NHS Strikes

Valerie Vaz Excerpts

Monday 6th February 2023 Commons Chamber

[Will Quince]

The hon. Gentleman got a plug in for his policy there, but I am not entirely sure how relevant it is to this statement. On NHS staffing, we have 10,500 more nurses and 4,800 more doctors than last year. But I know adult social care represents one of the biggest challenges for our NHS, and it puts pressure on the rest of the system. That is why in the autumn statement the Chancellor put in place £7.5 billion, the largest ever investment in adult social care.

[Valerie Vaz (Walsall South) (Lab)]

The Minister will know about the ministerial code and about keeping the House updated, so will he tell us when the Secretary of State for Health met Pat Cullen of the RCN? If cannot tell us now, will he write to us and put that letter in the library, please?

[Will Quince]

Of course I am happy to do that, and I think these things are put on the public record in any event. I do not know when the Secretary of State met specifically with the RCN, but I can tell the House that I have met the unions, I believe, on 9, 12, 25 and 31 January.

Urgent and Emergency Care Recovery Plan

Valerie Vaz Excerpts

Monday 30th January 2023 Commons Chamber

[Steve Barclay]

I could not agree more, which is why this morning the Prime Minister and I were at University Hospital of North Tees, where it is effective on the ground. It is about looking at hospitals where such measures have been effective and are having an effect on the ground, such as in North Tees and at Maidstone Hospital, and how we take best practice from them. We then have to do what has sometimes been more difficult in the NHS, which is to scale those innovations and get them adopted across the piece.

[Valerie Vaz (Walsall South) (Lab)]

There are 165,000 vacancies in social care and there was nothing in the statement about how the Secretary of State will address them. Will he do that through better terms and conditions?

[Steve Barclay]

We are dealing with that through additional funding—the £500 million for this winter. That relates to the point made by my right hon. Friend the Member for Chipping Barnet (Theresa Villiers) about the impact on the ground, which will be to give ICBs and local authorities discretion. Some of that £500 million is being spent on the workforce, including in social care, so there is discretion as to how they spend that. There is also the £2.8 billion of local authority and ICB funding that will be in place next year, and £4.7 billion the following year.

NHS: Long-term Strategy

Valerie Vaz Excerpts

Wednesday 11th January 2023 Commons Chamber

[Valerie Vaz (Walsall South) (Lab)]

It is a pleasure to follow my friend the hon. Member for Winchester (Steve Brine), the new Chair of the Select Committee. My hon. Friend the Member for Ilford North (Wes Streeting), the shadow Secretary of State, is right about Government mismanagement of the NHS since 2010. As a member of the Health Committee from 2010 to 2015, when it was chaired by the right hon. Stephen Dorrell, the former Health Secretary, I want to set out why this crisis has been brewing since 2010. Incidentally, Stephen Dorrell has noted five mistakes that the Government have made and should look at.

The Health and Social Care Act 2012 prevented integration. It made the NHS not the first and default option, and it was opened up to privatisation, fragmented and destabilised. The reorganisation was described as so big that it could be seen from space, and it was opposed by so many that it had to be paused. Despite the pressures of the pandemic, we had a further reorganisation with the Health and Care Act 2022, under which we will not have CCGs any more, but integrated care boards.

His Majesty’s Opposition have been pushing integrated care since before 2010. Our Select Committee visited Torbay in 2009, during the last Labour Government. We saw the single-point entry of Mrs Smith, who could be tracked from the start—from a single phone call—to hospital and out again, with any of her needs met by an upscaled, co-located team. However, the 2012 Act stopped that pooling of resources. Integrated care can only work if there are adequate resources for local authorities. Austerity measures since 2010 have starved local authorities and other public services of funding. Clinicians should be at the heart of the NHS. People who use it or work in it do not get a say.

In 2016 the then Secretary of State, now Chancellor, picked a fight with the junior doctors. I met them outside Richmond House. We have had more mismanagement, with £347 million for a covid testing contract to Randox, which then had to be recalled because of concerns about contamination. Now we have PPE Medpro, and today the Public Accounts Committee said the Government have mismanaged the economy by losing £42 billion in uncollected taxes. There is money, but not the will to find it.

Nurses went on strike in December, yet in the first statement the Secretary of State has made since—he is not in the Chamber, but he said that we did not mention his statement—he did not mention the workforce at all. In fact, he gave an understatement of the figures for people with delayed discharge. He said that there were just 6,000 cases in June 2020. Last year, there were 12,000 to 13,000 a day. The Government knew the figures, but they did nothing—they had no plan.

Not talking to a workforce who stepped up into the unknown during the pandemic is mismanagement. Stopping nurses’ bursaries was mismanagement. Not holding cross-party talks to solve the care crisis when we urged them to—the Health Committee report was in 2012—was mismanagement. The Government dismantling a health service that had its highest satisfaction levels in 2010, when Labour left office, is mismanagement.

[Tahir Ali (Birmingham, Hall Green) (Lab)]

On the workforce, existing nurses are underpaid, but the serious number of vacancies that existed in September—47,000, as reported by Nursing Times—must also be addressed adequately and immediately. Those vacancies are putting pressure on nurses, on top of the pay awards they are after.

[Valerie Vaz]

My hon. Friend is absolutely right and puts the point perfectly. I have questions to ask the Minister. Are the recommendations on safe staffing levels made by Sir Robert Francis being followed now? Will the Secretary of State consider a patient discharge dashboard so we can see the figures on a weekly basis? Where is the accountability for the £500 million in the discharge fund? Are the 42 NHS system control centres mentioned in the statement just the ICBs by a different name? Our shadow Secretary of State for Health has outlined a plan for training more doctors, paid for by abolishing non-doms, and I am with him on salaried GPs as a step in the right direction.

Nye Bevan heard the cries of his community in the valleys. He said:

“No society can legitimately call itself civilised if a sick person is denied medical aid because of lack of means.”

He turned his dream into a wonderful service that is free for all of us. We will not let this flailing and failing Government destroy our NHS.

Oral Answers to Questions

Valerie Vaz Excerpts

Tuesday 14th June 2022 Commons Chamber

[Sajid Javid]

Yes, of course I can give the hon. Lady that commitment. I am very sorry to hear about Joanna; I think of her, her loved ones and her two children. I will absolutely look personally into the case. I hope that the hon. Lady agrees that where we see poor outcomes, it is important to make sure that we have the best possible leadership in place.

[Valerie Vaz (Walsall South) (Lab)]

I have already raised the issue of the governance at Walsall Manor Hospital. I welcome the Messenger-Pollard review—the Secretary of State will know that there is also a report called “The snowy white peaks of the NHS”, which says roughly the same thing—but I have been fobbed off because the leadership at Walsall and Wolverhampton remains the same. Could he look into why Walsall Manor should not have its own chief executive?

[Sajid Javid]

These are important issues, and I have discussed this with the right hon. Lady. I will take another look at the management of Walsall Manor.

Oral Answers to Questions

Valerie Vaz Excerpts

Tuesday 19th April 2022 Commons Chamber

[Sajid Javid]

I am pleased to give my hon. Friend the assurance he seeks. The integration White Paper signals our intention to go further and faster on health and care integration, building on the work already being done by the NHS, adult social care and local government to deliver services jointly. The plan will lead to better collaboration, and we want to make sure that overall responsibility is still shared between local authorities and the NHS.

[Valerie Vaz (Walsall South) (Lab)]

The Secretary of State will know that Walsall Manor has been merged with the Royal Wolverhampton—they share a chief executive and chairman—without consultation with local people. How on earth can integration take place when Walsall Manor does not have a full-time chief executive to ensure that it happens? Will the Secretary of State please ensure that Walsall Manor gets its own chief executive?

[Sajid Javid]

I understand the right hon. Lady’s point, but it is about what works on the ground. My understanding is that what is happening in her area is about a shared management team that shares best practice and tries to address challenges together, rather than any kind of formal merger.

Oral Answers to Questions

Valerie Vaz Excerpts

Tuesday 1st March 2022 Commons Chamber

[Sajid Javid]

It is a serious issue, and I will of course meet my hon. Friend to discuss it further. He may be interested to know that over the winter the Government provided an additional £250 million in a winter access fund for primary care services throughout the country. That has certainly helped to increase the number of face-to-face appointments, although the omicron wave made the process more challenging. As my hon. Friend suggests, it should ultimately be for patients to choose how they want to be seen.

[Valerie Vaz (Walsall South) (Lab)]

3. What assessment he has made of the implications for his policies of the NHS Race and Health Observatory’s February 2022 report on “Ethnic Inequalities in Healthcare”.

[The Secretary of State for Health and Social Care (Sajid Javid)]

Addressing the disparities discussed in that report is one of my key priorities. We are already making progress in crucial areas such as increasing covid-19 vaccine take-up among ethnic minority groups. To go further, we also plan to publish a health disparities White Paper later this year that will set out impactful measures designed to address disparities and their causes, including those linked to ethnicity.

[Valerie Vaz]

I thank the Secretary of State for his response. I hope he will ensure that he implements all the conclusions of that report. He is aware of the McLean review into the senior leadership of the Royal Wolverhampton NHS Trust, who have now annexed the Walsall Manor Hospital. Can he say what he will do to ensure that all those working in the NHS and using the NHS are treated with equality and transparency, starting with the Manor?

[Sajid Javid]

The right hon. Lady is absolutely right to raise this issue. This is one of the most important issues and one of the biggest longer-term challenges to face the NHS. I welcome the report and I will be taking it very seriously. She will know that I have commenced action on ethnic disparities in healthcare. For example, I have asked for an investigation, headed by Dame Margaret Whitehead, into potential bias in medical devices. The right hon. Lady is also right to raise the importance of inequality of treatment, and I will shortly have more to say on that.

Covid-19 Update

Valerie Vaz Excerpts

Monday 29th November 2021 Commons Chamber

[Sajid Javid]

First, I join my right hon. Friend in again expressing thanks to the South African Government for how they have handled this difficult situation. I understand her point about her constituents. Many of us will have constituents in a similar position. It is hard to say when direct flights might start. We have started our hotel booking programme, which is one part of trying to get our citizens back, but we will do everything we can to support them in that way.

[Valerie Vaz (Walsall South) (Lab)]

We have quite rightly praised the South African doctor, but she saw her patient face to face. What advice, guidance or instruction will the Secretary of State give to GPs? I know that my constituents are keen to see their GPs face to face, which may be more effective than Test and Trace.

[Sajid Javid]

The right hon. Lady asks an important question. One thing that we are doing is updating guidance throughout the NHS, including for primary care.

Oral Answers to Questions

Valerie Vaz Excerpts

Tuesday 19th October 2021 Commons Chamber

[Edward Argar]

I am very grateful to my hon. Friend, who quite rightly recognises and highlights the work that my hon. Friend the Member for North West Norfolk (James Wild) has put into championing the cause of this hospital. I understand that it has put in an application to be one of the next eight hospitals, which will of course be considered very carefully. I am very happy to visit Norfolk as well, but I would also highlight that one of the key issues at this particular hospital is the existence of RAAC—reinforced autoclaved aerated concrete—planks, for which we have already provided £20 million for remedial works this year.

[Valerie Vaz (Walsall South) (Lab)]

As well as building new hospitals, the Government appear to be downgrading existing ones. Will the Minister meet me to discuss the downgrading of Walsall Manor, so that I can explain it to constituents and whistleblowers?

[Edward Argar]

I am always happy to meet the right hon. Lady. However, I would say to her that decisions such as that are NHS-made, clinical decisions. That is the framework through which they should be viewed, but I am always happy to meet her.

Health and Care Bill

Valerie Vaz Excerpts

2nd reading
Wednesday 14th July 2021 Commons Chamber

[Valerie Vaz (Walsall South) (Lab)]

It is a pleasure to follow the hon. Member for Meriden (Saqib Bhatti) and to congratulate him on the birth of his child.

First, I am going to vote against giving this Bill a Second Reading. I cannot believe that the Government are going ahead with the Bill at this time. It is irresponsible and without any consideration to those who have worked to save our lives and continue to save our lives. The Secretary of State is going to have to assert himself, because he is only just in the job and he seems to have been bounced into this legislation.

Why is this happening now? We have been through this before. I was on the Health Committee from 2010 to 2015. The right hon. Stephen Dorrell was its Chair. On a cross-party basis, we heard evidence that the Bill introduced in 2012 was not the best solution for the NHS. We managed to pause the Bill but the Government continued to press ahead.

Integrated care is Labour party policy. We have seen it. We visited Torbay, where the fictitious Mrs Smith had a single point of entry and everyone was able to track her all the way through the system—through hospital and out—for all her needs. But the 2012 Act stopped that. It stopped the pooling of resources. Integrated care can work only if there are adequate resources for local authorities. Austerity measures since 2010 have starved local authorities and other public services of funding. That is what is making people angry. But the governance of the integrated care system has no clinicians and no patients. People who use it or work in it do not get a say. All sorts of other people can be added on.

My second point is that we do not trust the Government on contracts. Look what happened during the pandemic: £347 million to Randox, the Tory-linked private healthcare company whose testing kits had to be recalled over the summer because of concerns about contamination. We warned them about section 75 and opening this out to tender. The transaction costs associated with that drain the NHS of resources. There is fragmentation and destabilisation. Just ending section 75 is not sufficient; the NHS must become the first and the default option, and private providers cannot be involved in the ICS or in commissioning decisions. We cannot have a select group of fast-tracked friends.

My third point is about the workforce and it has already been raised. They have been magnificent. They have already had a slap in the face with a 1% pay rise and now they are facing further reorganisation. Workforce planning is key to a smart organisation. Clause 33 says who is responsible, but not what must be delivered. Instead of reporting once every five years, how about laying that before Parliament every year? The modelling will have to be done on the workforce assessment, so why can it not be made transparent and available? As the British Medical Association said, we need independently verified projections of future workforce supply so that local and regional decisions can be made on safe staffing levels. That phrase is not even in the Bill, post Francis.

The Secretary of State should think again, as this is the wrong time. The graphs are going up. The BMA and the royal colleges are against this Bill. The main point about healthcare—the right to healthcare—has not been enshrined in the Bill. It must be stopped now, and people and patients should be put first.

Exiting the European Union (Food and Agriculture)

Valerie Vaz Excerpts

Tuesday 19th March 2019 Commons Chamber

[Steve Brine]

It is a trade question, but ultimately if we want to trade with our biggest trading partner and our neighbours in the EU, we have to maintain those standards. We would not want to do anything to hobble our world famous potteries industry. I know that he agrees with that sentiment.

A lot has been said about GM food and feed. My hon. Friend the Member for Taunton Deane (Rebecca Pow) made that the kernel of her remarks. The laws around genetic modification were very high profile, perhaps due to Prince Charles’s interventions, back when I was at school.

[Valerie Vaz (Walsall South) (Lab)]

Not that long ago.

[Steve Brine]

Quite right. The GM regulations are not about changing the robust controls that we have for GM food and feed; they are about correcting the deficiencies in the authorisations that will exist at the point of EU exit. I want to maintain those robust controls. I am putting in place a UK-centric authorisation process as a result of exit, but the data requirements and the robust scientific studies that are required for application will remain exactly the same. Any assessments made of GM food and feed will be made purely on scientific, evidence-based grounds. There is plenty of evidence to suggest that decisions are not made entirely on those grounds at an EU level at the moment. That is one of the benefits that we will glean from taking back control—I knew I would get it in there somewhere.

My hon. Friend the Member for Taunton Deane (Rebecca Pow) mentioned the Agriculture Bill. These SIs only fix the operability of EU law when it is brought into UK law. It is for the House to discuss and debate any changes required to give effect to policies in the Agriculture Bill, and I know that she will be at the heart of that.

The hon. Members for Edinburgh North and Leith (Deidre Brock) and for Falkirk (John Mc Nally) are absolutely right, and I have said that whenever I have spoken about SIs. There has been a lot of talk of the withdrawal Act containing Henry VIII powers, but Henry VIII was an awful lot more powerful than the Act. It is a piece of housekeeping legislation that allows us to bridge EU regulations over to UK legislation; it does not allow us to make significant changes either way on standards. That is perfectly reasonable. Once this House resumes the role of a sovereign Parliament, it will be able to make those decisions for our country, and the Scottish Parliament will be able to do the same north of the border.

If I may say so respectfully, many of the arguments that the hon. Member for Edinburgh North and Leith made belong back before 2016. The country made a decision to leave the European Union. She argues against a no-deal Brexit, as I do—that is not the Government’s policy. I gently say to her that I keep voting for a safe exit from the European Union; she and her party do not.

My hon. Friend the Member for Camborne and Redruth, whom I am sorry to see on the Back Benches, because he was an excellent farming Minister, is absolutely right that this is about having an operable statute book and transferring functions. I have learned many things about food and feed in the past few months, because we are discussing them in the House of Commons and its Committees. That is very refreshing, and we will be doing so more, because when we introduce changes either way, they will have to be discussed and agreed by this House. He is right that they were previously only discussed by the Committee chaired by my hon. Friend the Member for Stone (Sir William Cash). I am sure he thoroughly enjoyed that, but they are now discussed on the Floor of the House of Commons. That truly is progress.

My hon. Friend’s thoughts on the FSA’s conception and birth were very interesting. He was right to spot—he gave the paragraph references in three of the four SIs—that Ministers must have regard to FSA advice. He was also dead right to say that how operability will function is not a finished piece of work. That is why we have taken these powers in the first instance. Once we are a third country, we will have to refine and change that, and we will discuss it with the House and its various Committees. On the architecture, his advice about looking at the Health and Safety Executive was very interesting. I and the FSA, I am sure, will be very interested to talk to him in more detail about that.

We have spent a long time talking about housekeeping measures that will ensure that we maintain the food and feed standards that our constituents expect. Notwithstanding the difficulties we have deciphering what 17.5 million people meant when they voted leave, I am sure we all agree that they did not mean lower standards in the food that they eat and give to their children. These regulations play a very important part in ensuring that those standards are maintained when we leave the European Union.

Question put and agreed to.

Resolved,

That the draft Materials and Articles in Contact with Food (Amendment) (EU Exit) Regulations 2019, which were laid before this House on 5 February, be approved.

Exiting the European Union (Agriculture)

Resolved,

That the draft Genetically Modified Food and Feed (Amendment etc.) (EU Exit) Regulations 2019, which were laid before this House on 4 February, be approved.—(Steve Brine).

Exiting the European Union (Food)

Resolved,

That the draft Novel Food (Amendment) (EU Exit) Regulations 2019, which were laid before this House on 4 February, be approved.—(Steve Brine).

Exiting the European Union (Agriculture)

Resolved,

That the draft Animal Feed (Amendment) (EU Exit) Regulations 2019, which were laid before this House on 5 February 2019, be approved.—(Steve Brine).