Health and Care Bill

Debate between Mike Penning and Edward Argar

Consideration of Lords amendments
Wednesday 30th March 2022 Commons Chamber

[Edward Argar]

I hear my right hon. Friend’s gentle but firm urgings, and I hope that he will welcome the progress that we have made.

[Sir Mike Penning (Hemel Hempstead) (Con)]

The Cumberlege report was fantastic. The Minister accepted some of what it said but not in relation to Primodos, especially in the area of compensation. Can we look at that again?

[Edward Argar]

I am always happy—or the relevant Minister is always happy—to meet my right hon. Friend on any matter relating to the Department’s work.

Turning to the Health Services Safety Investigations Body—HSSIB—and patient safety, we intend to support the development of a learning culture across the NHS. With that in mind, I would like to turn to Lords amendments 66 and 109. The related clauses concern how we balance the need for those who speak to the HSSIB to feel safe to speak openly and candidly to HSSIB staff, while ensuring that coroners can fulfil their judicial functions. This has been, throughout the passage of the Bill, a difficult balancing act with no perfect answer, which has been given much thought and attention, and on which reasonable people can come to equally valid but different views. However, I have concluded that there is significant strength of feeling in both this House and the other place on whether coroners should have access to protected material held by the HSSIB.

I am grateful to my colleagues in the Ministry of Justice, in particular the Under-Secretary of State for Justice, my hon. Friend the Member for Corby (Tom Pursglove), and to the Chief Coroner for considering the different views judiciously. Recognising that, the Government have decided to accept their lordships’ amendment, which removes the ability of senior coroners to access protected material held by HSSIB through relying on certain powers under the Coroners and Justice Act 2009. We hope that will give reassurance and strengthen the ability of the HSSIB to deliver what we all want across this House, which is to support an open learning culture across the NHS.

This group of amendments also includes a substantial number of amendments to improve public health. In the other place, we brought forward amendments to enable the smooth and effective implementation of restrictions on the advertising of less healthy food and drink. I urge the House to accept Lords amendments 101, and 123 to 128, which allow the necessary preparatory work to take place before the restrictions are due to come into force on 1 January 2023. They also introduce the ability to delay that implementation date via secondary legislation, should that be deemed necessary.

Health and Care Bill

Debate between Mike Penning and Edward Argar

Report stage
Tuesday 23rd November 2021 Commons Chamber

[Sir Mike Penning (Hemel Hempstead) (Con)]

I support new clause 19, which I signed, and will wait to see what the Minister says about it.

I want to take issue with the shadow Minister, the hon. Member for Ellesmere Port and Neston (Justin Madders), who turned around and said to Ministers, “Be careful what you wish for.” Our constituents send us here to represent how their taxation is spent in the NHS. When trusts are refusing to build new hospitals in our constituencies when they have the money to do so, and they want to refurbish hospitals and ignore public opinion and their local MPs, that is where the system goes wrong. I am not saying we should go all the way back to the old system, but there should be accountability in trusts when they do not do what our constituents would expect from them. My constituents would expect me to stand up and say this, because we want a new hospital on a greenfield site to look after the people of west Hertfordshire and our trust is refusing. If the shadow Minister ever becomes a Minister, I hope he has those powers.

[Edward Argar]

This group of amendments has clearly been popular and it is a shame that more right hon. and hon. Members did not get to speak. My remarks will be relatively brief.

On the contributions by my hon. Friend the Member for Congleton (Fiona Bruce), my right hon. Friends the Members for Gainsborough (Sir Edward Leigh) and for Basingstoke (Mrs Miller) and the hon. Member for Upper Bann (Carla Lockhart), those are deeply emotive and important issues. I entirely respect the strength and sincerity of genuinely held feelings on both sides of the debate. It is important that such matters are aired in the House, but they quite rightly remain a matter of conscience for individual Members, so I shall say no more than that it is important that everyone recognises the genuine views on both sides of the debate.

I am grateful to my hon. Friend the Member for Basildon and Billericay (Mr Baron) for tabling his new clause 19 and am happy to say that the Government are content to accept it. I know that my hon. Friend’s first concern is the quality of cancer services in this country and the welfare of the patients that they serve. I am pleased that he is keen for us, in accepting the new clause, to explore ahead of the Lords stages of the Bill whether it may give rise to any unintended consequences, with a view to supporting any changes that might need to be made. I look forward to working with him on that in the coming weeks before the Lords stages.

Hospital Building Programme

Debate between Mike Penning and Edward Argar

Wednesday 3rd November 2021 Westminster Hall

[Edward Argar]

I am grateful to the hon. Gentleman, who quite rightly never misses an opportunity to champion his constituents’ interests.

Hon. Members will be aware that the interest around the country is significant. A significant number of expressions of interest have been submitted, so whittling them down will be a competitive and challenging process, but we undertake to be as clear and transparent about that as we can be. I suspect that, when the final list is announced, if I do not come to the House with a statement, the shadow Minister may well UQ me, to give colleagues an opportunity to say they are very pleased or to ask why their hospital is not on the list.

Let me turn to points made by other hon. and right hon. Members. My right hon. Friend the Member for Hemel Hempstead (Sir Mike Penning) will not be surprised that I will not be drawn on the specifics of the internal politics and the plans for his trust at this point. However, he quite rightly made the extremely important point that when trusts develop their plans and bring them forward, they need to carry the communities they serve with them and genuinely reflect on stakeholder input from elected Members and others, rather than—I am not saying that this is or is not the case with this trust—automatically having a preconceived idea of what the right answer is.

[Sir Mike Penning]

rose—

[Edward Argar]

I may regret this, but I give way to my right hon. Friend.

[Sir Mike Penning]

The Minister might not be willing to say that my trust has preconceived the decisions it was going to make; I will, because it made its mind up long before the latest announcement. However, we are in a slightly different position from other colleagues here. We are in HIP 1—part 1 of the health infrastructure plan—and we do not want that money to be wasted. We do not want a sticking plaster; we do not want a refurbishment in the middle of Watford. The community in my part of the world is absolutely solid on that, and if that meant that we slipped out of HIP 1 into HIP 2—I will put my neck on the block—I would be happy with that, as long as we get the right facility on a greenfield site, rather than the wrong facility as a refurbishment in the middle of Watford next to a football ground.

[Edward Argar]

I did not regret giving way to my right hon. Friend quite as much as I feared I might, although he may yet come back to me. As ever, he makes his point powerfully and clearly, and I suspect that, as well as my having heard it, his trust will also have heard it.

As the shadow Minister said, my hon. Friend the Member for Hartlepool (Jill Mortimer) made broader points, in addition to points about her local hospital and trust, about health inequalities and the role that the right infrastructure and staff—the right people in the right place—can play in tackling that. I have to pay tribute to her. Within a day of her arriving in this place following her fantastic by-election victory, she had pinned me down so she could come and see me and talk about Hartlepool and health services there. Her constituents are extremely lucky to have her. She hit the ground running and has not stopped working since on behalf of her constituents.

My right hon. Friend the Member for Basingstoke and I, as she alluded to, have spoken a number of times about her trust. How can I not accept her kind offer of going to the site and seeing her in her constituency? I have known her for a long time, so it is a pleasure to say yes. I would like to go there and do that, then perhaps we can discuss the plans further. She and I have met on several occasions. She is a great champion for the new hospital in her area, so I am grateful for the invitation.

My hon. Friend the Member for Keighley—I almost said “my hon. Friend the Member for Airedale”, given the frequency with which, he raises and champions in the House at every opportunity the need for a new hospital at Airedale—is right to highlight the challenges that his trust faces, as he has done on many occasions, particularly in the context not only of the needs of his population, the challenges of an old building that has long exceeded its intended lifetime, but also the RAAC plank issue. I know that his trust is keen to be one of the eight. I will only say to him, I am afraid, what I said to my hon. Friend the Member for Crewe and Nantwich, which is that the bids will be considered very carefully. I know that he will continue making the case, as he has done in the past.

--- Later in debate ---

[Edward Argar]

I am grateful to the hon. Gentleman, who raises a couple of points. Yes, roofs are a factor. In some cases—my hon. Friend the Member for Keighley talked about Airedale—there is a flat roof, which is vulnerable to heat and water, and aerated concrete planks, which is extremely challenging.

The hon. Gentleman mentioned cladding. I might be slightly out, but from memory I think that there are no hospitals with cladding in need of remediation. We put a programme in place following the Grenfell findings. Off the top of my head, I think every hospital trust has either had it removed or been assessed by the fire brigade as not having a risk. If I am wrong about that, I will of course write to him to correct the record.

[Sir Mike Penning]

On the point the Minister has just made, Natalie Forrest has taken on her new role. I notice that the Minister said she has been in communication with the trusts, but she has not been in communication with the MPs who have emailed her and asked her to respond to them, including me. My hospital action group and I met her predecessor and had very fruitful discussions, and Natalie Forrest would be very welcome to have a discussion with me.

[Edward Argar]

I am grateful to my right hon. Friend. Understandably, the approach we take with right hon. and hon. Members is that correspondence is replied to by Ministers. Occasionally it is a little belated, but that is the conduit for responses.

On meetings with senior officials, I am always happy to facilitate that. Normally, the approach is that I would attend as the Minister in order to reflect the respect that I have for right hon. and hon. Members—and I suspect that he may be about to ask me whether I will therefore do that.

[Sir Mike Penning]

The Minister is being very generous in giving way again. Yes, that would be great. However, I did meet Natalie Forrest’s predecessor without a Minister present, and I just want an email back to say, “I acknowledge you.” That might be quite nice.

[Edward Argar]

I suspect that the Department will have heard my right hon. Friend’s point.

Health Infrastructure Plan

Debate between Mike Penning and Edward Argar

Monday 30th September 2019 Commons Chamber

[Edward Argar]

The hon. Gentleman is understandably and rightly fighting the corner for his local trust and local hospitals, but I am sure he would none the less welcome the huge investment by this Government in our NHS that this announcement amounts to. On delivering on these commitments, we are clear: we want to see these hospitals built as swiftly as possible. Unlike the Labour party, when we say we will do it, we get on with doing it.

[Sir Mike Penning (Hemel Hempstead) (Con)]

As the Minister knows, in his short time in office I have been pinging his ear, as I did his predecessor’s, over the investment we need in west Hertfordshire. The Secretary of State kindly took a call from me at the weekend. Now £400 million is welcome, but not if we are going to chuck it into Watford Hospital, which is a Victorian hospital that took all the work from Hemel Hempstead Hospital when Labour closed our acute hospital. Hemel Hempstead is the largest town in Hertfordshire. We welcome the money, but we would like a new hospital where we could look after St Albans, Hitchin and Harpenden, Watford and Hemel Hempstead in the 21st century—we do not want to plough this into a Victorian hospital.

[Edward Argar]

My right hon. Friend rightly campaigns vociferously for his constituents in Hemel Hempstead, and I know he has spoken to the Secretary of State about this issue on several occasions. No formal decision has been made on the detail. He will know that his hospital trust has a view. I hope he will continue to engage with the trust and with us Ministers, and that he will put the points that he just put to the House to us in a meeting.

Criminal Justice System: Veterans

Debate between Mike Penning and Edward Argar

Wednesday 12th September 2018 Westminster Hall

[The Parliamentary Under-Secretary of State for Justice (Edward Argar)]

I pay tribute to the hon. Member for Bridgend (Mrs Moon) for securing the debate and for her typically thoughtful speech on an important issue. I am sorry that we have so little time today for it.

I also pay tribute to all those who serve, or who have served, in Her Majesty’s armed forces, and to the families that support them. The British armed forces are the best in the world; it is those who serve in them who make them so. The armed forces covenant reflects the huge debt that, as a society, we owe to all who serve. It is a pledge to all who have served, or are currently serving, that they will be treated fairly, looked after and not disadvantaged due to their service. I am proud to work alongside colleagues from the Ministry of Justice, across Government and on both sides of the Chamber in this important area. I particularly highlight the work of the Under-Secretary of State for Defence, my right hon. Friend the Member for Bournemouth East (Mr Ellwood). I will ensure that he is aware of the points the hon. Lady made for the Ministry of Defence.

Our criminal justice system is there to do a number of things: to punish and deter those who break the law; to provide redress for victims of crime; and to protect society—in many ways, the overriding aim. In that respect, we must focus on reducing reoffending through our system by providing effective rehabilitation. That applies to all those in our custody or in the criminal justice system, regardless of background. We are determined to ensure that those in custody are held in safe and decent conditions and receive the support they need to meet their rehabilitation and physical and mental health needs.

In that context, it is right to recognise the sometimes very specific needs that former armed forces personnel in custody may have. The Ministry of Justice was pleased to welcome in 2014 the Phillips review of veterans in the criminal justice system, which looked at that issue. It highlighted that ex-military offenders have similar profiles to non-military offenders, but with multiple mental health and socioeconomic risk factors, including anxiety, depression and post-traumatic stress disorder. We must seek to address those factors. The latest Ministry of Justice offender management statistics show that, across our 85,000 prisoners, around 3% of new receptions declared themselves as having served in the armed forces. This figure has remained fairly stable for several years.

[Sir Mike Penning (Hemel Hempstead) (Con)]

I commend the Minister on his very accurate speech. Self-declaration is a really serious issue. Care after Combat, which is in most prisons—frankly, the big charities were not in there doing the work the hon. Member for Bridgend (Mrs Moon) talked about—knows that the guys and girls who go to prison, for myriad reasons, will not self-declare, even though we know they have served, because their national insurance number has a marker. When I was a Minister and sat where the Minister is sitting, I called for that situation to be reversed so that, rather than people self-declaring, they have to declare that they do not want to be declared. We must address their safety in prison; it is not just pride—some of them are at risk. I commend Care after Combat, in particular, for going into prisons and not caring what people have done, just so that it can get people back out and not reoffending.

[Edward Argar]

My right hon. Friend makes a very important point. I pay tribute to him for his work when he was a Minister in the Ministry of Defence and the Ministry of Justice; if I recall correctly, he initiated the Care after Combat pilots, and I pay tribute to the work of that charity too. If I may, I will come on to that and the point about self-declaration shortly, because the hon. Lady made a powerful point about it.

We have begun gathering data on the percentage of veterans among the population of offenders in the community, because, although they are not in custody, we have an obligation to them too. The data is being analysed and will be available in due course. The statistics are important because they highlight that, although some have suggested there is an over-representation of former armed forces personnel in the criminal justice system, that does not appear to be the case. However, as the hon. Lady and others have highlighted, the statistics are vital; if we wish to help former armed forces personnel in our criminal justice system, knowing who they are and understanding them is the only way we can do that.

My strong belief is that we must emphasise that, for someone coming into the criminal justice system, their service connection is an asset, not a liability. As has been alluded to, the Ministry of Justice made changes in 2015 so that every individual coming into custody in England and Wales is asked if they have served in the armed forces. A mandated self-declaration form is also completed by the national probation service. The hon. Lady and my right hon. Friend made a powerful point about the deep pride many former armed forces personnel have in their service and in who they are, which can sometimes inhibit them from making that declaration. The hon. Lady asked if I will have another look at that issue, and I am happy to tell her that I will look into it in more detail following the points she and my right hon. Friend made. It is important to these people’s rehabilitation and reintegration into society that we know who they are, so that we can ensure that the services we provide meet their needs—for example, by addressing identified needs such as mental health issues or PTSD.

Her Majesty’s inspectorate of prisons noted in 2014 that 26% of ex-service personnel—those we knew about, to go back to the point about self-declaration—reported having a current mental health or emotional wellbeing problem in its survey. That statistic was similar in the general prisoner population. What was distinct for veterans in custody, however, was that they were more likely to report feeling depressed or suicidal on arrival—the figure was 18%, compared with 14%—and more likely to have a higher incidence of physical health problems.

If we do not understand the nature and extent of the problem, how can we possibly hope to address it? For an individual who has served, being able to disclose that is a step towards helping themselves as well as allowing us to help them. It opens the array of support networks available, and it draws down the social capital that that group has earned and invested in from their time in service.

Many talk about letting the services down by ending up in prison, but what lets these people down is not understanding them. A key principle in desisting from crime is that people should be able to define themselves positively. To see oneself as ex-service, not ex-offender, gives people a chance to have a positive self-view.

I am conscious of time, but I would like briefly to touch on a few of the wider changes that we are anticipating as a Government with regard to veterans generally, and on the importance of partnership working with other organisations. I also want to say a few words about Parc, which was the focus of the hon. Lady’s speech.

The veterans population is changing, and the prison population is changing. The large cohorts of ex-servicemen and women who experienced the forces as part of their national service, or who served during the cold war years, are now giving way to a much younger group who have served in recent conflicts. A much younger veterans population has different expectations of how they want to be supported. They may be more open to asking for support—for mental health problems, for instance—and possibly less concerned about where it comes from. Across Government we will try to bond together and co-ordinate the support available, but we will rely on the first-hand knowledge of networks operating at grassroots level to look at trends, use data and keep us on top of how services should be shaped and designed in future.

The hon. Lady was right to highlight the hugely important and innovative work being done at Parc. I join her in paying tribute to the staff and the team there for what they are doing—I know her visit went down very well, and they were very pleased to see her. I hope to visit Parc soon as part of a tour of a number of prisons in Wales. Partnership working is key to what they do there, not just within Her Majesty’s Prison and Probation Service—I hope lessons from Parc can be learned across the system—but with forces charities.

I stand behind all those working in this area, and particularly the wide range of military charities that work across the criminal justice system to provide for the specific needs of veterans, in parallel with the ongoing provision available for all offenders. Those charities include, for example, SSAFA, Forces in Mind, the Royal British Legion and, of course, Care after Combat, which my right hon. Friend mentioned. I encourage those groups to continue their networks and their work, and particularly those specific pieces of work that show us where we need to go in future. It is through the knowledge and sharing experiences of voluntary sector and service charities that we are able to continue improving services for veterans. My door is always open to them to talk to me about their work.

I will conclude, to give the hon. Lady a minute to speak if she is permitted, Mr Hollobone.

Oral Answers to Questions

Debate between Mike Penning and Edward Argar

Tuesday 10th July 2018 Commons Chamber

[Sir Mike Penning (Hemel Hempstead) (Con)]

On behalf of the Government, I stood at the Dispatch Box beside the Treasury Bench and promised the country that we would have a victims law. May I ask the Minister where that victims law is?

[Edward Argar]

I am grateful to my right hon. Friend for that question, and I know that the House is grateful to him for his work and his tireless campaigning in this area. We have made it clear that we are committed to bringing forward a victim strategy this summer, which will look at both legislative and non-legislative options for delivering what he mentions. I would be delighted to meet him to discuss it further.

Oral Answers to Questions

Debate between Mike Penning and Edward Argar

Monday 12th December 2016 Commons Chamber

[Edward Argar (Charnwood) (Con)]

T8. As we approach Christmas, a time that many members of our armed forces will spend away from their families, will my right hon. Friend join me in thanking them and their families for all that they do to protect us in this country and for the sacrifices they all make?

[Mike Penning]

As the Minister for the Armed Forces, or for ops, it is very appropriate for me to ask the House to join me in wishing everyone in our armed forces, and their families and loved ones, a very merry Christmas. We all hope that they will come home safe.