(7 years ago)
Commons ChamberI welcome the spirit in which the hon. Gentleman makes his comments. It is fair to say that we are hearing exactly the same sort of plea from local authorities, which are at the front end of dealing with this problem. He is absolutely right that we need to separate the short-term pressures from the long term, and we ought to be able to have a more sensible conversation on the long-term pressures. Yes, let us save the politics for the short term and have consensus for the long term.
I appreciate the opportunity to speak, Mr Deputy Speaker, as I missed the beginning of the Minister’s statement—my apologies. I concur totally with what a number of colleagues have said about the issues in the here and now. At the minute, there are significant issues for a lot of councils and a lot of care homes that cannot wait for a few years. The here and now must therefore be the priority.
I have two points to make on that. The first is negative and I would like the Minister to take it back to the Chancellor. I call on the Government to make a public commitment to fund the back-pay bill for sleep-in carers. I do not know how many colleagues know about this issue, but if it is not sorted very soon, a number of very reputable charities and organisations are likely to go bust. On a positive note, I wonder whether the Minister has read the recent BMJ report that indicated how exercise can be a significant miracle cure for older people. May I meet the Minister to share the report with her?
I would be happy to meet the hon. Gentleman; I am always looking for solutions. He is absolutely right that if we can look after our own wellbeing—both physical and mental—more effectively, the need for care will diminish. That is another reason why we need to have this public debate. Like the hon. Member for Birmingham, Erdington (Jack Dromey), the hon. Gentleman has mentioned sleep-ins. It is a big issue, but we are working closely with the sector to make sure that we can address it.
(10 years, 3 months ago)
Commons ChamberAbsolutely. This comes back to the issue of challenging trusts as to whether the car parking charges are fair. We have had push-back from a number of trust managers who say that it costs money to operate and maintain the car parks, partly because of some of the PFI contracts that have been mentioned. It is simply not good enough, however, for hospital trusts to pass on costs to staff and vulnerable patients when they need to be more challenging about how they manage their finances and not simply take from the patients. Nor is it enough for trusts to argue that charges are reasonable for their area. That is like writing an open cheque and allowing London hospitals to levy extremely high charges. It simply is not good enough. There is, in effect, a parking lottery in the NHS, with some patients able to access health care without any charge for parking their car, while others pay extremely handsomely for the privilege. I find that scenario completely incompatible with an NHS that should be free at the point of use.
I was shocked to discover that 74% of hospitals make more than £500,000 a year from their car parks, and even more shocked that more than 40% raise more than £1 million. I recognise that there are many reservations about the removal of car parking charges because of the amount of revenue received, but I do not buy it: I think there is lots more that hospital trusts can do to replenish any gaps that might occur in their revenue as a result of removing car parking charges.
I want to refer to my own local trust of Basildon in that regard. Some will know that Basildon has a very troubled history. It was one of the hospitals that went into special measures following the inquiry into Mid Staffordshire and it has had very high death rates. In the past year, however, since a change of leadership in the hospital trust, it has made massive advances, and it was the first to come out of special measures.
One of the things that the new chief executive has done is to recruit 200 new nurses, and in doing so she has managed to cut the pay bill because she is no longer relying on agency staff. We can all find other ways of replenishing the money that might be lost as a result of reducing car parking charges—not least, I might add, through some patients getting better quicker because they will get more visits from their families. That makes perfect sense to me.
I thank my hon. Friend for giving way and for facilitating this very important debate. One area she has not yet touched on is the impact on built-up areas such as the one surrounding Eastbourne district general hospital. The car parking charges at the DGH are really quite high, so instead of using the car park people are parking around and about, which is making it very difficult for residents. If it is done badly, it is bad for residents—