(5 years, 1 month 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
As I said in response to the earlier question, I am happy to confirm that, in accordance with international obligations, there will be occasions when electronic information is needed for the movement of goods.
The hon. Gentleman talks about bouncing decision makers, but we have already had two extensions. The House has debated these issues endlessly. The first version of the withdrawal agreement was published as long ago as last November. The reality is that he does not want any Brexit. He wants a second referendum; he wants to remain; and he will do everything he can to frustrate Brexit.
Can we write another letter to the European Union saying that we utterly oppose a second referendum? Does my right hon. Friend agree that a second referendum would be a betrayal of the many thousands of Harlow voters and the millions of working people across the country who voted to leave? We should respect democracy and implement the result of 2016.
I absolutely agree with my right hon. Friend. A second referendum would simply take us back to square one. It would create huge uncertainty and huge delay, and it would prolong the paralysis of this Parliament when we need a general election to let the people decide.
(5 years, 7 months ago)
Commons ChamberAll of us, as politicians, are often accused of not answering questions, so let me be very specific. I have not signed any letter of the sort. I have the opportunity to meet the Prime Minister most days and if I have a point to raise with her I do so.
(6 years, 6 months ago)
Commons ChamberI join the hon. Member for Ashton-under-Lyne (Angela Rayner) in welcoming the opportunity to discuss the increase in the number of postgraduate places that will be unlocked as a consequence of the statutory instrument. She ended her speech by saying that there was an “urgent need” to recruit more. The central premise of her opposition to a change that will remove the arbitrary cap imposed by the bursary, and hence unlock additional places for postgraduate students, seems a strange one on which to base her speech, given that we are ensuring that we can continue to increase the number of nurses that the Government have delivered through the postgraduate route, as we have through the undergraduate route.
At present, about 2,500 students gain access to nursing, midwifery and allied healthcare professions through the postgraduate route, a number that is constrained by the cap. The policy that we are discussing has already been applied to the much larger population of about 28,000 undergraduates studying the same subject. The statutory instrument will ensure consistency in the approach to both populations, while enabling both to increase their number by 25%.
This is part of a much wider package of Government measures. We are, for instance, increasing the number of apprenticeships. I know that my right hon. Friend the Member for Harlow (Robert Halfon), as Chair of the Education Committee, has repeatedly championed their importance as a route into nursing for those who do not want to go to university. Similarly, my hon. Friend the Member for Chelmsford (Vicky Ford) has campaigned repeatedly in respect of medical school places. There are five new medical schools and 1,500 new medical places, again as part of the increase in the number of nurses. We have made a commitment through “Agenda for Change”, working with the trade unions, to deliver pay increases and we have programmes such as the return to work programme, which has seen more than 4,000 former nursing staff applying to return to the profession.
I will be supporting my hon. Friend this evening. I welcome what he said about apprentices. I think this squares the circle. We need to rocket-boost apprenticeship programmes in the NHS. I intend to say more about that in my speech, but may I ask whether he is committed to that today?
I was just taking inspiration. Let me explain the route into nursing through apprenticeships. A four-year package will enable people who do not want to go to university—this is a point that my right hon. Friend has repeatedly made in the Education Committee—to progress to nursing roles by means of what he has often referred to as a ladder. Healthcare assistants tend to feel trapped in roles that do not give them an opportunity to progress. This is at the heart of what the Government stand for: giving people an opportunity to progress at different stages in their lives through the apprenticeship route.
(6 years, 6 months ago)
Commons ChamberWe have a debate involving postgraduate nursing tomorrow, but the intention is to increase the number of such nurses by removing the current cap, which means that many who want to apply for postgraduate courses cannot find the clinical places to do so. That is the nature of tomorrow’s debate, and I look forward to seeing the hon. Gentleman in the Chamber.
Will my hon. Friend, on top of the degree nursing apprenticeships, rapidly increase the nursing apprenticeship programme so nurses can earn while they learn, have no debt and get a skill that they and our country need?
My right hon. Friend is absolutely right to signpost this as one of a suite of ways to increase the number of nurses in the profession. As he alludes to, there will be 5,000 nursing apprenticeships this year, and we are expanding the programme, with 7,500 starting next year.
We recognise that the Princess Alexandra Hospital estate is in a poor condition. NHS Improvement is working with the trust to develop an estate and capital strategy by summer 2018 to be assessed, with other schemes put forward, for the next capital announcement for sustainability and transformation partnerships. I am very happy to meet my right hon. Friend to have further discussions about it.
(6 years, 9 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
Again, the hon. Gentleman is ignoring the increase in the number of doctors. There are now 14,900 more doctors and 14,200 more nurses in the system. As I alluded to earlier, it is not just the number of beds; it is also how we manage those beds. It is how we manage the fact that 5% of the patient population is occupying 43% of beds that will best address bed occupancy rates.
I strongly welcome the extra investment in Essex and Harlow in terms of the winter crisis in the national health service, and I very much hope we get a 10-year plan, as suggested by the Secretary of State. Is my hon. Friend aware of the difficulties that Harlow Hospital faces, in that we have among the highest A&E figures per head in England and a hospital that is literally falling down and not fit for purpose, as recognised by the Department? Will he visit the hospital to see what can be done to help us in our campaign for a brand-new hospital for Harlow?
(6 years, 9 months ago)
Commons ChamberMay I begin by commending my right hon. Friend the Member for Harlow (Robert Halfon) for securing the debate? Members across the House recognise that he has campaigned assiduously on this issue for some time, as he has on many campaigns, and he has already had some success, as reflected in the Government guidelines issued in 2014. However, it is right, in the light of the concerns raised across the House, that the issue is revisited. This has been a very constructive debate, granted by the Backbench Business Committee, and I commend all Members who have contributed and informed the House of what is happening in their constituencies.
I do not think anyone in the House has any issue with the desirability of scrapping car parking charges. As English Members of Parliament—it is different for our Scottish National party colleagues—we all pay these charges, as the hon. Member for Great Grimsby (Melanie Onn) said in a constructive way. We all know that they are unpopular with our constituents and are a concern for staff working hard within the NHS.
As my right hon. Friend the Member for Hemel Hempstead (Sir Mike Penning) highlighted, the charges predate this Government. This issue has long been debated in the House, by parties on both sides. The issue is not the desirability of what is sought by my right hon. Friend the Member for Harlow. The issue is the execution and how it would be done in a way that does not have unintended consequences, and how those might be mitigated. I think we got a flavour of some of those unintended consequences in the constructive contributions made by Members on both sides of the House.
Implicit in the motion is the suggestion that car parking charges apply in all NHS hospitals. It is not in the specific wording, but the impression from the debate has been that they apply across the NHS as a whole. However, as hon. Members will be well aware, 67% of NHS sites do not charge at all at present. We are talking about a subset of the NHS where charges apply, albeit that the subset is particularly concentrated in the acute sector, from which many of the examples we have heard come. For example, mental health patients, who are often among the most vulnerable of our constituents seeking the support of the NHS, do not on the whole face charges because those parking facilities are not charged for. This tends to be an issue in the acute sector.
I thank my hon. Friend for his kind words, but I must say that I disagree with what he has said. Hospital car parking charges in England are widespread, and we just have to go from one hospital to another to see that. As I said, nearly 50% of hospitals are charging the disabled, for example.
With respect to my right hon. Friend, it is a statement of fact, as confirmed by my officials—I am very happy to correspond with him further about it—that 67% of NHS sites do not charge. If one wants to get into the definition of a hospital, it actually covers more than acute services. I do not want to get distracted by that point. The one I was seeking to make is to recognise that this issue is particularly concentrated on acute hospitals, and that is the issue before us.
The hon. Member for Great Grimsby recognised that there is considerable room for flexibility within trusts. One of the key issues in this debate is the distinction between charges covering the maintenance of car parks, and how a reduction in charges may lead to a reduction in the number of spaces and the quality of the facilities—we heard, for example, about the state of the car parks in north Manchester—and those involving profiteering, with charges going beyond of the cost of maintenance. The hon. Lady is concerned about that, and the interplay with the current guidance. The hon. Member for Colne Valley (Thelma Walker) also mentioned that when she highlighted the distinction between the charges at her hospital and those of the local authority, and raised the issue of transparency.
The right hon. Member for Kingston and Surbiton (Sir Edward Davey) expressed concerns about transparency in relation to blue badge holders. They are not means-tested, so an affluent blue badge holder could be spared a charge while a less affluent visitor to a hospital is charged. Transparency about how the guidance is applied is therefore a factor, as has been recognised.
Absolutely. As my right hon. Friend will be aware, the guidance speaks to that. My hon. Friend the Member for Cleethorpes (Martin Vickers) mentioned the 64 pages of guidance. I am very happy to take away and look at why there are 64 pages of it. Blue badges are part of the conversation that my right hon. Friend the Member for Harlow began in 2014.
I have huge respect for my hon. Friend, but the fact is that the guidelines in relation to blue badges are not working. According to the FOI request—this is backed by charities such as CLIC Sargent—up to 50% of hospitals are still charging disabled people to park. There is no point talking about the guidelines if people with disabilities are still being forced to pay to park at hospitals in England.
I am very happy to look at such cases and to speak to those trusts to understand this better, but I was making a point about the complexity of the issue and how to manage reducing the charges. For example, as the hon. Member for East Kilbride, Strathaven and Lesmahagow (Dr Cameron) will no doubt be aware, there were local media reports over the summer about a hospital car park in Inverness being used by those going to the airport; there was displacement there. We do not want a solution that constrains capacity for those using the hospital and makes access more difficult.
Some of these issues have a very local flavour. That was recognised in the debate: the hon. Member for Heywood and Middleton (Liz McInnes) said that shoppers do not seek to use the car park at the north Manchester site, whereas my hon. Friend the Member for Solihull (Julian Knight) was concerned that simply removing charges would cause displacement at his hospital. The point is that there are local factors, just as there are with legacy PFI contracts, including in Scotland and Wales, where charges are still made under contracts going back to 2008.