(2 years, 9 months ago)
Commons ChamberI agree with my hon. Friend about the importance of the workforce, but I am afraid I do not agree with his comments about the plans for mandatory vaccination. I will not go through the details again; I did make a statement to the House on that last week, and in fact it was supported by the vast majority of Members of this House. The short answer to his question is that it is all about patient safety. The Government and the NHS are always absolutely right to put patient safety first, and although the Government have now, in the light of omicron, rightly changed their plans, it is still the professional responsibility of everyone working in healthcare to get vaccinated.
I am grateful for what the Secretary of State said about diagnostic hubs. Will he investigate personally why the planned hub for Westmorland general hospital has been delayed until 2023? I am also grateful for what he said about cancer services more generally. He knows that there have been 60,000 missed cancer diagnoses over the last two years, and I am sure he knows that radiotherapy is a key factor in tackling the backlog. Is he aware that radiotherapy ought to be accessed by 53% of cancer patients in this country but is accessed by only 23%, and that, as a proportion of our cancer budget, funding for radiotherapy in this country is only a little more than half the average for similar developed countries? Will he therefore make it a priority to meet with the all-party parliamentary group for radiotherapy and look at our manifesto, so that we can work together to save tens of thousands of lives that would be needlessly lost otherwise?
The hon. Gentleman raises a series of very important points, especially in what he said about cancer and radiotherapy. I believe he already has a meeting in the diary with Health Ministers, and I will look out for the output of that meeting. I agree with what he said about radiotherapy and the importance of investment in that, and there is a lot more investment. I referred earlier to the £6 billion extra capital budget, and a large part of that will be used for new diagnostics. I hope he also agrees with me that, as well as radiotherapy, we need to invest in the very latest cutting-edge technology for cancer care, such as proton beam therapy, which I saw for myself last week in London.
(2 years, 11 months ago)
Commons ChamberMy right hon. Friend will not be surprised to hear that we will be taking measures to increase substantially capacity in the NHS. He will know that it is not just about beds, whether Nightingale or elsewhere, but having the right amount and type of workforce to help with those beds.
We have a range of measures put in front of us, some of which will perhaps help a little bit, but will not actively control the virus very much, coupled with a colossal attack on civil liberties, which is a strange juxtaposition. Can I ask the Secretary of State to pay special attention to something that the Government have overlooked too much over the past two years, which is to invest in catching up with cancer? What the Government have done through this period is do a great job on vaccine roll-out, but I would love to see them show the same ringfenced dedication and commitment to catching up with cancer, given that we know that at least 50,000 additional people will lose their lives as a consequence of the covid situation.
The hon. Gentleman is right to talk about the importance of cancer and he will know that it remains a priority for the NHS. That is one reason why recently, when the Government set out the extra catch-up funding for the NHS over the next three years to pay for a lot more elective operations and diagnosis, cancer was a priority in that.
(3 years ago)
Commons ChamberI can tell the hon. Gentleman that the antiviral drug that he refers to has been approved by the Medicines and Healthcare Products Regulatory Agency. We do have that drug, and since the point of approval last week we have already started deploying it in certain settings across the United Kingdom. We have put an order in for another antiviral, which has had very successful trial outcomes, but it has not received any final approval. If the MHRA independently decides to approve it—of course, that is a decision for the MHRA—the country will be in the fortunate position of having procured that drug, too.
One of the major objectives behind the successful vaccination programme is obviously to reduce infections, reduce hospitalisations and allow health professionals to focus on other, even more dangerous conditions, including cancer. The Secretary of State will be aware that in 2020, there were 35,000 missed cancer diagnoses. The London School of Economics study shows some 60,000 potential years of life being lost to cancer as a consequence of covid, and it is estimated that the NHS’s diagnostic and treatment services will have to work at 120% capacity for two solid years just to get back to March 2020 levels.
I suspect that the Secretary of State was as disappointed as I was that there was nothing in the Budget to help us to catch up with cancer. Will he follow the Government’s good example on the vaccine roll-out and adopt the same relentless focus on catching up with cancer, with targeted resources and leadership? Will he agree to meet clinicians and those involved in the cross-party Catch Up With Cancer campaign so we can work together to save those tens of thousands of lives, which will otherwise be unnecessarily lost?
The hon. Gentleman is absolutely right to raise the importance of cancer. For all the reasons he set out and more, it has remained an absolute priority of the Government and the NHS throughout the pandemic, despite the huge pressure that the NHS was under. Sadly, he is also right—I have spoken about this, just as he has—that many thousands of people went undiagnosed because they were asked to stay away from the NHS to protect it. We all understand why that happened, but sadly it had an unintended consequence. He is not right, though, to suggest that there was nothing in the Budget or the accompanying spending round to help with that problem. I draw his attention, for example, to the billions of investment in the new community diagnostic centres. There will be more than 100 across England, which will mean it will be much easier and quicker for GPs or others to refer people with suspected cancer for diagnosis. There are other examples, but I hope he is reassured that this remains an absolute priority.
(3 years, 4 months ago)
Commons ChamberWill the Secretary of State give way?
Order. Just a reminder that interventions need to be short and to the point, because there is a lot of pressure on time in this debate.
My point is about boundaries. Lancashire and south Cumbria have a perfectly reasonable boundary, but does the Secretary of State agree that there is concern that, because most rural communities are attached to bigger, more populated urban ones, that can lead to an imbalance in decisions? One of the proposals that our community faces is that the Preston and Lancaster hospitals could be replaced by a single super-hospital somewhere in the middle. HIP2—the health infrastructure plan 2—is a good thing, but that would be very bad thing, because it would mean that people in south Cumbria could have a two-hour round trip just to get to A&E. Will he intervene and ensure that any proposals under HIP2 that undermine access to healthcare in rural communities are taken off the table?
I listened carefully to what the hon. Gentleman said. As I have said, no final decisions have been made, but if he would like a meeting with a Health Minister, we can arrange that so that the matter can be discussed further.
I am also very grateful to another of my predecessors, my right hon. Friend the Member for South West Surrey (Jeremy Hunt), first for his leadership of the Health Committee, whose valuable report and recommendations we have taken on board, and secondly for his tireless dedication to the cause of patient safety, which sees its culmination in the Bill’s creation of the Health Services Safety Investigations Body. We must continue, in his words, that quiet revolution in patient safety. I have asked my officials to consider whether the Care Quality Commission could look broadly across the integrated care systems in reviewing the way in which local authorities and providers of health, public health and social care services are working together to deliver safe, high-quality integrated care to the public.
(4 years, 9 months ago)
Commons ChamberMy hon. Friend is absolutely right. On day one, we will have exactly the same rules. We will not be rule takers. We will have the right to diverge in future, but on day one we can absolutely see why the EU will be looking very carefully at the equivalence decision.
In the South Lakes we have 3,000 local families waiting for a council home, yet the Government’s own Migration Advisory Committee says that the Government’s plan for visas and migrant pay will see an 8% reduction in the construction workforce. So will the Chancellor explain who is going to build the homes that families in the South Lakes so desperately need?
The hon. Gentleman will know that, under this Government, since 2010, we have seen a dramatic increase in the number of homes being built. I think that last year there was the highest number of homes built in all but one of the past 30 years. When it comes to building more of those homes, of course we do need enough workers in the industry. That is exactly what our points-based system is about—making sure that it focuses on those areas where we need most support.
(4 years, 10 months ago)
Commons ChamberI can give my hon. Friend that assurance. He makes an important point. As he will know, the Government will have a comprehensive spending review later this year, and there will be a multi-year capital settlement. Having the right amount of capital to ensure that we do all that is required for our NHS will be a priority.
Some 50% of people living with cancer require radiotherapy treatment, and yet only 5% of the cancer budget is spent on radiotherapy. What that means in real terms is that constituents of mine have to make two, three or four-hour roundtrips to get life-saving daily treatment. Will the Chancellor commit to spending money on radiotherapy provision, to provide satellite units at places such as Westmorland General Hospital?
The hon. Gentleman raises a very important issue. We are absolutely committed to providing the resources necessary for the NHS to provide even better cancer treatment for all our constituents. That is one of the reasons for this record financial settlement. Capital is also necessary, and further capital investment to have better cancer treatment will also be a priority.
(5 years ago)
Commons ChamberI will make some progress and then I will give way.
I want to contrast our approach with that of Labour Front Benchers, who have demanded higher borrowing and higher taxes at every Budget and Queen’s Speech for the past 40-odd years. Their tax rises would hit hard-working families, and they will not be clear on that. Their tax avoidance plans contain a £2.5 billion mistake, and that is according to the Institute for Fiscal Studies. Their spending promises would cost far more than they say. Their manifesto contained £1 trillion of spending commitments. For the shadow Chancellor’s benefit, let me say that that is £1,000 billion of spending commitments. They have not costed expensive promises such as renationalisation, and they have made dozens of unfunded promises since the last election. And you know what is even worse than that? The shadow Chancellor has admitted that the huge borrowing plans that he has are just “the first step”—he means the first step back to the road of ruin.
That is exactly what I mean when I talk about levelling up the economy and ensuring that all parts of our great nation are benefiting from the infra- structure revolution.
The Chancellor is being generous in giving way. As taxpayers, the British people collectively bailed out the banks a decade ago, and the banks have repaid taxpayers by closing down branches on every high street and in every village in the country. Just in the past two weeks, we have seen Barclays withdraw from the scheme that underpinned the Post Office, which now does its work for it. Will he stand up to Barclays and demand that it remains part of that Post Office scheme?
I agree with the hon. Gentleman that the banks should think carefully about their responsibilities to all communities, and the Economic Secretary to the Treasury met the chief executive of Barclays just today to discuss that very issue.
(6 years, 3 months ago)
Commons ChamberThe Home Office sets fees for border, immigration and nationality services at a level that ensures that they make a substantial contribution to the cost of running the immigration system, thereby reducing the burden on the UK taxpayer. Although the economic impact assessments that are published alongside immigration fees legislation do not separately consider child-registration fees, they show the impact of fee increases on the volume of applications to be minimal.
The Home Office charges more than £1,000 for children—including children who were born here and those who moved in infancy—to register as British citizens. Is this not profiteering at the expense of young people who seek to pledge their future to Britain? Is this not another Windrush scandal in the making, with people not getting the documents now that officials will rely on in future? The Home Secretary knows that he faces a legal challenge on this issue, so will he do the right thing and end these excessive charges now?
I will not speak about the legal case, for obvious reasons, but I have to disagree with the hon. Gentleman. It is right that there is a balance between the costs faced by the individuals who make applications and those faced by the taxpayer. It is sensible to keep those costs under review, and it is right that Parliament makes the decision on whether costs are changed.
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I am pleased that my hon. Friend has raised that point. He will know that in London in the wake of the tragedy we have asked councils to check the quality of buildings, not just the fire safety, but other matters. For example, cracks so big that you could put your hand into them were discovered in the walls of the Ledbury estate tower blocks in Southwark. All those issues, including structural matters, need to be looked at.
My hon. Friend the Minister for Housing and Planning has had a series of meetings and will travel across the country to meet and listen to social housing residents. There is also the Green Paper and the review that we are carrying out.
Following the fatal fires at Shirley Towers in Southampton and Lakanal House in Camberwell, coroners recommended retrofitting sprinklers in high-rise residential buildings to prevent deaths. Will the Secretary of State therefore explain why the Housing Minister recently wrote to Nottingham City Council to say that the sprinkler system that it requested was additional rather than essential? The Government should be doing everything in their power to prevent such tragedies, so should they not launch a separate formal review into the wider neglect of social housing? The failure to use the Grenfell inquiry to examine wider neglect is an act of neglect in itself.
The hon. Gentleman refers to the coroners’ reports following the two previous tragedies, and he is right that in both cases the coroner asked social housing providers to consider the provision of sprinklers. It was recommended that the then Secretary of State write to housing associations and councils to pass on that recommendation, which is exactly what the Secretary of State did at the time.
As for the wider funding issues, I have already answered that question.
(7 years, 9 months ago)
Commons ChamberI thank my hon. Friend for the work he has done to promote self-build and custom build. That is certainly one lesson we can learn from the Netherlands and Germany, and I have seen some good examples in those countries. He also mentioned land pooling, and there are some fantastic examples in the Netherlands; I went to see them, and they were so good that I put them in the White Paper.
I hope the Secretary of State will forgive me, but I think he flatters himself if he thinks that even on a quiet news day this White Paper would have deserved headlines; it is an unambitious and disappointing paper. I want to pull out one particular aspect of it. The paper refers to a family outside London in the market for an affordable home as being on an average income of £80,000 a year. I wonder if I may respectfully ask what planet he is living on. Average incomes in my constituency are £26,000 a year. Does that not prove that what we really needed was a commitment to genuinely affordable homes and the building of 1 million new council homes? Will the Secretary of State instead commit the capital funding to do that, and to lift the borrowing cap so that councils can build again?
First, may I thank the hon. Gentleman for turning up today? The answer to his question is more supply—whether it is council homes, housing association homes or private sector homes, we need more supply. That is the only way to tackle affordability.