NHS Performance: Darzi Investigation

Debate between Siobhain McDonagh and Victoria Atkins

Monday 7th October 2024 Commons Chamber

[Victoria Atkins]

We entered into that negotiation in good faith, and I gently remind Labour Members of Parliament who were here before the last election that again and again I asked the right hon. Gentleman and Labour MPs to condemn the strike actions and they refused to do so, because we know of their links to their union paymasters—[Interruption.] I will just say “train drivers” and leave that hanging in the air.

When I asked the right hon. Gentleman during Health and Social Care questions in July whether he was going to cut services or whether the Chancellor was going to raise taxes for the junior doctors pay rise, he assured the House that any pay rise would be affordable. How affordable does his deal look now? He has given resident doctors an inflation-busting pay rise for being on strike, and he is paying them for the days they were on strike. He did that with no reform and no productivity improvements attached to it, and with more strikes threatened for next spring. Completely foreseeably, that has led to nurses and midwives asking why they should accept less. Simply telling nurses, “We’re on your side” will not heat their homes this winter. The report does not deal with the here and now; it looks only at the past. Indeed, the Darzi report talks about the importance of capital investment, so if the right hon. Gentleman intends to use the report to inform his policy decisions, as he says he does, why is he stopping new hospitals from being built?

There are now 24 hospitals whose futures are at risk, despite commitments from the right hon. Gentleman and Labour candidates during the election campaign. Labour candidates in Watford, Hillingdon, Milton Keynes, Leeds and Basingstoke made promises to their voters that are now at risk under this Labour Government. Patients in Chelsea and Fulham, Truro, Harlow, Plymouth and Kettering will not get the investment and upgrades that they deserve, despite the promises of their Labour candidates. [Interruption.] Do not believe a word when this Secretary of State says, as he is saying now, that it is because of the economy. The truth is that he had been planning to pause those hospitals since May 2023. For those who are wondering, the details are in his health mission paper, which was published to great fanfare in May 2023—page 6, if that helps. He was planning this since May last year, which is exactly why the promises made at the election were so cynical and now need to be revealed.

Take a perhaps unhealthy dose of salt with the right hon. Gentleman’s claim that the money runs only until March next year. Let me help this very inexperienced Secretary of State understand basic Treasury rules. The comprehensive spending review period finishes in March. I wish I could have bound this Labour Government to committing to those hospitals in the next CSR period, but I could not. It is his responsibility and his role to fight for funding from the Chancellor to ensure that the hospitals are built. We promised that we would allocate the money needed, and would prioritise the new hospitals in the next CSR period. It is now the job of this Secretary of State to secure the money from his Labour Chancellor.

Through our plans to invest in more capital projects, we also sought to improve cancer diagnosis and treatment. While outcomes have improved since 2010, there is much more to do. That is why we opened 160 community diagnostic centres, rolled out new lung cancer screening programmes, and expanded the use of artificial intelligence to speed up diagnoses. Again, we note the lack of any mention of those centres or hubs, which would reduce waiting lists and speed up diagnoses, in this supposedly independent review by the former Labour Health Minister.

I want a straight answer from the Minister in their winding-up speech on an issue that is worrying families up and down the country. Cancer is the single biggest killer of children under the age of 14. I launched the children and young people’s cancer taskforce, which brought together top clinicians, leading cancer charities and the Government to combat childhood cancer, and improve diagnosis and access to new treatments. Its launch was warmly welcomed by parents and charities, and experts were lending their time to the taskforce for free, yet this Secretary of State has chosen to pause it. Parents and charities including the Teenage Cancer Trust, Young Lives vs Cancer, and Solving Kids’ Cancer UK cannot understand why the Health Secretary has chosen to stop that work. That is his choice, and the Minister must please explain in the wind-ups why the decision was taken to pause it.

[Dame Siobhain McDonagh (Mitcham and Morden) (Lab)]

The right hon. Lady makes the point that cancer is the biggest killer of people under 40, but glioblastoma brain tumours are the biggest killer of people under the age of 40. What progress has there been in the last 30 years in the treatment and diagnosis of glioblastoma brain tumours?

[Victoria Atkins]

I think the hon. Lady did not hear me; I said that cancer is the biggest killer of children under the age of 14, not 40. I know only too well how that terrible brain cancer has hurt her family, and the great loss that she has suffered. I know that she has ambitions for the work that we were doing to get cancer treatments, particularly new cancer treatments, as quickly as possible to patients who are getting towards the end of their life. We will of course support anything that the Government do to help people such as the hon. Lady’s sister; again, I come back to the fact that we all want this to work.

Crime and Antisocial Behaviour: Small Towns

Debate between Siobhain McDonagh and Victoria Atkins

Wednesday 5th June 2019 Westminster Hall

[Victoria Atkins]

The hon. Gentleman is absolutely right that it is a community effort, in spite of the importance of law enforcement. That is why, in our Anti-social Behaviour, Crime and Policing Act 2014, we put in place six powers, some of which can be exercised not just by the police but by local authorities. We appreciate that there will be different solutions to different problems in different areas.

The debate is about “rising crime”. I fully recognise the concerns that Members have raised, but I must remind them of the analysis by the independent Office for National Statistics, which sets out that most people are not victims of crime, and that the likelihood of becoming a victim remains low. We also recognise that there has been a genuine rise in serious violent crime, and there is a range of actions under way to tackle that.

[Siobhain McDonagh]

Does the Minister realise how maddening the comment, “You are not likely to be the victim”, is to our constituents? If somebody is stabbed in their street or there is a drunk and disorderly person in their shopping centre, they are the victims, and that has an impact on their behaviour.

[Victoria Atkins]

That is the finding of the Office for National Statistics. We have to work on the evidence; that is the way in which we formulate policy. It is a great shame that the hon. Lady was not able to join the briefing session I held yesterday for colleagues from across the House, to update them on our actions to tackle serious violence. She would have seen the range of activity going on, not just in London but across the country, to tackle crime and the causes of criminal activity. Although the statistics are very worrying at the moment—that is why we are acting as we are—it was acknowledged yesterday in the meeting that there is a cyclical element to them. We saw similar spikes in serious violence in the mid to late 2000s. We bore down on them, and we need to ensure that our actions have a similar impact.

In our serious violence strategy, we put a much greater focus on steering young people away from crime while continuing to promote a strong law enforcement response. We are investing in early intervention projects—my hon. Friend the Member for St Ives (Derek Thomas) made that important point. I am delighted to tell the hon. Member for Batley and Spen that West Yorkshire is receiving more than £1 million until March next year to allow the police, community safety partnerships and others to work together on a programme of early intervention projects to prevent serious violence in the county.

We have also launched the national county lines co-ordination centre, and its work has produced huge benefits; in a single week in May, there were 586 arrests, and 519 vulnerable adults and 364 children were engaged with for safeguarding purposes. I am sure that many colleagues are conscious of the exploitation of young people by criminal gangs. On serious violence, we are looking at how gangs communicate in the 21st century and helping the police to tackle gang-related activity on social media.

We recently passed the Offensive Weapons Act 2019, which tightens up the law on the sale of knives and corrosive substances. We are in the middle of a consultation, to which I encourage hon. Members to respond, on a new legal duty to underpin a public health approach to tackling serious violence. We have introduced a new £200 million youth endowment fund that will be delivered over 10 years. It is locked in. That money will be invested, and it will support long-term interventions with children and young people at risk of involvement with crime and violence. We are conducting an independent review of drug misuse, which will report its initial findings to the Home Secretary in the summer.

As colleagues have mentioned, we have established vehicle theft and burglary taskforces to bring together Government, the police and industry in order to improve our response to those crimes. With reference to burglaries, we are looking at building standards and whether we can design out crime, as has happened in the past with vehicle theft. We continue our work with moped-enabled crimes; in London there has been a heartening decrease in that type of crime. That shows that working across civil society, industry and local authorities can really bring dividends. Colleagues will also be aware of the announcements about retail crime we made recently with regard to the Offensive Weapons Act. I very much hope that we will be able to announce the results of that consultation in due course.

Hon. Members also mentioned the impact of antisocial behaviour. We absolutely recognise the impact that forms of antisocial behaviour can have, which is precisely why we introduced the Anti-social Behaviour, Crime and Policing Act 2014. The point of the six powers in that Act is that they are flexible and give local forces and local authorities discretion in how they deal with instances and patterns of antisocial behaviour in their areas.

In summary, we very much recognise the impact of crime on not just big cities, but market towns, urban towns, if I am allowed to use that phrase, and villages. That is precisely why, as well as putting in place the suite of measures that we have touched on in this important debate, we have secured an extra £1 billion of funding for the police. That is already enabling police and crime commissioners, including in West Yorkshire, to increase the recruitment of police officers.

As always, I thank hon. Members for their contributions. I very much look forward to debating this issue again in the future. I think we all recognise that concerns about the safety of our constituents and our communities are central to our work here, and to our taking a collegiate approach across the House to ensuring that our country is a safe and comforting place in which to live.

Modern-day Slavery

Debate between Siobhain McDonagh and Victoria Atkins

Tuesday 9th October 2018 Westminster Hall

[Victoria Atkins]

I will write to my hon. Friend on that. She will appreciate that the workings of the police transformation fund certainly cannot be explained in just two minutes.

I will move on to the international picture. The Prime Minister launched the global call to action to end modern slavery at last year’s UN General Assembly, with more than 80 countries now endorsing that pledge. It is an extraordinary, worldwide commitment that shows that those countries are determined to join us in tackling this terrible crime. We are supporting our international efforts with more than £200 million of UK aid, and we work closely with the countries from which the highest number of victims are trafficked to the UK. Later this week I will meet the Albanian Minister for human trafficking to build on our co-operation and to agree how we can continue to work together to tackle this abhorrent crime.

To answers the questions asked of me, first, Mr Hyland always struck me as being very independent as our Independent Anti-slavery Commissioner; I am always amused when it is suggested that he was not. Our recruitment of his successor is ongoing, and we are obviously keen to get the right person for the job as quickly as possible.

I am conscious of time, so if the hon. Member for Stoke-on-Trent Central will forgive me, I will write to him on the other points. I thank him for securing this important debate, and I very much hope that we will have the chance to debate this issue again soon in another Chamber.

[Siobhain McDonagh (in the Chair)]

Gareth Snell has about 30 seconds to wind up the debate.

Oral Answers to Questions

Debate between Siobhain McDonagh and Victoria Atkins

Thursday 29th March 2018 Commons Chamber

[Victoria Atkins]

I thank my hon. Friend for his question. He has been an ardent campaigner on this point, not least, I suspect, because so many of his constituents are Hindus. We are rightly proud of our domestic anti-discrimination legislation, which provides one of the strongest legal frameworks in the world, and I have very much taken his comments about timing on board.

[Siobhain McDonagh (Mitcham and Morden) (Lab)]

8. If she will discuss with the Secretary of State for Health and Social Care steps to ensure the welfare of women receiving IVF treatment.