Oral Answers to Questions
Debate between Alun Cairns and Simon Baynes(1 year, 2 months ago)
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Simon Baynes (Clwyd South) (Con)
Alun Cairns (Vale of Glamorgan) (Con)
NHS: Long-term Strategy
Debate between Alun Cairns and Simon Baynes(1 year, 3 months ago)
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Alun Cairns (Vale of Glamorgan) (Con)
I must admit that I was surprised by the audacity and tone that the hon. Member for Ilford North (Wes Streeting) took when introducing such an important debate. Not one Welsh Member of Parliament from the Labour party is present. I think they may share my disappointment in the tone the Labour party is taking over this serious issue, bearing in mind the performance of the Labour party and Government in Wales in failing to deliver on the NHS. Who knows, those Members might be embarrassed or angry; maybe they are angry and embarrassed at the hon. Member for Ilford North. I hope they are certainly disappointed by the performance, waiting times and outcomes for our constituents in Wales.
Tone really does matter. This is a really important debate, and we need to consider it in the way the Secretary of State recognised the issues facing every part of the United Kingdom. The Chairman of the Health and Social Care Committee, my hon. Friend the Member for Winchester (Steve Brine), also recognised that and urged the use of responsible language. This needs to be followed through. When I have highlighted deficiencies in the NHS in Wales in the past, I have been accused of undermining the NHS or attacking NHS staff. I hope I will not be accused of that now, as that is not my objective. I am instead frustrated with the Labour Government in Wales and the outcomes my constituents are experiencing. I make this contribution in support of the NHS staff, clinicians and all the apparatus that delivers an effective and efficient health service.
Much has been said about data and waiting times, and I could go on and on about that. No matter what statistic the hon. Member for Ilford North highlights, I could trump him every time with worse performance in Wales. I am not celebrating that, because my constituents and my family experience that performance. I am disappointed by the political tone the hon. Gentleman is taking in seeking to exploit the challenges facing the NHS and its staff having come out of a global pandemic. That is something we absolutely need to recognise.
I will highlight some statistics to encapsulate the experiences of my constituents and others in Wales. After 25 years of a Labour Administration in Wales, accident and emergency times, primary care delays, cancer treatment times and waiting lists are much longer than they are in England, or than they were previously. In England, 5% of patients are waiting longer than 12 months; in Wales, 23% of patients are waiting longer than 12 months. I will not bore everyone with lots of numbers, but I will take that to the next level of statistics: 7.9% of patients in Wales are waiting longer than two years for treatment. That is why Opposition Members have to accept and recognise that this a serious debate that affects every part of the United Kingdom, Europe and beyond.
Simon Baynes (Clwyd South) (Con)
Does my right hon. Friend agree not only that the statistics for Wales are markedly worse than for England, but that in Wales the expenditure per head on health is 15% higher than in England?
Alun Cairns
My hon. Friend makes an important point. The hon. Member for Ilford North pointed to the lack of funding for the NHS in Wales, but since 2010, only the Labour Government in Wales have ever cut NHS funding—no other Government in the UK have done that. When I was the Secretary of State for Wales, we renegotiated a funding formula that the First Minister, who was the Finance Minister at the time, said was a very fair deal. That formula means that Wales receives £120 for every £100 that is spent in England, and there is a funding floor attached to it. That highlights the generosity and fairness of the settlement, bearing in mind the inequality that the hon. Member for Ilford North highlighted earlier.
In my final minute, I will comment on the strike action. Every point that the Leader of the Opposition has made about the challenges of strikes, and every criticism that has been made of the Prime Minister and Secretary of State for Health and Social Care, could equally apply to the First Minister and Health Minister in the Welsh Government. That demonstrates the complexity of the situation. The Welsh Government say that they cannot act until they have more money, but they need to remember that they are getting £120 for every £100 that is made available in England, and they have tax-varying powers. Are they saying that they want to tax the English more in order to spend more in Wales? They can vary taxes however they want—[Interruption.] They can vary taxes and that is the choice that they have to make. They decide where they spend their money. In closing—
United Kingdom Internal Market Bill
Debate between Alun Cairns and Simon Baynes(3 years, 7 months ago)
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Alun Cairns
The hon. Gentleman makes a fair point: we need to bring forward much more detailed proposals about how the shared prosperity fund will work. I hope—this is a call to the Minister—that these clauses will change the nature of the discussion, because they will enable the UK Government to play a more prominent part in how the shared prosperity fund develops. That is not the Government’s position yet, as I understand it, but certainly I hope it will be, and I will be calling for that.
The devolved Administrations receive their funding through the Barnett formula, but that delivers a capacity limitation to the interventions that they can make. Although the Welsh Government receive £120 for every £100 spent in England, which is a very fair settlement as a result of the relative poverty that many of us highlight regularly, that broadly equates to about 5% or 6% of spending in devolved areas according to the population. As a consequence of that relatively small sum of money, large infrastructure projects are much more difficult to deliver. They demand such capital sums that they are difficult to justify in any one community. The nature of devolution has caused resources to be spread far more thinly, and they do not have the impact that they could have in any one area.
Simon Baynes (Clwyd South) (Con)
I would like to pick up that point. As an MP for the border constituency of Clwyd South, I know that the importance of infrastructure projects is significant, but they are extremely difficult to implement as things stand. This Bill will enable the financial assistance that will facilitate those projects, which are vital for improving the wellbeing and the lives of people in Wales.
Alun Cairns
My hon. Friend is absolutely right, and he highlights, at a constituency level, the challenges because of the nature of the limitations of their funding the Welsh Government or any devolved Administration in any part of the UK face in having the greatest impact on constituencies. The might of the UK Government can support those large-scale projects.
The last major infrastructure project in Wales was in 1987, when the Cardiff Bay Development Corporation was formed. There has not been a major infrastructure project since then. That demonstrates that the nature of devolution has led to money being spread much more thinly across all communities. There is a good argument for that, but it removes the ability to have an impact in one specific community.