NHS Pensions: Frontline Patient Care

Harriett Baldwin Excerpts

Thursday 17th July 2025 Commons Chamber

[Karin Smyth]

I thank the hon. Lady for those questions. She highlights a number of important issues regarding the complexity for the NHS Business Services Authority of dealing with this. There is a large number of high earners in this scheme. With regard to tax liabilities, that makes the system complex, as does the movement of doctors throughout the system in their career.

One issue I discussed with the independent reviewer yesterday is the need to ensure there is a technical look at solutions to issues such as missing years. The hon. Lady is right to highlight that changes make a difference to following people’s careers through the system. There are wider lessons, which I have already started to discuss with the reviewer, about how we make the best use of technology so that we can track people through their careers and give confidence to the current workforce that we are addressing this not just for the cohort who have immediate issues but for the future. That is the sort of action this Government are taking. We do not do sticking plasters. We are looking at this very seriously.

[Dame Harriett Baldwin (West Worcestershire) (Con)]

I declare an interest, as a trustee of the parliamentary contributory pension fund.. Many people in the public sector receive a significant pension contribution, but they are not aware of its value. The Pension Schemes Bill currently going through Parliament presents an opportunity to place on someone’s pay cheque and pay offer the annual value of that incredibly important contribution to a public sector pension fund. That is something that very few people in the private sector are now able to enjoy, and it feels like it is undervalued by those who benefit from it. Will she consider taking that opportunity?

[Karin Smyth]

I thank the hon. Lady for that really constructive suggestion. In my discussions with the NHSBSA, the reviewer and officials at the Department, I have raised similar issues. I am a member of the NHS pension scheme and the parliamentary pension scheme. I tell my young people that this is a really valuable asset, and I encourage my constituents who are looking for jobs in the NHS to consider the pension scheme, because people sometimes do not look at it immediately. We should look at ways to encourage people to take part in the pension scheme—particularly for lower earners, it is a really valuable and stable contribution—and the value of it from the public purse should be well known.

I am not across the detail of the hon. Lady’s point on the Pension Schemes Bill, but I will talk with my colleagues across Government about how we can look to do that and come back to her, because I agree that it is a really valuable thing—it rewards the contribution of public service, and we should make the most of it.

Terminally Ill Adults (End of Life) Bill

Harriett Baldwin Excerpts

Report stage
Friday 13th June 2025 Commons Chamber

[Sadik Al-Hassan (North Somerset) (Lab)]

Before entering this place last July as the Member for North Somerset, I had been a pharmacist for nearly 20 years. Pharmacists have a unique role in our healthcare system as the group of health professionals who specialise in drug usage and safety. That is where I wish to focus my thoughts today, and on which I offer the House my expertise.

Throughout the passage of the Bill, we have had the great benefit of learning from a number of international examples. In Australia, we have seen a carefully designed countrywide pharmacy system that has delivered self-administered assisted dying safely and with dignity. The evidence from that experience is greatly reassuring. Even in cases where the drug was not fully ingested, every patient who made use of the service died peacefully and without complications, with not a single complaint yet received from any of the families involved.

From Switzerland, we have learned from decades of practice, over which they have refined the substances and processes involved to the point where complications are now nearly unheard of. Their approach demonstrates that with care and rigorous regulation, drugs can offer an effective and compassionate route to end one’s life.

That brings me to new clause 13, introduced by my hon. Friend the Member for Spen Valley (Kim Leadbeater). The clause outlines a comprehensive framework for the oversight and safety of substances involved in assisted dying. As is only right for life-ending drugs, the public expect the highest standards of transparency and the highest standards from manufacture to dispensing. As someone who has been involved in every facet of pharmacy for the past 20 years, I believe that the clause meets all our expectations. By strengthening safeguards and enhancing the workability of the Bill, new clause 13 ensures that healthcare professionals can act with clarity and confidence.

Amendment 72 is similarly important, and I believe it will provide much assurance to those in this place who are uncertain about whether they can support the Bill. By ensuring that all regulations made by the Secretary of State under new clause 13 are subject to the draft affirmative procedure, it will ensure that this place continues to play a central role in overseeing the safe and effective implementation of this legislation for years to come, and through our collective and continued scrutiny, it offers the opportunity for many millions of constituents who have contacted us on this issue to continue to have their voices heard and their concerns answered.

[Dame Harriett Baldwin (West Worcestershire) (Con)]

I rise to speak to new clause 14 and amendments (a) and (b) to that new clause. I am honoured to speak after the hon. Member for Rochdale (Paul Waugh). I also thank the hon. Member for Spen Valley (Kim Leadbeater) for working closely with us on the issue of banning advertising. Whatever our views on assisting terminally ill adults to end their lives—and I remain implacably against the potential harms that arise when our society and our imperfect state are given permission to help people kill themselves—I have to acknowledge that there was a majority on Second Reading in favour of the Bill and a majority for closing down debate in the last sitting on Report.

Thinking ahead to the possibility that this Bill might get on to the statute book, I hope that everyone participating in the debate will recognise that we should not allow the services of the organisations that will arise from the legislation to advertise on television, online, on posters, on TikTok or on any platform that our constituents may see.

We can all imagine a scenario where, if the Bill passes without the House agreeing to new clause 14, independent contractors and not-for-profit firms, and perhaps even the NHS, will be able to advertise to potential customers, for instance on afternoon television. Can you imagine a situation, Madam Deputy Speaker, where, while watching a repeat episode of “One Foot in the Grave”, an advert runs for a funeral plan company, and is then followed by an advert for an organisation offering services to make it easier to have an assisted death?

Members may think the situation I am painting is merely hypothetical, but in Belgium, in fact, the Government themselves are running online adverts featuring young, healthy women at a yoga class talking about how they are worried about granny’s situation, and discussing whether they have considered telling her about the option of assisted dying.

I am grateful to the hon. Member for Spen Valley for tabling new clause 14. It is not perfect, but she and I have had a lot of discussion about the wording. I also support the intention behind amendments (a) and (b) to new clause 14. It is important that Ministers confirm—as we have heard before, and as I hope we will again today—that encouraging assisted dying under the Bill remains a crime under section 2 of the Suicide Act. However, this requires showing intent to encourage, and adverts might be framed so that they are not so intended, so a specific provision on advertising is needed in this legislation.

I am also concerned about the scope of some of the exceptions in unamended new clause 14. I am grateful that the example set out in subsection (2) does not refer to potential service users, but there is nothing preventing the Secretary of State from exercising Henry VIII powers to exempt them, and doing so would negate the point of the prohibition. I would be grateful if the Minister would confirm that the power will not be exercised to create exceptions for adverts targeted at potential service users.

It is the case, as the hon. Member for Rochdale mentioned, that a number of advert bans already exist on the face of legislation, such as the Cancer Act 1939, the Surrogacy Act 1985 and the Tobacco Advertising and Promotion Act 2002. Such bans are set out clearly on the face of those Acts.

I hope the matter can be resolved. I hope the House today will, at a minimum, support new clause 14. I hope that the House will also support the strengthening amendments, which I endorse. I hope that Ministers will confirm that these powers will never be used to create an exemption to section 2 of the Suicide Act in order to partially allow encouragement of assisted dying, as I think it would defeat the whole point of the provision.

[Alison Hume (Scarborough and Whitby) (Lab)]

I rise to speak in favour of new clause 15, which clarifies that an assisted death would not be classified as an unnatural death and that a full coroner’s inquest would not normally be required.

My constituent Antony Shackleton lived with motor neurone disease for six long years. As his condition worsened, his options narrowed until there was only one choice that preserved his dignity, autonomy and peace: to travel to Dignitas in Switzerland and end his suffering on his own terms. Louise, as his wife of 25 years, and someone who had known him since the age of 18, did what any loving partner would do: she stood by him. She helped him on to that plane and held his hand through the most difficult decision of their lives, and now, for that act of love, she is under police investigation.

That is precisely why we need new clause 15. If the Bill is passed, assisted dying would be a legal, strictly regulated and monitored choice made by the individual concerned.

Health and Adult Social Care Reform

Harriett Baldwin Excerpts

Monday 6th January 2025 Commons Chamber

[Wes Streeting]

I am so grateful to my hon. Friend for her question and for championing that issue since she arrived in the House six months ago. The disabled facilities grant is not just about new handrails, new ramps, new accessible kitchens and bathrooms and home adaptations; it is about freedom, independence, dignity and happiness. It is really good investment in preventing demand on other health and care services by giving people back their own independence and happiness.

[Dame Harriett Baldwin (West Worcestershire) (Con)]

My constituents will welcome the opportunity to get more services delivered through their GP surgeries, of which there are many excellent examples in West Worcestershire, and through community hospitals. However, I hear from those very same GP surgeries their concerns over the national insurance rises, and how that is leading them to think about reducing services. When will the Secretary of State be able to square that circle?

[Wes Streeting]

Before Christmas—I appreciate that it was just before, but I wanted to get out the certainty to general practitioners before we all went off for Christmas—we announced the biggest uplift in funding for general practice in a considerable number of years, and we will now negotiate the contract in the usual way. That should give general practitioners the stability and certainty to know that this Government are determined to fix the front door to the NHS.

The other thing I would say to the Opposition is that they cannot continue to welcome the investment while opposing the means of raising it, unless they spell out which services they would cut or which other taxes they would increase. They do not have an answer; they do not have a leg to stand on.

National Insurance Contributions: Healthcare

Harriett Baldwin Excerpts

Thursday 14th November 2024 Commons Chamber

[Karin Smyth]

The hon. Gentleman makes an excellent point about pharmacies. We absolutely understand their importance, both in urban constituencies such as mine and in rural areas. I remember from when I became an MP in 2015 the changes that the previous Government made to the pharmacy contract, and I am aware of the precarious situation that pharmacists have been in. We will continue to talk to them as part of the normal process, but we understand how important they are to building a neighbourhood service and to the future of the NHS.

[Dame Harriett Baldwin (West Worcestershire) (Con)]

Acorns children’s hospice, St Richard’s hospice and GPs, care homes and pharmacies across West Worcestershire have all been in touch with concerns about the extra cost burden that the Government have imposed on them. Can the Minister explain how it fits in with her strategic plans to slap extra cost on the community sector while rebating the NHS trust sector?

NHS: Independent Investigation

Harriett Baldwin Excerpts

Thursday 12th September 2024 Commons Chamber

[Wes Streeting]

I am so grateful to my hon. Friend. I enjoyed visiting her Carlisle constituency ahead of the general election campaign, and I look forward to working with her to improve health services there and across the north-west, especially in the rural and coastal communities that rely on the hospital in Carlisle, as well as on more local neighbourhood services. I must warn new Members that one of the most depressing things about the last nine years has been constituency advice surgeries, where people would come to see us about the consequences of the failure of Government and the failure of this place. We owe it to them to do better—better integration of health and care services, better access and outcomes, and better joined-up care. As she has painfully described, if we do not tackle the problems early, they become multiple, higher-cost and personal tragedies. We have seen enough of that.

[Dame Harriett Baldwin (West Worcestershire) (Con)]

Famously, the House has not seen an impact assessment of the withdrawal of the winter fuel allowance from frail 85 and 90-year-olds on low incomes. Has Lord Darzi or the Secretary of State seen an assessment of the impact of that decision on NHS bed capacity over the coming winter?

[Wes Streeting]

The hon. Member is an experienced Member of this House, as both a former Chair of the Treasury Committee and a former Treasury Minister, so she knows how impact assessments are done at the Treasury. She knows that impact assessments of all the Chancellor’s fiscal decisions at the Budget and the spending review will be published at that time. She also knows, I suspect, that despite the withdrawal of the winter fuel allowance from some pensioners—it will be targeted at those most in need—they will still be better off because the Government have committed to maintaining the triple lock and to extending the warm home discount scheme and the available hardship support, so that pensioners are not left behind as we clean up the £22 billion mess that the Conservatives left behind.

Oral Answers to Questions

Harriett Baldwin Excerpts

Tuesday 23rd July 2024 Commons Chamber

[Dame Harriett Baldwin (West Worcestershire) (Con)]

The NHS dental recovery plan was launched earlier this year, and the Secretary of State has on his desk news about the impact that it is having. Could he share with the House how much the plan has increased appointments in the Worcestershire and Herefordshire integrated care board area?

[Wes Streeting]

The Conservative party lauded that plan during the general election, when I think the public delivered their verdict on the progress that it had made. NHS dentistry is non-existent in huge parts of the country. We will stick with some aspects of the previous Government’s dental recovery plan because they are the right solutions, but there are gimmicks that we will not proceed with. We will come forward with a serious plan to reform the dental contract, which the Conservatives committed to in 2010 but failed to do in every single year of their 14 years.