National Health Service

Debate between Paul Burstow and Julian Huppert

Wednesday 21st January 2015 Commons Chamber

[Dr Huppert]

The hon. Gentleman can intervene if he wants to talk about why PFI is a great thing, but otherwise I will move on.

The Government have been too slow to move to the new formula, which properly takes account of ageing populations. We know that the elderly cost more in terms of health care. Cambridgeshire receives £961 per head, whereas West Norfolk, for example, receives £1,255. That is a huge difference. I asked for extra money during the debate that I mentioned, and I am delighted that we have managed to secure an extra £20 million as a result of the recent allocation. That will provide much more funding for mental health, on top of the extra £1.5 million that has been provided this year and the extra £2.2 million that will be provided for IAPT—improving access to psychological therapies—next year. That will make a big difference, and will reverse some of the challenges that we face.

We need that extra cash, but we still need more in Cambridgeshire and throughout the country. Simon Stevens called for an extra £8 billion by 2020, after savings and efficiencies had been taken into account. He said that an extra £8 billion, in real terms, was needed if the NHS was to keep going. I think that that is important, and we as a party think that it is the right thing to do. One of the problems with the motion is that it does not deliver what Simon Stevens has said is needed for the NHS. I am not all that keen to support the provision of less than a third of what is needed to keep the NHS going, especially after hearing from the shadow Secretary of State that, despite what the motion says, the money is not all for the NHS but constitutes the entire offer for the NHS and social care, which also needs its own funding. We need that £8 billion.

I voted against the Health and Social Care Act 2012 as I did not agree with much of it. There are some issues, such as parity of esteem, that are very good and that I hope will never be repealed. I also disagree, however, with many of the things that the Labour party did to bring in the private sector in some damaging ways, with people being paid for things that never happened.

The fact is, as was mentioned by the hon. Member for Brighton, Pavilion (Caroline Lucas), under the previous Government medical spending on private provision went from £1.1 billion a year in 1997 to £7.5 billion in 2009-10. That is a vast increase. I have no problem with people who say that they support that and that it was the right thing to do, but to suggest that that large increase was excellent for the NHS while the fact that it has continued at essentially the same rate under this Government is a disaster for the NHS strikes me as a rather bizarre claim.

I have criticisms of this Government, the previous Government and the one before that. I want the NHS to spend more of its time focusing on patients or, even better, avoiding the need for people to be patients in the first place. That needs a trained, motivated and well-paid staff—I think they should get the money from the independent review. It needs a focus on prevention and public health and proper funding—that is, the £8 billion by 2020.

[Paul Burstow]

On that point, does my hon. Friend agree that the better care fund, which is now being launched in April, is a key way in which we can deliver the joined-up care that he is talking about and that we need to have an ambition that by 2018 all CCG budgets, primary care budgets and social care budgets are in that pot?

[Dr Huppert]

My right hon. Friend is right, of course, and I pay tribute to him for the work he has done on this and on many other health measures. We must ensure that that integration happens so things work together and that is why token amounts such as a couple of billion pounds from the Conservatives, who need to go a lot further, and the £2.5 billion across health and social care from Labour—and by the way, please correct me if I am wrong, but according to The Guardian that is from 2017 onwards —will not go far enough. We need integration through the better care fund and we need that £8 billion. That is the proper funding that is needed.

Finally, we in this House ought to have a proper debate about how to fix problems and cut back on the amount of partisan bickering that happens in this place. That does not do us proud. We are all prone to it, including me. It is much better to talk about what we can do to promote health, whether it is physical or mental.

Oral Answers to Questions

Debate between Paul Burstow and Julian Huppert

Tuesday 22nd November 2011 Commons Chamber

[Dr Julian Huppert (Cambridge) (LD)]

14. What plans he has to ensure balanced political and geographical representation on health and wellbeing boards.

[The Minister of State, Department of Health (Paul Burstow)]

The Health and Social Care Bill sets minimum membership for health and wellbeing boards. The boards will provide local system leadership, assessing need and setting the strategy for commissioning health, social care and public health. Ensuring that the board has the benefit of a broad range of opinion and geographical spread is a matter for local decision. However, the Department’s health and wellbeing board national learning network is developing and sharing good practice to inform those decisions.

[Dr Huppert]

Does my hon. Friend agree that the ability of a health and wellbeing board to represent democratically the interests of the people in its area would be boosted by having a reasonable number of councillors on it with both geographical representation across the area and political balance?

[Paul Burstow]

We are telling local authorities that they can have a majority of elected members on health and wellbeing boards if that is the appropriate way forward for their local community. My hon. Friend’s area, Cambridgeshire county council, recognises the importance of ensuring that there is a geographical spread and a full involvement of local opinion in those boards. There is a special event next January for stakeholders to get information about that, in which I hope my hon. Friend will take part.