Health Infrastructure Plan
William Wragg Excerpts(5 years, 2 months ago)
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Edward Argar
I am grateful to the hon. Gentleman both for his question and for the reasonable tone in which he pitched it. [Interruption.] Indeed, he is always reasonable. As he knows, the capital investment will allow for investment in a new hospital, providing a range of services across emergency, maternity and specific out-patient and other diagnostic services. As for consistency of care and the experience of patients, the hon. Gentleman is absolutely right to pay tribute to the fantastic work done day in, day out by the NHS workforce, and that is why we have seen that workforce grow under this Government. Equally, however, when I visit hospitals, as I have done since I was appointed, I observe that the infrastructure and the buildings in which they operate can play a huge part in delivering not only consistency of care, but speed of care and speed of access. That capital investment in the hon. Gentleman’s local hospital will play a huge part in giving its excellent staff the tools with which to do their job and the environment in which to do it, and he will see that delivering better and more consistent care to patients.
Mr William Wragg (Hazel Grove) (Con)
During the summer, we welcomed the £30.6 million investment in a new urgent care centre at Stepping Hill Hospital. Does the Minister agree, however, that support will be needed for infrastructure, particularly for adequate car parking? That is a big issue for local residents, who regularly experience problems parking.
Edward Argar
My hon. Friend is absolutely right. Capital improvements in hospitals are hugely important, but it is also important for them to be set within the broader context of car parking and other facilities to ensure that those hospitals can run smoothly.
Oral Answers to Questions
William Wragg Excerpts(5 years, 11 months ago)
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Mr Speaker
I call Alistair Carmichael. Where is the fellow? I hope that he is not in Orkney and Shetland because that would be a pity. Never mind, I am sure that we will see him ere long.
Mr William Wragg (Hazel Grove) (Con)
Colin Clark (Gordon) (Con)
The Secretary of State for Health and Social Care (Matt Hancock)
In September, we announced £145 million to upgrade NHS facilities for winter and, last month, £1 billion as part of the NHS long-term plan. Future capital spending decisions will be for the spending review.
Mr Wragg
I am grateful to my right hon. Friend for his answer. He will know the importance of Stepping Hill Hospital to my constituents. Will he work with me and others to ensure that the hospital can secure additional capital investment to expand accident and emergency, improve outpatient facilities and provide additional car parking?
Matt Hancock
I look forward to working with my hon. Friend and his local colleagues on what we can do to support Stepping Hill Hospital further. He is an assiduous representative for Hazel Grove who makes the argument very clearly, both to me and to the NHS Minister, who has already heard from him on several occasions. We did manage to provide £1 million for upgrades to Stepping Hill Hospital ahead of this winter and we understand the case that they make.
Cyber-bullying: Young People’s Mental Health
William Wragg Excerpts(6 years, 8 months ago)
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Alex Chalk (Cheltenham) (Con)
I am delighted to be able to lead this debate, even at this comparatively late hour, about the effect of cyber-bullying on young people’s mental health. This important debate arises out of a cross-party inquiry that I set up in Parliament to look into this issue and which published its report earlier this year. It took evidence from over 1,000 young people and was supported by the excellent charities the Children’s Society and YoungMinds, which showed conspicuous dedication, skill and professionalism. Without them, this important work could not have been done. I am very grateful too to colleagues from across the House—Conservative, Labour and Scottish National party colleagues—for their valuable input, as well as to the many witnesses who gave evidence.
Just to provide a bit of context, this all really arises out of my experiences as a constituency MP. I visited schools in Cheltenham, from Bournside to All Saints’, and I spoke to parents and agencies such as Teens in Crisis, which has been commissioned by some schools to provide regular support. I became deeply struck—I fancy that other hon. Members in this House have as well—by the apparent increase in child and adolescent mental health problems. To me at any rate, it does not feel so much like a temporary spike, but more like a lasting surge. I want to say a bit about that before turning to the specific issue of cyber-bullying and what our inquiry found.
Mr William Wragg (Hazel Grove) (Con)
As a member of that panel, I want to place on record my thanks to my hon. Friend, who has shown such leadership in this area. I also pay tribute to the young people who gave evidence to the panel. That evidence was deeply moving at times and it was a real credit to them given what they have been through.
Alex Chalk
I am very grateful to my hon. Friend for that intervention. He should not be modest about his contribution, which was absolutely fantastic and gratefully received.
To say a little more about the context, recent research by the Prince’s Trust suggested that young people’s wellbeing has declined over the last 12 months and is now at its lowest level since the study was first commissioned in 2009. What is interesting as well is that this is not just a British phenomenon. A recent article by NBC in the United States, citing research from Johns Hopkins University, referred to an acute mental health crisis happening among members of the youngest generation of Americans, with, as the article put it,
“critical implications for the country’s future.”
Similar data is emerging from France and Germany.
Much of the debate in this House has been about a cure—about how we go about fixing the problems after they have emerged. We have debated achieving parity of esteem, funding child and adolescent mental health service beds closer to home, and so on. All that is vitally important, of course, but equal attention must be paid to prevention. Why is the surge happening in the first place? How can we stop it taking root?
Oral Answers to Questions
William Wragg Excerpts(7 years, 5 months ago)
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Justin Tomlinson (North Swindon) (Con)
2. What steps are being taken to increase the supply of doctors and nurses in the NHS.
Mr William Wragg (Hazel Grove) (Con)
12. What steps his Department is taking to increase the number of doctors and nurses working in the NHS.
The Secretary of State for Health (Mr Jeremy Hunt)
Last year this Government announced one of the biggest expansions of medical training places in the history of the NHS, involving funding 1,500 additional medical school places every year—of which 500 start this September—and reforms that will enable universities to offer up to 10,000 additional nurse training places every year.
Mr Hunt
My hon. Friend makes a really important point. In parts of the country, GP shortages have been successfully addressed as the CCG has done in Swindon. An important part of this is persuading people who go into medicine that general practice is one of the most exciting and rapidly changing parts of medicine today. We have seen a 9% increase in the number of medical students choosing to go into general practice since 2015.
Mr Hunt
I heard a lot about Stepping Hill when I went to visit my hon. Friend; I think it was last year. I had the privilege of visiting the hospital more recently after the horrific terrorist attacks, and I commend the hospital for the brilliant work that it did in the wake of the bomb. The hospital has done a good job of recruiting; I think it has recruited 93 more doctors and nearly 300 more nurses since 2010. A national programme to help all trusts to retain their nursing staff has been launched by NHS Improvement in the last week.
Oral Answers to Questions
William Wragg Excerpts(8 years, 5 months ago)
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William Wragg (Hazel Grove) (Con)
T1. If he will make a statement on his departmental responsibilities.
The Secretary of State for Health (Mr Jeremy Hunt)
As we plan a new relationship with the EU, this Government will continue to ensure that the NHS is given the priority and stability it deserves. I have already sent a message of reassurance to all NHS staff, emphasising the vital role played by the 110,000 EU nationals working in our health and care system. To be able to allow them to continue making their outstanding contribution will be a key priority in our negotiations, and we are confident they will be able to remain in this country as long as they wish. Whatever other changes are happening at a national or international level, the commitment of the British people and this Government to our NHS and its brilliant staff remains unwavering.
William Wragg
A report published yesterday by the health journal Pulse showed that last year two thirds of young people referred by their GP for mental health services received no treatment, and moreover a third were not even assessed. I am a strong supporter of this Government’s commitment to improving mental health care, so what reassurance can the Secretary of State give today that results in child and adolescent mental health services will improve rapidly?
Mr Hunt
My hon. Friend is right to draw attention to that issue. We, too, are very proud of the progress we have made on mental health, with 1,400 more people accessing mental health services every day than six years ago, but there is a particular job to do with children and young people’s mental health, and we are putting £1.4 billion into that during the course of this Parliament—and there is a specific plan for the Manchester area, which I think will help my hon. Friend’s constituents.
Cities and Local Government Devolution Bill [Lords]
William Wragg Excerpts(9 years ago)
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Norman Lamb
I absolutely agree with the hon. Lady about that. The argument made by Conservative Members could be used, by logical extension, to deny democracy entirely or to deny trial by jury. I seek to oppose both those logical extensions and to make the case again for 16 and 17-year-olds to have the right to vote. In this Bill, we are talking about their having a say in the election of their local councillors, for goodness’ sake. If the Conservatives seek to deny 16 and 17-year-olds such a basic right, in their own local community, I strongly oppose them on that. The Government say this issue deserves further discussion, and I welcome that, but why can they not just get on with it, accept the principle and legislate for it today?
William Wragg (Hazel Grove) (Con)
I rise to speak to amendment 2, which stands in my name and those of a number of right hon. and hon. Friends. As a former councillor in Stockport, I draw people’s attention to my entry in the Register of Members’ Financial Interests.
The purpose of the amendment is clear: to ensure that a referendum is held in a combined authority area before any mayoral model of governance is adopted. I am pleased that a number of colleagues have felt able to support it by putting their names to it, and I know that a number of others have some sympathy with it. I thank the Secretary of State for his courteous understanding of my concerns. Such a generous and fair approach is, as colleagues from across the House will attest, typical of the thoughtful and decent man he is.
I extend a similar tribute to the Under-Secretary of State for Communities and Local Government, my hon. Friend the Member for Stockton South (James Wharton), who has handled my reservations with good humour and more than a degree of tenacity, and I thank him sincerely for that.
My motivations for tabling the amendment are several. First, this is very much a local issue of concern, given that my constituency is part of the Greater Manchester area, which has been earmarked for an elected mayor in 2017. I can discern no real demand for this innovation among my constituents—indeed, there is a certain degree of reservation. However, despite their and my scepticism, I am prepared, as I argued on Second Reading, to accept that perhaps there is some demand and so I am perfectly willing to let the people have their say at a referendum, in order to allow them to express their view emphatically. Of course, the outcome either way would be something I would respect entirely.
Although not wishing to prejudge the outcome of such a referendum, I remind the House that directly elected mayors were in recent memory rejected by a number of constituent boroughs of Greater Manchester—Bury and Manchester itself—and subject to widespread rejection across the country in 2012. I thought the Conservative party’s policy at the time was absolutely right: mayors in metropolitan areas should be introduced only if there was a referendum and assent was given. The policy of holding a referendum was correct three years ago and I contend that the opportunity to have a democratic decision at a referendum remains equally valid today.
My overriding concern is, I expect, understandable to many colleagues with shared experience in local government: when new models of local government are seen to be imposed on areas, even if more carrot than stick is used, there the danger lurks. Some will still see the Local Government Act 1972 as an act of municipal desecration, with the break-up of centuries’ old counties and the formation of false constructs, but, aside from mocking the quaint fustiness of those dinosaurs—I do not refer to anybody in this House—we should take a valuable lesson from it: people should feel a sense of belonging to the area in which they live. Furthermore, as this amendment proposes, they should feel a sense of ownership over the formation of entities that govern them.
Mr Betts
I am trying to work out what the hon. Gentleman is trying to achieve by this amendment. Is he just probing the Government? They have made it clear that devolution deals, as negotiated, will go ahead only with an elected mayor. Is he working on the assumption that if the population turn down an elected mayor in a referendum, the whole devolution deal for that area will fall?
William Wragg
I thank the hon. Gentleman for his intervention. My amendment seeks not to ensure that such devolution deals fail, but that the mayor is not a prerequisite of such a deal. I am at variance with the Government on this issue and I would like my amendment to be included in the Bill.
Alison Thewliss
I wish briefly to go through some of the new clauses and amendments. The hon. Member for Nottingham North (Mr Allen) makes points in new clauses that have been made before in previous debates. His new clauses 1, 2, 4 and 6 include Scotland, as part of the United Kingdom. As local government is entirely devolved to the Scottish Parliament, and the UK Parliament has no scope in that matter, he has perhaps made an oversight in his proposals. In new clause 6, he wishes to make local councils in England equivalent to the Scottish Parliament, which also is not quite appropriate—after all, they are not the same things. The Scottish Parliament is a Parliament, rather than a local authority, and they are very different items.
Mr Jacob Rees-Mogg (North East Somerset) (Con)
I wish to support some of the amendments tabled by my hon. Friend the Member for Hazel Grove (William Wragg) and to try to give more information to the hon. Member for Glasgow Central (Alison Thewliss) to explain why I am in favour of first past the post.
Briefly, let me talk about referendums and why I have attached my name to amendment 2. It seems that there is a slowly developing theory of referendums in this country that fits in with a parliamentary democracy. It is that those of us who sit in this House, who admire this House and who approve of how our constitution works, have a great affection for the understanding that we are representatives and not delegates, and that we are here to exercise sovereignty on behalf of the people for a five-year period before returning it to them in toto at the end of that period. That is the well-established constitutional position. Against that, and in sympathy with that, there is a developing view of where referendums are useful, and moving from useful to becoming essential; and that is to do with the structures of government. The reason for that is that there is a permanency in the structures of government that outweighs the normal level of legislation with which we deal.
It is quite right that Scotland had referendums on its decisions on independence and on establishing a Parliament in the first place, because those are effectively permanent decisions, irreversible and unchangeable without the consent of the Scottish people. Likewise in Wales, the Welsh have had referendums on their Assembly, as has Northern Ireland, too. With regard to local councils and changes, if the structures are to work they need to go with the grain of popular consent. Authority, when it is used, needs to have a legitimacy that is based in democratic consent. When that consent was not given in the Local Government Act 1972, there was a great deal of hostility to what was done because it did not meet the requirements of local people. Against that evolving doctrine of referendums there is, inevitably, the Government’s view of referendums, which I characterise, perhaps unfairly, as being, “We will have referendums when we think we will win them, but if we think we won’t win them, it is a bit too dangerous, so we won’t take the risk.” It is a pity that the Government have not taken the risk with these new structures. Let us take the Mayor of London as an example. The Mayor of London has enormous popular consent, even when it was Ken Livingstone, let alone now that it is the great man, my hon. Friend the Member for Uxbridge and South Ruislip (Boris Johnson).
William Wragg
The London example is a case in point. That system of mayoralty was assented to by the population at a referendum.
Mr Rees-Mogg
That is exactly the point I am making. That is why there has been affection for the Mayors, even from people who do not share their political sympathies. It is felt that they have a legitimacy to do what they have done. I voted against having a mayor for London, because I thought that another tier of government was quite unnecessary; we already have far too many. However, because London had a referendum and the referendum was won, there is a legitimacy. The great city that I neighbour, the city of Bristol, elected a mayor, having decided to do so through a referendum. Therefore, the people of Bristol have invested in that office and given legitimacy to it. I cannot think of anything worse than having an elected mayor covering Somerset, and I would oppose it tooth and nail. The watchwords will be, “Somerset will fight, and Somerset will be right.”
Oral Answers to Questions
William Wragg Excerpts(9 years, 1 month ago)
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Jane Ellison
Such a change in the law would not be for the Department of Health. Let me respond to my hon. Friend’s specific point about the particular localised challenges. He might be interested to know that in May 2012 a major conference was held at Leeds town hall, with groups drawn from across the area he represents and from the wider West Yorkshire area to look at these issues. As he knows, I have already written to the public health director in Bradford asking what is being done locally to address this issue, and I suggest that it would be useful if my hon. Friend followed up on that. I would be happy to hear how that conversation goes.
William Wragg (Hazel Grove) (Con)
11. What steps his Department is taking to ensure that the NHS recruits, trains and retains adequate numbers of therapists, clinicians and other staff to improve access to psychological therapies.
The Minister for Community and Social Care (Alistair Burt)
Health Education England, working with NHS England, is charged with ensuring that there are sufficient staff with the right skill mix to support the delivery of the improving access to psychological therapies programme, and that is monitored by an annual workforce census. For example, HEE’s plans for 2015-16 are to train 946 additional individuals—a 25% increase on last year.
William Wragg
As well as providing adequate numbers of high quality specialised staff, given the prevalence of mental health issues in our society, is it not also important that general awareness is raised of mental health issues and the available treatments among all medical professionals, especially GPs? What future steps can the Government take to improve that training?
Alistair Burt
There are two particular ways to do that. The first is to enhance GP training, and work is already going on to do that. The second is through continuing professional development, and the Royal College of General Practitioners and HEE are combining to ensure that a good range of materials is available for clinicians and others to improve their skills in that area. My hon. Friend is right to raise the issue.
Cities and Local Government Devolution [Lords] Bill
William Wragg Excerpts(9 years, 2 months ago)
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Mr Nuttall
Does the Minister accept that Greater Manchester is not just a single city? It is an area made up of a city—
Mr Nuttall
Two cities, nowadays, and several very independently minded towns, which feel that they have been forced together into an artificial construct.
James Wharton
If the hon. Lady will let me make a little progress, I will give way to her soon. I know that she has been keen to get in.
In the traditions of our democracy—the traditions of a representative democracy that go back to the days of Edmund Burke if not before—it would be curious if that choice could not be made by those elected at the ballot box by the people of the city to represent them. That is the approach that is provided for in the Bill. The Bill specifically provides that each council in the area must consent to any order establishing a combined authority mayor. There is a good precedent for such an approach. A council can decide to establish a directly elected mayor for its area now. It was Liverpool City Council, which, in 2012, decided that Liverpool should have a directly elected mayor. If one council can decide to have an elected mayor, why cannot a group of councils decide to have a mayor over their combined area?
To require a referendum to be the only way for a combined authority to have a mayor would seem not fully to recognise the role that those democratically elected can legitimately have. The choice at root, as Greater Manchester has shown—
William Wragg
I am very grateful to my hon. Friend for giving way. He is proceeding with great courtesy, erudition and charm in this debate. Just on that point of the referendum in Greater Manchester, there were constituent parts of Greater Manchester that had referendums in 2012 on whether to have directly mayors and they rejected them. In part, that is my motivation for the amendment.
James Wharton
My hon. Friend raises an important point. He gives me the opportunity to clarify again the difference between the local authority mayors, of whom we have talked before, who took powers up and away from people, and the metro mayors who take powers down towards people and away from central Government and public bodies. It is an important distinction and one that is at the heart of the difference that explains the approach the Government are taking to my hon. Friend’s concerns.
As Greater Manchester has shown, the choice at root is whether or not to have wide-ranging devolution. If the choice is for devolution, it goes without saying that there must be accountability arrangements commensurately strong for the scale of powers being devolved. Holding a referendum on the narrow question of whether there should be a mayor risks not fully recognising the choice that is to be made. In short, our democratic traditions do not demand the approach provided for in amendment 51. Indeed, the approach we have in the Bill of the choice for a combined authority mayor being made by councils is exactly the same approach that is open to councils for choosing a local authority mayor—accepting the difference that I have already explained in my comments to my hon. Friend the Member for Hazel Grove about these powers coming down from central Government. Accordingly, I hope that this amendment will be withdrawn.
Ann Coffey (Stockport) (Lab)
In Greater Manchester work on the devolution proposals is very advanced. Amendment 51, tabled by the hon. Member for Hazel Grove (William Wragg), would put that work on hold until a referendum was held to determine whether the public supported having an elected mayor. It would also require 50% of the population to vote yes before a mayor could be introduced, which is a high bar. The turnout in the 1998 referendum on establishing the Greater London Assembly and the Mayor of London was 34.6%. Although the turnout in the 1997 referendum on Scottish devolution was higher, the percentage of the total electorate who voted yes was less than 50%, and the same goes for the 1997 referendum on Welsh devolution.
William Wragg
I think that the hon. Lady has mistaken the explanatory statement, which refers to the 50% threshold, for the amendment itself. Perhaps she should pay a little closer attention to the wording of the amendment, rather than the explanation provided by the office.
William Wragg
It is a pleasure to serve under your chairmanship, Mr Crausby.
I pay a warm tribute to the Minister and the Secretary of State for their approach to this Bill and the constructive dialogue that they have had with—dare I say it?—the caucus of Greater Manchester MPs, including two who are sitting next to me. The Minister warmed my heart by quoting Edmund Burke earlier. I do not know how Burke’s “Reflections on the Revolution in France” compare with my Second Reading speech, “William Wragg’s reflections on Devolution in Greater Manchester”, although in some respects my speech was probably equally as intemperate as the fiery language that Burke deployed against the French revolution. If I at all offended the Minister with my remarks on Second Reading, I wish to atone for that entirely.
The point about amendment 51 is no different to the point that I made last week about having confidence in the arguments and trusting the people to win them over. My hon. Friend the Member for Altrincham and Sale West (Mr Brady) expanded on the qualities of the Minister and the Front-Bench team in persuading and engaging with the public, and if they were to test this issue with a referendum in Greater Manchester, they might be pleasantly surprised with the result.
My neighbour, the hon. Member for Stockport (Ann Coffey), has recently left the Chamber, but I pay tribute to her work on child sexual exploitation. I was pleased to serve on one of the sub-committees of Stockport Council which took evidence from her. I say gently, however, that I would distance myself from any temptation to link the topic on which she has done a great deal of work with whether an elected mayor would impact on that, as I think it is a slightly spurious argument.
As a former teacher I should perhaps apologise to the hon. Member for Nottingham North (Mr Allen), who took issue with how the explanatory statement was drafted, and I hold my hands up as that was due to a lax approach on my part. There was never intended to be threshold on which 50% of the population would have to agree. Amendment 51 is supported by a growing list of colleagues, and it simply asks that fundamental changes to local government and the governance of my constituency are put to the test at a referendum, so that they can be endorsed and back the Government’s welcome programme of devolution.
Karin Smyth
I am pleased—along with my neighbour the hon. Member for North East Somerset (Mr Rees-Mogg)—to give the Committee a bit of respite from the subject of Manchester and to talk a bit about Bristol instead. Bristol has been a trailblazer for devolution and, in 2012, it was the only city to choose to have an elected mayor when the question was put in a referendum. I am a keen supporter of devolution and of transferring power closest to the people it affects, and I was proud to make my maiden speech on that subject. I am perhaps not as much of an evangelist as the hon. Member for Altrincham and Sale West (Mr Brady), but I am keen for devolution to happen.
Let me pick up on a unique issue which means that the people of Bristol do not share the same democratic rights as the rest of the country. The Bill started in the House of Lords, where Baroness Janke moved an amendment, now clause 21, which, if passed, would give Bristolians the right, after 10 years, to reverse, if they so wished, the decision we made in 2010 to have an elected mayor to govern our city. If the model is not fit in 10 years, we would like the opportunity to change it. By that time, citizens will have had ample opportunity to assess the value or otherwise of the current model, how it works in Bristol and, crucially, with the changing situation, how it would work across—I will not use the word CUBA, or indeed Avon—the wider Bristol area and with our neighbours in a combined authority.
This is not about personalities or whether we like or dislike the current mayor or would prefer a different person in office; it is about the system that works best for us in the city region. It is not about party politics either, because all the major political parties on the city council agree and supported a joint motion to that effect. I am very grateful to Baroness Janke, a Liberal Democrat peer, who did a lot of work in shaping and gaining support for the clause when it was in the House of Lords. It is about democracy. It is about whether we should have a voice and a new model. We should now be given that say. In an era when we are supposed to be seeing an increase in devolution and empowerment, it feels wrong that we as Bristolians should have to go through a long and tortuous legislation-making process to know whether we have the right to determine the way our city is governed. This clause would allow us to do that much more easily.
I hope the Government are able to support that provision, and give me and the people of Bristol a greater say in how this works for us in the future.