Future of the NHS

Debate between Daniel Kawczynski and Mark Pritchard

Tuesday 24th October 2023 Westminster Hall

[Daniel Kawczynski]

She has never worked in the private sector—

[Mark Pritchard (in the Chair)]

Order. If the hon. Gentleman wants to make another intervention, then he can try to do so. If the hon. Lady—

[Daniel Kawczynski]

The question is simple: has she ever worked in the private sector?

--- Later in debate ---

[Daniel Kawczynski (Shrewsbury and Atcham) (Con)]

I pay tribute to the doctors, nurses, porters, kitchen staff and many other hard-working people at the Royal Shrewsbury Hospital, who do an outstanding job for my constituency of Shrewsbury and Atcham. My concerns are with management of the NHS trust and the chief executive. My right hon. Friend the Member for Ludlow (Philip Dunne) and I, with others, secured £312 million seven years ago—the biggest investment in the NHS in Shropshire for decades—for the modernisation and reconfiguration of A&E services.

All Members of Parliament will recognise that there is nothing more important for their constituents than the safety and care of their families when they go to A&E. Imagine: we secured £312 million for that modernisation of our local hospital trust seven years ago, and still not a single brick has been laid. Those were not proposals envisaged by politicians or Ministers, but by 300 local surgeons, who were at the forefront of championing this modernisation and reconfiguration. Those 300 local surgeons are at the coalface of providing those services every day to our constituents. Yet, the NHS trust has allowed itself to be bullied by the Labour leader of Telford and Wrekin Council to prevent the changes taking place.

The Labour leader of the council does not have a single medical qualification, yet under the society we live in he can prevent those changes, which are propagated as being absolutely essential by local surgeons at the coalface of providing those services. There is no comprehension of the interdependence between these two hospitals for citizens across the whole of Shropshire and mid-Wales. Let us not forget that in Shropshire—you are a Shropshire MP and will know this, Mr Pritchard—

[Mark Pritchard (in the Chair)]

Order. For the record, while I am chairing, I am completely neutral. I take the hon. Member’s point, but this is a generic debate. He is talking about specifics, and the Chair is completely neutral.

[Daniel Kawczynski]

Yes. These two hospitals, 12 miles apart, cover the whole of Shropshire and mid-Wales, yet the Labour leader of Telford and Wrekin Council refuses to recognise their interdependence. No decision has been taken by the trust for seven years. I have attended hundreds of meetings with the local trust over that time to find out when it will finally take the decision to start construction. “It’s coming”, “It’s just around the corner” and “It’s nearly there”—that is what we have heard for the past seven years. That lack of accountability and transparency would never be tolerated in the private sector, and I speak as somebody who spent 13 years working in the private sector before becoming a Member of Parliament.

There is a massive turnaround of staff at the local NHS trust. I think I am on my seventh or eighth chief executive; there is no accountability, transparency or sense of urgency. Meanwhile, A&E services continue to deteriorate in our local hospital trust. Shropshire Community Health NHS Trust and Shrewsbury and Telford Hospital NHS Trust are the worst performing A&E trusts in the whole United Kingdom. As a Member of Parliament, I get heartbreaking letters from constituents about the difficulties that their family members have experienced in our local A&E services, because that £312 million has not been spent and implemented.

I speak as the only Conservative Member of Parliament to have been born in a communist country, where the state controlled everything. That is what my antipathy to this state control is rooted in. The socialist model created in the 1940s leads to inefficiency, poor value for money and corruption. We need to create the right regulatory and taxation framework to allow the private sector to thrive in this country. I completely disagree with the hon. Member for Wirral West (Margaret Greenwood); we need to allow private sector hospitals to thrive and to take on the NHS, and ultimately say to citizens, “If you need an operation, we will send you to a private hospital and pay for your operation there.” We cannot continue to allow this level of negligence, corruption and inefficiency, with £130 billion into the NHS just this year alone and horrendous outcomes. We need privatisation and competition for the NHS.

River Severn Flooding

Debate between Daniel Kawczynski and Mark Pritchard

Wednesday 11th March 2020 Westminster Hall

[Daniel Kawczynski (Shrewsbury and Atcham) (Con)]

I beg to move,

That this House has considered the flooding of the River Severn.

I am grateful to have been called to speak in this debate on the recent flooding of the River Severn. I am sure that Members are aware of how badly Shrewsbury has been affected as a result of that flooding. The part of Shrewsbury where I live, Coton Hill, was badly affected, with terrible damage and flooding in my neighbourhood. However, over the past few days and weeks I have spent quite a bit of time in another bit of Shrewsbury, Coleham, which has also been badly affected by these floods. I will refer to a couple of people whose situations I am very conscious of, some of whom I have met: Lee and Sandra from The Hair Forum, Rachel from The Glam Studio, and G. O. Elson, who is in his 50th year as a local butcher. Seeing the devastation that has happened in those people’s neighbourhoods and the financial damage caused to their businesses has been galling.

Yesterday, I met with Peter Nutting, the leader of Shropshire Council, when he came to the House of Commons. He informed me that over 300 businesses and residential properties had been affected just in Shrewsbury, and estimated that the cost of clearing up from the ramifications of this flood will be over £1 million in my constituency alone. Of course, the Bellwin scheme will help, but a large chunk of money will not come from that scheme; Shropshire Council is having to find that money itself. As my right hon. Friend the Member for North Shropshire (Mr Paterson) and my hon. Friend the Member for The Wrekin (Mark Pritchard) will attest, our local council is grappling at the moment with the massive, spiralling costs of adult social care, and is running a deficit and struggling to make ends meet as it is. Those additional costs will be very problematic for it.

Local residents have stressed that action is needed, as problems with insurance and future floods will finish off many independent traders. I spoke to one bed and breakfast hotel owner who lost £30,000 over the course of these events. He was near tears as he showed me the devastation to his hotel. As is typical for businesses, his hotel will not only suffer during the floods, but for days and weeks afterwards. The media are very good at highlighting that Shrewsbury has flooded and very good at showing pictures of a flooded Shrewsbury, but not so good at subsequently informing citizens around the United Kingdom that those floods have alleviated. Whether a business is a local pub, a local hotel or whatever else, its books will be significantly down, not just over the course of the floods but in the following days and weeks.

Seeing the devastation and listening to the heartbreaking stories has hastened my resolve to get action for these hard-working entrepreneurs. That is why on Wednesday 26 February, I was here in the House of Commons rather than in my constituency with my electorate, because I wanted to challenge the Prime Minister at Question Time, to share with him what was going on in Shrewsbury, and to try to secure some sort of commitment from him. If she checks Hansard, the Minister will see that in response to my question, the Prime Minister assured me on the Floor of the House that whatever work the Department for Environment, Food and Rural Affairs and the Environment Agency do together to alleviate the problems on the River Severn, and whatever solution they come up with, he will ensure that the Government support that solution. I am going to hold the Government to account on this issue and make sure that the Prime Minister fulfils the commitment that he made to me.

I am obviously delighted that the new Chancellor of the Exchequer has announced a massive additional allocation of taxpayers’ money for flood alleviation schemes in this afternoon’s Budget. With that in mind, we are going to ensure, hopefully collectively—I am pleased that other right hon. and hon. Friends from constituencies along the River Severn are also present—that we fight for our share of those additional resources to make sure a holistic solution is found for the Severn.

Last week I asked the Secretary of State for Environment, Food and Rural Affairs to visit Shrewsbury, and I am grateful that he took the time to visit my town. He met flood victims and also came to Shirehall, the council building in Shrewsbury, to meet with local councillors including Peter Nutting, as well as with council officials including Mark Barrow and others, who are in the audience today. He received a presentation on a topic I hope to address later: the River Severn partnership, which is a holistic, collective approach of communities and organisations up and down the River Severn, working together to come up with a credible solution for managing that river. We will then want the Government to support that solution.

[Mark Pritchard (The Wrekin) (Con)]

I commend my hon. Friend on having secured this debate, and have absolutely no doubts that he will hold the Government to account. He has already alluded to some heart-wrenching stories, but does he agree that there have also been some very positive stories, and that we should pay tribute to local authority workers, Shropshire Council, Telford and Wrekin Council, the Environment Agency and the emergency services? All those groups have done a huge service to the people of Shropshire.

[Daniel Kawczynski]

I could not agree more, and I am sure that all of my right hon. and hon. Friends from Shropshire will join him in paying tribute to those people.

The River Severn partnership is a strategic coalition of 18 organisations, including local authorities, local enterprise partnerships, water companies and the Environment Agency. It has an agreed memorandum of understanding aimed at working collaboratively to develop a comprehensive long-term approach to management of the River Severn. Here, we have an established group of all the relevant and appropriate bodies, working together on an innovative and forward-looking holistic solution that could literally be a game-changing approach to flood management.

Adult Social Care in Shropshire: Government Funding

Debate between Daniel Kawczynski and Mark Pritchard

Wednesday 22nd January 2020 Westminster Hall

[Daniel Kawczynski (Shrewsbury and Atcham) (Con)]

I beg to move,

That this House has considered Government funding for adult social care in Shropshire.

It is a pleasure to serve under your chairmanship, Mr Stringer. Before I start to outline the concerns we have about Government support for paying for adult social care costs in Shropshire, I will put forward two historical contexts to try to explain to the Minister a little as to why and how we got into this situation.

In 2004, the Labour-controlled Shropshire Council increased council tax in one year by 16.4%. That was the year before my hon. Friend the Member for The Wrekin (Mark Pritchard), my right hon. Friend the Member for Ludlow (Philip Dunne) and I were elected for the first time. I am sure they will recall, as I do, the palpable anger, fear and frustration of many people on low fixed incomes in the face of that massive tax increase. When our party came into office, we incentivised councils to freeze council tax because there had been so much frustration and such a backlash against the massive increases, not only in Shropshire, but in Labour-controlled councils up and down the country where there had been double-digit increases in council tax.

Our local council, which became Conservative in 2005, decided to dutifully follow the advice and froze council tax, not just for one year, but for seven years in a row—clearly to the delight of local ratepayers. The council is now telling me that the Government have not adequately filled the shortfall in revenue that it inevitably had to face as a result of the freezing of council tax. The Minister may correct me if I am wrong, but my understanding from Shropshire Council officials is that the additional support that was envisaged to come from Government tapered off quickly, leaving the council without additional support of, it now estimates, in the region of £20 million per annum.

Labour shadow Ministers always criticise repeated references to their management and stewardship of the economy, but let us not forget that in the good times the Labour party, when it was in office, borrowed £50 billion a year, sold off our gold reserves at rock-bottom prices and put all these new hospitals on private finance initiative contracts, with the result that we will pay exorbitant interest rates for decades.

When the financial crash came in 2008, the kitty was bare. I am not ashamed of repeatedly referring to that. People forget about it, but the Minister will remember the sheer gravity of the situation when we came to office. As a nation, in 2009-10, we were borrowing £152 billion a year.

[Mark Pritchard (The Wrekin) (Con)]

I commend my hon. Friend for securing this important debate. Does he agree that it is not only about the financial pressures on Shropshire Council but the domino effect of the under-provision of social care in Shropshire on the acute trust, and how that affects A&E waiting times? Finally, does he agree that there needs to be cross-party consensus and working together nationally? We do not need another review; we have had lots of those. We know what the problem is. We now need solutions, and that has to be done on a cross-party basis, but quickly.

[Daniel Kawczynski]

I thank my hon. Friend and neighbour for that intervention. I could not agree more.

When we came into office, we of course had to rein in expenditure, and all Government Departments had to have cuts. The cuts to local government have, of course, adversely affected our council. I am pleased that the country’s annual deficit is now below £28 billion a year, down from the £152 billion a year that we inherited. However, now that we are getting the finances under control in a more sustainable way, I urge the Minister to take the message back to the Treasury that we need to increase public funding of our councils, so that they can start to meet the huge rise in demand for adult social care in our county. I will explain why Shropshire is uniquely affected.

[Daniel Kawczynski]

Yes, very much so, and I am sure that some of my colleagues from Shropshire will take up that point in interventions. However, I will make a few quick points before I take another intervention.

During the 2017 general election, we gave the impression to the electorate that somehow they would have to sell their homes in order to pay for their long-term care. I have to tell the Minister that I had never come across such levels of bewilderment, frustration and anger on the streets of Shrewsbury as I did following that announcement, and have not done so subsequently. Whoever came up with that policy for the then Conservative Government was really out of tune with the thinking of many of our natural voters.

Even my own beloved mother—this is the first time I have referenced her in 15 years—Halina, who is a staunch Conservative supporter, said to me, “I haven’t made sacrifices all of my life, I haven’t done the right thing, paid the right amount of tax and done all the right things, for you now to force me to sell my home to look after my long-term social care needs.” I think my mother exemplified the strength of feeling across the United Kingdom.

I am convinced that that policy lost us our majority at the 2017 general election; it was certainly a major contributory factor. I am therefore very pleased that the Prime Minister has indicated that in this Parliament a solution will be found. However, as my hon. Friend the Member for The Wrekin said, we need radical, innovative thinking that has the support of our voters.

Shropshire MPs meet the council on a regular basis. We Shropshire MPs work as a team and hunt as a pack, and one of our greatest strengths is the unity between us all. In fact, we are seeing our council this Friday, 24 January, which happens to be my 48th birthday. I am looking forward to a few bottles of beer from my colleagues during the meeting.

[Mark Pritchard]

Shropshire Lad.

[Daniel Kawczynski]

Shropshire Lad. The clear message from Peter Nutting, the leader of our council, from the chief executive, and from the other senior councillors is that social care is their top concern. The Minister will know—she played a part in it as well—that in the last Parliament, MPs from rural shire counties worked constructively together to get a change to the funding mechanisms for our schools. Rural shire counties were unfairly discriminated against in comparison with inner-city, metropolitan areas. In this Parliament it is my intention, and that of many other Members, to make social care the No. 1 issue, because we have to listen to what our councillors are telling us.

There is no doubt in my mind that the black hole of approximately £20 million a year that the council faces is affecting not only adult social care costs but many other services in our county. The leader of the council has to take money away from repairing potholes, and all the other things for which the council is responsible, in order to manage the black hole that is staring them in the face.