Building an NHS Fit for the Future

Ranil Jayawardena Excerpts

Monday 13th November 2023 Commons Chamber

[Dr Caroline Johnson (Sleaford and North Hykeham) (Con)]

Waiting lists are rightly one of the Government’s top priorities. To the best of my knowledge, Mr Deputy Speaker, you could not perform a knee replacement—one of the most waited-for operations—and if I were to give you £1 billion, I suspect that you would still be unable to do so. Too often, debates focus on money and how much has been put into the NHS—the Government have put record amounts into the NHS—but it is about more than money; it is about people.

On this, the 75th year since the NHS was founded, the workforce plan is a milestone in the NHS’s history, and one that I am very pleased to see. It is an essential step towards creating a more productive health service where we can expand training and recruitment while retaining the amazing pool of talent that we have in the NHS. My constituents will be particularly pleased to see the plans to increase the number of dentistry students by 40%, because many are struggling, as has been said, to see dentists. We will also double the number of GP training places by 2031, which is welcome.

These changes will take time, because doctors take a long time to train. One of the first things that the Conservative Government did was to put in place steps to open the new Lincoln medical school. It has opened and is training doctors, and it will not be long before the first new doctors will graduate, which is excellent news for my constituents. I am also pleased for my constituents that we have got a new diagnostics centre opening in Grantham, which will accelerate patients’ diagnoses and treatment.

I have been pleased to hear in the last few days about the streamlining of processes for clinical trials. That will help us to find the new treatments and diagnoses that will be the miracle cures. The Health and Social Care Committee recently visited Singapore, where we met a professor who had identified the benefits of chimeric antigen receptor T-cell therapy and treated Oscar, the little boy from Worcester whom many of us will remember from the news. Thankfully, he has recovered from his leukaemia. Such groundbreaking, world-beating discoveries will be made only if we make it easier to conduct safe clinical trials. However, we also need to look at how we incentivise people to do them.

The NHS has advertised roles for equality and diversity staff at more than £90,000, yet there is currently an advert for a professor of synthetic biology at Cambridge University—they will lead global clinical research—for a little over £67,000. We need to look at how the state values the people who will bring about world-leading discoveries and how it can support them in their quests so that our brightest children will want to do that not just through moral desire but, essentially, to turn their A-levels into cash.

The NHS has been crippled by strikes this year, and more than 1 million appointments have been cancelled. That is not helping with waiting lists, and patients are being left to suffer. Cancer diagnoses are being delayed, and patients’ conditions, when they are in pain, are being left unrelieved. As a paediatrician, I understand the desire for better working conditions and more money, but I cannot understand morally the desire to leave patients behind in order to achieve that. Morally, I do not agree with the strikes and I support the Government’s prioritising patients and their commitment to maintaining minimum service levels during industrial action.

[Mr Ranil Jayawardena (North East Hampshire) (Con)]

Does my hon. Friend agree that people often forget about the huge amount of pension rights quite understandably provided to people in public service? Junior doctors who are continuing their action do not take account of the huge benefits that they will accrue in later life.

[Dr Johnson]

I should mention that I have an NHS pension, but my right hon. Friend is right. The Government took a big step earlier this year to improve pensions, by changing the tax regime to make it easier for more senior doctors to remain at work and not feel they have to give it up because of punitive tax levels. Ultimately, doctors are paid well—they could be paid better, of course—but for me it is a moral question: morally, I do not think it is right to leave patients in order to advocate for more money.

I am pleased by the steps that the Government are taking to crack down on tobacco products. The proposal will not please everyone, but it shows the Government’s boldness and earnestness when addressing public health issues. Prevention is better—and usually far cheaper—than cure. A preventive approach to smoking will reduce the burden on our healthcare system and improve people’s quality of life. Colleagues will not be surprised to hear that I am especially pleased by the Government’s commitment to restrict the sale and marketing of vapes to children. I am glad that the Government have included some of my proposals in their upcoming consultation on vaping, including regulating their flavours, branding and visibility in shops, as well as giving local authorities the power to issue on-the-spot fines for those selling them to children.

I am glad that the Government are consulting on banning the sale of disposable e-cigarettes, which time and again have been the vape of choice for children. I was shocked by figures published last year that found that 1.3 million vapes are thrown away every week in the UK. Subsequent figures released in September show that, staggeringly, in the space of just one year that number has more than tripled to 5 million every week. Those disposable vapes would fill this Chamber from top to bottom twice over every single week—heaven forbid, Mr Deputy Speaker. That is the scale of the problem we are dealing with.

The UK risks falling behind if it does not seize the agenda quickly. I eagerly await the results of the Government’s consultation, as I know many colleagues do. Sometimes, it can be difficult to find issues on which figures from across the political spectrum are strongly aligned, but I am confident that the House will unite behind the Government’s recent proposals on vaping.

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[Sir Edward Leigh (Gainsborough) (Con)]

I congratulate my hon. Friend the Member for Uxbridge and South Ruislip (Steve Tuckwell) on a superb election victory and on a great speech from a real local champion. That result shows how important it is for the Government and the Mayor of London not to get ahead of public opinion on green energy. We all want more green energy but it must be economically driven and we must take the general public with us. I am afraid that the Mayor of London, certainly in outer London, has not taken the public with him. In Lincolnshire we have an aspect of green energy that affects my constituency, with 10,000 acres ringing Gainsborough to be put under solar panels. That will involve a huge loss of agricultural land, enough to feed the city of Lincoln every year. We all want solar panels as long as it is proportionate, but 10,000 acres ringing one small town in Lincolnshire is overdevelopment.

The advantage of the King’s Speech debate is that we can range quite widely, and in the few minutes I have, I shall raise a few general points. We have a new Foreign Secretary, a new Home Secretary and a new Health Secretary. The challenges facing the Foreign Secretary are enormous, both in the middle east and in Ukraine. On the earlier intervention, I am all in favour of a ceasefire, but it must be by both sides, and there is no intimation yet that if Israel were to announce a ceasefire, Hamas would follow suit. If Hamas are now prepared to commit themselves to a permanent ceasefire with Israel and respect the right of Israeli citizens to live in peace and tranquillity, I am sure we can have a negotiation on that basis, but I do not see that happening.

We also need to have a tone of compassion for the Palestinian people. The Palestinian people are not Hamas. I was quite impressed by what President Macron was saying on this. The Israeli Government have the right to defend themselves, but it must be in proportion, and I think we are all devastated and concerned about the plight of women, children and babies in Gaza. The Israeli Government have to deal with this issue in a proportionate way.

On Ukraine, I do not suggest a ceasefire, because that would simply benefit President Putin, but if there is a stalemate, I am not sure that we can go on thinking that we can solve the problem by pouring in more and more weaponry. Eventually there will have to be some sort of settlement.

This is a debate primarily about the NHS. We in Lincolnshire suffer from a poorly performing NHS. I have constituents—people of my age—who have paid taxes all their lives and who suddenly fall ill, go to A&E in Lincoln and have to stay there for 24 hours, often in pain and difficulty. More and more doctors are insisting that people who want an appointment have to go online, and fewer and fewer doctors are providing prompt face-to-face service. The NHS simply cannot continue as it is.

We have a new Health Secretary and, as I have said before, I think we need fundamental reform. Frankly, our counterparts on the continent, in France, Italy and Germany, get a much better service. We have to look at some sort of social insurance system by which people who pay taxes all their life are entitled to treatment within a certain period and, if they do not receive that treatment, the state will assist them to go private.

I have made the point many times that a previous Conservative Government gave tax relief for private health insurance. This Government have not progressed that idea, which I do not think would be a wildly popular one, but we have to do something. The NHS is consuming an ever-larger proportion of the national budget and delivering a worse and worse service.

Over the next 12 months up to the general election, I hope the new Health Secretary will think big ideas to try to give people, particularly those of pensionable age, some right to the healthcare that they have paid for all their life and that they do not get at present. Having more children brushing their teeth at school under a putative Labour Government will not solve the problem; it is far greater than that.

Of course, we also have a new Home Secretary, who has an enormous challenge. I have confidence that he will speak up for Conservative Britain and Conservative voters who are deeply unhappy about the very high levels of both legal and illegal migration. It is completely unsustainable to carry on with the current net migration rate of some 600,000 people a year, which is overwhelming our services, the NHS, housing and everything else. It is said that we need these people to work in the NHS or in care homes, but we need to provide proper wages so that people who already live in Britain want to work in the NHS or in care services.

We should not allow employers to think they can solve their problems by constantly importing labour from abroad. There is a simple solution to help solve this problem. The average wage in the UK is about £34,000 a year and, at the moment, a person can enter this country for a job paying £26,000 a year. If we said that migrants have to earn a minimum of, say, £34,000 a year, we would bring in high-quality staff and not undercut our own indigenous labour.

[Mr Jayawardena]

Does my right hon. Friend agree that we have a structural problem because of our country’s ageing population, and that we need to have more children in this country so that we meet our replacement rate for the first time since the 1970s?

[Sir Edward Leigh]

I have made a personal contribution by having six children. They are all now in their 20s and 30s, and they are finding it unbelievably difficult to get on the housing ladder. The Government really have to solve this problem. We cannot just fill this country with more and more people so that our young people cannot get on the housing ladder and cannot find a place to rent.

I am a bit dubious about reforming how landlords can evict tenants. I just want supply-side reforms to ensure there is more housing coming on to the market for young people to rent. I want the Government to be far more proactive on building houses, if necessary in grey areas on the green belt. That might not be universally popular with my colleagues, but we certainly have plenty of room in Lincolnshire. If people want to come up to Lincolnshire and build houses, they are very welcome. We will do our bit.

I am very dubious about the smoking ban and, as a libertarian, will vote against it. It will not solve the problem, and I believe it will result in a massive increase in criminality. Every time we ban something, we simply increase the criminal class. I am not sure a ban is even enforceable. In 50 years’ time, old boys will go into a tobacconist and say, “I am 64 years old and am entitled to buy cigarettes, but my friend here, who is 63, cannot buy cigarettes.” It is ridiculous, and it is not enforceable. I do not smoke, and smoking is decreasing all the time. The people who smoke are heavily taxed. I do not believe we can solve this or any other problem by banning things. Conservatives have to be primarily about freedom. They have to be about low taxation and deregulation. We have to give something for our own people to vote for, which is why I have talked about these issues and, in particular, curbing legal and illegal migration. I am a victim of that, as is the Home Secretary, because the previous Home Secretary was going to open a camp for asylum seekers in his constituency. I do not know whether the Home Secretary is still going to do that; if he decides to row back on that idea in his constituency, I hope he will not close that camp in Essex but keep open the putative camp at RAF Scampton in Lincolnshire, as that would be completely unfair. Being a fair-minded person, he will not do that, I am sure. I shall be knocking on his door soon to say that we need a compromise, as we cannot have 2,000 illegal migrants overwhelming local social services. After that brief run around the King’s Speech, I am sure you will be grateful if I now sit down and let others have a go, Mr Deputy Speaker.

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[Anna Firth (Southend West) (Con)]

On behalf of the people of the city of Southend and Leigh-on-Sea, I wish to express my gratitude and respect for His Majesty. Her Majesty the late Queen Elizabeth II is still much missed in Southend, but His Majesty has acceded the throne with all the dignity and gravitas that we came to expect from his mother. It was a true privilege to witness the first King’s Speech in 70 years.

I judge all new legislation against my three priorities to make the new city of Southend safer, healthier and wealthier. I am pleased to say that the King’s Speech hits all three of those priorities, although today we are, of course, talking about building an NHS fit for the future. That goes right to the heart of much of the work I have undertaken since being elected. As many Members have done, I welcome very much the commitment to creating a smokefree generation, cracking down on youth vaping, growing our NHS workforce and cutting waiting lists. However, I would like to talk a little about capital funding.

I welcome very much that core spending by the end of this Parliament will have increased from £140 billion to £193 billion in 2024-25. We have invested record sums in our NHS. That is an increase of £53 billion in cash terms, or a 37% increase. I welcome the fact that that includes capital spending of £83 million in the current spending review going into Southend Hospital, with another £19 million set to come on top of that, meaning a total of £102 million into my local hospital since the last election. I welcome that wholeheartedly, but we must do more to speed up the arrival of NHS capital funding.

The House is well aware of my campaign to get £118 million of capital investment that was promised to South Essex hospitals in 2017. The lion’s share of that, £52 million, was promised for Southend Hospital and it is much needed. I termed that money the missing millions and I have mentioned it 11 times in this House. Last year, I got £8 million to secure improvements to our emergency department, and two years ago I was absolutely delighted to hear that the rest, the £110 million, was finally confirmed and would be delivered in full. That will mean a modern endoscopy suite for Southend, an upgraded refurbished main theatre, more hospital beds and an upgraded emergency department: better and faster hospital care in better surroundings for all Southend’s residents and those around who come to our hospital. Better late than never, but we must do more to get that money through the bureaucracy faster than we have managed so far.

That investment will be moot if my constituents cannot get to the hospital. Ministers are aware that last year elderly residents were left stranded literally overnight when First Bus withdrew the No. 21 bus service, literally cutting them off from Southend Hospital. Working with First Bus I managed to reroute the No. 3 bus, but that is not good enough because it runs only once every two hours. I reiterate the need to restore that bus service. I am delighted that, working with the previous Roads Minister, bus funding of almost £1 million is now coming to Southend over two years, which should help to protect and enhance local bus services, including getting the No. 21 back. I am now looking forward very much to working with the new Roads Minister—as soon as I know who that is!

Money is not the be all and end all for the future of our NHS. We are investing record sums, but what we need to 100% focus on religiously is reform and prevention. Here, I want to talk about something called the fracture liaison service. I recently visited the fracture clinic at Southend Hospital, which is to launch a new fracture liaison service in spring next year, with the support of the Mid and South Essex integrated care board. This will be the first fracture liaison service in the UK to have a single FLS across an entire area, supporting consistent care across Mid and South Essex. In our region, there are an estimated 8,000 to 10,000 fragility fractures every year in adults aged 50 or over, often causing patients to spend extended periods in hospital, taking up hospital beds and staff time. Over five years, the new Southend FLS is expected to prevent 550 fractures, saving half a million pounds and 1,300 bed days every single year. If that is scaled up nationally, we will be saving 74,000 osteoporotic fractures and releasing 750,000 hospital bed days. Services like this are truly the future of the NHS. Their benefits are unquestionable. I look forward to seeing all regions following our lead in Southend to deliver savings and free up beds across the board.

On waiting lists, I was extremely disappointed to see The Times reporting erroneously that Southend is England’s NHS waiting list hotspot. The number quoted on waiting lists did not include the total catchment population for Mid and South Essex, where waiting lists today sit at approximately one in seven people, not one in five as was quoted. It is disappointing to see prestigious leading national newspapers irresponsibly pumping out the wrong information and not getting their facts straight.

Of course I am not happy for any of my constituents to wait longer than they should, but we must recognise that industrial action has played a part in the extension of waiting lists across the NHS. Mid and South Essex NHS Foundation Trust has a recovery plan, and provided that there is no further industrial action it will virtually eliminate 65-week waits—except in the case of some specialist services—by next March. However, we must have sustainable staffing in order to cut waiting lists, which is why I welcome the proposal to deliver the NHS long-term workforce plan. Like others, I also welcome the commitment to creating a new smoke-free generation. That will save thousands of lives, and it goes without saying that a healthier future for our children means a more sustainable NHS.

Community pharmacies are already saving 619,000 GP appointments every week—roughly 32 million a year—and removing the need for about 3.5 million people a year to visit A&E departments and walk-in centres. Given such staggering results, we must surely consider moving more health services out of hospitals and into the community.

[Mr Jayawardena]

Is it not also important for us to educate the public so that they know how much they can obtain from their local pharmacies rather than always relying on GP appointments or, indeed, associated professionals?

[Anna Firth]

I entirely agree with my hon. Friend, and he has brought me neatly to my next point. The brilliant Belfairs and French’s pharmacies in Leigh-on-Sea are run by an inspirational pharmacist, Mr Mohamed Fayyaz Haji, known as Fizz. The range of services that those pharmacies deliver is incredible, including cholesterol and blood pressure checks, health advice and prescribing, and they are now expanding into primary and community care, from ear syringing to community phlebotomy, earlier diagnosis measures such as measuring prostate-specific antigen levels to test for prostate cancer, electrocardiograms, ultrasound screening for sports injuries, and services for pregnant women. This is a model for community pharmacy care around the country that will keep people out of hospitals unless they really need to be there.

I am delighted that one of my key campaigns has made it into the King’s Speech. My campaign to ban all forms of zombie knives will be enacted through the criminal justice Bill, which will increase the maximum penalty for those who sell dangerous weapons to under-18s and create a criminal offence of possession of a bladed article with intent to cause harm. Being stabbed is the No. 1 fear for young people in Southend for the second year in a row, and I welcome the fact that the Bill will make our streets in Southend safer.

I see you looking at me, Madam Deputy Speaker, so I will summarise my next few points. Bleed kits must be rolled out, because the first person to reach a stab victim is often not an ambulance driver but someone from a pub, a club or a police car. If we support Julie Taylor’s award-winning campaign and roll out those bleed kits, we will save more lives.

No speech from me would be complete without my mentioning Southend United. I wholeheartedly welcome the football governance Bill, which will deliver a more sustainable future for football clubs such as Southend for generations to come.

I believe that this King’s Speech will deliver a healthier future, a stronger economy, and a safer future for all the residents of Southend and Leigh-on-Sea, especially children, and I look forward to voting for it later this week.

Cystic Fibrosis Drugs: Orkambi

Ranil Jayawardena Excerpts

Monday 10th June 2019 Westminster Hall

[Paul Scully]

My hon. Friend is absolutely right to say that we are looking at that pipeline, which is so important. That is why this process is different from the kind that NICE is used to. I hope that NICE can be accommodating enough to suit the pipeline, and that Vertex can come back with its triple therapy, which will help so many people.

[Mr Ranil Jayawardena (North East Hampshire) (Con)]

I congratulate my hon. Friend on opening this important debate. Although we can get hung up on process, NICE, NHS England and, dare I say it, Her Majesty’s Government, is it not true that real people’s lives are at the heart of this? As I understand it, Vertex has been offered the most generous settlement in the entire history of the NHS. Is it not time that the company now took the brave decision to accept a very generous deal?

[Paul Scully]

My hon. Friend is absolutely right. Vertex has a pipeline that should help its shares—their value has doubled over the past few years, and I am sure they will do very well in future—but we must have a balance with shareholder value, so that the company can continue to invest and continue its research. As he says, this is about human beings, their quality of life and their lives.

Budget Resolutions

Ranil Jayawardena Excerpts

Tuesday 30th October 2018 Commons Chamber

[John McDonnell]

A former Local Government Minister gets to his feet in this House and does not express a word of apology for what the Government have done to local government.

For some time, I have had concerns about the nature of the whole debate on austerity. First, many—I accept not all—in the Conservative party seem to have no appreciation of what austerity has meant and continues to mean for our society. I thought at one point that that was because many Labour MPs such as me represented constituencies with a different demographic to many Conservative constituencies. I represent a working class, multicultural London constituency. Yes, it is faced with different challenges from those of leafy Surrey, for example, but most of all our constituents, wherever they are, rely on the NHS, local schools, the police and local council services, so all of us should have some idea of what the public services that support our constituents have been going through.

[Mr Ranil Jayawardena (North East Hampshire) (Con)]

Will the right hon. Gentleman give way?

[John McDonnell]

Not at the moment, if the hon. Gentleman does not mind.

What shocked me yesterday was that the Chancellor delivered a Budget that so clearly failed to address the desperate needs of our society after eight years of austerity. Let us look at just some elements of the human cost of austerity and what the Chancellor brought forward in the Budget.

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[Matt Hancock]

We have a plan to improve the cancer workforce and to try to solve some of these problems. Maybe the hon. Gentleman should come over to this side and work with us to put record funding into the NHS. We can only have record funding for the NHS if we have a strong economy.

[Mr Jayawardena]

Is it not critical that every single penny put into the NHS is well spent if we are to tackle waste and bureaucracy, unlike what happened when Labour was in charge, when almost half was not spent on patient care?

[Matt Hancock]

My hon. Friend is absolutely right. People want to see more funding for our NHS, and they are going to get it, but they also want to see all the money being well spent.

The Budget confirms that the NHS is the Government’s No. 1 spending priority, just as it is the British people’s No.1 spending priority. This Budget places the Government four-square in the centre of British politics. It is progressive and optimistic and focused on the future, not just for the many but for the whole country that we serve.

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[Matt Hancock]

The spending review is next year. What I can guarantee is a £20.5 billion increase in NHS spending. That is the biggest increase in any spending commitment for any public service in the history of this country. [Interruption.] It is a pity that the Leader of the Opposition is not interested and does not want to hear about it. If he stayed, he could also hear about the reforms we are going to make. He should hear this more than anyone. We are acutely aware on the Conservative Benches that this is not Government money or NHS money but the hard-earned money of taxpayers, and we need to ensure that it is spent wisely. When he sprays his commitments around, Opposition Front Benchers would do well to remember that this is money from taxpayers.

[Mr Jayawardena]

I welcome the fact that taxpayers’ money will be spread across the whole country, including £10 million to support air ambulances, which provide vital services in rural areas.

[Matt Hancock]

So many of us know just how important air ambulance services are and the countless lives they save. I am delighted that, on top of the £20.5 billion for the NHS—the biggest ever, longest ever cash settlement for any public service in history—there was £10 million for air ambulances.

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[Matt Hancock]

Of course, in Scotland social care is devolved, so—[Interruption.] And in York, the amount of money for social care is going up thanks to the decisions announced yesterday.

[Mr Jayawardena]

Is not it true that Labour talk the talk but do not walk the walk? They failed to deliver an effective long-term solution for social care when they were in government. They had 13 years to sort it and they did not. Is not it also true that, even though they said they would use the comprehensive spending review to address that, they left office without delivering? That is what they do time and again.

[Matt Hancock]

My hon. Friend is absolutely right. The long-term plan needs to ensure that we address the challenges of today and of tomorrow, including dementia, obesity and the rise in mental ill health. It will set out how we are going to address and deliver these changes. The Government believe in an NHS that is free at the point of use for everyone, for the long term.

Oral Answers to Questions

Ranil Jayawardena Excerpts

Tuesday 20th March 2018 Commons Chamber

[Mr Hunt]

Really, the hon. Gentleman can do better than that. The truth is that the NHS has had its most difficult winter in living memory, which is why last year, in preparation, we invested £1 billion in the social care system; invested £100 million in A&E capital; and gave the flu jab to 1 million more people. He still has not explained why, for every additional pound that we have put in per patient in the NHS in England, the Labour Government in Wales put in only 57p; that is underfunding.

[Mr Ranil Jayawardena (North East Hamp- shire) (Con)]

T5. Although my younger daughter, being at the discerning age of one, is a particularly fussy eater, childhood obesity is becoming one of the most quickly rising and important issues of our time. Does my right hon. Friend recognise that it is something that we really need to tackle, and quickly?

[The Parliamentary Under-Secretary of State for Health (Steve Brine)]

We are already delivering an ambitious plan to address childhood obesity, including taxing sugary drinks and helping children to exercise more, but we need to keep a close watch on this. We have taken the first few steps in a long race, and we are always looking to learn from successful initiatives elsewhere. Last week I was in Amsterdam looking at the system-wide approach there, which has led to very impressive reductions in child obesity. We should be listening and we are.

Post Office Horizon System

Ranil Jayawardena Excerpts

Monday 29th June 2015 Commons Chamber

[Andrew Bridgen]

The hon. Gentleman tells a tale which has been told too long to the working group. We need to bring matters to a head and I hope the debate tonight will give us an opportunity to do so.

The mediation scheme that was set up to handle disputes about the software system has not delivered what Members of this House had understood was agreed at its inception. It was flawed in a number of ways, the most significant being that it excluded those who had pleaded guilty.

[Mr Ranil Jayawardena (North East Hampshire) (Con)]

My constituent, Jo Hamilton, has her case in front of the Criminal Cases Review Commission. Does my hon. Friend agree that for those who pleaded guilty, the CCRC should be given powers to obtain all the papers that it needs from private sector organisations and full access to all Post Office files?

[Andrew Bridgen]

My hon. Friend makes a good point and he is right. Many people pleaded guilty on advice from lawyers or out of fear of losing their liberty in a lengthy and expensive court battle with the Post Office.

The House should know that the Horizon system has no adequate suspense account function, so it pushes the sub-postmaster who wants to balance his books when the books actually do not balance. This is false accounting and a criminal offence. However, I have seen correspondence that shows that the Post Office has advised sub-postmasters to keep any surplus balances that they discover at the close of business in their safe so that they can put them back when they have a shortage. That is also false accounting and is also a criminal offence.

A further flaw is the fact that issues of concern to the forensic accountants Second Sight, appointed by the Post Office at the request of the working group to assess independently the mediation cases, have been specifically excluded from mediation—for example, the absence or the ignorance on the part of the sub-postmaster of the contract they were under, and the failure of audits and investigation—despite the agreement of Post Office Ltd with Members of this House that the scheme would cover all these issues. This is resulting in what I believe to be 90% of the cases in dispute being excluded from the mediation scheme. This mediation has proven to be a shadow of what was agreed with Members.

I first became involved in this matter several years ago when my constituent Michael Rudkin brought his case to me. My constituent had 15 years’ experience as a postmaster and served as a senior member of the national executive. Indeed, he was chairman of the negotiating committee, the most senior post within the National Federation of SubPostmasters, responsible for national negotiations with Post Office Ltd and Royal Mail Group. In short, my constituent knew his job and the organisation inside out. He knew the organisation to the extent that on a visit to the Post Office headquarters in Bracknell, he was shown in error a room where operatives had remote access to the Horizon software and it was demonstrated to him how postmasters’ accounts could be altered remotely. The House should know that the Post Office has always maintained that it is not possible to alter accounts in a sub-post office remotely. However, it has recently admitted that this was not the truth.

In a debate in December I went into the details of Mr Rudkin’s case. To summarise, his post office branch had a loss in the accounts in excess of £44,000. He was absolved of any knowledge of this loss by Post Office Ltd but ordered to pay back the money at £1,000 per month from his salary. After he had paid back £13,000, Post Office Ltd started proceedings against Mr Rudkin’s wife for theft and false accounting. It also applied for a confiscation order to be placed on all his property and had his bank accounts frozen using the Proceeds of Crime Act 2002. This all occurred after my constituent had witnessed the operatives in Post Office headquarters demonstrating their remote access to the Horizon system.

My constituent has gone through the mediation scheme and his experience is that the professional advisers, Aver Ltd, Bill Cleghorn and Emma Porter, are very good. Second Sight has been extremely fair, professional and accurate in its analysis of both systemic and thematic issues within Post Office Ltd. However, the same cannot be said of the Post Office itself. I and my constituent have no faith in its ability to resolve the matter. It is said that justice delayed is justice denied, and this matter has simply dragged on for too long, with the Post Office seemingly looking for ever more reasons to delay the truth of the matter coming out.