Oral Answers to Questions

Debate between Rachael Maskell and Steve Barclay

Tuesday 17th October 2023 Commons Chamber

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

Ten years on from the Francis report, the National Guardian’s Office—for freedom to speak up—reports that last year there were 937 cases where whistleblowers were not listened to and experienced detriment. If we add that to 170,000 complaints, with 30,000 reaching the Parliamentary and Health Service Ombudsman, we can see that the complaints system across the NHS is defensive and dangerous. Will the Secretary of State review the NHS complaints system, and embed a listening and learning culture and early intervention?

[Steve Barclay]

I discussed this with Henrietta Hughes, the patient safety champion, just yesterday as part of the sprint that we have commissioned in the Department in response to Martha’s rule. We are doing considerable work with NHSE colleagues on how we better respond to the concerns of patients, whether it is through the work on Martha’s rule or the complaints process, and a significant amount of work is ongoing as part of that.

Countess of Chester Hospital Inquiry

Debate between Rachael Maskell and Steve Barclay

Monday 4th September 2023 Commons Chamber

[Steve Barclay]

First, I join my right hon. and learned Friend in paying tribute to the trial judge and the jury; it must have been a very harrowing case for them to sit on and deal with. He makes, as ever, an important point about open justice. I just have one caveat; I hope he will forgive me. It is that it is also important we get the balance right in respecting the privacy of families where that is their wish, particularly given that quite often these families will have other young children who may or may not know about aspects of this case. So it is important that we have open justice, but at the heart of our approach is ensuring that we are following the wishes of the family, and that includes respecting privacy where that is appropriate.

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

It is all too tragic, and my prayers are also with the families who have suffered so much over this time. It is 10 years since Sir Robert Francis’s report was published, and of course he put forward the duty of candour, yet the duty of candour of seven consultants was ignored and overridden. As a result of that, will the Secretary of State ensure there is an independent external route through which concern can be raised? Further to that, will he look at the accountability, scrutiny and supervision of clinicians throughout the health service, because the pressures on the service at the moment mean that those vital double checks are often missed?

[Steve Barclay]

Again, I agree. It is extremely important that we have the right levels of escalation and the right routes available to those raising concerns. I have already signalled to the House a number of safeguards that have already been put in place following various reviews, including the Francis review. Indeed, I spoke to Sir Robert about the lessons from his report, as I have with a number of other chairs in recent weeks. It is important and a number of safeguards are already in place, but of course the inquiry will look at how those fit together and whether any further steps are required.

Oral Answers to Questions

Debate between Rachael Maskell and Steve Barclay

Tuesday 11th July 2023 Commons Chamber

[Steve Barclay]

There are a number of measures in the primary care recovery plan, from how we better use the skills mix within pharmacies to how we deregulate some of the tasks that take up pharmacists’ time, such as the requirement for a pharmacist to be present after drugs have already been prepared or to clip out tablets because they do not match the number prescribed by a GP. There are a number of areas in which we can better use the skills mix, and there are areas where we can take load off pharmacists. We are also funding additional services through Pharmacy First to support the pharmacy model.

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

The number of deaths increased by 13.5% in December 2022, particularly around influenza and pneumonia—up by 26.2%—so York’s public health team want to know what the Government are going to do about winter planning and when.

[Steve Barclay]

We set out comprehensive plans for winter preparation in the urgent and emergency recovery plan. Similar to what I said a moment ago, this includes making much better use of community schemes, particularly those targeted at the frail elderly, and making better use of technology through schemes such as virtual wards. It has also put additional bed capacity into hospitals, with more than £1 billion of funding for 5,000 more permanent beds to help alleviate the pressure on bed occupancy and get flow through hospitals, which is so important to addressing the pressure on ambulances.

NHS Long-term Workforce Plan

Debate between Rachael Maskell and Steve Barclay

Monday 3rd July 2023 Commons Chamber

[Steve Barclay]

Characteristically, my hon. Friend the Chair of the Health and Social Care Committee makes an extremely pertinent point about the role of the ICSs. As we move to place-based commissioning and look to integrate more, the interplay between the workforces in the NHS and in social care will be a key area where the ICSs will be extremely important.

The ICSs will have a particular role in the apprenticeship and vocational training, which are key retention tools in those parts of the country where it is hard to recruit, as well as in offering more flexibility to staff. When I talk to NHS staff, they often talk about having different needs at different stages of their career—whether for childcare commitments, which relate to the measures the Chancellor set out in the Budget, caring for an elderly relative, or wanting to retire and work in more flexible ways—and the ICSs have a key role to play in that. I welcome my hon. Friend’s comment that this is a serious and complex piece of work, and that it was right that we took our time to get it correct.

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

Despite the significant desert of dentists, I note from the plan that we will not see an increase in dental training places next year, the year after or the year after that, meaning that we will not see more dentists for nearly another decade. We have a crisis now, so what is the Secretary of State going to do about it?

[Steve Barclay]

We are already seeing a fifth more work than last year, due to the flexibilities that the Under-Secretary of State for Health and Social Care, my hon. Friend the Member for Harborough (Neil O’Brien) announced, including the ability for dentists to take on more work within their commission and the changes to the units of dental activity pricing to better reflect more complex work. Of course, we have 6.5% more dentists than in 2010, but we also recognise that within the £3 billion budget, we want to go further. That is why we are looking at proposals to go further than the measures announced, but progress is being made, with a fifth more activity than last year.

Mental Health In-patient Services: Improving Safety

Debate between Rachael Maskell and Steve Barclay

Wednesday 28th June 2023 Commons Chamber

[Steve Barclay]

In my discussions with my right hon. Friend and colleagues, I found the compassion that they showed and the way they championed the family voice compelling. I absolutely agree that it is important that families take confidence from the decision to move the inquiry on to a statutory footing and come forward with their evidence. I know that she plays an active part in that. Of course, we want families to be part of the discussion on the terms of reference. I know that, with her significant experience, my right hon. Friend is keen to be part of that too, and we are keen to engage with her on it.

My right hon. Friend is right to highlight the evidence that has already been gathered through the excellent work of Dr Strathdee. I had a meeting with her yesterday to ensure that we capture that as part of the work that is moving forward. I hope—I reinforce my right hon. Friend’s point—that families will take confidence from today’s announcement and that those families who have not come forward to date will be able to do so. I know that in my right hon. Friend they will have a resolute champion supporting them to do so.

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

I, too, welcome the Secretary of State’s statement, but I am disappointed that he did not say more about the serious risks that we have raised in the House—not least about timely access to services and the significant risk that many of my constituents have faced out in the community—in respect of Tees, Esk and Wear Valleys NHS Foundation Trust, which serves York. I wonder whether he can expand on that, and on his proposals for taking things forward at the trust. I am meeting one of his Ministers next month, but I would like to hear his position on addressing the serious concerns that have been raised.

[Steve Barclay]

The hon. Lady raises a very valid point. There are real concerns about Tees. We considered that when considering the scope of the statutory inquiry. Given that significant work had been done in Essex, we decided to strike the balance by putting that on a statutory footing but enabling work to proceed at pace through HSIB on Tees and some other areas. The hon. Lady will know that the Care Quality Commission prosecuted the trust in May for a regulation 12 breach, and that significant work has already gone in; the report of the system-wide independent investigation was published last March. They are very serious issues on which I think there is concern across the House, and we stand ready to work with her and other elected representatives from that area as part of the wider work.

Lung Cancer Screening

Debate between Rachael Maskell and Steve Barclay

Monday 26th June 2023 Commons Chamber

[Steve Barclay]

I know that my hon. Friend was a Health Minister at the time that James was raising these points, and that he takes a close personal interest in the issue. He is right about the importance of the point at which people come forward. I was having a discussion this morning about the fact that when most patients come forward for screening, they will not be diagnosed with cancer, but it is still an opportunity for smoking cessation services, for example, to work with them on reducing the risk that continued smoking poses. My hon. Friend is right about using the opportunity of screening to pick up other conditions and to work constructively to better empower patients on the prevention agenda.

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

Of course those most at risk must be fast-tracked into diagnostic services, but when we are 2,000 radiologists short, 4,000 radiographers short and 5,000 other health staff short in those diagnostic services, how can people get the diagnostic services they need? When will we have the workforce in place to service this policy?

[Steve Barclay]

Clearly, the earlier we detect cancer, the less pressure it puts on the workforce. There is much more work involved in the treatment of a later cancer than of an earlier cancer. That is why we are investing in our community diagnostic programme, with 108 community diagnostic centres already open and delivering 4 million additional tests and scans. As part of the wider £8 billion investment in our electives recovery, over £5 billion is going into that capital programme. Yes, the workforce plan is a key part of that, but so is getting the CT scanners and the other equipment in place. That is exactly what our community diagnostic programme is doing, and it is being furthered by our screening programme through announcements such as this.

Recovering Access to Primary Care

Debate between Rachael Maskell and Steve Barclay

Tuesday 9th May 2023 Commons Chamber

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

The impact of today’s announcement will be miniscule compared with the scale of the challenge facing primary care right now. In York, our GPs are innovative and ambitious—far more ambitious than the Secretary of State—and want to bring real change to the way pathways operate. In light of that, will additional money be available for innovation in primary care, so that GPs can meet the challenge and lead the change that is needed?

[Steve Barclay]

There is funding in other parts of the Department’s budget, not least for tech innovation and the work we are doing on artificial intelligence. There is further scope to use AI in demand management, for example to relieve pressure on GPs by looking at changes in the behaviour of frail or elderly patients and picking up changes early. The use of AI presents a significant opportunity. There are questions about how we can use data better; indeed, there are challenges for those across the House in how we can use data better to manage pressure within primary care. So there is funding elsewhere in the Department’s budget, in addition to what I have announced here.

NHS Strikes

Debate between Rachael Maskell and Steve Barclay

Monday 17th April 2023 Commons Chamber

[Steve Barclay]

I agree; it is extremely surprising that the BMA has asked its members not to liaise with NHS managers as they put in place those contingency plans. I urge the BMA junior doctors committee to think of those colleagues who have to provide the cover for those strikes. I reaffirm my thanks to all those staff in the NHS who provided cover following the Easter period, but it puts more pressure on other NHS staff if the BMA junior doctors committee is not willing for its members to liaise with management on sensible contingency measures, as I urge them to do.

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

The bigger dereliction of duty by the Secretary of State is not addressing the retention crisis among junior doctors, who have the choice of going to New Zealand or Australia, to be paid more than double what they receive now, or to move over to work as locums, where they will not carry the stress levels they currently do. What is he doing to address the retention crisis of junior doctors in the NHS?

[Steve Barclay]

In part, that is why my door is open and I am keen to discuss with junior doctors the pressure they face not just on pay, but on non-pay issues. There is the issue of support for the number of doctors and the workforce plan we have committed to bring forward to boost recruitment, but other non-pay issues are also frequently raised by junior doctors, such as booking annual leave and rostering. I am keen to work constructively with junior doctors to address those, but for us to do so they need to move from an unrealistic and unaffordable 35%, which the Leader of the Opposition himself has recognised is an unreasonable position.

Oral Answers to Questions

Debate between Rachael Maskell and Steve Barclay

Tuesday 7th March 2023 Commons Chamber

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

NHS dentists form a really important part of the primary care workforce. However, in places such as York, we have a complete desert, where my constituents just cannot receive NHS dentistry. What is the Secretary of State going to do for my constituents, so that their oral health needs are addressed?

[Steve Barclay]

We will set out to the House in due course a recovery plan to deal in particular with primary care but also dentistry. We recognise that, notwithstanding the fiscal support that was offered to protect dentistry through the pandemic, it is an area of acute interest across the House. The Under-Secretary of State for Health and Social Care, my hon. Friend the Member for Harborough (Neil O’Brien), will be saying more on that very shortly.

Urgent and Emergency Care Recovery Plan

Debate between Rachael Maskell and Steve Barclay

Monday 30th January 2023 Commons Chamber

[Steve Barclay]

The funding to put that in place has been earmarked from the £2.8 billion next year. The key thing is less to do with the funding than the accuracy of the data, which will help us to see where there are gaps in coverage and how we get the right levels of community response. The integrated care boards have been set up to take an integrated approach on that. One of the best enablers will be the control centres that the ICBs will set up, which will allow us to get much greater visibility on where that has been delivered and how we escalate it when it has not.

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

The 300,000 vacancies in health and social care mean that, whatever the Secretary of State puts on the table, his plans will never be delivered. What is he doing to retain the burned-out, traumatised staff who currently work in the NHS, to resolve their pay dispute and to put enough money on the table to pay social care staff enough to come and work in the service?

[Steve Barclay]

We recognise the huge pressure on social care; that is why, at the autumn statement, the Chancellor set out the biggest-ever increase in funding into social care of any Government, £7.5 billion over two years. We are putting more funding in. On the workforce more generally, the Prime Minister and Chancellor have committed themselves to bringing forward the workforce plan, which will set out the longer-term ambition on workforce and will be independently verified. In addition, we are recruiting more staff, as I updated the House, whether that is the 3% more doctors this year than last year, the 3% increase in nurses, or the 40% more paramedics and 50% more consultants compared with 2010. We are recruiting more staff, but the grown-up position is to recognise that there is also more demand.

Oral Answers to Questions

Debate between Rachael Maskell and Steve Barclay

Tuesday 24th January 2023 Commons Chamber

[Steve Barclay]

I am happy to join my hon. Friend in paying tribute to the work of call handlers at the South Western Ambulance Service, and to the staff there as a whole. He is right to draw attention to the improved performance that we have seen in recent weeks, and also right to point out that all parts of the United Kingdom have faced considerable challenges, particularly over the Christmas period when we saw a significant spike in flu levels.

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

We have just heard in the Health and Social Care Committee that on strike days there was a drop in service demand, but also value added by the increased clinical support, resulting in better and more cost-effective decisions. Why does that happen on strike days rather than on every single day of the year?

[Steve Barclay]

We are taking a number of steps to improve performance, and not just on strike days—but I thought the hon. Lady was going to refer to the comment that she made about those on her own Front Bench, when she said:

“I think what our health team need to do is really spend more time in that environment with clinicians to really understand what drives them.”

We on this side of the House are spending a significant amount of time with clinicians, and it is important that those on the hon. Lady’s Front Bench do so as well.

NHS Winter Pressures

Debate between Rachael Maskell and Steve Barclay

Monday 9th January 2023 Commons Chamber

[Steve Barclay]

My hon. Friend is right. That is why, in the run-up to Christmas, one of the ministerial priorities was to have a whole series of ministerial meetings with the chairs and chief executives of the integrated care boards, because, as the Government have recognised, it is through the integration of those 42 ICBs that we will bring health and social care together. The ICBs have been operationally in place since July and are ramping up at pace. One thing that is making a real difference to them is having control centres that allow patient flow to be tracked through the system—Maidstone is a good example—with the data allowing blockages, as a whole-of-system problem, to be gripped at a much earlier stage.

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

Staff retention in both the health sector and the social care sector is at the heart of this crisis, but staff cannot be retained if they are not paid and, if they are not paid this year, the issues will not be addressed. Will the Secretary of State recognise that when he set the remit for the pay review body, inflation was not where it is and we did not have a war in Ukraine, so factors have changed and the remit for pay must therefore change this year so that we can retain the staff to deliver what he proposes?

[Steve Barclay]

On delayed discharge, the key is having domiciliary care support. That is not about the NHS Agenda for Change contract; it is about funding for those in the social care sector. Around a quarter of delayed discharges are due to delays in what is known as pathway 1, the domiciliary care side. That is what the £500 million in particular recognised. We are putting in more money, but that is about the social care sector so we can get flow through delayed discharge.

Oral Answers to Questions

Debate between Rachael Maskell and Steve Barclay

Tuesday 1st November 2022 Commons Chamber

[Steve Barclay]

Alongside the Government, no one wants to see better patient outcomes more than GPs themselves. By their training, they are evidence-led, so I look forward to discussing with the GP workforce how we can work together in a constructive spirit to deliver on whatever the evidence is showing. As I said, there is a body of evidence around continuity of care, but it is more weighted towards those with more complex needs, and not every patient prioritises that in terms of access to their GP.

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

The Health and Social Care Committee report showed that continuity of care was best for patient safety, which is so important, but in order to deliver that, there needs to be some headroom at practice level to bring about a reorientation of local services. How will the Secretary of State create that headroom, and will he adopt the report’s findings in full?

[Steve Barclay]

I know that the hon. Lady has a lot of expertise in this area, and she raises a valid and important point. That is why, through the GP contract framework for 2020-21, we announced a number of new national retention schemes and continued support for existing schemes to retain more GPs. It is also why, at the other end, we are boosting training numbers, to get more GPs into the pipeline.

Urgent and Emergency Care

Debate between Rachael Maskell and Steve Barclay

Monday 5th September 2022 Commons Chamber

[Steve Barclay]

I am happy to join my hon. Friend in thanking the paramedics in Medway, in Maidstone and beyond for all their fantastic work, especially given the pressures the system has been under during the summer. As for levelling up, a number of Members have raised with me the need to ensure that developers are making a sufficient contribution as part of their housing plans, and I shall be happy to draw that to the attention of my colleagues in the Department for Levelling Up, Housing and Communities.

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

The Secretary of State is right to talk about the back door rather than focusing on the front door when it comes to the crisis in social care. About a quarter of the patients in our hospital in York are experiencing delayed discharges. However, if we do not pay care staff, we will never resolve the issue. What consideration has the Secretary of State given to putting those staff on a national pay scale, using “Agenda for Change” as a model?

[Steve Barclay]

This obviously involves debates with Treasury colleagues about pay—not just on the social care side, but in respect of the NHS and the interplay with pensions—but it is not just about that; it is also about ensuring that we have the right data, and through the integrated care systems we are acquiring much better data to improve our ability to join up what is being spent on delayed discharge within the NHS with what is being done in the social care setting. I am sure Members will agree that not only is it often very damaging for frail elderly patients to spend a long time in hospital, but hospital is usually the most expensive place in the system for them to be. It is not just a question of having more money, although that is often the default; it is a question of thinking about how to get flow into the system in a way that will deliver not only patient care, but a more efficient service.

Ambulance Pressures

Debate between Rachael Maskell and Steve Barclay

Monday 18th July 2022 Commons Chamber

[Steve Barclay]

My right hon. Friend, partly through the direct experience he brings to these issues, highlights the integrated nature of the challenge we face and in particular the importance of getting the right domiciliary care and care home support in place. Part of that challenge in the coming weeks, ahead of any autumn and winter pressure, will be to understand what the capacity is and what the constraints on it are, so that through the integrated care boards we can better focus on unlocking that capacity to relieve the pressure on ambulance handovers, as he sets out.

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

Older and more vulnerable patients can become medically compromised very quickly in extreme heat. In Yorkshire, category 1 calls can be waiting for 9.5 minutes over the expected time, category 2 calls can be waiting for 18 minutes over, and those with other medical conditions can be waiting 2 hours 41 minutes over. People clearly need support and assessment far earlier. What is the Secretary of State doing to deploy first responders in such areas so that people can get a medical assessment and early intervention far quicker?

[Steve Barclay]

I broadly agree with the hon. Lady on providing targeted support, particularly to those in domiciliary care; we are working with those in primary care on that. In coming days, that will happen specifically through local resilience forums, but in the medium term it will be more through the integrated care boards. That is part of a wider package of support measures that need to be put in place. It will include working with primary care, looking at mental health support, and looking at what can be done to raise productivity through better use of innovation and technology. We will look at all the interventions available across the board to assist us in dealing with the pressures that she highlights.

Oral Answers to Questions

Debate between Rachael Maskell and Steve Barclay

Thursday 9th June 2022 Commons Chamber

[Steve Barclay]

The assessment is a sobering one. If I just take online scams as one example of cyber risk, there has been a fourfold increase from 2020, with the national cyber strategy seen as thwarting 2.7 million online scams. I am sure the hon. Member and the House will agree that this is a UK-wide threat. That is why we are working closely with the devolved Administrations and industry to look at our skills, taking both a whole of society approach and a whole of the United Kingdom approach to countering that risk.

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

19. What recent assessment he has made of the adequacy of the level of civil service staffing to support timely responses to correspondence from hon. Members.

Oral Answers to Questions

Debate between Rachael Maskell and Steve Barclay

Thursday 25th November 2021 Commons Chamber

[Steve Barclay]

The tests to which my hon. Friend refers do not assess political beliefs; they are focused on reasoning ability in relation to verbal and numerical skills. However, the point she raises is addressed through the Places for Growth programme, which, by recruiting civil servants in larger numbers from across the whole of the United Kingdom, will facilitate far greater diversity through our recruitment.

[Rachael Maskell]

York has been promised many jobs, including the House of Lords—remember that one?—a northern government hub, a conference centre, and now 600—or is it 200?—new Cabinet Office jobs, but nothing has materialised; it seems like chaos. Will the Minister meet me to talk about the potential of York Central and how this incredible opportunity could best be used to strategically serve the purposes and functions of government as well as my city of York?

[Steve Barclay]

I am a little surprised by that, because the Government are committed to York. The hon. Lady has already, along with other colleagues, made the case successfully. Not least, the Cabinet Office itself is committed to increasing its presence from about 400 to 600 in York. We are committed to York through Places for Growth, and I hope she would celebrate that.

--- Later in debate ---

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

T3. Let me return to the subject of York Central. When the Government are looking at strategic sites, cross-departmental work is important, but it is not happening across my constituency, and people are therefore viewing their interests in a silo rather than in a co-ordinated way. Will the Minister meet me to discuss the opportunity that the York Central development will provide for my city as well as the Government, to ensure that the site comes forward in the most strategic way possible and provides the jobs that the city urgently needs?

[Steve Barclay]

I can add to what I said in my earlier answer to the hon. Lady. I agree with her about the importance of York, and I also agree with her wider point. It is not simply a case of one Department moving to York; what is key—and this is one of the lessons that we learnt from previous initiatives of Governments—is the ability to build a career in a location, and that requires a number of opportunities. For example, the Department for Environment, Food and Rural Affairs is also considering placing 190 roles in York.

Now that the spending review has ended, there will be an opportunity to finalise departmental plans and see which other Departments can coalesce in York, but it is not only a question of Departments. I urge the hon. Lady to bear in mind arms’ length bodies that are often responsible for operational delivery across Government and are often located predominantly in London. Both Departments and arms’ length bodies will have the opportunity to consider how they might come together in areas such as York.

Lockdown: Economic Support

Debate between Rachael Maskell and Steve Barclay

Tuesday 3rd November 2020 Commons Chamber

[Steve Barclay]

As Members would expect, all decisions are informed by economic analysis. In terms of an impact assessment, the Office for Budget Responsibility will update its forecasts on 25 November. It is right that we have an independent forecast, and that will be produced in a matter of weeks.

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

Yesterday, the Prime Minister said that he will be doing much more to support the voluntary sector. Bearing in mind that 10% of charities are likely to fold, with a deficit of £10 billion accumulated over six months, what more will the Treasury be putting on the table and when will that be apparent?

[Steve Barclay]

As the Prime Minister has already set out, we put in place a £750 million package of support for the charity sector, as part of the more than £200 billion of support that we have given. As he has also said, and clearly demonstrated over recent months, he will continue to listen and adapt as circumstances require.

Additional Covid-19 Restrictions: Fair Economic Support

Debate between Rachael Maskell and Steve Barclay

Wednesday 21st October 2020 Commons Chamber

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

The reality is that whether in Lancashire, Liverpool, South Yorkshire or Manchester, there are insufficiencies in the package that the Government are putting on the table. I know from my own constituents in York Central, now in tier 2, that our economy is collapsing. We need to have the proper underpinning, and that is why we need the dialogue. Different economies across the country have different complexities and different needs, and that is what the Minister really needs to get a grip of.

[Steve Barclay]

Sure, but for much of the passage of dealing with the pandemic, Opposition Members have often cited international comparisons. Now, when we point out that the scheme we have brought forward does stand very strong comparison internationally—in fact, the furlough scheme for eight months at 80% was way above what most international comparators offered—they say, “Actually, we do not want to apply international standards anymore. We want to apply a purely bespoke approach.”

The hon. Lady is right to point to the fact that businesses are facing real pain. There is huge pressure on jobs, and that is why the Chancellor set out, in the summer economic update, the acceleration of infrastructure schemes—I think she and I would agree on them—such as the green jobs for decarbonising public sector buildings and how we will meet our net zero obligations. I suspect we share the desire to create jobs through moving that forward and the acceleration of infrastructure through Project Speed.

The Chancellor set out his plan for jobs—the doubling of work coaches, the tripling of traineeships, the £2,000 for apprenticeships—because, as the hon. Lady rightly identifies, those businesses are under significant pressure. That is why, alongside the package of measures for local authorities, we have also applied business grant support of over £11 billion, including funding of leisure and hospitality grants of between £10,000 and £25,000. Further to that, the Government have allocated discretionary business support to mayors, in the case of Liverpool and Lancashire, of a further £30 million. To help businesses with their fixed costs, such as rent and bills, we have also introduced a new business grant scheme in England, and any business legally required to close can now claim up to £3,000 depending on the rateable value of their property. They can claim grant payments of up to £1,500 per fortnight and keep claiming that as long as their businesses are required to close. That is money that does not need to be repaid.

While the grants are England-only, we are the Government for the whole United Kingdom. To address the point made by the hon. Member for Rhondda (Chris Bryant), who is no longer in his place, about what that means for the UK’s ability to support businesses in Scotland, Wales and Northern Ireland—which we are committed to doing as the United Kingdom Government —it means we have guaranteed a further £1.3 billion for Scotland, Wales and Northern Ireland should they choose to follow suit.