Health Care (London)

Debate between Stephen Pound and Mary Macleod

Wednesday 8th January 2014 Westminster Hall

[Mary Macleod (Brentford and Isleworth) (Con)]

I congratulate the hon. Member for Westminster North (Ms Buck) on securing this important debate. I will keep my comments brief because I want to be fair to other Members who want to speak, not because I do not care deeply about this subject. Previous speakers have talked ably about a lot of the statistics, so I do not need to go over them.

I was actually born in a London hospital, across the river in St Thomas’. I was pleased to go there again recently to visit my hon. Friend the Member for Bournemouth East (Mr Ellwood)—I hasten to add that I was visiting the maternity ward because his wife had given birth to their new son, Oscar. It was lovely to be back at St Thomas’, albeit after so many decades.

Some important issues have been raised in the debate. Health care is critical to all of us—it touches each and every one of us, our loved ones and our constituents. It is crucially important and we must get it right. In London, there are specific problems, as has been said.

I was pleased that in 2010 the Government made £2.7 billion extra available in real terms in the NHS budget across the UK. That has allowed us to have 440,000 more clinical staff, and we also have 23,000 fewer administrative staff, including 7,700 fewer managers. That was absolutely the right approach and what the NHS needed.

The average stay in hospital is shorter than in 2010, although that puts pressure on community care, so we must make sure that that is dealt with. The cancer drugs fund is also critical to the debate, and we have helped more than 38,000 patients through it.

The debate is about London and the issues specific to this great city. In my constituency, in west London, the key health care issues tend to be focused on tuberculosis, obesity—including in children—diabetes and alcohol-related harm. As Members might expect, we have above average problems with healthy eating, given the issues with obesity. Other issues include smoking during pregnancy, smoking deaths and skin cancer. There are therefore specific issues in west London, and I will focus on them.

In my constituency, we have one main hospital—the West Middlesex university hospital, where two thirds of my constituents go when they need to. My Chiswick residents—about a third of my constituents—tend to go to Charing Cross hospital. I want to reiterate what previous speakers have said: we have some excellent patient care and services across our London hospitals, but there are, absolutely, also areas we should focus on.

The West Middlesex has outstanding maternity and midwifery services. One of the best parts of our job as Members of Parliament is rewarding people who have done incredible work in the health service, whether they are clinicians or support staff, and I recently handed out awards at the West Middlesex, which is ably led by Dame Jacqueline Docherty.

I also want to pay tribute to London’s air ambulance service. During the Christmas period, there was a fire and a massive explosion in Chiswick, and the air ambulance was called. The service deserves as much support as possible, because it serves 10 million residents in London, and it has only one helicopter. It is world class, providing high-trauma, acute care. Everywhere else around the country has one helicopter for 1.5 million people, but the figure in London is 10 million, so there is an absolute need for another helicopter. I would push everyone to support the London air ambulance service, which has its 25th anniversary tomorrow.

[Stephen Pound]

I entirely agree, and I think most of us would associate ourselves with the hon. Lady’s comments on the London air ambulance, but does she not agree that it might be better if it were run by the state, instead of relying so much on charity?

[Mary Macleod]

The London air ambulance service is an amazing organisation, so I would not change its structure. It rightly gets some funding from the NHS, but it also derives funding from many other sources, and it is important that we support that. The service does an incredible job, so if the hon. Gentleman knows anyone who can give it a spare helicopter, it would really appreciate that.

My local CCG is chaired by Dr Nicola Burbidge. It started early, it has been absolutely focused on patients and it has been very responsive to any issues I have raised with it.

On reconfiguration, I was recently thankful when, after a lot of campaigning by my hon. Friend the Member for Chelsea and Fulham (Greg Hands) and others, the Secretary of State announced that the A and E at Charing Cross hospital would not be closed, thus helping residents in my part of London. Saving lives and improving patient care is paramount.

Succession to the Crown Bill

Debate between Stephen Pound and Mary Macleod

Tuesday 22nd January 2013 Commons Chamber

[Mary Macleod]

I have no knowledge of whether those discussions have taken place, but I am sure that the Minister will respond in due course.

As we have discussed, succession to the throne is currently based on the principle of male primogeniture, according to which male heirs take precedence and the right of succession belongs to the eldest son. However, many countries, including Sweden, Norway, Belgium, Denmark, Luxembourg and the Netherlands, have already changed that so that the right of succession passes to the sovereign’s eldest child, irrespective of gender. I believe it is now time for change in this country, too, especially when former female monarchs have played an outstanding role in our history and at a time when women are playing such an important role in society. There is agreement among the general public that the rule of primogeniture in particular should change, thereby showing that the monarchy is continuing to adapt to modern times.

There have been many attempts to amend Crown succession over the years—one parliamentary paper lists 12 private Members’ Bills, from Members in all parts of the House, that have attempted to do so since 1979. Therefore, this is a Bill that can be supported by many Members of the House across the different parties. As has been mentioned, the marriage of His Royal Highness Prince William and Kate Middleton and their subsequent announcement that, God willing, they will have a child in six months’ time, provides further impetus to make these changes once and for all.

Some have commented on the timing and the process of change of which this Bill is a part, but since this issue was raised—many raised it in years gone by before it was raised at the meeting in Perth on 28 October 2011—there has been a process of external discussion and debate for the last 15 months. As we can see, the Chamber is not full today, and I hope that everyone who wishes to speak will get a chance to do so. I therefore feel that there has been appropriate time to consider the issues, given the scope of the Bill.

In today’s modern world, where there is a conscious focus on equal opportunities and breaking the glass ceiling, it would seem realistic to expect that the succession principle will be challenged. The Government have done a lot of work trying to get more women on boards, more women in Parliament and more women to set up businesses and, of course, we have had a female Prime Minister.

[Stephen Pound (Ealing North) (Lab)]

You just lost me.

[Mary Macleod]

I am sure that we all draw reassurance from the fact that we have had a great female Prime Minister, who achieved many things for this country.

An important purpose of the Bill is to show the importance of the role of women across the land, in the monarchy and elsewhere. It sets an example. It is time for a change and we should make that change now. I am sure that the general public will join me in wishing the monarchy of this country many more centuries of success and prosperity.