Health and Social Care Update
Debate between Robert Halfon and Thérèse Coffey(2 years, 3 months ago)
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Robert Halfon (Harlow) (Con)
I strongly welcome the statement and congratulate the Secretary of State. She will be aware that Princess Alexandra Hospital has among the highest A&E levels per head in England and that we are in the first wave of the new hospital programme. Will she set out the timing of that programme? Will she meet me and my neighbouring MPs, one of whom is the Deputy Speaker in the Chair at the moment, to discuss the hospital programme and set out the timetable, so that the residents of Harlow can be assured about it?
Dr Coffey
I am sure that the Minister of State, Department of Health and Social Care, my right hon. Friend the Member for Newark (Robert Jenrick) would be happy to have a meeting on this occasion and to investigate that. It is important that Ministers get on with the creation of both new diagnostic centres and hospitals. I intend to work on Project Speed to make sure we get these hospitals right across the country under way.
Oral Answers to Questions
Debate between Robert Halfon and Thérèse Coffey(2 years, 10 months ago)
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Robert Halfon (Harlow) (Con)
The Secretary of State for Work and Pensions (Dr Thérèse Coffey)
I met the Secretary of State for Education in January to discuss shared priorities on a wide variety of issues, including vulnerable children.
Robert Halfon
My right hon. Friend will be aware that our Education Committee is doing an inquiry into the educational outcomes and opportunities of children in care. We know that 41% of care leavers aged 19 to 21 are not in education, employment or training. I welcome the Government’s bursary scheme, but a care leaver over the age of 21 is eligible to receive the bursary for apprenticeships only if they are in education, employment or training. Will my right hon. Friend look into the policy and work with colleagues across Government to see what more can be done to support the 59% of care leavers not eligible for this support?
Dr Coffey
I welcome my right hon. Friend’s passion for this particular group of people looking to find work. This is really a matter for the Secretary of State for Education, but the information I have been provided is that all care leavers aged up to 25 who take up an apprenticeship are considered to be in education or training and therefore would be eligible for the bursary.
Oral Answers to Questions
Debate between Robert Halfon and Thérèse Coffey(3 years, 3 months ago)
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Robert Halfon (Harlow) (Con)
The Secretary of State for Work and Pensions (Dr Thérèse Coffey)
Ministers are meeting this week to discuss the success of the holiday activity fund, and good progress has been made on the digitalisation of Healthy Start vouchers. We will continue the ministerial meetings on developing support for families and family hubs.
Robert Halfon
I thank my right hon. Friend for her remarkable work on universal credit during the pandemic. With the forthcoming changes to UC, will my right hon. Friend continue to target financial support on families who need it most, and will she work with the Department for Education to use existing funds from the sugar levy to expand breakfast clubs for disadvantaged children? We know that breakfast provision significantly increases educational attainment. Children with free breakfast provision achieved an additional two months’ progress in educational attainment.
Dr Coffey
I am conscious, especially with my right hon. Friend’s leadership of the Select Committee on Education, of how passionately he feels about this particular area. My Department is supporting the Department for Education’s family hubs work, which includes investing up to £24 million to continue our national school breakfast programme over the next two years, and that includes the recently announced additional £20 million investment from the Treasury’s shared outcomes fund.
Oral Answers to Questions
Debate between Robert Halfon and Thérèse Coffey(3 years, 5 months ago)
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Dr Coffey
The hon. Gentleman is right to praise the staff at Maesteg jobcentre, and I join him in that. This is where the “Plus” is part of Jobcentre Plus. We are conscious that people may need to have many skills, and we continue to try to upskill our work coaches right across the country to make sure they do. It is fair to say that we need to make sure that our work coaches are trained to signpost people to the right services in their area. Many go above and beyond what would normally be expected, and I commend them for doing so.
Robert Halfon (Harlow) (Con)
I thank the Department and particularly the Harlow jobcentre for the work they have done in supporting vulnerable families during the pandemic. I welcome the kickstart scheme, which will provide a real incentive for employers to employ young people, but will my right hon. Friend work with the Treasury to reform the apprenticeship levy so that big companies can use more of the levy if they employ disadvantaged young apprentices?
Dr Coffey
My right hon. Friend is right to praise the staff at Harlow jobcentre, and I agree that they do an excellent job. In terms of what could be done with reform of the apprenticeship levy, that is one of the factors we should be considering in ensuring that some of the most disadvantaged young people get that extra foot on the ladder. We are trying to do that in certain ways through kickstart and then to provide elements of a pathway for those young people to make sure they have a longer lasting job, whether they go into an apprenticeship or directly into permanent employment.
Oral Answers to Questions
Debate between Robert Halfon and Thérèse Coffey(4 years ago)
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Dr Coffey
There is a wide range of programmes where people can consider potential changes of career. That could be through SWAPs—sector-based work academy programmes, JETS, which is specifically targeted at older people, or kickstart, which tends to be focused on younger people. It is important to recognise that there is a wide range of opportunities with which our work coaches will be trying to help people at this difficult time in their lives, but there are wider schemes that people can consider. I am particularly excited by the Department for Education proposals on things such as Teach Last, because I think there is a lot of talent that could be used to help the next generation too.
Robert Halfon (Harlow) (Con)
Supporting Disadvantaged Families
Debate between Robert Halfon and Thérèse Coffey(4 years, 1 month ago)
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Dr Coffey
The Chancellor has appeared before this House on several occasions, as have other Treasury Ministers, setting out how we are supporting self-employed people. I am very conscious that there is access to help, whether it is through business loans, or, for those people who do not have savings that are not business assets, universal credit, but one thing about this particular scheme is that it will be for local councils to identify and decide who is eligible for support. I am conscious that the hon. Gentleman wishes to see other elements, but this is a comprehensive package from which many of the people he refers to may well benefit.
Robert Halfon (Harlow) (Con) [V]
I strongly welcome the announcement, which shows a Government who are committed to social justice. I particularly welcome the holiday activities programme. Will my right hon. Friend give guidance to councils to ensure that access to the £170 million covid winter grant is as unbureaucratic as possible for families? Will she also confirm when Healthy Start vouchers will be digitised? We know that national uptake in October was just over 50%, partly due to the paper application form and voucher system.
Dr Coffey
I welcome my right hon. Friend’s support for the scheme, particularly the holiday activities fund. On guidance to councils about the winter grant, I am sure that they will work with a number of public sector organisations in their areas, and get valuable knowledge from schools. I am conscious that take-up of the Healthy Start voucher is not 100%, but I will ask the Health Secretary to write to him about that particular issue.
Oral Answers to Questions
Debate between Robert Halfon and Thérèse Coffey(4 years, 3 months ago)
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Dr Coffey
The hon. Lady is perhaps far from what is going on. I think she has very recently visited her local jobcentre to discuss this. I want to encourage her by saying that a number of people can be on-boarded into the Department at any one time, given the comprehensive amount of training that is needed to be a work coach. We have also done this in such a way that many existing DWP civil servants can move from being in the service centres in order to get promoted to being a work coach, building on their valuable experience. I can assure her that we are well on track for making sure that we have the right number of work coaches, and indeed replacement decision makers, on the agreed timescale.
Robert Halfon (Harlow) (Con)
The Secretary of State for Work and Pensions (Dr Thérèse Coffey)
Applications only started on 2 September, and already thousands of employers have expressed interest in providing kickstart opportunities for young people. We are working hard to deliver the scheme. We have not yet developed data on the local level, but I am confident that the management information will start to become available so that we can identify right across the country exactly how we are providing support.
Robert Halfon
I strongly welcome the kickstart scheme and the incentives it gives businesses to employ young people in my constituency of Harlow and across the country. Will my right hon. Friend set out what further action the Department is taking to support skills and apprenticeships so that our town can be part of the apprenticeships and skills nation that we so want to be?
Dr Coffey
It is important that a wide range of choice is available to young people, in particular, as they set out in their career, so we will be having kickstart but we will also be having aspects of apprenticeships. My right hon. Friend the Secretary of State for Education announced an additional £2,000 of support for each new apprentice hired from the age of 25. In Harlow specifically, our jobcentre has been running virtual academies and designing SWAP—sector-based work academy programme—schemes to support claimants, working with local employers, including the civil service. Additional funding for the National Careers Service will also mean that over a quarter of a million more people will receive individualised advice on training and careers through their local jobcentre.
Oral Answers to Questions
Debate between Robert Halfon and Thérèse Coffey(4 years, 9 months ago)
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Robert Halfon (Harlow) (Con)
The Secretary of State for Work and Pensions (Dr Thérèse Coffey)
I commend my right hon. Friend for his passion and work on this particularly important issue. The year 2020 is crucial for our work on disability with not only the Green Paper, but the cross-Government national strategy. Of course, I will continue to speak to my Cabinet colleagues about supporting people with disabilities into work, making them wealthier in their own right and helping them live fulfilling, independent lives.
Robert Halfon
What assistance are the Government giving to apprentices with disabilities to help them with their travel costs or any other costs they may incur, and what are the Government doing—specifically and currently —to get more people with disabilities to do apprenticeships?
Dr Coffey
My right hon. Friend may not be aware of this, but people with disabilities undertaking an apprenticeship can receive assistance from the Access to Work scheme to overcome workplace barriers. In addition, our flexible support fund can support eligible claimants with a variety of the costs associated with starting work, whether initial travel costs or, indeed, things like clothing.
East of England Ambulance Service
Debate between Robert Halfon and Thérèse Coffey(11 years, 5 months ago)
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Dr Thérèse Coffey (Suffolk Coastal) (Con)
It is a pleasure to serve under your chairmanship, Mr Howarth. I thank my hon. Friend the Member for Witham (Priti Patel) for leading this debate so well; her speech was a tour de force. I will bear in mind your time limit, Mr Howarth, although I could take the whole 90 minutes to tell the sad tale. It is a pleasure to follow my hon. Friend the Member for North West Norfolk (Mr Bellingham). The East of England Ambulance Service NHS Trust is actually responsible for out-of-hours care in Norfolk, so the left hand should be talking to the right hand.
I also thank the Minister of State, Department of Health, my hon. Friend the Member for North Norfolk (Norman Lamb), and the Under-Secretary of State for Health, my hon. Friend the Member for Central Suffolk and North Ipswich (Dr Poulter), who started work on the issue. It was right for my hon. Friend the Member for Central Suffolk and North Ipswich, a doctor, to take the lead on such matters in Suffolk, but pushing on, consistent performance from colleagues across the counties in the east of England has brought the issue to the fore.
As I suggest, this is a sad tale that started some time ago. My timelines of the issue start in the middle of 2011. We are driven by the experiences of our patients —those who have suffered. Let us be honest: the vast majority of people in our constituencies have a good ambulance service. Once an ambulance arrives, care is very good; nobody denies that. However, too often that excellence of service is concentrated in certain areas of the region in order to meet a false regional performance target, and almost everything else is put aside. It does not matter if only 50% of people in south Norfolk get an ambulance within 90 minutes as long as the regional target is met. That is all that matters to the leadership and the board of the East of England Ambulance Service NHS Trust.
We have had a long series of meetings, Care Quality Commission inspections and promises of change. Transparency has been lacking. The trust has been dragged kicking and screaming into showing its performance targets in a meaningful way—first by county, now at clinical commissioning group level—but that took a long time. It used to say, “You can look in the minutes of your local primary care trust to find response times.” It is unacceptable for those at the very top to say, “Well, that’s all right; we’re hitting our regional target.”
I have used the constituency of the hon. Member for Copeland (Mr Reed) to say that if it can happen in Cumbria and Cornwall, it can certainly happen in Norfolk and Suffolk. It is important that the Opposition spokesman does not try to drag party politics into this debate or talk about finances. The issue is about those at the top having wrong priorities and forgetting that every patient matters.
I have never had to call an ambulance in the east of England, or indeed at all, but I like to think that if I did, I could have some confidence that it would arrive in time. In reality, however, there are not enough ambulances and not enough staff. Mr Andrew Morgan recognised that early on when he came into office as interim chief executive. As Dr Marsh pointed out in his excellent report,
“the current leadership from the board just isn’t strong enough to take them forward…there is a lack of focus and grip from the board which has contributed towards the deterioration of performance across the trust.”
Many of the issues breaking open at the moment have been deteriorating for some time. The non-executives have not shown leadership by asking hard questions and going beneath the surface; they have relaxed and considered only the top regional performance target.
I thank our local newspapers, the East Anglian Daily Times and the Eastern Daily Press. Nigel Pickover and Terry Hunt have done good things to keep up the pressure and stand up for their readers, our constituents, who are patients of the East of England Ambulance Service NHS Trust.
Dr Coffey
And the Harlow Star, apparently.
In December 2011, we finally got a meeting with the Health Minister and a range of other people around the table who could have fixed the issue. We were promised that there would be change and more focus at county level, and that patients mattered. The postcode data released in November 2011 showed that that had not been the case. We have never been able to get data at that level since then, because the trust does not want to share it with us and, frankly, I am not sure that I should spend all my time on freedom of information requests.
One of the things agreed at that meeting was that contracts would change. That did not happen, which is one issue relating to trust. In October 2012, Hayden Newton resigned. Coincidentally, that was a week after a series of complaints, including about the case of Nora Dennington, whose family finally went to the press to get an answer after three months. To be fair to Maria Ball, the former chairman of the trust, she got answers to those complaints then and there, and within a week, Hayden Newton resigned.
However, Newton was still on the payroll until the end of March 2013, and the chair at the time gave him a glowing tribute, saying that he would be greatly missed and
“a hard act to follow”
and that under his leadership, front-line staff were still being recruited and quality of care had improved. The chair also said:
“Thanks to Hayden’s stewardship, EEAST is now a stable, sustainable and financially sound organisation”.
I am afraid that the Marsh report blows that out of the water.
I could go on about all the different meetings, but I will not, as I am conscious of the time. What I will say is that patients’ complaints were not being answered, and patients were not being treated as individuals. The board should have seen it in the survey and the climb in sickness rates, and the CQC should have done more than tick the box saying that the trust had passed staff compliance on the basis that appraisals had been done. There was an element of external scrutiny by the CQC, the strategic health authority and, to some extent, Monitor, which did not approve the foundation trust status application, but passed the trust on the governance rating. All those different regulators, as well as the leadership of the board, need to look at themselves to understand why they, in effect, let people down. The board was fixated on getting foundation trust status; it was only focused on the regional target, and it did not matter that residents in Suffolk were being failed, as long as the regional target was okay.
Moving forward, my hon. Friends who have spoken are absolutely right: it is imperative that the remaining non-executive directors resign their posts immediately and that the NHS Trust Development Authority acts on that. The ideal solution for me would be to ask Dr Marsh to come in, whether permanently or on an interim basis, to turn around our ambulance trust, because he has the skills to make that happen. I want Dr Harris to succeed; however, it is important that we do not rely on the management speak to which my hon. Friend the Member for North West Norfolk referred, but recognise that we need to clean the slate.
There are of course external factors—we need to work with GPs and A and E—but much of the problem is internal, because there were not enough training places or staff. Incidentally, it is right that Whitehall should not seek to control everything, but it is vital that MPs have confidence that the NHS Trust Development Authority will take the matter seriously. Furthermore, CQC needs to be quicker—not to be rash, but not to be tick-box driven. It failed the ambulance trust and, more recently, it decided to withdraw from a meeting with MPs to talk about its reaction to the trust plan issued in April.
I could have spoken for longer, Mr Howarth, and I have spoken for longer than you requested, but I genuinely want to ensure that our patients, constituents and residents can rest assured that we will not stop continuing pursuit of excellence on their behalf, wherever they live in our great part of the country—they deserve nothing but the best. Again, if Cumbria and Cornwall can do it, we can certainly do it in Suffolk, Norfolk, Essex and Cambridgeshire. Frankly, until those non-executive directors go, we will not have confidence in the leadership of the trust to make the difference.