Oral Answers to Questions

Andrew Lewer Excerpts

Tuesday 19th April 2022 Commons Chamber

[Ben Bradley (Mansfield) (Con)]

2. What steps he is taking to help ensure that health and care services are well integrated.

[Andrew Lewer (Northampton South) (Con)]

19. What steps he is taking to help ensure that health and care services are well integrated.

[The Secretary of State for Health and Social Care (Sajid Javid)]

The past few years have shown that we are strongest when we work together. Earlier this year we published the integration White Paper, drawing on our experience of the pandemic to develop a plan that will bring together the NHS and local government to deliver jointly for local communities. We have also created integrated care partnerships, such as the programmes in mid-Nottinghamshire and Northamptonshire, through which we are already showing how we can bring together health and local social care services.

[Sajid Javid]

I can give my hon. Friend that assurance. Of course, we are already putting in record funding for local authorities and the NHS to deal with backlogs. I believe the plan we set out earlier this month for the integration of NHS and local authority care services will make a real difference.

[Andrew Lewer]

I thank the Secretary of State for referring to the work in Northamptonshire to integrate health and social care. Can he assure me that the central role of local government in ensuring that health and social care services work together to make the most efficient use of local resources will continue? And will he give me a clear guarantee that adult social care will not be taken over by the NHS?

Kettering General Hospital

Andrew Lewer Excerpts

Wednesday 2nd February 2022 Westminster Hall

[Mr Philip Hollobone (Kettering) (Con)]

I beg to move,

That this House has considered the redevelopment of Kettering General Hospital.

It is a delight to see you in the Chair, Mr Twigg.

I thank Mr Speaker for granting me this debate, and I welcome the Hospitals Minister to his place. I also welcome my hon. Friend the Member for Northampton South (Andrew Lewer), who is kindly here to support the calls for the redevelopment of Kettering General Hospital. I thank the very hard-working, dedicated and loyal workforce at Kettering General Hospital for all they do to address the healthcare needs of the local population across Northamptonshire, particularly north Northamptonshire—in particular, Simon Weldon, the group chief executive, and Polly Grimmett, the director of strategy at Kettering hospital.

The Hospitals Minister knows Kettering hospital well and has always been extremely attentive and courteous to the healthcare needs of the local population in Kettering and beyond. He kindly visited the hospital on 7 October 2019, and he has responded to Adjournment and Westminster Hall debates on the hospital on 23 October 2019, 8 June 2021 and 10 September 2021. We have had regular meetings with him, most recently on 17 January this year.

I welcome the Government’s unprecedented investment in the NHS as a whole, and their commitment to the national hospital building programme. It has resulted in commitments to Kettering hospital of £46 million for an on-site urgent care hub, £350 million in health infrastructure plan 2 funding for 2025-30 and a write-off in 2020 of all the hospital’s £167 million trust debt. That is a total investment package for the hospital of a staggering £563 million, which is the biggest ever investment in Kettering General Hospital.

Kettering hospital is 125 years old this year. It has been on the same site ever since its inception in 1897. It is a much-loved local hospital that I hope will have a bright future. Let me reassure the Minister that I am not asking for more money. I welcome his recent decision that the two funding streams—the £46 million for the urgent care hub and the £350 million HIP2 funding—be meshed together, so that a synthesis of investment can be provided to the hospital. I have said this to the Minister before, and I repeat it today: promises are one thing, but delivery is quite another, and we now need the cash. The hospital needs the £46 million in cash so that works can continue.

In announcing the award of £46 million for the new urgent care hub in the debate on 23 October 2019, the Minister himself said:

“My officials and NHS England will be in touch with the trust to discuss further details, in order to ensure that funds are released and that work starts on the project as swiftly as possible. I am conscious of the urgency that my hon. Friend the Member for Kettering highlighted.”—[Official Report, 23 October 2019; Vol. 666, c. 30WH.]

I welcomed those words, but that was over two years ago. While we have been promised £46 million, the hospital has not yet received the cash.

My first main ask is for the imminent provision to KGH of the £46 million sustainability and transformation partnership wave 4b funding, which was first pledged in the debate here in October 2019, so that the initial enabling works for the redevelopment of the hospital can continue to 2023-24. Secondly, I reinvite the Minister to visit Kettering hospital. He has kindly visited before and has promised to visit again. I hope that that visit will take place soon.

Thirdly, can we have confirmation that the NHS’s new hospitals programme team will approve, and give feedback on, the hospital’s strategic outline case for its redevelopment, which was submitted early last year, so that the hospital can develop the next stage—an outline business case—in May 2022? Fourthly, can the Minister confirm that he will look favourably on Kettering hospital’s eligibility for £53 million of slippage from other more complicated and larger hospital development schemes—such slippage will inevitably occur across the redevelopment of 40 hospitals—so that work can continue on the Kettering site all the way through to the 2025 to 2030 HIP2 period?

The hospital is straining at the leash to get the redevelopment project under way. Initial work has already commenced, but the hospital must go through various approval processes to fulfil the NHS’s investment requirements. Essentially, there is a three-stage business case approval process: a strategic outline case, an outline business case and a final business case.

The hospital submitted its SOC early last year, but it has not yet received feedback from the new hospitals programme team to inform the outline business case, which it is keen to submit in May this year. Once the OBC is achieved, feedback is required for the final business case. The big risk is that these various business case approval processes are extended too long, which will mean that substantial development on site will be held up.

The second risk is that the hospital needs the cash from the £46 million to allow the initial enabling work to continue. That work covers things such as the reprovisioning of car parking, clinical and office spaces to create construction space for the redevelopment itself, as well as road and utility diversions and site clearance. Without the cash from the £46 million, the risk is that those enabling works will have to stop, and that would be of extreme concern to local people.

The third risk is that the trust does not receive any slippage money from the other 40 hospital building programmes around the country. The Kettering scheme is relatively small, compared with some of the very large hospitals being rebuilt, but it is flexible. It can respond extremely well to receiving any slippage money from those other projects.

[Andrew Lewer (Northampton South) (Con)]

My hon. Friend is giving a remarkably impressive run-through of some of the complex bureaucracy and procedures. I want to pick up on his point about integration. Does he agree that Northampton General Hospital and Kettering General Hospital working together more efficiently provides some promising opportunities? While I cannot join him in saying that I will not ask the Minister for more money, because Northampton General Hospital is in the next stage of needing this sort of funding, I join him in asking the Minister to come and look at Northampton General Hospital and Kettering General Hospital as soon as possible.

[Mr Hollobone]

I thank my hon. Friend for his helpful intervention. How about this as a constructive suggestion? Would it not be wonderful if, on visiting Kettering, the Minister was able to call in at Northampton on the way? We are only 18 miles apart. Northampton and Kettering hospitals work together under the same NHS trust umbrella, and there is a lot of close working between the two hospitals. I recognise the need for more investment in Northampton hospital as well. I congratulate my hon. Friend on all his work for his constituents, which I know is hugely appreciated.

The risk is that, if Kettering hospital is not allowed to begin work on its full business case approval process this summer, the hospital will miss its 2023 target date for substantial construction on the site. The hospital continues to work towards a timetable that sees construction start on site in 2023. This is an accelerated timeline, because the hospital is eager to go on what is a relatively low-risk project. The hospital does not need to do any land deals; it owns all the land. There is strong local support among health system partners and planners. The hospital is keen to use repeatable designs from other hospital projects that have worked well elsewhere.

Can we have feedback from the new hospital programme team on the business case and designs for the hospital, so that the hospital can incorporate national thinking on programme priorities such as digital, net zero carbon and modern methods of construction? Can we have, as early as possible, the selection by the new hospital programme team of an appointed construction partner to work with the trust on developing the final scheme details, and can the hospital have the funding to cover the fees associated with this stage of the design? The risk is that, unless this support from the new hospital programme team is forthcoming, work on the hospital’s main scheme may have to come to a stop, with key resource being stood down and reassigned. I am sure the Minister wants to avoid that.

It is welcome news that the trust has received confirmation that the £46 million can be combined with the £350 million, so that it is a united programme. However, at present, there is no process in place to allow the hospital to start accessing these funds once existing programme budgets run out in March this year. Unless the trust is able to access these funds this year, early enabling work required to prepare the site for construction in 2023 will not be completed and the main build will not be possible on time.

One thing that keeps the chief executive awake at night is the power plant at Kettering hospital: £25 million of the money required for enabling work relates to the need for a new energy centre on site to replace the temporary plant and life-expired distribution system. This is an immediate risk to patient safety due to ongoing shutdowns caused by testing and repair work. If the Minister were kind enough to agree to visit the hospital, I am sure the trust would want to show him the power plant, which is in urgent need of attention. If we get the £46 million, the scheme can progress, enabling works can continue and the hospital will be on track for early construction work beginning in 2023.

I reiterate that Kettering hospital is a much-loved local hospital. It serves all the residents of Kettering, Wellingborough, Corby and others, sometimes including patients form Northampton. We live in one of the fastest-growing areas in the country. Corby has the country’s highest birth rate, and Kettering hospital expects a 21% increase in the number of over-80s in the local area in the next five years alone. The area has committed to at least 35,000 new houses over the next 10 years. The local population is set to rise by some 84,000, to almost 400,000 people. The A&E now sees up to 300 patients every single day in a department that is sized to safely see just 110. Over the next 10 years, the hospital expects the number of A&E attendances to increase by 30,000, up from 100,000; that is the equivalent of almost 80 extra patients every day.

The A&E is full. It was constructed in 1994 to cope with just 45,000 attendances each year. By 2045, 170,000 attendances are expected. Seventy per cent. of the buildings on the main site are more than 30 years old, and there is a maintenance backlog of £42 million. Sixty per cent. of the hospital estate is rated as either poor or bad. Local people know that this investment is needed. The Government have also accepted that the investment is needed. What we need now is the cash to make sure that the works can start on time in 2023.

Vaccination Strategy

Andrew Lewer Excerpts

Wednesday 12th January 2022 Commons Chamber

[Maggie Throup]

It is quite clear that the vaccine does reduce transmission. It is a matter of protecting the individual, but in these settings there are also some very vulnerable people who can ill afford to get more seriously ill. It is only right that we look at every aspect of this. It is not just about the omicron variant; it is about other variants in the future.

[Andrew Lewer (Northampton South) (Con)]

We have already heard from my right hon. Friend the Member for South West Wiltshire (Dr Murrison) and others the expression attributed to John Maynard Keynes, but actually by Paul Samuelson:

“When the facts change, I change my mind. What do you do?”

Decisions about recommending vaccinations for 12 to 15-year-olds were regarded as very finely balanced in any case with delta as the predominant variant. Now we have omicron, that so-called fine balance, with all the complications of children’s benefit versus societal benefit and the small but real risk of myocarditis, has clearly altered. Will my hon. Friend ensure that she reflects on that very wise quotation in this instance?

[Maggie Throup]

I refer back to the fact that the MHRA confirmed that the Pfizer vaccine is safe and effective in 12 to 17-year-olds, and that followed the rigorous review of the safety, quality and effectiveness of the vaccines in this age group. Obviously, the JCVI then made that recommendation, and the CMO has backed it up. It was based on those experts that this decision was made.

Tobacco Control Plan

Andrew Lewer Excerpts

Tuesday 16th November 2021 Westminster Hall

[Andrew Lewer (Northampton South) (Con)]

I thank my hon. Friend the Member for Harrow East (Bob Blackman) for securing the debate. I recently joined the all-party parliamentary group for vaping, but I have taken an interest in that area ever since it became a matter of not infrequent discussion when I was a Member of the European Parliament, especially in relation to the EU tobacco products directive and some of the flaws therein. We need a serious debate about advertising practices related to vaping and misinformation about the use of e-cigarettes and vaping products. That is especially significant for me as the Member of Parliament for Northampton South, which has a nationally high smoking rate of 18.8%.

The Government’s tobacco control plan must be based on the significant and growing body of evidence that vaping is an effective alternative for smokers. I thank the Secretary of State for Health and Social Care and his team for announcing that the Medicines and Healthcare products Regulatory Agency has updated its guidance on medical licensing for e-cigarettes, allowing them to be prescribed to those trying to quit smoking. However, there is still a public perception that vaping is as harmful, or more harmful, than smoking. The rate of smokers switching to vaping has slowed over the last 18 months, largely because of misleading media articles and junk science causing concerns over the quality of e-cigarettes. Some 53% of smokers believe that vaping is as harmful or more harmful than smoking, according to a 2021 Government updated evidence summary. There needs to be concrete and clear information on passive vaping to counter the public misconception that it is harmful.

It is clear that the Government and industry must push back against those misconceptions, and the forthcoming tobacco control plan must set out to tackle them. I encourage the Government to look at some of the proposals put forward in Canada and New Zealand, which hon. Members have mentioned. These countries are introducing approved health claims and messaging about switching from smoking to vaping, alongside some nicotine health warnings.

We must make a clearer distinction between smoking and vaping. There must be clear standards that differentiate smoking from vaping in public spaces—and importantly in work spaces. The last thing that someone attempting to quit smoking wants is to stand around in the same vicinity as smokers. Employers should have specific workplace vaping policies that balance the needs of vapers and smokers. The parliamentary estate could lead the way in adopting and implementing this policy.

Finally, I ask the Minister to support online vape retailers. Retailers and manufacturers must be able to responsibly promote their products online, and to highlight the health and cost benefits of switching to e-cigarettes. At this point, I suppose that my wife would say, “Il meglio è nemico del bene”—the best is the enemy of the good. I am not unaware that there are drawbacks and problems with nicotine intake. However, given the damage that smoking does to people’s health and the sad personal experiences that we have heard today, that expression must be borne very much in mind.

Vape retailers are unable to use their own websites and social media platforms to communicate the benefits of vaping to customers. The barriers faced by online vape retailers are disproportionate and should be removed to allow effective communication with those attempting to stop smoking, which is critical, by switching to vaping. Compared with methods such as patches, which were used when as a county council leader I took part in the return of public health to local government in 2009 to 2013, vaping’s effectiveness is clear. We are in all seriousness talking about saving lives.

Covid-19: Vaccination of Children

Andrew Lewer Excerpts

Tuesday 21st September 2021 Westminster Hall

[Andrew Lewer (Northampton South) (Con)]

Thank you for chairing this debate, Dame Angela. I thank my hon. Friend the Member for Penistone and Stocksbridge (Miriam Cates) for securing a debate on this immensely important topic and for speaking so convincingly.

Despite what has been said, the JCVI’s recommendation on the mass vaccination of children aged 12 to 15 is clear. “The margin of benefit” in vaccinating healthy 12 to 15-year-olds is “too small” to support such a policy. That was the conclusion reached when the question was asked, as it should be in the case of medical decisions, about what would be in the best interests of our children’s health.

Throughout the pandemic we have continually been told of the importance of following the science. I warmly welcome my hon. Friend the Member for Erewash (Maggie Throup) to her ministerial position, but will she explain why we are now disregarding the science and the experts who clearly said that it is not necessary nor advisable on the basis of the evidence we have for that cohort to receive a covid-19 vaccine? Given “fake news”, some people seize on any lack of clarity or inconsistency to be anti-vax, which I am not, and that is a real risk when the Government override trust, as my hon. Friend the Member for Bolton West (Chris Green) delineated so well.

If it is because of extraneous factors that have been mentioned in recent days, such as protecting children’s mental health and ensuring they miss no more school, it must be said that both of those problems have their root in Government decision making. School closures are a political choice. Testing regimes are at the bureaucratic insistence of the Department for Education. The fear that some children might have of dying from covid-19 has come from a created climate of fear, because the evidence shows that both children who are perfectly healthy and those who have underlying health conditions face a mortality rate from covid-19 of two in every 1 million. Children are therefore not at risk of death or serious illness from covid-19. In fact, most children are asymptomatic or experience a mild illness. Given that most vaccines do not prevent transmission and that those most at risk due to age or underlying health conditions have been double-vaccinated, this recommendation is not only unnecessary, but could be dangerous. We should be protecting our children and not taking unnecessary risks with their health in favour of some vague notion of perceived benefit to wider society.

[Chris Green]

Does my hon. Friend share my concern that initially the Government’s perspective was that we need a double vaccination for both protection and longevity of protection, yet 12 to 15-year-olds will receive only one dose, giving them relatively short-term protection? That is not consistent with the general stated aims of the vaccine programme.

[Andrew Lewer]

My hon. Friend very capably highlights yet another inconsistency. It is important to remember that any child who gets seriously ill or, heaven forbid, dies from a vaccine does so because of a policy decision and not a disease.

Turning to parental responsibility, many constituents who are parents have expressed their deep unease at the Government’s recommendation, and even more so that under the ill-advised Gillick principle children will be able to consent to taking the vaccine against their parents’ wishes. The Gillick principle has been cited as something that is set in stone and could never be changed, and as a sort of legal precedent as if this House, which exists to make law, could not override it, as many other things have been overridden apparently quite straightforwardly in the last couple of years.

The Gillick principle—it is unfortunate it is named after her given her background—means that children will be able to consent to taking the vaccine against their parents’ wishes. It has long been accepted in this country and in the thinking of my political background and heritage that children under the age of 18, and certainly under 16, should be the responsibility of their parents, that they should be guided and protected by them, and that parents, as adults, will make decisions in the best interests of their children. Only in exceptional circumstances should agents of the state interfere in that relationship and override a parent’s wish for their child.

I am deeply concerned by the increasing trend away from the Gillick principle. Just last week, we saw the High Court hand down a deeply concerning judgment that children under the age of 16 will be able to consent to taking puberty blockers without the need for parental permission. We are descending rapidly down a slippery slope. It is a mistake to allow children to circumvent parental control, especially when the long-term consequences of the vaccines are not yet clear. There has been limited research and data collected on the efficacy and safety of these vaccines for children.

I have been contacted by local teachers in my constituency of Northampton South who are receiving concerned emails from parents accusing schools of implementing this policy. I want it to be clear that this is a Government proposal and schools will have no liability in carrying out injections. I also want clarification from the Minister that vaccines will not be administered by school staff.

Social Care Reform

Andrew Lewer Excerpts

Wednesday 23rd June 2021 Commons Chamber

[Helen Whately]

The hon. Lady is right to say that when we went into the pandemic, the social care system already needed reform. That was well recognised, and that was why the Prime Minister committed back in 2019 that we would bring forward social care reforms—[Interruption.] I am not going to talk about tax policy here, but I can reassure her that we are working on our social care reforms and will bring forward the plan later this year.

[Andrew Lewer (Northampton South) (Con) [V]]

The report of the joint Health and Social Care and Housing, Communities and Local Government Committees, of which I was a part, left open the possibility of insurance-type solutions for adult care funding, as successfully operated in many countries comparable to our own. That would have advantages of finance, focus and structure. Given how hugely ambitious my hon. Friend has said she is on this, can she confirm that both insurance-based solutions and an enhanced role for local government remain options for her and the other key decision makers when determining the way forward for adult care?

[Helen Whately]

I thank my hon. Friend for his involvement on the Health and Social Care Committee, whose reports I find really helpful; they provide great insight and contribute to the conversation. He alludes to the different models for paying for social care, and clearly there are many different approaches. We have been considering them, but I am not able to go into detail here and now. I will have to ask him to wait until we publish our proposals for social care reform.

Obesity Strategy 2020

Andrew Lewer Excerpts

Thursday 27th May 2021 Commons Chamber

[Andrew Lewer (Northampton South) (Con) [V]]

With more than half the adults in this country classed as overweight, which has well-known associated health impacts on society and the NHS, I understand why the Government want to tackle this issue. Much of the strategy on public health education is not objectionable, unlike the proposals about the advertising of two-for-ones and where shops can display their wares, which I believe fall foul of the core Conservative principles, which are the reason I am in politics, of promoting freedom and the liberty of our citizens.

There is much evidence that suggests that such proposals will not work anyway and will be heavy-handed. That is why these ideas, thankfully, never came to fruition in two former Prime Ministers’ Administrations. The legislation will essentially nationalise the content of food advertising, which will be chosen by the Department of Health and Social Care in Whitehall. It is redolent of EU regulations about whether Jaffa Cakes are biscuits or cakes and Harold Wilson’s selective employment tax; instead we should trust citizens to make decisions for themselves and concentrate on education so that those choices are informed.

The proposed advertising ban on high-fat, salt and sugar products before 9 pm on TV and online in its entirety will not only catch those foods that we commonly think of as junk, but target foods such as ready-made sandwiches, butter and jam. Speciality businesses such as wedding cake shops or artisan producers of sausages will not be able to promote their products on the primary advertising mediums of the 21st century. We are a party that claims to stand behind business, but the financial impact across the food, advertising and broadcasting industries, in stifling entrepreneurship and competition, will be enormous. All these proposals, by the Government’s own admission, will reduce children’s calorie intake only by an unnoteworthy amount. Research from Mondelez International states that restricting promotions will lead to an average daily reduction of only 8 calories for adults.

An obesity strategy as a concept and one that empowers my constituents in Northampton South is fine, but proposals towards a nanny, banny state, which are contrary to years of the Prime Minister’s own writings and to core Conservative principles, are not at all fine. They exemplify the politician’s syllogism from the 1988 edition of “Yes Prime Minister”: “We have a problem. Something must be done. Well, here’s something, so let’s do that.”

UK Rare Diseases Framework

Andrew Lewer Excerpts

Wednesday 24th March 2021 Westminster Hall

[Andrew Lewer (Northampton South) (Con) [V]]

It is a pleasure to serve under your chairmanship, Mrs Miller. I congratulate the hon. Member for Blaydon (Liz Twist) on securing this important debate.

Motor neurone disease is a devastating and rapidly progressing neurological condition that leaves individuals unable to walk, talk, eat and, ultimately, breathe. It is a rare disease in this sense, because sadly one third of people die within one year of receiving their diagnosis, but at present one in 300 people will develop it in their lifetime.

There is currently no cure, but as chairman of the all-party parliamentary group on motor neurone disease, I have had the privilege of hearing about the pioneering research that is under way to find effective treatments. Huge progress has already been made, particularly in terms of understanding which genes cause the disease and of subsequent pioneering gene therapy trials such as that conducted by Professor Chris McDermott at the University of Sheffield.

It would be disappointing, when scientific advancements are at their most promising, to see Government funding for MND research plateauing. Although charities have picked up the shortfall, this source of funding is under more pressure than ever because of covid-19. In this context, the Government’s recent announcement of the rare diseases framework provides a welcome and much needed opportunity. It is encouraging that one of the framework’s key priorities is to improve access to specialist care, treatment and drugs, and that one of its underpinning themes is to encourage and support pioneering research into rare diseases. Key to successfully delivering this will, in part, be the completion of ongoing NICE methods and a process review changing how we access new medicines. It will also come from close partnership between the devolved Administrations and the voluntary sector, which is already working to support pioneering research.

In the same vein, MND Scotland and My Name’5 Doddie Foundation are asking the Government to consider investing £50 million over five years to establish a virtual MND research institute. It would be designed to create a world-leading drug discovery and development programme, to establish a sustainable MND trials platform and to implement a rigorous clinical research programme. The institute and the funding would help the national and local delivery of this new framework’s key aims of improving the lives of those living with MND and embedding personalised care in the UK healthcare system. I thank the Government for the support they have already shown, and I look to them for more regarding the research institute.

Social Care Reform

Andrew Lewer Excerpts

Thursday 18th March 2021 Westminster Hall

[Andrew Lewer (Northampton South) (Con) [V]]

Thank you, Dr Huq; it is a pleasure to speak under your chairmanship.

The pandemic has shone a light on the pivotal role that social care plays in our communities. It has, however, laid even more bare the huge pressures that the sector has been facing for the past two decades. Having been in local government since close to the start of this century, I recall papers saying how urgent reform was then, including the 1999 royal commission on long-term care, and it was a constant theme throughout my time as a county council leader. Such is the urgency now that, although a desire to get cross-party consensus on this is a welcome aspiration, it must not be used as a reason for delay.

At a time when, for all the wrong and tragic reasons, public understanding and awareness of the care sector has hugely increased, this should be harnessed to perhaps achieve a positive legacy from this pandemic, and to achieve the long-sought parity of esteem between our hard-working care sector workers and their colleagues in the NHS. Having spoken about this many times before in the House, through several Prime Minister’s questions and work on joint Select Committee reports discussing what reform should look like, I think that there needs to be an emphasis on a joined-up approach between health and adult social care, not only nationally but locally.

Throughout the pandemic, local government has stood shoulder to shoulder with the NHS in tackling coronavirus, and the Local Government Association, of which I am a vice-president, has done tremendous work in highlighting this. However, too often the two services have been placed on different footings. The past 12 months have shown, perhaps more than ever, the need for closely integrated health and social care, and I have seen the hugely positive impact that such an approach can have in my own constituency, through Northamptonshire Health and Care Partnership’s innovative Integrated Care Across Northamptonshire programme.

I therefore urge caution to any colleagues who wish to see the social care sector cut from the local authority remit and subsumed within an ever-expanding NHS. This is an overly simplistic and short-sighted approach. It is not wrong to have varying models of social care provided by different local authorities working with NHS services. That flexibility allows local services to be better through both parts of the demos: demography and democracy.

In the last Parliament, I sat on the Select Committee on Housing, Communities and Local Government, which commissioned a joint report with the Health and Social Care Committee on possible long-term funding models for social care. That report, which I commend to colleagues, specifically left the door open for insurance-style funding solutions to the issue, which have been used in countries such as Germany and Japan. It is a better approach than the usual “rising taxes will fix this issue,” especially when we bear in mind the important, if sadly unfashionable, fact that rises in tax rates do not always lead to rises in tax takes. Having recently been re-elected to the Select Committee, I am very keen that this option should be looked at once again, and I would welcome comments from the Minister on the Government’s consideration of these elements of such proposals in their final plans.

Future of Health and Care

Andrew Lewer Excerpts

Thursday 11th February 2021 Commons Chamber

[Matt Hancock]

I gently say that I disagree entirely with the hon. Lady’s pessimism about the ability of improvements in the health service to assist in the closing of health inequalities and the provision of care. As a Greater Manchester MP, she will understand better than most the benefits that come from that sort of integration. The idea that we should fail to act on what the NHS has itself asked for because of the challenges it is facing is completely the wrong way round. I see it entirely the other way round; it is incumbent on us to act in order to deliver the improvements that the NHS is calling for.

[Andrew Lewer (Northampton South) (Con) [V]]

During the last Parliament, I sat on a joint Health and Housing, Communities and Local Government Committee, and I am pleased to be re-joining the latter Committee. That Committee commissioned a report on the future of adult care, which left open care insurance-type options to spread the financial burden, so as not to create an ever-larger NHS versus the critical local government role, and, crucially, with enhanced choice and flexibility for a 21st century care system. How will those aspirations fit into the plans that my right hon. Friend has described today?

[Matt Hancock]

The White Paper takes forward parts of those proposals relating to the integration between health and social care, and ensuring that it is those on the ground delivering health and social care who can decide the best way to provide that for their population. We are committed to taking forward funding reforms, as set out in our manifesto. Those funding reforms are not part of this Bill, but the Prime Minister has committed to bring those forward this calendar year.