(11 months, 1 week ago)
Commons ChamberI think the whole House welcomes the fact that the Assembly is back up and running. The hon. Gentleman will appreciate that I am very keen, as a former Chief Secretary to the Treasury, that money is spent in a value-for-money way. I was in the Northern Ireland Secretary’s constituency just last week to discuss a range of issues in Northern Ireland, and I am very keen that we learn from each other about the best ways to tackle flooding.
(1 year, 4 months ago)
Commons ChamberI discussed this with Henrietta Hughes, the patient safety champion, just yesterday as part of the sprint that we have commissioned in the Department in response to Martha’s rule. We are doing considerable work with NHSE colleagues on how we better respond to the concerns of patients, whether it is through the work on Martha’s rule or the complaints process, and a significant amount of work is ongoing as part of that.
Yes I will. I pay tribute to my hon. Friend for the way he has championed this issue. I have visited the hospital; I have seen it for myself. As he will be aware, the full business case was received by the Department this morning. While the cost has increased, it is still within the wider funding envelope for the scheme on that site and I will do everything I can to expedite the process as he asks.
(1 year, 7 months ago)
Commons ChamberThat repeats the previous question, so I will not repeat the answer. It is slightly ironic to call for a plan for a new hospital programme and for a long-term workforce plan, and then criticise us when we deliver on both of those, as we have done with more than £20 billion of investment in the new hospitals programme, which we announced last month, £2.4 billion in the first ever long-term workforce plan and the biggest ever expansion of workforce training in the history of the NHS. Of course we need to take action in the short term to deal with the consequences of the pandemic. That is what our recovery plan does. The urgent emergency care plan that I announced in January takes specific action on demand management in the community. There are measures upstream on boosting capacity in emergency departments and downstream on things such as virtual wards. A huge amount of work is going on. We are putting more than £1 billion into 5,000 more permanent beds to get more bed capacity into hospitals. On social care, in the autumn statement the Chancellor committed up to £7.5 billion of further investment over two years, and it was part of our reforms to better integrate health and social care.
I welcome the NHS long-term workforce plan and in particular its emphasis on training, retention and reform. At the moment, about a quarter of NHS staff are recruited from abroad. Can the Secretary of State confirm to the House and my constituents that this plan enables the development of a strong pool of homegrown talent, so that we can reduce foreign recruitment more towards 10%, which would be a lot more sustainable for the long-term future of the NHS?
My hon. Friend is absolutely right. As we boost our domestic workforce training, there will be scope to reduce the number recruited internationally. From 1948 onwards, international recruitment has always played an important role in the NHS, and we are hugely grateful for the service offered by those recruited internationally, but we also recognise that as demography changes in other countries, there will be increasing competition for healthcare workers around the world, so it is right that we boost our domestic supply. That is what this plan does, and it is why this is a historic moment for the NHS in making that long-term commitment that will in turn reduce the demand on the international workforce.
(1 year, 8 months ago)
Commons ChamberFirst, may I express regret about the hon. Gentleman’s own family experience of this condition? On the roll-out programme, we need to build that capacity and to do so in a sustainable way—that point has been raised by Members across the House. We are following the science in targeting those communities that are most deprived; they have the highest prevalence of smoking. Of course we will look at evidence of other risk factors, which colleagues across the House have highlighted, but it is important that we roll this programme out in a sustainable way. What is clear, however, is that it is making progress and it is welcome that so many communities want the programme to be rolled out to their area as soon as possible.
I welcome the Health Secretary’s announcement. If I heard him correctly, it means that up to 9,000 cases will be caught early, which is equivalent to about a quarter of the 35,000 who sadly die every year from lung cancer. How much will the national lung cancer screening programme cost? Why can it not be paid for in its entirety from the profits of the cigarette companies?
My hon. Friend, an experienced parliamentarian, opens two different issues there. As he well knows, one is a question of tax, which, rightly, I say as a former Treasury Minister, is a matter for the Treasury. As for the roll-out of the programme, the additional cost of the programme will be £1 billion over the seven years. That is the additional cost of that expansion, but how it is funded will be an issue for the Treasury.
(1 year, 8 months ago)
Commons ChamberKettering General Hospital is aiming to submit its final business case for its £34 million net zero energy centre in December, but has been told that when it does so, it can expect at least a 13-week wait for approval. The Secretary of State has been good enough to see for himself the urgent need for this new power plant. Is there anything he can do to speed up this process?
I share my hon. Friend’s desire for us to move at pace on the scheme. As he says, I have seen at first hand the importance of the scheme at Kettering, and I stand ready to work constructively with him to expedite that case, because I do not think anyone is in any doubt of the importance of the work at Kettering. It is a huge tribute to him and the way he has championed the case for Kettering that it was such a central part of the new hospital programme announcement.
(1 year, 9 months ago)
Commons ChamberAs I touched on a moment ago, there are a range of initiatives across the NHS estate. The leadership team from the Getting It Right First Time programme, including Professor Tim Briggs, recently visited Wycombe to discuss proposals with the senior clinical team, and we look forward to working constructively with the local integrated care system as it designs the right fit for Wycombe and the wider system.
I thank the Secretary of State for his personal interest in and commitment to Kettering General Hospital and his visit to the hospital last July. Will he confirm that Kettering General Hospital’s place in the new hospital programme continues to be secured with a fully funded, redeveloped, improved and expanded hospital due on the existing site by 2030, in line with the original timeline?
As I set out in my statement, the place of Kettering in the new hospital programme is secure. That is in large part a result of my hon. Friend’s campaigning. He has raised this issue with me on a very regular basis and shown me at first hand the issues at Kettering. He has championed investment in Kettering General Hospital, and today’s announcement is a very positive day for the staff and patients of Kettering.
(2 years, 1 month ago)
Commons ChamberI am not sure how many times one needs to say the same point. The Government’s position on this is clear: we are committed to treatment free at the point of use. That is the Government’s position, and it has been throughout the NHS’s history, the majority of which has been under Conservative Governments.
How many operations have been lost to strike action in the NHS so far?
(2 years, 1 month ago)
Commons ChamberI agree that a combination of pay and wider conditions have an impact on recruitment and retention. That is why we have been keen to engage constructively with the trade unions; we had a good discussion earlier today. We recognise that there is a range of factors. To take the example of paramedics, the feedback from my discussions with a number of paramedics was that their frustration about handover times and the delays that they were experiencing was more important to them than pay. It is important to have discussions through the independent pay review bodies about pay, what is affordable and what is the right balance, but a range of non-pay factors are also extremely important to staff.
The biggest flu outbreak in 10 years has seen Kettering General Hospital become the 28th busiest hospital in the country, with a bed occupancy rate of 96.5% in the week leading up to the new year. The Secretary of State was kind enough to visit it last year and stood in the busy and overcrowded A&E. He was also good enough to visit Thorndale care home, where he was briefed on the fact that the rate of increase in the number of over-80s in Northamptonshire gives it one of the fastest-growing elderly populations in the country. In thanking the Secretary of State for the measures that he has outlined today and the extra funding, I ask whether he will ensure that Northamptonshire, North Northamptonshire Council, the Northamptonshire ICB and, crucially, Kettering General Hospital get their fair share of the funding that he has announced, so that we can tackle these winter pressures quickly and successfully?
My hon. Friend is right to point to the real pressures at Kettering which, as he says, I have visited. Not only am I keen to see it get its fair share, but I know that he will absolutely champion it through his good offices to ensure that that is the case, as he always does. He also raises an important point that the pressure of an ageing population is not universally distributed but is more intense in certain areas than others. Again, in our scrutiny of the data, I am keen to look at how that plays out in the variation in performance between trusts because, as I said, 15 trusts account for 56% of ambulance handover delays and there is significant variation across the NHS. Understanding what is driving that, such as different ageing profiles between different areas, is a key part of our recovery plans.
(2 years, 5 months ago)
Commons ChamberWe are putting in additional funding, whether that is the additional £1.5 billion put into GP capacity in 2020, the £450 million to upgrade A&E facilities across 120 trusts, the extra £150 million specifically put into the ambulance service, the £30 million put into the St John Ambulance contract over the summer, or the further £50 million that has gone into call handling to boost the 111 service. Significant additional funds are going in as part of the support for the significant pressure that we recognise there has been over the summer.
I thank my right hon. Friend the Health Secretary for visiting Kettering General Hospital in July and for his subsequent confirmation in August that the hospital has won £38 million, as a 10% down payment, to start the redevelopment of the hospital. During his visit, he visited the A&E department, which is one of the most overcrowded in the country, and saw the ambulances waiting outside. What is his assessment of the current state of play at Kettering General Hospital and its prospects for the future?
First I acknowledge on the record the campaigning that my hon. Friend and colleagues have done for a new hospital at Kettering. They particularly demonstrated the urgency of addressing issues with the energy plant, so I was pleased that we were able to get that enabling work done. All A&E facilities have been under pressure over the summer, which is why we have announced the additional funding. It is about boosting capacity in call centres, looking at how we address variation in performance among ambulance trusts, particularly on conveyancing, and looking at how we get more flow into hospitals. That is why, along with the hospital, I also visited a care home in my hon. Friend’s constituency, in order to look at how we better address the issue of delayed discharge.
(3 years, 3 months ago)
Commons ChamberMay I welcome the recent appointment of the Chancellor of the Duchy of Lancaster to his new role in co-ordinating efforts across the Government to tackle the cross-channel migrant crisis? In that role, will he persuade officials in his own Department, as well as those in the Foreign Office and the Home Department, to come up with constructive solutions that can be effectively deployed, rather than coming up with reasons why something cannot be done?
I, and I am sure all hon. Members, join the Prime Minister in saying how deeply saddened we all are by the terrible tragedy we saw yesterday.
The response to the challenge of small boats is a whole-of-Government endeavour, and it is therefore right that we work across the whole of Government to look at all aspects of that journey: upstream, our processing and our legal framework. My hon. Friend will be aware that progress has been made, and 20,000 crossings have been stopped so far this year. We will continue to work in partnership with the French to ensure we can avert tragedies such as we saw yesterday.
(5 years, 5 months ago)
Commons ChamberI was a Health Minister, and as part of business as usual there are always issues of supply, usually with around up to 50 lines. We have had it in the last few weeks with HRT, which is totally unconnected to Brexit. These are issues that the Department is well used to preparing for. It is in the interest of both sides to get this right. Two thirds of Ireland’s medicine comes through the land bridge in Great Britain. This is something that both sides are working to deliver because it is of interest to both of us.
I welcome the Government’s preparations to prevent medicine shortages in the event of no deal and the fact that the Secretary of State highlighted the impact this will have on the Republic of Ireland. As he rightly says, two thirds of medicines to the Republic come through and over UK motorways, so it is in the EU’s interests as well to prevent no deal.
My hon. Friend is right. This is about preparing. It is not about scaring people unnecessarily. Around 220 lorries impact Ireland. This is of mutual interest, and we want to get it right with them. That is why we are working with member states on this. It is not just about stock and not just about flow; it is also about flow the other way. A significant number of UK medicines from firms like AstraZeneca go to Europe, so this is in the interests of the EU27 and the UK, which is why considerable work has been done on it.
(5 years, 7 months ago)
Commons ChamberAs the right hon. and learned Gentleman knows full well, the implementation period was part of the withdrawal agreement, which he himself voted against. He talks of swapping places, but the clue is in the name of the Department: it is the Department for Exiting the European Union. However, the right hon. and learned Gentleman does not want to exit the European Union, so it is rather odd for him to be auditioning for a role when his whole purpose is not to do what it says on the tin.
My hon. Friend has made an astute observation. He will be aware that 40% of Irish exports go through the short straits between Dover and Calais. We hear forecasts of delays at Calais from Labour Members, but it is not simply UK goods that will be delayed there; it will obviously be Irish exports too, as well as the many Irish imports.
There are a number of areas in which it is in Ireland’s interests to avoid the disruption of no deal. There has been very little debate in the UK about the impact on Ireland, and my hon. Friend is right to highlight it.
(5 years, 9 months ago)
Commons ChamberThe talks with the Opposition Front Bench team have been going on for over six weeks, and the House has now looked at the meaningful vote on three occasions and made its view clear. The question therefore arises, as came through in amendments from a number of Members of this House—such as the Snell-Nandy amendment—whether there are changes to the withdrawal agreement Bill that would enable it to command wider support. It is on that basis that not only have we had those discussions but indeed the right hon. and learned Gentleman has welcomed them. When the House sees that legislation, it will be for it to decide whether it commands a majority of the House. The right hon. and learned Gentleman’s personal position might be that what is in that text is irrelevant, because he personally wants to have a second referendum, but that is not the basis on which the discussions have been held; that may be his personal position, but it is not, as I understand it, the official position of the Leader of the Opposition. It will be for the House to make a decision, and the Prime Minister has made it clear that there will be an opportunity for it to do that in the week after the recess.
The Secretary of State looks physically fit and is in good shape and I expect he goes to the gym a lot. If he decided to leave his gym and the gym said to him, “You’ve got to give us two years’ notice; when you leave, you have to pay four years’ worth of membership fees up front; and after you’ve left, we’re still going to control your fitness programme,” would he regard that as a good deal or a bad deal?
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.
(5 years, 10 months ago)
Commons ChamberWith respect to the hon. Lady, that is a rather confused question, given that she—as I understand it—voted against the withdrawal agreement, which gave us a legal right to leave on 22 May. It is odd to vote against the means of departure and then criticise the absence of a departure.
The Conservative party national convention—the meeting of all local party chairmen—made it clear in February that were Brexit to be delayed so that we took part in the European elections, it would be a betrayal of the referendum result and inflict untold damage on the reputation of the Conservative party. Is that not right and does the Secretary of State agree?
I agree with my hon. Friend that to have European parliamentary elections three years after the country voted to leave would be damaging for our politics as a whole, but he will also have seen the vote in the House last night, which sought to take the option of leaving without a deal off the table. He will also be aware that the House has today refused to back any of the options for a deal that have been put to it.
I think what has gone well in this first phase is that we have an agreement with the EU that gives certainty to EU citizens, that respects our legal obligations and that will ensure that there is no hard border on the border of Northern Ireland. In part, one of the achievements of both parties, but particularly of the Labour party, was the Good Friday agreement. It is why those Members in Northern Ireland get so agitated with Members on the hon. Lady’s Benches over their failure on the withdrawal process. We have a deal; it is on the table; and it is the only deal that the EU is willing to offer.
The clear and solemn commitment in the Conservative party manifesto, on which the Secretary of State and I were elected, was:
“As we leave the European Union, we will no longer be members of the single market or customs union.”
Will he ensure that the Prime Minister does not renege on that commitment at the European Council next week?
My hon. Friend correctly identifies that commitment in our manifesto. He will also be aware that the manifesto gives a commitment to have a deep and special partnership with the EU. It is that balance that we are trying to seek. That is why the Prime Minister brought forward a deal that delivered on the referendum result—on things such as control of our borders, a skilled immigration system, control of our fisheries, control of our agriculture, and putting an end to sending vast sums of money to the EU—but also respected the fact that 48% of the population did not vote for leave. It is that compromise that has not been pure enough for some Members on the Government Benches to support it.
(6 years, 2 months ago)
Commons ChamberThe right hon. and learned Gentleman makes the same point in essence as my very distinguished predecessor, my right hon. Friend the Member for Esher and Walton (Dominic Raab), about where the balance of risk sits. The right hon. and learned Gentleman quoted the Attorney General, so it is worth drawing the House’s attention to exactly what the Attorney General said on that point. [Interruption.] Well, he quoted part of what the Attorney General said, but my right hon. and learned Friend said more than what has been quoted in isolation, and the right hon. and learned Gentleman will be the first to accept that when considering these issues, one looks at the whole, not selective comments. The Attorney General said:
“I do not believe that we are likely to be entrapped in the backstop permanently”.—[Official Report, 3 December 2018; Vol. 650; c. 552.]
However, he also said that
“the matters of law affecting the withdrawal can only inform what is essentially a political decision”.—[Official Report, 3 December 2018; Vol. 650, c. 546.]
It is a question of where one assesses the balance of risk to be. I looked at that very issue when I considered the matter. The Attorney General has addressed that, as is reflected in his comments to the House on Monday.
(6 years, 4 months 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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Will the Minister confirm that, had he not taken action, the failure of Healthcare Environmental Services to dispose of the clinical waste properly would have presented a serious risk of clinical waste backing up in hospitals and other healthcare facilities? Owing to his taking effective action in a timely way, that has been avoided and healthcare delivery has not been interrupted.
I thank my hon. Friend for that question. There has very much been a Government-wide effort to ensure that waste did not build up, for the reason he mentions—the ability of the NHS to maintain its services and continue to operate if clinical waste could not be removed from the site. There is a varying degree of contingency capacity on different sites, so certain hospital sites would quite quickly exhaust that capacity if it was not cleared. That is why, as my hon. Friend the Member for Henley (John Howell) said, the ability to mobilise the contract quickly was so important.
(6 years, 4 months 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.
This information is provided by Parallel Parliament and does not comprise part of the offical record
On the split to which the right hon. Lady referred between clinical waste and other waste at the Normanton site—she rightly focused on that for her constituents—just under a third of the flow of waste to the site is clinical. Just over two thirds, in my understanding, is non-clinical. It is not the case that all the waste on the Normanton site is clinical waste. As I have mentioned, some media reports about what the term “clinical waste” constitutes are slightly different from the reality.
As for notification, I set that out in my written ministerial statement and in my comments today. The key focus is on maintaining the continuity of operations and service within the NHS trusts so that we are not in a position where clinical waste cannot be cleared from them. That is the focus, and that is why, given the commercial negotiations and the contingency arrangements that have been put in place, we came to the House today, and not at an earlier point.
In the end, the system has worked. There has been no back-up of clinical waste in hospitals—it has just been overstored in these sites. However, it is worrying, if it is true, that 13 warning notices and two compliance notices were issued to the company. Does the Minister think that he should be alerted earlier by the Environment Agency if this sort of thing happens in future?
My hon. Friend makes a valid point about the lessons to be learned from this. Part of what I would expect to look at as we move forward are questions about when the NHS was first made aware of this and what powers are available to enforce at an earlier stage. As I have mentioned, enforcement notices cover a spectrum of risk. Some of those risks are more technical in nature than others, so while there have been 13 notices, their enforcement encompasses a range of severity.
(6 years, 8 months ago)
Commons ChamberThe right hon. Gentleman, as a former Minister of State, will not want to choose selectively from the data on European economic area recruitment into the NHS. He will know full well that there are 3,200 more NHS staff from the EU since the referendum, which shows that people are still coming. If he has an issue with the Brexit dividend, perhaps, as my right hon. Friend the Secretary of State pointed out yesterday, he will raise that with his party leader, who sees that there is a Brexit dividend.
Kettering General is a wonderful hospital with amazing staff, but one of its big financial problems is caused by its over-reliance on agency staff. What can be done to reduce the reliance of so many hospitals, including Kettering, on agency staff to populate their wards?
My hon. Friend rightly points to the key issue of how we bring down the £2.5 billion of agency spend. That goes to the heart of the Prime Minister’s announcement yesterday. Up-front investment in our workforce will allow us to reduce that agency cost.
(6 years, 11 months ago)
Commons ChamberThe reality is that the number of places is increasing, even if the number of applications is lower. The Government have signalled their commitment on pay. We have more clinicians, doctors and nurses, and we are treating more people. That is part of the success of the NHS under this Government.
(7 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.
This information is provided by Parallel Parliament and does not comprise part of the offical record
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.
May I thank my hon. Friend the hospitals Minister for the extra £2.6 million given to Kettering General Hospital to help it to cope with winter pressures this year; and, through him, my I congratulate the NHS on this year undertaking the most comprehensive flu vaccination programme in Europe and the largest in this country’s history?
My hon. Friend is an assiduous campaigner for his constituency, and he is absolutely right to highlight both the progress made and the importance of the prevention offered through the increased number of vaccinations. I hope many more people next year will continue to take up the vaccination, including Members of this House.
(11 years, 10 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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Mr Howarth, you bring me on to the crux of the point. We already have a concentration of HMOs in Wisbech and the fens. That situation will only become more acute when Bulgarian and Romanian people come into those areas. We know that there is already a concentration within certain communities that are ill equipped to deal with it. I welcome what the Minister is doing to try to prevent people from coming in and to persuade, in relation to the pull factors, those who are coming in with, perhaps, a misguided view. I would love him to be 100% successful, but we know that despite his best efforts there will be an inflow of people from those countries and we are still not taking action on the problem that is here now, so let us get on with it. Let us attack it now in order to ease the pressure when those from Bulgaria and Romania come in.
I come now to my second point. Many people from Bulgaria and Romania will come in with vehicles that are registered in their country. Under the law, they have six months in which they can drive on our roads before the vehicles have to be registered. The House may not be aware of how many people were prosecuted last year for not registering their vehicle after six months. It was zero—not one. The Government seem to be under the impression—I note this for the Chair of the Home Affairs Committee—that every single person from eastern Europe who came in under the previous accession registered their vehicle after six months and not one of them continued to drive on the roads without doing that. Surgery cases that frequently come before me suggest that that might not be the case in my constituency, and logic would suggest that it is not the case. My point is this. There are constraints on what we can do under EU law and what we can renegotiate, but in terms of Bulgarians and Romanians coming into the country, we can at least show their neighbours, the British people, that the laws have been applied equally to them, because if my constituents have to MOT, license and insure their car but they see a rickety vehicle that does not look roadworthy and that they strongly suspect is not registered and they see a Government who never take action to prosecute someone for that, that feeds into the sense of grievance that all are not being treated equally. That is an issue that the Government need to tackle ahead of further migration from Bulgaria and Romania. It is not a big point, but I make it for illustrative purposes.
I congratulate my hon. Friend on raising that point. I think that actually it is a big point and it is one that I have raised myself on the Floor of the House. We are potentially talking about tens of thousands of vehicles on our roads illegally. The purpose of the rules is to ensure that a vehicle is taxed, insured and roadworthy so that the driver can be prosecuted for any speeding or parking offences. All the rest of us have to comply with them. It is quite clear that tens of thousands of EU nationals are getting away with it.
I thank my hon. Friend for that intervention. I have raised the point repeatedly with Ministers; I certainly was not trying to belittle it. The point that I was trying to make was that where we have legal powers already, to what extent are we using them? Are we using them to the full? My hon. Friend is right: the estimate that I saw suggested that there are about 15,000 illegal vehicles currently on the road. That has implications if they are in an accident; are they traceable? There is a lost economy issue. Our garages would be getting business from MOT-ing them. The insurers would be generating revenue from them. I make the point for illustrative purposes: it raises a wider point about unfairness within a community, which is not conducive to cohesion.