Health and Social Care Leadership Review

Debate between Sajid Javid and Desmond Swayne

Wednesday 8th June 2022 Commons Chamber

[Sajid Javid]

The hon. Gentleman is right to talk about the importance of recruitment in the NHS—bringing in the right people in the first place and then retaining them—but I hope that he will also recognise that good leadership plays an important part in that. This morning, I went to Chelsea and Westminster Hospital, which is an outstanding and incredibly well run hospital, and heard from the leadership team about the important role that they play in attracting and retaining talent. I hope that he recognises that point as well.

[Sir Desmond Swayne (New Forest West) (Con)]

Why is the Secretary of State’s departmental leadership team advertising for a deputy director, delivery, for the Covid Pass programme? What is that about?

[Sajid Javid]

The reason why the Department keeps that under review is that, although the pass has stopped and there is absolutely no prospect that I can see of its ever coming back into place, it is right that, as we wind things down and work on the digital resources, all things are looked at appropriately.

Covid-19 Update

Debate between Sajid Javid and Desmond Swayne

Monday 6th December 2021 Commons Chamber

[Sajid Javid]

The NHS and social care has £5.4 billion of extra funding over the second half of this financial year. A lot of that funding is being deployed to create extra capacity, especially with work on discharges between the NHS and the social care sector, because people can be clinically ready to be discharged, but the care packages have not always been easily available.

[Sir Desmond Swayne (New Forest West) (Con)]

How many of those who have tested positive in the UK are ill?

[Sajid Javid]

The number of confirmed cases in the UK is 336. By definition, they are all infected. Some may be asymptomatic and others will be feeling ill. As far as I am aware, none of them has so far been hospitalised.

Covid-19 Update

Debate between Sajid Javid and Desmond Swayne

Monday 29th November 2021 Commons Chamber

[Sajid Javid]

That is an important point and the hon. Lady is right to raise it. We estimate that 5 million people across the UK have not even taken up the offer of their first dose of the vaccine, putting themselves and their loved ones at great risk. A lot of work has been done over the past few months and it is bearing results: we are seeing ever more people coming forward, especially in the past few weeks. Indeed, many came forward this weekend, perhaps out of concern about the new variant. A lot of work is being done with community leaders, and there is an existing communications campaign but a new one will start imminently.

[Sir Desmond Swayne (New Forest West) (Con)]

Over the last few months there has been a useful control experiment on face coverings, given the different policies pursued in Scotland and England. What estimate has the Secretary of State made of the result? It is mumbo-jumbo, isn’t it?

[Sajid Javid]

If my right hon. Friend is suggesting that there are mixed views on the efficacy of face coverings in helping to fight the pandemic he would be right, but I would point him to UK work by Public Health England—published, if I remember correctly, last month—referring to a number of reports setting out how in certain settings face coverings could help.

Covid-19 Update

Debate between Sajid Javid and Desmond Swayne

Monday 15th November 2021 Commons Chamber

[Sajid Javid]

I know the right hon. Gentleman likes to create problems where they do not exist, but we should not always let him get away with it. There is no problem with the app. If he had listened to me carefully, he would know as well as anyone that proof of a third jab, whether a booster or as part of a person’s primary dose, is not necessary for UK domestic purposes. As I said earlier, we fully understand and recognise that it might be needed for international travel or other international purposes, which is why we will do something about it.

The right hon. Gentleman should not undermine confidence in the app. He called it a problem with the app, but there is no such thing.

[Sir Desmond Swayne (New Forest West) (Con)]

If a member of NHS staff has previously had an episode of myocarditis and is anxious about its recurrence, would that be sufficient ground for an exemption from vaccination?

[Sajid Javid]

That would be a decision for clinicians.

Covid-19 Update

Debate between Sajid Javid and Desmond Swayne

Tuesday 14th September 2021 Commons Chamber

[Sajid Javid]

Of course no one should be left behind, wherever they are in the UK. The differential take-up of the vaccine can be based on a number of factors—for example, there is definitely a difference in age groups. Working with the NHS, we are trying to tailor our message to convince people about the benefits of the vaccine to those respective age groups, and we also try to do that on a localised basis. If the right hon. Lady has any particular suggestions about Hull, we would be more than happy to listen to her.

[Sir Desmond Swayne (New Forest West) (Con)]

The Secretary of State retains all the powers of the Public Health (Control of Disease) Act 1984, which were used to take away our liberties without prior parliamentary authority. Will he undertake to review that and to give us a new public health Act?

Covid-19 Update

Debate between Sajid Javid and Desmond Swayne

Monday 12th July 2021 Commons Chamber

[Sajid Javid]

I thank the hon. Lady for what she said about the English football team, but I noticed that she did not say who she supported. I hope it was England.

The hon. Lady is right to raise hospitalisations, as other colleagues have. Of course, as cases rise, which sadly they will for the reasons I have set out, hospitalisations will rise too. However, again for reasons I have set out—No. 1 being the vaccine—the rate of hospitalisation will be far, far lower than anything we have seen before. She will also know, given her experience, that the treatments available are a lot better and more effective than what we had at the start of the pandemic and during the last wave. That is also helping should people, sadly, find themselves in hospital. That is part of the three tests, test number three, that we have looked at very carefully. We have looked at the data and we of course work very closely with our colleagues in the NHS on an almost minute-by-minute basis to ensure that the increased pressure—I accept there will be increased pressure; I have been very open about that—can be met in a sustained way.

The hon. Lady mentioned the backlog. It is important to understand that the backlog built up over the pandemic because people stayed away from the NHS for perfectly understandable reasons, but we need to start to get back to normal as quickly as we reasonably can so that we can start to see more and more people in the longer term and improve the backlog more quickly.

As for masks, I believe I have answered that question. The most important thing is that our guidelines will be very clear. They will be published later today, too.

[Sir Desmond Swayne (New Forest West) (Con)]

Enterprises are having to shut because key members of staff, despite having been vaccinated twice, are having to isolate as contacts. As infections increase, so will contacts who have to isolate and there is every possibility that the economy will grind to a halt. Will the Secretary of State review the need to self-isolate for those who are twice vaccinated and showing a negative test?

Covid-19 Update

Debate between Sajid Javid and Desmond Swayne

Monday 5th July 2021 Commons Chamber

[Sajid Javid]

I understand where the hon. Lady is coming from, but the important thing is that we have to learn to live with covid, which means that we have at some point to confront and start removing the restrictions that have been necessary until now. Now is the best time to do that, because of the defence that has been built by the vaccine.

[Sir Desmond Swayne (New Forest West) (Con)]

We will never again sacrifice free enterprise, freedom of association and freedom of worship in order to manage hospital admissions, will we?

[Sajid Javid]

I take it from that that my right hon. Friend is pleased with today’s announcements.

Budget Resolutions

Debate between Sajid Javid and Desmond Swayne

Wednesday 11th March 2020 Commons Chamber

[Sajid Javid]

My right hon. Friend is, characteristically, absolutely right to make that observation. I think he will also agree that while this is welcome, and will, absolutely, cut the cost of interest, it also reminds us that interest rates are incredibly volatile, and no Government should rely on interest rates remaining low for an incredibly long time.

I have often said that small and medium-sized businesses are the beating heart of the economy, and rightly where our focus should be. If SMEs are the heart, then cash flow is their lifeblood, and that is where we must focus our help most, so I very much welcome the emergency support package for SMEs that my right hon. Friend the Chancellor set out today. If I may, I will make three quick observations about what more can be done. First, on time to pay, I strongly welcome the announcement today to extend the existing HMRC scheme. While it is absolutely right that we carry out the fundamental business rates review that we set out in our manifesto, this will not happen overnight, as the Chancellor recognised, so we need to act now. I do welcome the announcements on business rates that he made today, but may I also suggest that the time-to-pay arrangement is extended to business rates too? Although they are collected by local authorities, not HMRC, it is possible to delay collection while making sure that no local authority loses out in terms of cash flow.

Secondly, on support for workers, firms should not have to shed workers because of temporary cash-flow problems. That is why I would like to keep open the option of a temporary cut in employers’ national insurance —perhaps over a three-month period—thereby relieving the cost of labour.

Thirdly, since the financial crisis, it is true that monetary policy has lost some of its potency. A decade ago, central banks were the star turn; now they are more like the supporting act, but they can help. That is why I strongly welcome the action by the Bank of England that was announced this morning, and I am pleased to see the co-ordination that has taken place with the Treasury. I am particularly encouraged by the restart of the term funding scheme, especially how the incentives have been set out to encourage an increase in lending to SMEs.

While the coronavirus has captured the attention of the front pages, my right hon. Friend the Chancellor is right not to lose sight of the long-term failures of UK economic policy under successive Governments—failures that have caused profound regional inequalities and a sense of anger and betrayal in many of our communities. We need to put people and place back at the heart of a more human capitalism. I therefore welcome the investment in skills and education, especially the £1.5 billion for FE capital. We should think about not only the flow of students but the stock of skills that we have in our country. There are talented individuals who have left full-time education and would benefit from retraining. That is why I am unapologetically keen on a long-term plan for skills, including the right to retrain for all working adults.

It is clear from today’s Budget that my right hon. Friend shares my enthusiasm for the infrastructure revolution and my conviction that, with the right scale and the right mix of investment in roads, rail, digital, decarbonisation and flood defences, we can tackle our most significant economic challenges: low productivity and regional inequality. As I have long said, we should take advantage of record low interest rates to invest properly in our economic future.

I welcome the Chancellor’s indication that he will continue the work that was begun to rewrite the Green Book, so that we can better allocate investment across the nations. I hope that he will look carefully at what else we can do to help the infrastructure revolution, including looking at planning, especially reform of the compulsory purchase order regime; the infrastructure delivery model, so that we do not have a repeat of the overspending on HS2; and labour market requirements at a time of record employment.

I urge the Chancellor to consider in his next fiscal statement 100% capital allowances—in other words, full expensing for businesses, to encourage them to invest more in capital. I want to end by underlining the importance of fiscal responsibility.

[Sir Desmond Swayne]

As someone who longs for lower taxes and smaller government, what assessment has my right hon. Friend made of the Chancellor’s ability to remain within the existing fiscal rules?

[Sajid Javid]

I was pleased to hear the Chancellor say that this Budget is within the fiscal rules, but as my right hon. Friend the Member for Maidenhead (Mrs May) said, we do not yet know the impact of these emergency measures. We also do not know the impact of the term funding scheme announced today by the Bank of England. A lot of the fall in debt over the next few years is because of the term funding scheme coming to an end, but that might now change, so it is worth keeping that in mind.

The British economy is in a strong position to weather the current storm, but we must not forget that my right hon. Friend the Chancellor is only able to deploy the firepower that he has today because of the choices that consecutive Conservative Chancellors have made—choices to control spending, to control borrowing and to control debt. That is why the fiscal rules that we set out in our manifesto are important. Sticking to those rules in normal times is what separates us from Opposition parties. They help us to keep our economy strong and to keep taxes low, and they preserve our flexibility for when we need it most. It is not always possible to forecast when the next threat will emerge, nor what form it will take, but it is possible to prepare, and I know that the Chancellor and I are grateful that our predecessors had the foresight to do so.