(10 months, 3 weeks ago)
Commons ChamberI would have thought the hon. Lady would welcome the fact that we are able to legislate. For so many years, Members of this House called for the ability to prevent live exports, but we were not able to do so. Where I agree with her is on Mr Deputy Speaker’s support for animal welfare, which is recognised across the House.
I want to take a moment to acknowledge Members who have championed this important issue over a number of years, which speaks to the hon. Lady’s point. In particular, I recognise my hon. Friend the Member for South Thanet (Craig Mackinlay), who has repeatedly lobbied on this issue and, indeed, in 2016 proposed a private Member’s Bill to amend the Harbours, Docks and Piers Clauses Act 1847 to allow ports and local authorities to ban live exports.
I recognise my right hon. Friend the Member for Chipping Barnet (Theresa Villiers), who also actively championed a ban, including, in 2017, tabling a private Member’s Bill to prohibit live exports. Although her proposals did not make it on to the statute book, they reminded the House of the public concern on this important issue and, indeed, helped to lay the groundwork for the Bill before us today.
I also pay tribute to my hon. Friend the Member for West Dorset (Chris Loder) who has championed this issue both within the Department and within this House. Indeed, there have been numerous debates during which many Members on both sides of the Chamber have spoken passionately about ending live exports, reflecting the strong support in the country for a ban.
I also thank the tireless campaigners whose efforts have helped to raise awareness of this issue among hon. Members and the wider public, particularly the RSPCA and Compassion in World Farming, which have both actively campaigned on this issue over many decades, as well as World Horse Welfare, which was founded in 1927 to stop the export of horses for slaughter.
Live animal exports have been a focus of campaigning by animal welfare charities for more than 50 years. Indeed, in the 1990s, when millions of animals were exported for slaughter each year, several legal challenges sought to ban live exports. These challenges were unsuccessful, not least because, as a member of the EU, we were bound by EU rules on animal welfare during transport, which prevented the House from acting.
I thank the Secretary of State for chatting to me earlier. The export of live animals somewhat suggests travel by sea and, because we do not have an abattoir on the Isle of Wight, we have to export animals to the UK for slaughter before bringing them back. There are potentially more humane ways of dealing with animals, one of which would be to have a small-scale abattoir on the Isle of Wight. On the current small-scale abattoir programme, the Government are working only with current abattoirs and abattoir owners. Will the Secretary of State meet me to discuss how we can get a small-scale abattoir on the Isle of Wight, so that we can enjoy the spirit, as well as the de jure benefits, of this excellent Bill?
My hon. Friend raises an important point. The Government have committed £4 million of additional investment through the smaller abattoir fund, recognising the importance of reducing animals’ journey times. As we have discussed separately, I am happy to meet him to discuss what more we can do in the context of smaller abattoirs, particularly recognising the specific issues of geography in his constituency.
(1 year, 6 months ago)
Commons ChamberAs I said, there are more pharmacists than in 2010 and more people working in the pharmacy sector—the numbers have gone up by 24,000 since 2010—so to address the hon. Lady’s second question, there are more. On funding, as I said in my statement, this is new funding for primary care. That is the commitment that we made, and it should be welcomed in the primary care sector.
I welcome the statement. I notice the difference in opinion on the Opposition Benches between the people who know what they are talking about and the people who do not.
Pharmacy First is a brilliant idea, and I thank the Secretary of State. I very much hope it will be welcomed by pharmacies in my patch. I want to reiterate some of the points that have been made. First, some of my pharmacies have been under a lot of financial pressure recently. Will the financial package be able to support them and make them feel valued, considering what extraordinarily good value for money they are? Related to that, will any financial support or grants be made available to pharmacies—especially the smaller ones in some of my rural areas and small towns—so that they can have a room to see patients and take advantage of this great Pharmacy First scheme?
I welcome my hon. Friend’s comments. There is £645 million of funding over the next two years to support the expansion of this work through Pharmacy First. As I said a moment ago, the estates programme is more an issue for the integrated care boards. We should not try to determine all the decisions on estates from Westminster; it is right that we let the 42 ICBs have more discretion over what is the right estate strategy in their area. I am sure that his local ICB will hear his representations.
(2 years, 8 months ago)
Commons ChamberThe Government’s approach to national security was set out in the integrated review of security, defence, development and foreign policy. The National Security Council provides strategic direction to ensure that the review is implemented, and provides the necessary flexibility and agility to respond to the changing global context.
On responding to the changing global context, would it be accurate to say that this morning deterrence has failed? Do the Government also agree that perhaps if we had a national strategy council that looked forward a decade to the trends shaping our world, our policy might be less ad hoc, less reactive and less last-minute, and our ability to deter wars, which are currently breaking out in Europe, might be stronger?
I know that my hon. Friend takes a close interest in these issues, so he will know better than most that the whole purpose of the integrated review was to look at the period up to 2030, and it clearly identified China as a systemic competitor. I also know from my time as Chief Secretary to the Treasury that at the spending review 2020 we put in place the biggest investment in the Ministry of Defence—in defence—for about 30 years. That shows this Government’s willingness to look longer-term at what the right strategic approach is.
(3 years ago)
Commons ChamberWith respect, Mr Speaker dealt with that at the opening of this debate and made it clear that both the Prime Minister and the Leader of the SNP had discussed with him the debate today.
I abstained last week, so I thank the Government absolutely for the apology; it is completely the right thing to do. I want to put on record that, despite the fact that I abstained and I occasionally have the misfortune to vote against this Government, they continue to be nothing but supportive of both myself and the people of the Isle of Wight.
It is helpful to get that on the record.
The Government will now redouble our efforts to engage on a cross-party basis—and, indeed with you, Mr Speaker—in the days ahead, because we know what we can achieve when we do so. For example, in collaboration with others, my right hon. Friend the Member for South Northamptonshire (Dame Andrea Leadsom) worked hard when she was Leader of the House to establish the Independent Complaints and Grievance Scheme. The scheme, to which the Government are wholly committed, is a model with many strengths. It includes an appeals process and an ability to adjudicate complex cases by virtue of its independent expert panel that is led by a High Court judge. Overall, the Independent Complaints and Grievance Scheme brings with it the expectation of rigour, impartiality and fairness for both the complainant and respondent.
(4 years ago)
Commons ChamberUrgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.
Each Urgent Question requires a Government Minister to give a response on the debate topic.
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Is there any specific evidence that swimming pools and gyms are centres for covid transmission? Has any research been done into rising obesity and unfitness levels, and has any research been done into rising unemployment caused by the closure of gyms and pools that is now happening in parts of the UK?
In some ways, that is slightly more of a Health question than a Treasury question, but I recognise that there is read-across from those businesses into the economy. In short, the opinion of the chief medical officer and the chief scientific officer is that those businesses do carry significantly more risk, which is why they have been harder hit in the guidance that has been issued. The package of support that the Chancellor set out recognises that businesses that are closed need additional support, which is why the measures announced by the Prime Minister and the Chancellor yesterday spoke exactly to the issue of businesses that have been closed due to the guidelines.
(4 years, 10 months ago)
Commons ChamberMy hon. Friend is a champion for workers’ rights and his constituents, and he will know that not only did our manifesto make that clear commitment—on page 5—but did so in parallel with the Bill. The Bill is about implementing in domestic law the international agreement that my right hon. Friend the Prime Minister has reached with the EU. This House does not need other people to tell us how to protect the rights of workers and others. As my hon. Friend well knows, in many areas this Parliament goes further than the EU in safeguarding rights, not least in areas such as maternity and paternity rights. Following the manifesto commitment to high standards, I look forward to the House continuing that tradition and maintaining good standards.
One thing that concerns folks on the Isle of Wight and the south coast is seeing super trawlers hoovering up 250 tonnes of fish a day off Shanklin and Eastbourne. Is not one of the great benefits of the Bill, our leaving the EU and our getting a new fisheries Bill that we will be able to stop super trawlers coming into our seas, which we are not allowed to do at the moment because of our membership of the EU?
My hon. Friend is right. One of the key features of taking back control of our waters is this Parliament making those decisions for itself. One of the mysteries about Opposition Members is that those representing Scotland do not seem to have the self-confidence to take back those decision-making powers, but rather want to give them back to Europe.
(6 years, 4 months ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
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It is a pleasure to serve under your chairmanship, Mr Hanson. I pay tribute to my hon. Friend the Member for Isle of Wight (Mr Seely) for raising the issue in the way that he has. He has used Westminster Hall exactly as it should be used—to bring the concerns of his constituents front and centre before the House. He set out not only the challenges faced, but the ways forward and a number of solutions for different issues. In short, he raised issues of funding that relate to population and geography, travel, the potential for further integration, and also a way forward involving digital and data. I will address each of those in turn.
This is also a timely debate, as the shadow Minister mentioned, following the Prime Minister’s announcement at the Royal Free Hospital last week of a significant funding boost to the NHS. Alongside that, NHS leaders are drafting a long-term, 10-year plan on services, which will look at many of the issues he cited in his speech. As we start that journey with NHS leaders, bringing the issues of the Isle of Wight front and centre is timely and helpful.
I would segment the funding formula issue into two: the challenges that the Island has in common with other parts of the country, such as those posed by the over-80s and by the significant number of constituents with dementia, and those that are unique to it. Indeed, few hon. Members feel that their constituents’ circumstances do not merit being higher up the funding formula than they currently sit. It is valid to raise those issues, and NHS England will look at them on the advice of the Advisory Committee on Resource Allocation, which advises on the funding formula. Those decisions are common to other areas, but they need to be made in respect of the Island. If my hon. Friend wishes, I am happy to facilitate a meeting with NHS England so the funding pressures pertaining to the demography of the Island can be raised. He will recognise that the setting of the funding formula is an independent process.
There are specific issues about the geography that my hon. Friend raised very well, not least about maternity services and paediatrics. The Island needs to supply those services and that will have an impact on its funding. I am happy to look at those issues. Integration is one way that headroom will be facilitated to meet those challenges. As he said, the Island was a vanguard site that has received £8.4 million of extra funding since 2015 to facilitate the transformation of services. That funding recognised some of the Island’s specific geographical challenges.
Although geography can be, and is in certain areas, a disadvantage and a driver of cost, it is also a driver of opportunity, as my hon. Friend set out. The Island has a strong sense of place and identity, and there are strong personal links between key decision makers and stakeholders. As the shadow Minister rightly said, the move towards greater integration between health and social care—as is reflected in the name of the Department—is also an opportunity to drive integration between the council and health services. My hon. Friend alluded to the bureaucratic obstacles to that, and I am happy to work with him to overcome them. As patients present with multiple conditions and as we move away from silos of care to a more holistic approach to patients and their wellbeing, the Island offers a huge opportunity for greater integration.
On my hon. Friend’s point about data, I had an interesting meeting yesterday with the chief executive of the Christie in Manchester, which is one of our outstanding trusts. I was struck by the fact that 19% of its patients take part in medical research programmes. The chief executive set out how that is hugely beneficial to the trust and to the patients, who get access to cutting-edge drugs and the latest thinking. He has also been able to attract some of the world-leading figures in research because he has a population that researchers can work for, which is very attractive to them. That is a real win-win, and the demographics of the Island offer an opportunity in that regard.
One point that I did not make was that when it comes to looking at dementia, the Island would be very open to becoming a national leader or a place where academics and researchers could investigate how we can live better with dementia in this country. We have double the national average of people with dementia, so it would be a natural fit for us.
I am keen to work with my hon. Friend on that, because the Government have prioritised their research and development budget, as I know from my time at the Treasury. A significant investment has also been made in health R&D. The NHS has an opportunity to combine its patient data with our world-leading universities and R&D to attract researchers, drive forward the most innovative approach on healthcare and translate that cutting-edge research into day-to-day care. That can be a frustration for our constituents; it is fine to have the research, but we need to roll it out to scale in a way that is meaningful for patients. The challenge of the Island’s geography is also a huge advantage to it. I do not know what percentage of its patients are taking part in research, but that may be an area for him to explore and for the Department to work with him on.
My hon. Friend also raised the potential of digital. He will be aware that the Secretary of State has asked Dr Eric Topol, one of the world leaders on the use of digital in healthcare, to undertake a report for the Department. My hon. Friend is right that rather than a patient having to be physically present in all instances, as was traditionally the case, there is scope to use digital much more for them to see a consultant online and for information to be sent digitally. I recognise that if the clinical commissioning group is in deficit, finding the headroom to invest in that technology becomes a trade-off and a challenge, but that is one of the opportunities that will be opened up by the Prime Minister’s investment in the NHS and it is an area that the 10-year forward view will specifically examine.
In terms of timing, the Island has a chance to look at how it can become a leader, what has been done with digital enablers and early adopters in the NHS, and in which areas it can lead on in technology. I will come on to the challenges of travel, but reducing the need for journeys is a more sustainable solution than seeking to subsidise them. Our starting point should be how we can use technology to reduce the need for as many journeys, rather than how we can subsidise more journeys. That offers significant scope.
On travel, I heard my hon. Friend’s remarks about the cost and its wider impact on families. There is a correlation with a separate debate we have had about car parking charges. Clearly, there are specific challenges related to travel, but as he also set out, it is quite complex, because there are already arrangements with the ferry companies and national schemes for subsidies and assistance that can be given to people who are financially challenged. It is a question of looking at how we can fit in with the existing schemes and what agreements can be reached with the companies concerned. I am happy to meet him to pick up on that specific point to better understand our current approach and what can be done, given the challenges. Again, the challenge of distance is not unique to the Island, but as he mentioned, there are certain features of travel to the Isle of Wight and the Scilly Isles that pose challenges.
As my hon. Friend will be aware, the NHS healthcare travel cost scheme provides financial help for travel costs for patients on low incomes who are referred. The scheme is part of the NHS’s low-income scheme, under which people are also entitled to free prescriptions and glasses. Under the scheme, the full cost of transport can be reimbursed by the NHS to eligible patients. Schemes are in place, but I hear the wider points that he has raised and I am happy to discuss them with him.
In short, my hon. Friend has set out that the Isle of Wight is ideally placed to be at the vanguard of the NHS’s approach as we move forward with the 10-year forward view, in embracing digital and integration and in looking at how to deliver place-based commissioning most effectively. There are some specific challenges with regard to its population and its geography in terms of travel. The interplay of those two things is another challenge in terms of efficiencies of scale and the services that are considered essential on the Island, which may be dealt with at a larger-population level elsewhere.
In the NHS more widely, as we move to a hub-and-spoke model and to more flexible population sizes, and as we look at place-based commissioning, the Isle of Wight has huge potential to be at the forefront, as my hon. Friend has set out. I am very happy to follow up this debate by meeting my hon. Friend, and to facilitate a discussion between him and NHS England, to ensure that we deliver what he has campaigned passionately for—the best healthcare for residents of the Island—and that the significant investment set out by the Prime Minister is maximised for his constituents.
The shadow Minister quite reasonably asked whether we were open to changes to the legislation. As he will be aware, the Prime Minister said to the NHS leadership in her remarks at the Royal Free Hospital that we are open to such suggestions if NHS leaders feel that changes are necessary. As part of the workings of the long-term plan, those leaders will need to look at what they need, and whether much of the integration—I know that the Mayor of Manchester supports the integration that is taking place in Manchester—can be done under existing legislation, or whether changes are needed, and if so, what those are. That will be part of the discussions with Simon Stevens and others in the weeks and months ahead.