(5 years, 11 months ago)
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My hon. Friend makes a powerful point. Alex’s case exemplifies the bigger point that if we are to rebalance our economy successfully, we need to get the rail infrastructure right between the great northern cities of Sheffield, Leeds and Manchester. Does she agree that that requires investment in the long term, and, in the short term, making the best of what we have? Does she also agree that it is an outrage that one in four of the rail services scheduled from Sheffield to Leeds last Monday, for example, failed to arrive on time?
Order. I remind Members that interventions are supposed to be brief, particularly when so many would like to speak.
I thank my hon. Friend for his intervention. I absolutely agree. A very similar level of service is being delivered to my constituents, so I fully sympathise with his constituents.
Late or cancelled trains have a wide impact. Many of us consider a train to be something that gets us from A to B. Of course that is true, but the disruption is also having a significant impact on people’s mental health. They have no idea whether they will be able to get to work, and can get into quite serious trouble when they are late for the fourth day running. People might rely on them, such as clients or customers. They do not know whether they will get home in time to put their children to bed or see their partner. That is having a massive effect on family life and on social mobility, as not everybody drives. It is also affecting employment opportunities. I have spoken to a number of people who now say that they cannot get to work. They do not drive, so using the train is the only option, and it is not worth the stress.
Our region’s railways are among the least reliable in the country. Ironically, this week Northern rail unveiled a new advertising campaign, designed with safety in mind, to prevent passengers from boarding the trains as the doors are closing. The advert states that the train will depart the station “to the second”. If only! As I see it, there are two major issues with that. First, someone in the advertising department either has a very strange sense of humour or has severely misjudged the situation, given that so many trains have not departed on time during the last six months. Secondly, the campaign is in preparation for when Northern rail removes guards from trains, thus compromising customer safety and further eroding the service on offer to rail users in the north.
As a result of the chaos, many of those who drive, as I alluded to earlier, are turning back to their cars as a means of transport. Falling passenger numbers require action to boost confidence in and accessibility to the rail network. That has sadly not been forthcoming. Rail in the north is still very much the poor relation of services across the country. Recent research from the Institute for Public Policy Research North revealed that spending on transport in Yorkshire and the Humber fell by more per head from 2016-17 to 2017-18 than anywhere else in the country. It reported that, last year, spending per head on transport in our region was £315, which is more than three times less than the £1,019 spent in London. It is simply unacceptable that promised investment has been scrapped, downgraded or delayed, while money is funnelled into London and the south-east.
When it comes to the causes of the poor service, leaves on the line can be blamed for only so much. Indeed, when discussing compensation for rail passengers on BBC News this week, the Minister admitted that the infrastructure is not there to cope. Work to electrify key lines in the north-west was supposed to be finished two years ago, yet delays to that have had a knock-on effect across the north and have been blamed by Northern rail for its postponement of planned service improvements in Yorkshire.
The Minister blames decades of decline for the infrastructure’s inability to cope with network growth, yet it seems likely that the Transport Secretary is set to back a deeply flawed plan for the trans-Pennine route. If the plans that have been mooted go ahead, the tunnels will not be big enough to carry modern freight trains, and insufficient track is planned to allow faster trains to overtake slow ones.
(6 years, 4 months ago)
Commons ChamberMy hon. Friend makes a very valid point. Everybody here this afternoon could not fail to be shocked and horrified by the case outlined by my hon. Friend the Member for Dulwich and West Norwood (Helen Hayes) regarding her young constituent, Matthew, and the quality of care that he received on an in-patient unit.
Some 1,311 cases were passed for review between July 2016 and November 2017, but only 103—that is 8%—have finished so far. The report cited a lack of local capacity to review cases, inadequate training for people completing mortality reviews and insufficient staff capacity to complete a mortality review. Will the Minister update the House on when the remaining cases will be finalised and what the Department is doing to ensure that these barriers are tackled? In 13% of cases reviewed, the person’s health had been adversely affected by delays in care or treatment, gaps in service provision, organisational dysfunction, neglect or abuse.
Just how many more deaths must occur before the Government tackle the unjust treatment of people with learning disabilities? Dr Ryan, Connor Sparrowhawk’s mother, was also damning in her assessment. She said that too many agencies had shown “systematic disregard” for some people with learning disabilities and she felt that certain people “simply don’t count” in the eyes of the authorities. We must do better, and we must show that every single life matters. But our fear is that, without some fundamental changes in the Government’s approach, the problem is set to get worse, not better.
Take the NHS workforce, for example. The latest figures from Health Education England show that the number of learning disability nurses working in the NHS has gone down by a third over five years. HEE data from March 2017 shows that learning disability nursing had the highest proportion of vacancies, at 16.3%, compared with all other fields of nursing. Will the Minister tell us how the Government plan to tackle this?
It is bad enough that the failures of transforming care have left too many people inappropriately in hospital settings, but the lack of trained staff when they are there makes that failure all the more stark.
I am with the hon. Lady in her criticisms, and in wanting some constructive developments and improvements, but I would not want her to stay at the Dispatch Box and paint a picture that is completely negative. There are some inspirational stories about people coming out of these settings and institutions after being dealt with by a caring team, who have put a particular emphasis on communications and turned lives around. Some of the case studies published by Dimensions show that that really is one of the ways forward, and that is what we should seek. It is possible to take an aggressive individual out of an in-patient setting and give them the quality of life and meaning to life that we would all want and expect.
I thank the right hon. Lady for her intervention. I absolutely agree. There are some incredible examples around the country of excellent work that is being done, but that makes it all the more important that we share that good practice so that it is disseminated more widely. Particularly on this very special day of the NHS’s 70th anniversary, I pay tribute to all those people who are involved in being innovative, and not just doing exactly what they have to and no more.
It is bad enough that the failure of transforming care has left too many people inappropriately in hospital settings, but the lack of trained staff when they are there makes that failure all the more stark. It is also a matter of great concern that the Government are not including people with learning disabilities, or working-age people with disabilities, in the social care Green Paper, but are instead having a “parallel workstream”. Once again, the care needs of people with learning disabilities seem to have been put in second place.
If this catalogue of failure were not enough, the issue around sleep-ins threatens to make it even worse. It has been woefully mishandled thus far. Having admitted that earlier guidance on pay was misleading both for providers and commissioners, Ministers are now playing for time rather than finding a solution, ignoring warnings from care providers, charities, and the Local Government Association. The consequences for people with learning disabilities and autism could be disastrous. Some 70% of learning disability providers have warned that they will no longer be viable. It could drastically reduce the number of providers available to provide community services. For people with learning disabilities, autism or challenging behaviour who are personal budget-holders in receipt of funding from local authorities to pay care staff themselves, this crisis could lead to difficulty in paying their personal back-pay bill and, in turn, having to reduce their level of support to cover costs.
Let me be clear, as a former healthcare worker and trade unionist, that the care workers affected should receive historic back pay for national minimum wage sleep-in shifts rather than paying the price for underfunding of social care. Given the state of the sector, without imminent investment we run the risk of a systemic failure that could leave thousands of people without the care that they desperately need. That is why we continue to call for the Government to reveal the full scale of financial liability and to increase funding for social care so that care providers can continue to deliver services to vulnerable people in need of care and workers can receive the pay to which they are entitled.
A Labour Government would provide care workers with paid travel time, access to training, and an option to choose regular hours. That, of course, comes in the context of proper investment, increasing social care budgets by £8 billion over the next Parliament, including an additional £1 billion for the first year to ease the Tory social care crisis. We have made our alternative crystal clear. Our policy will include all people with care needs, with the aim of ensuring that they can live independently and, most crucially, with dignity.
The question that the Minister must now answer is whether and how this Government can work towards that goal. Will there be a successor programme to transforming care? How will the shift to early intervention, prevention and community care be prioritised and properly resourced, given that what we have now is clearly not sufficient? In the end, this is a question of how we value human lives.