day (Linlithgow and East Falkirk) (SNP) [V]]

I am grateful to the Minister for advance sight of his statement, and I agree with him when he says that we must keep working hard together to keep this virus under control. However, I cannot help but notice that regional leaders in England have been expressing frustrations with Downing Street that are very similar to Scotland’s. Why is there an insistence on announcing measures to Westminster journalists before speaking to devolved and regional Governments? Does he not see that changing that approach could greatly improve working relationships?

Tens of millions of pounds of financial support are being announced this week. Will the Minister speak with his colleague the Chancellor and confirm that that money will be fully Barnettised, ensuring that the devolved Governments are being fully funded to take their own covid mitigation measures?

[Edward Argar]

I am grateful to the hon. Gentleman. I should say that in my experience, albeit as a junior Minister, I have enjoyed a positive and constructive working relationship on this issue with the devolved Administrations and Ministers in Scotland, Wales and Northern Ireland. I pay tribute to that relationship and the work that those leaders in the devolved Administrations have done.

I turn to the hon. Gentleman’s final two points. In respect of his comments about briefings, all I would say is that I am here at the Dispatch Box announcing this to the House, and that is how I do business. On his final point, the Chancellor will, I know, have heard exactly what he said about Barnett consequentials.

Health Infrastructure Plan

Debate between Martyn Day and Edward Argar

Monday 30th September 2019 Commons Chamber

[Edward Argar]

I know that my hon. Friend’s local hospital trust and her constituents have no greater champion in this place than her. She is right to highlight the allocation to Royal Cornwall Hospitals NHS Trust. The seed funding was announced yesterday and is there now, so we hope that the trust will get to work using that money to develop plans to improve services at local hospitals.

[Martyn Day (Linlithgow and East Falkirk) (SNP)]

I am grateful to the Minister for advance sight of his statement.

UK Government decisions on pension costs and funding already result in a shortfall of £48.4 million for the NHS in Scotland, which comes on top of the UK Government making wider budget reductions in health funding for Scotland of £42 million compared with their previously claimed level of consequentials. Scotland now faces a shortfall of £90 million for its health services as a result of UK Government decisions. Now that the UK Government have apparently opened the spending taps, will they pay back the moneys due to Scotland, or will we continue to be short-changed? When will the full Barnett consequentials of this new investment be published?

In total, the Tories’ decade of austerity has cumulatively cut the Scottish block grant by more than £12 billion in real terms. With the economy already faltering, the Chancellor’s predecessor warned that a destructive no-deal Brexit could inflict a £90 billion hit on the Exchequer and suggested that no new money would be available. How then can the Minister guarantee that this money will come to the NHS?

[Edward Argar]

I will not stray into the politics of the NHS in Scotland. The hon. Gentleman asks specifically about Barnett consequentials. I can confirm that they will apply, and if it would be helpful I will write to him with details.