Health, Social Care and Security

(Limited Text - Ministerial Extracts only)

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Wednesday 28th June 2017

(6 years, 10 months ago)

Commons Chamber
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Amber Rudd Portrait The Secretary of State for the Home Department (Amber Rudd)
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I agree with one thing that the right hon. Member for Hackney North and Stoke Newington (Ms Abbott) said—that the response from the emergency services to the series of attacks and the tragedy at Grenfell Tower has been truly heroic. The brave men and women of our emergency services were able to suppress their own emotions of fear and anger. As she said, they rushed in to save lives, putting their own thoughts on hold for a while. I had the privilege of meeting the numerous police officers, firefighters and paramedics who were first on the scene in Manchester following the arena bomb, and in London after the Westminster and London Bridge attacks. It is because of their bravery that there are people alive today who might otherwise have perished. The same is true of the Grenfell Tower fire. Lives were saved because of the skills and sacrifice of the brave men and women of our emergency services. We owe them a huge debt of gratitude and we stand behind them.

Nobody thinks of this as a game. We want to engage and debate with the Opposition because there are important subjects to be discussed. We are all serious about what has happened, what could happen in the future and what steps we need to take.

The shadow Home Secretary raised her concerns about cuts to the fire service. Let me remind the House of some facts. The fire crew at Grenfell Tower was on the scene within six minutes, and more than 200 firefighters responded. Can she really suggest that numbers were inexcusably low? We should also remember that the number of fire incidents has halved in the past decade, but the number of firefighters has fallen by less than 20%. They do an incredibly good job.

The Government do not recruit fire or police staff; chief officers do. It is up to each fire and rescue authority to manage their resources, and to decide who to recruit and when. In fact, some fire and rescue services are reporting an increase in the recruitment of full-time firefighters. Public safety is an absolute priority for the Government. Under my watch, fire and rescue services and the police will continue to have the resources they need to do their important work.

None Portrait Several hon. Members rose—
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Amber Rudd Portrait Amber Rudd
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I will give way in a moment. I just want to address the clear points that the right hon. Lady made about resources.

Let us talk about the police. Since 2015, we have protected the police budget in cash terms. In order to maintain that, it is correct that chief officers have to maximise their access through the precept. To be able to say that we protect it in real terms, I have to draw attention to the police transformation fund. One of the differences between the Conservatives and Labour is that we know that we have to focus on outcomes. That means continuing the business of police reform and continuing to fund it through the police transformation fund. We are most concerned with outcomes—on how to get the best results for victims and communities.

Ian C. Lucas Portrait Ian C. Lucas (Wrexham) (Lab)
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The Secretary of State is of course right to talk about police reform, which is extremely important, but it misrepresents the Labour party to say that we are not interested in police reform. We introduced police community support officers when we were in government, and there was a constant period of reform then. The real point is that the Conservative party have cut budgets not since 2015, but since 2010. There has been a massive cut to the police budget, which is affecting my constituents in Wrexham.

Amber Rudd Portrait Amber Rudd
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I am delighted to have the hon. Gentleman’s support on police reform, which will continue. He is right that there were cuts between 2010 and 2015 but, as always, we must look at the outcomes. Crime fell by a third during that period.

Jack Dromey Portrait Jack Dromey (Birmingham, Erdington) (Lab)
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Will the Home Secretary confirm that the Commissioner of the Metropolitan police, the head of counter-terrorism, the head of the National Crime Agency and the chair of the National Police Chiefs Council have written to her saying that the counter-terrorism, policing and protective security grant will fall by 7.2% in cash terms over the next two years?

Amber Rudd Portrait Amber Rudd
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I have received that letter and I will be speaking to all the individual leaders of those groups. The issue to which they are drawing attention is that they are under tremendous strain because of the events of the past three months. Additional resources are being deployed in order to work on the ongoing investigations into some of the terror events, including the investigation in Manchester. We recognise that and will work with them to see how we can support them.

Margaret Greenwood Portrait Margaret Greenwood (Wirral West) (Lab)
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The Secretary of State mentioned that there were 20% cuts to fire services across the country. On Merseyside, the figure is much higher. Since 2011, we have lost nearly 300 firefighters —that is a loss of 31%—and a third of fire engines. Both of the only two fire stations in my constituency are closing, which will make the situation less safe for my constituents. Will she look again at the funding for Merseyside fire and rescue service as a matter of urgency?

Amber Rudd Portrait Amber Rudd
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I would ask the hon. Lady: what are the outcomes in her constituency? What is the level of incidents of fire in her constituency? What work are those bodies doing? I would ask her to first look at the outcomes before coming back for more resources.

Lord Swire Portrait Sir Hugo Swire (East Devon) (Con)
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My right hon. Friend is presumably not wholly taken in by the shadow Home Secretary posturing as a defender of people’s safety, when, in 1989, she—now famously—signed an early-day motion calling for the scrapping of MI5 and the Metropolitan police’s special branch.

Amber Rudd Portrait Amber Rudd
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My right hon. Friend raises such an important point. It is a sad truth that those on the Opposition Front Bench—not those on the Back Benches, but sometimes those on the Front Bench—have such a poor record on supporting the people who do such great work to keep us safe.

None Portrait Several hon. Members rose—
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Amber Rudd Portrait Amber Rudd
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I will make some progress first, and then I will come back to some interventions.

The Gracious Speech is about building on the Government’s strong economic record so that we can continue to invest in our priorities, such as the NHS and national security. Conservative Members know that it is only with a strong economy that we can fund our NHS, protect our elderly and back Britain’s defences.

The Gracious Speech we heard last Wednesday set out the Government’s legislative agenda for the next two years. It is a programme that will build on our strong record of achievement under the last Government. Crime has fallen by a third since 2010. Legal highs have been banned. More than 900 bogus colleges have been closed. Police and intelligence agencies have been given more powers and tools to keep the public safe. We have an ambitious programme of police reform, on which I am delighted to hear we may continue to get support from the Opposition. Some £100 million of funding has been provided to tackle violence against women and girls.

We have a proud record on the NHS. NHS spending has been protected. We have more doctors, more nurses, more midwives and more GPs. Last year, the NHS treated more people than ever before. Now we will build on the foundations we have laid, working even harder to create a Britain that works for everyone. Above all else, this is a Government committed to keeping families, communities and our country safe.

Jess Phillips Portrait Jess Phillips (Birmingham, Yardley) (Lab)
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I, like the Home Secretary, want to hear about outcomes. Recently, the west midlands chief constable said that one of the outcomes for police there was that, as police officers are pulled away on to anti-terror alerts and more high-alert policing, call-outs on other crimes have to be downgraded. One of the things that was downgraded—this is the outcome of there not being enough police in the west midlands—was call-outs on domestic violence.

Amber Rudd Portrait Amber Rudd
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The past three months have seen an extraordinary series of attacks, which have put pressure on our police. They have dealt incredibly well with that by having mutual aid coming from different areas to support them. We recognise that there has been a particular surge, but I do not think the hon. Lady’s point—that we need to operate as though there were this level of attacks every three months—holds water. However, I will be engaging with chief police officers to find out whether they have the support we expect them to have, despite the additional work they need to do.

None Portrait Several hon. Members rose—
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Amber Rudd Portrait Amber Rudd
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I am going to make some progress, and then I will come back to some more interventions.

In the last Parliament, we announced a 30% increase over five years in Government spending on counter-terrorism, increasing spending from £11.7 billion to £15.1 billion. We introduced measures to disrupt the travel of foreign fighters. We passed the Investigatory Powers Act 2016, which gives the police and intelligence agencies more of the powers and tools they need to keep people safe and secure.

Anne Main Portrait Mrs Anne Main (St Albans) (Con)
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Further to my right hon. Friend’s answer to the hon. Member for Birmingham, Yardley (Jess Phillips), does it not increase pressures on the police when there are calls for days of rage and other activities on the streets that pull the police into London and take away resources from areas such as mine in Hertfordshire that have to provide mutual aid?

Amber Rudd Portrait Amber Rudd
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That is a very good point from my hon. Friend. We need to make sure that, at a time when such terrible national events are taking place, everybody gives out the message that we should support our police by having fewer protests of that type.

None Portrait Several hon. Members rose—
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Amber Rudd Portrait Amber Rudd
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I am going to make some more progress.

We also legislated in the previous Parliament to strengthen our response to terrorist financing with the Criminal Finances Act 2017. We have protected overall police funding in real terms since 2015, and we have funded an uplift in the number of armed police officers.

Lord Austin of Dudley Portrait Ian Austin (Dudley North) (Lab)
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Last Friday, I and a group of MPs from the west midlands met the chief constable and the police and crime commissioner, and they told us that funding for the police in the west midlands has been cut by £145 million, or 27%. That has resulted in the number of officers being reduced by 2,164, which is a quarter, and the number of PCSOs being reduced by half. It has also resulted in the closure of Dudley’s police station. Will the Home Secretary allow me and a group of my colleagues to come to talk to her about the terrible level of cuts her Government have imposed on west midlands police?

Amber Rudd Portrait Amber Rudd
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The hon. Gentleman puts it so kindly—I am so keen to have a talk on that topic. I assume that the figures he is looking at are from 2010; I have been referring to the figures from 2015, which have been protected in cash terms and in real terms. I would welcome a visit from him—perhaps to my police Minister—so that we can go through the figures and reconcile his thoughts with mine. [Interruption.] I do not think we are going to do that across the House right now.

David Hanson Portrait David Hanson (Delyn) (Lab)
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The Home Secretary has just indicated that there is an uplift in the number of armed police officers. Does she recall that, the day I left office as police Minister in 2010, we had 7,000 armed police on the streets of Britain? We now have 5,500—a 20% drop. Will she reflect on the statement she has just made and correct it for the House?

Amber Rudd Portrait Amber Rudd
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I am afraid I do not particularly recall the day when the right hon. Gentleman stepped down, but I stand by what I said, which is that we are funding a significant uplift in the number of armed police. These officers are trained at a different level to those he oversaw as police Minister; they are much more effectively trained, to the high level required for counter-terrorism.

Anna Soubry Portrait Anna Soubry
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Will my right hon. Friend confirm that the way we now operate police officers means that the old days of a police officer being an accredited firearms officer have completely changed? Now we effectively have squads of crack officers, who are properly trained in all aspects of serious policing, and who, frankly, do a far better job than we have seen for many a long year.

Amber Rudd Portrait Amber Rudd
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My right hon. Friend is exactly right.

In addition to those armed police officers, we are in the process of recruiting security staff—

Chris Ruane Portrait Chris Ruane (Vale of Clwyd) (Lab)
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Will the Home Secretary give way?

Amber Rudd Portrait Amber Rudd
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I am going to make some more progress.

We are recruiting over 1,900 additional security and intelligence staff. To combat terrorism, we also work with technology companies to tackle terrorist and extremist use of their platforms. The UK has been leading in driving a global response on this subject. This week, leading communications service providers announced the formation of an industry-led global forum to counter terrorism, which they committed to following a meeting I had with them in March.

Giles Watling Portrait Giles Watling (Clacton) (Con)
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Does my right hon. Friend agree that in the perfect utopian society—as Sir Thomas More would have it—we would have no police at all, so it is clearly not about numbers and vast amounts of cash, but effectiveness?

Amber Rudd Portrait Amber Rudd
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I welcome my hon. Friend to the House and thank him for his comments about wanting a much more peaceful world—I think that is something we can all endorse.

Jonathan Edwards Portrait Jonathan Edwards
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I have been listening with great interest to the Secretary of State, and she will surely welcome the private Member’s Bill being introduced by my colleague Lord Wigley in the other place, which calls for an independent resource audit for Welsh and English police forces. Will she look at that Bill and offer Government support?

Amber Rudd Portrait Amber Rudd
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I thank the hon. Gentleman for drawing my attention to it, and I will certainly take a look at it.

Ed Davey Portrait Sir Edward Davey
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Will the Home Secretary give way?

Amber Rudd Portrait Amber Rudd
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I am going to make some progress, but I look forward to coming back to the right hon. Gentleman.

In terms of what else we are doing to combat terrorism, earlier this month the Prime Minister and President Macron announced a joint action plan, which included measures to tackle terrorist use of the internet. We have Prevent, which the right hon. Member for Hackney North and Stoke Newington referred to, and I repeat my invitation to her to come and visit some of the Prevent initiatives. If people see them for themselves, they will find they do a really positive job in engaging with communities. In addition, the Channel programme, which offers voluntary tailored programmes of support to people assessed as being at risk of radicalisation, has supported over 1,000 at-risk individuals since 2012.

However, as we have, sadly, seen with the recent attacks at Westminster, Manchester, London Bridge and Finsbury Park, the country faces an escalating threat from terrorism—36 innocent people dead, 150 hospitalised, families torn apart, and communities left grieving. The Government must do everything in their power to defeat the scourge of terrorism.

Where we can learn more and improve, we will. That is why, as set out in the Gracious Speech, our counter-terrorism strategy will be reviewed. We will look at our whole counter-terrorism approach across Government, police, local authorities and the security services to ensure that they have what they need to protect our country.

If the review finds that further legislation is needed, the House can be assured that we will put this before Parliament. As I announced last week, there will also be a separate review of the handling of recent terror attacks to look at whether lessons can be learned about our approach to these events. This review will be conducted by the police and MI5, and I have asked David Anderson, the former independent reviewer of terrorist legislation, to provide independent scrutiny.

Geraint Davies Portrait Geraint Davies (Swansea West) (Lab/Co-op)
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Will the Home Secretary give way?

Amber Rudd Portrait Amber Rudd
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I am going to continue for a while.

We will establish a new commission for countering extremism to support the Government in eradicating extremist ideology in all its forms. Britain is a wonderfully diverse, inclusive and open country that many people proudly call home. Time and again, we have seen our communities come together, demonstrating unwavering acts of kindness, compassion and support for one another, but it is no secret that there are those in Britain who do not share our values—who do not share our compassionate outlook, and despise our way of life and wish to do us harm. That is what we saw in Finsbury Park, Westminster, London Bridge and Manchester. Extremism cannot just be ignored, and neither can it be wished or explained away. Extremists need to be confronted, and the narratives they use to weaponise people and breed this horrific violence need to be called out and taken head on, not afforded accommodation.

Geraint Davies Portrait Geraint Davies
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Does the Home Secretary accept that talk of Islamic extremism, in particular, is in danger of being misinterpreted as meaning “too much Islam” when in fact, of course, “Islam” is the Arabic word for peace; that the problem is those who pervert, distort and blaspheme in the name of Islam; and that the true Islam was shown by Imam Mohammed, who stood in front of the killer and said that life is sacred? Does she not want to pursue a route that says that the Islamic community should work with us to target those who would distort Islam and correct their interpretation, rather than talk about Islamic extremism, the danger of which is making out that Islam is the problem?

Amber Rudd Portrait Amber Rudd
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The hon. Gentleman makes a very good point. We all need to choose our words carefully, but we also need to call out what we believe this is. We should talk about radical extremist ideology, whether it is Islamic or far right, but we need to make sure that we are clear that we are equally hostile to both, and will take action where either is doing damage to society.

Julian Lewis Portrait Dr Julian Lewis
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Following up what the hon. Member for Swansea West (Geraint Davies) said about the use of terminology, does the Home Secretary accept that there is a valuable store of experience from the past in the way agencies tackled the doctrines of fascism and Nazism, and subsequently of Marxism-Leninism, and that questions such as the use of vocabulary mean that we need a specialist agency to co-ordinate this effort in the future as we did successfully in those past instances?

Amber Rudd Portrait Amber Rudd
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I thank my right hon. Friend for his contribution. This may be something that the new commission for counter-extremism will want to look at.

Since 2015, we have had a Government-wide counter-extremism strategy, the first of its kind. At the heart of the strategy is a partnership with communities to make sure that we build on British values. We have published a hate crime action plan and funded additional security measures at more than 50 places of worship. We are also supporting 53 civil society groups that are confronting extremism in their communities.

However, defeating the evil ideology of extremism is one of the greatest challenges of our time, and there is more that we must be able to do. That is why we will have the new commission, which will support the Government to identify and eradicate extremist ideology in all its forms. Across society and online, we will work with communities, and public sector and civil society groups, to promote and defend our pluralistic values of democracy, freedom of belief and expression, the rule of law, mutual respect, and opportunity for all. The commission will advise the Government on what new powers might be needed to tackle the evolving threat. Work is under way on the design of the commission, and we will set out our plans in due course.

Turning to the future immigration system, the Gracious Speech included an immigration Bill that will allow the Government to end the EU’s rules on free movement of EU nationals in the UK, ensuring that we have the flexibility to create a fair and controlled immigration system. It will give us control over the numbers of people who come to the UK from the EU while welcoming those with the skills and expertise to make our nation better. What these rules look like will depend on the needs of the UK, and we are considering all the options of our future system very carefully. It is imperative that we understand what the impact could be on different sectors of the economy and the labour market, and that we make sure that businesses and communities have an opportunity to contribute their views on any future system. As now, new immigration rules will be subject to scrutiny by Parliament.

Stella Creasy Portrait Stella Creasy (Walthamstow) (Lab/Co-op)
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An issue that has been vexing many of my EU constituents who have been here for many years is whether the Government will admit that such people now face an income threshold if they wish to bring a family member here to the UK. Many of them who are on low incomes—for example, nurses who are in band 5 and on below £22,000—will not be able to bring a family member here. Will the Home Secretary confirm that, and is she going to investigate what impact it will have on public services?

Amber Rudd Portrait Amber Rudd
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The Prime Minister made her statement about the EU nationals earlier this week. I urge the hon. Lady to reassure her constituents who fall into that cohort that they maintain these rights until at least when we leave the EU in 2019, and then after that they will have two years in which to apply. I cannot give her any more detail than that in terms of the other rights, elements of which are subject to the discussions with the EU at the moment. However, I would say to her, and to other Members here, that the Prime Minister was absolutely clear that those 3.2 million or 3.4 million people are going to be allowed to stay. We are yet to have additional discussions with the EU about elements of these rights. I hope that Members here will take that message back to any concerned EU citizens in their constituencies.

Ian C. Lucas Portrait Ian C. Lucas (Wrexham) (Lab)
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Will the Home Secretary clarify whether it is her intention that after Brexit a different set of rules will apply to EU nationals and nationals from outside the EU who are visiting the United Kingdom?

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Amber Rudd Portrait Amber Rudd
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Those discussions have not yet concluded. We have said that people will have this special right depending on from when we negotiate the cut-off date—whether it is when article 50 was invoked or when we actually leave the EU—but there will be existing rights in place for all those who can accumulate the five years and those who can, depending on when the cut-off date is, add to them because they arrived before that.

Amber Rudd Portrait Amber Rudd
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Not now, I am afraid. I am going to carry on because I want to cover some of the other Bills that are going to be introduced in the next two years.

We will also bring forward a domestic violence and abuse Bill. It is truly chilling that, every day, women and girls across the UK are being subjected to the most horrific abuse in their own homes. I am incredibly proud of the work that the Conservative Government have done to support victims, bring perpetrators to justice, and prevent those vicious crimes from ever taking place. In the previous Parliament, we published our strategy to end violence against women and girls. We made it clear that everyone needs to play their part—friends, family, employers, health providers, and the police—and to support this we pledged £100 million of funding. We also brought in domestic violence protection orders and the domestic violence disclosure scheme, and introduced a specific offence of controlling or coercive behaviour.

Our focus on this terrible crime has contributed to improvements for women, but the number of people experiencing domestic abuse is still far too high. Despite record numbers of prosecutions and convictions, there are 2 million victims of domestic abuse every year in England and Wales, and that is 2 million too many. All too often, domestic abuse is not properly understood, recognised or dealt with, and that can leave a devastating impact. Our landmark domestic violence and abuse Bill is one part of our programme of work aimed at addressing this insidious crime.

Lord Walney Portrait John Woodcock (Barrow and Furness) (Lab/Co-op)
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Of course the Bill is very welcome, but what can the Home Secretary say to reassure those who fear that the definition that is now going to be produced might not be strong enough to capture the level of emotional and financial abuse that terrorises too many women in the UK today?

Amber Rudd Portrait Amber Rudd
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I know that the hon. Gentleman has done a lot of work in this area. I reassure him and stakeholders who are, I hope, interested in what we are trying to do that we will be consulting widely to make sure that we get the Bill right, so that it delivers the strength of purpose he refers to. The fact that it will create a legal definition of domestic abuse to help to ensure that it is properly understood means that we will not have the same situation of isolated pieces of domestic violence not being added up into a pattern of a really grotesque form of domestic violence that some women have been subjected to.

The Bill will also create a new domestic abuse prevention and protection order regime. A new order to specifically tackle domestic abuse will lead to better protection and better prosecutions. It will ensure that if abusive behaviour involves a child, the court can hand down a sentence that reflects the devastating and lifelong impact that abuse can have. In addition, it will establish a domestic violence and abuse commissioner, who will stand up for victims and survivors, raising public awareness and holding local authorities to account.

Madeleine Moon Portrait Mrs Madeleine Moon (Bridgend) (Lab)
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Will the Home Secretary also include in the commissioner’s remit the ability to look at those victims of domestic violence who are subsequently subject to a new form of abuse, namely being constantly returned to court by ex-partners demanding extra access to the children? That is a way to intimidate, bully and impoverish many of those who have the children in their care.

Amber Rudd Portrait Amber Rudd
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Absolutely. That is exactly the sort of issue that I would expect us to look at in the domestic violence Bill, to make sure that that sort of abuse does not take place. We want to be a society where domestic abuse is not tolerated, victims feel safe and supported and perpetrators are punished, and we look out for situations such as that raised by the hon. Lady. Victims deserve the best treatment and justice, and we will make sure that they get it. I very much hope that the Opposition will support the Bill.

Turning to health, as the Government continue to strengthen the economy, we can continue to invest in the NHS, supporting that public service on which we all depend. As we set out in our manifesto, we will increase health spending by a minimum of £8 billion a year in real terms by the end of this Parliament. We know, however, that wellbeing is about being strong not just in body, but in mind. This Government recognise that mental health should be given equal priority to physical health. That is why we will consider reform of mental health legislation and ensure that mental health is prioritised in the NHS. We will look at the Mental Health Act 1983 to make sure that the law is working for those who need support, and we will also publish a Green Paper on children and young people’s mental health, to make sure that best practice is being applied and there is sufficient access to support.

In 10 years’ time there will be 2 million more people over the age of 75. It is essential that they are able to live well and get the care that they need. The Government have already invested an additional £2 billion in social care to relieve pressure, but more needs to be done. That is why the Government are committed to listening to people’s views about how to reform the system. Full plans will be consulted on in due course.

This is a Government with purpose, determined to deliver the best Brexit deal to secure a strong future as we leave the EU.

Anna Soubry Portrait Anna Soubry
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My right hon. Friend will know that there is much concern on both sides of the House about the situation pertaining to women who live in Northern Ireland who seek terminations. They cannot get them in Northern Ireland—it is a devolved matter—and come over to England for them, but find themselves being charged by the NHS. While that is being resolved, will she give an undertaking that access to terminations will not be in any way affected and that women can still come here from Northern Ireland to get them?

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Amber Rudd Portrait Amber Rudd
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My right hon. Friend is absolutely right. We are absolutely committed to healthcare for women, and that includes access to terminations.

We are a Government with purpose.

Amber Rudd Portrait Amber Rudd
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I am sure that the hon. Gentleman will have an opportunity to speak on health at the end of this debate.

We are determined to deliver the best Brexit deal to secure our future as we leave the EU. We are determined to enhance our standing in the world and bring our United Kingdom closer together, and intent on building a stronger economy and a fairer society, taking action to keep families, communities and our country safe.

Amber Rudd Portrait Amber Rudd
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I am not going to give way further. The hon. Lady will have a chance to make her own remarks later.

We will be challenging extremism, protecting the vulnerable, giving mental health the attention it deserves and improving social care for the long term, putting ourselves at the service of millions of ordinary working people for whom we will work every day in the national interest, setting out a programme for a Britain that works for everyone.

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Lord Walney Portrait John Woodcock
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Absolutely. The cap is not only unfair to those workers who are just scraping by; it is becoming a barrier to delivering the first-class care that patients need.

Given the way this is being done, the Government are beginning to look like they are, to quote the now Lord Lamont,

“in office but not in power.”—[Official Report, 9 June 1993; Vol. 226, c. 285.]

Now, I have not been one to lavish unnecessary praise on our Front Benchers over the past two years, but it increasingly looks like the Opposition are driving the agenda in this country on behalf of people who are, frankly, sick of the way in which they have been taken for granted by the Government, and who gave that message strongly at the ballot box. It is so important that the Government put this right. Lord Lamont’s speech back in 1993 could have been made today. Back then, he said:

“There is something wrong with the way in which we make our decisions…there is too much short-termism, too much reacting to events, and not enough shaping of events.”—[Official Report, 9 June 1993; Vol. 226, c. 284-285.]

That is exactly what is happening now. The Government have lost their authority and are drifting. There are some welcome consequences—for example, the hateful message, “Bring back foxhunting”, is absent from the Queen’s Speech, and grammar schools have gone by the wayside—but this is no way to run a country.

My constituents want to know the future of the NHS sustainability and transformation plans. In my area, Lancashire and South Cumbria has more than £300 million of cuts on the table. If those cuts were applied proportionately to Furness general hospital in my constituency, we could lose our prized A&E and our hard-fought-for maternity unit. These cuts are not sustainable and are not in the long-term interests of the country. We need a Government who will take a grip for the long term and not be buffeted from pillar to post by events.

I end on an issue on which I hope there is consensus between Members on both sides of the House: the domestic violence and abuse Bill. It is really good that this has been brought forward, but it is concerning that, after the Government talked this measure up, it will now appear in draft form. If that means that the Government will take the time to get it right and bring forward the strongest Bill possible, that is all well and good, but when the Government’s majority is propped up by another party that does not share the culture and world view of many of the Conservative Members whose views I respect on issues such as women’s rights, which the hon. Member for Faversham and Mid Kent (Helen Whately) mentioned, I have to wonder whether there is some nervousness about what the definition of abuse will be.

Lord Walney Portrait John Woodcock
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The Minister shakes her head, but will she tell me whether that definition will take into account the full need to deter the horror of financial control and emotional abuse, as only a strong definition will? If it will, the Government can rely on full and hearty support from Labour Members. If it will not, we will push them to finish the job properly.

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Jeremy Hunt Portrait The Secretary of State for Health (Mr Jeremy Hunt)
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I thank the Opposition for choosing to have this debate on security, health and social care. Like the Home Secretary, the shadow Home Secretary and the shadow Health Secretary, I want to start by paying tribute to the amazing work of our emergency services in the recent terrorist atrocities. There are many stories, but two in particular sum up for me just how brilliant they were. The first was of an anaesthetist who picked up his daughter from the Manchester Arena when the bomb went off. He checked his daughter was safe, dropped her off at home and then went straight to work at Stepping Hill hospital. He worked through the night, and it was only in the morning that his colleagues realised he had actually been there when the bomb went off.

I also want to mention the paramedics who arrived on the scene at London Bridge. They arrived minutes after the incident. Gunfire was still happening and they thought they were being fired at, but they walked straight into that gunfire. When I met them, they said they were just doing their job, but I think that shows that there is no such thing as “just a job” in the NHS; it is a vocation. On behalf of the whole country as well as this House, I want to thank them for showing us the NHS at its best. I want to record the fact that it is not just in times of tragedy that our NHS is there for us; it is there seven days a week, 24 hours a day.

We have had a good and wide-ranging debate this afternoon. I congratulate, as the shadow Health Secretary did, the Members who made their maiden speeches; we heard some fantastic ones. I start with my hon. Friend the Member for Hitchin and Harpenden (Bim Afolami). It is great credit to him that his mother is a pharmacist and his father is an NHS doctor. It is marginally less credit to him that he became a lawyer, but only marginally. He spoke with great passion and fluency about the importance of education. It was an excellent and moving first contribution to this House.

I thank my hon. Friend the Member for Gordon (Colin Clark), a notable Conservative gain in the election. He spoke with great eloquence about the attractions of his constituency, including castles, beaches, restaurants and a golf course owned by the President of the United States. As for his campaign to get the Scottish Government to do more to deal with NHS staff shortages in his area, it is unusual for me to be on this side of the argument, but I can wholeheartedly support his campaign.

I thank my hon. Friend the Member for Brentwood and Ongar (Alex Burghart) for his excellent speech. A teacher of medieval history, he taught us about the 9th century church in his constituency and the need to learn the lessons of the peasants’ revolt against excessive taxation. I can assure him that on the Conservative Benches we do not need to learn those lessons; we have reached enlightenment.

I thank the hon. Member for South Antrim (Paul Girvan) for his beautiful panegyric to his stunning constituency. He spoke very powerfully against witch hunting in the military and very powerfully in favour of the Union; both positions will have strong support on the Government Benches.

I welcome to the Labour Benches the hon. Member for Stockton South (Dr Williams). It is excellent to have another doctor in the House. He is, I think, the first ever Member to invite all hon. Members to join him at his 6 o’clock boot camp. As the shadow Health Secretary said, I feel as Health Secretary that I should set an example and join him, but unfortunately I have an unavoidable diary clash; that is a phrase he will learn to use as a new MP, I am sure. His passion for dealing with health inequalities came through loud and clear, and did him great credit.

I also want to thank the hon. Member for Edinburgh West (Christine Jardine). She talked about the majesty of the three bridges across the Forth. For a couple of my teenage years, I grew up under one of them. She was absolutely right to want to reassure EU citizens working in the NHS of the vital importance of their role. I hope the Prime Minister’s comments this week will give them reassurance that we are seeking a deal that gives them the same rights to live and work here as UK citizens.

I apologise for not being able to mention all of the many other contributions, but there were some important themes that I want to touch on. A number of Members talked about the possibility of developing a more cross-party consensus on difficult issues around health and social care. The right hon. Member for Normanton, Pontefract and Castleford (Yvette Cooper) spoke powerfully on that point, as did my right hon. Friend the Member for East Devon (Sir Hugo Swire) and my hon. Friend the Member for Totnes (Dr Wollaston). I would make this point. Governments of all colours always seek to get consensus on difficult policy issues, and this Government are no different. However, it takes two to tango, and we have had two elections in a row that the Labour Opposition have tried to turn into referendums on the NHS. If those on the Opposition Front Bench are willing to engage, then we on this side of the House are most certainly willing to do likewise.

Yvette Cooper Portrait Yvette Cooper
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On an issue on which I hope there will be consensus across the House, the Secretary of State will, I hope, have heard the words of the hon. Member for North Antrim (Ian Paisley), who said that whether women from Northern Ireland can get an abortion in the English NHS is a matter for the English NHS. Will the Secretary of State agree to change the rules, so that Northern Ireland women do not have to pay in England for an abortion, if they need one?

Jeremy Hunt Portrait Mr Hunt
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I agree that all women, in all parts of the United Kingdom, should have the same rights to access healthcare. I note that a consultation on this matter is about to happen. The most important thing is that the voices of the women of Northern Ireland are listened to in that consultation.

We had powerful speeches on mental health, in particular from my hon. Friend the Member for St Albans (Mrs Main) and the hon. Members for East Kilbride, Strathaven and Lesmahagow (Dr Cameron) and for Makerfield (Yvonne Fovargue), but also from many others. Mental health is a very big priority for the Government, particularly children and young people’s mental health, because half of all mental health conditions become established before the age of 14. It is particularly important to have better links between the schools sector and the NHS if we are to crack this problem. We have a Green Paper coming up later in the year that will seek to address that.

We also had a number of important speeches on the workforce and morale, including from my hon. Friends the Members for South West Wiltshire (Dr Murrison) and for Lewes (Maria Caulfield), a doctor and a nurse respectively, who spoke with great authority. We also heard from Opposition Members, including the hon. Members for Barrow and Furness (John Woodcock), for Halifax (Holly Lynch), for Sedgefield (Phil Wilson) and for Halton (Derek Twigg), who touched on issues around GP recruitment. On pay, all Members will recognise that whichever party is in power, we have to do the right thing for the economy. People will recognise that in the very difficult period that we have just had, it would not have been possible to increase the number of doctors by nearly 12,000 and the number of nurses in our wards by nearly 13,000 if we had not taken difficult decisions on pay. What I can say is that we will not make our decision on public sector pay until the pay review body has reported. We will listen to what it says, and to what people in this House have said, before making a final decision.

I want to mention what my hon. Friend the Member for Dudley South (Mike Wood) said about his battle against sepsis. Everyone in this House, on all sides, is totally delighted that he won that battle, but how typically selfless of him to use his speech to talk about the 44,000 people every year who do not win their battle against sepsis. We will look carefully at what he said about a national sepsis registry. I also thoroughly agree with what my right hon. Friend the Member for Mid Sussex (Sir Nicholas Soames) said about leadership in the public sector and the NHS. I look forward to more discussions with him about that.

On security, the shadow Home Secretary basically tried to turn an argument about public safety into an argument about austerity. However, I would gently say that for a shadow Home Secretary to protest about austerity in policing when she herself wanted to cut MI5 and the Met’s special branch, and when her leader wanted to cut the armed forces, is patently absurd. What she never mentioned is why we got into austerity in the first place: a global financial crash, made infinitely worse by profligate spending and a failure to regulate the City of London by the last Labour Government.

The shadow Health Secretary, the hon. Member for Leicester South (Jonathan Ashworth), spoke eloquently about the NHS.

Lord Austin of Dudley Portrait Ian Austin
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Will the Secretary of State give way?

Jeremy Hunt Portrait Mr Hunt
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I am going to make some progress. The shadow Health Secretary talked about underfunding of the NHS. He did not, of course, mention the new £43 million emergency floor at Leicester Royal Infirmary, which opened in April and is benefiting his constituents. There are indeed funding pressures in the NHS as we deal, like all countries, with the pressures of an ageing population, but they would be a whole lot worse if we had followed the advice of the Labour party in 2010 and cut the NHS budget; or followed the advice of the Labour party in Wales, which did cut the NHS budget; or followed the advice of the Labour party in 2015, when it promised £5.5 billion less than the Conservatives. The difference between this side of the House—

Jeremy Hunt Portrait Mr Hunt
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I will just make my point. The difference between this side of the House and the other side is not the desire to fund the NHS, but the ability to fund it through a strong economy, and that is exactly what we did. By 2014, we had created 2 million more jobs and the fastest growth in the G7, and what was our first priority? The NHS. Its budget has gone up by £6 billion in real terms since 2014. That is a 7% rise, and it is £2.6 billion more than the Labour party promised in 2015.

Jonathan Ashworth Portrait Jonathan Ashworth
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Our advice was to put an extra £7 billion into the NHS this year, but will the Secretary of State tell me whether he thinks it fair that the people of Northern Ireland will receive an extra £1 billion—which I do not begrudge—while there is not a penny piece of extra investment for the English NHS? Is that fair?

Jeremy Hunt Portrait Mr Hunt
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Let me tell the hon. Gentleman that our manifesto was very clear: it referred to an extra £8 billion for the NHS, funded by the strong economy that Labour can never deliver.

When the hon. Gentleman talked about problems in the NHS, and problems in care in the NHS, it sounded as if all those problems had started with the Conservatives. He did not mention the most challenging and difficult problem that his party left behind: the legacy of atrocious care at Mid Staffs, Morecambe Bay and many other trusts. Unlike the last Labour Government, we did not sweep those problems under the carpet. We did the opposite: we introduced the toughest inspection regime in the world. Thirty-five trusts went into special measures, and 20 exited from those special measures. Wrexham Park, George Eliot, Hinchingbrooke, Cambridge, Morecambe Bay, Tameside and East Lancashire went from special measures to good standards. The proportion of NHS patients who say that their care is safe has never been greater.

Stella Creasy Portrait Stella Creasy
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On a point of order, Mr Speaker. The Secretary of State has just announced a consultation on access to abortion in English hospitals, but as far as anyone is aware, no such consultation exists. Can you inform us whether there will be a written statement on the consultation, given that Members on both sides of the House are concerned about the issue and no information has been given, and whether we will be allowed to test the will of the House on the matter?

John Bercow Portrait Mr Speaker
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I have had no notification on that subject, but knowing the hon. Lady as I do, I feel sure that she will return to it before long.

Jeremy Hunt Portrait Mr Hunt
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This is the difference between the two parties. The Labour party wants to use the NHS as a political football. We want to make it better for patients, and that means difficult decisions to grow the economy so that we can fund the NHS, and difficult decisions to raise standards. The party of the NHS, however, is not the party that uses it to milk votes; it is the party that fights to make it better for patients. That is why it is the Conservative party that is making those difficult decisions. It is the Conservative party that is on the side of patients. It is the Conservative party that is seeing the highest standards of care for cancer, mental health conditions, strokes, heart attacks and nearly every major disease category that we have ever seen in the history of the NHS. It is the Conservative party, not the Labour party, that is the party of the NHS.





Question put, That the amendment be made.

--- Later in debate ---
18:59

Division 1

Ayes: 309


Labour: 255
Scottish National Party: 35
Liberal Democrat: 12
Plaid Cymru: 4
Independent: 1
Green Party: 1

Noes: 323


Conservative: 313
Democratic Unionist Party: 10