NHS Dentistry: Salford and Eccles

Debate between Neil O'Brien and John McDonnell

Monday 19th December 2022 Commons Chamber

[The Parliamentary Under-Secretary of State for Health and Social Care (Neil O’Brien)]

Let me start by congratulating the hon. Member for Salford and Eccles (Rebecca Long Bailey) on securing this important debate. I share her frustration and am aware that some areas in the country face serious difficulties with access to NHS dental care. She used some powerful examples, which are exactly the kinds of things that we are trying to fix.

As we recover from the pandemic, activity is going back up again and we want it to go up faster. Dentistry is an important part of the NHS. We are committed to addressing the challenges that NHS dentistry faces in some parts of the country. We are continuing to take important steps to improve access for patients. There are variations around the country, which was already an issue before the pandemic.

The specific risks from covid in dentistry, for obvious reasons given the nature of the treatment—looking down people’s throats and breathing in the same air—resulted in the need to reduce the amount of care that could be delivered, in line with infection prevention and control measures to keep patients and the workforce safe. The pandemic placed further pressure on the system. However, NHS dentistry provision has been increasing gradually and safely. I am pleased to say that NHS England asked all dental practices to return to 100% of their contracted activity in July this year. Many practices are already delivering at that level and, in some cases, beyond. I will go on to talk about delivering beyond.

To support the industry during this testing time, we took unprecedented action and provided over £1.7 billion in income protection, to ensure that NHS dentist capacity was retained and services were provided and available after the pandemic. We made an additional £50 million available for NHS dental services at the end of last year, to increase capacity in NHS dental teams. Appointments were given to those in most urgent need of dental treatment, including vulnerable groups and children. As a result of that funding, I am pleased that say that an additional 1,110 patients were seen in Salford. To support the provision of urgent care, more than 170 urgent dental care centres remain open across the country. One of those centres is in the Salford locality, as the hon. Lady knows.

Across the nation, the system is recovering and delivery of dental care is increasing. In 2021-22, 24,272 dentists performed NHS activity—an increase of 539 on the previous year. In the 12 months to 30 June this year, 5.6 million children were seen by an NHS dentist, compared with 3.9 million children in the same period the previous year. That represents a 43% increase.

[John McDonnell (Hayes and Harlington) (Lab)]

There have been reports in a number of our constituencies of almost a dental health epidemic. Can the Minister explain whether there will be targeted resources for a number of our constituencies where there is such a high level of child dental ill health?

[Neil O’Brien]

I am exploring how we can best target the places with the most acute problems. There are problems in a lot of different places, and we are thinking about that actively at the moment. I will come back to that as I make progress.

Levelling Up: Local Councils

Debate between Neil O'Brien and John McDonnell

Wednesday 8th December 2021 Westminster Hall

[The Parliamentary Under-Secretary of State for Levelling Up, Housing and Communities (Neil O'Brien)]

It is a pleasure to serve under your chairmanship, Mrs Miller. I congratulate the right hon. Member for Hayes and Harlington (John McDonnell) on securing this very important debate. I am not sure whether he or I will be more alarmed to find that we are, as he suggested, in quite strong agreement on much of this agenda.

[John McDonnell]

I am so convincing, do not worry.

[Neil O'Brien]

The right hon. Gentleman is always convincing when he talks about the lost opportunities caused by having parts of the economy overheating where people cannot afford a house, whereas other parts of the economy are crying out for investment. I felt that his was an echo of the Prime Minister’s speech, so we all find ourselves in at least a pretty high level of agreement on the challenge.

[John McDonnell]

Does the Minister recognise that the Prime Minister is my next-door constituency neighbour?

[Neil O'Brien]

I thank the right hon. Gentleman for that intervention. We are being run by a west London mafia.

As a lifelong advocate for ending the kinds of regional disparities that run through the country, I want to reiterate the importance that I, and the Government, feel about restoring a sense of local pride right across the country. I will start by stating a very obvious point, which is that local councils are an absolutely central part of our levelling-up agenda. They have to be. They have long been huge parts of the democratic fabric of this country and I firmly believe that our huge ambitions for levelling up will not be realised unless local leaders and communities are properly empowered to deliver for their local areas.

Levelling up must now go beyond the first stage of devolution. It must be a mission that gives local leaders and communities the tools they really need, as the right hon. Gentleman said, to take control of their own destiny, boost people’s living standards and spread opportunity. It will not be an exercise in levelling down London or the south-east in order to lift up other areas; it will be one with a clear-eyed focus on using local leadership to spread opportunities to parts of the country that have long felt that Governments in successive decades have not been interested in their city or their region.

The levelling-up agenda will recognise that disparities are not just between everyone who lives north of Watford Gap on the one hand and everyone else. Cookie-cutter policies are not going to bridge the divides that exist between Leeds and Bradford, between Blackpool and Manchester, and between different boroughs in London. We recognise that there are some of the same issues in Darlington and in Hayes and Harlington. We also recognise that levelling up—I agree with the right hon. Gentleman—is a major challenge that will take some time, but work is well under way.

Nobody understands the needs of a local area as well as the people elected to serve as the leadership of that local area in local councils. We are taking forward several programmes that will press ahead with meaningful devolution, including the new county deals that the right hon. Gentleman talked about, to spread devolution across the whole of England beyond the larger cities, and new funding streams to give people the financial firepower to make the changes they want to see in their communities. For example, we have agreements with 101 towns across England that have seen £2.4 billion allocated to local projects through the towns fund and the efforts we are making to resurrect our high streets as we continue to respond to the economic headwinds of the pandemic, with £100 million of combined investment from our welcome back fund and the reopening high streets safely fund.

Those investments are just the start. My right hon. Friend the Chancellor and the Treasury have shown that they are foursquare behind the levelling-up agenda with the recent spending review. As part of that review, we committed £1.7 billion in the first round of our flagship £4.8 billion levelling-up fund, backing 105 different initiatives across the country, from the South Derby growth zone to an upgrade to the ferries to the Isles of Scilly. Both received nearly £50 million from the fund. Other successful bids that we have been funding through the levelling-up fund include the Bolton College of Medical Sciences, the reopening of the world’s oldest suspension bridge in County Durham, and the redevelopment of Leicester train station quite near to me. Those are examples of how the fund is flexible in backing the ambitions of different local places, whatever they may be. The funding builds on the foundations laid in the March Budget this year, with plans to bring regeneration, new prosperity and restored pride to 10 different places through the new freeports, which are levelling up in action. In fact, only three weeks ago Teesside became the first of those amazing freeports to open its doors for business and future investment from top-end employers.

In the time remaining, I would like to turn to local government finance. The right hon. Gentleman talked about the need to move on from the debates we had for a long time at the start of the 2010s. I think that is right. There is no point in re-rehearsing those arguments. We will not convince each other of our positions at this point. He talked about a rising tide of funding. We now have a rising tide of funding. For the last couple of years, our core spending power in local government has started to go up. At the spending review, the Treasury backed councils with an average annual increase in the core spending power of local government of 3% in real-terms per year.

[Neil O'Brien]

As I said, the core spending power of local government will be going up in real terms each year by 3%, on top of all the other things we are doing through the future high streets fund, the levelling-up fund and the forthcoming UK shared prosperity fund, to invest heavily in areas such as Liverpool and the wider Merseyside area. All those things are, at their heart, about investing in locally delivered early help for families of the exact kind that the hon. Gentleman would like.

[John McDonnell]

The example of Liverpool has been given. It would be incredibly helpful, just to bring the Minister up to speed on a specific example of what is happening, if he would meet a delegation of the Liverpool MPs, maybe with the council leader, to talk about issues there.

[Neil O'Brien]

I am planning to meet various leaders from Liverpool city region as part of the Mersey Dee alliance discussions, so I would be delighted to have that conversation. I am very proud of the progress we made for that city through the devolution deal, bringing new powers, new funding and the defragmentation of local government that I think we all agree on in principle.

In the months ahead we will set out in more detail our plans for the levelling-up agenda, with the White Paper that will give us the long-term blueprint, but that is not the end of the story. We have a levelling up Department that will continue to power ahead with this agenda over the coming years. The Prime Minister already gave a clear indication of our position in July when he said we take a flexible approach to devolution, so local leaders in our great cities and historic towns have the tools they need to make things happen for their communities.

Exceptional Mayors are already making a huge difference. If anyone wants to see levelling up in action, I suggest they take a trip to Teesside where, during his four years at the helm, Ben Houchen has managed to secure a brand-new economic campus in Darlington with civil servants from the Treasury, moving the Tees crossing to alleviate congestion and bringing the Teesside airport into public ownership, on top of the freeport that I mentioned. That shows that local areas do not need to be micromanaged out of SW1; they can get ahead if they are given the financial power and the local powers and leadership that they need.

There is no reason we cannot bottle and replicate the brand of leadership embodied in people such as Ben Houchen and Andy Street, our fantastic West Midlands Mayor, and apply it to other areas of the country, and so use local leadership and local government to drive forward this incredibly important levelling-up agenda that we all agree on.

Question put and agreed to.

European Union (Withdrawal) Act

Debate between Neil O'Brien and John McDonnell

Monday 14th January 2019 Commons Chamber

[John McDonnell]

I will come on to that.

We believe that this is a bad deal because of the advice we have been getting. Some of that advice came from the cross-party Exiting the European Union Committee, which unanimously warned that the deal

“fails to offer sufficient clarity or certainty about the future.”

I quoted Mervyn King in the debate a month ago. Let me remind Members of what Mervyn King, a former Governor of the Bank of England, said. He described the withdrawal agreement as incompetence of the highest order.

The result of that incompetence is that jobs are being lost and livelihoods are already being threatened. As has been mentioned, Jaguar Land Rover, citing factors including uncertainty around Brexit, has announced 4,500 job cuts. Ford is planning to cut 1,000 jobs in Bridgend. Honda will stop production at its Swindon plant for six days in April. Government Ministers are fully aware of the consequences of their actions. We recently debated the Government’s own analysis of something approximating to the Prime Minister’s proposals. The Government themselves admitted, as has been mentioned, that the economy would be 3.9% smaller as a result of us agreeing to this deal. To put that in context, that is a cost of over £80 billion. In the long term, the damage is even greater. The Government analysis also estimated that the impact of trade barriers alone could mean an average drop in wages of 3%—£800 a year in today’s terms.

I believe that this House will not vote for a deal that damages so badly the living standards of our constituents. We must also be aware of the political damage that would be caused by forcing through an agreement that clearly does not have the support of the people of this country and that contains a backstop which, in the words of the Attorney General,

“would endure indefinitely until a superseding agreement took its place, in whole or in part, as set out therein. Further, the Withdrawal Agreement cannot provide a legal means of compelling the EU to conclude such an agreement.”

None of that has been changed by what the right hon. Member for Belfast North (Nigel Dodds) described earlier today as “meaningless letters”.

Let me be clear what Labour is proposing. Our negotiating priorities would differ from this Government’s. We would prioritise a permanent and comprehensive customs union with a say in future trade deals. We would deliver a strong, collaborative relationship with the single market, and we would guarantee that the UK does not fall behind the EU in rights for workers, consumers and the environment. Tomorrow it will be clear that the Government’s deal does not have the confidence of the House, and that a new approach is needed.

[Neil O’Brien]

The former head of the European Council’s legal service, responding to the shadow International Trade Secretary’s call for a customs union in which the UK would have a say, has said:

“Obviously this is ruled out. It is contrary to the basic EU principle of autonomy of decision making. Don’t even think about it!”

Does the right hon. Gentleman think he knows better?

[John McDonnell]

The hon. Gentleman clearly has not been listening. My hon. Friend the Member for Brent North (Barry Gardiner) explained how we would, as a third country, be able to negotiate a deal that would give us that say. [Interruption.] If Government Members doubt that, they should give us the opportunity to start the negotiations.

Tomorrow this deal will go down, and it is now time to put the mistakes of the past two years behind us and clear away the debris of this deal and the Government’s failed negotiations. It is clear that, to break the deadlock and deliver a clear mandate for a new approach, we need a general election. It is time to let the people have their say.

If that is not achievable, this House will need to work together to secure the best compromise to protect our country, and the Executive need to recognise that Parliament must rule on this matter, not the Executive. At that stage, Members may want to confirm that new deal with the people in a public vote. People will be looking to us to judge whether we have the maturity, good sense and commitment to our country and the national interest to secure a deal that protects jobs and the economy. I believe we can live up to that, and we must.

Budget Resolutions

Debate between Neil O'Brien and John McDonnell

Tuesday 30th October 2018 Commons Chamber

[John McDonnell]

My hon. Friend has got it exactly.

It takes something, does it not, to have headteachers marching on Downing Street? That has never been seen before. Just what did yesterday’s Budget do to tempt teachers back? What the Chancellor offered was “little extras”. It was an insult, especially when 60% of teachers are not getting a pay rise this year.

There are now 4 million children living in poverty, 500 children’s centres have closed, 500 children’s playgrounds have closed and 128,000 children are living in temporary accommodation. When children’s social care faces a funding gap of £3 billion by 2025, what did the Chancellor offer? Just £84 million for just 20 councils. That will not even scratch the surface of the problem.

[Neil O'Brien (Harborough) (Con)]

rose—

[John McDonnell]

No.

We have a record number of children coming into care. I know what coming into care means for a child: they are scarred for life. Why are they coming into care? Because there has been a 40% cut in funding to councils for early intervention to support families. Let the Government justify that.

On young people, the YMCA reports that spending on youth services has fallen by 62% since 2010. The average graduate comes out of university with a £50,000 debt. The IFS describes home ownership among young people as having collapsed completely. Tragically, with the mounting pressure, a decades-long decline in suicide among men has been reversed since 2010.

--- Later in debate ---

[John McDonnell]

I understand the hon. Member for Croydon South (Chris Philp); he gets excited at times, but as someone who has been excited myself at times, I completely understand.

The Government have been repeatedly forced by the courts to change how they are treating disabled people. They do not seem to have learned their lesson yet, so yesterday we saw no restoration of disability premiums, no end to the cruel social security freeze, and no end to dehumanising and unreliable work capability assessments.

The Government are also putting the livelihoods of future generations at risk. A few weeks ago the world’s leading authority on climate change said that avoiding dangerous climate change would require “rapid, far-reaching and unprecedented” action. What did we get yesterday? We got no mention of climate change, no reversal of cuts to renewable energy, and no significant environmental policy.

[Neil O'Brien]

I am curious: the other day the Government voted through a £650 million scheme to improve energy efficiency and home insulation; why did the Labour party vote against it?

[John McDonnell]

Because it was not on a scale that would have had sufficient impact. I welcome interventions, but I think we should have a rule that when Members intervene they should describe their background, in this case as advisor to George Osborne, who cut back on the solar energy industry, who undermined wind power in this country, and who set us back so that we will never meet our climate change targets.

The impact—[Interruption.] Calm down, calm down—George Osborne used to say that to me, and I said “I’ll calm down when you resign,” and he did. The impact on the self-employed and small businesses has been equally stark. Some 51,000 high street stores closed last year. Wages for the self-employed have collapsed to around the same level as 20 years ago.