NHS Performance: Darzi Investigation

Debate between Nusrat Ghani and Rachael Maskell

Monday 7th October 2024 Commons Chamber

[Rachael Maskell (York Central) (Lab/Co-op)]

Is a real pleasure to follow the new hon. Member for St Neots and Mid Cambridgeshire (Ian Sollom). I am sure that he will be a rising star on the Liberal Democrat Benches. It is a pleasure to follow all hon. Members who have made their maiden speech today.

I am really grateful for the analysis that Lord Darzi has set out for us. The NHS has never been under such duress, nor have its staff, but following a diagnosis, we need a prescription. That is what I want to talk about today. We live in an ageing society, and while we celebrate the medical advances since Labour was last in power—in diagnostics, treatments, digital and technology—we know the urgency with which we need to apply them. Transformation has to be central to the agenda. I congratulate the Secretary of State on his focus on the NHS bringing about the transformation that is needed.

However, before we can look at that, we need to look at the financial flows in the NHS, which are not working, and the governance structures. I am not talking about reorganisation; I am talking about having one controlling mind in the right place in the service, overseeing the system. At the moment, there is too much focus on secondary care. That is sucking resources and work into that part, and driving inefficiency. Moving services into primary care is the key to unlocking the productivity and savings that are needed. It will improve health as well.

In the short time that I have, let me point to two examples in my community. First, in mental health, 30 Clarence Street is set up to be open access, so that there are no more long queues to see mental health practitioners, and multidisciplinary, with the public sector and the voluntary sector working hand in hand to meet people’s needs. I invite the Secretary of State to come and see that service, because it is what we should be doing across our NHS. Two more hubs are to be set up in my constituency, leading the way on mental health. Then there is the work of Nimbuscare in primary care settings; it is pulling out from the NHS all the services that do not need to be in the secondary part. It is unplugging the backlog at the front door of the health service, while ensuring that we are looking after people at the back door. That is the transformation that our health service truly needs. I wanted to share those examples, and set out how they can be extended to build the NHS of the future.

[Madam Deputy Speaker (Ms Nusrat Ghani)]

I call Susan Murray to make her maiden speech.

Oral Answers to Questions

Debate between Nusrat Ghani and Rachael Maskell

Thursday 25th January 2024 Commons Chamber

[Ms Ghani]

The £28 billion that Labour is proposing has no plan behind it, and we are not told what hard workers across the country would have to pay to fill that black hole. Labour has asked for a transition to green steel. It would want us to protect steelworkers and obviously would want to protect advanced manufacturing in the UK. Customers want cleaner steel. Port Talbot could no longer function with its ageing blast furnaces, and our package will save 5,000 jobs at Port Talbot.

[Rachael Maskell (York Central) (Lab/Co-op)]

15. What steps she is taking to help support the growth of co-operatives and social enterprises.

COP27

Debate between Nusrat Ghani and Rachael Maskell

Monday 21st November 2022 Commons Chamber

[Ms Ghani]

The hon. Gentleman challenges me again to put our programme forward before the COP27 delegation has even arrived in Westminster. I would argue that they want to ensure that, where we have not gone as far as we wanted at COP27, we can achieve those ambitious targets at the next COP. As everyone mentioned earlier, the world is watching and we cannot be in the situation of saying that 1.5° is hanging by a thread.

[Rachael Maskell (York Central) (Lab/Co-op)]

The Minister has not mentioned methane and the disappointing agreement to reduce methane by just 30% by 2030. Why is her Department sitting on a green new deal for BioYorkshire that would put the science in place for global transformation around issues such as methane and fuel transition?

[Ms Ghani]

The most peculiar thing is that I assumed the Minister for Climate would be in the Chamber. I did my best to prepare for the methane question, but I am struggling to find the exact answer in front of me. If the hon. Lady will bear with me, I will make sure that she gets a written response from him, if not from me, by the end of the week.

Support for New Adoptive Parents

Debate between Nusrat Ghani and Rachael Maskell

Monday 21st March 2022 Westminster Hall

[Rachael Maskell]

The hon. Gentleman is absolutely right. Normally it is the parent who does the joining up, and that is clearly not right. The Government need to make sure that the adoption strategy looks at every aspect of an adoptive parent’s journey and ensures that the facilities, support and services are in place to give the child the best possible start in life. It is exhausting for parents, who find themselves having to negotiate—this is where the law stands at the moment—with a local authority to see if they fit any of the criteria, on which there is no guidance. We know that cash-strapped local authorities may not be minded to pay specific attention to what is a very small cohort of parents.

The Government recognise how necessary statutory maternity entitlements are for parents to bond with their child, and they must recognise how much more important such support is for a child who has experienced multiple forms of trauma and who could have complex needs that need addressing. Life is often exhausting for an adoptive parent who is trying to form a new family and working to give their child the safest home possible. The services need to be there in a timely way to support and nurture that child, and to ensure they have the best start in life when perhaps their first start was not the right one.

The “Good Work” review does not accept that there should be a differentiation in the support received. On statutory adoption pay for the self-employed, we are not talking about a lot of people. It is not a high cost to the Government in the scale of things and, as well as the savings to the Government from ensuring that self-employed parents have the support around them, statutory adoption pay would be immeasurable for parents and for the child. Now is the time to act, and I trust that the Minister agrees.

[Ms Nusrat Ghani (in the Chair)]

Mr Jones, you arrived a tad late. If you wish to contribute, I am sure we can find time to accommodate you.

High Speed Rail (West Midlands - Crewe) Bill

Debate between Nusrat Ghani and Rachael Maskell

Report stage & 3rd reading & 3rd reading: House of Commons & Report stage: House of Commons
Monday 15th July 2019 Commons Chamber

[Ms Ghani]

I am running out of time; forgive me.

New clause 5 would slow down the process, and I do not think that it would work effectively. There is already a statutory framework in place for HS2, which includes the Freedom of Information Act 2000 and the Environmental Information Regulations 2004. The new clause is designed to prevent HS2 Ltd from acting as a commercial organisation, and tries to prevent it allocating most of its money, which, I remind everyone in the House, is from the public purse, directly to the programme. Unfortunately, I therefore cannot support the new clause tabled by my hon. Friend the Member for Eddisbury.

[Rachael Maskell]

I have listened carefully to the Minister, and in the light of the power of our new clause 4, I withdraw new clause 1.

Clause, by leave, withdrawn.

New Clause 4

Independent peer review

‘(1) The Secretary of State must commission an independent peer review of the High Speed Rail (West Midlands to Crewe) project.

(2) The review must include consideration of the project’s—

(a) environmental impact,

(b) economic impact,

(c) engineering, and

(d) governance.

(3) In this section, “independent” means it is carried out by persons who are independent of—

(a) Government,

(b) HS2 Ltd, and

(c) persons contracted or subcontracted to carry out the scheduled works.

(4) In this section, a “peer review” is a review conducted by experts of equivalent professional qualifications, expertise and standing to the persons responsible for each aspect of the project set out in subsection (2).

(5) A report of the review in subsection (1) must be laid before the House of Commons within 12 months of this Act receiving Royal Assent.’—(Rachael Maskell.)

Brought up, and read the First time.

Question put, That the clause be read a Second time.

Oral Answers to Questions

Debate between Nusrat Ghani and Rachael Maskell

Thursday 13th June 2019 Commons Chamber

[The Parliamentary Under-Secretary of State for Transport (Ms Nusrat Ghani)]

As my right hon. Friend will know, decisions on bus routes are down to the Mayor of London. I think he needs to focus on delivering for Londoners and not just faffing around trying to take selfies. He should be spending more time with Londoners to understand exactly the sort of bus services they need and which journeys they need to take.

[Rachael Maskell (York Central) (Lab/Co-op)]

With transport emissions accounting for 29% of all toxic emissions released in the UK, and at a time when Labour has declared that climate change is an existential threat to our nation and planet, will the Secretary of State for Transport tell the House why he has failed to undertake a full environmental audit of road investment strategy 2—the most ecologically and environmentally damaging road building programme for a generation?

Railways (Amendment) (EU Exit) Regulations (Northern Ireland) 2019 Railways (Safety Management) (Amendment) (EU Exit) Regulations (Northern Ireland) 2019 Rail Safety (Amendment etc.) (EU Exit) Regulations 2019

Debate between Nusrat Ghani and Rachael Maskell

Tuesday 7th May 2019 General Committees

[Rachael Maskell]

I thank the Minister for responding to my questions. Could she confirm that the Government do not intend to diverge from the standards set across the European Union, particularly in the light of the 2019 directive and the regulations that could result from it?

[Ms Ghani]

We have to adopt the EU regulations that are in place now. Given that we have such a high record, there is no doubt that our experiences are shared with Europe. Throughout the transitional period, we will have to pick up legislation. We are talking about reciprocating what is already in place in case of a no-deal situation.

A very important point was raised on co-operation and consultation. The consultation took place, and workshops were attended by passengers, freight operators, leasing companies, certification bodies, the Rail Industry Association, the Rail Delivery Group and the Private Wagon Federation, among other organisations. Everybody is keen for us to have that legislation on our statute books. The ASLEF union was invited to our stakeholder workshops; I understand that it did not attend, but it has good engagement with the Department. All have acknowledged that they want clarity, and they want these SIs delivered.

I hope I have responded to all the points. If not, I will write to hon. Lady in detail. I commend these regulations to the Committee.

Question put and agreed to.

Railways (Safety Management) (Amendment) (EU Exit) Regulations (Northern Ireland) 2019

Resolved,

That the Committee has considered the Railways (Safety Management) (Amendment) (EU Exit) Regulations (Northern Ireland) 2019 (S.I. 2019, No. 825).—(Ms Ghani.)

Rail Safety (Amendment etc.) (EU Exit) Regulations 2019

Resolved,

That the Committee has considered the Rail Safety (Amendment etc.) (EU Exit) Regulations 2019 (S.I. 2019, No. 837).—(Ms Ghani.)

HS2: Buckinghamshire

Debate between Nusrat Ghani and Rachael Maskell

Monday 29th April 2019 Commons Chamber

[Rachael Maskell (York Central) (Lab/Co-op)]

The last three years of political turbulence should have taught the Government that politics has to change. The diktats from Westminster must be replaced by co-production with communities, listening to what they are saying. It is unbelievable that, yet again, the Secretary of State has failed to make it to the Dispatch Box.

Week by week, we hear of the spiralling costs of HS2, and in a week when Labour is declaring a national climate emergency, it is clear that the full carbon and environmental cost of HS2 will be deeply damaging across Buckinghamshire, not least to the irreplaceable Chilterns, if the connectivity, route and infrastructure are not refocused. It is not the concept of the project that is wrong, as urgent capacity is needed to secure a significant modal shift from cars and HGVs to passenger and freight lines, but the governance of HS2 must be overhauled and fully integrated into the network enhancements programme. Labour aspires to high speed rail, which has to have a focus on interconnectivity to facilitate investment and economic growth in the northern cities and to compete with the internal flight market, thus becoming a sustainable alternative. However, the right hon. Member for Chesham and Amersham (Dame Cheryl Gillan) is right to scrutinise the Secretary of State’s handling of the project.

Why is the Minister proceeding before a full business case, the skills capability and the real cost have received further scrutiny in the light of evidence that these measures have changed? What discussions has she had with the National Audit Office and the Transport Committee over the widely held concerns expressed over HS2 costs and environmental impact? Does the Minister believe, as has been argued by the Tory leader of Buckinghamshire County Council, that ultra-fast broadband replaces ultra-fast rail? That certainly shows a lack of understanding in the Minister’s party of the transport and economic needs of the north. Finally, will the Minister revisit the route plans to ensure that connectivity opportunities are maximised by this project?

[Ms Ghani]

Given how much playing of politics there was in that statement, one could forget that the Labour party actually supports HS2. In his “game changer” speech, the shadow Secretary of State for Transport spoke about its importance.

Before I go on to answer questions, we must remind ourselves that it is absolutely right that we do not focus only on what is required here in London and the south-east. In case they need reminding, I will tell shadow Front Benchers what Andy Burnham said recently:

“We don’t need London commentators telling northern leaders what we need…We need HS2”.

He—[Interruption.] If Opposition Front Benchers support northern Labour leaders, some support at the Dispatch Box, and when other opportunities arise, for the most important infrastructure project of our lifetimes is absolutely key.

I remind the House that Judith Blake, leader of Leeds City Council, said that HS2 is

“the opportunity to transform the prospects for the north—perhaps a once in 200-year opportunity.”

I know you take a close personal interest in HS2, given your constituency, Mr Speaker. You may be aware that the all-party parliamentary group on the northern powerhouse, which includes more than 80 MPs, recently put out a statement about how important HS2 is to ensure that we smash the north-south divide.

When there are criticisms of HS2 and constituents’ queries are not dealt with, it is absolutely right that we hold HS2 to account. Some individuals have to deal with the difficult impact of the line going near their homes. I am challenging HS2 repeatedly and will continue to do so. If any hon. Members have cases that have fallen short, I apologise, and I will be more than happy to hold further meetings.

As I mentioned earlier, this is one of our largest infrastructure projects and it will connect half of our country’s population. To adapt the motto of the Labour party, this line is for the many and not for the vested interests of the few who want to play politics with this important infrastructure project.

Draft Common Rules for Access to the International Market for Coach and Bus Services (amendment etc.) (EU Exit) Regulations 2019

Debate between Nusrat Ghani and Rachael Maskell

Monday 25th March 2019 General Committees

[Ms Ghani]

I thank hon. Members for their consideration of the regulations. Let me turn to some of the points made. Apologies for having been a little remiss; the proposal comes into play on 1 April. The UK will have completed formal accession to the Interbus agreement by the end of March, and it comes in on the first Monday after that, which is 1 April. My apologies for not mentioning that earlier. Engagement is ongoing with the Interbus depository to ensure alignment between the end of the formal accession period for Interbus and the short extension to article 50.

The other question was about cabotage and Northern Ireland. Under the agreement, cabotage can continue between the Republic of Ireland and Northern Ireland. Should we leave with no deal, we will continue to work with the European Commission and the Republic of Ireland to ensure that any long-term transport arrangements between the UK and the EU take into account the unique transport demands on the island of Ireland.

There was also some conversation about the impact that the agreement has on the sector, and potentially on the cost. I place on record the fact that my officials have been working with the Confederation of Passenger Transport, which is the main industry representative body, and the Federation of Passenger Transport Northern Ireland, to ensure that stakeholder consultation has taken place, and to understand the impact of this statutory instrument. All stakeholders support the UK’s decision to join the Interbus agreement independently. Any costs are noted as minimal, and any certification or passporting to allow this business to continue tends to be over a five-year period; the authorisations last for five years. Work has taken place to see how much work that would involve going forward.

[Rachael Maskell]

Could the Minister give some clarity on the impact on EEA countries? What will happen to their operations?

[Ms Ghani]

The Interbus agreement works with countries beyond the EU. There are another six countries that it is working with. My officials are working closely with them to put in place bilateral agreements to allow processes and practices that are in place to continue.

I thank the hon. Member for Glasgow South West for his question about passenger rights. We have worked to ensure that passenger rights will be as they are today; we are taking on board any part of EU legislation that we can adopt into UK legislation. As maritime Minister as well, I must say that we have gone above and beyond what is expected; we are working to international guidelines, not just EU guidelines, in this area.

I believe that the Committee is in agreement that these are serious regulations that we need to take forward to ensure that tourism, which is incredibly important business between the UK and the EU, can continue. I hope that hon. Members will support this instrument, so that we can ensure international coach travel access, and particularly regular services, to the UK for EU bus and coach operators, in much the same manner as before, in the interest of passengers. That is the reason why they will be supporting these regulations, which I commend to the Committee.

Question put and agreed to.

Oral Answers to Questions

Debate between Nusrat Ghani and Rachael Maskell

Thursday 24th May 2018 Commons Chamber

[Ms Ghani]

My hon. Friend is a great champion for her constituency, so she will no doubt help the local authority and transport operating company to put together the best possible bid. The Access for All programme will provide step-free access to stations across the country, and I know how popular it is across the House. It will be open for bidding shortly. Stations will need to be nominated by the transport operating company, based on chosen criteria. Annual footfall and the local incidence of disability will be taken into account, as well as priorities such as industry and local factors such as proximity to hospitals and availability of third-party funding.

[Rachael Maskell (York Central) (Lab/Co-op)]

The Secretary of State has already slashed £50 million from the Access for All fund, and now Govia Thameslink Railways’ new staff guidance says,

“do not attempt to place persons of reduced mobility on a train if there is a possibility of delaying the service”

and that they should

“move from the train as quickly as possible”

someone having a seizure. That is not only completely wrong medical advice, but directly discriminates against disabled people. Why has the Minister not intervened, and why has GTR been allowed to get away with this direct disability discrimination?

[Ms Ghani]

Since 2006, about 200 stations have been made step-free and 75% of rail journeys are now step-free through stations. Funding has been made available and will continue to be made available. One of the biggest issues we have in getting people who are disabled to use public transport is confidence, so we need to let them know that we have accessible stations. Now I will respond to the point about GTR. There was one line in the document—

[Rachael Maskell]

It is so discriminatory.

[Ms Ghani]

Will the hon. Lady give me a minute to respond? It was not the best use of language, and I can update the House and say that my officials have spoken to GTR and raised concerns about that line and the language used in the leaflet. The leaflet is good overall, but the hon. Lady is right to point out that one particular line was not appropriate, and it will be revised.