Countess of Chester Hospital Inquiry
Debate between Mike Amesbury and Steve Barclay(7 months, 3 weeks ago)
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Mike Amesbury (Weaver Vale) (Lab)
I and my Cheshire West and Chester constituents are served by the Countess of Chester Hospital, so I welcome the inquiry’s having been put on a statutory footing, but like other hon. Members across the House, and, in particular, the families of the victims of this horrendous situation, I want to ensure that those managers who have somehow recycled themselves into leadership positions face stronger regulation and accountability. I look forward to the Secretary of State’s expanding on that.
Steve Barclay
It will not surprise the hon. Gentleman that a central concern of the families when I met them was the extent to which they felt fobbed off when concerns were raised and the ability of those managers either to continue in post or to move to new posts. I think that concern is shared across the House. It is very much central to some of the safeguards that have been put in place through the recommendations from Kark that have already been accepted. It also opens up questions about the role of boards and how we strengthen non-executive directors, the training and induction, and the other provisions that we can put in place. Of course, some of those issues are the reason we are having the inquiry, and through the statutory process, there will be the opportunity to call people to give evidence and for the judge-led inquiry to put questions on behalf of the families.
Oral Answers to Questions
Debate between Mike Amesbury and Steve Barclay(9 months, 3 weeks ago)
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Steve Barclay
Dr Alex George does a lot of fantastic work. I am due to meet him shortly in the coming days, and I look forward to that discussion. My hon. Friend is right to highlight the importance of getting more mental health support into the community, which is exactly what our additional funding is focused on delivering.
Mike Amesbury (Weaver Vale) (Lab)
Eighteen community pharmacists in my constituency are reporting challenges on medicine supplies. What more is the Minister going to do to get a grip of this situation?
Steve Barclay
We have a long-standing team in the Department focused on medical supplies, which are a continual issue; as a matter of routine business, there are often challenges in that area. If the hon. Gentleman has specific issues he wishes to raise, we would be happy to look at them, but we have a dedicated team in the Department that focuses on that exact point.
Oral Answers
Debate between Mike Amesbury and Steve Barclay(1 year ago)
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Steve Barclay
The hon. Lady raises an important issue related to MS. I am happy to write to her with a more detailed answer about the capability and the plan. There is always a tendency within government to lurch to a strategy rather than to look at what is needed for immediate delivery. I will happily set out what steps we are taking now as part of our pandemic recovery in order to target the workforce within the constraints that she raises.
Mike Amesbury (Weaver Vale) (Lab)
Urgent and Emergency Care Recovery Plan
Debate between Mike Amesbury and Steve Barclay(1 year, 2 months ago)
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Steve Barclay
I recognise my hon. Friend’s point, not least as a rural constituency MP myself. I have talked to paramedics, as I am sure he has, and the principal cause of frustration of late has not been the issue of pay—important though that is. It has been frustration over long handover times, which has had a particularly damaging impact. I am happy to look at any specific issues in his area but he is right on the wider point about the pressures in rural areas.
Mike Amesbury (Weaver Vale) (Lab)
When can the people of Warrington, and indeed Halton, expect to hear about the new hospital campuses, which are much needed by both communities—with sufficient staff to resource them?
Oral Answers to Questions
Debate between Mike Amesbury and Steve Barclay(2 years, 5 months ago)
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Mike Amesbury (Weaver Vale) (Lab)
The Chancellor of the Duchy of Lancaster and Minister for the Cabinet Office (Steve Barclay)
Small and medium-sized businesses are the backbone of the UK economy. We are increasing opportunities for SMEs in a variety of ways, from transparently publishing contract pipelines to simplifying the bidding process.
Steve Barclay
My hon. Friend is right to be proud of those industries, and he is also right to draw a distinction between contracts above £10,000, which need to be published, and those below £10,000, albeit of course that those below £10,000 still need to deliver value for money. We are looking, through the legislation that we are bringing forward on procurement, at how we can allow greater comparability in public contracts—that £300 billion of spend—so that we drive better value for money. We are also supporting SMEs through things such as Help to Grow: Digital and Help to Grow: Management in order that they are better enabled to bid for those important contracts.
Mike Amesbury
The rows and rows of wind turbines off our shores have, historically, largely been imported from abroad. What are the Government and the Minister doing to ensure that onshore and offshore renewable technology is British made using British steel?
Steve Barclay
There are two aspects to that question. First, there is the investment we are making—for example, the £15 billion, increasing to £20 billion, in research and development so that we can make the most of innovation and technical opportunities, building on our university sector expertise. Secondly, covid has shone a light on the importance of resilience in supply chains and the benefits in certain sectors of onshoring more of our supply chains. I think that is one positive that has come out of the covid process.
Oral Answers to Questions
Debate between Mike Amesbury and Steve Barclay(5 years ago)
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Mike Amesbury (Weaver Vale) (Lab)
The Secretary of State for Exiting the European Union (Stephen Barclay)
The United Kingdom has a tradition of exceeding EU standards. We do not need to follow EU rules to continue to lead the way. An example of that is that UK maternity entitlements are nearly three times greater than the minimum EU standard.
Mike Amesbury
Does the Minister agree with the TUC that the Government’s proposals on workers’ rights after Brexit are nothing but “flimsy procedural tweaks”? How will they be strengthened during current negotiations with the Leader of the Opposition?
Stephen Barclay
As the right hon. and learned Member for Holborn and St Pancras (Keir Starmer) knows, we had discussions yesterday and there will be further discussions today. I am sure that workers’ rights will be among a range of issues that we will discuss. The hon. Gentleman will know that the Prime Minister has already said that she will bring forward a package of measures to strengthen enforcement of workers’ rights, and that is in part following discussions that we have had with a number of Opposition Members.
Healthcare (International Arrangements) Bill
Debate between Mike Amesbury and Steve Barclay(5 years, 5 months ago)
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Stephen Barclay
I am grateful to my hon. Friend for raising that. Understandably, much of the debate today has focused on the EU element of the Bill, but he is quite right to recognise that the reciprocal element extends beyond the EU and particularly to Crown dependencies, overseas territories and countries such as Australia, New Zealand and elsewhere. I am very happy to have those discussions with him.
My opposite number, the hon. Member for Ellesmere Port and Neston, raised a number of points, one of which was the impact on people with long-term conditions. I agree that, without reciprocal healthcare, people with long-term conditions, including those who need dialysis, may find it harder to travel, which is the very essence of why the Bill is necessary, so that we can implement a reciprocal arrangement with the EU or, failing that, with individual member states to support the travel arrangements of those with long-term conditions.
The hon. Gentleman also questioned the £66 million figure that I referenced in my speech, and I am happy to point out that that was in relation to the 2016-17 value of claims made by the UK to EU member states. He also asked about cost recovery more generally and, since 2015, we have increased identified income for the NHS under reciprocal arrangements by 40%, and directly charged income has increased by 86% over the same period. I mentioned the increased focus on that to my hon. Friend the Member for Crawley (Henry Smith), which I hope gives a signal of intent as to the direction of travel on cost recovery.
The hon. Member for Ellesmere Port and Neston also mentioned the role of NHS Improvement, and I am happy to clarify that it is now working with more than 50 NHS trusts to improve their practices further, with a bespoke improvement team in place to provide on-the-ground support and challenge in identifying and sharing best practice.
The hon. Gentleman also mentioned an important point, and one that we will probably go into in more detail in Committee, on data. Again, the policy intent is continuity, rather than a change in our approach to data. Clause 4 expressly contains a safeguard for personal data, which can be processed only where necessary for limited purposes or funding arrangements. That covers, for example, where someone is injured while abroad, where personal data of a medical nature often needs to be shared to allow treatment to take place. At the same time, there are safeguards in the Bill, which I am sure we will explore.
My hon. Friend the Member for North Thanet expressed concern about cherry-picking, and I recognise his point. That is why we are looking for the reciprocal arrangements to continue, although even in the event of no deal and no bilateral deal, local arrangements often apply for healthcare, such as on the basis of long-term residency or previous employment. Those would be local factors, but obviously the policy intent is to have an arrangement with countries across the EU.
The hon. Member for Linlithgow and East Falkirk (Martyn Day) and my hon. Friend the Member for East Renfrewshire (Paul Masterton) spoke about the work of the devolved Assemblies and how we liaise with them. Indeed, I spoke with my Welsh counterpart just yesterday. In the other place, the Parliamentary Under-Secretary of State for Health has been working closely with the devolved Assemblies, as have colleagues and officials in our Department. How we work with the devolved Assemblies is a pertinent point, and we are keen to continue that active dialogue.
My hon. Friend the Member for Poole (Sir Robert Syms) correctly identified the importance of the EHIC card and of inward tourism to the UK. The point about continuity was reinforced by my hon. Friends the Members for Chichester (Gillian Keegan) and for Chelmsford (Vicky Ford) in their thoughtful contributions. It was also echoed by my hon. Friend the Member for Walsall North (Eddie Hughes) when he highlighted the importance of taking a practical approach to how these arrangements apply.
My hon. Friend the Member for Totnes (Dr Wollaston) raised a number of detailed points, and I am happy to have continued dialogue with her on them, although I hope she will draw some comfort from recent quotes and legislative developments in a number of EU27 states. For example, the French Minister for European Affairs said, “France will do as much for British citizens in France as the British authorities do for our citizens.” France has legislation under way. The Spanish Prime Minister said, “I appreciate, and thank very much, Prime Minister May’s commitment to safeguarding those rights. We will do the same with the 300,000 Britons who are in Spain.”
Again, I hope the fact that we actually pay out more to the EU than we currently receive, and the fact that both nations benefit from a reciprocal arrangement, gives an idea of the starting point of the discussions. Like my hon. Friend, I would welcome it if that were done across the EU27 as a whole.
My hon. Friend also raised the issue of dispute resolution, and the current arrangements between the UK and other member states require states to resolve differences, in the first instance, between themselves. That is the existing position that applies, but clearly it would be a matter for negotiation as to how a future UK-EU agreement might be governed. That is a cross-cutting issue; it is not one pertaining solely to this Bill.
It is clearly in the interests of the British public to ensure reciprocal healthcare, arrangements, similar to those currently in place, continue when we leave the EU, whether that happens through an agreement with the EU itself, as we very much want, or through individual arrangements with EU member states.
Mike Amesbury (Weaver Vale) (Lab)
Just for clarification, is the jurisdiction of the European Court of Justice still a red line in the sand?
Stephen Barclay
The issue in terms of the ECJ will be dealt with in other areas of the withdrawal agreement discussions. In the event of a deal, and in the event of no deal, it will be governed by the bilateral arrangements.
I commend this Second Reading to the House, and I look forward to working with colleagues on both sides of the House in Committee.
Question put and agreed to.
Bill accordingly read a Second time.
Oral Answers to Questions
Debate between Mike Amesbury and Steve Barclay(5 years, 6 months ago)
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Mike Amesbury (Weaver Vale) (Lab)
Stephen Barclay
I am not aware of the specific details of that, but I am happy to meet the hon. Gentleman to discuss it if he has particular concerns he wishes to raise.