Elective Treatment

Debate between Sajid Javid and Edward Leigh

Tuesday 8th February 2022 Commons Chamber

[Sajid Javid]

The hon. Lady, like other hon. Members, is absolutely right to raise the importance of workforce. To deliver on this plan, of course we need to do so much more to keep increasing the workforce and make sure all the skills we need are there. Just last week, I believe, the NHS published that it has more doctors, nurses and clinicians than ever before; 40,000 people have joined the NHS over the last two years, including many more doctors and nurses. Also, as I mentioned, I have asked the NHS, with HEE, which will become part of the NHS, to come up with a long-term plan. We look forward to that plan and will invest in it.

[Sir Edward Leigh (Gainsborough) (Con)]

People of a certain age, of whom, unfortunately, I am one, are terrified because they think that if something goes wrong, they might have to wait in pain for two years. We cannot wait until March 2024 to join the back of a slightly shorter queue. Then we see our friends who have private health insurance—I am not one of them; we cannot afford it—being seen within days. May I suggest a policy that would be wildly popular with many of our own supporters, which every Conservative Government until 1997 followed, which is to give tax relief to private health insurance? Why not look at every innovative solution that unleashes new money? Before the Secretary of State says that that is a matter for the Chancellor, will he at least put it at the back of his mind, so that when he next talks to the Chancellor they will at least discuss it?

[Sajid Javid]

I am always pleased to talk with my right hon. Friend about his ideas and suggestions, and I am happy to meet him to discuss this further, but I am sure he agrees with me on the importance of making sure that we invest in the NHS and the workforce so that they can deal with as many people as possible.

Covid-19 Update

Debate between Sajid Javid and Edward Leigh

Monday 13th December 2021 Commons Chamber

[Sajid Javid]

First, I agree with the objection I think the hon. Lady had to vaccine passports as a requirement for people to be vaccinated to enter a high-risk venue. It is important that we focus on a test requirement with an exemption if one happens to have the right level of vaccination. On her question about mandatory NHS vaccination, however, I am afraid I have to tell her we will not pause what we have already announced, not least because—this is the view of the NHS leadership as well—omicron has made it even more urgent that we continue with it.

[Sir Edward Leigh (Gainsborough) (Con)]

Four weeks ago, I raised the matter of a family member who is aged 90, completely bed-bound, vulnerable and at home, and had still had no booster jab. I was promised action, but nothing has happened and he is still waiting. I understand that there are potentially hundreds of thousands of very old, very vulnerable people trapped in their own home still waiting for a booster jab, with carers coming in and out all day, yet we are now offering booster jabs to 18-year-olds who have virtually no chance of falling seriously ill. This is an absurd situation caused by massive delays, bureaucracy and the ridiculous rule that a doctor has to come and a nurse has to wait 20 minutes with the old person, despite a minuscule risk of harm. We need action this day. These people are in danger of dying. Will the Secretary of State now act on behalf of very old people trapped in their own home?

[Sajid Javid]

My right hon. Friend is absolutely right to raise this matter. Those who are in care homes or homebound have been prioritised. For example, I can tell him that I believe that, as of the end of November, 97% of care homes had been visited by GPs or other primary care teams to deliver vaccinations. In cases where they could visit, that was because the care home itself had a lockdown. They will all be revisited again and again. My right hon. Friend asks specifically about people who are homebound. The same approach is being taken. We will absolutely ensure that every single one of those people—as he rightly says, they are more vulnerable than others—get a visit and get their booster jab.

Covid-19 Update

Debate between Sajid Javid and Edward Leigh

Tuesday 9th November 2021 Commons Chamber

[Sajid Javid]

The hon. Gentleman will know that masks play an important role in vulnerable settings in healthcare and social care already. He points to a suggestion by some that the requirements regarding the type of masks should be changed. I reassure him that we keep this issue under review at all times, and if such a change were necessary, we would support it.

[Sir Edward Leigh (Gainsborough) (Con)]

It is obvious that the booster jab is essential to protect the very vulnerable. I have an elderly family member who is 90 years old and completely bedbound. He lives at home, and cannot get out of the flat and down the steps, and he has been waiting for weeks for his booster jab. He said to me on Sunday, “Where is my booster jab?”. I suspect that across the country it is quite inconvenient to get out to very elderly people who are living at home—not in care homes, but in their own home. These people are being looked after all day by care workers, coming in and out. Will the Secretary of State now give an instruction to health authorities, GPs and district nurses to get out and get the booster jabs into these very old and vulnerable people?

[Sajid Javid]

What my right hon. Friend has just said deeply concerns me. Anyone who is 90 years old and homebound should have been contacted—certainly at that age. I am assuming that it has been at least six months since the individual’s second jab. On that basis, he should have been contacted and visited by his GP. First, I would like more details about that particular case, if my right hon. Friend will supply them. I would want then to ensure that there are no other instances like that, because someone at that age who is homebound should certainly already have received their booster jab.

Health and Care Bill

Debate between Sajid Javid and Edward Leigh

2nd reading
Wednesday 14th July 2021 Commons Chamber

[Sajid Javid]

I am pleased that I gave way to the hon. Gentleman as he raises a very important issue. In this Bill, as I will come to, one of the central themes is integration. When I come to that, I hope he will see how that integration between NHS and social care will help to deliver a better service for those with dementia.

Everything I refer to—these challenges—are all in addition to the challenges of the pandemic that of course we still face and the elective backlog that we know is going to get worse before it gets better. Meeting the future with confidence relies on learning lessons from the pandemic—what worked and what did not work—and building on a decade of innovation in health and care.

Sometimes the best intentions of the past cannot stop what is right for the future. Bureaucracy can still make sensible decision making harder, silos can stifle work across boundaries and sometimes legislation can get in the way. We have seen how unnecessary rules have meant contracts have needed to be retendered even where high-quality services are being delivered, we have seen the complicated workarounds needed to help the NHS and local government to work together, and we have seen the uncertainty about how to share data across the health and care system. People working in health and social care want the very best for people in their care. That is what they have shown time and again, not least in the way they have embraced integration and innovation to save lives through this pandemic. They want to hold on to the remarkable spirit of integration and innovation, but they want to let go of everything that is holding them back and we want to help them to do it.

[Sir Edward Leigh (Gainsborough) (Con)]

On that point of bureaucracy, I recently saw the apotheosis of the NHS, where an Anglican church had draped an altar with a flag saying, “O Praise the NHS”. So when we have a new Secretary of State, can we have a really hard-hitting attitude to NHS bureaucracy? We all praise our doctors and nurses, but the fact is that, like any other bureaucracy, it is prone to underperformance, waste and incompetence. There is no harm, as long as we preserve the principle of being free at the point of delivery, in having innovative private sector solutions.

[Sajid Javid]

I hear what my right hon. Friend has said and I think that, as I progress through my opening remarks, he will like what I have to say about integration and cutting bureaucracy.

All these things that I refer to and all these changes we want to make are exactly what this Health and Care Bill will do. I want to thank the thousands of hard-working staff who, through two years of consultation and engagement, have come forward and told us what they think works and what they think needs to change. In the words of Lord Stevens, chief executive of the NHS, the overwhelming majority of these proposals are changes that the health service has asked for. The Bill supports improvements that are already under way in the NHS. It builds on the recommendations of the NHS’s own long-term plan. It is a product of the NHS, it is for the NHS, and it is supported by the NHS.

I am grateful to all the organisations that have helped to shape these important proposals—everyone from the NHS Confederation to the Local Government Association. I have spent many of my early days in this job talking to them, and they have all told me the same thing, which is that they are ready to take forward the reforms. I want to continue to work with them and to listen to their specific concerns, just as much as I want to listen to the concerns raised by hon. Members across the House and by Members in the other place.