NHS Outsourcing and Privatisation Debate

Full Debate: Read Full Debate
Department: Department of Health and Social Care

NHS Outsourcing and Privatisation

Philip Dunne Excerpts
Wednesday 23rd May 2018

(6 years, 1 month ago)

Commons Chamber
Read Full debate Read Hansard Text Read Debate Ministerial Extracts
Jonathan Ashworth Portrait Jonathan Ashworth
- Hansard - - - Excerpts

Let me make a bit of progress and then I will try to let others in.

If the Secretary of State brings forward legislation, we will work constructively with him.

The latest and perhaps most pernicious consequence of underfunding is the move to so-called wholly owned subsidiaries. Many are saying that this is a VAT scam. Hospital trusts feel that, because of underfunding, they have no option but to transfer staff to these so-called subsidiaries, set up at arm’s length but still owned by the trust. We have trusts paying management consultants a total of £3 million, according to freedom of information requests, for advice on setting up these new arrangements. That is money that should be going on patient care. It will mean a two-tier workforce as new joiners no longer need to be on “Agenda for Change” terms and conditions. That looks to many like forcing staff to pay for the Government-imposed financial crisis in the NHS.

Philip Dunne Portrait Mr Philip Dunne (Ludlow) (Con)
- Hansard - -

I thank the hon. Gentleman for giving way. He is under a lot of pressure, rightly, in this debate. When he selected the motion for the Opposition debate today, was he aware, given the liturgy of supposed privatisation that he has alleged has taken place under this Government, that the proportion of spend on the independent sector under the Conservative Government in the last year was zero and that the proportion of spend on the independent sector in Wales, run by the Labour Administration, went up?

Jonathan Ashworth Portrait Jonathan Ashworth
- Hansard - - - Excerpts

I am grateful to the former Minister of State. We do miss him during our exchanges at the Dispatch Box. The figures that he has quoted are different from those provided by the Library. The Library says that the percentage of the total budget spent on private providers has gone up to 1% in Wales, but it has gone up by 2% in England in the past year. The Department of Health and Social Care may have different figures, but those are the figures from the Library.