Access to GP Services and NHS Dentistry

Debate between Sajid Javid and John Redwood

Tuesday 21st June 2022 Commons Chamber

[Sajid Javid]

We are seeing record investment in the workforce, and we are seeing record increases. For the first time ever, the NHS is also coming up with a 15-year long-term workforce strategy, which I hope the hon. Lady welcomes.

The Government have always been on the side of patients and the people who care for them. I pay tribute to everyone working in primary care and dentistry for the difference they make day in, day out to their patients’ lives. I know that the pandemic has brought some unimaginable pressures, and equally I know that many of those pressures have not gone away now we are living with covid.

The hon. Member for Ilford North talks as though he does not know where the pressures have come from—as though he has had his head under a rock for two years. The NHS has said it believes that between 11 million and 13 million people stayed away from the NHS, including their GPs and dentists. Rightly, many of those people are now coming forward for the treatment they need—and I want them to come forward.

[John Redwood]

When the Secretary of State does the much-needed manpower review, will he ensure that a fast-growing area such as Wokingham with lots of new houses gets proper provision for that growth? Will the manpower plan also address how we recruit the doctors we have authority to get?

Health and Social Care Leadership Review

Debate between Sajid Javid and John Redwood

Wednesday 8th June 2022 Commons Chamber

[Sajid Javid]

The short answer is that, yes, the hon. Lady is right to talk about the importance of retaining and recruiting more nurses. When it comes to nurses’ pay, she will know that we gave a 3% rise last year when there was a freeze for the public sector workforce generally. This year, we will be listening carefully to what the independent recommendation is.

[John Redwood (Wokingham) (Con)]

How many directors and chief executives of health bodies are there in the NHS, and what performance requirements are built into their contracts? We want them to deliver high-quality care with falling waiting times.

[Sajid Javid]

I cannot give my right hon. Friend the exact number that he is asking for, but I can answer the latter part of his question. I agree that we want to see a massive improvement in appraisal and performance standards; I am sure that, when he gets to see the report in detail today, he will be pleased by what he reads.

Vaccination: Condition of Deployment

Debate between Sajid Javid and John Redwood

Monday 31st January 2022 Commons Chamber

[Sajid Javid]

I thank the hon. Lady for that good question. She referenced 40,000 people having left care homes as a result of vaccine as a condition of deployment, and I can give her more information on that. While there is no exact data because care homes are independent and the people who work in them are not employed directly by the state, the Department’s best estimate, which is from the industry, is that the change in workforce during the final half of last year was a fall of 19,300. We do not believe that the 40,000 number is representative—the best proxy number is 19,300. Having said that, no one would want to see anyone leaving the care home sector when, as she rightly identified, we need more people coming forward. That is why we put in place a £162.5 million retention fund before omicron, and we have added to that fund by more than £300 million during omicron. We are also supporting the sector in having the largest recruitment campaign that it has ever run.

[John Redwood (Wokingham) (Con)]

I welcome the change of policy. In order to reassure both patients and staff about safety, what progress can the Secretary of State report to the House on better air extraction, air cleaning and ultraviolet filtration? I think that we need to control the virus without telling people exactly what they have to do in their own health treatments.

[Sajid Javid]

As always, my right hon. Friend has asked a very good question. He will know that infection protection control measures have been in place during the pandemic; they change along with the pandemic over time, depending on the risk profile, and that applies to care settings. The Government have supported care homes with hundreds of millions of pounds to make adaptations and changes and to implement these measures, and I know that many care settings have taken advantage of those funds to provide, for instance, air filtration and ventilation. That is the kind of support that the Government will continue to give.

Covid-19 Update

Debate between Sajid Javid and John Redwood

Monday 6th December 2021 Commons Chamber

[Sajid Javid]

Yes, I most certainly would like to help with that. I am sorry to hear about the hon. Lady’s constituent. As she says, visits at end of life should always be made available; there should be no excuses. I would be happy to look into the case that she has mentioned, if she provides me with more details. I will also check the general guidance.

[John Redwood (Wokingham) (Con)]

Why has some of the substantial extra money for the health service not been used to expand bed and associated staff capacity in hospitals, and why were the anti-covid Nightingale hospitals not used for the pandemic to prevent the virus from spreading to the district generals?

[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.

Health and Care Bill

Debate between Sajid Javid and John Redwood

Report stage
Tuesday 23rd November 2021 Commons Chamber

[Sajid Javid]

I heard what the hon. Gentleman said. He will know that there are strong feelings on the issue of abortion across the House, on all sides of that issue. If legislation does ever come to the House, it is important that it is always a matter of conscience, and that is how MPs are expected to receive such legislation.

[John Redwood (Wokingham) (Con)]

Will the Secretary of State confirm that, when carrying through this rather extensive national health service reorganisation, value for money and keeping the costs of reorganisation down will be at the forefront of his mind?

[Sajid Javid]

Yes, absolutely, I can confirm that. My right hon. Friend is absolutely right to stress the importance of that. The NHS will be spending the best part of £150 billion a year, and it is vital that the best value is achieved with every penny that is spent.

Coronavirus Act 2020 (Review of Temporary Provisions) (No. 3)

Debate between Sajid Javid and John Redwood

Tuesday 19th October 2021 Commons Chamber

[Sajid Javid]

First, may I wish my hon. Friend a very happy birthday? He makes an important point in his valuable intervention. What I can say, which I certainly hope will reassure him, is that the Act will be regularly reviewed, that parliamentary scrutiny from all quarters is very welcome and that any powers retained in the Act need to be properly justified—they must be necessary and proportionate. That is the case that I am setting out on behalf of the Government today.

[John Redwood (Wokingham) (Con)]

A lot of us feel that this legislation should now just lapse, because there has been a material improvement in the situation. There are other powers should things go wrong, and this House could grant powers in the space of a few hours if there were a new and unpleasant crisis. Why do we have to have these powers hanging over our head when there does not seem to be a need to use them?

[Sajid Javid]

What I can tell my right hon. Friend is that there are provisions that we hope to keep in the Act, subject to the House’s will today, which are still necessary. For example, there are provisions that protect NHS capacity with respect to temporary registration of nurses and other healthcare professionals. There are similar provisions for the care sector; there are also provisions that provide support packages for those whose jobs may have been hit or who have to take time off work to meet the self-isolation requirements. There are provisions in the Act that I think are still necessary; I will speak about some of them in just a moment.

Covid-19 Update

Debate between Sajid Javid and John Redwood

Monday 28th June 2021 Commons Chamber

[Sajid Javid]

I agree with the hon. Lady on the importance of social care and that it should be a priority for reform, as it is for this Government. I do not agree with her characterisation that under this Government it has not been a priority or her suggestion that there has been under-investment. When in my previous role as the Secretary of State for Housing, Communities and Local Government, and certainly as Chancellor, we increased funding a number of times. I think we agree that we need a long-term, sustainable solution—we are not there yet—and that is something the Government are absolutely committed to.

[John Redwood (Wokingham) (Con) [V]]

I welcome my right hon. Friend to his new role, I wish him every success and I support his plan to unlock soon. Will he look at expediting trials of other drugs and treatments that may help covid-19 patients and have been looked at elsewhere? Will he also encourage work on air extraction and cleaning systems, to see what more can be done to stop transmission of the disease, as we are going to have to live with it to some extent?

[Sajid Javid]

I thank my right hon. Friend for his welcome. On his question, I simply say yes, I will.

Budget Resolutions

Debate between Sajid Javid and John Redwood

Wednesday 11th March 2020 Commons Chamber

[John Redwood]

There is a £6.6 billion saving this year on interest on Government debt anyway, but of course there has been another major collapse of interest rates since those figures were put together, so there is something on the other side of the account. I would therefore urge my right hon. Friend indeed to say that we need to spend what it takes.

[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.