Health and Care Bill

Alison McGovern Excerpts

Report stage
Monday 22nd November 2021 Commons Chamber

[Alison McGovern (Wirral South) (Lab)]

My hon. Friend and neighbour is making an excellent speech. We should be talking about a plan for social care, but we are actually talking about a tax on the people who have lost out over the past decade and more from the excessive house price growth in the south compared with other parts of the country. This is a tax that doubles down on inequality, rather than addressing it.

[Justin Madders]

I thank my hon. Friend and neighbour—I am getting all my neighbours in tonight. She makes a brilliant point: the proposal exacerbates regional inequalities through an unfair tax and is certainly not a plan to fix social care. Hon. Members should look at what my hon. Friend the Member for Leicester West has said about what needs to be done to tackle the social care crisis in this country; it is an awful lot more than putting in place a cap that benefits only some people in certain parts of the country.

Not only will the proposal not stop people having to sell their home to pay for their costs, but it will bake in unfairness for a generation. It does nothing for working adults with long-term care needs, who seem to have been completely missed out, as my hon. Friend the Member for Worsley and Eccles South (Barbara Keeley) said. It is not what was promised, but hon. Members do not have to take my word for it. Let us listen to the experts. Age UK says:

“The change the Government has announced makes the overall scheme a lot less helpful to older people with modest assets than anyone had expected. It waters down Sir Andrew Dilnot’s original proposal to save the Government some money, but at the cost of protecting the finances of older home owners…This feels like completely the wrong policy choice and we are extremely disappointed that the Government has made it”.

The King’s Fund says of people with more modest assets that,

“the Prime Minister’s promise that no one need sell their house to pay for care…doesn’t seem to apply to them.”

Instead, it will only “benefit wealthier people”.

--- Later in debate ---

[Mel Stride]

I rise to speak to new clause 49. In doing so, and whatever its merits or otherwise, it is worth reflecting on the comments made by the Minister that we are at least here this evening looking at a part of a process that will lead to some progress in meeting social care costs going forward and removing the catastrophic risk that has hung above the heads of all our constituents up and down the country: that their healthcare costs may end up costing them all of their assets. We are also here having taken the tough decisions around having raised taxes to fund those arrangements.

I have problems with new clause 49. It seems to me that to make good law in this place, first, we need time to consider the matters put before us and secondly, we need the appropriate information upon which to take those decisions. On both those points, I have real concerns about how new clause 49 has been brought forward. The first we heard of it was not in Committee or in September when the general measures were put forward, including the taxation measures on which we all divided and voted, but on Wednesday evening, when the amendment was tabled.

It was fortuitous that the Treasury Committee happened to have Sir Andrew Dilnot before us the very next day. We were able to discuss many of the issues inherent in new clause 49. A number of issues were raised, to which only the Government have the answers. One of them has been put forward powerfully by speaker after speaker tonight, which is: what are the impact assessments associated with these measures? I wrote to the Chancellor immediately after that session and asked him for some impact assessments, including geographical impact assessments, of which we have had none.

It seems that the only information we have had was released by the Department of Health and Social Care on Friday night, in a document called “Adult social care charging reform: analysis”. I am very short of time, which is a shame, but there is, for example, a chart of a 10-year care journey that looks at individuals with different asset levels. While it is true, as my hon. Friend the Minister said, that these arrangements, even with new clause 49, are better for almost every level of wealth than under the status quo, it is not the case that everybody is better off compared with the measures brought forward in September.

[Alison McGovern]

The right hon. Gentleman gets to the heart of the matter, which is what people will get, compared with what they were promised. Is that not the heart of this matter?

[Mel Stride]

I think the heart of the matter is that we have to be clear and wide-eyed about what this change will do. Yes, it is true that it will leave us in a better position than the status quo, but it is not the case that it will leave those who are less well-off in a better position than if new clause 49 were not passed by the House. For those with assets of about £106,000, by my read of this graph, about 59% of their assets would be lost on average under the original proposals. Under the amended proposals, that figure would rise to 70%. When it comes to those who would be better off as a consequence of new clause 49, many are the better off, because they benefit from the changes being made to daily living costs, to which my hon. Friend the Minister referred.

I am out of time, but I believe that these measures should have been better ventilated in this House—certainly in Committee, if not earlier. We would then have had better information and more time in which to make these important judgments.

NHS Update

Alison McGovern Excerpts

Wednesday 21st July 2021 Commons Chamber

[Helen Whately]

I agree wholeheartedly with my hon. Friend on that; I am glad that we are able to focus our funding for the NHS on the things that really matter—building new hospitals and supporting the workforce, and, at the moment and in the months ahead, supporting the elective recovery and all the extra work that needs to happen to give people the treatment they need.

[Alison McGovern (Wirral South) (Lab)]

Before I ask my question, may I say to the Minister that she might want to think again about coming to this House and ticking off my hon. Friend the Member for Tooting (Dr Allin-Khan) for her tone and language on NHS pay when she has come to this House to say absolutely nothing at all? Worse still, we hear from the media that the social care announcement is now being pushed to September. Let me give the Minister a second chance: can she confirm at the Dispatch Box right now that when we get that social care plan it will match Wirral Council’s priority of getting every social care worker in this country the real living wage—yes or no?

[Helen Whately]

It is very good to hear that Wirral Council is supporting social care workers in its area. Local authorities are a crucial part of our work in social care reform and they have so many of the direct relationships with the care providers who are providing that social care. We are absolutely committed to bold, ambitious reforms for social care. As the hon. Lady knows very well, we will be bringing those forward during this year.

Covid-19 Update

Alison McGovern Excerpts

Programme motion
Monday 19th October 2020 Commons Chamber

[Matt Hancock]

Nobody has done more to support the pubs of Leeds than my right hon. Friend, and he is doing it again today, so let us turn the meeting into a roundtable. I will make sure that that happens in the next fortnight, and we will do all the work to bring this new technology to bear.

[Alison McGovern (Wirral South) (Lab)]

Can I return the Secretary of State to care homes? He knows the utter dilemma that the care homes, their staff, their residents and all of their families face between allowing the infection into the home and causing such damage to the welfare of residents by not allowing visitors. He said earlier, in response to my hon. Friend the Member for Worsley and Eccles South (Barbara Keeley), that he was empowering directors of public health, which in some ways is welcome, but it needs a much more thought through plan than that and the Department of Health should be offering much more policy support. The Opposition have worked hard on a plan for care homes, so will he say what his Department is proactively doing?

[Matt Hancock]

The hon. Lady puts the sensitivity of this dilemma very appropriately. We have published a winter plan for care homes, which sets out our approach in this area and we are working on the implementation of that plan. I would be very happy for the Minister for Care, who leads on this, to meet her to discuss how we can make sure that that is best done most effectively in her area.

Local Contact Tracing

Alison McGovern Excerpts

Wednesday 14th October 2020 Commons Chamber

[Alison McGovern (Wirral South) (Lab)]

I am glad to be called in this debate, so thank you, Mr Deputy Speaker. I will make one point before speaking about tracking and tracing in the Wirral.

It is disappointing to listen to Conservative Members criticising a political party’s position or what its briefings might have been earlier this week or last week, before SAGE’s minutes and reports were published on the next steps that are needed. I would far rather that the Labour party had to correct its press releases than that we fail to save lives that we otherwise could. I am sorry that Conservative Members take a different view.

My hon. Friend the Member for Wirral West (Margaret Greenwood) spoke about the need for improved, larger public health teams, particularly in the Wirral. I am thankful for Julie Webster and Elspeth Anwar, our director and deputy director of public health in the Wirral, who have been absolutely first-class public servants. They have explained to me that, although they now have much more data about the outbreak in the Wirral and the rest of Merseyside, we do not have enough analysis.

That is to say that we cannot easily understand the story the data is telling us, because we do not have enough specialists working on this, particularly in the Wirral. I have learned through three years on the Treasury Committee and wading through reams of economic data that it is not actually about the figures in front of you; it is about understanding the story that the data is telling you and acting accordingly. It is not numbers for the sake of numbers; it is the instructions those numbers give.

In an outbreak like this, we need a hypothesis about the methods of transmission so that we are able to test it against the data. I say to the Minister that we not only need to help local authorities with the data; we also need analytical capacity in every town hall in Britain, because this virus travels through local areas in different ways. In London, many people are able to work from home. In a manufacturing environment, as we have in the Wirral, that just is not possible. People cannot make cars and airplanes from their front room.

The virus travels differently in places where public transport is more frequently used. Some places use buses rather than trains, and they are a different environment. That is why I say again to the Minister: give us data analysts in every town hall in Britain, so we can understand how this virus is travelling through our country and put a stop to it. If we had proper analysis and local understanding, we would have half a chance of finding out how this virus works.

Covid-19 Update

Alison McGovern Excerpts

Monday 5th October 2020 Commons Chamber

[Matt Hancock]

Yes, that is absolutely right. Testing capacity now stands at over 300,000. We are on track to reach 500,000 by the end of this month. I know what a goal to expand testing capacity feels like. This is a tough and difficult challenge, but the team are rising to it. My hon. Friend has made the case for Keighley so strongly during this pandemic, and he continues to do so in terms of the extra testing capacity needed there now.

[Alison McGovern (Wirral South) (Lab)]

However basic this data error might have been, the consequences are very serious. However, I say to those civil servants working night and day to get this right: the responsibility for this is not on you; it is on those who guarantee the checks to the system. As the Secretary of State has indicated, that is him. With that in mind, can he avail himself of any data process flow charts or other diagrams relating to the processing of this data, and all data quality assurance policies and processes, and put those in the public domain? Yes or no?

[Matt Hancock]

I am very happy to work with the team to see what we can put in the public domain. However, the challenge of a maximum file size error is that it would not necessarily have appeared on that sort of flow chart and, given the massive expansion of the availability of data storage over recent years, would not, I expect, be a feature of the system that is already in train to replace the one that caused the problem this weekend. However, I wholeheartedly agree with what the hon. Lady has said about the civil servants in the Department and the staff at PHE, who are working so hard during this pandemic.

Covid-19

Alison McGovern Excerpts

Monday 16th March 2020 Commons Chamber

[Matt Hancock]

Yes, and I have asked Simon Stevens, the head of the NHS, to ensure that local trusts and clinical commissioning groups keep their local MPs informed of what is happening locally, what is having to happen and how they are responding. Of course, the NHS is incredibly busy at this time preparing for events to come, but that would be a good idea.

[Alison McGovern (Wirral South) (Lab)]

What extra support will be available for pharmacists, and when will local authorities know what their public health funding allocation will be?

[Matt Hancock]

The public health budget is going up and pharmacists are an incredibly important part of the NHS family.

Social Care

Alison McGovern Excerpts

Tuesday 25th February 2020 Commons Chamber

[Matt Hancock]

I am going to make some progress and talk about the long-term solutions we are seeking on social care. For all its many strengths, it is clear that the system cannot remain as it is. Three out of four over-65s will face some care costs in their lifetime, and approximately one in 10 will face lifetime costs of more than £100,000. We need a long-term funding solution, so that the system can continue to do all that we ask of it long into the future. Crucially, we need a solution that solves the problem, commands the widest possible support and stands the test of time. We know in this House that that challenge has been ducked for many years; we have had more than a dozen commissions, reviews and reports, and more than two decades of inaction, from Governments of all political stripes. We do not need another commission —we need a plan. So in our manifesto we set out our three-point plan to solve the crisis, as referred to in our amendment tonight, which I hope the whole House will support.

The first point is to deliver the funding that is needed now to stabilise the system. The funding will provide certainty for local authorities and providers while we put in place the long-term solution. At the last spending round, we said that would make an extra £1.5 billion available in 2020-21. That includes £1 billion of additional grant funding and the 2% adult social care precept, allowing councils access to a further half a billion pounds. Overall, that is part of a 4.4% real-terms increase in local authority core spending in 2021, and that spending comes on top of £2.5 billion in existing social care grants that will be maintained. All in all, our investment since 2015 has allowed an 11% cash-terms rise in social care spending by councils. So the amount of money going into the system is going up, and I am very glad about that, but clearly further progress needs to be made.

[Alison McGovern (Wirral South) (Lab)]

Will the Secretary of State commit to publishing a distributional analysis of where that money is coming from and who it is going to?

[Matt Hancock]

The £1 billion comes from general taxation and the half a billion comes from the social care precept, and we have been absolutely clear about that.

The second part of the plan is to recommit to seeking a cross-party solution. In my view, past attempts at reform have not failed for lack of ideas or good will on the part of many people and many policy makers; they have failed because solving this problem is not just a task of policy making, but an act of political economy. The consequences of the decisions on the reform of social care will play out over decades and, as with past reforms—for instance, pension auto-enrolment—this is best done with cross-party support.

Wuhan Coronavirus

Alison McGovern Excerpts

Monday 3rd February 2020 Commons Chamber

[Matt Hancock]

My hon. Friend is right, and I am sure we can do yet more. Today, we put an extra £20 million into the global effort, and the UK is playing a huge international role. As I said in my statement, the main testing equipment was developed in Oxford and is now used around the world, and Public Health England’s work at Porton Down is globally leading. Developments in the science around the vaccine are a global effort in which Britain is taking the lead.

[Alison McGovern (Wirral South) (Lab)]

Merseyside is home to the oldest Chinese community in Europe, so I certainly associate myself with the remarks of the shadow Secretary of State. While some in the Wirral were surprised by the news, many of my constituents have been in touch to say that their first thoughts are with those currently experiencing quarantine, in what must be a distressing situation for them. Given that we will have many lessons learnt, will the Secretary of State commit to visiting the Wirral, so that he can thank Merseyside police and NHS staff, and all those who have helped, and understand the experience so that we can improve as necessary? No doubt at some point this will happen again.

[Matt Hancock]

Yes, I would be happy to make that commitment. As the hon. Member may know, I was born and brought up in Chester; the Wirral is but a stone’s throw away. I wish to add Wirral Council to her list. It has done a great job in difficult circumstances, and worked closely with us to ensure the best support for those evacuees currently at Arrowe Park and for everybody on the Wirral, so that they get the support they need.

Oral Answers to Questions

Alison McGovern Excerpts

Tuesday 19th February 2019 Commons Chamber

[Jackie Doyle-Price]

My hon. Friend is right to highlight the 12 deaths from sudden cardiac arrest in the young. Although the purchasing of a defibrillator is a matter for individual schools, the Government would encourage schools to buy them. The NHS supply chain is engaging with school networks to get good prices for these defibrillators, and the Department for Education has published on the Government website guidance for schools on buying and installing an automated external defibrillator. In addition, in January, the DFE announced plans for all children to be taught basic first aid in schools, including how to do CPR and use a defibrillator.

[Alison McGovern (Wirral South) (Lab)]

13. What steps his Department is taking to reduce waiting times for mental health patients in the north-west.

[The Parliamentary Under-Secretary of State for Health and Social Care (Jackie Doyle-Price)]

National waiting time standards for early intervention in psychosis, improved access to psychological therapies and services for children and young people with eating disorders are already being met, or are on track to be met by 2020-21, in the north-west. We will introduce new waiting times and targets under the NHS long-term plan, and we have an ambition to deliver many more treatments for all who need them.

[Alison McGovern]

Adult waiting times in Wirral for talking therapies to treat anxiety and depression are some of the worst in the country. The average waiting time between referral and first treatment is 48 days, and between referral and second treatment, when we know that someone needs help, it is 159 days. Will the Minister thank all the volunteers in Wirral who are trying to help those who are suffering from anxiety and depression, and will she explain to me what she is going to do to stop this crisis?

Oral Answers to Questions

Alison McGovern Excerpts

Tuesday 27th November 2018 Commons Chamber

[Caroline Dinenage]

I am always happy to speak to my right hon. Friend about such things. I understand that the intention is now to move to a more place-based approach to health and care planning in his local area, but all such changes are subject to consultation.

[Alison McGovern (Wirral South) (Lab)]

I will be honest, I am confused. We have heard the Minister say several times that community approaches are important, but our walk-in centre in Eastham is yet again being threatened with closure. Which is it—do this Tory Government want crowded A&Es or proper walk-in centres that will prevent people from unnecessarily ending up at A&E?

[Caroline Dinenage]

I do not think I can make it any clearer: this Government are committed to providing community services right where people need them, and we are putting our money where our mouth is. Last week, the Prime Minister announced a major new investment in primary and community healthcare of £3.5 billion.