Access to GP Services and NHS Dentistry

Debate between Richard Fuller and Wes Streeting

Tuesday 21st June 2022 Commons Chamber

[Wes Streeting]

I wholeheartedly agree with the hon. Gentleman’s point about the importance of looking at primary care as a whole and the really powerful and valuable contribution that community pharmacies can make, alleviating pressures on other parts of the primary care system, particularly general practice.

Communities across the country are experiencing those problems; let me take one place at random to illustrate the scale of the challenge. Today, after a decade of Conservative mismanagement, the city of Wakefield has 16 fewer GPs than in 2013. In fact, Wakefield has not seen a single additional GP since the Prime Minister promised 6,000 more at the last election, and since Wakefield has been served by a Conservative MP—albeit, thankfully, no longer—it has seen three GP practices close, with some surgeries so short-staffed that 2,600 patients are left to fight over one family doctor. Last month, patients in Wakefield were able to book 25,000 fewer GP appointments than in November 2019, the last month in which they were served by a Labour MP. The only good news for general practice in Wakefield in recent years has been that Simon Lightwood, an NHS worker and brilliant candidate in Thursday’s by-election, has successfully campaigned to save the King Street walk-in centre. [Interruption.] They don’t like it. Conservative Members shout in protest and point the finger at us, but they have been in government for 12 years.

[Richard Fuller (North East Bedfordshire) (Con)]

The hon. Gentleman is talking about problems, but his motion does not include one solution. He has now been speaking for 20 minutes, and he has not outlined one solution. If he wishes to be taken seriously as a politician, will he now turn to some solutions to the problems he has outlined?

[Wes Streeting]

It is certainly true that I am saving the best until last in my speech, but the hon. Gentleman may have missed the point I have made repeatedly, which is that the NHS—an organisation that employs more than 1.2 million people—needs a workforce strategy. It needs a proper analysis of what its workforce needs are today, the workforce needs of tomorrow, and the future shape of the workforce. We gave Government Members the opportunity to vote for that; the hon. Gentleman voted against it, and he wants to lecture me about being taken seriously as a politician. Who is he trying to kid? I do not know how the hon. Gentleman voted, because it was a secret ballot, but the fact that a majority of Government Members voted to keep the current Prime Minister in office means that they are not in any position at all to lecture anyone else on who is and is not a serious politician.

The Economy

Debate between Richard Fuller and Wes Streeting

Wednesday 8th July 2020 Commons Chamber

[Wes Streeting]

The shadow Chancellor has always been willing to work with the Chancellor and we would be very happy to engage with the Government in terms of the flexibility that we are calling for in the sector-by-sector approach. In fact, as the Government did in establishing the job retention scheme, we would encourage them to sit down with employers and trade unions to look at what support is needed, for how long and across which sectors to make sure that people come through this crisis. The challenge with what the hon. Gentleman describes is that for too many businesses it will simply be too late. When there are some businesses that are still shut down through no fault or choice of their own, it is completely unreasonable for them to see Government support beginning to wind up before they can actually open their doors to business. The public health response and the economic response have to go hand in hand. I would have thought that point would be obvious to the Government.

Part of the Government’s challenge is demand and getting consumers spending again, as we have heard, but many of the challenges are also supply side, where a cut in VAT or a £10 discount on a Tuesday night is neither here nor there. Beyond tourism and hospitality, we have seen job losses across a range of sectors in recent days and weeks. The Chancellor offered nothing for manufacturing, including for companies at risk in aerospace and automotive industries, and nothing for the businesses whose doors are still closed. We fear that the Chancellor’s refusal to accept a more flexible and tailored sector-by-sector approach to business support and job retention is a failure of judgment that will be reflected in higher unemployment figures. I would be delighted to be proven wrong on that point.

In his statement, the Chancellor said that people need to know that although hardship lies ahead, no one will be left without hope. I am afraid, as we have already heard, he offered no hope whatever to the excluded, those who have consistently fallen through the cracks of the Chancellor’s support for employed and self-employed workers. Instead, they remain forgotten. Some of this is about choices and priorities. It is not clear why many of those facing the greatest financial hardship were offered no direct financial support in what the Chancellor announced today. Those who will benefit from the cut in stamp duty will, by definition, be better off.

[Richard Fuller (North East Bedfordshire) (Con)]

I am very pleased that the hon. Gentleman is moving on to this group of people. He has just been talking about extending existing programmes from which they are excluded. In addition to wanting to extend those programmes, what does he want to happen to those who have been excluded, so that that sense of being left behind no longer continues?

[Wes Streeting]

It seems to me that people who have been excluded require exactly the same sort of assistance as people who have been included, which is direct support to protect their incomes. We would be very happy to sit down with the Treasury to discuss how to bring that about.

Turning to climate change, the Chancellor promised a green recovery with concern for the environment at its heart. What we actually got today was a scaled-back ambition that fell well short of what the Committee on Climate Change and climate change justice campaigners were looking for. The Conservative manifesto promised £9 billion for energy efficiency. Today the Chancellor announced just £2 billion, which is about a fifth of what they promised people before the election. If the crisis has taught us anything, it is that there is such a thing as too late. It is this decade to 2030 where action will really count if we are to prevent catastrophic climate breakdown —not the next 30 years to 2050, but the next 10 years to 2030—so where was the green new deal? A green industrial strategy will get our country back on track to meet its climate obligations in the longer term, but it can also be the shot in the arm our country needs in the shorter term, creating new jobs and delivering improvements to our quality of life.

Higher Education and Research Bill

Debate between Richard Fuller and Wes Streeting

Wednesday 26th April 2017 Commons Chamber

[Richard Fuller]

The hon. Gentleman is both right and wrong. It is a bit of a stretch to say that the student numbers distort the overall immigration numbers, because the net implication of student migration is quite small, but his comment about the signal that this sends takes us to the point. As I said in an intervention on the Minister, there is a conundrum—an illogical position—when we include within a number that we wish to control a number that we do not wish to control. That epitomises the tension that exists as we wrestle with the way in which we communicate our message about immigration. What the British public want, of course, is a Government who are prepared and able to control migration in total, as this Government are, but I would hope that the Government also want to send a signal to the rest of the world that we are open for people to come here and study hard at our universities. While student numbers are included in the immigration statistics, the problem for our institutions of higher learning is that instead of having a green light, they have, at best, an amber light. They are always going to be looking over their shoulder and trying to work out if they are pushing things too far or have really kept themselves within the goal of the Government. At some point—practically speaking in the next Parliament, when the institution frameworks that the Government are putting in place have had time to bed in—we should look again at taking out the student numbers, because ultimately they should not be in the immigration figures. However, this proposal is a good way of getting precision for now.

The second reason why this compromise is important is perhaps more of a point of philosophy about the Conservative party. The party is at its best when it looks towards the light. In politics there are things that inspire us and move us forward, and there are things that make us fearful and cautious. That light can be on issues of trade and enterprise, of acceptance of culture and diversity, or of research and learning.

The Conservative party must ensure that it will be pointing towards the light in the next few years. By the very nature of the name of our party—Conservative—we do not always get there first, but it is surely to the benefit of our country as a whole that we always have a positive view about what our country represents. We are a beacon for many around the world who are finding that their freedoms—perhaps their social freedoms or their freedom of expression—are restricted, so there is a responsibility on our party to look at the issue, particularly in relation to our world-class universities, and to say that the next Conservative Administration will be looking towards the light and making ourselves an open and international country, because that is where the best interests of our country lie.

[Wes Streeting]

I am delighted to be in the Chamber for the conclusion of proceedings on the Higher Education and Research Bill, having been involved in the Public Bill Committee. We might not be entirely confident about the contents of the Bill, but we can say with absolute confidence that it is in a better shape than it would have been were it not for that Committee and the Bill’s consideration in the other place.

I want to take this opportunity to congratulate Shakira Martin on her election as president of the National Union of Students. The NUS and students unions can be proud of their contribution to the debate about the Bill, and the Bill is better for it.

In considering the Bill, I have taken a particular interest in the question of student voice and student representation. That issue is close to my heart, and it is particularly important in the light of where higher education finds itself today. We have not addressed in this debate the fact that UK universities are now the most expensive in the world. Students at UK universities are graduating with higher levels of debt than those anywhere else in the world. It is a disgrace that in the past two years we have seen maintenance grants for the poorest students abolished and the scrapping of the NHS bursary to support student nurses, midwives and allied health professionals. We have also seen a nosedive in the number of students applying to study nursing. Thanks to the decisions taken by this Government, many people who are working in our national health service—and in other areas, including our universities—are wondering whether the UK is really the place for them to work, even though they make an extraordinary contribution to our civic, economic, social and political life.

As we enter the election process, I hope that we will bear in mind the proposals made by my hon. Friend the Member for Sheffield Central (Paul Blomfield). It is a constant source of frustration to me that although young people often have more at stake in an election or referendum than anyone else, because they are the people who are stuck with the consequences for the longest period of time, they are the least likely to turn out and vote. My message to them, as they look at what Conservative-led Governments have done over the past seven years, is that their future is on the ballot paper. We have seen a trebling of university tuition fees, and the abolition of grants for the poorest students and of the education maintenance allowance, which supported the poorest students through sixth form and college. Those are not policies that champion the ambitions and aspirations of young people in this country, but policies that seek to cap those aspirations.

International students make an enormous social and academic contribution to our universities, as well as an enormous economic contribution, generating some £26 billion for our economy. They also provide long-term soft power benefits to the UK. It is unfair to criticise the Minister in this regard, but it is a constant source of astonishment to me that, despite all that, we have a Prime Minister who is so short-sighted and narrow-minded in her world view that she cannot see either the short-term or long-term benefits of welcoming people from across the world to work and study in our universities. If she had understood that, she would have not only followed the advice of Ministers around her Cabinet table and Opposition MPs, but listened to public opinion, because the majority of members of the public understand the contribution that international students and staff make to our universities. I do not know why the Prime Minister does not understand it.

I very much look forward to debating such issues over the next six weeks. I hope that every young person in this country, whoever they choose to cast their vote for, will recognise that when young people do not turn out to vote and make their voice heard, other people will make decisions for them, and those decisions are often not in their interests. Every young voter in this country should bear that in mind on 8 June.

[Paul Blomfield]

It is a pleasure to speak in this debate, although I regret the fact that this Bill has been caught in the wash-up, because we would have had a better and more structured opportunity to discuss these Lords amendments if we had had more time. I pay tribute to the many Members of the other place who have contributed so much during their consideration of the Bill.

I welcome a number of the concessions that the Government have made, especially by accepting an independent review of the teaching excellence framework, although big questions remain about the metrics and the process involved. In previous debates, people have often cited the research excellence framework as a model for the TEF, saying that if that model worked for research, there was no reason why it should not work for teaching. That principle is right, but it took many years to develop the REF into its current form. A real fear was expressed in Committee, as well as in the Chamber, that we were rushing into a TEF in a way that could create unintended consequences. The idea of an independent review and the way in which that has been framed are welcome.

I am grateful for the concessions that were made in the Lords on strengthening the role of the Director of Fair Access, which I talked about in Committee. I am also grateful to the Home Secretary for responding to points that we discussed in Committee about extending to refugees who had been granted humanitarian protection the opportunity to access higher education as though they had been granted refugee status. I recognise that that the group does not capture everyone, but it was a significant move by the Home Secretary.

On voter registration, in which I have become boringly engaged over many years—