(8 years, 6 months ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
It is indeed an honour to serve under your chairmanship, Mr Pritchard. Before I start my speech, I congratulate the hon. Member for Colne Valley (Jason McCartney) on securing this incredibly important debate and on his constructive and reasoned speech.
Kirklees is an area with a population of over 430,000. My constituency has a population of 110,000. The majority of my constituents access emergency care at either Dewsbury and district hospital or Huddersfield Royal infirmary. Dewsbury district hospital is already subject to a planned downgrade, which hospital bosses propose to bring forward. It will take place this year. It will see the accident and emergency department downgraded to an urgent care centre with no provision for acute emergency care.
Dewsbury district hospital’s A&E currently sees around 80,000 patients a year. The downgrade was referred to the Secretary of State for Health by the Kirklees and Wakefield joint health scrutiny committee because its members believe there remains sufficient doubt to provide the necessary assurance and confidence that the proposals are in the best interests of the local population. The planned downgrade hinged on the fact that many of the patients who currently access Dewsbury and district hospital would travel to Huddersfield for emergency care.
The loss of full emergency services in Dewsbury was a bitter blow. We now hear that Calderdale and Greater Huddersfield clinical commissioning groups are planning their own hospital downgrade. The plan, as we have heard, is to close the A&E department at Huddersfield and to transfer all emergency services to Calderdale Royal hospital in Halifax. Those plans will see the whole of Kirklees without any accident and emergency provision. Over 430,000 people will have to travel outside the borough for vital emergency healthcare for themselves and their loved ones. How on earth can that be acceptable? Kirklees is a vast geographical area that spans many towns and rural and semi-rural areas. Many people rely solely on public transport as a means of travel and parts of the borough are in the bottom 10% of the country’s most deprived areas, which brings about huge health issues and inequalities.
The hon. Member for Colne Valley alluded to Huddersfield being a university town with over 24,000 students, many of whom come from outside the area. Many of them are not registered with a local GP, so are more likely to attend A&E.
A large part of my constituency nestles between Huddersfield and Dewsbury hospital. My constituents will be among those hit hardest by the closure. We have heard in recent days that the proposed changes could result in 157 more deaths a year. We know that the closure will not improve life chances or enhance health care provision, but is purely a cost-cutting exercise that could result in lives being put at risk.
In 2007, prior to being elected Prime Minister, David Cameron said:
“I can promise what I've called a bare-knuckle fight with the government over the future of district general hospitals.
We believe in them, we want to save them and we want them enhanced, and we will fight the government all the way.”
We welcome the Prime Minister’s possible intervention. If any Health Minister, the Secretary of State or the Prime Minister would like to visit our beautiful part of Yorkshire, I am sure that we would, on a cross-party basis, be delighted to show him the issues that the closure would cause.
Hospital downgrades and closures are happening up and down the country. Two out of three NHS trusts are in deficit and the situation is only set to get worse. Headlines in our national newspapers scream of “NHS facing…worst financial crisis in a generation”, “NHS deficit soars to £1.6bn” and “Will 2016 push the NHS over the edge of chaos?” Searching “hospital closures” on the internet shows the full scale of the problem nationally.
A pledge was made that the PFI deal in Calderdale would be sorted out, but that neither hospital would close. It is beyond absurd that the price to pay for keeping Halifax A&E open is the closure of the Huddersfield facility. Across the two hospital sites, there are 141,000 A&E visits a year. How can one hospital, which is already buckling under the pressure, cope with that many emergency patients in one year? In addition, there will be further pressure on Yorkshire Ambulance Service to transfer acutely ill patients away from Kirklees to hospitals on routes that are often congested and severely gridlocked. Current proposals would see the average ambulance transfer time increase from 16 to 21 minutes. I reiterate that that is an average, so many patients would be in an ambulance for much longer.
I have received a number of emails, as I am sure have my hon. Friends, from understandably concerned constituents who have recounted extremely problematic journeys between the two sites, leading to real fear that there could be a catastrophe in a life and death situation. I recently undertook the journey between Huddersfield and Halifax after the recent rally in Huddersfield centre. I was caught in severe traffic and saw an ambulance held up. I would have hated it if a loved one or someone I knew had been in that ambulance being prevented from getting essential emergency care.
Another issue for cross-party consensus is the lack of a coherent, integrated transport assessment of all the reconfigurations across Kirklees, in Dewsbury and in Huddersfield. Many of our constituents are on low incomes and rely on public transport. With congested roads, moving people around is not easy. I am not reassured that either trust has looked fully at the transport implications of these reorganisations and what they will mean for our constituents.
I thank my hon. Friend for her contribution. She has almost read my mind. I have just come out of a meeting with the chief executive of the Yorkshire Ambulance Service NHS Trust and put that exact point to him. I was incredibly alarmed to hear him say that it is working on the modelling for how to transfer patients between hospital sites given the number of reconfigurations in the area. I emphasised that that should have been resolved before, and he acknowledged that perhaps it should have been. The work has not even been carried out, yet there are proposals on the table that hospitals should be downgraded.
Yorkshire Ambulance Service has its own financial pressures and is struggling to meet its current performance targets. We have heard this afternoon that it is failing to meet performance targets for red 1 and red 2 ambulance patients. The question needs to be asked. Have they been consulted about these plans and can they deliver on the promises made by the clinical commissioning groups, despite the fact that we have received an acknowledgement this afternoon that the work is ongoing?
Other factors that need to be seriously considered include the looming adult social care crisis, impending pharmacy cuts—which could mean that 25% of community pharmacies close—lack of GP provision and uncertainty regarding junior doctors. All these factors impact on our local hospitals, and we need to be confident that they are addressed and answered.
Just yesterday evening we learnt that Calderdale Royal hospital and Huddersfield Royal infirmary were on black alert, which meant that they were unable to take any more patients because of a shortage of beds. The trust was said to have implemented the senior level gold command arrangements. Let us imagine the situation had that occurred when only one of the A&E services was functioning.
In the less than two weeks since the plans were announced, we have seen a massive public outcry—bigger than anything that I have witnessed before. Like the hon. Member for Colne Valley, I thank, applaud and pay tribute to all the people involved in the campaign. We have seen the message “Hands off HRI” projected on to many public buildings and looking absolutely fantastic. Sweatshirts and T-shirts have been printed. There are car stickers. People have been going door to door with petitions. There has been a wonderful community response. There is a Facebook campaign with more than 45,000 members—I wish that my MP page got that level of support—and there is an online petition with more than 46,000 signatures. I am pleased to say that at a recent Kirklees Council meeting, councillors voted to work cross party to oppose the changes. All those voices need to be heard, and we must have as long a consultation period as possible to ensure that they are.
Casually sitting back and watching this situation develop is simply not an option. Action must be taken, and it is our job, as elected representatives, to stand up and fight for our constituents. I for one will not be lying down on this issue and I welcome the cross-party pledge from all my MP colleagues—I know that they feel exactly the same way about this issue—that we will work together for a better funding deal and a solution to the chaos that we now find ourselves in.
(8 years, 7 months ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
I beg to move,
That this House has considered care homes in England.
It is an honour to serve under your chairmanship, Mrs Main. It is the second time I have done so; the first was on my first Bill Committee, and this is now my first Westminster Hall debate, so I seem to be following you around the corridors of the House of Commons.
I take pride in the fact that my first Westminster Hall debate is on the care that we as a society provide for older generations. Care homes are an essential part of our social care network, providing support and residential care for more than 400,000 older people. We must reassure older people, families, carers and society at large that we are a country that will continue to offer sustainable, quality, statutorily supported care in what is about to become an extremely difficult funding climate for them.
This is not the first time that I have raised this topic; the Minister will be familiar with the many parliamentary questions I have tabled on the subject. As he is personally dedicated to quality care for older people, I know that he will welcome the opportunity to discuss this matter in more detail than would often be the case for a humble Back Bencher such as me going through the normal channels of parliamentary protocol.
In many ways, it is strange that we need to have this debate at all. With an ageing population and estimates that the number of people aged 85 and over is set to double over the next 30 years, people would think that having a well-funded and secure network of homes to provide care for later in life would be a given. This is the 21st century after all, and we meet in a Parliament of one of the world’s largest economies—an economy that was built through the graft and ingenuity of the wartime generation, our security delivered through their sacrifice.
However, evidence and testimony from care providers points to a sector in a perilous state, primarily for two reasons. First, a significant amount of the funding for older people in residential care who lack independent means comes from local authorities, so the significant cuts in local council funding have led to a 17% reduction in real terms in local authority spending on adult social care for older people since 2009-10.
I recently took part in a conference organised by the GMB trade union along with carers and people who run care homes. Those who run care homes expressed specific concerns about the fact that they were aware of people—and particularly older people—sometimes being kept in hospital when there was no real medical need for them to be. If we compare the costs, it costs a couple of hundred pounds a day for them to be staying in hospital—
Order. The hon. Lady’s intervention is becoming a speech.
Okay. Does my hon. Friend agree that we should speed up the transitional process and put pathways in place, so that the move between hospital and care homes can happen much more efficiently?
(8 years, 7 months ago)
Commons ChamberMid Yorkshire Hospitals NHS Trust is planning to implement a significant reconfiguration plan 12 months earlier than was agreed by the Secretary of State. Dewsbury hospital will be significantly downgraded before infrastructure is in place to ensure that patients still receive vital care safely. Will the Secretary of State meet me to discuss this premature move, which appears to be purely financially driven and not in the best interests of my constituents?
I thank the hon. Lady for bringing that issue to the notice of the House. The reconfiguration she mentions is the responsibility of local commissioners, but I am very happy to meet her, and anyone she wishes to bring with her, to discuss the planned changes.
(8 years, 8 months ago)
Commons ChamberOne of the ways in which we can measure how civilised a society we are is how well we deal with our most vulnerable citizens, and there are few groups more vulnerable in our society than those who suffer from mental illness, yet from when I began working in the health service as a doctor back in the early 1980s to right through my time as a Member of Parliament, mental health services have been the Cinderella subject in the national health service. Let us be very frank: we would never accept the level of care in cardiac disease, orthopaedic disease or cancer for our constituents that we are forced to accept in the treatment for mental illness.
There can be few areas where our advocacy role as Members of Parliament is more important than mental health, because the people involved are very often among the least able and least willing to stand up for themselves in the debate about how the NHS cake is going to be divided.
We have a role, also, in dealing with what the Secretary of State and the Opposition Front Bencher, the hon. Member for Liverpool, Wavertree (Luciana Berger), talked about as the last taboo. We do have to make societal changes and we can be instrumental in that, and I pay tribute, as the Secretary of State did, to our colleagues in this House who have used their often painful personal experiences to give colour to our debate and to take this issue forward. In all 23 years that I have been in the House of Commons, I cannot remember an attendance as high as that today for a mental health debate. That is indicative of how far we have come.
I very much welcome the Government changes both in terms of the funding they are proposing and the attitudes that have been fostered in recent years, not least, I have to say, during the coalition Government—it was one of the great achievements of that coalition Government that they put mental health much further up the agenda. I am particularly pleased at the announcement the Secretary of State has made about transparency on clinical commissioning group outcomes, because it is not the spending that we need to see, it is the outcomes. That is the crucial element, and I look forward to the details he will be bringing forward on that.
However many rights we give patients, it is the capacity-constraints that will ultimately determine what those outcomes are, and I want to deal with just two or three of them. The Government’s IAPT—improving access to psychological therapies—programme is a great programme. Getting access to talking therapies is, as the hon. Member for East Kilbride, Strathaven and Lesmahagow (Dr Cameron) said, extremely important, and I was asked to do a short piece for the “Victoria Derbyshire” programme on the BBC in which we looked at the difference between the best and the worst in the provision of talking therapies.
It is unacceptable, in a national health service that is funded from the single basis of taxation, that in some parts of the country 100% of patients are seen within the Government’s target time, whereas at the other end of the scale, in East Cheshire, which is the worst area, only 4.6% of patients are seen within that time. We can accept something of a discrepancy between the best and the worst, but we cannot accept that level of discrepancy in a health service that is supposedly funded on an equal basis across the whole country.
As the hon. Member for Liverpool, Wavertree and others have said, experience suggests that when there is better access to talking therapies, doctors are less likely to prescribe medication, including antidepressants. That is an extremely positive development, because one thing that has worried me about the lack of capacity in mental health services is what I would describe as the medicalisation of unhappiness. Because medical professionals simply do not have the time to talk to patients about the causes of their symptoms, they deal with the symptoms themselves. That is not good medical practice.
The second area that I am concerned about is child and adolescent mental health services. In the 23 years that I have been in the House of Commons, Government after Government of both political persuasions have told us that those services will improve, but I have seen very little sign of it. That matters because about 70% of adult mental health problems will have presented by the age of 17. One would have thought that, knowing that, we would prioritise healthcare early on to minimise the damage that is caused by untreated illness, yet we are still not fulfilling our duty on that front.
The biggest problem we face is that of in-patient capacity. When we debated the closure of the old Victorian asylums, it was very personal for me because I worked in one of those old hospitals. It was genuinely a Dickensian nightmare. There was a great fashion, which was supported right across the House, to move towards care in the community. However, the consequence of not having adequate capacity in the community was that a lot of patients fell through the net. The point has already been made about the large population of those with mental illnesses in our criminal justice system. In effect, we closed one type of inappropriate institution and ended up with patients in a different type of inappropriate institution, and called it progress. That is simply not good enough and we need to do much more to prevent patients who are mentally ill from being incarcerated in our criminal justice system, when they should be treated appropriately for their illness.
We also see patients being put in police cells because there is inadequate capacity in in-patient care. How would we feel if women with breast cancer or diabetic patients were put in police cells because we could not find beds for them? It would be on the front page of every newspaper and lead every news bulletin in our country.
No, I will not.
I would love the money that is being made available for mental health by the Treasury to be ring-fenced in CCGs. If that money is not ring-fenced, it will go elsewhere, for the very reasons I have set out. We need to ensure that the money that is rightly being made available for mental health treatment ends up there and is not siphoned off into areas where the voice for spending is stronger. I would love us to give more support to the wonderful mental health charities out there, such as Marjorie Wallace’s SANE and Mind. All those charities are hugely important.
In closing, I ask the Secretary of State to look at one thing: the incipient crisis of suicide among men in the United Kingdom—a subject that is not hugely talked about. The culture of our society often makes it difficult for men to admit that they are unable to deal with the stresses of life, anxiety and depression. The statistics relating to the worst manifestation of that—suicide—are deeply worrying. British men are three times as likely to die by suicide as British women. Suicide remains the most common cause of death in men under the age of 35. More than a quarter of the 24 to 34-year-old males who die take their own lives, compared with 13% among women. That is a huge national scandal and we need to give priority to it.
Success or failure in dealing with mental illness in the 21st century in the world’s fifth richest country is not just a judgment on the Government or the NHS, but on our society as a whole and on our basic humanity.
I am sorry to have to say, not for the first time in this House over the last few years, that in spite of all the warm reassurances from the Government that our mental health services are getting better, the experience of my constituents as users of the service, people who work in the service and those who manage the service is completely different.
It is extremely welcome that mental health has risen up the political agenda in recent years. I pay tribute to the many people outside and inside this House who, by speaking of their own experiences, have helped to achieve that. However, the higher public profile has not yet translated into delivery on the ground. In my area, the public are still experiencing services being cut and are still having to wait an unacceptably long time for talking therapies and other treatments.
In spite of the repeated warnings about the scandal of people being sent out of area in recent years and the assurances we have received, there was a 23% increase in the number of patients sent out of area last year, taking it up to more than 500. In Devon, which is one of the worst performing parts of the country, 45 patients were forced miles away from their friends and families.
I recently experienced that problem for myself, when the bright and previously happy teenage daughter of a close friend of the family had a crisis. While on the waiting list to receive treatment, her crisis escalated rapidly and she had to be admitted. There were no suitable beds at all in London, where she and her family live. She was first sent to Southampton, only for the unit there to be deemed unsuitable. She was then sent to Manchester.
In my area of Kirklees, some children and adolescents wait up to two years for out-patient talking therapies. Does my right hon. Friend agree that that is appalling and completely unacceptable? Does he also agree that early intervention is very important to ensure that people do not suffer too much in later life?
My hon. Friend is absolutely right. As she clearly articulates, the picture on the ground is very different from the one that is so often painted by the Government.
The House may remember a case that caused headlines a couple of years ago when I raised it in another debate. A 16-year-old girl in Devon was kept in a police cell for two nights because no bed could be found for her anywhere in the country. Her case is not unusual. As we have heard in this debate, more than 6,000 people with mental illnesses were held in police cells last year.
(8 years, 9 months ago)
Commons ChamberThe principles that the Department publishes are clear that charges, if they are set, should be proportionate and fair and should be set at a level that assures people of a car parking space. One of the problems of free car parking is that it often means there are no spaces for carers and for the sick when they turn up. Clearly, hospitals should exercise judgment in making sure that carers and people making frequent visits get a heavily discounted rate so that such charges do not become an impediment to free access to healthcare.
Mid Yorkshire Hospitals NHS Trust has recent imposed charges for blue badge holders. Many constituents have told me that, as a result, they will struggle to attend their appointments. The trust admitted to me that it had not considered the impact on the DNA—did not attend—rate. Does the Minister agree that not only does this place an extra financial burden on the vulnerable, but could lead to their being denied access to the healthcare that they desperately need?
The hon. Lady raises the surprising point that the hospitals did not consider the impact on their operations, which they should have done. The principles make it quite clear that disabled drivers should get concessionary rates, although charges sometimes need to be applied so that there are spaces for disabled drivers. The hospitals should have thought that through, and should look for savings elsewhere in their operations before they look at car parking charges.
(8 years, 10 months ago)
Commons ChamberI congratulate my hon. Friend the Member for Lewisham East (Heidi Alexander) on securing this important debate and on her powerful opening speech. As she will know, health services in my constituency have already suffered greatly at the hands of the Conservatives. Two years ago they downgraded Chase Farm hospital, axing both our accident and emergency and maternity services and breaking every promise they made to local people.
Now they are seeking to implement changes to contracts that I believe are unfair on doctors and pose significant risks to patients, both in Enfield and across the country. That view has been reinforced by the number of doctors from Enfield North who have contacted me to express their serious concerns. Dr Irene Gafson is one of my constituents and has been a junior doctor for eight years. She took part in the march in London earlier this month and carried a sign bearing Nye Bevan’s famous words that the NHS
“will last as long as there are folk left with the faith to fight for it.”
Many Members may have seen the thought-provoking and insightful article she wrote for The Daily Telegraph after the event. Two things in particular struck me when I read her piece. The first was the deep sense of privilege she and her colleagues feel about being doctors. It is not just a job, but a vocation. These are hard-working, dedicated professionals who care passionately about what they do.
I spent some time in a busy city hospital last week with doctors who told me that many junior doctors now feel so demoralised that there has been a flood of applications to receive the certification to go and work overseas, so much so that the department that deals with that process has had to take on extra staff just to deal with the number of applications. Does my right hon. Friend agree that that is very worrying indeed?
Absolutely.
The second point Dr Gafson highlighted was the level of disillusionment in the medical profession with the Government’s plans. She said:
“Whilst the sense of solidarity and unity amongst junior doctors”
on the march
“was tangible to all, there was a much sadder force underpinning our mood...People who have invested years of passion into their work are feeling demoralised. This unique day that brought so many doctors together in one place really served to illustrate how dangerously low levels of morale amongst junior doctors have sunk.”
Dr Gafson voiced her strongest criticism for the way in which these contracts had not been negotiated with doctors and how the proposals threatened the safeguards on working hours. Significantly, she voted for the Conservatives at the last election:
“I trusted them with the NHS and I feel let down. I actually feel embarrassed”.
Dr Gafson is not the only one. Another local doctor who does not wish to be named contacted me to express her grave concerns at how the changes could impact on the NHS as a whole. She said that in a meeting last week a significant number of her colleagues were discussing alternative career plans and many were considering a move abroad to practise in another country. She said:
“If these reforms go through then the frontline specialties such as Accident and Emergency, General Practice and acute medicine will be hardest hit, and these areas are already undersubscribed”.
She went on to say:
“I am gravely concerned that if these changes go through they will signify the start of the dismantlement of the NHS.”
The Secretary of State should heed those words. They are an indictment of how the entire situation has been handled. If what is being offered is a “good and fair deal”, as he has described it previously, how does he account for the upset and concern the offer has caused? Is he willing to publish in full the financial models being used to calculate the proposed changes to contracts so that doctors can know exactly what they can expect to be paid? If he is not willing to do that, junior doctors working evenings and weekends have every right to be concerned that they face a possible pay cut.
Finally, is he willing to accept that removing the safeguards that penalise hospitals that force junior doctors to work in excess of their contract hours has the potential to overburden doctors and compromise patient safety?
I therefore urge the Secretary of State to stop his continued and unwarranted attacks on the BMA and to get back to the negotiating table and offer a deal that is fair to doctors and safe for patients in the context of talks without preconditions.
(8 years, 10 months ago)
Commons ChamberI agree, and I congratulate the doctors and nurses working in the Cossham maternity unit. Southmead hospital in Bristol has some of the best maternity survival rates in Europe, so there is a lot of very good practice. The way to get the word out is through transparency of outcomes, not endless new targets, so my hon. Friend is absolutely right.
T2. If he will make a statement on his departmental responsibilities.
I would like to make a statement on measures the Government are taking to help NHS organisations tackle the deficits by reducing the cost of agency staff. Building on previously announced controls, from the end of November we will introduce maximum shift rates for all clinical staff employed through agencies, which will gradually decrease over time as the measures take effect and demand for agency staff reduces. In addition, we will work with each trust to limit or reduce the overall agency spend. Exceptional breaches of the limits will require advance agreement. Taken together, these measures are expected to improve patient care and reduce NHS agency staff spend by £1 billion over three years. The chief inspector of hospitals has confirmed that he believes this is the right thing to do.
Like many Members across this House, I have been inundated with letters and emails from junior doctors who feel completely undervalued and undermined by the actions of this Government, so much so that thousands of them are leaving the UK. This weekend over 2,000 medics and students wrote to the Secretary of State, condemning him for his proposed unfair and unsafe changes to the junior doctors contract. What further evidence does he need to see that he has lost the confidence of the future leaders of the NHS, and does he think he can win it back?
Yes, I do. Let us be clear: this is about patient safety, about which every single doctor and nurse in the NHS is passionate. The problem is that the doctors whom the hon. Lady has met have been misled by their own union. This is not about cutting the pay bill for junior doctors, as the BMA has suggested. This is about safer care at weekends, reducing unsafe hours and doing the right thing for patients, and that is the right thing for doctors as well.
(9 years, 1 month ago)
Commons ChamberI am always ready and very willing to congratulate rural practices and general practices anywhere on the work done by our family doctors and those in primary care. It is so important and it is nice that they get a big boost and a thank you every now and again, which they do not get nearly often enough. My dad would be really pleased, thank you.
A large number of my constituents have advised me that they are unable to obtain a dental appointment and inquiries reveal that not a single dental practice in my constituency is accepting new NHS patients. Will the Minister meet me as soon as possible with a view to resolving that unacceptable situation?
I will indeed meet the hon. Lady. Access to NHS dental practices has been improving, but I am aware that there are some difficulties in some areas. The best thing we can do is meet and talk about it, and see what I can do.
(9 years, 2 months ago)
Commons ChamberIt is the ultimate honour to be here today to deliver my maiden speech as the Member of Parliament for Dewsbury, Mirfield, Denby Dale and Kirkburton. To every man, woman and child living in my wonderful constituency, I promise to be their champion and stand up for them at every opportunity. I warmly congratulate my fellow new Members on their excellent and eloquent contributions and I continue to enjoy my whistle-stop tour of the UK through their speeches. In keeping with tradition, I would like to take this opportunity to acknowledge the input of my predecessor Simon Reevell, and I wish him well for the future.
The suffragette movement fascinated and inspired me from a young age and visiting the cupboard where Emily Wilding Davison hid in order to be included in the census as a resident of this building reminded me of the ongoing struggle that women have both in society and in politics. It is refreshing that 65% of the new Labour intake are female, but there is a lot more to do and I look forward to contributing to that cause. As James Brown famously sang, “It’s a man’s world, but it ain’t nothing without a woman or a girl.” It is therefore a particular privilege to be the first female MP elected in the constituency since Ann Taylor, who now sits in the other place. Every corner of the constituency still holds great affection for Ann for both her unstinting commitment and her no-nonsense approach. I have big shoes to fill and I thank Ann for the generosity of her advice and support. I aspire to make her proud. On the subject of inspirational women it would be remiss of me not to mention Betty Boothroyd, born in Dewsbury, the daughter of textile workers, who broke new ground by becoming the first woman to be elected as one of Mr Speaker’s predecessors.
The Dewsbury constituency is a wonderful place in which to live, work and indeed play. Dewsbury itself is often referred to as the heavy woollen district, a nod to the manufacture of heavyweight cloth that saw a significant population of South Asian origin relocate there in the late 1950s, many of Kashmiri and Gujarati heritage. Indeed, the town maintains a rich manufacturing industry and has something of a monopoly in the bed and mattress industry.
In common with many other northern market towns, Dewsbury is struggling economically, with the town centre crying out for regeneration. It is therefore most welcome that Dewsbury has been earmarked as an enterprise zone. Dewsbury is also famous for its hospitality and the warmth of its welcome. It is perhaps unique in that, when visiting a constituent’s home intending to stay a short time, I can be greeted with a three-course banquet and an invitation to the family wedding. Many people will have shed a tear watching Mushy overcome his stammer on “Educating Yorkshire”, the fly-on-the-wall documentary filmed at Dewsbury’s own Thornhill Academy.
The town of Mirfield has strong socialist roots. The Community of the Resurrection, an Anglican religious community for men, was founded there in 1898 and hosted Keir Hardie and Emmeline Pankhurst in its incredible outdoor amphitheatre. Denby Dale and Kirkburton comprise a number of small villages and arguably boast some of the finest scenery in Yorkshire—or God’s own county, as it is better known. I always know I am near home when I catch sight of the splendid Emley Moor mast, which, at 1,084 feet, is the tallest free-standing structure in the UK.
Many will know that I am a trade unionist, having previously acted as a shop steward and equalities officer. I will continue to seek to strengthen the bond between the Labour party and the trade union movement. The trade unions were instrumental in creating the Labour party to fight for working people in Parliament, and in this time of insecure employment, zero-hours contracts and exploitative labour, the unions have never been needed more in the workplace, just as the voice of working people has never been more needed in Parliament. This Government’s shameful attempt to weaken that collective voice should be universally condemned throughout this House.
I must also acknowledge my parents, Barbara and Michael, who taught me that I did not have to go to university to achieve my dreams and that I should maintain the courage of my convictions and never give up on my principles. I am proud to bring over 20 years’ experience on the front line of our public services to this Parliament. After some time working with the victims of crime, I worked in a front-line healthcare role for 13 years prior to taking my seat in this place. The last two years of that were challenging, as the service I worked in was privatised.
On my first day working for Virgin Care, I was advised that my political beliefs did not fit in with the company objectives. As my beliefs involved free healthcare at the point of need and always putting patients before profit, that affirmed my fears that the health service was moving away from its fundamental principles. I shall have more to say about Virgin Care in future debates. I will also continue to campaign tirelessly for a fully renationalised NHS and, on the subject of today's debate, I will fight for the future of Dewsbury hospital, which remains under threat of significant downgrade and whose accident and emergency service is fighting for its life.
Dewsbury has many challenges ahead over the next five years, not least in relation to the growing inequality we now see in our country. I intend to use my time diligently as Dewsbury’s Member of Parliament to redress that, and to fight for the fairer, more equal society that my constituents deserve.
(9 years, 2 months ago)
Commons ChamberI gently say to the right hon. Gentleman that I believe in exactly the same use of the independent sector in the NHS as he did when he was Health Secretary; there is no difference at all. What has happened is that for whatever reason—I dare not think what—since he became shadow Health Secretary, he has changed his tune. The facts on privatisation are that it increased from 4.9% at the start of the last Parliament to 6.2% towards the end of the Parliament. That is hardly a massive change. Our approach is to be neutral about who provides services but to do the right thing for patients.
I worked on the front line of the NHS, in a service providing exemplary care, for more than 11 years. Just over two years ago that same service was privatised, and it has proved to be very damaging for patients, staff and the taxpayer alike. Will the Secretary of State continue to allow companies such as Virgin Care, which exists purely to make profits out of ill people, to continue to bid for NHS services?
May I welcome the hon. Lady to her place and say that I welcome to this place as many people with experience of working in the NHS as possible, because every Parliament has important debates on the NHS? Let me gently say to her that the biggest change made in the last Parliament was to take the decision about whether services should be provided by the public sector or the private sector out of the hands of politicians who might have an ideological agenda, and give it to local GPs so that the decision can be taken in the best interest of patients.
I happen to agree with the shadow Health Minister—the hon. Member for Leicester West (Liz Kendall)—but not the shadow Health Secretary that what is best is what works. Where it is best for patients to use charities or the independent sector, I support that, but I do not think it should be decided for ideological reasons by politicians.