(5 years, 7 months ago)
Commons ChamberThe British Medical Association has been vocal, I think is probably the right word, in making the case around the disincentive effect of annual allowance charges, in particular, but also lifetime allowance charges. The Health Secretary and I have been discussing this for some time, and I think we are close to reaching a conclusion.
The workforce shortfall is the greatest challenge facing the NHS. What discussions has the Chancellor had with the Health Secretary about the combined impact of these changes together with the disastrous consequences for the NHS workforce that would follow a no-deal or WTO Brexit?
As the hon. Lady says, recruitment and retention is one of the big challenges facing the NHS. Clearly, anything that were to impede the NHS’s access to overseas workers coming into the UK to serve in our health service would have an impact on that. But I have also recognised and acknowledged today that the operation of the pension annual allowance charge does have a significant effect—particularly, it seems, on partners in GP practices.
(8 years, 1 month ago)
Commons ChamberI am a little surprised that the right hon. Gentleman—a former Chief Secretary to the Treasury—is not actually able to distinguish between capital and resource, because the funding that we are talking about for grammar schools is capital spending. I said in the course of my statement that the Department for Transport will continue the discussions on northern powerhouse rail with Transport for the North and will make announcements in due course.
The right hon. Gentleman also asked specifically about social care. Opposition Members are fond of talking about cuts to social care budgets, but local authorities have to manage their budgets as they think best. They have to manage the envelope of resource that they are given. We have created a better care fund that will be delivering £1.5 billion a year into social care by the end of this Parliament. We have allowed local authorities to raise a social care precept, which will be delivering another £2 billion a year by the end of this Parliament. That is £3.5 billion a year of additional funding into the social care system. I accept that there is an issue that local authorities are raising—we have heard what they are saying—about profiling and how this large amount of additional money ramps up. My right hon. Friends the Health Secretary and the Communities and Local Government Secretary are extremely aware of the issue and I am discussing it with them.
The Care Quality Commission has warned that social care is at a tipping point and vulnerable people across the country are being left without the care and support that they need, which is adding hugely to costs for the NHS. I am disappointed that the better care fund has not yet been brought forward, but encouraged to hear that that is actively under discussion. Will the Chancellor confirm that we should try to get away from this divisive debate in the House about how we are going to fund our health and social care, and that all parties should work together for a new, sustainable, long-term settlement?
I am all in favour of discussing these big strategic questions in a grown-up way, trying to build a consensus across the House, but I see little interest from Opposition Members in doing that. We have made a commitment of £10 billion of additional funding for the NHS over this Parliament—[Interruption.] Yes, we have. It is £10 billion of additional funding by the end of this Parliament. A senior management team in the NHS has drawn up a plan, set the budget and asked for the money. It has been given the money and I think we should allow it to show what it can do.
(13 years, 5 months ago)
Commons ChamberI understand the hon. Gentleman’s concern, and I appreciate the measured way in which he has presented it. He will, perhaps, have to discuss the decision that has been made with my hon. Friend the shipping Minister. It is only by deciding to go for a single marine operations centre that we have been able to provide the resources to allow 24/7 operations to continue at eight other sub-centres around the country, and to deliver the result that reflects the consultation responses we received and the recommendations of the Select Committee on Transport in respect of local knowledge. To answer the hon. Gentleman’s specific question, Aberdeen currently has 31 staff. As a result of these proposals, it will lose eight full-time equivalent posts, operating like all the other sub-centres 24/7 with 23 full-time equivalent staff.
Twenty-five staff are employed at the Brixham maritime co-ordination rescue centre. I pay tribute to their dedication. Can the Secretary of State reassure those staff that they will be treated fairly when applying for jobs either at Falmouth or at the maritime operations centre? That is a real concern and will be essential to retaining local knowledge. I am concerned at the suggestion that those staff will not have an opportunity to contribute to the further consultation, because neither I nor anyone else in south Devon can understand how safety can be preserved with the closure of that maritime operations centre.
I am grateful to my hon. Friend for the measured way in which she makes her point. First, her constituents, like anybody else, will of course be able to respond to the consultation, but the consultation itself is limited to the issues that represent changes from the previous consultation. The coastguards employed at Brixham are civil servants. They will be entitled to be considered for deployment elsewhere in the civil service. Wherever possible—and where they are willing—we will look specifically to secure their knowledge and experience by redeploying them to other stations that will remain open. This process will take place over a number of years; it is not going to happen overnight. If at the end of that process there are people remaining who cannot be accommodated elsewhere in the service, they will be offered voluntary redundancy terms. We hope that it will not be necessary to make compulsory redundancies, and any that are made will be made only as a last resort.
(14 years, 1 month ago)
Commons ChamberI hope so. I said at the beginning of my statement, but perhaps I was being obtuse, that other major rail projects are under consideration, and I hope to be able to make an announcement to the House in the next few weeks. The Intercity Express programme is one of those under consideration. As the hon. Gentleman will know, it is an extremely complex package of projects, and the new bid that we have received from Agility Trains requires careful analysis at a technical, financial and legal level. That work is ongoing, and once we have completed it, I will be in a position to make an announcement.
The Kingskerswell bypass in my constituency has been tantalisingly close to approval for half a century, which must be a record. I am grateful to the Secretary of State for agreeing to meet a delegation from Devon and Torbay councils, because the scheme is vital to regeneration for three constituencies. What further evidence should they bring to that meeting to press their case?
As I hope I have made clear, the process for the appraisal of projects is pretty rigorous, and will be based on the cost-benefit analysis and the external non-monetiseable effects of the scheme. If my hon. Friend looks on the Department for Transport’s website, she will find chapter and verse on how we do it. Of course I will always be happy to talk to hon. Members about their schemes, but I can assure her that the process for appraising schemes in the pre-qualification pool will be done rapidly and objectively, and the best schemes will move up into the development pool for consideration for funding next year.