(4 years, 2 months ago)
Commons ChamberI call the Chair of the Health and Social Care Committee.
At the height of the first wave, the Government had the courage to pre-order 400 million doses of vaccines without even knowing whether they worked. That has laid the foundations for our having the best vaccine programme of any large country, so I welcome today’s announcement. It will not surprise the Prime Minister, though, if I draw his attention to the fact that NHS doctors and nurses are absolutely shattered. He will have seen this week that one in six doctors say that they have had near misses or harmed patients because of exhaustion. If he does not want to accept the Select Committee’s recommendations to address the workforce crisis, what will he do to give hope to our brilliant frontline staff?
The Prime Minister
My right hon. Friend has a great deal of expertise in this matter. I thank all frontline staff and others in the NHS for what they have been doing. He is right in what he says about how tired people are; they are exhausted, but they are also working heroically and doing an incredible job. It is because there are 17,000 covid cases that we need to remain cautious, despite what we heard from the Opposition Benches. We do need to remain cautious, and we do need to make sure that we continue to recruit for our amazing NHS. There are now 44,000 more healthcare professionals than there were in 2020, and that is as a result of the recruitment by this Government.
(4 years, 2 months ago)
Commons Chamber
The Prime Minister
Of course I welcome the hon. Member for North Shropshire (Helen Morgan) to her place; but as for the rest of what the right hon. Gentleman had to say, I think balls was the word—you were right first time, Mr Speaker. Your word, Mr Speaker, not mine. I simply advise the House to go back over what I have just said about all the protections that we are putting in place—the winter fuel payments, the warm home allowance, what we are doing to support pensioners, the £650 million we are putting in to support local councils. He talks about long-term energy solutions; is this the same Ed Balls/Davey who was an Energy Minister?
(4 years, 4 months ago)
Commons Chamber
The Prime Minister
The hon. Member describes a truly tragic and appalling case. I am sure that the whole House will share the revulsion that she has expressed at the outcome of the law’s processes. We will certainly need to have a meeting to see what we can do to address that loophole.
The Prime Minister
My right hon. Friend is absolutely right that we have to ensure that our NHS has the staff that it needs. That is why there are 50,000 more healthcare professionals in the NHS this year than there were last year—12,000 more nurses. In addition, there are 60,000 nurses in training—[Interruption.] Somebody on the Opposition Benches asks, “Why are there waiting lists?”. It is because we have been through a pandemic. We are fixing those waiting lists with £36 billion of investment, which the Labour party voted against.
(4 years, 6 months ago)
Commons Chamber
The Prime Minister
Now we know why over decades the Labour Government totally refused to deal with this problem, and now we know why both Blair and Brown failed to do it: the right hon. and learned Gentleman has absolutely no plan. I was waiting, and I am amazed that he sat down. What is his answer to the backlogs in the NHS? What is his answer to the problems in social care? The Opposition have absolutely no plan. They have no idea how they would raise the money.
Let me answer some of the right hon. and learned Gentleman’s questions. We will of course be investing in social care. I thank his sister for what she is doing in social care, but we have lifted people’s wages across the country with record increases in the living wage; we are investing in 700,000 training places for people in social care; and we are making sure that we invest £500 million—that is in the plan I announced today—in the social care workforce.
What this plan will also do is enable us to get our wonderful NHS back on its feet and enable it to deal with the backlogs. The right hon. and learned Gentleman totally failed to explain how a Labour Government would do that. One year of capital gains tax would not even begin to deal with this problem. He has not got a solution and it is deeply irresponsible of him to come to this place without having any kind of alternative.
Let us be in no doubt: if we did what we have heard from the Labour party over the past few weeks, we would still be in lockdown, because the right hon. and learned Gentleman opposed coming out of stage 4; we would have absolutely nothing by way of dealing with the NHS backlogs; and after decades of inertia from the Labour party we would have absolutely no way of dealing with the anxiety of millions of families across this country who face the prospect of catastrophic social care costs.
This Government are dealing with those things—we are dealing with all of them. We are getting on with it. We are taking the decisive action. We are doing it all together. This is the Government who get on and deal with the people’s priorities; this is the Government who tackle social care; and, indeed, this is the party of the NHS.
Raising taxes is an incredibly difficult thing for any Conservative Government to do, so I thank the Prime Minister for biting the bullet on this intractable issue that I and many former Health Secretaries have wrestled with.
Does the Prime Minister agree that the demographic challenge—which I know he is personally trying to address with a bit of population growth in Downing Street—means that whether someone pays insurance in America, social insurance in Germany or taxes in the UK, everyone is going to pay more for their health and care? Any Government have a responsibility to make sure that resources are allocated where the electorate’s priorities are, and in this country that is health and social care.
The Prime Minister
I thank my right hon. Friend not only for his support but for all the campaigning and hard work that he did when he was Secretary of State—the first Secretary of State for both health and social care because he sees that the two things go together, unlike the Labour party. What he said is entirely correct.
(4 years, 7 months ago)
Commons ChamberIt is a privilege to follow so many distinguished hon. Members who themselves fought on the frontline in Afghanistan.
President Biden said this week that his
“only vital national interest in Afghanistan”
was to prevent a terrorist attack. Even if that is the case, both he and President Trump should be deeply ashamed—I say this with great sadness—because their actions have returned to Afghanistan to the very Government that harboured the 9/11 bombers.
The truth is that 457 British servicemen and women did not lose their lives simply to reduce the terrorist threat, although they succeeded in that with great distinction. They paid their price in defence of a set of values—values that said that girls should be entitled to the same education as boys, that courts should be independent of clerics, that journalists should not be imprisoned if they speak truth to power. If President Biden believes in those values, it is time the world heard it—and it is time we heard the same from the British Government, too.
Although it is not possible to stay in Afghanistan without US support, we are the second power in a western alliance. For all the failures of this week, and not just in Afghanistan, but in Iraq and even Vietnam, that western alliance has delivered more freedom, more prosperity, more respect for human rights across the globe than at any time in human history. As my right hon. Friend the Member for Chingford and Woodford Green (Sir Iain Duncan Smith) just said, those gains are now at risk, not just because of what happened this week but because of the rise of an authoritarian and wealthy China that actively opposes the open societies we believe in.
As a former Foreign Secretary, my right hon. Friend is right to scrutinise our American allies, but will he acknowledge that the lack of support, commensurate to their sizes, from European NATO partners has also led to the situation we are facing today?
My hon. Friend is absolutely right to say that. It is not sustainable to ask America to spend 4% of its GDP on defence when the entirety of Europe spends no more than just over 2%.
The threat we face is a threat that all of us face. For 15 consecutive years, the number of free countries in the world has been in decline. Since 2013, according to Reporters Without Borders, press freedom has been in decline. This decade, for the first time in any of our lifetimes, the largest economy in the world will not be a democracy, when China overtakes the United States.
We are proud of our country not just because of what we have achieved and not just because of our wealth, but because of what we stand for. When those values are under threat, and when the Atlantic partnership appears to be fraying, we should be stopping at nothing to rebuild them. That means investing in our armed forces, reversing the aid cut, developing our own technology and rebuilding our global alliances. There is something we can do right now: cut through bureaucracy and ensure that we look after every single Afghani who took risks for themselves and their families because they believed in a better future and trusted us to deliver it.
Will my right hon. Friend give way?
I am just coming to my conclusion.
We cannot reverse what happened this week, but we can limit the damage and learn from what went wrong. That means not just grieving silently at the actions of a close ally, but recognising the threats we face and roaring defiantly in defence of the values we share.
(4 years, 9 months ago)
Commons Chamber
The Prime Minister
We have gone above 860 million vaccines. On top of the 1 billion the G7 is already doing, we pledged a further 1 billion vaccines.
Did the Prime Minister talk to Chancellor Merkel and Prime Minister Suga about the tremendous success of social care reforms in Japan and Germany? Did he talk to Prime Minister Trudeau about the brilliant innovation in care home villages in Canada? Did he talk to President Biden about the amazing things that older people are doing, including the most powerful job in the world? Did he return to Downing Street refreshed and resolute, and say to his neighbour, “No more international conferences until we fix the crisis at home: it is time to back Boris and get social care done”?
The Prime Minister
I thank my right hon. Friend for his continued support. I did actually talk to Angela Merkel about social care, and I will tell him what she said at another time.
(4 years, 10 months ago)
Commons Chamber
The Prime Minister
I can certainly reassure the hon. Lady that the inquiry will be fully independent and that the bereaved and other groups will be consulted on the way it is set up. I meet representatives of the bereaved and indeed bereaved families regularly, and will continue to do so.
I welcome the announcement on the public inquiry and the timings. The Prime Minister will know that the Science and Technology Committee and the Health and Social Care Committee are doing their own inquiry that is hoping to report in July, so the Government will have an early chance to learn immediate lessons.
However, it would be crazy to ask Ministers and officials to spend time with lawyers going through emails, texts and WhatsApps when we want their entire focus to be on the pandemic. As we seek to support the NHS going forward, the pledges on an additional 50,000 nurses are very welcome, but does the Prime Minister know that we also have shortages in nearly every single specialty for doctors? Is now not the moment to overhaul our long-term workforce planning for the NHS so that we can give the public confidence that we really are training enough doctors for the future?
The Prime Minister
Yes, absolutely. The distinguished former Health Secretary will, I am sure, know that there are now 50,000 more people working in the NHS this year than there were at the same time last year, including about 11,000 more nurses, already, and 6,700 more doctors, but we are going to get even more.
(5 years ago)
Commons Chamber
The Prime Minister
I remind the hon. Gentleman that the people of Wales voted to leave the EU. I think they did the right thing, for all sorts of reasons. Not that I think he supports them, but it is the Welsh Labour Government who continue to squander money hand over fist on all sorts of projects that I do not believe are in the interests of the people of Wales, including £144 million on a study for a bypass alone.
I welcome this integrated review. I recognise how difficult it is to do one during a pandemic. I am worried about designating China simply as a systemic challenge, given the terrible events in Hong Kong and Xinjiang. Will the Prime Minister keep that under review? Does he agree that because the 0.7% cut is strictly temporary, relating to the pandemic, there is no need to amend legislation? Finally is not one of the most important reasons to build up Britain’s might to stand squarely behind individual British citizens in peril, such as Nazanin Zaghari-Ratcliffe, so that there are no more victims of Iran’s vile hostage diplomacy?
The Prime Minister
Yes indeed, my right hon. Friend is right in what he says about the ODA commitment and right in what he says about China. Of course we will keep that under review, although, as I said, the balance has to be struck. He is also right that the UK Government should stick up for British citizens, and I thank him for everything he did during his tenure as Foreign Secretary to secure the release of Nazanin Zaghari-Ratcliffe. It is a disgrace that she remains effectively in captivity in Tehran, and on 10 March I raised that very matter with President Rouhani myself.
(5 years, 1 month ago)
Commons Chamber
The Prime Minister
We have among the toughest quarantine measures anywhere in the world, as the right hon. Gentleman well knows, including the mandatory incarceration in hotels appointed by the Government if people return from one of the 33 red list countries. We will continue to impose very, very tough controls on people coming into this country. He should also know that we are confident that all our vaccines are effective in reducing death and serious disease, and we have no reason to doubt that they are effective in reducing death and serious disease from the new variants as well. He should also know that over the course of the next few months we will see new vaccines to defeat these vaccine-escaping variants and that is evolving the whole time. Other than that, I was delighted by the unaccustomed note of optimism with which he began. He is not often notable for his optimism in this House. He is rolling his eyes, but I rather liked it when he began with optimism. I think he should stick to it; I think it suits him. More optimism from him would be nice to hear.
Talking of optimism, the Prime Minister’s approach feels similar to that of Harold Wilson, who said he was an optimist but one who always carried a raincoat. The Prime Minister’s caution is absolutely right in the face of these new variants, when we are potentially so close to the finishing line. But as we get there, will he recognise the brilliant work of our health and care staff by building back better for them, potentially in next week’s Budget, by announcing that we will finally make sure we are training enough doctors and nurses with a long-term workforce plan and by giving the social care sector a 10-year plan, just as we gave the NHS 10 years ago?
The Prime Minister
Yes, indeed. I pay tribute again, as I have many times before, to the incredible work of not just our NHS staff, but our social care staff, who have really borne the brunt of the pandemic and have done fantastically well. We will certainly be bringing forward reforms of social care, in addition to the massive investments we have already made.
(5 years, 2 months ago)
Commons Chamber
The Prime Minister
The right hon. and learned Gentleman asks about mistakes, and I have said that there will be a time to reflect, to analyse, to learn lessons and to prepare. However, I say to him that I think the biggest mistake he has made is in seeking continually to attack what the Government have been trying to do at every opportunity, supporting one week and then attacking the very same policy the next week. He complains about confusion of messages. How much has he actually done, as Leader of the Opposition, to reassure the public, for example, about NHS Test and Trace, which has done a very good job, I notice, of confining him for the third time? What has he done to reassure people about messaging, rather than attacking, causing confusion and trying to sow doubt about what the Government are doing? There was a very different path open to him at the beginning of this pandemic and it is a great pity he has not taken it.
The right hon. and learned Gentleman knows perfectly well that the problem is not that schools are unsafe. They are not unsafe. Schools are safe—he should say it, and his union paymasters should hear him say it loud and clear. The problem is that schools bring communities together, obviously, and large numbers of kids are a considerable vector of transmission. It is not that there is any particular extra risk to those involved in education.
I heard with interest what the right hon. and learned Gentleman had to say about his proposal for changing the Joint Committee on Vaccination and Immunisation priority list, and I really think he should reflect on what he is saying. The JCVI priority list, one to nine, is designed by experts and clinicians to prioritise those groups who are most likely to die or suffer from coronavirus. By trying to change that, and saying that he now wants to bring in other groups of public sector workers, to be decided by politicians, rather than the JCVI, he has to explain which vaccines he would take from which vulnerable groups, to make sense of his policy. That is what he is doing and that is what the Labour proposal would involve.
Indeed, by making it more difficult for us to vaccinate all those vulnerable groups in the fastest possible way, that Labour policy would delay our route out of lockdown and delay our ability to get kids back into school in the way they want. I urge the right hon. and learned Gentleman to think again, or at least to explain which members of those vulnerable groups would be deprived of vaccines in order to follow the Labour policy.
All I can say, having listened carefully to what the right hon. and learned Gentleman had to say, is that everybody will have to answer questions at the end of this and—let me put it this way—all politicians will be asked what they did, and what we did collaboratively, working together for the people of our country, to beat this virus. I am not sure that, on reflection, his choice was the right one for either his party or the country.
On Monday, Baroness Harding said that 40% of the people asked to self-isolate by NHS Test and Trace were not fully doing so. That works out at a worrying 30,000 people every day who are potentially still spreading the virus, many of them still going to work. Because that is such a big threat to our containment strategy for the virus, could the Prime Minister say what he thinks we need to do to deal with that issue? In particular, is it now time to consider making a blanket offer to those asked to self-isolate, that we will make good any salary they lose? In the end, that may be cheaper than having to extend furlough if the case rate remains high.
The Prime Minister
I very much respect my right hon. Friend’s suggestion and I understand the logic of what he is saying, but I believe that the people of this country should be self-isolating, in the way that the right hon. and learned Gentleman the Leader of the Opposition is rightly doing, on the basis that it is the right thing for themselves, for their families and for the country. They do get support, where needed, of £500, and there are very considerable fines for failing to do it. I think that is the right way forward and I hope he will join me in commending prompt action by everybody who is asked to self-isolate. It is the right thing to do for you, for your family and for the country.