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).

North Middlesex University Hospital NHS Trust

Valerie Vaz Excerpts

Tuesday 12th July 2016 Westminster Hall

[Catherine West]

My right hon. Friend makes an excellent point about an issue that must be monitored. I look forward to the Minister reporting back on the lack of the leadership and clinical excellence that we expect on behalf of our constituents.

The cuts to public health provision will have an extra impact. I will give just one example, which many Members here have pursued—basic HIV/AIDS care. We are not doing the preventive work, and we are unnecessarily cutting back the public health budget, which will eventually lead to more people turning up at A&E or acute care departments in crisis. These issues in the health economy are all linked, and we need to do much more about all of them.

We are all aware that litigation accounts for a quarter of NHS expenditure. Why do we not get better at doing the proper work first, so that the money we spend on lawyers and expensive court cases when we get things wrong does not add up to so much? The situation is absolutely desperate. We need more investment, and we need to stop making mistakes so that we do not have to pay for litigation and so that instead of litigation there can be front-loading of resources into prevention, mental health and good-quality primary care and basic services. People accessing the NHS could then have confidence that their local service is as good as we should expect it to be.

Finally, we know that in London, there are a number of issues with the cost of living, the cost of transport and the cost of childcare for medical practitioners and nursing staff. Those issues are linked to the others that I have mentioned, and I would like to see a more robust approach from the NHS around London to the needs of those working in our hospitals and our public services. London is not like other areas, where it is cheaper to rent homes and so on. We are unable to recruit the medical practitioners and nurses we need because they cannot afford to live in the area, and we should examine that issue more energetically and not just in a theoretical way.

Thank you very much, Ms Vaz, for calling me to speak. I look forward to hearing the Minister’s conclusions.

[Valerie Vaz (in the Chair)]

I point out to the Front-Bench spokespersons that the wind-ups are starting now, and we are expecting a Division in the House at around ten to 4.

--- Later in debate ---

[Joan Ryan]

I appreciate the Minister’s expression of regret and his acknowledgement that something went badly wrong, but I take issue. A CQC report in 2014 noted added pressures in A&E that we are all aware of. I only came back into Parliament in May 2015, and over the past year a number of Members, including me, have raised the issue several times in the Chamber. We were given no information. The CQC report is very welcome, but for it to take more than three months to be published means it is of no use as a warning note with any detail. [Interruption.]

[Valerie Vaz (in the Chair)]

Before the Minister responds, there is a Division.

[Ben Gummer]

May I respond to the right hon. Lady before we suspend?

[Valerie Vaz (in the Chair)]

I do not know how long the Minister wants.

[Ben Gummer]

I will be 20 seconds, and then we can come back for part 2.

[Valerie Vaz (in the Chair)]

Okay.

[Ben Gummer]

I will answer the right hon. Lady directly. Of course there is more to do, but we are much further ahead than 10 years ago. There is no blame on any particular Government—we are further ahead than 20 or 30 years ago. The Care Quality Commission is a respected regulator that comes down with tough judgments and makes Members aware. When we come back after the Division, I will explain what we will do.

Point of Order

Valerie Vaz Excerpts

Tuesday 5th July 2016 Commons Chamber

[The Minister for Community and Social Care (Alistair Burt)]

On a point of order, Mr Speaker. As there is a slightly more relaxed atmosphere, I wonder whether the House will indulge me as I offer a broad thank you. Twenty-four years and one month ago, I answered my first oral questions as a junior Minister, and now I have just completed my last one. This is not a sudden post-Brexit resignation—it is not catching. A few weeks ago, I made it clear to the Secretary of State, the Prime Minister and the Chief Whip that, after the referendum, I would not seek a post in what I expected to be a reshuffled Government. In the event, I hope to carry on with my duties until September, but that was my last oral questions. Therefore, in taking the chance that most Ministers do not get because we never know when the end will come, I thank colleagues for their forbearance over many years in subjects as varied as child support, disability, and the Arab spring—and in the relentless pursuit of mental health data by the hon. Member for Liverpool, Wavertree (Luciana Berger). I am looking forward to taking part in more questions from another seat in the Chamber, and I wish all colleagues very well indeed.

[Valerie Vaz (Walsall South) (Lab)]

Further to that point of order, Mr Speaker—

[Mr Speaker]

I will come to the hon. Lady’s point of order, but first let me say that although that is a relatively unconventional way of expressing appreciation, the Minister of State was typically courteous in signalling in advance to me his wish to do so, and I simply want to say to the right hon. Gentleman—I think I can say it without fear of contradiction, and it was evident from the response to his point—that he is an extremely popular and respected Minister who commands widespread affection and loyalty in all parts of the House. We very much look forward to his continuing contributions, albeit in the future from the Back Benches. I thank him for what he said and the way in which he said it.

[Valerie Vaz]

Exactly on that point, Mr Speaker, may I, on behalf of everyone on the Opposition Benches, pay tribute to the right hon. Gentleman? He has been an absolutely fantastic Minister and he is a brilliant MP. Long may he continue.

[Mr Speaker]

That is extremely welcome and I thank the hon. Lady for what she has said.

Land Registry

Valerie Vaz Excerpts

Thursday 30th June 2016 Commons Chamber

[Mr Lammy]

The hon. Gentleman is demonstrating why he should be a Privy Counsellor and why he has been knighted. The Government should accept the cogent case being made by esteemed Members on the Government Benches. We are aware that there is a general sense that the Government are itching to privatise the Land Registry. Unlike with the 2014 consultation, this time around the status quo is not even being offered as an option. The wording of the consultation document is focused on how, not if, the Land Registry operation should be moved to the private sector. We know that the Government have commissioned bankers at Rothschild to size it up. We also know that potential buyers are linked to offshore tax havens. I am here today, alongside colleagues across the House, to make our opposition known and to call on the Government to think again.

[Valerie Vaz (Walsall South) (Lab)]

I congratulate my right hon. Friend on securing the debate. As a solicitor, I have often had to use the Land Registry. He is making the economic case for non-privatisation. Does he agree that the Land Registry is entirely self-funding? In fact, it has returned £126 million to the Treasury.

[Mr Lammy]

I am grateful to my hon. Friend for her intervention. I will repeat that point later.

Junior Doctors Contracts

Valerie Vaz Excerpts

Monday 25th April 2016 Commons Chamber

[Mr Hunt]

My right hon. Friend is right to say that the public will be extremely disappointed that professionals are putting patients at risk in such a way, and it is extremely tragic that they are doing so. I am afraid that I think this is a crossing of the Rubicon—crossing a line in a way that has not happened before. I think it is totally tragic, and I support the concern of my right hon. Friend.

[Valerie Vaz (Walsall South) (Lab)]

In his statement, the Secretary of State said that this was “in our manifesto”. This is about ideology, not about the NHS. If he cares about the NHS, will he hear the will of the House, contact the BMA straight after this statement and negotiate?

[Mr Hunt]

If by “ideology”, the hon. Lady means a commitment to make the NHS the safest, highest quality health care system in the world, I plead guilty to ideology. That is the NHS that I want, and that means a seven-day NHS in which we do not have higher mortality rates for people admitted at weekends. There was a time when the Labour party would have been prepared to take tough and difficult decisions to make things better for patients, but that day has passed.