(2 years, 5 months ago)
Commons ChamberI will, and I will get back to my hon. Friend on that issue with more detail. I hope he welcomes the investment we are seeing and the record numbers of doctors and GPs in training.
I know my right hon. Friend is coming on with some more ideas, but from talking to GPs across my constituency, one of the issues I have found is that, as we have diversified primary care staff beyond GPs to paramedics and others, the role of what might be called receptionists and telephonists has moved far more into triage. It is now a more complicated role. Is he attracted to the idea in the Policy Exchange document of creating an NHS gateway to provide more medically qualified staff at that first point of entry to GPs, but on a nationalised basis, available via internet, telephony and the cloud?
Yes, I am. I have seen the report my hon. Friend refers to and have discussed aspects of it with its authors, so the short answer is yes.
(3 years, 1 month ago)
Commons ChamberWhat I can tell my right hon. Friend is that there are provisions that we hope to keep in the Act, subject to the House’s will today, which are still necessary. For example, there are provisions that protect NHS capacity with respect to temporary registration of nurses and other healthcare professionals. There are similar provisions for the care sector; there are also provisions that provide support packages for those whose jobs may have been hit or who have to take time off work to meet the self-isolation requirements. There are provisions in the Act that I think are still necessary; I will speak about some of them in just a moment.
Does my right hon. Friend recognise that by leaving the Act intact, albeit with certain restrictions, he is leaving the opportunity for extreme measures to be taken relatively simply and with limited reference to this House, as the hon. Member for Brent Central (Dawn Butler) mentioned? A lot relates to pressures on the NHS; those could come because every winter the NHS is under pressure or because catching up on services puts it under pressure. I am interested to know how on earth my right hon. Friend will work through the next few months to understand what is an undue amount of pressure on the NHS that might require him to take the actions in plan A or plan B, or potentially even further actions.
In our response to the pandemic, we have set out clearly our plan for the autumn and winter; I have certainly done so in the House. We certainly expect more pressure as we head into winter. We have been very open about that; it is why the covid vaccination booster programme and the flu vaccination programme both remain important. However, there are provisions in the Act that I believe are still necessary and proportionate to help with the pressure that my hon. Friend refers to, such as the registration of healthcare and social care workers and the power to discontinue healthcare assessments for people being discharged from the NHS. I think that it is wise—especially as we head into the winter, when we do not know just how significant the pressures will be—to have that flexibility.