Oral Answers to Questions

Debate between Sarah Wollaston and Stephen Hammond

Tuesday 7th May 2019 Commons Chamber

[Stephen Hammond]

I absolutely agree with my hon. Friend. Nurse practitioners do an extraordinarily valuable job across the country. The Government are committed to training more nurses and more nursing practitioners. As I said in an earlier answer, that will be set out in the workforce plan.

[Dr Sarah Wollaston (Totnes) (Change UK)]

The workforce shortfall is not evenly distributed across the NHS either geographically or by specialty. The Minister will know that there are particularly serious nursing shortfalls in learning disability and community services. He will also know of the implications of shortfalls—for example, for the ambition to deliver 75% of cancer diagnoses at stages 1 and 2. Will he look again at the evidence on mature students and the impact of losing bursaries on that section of the workforce? Will he meet me to discuss that?

[Stephen Hammond]

The Chair of the Select Committee is right: the vacancies are not evenly spread and are of particular concern in learning difficulties and a number of other areas. Of course we want to ensure that mature students come back to and stay within the health service. That is why a number of incentives are being put in place to encourage, recruit and retain mature students. I would, of course, be happy to meet her to discuss this matter in more depth.

Government Mandate for the NHS

Debate between Sarah Wollaston and Stephen Hammond

Thursday 25th April 2019 Commons Chamber

[Dr Sarah Wollaston (Totnes) (Change UK)]

The truth is that it is very difficult for the NHS to make plans without knowing what the Government’s plans are for social care. We know, following a response to a question in yesterday’s debate, that the Green Paper has actually been written. There is simply no excuse for the continued delay in its publication which would allow the House to scrutinise it and the NHS to be able to provide a truly integrated approach to health and social care. Just saying that it will be published soon is no longer acceptable. Will the Minister set out when we can expect to see this vital document, so that we can scrutinise the Government’s plans?

[Stephen Hammond]

The hon. Lady knows that the House and her Committee will have the fullest opportunity to scrutinise the document as and when it is published. She also knows that there is a commitment to publish it soon. She also rightly points out that it will deliver on the need to ensure that health and social care are integrated.

--- Later in debate ---

[Stephen Hammond]

In the hon. Lady’s fantasy world, that may be true, but my right hon. Friend is in fact addressing a conference in Manchester, talking about the gender pay gap and how this side will close it in the NHS. I would have thought she would welcome that, rather than shouting at me.

[Dr Wollaston]

On a point of order, Mr Speaker. When the Secretary of State comes to the Dispatch Box and makes a clear commitment that the publication date of the Green Paper will be before Christmas, and we know that the document has been written, what are the consequences of an absolute failure to honour such a commitment made at the Dispatch Box by a Secretary of State?

Integrated Care Regulations

Debate between Sarah Wollaston and Stephen Hammond

Monday 18th March 2019 Commons Chamber

[Stephen Hammond]

As the hon. Gentleman knows, the long-term plan has set out that the ICP contracts will be held by public statutory providers. That point has been made and reiterated several times not only in the Select Committee’s scrutiny, but in the remarks that the Committee and a number of people have made about privatisation. The Chairman of the Health and Social Care Committee has already intervened on the shadow Secretary of State, but she has said:

“The evidence to our inquiry was that ACOs, and other efforts to integrate health systems and social care, will not extend the scope of NHS privatisation and may effectively do the opposite.”

[Dr Wollaston]

Will the Minister assure the House that only public statutory providers will hold these contracts? That would be reassuring, as the language on this is not completely clear. Will he also give some assurance regarding the Select Committee’s other proposal, which is that the policy should be carefully piloted and evaluated? If it is done first in Dudley, followed by careful evaluation, I would be prepared to support it. If he cannot give reassurance on those points, it would be difficult for me to support the regulations.

[Stephen Hammond]

I can give the Chair of the Select Committee the assurance that the ICP contract will be made available in a controlled and incremental way, conditional on the successful completion of NHS England and NHS Improvement assurance through the integrated support and assurance process. That incremental process is, I think, in line with what she and her Committee recommended.

Coastguard (Maritime Incident Response Group)

Debate between Sarah Wollaston and Stephen Hammond

Thursday 17th October 2013 Westminster Hall

[Stephen Hammond]

If the hon. Gentleman gives me a minute, I may be able to supply those figures. I can tell him what the current vacancy level is, but I will ensure that my officials give him the figures he asks for.

I turn to a couple of other points that the hon. Member for Blackpool South raised. He spoke about the volunteer arrangements and I intervened to make the point that they refer to volunteers on the front line and not to the co-ordination centres. I do not believe those arrangements need to change because they are excellent. The Royal National Lifeboat Institution and the other voluntary coastguard systems provide a magnificent service, and to suggest that we are trying to alter that in any way would cause much disquiet. I hope the hon. Gentleman agrees that they provide an excellent service.

The hon. Gentleman asked about handing over following the closure of MRCCs and I made a statement on that a moment ago. I reiterate that that has been done in a staged way with shadowing and a gradual handover. I hope he will be reassured that it was not a case of one station closing one day, and a new one opening the following morning. Far from it, there have been traditional pairing operations and the handovers have been based on those pairing operations. Indeed, there was significant time in-between to ensure that all the arrangements were in place.

I turn briefly to emergency towing vessels in Scotland, to which the hon. Member for Blackpool South (Mr Marsden) and the hon. Member for Na h-Eileanan an Iar (Mr MacNeil), who is no longer in his place, referred. The Government have undertaken the necessary analysis and assessment. We all accept that shipping is not risk-free, but the world has moved on considerably since the Government funded tugs. There have been improvements in technology, navigation and safety systems, with the advent of new ship routeing and reporting.

We continue to take the view that it is for the shipping industry to manage and to mitigate the risks that its activities present to the maritime environment and to make full use of the established arrangements for the provision of commercial towage and salvage. Those commercial arrangements are working well in some areas where the Government used to provide funded tugs, particularly in the south-west approaches and the Dover strait. Indeed, those commercial arrangements have now been the norm for almost two years, and have worked well.

The Government accept that there was an issue with the availability of commercial tugs in the waters off Scotland, which proved to be more problematic, so we gave a commitment to fund a single emergency tug based in Orkney. However, due to the excellent working across Government and with the oil and gas industry, we have been able to put in place arrangements that permit a vessel that is normally engaged in commercial operations to be released from its contracted duty to perform emergency towage in the waters off northern Scotland. That has been available at no extra cost. The Secretary of State led those discussions and the discussions on the future of emergency towing vehicles in Scotland. The Scottish Government were also involved. A solution has been found for the next two years with a vessel commercially funded by the offshore industry. That is welcome and provides the necessary resilience for the coast there.

The hon. Member for Blackpool South asked about the complement in Belfast. Shetland is six down but we are in the process of recruiting three officers, so it is only three below complement. Stornoway had been two officers down, but the recruitment process has resulted in two officers about to join, so it will be at full complement.

[Dr Wollaston]

Will the Minister write to me to reassure my constituents about the availability of commercial ETVs? We do not have an offshore oil industry that could provide such support.

[Stephen Hammond]

I will write to my hon. Friend to point out what arrangements are in place and why they have worked so well for the past two years. I am sure that if she wishes to raise other issues, she will, and I will be happy to respond.

I am grateful for the opportunity to have this debate this afternoon. It has enabled me to set out our position and, hopefully, to allay some fears of hon. Members about the progress of recruitment, the resilience of the transition process and the confirmation of the final dates of closure of a number of the MRCCs. I am also pleased that progress to get the national centre at Fareham ready on time is going well, and I think that a more cost-effective, safer arrangement for UK coastal co-ordination has been secured.

Oral Answers to Questions

Debate between Sarah Wollaston and Stephen Hammond

Thursday 27th June 2013 Commons Chamber

[Dr Sarah Wollaston (Totnes) (Con)]

When will the Minister’s Department implement part 6 of the Traffic Management Act 2004 to prevent dangerous driving and to allow the prosecution of those who drive in cycle lanes and commit other moving traffic offences?

[Stephen Hammond]

My hon. Friend will be pleased to hear that we are having cross-departmental discussions on the matter. No decision has been taken yet, but I hope we will come to a conclusion in the near future.