Health, Social Care and Security

Lord Austin of Dudley Excerpts

Wednesday 28th June 2017 Commons Chamber

[Ms Abbott]

I need to make some progress.

When the Home Secretary accuses people of scaremongering, she should explain why every stakeholder in policing is saying that there is an increasing problem with Government cuts to policing.

[Ian Austin (Dudley North) (Lab)]

Can my right hon. Friend tell me whether the right hon. Member for Kingston and Surbiton (Sir Edward Davey), who just got up to complain about police cuts, is related to the right hon. Member for Kingston and Surbiton who was in the coalition Cabinet that reduced the number of police officers by 20,000?

[Ms Abbott]

I am grateful to my hon. Friend for that helpful intervention, and I ask the House to focus on the information he has brought forward.

After seven years of Tory government, there are 20,000 fewer police staff, 10,000 fewer firefighters and 1,000 fewer Border Force guards. When the Conservatives came to office in 2010, they immediately cut Security Service personnel by 650; now they expect plaudits when they pledge an increase.

All ordinary public sector workers have faced pay freezes and pay caps, which have made them worse off. Between the coalition’s coming into office in 2010 and May this year, inflation has seen prices rise by more than 15%. In reality, whatever figures the Government want to throw around, public sector workers have had effective cuts to their pensions and seen large-scale job losses because of inflation. They have been asked to do more with less.

The Opposition say that asking the security services, and public sector workers generally, to do more with less is unfair, unworkable and counter-productive. It has led to low morale, difficulties in recruitment and retention—particularly in parts of the country where house prices are spiralling—staff shortages and gaps in services. Those public services are among the most important that any civilised society offers. In his remarks, my hon. Friend the Member for Leicester South (Jonathan Ashworth) will highlight the effect of austerity and Government cuts on our NHS. The cuts in vital services—the police, the fire services, the Border Force and the security services—have been serious, and they come in addition to the cuts that have already forced out more than 20,000 police staff.

I turn to the counter-terrorism strategy. Labour welcomes the considered approach outlined in the Queen’s Speech; too often, the knee-jerk reaction of Governments has been further legislation. We believe that it is right to review what is happening in relation to the evolving terrorist threat and its many and varied sources and purposes, but the terms of the counter-terrorism review are crucial. Labour believes that the following questions must be addressed. Are there sufficient resources and are they properly directed? Are there gaps in the legislation, or is it catch-all and ineffective? What is the role of community policing in gathering intelligence? Sometimes, Ministers seem to think that community policing has no role in combating terrorism, but we believe that it does.

Is there a danger that communities are being alienated by Prevent, although good work is done under the Prevent badge? Should we review Prevent? How can community engagement be increased, and could we immediately take basic precautionary measures, such as installing barriers to cars and trucks? Should terrorism prevention and investigation measures, or TPIMs, be used more frequently, as Max Hill, the independent reviewer of terrorism legislation, says? If so, should they be subject to better due process?

We believe that some of the answers to these questions are self-evident. If the Government announced today that they were going to introduce more barriers to trucks and large vehicles along some major thoroughfares, we would support them. Advice could be issued immediately to all elected officials not to remove existing barriers, as the Foreign Secretary did when he was Mayor of London. If the Government announced that they were going to halt and reverse the police budget cuts this year, we would support them.

The Government have announced a commission to tackle extremism. We welcome such a commission in principle, although some have suggested that it is being set up because the Government cannot make good on their repeated promises to introduce anti-extremism legislation. We note that there are already laws against incitement, conspiracy and murder. We are told that some perpetrators were known to the authorities.

I was at the Finsbury Park mosque with the Prime Minister, and more than one of the faith leaders raised the importance of a review of the Prevent strategy. In common with many members of the communities involved, we believe that, despite the good work that has happened under Prevent, the strategy needs to be reviewed. It needs not to run the risk of alienating communities; we have to work with all communities. The terror threat confronts us all, and we must all confront it together. If the Government want to discuss with us how we can help engage all communities in the fight against our common threat of terrorism, we will be only too happy to help.

--- Later in debate ---

[Amber Rudd]

I am going to make some more progress.

We also legislated in the previous Parliament to strengthen our response to terrorist financing with the Criminal Finances Act 2017. We have protected overall police funding in real terms since 2015, and we have funded an uplift in the number of armed police officers.

[Ian Austin (Dudley North) (Lab)]

Last Friday, I and a group of MPs from the west midlands met the chief constable and the police and crime commissioner, and they told us that funding for the police in the west midlands has been cut by £145 million, or 27%. That has resulted in the number of officers being reduced by 2,164, which is a quarter, and the number of PCSOs being reduced by half. It has also resulted in the closure of Dudley’s police station. Will the Home Secretary allow me and a group of my colleagues to come to talk to her about the terrible level of cuts her Government have imposed on west midlands police?

[Amber Rudd]

The hon. Gentleman puts it so kindly—I am so keen to have a talk on that topic. I assume that the figures he is looking at are from 2010; I have been referring to the figures from 2015, which have been protected in cash terms and in real terms. I would welcome a visit from him—perhaps to my police Minister—so that we can go through the figures and reconcile his thoughts with mine. [Interruption.] I do not think we are going to do that across the House right now.

--- Later in debate ---

[Ian Austin (Dudley North) (Lab)]

Let me begin by thanking the great people of Dudley North for sending me here to speak up for them. I promise them that I will work as hard as possible to represent them and speak up for them for the duration of the current Parliament, and that I will keep the promises that I made before the election, including a promise to speak up for patients and staff in Dudley.

Today I want to set out my concerns about a new £5.5 billion contract to provide health services in Dudley for the next 15 years. This proposal is completely unprecedented in the NHS. On Friday 9 June, Dudley’s clinical commissioning group issued a contract for what it calls a multispecialty community provider, which will be worth between £3.5 billion and £5.5 billion. It will provide a range of services, including community-based physical health services, some existing out-patient services, primary medical services, urgent care and primary care out-of-hours services, adult social care services, mental health services, learning disability services, end-of-life care, and activities currently carried out by the CCG. The closing date is as soon as 19 July, and the new contract will run, incredibly, from April 2018 until 2033. What sort of organisation issues a contract for 15 years? A contract of this size and length has never been tried anywhere else in Britain. It is being advertised abroad, and I understand that anyone can bid for all or part of it.

I have tabled 60 parliamentary questions, asking the Secretary of State—I am delighted to see that he is present—to meet me, and people from Dudley, to discuss the proposal. I plan to send a survey to local residents to find out their views, because I do not think that the consultation carried out so far has been in any way adequate.

I definitely want to see an NHS that focuses on patients, and makes it simple for patients and their families to find their way around. I think that the present NHS is too fragmented, and confusing for patients and their families and carers. Far too often people are told to speak to someone else, or to consult another department or organisation, and there are obvious difficulties for older people moving from hospital to social care. However, it worries me that what is being proposed has not been tried anywhere else, and I should like to know more about the risks associated with such an approach.

For example, how is it possible to predict what will happen over the next 15 years in the light of all sorts of issues—the impact of new healthcare technologies, new drugs, workforce changes, public spending, and three general elections? I want to know how local people will be involved in the new organisation. What say will they have in healthcare in Dudley over the next 15 years? How will staff be affected? Will they all be transferred to the new organisation? Will the organisation that wins the contract be able to sell it on after a few years, and what would happen to the staff if it did? Could healthcare businesses such as UnitedHealth Group or Virgin Care bid for part or all of the contract? I am also worried about the impact on our local hospital, Russells Hall. What would happen if another provider won a major part of the contract? Could that undermine the other services provided at the hospital, given that hospital finances are so interwoven?

I am asking Ministers to answer the questions that I have tabled as a matter of urgency, so that local people have all the details before the deadline falls in just over a fortnight. I am asking the Secretary of State to meet me, and people from Dudley, to listen to our concerns about what I think is an absolutely unprecedented proposal.

--- Later in debate ---

[Mr Hunt]

I agree that all women, in all parts of the United Kingdom, should have the same rights to access healthcare. I note that a consultation on this matter is about to happen. The most important thing is that the voices of the women of Northern Ireland are listened to in that consultation.

We had powerful speeches on mental health, in particular from my hon. Friend the Member for St Albans (Mrs Main) and the hon. Members for East Kilbride, Strathaven and Lesmahagow (Dr Cameron) and for Makerfield (Yvonne Fovargue), but also from many others. Mental health is a very big priority for the Government, particularly children and young people’s mental health, because half of all mental health conditions become established before the age of 14. It is particularly important to have better links between the schools sector and the NHS if we are to crack this problem. We have a Green Paper coming up later in the year that will seek to address that.

We also had a number of important speeches on the workforce and morale, including from my hon. Friends the Members for South West Wiltshire (Dr Murrison) and for Lewes (Maria Caulfield), a doctor and a nurse respectively, who spoke with great authority. We also heard from Opposition Members, including the hon. Members for Barrow and Furness (John Woodcock), for Halifax (Holly Lynch), for Sedgefield (Phil Wilson) and for Halton (Derek Twigg), who touched on issues around GP recruitment. On pay, all Members will recognise that whichever party is in power, we have to do the right thing for the economy. People will recognise that in the very difficult period that we have just had, it would not have been possible to increase the number of doctors by nearly 12,000 and the number of nurses in our wards by nearly 13,000 if we had not taken difficult decisions on pay. What I can say is that we will not make our decision on public sector pay until the pay review body has reported. We will listen to what it says, and to what people in this House have said, before making a final decision.

I want to mention what my hon. Friend the Member for Dudley South (Mike Wood) said about his battle against sepsis. Everyone in this House, on all sides, is totally delighted that he won that battle, but how typically selfless of him to use his speech to talk about the 44,000 people every year who do not win their battle against sepsis. We will look carefully at what he said about a national sepsis registry. I also thoroughly agree with what my right hon. Friend the Member for Mid Sussex (Sir Nicholas Soames) said about leadership in the public sector and the NHS. I look forward to more discussions with him about that.

On security, the shadow Home Secretary basically tried to turn an argument about public safety into an argument about austerity. However, I would gently say that for a shadow Home Secretary to protest about austerity in policing when she herself wanted to cut MI5 and the Met’s special branch, and when her leader wanted to cut the armed forces, is patently absurd. What she never mentioned is why we got into austerity in the first place: a global financial crash, made infinitely worse by profligate spending and a failure to regulate the City of London by the last Labour Government.

The shadow Health Secretary, the hon. Member for Leicester South (Jonathan Ashworth), spoke eloquently about the NHS.

[Ian Austin]

Will the Secretary of State give way?

[Mr Hunt]

I am going to make some progress. The shadow Health Secretary talked about underfunding of the NHS. He did not, of course, mention the new £43 million emergency floor at Leicester Royal Infirmary, which opened in April and is benefiting his constituents. There are indeed funding pressures in the NHS as we deal, like all countries, with the pressures of an ageing population, but they would be a whole lot worse if we had followed the advice of the Labour party in 2010 and cut the NHS budget; or followed the advice of the Labour party in Wales, which did cut the NHS budget; or followed the advice of the Labour party in 2015, when it promised £5.5 billion less than the Conservatives. The difference between this side of the House—