Economic Update

Debate between Jeremy Hunt and Alex Chalk

Monday 17th October 2022 Commons Chamber

[Jeremy Hunt]

What I will say to the hon. Gentleman is straightforward. It is because I want us to be able to support the poorest, the most vulnerable and those in the greatest difficulties in society that the most important thing I can do right now as Chancellor is what I can to create economic stability, and that is what I am doing.

[Alex Chalk (Cheltenham) (Con)]

I warmly welcome the Chancellor’s swift and decisive action today, but also the tone and, above all, the candour of his remarks. Does he agree that the best way in the long term to build a strong economy and a fair society for my constituents in Cheltenham, many of whom he met recently, is to repair the public finances in the short term? That is the Conservative way; that is what builds prosperity in the long term.

[Jeremy Hunt]

Absolutely, and only a couple of weeks ago I was sitting in a café in Cheltenham having a cold sandwich with my hon. Friend. I want to thank him for his incredible articulacy in lobbying for the needs of the people of Cheltenham.

Situation in the Gulf

Debate between Jeremy Hunt and Alex Chalk

Monday 22nd July 2019 Commons Chamber

[Mr Hunt]

My hon. Friend is absolutely right. People who have been studying the region for longer than I have would say that there is no issue with Iran being a regional power and a great regional power; the issue is whether it is a great regional military power. It is Iran’s military presence in so many other parts of the region that is so destabilising and is the root cause of many problems. He is absolutely right to focus on that.

[Alex Chalk (Cheltenham) (Con)]

Iran and Iran alone is responsible for the illegal seizure of the Stena Impero, and the Foreign Secretary has made that crystal clear. Will he also be clear that if notice of passage had been given as requested, HMS Montrose would have been better able to protect that vessel?

[Mr Hunt]

My hon. Friend is absolutely right. When the Stena Impero was taken, HMS Montrose was actually only 20 minutes away and trying very hard to get there in time. I hope one of the consequences of the terrible incident that has happened is that ship owners will give us the notice we ask for when they transit their ships.

Sri Lanka

Debate between Jeremy Hunt and Alex Chalk

Tuesday 23rd April 2019 Commons Chamber

[Mr Hunt]

I cannot really add anything to that, because the hon. Lady speaks powerfully of the responsibility of all Members, except to say that to do what she says is quite challenging. Elections are competitive things, and we get headlines by saying strong things that grab people’s attention, but we must always ensure that we stand on the right side of the line and do not foster the kind of hatred that we so tragically witnessed this weekend.

[Alex Chalk (Cheltenham) (Con)]

It is right that we should respond to this unspeakable outrage with a message of tolerance, calm and peace, but it is also right that this wickedness should not go unpunished. Does my right hon. Friend agree that our intelligence agencies, including GCHQ in my constituency, should be authorised to give their Sri Lankan counterparts whatever support is deemed appropriate to ensure that those responsible for this wickedness are brought to justice?

[Mr Hunt]

I can absolutely give my hon. Friend that assurance. I am pleased that he mentioned GCHQ, because it has done a spectacularly important job in recent years in helping us to understand the Daesh networks and how they operate online. That has played a significant role in the defeat of Daesh in recent months, at least in terms of their territorial possessions.

Oral Answers to Questions

Debate between Jeremy Hunt and Alex Chalk

Tuesday 2nd April 2019 Commons Chamber

[Mr Hunt]

I want to ensure that we exercise maximum influence where we have that influence. The striking thing about that report is that, notwithstanding the comments that my hon. Friend the Member for Cleethorpes (Martin Vickers) made about North Korea, some of the worst offenders are in the middle east, notably Afghanistan, Libya, Sudan and Somalia, where the population of Christians has fallen from 20% to around 5%. In many of those countries, we have big aid budgets and a lot of influence.

[Alex Chalk]

The UK has a proud history of standing up for the rights of minority faith groups, both in the United Kingdom and overseas. As the Secretary of State says, we have a budget of over £2 billion, which is being allocated to the middle east and Syria, where the situation is particularly appalling. How can we use that budget to protect Christians from the appalling persecution they are facing?

[Mr Hunt]

I pay tribute to the Department for International Development, which has allocated £12 million recently specifically to promote freedom of religious belief. The gist of my hon. Friend’s question is right—where we have a large aid budget, with countries such as Afghanistan, it is absolutely essential that we make it clear to the Government in those countries that we are expecting progress on freedom of religious belief. We need to remember that many of the worst conflicts in the world have happened because people of different religions have clashed, so promoting harmony between religions is one of the best long-term ways of promoting peace.

Death of Jamal Khashoggi

Debate between Jeremy Hunt and Alex Chalk

Monday 22nd October 2018 Commons Chamber

[Mr Hunt]

We have some of the toughest laws in the world to defend freedom of speech in this country. We will always do what it takes to defend that, and the independence of our press is the most powerful weapon we have in that respect. We are looking at all these issues and I want to reassure the hon. Lady that, when it comes to media freedom, we recognise that there is a pattern of wrongdoing here, and we are very concerned about it.

[Alex Chalk (Cheltenham) (Con)]

First they said that Jamal Khashoggi had left the consulate alive. Then they said that he had died in a fight. While of course it is right to listen to the third explanation from the Saudi authorities, does my right hon. Friend agree that the credibility of those explanations has been seriously undermined by their decision to publish what is manifestly implausible?

[Mr Hunt]

I absolutely agree. Until we get to a place where the Saudi authorities are giving an explanation that they can corroborate and that is consistent with the evidence from other sources, people will continue to ask the questions that my hon. Friend is asking, and we will continue to not feel that we can have confidence that the Saudi authorities understand the gravity of what has happened and will truly make sure that it never happens again.

NHS Long-Term Plan

Debate between Jeremy Hunt and Alex Chalk

Monday 18th June 2018 Commons Chamber

[Mr Hunt]

The hon. Lady campaigns hard on this issue and I believe she is meeting the Minister with responsibility for dentistry tomorrow to talk about it further.

[Alex Chalk (Cheltenham) (Con)]

I warmly welcome this enormous funding boost, which is far in excess of that proposed by any Opposition party. Does my right hon. Friend agree that local trusts should consider using these further resources to help to attract and retain additional doctors in tough-to-recruit fields such as emergency medicine, to support and extend A&E in hospitals such as Cheltenham General Hospital?

[Mr Hunt]

Of course I agree with that. My hon. Friend campaigns extremely vigorously on behalf of his own hospital in Cheltenham. Recruitment will be one of our top priorities. One way we want to tackle that is very simply by giving hope to people in the NHS and to people thinking of going into medicine that there is a long-term plan that has the support of the NHS, and which is at one remove from the party politics that we always get around the NHS. I think that is something doctors and nurses overwhelmingly want.

NHS Outsourcing and Privatisation

Debate between Jeremy Hunt and Alex Chalk

Wednesday 23rd May 2018 Commons Chamber

[Mr Hunt]

No, I do not think it acceptable at all, but I would ask the hon. Lady to bear it in mind that we have 2,000 more paramedics than we did in 2010 and that we have invested in a huge amount of capital equipment for the ambulance services. Of course we need to do more, but, when she talks about A&E, she should recognise the achievements of many hospitals, including her own. Every day across the NHS—even over this difficult winter—2,500 more people are seen within four hours than were in 2010.

Labour seems to think that quality problems in the NHS started in 2010. I should point out that because of what we have done to deal with the problems of Mid Staffs, which happened on Labour’s watch, including through the new Care Quality Commission regime, 2.1 million more patients every year benefit from good or outstanding hospitals than did five years ago. A couple of weeks ago for the first time the majority of hospitals in the NHS were good or outstanding, which is a huge step forward and a huge tribute to NHS staff. That might be just one reason the Commonwealth Fund last year said that the NHS was the best healthcare system in the world. When Labour was in office, it was not even the best in Europe.

There is another reason to oppose the motion. It has nothing to do with health policy, but is a much bigger point of principle. After more than five years in this role, the one thing I have learned is that good policy can be made only through frank and open discussion between Ministers and officials. It will not surprise the House to know that Ministers are human, we make multiple mistakes—not me of course—and it is critical that the Secretary of State in charge of the largest health system in the world can get honest, high-quality advice, but the motion would fundamentally undermine that.

This is not a party political point. Many Labour Members have benefitted from such advice, and all of us would want Ministers of any party in power to benefit from such advice, regardless of whether we support the Government, yet the motion asks us to release not just that written advice from officials, which would have an enormous chilling effect, but notes of confidential discussions between Ministers and officials. In short, as my right hon. Friend the Member for Aylesbury (Mr Lidington) said only last week, it would undermine the safe space within which Ministers and civil servants consider all the options and weigh up the best approach. Officials must be able to give advice to Ministers in confidence. The candour of all involved would be seriously affected if there were any fear of those discussions being disclosed.

No Government of any party have ever operated in an environment where advice is sought one week and made public the next. Let us look back to what Andy Burnham said in 2007 when he as a Minister was asked to release information. His words were:

“Putting the risk register in the public domain would be likely to reduce the detail and utility of its contents. This would inhibit the free and frank exchange of views about significant risks and their management, and inhibit the provision of advice to Ministers.”—[Official Report, 23 March 2007; Vol. 458, c. 1191.]

Far from increasing the accountability of the Executive to the legislature, releasing such information would risk weakening it, as more and more discussions would end up taking place informally with no minutes taken at all.

[Alex Chalk (Cheltenham) (Con)]

Does my right hon. Friend agree that it would be completely inconsistent with the Freedom of Information Act—passed, by the way, by a Labour Government—which deliberately carved out an exemption for precisely these sorts of communications? It would be very odd—in fact, completely counterproductive—to turn that on its head.

[Mr Hunt]

My hon. Friend speaks extremely wisely. He is right: it would fundamentally weaken the ability of the Executive—which the Freedom of Information Act tried to protect—to make considered, thoughtful and wise decisions. Ultimately, that would put at risk the credibility of our democracy itself.

I think it fair to say that, despite my many faults as Health Secretary, I have pursued transparency in the NHS with greater vigour than has been the case previously. I passionately believe that in this House we must be accountable for the outcomes of all the decisions that we make, but all of us are mortal—all of us make mistakes—so if accountability is the watchword after a decision is made, thoughtfulness must be the watchword before it is made. Any measures that affect the honesty and frankness of the advice that Ministers receive would fundamentally reduce that thoughtfulness and reduce the effectiveness of our Government for the people whom they serve.

For those reasons—as well as because of all the ridiculous myths about the millions and privatisation—I have absolutely no hesitation in asking my right hon. and hon. Friends to vigorously and thoroughly oppose the motion.

Oral Answers to Questions

Debate between Jeremy Hunt and Alex Chalk

Tuesday 20th March 2018 Commons Chamber

[Alex Chalk (Cheltenham) (Con)]

Cheltenham General is a wonderful hospital, but it needs investment in theatres and wards. May I take this opportunity to commend the application for over £30 million of capital funding, which would make a huge difference to my constituents?

[Mr Hunt]

I have met the management team for my hon. Friend’s trust and he has talked to me on many, many occasions about that. I hope that he will have a positive answer, and if it is, that will be in no small part thanks to his campaigning.

Oral Answers to Questions

Debate between Jeremy Hunt and Alex Chalk

Tuesday 6th February 2018 Commons Chamber

[Mr Hunt]

I am happy to look into that issue. The hon. Gentleman’s colleague, the right hon. Member for North Norfolk (Norman Lamb), did a huge amount to set up crisis care provision around the country. We need to build on that for the simple reason that, if we are to have parity of esteem, people need to be able to get help in a mental health crisis, just as they are if something goes wrong with their physical health.

[Alex Chalk (Cheltenham) (Con)]

Does my right hon. Friend agree that, as well as improving the treatment of adolescent ill health, everything possible needs to be done to prevent crisis from occurring in the first place? Does he agree that we need more research into why we are seeing a surge in Cheltenham and elsewhere in the world, so that clinicians can best tailor their response?

[Mr Hunt]

This is something that my hon. Friend has thought a lot about. A particular area of concern is the growth in mental health problems in young women between the ages of 18 and 24. We are looking carefully at whether that relates to social media use, which is an additional pressure that many of us did not face when we were that age. I thank him for his campaigning on this issue.

NHS Winter Crisis

Debate between Jeremy Hunt and Alex Chalk

Wednesday 10th January 2018 Commons Chamber

[Mr Hunt]

I shall give way one final time before I conclude my speech.

[Alex Chalk (Cheltenham) (Con)]

Does my right hon. Friend agree that the calibre of local trust leadership can play a huge role? In Gloucestershire, new trust leadership has tackled serious internal financial failings head-on. As a result, A&E times have been slashed and turned around, which meant that A&E waiting targets were met in December. Does he agree that that shows what can be done with the right leadership?

[Mr Hunt]

It absolutely does, and no one campaigns more vigorously for his local trust than my hon. Friend. Just before Christmas, I visited his trust’s Gloucester site and met the management and staff. The situation there is extraordinarily impressive and a great inspiration to many parts of the NHS.

I finish on the issue of funding. The shadow Health Secretary has been using very strong language, but he has conveniently overlooked the fact that in the past four years, real-terms funding for the NHS has increased by £9.3 billion, which is £5.5 billion more than his party promised in 2015.

National Health Service Funding

Debate between Jeremy Hunt and Alex Chalk

Tuesday 22nd November 2016 Commons Chamber

[Mr Hunt]

I will make some progress, but I will find time to give way to hon. Friends who I know want to come in.

I want to pick up on a particularly extraordinary comment made yesterday by the shadow Health Secretary. He said:

“aggressive efficiency targets have contributed to deficits”.

That is a curious thing to say, first because his own spending plans would have meant £5.5 billion more efficiencies. If he thinks our plans are aggressive, I just wonder how he would describe Labour’s approach. Secondly, I know we are all Corbynistas now, but basic economics suggests that efficiency plans do not increase deficits, but reduce deficits. That is what we need to do in the NHS, because we want the money to go to patient care.

There is another danger in the shadow Health Secretary’s argument, a trap that is very easy not just for him but for many commentators to fall into: the suggestion that this is a uniform problem across the NHS that it is powerless to grip without further Government intervention. The reality is that there is huge variation across the system. The deficits at good or outstanding trusts are five times less than the deficits at other trusts. If all trusts had the same financial performance as the good or outstanding ones, we would have a surplus of nearly half a billion pounds. Half the deficits are from just 22 trusts. We see this variation on a very specific level. For example, the amount paid for a pair of surgical gloves, which are very important to all hospitals, is £1.27 in some hospitals and just 50p in others. As for waiting lists, of 1,000 people who are waiting more than a year for their treatment, which is unacceptable, there is just one person from an outstanding trust who has been waiting that long. Some 93% are from trusts that require improvement or are inadequate. This is why we have a huge programme to support and improve those trusts and deal with the challenges they face.

[Alex Chalk (Cheltenham) (Con)]

On financial management, does the Secretary of State recognise that in Labour-run Wales agency staff spend has increased 60% in the past year? That compares with the tough measures taken in England to crack down on wasteful spending.

[Mr Hunt]

I do recognise that. It has been going up in Scotland as well. It is short-sighted of both Administrations not to work with us to tackle the problem; otherwise, staff living in border areas play off one system against the other.

Junior Doctors: Industrial Action

Debate between Jeremy Hunt and Alex Chalk

Monday 5th September 2016 Commons Chamber

[Mr Hunt]

It absolutely should. The BMA has been out of step with both the British public and its own members this week. My hon. Friend’s own hospital in Hereford—Hereford county hospital—is in special measures. It has a huge number of problems, which it is working really hard to sort out, and we are helping it to sort them out. Is that not what we should be focusing on in the NHS, rather than having to do contingency planning for these damaging strikes?

[Alex Chalk (Cheltenham) (Con)]

Does the Secretary of State agree that the actions of the BMA in warmly backing the contract in May only to condemn it in August and call for these extreme strikes have seriously damaged its credibility? On the issue of pay, which we know from the leaked WhatsApp messages is the only red line, can he confirm that no doctor working legal hours will be paid less?

Junior Doctors Contract

Debate between Jeremy Hunt and Alex Chalk

Thursday 19th May 2016 Commons Chamber

[Mr Hunt]

I agree. We need more doctors and we need more nurses. By the end of this Parliament, we will have over a million more over-70s in England alone, and I know that the demographic effects in Northern Ireland will be equivalent. We have a global shortage of about 7 million doctors, so we need to train more. We are training an extra 11,420 doctors over this Parliament as part of the spending review. The training is done on a UK-wide basis, so we will need to work closely with all the devolved regions on it.

[Alex Chalk (Cheltenham) (Con)]

I warmly welcome this draft agreement, which will be met with some relief in Cheltenham. Whatever our deeply held concerns about the behaviour of the BMA in the past, does the Secretary of State agree that it should be our ambition that the agreement will mark the beginning of a more constructive future? Will he join me in congratulating BMA negotiators, including Dr Malawana, for being prepared to address constructively issues such as Saturday pay?

[Mr Hunt]

I am happy to do that. I recognise that this was not easy for those people, because it involved changing a position that they had held for more than three years. When we looked at the details, the result that we got to was not difficult for them to sign up to because they could see that it really was better for their members, as well as better for patients. The lesson here is that the NHS faces huge challenges, and it can only be right to deal with them by sitting round the table and negotiating constructively.

Junior Doctors Contracts

Debate between Jeremy Hunt and Alex Chalk

Monday 25th April 2016 Commons Chamber

[Mr Hunt]

Absolutely. My hon. Friend is quite right to point out that the seven-day NHS vision is not just about junior doctors but about support services for junior doctors that will make the provision of care to their patients at weekends not just better for those patients but much more rewarding for them. It is immensely frustrating for doctors not to be able to get diagnostic tests back quickly because it is the weekend. We want to sort out all those problems. That will be better for doctors and better for patients.

[Alex Chalk (Cheltenham) (Con)]

Whatever the objections to this contract, and however sincerely they are held, withdrawing emergency care for seriously ill patients cannot be on the list of options. On Saturday pay, will the Secretary of State bring absolute clarity to something that may have been misrepresented, or at least misunderstood: will doctors who work regular Saturdays —that is, more than one in four—continue to receive a pay uplift?

[Mr Hunt]

Yes, they will. That is the main outstanding issue of a very small handful of issues that were not resolved. We went a very long way towards what the BMA wanted. We are reducing premium rates for Saturday pay, but are making up for that with a 13.5% increase in basic pay. That will mean that hospitals can roster more doctors at weekends and that the doctors who work the most weekends will continue to get premium pay for that extra work. It is a good thing for doctors and for patients.

Junior Doctors Contracts

Debate between Jeremy Hunt and Alex Chalk

Monday 18th April 2016 Commons Chamber

[Mr Hunt]

With respect, all the hon. Gentleman needs to do is look in Hansard at my response to the urgent question, which made it clear that we have the right to introduce a new contract. On the basis of the conventions that currently apply in the NHS, that contract will apply to all junior doctors. Foundation trusts do indeed have the right to set their own terms and conditions, but they choose not to do so.

[Alex Chalk (Cheltenham) (Con)]

This unprecedented withdrawal of emergency care seems to revolve principally around the issue of pay on Saturdays. Will the Secretary of State clarify whether pay uplifts will continue to be available to junior doctors who work regular Saturdays?

[Mr Hunt]

Absolutely. More to the point, any doctors who see an increase in their Saturday workload will see a significant increase in their pay, including their premium pay. The contract is designed to make sure that we reward people who work the longest and most antisocial hours, including women, but in a way that means that we can afford to deliver a seven-day NHS, which is why it is good for patients as well.