Recovering Access to Primary Care
Debate between Steve Barclay and Seema Malhotra(1 year, 5 months ago)
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Seema Malhotra (Feltham and Heston) (Lab/Co-op)
The steps proposed in the statement reflect what Labour has been calling for, and are well overdue. I am glad that at least some steps are being taken, but they fall well short of the scale of the challenge that we face. Pharmacists need to work in a strong primary care environment. We need to see more GPs, an increase in primary care services, and more tests, diagnoses and minor procedures carried out in the community, speeding up primary care and taking the pressure off secondary care.
Three years ago, I met Ministers and officials in the Department to seek advice on and support for the rebuilding of the rundown Heston health centre in my constituency. What is the Government’s strategy on the rebuilding of rundown primary care facilities, not only to assist the recruitment and retention of GPs but to better facilitate the work taking place between GPs, pharmacies and other community healthcare services?
Steve Barclay
There seems to be a slightly confused response from the Opposition. They challenge this announcement on the grounds that they are not happy with it, and in the same breath claim that it is part of Labour’s plan or a step in the right direction. They need to make up their mind.
As I said in response to two earlier questions, it is for the integrated care boards to adopt estate strategies in their areas. Not all decisions about estates should be made centrally. However, one of the changes that we are setting centrally involves embracing more modern methods of construction and a more modular approach. The unit cost of that approach is much lower, and when the level of confidence is higher, the contingency cost is much lower as well. So we are changing the way in which we build our estate, but the estate strategy is an issue for the ICBs.
Oral Answers to Questions
Debate between Steve Barclay and Seema Malhotra(1 year, 11 months ago)
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Steve Barclay
My hon. Friend raises an important point. If one looks at the GP survey of patients, around two in five have a GP that they would like to have continuity of care with, and more than one third of those say that they see them a lot of the time or always. It is more pertinent with complex cases, where that continuity of care adds most value, as opposed to patients who want speed of access on an isolated incident.
Seema Malhotra (Feltham and Heston) (Lab/Co-op)
We have seen a cut of almost 5,000 GPs and the closure of hundreds of practices in the past 10 years. My constituents are having a terrible time trying to get GP appointments and, when they do, the lack of continuity of care is impacting the effectiveness of that care; it is a strain to tell the same story again and again, particularly for older people and those with complex conditions. Can the Secretary of State outline what he is actually going to do about it?
Steve Barclay
In fact, around 80,000 more GP appointments a day are happening, so significantly more demand is being met. The Government have invested an extra £1.5 billion to create an additional 50 million general practice appointments by 2024, increasing and diversifying the staff available for those patients seeking care.
Committee on Standards: Decision of the House
Debate between Steve Barclay and Seema Malhotra(2 years, 11 months ago)
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Seema Malhotra
I thank the Minister for giving way. Last week was UK Parliament Week, but it was not our finest hour. Does he agree that, at the very least, a message from this debate must be that we work in our constituents’ interests and in the public interest, and that the use of this House to work in the private interest to the tune of hundreds of thousands of pounds will not be tolerated?
Steve Barclay
I did not see that the Chair of the Standards Committee was seeking to grab my attention. We are committed to working on a cross-party basis and, with that in mind, of course I will give way to him.
EU Exit: Article 50
Debate between Steve Barclay and Seema Malhotra(5 years, 10 months ago)
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Stephen Barclay
I know that the hon. Gentleman takes these issues very seriously and I am always happy to discuss points with him further. However, this was a hypothetical issue taken before the courts because it is not Government policy to revoke. So it has been an interesting court case but it does not, for one iota, change the intention of this Government, which is to maintain their policy of not revoking article 50.
Seema Malhotra (Feltham and Heston) (Lab/Co-op)
Irrespective of one’s view on the second referendum or the people’s vote, what is at stake here is a very important constitutional principle. We are not here to debate the Government’s policy on the revocation of article 50. We are here asking the question of whether, if Parliament were to vote to revoke article 50, the Government would honour that vote. So further to the questions from my hon. Friends, can we have an answer to that question—yes or no?
Stephen Barclay
That is a question for Parliament. It is for Parliament to decide what it does or does not do. My role as a Minister is to answer on behalf of the Government. That is what I am doing and it is the Government’s clear policy—it has not changed; I say that again—that we will not revoke. The question for Opposition Members is: are they potentially going to look to revoke article 50? That is what people want to know, particularly, as the hon. Member for Vauxhall alluded to, those people who voted for a Labour manifesto that said that it would honour the referendum result.
Oral Answers to Questions
Debate between Steve Barclay and Seema Malhotra(5 years, 10 months ago)
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Stephen Barclay
I thank the right hon. Gentleman for his kind remarks. He is right—we did explore that issue in Committee—and the point is about the significant progress that has been made in our bilateral discussions with those countries. He is right to say that that is not an absolute guarantee—that was the point made by Mr Robbins—but significant progress is being made.
Seema Malhotra (Feltham and Heston) (Lab/Co-op)
Further to the question from my right hon. Friend the Member for Leeds Central (Hilary Benn), contracts in those trade agreements are worth more than £73 billion of exports and about £74 billion of imports. That is a serious matter for businesses in the Secretary of State’s constituency, and mine, that might be trading under those agreements. In the event of no deal, we will lose those agreements from 30 March next year. Is it time that he and the Government made a statement to the House, to set out in detail the implications for UK businesses of losing access to those trade agreements, which we have been part of negotiating over the past 45 years?
Stephen Barclay
The hon. Lady and I explored that point in Committee, and it is not the case that in the event of no deal we would lose those agreements, because we are having those bilateral discussions. She points to a wider point, however, which is that the deal on the table from the Prime Minister is the way to deliver the certainty that our country needs and what the business community wants. That is why it is the right deal, the only deal and the deal the House should support.