NHS Winter Pressures
Debate between Roger Gale and Steve Barclay(1 year, 3 months ago)
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Steve Barclay
My hon. Friend raises an extremely important point, which is the role of step-down care in freeing up capacity in hospital. I was keen to emphasise, in my opening remarks, the right wrap-around support and care for patients when they are discharged from hospital. Over the next few weeks, it will not simply be a question of discharging those patients; there needs to be the wrap-around care as well. He is also right to point to the fact that there have been significant increases in demand—the fourfold increase that he highlights—which, combined with flu, covid and the pandemic legacy, resulted in very significant pressures. That demand pressure combined with an impact on supply—for example, from flu—also exacerbated staff absences during the Christmas period.
Steve Barclay
Yes, I can; that is the whole purpose of the announcement. Although my hon. Friend campaigns assiduously for the new hospital, he will concede that, regardless of the decision, that would take time. To his point about the hospital being full, there is an immediate challenge about how we get additional capacity into the emergency department so that it can operate more effectively, because if there are too many people, that impedes an emergency department’s ability to operate effectively. There is also a challenge about how we address the wider occupancy in the hospital as a whole, because that is at the core of getting flow into the system. That is the essence of the feedback that we have listened to and taken on board from the clinical community —as he did on Friday—particularly within emergency departments. Today’s announcement speaks to the exact issue that he raises.
Mr Deputy Speaker (Sir Roger Gale)
Finally, with the prize for patience, I call Shaun Bailey.
Shaun Bailey (West Bromwich West) (Con)
Thank you, Mr Deputy Speaker—I am last but I hope I am certainly not least. Some 700 beds are due to come online thanks to the Midland Metropolitan University Hospital and there is a new primary care centre in Wednesbury, so when my right hon. Friend’s Department delivers, we see the benefit. Clearly, however, that means nothing if we cannot get the processes right. The most pressing issue for my constituents during the winter has still been access to their GPs, as I am sure hon. Members on both sides of the House will agree. I welcome what he has said about the use of technology to ensure that people are seen, but fundamentally, people still want face-to-face appointments, because if they are digitally disconnected, they cannot access that technology. It is as simple as that. I ask him to commit—just after he commits to come to Wednesbury to see our new primary care centre—to work through his good offices with GP practices where there is best practice, particularly in the Black Country ICB, to ensure that we enable people who are digitally disconnected to access GPs.
Steve Barclay
We are working actively with the primary care community. Indeed, that was a key focus of the Prime Minister’s summit in No. 10 on Saturday and it is part of the work that the Under-Secretary of State for Health and Social Care, my hon. Friend the Member for Harborough (Neil O’Brien) is leading through the primary care recovery plan. Last year’s GP patient survey suggested that continuity of care and face-to-face appointments were extremely important for two fifths of patients, but that suggests that for three fifths—often younger patients—speed of access is more pertinent. Continuity of care is important for those with multiple conditions, particularly elderly patients.
Alongside that, my hon. Friend is right to raise the Midland Metropolitan University Hospital. Four years ago, when I visited as a Minister of State in the Department, it was near completion. As he knows, it has taken a significant amount of time since then to get to its opening, which is why we need to look at doing things differently when it comes to value for money. Looking at the hospital estate programme, nine of the last 10 hospitals were built over time and over spec, so we need to look at modular design, modern methods of construction, and standardisation, which deliver a 35% unit-on-unit reduction in cost and much quicker operational performance, and would enable us to get hospitals up and running earlier.
It is important to do things differently and the new hospital building programme is part of that. We have listened to the concerns of those on the frontline and today’s statement addresses the immediate issue of bed occupancy in hospitals and the pressure on emergency departments.
Mr Deputy Speaker (Sir Roger Gale)
My thanks to all hon. Members—Front Benchers and others—who have taken part in an important discussion.
European Union (Withdrawal Agreement) Bill
Debate between Roger Gale and Steve BarclayTuesday 7th January 2020
(4 years, 4 months ago)
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Steve Barclay
I have set this out very clearly. The right hon. Gentleman will have studied the Bill—he always does—and will know exactly what is in clause 33, which is a commitment to stick to the timetable set out for the implementation period, which we committed to in our manifesto. I would hope that he, as a democrat, would want a Government to adhere to their manifesto.
The reality is that, on 12 December, the British public voted in overwhelming numbers to get Brexit done by 31 January and to conclude the implementation period by December 2020, so that we can look forward to a bright future as an independent nation. Page 5 of our manifesto explicitly states that we will negotiate a trade agreement by next year—one that will strengthen our union—and that we will not extend the implementation period beyond December 2020. We are delivering on these promises that the British people have entrusted us to deliver, and the Opposition are interested only in further delay and disruption. I urge Labour and the Liberal Democrats not to press new clauses 4 and 36.
I look forward to hearing from Members across the House as we take the Bill through Committee. This Government are committed to delivering Brexit, and this Bill will enable us to do so.
The Chairman of Ways and Means (Sir Roger Gale)
Order. I should probably have indicated for the benefit of new Members, and will indicate now, that clause 33 will not be decided today. Although it is grouped with these amendments, it will be taken as a Committee of the Whole House decision tomorrow and may or may not be divided on. To make that clear, it will not be that we have forgotten it.
European Union (Withdrawal Agreement) Bill
Debate between Roger Gale and Steve BarclayFriday 20th December 2019
(4 years, 4 months ago)
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Stephen Barclay
My right hon. Friend is right. One has only to look at what our manifesto commits us to do once we have control of our taxes and at what the Government have already done to raise the amount people can earn before they pay tax. We believe in backing those who wish to work and provide for their families, and our tax system will do exactly that.
Along with the terms of our withdrawal, the Bill reflects the political declaration, which sets out the framework for our future relationship. Now we need to get on with negotiating on this basis so we can agree our future relationship by the end of the implementation period on 31 December 2020. The shadow Brexit Secretary referenced clause 33. That clause reinforces the Government’s commitment in their manifesto not to extend this period. Part 5 of the political declaration is clear: we are committed to developing in good faith agreements that give effect to our future relationship, the cornerstone of which is a comprehensive free trade agreement by the end of 2020.
The shadow Brexit Secretary said that clause 33 was ridiculous. It is not ridiculous to act on manifesto commitments that we have given to the electorate. It is not ridiculous when the EU itself, in the political declaration, has agreed to the timetable of the end of December 2020. If that is the central concern of Opposition Members, it would have been better reflected in talks on previous deals, when the Labour party raised many other objections that underlined the fact that it simply did not want Brexit delivered at all.
We now have a deal that reflects both the referendum—the single largest democratic exercise in British history—and the defining issue of the general election. It is time to end the delay, to come together and heal our divisions and, above all, to listen to the people we serve. The British public have given their instruction. This Bill delivers Brexit. I commend it to the House.
Question put, That the Bill be now read a Second time.
The House proceeded to a Division.
Mr Deputy Speaker (Sir Roger Gale)
I ask the Serjeant at Arms to investigate the delay in the Aye Lobby.