NHS Bursaries

Debate between Richard Graham and Ben Gummer

Wednesday 4th May 2016 Commons Chamber

[Ben Gummer]

It is an assertion that is backed up by the evidence of the past five years, and which has received the recommendation of Professor Dame Jessica Corner, the chancellor of the Council of Deans of Health. I can tell the hon. Member for Lewisham East, in answer to her barracking, that Professor Dame Jessica Corner said:

“We recognise that this has been a difficult decision for the government but are pleased that the government has found a way forward. Carefully implemented, this should allow universities in partnership with the NHS to increase the number of training places and also improve day to day financial support for students while they are studying. The plan means that students will have access to more day to day maintenance support through the loans system and recognises that these disciplines are higher cost, science-based subjects.”

Likewise, Universities UK has said:

“We support increasing health professional student numbers and will work with Government and the NHS to secure the sustainable funding system”

that the Government have provided. It is particularly pleased about the impact that this will have on placement training. These are the people who are providing training in our NHS, and they support our proposals because they will release the same kind of innovation that we have seen elsewhere in the university sector.

[Richard Graham]

I want to reinforce a point that the Minister has made. I think—he will know this—the evidence shows that far more people from deprived backgrounds have gone to university since the changes we made five years ago, at a time when Opposition Members were saying that they would have precisely the opposite effect. So the evidence is even more conclusive than my hon. Friend suggests. Can he confirm that the maintenance grants will go up by about 25%, which will help in regard to the specific point being made by Universities UK and the other lady?

[Ben Gummer]

I thank my hon. Friend for that intervention. It brings me neatly on to my next point, which is that the great virtue of these reforms to student finance is that we will be able to increase student finance support—maintenance support—by 25%.

The hon. Member for Lewisham East made some clear and sensible points. She suggested that training as a student nurse was different from being a history undergraduate, because student nurses have less time to take on a second job. There is therefore even more reason to provide better maintenance support for them. However, she has not come to tell the House that she will provide 25% additional maintenance support for students who do not have time to do a second job. She has not made that commitment, yet she has criticised our efforts to increase maintenance support by 25% precisely to help those people who would not otherwise be able to take time out to take on a university course. She cannot have it both ways. She cannot criticise us for the reforms we are undertaking while at the same time saying that students need greater support. It is precisely through these reforms that we are producing the support that so many students require.

--- Later in debate ---

[Ben Gummer]

I will make some progress now, if the hon. Lady does not mind.

We are introducing a new nursing associate grade. This will present an extraordinary opportunity to eradicate one of the great unfairnesses in the NHS, which is that there are brilliant people working as healthcare assistants who are unable to become registered nurses because they were let down by the schools they went to. I am afraid that this is a consequence of the failure of school reform under the previous Government. Under previous Governments, people were failed to the extent that they have not been given the opportunities that they deserve.

We are going to reverse that situation by providing an apprenticeship ladder to a nursing associate role, and from there to a registered nursing position. A degree apprenticeship will be available to those who are able and competent to reach that grade. That will provide a route of opportunity that was not available under the previous Labour Government. It is being brought in by this Conservative Government—a one nation party for all.

By bringing in these reforms, creating a nursing associate role and creating 100,000 apprentices in the NHS, many of whom will be healthcare assistants working their way towards a nursing associate position and from there to a registered nursing grade, we will give people multiple opportunities to become nurses. That will include those who are already in the service and who want to earn while they are learning. It will take them between four and a half and six years to get to a registered nursing position from a healthcare assistant role. It will also include those who are able to take time out and do a degree to become a registered nurse, for whom we will provide additional support in the form of increased maintenance grants. Opposition Members are shaking their heads, but at what, I do not know. Are they shaking their heads at the 100,000 NHS apprentices that we are creating? Are they shaking their heads at the nursing associate roles? Are they shaking their heads at the increased maintenance support? None of those issues was addressed in the speech of the hon. Member for Lewisham East.

[Richard Graham]

Will the Minister give way?

[Ben Gummer]

I hope that my hon. Friend will not mind if I just conclude my remarks, because I know that Members from across the House want to contribute to the debate.

In my remaining minutes, I want to state why the reform is important not only for the individuals who want to become nurses, and not just for social equality and opportunity, but for the NHS. The NHS is unable to innovate like other parts of our public sector and our private sector because of the long lead times for training people. We do not have the instruments within the NHS to reflect the dramatic changes in demography and technology that change the NHS not year by year, but month by month. The great benefit of bringing in apprenticeship routes and nursing associate roles, of diversifying the skill mix and of creating quicker, more numerous routes into the nursing profession is that we can create a more diverse, flexible and agile trained workforce.

All that will be possible as a result of the changes, of which this bursary reform is part. None of it would have been possible with the reduction in funding promised by the Labour party, or a failure to wish reform upon the system. That is why I hope the House will reject the motion, which is full of suggestions and implications rather than firm plans. It says nothing about the future of the people on whom the NHS depends, and does nothing to suggest how we will increase numbers, provide additional maintenance support or, most importantly, provide opportunities for those who have not yet had any. We will do that by reforming the system, just as we did in 2010. We will ensure that we do not listen to the well-intentioned but erroneous voices of the Labour party. Had we listened to them back in 2010, tens of thousands of people would have been denied an opportunity. We are determined not to do that. We will be the party of opportunity, presenting it to people who want to be nurses or hold any other position in the NHS. This NHS will be truly national only if it provides opportunity to the many, not the few.

Job Insecurity

Debate between Richard Graham and Ben Gummer

Wednesday 5th February 2014 Commons Chamber

[Ben Gummer]

I am well acquainted with the hon. Lady’s constituency, as it is where my family is originally from. There are certainly differences between her constituency and mine, but Ipswich has significant areas of deprivation and its long-term unemployment is above the national average. These are precisely the issues that I am concerned about, just as she is. I recognise the point she is making, but to claim—this is where the shadow Secretary of State really lets himself down—that this is something new immediately debases the debate.

When we look at the movement of wages over the past 10 to 15 years, we see that a far more subtle change has been going on, which we need to address. Middle-income earners have seen their wages, in real-terms, first plateau and then decrease slightly from 2003-04, even up until the point of the crisis, as a result of increased tax and increased costs of living. That might indicate that we need to have a rather fuller debate about why that is happening in our country—and was even before we hit the extraordinary circumstances of the great recession. Some claim that this has been on the Opposition’s lips for a long time, but I find that problematic, because I was speaking about the cost of living before my election in 2010 and in the days afterwards. It was immediately of concern to everyone, on almost every income, in my constituency.

I am talking about not just those who are most hard pressed, but those people, often on middle incomes, who have not much wiggle room because they have a mortgage. They are at the most expensive stage in their life. They are bringing up children and saving for a pension. The things that make life bearable for them—sometimes they are in jobs that they do not particularly enjoy—are the holiday and the curry every fortnight. Those things have now gone by the wayside, but that happened not in 2013 but in 2007-08. People’s lifestyles have changed over that period, and we need to address that in the long term. To claim that that change is a result of specific Government policies is profoundly misleading. We are addressing the problems identified on every line of the motion, up to the last one, as the Secretary of State made quite clear,

The motion mentions the changes to employment regulations. In 2011, an owner of a major cleaning company in my constituency came to see me, saying that she wanted to hire more people on permanent contracts. Admittedly she was offering just above the minimum wage—I am afraid that is what most cleaners in this country are paid—but they were jobs none the less. She said that she was prevented from taking on those people because of the labour regulations. As a result of the changes we made in 2011-12, she has hired dozens more people who otherwise would have been without a job. I want to see those people on a living wage. I also want to see them keeping more of their money, which is partly why I am so proud of what we did with income tax relief for the lowest paid and why, through changes to national insurance, we are making it even easier for companies to hire. It is a good thing to see people employed who otherwise would not have been employed. Those changes have meant that unemployment has come down in my constituency.

Let me now take the example of zero-hours contracts. In a Public Bill Committee, the hon. Member for Slough (Fiona Mactaggart) made an important point about why for her, at a time in her life when she had just had children, zero-hours contracts were useful. There are many people on zero-hours contracts who would prefer to be on a permanent contract. The Chartered Institute of Personnel and Development suggests that it is only a minority of people who are on zero-hours contracts. Like the hon. Lady, there might be many people who value them at a particular moment.

Just this weekend, I met a constituent who made an interesting point. Before the great recession, he was employed as a construction worker. He was laid off in 2009-10. Recently, he has been getting a lot more agency work, much of which is zero hours, but he is earning considerably more than he did when he was in full-time employment. I asked him whether he preferred the security or the money. He said that, obviously, he would like both, but given a choice at this moment, he preferred the money. He said, “I know that as the economy begins to improve and construction gets a proper foothold, I will have the security, too.” These are difficult choices. I wish that, rather than making a litany of complaints, the hon. Member for Streatham (Mr Umunna) had concentrated on the meat of the discussion, which he outlines in the last sentence of the motion. We need to talk about skills and education levels, all of which were left in a terrible state by the previous Government and which we are having to unpick and undo. I am afraid that that in itself will take several generations to take effect.

We are talking about the result of decades’ worth of negligence by Governments of both colours. Let us have a proper discussion about that. I hope the Labour party will show itself to be worthy of being not just the Opposition but the potential Government.

[Richard Graham (Gloucester) (Con)]

My hon. Friend quite rightly highlights the last sentence of the motion, which calls on the Government

“to adopt a proper industrial strategy to help create more high-skilled, better paid jobs.”

Does he agree that Government policy on apprenticeships is absolutely key, and that there are two small areas in which they could do even more to highlight the opportunities for young people: funding apprenticeships for the over-25s, and funding employers directly rather than through the training intermediaries?

[Ben Gummer]

I agree with my hon. Friend, but the news on apprenticeships is very good. Between 2010 and 2013, 370,000 additional apprenticeships were created, bringing the number up to nearly 1 million, which is an extraordinary achievement by this Government. We are again showing ourselves to be the true party of labour. I am proud of that and of what we have achieved, but let us think about the long term and the reforms to education and skills that we need to achieve to compete with those very ambitious and aspirational young men and women coming out of schools and colleges in Mumbai and Shanghai. At that point, we will have a proper debate about job insecurity and the future of this nation.

Pensions Bill [Lords]

Debate between Richard Graham and Ben Gummer

Monday 20th June 2011 Commons Chamber

[Richard Graham (Gloucester) (Con)]

rose—

[Ben Gummer]

rose—