Health and Social Care Workers: Recognition and Reward

Meg Hillier Excerpts

Thursday 25th June 2020 Commons Chamber

[Catherine McKinnell]

I am sure we will hear much more about the work of different parts of our NHS and the support being given in different ways to the extraordinary contribution that our health and social care workers are making.

There are clearly still huge challenges ahead for our country. We remain in the grip of one of the greatest challenges to our way of life in a lifetime. In recent weeks, more than 290,000 people have signed parliamentary petitions calling on the Government to reward those caring for us and our loved ones at this time of national need. I am sure that colleagues have received many messages and emails about this, as I have.

Last week, one of my constituents wrote to me:

“I am confined to the Freeman”—

—a hospital in Newcastle—

“after a nasty fall. It has given me an opportunity to see the NHS up close and personal. I must say the nurses and others are amazing workers. Doing more than they need without complaint. Their only beef is doing everything masked all the time. However, they keep the rules throughout long shifts. They should be properly rewarded for such skilled and professional work.”

Another said:

“What I hope for now is less posturing and instead some competent administration. Recognise the contribution of those who continue to work on the frontline. At the very least they must have proper working conditions, remuneration and PPE—and no-one working in the NHS or in a caring role should be asked to pay a surcharge.”

There is clearly widespread agreement across this House that health and care workers deserve recognition, but the question is, how do we best do that? Some have suggested medals or honours. In a statement last month, the Prime Minister said:

“The honours system recognises exceptional contributions made across every part of the UK and will play a key role in demonstrating the nation’s gratitude to all those involved in the response.”—[Official Report, 20 May 2020; Vol. 676, c. 32WS.]

He has also said that the Government will consider the creation of a new medal for healthcare workers. That call has been echoed by The Mirror newspaper, with its “Give NHS Heroes a Medal” campaign, which has picked up lots of support, from politicians and trade unions to doctors’ leaders and footballers.

[Meg Hillier (Hackney South and Shoreditch) (Lab/Co-op)]

While I hear everything my hon. Friend says about medals, I am sure she will agree that medals do not put food on the table, and there are many people working in our NHS and social care who work through agencies and are paid the minimum wage or less. Does she agree that that is what needs to be righted?

[Catherine McKinnell]

My hon. Friend anticipates my next comment, because that idea is receiving a mixed reception. One NHS worker wrote to me:

“I’ve heard whisperings of NHS staff getting medals after the pandemic. Please don’t let this happen! It’s utterly ridiculous; when we are working in understaffed and under resourced settings for money to be spent on medals is outrageous! No one wants that. We’d rather the money go towards improving staff car parking or access to hot food if anything!”

Another constituent wrote to me to say:

“pay rise for the NHS and care workers. They do not need medals.”

While medals and honours have a place in recognising exceptional achievements, there is clearly also a need for true recognition of their bravery and resilience during this crisis, and also for the amazing job they do every single day.

--- Later in debate ---

[Meg Hillier (Hackney South and Shoreditch) (Lab/Co-op)]

I agree with the hon. Member for Crewe and Nantwich (Dr Mullan) that pay is difficult to sort out because it is often systemic, but it needs to be fair.

I speak today solely about contract staff in the NHS, although I associate myself with the comments made by the hon. Member for Twickenham (Munira Wilson) about the similar situation in the social care sector. I am not talking about those who are directly employed; I am talking for myself and on behalf of my right hon. Friend the Member for Hackney North and Stoke Newington (Ms Abbott), who is unable to speak because of shielding, about the thousands of staff working on outsourced contracts who are paid considerably less—often lower than the minimum wage—and who have fewer rights to sick leave; who have much less job security, if any; who are often on zero-hours or uncertain contracts; and who are disproportionately from black, Asian and minority ethnic backgrounds. I pay tribute to the GMB trade union for highlighting how many agency workers were going to work sick because they had to choose between working and paying their basic bills. The move to a secure sick pay is a start, but it is not enough and it is not yet firmed up for the long term.

Homerton University Hospital in my constituency is an excellent hospital that does great work, but it is now in the throes of agreeing a five-year extension to a contract for hospital cleaners and other ancillary staff employed by ISS. My right hon. Friend the Member for Hackney North and Stoke Newington and I are concerned about such a long extension leaving key workers on low pay without the protection and recognition that NHS employed staff have, but the real issue is systemic: it is not about the individual trusts but about how the Government choose to fund hospitals, such that from day one they cannot fund their full staff complement. The NHS systemically is funded such that it bakes in the assumption of low-paid, insecure workers on outsourced contracts. As of 2018-19, for which we have the most recent figures to be audited, the combined deficit of trusts in England was £844 million—up £86 million from the year before. That is the heart of the problem.

My right hon. Friend the Member for Hackney North and Stoke Newington and I are really clear that the Government need to foster a system that is not reliant on low pay. So low-paid are these workers, the irony is that their pay is topped up by taxpayer-funded universal credit and other benefits. We are both clear that if people are facing the same risk, they should have the same reward. This inequality cannot continue, and if we are to learn anything from the covid-19 crisis, it is that we need to level up so those who work for the lowest pay—poverty pay—are getting a fairer deal.