(1 month, 2 weeks ago)
Commons ChamberI think the hon. Lady did not hear me; I said that cancer is the biggest killer of children under the age of 14, not 40. I know only too well how that terrible brain cancer has hurt her family, and the great loss that she has suffered. I know that she has ambitions for the work that we were doing to get cancer treatments, particularly new cancer treatments, as quickly as possible to patients who are getting towards the end of their life. We will of course support anything that the Government do to help people such as the hon. Lady’s sister; again, I come back to the fact that we all want this to work.
I will make some progress, because I know that I am trying your patience, Madam Deputy Speaker.
Lord Darzi says that prevention is better than cure. We agree. The Government say that they are committed to prevention, but actions speak louder than words. Scrapping the winter fuel payment for millions of pensioners will undoubtedly come at a cost to the NHS. The equality analysis estimates that 780,000 of the most vulnerable pensioners who are eligible for pension credit will miss out this winter, and the cut will result in 262,000 pensioners needing NHS treatment because they are living in cold, damp homes, at an additional cost of £169 million in a year. How has the Secretary of State stood by as the Chancellor made that appalling decision, which will affect vulnerable pensioners in his constituency, as well as the NHS?
Finally, we have heard the words that the right hon. Gentleman has used about the NHS in England; it is surprising, to say the least, that he has not used those same words times 100 to describe the state of the NHS in Labour-run Wales. On almost every measure, the NHS performs the worst in Wales, where one in four people is on an NHS waiting list. Wales has the longest waiting times; Welsh patients wait on average seven weeks longer than in England. More than 23,000 people wait longer than two years, compared with just 120 people in England. Given the Secretary of State’s rhetoric about NHS England, why has he not asked Lord Darzi to take a cold, hard look at how Labour has run the NHS in Wales for 25 years?
In conclusion, we Conservatives want to support good reforms and good policies for the better health of the nation, but this backward-looking report will not improve productivity. Headlines will not drive better outcomes for patients, and speeches will not improve the life chances of our constituents. This Government need to move from words to action quickly.
(6 months, 1 week ago)
Commons ChamberMy goodness me. I thank my right hon. Friend. I have an inkling of the responsibilities and pressures that he bore during the pandemic. There will be many thoughts about how the Government and society handled the pandemic, but he devoted his absolute all to keeping people safe, and to moving our society out of the lockdowns. I thank him sincerely for all his work.
True to his character, my right hon. Friend wants to talk about the future. Outside the pandemic, he had a particular focus, when he was Health Secretary and in previous Cabinet positions, on the role that technology can play in our lives. Our NHS app now has three quarters of adults in England signed up to it. That is a testament to him and to those in the NHS who helped to deliver it. There are more subscribers to the NHS app than to Netflix. The most common users of the NHS app are those over the age of 65. We can see just how powerful the app can be, and the role that it will play in prevention, but we need to invest in the technology. I view the long-term workforce plan as critical to building the next 75 years of the NHS, as is the tech plan that the Chancellor announced in the spring Budget, which provides £3.45 billion for technology to drive forward progress in the NHS—a plan that the Opposition has not supported.
May I take this opportunity to thank all NHS staff for their dedication, professionalism and care, which are really quite extraordinary in the light of the circumstances that they face? I spent 30 years working in and around the NHS, and I know that it was on its knees in 1996 and 1997, before the Labour Government made such a difference, but nothing compares to the state of it today. I am thinking particularly about NHS dentistry; my constituents are having to wait seven years for an appointment with an NHS dentist. I know that my hon. Friend the Member for Ilford North (Wes Streeting) will meet dentists on the first Monday after Labour come to office.
The Secretary of State has not adopted a plan that would have worked, the one produced by the Health and Social Care Committee. Can she tell us why she did not adopt that plan in full, and what she will say to my constituents, who will vote at the polls for a service that works, as opposed to one that is broken?
I join the hon. Lady in thanking her local NHS staff, and, indeed, NHS staff throughout the country. The NHS employs more than 1.3 million people, and every single one of them contributes in their own way, from clinicians to nurses to hospital porters to administrative staff. All those people play a really important part in keeping us well and safe.
Notwithstanding the picture that the hon. Lady has sought to paint, I hope she will have the graciousness to acknowledge that we are diagnosing more cancer cases, and diagnosing them more quickly at stages 1 and 2. I hope she will acknowledge, for example, that some nine out of 10 cancer patients are treated within 31 days of a decision to treat them, and that the average waiting time in England—not Wales—is just under 15 weeks. Of course there is more to do, but we have plans in place.
I also urge the hon. Lady to look carefully at our dental recovery plan. We have seen more practices open up to provide more NHS appointments, and as the recovery plan is rolled out, we will see up to 2.5 million more appointments, roughly three times as many as will be seen under Labour’s dental recovery plans. Compare and contrast!
(7 months, 2 weeks ago)
Commons ChamberI am going to make some progress and then I will give way.
As I have said, the tobacco industry questions the necessity of the Bill on the grounds that smoking rates are already falling. It is absolutely correct that smoking rates are down, but as I said, there is nothing inevitable about that. Smoking remains the largest preventable cause of death, disability and ill health. In England alone, creating a smoke-free generation could prevent almost half a million cases of heart disease, stroke, lung cancer and other deadly diseases by the turn of the century, increasing thousands of people’s quality of life and reducing pressure on our NHS. An independent review has found that if we stand by and do nothing, nearly half a million more people will die from smoking by the end of this decade. We must therefore ask what place this addiction has in our society, and we are not the only ones to ask that question of ourselves. We know that our policy of creating a smoke-free generation is supported by the majority of retailers, and by about 70% of the public.
The economic case for creating a smoke-free generation is also profound. Each year smoking costs our economy a minimum of £17 billion, which is far more than the £10 billion of tax revenue that it attracts. It costs the average smoker £2,500 a year—money that those people could spend on other goods and services or put towards buying a new car or home. It costs our entire economy by stalling productivity and driving economic inactivity, to the extent that the damage caused by smoking accounts for almost 7p in every £1 of income tax we pay. As Conservatives we are committed to reducing the tax burden on hard-working people and improving the productivity of the state, which is why this Government have cut the double taxation on work not once but twice, giving our hard-working constituents a £900 average tax cut. That is a moral and principled approach.
Having celebrated the first 75 years of the NHS last year, I am determined to reform it to make it faster, simpler and fairer for the next 75 years, and part of that productivity work involves recognising that we must reduce the single most preventable cause of ill health, disability and death in the UK. This reform will benefit not just our children but anyone who may be affected by passive smoking, and, indeed, future taxpayers whose hard-earned income helps to fund our health service. Today we are taking a historic step in that direction. Creating a smoke-free generation could deliver productivity gains of £16 billion by 2056. It will prevent illness and promote good health, help people to get into work and drive economic growth, all the while reducing pressure on the NHS.
I have already taken an intervention from the hon. Member for North Antrim (Ian Paisley). I will take one more, from the hon. Member for York Central (Rachael Maskell), and then I will make some progress—although I will give way to my hon. Friend the Member for Dartford (Gareth Johnson) in a moment.
The Secretary of State has talked about addiction to nicotine. If, as she has suggested, vaping is a pathway to stopping smoking, why does she not envisage a vape-free generation arriving in parallel with a smoke-free generation, so that we can have a nicotine-free generation across the board? Why does she not expand her legislation to ensure that young people take up neither smoking nor vaping?
The House has already legislated to ensure that vapes cannot be sold to people under 18. However, as we are seeing in our local shops, the vaping industry is finding ways of marketing its products that seem designed for younger minds and younger preferences. Once the Bill has been passed, that age limit will be maintained for vaping but, importantly, from January 2027 onwards we will not see the sale of legal cigarettes or tobacco to those aged 18 or less.
(9 months, 3 weeks ago)
Commons ChamberWe have focused this plan on introducing the new patient premium—a bonus for new patients. Having discussed this carefully with professionals, we think that is one way that we can incentivise people into NHS practice. Dentists can already work up to 104% of the contract. Many do that, but some sadly do not, so we are trying to encourage those dentists who already have NHS contracts to go the extra mile and use the full slot available to them.
The Health and Social Care Committee took months gathering evidence and putting together a recovery plan, which the Government should have adopted. Dentists wanted that plan put in place. Central to it was reform of the NHS dental contract. However, the Secretary of State has completely failed to even mention reform of that contract. As a result, dentistry in my constituency in York, where constituents are waiting seven years to see a dentist, will not have the recovery that she talks about. Why did she not adopt our plan?
I hope the hon. Lady will, as usual, be the help that I expect her to be to her constituents in publicising this plan. We are getting graphics and information out to all Members of Parliament, so that they can help their constituents understand what will be available in their area, because each and every one of us wants the very best for our constituents. She will be interested in the new patient premium, which is encouraging dentists back into NHS practice, or into NHS practice for the first time, and in the increased price for units of dental activity. Reform of the dental contract is part of our agenda, but we realised that we needed to give immediate help to communities such as hers.
(10 months, 3 weeks ago)
Commons ChamberI welcome my right hon. Friend back. I have said throughout this that I was extremely disappointed that the committee chose to walk away from discussions. I also think that there is a lot more to discuss apart from pay—I have made it clear that I would like to look at other aspects of their working conditions—but, unfortunately, the junior doctors committee walked out. The strike action has had a real-terms impact on patients. We need to find a fair and reasonable solution, but I will not do that while the junior doctors committee maintains strikes. It will have to come to the table with reasonable expectations and change their minds on the validity of strike action.
We have had 14 Tory winters. One would have thought that they would learn by now that the real crisis in our NHS is that social care is not up to scratch. A quarter of patients in my local hospital are waiting for social care. As a result of jamming the back door, the front door becomes inaccessible to so many patients. After all these years, when will the Secretary of State publish a proper plan for social care, or will she leave it to my right hon. Friend to take over?
I am so sorry, I do not know who the hon. Lady is referring to. On the Conservatives’ plans, at the 2022 autumn statement we announced up to £7.5 billion of additional funding—an historic increase—and we did not stop there. This summer, we announced an additional £600 million, which brings it up to £8.1 billion of additional funding over two years. That will support our care workforce, and the majority of the funding will end up in the pockets of the amazing people who provide care and support to the patients we are all concerned about.
(1 year, 8 months ago)
Commons ChamberI am very grateful to the hon. Lady for her question and I urge her to get behind our trade and co-operation agreement. As I say, it is the world’s largest zero-tariff, zero-quota deal. I am delighted to say that the Chief Secretary has just confirmed that we have signed the memorandum.
(2 years, 5 months ago)
Commons ChamberUrgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.
Each Urgent Question requires a Government Minister to give a response on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
I reiterate that this is a priority for this Government, from the Prime Minister downwards. It is also a priority for colleagues on the Back Benches from across the House, who have raised it. I am very grateful to Conservative colleagues who have raised issues such as cyber-flashing and the use of intimate imagery on the internet, which we will no doubt be discussing as the Online Safety Bill makes its way through this place. There is huge support on the Back Benches for ensuring that victims of domestic abuse get the justice and support they need, and I am extremely grateful to every Member of this House who can join us in our efforts to improve justice for victims of these horrendous crimes.
I have had too many cases where survivors of rape have not reached the evidence thresholds demanded by the CPS and, as a result, their cases have collapsed or not even been able to be taken forward. That clearly has an impact on confidence in the system, particularly on the issue of consent and with one word being played off against another even if there is forensic evidence,. What measures is the Minister taking to improve a victim’s opportunity to take their case forward in that context?
The hon. Lady hits on a sensitive point, in that the “Code for Crown Prosecutors” sets out the tests that prosecutors must apply, not simply in cases of sexual violence but across all criminal cases, and the threshold of 51% or thereabouts for the evidential stage. This means that, as we know from speaking to victims, there are occasions when the CPS does not believe that test has been met, which is why the roll-out of Operation Soteria, both across police forces and across CPS regions, is so important. In this effort for non-defensive transparency, the CPS is looking at its own actions and ensuring that the right standards are being met, for example in the application of the test and in disclosure. All of this is being lined up to ensure that the law is applied properly and appropriately. We have also reformed disclosure guidelines recently, in order to help the police and the CPS make important decisions about whether material needs to be gathered at all and, if it does, whether it meets the very specific circumstances in which it falls to be disclosed.
(3 years, 2 months ago)
Commons ChamberThe hon. Gentleman describes an incredibly difficult case. If Mr Kamal’s family are in Afghanistan, I cannot give him a specific update on their safety and whereabouts, but I am happy to discuss the case with him after the statement because I want to see if we can do anything more.
My constituents are children here under the vulnerable children’s resettlement scheme, and their families—Hazara families—in Kabul want to know what steps they need to take to make applications and whether they will fall under the Afghan citizens’ resettlement scheme, not least because the numbers under that scheme are so pitiful. The Minister talks about 5,000 people, which is one or two families per constituency. We really need to re-examine those numbers.
I very much hope that the hon. Member is encouraging her local authority to volunteer permanent properties to help resettle families as she has described. On her specific case, if I have understood her correctly, she is talking about children, and she will know that children cannot sponsor adults to come to the United Kingdom under our wider asylum policy because of real concerns that children would be used by people with ill intent. However, if there are asylum matters in particular, the Under-Secretary of State for the Home Department, my hon. Friend the Member for Torbay (Kevin Foster), stands ready to help in that application, if he can.
(3 years, 10 months ago)
Commons ChamberThe Ask for ANI scheme is focused at the moment on victims of domestic abuse. There has been a huge and careful training programme of the pharmacists who are currently participating. Nearly 8,000 members of staff have been trained in Boots alone. They will be very knowledgeable about what to do when somebody walks into their chemist’s seeking help.
My hon. Friend is right that sometimes just getting out of the house is a huge obstacle. That is why I am delighted that we are also funding a rail to refuge scheme to help victims make that railway journey to a refuge as and when they need it.
Sadly, 1,500 children in York are growing up in a home where domestic abuse is a factor, according to the office of the Children’s Commissioner. Will the Minister give clear assurances today that victims can have the confidence that, if they Ask for ANI, they will be provided with more than a conversation, but with safeguarded housing, and wellbeing and psychological help for them and their children?
I hope that the hon. Lady knows that the training of members of staff has been meticulous. We have created the scheme hand in glove with domestic abuse charities because we are so concerned to ensure the safety of victims. I see it as the first avenue of support. Once the victim is in the consultation room, she or he can set out what they would like to happen. For some it will be a 999 call, for others it will be access to community services, but I hope that the hon. Lady has a picture now of the tapestry of support that we are rolling out locally to try to help victims of domestic abuse.
(5 years, 9 months ago)
Commons ChamberCrimes traditionally measured by the independent crime survey for England and Wales are down by more than a third since 2010. The assessment by the Office for National Statistics is that crime has fallen over recent decades, and overall, levels of crime are currently stable. But we accept that certain crimes, particularly violent crimes, have increased, and we are doing everything possible to address that.
Crime rates are up 13% in North Yorkshire and up in every single category of crime. I met the police this weekend, and our amazing officers are breaking. Cuts have serious consequences. I am dialling 999 for help in York: how will the Minister respond to my call?
I am sure that the hon. Lady will welcome the fact that the Government have provided up to £970 million more for policing in this year, which means more than £11 million for her constabulary. I am sure she will be delighted that that will be spent by the Conservative police and crime commissioner to fund 50 more police officers and 20 more police community support officers.
(5 years, 10 months ago)
Commons ChamberI thank the hon. Lady for her assiduous focus on this important topic. I am grateful to her for her work on the Youth Violence Commission. We are due to consult on the public health duty, a legal duty that will apply across the board to help to embed a public health approach in our treatment of serious violence.
The hon. Lady will know that we have recently announced an independent review of the 21st-century drugs market. Indeed, only last week I had the pleasure of visiting a drug treatment centre in south London to see the important work of doctors and health professionals to help those who are sadly addicted to these very harmful substances.
(6 years, 1 month ago)
Commons ChamberThank you for calling me, Sir Deputy Speaker! I did not have a chance to say that the other day.
I congratulate my hon. Friend the Member for Clacton (Giles Watling) on securing a debate on a matter that is of immense importance to all of us. He has done a great deal to represent his constituents in relation to policing and community safety issues. I understand that a further 12 officers will be sworn in soon in Tendring district, and I thank him for the important contribution that he is making to the House in this regard.
No older person in the United Kingdom should have to suffer abuse or exploitation at the hands of those who prey on the vulnerable. Criminals should not have the opportunity to target the elderly, but those who do should know that they will not get away with it. Older people should not have to fear being targeted, but those who are should receive the right support. It is a fundamental Government responsibility to keep people safe, and never does that responsibility carry greater weight than when it comes to protecting the most vulnerable in our society. That is why the Government take a multi-pronged approach to tackling this issue, working with local government, the police, and the private and voluntary sectors.
First, we need to ensure that we have the right legislative powers to deter and tackle criminals who target the elderly. Secondly, we need to ensure that all older people are connected to the fabric of society. While society as a whole becomes ever more interconnected, older people across the country still suffer loneliness and social isolation—themes that my hon. Friend drew out so cogently. Thirdly, when older people do suffer abuse, we need to ensure that the justice system treats them appropriately, and that they have ready access to the right support.
The all-party parliamentary group for ageing and older people carried out an inquiry recently with a view to establishing a commission for the rights of older people, so that they can have a voice and an agency in society. Would the Minister support such a proposal?
I am most interested to hear of that work by the all-party group. If plans are drawn up, I will of course look at them with great care, as will other Ministers across Government who have responsibility for helping to look after older people, because although I am answering as Home Office Minister, clearly this issue has huge impact across the Department of Health and Social Care, the Ministry of Housing, Communities and Local Government and other Departments.
Under current hate crime legislation, targeting an elderly person because they are vulnerable is already an aggravating factor in sentencing. The sentencing guidelines make it clear that these offences should result in a more severe sentence, but we want to look at whether this goes far enough. Last week, we launched the Government’s refreshed hate crime action plan, and as part of that have asked the Law Commission to carry out an independent and wide-ranging review of hate crime legislation. The review will explore whether current legislation is effective and if new hate crime strands should be introduced, such as crimes against the elderly. While we would not wish to prejudge the outcomes of the review, we will study the findings with great interest and will not hesitate to act if there are ways to improve our response. While these are complex issues that deserve proper consideration, all crimes against the elderly are utterly unacceptable, and we will always treat them as such.
But there is more to tackling abuse against older people than making sure we have appropriate legislation in place. Last week the Prime Minister announced the Government’s new loneliness strategy—with cross-party support, I hasten to add. Some 200,000 older people have not had a conversation with a friend or relative in more than a month. Loneliness is linked to a range of damaging health impacts such as heart disease, stroke and Alzheimer’s, and lonely people are more likely to visit a GP or A&E.
Loneliness can cause people to feel detached from their neighbours and neighbourhoods, which may increase their vulnerability to becoming victims of crime, and then being even further isolated if they fall victim to crime. As part of the Home Office’s contribution to the loneliness strategy, we are working with Royal Mail, local authorities and other partners to trial a scheme called “safe and connected”. This involves post workers checking on vulnerable older people twice a week, and reporting any problems to local authorities and voluntary sector organisations. We are investing over £450,000 in this scheme this year, and we are delighted that it has already been rolled out in New Malden, Liverpool and Whitby.
We know, however, that those who are isolated might be more likely to be victims of fraud, and, likewise, being a victim of fraud itself can be an isolating experience. We have therefore also provided support to National Trading Standards for the expansion of its scam marshals scheme. Scam marshals share their own experiences, help others to report and recognise scams, and send any scam mail to the National Trading Standards scam team so it can be used in future investigations and trials.
It is also important to ensure that when older people are victims of abuse and exploitation, the justice system treats them appropriately and they have ready access to the right support services. My hon. Friend the Member for Clacton mentioned the ability of older people, perhaps those suffering from dementia, to give evidence in trials. I used to prosecute fraud, and some cases involved fraud committed against the NHS or social care. One of our greatest difficulties was in getting statements from elderly people who perhaps lacked legal capacity because of their conditions; without their evidence it is difficult to prove cases. We have asked Her Majesty’s inspectorate of constabulary and fire and rescue services to lead a joint thematic inspection into older people’s experience of the justice system. We will be looking closely at the findings and what we might do to make improvements.
Understandably, Members raised the issue of care, and one Member asked whether the care of elderly people could be included in the safeguarding adults boards. I am told that their purpose is to help and safeguard adults with care and support needs, which includes older people as well.
Through the skills for care programme, which is a piece of work by the Department of Health and Social Care, we are looking to provide services with help and guidance on recruiting people with the right values and skills, and implementing a care certificate for frontline staff to ensure that older and vulnerable people receive the high quality care that they need. In addition, the Government have introduced a fit and proper person test to hold directors to account for care, and brought in new criminal offences of ill treatment and wilful neglect by care workers.
My hon. Friend the Member for Clacton mentioned domestic abuse, and he will know that the Government are hoping to introduce a landmark piece of draft legislation on that by the end of this year. Through my work on that Bill, I have learned, sadly, that domestic abuse can be committed against older people in the home, sometimes by carers, sometimes by members of their own family and, on occasion, by their own children. It is particularly difficult for parents to admit to people outside the family circle that they are victims of abuse at the hands of their children.
We have funded specific services to provide targeted support to hard-to-reach groups, and this is something that we will be looking at carefully across the House during the passage of the Bill. For example, we have provided funding to a charity called Jacksons Lane in north London to engage older people in community-based activities in order to increase their understanding of wellbeing, harassment and domestic abuse and of the support services available to tackle these issues. When it comes to the most heinous crimes against older people, such as domestic and sexual violence, we are determined to ensure that victims get the right support. We know that elderly people can face particular challenges in disclosing abuse, and we are looking at options to provide them with more support, through the draft domestic abuse Bill and through a package of non-legislative measures.
In whatever form abuse takes place, we are working to ensure that we have the right levers in place to protect older people, and that they have access to the right support when they need it. I am extremely grateful to my hon. Friend for raising the important issue of how we can better protect older people from abuse, and of course we are always open to new ideas and suggestions, and to new circumstances of abuse being brought to our attention. We will continue to look for innovative ways for national and local government, agencies and charities to support the services that help older people to protect themselves from, and recover from, all forms of abuse.
Question put and agreed to.
(6 years, 5 months ago)
Commons ChamberI know that my hon. Friend is pursuing this campaign with great vigour. We have provided £1.9 million to the College of Policing to develop a training package for first responders to vulnerable people. The package teaches the importance of applying professional judgment when identifying signs of issues such as grooming, and police guidance makes it clear that sexual grooming and sexual communication with a child are offences in their own right.
Will the Minister also acknowledge that the grooming of children can lead to young people over the age of 16 being raped, whether or not so-called consent is given, as the manipulation has already been sustained while the young person was under 16? Will she look into changing the law in this area so that prosecutions can be brought?
Every case has to be judged on its own facts, but I would hope that any police investigation—and, indeed, any prosecution—would reflect any history of grooming when the case came before a judge and jury. If the hon. Lady wishes to refer a particular case to me, I will of course be delighted to review it.
(6 years, 9 months ago)
Commons ChamberThe Equality Act 2010 provides protection from harassment for employees, whether committed by their employer, co-workers or a third party. The coalition Government repealed the third party harassment provisions in section 40 of the Equality Act because they were unnecessary and overcomplicated. Employers have a legal obligation to protect their workers, and may be liable if they fail to take reasonable steps to prevent harassment of workers by third parties.
I refer to my entry in the Register of Members’ Financial Interests. Unite’s campaign “Not on the menu” in the hospitality sector, and its research with cabin crew showing that the majority experience sexual harassment, demonstrate emphatically why section 40 of the Equality Act 2010 is vital. Will the Minister commit to implementing it, but with intervention after one episode not three, and focus on a zero-tolerance approach to any form of sexual harassment in the workplace?
I am most concerned to hear about those incidents of harassment, and the hon. Lady should be reassured that they are covered already by the Equality Act. The reason those provisions in section 40 were repealed was that, as she has identified, they required not one but three occasions of harassment, and we know that, in the three years those provisions were in place, they were used only once. We have tried to improve the law, and I would encourage her to encourage people to use it.