(1 year, 7 months ago)
Commons ChamberNot now, as I want to make some progress. At the same time, the Chancellor has given the 1% wealthiest pension savers a £1 billion handout, and he has continued to defend the indefensible: the non-domicile tax loophole. Instead of growing the economy and boosting wages, the Conservatives have resorted to hammering ordinary people with tax rises. It is time for a radically different approach.
I will make a bit of progress. We need a bold plan for growth that confronts the problems of the UK’s declining economy head on. That is why the Government must adopt Labour’s mission to secure the highest sustained growth in the G7, with job creation and productivity growth in every part of the country, making everyone, not just a few, better off. That may seem ambitious, but Britain has so much potential.
Could my right hon. Friend help me? Some of the faces on the Opposition Benches seem so glum because we have avoided a recession—could he explain why?
My hon. Friend is right. I approach the job of government with a sense of humility about the challenge we face.
I recognise that we have made significant progress in recent months—that has been generally acknowledged. I will now set out where else we will make progress. Although it is welcome that wholesale energy prices have been falling, many families remain under significant pressure. The Government understand that. Food prices are contributing to headline inflation. Rising food prices, however, are not a unique issue to the UK, as my hon. Friend the Member for Wantage (David Johnston) pointed out. It is a problem that advanced economies are facing. For example, as he correctly pointed out, in Germany, food price inflation is above 22%. We are fully alive to the fact that some people remain in real distress. I want to assure Members and their constituents that we will always stand ready to help where we can.
I want to move away from the sort of tribal politics and tribal speeches that we have heard from Opposition Members. I want to talk about some inspirational people, but before I get away from partisan points, I think it is worth pointing out that 21,900 households will be £900 better off today as a result of what this Government have done.
I want to talk about the best thing about my city of Peterborough: the people of Peterborough. Last year, in the House of Commons, I brought together people from my city who I call my Peterborough heroes: people who volunteer their time to make their city a better place. I want to talk about some of those people.
I thank people from the Bretton project—people like Miriam Whittam, Rob Fisher and Erin McGuigan, who volunteer their own time to make Bretton a better place and who deserve our recognition. I thank organisations like Gladca, which has existed for 50 years in the heart of my city, supporting people and signposting them to the right services; I thank Yasmin Ilahi and Mr Mohammad Choudhary for all the work that they have done.
I thank Zillur Hussain, who gave thousands of meals to vulnerable people during the covid pandemic and who I took to Downing Street yesterday to say thank you very much. I thank people like Mr Rony Choudhury—[Interruption.] This is important. Opposition Members might not like it, but I am recognising people in my constituency: people like Rony Choudhury, the owner of the Bombay Brasserie, who did exactly the same thing. Perhaps Opposition Members do not think that those people’s contribution is worth while. I thank people like Ed Walker, who runs the charity Hope into Action, which helps prison leavers into stable accommodation. [Interruption.] I do not know why Opposition Members are chuntering from a sedentary position. These people are heroes.
I thank people like Julie Gooding and Sharon Keogh from the Care Zone, which ensures that households have decent furniture. I thank people like Cocoa Fowler, who runs the charity Food for Nought, which provides food banks with food such as soup that would otherwise have been thrown out from supermarkets and which is supporting people. I thank people like Christine Nice, who runs the WestRaven community café and helps her community. I thank people like Erin Lee and Maureen and Jeff Walters from the Thorney food bank; Steven Pettican from the Garden House; and Moez Nathu from the charity PARCA, the Peterborough Asylum and Refugee Community Association. I thank Snow and I thank Petr Torák from the charity COMPAS. I thank Bernadetta Omondi, Faustina Yang and Louise Ravenscroft, who have all helped people in my city.
Opposition Members are dismissing these people as if they do not matter. I suggest that they go into their communities, find heroes and recognise them. They should use their position as Members of Parliament to say thank you to the people who work in their community. The idea that a Labour Government would solve any of these problems, quite frankly, is just insulting.
(2 years, 1 month ago)
Commons ChamberI want to bring us back to the macro side of what we are talking about here—the big picture—because I think very few hon. Members would disagree that economic growth in itself is a good thing. Economic growth is what any Government should be looking to pursue. Economic growth creates jobs, increases livelihoods and makes us a wealthier country, so having a growth plan is in itself a good thing. However, I want to highlight three challenges that I think we will face in future.
The first challenge is low pay. This country unfortunately has too many low-productive, low-paid, low-skilled jobs and too few highly skilled, highly productive, highly paid jobs. Peterborough is really symbolic of that, and I think the Government have been trying very much to address that with the levelling-up agenda, which was the focus of the previous Prime Minister. For places such as Peterborough, levelling up will involve significant investment in R&D and in retraining. That is what this Government were trying to do that.
In Peterborough we have just built ourselves a brand-new university, and it is not just any old university; it focuses on manufacturing and engineering, really creating the environment for all those highly paid jobs of the future. Thanks to the £25 million that Peterborough has received from the levelling-up fund, we are going to build ourselves a living lab next to that university, to act as a magnet for future investment and future companies, leading to those highly paid jobs of the future. It is decisions like that that will increase the health, wealth and happiness of my city.
The second challenge we face, both as a country and as an economy, is tax. Quite frankly, I do not think tax is going to come down. Hopefully, bringing tax down is an ambition, and I confidently predict that we will be able to do so in the medium term. However, we will continue to have big spending commitments in future. We have an ageing population, and they are going to rely more on public services. I think we will also find ourselves exposed to challenges such as the cost of fuel. It is absolutely right that this Government have invested, have brought out the package and are going to reduce significantly the fuel bills that my constituents face. Fuel bills that could have been £6,500, for a typical household, will now be only £2,500. That was absolutely the right thing to do.
Does the hon. Member agree with me that the £2,500 that his constituents will now be paying is not a cap? That is a sort of misnomer.
What I agree with is the fact that, were it not for this Government’s intervention, we would have seen prices of up to £6,000 for a typical household. Surely the hon. Lady welcomes the fact that in her constituency, as in mine, because of the actions of this Government, families will save themselves a great deal of money.
This Government have a strong track record on taking people out of tax. Remember that the personal allowance was of such a level in 2010, and it is now over £12,000. That is hundreds of thousands of people taken out of tax altogether, and millions of families supported. That is a good thing. The universal credit taper, reduced from 63% to 55%, has been a lifeline for constituents and families in my constituency. It makes work pay, which should be the focus when it comes to jobs and work. We want to reward those who take on extra hours, work hard and put in the effort.
The solution to tax that is higher than we would like is economic growth, because we can only make those spending commitments in the long term if we grow the economy. It is absolutely right that we have a growth strategy and that we follow it in the way that we are.
The third challenge is about positivity. Sometimes, especially when we are away from this place or when we are in our offices, we get this temptation to glance at our phones or at Twitter, and it is all doom and gloom. There is a real worry that sometimes people can scare themselves into economic difficulties. I think we need to be more positive as a country, and more positive about the long-term prospects for the UK economy.
Only last week I took the Peterborough heroes—I call them my heroes—to a reception I organised in Westminster. Many of those who came were charity workers, or people who have worked for particular businesses, charities or causes for a number of years. However, I very deliberately did not take only those people who had volunteered for their communities, as welcome and heroic as their efforts are. I also took entrepreneurs, because entrepreneurs create jobs, pay people and grow our economy, and I think it is just as worth while saying thank you and well done to them as it is to anybody else.
As has been repeated by Opposition Members, business is not the enemy. In fact, entrepreneurs and businesses are our friends in creating economic growth. I meet so many people in Peterborough, by virtue of being its Member of Parliament, who are truly heroic for taking a risk, truly heroic for having an idea, and truly heroic for employing people and doing the right thing. They are my heroes just as much as any charity worker in my constituency.
Those are the three challenges that I put to Ministers. First, we need to solve the problem of having a low-skill, low-paid economy and turn that into a high-skill, high-paid economy. Secondly, on tax, I do not think public spending is going to decrease in the near future, and we have a challenge there, but the Government have a strong track record. Thirdly, we need to be more positive and to recognise the efforts made by businessmen and women—by entrepreneurs. The foundations of the British economy are strong and we have hard-working, talented people in this country. That should all feature in a growth plan, and that is why I support this Government.
(2 years, 4 months ago)
Commons ChamberPrivatisation of NHS services began under Labour. There was more privatisation under Labour, so I thank the hon. Lady for giving me the opportunity to highlight Labour’s desire, when it was last in power, to privatise large parts of the NHS.
Does my hon. Friend remember Labour’s famous slogan before every general election: “We have just 24 hours to save the NHS”? Well, it has been a very long 24 hours since 2010, has it not?
I remember another slogan from when Labour left office: “there is no money.” I agree with my hon. Friend.
We talk about figures all too often in this House, and we can come up with any figure. It could be £1 billion, £2 billion, £500 billion or £500 million. That is not the delivery of public services; it is just us coming up with figures. The question is: what delivery model will get bang for our buck and deliver services so that people in Scotland do not wait so long in A&E and so waiting lists are not as long in Wales? The delivery model is the issue.
It is a privilege to speak after the hon. Member for Bury North (James Daly), who seems to take the line that because someone else is doing badly, it is okay for this Tory Government of 12 years to do badly; and that because somebody else is failing to deliver somewhere, it is entirely right for the Conservative Government to fail and not deliver for the public in this country. When questions are put to them about when they will deliver free prescriptions for England, free eye tests on a 12-monthly basis and free social care for everyone, they fail to address them. They use smoke and mirrors when addressing the 12 years of failures from this incompetent Tory Government.
Earlier this month, we discussed the unacceptable waiting times facing people who are seeking to renew or apply for passports. Welcome to backlog Britain, thanks to 12 years of a Conservative Government. During my contribution to that debate, I stated that the passport delays were but one instance of the backlogs being faced by my constituents under 12 years of this Conservative Government. For the past two years, I have spoken to hundreds of constituents whose visa applications are still outstanding, with some people waiting for more than a year without a word from the Home Office. Welcome to backlog Britain, thanks to 12 years of a Conservative Government. Even simple matters such as the issuance of a biometric residence permit are subject to mind-boggling delays. Welcome to backlog Britain, thanks to 12 years of a Conservative Government.
Forgive me if I am wrong, but has the hon. Gentleman just committed his Front Benchers to free eye tests on the NHS, free social care and free prescriptions? Is he now saying that that is the policy of the Labour party?
I was referring to how the Conservative party uses smoke and mirrors to blame everyone else for its failures.
I have spoken to asylum seekers who have not received a single update on the progress of their application for asylum. These are people who do not have the right to work or any recourse to public funds, so making them wait for months at a time without providing an update on their application is not only incompetent, but profoundly cruel. Welcome to backlog Britain, thanks to 12 years of a Conservative Government.
Things do not get any better when we look at services such as healthcare. I recently visited Sparkhill primary care centre in my constituency. Dr Al-Qazi, a well-recognised and respected GP, runs the practice. I spoke to patients and doctors there about the strains on GP surgeries. Capacity is a serious issue, with recruitment problems and growing patient numbers making it difficult for GPs to meet demand. Welcome to backlog Britain, thanks to 12 years of a Conservative Government.
Despite repeated promises of extra funding from this Government, Dr Al-Qazi had not seen an extra penny. An obsession with targets, without any of the promised extra resources, is tying GPs down and preventing them from prioritising patient care. I must say that the GPs and patients I spoke to expressed no confidence in this Government’s ability to deliver. Welcome to backlog Britain, thanks to 12 years of a Conservative Government.
In Birmingham and across the west midlands, NHS waiting times are the worst since records began. Welcome to backlog Britain, thanks to 12 years of a Conservative Government.
People are facing not only 12-hour waits at accident and emergency departments, but significant waiting times for hospital appointments. Welcome to backlog Britain, thanks to 12 years of a Conservative Government.
I have spoken to several constituents who, because of the long waiting times for life-changing surgery, are now turning to private providers, whether they are affordable or not. Recent research by the University of Birmingham on waiting times and operation backlogs has shown that more than 100,000 people in Birmingham are waiting for surgery or need invasive procedures to check for cancer. Welcome to backlog Britain, thanks to 12 years of a Conservative Government.
The research also points to the fact that many more people are on hidden waiting lists that are not represented in official data. It therefore concludes that growing waiting lists may become an inevitable feature of NHS care in future. Welcome to backlog Britain, thanks to 12 years of a Conservative Government.
All this means that people across the country are essentially being forced into private care because of the serious backlogs confronting the NHS. The burden of these backlogs is being carried by families and by those least able to afford it, while the Government flounder. Welcome to backlog Britain, thanks to 12 years of a Conservative Government.
To my mind, all these backlogs demonstrate two clear things. First, this Conservative Government are incapable of ensuring that even the most basic services are provided to constituents in a timely manner. Secondly, they are all so completely out of touch with the British public that they feel no urgency about getting a grip on the situation and introducing measures to relieve the backlogs. It seems that backlog Britain is here to stay as long as we have this rudderless Government standing in the way of solutions.
In summary, passport renewal times: up. Home Office application times: up. Driving licence times: up. GP appointment times: up. Hospital appointment times: up. Ambulance waiting times: up. NHS dentist times: up. A&E waiting times: up. Police waiting times: up. Cost of living: up. Mortgage rates: up. Food banks: up. Gas and electric bills: up. Court waiting times—
The national health service was funded and run by those on the Government side of the House. Perhaps the hon. Lady has not noticed that. If the Opposition had been in charge, she would of course be saying that it was they who had rolled out the vaccine.
In fact, it is a little bit worse than that. If Opposition Members had been in charge of the vaccination process, we would not have jabbed nearly as many people, because they would have supported the EU scheme rather than ours.
My hon. Friend is absolutely right. Nor would we have come out of lockdown at the earliest possible moment, which has preserved the economy and jobs. The main point, however, is that we have heard no solutions from the Opposition.
The motion mentions GP and hospital appointments, and that is what I want to talk about today. In the health system, the Government are looking for new, innovative solutions to solve the problems that we are experiencing. Of course there are problems: we have just been through a global pandemic which saw the whole country in lockdown and our hospitals and GPs focused on treating millions of covid patients and on the vaccination programme that I have just been talking about, so inevitably there have been delays to regular and routine appointments.
I am pleased to speak in this debate on public services, because it gives me the opportunity to thank everyone who serves my city, Peterborough, by working in our public services. There is little to be happy about when it comes to the motion. As usual, the Opposition moan, groan and clip their speeches for social media, but they have no plan whatever for the economy or the reform of our public services. It is spend more, borrow more and pile on more debts for future generations, but they say absolutely nothing on jobs. On this side of the House, we know that it is work that will grow the economy, increase tax revenue and fund public services.
It is worth reminding the House that every single Labour Government have left unemployment higher when they left office than when they formed their Administration. This Government have delivered the lowest unemployment since 1974. Opposition Members have completely ignored that and, on jobs and on work, they have nothing to say.
The debate gives me the chance to celebrate good public services in my constituency. A shining example is the Thistlemoor surgery, run by Neil Modha, who is an inspirational local doctor in Peterborough. The surgery serves 29,500 patients, 80% of whom do not have English as a first language. The surgery has just received an outstanding grade from the Care Quality Commission. I thank Dr Azhar Chaudhry, who works with local mosques and communities, along with Dr Lubna Salim, Dr Lubna Akbar, Dr Mohammed Mukhtar and Dr Syed Husseini. Paulina Janczura is the manager of a team of 85 staff, all from different backgrounds, mirroring the background of the population that Thistlemoor surgery cares for. These are doctors, nurses, paramedics and admin and clerical staff doing an outstanding job for my constituency.
Peterborough is also the home of the Passport Office. We have heard lots of Members talk about Passport Office failures, and they are absolutely right to raise frustrations expressed by their constituents when it comes to delays on passports. However, we must also remember that staff in the Passport Office in Peterborough and elsewhere are working incredibly hard. We must always remember that when we speak in this House and on behalf of our constituents, because, sometimes, they can be left feeling unsupported, especially by those who stand up and make overly critical speeches.
There is a disappointing example of public service delivery in my constituency. The residents of the beautiful village of Thorney have temporarily lost in-person services at Thorney Medical Centre. This is down to a lack of admin staff. It is worth mentioning that the staff do a wonderful job and certainly do not deserve abuse, which, regrettably, is becoming all too common across the NHS. Local people rely on the service. Local councillors and I are campaigning for this service, along with Jenner Healthcare, to reopen as soon as possible. A meeting has been set up on Friday, and I am confident about what will happen with this vital surgery on which so many people in Thorney rely.
If I may, I will tell the House one more story of public service delivery in Peterborough. Very sadly, this involves the Labour Mayor of Cambridgeshire and Peterborough. We have already heard about Labour’s failure in public service delivery in Manchester, in Wales and in London, but, unfortunately, we now have to move on to Labour public service delivery failure in Cambridgeshire and Peterborough. The combined authority is the accountable body for Net Zero Hub projects across the whole of the south-east. That put the Mayor, Nik Johnson, in the lead for spending from Hampshire to Kent, and from London to Peterborough. For that reason, the Government handed him £80 million for energy projects and £118 million for sustainable warmth projects—more than double that of any other comparable authority. That should mean cheaper bills and warmer homes in Peterborough. He has had the money for months. It was his chance to make a difference, so what of that whopping sum of £198 million? How much has he used? Staggeringly, the answer is less than £6 million.
In fact, the Mayor has written a letter to the Government, begging for yet another extension to the deadline for spending it. But I am told that, because of his
“poor delivery performances and assurance processes”
the Mayor’s request will be refused, because it would break Her Majesty’s Treasury rules. It gets worse. The Government do not even believe that he has the capability or the capacity to deliver, because the hub has spent nothing on home improvements so far—nothing, zero, absolutely nothing. Thousands of homes in Peterborough will lose out as a result, but not so in Cambridge. Cambridge City Council put its own bid together for sustainable warmth funding and got just over £6 million, in partnership with some of the local councils close by. Unlike homes in Peterborough, they will get the improvements because they bypassed our failing Mayor—a Labour Mayor.
Cambridge City Council led this bid, and it obviously knew the Mayor well enough not to trust him. It takes Labour to know Labour. I am told that the Government have already received formal complaints from four different councils about the combined authority-run hub. More complaints are likely when other councils find out what our Mayor has done and the amount of money that he will be returning—unspent—to central Government. It really is a national scandal—a scandal covering a third of a national funding pot and a fifth of the country. Only Nik Johnson’s other scandals make this the least likely thing to prompt him to quit. Yet there is no longer any question but that he should. This is a failure of public service delivery. This is an example of Labour failure of public service delivery.
(2 years, 8 months ago)
Commons ChamberWhen it comes to challenging rising costs and what measures the Government can put in place to address them, I always turn to what I consider to be some of the wisest people in this country—the people of Peterborough.
Like my mother-in-law.
Like my hon. Friend’s mother-in-law. I went to a “politics and a pint” pub surgery in the Oxcart pub in Bretton in my constituency to talk to my residents. I wrote to a large number of people living around the area and told them that I would be there between 6 and 8 o’clock and that I wanted to listen to what they felt about the spring statement, and any other issues that they wanted to talk to their MP about. The single most popular measure in the spring statement that came up was the rise in the national insurance threshold.
Peterborough is a city of hard-working people and hard-working families and they want to see work rewarded. That is what this measure does. It will mean that if they work those extra hours and have the dignity of a job, they will keep more of their own money, pay less tax to the Government and be able to spend it on what they perceive to be best for them and their family. That is the Conservative way, and that is why I welcome these measures. I think they will go a significant way towards relieving pressure on families in my constituency. One lady I spoke to told me exactly what this extra money might mean for her. For her and her family, it would mean help with school uniform costs and help with the weekly food shopping bill, and of course it would also mean help with rising energy prices.
That was not the only thing raised with me last night, and it would seem partisan if I did not mention that constituents raised elements of concern. One constituent told me that, although the spring statement will go some way towards addressing energy prices, people need the heating on during the winter, and they asked whether there will be more measures later down the line. I also spoke to pensioners, who raised a concern about what this might mean for people on a fixed income.
The landlord of the pub pulled me aside to explain that, typically, he was paying about £1,200 a month for energy but, due to the rising costs, some of the deals on offer are almost £4,000 a month, which is an eye-watering amount for a local community pub like the Oxcart. However, he told me how pleased he is with the continued cut in business rates.
Far be it from me, as a new MP elected in 2019, to say this to longer-serving colleagues, but a “politics and a pint” pub surgery is an excellent thing to do because it supports local businesses. If we do not use pubs, unfortunately we will lose them. A “politics and a pint” surgery is a fantastic way to meet our constituents.
Returning to my central point, the rise in the national insurance threshold will reward work. As my hon. Friend the Member for Redcar (Jacob Young) outlined, people who earn less than £12,500 a year will not pay any tax at all, which means more money in their back pocket to support themselves and their family.
A large number of people in my constituency are on universal credit while in work. One of the most popular things this Government have done in recent times is to alter the universal credit taper rate from 63p in the pound to 55p in the pound. That is an extra £1,000 in the back pocket of hard-working families in my constituency, which makes an incredible difference.
I praise the raising of the national insurance threshold because it simplifies the tax system. It was an anomaly that people did not pay income tax until they earned £12,500 but they were still paying national insurance. This measure creates a simpler and clearer tax system, which is in everyone’s best interest. We do not want tax to be confusing, lacking sense or difficult to understand. People pay their tax, so it should be as easy as possible for them to understand, which is what this measure does.
Finally, I want to talk about what the rise in the national insurance threshold will mean for particular people in my constituency. As I said earlier, work is plentiful in my constituency. We have lots of vacancies in Peterborough—in fact, there are more vacancies than people on universal credit—and this rise sends a message that the Government are putting their arm around everyone in this country, and particularly hard-working families. If people want to go out and find a job, work hard and make a contribution, they should be rewarded. There are plenty of those people in Peterborough and across the country.
My hon. Friend and constituency neighbour is a great champion of everyone in Peterborough, and I pay tribute to him for all the work he has done since his election in 2019. How do his hard-working constituents feel about the 6.6% increase in the national living wage, which makes sure that having a job is a way out of poverty?
My hon. Friend and constituency neighbour makes an important point, and it is another example of how this Government are rewarding those in employment who work hard and make a contribution. That is what this Government are all about, and it is what any Government should be all about. This Bill is another example of rewarding people who make the right decisions.
(2 years, 8 months ago)
Commons ChamberIn the autumn spending review we announced record funding settlements, not just for health, but across the board. That resulted in Barnett consequentials of, if I recall it correctly, about £4.5 billion annually for the Scottish Government. Obviously, they can use that to support their local communities in the way that they feel is best. Again, there have been further Barnetts today as a result of the household support fund.
With a 5p cut in fuel duty, the lifting of the national insurance threshold and a plan to cut income tax, will my right hon. Friend reiterate that this Government are a tax-cutting Government? On the Government side of the House, we trust people on how best to spend their own money.
My hon. Friend makes an excellent point and he is absolutely right: we want people to be able to keep more of their own money. The tax plan announced today represents the biggest net cut to personal taxes in a quarter of a century, proving that we very much are on the side of hard-working British people.
(3 years, 2 months ago)
Commons ChamberI refer the House to my entry in the Register of Members’ Financial Interests. As a member of the Health and Social Care Committee, I rise to support the Bill and to argue that the money raised by this levy be spent well. I commend my right hon. Friend the Member for South West Surrey (Jeremy Hunt) on his chairmanship of the Committee, in which we are conducting those lessons-learnt inquiries to ensure that our money is spent well. I want to mention three areas; if we focused on them, we could ensure that this money is spent well and get the desired outcomes.
The first is capacity in the acute sector. It is clear that the NHS needs to strike a long-term deal with the independent sector to try to power through the backlog of elective procedures. We are talking about hips and knees, hernias and cataract operations. I read and hear reports, with alarm, that the independent sector capacity that the NHS has bought is being underused—or, if it is not being underused yet, there is a fear that it may well be—because of ideological reasons that the independent sector should not be used and we should be funnelling all these procedures into the NHS. If we do not use the independent sector, we will not have the desired outcomes. We cannot let ideology dictate, as this will ensure that people are left in pain for longer and do not have the right quality of life. We need to ensure that the independent sector is used to its full capacity, so that we can get through this elective backlog.
Similarly, we need to ensure that initiatives such as “Getting It Right First Time”, or GIRFT, are used properly. The NHS has spent money, resources and experts’ time on understanding which procedures work at high volume and low risk. We should use the lessons learnt from GIRFT to deal with the elective backlog. Let us not reinvent the wheel, but let us ensure that we do learn those lessons. Ultimately, these are usually minimally invasive techniques and technologies for procedures that can be done as day surgery, and this will ensure that we power through the backlog and get the elective procedure waiting list under control.
The second issue that the Health and Social Care Committee has heard about is the importance of the diagnostic sector. In the past, I think the NHS has been guilty of focusing on the treatment of conditions, rather than on prevention. If we get the early diagnosis correct and invest in diagnostics technology, we can find out who is at risk of suffering from cancer, heart disease and other long-term conditions before they present at an acute level. It is really important that we invest in that sort of technology, so that we can save money in the long term.
Finally, let me turn to innovation in our NHS in general. I have worked in health politics, if you like, for 20 years. As I said last week, there is a cultural aversion to the private sector, technology and innovation in our NHS. That aversion may be at the margins, but it is at least having an impact, and it needs to be dealt with straight away. If we do not adopt innovation—new technologies, pathways and ways of doing things—we are not going to ensure that this money is spent well.
I would challenge that something that should come out of the health service reforms that we are looking to introduce is the appointment of an innovation officer, or someone who is responsible for innovation in every NHS trust. Let us make it their job. I welcome the fact that we are at last beginning to ensure that the NHS will have a degree of accountability again, and that politicians will have the ability to challenge NHS trust managers to ensure that this money is spent well. One way to do that is by having an innovation officer who is responsible for reform and innovation, ensuring that new pathways are adopted and this money is spent well. If we do not, we could be here again in three or four years’ time, and the money that we want to transfer to social care in due course could have been gobbled up by the NHS, which my right hon. Friend the Member for South West Surrey said was a real risk.
As far as I am concerned, those are the three real challenges: acute capacity; investment in diagnostic capability; and ensuring that innovation is properly recognised in our NHS.
(3 years, 2 months ago)
Commons ChamberI rise as a member of the Health and Social Care Committee to support this measure today, and as I do so I would like to direct Members’ attention to my entry in the Register of Members’ Financial Interests. I sit on the Health and Social Care Committee, and only yesterday morning in the Committee we heard from two patients who talked clearly about the delays that they faced in accessing care in the NHS. The first was a lady called Shirley Cochrane, who sadly had an aggressive form of breast cancer. During her time on an NHS waiting list, waiting for treatment, she felt alone and said that she was not listened to and did not get the attention she needed. The second was a gentleman called James Wilkinson. He had myocarditis, a condition that I know a little bit about myself, having had that condition in the past. While waiting for aortic valve replacement surgery, he had the surgery cancelled three times.
We face an enormous challenge. In that same Committee, we heard from the Health Foundation, which talked about the enormous sums that would be needed to solve this backlog. It also talked about the number of consultants, NHS staff and nurses that would be needed to increase capacity in our NHS. Opposition Members need to understand that, if we are going to face up to the enormous challenge that our NHS and social care system is facing, it has to be paid for. It cannot just be borrowed. If they have a better way of paying for this, they need to outline it now.
When the lady from the Health Foundation was giving evidence to our Committee yesterday, she said that three things were needed to resolve the backlog. Those three things were more money, more capacity and a plan. I have been involved in health politics for 15 to 20 years, and every single review that I have seen the NHS conduct has said that it needs more money, more staff and a plan. That has happened under Labour Governments and under Conservative Governments. So if we are going to go ahead with this plan, which I support, we need to ensure that it goes with reform and innovation too.
With his wealth of experience in health politics, does the hon. Gentleman accept that we do not know, because the Secretary of State for Health and Social Care has not outlined it, how many of the people on waiting lists will actually be seen and dealt with, and that this is a bit of blank cheque?
We will not approach the backlog unless we have the money and capacity to fund it, and that needs to go hand in hand with what I said about innovation, new pathways and new ways of working. I remember talking to someone who told me that we had three years’ worth of innovation in the NHS in just three months because of the pandemic. New ways of working and new pathways were adopted.
Every time we talk about innovation in our NHS and new pathways—the accelerated access review, the “Innovation Health and Wealth” report and a new life sciences strategy all talk about innovation and new ways of doing things in our NHS. But those new ways of doing things need to be spread at pace and at scale. There is no excuse not to do it now. If it works in one part of the NHS, it will work in another. Culturally, the NHS needs to grasp the nettle and spread that innovation and new ways of doing things so that we can get productivity and outcomes for patients. Now is the time to do it.
The Health and Social Care Committee, of which the hon. Gentleman is a member, estimated last autumn that there was a £3.9 billion funding gap in social care. I assume that he agreed with that report. Can he explain, therefore, how this levy will deliver £3.9 billion a year for social care? I have not seen any figures showing that at all.
Having no plan will not provide the £3.9 billion, and Labour Members have indicated today that there is no plan.
This is a significant tax increase. I am a Conservative, so I do not like tax increases, but I also understand that an enormous thing happened between the manifesto and now. There has been a global pandemic, and Labour Members seem to have missed that fact. We need to shorten waiting lists, we need to do something about it and we need to correct it.
I have given way twice, and I would like to continue because I want to make another important point.
This tax, this levy, needs to be accompanied by reform. The Health and Care Bill is in Committee, and it is really important. The way incentives are geared within the system is one reason we can power through elective waiting lists. We pay for care through a system of tariffs. I urge Ministers and others to think carefully about how we pay for elective procedures in our NHS, because any system of tariffs needs to ensure that hospitals are paid properly for carrying out procedures. There need to be proper incentives for hospitals to carry out hip, knee, cataract and hernia operations, which are the majority of the backlog, as well as treating cancer, heart conditions and everything else. If we are not able to find the right levers within our NHS system to ensure that we power through those elective procedures, we will not be able to solve some of the more serious operations at the end.
Innovation tariffs, for example, would also help by encouraging new ways of doing things. We cannot have a system where, financially, trusts and our NHS are not incentivised to do the things they need to do to be more productive. They should not pursue short-term financial measures when we really need incentives to make sure that they do the right thing.
I will be marching through the lobby to support the Government today, because this is really important.
Will the hon. Gentleman give way?
I have given way a few times.
We must grasp the nettle of NHS reform, backed with finance so that our NHS staff have the bandwidth to deal with the needed reform. That bandwidth is capacity and money. If that does not happen, we will borrow more and spend more in the long term and this ever-lasting round of more staff, more money and more plans will go on and on.
I urge hon. Members to support the Government’s motion today.
(4 years, 1 month ago)
Commons ChamberThank you, Madam Deputy Speaker. I congratulate the hon. Member for Erith and Thamesmead (Abena Oppong-Asare) on securing this important debate. Black History Month is a fantastic opportunity to celebrate the contribution that black people and those with black heritage have made to our country’s history. That is truly a positive thing. There are, naturally, aspects of our past that are negative. A history that involves an empire and Commonwealth is inevitably mixed. The history of specific issues is mixed, as this year has shown. Among them, we cannot forget the stain of slavery, but nor should we forget our country’s role in ending slavery. It is worth recalling that, when America was engulfed in a civil war, with its southern states fighting to literally keep people in chains, our country had peacefully banned the trade for over half a century and the practice for three decades.
Our history is not perfect, but I believe it shows us to be an open and tolerant country. Black History Month is full of examples. I was particularly pleased this year to learn about Allan Glaisyer Minns, who became the Mayor of Thetford and the first black Mayor in the United Kingdom in 1904. As a member of the Select Committee on Health and Social Care, I am pleased to tell the House that he was a local doctor. As a Conservative Member, I am also pleased to say that he was a Conservative. I gather that Thetford is now planning a statue in his honour, and so it should, because black history is British history, and British history belongs to all of us.
Our identity as British is not a matter of race. Instead, when we search ourselves, we find that we are defined by our institutions and, above all, by the Crown, this Parliament and our common law. Our institutions are relevant to all of us, and the history of their hard-won evolution is therefore relevant to all of us. Relevance is not determined by the colour of one’s skin, and nor is belonging. Our country continues to welcome people from across the world, not just to live here but to belong here. Our cultural richness is something to celebrate, and Black History Month is part of that. Unfortunately, some political activism has a counter-narrative that stresses our differences and tries to reduce us to them. It also denies a role to people as individuals, in order to subsume them into a group. That approach is profoundly dangerous. It used to be the racists who opposed or denied the possibility of social integration. It would be tragic if the good intentions of anti-racists resulted in forms of segregation.
My constituency is a standing rebuke to those ideas. Peterborough is highly diverse, but we stand together, and we are stronger together. The covid pandemic has seen us all come together—black, brown, white and all minorities. We fed and housed rough sleepers. We delivered supplies to those who were shielding. We supported charities and voluntary organisations. We did that as Peterbourians—as people from Peterborough—not as individually labelled groups. We are one city. We are proud of our city, proud of our country and proud to mark Black History Month.
I would like to pay tribute to Bernadetta Omondi—or Sherry, as she is often known—who chairs the Peterborough Racial Equality Council and the Black History Month committee. She and her team are a tremendous force for good in my city. While covid has prevented the annual celebration of Black History Month in Cathedral Square, they have delivered food parcels to the needy, supported people with mental health issues and raised money for charity at the Lush shop in Peterborough. I look forward to joining her and her team at a black summit to address a number of issues with the city council and local police. She recognises, as I do, that we will not be able to reach our potential as a country and as a city unless people of colour also reach their potential. No one symbolises my “one city” message more than Sherry and her team, and they make me proud of Peterborough.
(4 years, 1 month ago)
Commons ChamberIn my speech in the House yesterday I said that something remarkable happened in my city of Peterborough during the recent lockdown and covid pandemic. We looked after the vulnerable. We ensured that those shielding had food and supplies. We housed and fed our rough sleepers, thanks to restaurants and takeaways. We came together as one city. That made me very proud not only to represent the city but to have grown up there.
Having said that, I do not want to go through that again, but Labour Members would hit poor people in my city with another national lockdown, and it is for them to tell us how many jobs that would cost in Peterborough.
The remarkable resilience of my city is down to its people, but we did not do it alone. The Government protected jobs and businesses and provided the economic security needed to get us through this. They put their money where their mouth is: 15,600 jobs have been protected through the furlough scheme; 4.500 people claimed grants through the self-employment income support scheme; 2,185 bounce back loans were awarded; 70 coronavirus business interruption loans were awarded; and business grants worth more than £22 million were awarded.
What does that mean on the ground? It means that Eve Taylor, a fabulous historic skin and body care products company in Britain, has brought manufacturing capacity back in-house, expanding the business and employing more people. The Bottle & Board bottle shop in central Peterborough has been able to survive during this tough time. My friend Lisa Aldridge owns and runs Loxley Barbers, which had the dubious privilege of giving me my first haircut after lockdown. A bounce back loan has helped it to survive. My friends Billy and Tony Kertolli, who run a carwash in Carr Road, gave free car washes to NHS workers. There are countless further examples—all businesses that my office has helped. These are real people, real jobs and real businesses, and these people are my friends. Peterborough is a small but big city and we depend on one another, and when we needed Government support they were there for us.
The cultural recovery fund has been a lifeline for my city. We needed support and the Government listened. It would be remiss of me not to mention some of the businesses that could not be supported, including those who were moving business premises just before lockdown, sole traders with not enough money and those who paid them through dividends. I wish we could have done more, but this was one of the most generous schemes in the world, and I am pleased that the support will be there for businesses and individuals in Peterborough when we need it.
The job support scheme has been expanded to provide temporary and localised support to businesses whose premises are legally required to close as a direct result of the restrictions. The last thing my city needs are localised restrictions. They are not needed or wanted, as my city has done the right thing and rates are, thankfully, still low. Labour Members would put Peterborough back into national lockdown misery, whatever our successes and whatever our individual circumstances. I am going to make sure that local people in my city know who it is that wants to restrict their freedoms, take their jobs and make their businesses go bankrupt when there is no reason to do so. This is typical Labour, and we are going to make sure that the people of Peterborough know who would put them back into national lockdown misery.
(4 years, 4 months ago)
Commons ChamberWhat a pleasure it is to follow my hon. Friend the Member for Keighley (Robbie Moore) and a whole host of wise, well-mannered and intelligent contributions from these Benches. This debate is primarily about three things: what is best for our economy; broken promises and what is best for our politics; and what is best for our country. Let us talk about the economy. It is undoubtedly true that our economy has been and will continue to be affected by the covid-19 crisis. Peterborough’s economy has been hit by the crisis. Jobs have been lost, and the Social Market Foundation has said that Peterborough is at risk of long-term economic disruption.
But I am fed up of bogus surveys and of people talking down my city. Peterborough is a city on the up. We have a new university coming to Peterborough, which will bring research, innovation and new jobs. We have DALROD, a company that is celebrating 35 years in the fantastic city of Peterborough, creating more jobs. We have new jobs being created by Waitrose, by Aldi and by the homeware retailer URBN. Peterborough is on the A1, and it is 50 minutes from London. Peterborough is a city on the up, and the last thing we need is more uncertainty caused by further Brexit delay and dither. I am afraid that, if we extend the transition agreement, we will be back in this place in just a year or two’s time.
This is also about broken promises and what is best for our politics. My journey to this House came with a bump in the road, and it was called the Peterborough by-election in 2019. I understand what the destination will be if we do not keep our promises, and unfortunately it will be to come third in a by-election behind Nigel Farage. I do not want to be there again, and that is why I am proud that this Government will keep our promises. The people of Bretton, the people of Paston, the people of Werrington, the people of Westwood—the people of Peterborough—are fed up with being called uneducated, thick and unsophisticated because they believed in their country, believed in Brexit and voted to leave.
This is also about what is good for our country. I live in a country called the United Kingdom of Great Britain and Northern Ireland. That is a country that includes England, Wales, Northern Ireland and Scotland—equal partners in this Union. Do you know something, Mr Deputy Speaker? I speak regularly to Scottish people who have moved to my city, Peterborough, and they weep for the politics of the nationalists on the SNP Benches. They weep for their divisive nature and they weep about what they are doing to them in this great country. It is the strength of this Union that will get us through this covid-19 crisis and power us on.
I almost feel sorry for the Labour party and its activists in my constituency—but the key word is “almost”. I know what the Labour social media trolls will do when they see this video of me talking passionately about my city. They will talk about why their economic policies are best for this country and why they need investment. But where are they? Where is the Labour party? Labour Members may have abandoned the playing field and they may think people are not watching, but I will make sure that the people of Peterborough know that the Labour party has abandoned them when it comes to Brexit.