GP Appointment Availability

Debate between Rachael Maskell and Alex Sobel

Tuesday 26th October 2021 Westminster Hall

[Rachael Maskell (York Central) (Lab/Co-op)]

It is a pleasure to serve with you in the Chair, Mr Robertson. I thank the hon. Member for Beaconsfield (Joy Morrissey) for calling today’s important debate. Let me set out the challenge, and how Government can make a difference.

York Medical Group has 44,000 patients on its books. In a single calendar month, it received 41,000 calls from people who needed to see a clinician—unprecedented demand, with higher acuity, co-morbidity and complex needs. When patients get through to the call-handling system, they are triaged and, when urgent attention is needed, that is followed up by a clinical conversation. Appointments are allocated, tests are ordered, referrals are made, and prescriptions are issued.

Of course, people are also applying to see a practitioner through the internet or are turning up at the surgery. That is managed by exceptional staff, who are really pulling out all the stops to support their local community. However, this logistical agility to meet the serious demand is outstripped by the pressures placed on it. When spending time embedded in the system—as I did, spending time with call handlers and with GPs—I saw how relentless they were in trying to meet that demand, but that demand is continuing to put pressure on them.

[Alex Sobel (Leeds North West) (Lab/Co-op)]

My constituency is only 25 miles from my hon. Friend’s. A constituent came to see me last week; they could not get an appointment with their GP, but were told to go to the accident and emergency department in Leeds. It took two hours at the A&E to be triaged, and they were then told it would be a further six to seven hours to see a doctor. They ended up going home because it was too cold at the hospital to wait. Does this issue not impose pressure right across our health system, to the point that it is near collapse? Winter has not even properly started yet.

HS2

Debate between Rachael Maskell and Alex Sobel

Monday 13th September 2021 Westminster Hall

[Rachael Maskell (York Central) (Lab/Co-op)]

It is a pleasure to see you in the Chair, Mr Mundell. I thank the Petitions Committee for bringing forward today’s debate, and the 311 constituents of mine who have petitioned. The Government need to get a grip of this project; that has come over loud and clear in the debate so far, and that point will no doubt be echoed in the next hour or so.

We are in the midst of not only a climate emergency, but an environmental emergency. We cannot plough lines through the middle of these cathedrals of nature, while avoiding wonderful cathedrals such as that in the destination city that HS2 is meant to arrive at some time in the future—we know not when. The paths these lines take should be integrated with the rest of the rail network.

[Alex Sobel (Leeds North West) (Lab/Co-op)]

Is not the effect of what is happening with HS2 that we have further delays to Northern Powerhouse Rail, which is hugely important for connectivity across the north of England, and other rail projects?

[Rachael Maskell]

I agree that the sequencing of this project needs to be re-examined, because we need interconnectivity, and we need it mapped on to the rest of our rail system.

I want to focus on the impact the plans are having on the economy of York. In Crewe, we are talking about 36,000 jobs, and in Curzon Street, 37,000, yet in York there will be just 6,500 jobs, in areas adjacent to the rail system—on Network Rail land, which comes under the Minister’s Department. The question I want answered today is: why is the economic opportunity of HS2, which the Minister has espoused, not translating into reality? Network Rail will redevelop that land for luxury apartments—not for anybody in my constituency to live in, but so that people can commute down to London, sucking out the wealth from my constituency. It does not make economic sense. It does not make sense for transport, and it comes at a cost to our environment. Therefore, the project needs to re-examine its purpose.

The Minister has a responsibility to ensure that jobs come to my city. There is no point talking about spending all this money if it is not going to drive up the opportunity for my constituents, so I ask the Minister to take a look at the figures. We see that 2,500 housing units are to be built adjacent to the station. My constituents simply cannot afford them because of the high cost of living. It does not make sense to push out those job opportunities while saying that they are the whole purpose of the railway. I have to say to the Minister that in the light of HS2’s economic suction from the north and my constituency, and its environmental impact, he has not yet presented a case that stacks up, and that says that HS2 will benefit places such as York. I ask him to look at that again.

Finally, if we are looking at truly levelling up, we have to look at all the opportunities for interconnectivity. In the north we need to see Sheffield, Leeds, Manchester and York as part of the rail network, and have proper integration and speeds, and that simply is not happening. The east-west route is far too slow and costly for my constituents to really benefit from. We have to see connectivity across the network before this project proceeds, not least because we know that people have changed the way that they are moving about our country. At this time, we need to ensure that we are investing in things that will increase our productivity.

Oral Answers to Questions

Debate between Rachael Maskell and Alex Sobel

Thursday 17th June 2021 Commons Chamber

[Alex Sobel (Leeds North West) (Lab/Co-op)]

What plans there are for rewilding, tree-planting and sustainable farming on Church estates.

[Rachael Maskell (York Central) (Lab/Co-op)]

What steps the Church of England is taking to increase planting and rewilding on its land.

Prorogation of Parliament

Debate between Rachael Maskell and Alex Sobel

Monday 9th September 2019 Westminster Hall

[Alex Sobel]

We only have a few hours before the House is prorogued. I am sure that colleagues of the Minister are busily preparing to ensure that we do not have to bring those Bills back in the Queen’s Speech, but one Bill we will without doubt need to be in it is an environment Bill. We were expecting an environment Bill to be introduced; we were expecting to be through First and Second Reading and in Committee—I wanted to be on the Committee, as did my hon. Friend the Member for Cardiff North (Anna McMorrin), who is sitting next to me—but we have no environment Bill. I would like to know what regulations will exist, and how we will enforce them from 1 November, if the Prime Minister completes the task that he has set for himself.

In Leeds, we are due to have a clean-air zone, because our air quality is among the worst in this country. Three times the Government have been taken to court by ClientEarth and lost, on the basis of EU regulations forming part of UK law to enshrine, embed and widen air quality through a number of local authorities in the UK. The Government have failed to deliver to Leeds what it needs—a charging system, and equipment for such vehicles—so we in Leeds will be in breach of EU regulations on air quality for longer than we expected.

Who will provide the environmental protection that we need? I asked that question of the hon. Member for Suffolk Coastal (Dr Coffey), now the Secretary of State for Work and Pensions, but until a few hours ago the Minister of State in the Department for Environment, Food and Rural Affairs. She said that in a no-deal Brexit scenario, the new agency would not be formed until the end of 2020 or the beginning of 2021, and that people would have to take environmental action retrospectively. That means that we will have no environmental protection in this country from 31 October until that date. I have an issue with effluent discharge into the River Wharfe, and I hope for some enforcement action on it. Will I be disappointed? Will people have to swim in effluent for two more years because there is no regulation? I would like to know.

The issues are not small and minor; they are huge, and Parliament should be here, sitting to debate those Bills, scrutinising them in Committee, and getting them through so that on 31 October we are not in a situation in which the people of this country have a far worse quality of life.

[Rachael Maskell]

I am grateful to my hon. Friend for his speech. So many factors are important. On 5 August, we saw the incursion in Kashmir. My constituents want to debate that issue, and to call the Government to account for their actions in the light of the lockdown in Kashmir and the sheer catastrophic humanitarian risk in Indian-administered Kashmir. Surely proroguing Parliament prevents this House from scrutinising the Government’s actions on important global matters as well.

[Alex Sobel]

My hon. Friend is absolutely right. In Kashmir, the internet has been shut down, and there is a lack of reporting on the crackdown by the Indian Government. We also have the events in Hong Kong. Britain is a party to the Chinese-British agreement of 1984, so in some senses what happens in Hong Kong is a matter of foreign policy but, equally, it is not. We will not be able to hold any scrutiny of the Foreign Secretary on that matter either.

There is a whole raft of things over and above legislation, but over that period all that people will be able to see are the party conferences, when only one party’s view will be given. In the week of 20 September, it will be my party’s view, which I will support. Once a year, we get a platform and a fair hearing in the media, but that is not the same as the parliamentary scrutiny that we would have if we were here.

The idea that—this is complementary to the remarks made by my hon. Friend the Member for Dulwich and West Norwood (Helen Hayes)—we could vote tonight for a general election, hold one and come back with the whole issue of Brexit cleanly resolved is absolute nonsense. In the current circumstances, in what would be a general election with only one issue on the ballot paper, no one can predict what the result would be. That would subvert the general election into a vote on one issue, when it should be about the economy, our health, our education system, our environment and every other issue that is important in the country. That is not the way to deal with Brexit; the only way to deal with it is to confirm the decision of the 2016 referendum, or not, by the Government’s negotiating a withdrawal agreement with the EU. The Prime Minister repeatedly tells us he has almost completed one, although today the Irish Prime Minister said that he had no evidence of any progress on it—I am not sure which Prime Minister I would like to believe at this stage, but on 14, 15, 16 or 17 October we will see which one is correct.

Insect Population

Debate between Rachael Maskell and Alex Sobel

Wednesday 20th March 2019 Westminster Hall

[Alex Sobel]

Absolutely, and that is a brilliant segue into my next point about ecosystem services.

[Rachael Maskell (York Central) (Lab/Co-op)]

This is a crucial debate. Is my hon. Friend aware of the work of Professor Jane Hill, who has been mapping the northward progress of butterflies as the climate changes? They are such a sensitive indicator of the pace of climate change in our country.

[Alex Sobel]

I have seen Professor Hill’s work. She is a credit to this country. Our UK academic research community is brilliant, and the Government need to take more notice of its work.

Privatisation of NHS Services

Debate between Rachael Maskell and Alex Sobel

Monday 23rd April 2018 Westminster Hall

[Rachael Maskell]

York Teaching Hospital is going down the same lines in creating a wholly owned subsidiary company, yet the staff want to belong to the NHS—that is their ethos and that is what drives them. It is also important for full integration across the whole service, because people who work as porters and cleaners are as much about patient care as anybody else in the NHS. Does my hon. Friend agree?

[Alex Sobel]

Absolutely. When I go into our local hospitals as an MP or as a patient, I see that they are the beating heart of the NHS.

I ask trusts, such as Leeds, that are considering setting up a subsidiary company to put a halt to those plans and to work with their staff, representative trade unions and local MPs prior to making the decision. I ask them to do what is best for all involved, whether patients, staff or the community.

Cost pressures create perverse incentives for people to consider privatisation. We have rehearsed that argument quite well. They affect not just NHS hospital trusts but clinical commissioning groups for primary care services, NHS England and other NHS bodies. We need to take those perverse incentives out of the system so that privatisation does not happen by the back door—instead of being done by the Government through statute—which is what is happening.