Oral Answers to Questions Debate
Full Debate: Read Full DebateMatt Hancock
Main Page: Matt Hancock (Conservative - West Suffolk)Department Debates - View all Matt Hancock's debates with the Department of Health and Social Care
(3 years, 7 months ago)
Commons ChamberIn our election manifesto, we committed to building 40 new hospitals by 2030 and upgrading another 20 hospitals. We are delivering on that commitment and now have plans to build 48 new hospitals this decade. We will open a competition for the eight further new hospitals shortly.
I thank my right hon. Friend for the investment that we have seen in Scunthorpe General Hospital over the last year. Residents are seeing those changes and it will certainly help us in the medium term. Looking to the future, will he continue to work with me on the plans for a new hospital for Scunthorpe?
I thank everybody who is working at Scunthorpe General Hospital for their incredible effort over the last year. My hon. Friend has been an assiduous campaigner for Scunthorpe hospital and the upgrades that we have already been able to put money into, and now there are eight slots for further new hospitals. Forty have been announced and we will build eight more over this decade. We will shortly announce how we are going to make that decision. There will be an open process and I look forward to working with her, her colleagues and colleagues across the NHS in Lincolnshire to make sure that they can put together the best possible application.
I would like to take this opportunity to thank the Government for investing in mental health facilities at Heartlands Hospital and acute facilities at the Royal Stoke University Hospital. Together, this will see over £32 million being invested in our local NHS, so would my right hon. Friend agree that it is more important than ever, as our NHS starts to recover from the pandemic, that we provide the best possible health facilities?
Yes, I would. The NHS has clearly played such a critical part in the response to the pandemic in the last just over a year. I thank all those working in and around Stoke, including at the Royal Stoke, which is a great hospital. We have put £32 million into the local NHS, and we protected the NHS even through the worst challenges of this pandemic. Of course, I will be open to further investment to make sure that the NHS across Stoke gets the support that it needs so that we can build back better. Today, we are all able to see the improvements that are being made in the response to the covid pandemic, with the opening yesterday of step 2 —I am delighted, Mr Speaker, to see that you have had a haircut. So many of us have been looking forward to being able to get life back to normal, and thanks to the work of people across Stoke and across the nation, we are able to take these steps.
Congratulations to Mrs Hoyle on a job well done.
New investment is welcome, but it is no consolation to those patients missing out because the rest of the NHS estate is being starved of investment. We have seen a 23% increase in treatments being delayed or cancelled in the last year because of infrastructure failures, and the maintenance backlog went up by another 50% last year. We are not going to see those record waiting lists drop if operations are cancelled because basic repairs are not done, so will the Secretary of State tell us by what date we will see no more delays to treatment because of crumbling buildings?
We are putting a record amount of investment into the infrastructure of the NHS. That is evidenced by the questions that we have had already, with the improvements in Stoke, Scunthorpe and across the rest of the country. It is about not just the physical investment, but making sure that we support staff to be able to deliver and making sure that the NHS gets the support that it needs to tackle this backlog. We have a very significant backlog because of the pandemic and we are working incredibly hard to tackle it.
The covid-19 vaccination programme has been the biggest in the history of the United Kingdom. The UK Government have ensured that the excellent work done by the vaccines taskforce to procure vaccines for the whole country has been rolled out to protect people across the UK. To support the roll-out in Scotland, I recently announced an additional £660 million of UK Government funding for Scotland. That is of course on top of the £3.6 billion that Scotland is already receiving over the next financial year through the Barnett formula.
I thank my right hon. Friend for his answer. Does he agree that this is proof of the irrefutable truth that we achieve much more together than we ever could apart and that we should be focusing on the vaccination roll-out and recovery—not a damaging and divisive second referendum on Scottish independence, which would be the case if the Scottish National party won the Scottish election on 6 May?
I entirely agree that the vaccination programme has clearly been a huge UK success story and that is because of the UK working together: the NHS across the whole UK; the military working in support across the UK; and, of course, the UK Government working with the devolved authorities and local councils. It is a big team effort. To split and separate out this team effort for no good reason would, in my view, be counterproductive to improving the lives of people across the whole country. We should be working together, not pursuing separation.
The UK is one of the best places in the world to locate a life sciences business. We are making vaccines in Livingston, Wrexham, Oxford and Hartlepool. We are making cell and gene therapies in Stevenage, surgical robots in Cambridge, cancer medicines in Macclesfield, hip replacements in Leeds and care products in Hull. Last week, we announced another £20 million fund to incentivise companies to put medicines and diagnostics manufacturing investments here in the UK.
Some people have very short memories, I must say. The UK was found desperately wanting when this horrid covid-19 pandemic swept through the cities, towns and villages of this country. The nation’s silverware was sold off and the stock cupboards laid bare. There was a deliberate policy of under-investment in the NHS, with a view to buying everything on the cheap from elsewhere. This was an ideological crime. What steps are the Government taking to ensure that we are never again left without the capacity to produce essential health and safety equipment, and how might a real industrial strategy aid the need to produce personal protective equipment, to bring good, well-paid jobs to long held back communities like Wansbeck here in the north-east?
There might be a meeting of minds between the hon. Gentleman and me. Over the last year, we have developed the capacity to produce 70% of the country’s PPE needs here in the UK. We set that target last summer. We met it at Christmas for all different types of PPE, with the exception of gloves, but we keep working on bringing glove manufacturing onshore. As I said in my response, we have built a huge amount of pharmaceutical manufacturing capacity here in the UK, and there is a lot more to come.
I am delighted to be able to tell the House that, across the UK, we have met our target to offer a vaccine to everyone in the top nine priority groups ahead of the deadline on 15 April. We have now delivered a first dose to more than 32 million people, and are on track to offer a vaccine to all adults by the end of July. This weekend, we also saw a record number of second doses. Overall, as of midnight last night, we have now delivered more than 40 million doses of vaccines right across the UK. It is a remarkable achievement.
Today, the Joint Committee on Vaccination and Immunisation has published its final advice on an age-based prioritisation, which we accept in full. So I can announce formally that, from today, we have opened up invitations to get a vaccine to all aged over 45, and then we will proceed to everyone aged over 40, in line with supplies.
Finally, following a successful start last week in Wales, the Moderna vaccine will be rolled out in England from today. I am very grateful to everybody involved in this vaccination programme, which allows us to lift restrictions across the country, and already has saved over 10,000 lives, with more to come.
With your permission, Mr Speaker, may I wish all Sikhs, Hindus, Muslims and other communities celebrating their religious and cultural events in the coming days and weeks a happy, peaceful and prosperous time?
The Secretary of State is clear about the importance of vaccination, but how is his Department working to ensure that all adults without English language knowledge, with very low levels of health literacy and in pockets traditionally untouched by health campaigns, choose to be vaccinated, rather than being coerced—not just regarding covid-19 vaccines but other vaccines?
I wholeheartedly agree with the hon. Gentleman. I am very proud of how, across this House, people have united to support the vaccination effort and to get those messages out there as he says so clearly. It is very important that we have trusted confidants working in and with communities to explain the benefits of vaccination to those who may be hesitant. For instance, in Leicester we have ensured that within the Somali community, Somali clinicians are administering the vaccine. Having a vaccination centre that is staffed by the Somali community near where they live, even though there is another vaccination centre round the corner, has proved successful in driving up vaccination rates in that community. I pick on that as one excellent example of the national and local systems working together, listening to the data, and working with local communities. and I very much look forward to working with the hon. Gentleman to make that happen.
At the Liaison Committee three weeks ago, the Prime Minister confirmed that there would be a 10-year plan for the social care sector, like that of the NHS, to fix the crisis in social care. Will the Secretary of State tell the House what he thinks that 10-year plan needs to contain, and whether external organisations such as Age UK, the Alzheimer’s Society, Care England, and the Health and Social Care Committee, will be able to contribute to the Government’s thinking on that plan? Will they be able to do so before the plan is published later this year?
I warmly welcome my right hon. Friend’s enthusiasm and support for that project, which the Prime Minister set out at a high level to the Liaison Committee. We are working hard, including with stakeholders, and the Minister for Care has held a number of roundtables on the subject. We want this to be an open and broad programme, to ensure that we get the right answers to these long-standing questions.
Will the Secretary of State explain why, following a private drink he had with Lex Greensill and David Cameron, Greensill was handed an NHS payroll financing contract that sought to convert income from NHS staff pay packets into bonds to sell internationally, and effectively to make money on the back of NHS staff in a pandemic? Why was that contract given without tender? Why was that meeting not declared? What pressure did the Secretary of State put on officials to hand that contract to Greensill?
Ministers were not involved in the decision by NHS Shared Business Services to facilitate the provision of salary advances in pilot schemes. I attended a social meeting organised by the former Prime Minister, and given that departmental business came up, I reported to officials in the normal way.
This is part of a wider pattern of behaviour. We see PPE contracts going to Tory donors, and a pub landlord WhatsApping the Secretary of State and receiving a testing contract. We see a US insurance firm taking over GP contracts, and one of its bosses gets a job in Downing Street. It is cronyism and it stinks. If the Secretary of State thinks he has done nothing wrong and has nothing to hide, will he publish all the minutes, emails, correspondence and directions that he gave to civil servants, and all his text messages with David Cameron, so that we can see exactly what went on with the awarding of this contract?
Yesterday the Government announced a review into this matter, and I will of course participate in that in full. It is important that Governments engage with external stakeholders and businesses and, as was raised in the previous question, it is important that that happens, and happens in an appropriate way within the rules, which is what happened in this case.
Yes. I think that through the pandemic we have seen an improvement in our ability to see what is happening in the NHS right across the UK, and that helps us all work together better to deliver for patients. One example of that is the vaccine programme. That is a UK-wide programme with UK-wide metrics but it is delivered, of course, by the local NHS wherever people are in the UK. There are lessons we can learn from that.
We are putting record resources in. Of the increase in the NHS budget, the fastest increase in the long-term plan settlement is for mental health services, and within that, for children’s mental health services. We have also increased support through the pandemic. There is an awful lot that we continue to need to do, and there is a very significant plan, as part of the long-term plan, for improving access to these vital services.
Scotland gets her fair share of vaccines allocated, and then we publish the amount of vaccines that are delivered. That is slightly lower in Scotland as a proportion of the population compared with the UK as a whole, but we are working very closely with the NHS across Scotland, with the armed services and, of course, with the Scottish Government to try to make sure that they can catch up.
The definition of “outdoors” used in these regulations is the one set out by the Labour Government in the ban on indoor smoking.
I am very happy to meet my hon. Friend. I am grateful to him for raising this vital question of local public health in the House, and I am absolutely determined that the authorities—both the local authority, with its responsibilities, and the national authorities, including Public Health England—play their role in tackling this problem.
I am very glad to say that the numbers that the hon. Lady uses are out of date. We have seen a very significant increase in the number of nurses and other staff in the NHS. In fact, we have a record number of nurses in the NHS. For the very first time, we have more than 300,000 nurses in the NHS. We have seen over 10,000 more nurses over the last year alone. Of course, the mission to work caring for others and looking after the health of the nation in the NHS has never been more important, and I am delighted that so many people are rising to that, because we have record numbers of people in training too.
There is a huge amount that we can learn from the early response to the pandemic, and it is very important that we adopt the scientific understanding and learnings as quickly as is rigorously possible. We need the time for the rigour, but we need to adopt the policies. We have seen in the vaccine roll-out a huge amount of these lessons adopted, and the speed at which the scientific advice takes into account what we are learning on the ground in the vaccine roll-out is impressive. So we should keep going down this route—always open-minded, always asking the scientific questions and always then asking how quickly we can rigorously put those understandings into practice.
I am now suspending the House for three minutes to enable the necessary arrangements for the next business to be made.