NHS 10-Year Plan

Baroness Winterton of Doncaster Excerpts

Tuesday 19th February 2019 Commons Chamber

[Madam Deputy Speaker (Dame Rosie Winterton)]

We now come to the general debate on the NHS 10-year plan. Colleagues will notice that there is a bit of a time issue. I know that the Front-Bench spokespeople will be considerate in this regard, but it is only fair to warn colleagues that I will then impose an immediate three-minute time limit on Back-Bench speeches. I call the Minister, Stephen Barclay, to move the motion. [Interruption.] I am sorry. Let me do that again. I call the Minister, Stephen Hammond.

--- Later in debate ---

[Several hon. Members rose—]

[Madam Deputy Speaker (Dame Rosie Winterton)]

Order. The winding-up speeches will start at 10 to seven. If people take less than three minutes, it will help others.

Mental Capacity (Amendment) Bill [Lords]

Baroness Winterton of Doncaster Excerpts

2nd reading: House of Commons & Money resolution: House of Commons & Programme motion: House of Commons & Ways and Means resolution: House of Commons
Tuesday 18th December 2018 Commons Chamber

[Several hon. Members rose—]

[Madam Deputy Speaker (Dame Rosie Winterton)]

Order. I am anxious to make sure everybody gets in so I must now reduce the time limit to five minutes.

Healthcare (International Arrangements) Bill

Baroness Winterton of Doncaster Excerpts

Wednesday 14th November 2018 Commons Chamber

[Dr Wollaston]

That is, indeed, a question that I have been addressing. What will happen to expats in Europe? What we absolutely must focus on, however, is what will happen 135 days from now if we do not have a deal and people are left high and dry. It is a very worrying situation.

The issue of the workforce does not just affect nursing staff. We should bear in mind that 5% of members of the regulated nursing profession, 16% of dentists, 5% of allied health professionals and 9% of doctors are EEA nationals. We cannot afford to lose any more of that workforce, or to demoralise them further. I think it shames us all that the Health and Social Care Committee heard from nursing staff from across the European Union some of whom were in tears when reporting that they no longer felt welcome here. That is a terrible Brexit penalty, and no one voted for it when they went to the polls.

This does not just affect the workforce either. The Brexit penalty applies to the entire supply chain of medicines and medical devices, from research and development to clinical trials, to the safety testing of batches of medicines, and right through to the pharmacy shelf and the hospital. There are many unanswered questions about the issue of stockpiling, and about contingency plans for products that may require refrigeration, or products with very short shelf lives that cannot be stockpiled. There may also be brand-switching issues: for people who suffer from conditions such as epilepsy, switching brands is not easy.

I am sorry, Madam Deputy Speaker. I will bring my remarks to a close shortly. [Interruption.] I understand that you were merely coughing, Madam Deputy Speaker, so I will continue.

Refrigerated warehousing and special air freight do not come cheap. The companies whom we met, represented by the Association of the British Pharmaceutical Industry, made it clear that they were already having to spend hundreds of millions of pounds on contingency planning. The Government have said that they intend to reimburse companies, but the smaller companies need to know how quickly they will be reimbursed, because they may have cash-flow issues. They need to know the details of how the scheme will work, but they simply do not have the information that would enable them to make plans for the future. I hope that the Minister will be very mindful of that.

As I said earlier, the simple truth is that the many versions of Brexit have very different implications for the NHS, for social care, for public health and for research. Once this deal is published, we will have an opportunity to set out what this means, but, most important, to set all the risks and benefits of the deal that is on offer for the NHS and social care. The Minister will be aware of the important principle of informed consent in healthcare. No one would dream of going into an operating theatre and having an operation without someone telling them what is involved and setting out the risks and benefits so that they could weigh them up for themselves. That is called informed consent, and without informed consent, there is no valid consent.

Let me say to the Minister that we are all being wheeled into the operating theatre for major constitutional, economic and social surgery without informed consent, and let me ask him please to consider how things will be 136 days from now, after we crash out with no deal and when the serious consequences of that start to unfold and unravel and hit real people’s lives. What will he be saying to his constituents and the House if we have proceeded without informed consent?

[Madam Deputy Speaker (Dame Rosie Winterton)]

I have now to announce the result of today’s deferred Division. In respect of the question relating to electricity and gas, the Ayes were 285 and the Noes were 223, so the Question was agreed to.

[The Division list is published at the end of today’s debates.]

Points of Order

Baroness Winterton of Doncaster Excerpts

Monday 5th November 2018 Commons Chamber

[Barbara Keeley]

Further to that point of order, Madam Deputy Speaker. What I was complaining about was that this was done with no notice—no notice to the shadow Secretary of State, no notice to me or the team, and no notice to Members of this House who were not here to ask questions. We should have had notice that this important issue was being dealt with.

[Madam Deputy Speaker (Dame Rosie Winterton)]

I thank the hon. Lady and the Secretary of State for their points of order. Obviously, the Secretary of State will have heard the point that the hon. Lady has made. I am sure that she will wish to pursue this further. The Secretary of State and the Leader of the House are here on the Treasury Bench, so I am sure that if there is further information forthcoming, that will be the way to proceed.

[John Lamont (Berwickshire, Roxburgh and Selkirk) (Con)]

On a point of order, Madam Deputy Speaker. I seek your guidance as I am a relatively new Member of this House. It came to my attention on Friday that the hon. Member for Perth and North Perthshire (Pete Wishart) was visiting my constituency at the weekend. I did not receive advance notice of his visit. I understand that the purpose of the visit was to hold a rally to do a number of things, but particularly to try to get rid of the Scottish Conservatives. Reassuringly, only a handful of people attended the event. I have given the hon. Gentleman notice of this point of order. Am I correct in thinking that it was appropriate for him to give me advance notice of visiting my constituency?

[Madam Deputy Speaker]

I thank the hon. Gentleman for giving me notice that he wished to raise this matter. I am glad that he has confirmed that he also warned the hon. Member for Perth and North Perthshire (Pete Wishart) that he was going to raise the point of order. The hon. Gentleman is quite right to say that there is a well-established convention that if Members plan to visit other Members’ constituencies for political—not for personal—reasons, they should give them advance notice. It is important that we maintain this courtesy to one another.

Bill Presented

School Uniforms Bill

Presentation and First Reading (Standing Order No. 57)

Frank Field, supported by Tim Loughton, presented a Bill to require school governing bodies to implement affordability policies when setting school uniform requirements; and for connected purposes.

Bill read the First time; to be read a Second time on Friday 23 November and to be printed (Bill 283).

Social Care Funding

Baroness Winterton of Doncaster Excerpts

Wednesday 17th October 2018 Commons Chamber

[Several hon. Members rose—]

[Madam Deputy Speaker (Dame Rosie Winterton)]

Order. I wish to manage expectations in this debate. By my calculation, I estimate that when we come to Back Benchers, there will probably be less than half an hour, so I will have to impose an immediate four-minute limit. Colleagues would be very popular if they kept to less than that, because others would be able to get in. Of course, that does not apply to the Scottish National party spokesperson, whom I am about to call. If colleagues want others to get in, I urge them to take even less than four minutes.

--- Later in debate ---

[Several hon. Members rose—]

[Madam Deputy Speaker (Dame Rosie Winterton)]

Order. To try to get as many people in as possible I am imposing a three-minute time limit. If people can take less than that, that will obviously help.

--- Later in debate ---

[Barbara Keeley]

On a point of order, Madam Deputy Speaker. Yet again the Government sit on their hands and refuse to vote on a key social care motion. We have heard in this debate some moving cases of people whose lives are being damaged by the crisis in social care, but no solutions from the new Secretary of State for Health and Social Care. We do not need more warm words which we have just heard from the Care Minister and other Ministers. We need action to close the funding gap. If the Government disagree with our motion, they should have the guts to vote on it, and shame on them for not doing so.

[Madam Deputy Speaker (Dame Rosie Winterton)]

The hon. Lady has put her point of view on the record. As I am sure she knows, there have been undertakings by the Government that in response to situations like this there will be a report back to the House at a future date, and I am sure those on the Treasury Bench will have heard the points made.

Mental Health Units (Use of Force) Bill

Baroness Winterton of Doncaster Excerpts

Report stage: House of Commons
Friday 15th June 2018 Commons Chamber

[Sir Christopher Chope]

The Government’s line seems to be that this legislation is an urgent measure. If it is so urgent, may I ask the Minister—through you, Madam Deputy Speaker—what state the guidance has reached?

[Madam Deputy Speaker (Dame Rosie Winterton)]

Order. The hon. Gentleman is making an intervention on the hon. Member for Shipley (Philip Davies), not the Minister.

[Sir Christopher Chope]

I invite my hon. Friend the Member for Shipley (Philip Davies) to ask the Minister whether she agrees that, because of the urgency of this legislation, the guidance is ready in draft form in her office and can be laid before the House tomorrow or in the next couple of weeks. I suspect that the Government have not even begun to draft the guidance, but we need the guidance before this legislation would ever be able to take effect.

NHS Outsourcing and Privatisation

Baroness Winterton of Doncaster Excerpts

Wednesday 23rd May 2018 Commons Chamber

[Several hon. Members rose—]

[Madam Deputy Speaker (Dame Rosie Winterton)]

Order. As colleagues will see, a vast number of Members want to speak in the debate. I will impose a four-minute limit after we have heard from the spokesman for the Scottish National party.

--- Later in debate ---

[Madam Deputy Speaker (Dame Rosie Winterton)]

Order.

Education (Student Support)

Baroness Winterton of Doncaster Excerpts

Wednesday 9th May 2018 Commons Chamber

[Madam Deputy Speaker (Dame Rosie Winterton)]

I must inform the House that the Speaker has certified the instrument as relating exclusively to England and being within devolved legislative competence. The motion is therefore subject to double majority voting of the whole House and those representing constituencies in England.

Social Care

Baroness Winterton of Doncaster Excerpts

Wednesday 25th April 2018 Commons Chamber

[Several hon. Members rose—]

[Madam Deputy Speaker (Dame Rosie Winterton)]

Order. Before I call the Scottish National party spokesperson, I should inform colleagues that we have about 17 people who wish to participate in this debate. I do not want to impose a time limit, which means that I require some discipline. I suggest that if hon. and right hon. Members confine their speeches to about seven minutes, we might not have to impose a time limit.

NHS Winter Crisis

Baroness Winterton of Doncaster Excerpts

Wednesday 10th January 2018 Commons Chamber

[Paula Sherriff (Dewsbury) (Lab)]

Here we are again discussing the latest winter crisis in our NHS. I stood here last year and spoke of the horror stories I had heard from my constituents and ex-colleagues of hospital staff working their fingers to the bone and doing the jobs of two, three or even four people, often without food, breaks or even time to go to the toilet. Yet, 12 months on, here we are again with many of the same challenges and none of the fixes promised by this Government.

I join my parliamentary colleagues in expressing a huge thank you to each and every one of our hard-working NHS staff—doctors, nurses, receptionists, cleaners, porters, radiographers and everyone else. I often speak of our public sector heroes, and today is no different. Thank you from the bottom of my heart.

I express a special thank you to the paramedics who rushed my father, my dear dad, into hospital on 28 December. My gratitude is infinite.

Last year, the Government said the winter pressure was due to more patients being seen by the NHS. That figure is rising year on year, so why have the Government not put sufficient resources in place to deal with it? The Health Secretary previously said there are far more doctors and nurses in our NHS than there were seven years ago. In my area, the Mid Yorkshire Hospitals NHS Trust currently has 230 nursing vacancies, compared with 110 last year, with nursing numbers across the trust down over the same period from 1,752 to 1,607. That picture is somewhat different from the one painted by the Secretary of State, who has used figures that the Library says should be “used with caution” as suggesting

“Changes in the number of staff can sometimes reflect organisational changes and changes in the structure of services, rather than genuine changes in staffing levels.”

Indeed, staffing levels are so low at Mid Yorkshire Hospitals NHS Trust that the Care Quality Commission has deemed it to be a risk to patient safety.

My colleagues and I were heavily criticised during last year’s debate for asking the Government to spend more money, and once again we hear the same criticism this year. Will they tell us what the solution actually is? We need more nurses, and obviously there are training implications, but more money is needed to pay for them, and it is the same with doctors. There needs to be less bed-blocking, and more money is needed in social care. It is only right that serious questions are asked in this House when the Budget gives more money to pay for Brexit than to pay for our NHS.

The sad reality is that NHS deficits are rising astronomically across the country, with multimillion-pound shortfalls being recorded and balancing the books becoming impossible for most trusts. The £350 million made available in the Budget is no more than a drop in the ocean, and it has been proved over and again over the past few weeks that the money does not even scratch the surface.

And what of the cost of cancelled operations, both to trusts and especially to patients? People are being left in tremendous pain and at significant risk as a result of cancellations. I know of one man who is waiting for an operation to close his skull following life-saving brain surgery earlier this year. The surgery itself is not classed as urgent, but until it is completed, he is at increased risk of death should he bang his head accidentally. As a result, he rarely leaves the house and has to wear a helmet at all times. Another person who contacted me is waiting for a new knee. He is in excruciating pain and is unable to move around unaided. He has been on sick leave for three months and is suffering severe financial hardship as a result of loss of earnings.

As well as the accounts of cancelled operations, in recent days I have heard stories from local hospitals of six patients being squeezed into four-bed bays with no curtains and no dignity, no lockers and no bells. Patients are being given hand bells or are told to ask the patient next to them to ring the bell should there be an emergency. Patients are being placed in store cupboards, as we heard earlier. It has now become almost the norm at this time of year—

[Madam Deputy Speaker (Dame Rosie Winterton)]

Order.

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[Damien Moore (Southport) (Con)]

I am really pleased to be able to contribute to the debate. Although the Opposition have, as expected, used this occasion yet again to weaponise our NHS, I want to take this opportunity to praise it and all those who work in it, particularly in my constituency, where the staff at Southport Hospital are professional, dedicated and hard working.

There will always be times when our NHS comes under great pressures, and winter is one of them. That was why, in 2017, the Government and the NHS began preparing for the winter earlier than ever before. Last autumn, the Secretary of State visited my local hospital. He had a meeting with me and the interim chief executive in which we talked through the plans that had been put in place for the coming winter, as well as paying tribute to excellent staff who had worked so hard and continue to do so. Those preparations involved working with a range of partner organisations, including the local clinical commissioning group, the local authority and the emergency services, which provided better joined-up thinking and better care for patients.

Although the deferment of elective operations is never ideal, fewer were deferred this winter than in previous years, which should surely be welcomed. I am certain that the situation will further improve over the coming years. It is important to remember that we have a record of continuous investment in the NHS, even though we have been faced with extraordinarily difficult economic circumstances. The Department of Health’s budget has been protected since 2010 and continues to rise. We can spend more on the NHS only when we have a strong economy, which is something that we clearly would not have under Labour. The numbers speak for themselves: our investment in the NHS will rise from £101 billion in 2015 to £120 billion by 2020. Research from the Nuffield Trust shows that the UK spends well above the EU average.

I must welcome the Government’s multimillion-pound investment in Southport District Hospital over this winter. I was delighted when Southport and Ormskirk Hospital NHS Trust was granted an additional £1.326 million in funding to help to cope with winter pressures. Southport Hospital and the wider health system has prepared earlier and more extensively than ever before for winter this year, with a focus on securing the right numbers of doctors and nurses and increasing bed availability, as well as making sure that there is strong social and community care support available to help to discharge patients from hospital quickly.

The extra funding was announced as part of a £337 million immediate funding boost for NHS hospitals this winter in the recent Budget, which is in addition to the extra £2.8 billion of investment over the next two years. This was, of course, welcome news for Southport patients and residents. We all want to know that the NHS is there for us and our families whenever we need it. I am pleased that the Government have given the NHS extra support at this critical time of year, when cold weather and flu can increase pressures on hard-working hospital staff.

One of my constituents recently contacted me to tell me about the excellent treatment that his elderly mother had received at Southport Hospital over the Christmas period, after she suffered a serious health scare. His mother and his family were unanimous in their praise for the paramedics who brought her to hospital, the nurses who treated her with unparalleled kindness, and the doctors who sought to get her back to full health as soon as they possibly could. His mother said of her treatment that

“we couldn’t have asked for more.”

It is my absolute pleasure to put on record their sincere thanks to my right hon. Friend the Secretary of State, whose brief now includes social care. I am sure that he will make a success of that job as he has done in health.

It is ultimately thanks to our strong economy that we can make this extra investment in the NHS. Polls show that the NHS is the institution that makes us most proud—

[Madam Deputy Speaker (Dame Rosie Winterton)]

Order.