The National Health Service
Debate between Tom Tugendhat and Philippa Whitford(4 years, 6 months ago)
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Dr Whitford
Well, it has not been sucking money for the past six or seven years because it was only declared open in February. I totally agree that it is a huge setback that, due to a failure within the health board’s tendering process for the build, it did not recognise the need for the level of ventilation in an intensive care unit. I would gently suggest to the hon. Gentleman that I do not think he would have wanted our Cabinet Secretary to simply go ahead putting babies and children in an intensive care unit where the ventilation was not considered safe.
In Scotland, so far our funding for the NHS has doubled in the past 10 years and will actually increase further next year. But it is not just about funding; it is about structure. What is happening in NHS England is fragmentation. It is not just that NHS hospitals are competing with private companies; they are competing with each other, and that undermines collaboration. We need to have collaboration, with the patient at the centre. Anything that fragments or undermines that collaboration is weakening the quality and safety of care.
Tom Tugendhat
The hon. Lady is speaking very powerfully on many issues, as usual. I would be interested in her point of view on other health providers, because as she knows, having worked around the world, many of them do things differently, particularly around Europe, for example, where many of the hospitals are not owned by the state. Many of those hospitals compete and services are provided by different bodies—private companies, charities or community groups. Will she comment on how that works, because the French and Germans seem extremely happy with their healthcare?
Dr Whitford
As people in the Chamber may know, my husband is German and therefore I know that system in Germany relatively well. I would point out that the hospitals do not collaborate there either. As it is about income for the hospital, surgeons and clinicians will not always refer a patient on even though they know there is an expert down the road. I would not particularly defend that. I lost my sister-in-law two years ago, and the bills were still coming in for almost a year. That is quite a stressful and upsetting system. Not everything is covered. Patients still, as in many insurance systems, have to cover a gap, which can be significant and quite painful for them. These systems could not generate the epidemiological data, or anything like the treatment and outcome data, that is generatable in all four of the UK health services, because they do not have a nationwide system.
When I was back on the Health Committee for a short time this spring, we heard talk about the changes to the Health and Social Care Act. It is critically important that those go ahead, because there are perverse incentives within that legislation. At the moment, the tariff is paid to a trust only if patients are admitted. That is a perverse incentive against managing people in the community, or even prevention. It is important that section 75 is done away with completely so that there is not pressure on commissioning groups to put things out to tender, because that is a wasteful process. I remember reading about £500 million wasted in Nottingham, where there were preparations for a tender, then the private company did not go ahead and then it did go ahead.
All this is taking money away from patient care. That is the basis of the argument about publicly provided services. I am sorry, but the quips about drugs and so on by the Secretary of State were childish. Was he suggesting that nurses and doctors go into the North sea to drill for oil, or that that is the suggestion from the Opposition Benches? It is not the suggestion from anyone on the Opposition Benches that drugs would not be purchased. It was just a childish response. Having private companies pulling NHS England apart undermines it, fragments it and makes it not patient-centred, and being patient-centred should be the goal of every single health service across the UK.
European Union Referendum Bill
Debate between Tom Tugendhat and Philippa Whitford(8 years, 10 months ago)
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Tom Tugendhat
The hon. Gentleman makes a fair point, but we are not making the argument on that basis; we are making it on the basis of the difference between what is normal in a national election and what is normal in a local or regional election. In doing so, we are sticking to the existing rules. In sticking to the existing franchise, we are allowing those who are normally entitled to vote in national elections in our kingdom to exercise that right. It is essential that we maintain that continuity, because if we do not, we leave the door open.
Dr Philippa Whitford
I, too, declare an interest, in that my husband is German. He has been here for 29 years, working as a general practitioner and paying tax, but he does not get to vote in elections to this House, which sets his rate of taxation, and he certainly did not get to vote for me.
Given the argument that the hon. Member for Tonbridge and Malling (Tom Tugendhat) is making, is there not a danger that this will become a very nationalistic debate? That accusation was thrown at the SNP when our nationalism was completely civic and open to everyone. Pursuing a genetic-source, where-were-you-born franchise is a dangerous argument to follow.