Defending Public Services

Mike Wood Excerpts

Monday 23rd May 2016 Commons Chamber

[Mike Wood (Dudley South) (Con)]

On the Monday of last year’s Queen’s Speech debates, at almost exactly this time, I made my maiden speech. Twelve months on, I am delighted to see legislation being brought forward to implement so many parts of the manifesto on which my colleagues and I were elected. This Queen’s Speech is about improving life chances for all. It is about securing our economy so that we can provide the excellent public services on which our constituents, and we ourselves, depend. It is about delivering a truly seven-day NHS and about making our promise on parity of esteem for mental and physical health into a reality.

I depend on the national health service, as do my family. When we needed it most—when my children were born and when my wife was taken ill—the NHS was there for us. I am proud of, and will always be grateful for, the fantastic care provided in our health service, but I have also seen how the level of healthcare available varies depending on when you have to go into hospital. My daughter turned eight a few weeks ago. When she was born, there were complications during labour but, as this was in the early hours of the morning, consultants and some specialist staff who would normally have responded were not available. Fortunately, with the support of the excellent midwives on duty, everything turned out okay. Surely we have a responsibility, however, to do everything we can to reduce those risks, regardless of what time it is or which day of the week you go into hospital.

The Conservative manifesto promised to ensure that people could access good quality healthcare seven days a week in our NHS. This was a key commitment and I am pleased that legislation is being brought forward to allow for it to be delivered. People will be able to see a GP in the evenings and at weekends to suit modern life. Making it easier to see a GP should relieve pressures on other parts of our national health service, while those patients who need urgent or emergency hospital care should have access to a similar level of consultant-led assessment, diagnostic tests and treatment seven days a week. Under the new proposals, they will be seen by a consultant and have diagnostic tests available, and the most critically ill patients will be seen within the hour.

This can be done only because of the extra money that is being invested in the NHS, and that is achievable only because of our strong economy. The chief executive of NHS England said on “The Andrew Marr Show” yesterday that when the economy suffers, the NHS suffers. However, this Government have put rebuilding the economy and protecting our NHS first. In Dudley, my local hospital trust’s income last year was £64 million higher than it had been five years previously. That has allowed us to have 60 more doctors and 192 more nurses, midwives and health visitors in Dudley than there were in 2010. That is an example of a stronger economy leading to a better-resourced national health service.

That includes mental health care—a part of the NHS that has too often been viewed as the Cinderella service. The Health and Social Care Act 2012 introduced a commitment to parity of esteem between mental and physical health, and I am delighted to see the right hon. Member for North Norfolk (Norman Lamb), who did so much to bring about that legislation, in his place tonight. This Queen’s Speech includes further measures to turn that commitment into a reality for everyone in the country who needs mental health care.

In response to the mental health taskforce, the Government announced an additional £1 billion. This will fund all the taskforce’s priority recommendations. With the increased funding going into mental health services, the focus now rightly shifted from treatment to prevention. Members might not be aware that one in 10 children between the ages of five and 16 have a mental health problem. We need to intervene early, instead of simply throwing money at prescription drugs or treating the symptoms at a later stage. It is a false economy if we do not tackle problems early, before they end up becoming much more expensive and, more importantly, before they cause even more distress and human cost to the individual and their family.

While we are increasing NHS funding, we have a responsibility to ensure that the available resources are focused on services for all our citizens who depend on the NHS. It is right that people who come to Britain for elective healthcare should cover the costs of their treatment rather than expect British taxpayers to pick up the bill. This Government were the first to act to tackle health tourism and the abuse of our NHS, and I am pleased that the Government are to go further with the Bill announced last week, extending the rules on charging people who come here for non-emergency treatment.

I am proud of our NHS. Of course, it is not perfect, but the NHS provides a generally excellent service, free at the point of use. Our NHS has remained so great because of its ability to change and adapt. It has not attempted to preserve whatever was right for 1947 in aspic. Instead, it has responded to changing needs and demands. The measures in the Queen’s Speech will allow our national health service to continue to respond to the challenges of today and of tomorrow, offering the best chances for everybody at every stage of their life.

World Autism Awareness Week

Mike Wood Excerpts

Thursday 28th April 2016 Commons Chamber

[Mike Wood (Dudley South) (Con)]

I am proud to be a governor at Halesbury School, which has become a specialist autism school where more than a third of pupils have autism, many undiagnosed when they join the school. I am grateful to the deputy head, Amanda Appleby-Payne, for the insight she offered ahead of this debate.

Two special schools in my constituency are doing excellent work for children with autism. The Brier School has been rated “outstanding” in every category in its two most recent Ofsted inspections, and Pens Meadow provides an incredible level of education, care and support for children with very severe and complex special needs. I was pleased to open its new post-16 facility last autumn, which means that more young people with autism will be able to access further and vocational education.

Autism is a lifelong condition that affects people very differently. It affects how they communicate and how they make sense of the world around them. While many people live largely independent lives, others need more specialist support. Unfortunately, many people live a life full of anxiety, depression, mental health issues and sensory sensitivities that make it extremely difficult for them to function or to access the normal situations and public services we take for granted.

A 2012 study found that about 1.1% of adults were on the autistic spectrum, and a later study found a similar prevalence among children. If this House is representative of the population at large, therefore, we would expect at least seven Members to be on the autistic spectrum.

Unfortunately, the excellent support and education provided to children with autism at Halesbury, The Brier and Pens Meadow are not always reflected in the education system as a whole. There are 120,000 school-age children in England on the autistic spectrum, more than 70% of whom are in mainstream education. The implication is that many teachers in mainstream schools are likely to have children with autism in their classes—if they do not at the moment, they almost certainly will at some stage during their careers.

I pay tribute to the NASUWT for the valuable work it has done on this issue and particularly for the report my right hon. Friend the Member for Chesham and Amersham (Mrs Gillan) referred to, which showed that 60% of teachers do not believe they have enough training to meet the needs of pupils with ASD.

[Mrs Gillan]

My hon. Friend is making some powerful points about the education of young people with autism. Is he aware of the work being done by Ambitious about Autism, which shows that the number of special educational needs appeals at tribunals went up from over 1,000 in 1995 to over 4,000 in 2014? Among the most common types of appeal are those involving autism.

[Mike Wood]

Having met Ambitious about Autism and discussed that very point, I certainly recognise the challenge to which my right hon. Friend refers.

Difficulties in the classroom and for families of children with autism often arise because of a lack of knowledge and understanding about the condition. Children on the autistic spectrum often get chastised for not behaving in exactly the same way as other children. Their exclusion rates are extremely high, and figures from the Department for Education show that autistic pupils are four times more likely to be excluded than pupils with no special educational needs.

Teacher training must equip teachers with the knowledge and tools they need to provide all pupils with the best possible support throughout their time in education. That is why I support the call by Ambitious about Autism and the National Autistic Society for autism to be included in the new teacher training framework.

If I may, I will conclude with the words of Mr and Mrs Whitmore, the parents of a pupil at Halesbury:

“We want our son to be accepted—and for him to be accepted equally as a citizen of this country, as his peers are...Autism is only a small fraction of our son; it is not everything he is. Will is so much more than the label society has given him.”

It is for people such as Will and the families who are working to make sure their children and everybody affected by autism can have the best possible chance to fulfil their full potential, whether that is in the workplace or in society as a whole, that we are having this debate. This debate is a huge and positive step forward, and we have seen the quality of the contributions that have been made. I therefore look forward to hearing the Minister’s response.

National Minimum Wage: Care Sector

Mike Wood Excerpts

Wednesday 23rd March 2016 Westminster Hall

[Mike Wood (Dudley South) (Con)]

It is a pleasure to serve under your chairmanship, Mr Rosindell, I think for the first time. I thank the hon. Member for Sheffield Central (Paul Blomfield) for securing this debate on an extremely important issue. Before I begin, I declare an interest in that my brother works in the social care sector—he started a new role on Monday—although he is not directly affected by the issues we are discussing this afternoon.

Social care is such an important feature of our society and social workers are integral to the care of people in need and those at risk. Despite that, too many social workers have suffered at the hands of unscrupulous employers—employers who have continued to flout the law and who simply do not pay the full national minimum wage. While HMRC maintains the operational enforcement of the national minimum wage, in my 10 months as a Member of Parliament I have yet to see either a coherent or sensible approach.

I will draw Members’ attention to two cases that I have seen since my election last May and contrast them with each other. The first concerns a care company in the black country. None of its care workers is paid for their travel time or when calls run over. The hourly rate therefore fell well below the national minimum wage over a substantial timeframe, but the HMRC investigation has been ongoing for nearly four years. To date, it has resulted in a notice of underpayment for only one of the employees who filed a complaint, even though the same principle applies to all the care workers.

My constituent, Debra, complained about not being paid the minimum wage in November 2012. It took 30 months before she managed to force HMRC to issue the care company with a notice of underpayment. She was forced to complain to the then Secretary of State for Business, Innovation and Skills and my predecessor, Chris Kelly. HMRC wrote to her in February 2013 to say that it was looking at all the care workers’ records, and wrote again following Debra’s complaint to the Secretary of State in June 2014 that the other care workers were also owed arrears for non-payment of the minimum wage. Nevertheless, HMRC then issued the notice only for her, as if she was the only worker who had not been paid the national minimum wage.

HMRC’s continuous delays have been shocking, and they have been ongoing since Debra’s complaint at the end of 2012. HMRC has also been looking at the cases of two other constituents of mine, Alison and Michelle, since at least March 2015, yet we do not seem to be any further forward than we were at this time last year. HMRC continues with what seem to be unnecessary delays and excuses—according to my case notes they appear to be the very same excuses given to Debra.

None of the care workers at the firm were paid for their travel time between calls or if calls ran over the allotted times. The company’s own paperwork—the rotas and pay slips—clearly show that they did not pay their care workers for what we would understand to be necessary working time. All the care workers were on the same terms and conditions, so the same position applies equally to all the workers.

Despite HMRC writing to Debra that it had “all workers’ records” dating back to February 2014, in a recent telephone call HMRC asked whether my constituents would be prepared to go to an employment tribunal and be cross-examined. That does not seem appropriate given the objectively verified facts. HMRC has not even calculated the arrears that the women appear to be owed. The same tactic had been used previously with Debra. HMRC does not have to mention any employment tribunal; its job is to get the evidence, calculate the arrears and issue a notice of underpayment. Only after the notice is issued can the employer force a tribunal, and an employer has only 28 days to do so following the issuing of such a notice by HMRC. Indeed, until a notice is issued the care company has absolutely nothing to appeal against.

There is clearly something very wrong indeed with how HMRC enforces compliance with the national minimum wage in the care sector. As I said, it has been investigating this care company for nearly four years, yet despite finding that not only Debra but the other care workers are owed minimum wage arrears, it has still issued only the one notice.

That case should be contrasted with HMRC’s response to another case, although it goes slightly beyond the narrow confines of the debate. At a manufacturer in my constituency, a genuine clerical error led to the underpayment of four pieceworkers out of a workforce of 240. Over three years, the underpayment totalled just under £600, or 0.005% of the total wage bill. It was clearly a genuine oversight that had not been identified in five external audits.

Despite the fact that that manufacturing company co-operated fully with HMRC—indeed, as soon as it was made aware of the underpayments, it repaid them, along with the penalty, on the next available working day—its response seems to have been very different from what happened with the care company. The manufacturer has been named and shamed and now has to deal with the resulting implications while trying to negotiate a contract with high-street retailers.

HMRC’s response has been very inconsistent. In my experience, it is focusing its energy on what might be seen as the easy cases—companies that are genuinely trying to do the right thing but may have made a mistake —while it does very little effectively to enforce the national minimum wage for companies such as the care company I highlighted, which have consistently obstructed and obfuscated and shown total disregard for HMRC and for their legal requirement to pay the national minimum wage. That has to change.

I urge my hon. Friend the Minister to ask HMRC urgently to review its general approach to the enforcement of the national minimum wage. I will also write privately with the details of the two cases to which I referred to ask him to speak to HMRC about what is going on and how we can have a more consistent and equitable approach to ensure that all employers pay the national minimum wage.

Mental Health Taskforce

Mike Wood Excerpts

Tuesday 23rd February 2016 Commons Chamber

[Alistair Burt]

The taskforce recommendation is that out-of-area placements should be eliminated by 2020; Lord Crisp’s report said 2017. I would like to see it done as soon as is reasonably practicable. We want to ensure that, where possible, people can be treated locally, as it makes a real difference. The hon. Member for Kingston upon Hull North (Diana Johnson) mentioned one or two cases of young people being treated some way away, and the impact that it has had on them. They lose local community links and the community work that can be done to assist them. We all want to see that ended, and I want it to be done as soon as possible. It will certainly be done within the taskforce’s recommended timescale. If it can be done any quicker locally, area by area, I will be very happy.

[Mike Wood (Dudley South) (Con)]

I welcome the Government’s positive response to the taskforce report. Although effective acute care is vital, prevention is better than cure. Will the Government look at ongoing training for all GPs in mental health so that all patients can have access to early diagnosis, care and treatment, to prevent problems from escalating?

[Alistair Burt]

My hon. Friend makes a good point. GPs are often contacted first when a problem is developing, as I know from my contacts with the British Medical Association and with the Royal College of General Practitioners, which was also very interested in the taskforce report. Those organisations want to ensure that doctors have enough training, because training levels tend to vary according to interest. I know that all GPs are concerned about the matter and want to ensure that they have the skills. Equally, they need to know that they can then refer to the right place. That is what the increased support for both emergency and community services is all about. It is to ensure that there are proper pathways so that people do not get stuck at any particular stage.

Oral Answers to Questions

Mike Wood Excerpts

Tuesday 13th October 2015 Commons Chamber

[Suella Fernandes (Fareham) (Con)]

1. What plans his Department has to increase capacity in general practice and primary care.

[Mike Wood (Dudley South) (Con)]

6. What plans his Department has to increase capacity in general practice and primary care.

[The Secretary of State for Health (Mr Jeremy Hunt)]

It is a pleasure to be back, Mr Speaker. By 2020, we will increase the primary and community care workforce by at least 10,000, including an estimated 5,000 doctors working in general practice, as well as more practice nurses, district nurses and pharmacists.

[Mr Hunt]

My hon. Friend is right, regrettably, that the PFI projects under the previous Labour Government created a lot of unsustainable debt. I know her local clinical commissioning group is meeting GP practices and working with community health partnerships to see if they can progress the idea she is campaigning for. I hope to visit her in the near future to discuss it myself.

[Mike Wood]

Will my right hon. Friend join me in welcoming the £2.7 million in vanguard funding given to Dudley to provide primary care services out in the community? This will not only improve the level of clinical and social services provided to people in Dudley South, but relieve pressures on Russells Hall hospital.

[Mr Hunt]

I welcome my hon. Friend to his post. I am not sure I have had a question from him before. I know quite a bit about the Dudley vanguard programme, because I shared a taxi to Manchester station with the entire Dudley team. They told me, at close quarters, about their exciting plans. What really struck me was how they are talking to different bits of the health and social care system in a way that has never happened before. It is really exciting and I think it really will be in the vanguard of what can happen in the NHS.

Oral Answers to Questions

Mike Wood Excerpts

Tuesday 7th July 2015 Commons Chamber

[Alistair Burt]

Last Wednesday I spoke to 2,500 psychiatrists—if colleagues think that this audience is scary they should try speaking in front of them. The chairman of the Royal College of Psychiatrists said that there had been an increase in the uptake of the psychiatry training given to doctors before they enter general practice, which was leading to a greater interest in mental health issues. I entirely agree with my hon. Friend: it is important that such training exists because that first point of contact with GPs is crucial.

[Mike Wood (Dudley South) (Con)]

To build on that greater awareness and understanding of mental health among general practitioners, will the Minister look at ways in which we can rebalance mental health care away from an overreliance on acute care towards greater and more consistent primary care?

[Alistair Burt]

Yes, and the adaptation of new and innovative therapies will also assist. Ensuring that GPs are aware of the increased access to psychological talking therapies is making a huge difference. Initial reactions to that programme indicate that, since 2008, nearly 3 million people have had access, 1.7 million have completed their treatment, and 1 million have recovered. Increased awareness of that in primary care will be very important.