Oral Answers to Questions

Debate between Steve Barclay and Alex Cunningham

Tuesday 11th July 2023 Commons Chamber

[Alex Cunningham (Stockton North) (Lab)]

5. What steps he is taking to tackle vaping by young people.

[The Secretary of State for Health and Social Care (Steve Barclay)]

The hon. Gentleman raises a point of concern across the House that we recognise. That is why we have already taken action, through £3 million to crack down on those selling vapes illegally to children, closing the loophole that allowed free samples to be offered to children, and our call for evidence, so that we can examine what further measures we can take, particularly on the concerns about disposable vapes, which are prevalent among children.

[Alex Cunningham]

That is helpful, but Labour proposed a new clause to the Health and Care Bill that would have given the Government the primary powers needed to stop the use of sweet names such as gummy bears and Skittles, bright colours and cartoon characters on packaging and labelling of e-cigarettes. The Minister will agree that such promotion aimed directly at young people is highly unacceptable and takes us back to the worst days of cigarette advertising. If the Government are so committed to acting in this space, why did they vote down that new clause?

[Steve Barclay]

As I say, we have already taken action. We took measures in April, and the Prime Minister announced further measures in May. We are keen to follow the evidence. That is why we have had a call for evidence. The ministerial team are looking extremely closely at this, and we will take further action to clamp down on something that we all recognise is a risk to children, which is why we are acting on it.

Oral Answers to Questions

Debate between Steve Barclay and Alex Cunningham

Tuesday 6th June 2023 Commons Chamber

[Steve Barclay]

I am very happy to confirm that it is the largest investment in Swindon facilities. My hon. Friend is right to draw the House’s attention to the £26 million investment in A&E and the £23 million investment in radiotherapy. It is a tribute to his championing of the need for those facilities in Swindon that the NHS has responded and this capital funding has been provided.

[Alex Cunningham (Stockton North) (Lab)]

I have seen the wide smiles in the pictures of the Prime Minister, former Health Secretary and other MPs who have been happy to visit North Tees hospital in my constituency, where health inequalities are some of the worst in the country. They know that it is not fit for purpose, so why on earth have the Prime Minister and his Health Secretary turned their backs on the dedicated staff there and rejected their bid to replace our rundown hospital?

[Steve Barclay]

The hon. Gentleman seems to have missed the £12 billion record investment in capital across the NHS, the investment in the NHS app, the investment in tech—

[Alex Cunningham]

That is not North Tees. You cancelled it 13 years ago.

[Steve Barclay]

No, the technology programmes are national programmes that cover everyone, including North Tees. It is slightly odd to suggest that one place alone in the country would be exempt from a national programme; that is simply not the case. We are making record investment, including over £20 billion in the new hospital programme and 160 diagnostic centres and 43 new surgical hubs this year.

Junior Doctors’ Strikes

Debate between Steve Barclay and Alex Cunningham

Thursday 30th March 2023 Commons Chamber

[Steve Barclay]

I agree with my hon. Friend that we need to do both: we need to get inflation down, recognising that has an impact across the whole workforce, including for those working within the NHS itself, and we need to recognise the real pressure that junior doctors and others within the NHS have faced. That is why we stand ready to have meaningful and constructive talks with junior doctors, in exactly the same way as we have had with midwives, nurses and others within “Agenda for Change”. We must balance the wider issue of inflation and what is affordable to the economy against recognising the real pressures the NHS has faced and responding to that, including for junior doctors.

[Alex Cunningham (Stockton North) (Lab)]

The Secretary of State cannot blame the Opposition for his mess. Nearly every day I retweet ads from the local NHS trust, which is trying desperately to recruit doctors and other staff. Does he accept that pay is a key factor in the large number of vacancies within the NHS, and will he do something to sort that out?

[Steve Barclay]

I accept that pay is an important factor. It is not the only factor—the estate and technology are also important. There is a range of issues. That is exactly the conversation I had with the trade unions representing “Agenda for Change”. We discussed with them both changes to pay and the non-pay measures. There are a range of factors, and we stand ready to have those discussions with junior doctors. However, they have chosen to take a more political, militant stance, in contrast with the approach that other trade unions have pursued.

Oral Answers to Questions

Debate between Steve Barclay and Alex Cunningham

Tuesday 27th April 2021 Commons Chamber

[The Chief Secretary to the Treasury (Steve Barclay)]

I agree with my hon. Friend. The Government are committed to levelling up opportunities across the UK, including in Rother Valley. The £4.8 billion levelling-up fund will invest in infrastructure that improves everyday life across the UK, including by regenerating town centres and high streets, upgrading local transport and investing in cultural and heritage assets. I look forward to working with him for his local area.

[Alex Cunningham (Stockton North) (Lab) [V]]

Will the Minister guarantee the future of the steel industry in Hartlepool? [Interruption.] Anybody will do.

Oral Answers to Questions

Debate between Steve Barclay and Alex Cunningham

Thursday 16th May 2019 Commons Chamber

[Stephen Barclay]

I fear that we are straying slightly into territory that is not primarily relevant to the legislation we will be considering after the recess. My gym attendance is a bit like my television viewing: a little non-existent at present. The point is that we as a House know that we need to confront not just the issue of the legislation in the withdrawal agreement but the consequences that would flow from it. When I gave evidence to the Lords Select Committee yesterday, in the usual joyful comments to which my social media feeds are accustomed, people seemed surprised that if we do not leave the EU with a deal, the House will need to face a choice as to whether it then leaves without a deal or whether Members of this House, as they have done with no deal before, seek to prevent that and seek to revoke such an outcome. I do not think that that is a revelation, although it seemed to be greeted as one; I think it is simply a statement of fact and logic, and Members of the House need to confront that when they consider the withdrawal agreement Bill that comes before the House after the recess.

[Alex Cunningham (Stockton North) (Lab)]

T2. It is three years since the EU referendum and the chemical industry on Teesside and beyond is still nervous about the future. That is having a major impact on jobs and investment. Time and again, I have raised this issue with Ministers, and time and again they have failed to provide the assurances needed; what has the Brexit Secretary got to say now?

Oral Answers to Questions

Debate between Steve Barclay and Alex Cunningham

Thursday 28th February 2019 Commons Chamber

[Alex Cunningham (Stockton North) (Lab)]

1. What progress the Government have made on cross-party talks on potential changes to the withdrawal agreement and political declaration.

[The Secretary of State for Exiting the European Union (Stephen Barclay)]

As this is my first opportunity to do so, may I pay my tribute to the former hon. Member for Newport West? Paul Flynn was a true parliamentarian and he was respected across the House.

The Prime Minister, supported by the Chancellor of the Duchy of Lancaster and others, has met and continues to meet MPs from across the House to understand what will command the confidence of the House. Those discussions are ongoing.

[Alex Cunningham]

I pay my compliments to Paul Flynn. He was a lovely man. He put his arm around quite a few of us in the early days when we were new Members.

We have had months of no progress or compromise on the deal from either the UK or the EU, but there has been some good news. Donald Tusk said that the letter from the Leader of the Opposition offered a “promising way forward” to solve the Brexit impasse. Surely the Secretary of State agrees that this could be the basis for cross-party talks, and that we could crack the need to protect jobs, trade and rights, and even help the Irish border question, through a comprehensive customs union?

Oral Answers to Questions

Debate between Steve Barclay and Alex Cunningham

Thursday 24th January 2019 Commons Chamber

[Alex Cunningham (Stockton North) (Lab)]

16. What recent assessment he has made of the potential merits of negotiating a permanent customs union between the UK and the EU.

[The Secretary of State for Exiting the European Union (Stephen Barclay)]

A customs union would not respect the referendum result. On this side of the House, we are intending to respect that result.

[Alex Cunningham]

The statutory instrument covering the registration, evaluation, authorisation and restriction of chemicals—REACH—regulations relating to chemical production on Teesside and elsewhere is inadequate, according to the industry. Surely a comprehensive customs union, which has been described by the director general of the CBI as a “practical real-world answer”, would solve such complex problems.

[Stephen Barclay]

The hon. Gentleman might see the approach to this as one of managed decline—

[Alex Cunningham]

It is.

[Stephen Barclay]

Well, indeed he does, clearly, so he does not see the rich opportunity of an independent trade policy that backs our businesses to go out in the world and succeed, or the opportunities that they would have through a trade policy. In a way, this really goes to the crux of the issue, because there is a lack of vision among Labour Members. They cannot see the benefits of an independent trade policy, and are therefore willing to contract that opportunity out to the European Union and have no say in it.

--- Later in debate ---

[Alex Cunningham (Stockton North) (Lab)]

T6. When I met representatives of Doctors of the World yesterday, they told me that the EU workers on the Government’s new 12-month visa scheme will not qualify for the immigration health surcharge scheme. Will the Secretary of State confirm that that is the case and tell us what provision will be made for those people?

[Stephen Barclay]

I am grateful to the hon. Gentleman for giving me the opportunity to remind the House of the £20.5 billion extra that the Government are investing in the NHS. In terms of workforce and recruitment, which is key, I remind him that the Government have lifted the tier 2 visa for doctors and nurses as part of increasing recruitment. What matters is not just recruitment from the EU—we have already had an exchange about EU recruitment since the referendum—but the recruitment of doctors and nurses globally. We are very committed to doing that as part of a skills-based immigration system.

NHS Wholly Owned Subsidiary Companies

Debate between Steve Barclay and Alex Cunningham

Tuesday 6th March 2018 Westminster Hall

[The Minister for Health (Stephen Barclay)]

It is a pleasure to serve under your chairmanship, as always, Mr Hollobone. It is also good to see a number of Members from across the House in the Chamber to debate this important issue. I congratulate the hon. Member for Blaydon (Liz Twist) on securing this debate. I am pleased to be able to join her in discussing an issue that is of concern and interest to many in the House.

I understand that Gateshead Health NHS Foundation Trust established its wholly owned subsidiary company, QE Facilities, in 2014 to provide estates, building and engineering services to the trust and cleaning services to the new emergency care centre building. QE Facilities is a separate legal entity, which operates along commercial lines. It has separate governance arrangements and the ability to employ its own staff and deliver services to other organisations on a commercial basis. As the hon. Lady said, a number of staff from the Queen Elizabeth Hospital in Gateshead transferred under TUPE rules to the new organisation in December 2014. I will respond to her points.

A number of hon. Members raised the concern that what happened amounts to privatisation, but I must point out that the legislation enabling NHS organisations to create subsidiaries of this sort was put in place by the Labour Government in 2006. If it is privatisation, it is privatisation enabled by Labour legislation, and I do not think that is the way Ministers described it to the House at the time. The subsidiaries are also 100% owned by the trust, so they are within the NHS family.

It is right that the board of the Queen Elizabeth Hospital was able to use the powers enacted by the previous Labour Government. It did so because creating a subsidiary is, in its view, the most effective and efficient way of maintaining the trust’s hospital estate, which includes several new buildings. Again, that is consistent with the previous Labour Government’s approach, which was to allow local trusts to determine the best manner of managing their own estates.

[Alex Cunningham]

I do not care which Government provided the enabling legislation. Surely the Minister agrees that the intention was never to undermine the working terms and conditions of people within the NHS just to enable trusts to cut the amount of money they need to spend?

[Stephen Barclay]

I will happily address that. The hon. Member for Bradford South (Judith Cummins) also made that point and said that this is about exploitation. The hon. Member for Stockton North (Alex Cunningham) may not care whether the legislation was introduced by a Labour Government; I was merely drawing hon. Members’ attention to the fact that when the legislation was passed it was not described as privatisation. It is obviously a leap to describe the legislation as enabling privatisation when the subsidiaries are wholly owned by the NHS.

[Alex Cunningham]

I am grateful to the Minister for giving way again. The North Tees and Hartlepool NHS Foundation Trust said in its question and answer document that such an organisation could be taken over by another organisation—in other words, it could be privatised. This is one step along the way to the potential privatisation of all those services.

[Stephen Barclay]

The trust has stressed that the organisation remains in public ownership. Let me deal with the hon. Gentleman’s substantive point—it was also raised by the hon. Member for Bradford South— that this is about exploitation. I discussed that point with the trust ahead of the debate.

Previously, the trust had difficulty in attracting and retaining quality maintenance staff because the salaries paid in the local market were about £19,000 per annum. Under the subsidiary company, multi-skilled craftspeople are employed at about £25,000 per annum, plus a performance bonus, attracting better-qualified staff and ending retention issues, in exchange for the fact that they do not have access to the NHS pension.

--- Later in debate ---

[Stephen Barclay]

I do not know whether we are moving away from the subject to a wider debate about finance, but the Chancellor’s Budget settlement makes the Government’s finance commitment clear. The fact is that the issue of subsidiary companies is about using the resources of the NHS in the most efficient manner. That is the view not just of the Government and of the previous Labour Government, but of the trust itself. It is delivering a better outcome for patients and delivering savings—I repeat, the savings accrued go to the benefit of the trust that owns 100% of the subsidiary. It is a shame that those on the Labour Benches seem to want to deprive staff of choice and opportunity. Staff are benefiting, and that is reflected in the staff survey.

I hope that in responding to the debate I have allayed a number of the concerns of the hon. Member for Blaydon about the setting up of subsidiary companies by trusts. I am sorry that there is such concern about the legislation put on the statute book by the previous Labour Government and that it is being deemed to be a form of privatisation.

[Alex Cunningham]

Does the Minister think it is fair for one of two different people in an organisation to receive a defined benefit pension scheme with a 50% contribution and the other to get 3% into a defined contribution scheme worth a fraction of the other in pension terms?

[Stephen Barclay]

Within the NHS as a whole—nothing to do with subsidiaries—there is a range of treatment of staff on pensions. First, there are the legacy pension arrangements for staff in previous schemes and, secondly, people opt out of existing pension arrangements in the NHS. Again, it is a complete mischaracterisation of this debate on subsidiaries to suggest that there are differences. The point, however, is that there are also differences in pay, as has come out of this debate: the maintenance staff for whom the trust is paying a premium can be paid so because of the subsidiary.

NHS Winter Crisis

Debate between Steve Barclay and Alex Cunningham

Monday 5th February 2018 Commons Chamber

[Stephen Barclay]

My hon. Friend is absolutely right. What he points to is the variance in performance between some of the best trusts, such as Luton and Dunstable, and other trusts. One of the key challenges is how we ensure that that best practice is better socialised across the NHS, because unlike Labour we recognise that it is not just about how much money we put into the NHS; it is what we get out for that money. Luton and Dunstable illustrates that point, and more trusts need to follow suit.

[Alex Cunningham (Stockton North) (Lab)]

North Tees Hospital staff are doing a great job of dealing with the winter crisis, but even they have been struggling this year. The trust says it is going to record its first ever deficit, because it cannot make the £18 million cuts demanded by the Government. Is the answer really to deprive it of more money or to have it set up a wholly owned subsidiary company to cut the terms and conditions of future staff?

[Stephen Barclay]

The hon. Gentleman’s trust has received an additional £1.6 million, so it is simply factually incorrect to say that its budget has been cut.