NHS Long-term Workforce Plan

Debate between Stella Creasy and Steve Barclay

Monday 3rd July 2023 Commons Chamber

[Steve Barclay]

I hope my right hon. Friend is pleased to see the measures we are taking with the Lord O’Shaughnessy review on clinical research trials to make it easier and faster to do research in the NHS. That in turn attracts private investment to the NHS. He will have seen the announcement I made on Tuesday of £96 million for 93 different research projects, such as at Great Ormond Street Hospital, where we have allocated £3.5 million for research into rare conditions in children. That translates into research that is then deployed, usually in adults. We are investing there, and we are screening 100,000 children through Genomics England. We have got a deal with Moderna and BioNTech so that we can have bespoke cancer vaccines. On Monday, we rolled out national lung cancer screening. Previously, in our most deprived communities we were detecting lung cancer late—80% were diagnosed late—but in those pilots we turned that on its head with 76% detected earlier.

I know that my right hon. Friend, as a former Chair of the Public Accounts Committee, will agree that by detecting earlier, not only are patient outcomes far better but treatment is far cheaper, whether that is for lung cancer or through our innovation on HIV screening in emergency departments picking up HIV in people who do not realise that they have it. When we treat it early, the patient outcomes are better, and it is fiscally much more sustainable. That is how we will address some of his concerns.

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

The Secretary of State could do something now—not in eight years’ time—to relieve the pressure on our NHS, and it has nothing to do with pension funds. Figures from the Royal College of General Practitioners show that 53% of GPs think they cannot work in a flexible way to balance family and work commitments. It is little wonder that GPs aged 35 to 44 are the biggest group on the retention scheme who are leaving the profession—it does not take a rocket scientist to work out that it is the mums.

When I asked the Secretary of State’s Department what he was doing to monitor flexible working and whether we are getting roles that people can do—not just sitting with their 16 hours but finding ways to work and balance family—it said that it did not monitor the situation. It was not even looking at it. We are losing brilliant staff and wasting billions of pounds, and we will have a delay before our constituents see the benefit of any workforce plan unless that changes. I have listened to him and looked at the statement that does not make a single mention of childcare, although he did refer to it in passing. What will he actually do not just for retirees but for doctors with families to get them back into the NHS so that we can all benefit?

[Steve Barclay]

I think there is actually a lot of agreement between the hon. Lady and I. She talked about the plan, and having read it a number of times—that is part of my role—I know that childcare is specifically referred to in the summary, no less, in terms of the key issues that it goes on to set out. It goes into detail about our proposals, including linking up to the NHS people plan and greater flexibility in terms of roles and people retiring. One aspect of the NHS Staff Council deal is the expansion of pension abatement rules. So there is a huge amount.

The hon. Lady calls for more flexibility. I set out a number of the areas, and she does not seem to realise that there are three sections to the plan, with the second being all about giving greater flexibility to help retain our staff. So the plan addresses the points she raises; that just does not seem to be the answer she wants to hear. As for flexibility being important to mums, yes it is, and the NHS has a largely female workforce, but it is also important to dads. It is important to all NHS staff that we have that flexibility.

EU Withdrawal Agreement: Legal Changes

Debate between Stella Creasy and Steve Barclay

Monday 7th January 2019 Commons Chamber

[Stephen Barclay]

I very much recognise the point that my hon. Friend is making. I shall pick out one example from among many. It relates to data, which is extremely important within the service economy. Those who say that in the event of no deal we will go to WTO rules and that that will be completely benign have not, from what I have seen, addressed the question of what that would mean to service businesses in terms of data adequacy and how data would flow. There are many other examples, but that is one that would apply specifically to the service economy. I know from my discussions with my hon. Friend that he is well aware of what the impact would be on manufacturing in his own constituency as well.

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

I have to confess to the Secretary of State that I am sad to see that he is answering this urgent question rather than the Prime Minister, because it would have been helpful to understand how, in the light of the NHS 10-year plan, our becoming the largest purchaser of fridges in the world fits into those effective, value-for-money spending plans. He can redeem himself to the House today, however, by answering the question that was clearly put to him by my hon. Friend the Member for Wirral South (Alison McGovern) about the legal reassurances that we have been told will change all our minds on this deal. When will Parliament have an opportunity to read them? Will it be before the debate starts on Wednesday? Yes or no?

[Stephen Barclay]

I did try to address that in my opening remarks. I said that we would update the House as part of the upcoming debate, and we have set aside a significant number of parliamentary hours in which to do that. I know the hon. Lady well from our time on the Public Accounts Committee, and I am not sure that any legal assurances secured by the Prime Minister would be enough divert her from her desire for a second referendum. I have made it clear that we will update the House this week on the further discussions that the Prime Minister has had.

Oral Answers to Questions

Debate between Stella Creasy and Steve Barclay

Tuesday 8th May 2018 Commons Chamber

[Stella Creasy]

The NHS already has 34,000 nursing vacancies. Given that there has been a 97% drop in nursing applications from the EU and that studies show that nearly half of all hospital shifts include agency nurses, will the Minister at least admit that cutting the bursary scheme has been a false economy for our NHS?

[Stephen Barclay]

It is not a false economy to increase the supply of nurses, which is what the changes have done. Indeed, they form part of a wider package of measures, including “Agenda for Change”, pay rises and the return to practice scheme, which has seen 4,355 starters returning to the profession. More and more nurses are being trained, which is why we now have over 13,000 more nurses than in 2010.

--- Later in debate ---

[Stephen Barclay]

I very much welcome the progress that my hon. Friend has shared with the House. Many of us will also want to pay tribute to his leadership during his time at the Department in recognising the opportunity for reconfiguration that the capital would unlock and is now delivering.

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

T5. On 21 March, the Secretary of State told the House that he would look at the impact of private finance initiative deals on NHS hospital budgets. What has he done since then? How many meetings has he had about the issue? Will he commit not to use PF2 deals, given the concerns?

Private Finance Initiative

Debate between Stella Creasy and Steve Barclay

Thursday 23rd June 2011 Westminster Hall

[Stephen Barclay]

My hon. Friend is absolutely right. It is helpful for the Minister to look at that example as a benchmark.

Secondly, although I am conscious of time, I want to cover the public sector comparator. Hon. Members have touched on the fact that it has often been flawed, because the PFI was a way of taking deals off the balance sheet and it was the only show in town, but there have been other imperatives. There was a regulatory imperative—not to mention, with a lot of marginal seats in the north-west, a political imperative—to go ahead with the Manchester incinerator, even though it was, at 350 base points, over and above the 300 threshold that the Treasury had at the time. Likewise, there was a defence imperative to go ahead with the air tanker contract, which was appalling value. The existing fleet was falling apart and there was no fall-back position, so there was a defence need for that contract to go ahead. It would be interesting to get from the Minister a sense of the extent to which guidance has changed to guard against some of those risks, and how we as a House get visibility of whether a viable fall-back position has been developed for some of those 61 contracts.

Thirdly, specifically on defence, the response in the Treasury minute of December 2010 is a little ambiguous. It says:

“The Government does not agree with the Committee’s conclusion…on the applicability of PFI to Defence, but agrees with the Committee’s recommendation.”

It will be interesting to see how guidance on defence PFIs will be refined.

I welcome the appointment of David Pitchford in connection with the major projects defence review. That will be useful in addressing some of the problems we see with these contracts, such as their long-term nature and the increased costs.

[Stella Creasy]

rose—

[Stephen Barclay]

I will give way, but I wish to allow time for my hon. Friend the Member for Warrington South to speak.

[Stella Creasy]

Briefly, does my colleague on the Public Accounts Committee share my concern that Mr Pitchford has said that he was not looking at PFI as part of his work in the Major Projects Authority? That seems to have been an oversight.