Health Service Medical Supplies (Costs) Bill

Debate between Philippa Whitford and Keith Vaz

3rd reading: House of Commons & Report stage: House of Commons
Tuesday 6th December 2016 Commons Chamber

[Keith Vaz]

In a little test tube! I carried my own blood to the laboratory, because it was the quickest way I could get a reading. Incidentally, from the look of him, my hon. Friend carries his blood very well. We want this innovation and research and development. The drugs companies should be able to plough back profits within the industry, and in the long run this innovation will make a great deal of difference.

When I went to New York for a meeting on Yemen, I stopped in at the diabetes centre of the Mount Sinai Hospital, and was told about the incredible innovation in diabetes in the US. I also went to see Mayor Bill de Blasio’s diabetes team. As Members will know, New York cut the level of sugar in soft drinks, as we are doing now, but the centre of its diabetes initiative is the lifestyle coach, not the GP.

As we look at these provisions, we see every opportunity for a cogent and coherent review that will particularly help—this is my main argument today—those with diabetes, but also others with similar problems connected with their illnesses. I urge the Minister, who I know has been extremely reasonable on this Bill, to look seriously at the new clause. If he cannot accept new clause 1 itself, will he at the very least give an undertaking from the Dispatch Box that the points embodied in it will be reported back to Parliament in a few months’ time?

[Dr Philippa Whitford (Central Ayrshire) (SNP)]

Like the shadow Health Minister, we will not obstruct the Bill, because we support the basic aim to control prices in order to achieve a good return to the NHS from the drugs that it uses.

We also support in principle new clause 1. Six months might be a little early technically to bring things together, and there should not be just a single report because we will only see change over time. To look at the success of these actions, we need to see a price being controlled, and to spot when prices are sliding out of control. I would therefore suggest looking at the data and information on an annual basis and perhaps laying it before Parliament to show that the Bill’s aim is being achieved and that the concerns of the official Opposition are being allayed.

We support amendment 8 because it advocates the same approach that we have in Scotland. While the Cancer Drugs Fund in England is welcome and has clearly helped many patients, it is limited in the sense that if people do not have cancer they cannot access the medicines fund. That means that people with rare diseases are left somewhat abandoned. Frankly, if it were left solely to NHS England, those people would be left in the desert. It is important that significant money will be released, and the provision could gain support from the pharmaceutical industry if it sees that the money it is returning is enabling innovative medicines to come to the NHS earlier. Sometimes when we compare certain illnesses such as cancer, we find that the gap is in relation to people with more advanced diseases struggling to access the newest medicines. If the amendment helps to address that, we would support it.

The Scottish Medicines Consortium was reformed in 2014, and Scotland has now moved up from passing 53% of all applications to 77%, with a further review going ahead at the moment to see how to improve this further. The aim is not to avoid using drugs; the aim is to access them at a decent price. If the pharmaceutical industry is returning money to the NHS, it should enable earlier access.

Amendment 9 was tabled by SNP Members and we put it before the Public Bill Committee. It deals with clause 5, which extends a power that in fact already existed but was never used—to control the price of medical services and medical supplies as well as drugs. I am slightly disappointed that we did not manage to get this amendment adopted, so I raise again the issue of quality control and ask the Government to consult on it.

I know I spoke extensively in Committee about surgical gloves, but they provide a good example in that the range of quality is vast, and if poor quality gloves are used, there is likely to be extra cost to the NHS either when gloves have to be changed two or three times within one operation or more subtly if a surgeon is exposed to blood at the end of an operation from a tiny pinhole that was not visible. The same point applies to gowns and drapes. Taking off a gown that is meant to be protective and discovering that you are soaked to the skin in blood is a pretty unpleasant experience, and it obviously increases the risk to staff. The idea that surgeons are not exposed to diseases such as HIV or hepatitis B and C is naive. I knew colleagues over my career who suffered from those conditions, which they caught from patients. There is clearly a responsibility to staff and to patients to avoid any possibility of cross-contamination. I mentioned in Committee, too, some fairly cheap items such as gauze swabs, because if they are shedding threads, it can lead to intra-abdominal infection—something that we do not want. This amendment is about consultation and looking further at the mechanism.

Rights of EU Nationals

Debate between Philippa Whitford and Keith Vaz

Wednesday 19th October 2016 Commons Chamber

[Keith Vaz (Leicester East) (Lab)]

It is a pleasure to support such a consistent politician as the hon. Member for Cardiff North (Craig Williams)—a remainer one day and a leaver the next! However, he made a strong case for a guarantee for EU citizens to remain in this country. The difficulty is that all those amazing quotes he has gathered—which the hon. Member for Braintree (James Cleverly), with all his internet shopping, was unable to give us—are actually worth nothing unless they are spoken from the Dispatch Box. The hon. Member for Cardiff North is right to say that Ministers and others have talked about the contribution made by EU nationals, but at the end of the day it is for the Government to make those statements here in this House or in written statements.

I congratulate the hon. and learned Member for Edinburgh South West (Joanna Cherry) on her powerful, eloquent and clear speech. In fact, all that she has sought is clarity, and all that we have heard from Ministers so far—the Minister for Immigration has left the Chamber, leaving it to the Under-Secretary of State for Exiting the European Union, whom I congratulate on his appointment, to answer for the Government—is that it is all going to be all right on the night, but they just cannot say that in the House of Commons. All Members of the House have made the point that clarity is extremely important. If we have that clarity, it will be clear where we stand and there will be no need for the Opposition to keep bringing this debate back to the House every two weeks or so.

As a former Minister for Europe, I know that nothing at summit meetings is kept private. There is no question that any EU Head of Government has said to our Prime Minister either publicly or privately—if it was private, it would be public by now—that they want to remove British citizens from the EU. We heard today about the double guarantee. There is no question but that the SNP and the official Opposition would guarantee British citizens the right to remain in the EU if we had the power. All that we seek is the guarantee that EU residents in this country will be allowed to stay here.

[Dr Philippa Whitford]

Does the right hon. Gentleman recognise that we are the White Queen in these negotiations and that we have to make the first move? If that move is gracious, it will invite a gracious response.

[Keith Vaz]

The hon. Lady, who made a powerful speech, is right. It is possible for us to take that position, and the position of the other EU countries is also clear because nobody has said that they want to do any damage to British citizens abroad, so we can show leadership by saying what the deal is. That would clear the matter up immediately.

The problem with putting the matter into the negotiations is the disparity of numbers. There are 1.2 million British citizens in the EU and 3 million EU citizens here. We do not want people to say as part of the negotiations that we will have absolute parity of numbers. That is what worries me.

The Minister nods. He will have the chance when he winds up the debate to state that there will be no question of our saying to the other EU countries that we will allow only 1.2 million people to stay. That is why it is far better to be clear about the rights of EU citizens now than to wait until the end of the negotiations.

There are three possible cut-off dates: 23 June, the date of the referendum; 31 March 2017; and 31 March 2019. I favour the date of the referendum, because it is absolutely clear. Others may favour the date that we actually leave the EU, but the point is that we are making a mess of our immigration policy if we keep negotiating in this way. We need absolute clarity, particularly on immigration. The Government are worried that if they wait until 31 March 2019, there will be a spike in EU citizens coming to this country before we exit in order to secure the right to stay here. When the Minister comes to wind up, I hope that he will give us the figures for how many EU nationals have actually come to Britain. In fact, many are so worried that they are considering leaving our country because they simply do not know where they stand.

The right hon. and learned Member for Rushcliffe (Mr Clarke) asked the SNP whether it was necessary to keep bringing this debate to the House when the matter is actually all settled. I am sure that it is settled in his mind and my mind, but it is not settled in Government policy. However, we can have a settled Government policy. We just heard an excellent statement from the Immigration Minister that EU citizens who are studying in our country will be allowed to remain and get the support that they have had in the past. If a Minister can come to the Dispatch Box and make a clear statement of that kind to reassure EU nationals who are studying here, it is simple for the Under-Secretary of State for Exiting the European Union to get up and make exactly the same statement about EU nationals who are resident here. The fact that the SNP included the word “should” in its motion should not stop the Government supporting it. They had the opportunity to enter into negotiations with the SNP, as we saw last week when they avoided another vote, which everyone thought was going to happen but which did not happen, thanks to the position taken by the Government. If we are trying to ensure that the fears of EU nationals are put to one side and that EU nationals are reassured, we can easily make such a statement today.

My next point relates to the right hon. Member for Forest of Dean (Mr Harper), a former Immigration Minister, who said in his intervention on the current Immigration Minister that we would also consider the matter of EU nationals in our prisons as part of the negotiations. That is news to me. I did not realise that that was going to be part of the negotiations. Over the past 10 years, successive Governments have been trying to send EU citizens back. They constitute 10% of the entire prison population and we have not been able to move them out. Are we suggesting that we will put the question of EU citizens in our prisons into the negotiating pot as part of the deal for allowing EU citizens to remain here?

Yemen

Debate between Philippa Whitford and Keith Vaz

Tuesday 18th October 2016 Commons Chamber

[Keith Vaz]

I agree. When I come on to look at the implications of the ceasefire, I shall certainly make that one of my asks to the Minister.

[Dr Philippa Whitford (Central Ayrshire) (SNP)]

It is the issue of the extra petrol that we are pouring on the flames that is key. I have raised on a number of occasions the bombing of Médecins Sans Frontières hospitals, particularly in Sana’a last autumn. We are always told that “Saudi Arabia will investigate”, but that is not good enough. We should not be selling arms in this situation.

[Keith Vaz]

I agree with the hon. Lady wholeheartedly. That is something on which we must press the Government if we are to achieve a peaceful solution.