Health, Social Care and Security

Stella Creasy Excerpts

Wednesday 28th June 2017 Commons Chamber

[Amber Rudd]

I thank my right hon. Friend for his contribution. This may be something that the new commission for counter-extremism will want to look at.

Since 2015, we have had a Government-wide counter-extremism strategy, the first of its kind. At the heart of the strategy is a partnership with communities to make sure that we build on British values. We have published a hate crime action plan and funded additional security measures at more than 50 places of worship. We are also supporting 53 civil society groups that are confronting extremism in their communities.

However, defeating the evil ideology of extremism is one of the greatest challenges of our time, and there is more that we must be able to do. That is why we will have the new commission, which will support the Government to identify and eradicate extremist ideology in all its forms. Across society and online, we will work with communities, and public sector and civil society groups, to promote and defend our pluralistic values of democracy, freedom of belief and expression, the rule of law, mutual respect, and opportunity for all. The commission will advise the Government on what new powers might be needed to tackle the evolving threat. Work is under way on the design of the commission, and we will set out our plans in due course.

Turning to the future immigration system, the Gracious Speech included an immigration Bill that will allow the Government to end the EU’s rules on free movement of EU nationals in the UK, ensuring that we have the flexibility to create a fair and controlled immigration system. It will give us control over the numbers of people who come to the UK from the EU while welcoming those with the skills and expertise to make our nation better. What these rules look like will depend on the needs of the UK, and we are considering all the options of our future system very carefully. It is imperative that we understand what the impact could be on different sectors of the economy and the labour market, and that we make sure that businesses and communities have an opportunity to contribute their views on any future system. As now, new immigration rules will be subject to scrutiny by Parliament.

[Stella Creasy (Walthamstow) (Lab/Co-op)]

An issue that has been vexing many of my EU constituents who have been here for many years is whether the Government will admit that such people now face an income threshold if they wish to bring a family member here to the UK. Many of them who are on low incomes—for example, nurses who are in band 5 and on below £22,000—will not be able to bring a family member here. Will the Home Secretary confirm that, and is she going to investigate what impact it will have on public services?

[Amber Rudd]

The Prime Minister made her statement about the EU nationals earlier this week. I urge the hon. Lady to reassure her constituents who fall into that cohort that they maintain these rights until at least when we leave the EU in 2019, and then after that they will have two years in which to apply. I cannot give her any more detail than that in terms of the other rights, elements of which are subject to the discussions with the EU at the moment. However, I would say to her, and to other Members here, that the Prime Minister was absolutely clear that those 3.2 million or 3.4 million people are going to be allowed to stay. We are yet to have additional discussions with the EU about elements of these rights. I hope that Members here will take that message back to any concerned EU citizens in their constituencies.

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[Amber Rudd]

I am sure that the hon. Gentleman will have an opportunity to speak on health at the end of this debate.

We are determined to deliver the best Brexit deal to secure our future as we leave the EU. We are determined to enhance our standing in the world and bring our United Kingdom closer together, and intent on building a stronger economy and a fairer society, taking action to keep families, communities and our country safe.

[Stella Creasy]

rose—

[Amber Rudd]

I am not going to give way further. The hon. Lady will have a chance to make her own remarks later.

We will be challenging extremism, protecting the vulnerable, giving mental health the attention it deserves and improving social care for the long term, putting ourselves at the service of millions of ordinary working people for whom we will work every day in the national interest, setting out a programme for a Britain that works for everyone.

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[Rosie Cooper (West Lancashire) (Lab)]

The issues that I wish to discuss encapsulate how the Health and Social Care Act 2012 is, day by day, weakening the fundamental foundations of the NHS; they include disparities in salaries and pay rises, lack of scrutiny and accountability, severe deficiencies in financial governance with regard to public moneys, and an emerging culture in which bosses feel they can act with impunity.

When I asked the Prime Minister about pay rises given to the Liverpool clinical commissioning group board, that information caused uproar and disbelief in health circles and among the wider public. While frontline staff were subject to the pay cap, the board gave themselves increases of between 15% and 81%. The chair got a 50% increase, taking him to £150,000; a practice nurse got 62%, taking her up to £65,000; and the chief executive and the finance director got 15% each. The board had only two non-exec directors; one was paid £105,000—a 42% increase—while the other got £55,000, a 25% increase. Deloitte’s limited-scope review confirmed that there were serious failings in governance, conflicts of interests, and payments to the board and non-exec directors that fell outside existing guidance. Only the chair of remuneration has resigned. The whole board who gave themselves these pay rises have not been held to account at all.

I alerted Simon Stevens to a cavalier attitude to contracting, including in the Liverpool Community Health NHS Trust break-up, in which the CCG insisted on a clinically unsustainable contract figure of £77 million, and then hid behind weak, low-ranking NHS Improvement employees. The conduct of the CCG in these matters fell well below that which would be required in commercial circumstances and should be investigated.

I alerted NHS England to the CCG’s handling of the SSP Health surgery contracts. One of the failing practices was allocated to the CCG chair’s practice. Several other surgeries went to Primary Care Connect, an organisation that did not even exist when the bids for these surgeries were opened and had only one director, who happened to be a former GP member of the governing body. I have had complaints from right across the city about how this was handled. The CCG is cutting clinical funding to vital organisations, telling them, “Don’t talk about it because you’ll be biting the hand that feeds you.”

[Stella Creasy]

My hon. Friend is describing an absolutely shocking case, which is about the treatment of NHS workers in her constituency. She talks about people being told not to talk about it. Today we have heard this Government say that they have heard our message about the importance of proper pay in our NHS, and now they are trying to shut that down because they are frightened about the reaction on their Back Benches. Is that not a terrible indictment of how they intend to run our country?

[Rosie Cooper]

It is a terrible indictment; the NHS is doing exactly these things. The CCG employed a senior administrator, paid them £70,000, and then seconded them to the GP Federation—a private company. While giving itself huge pay rises, cutting cash to organisations, and making unilateral financial decisions that threw NHS organisations into crisis decision making, it still found £14,000 to sponsor a “women of the year” dinner. NHS England has indicated that the financial governance is poor, but not fraud, because the Health and Social Care Act was so loosely written in this regard. I ask the Secretary of State whether the Government intend to tighten the rules to prevent such outrageous decisions being made ever again. Highly paid auditors who passed each year’s accounts without qualification did not notice. The ultimate accountable body is NHSE; so far, it has investigated remuneration governance, not governance generally, and it has taken no action against the accountable officer, the finance director and the board, who have shown them themselves to be failing in their duties. To me, this says institutionalised dishonesty bordering on corruption.

Sadly, I believe that the NHS is now so used to fudging and mudging that not sticking to the rules is becoming acceptable practice. We need to recalibrate our response to bad behaviour and make sure that the people who show it are held to account. We need an independent, systematic investigation into Liverpool CCG—and indeed the wider Liverpool health economy. Will the Health Secretary ensure that Liverpool CCG is independently investigated, and that any failings are openly addressed to ensure that this cannot and is not happening elsewhere in the country? After all, this is our taxpayers’ money.

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[Stella Creasy (Walthamstow) (Lab/Co-op)]

Like my hon. Friend the Member for Dudley North (Ian Austin), I begin by thanking the good people of my constituency for returning me to this place. I pledge to continue to work as hard for them as I can.

We lost two good people of Walthamstow during the election period, and I want to pay tribute to them for their work in our local community: Eleanor Firman, who was a passionate campaigner, and Councillor Nadeem Ali, who had so much to give the country and whose life was brutally cut short. Both of them would have been joining me to look at this Queen’s Speech and asking what it could do for our local healthcare services. They would both have been passionate advocates for our campaign for the future of Whipps Cross hospital, 40% of whose buildings were built before the NHS came into existence. It treats 450 people every day at its A&E, the highest figure in the country. If ever there was a group of NHS workers who deserved a pay rise, it is the nurses and doctors there. That is why I and many others on the Opposition Benches are rightly furious when we hear the Government saying that they have got the message but see that they are not acting.

Over the past seven years, we have seen how austerity has torn the social and economic fabric of our country, and we can now see how threadbare things are. We look at the Queen’s Speech and see a need to echo the call for investment in policing. We have a massive amount of gang crime in Walthamstow, and the cuts that the Government are talking about simply will not help. Many of my constituents have raised deep concerns about education and school funding cuts, as they see teachers having to buy goods for their schools. They see the rising levels of personal debt and, like my hon. Friend the Member for Makerfield (Yvonne Fovargue), they are worried about that. They also see the sustainability and transformation plans ruining our NHS.

What is missing from this Queen’s Speech is as important as what is in it. The Government say that they are committed to equality, but many of us know that the fight for equality is not just about defending existing rights but about the advances that need to be made. It is women from Northern Ireland who will pay the price for the coalition deal that the Government have made unless we in this House speak up. The ruling in June this year was very clear that those women were being discriminated against as UK taxpayers in their access to abortion rights. The Secretary of State, whatever his personal views on the matter, has the ability to provide the funding to enable those women to access services here. Thousands of women have to travel from Northern Ireland, and I do not understand why a decision made in Belfast should influence what happens in my hospital in Walthamstow or in other hospitals across this country.

[Ian Paisley (North Antrim) (DUP)]

I respect the hon. Lady’s genuine interest in this subject, but it is important for the House to recognise that this is not a matter for Belfast; it is a matter for NHS England.

[Stella Creasy]

The hon. Gentleman and I are on the same side in agreeing that it is for English and Welsh MPs to decide what happens in English and Welsh hospitals. The Secretary of State needs to listen to the opinions of Members on both sides of the House and act accordingly.

[Tracy Brabin (Batley and Spen) (Lab/Co-op)]

Does my hon. Friend agree that the cost of an abortion for women from Northern Ireland, at around £900, is dividing the women who have money from those who do not, as well as adding greater stress for women having to make that difficult decision?

[Stella Creasy]

I completely agree with my hon. Friend. The fact is that those women are UK taxpayers contributing towards the cost of the NHS, yet they are unable to use NHS services at all when they are in England. That is the issue we have to resolve. I put the Secretary of State on notice: if he does not change his mind, there are plenty across this House who will support legislation to change it for him. I ask him to do the right thing and ensure that we have equal access to abortion for every UK taxpayer.

The same principle about what is missing from the Queen’s Speech applies to Brexit. I support calls to ensure that membership of the single market is on the table when we negotiate with our European counterparts. With 750,000 jobs in London alone dependent on it, and one in 10 of my neighbours being European nationals, the idea that we would take those issues off the table before we even start talking to our European counterparts seems crazy. The Secretary of State for Brexit says that Brexit will be as complicated as a moon landing. Certainly, many of us thought that he was on another planet, but the Government have to think again about crashing back down to Earth and damaging the economy and the lives of the people of this country through their approach to Brexit.

This country is clearly at a crossroads. There are divisions on many different issues, and there is no doubt that Britain is facing some real horrors. We have seen the horrific events at Grenfell Tower, and the terrorist attacks at Finsbury Park, London Bridge and Manchester. We have a choice: we can either offer this country hope and certainty about what happens next, or we can continue to be divided. We on the Opposition Benches are clear that those who argue that we cannot settle our differences through democracy at the ballot box are wrong. I believe that there is a responsibility on all of us to show every community that their concerns will be heard, and that their causes will be equally valued and listened to. It is certainly my intention to do my bit during this Parliament to make that happen. That is why I have tabled my amendment, and I am so pleased that Members throughout the House have supported it. I hope that Members will continue to listen to the arguments, put personalities aside and start looking at good policies, because the people not only of Walthamstow and Northern Ireland but of Great Britain need and deserve nothing less.

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[Mr Hunt]

Let me tell the hon. Gentleman that our manifesto was very clear: it referred to an extra £8 billion for the NHS, funded by the strong economy that Labour can never deliver.

When the hon. Gentleman talked about problems in the NHS, and problems in care in the NHS, it sounded as if all those problems had started with the Conservatives. He did not mention the most challenging and difficult problem that his party left behind: the legacy of atrocious care at Mid Staffs, Morecambe Bay and many other trusts. Unlike the last Labour Government, we did not sweep those problems under the carpet. We did the opposite: we introduced the toughest inspection regime in the world. Thirty-five trusts went into special measures, and 20 exited from those special measures. Wrexham Park, George Eliot, Hinchingbrooke, Cambridge, Morecambe Bay, Tameside and East Lancashire went from special measures to good standards. The proportion of NHS patients who say that their care is safe has never been greater.

[Stella Creasy]

On a point of order, Mr Speaker. The Secretary of State has just announced a consultation on access to abortion in English hospitals, but as far as anyone is aware, no such consultation exists. Can you inform us whether there will be a written statement on the consultation, given that Members on both sides of the House are concerned about the issue and no information has been given, and whether we will be allowed to test the will of the House on the matter?

[Mr Speaker]

I have had no notification on that subject, but knowing the hon. Lady as I do, I feel sure that she will return to it before long.