(3 years, 11 months ago)
Commons ChamberWe have put extra funding into those services. I absolutely appreciate, of course, that they are under pressure, especially with the pandemic. The hon. Lady is right that we must have the community services in place. Whether those are NHS community services or community services provided by councils, it is very important that they are provided in as seamless a way as possible. In fact, the best commissioning is often joint commissioning between local authorities and the NHS. I hope that a wider set of reforms to the provision of local services that have initially been set out by the NHS, but that we will be taking forward, will help us, combined with this legislation, to ensure that the link-up that she rightly addressed is much stronger.
I thank the Secretary of State for his statement and Sir Simon Wessely for the fantastic work that he and the team have done on the review. Personally, I would like to give a big thank you to Sir Simon Wessely, who helped me with two private Members’ Bills on improving mental health care.
May I ask the Secretary of State this specific question: will there be proposals to have a review timeline in these measures—say, two years? As we often find in Parliament, putting forward legislation and how it works in practice are two separate things. Linked to that, will he clarify, with regard to parity of esteem between physical health and mental health, what proportion of NHS frontline staff dealing with individuals suffering from mental ill health have had the covid-19 vaccination, as well as patients suffering from mental ill health themselves?
I do not have the exact figure on the last question, not least because it goes up every day, I am glad to say, but the total number of NHS staff who have had the vaccination is now in the hundreds of thousands.
I am grateful for the broader point that my hon. Friend makes. There are NHS staff on the frontline who have supported people through very traumatic experiences over these past few months, during 2020 in the first peak, and then even more intensively, in some cases, over the past few weeks—and it is even harder this time round, because it has happened after a whole year of dealing with this pandemic. Making sure that we support the mental health of those working on the frontline in emergency departments and in intensive care units is incredibly important.
We have put extra resources into making sure that people get these services. Often with the NHS it is about encouraging people to come forward to access the services. Of course, Sir Simon Wessely first came to prominence working with the Army in supporting it on dealing with post-traumatic stress disorder. We have to make sure that we put in all possible support for frontline NHS staff who have suffered trauma because of what they have seen and what they have had to do in looking after us all in this covid pandemic. We have to make sure that they are looked after, and I make a personal commitment today that we will do all we can to look after them.
(4 years ago)
Commons ChamberI am grateful to the hon. Gentleman for his kind words. It has been a big team effort. I echo his thanks to the whole team.
We have a further tranche of flu vaccines ready to go; that is just about to be rolled out. Making sure that flu vaccines are available right across the UK is very important. It is an issue that Robin Swann—my opposite number in the Northern Ireland Administration—and I have worked on extensively. He is incredibly diligent in ensuring that we get the flu vaccines rolled out to Northern Ireland. There is an interaction between the massive flu vaccine roll-out programme, which the NHS does every year but which this year is bigger than ever, and at the same time having to do a covid vaccine roll-out. We have taken that into account in the plans. In fact, before the announcement at 6.30 this morning, I was talking to Robin Swann on the phone, which shows how hard-working he is.
I thank the Secretary of State for all his hard work and congratulate him, the Government and all the scientists on the approval of the vaccine. The Secretary of State will know that Medway and neighbouring Swale, both of which are served by Medway Maritime Hospital in my constituency, are currently recording the first and the second highest covid rates in the country. Parts of Gillingham are recording rates as high as 753 per 100,000 people. I thank the Secretary of State for listening to representations from my local authority, myself and other local MPs on providing military assistance with rapid testing in Medway. The Secretary of State also knows that Medway has some of the highest health inequalities in the country, and that health inequalities are linked to high covid rates. Will he join me in paying tribute to the fantastic work of the hospital and its staff in helping local residents?
Yes, I will. There is a significant problem with the epidemic in Medway and north Kent, which I know my hon. Friend is concerned about. I pay tribute to those working on the frontline at Medway Maritime Hospital, which is one of the most pressured hospitals in the country at the moment, and also thank other parts of Kent and other trusts across Kent for providing mutual aid. We have to get this virus under control in Medway and across north Kent. The way to do that is for everybody to abide by the tier 3 restrictions and to do everything they can to ensure that they do not pass on the disease, and then we can get these cases coming down. At the same time, we are going to inject a huge number of tests into Medway. We are working closely with Medway Council on this, and we will be using the armed forces to help make it happen, because we have to get this virus under control in Medway.
(4 years, 3 months ago)
Commons ChamberThe hon. Gentleman’s point about research is important. In the places where research has paused because of the virus, the programme of restart is well under way. I am glad to say that although the backlog of cancer cases had increased—because it is not safe to treat cancer during a pandemic and because of some of the surgery that had to be paused—we are now halfway through recovering from that backlog on the latest figures. Obviously that recovery is incredibly important, and it is important to look at the catch-up as well as the absolute drop in overall delivery of cancer services. It is also critically important that people who fear that they may have cancer come forward to the NHS.
I thank the Secretary of State for his statement. My question today is about support for people with mental health conditions during covid-19. One of my constituents, Nicola Kulawsky, went missing just over a week ago. Thankfully, she was found within four days. During 2018 and 2019, there were approximately 176,000 reported incidents of people going missing. Charities such as Missing People have highlighted the huge strain that the covid-19 pandemic has put on people with mental health issues. Charities working in this sector have had to make budget cuts. Will the Secretary of State do everything he can to ensure that individuals who suffer from mental health conditions during covid-19 get the support they need, as part of the wider covid-19 strategy?
My hon. Friend is absolutely right to raise these issues, which are very important. I acknowledge and can see the challenges that mental health services face. Some cautiously positive news announced today by the Office for National Statistics shows that the number of suicides during the peak of the pandemic was down from 10.3 per 100,000 to 6.9 per 100,000, but of course we have to ensure that mental health services are there for people as we come out of lockdown, so that they can access them again more easily, and that we do all we can to support those who need them.
(4 years, 9 months ago)
Commons ChamberThere will be recourse, and I will come on to that in a moment. The purpose of the social care measures in the Bill, which are very important, is to allow for the prioritisation of social care, should that be necessary. However, there are a number of restrictions on that, because local authorities will still be expected to do what they can to meet everyone’s needs during that period. While local authorities will be able to prioritise to ensure that they meet the most urgent and serious care needs, there are restrictions to require them to meet everyone’s needs and, indeed, to fulfil their human rights obligations to those in receipt of care.
I thank the Secretary of State for the excellent work he has done to ensure that individuals get the care they need in these difficult and challenging times.
On the human rights perspective, I thank the Secretary of State and the Government for listening to faith organisations. Initially there were concerns that under part 2 loved ones would have to be cremated. As somebody from a Muslim background and the Prime Minister’s special envoy for freedom of religion or belief, it was completely unacceptable to consider that if taking account of the views of the Muslim and Jewish communities. I therefore thank the Government for ensuring that the wishes of the deceased will be taken into account in relation to their final rites.
I pay tribute to my hon. Friend, who has worked hard to ensure that we come to a solution in the Bill, through the amendments we have tabled today, that ensures we can not only have dignity in the case of a large proportion of the workforce not being available, but accede to the wishes of families from the many different faith communities who had concerns about the way it was originally drafted. I pay tribute to my right hon. Friend the Paymaster General, who found a way through that I think everybody can be content with.
Essentially, the Bill gives all four UK Governments a legislative and regulatory toolkit to respond in the right way at the right time by working through the action plan. While I hope that some of the powers never have to be used, we will not hesitate to act if that is what the situation requires.
(9 years, 5 months ago)
Commons ChamberYes, I agree that this needs to be sorted out. When we brought the delivery of civil service pensions from an external provider in 2010, there was a larger backlog than anticipated. That means that there is an awful lot of work to do, but we are pushing it through.
6. What steps he is taking to ensure that people from all social backgrounds are able to become senior civil servants.
Background should be no barrier to success and we are committed to ensuring that the most senior ranks of the civil service can be reached by all.
Although 10% of the civil service are from a black and minority ethnic community, only 4% are in senior positions. What steps are the Government taking to ensure that each and every one of them can achieve their true potential without their background being a hindrance?
My hon. Friend raises an important point. This is true not just about ethnicity in the senior civil service but about gender and people with disabilities. We need to ensure that the senior civil service represents the country that it serves. Steps are under way to ensure that that happens and I look forward to working with my hon. Friend to reach that conclusion.
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The time for action is indeed now. The clauses in the Small Business, Enterprise and Employment Bill, which have gone through this House and are now going through the other place, will put in place the central register for the first time. If we want to expand what is in the central register once it is set up, we should of course consider that.
On tackling corruption and working with our international partners, does the Minister agree that people in certain developing countries need to ensure that everyone at every level pays their taxes, including Members of Parliament and members of Governments around the world? Only when they start paying their taxes and leading from the front will we really be able to tackle corruption.
I thought that my hon. Friend was about to mention the Mayor of London.
My hon. Friend makes an important point. As he knows, this Government have taken a huge amount of action to ensure that taxes are low but are paid. We have raised about £5 billion more a year by tackling tax avoidance in the UK. We have brought in new techniques to do that. I am sure that other Governments around the world under financial pressures could benefit in the same way.
(10 years, 8 months ago)
Commons ChamberThat is a very fair question. It is true that careers guidance has not been good enough in Britain for an awfully long time under Governments of all stripes and the new publication today, which I am sure the hon. Lady will want to get a copy of and I am happy to send to her, will strengthen the statutory duty on schools and also, crucially, open schools and colleges up to employers and encourage, and make it easier for, employers to get involved in schools, to inspire and mentor and give guidance to young people.
Farmers are the backbone of the £97 billion agriculture and food sector. How are the Government helping them take advantage of the latest science and innovation supporting our world-class agricultural technology sector?
(10 years, 11 months ago)
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I will certainly respond to that point. The irony for those already in education who are affected by this decision is that the funding is being returned to the 2012-13 level that it was at when they enrolled. An important piece of context has not yet been mentioned: the decision, which regrettably had to be made because of pressures on the public finances, changes funding for 18-year-olds back to the 2012-13 level. I understand and appreciate the pressures on the budgets of FE colleges, but in 2012-13, pupils were funded for 450 hours, and we raised that to 540 hours—an increase of 16 and two thirds per cent.—and we are now debating a cut of 17.5%, which is of almost exactly the same order of magnitude. The discussion about the impact on colleges and the conversations with college principals need to happen in the context of the fact that this changes the funding rate per pupil for 18-year-olds back to 2012-13 levels, which was only last year.
I accept that the Government have done a lot of good work in the FE sector. The Minister says that further discussions will take place with specific colleges. For the record, MidKent college, which will lose £800,000 and have 1,000 students affected, is being told that it will get a cut of 3.4%, and yet there are high levels of deprivation in that area. Will the Minister have discussions with the college to see how things can be taken further?
I will absolutely ensure that that happens. In fact, I will ensure that such discussions take place with all colleges. It is important, however, to set out why we took the decision we did.
We were faced with a cut across Government to make savings to reach our goals on reducing the budget deficit. I need not stress the wider argument about the necessity of reducing the deficit, but life would be easier for a Minister and throughout our country if we did not have a budget deficit of £100 billion, and if we had not had an even bigger deficit three years ago. We all know who is responsible for that. There is tension on the Opposition Benches between those who recognise and acknowledge the need to deal with the problems left by the Labour Government and the others. Not least, I recognise the reasonable approach taken, and the suggestion of alternatives, by the hon. Members for Hackney South and Shoreditch (Meg Hillier) and for Rochdale (Simon Danczuk); that is in contrast simply to complaining about things and saying, “Aren’t we in a terrible mess?” It is difficult being a Minister when there is no money left, but we all know whose fault that is. I will not stress that any more.
I care about the individual impact on colleges. For example, I would be delighted to visit Cambridge—I think I have a campaigning visit in the diary. According to our figures, which we are in the middle of confirming with colleges, as a result of the decision, Long Road sixth-form college will have a reduction in funding of 0.7% and Hills Road college of 0.2%. Those figures are to be confirmed with the institutions, but that is the scale in those instances. The impact assessment sets out the effect for types of colleges.
The reason for our decision is partly that it is in tune with other things that we are trying to do, not least raise the participation age. Many people have talked about NEETs, and I bow to no one in my support for FE colleges and their work in reducing the number of NEETs, but the biggest impact comes from the level of education at the age of 16, and from those who are in FE at 16 and 17 and whom we have to keep there. We are raising the participation age up to 18 years, with cross-party agreement, and are insisting that everyone stays in some form of education up to that age. We are focusing the funding on that.
The reasons underpinning the funding decision, therefore, are the decision to return funding for 18-year-olds to last year’s levels; our raising of the participation age; the need to do so much work to ensure that people stay in education at 16 and 17; and the fact that on average—this is not the case for everyone—18-year-olds spend less time on their education, even when it is full-time education. Furthermore, as the impact assessment says—this ought to be recognised in the debate—those who are 18 in education are no more likely to be disadvantaged than anyone else.
(11 years, 9 months ago)
Commons Chamber9. What assessment he has made of the potential effect of his Department’s traineeships scheme on young people’s readiness for work and apprenticeships.
Last week, data showed the lowest number in a decade of people aged 16 to 19 who were not in employment, education or training. One NEET is too many, so traineeships will help young people gain the skills, attitudes and experience they need to get into an apprenticeship or a good job. They will combine substantial work placements and work skills training with English and maths and will help tackle the scourge of youth unemployment.
I thank the Minister for that answer. In Medway, the council-led SUCCES—or sustainable uplifting client centred employment support—initiative, which assists over-16s looking for work who have low skills and little experience, has been named as an example of best practice in Europe, helping more than 500 people. What plans does the Minister have to work with existing schemes and providers to deliver new traineeships?
I congratulate Medway council on its SUCCES initiative. Traineeships are being designed in a highly consultative way to support and enhance existing best practice not only from councils but from organisations such as the Prince’s Trust, which does brilliant work in this area. I am happy to look at the work that goes on in Medway and to ensure that what we do on traineeships supports it.