Health and Social Care Workers: Recognition and Reward Debate

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Department: Department of Health and Social Care

Health and Social Care Workers: Recognition and Reward

Rushanara Ali Excerpts
Thursday 25th June 2020

(10 months, 2 weeks ago)

Commons Chamber

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Department of Health and Social Care
Catherine McKinnell Portrait Catherine McKinnell
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We will see if there is the political will when the Government respond to this debate today, and afterwards as well.

One of the petitions we are considering today, with over 162,000 signatures, calls for an increase in pay for NHS healthcare workers. They are doing tough work in very challenging circumstances, putting their lives on the line, and for ever-squeezed pay. There have been calls for staff to get paid properly for all the hours they work, especially overtime, which really is not too much to ask.

The Royal College of Nursing has taken issue with recent claims by the Secretary of State for Health and Social Care that nursing staff have received a “significant pay rise”. The college’s research shows average earnings for NHS staff have not kept pace with the cost of living since 2010. Ahead of the next pay round for 2021-22 it is calling for an

“honest dialogue…in valuing the nursing workforce”.

We know we have a shortage, and paying health workers properly is key to having the workforce we need. It would be a grave error by the Government if, following the crisis and the recession that we are already heading into, they look to balance the books on the backs of public sector staff in the way we saw after the banking crisis in 2010—the very same public sector workers we have been clapping for in gratitude for saving so many lives. Neither must we see a repeat of the junior doctors dispute, where staff were treated appallingly and morale was devastated as changes to pay and conditions were forced through.

While he and I would certainly disagree on the detail, I echo the comments made by the former Chancellor the right hon. Member for Bromsgrove (Sajid Javid), calling on the current Chancellor to focus on growth, not austerity. We cannot cut our way out of this recession, and certainly not with cuts aimed at the very people who are getting us through this crisis.

Many medical students have also stepped up to support their future colleagues in fighting the virus. There are parliamentary petitions calling for reimbursing fees and reducing student loans. The Petitions Committee is conducting an inquiry into the wider impact of this crisis on students, as there has been unparalleled disruption to higher education.

Before this crisis, student finance reforms also impacted on the healthcare workforce. The decision to scrap NHS bursaries in England and replace them with loans led to applications falling by a quarter, and there are almost 40,000 unfilled nursing posts. While that error has been partially corrected by the restoration of maintenance grants, this will not benefit current students.

One petitioner says that nurses

“will surely work tirelessly to do their best to keep the rest of us safe while at the same time they continue to be charged interest on these loans for a cost which they should not have been required to bear in the first place.”

Another, calling for the current intake to receive grants, says:

“Most student midwives and nurses in those intakes will leave university with at least £60,000 debt, despite having committed to a career in a valuable public service at a time when the NHS is in desperate need of more of them.”

Addressing student finance for healthcare students would be a way to both recognise the efforts of the current intake and help attract more to the profession, but unfortunately the insensitive comments of the Minister for Care recently are a bad start to this, so I urge the Government to do everything they can to rebuild trust.

But the most devasting impact of all has been in social care. Our care homes and their elderly and vulnerable residents have painfully borne the brunt of this crisis. More than 16,000 people have died from covid-19 in care homes, almost a third of all fatalities. Far from the Government wrapping a protective ring around care homes, in the early days of this crisis they were left exposed, without adequate PPE or testing for staff despite their desperate pleas. The human cost of this failure is harrowing.

The crisis has well and truly exposed how neglected our care system has become. Too many staff are low paid and on insecure contracts; too many have had to make choices between risking people’s lives, including their own, or going without pay. Many carers do not receive even the national minimum wage because they are not paid for travel or sleep time.

Campaigners, including the trade union Unison, have been calling for care workers to earn the real living wage of at least £10 an hour outside of London. Working conditions and employment rights vary immensely between care providers and we need to see care workers properly recognised and rewarded for the vital work they do.

Rushanara Ali Portrait Rushanara Ali (Bethnal Green and Bow) (Lab)
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Given the sacrifices that care workers have already had to make, many with their lives given the shortage of PPE, does my hon. Friend agree that, going forward, particularly with the risk of a possible second wave of covid later in the year, the Government need to step up and make sure that care workers get not only the support and resources they need, but proper PPE in preparation for what could be a very difficult winter?

Catherine McKinnell Portrait Catherine McKinnell
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25 Jun 2020, 12:08 a.m.

One petitioner summed it up by saying:

“I wish social care workers were considered as equally important as NHS staff.”

I think that that says it all.

Finally, across social care and the NHS, migrant workers are a key part of the workforce and make a huge contribution. The Prime Minister made the right decision to scrap the immigration health surcharge, but this must be fast tracked to include refunds for those who have already paid. Many are also worried about their visa renewal, which is stressful enough. The 12-month visa extension announced by the Home Office is welcome, but it leaves out thousands of dedicated workers who are also working on the frontline. The extension should apply to all.

Many migrant workers in health and social care are stuck in limbo without indefinite leave to remain. The Royal College of Nursing and the Royal College of Physicians have called for indefinite leave to remain to be granted to all international health and care workers who have worked in the UK during the pandemic. Many migrant workers on the covid frontline are also subject to “no recourse to public funds”, which adds immense financial pressure, especially if they fall ill and have to self-isolate. Unison has called for the policy to be suspended. One petitioner said:

“I strongly believe the Government can do better than that one-year free automatic visa renewal for these NHS heroes. A grant of indefinite leave to remain or citizenship is not too much to ask to appreciate the covid-19 pandemic frontline fighters.”

We cannot expect migrant workers to put their lives at risk and help our nation fight this virus, and then expect them to pay through various means for the privilege of doing so.

In conclusion, the key issue at the heart of today’s debate is how we value our health and care staff and the tremendous work that they do. The pandemic has thrown their dedication, bravery and compassion into the national spotlight as they put their lives on the line, but this dedication is not new. They have been serving our country, day in, day out, long before this pandemic. I hope that this debate will be just the start of a proper conversation about how, as a country, we not only show our gratitude and appreciation for the work that they do but, take real action to make their job easier. For now, to all our doctors, nurses, carers, support staff, and every person working on the frontline during this pandemic, I say a heartfelt thank you to you all.

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Dean Russell Portrait Dean Russell (Watford) (Con)
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I want to place on record my thanks to the pharmacists, GPs, hospital staff and everyone in between across Watford for the amazing work they have done recently and over many years. I sit on the Health Committee—now the Health and Social Care Committee, importantly—which has given me great insight into the challenges that the health and social care sector has faced over the past few months. Over the past 10 or 11 weeks, I have also been a volunteer at Watford General Hospital, literally on my knees cleaning Zimmer frames at times and carrying water to staff. I have been proud to be part of the volunteer hub there, alongside people like Monica, Theo, George, Denise, Linda and so many more who are offering their time for free to help our brave NHS staff as they tackle this terrible pandemic. The hospital has also been working closely with Watford football club, which has provided amazing facilities, including a sanctuary for staff’s mental health.

During this time, I have also been listening. One of our jobs as parliamentarians is to listen. What I have been hearing is that the pandemic has shown how this Government are trying to be innovative, trying to use technology in different ways and, ultimately, trying to unbind the red tape that has held back so many people on the frontline. For so long, we have been stuck in a process of looking at points and targets, and we have forgotten what frontline workers really want. They want respect. They want trust. They want us to cut through the red tape, so that they can get on with their jobs across the health and social care sector. I am hearing loud and clear that, during this pandemic, we have enabled that to happen because we have had to, but we need to continue that.

We also need to listen to what staff really want. I had an eye-opening moment when I was delivering sandwiches to one of the wards, and the nurse said, “Don’t worry about the sandwiches—we’re getting fed over at Watford football club. We get delicious pizza over there, so we probably won’t eat those.” That really opened my eyes to the fact that, while salary is critical, it is also about what life is like on the frontline day after day.

We need to listen to what staff really want, and that is partly about career pathways and opportunities such as sabbaticals after 10 years of working in the same job. It is about corporate discounts, working with the private sector to enable not just NHS staff but social care workers to have free opportunities and discounts and go to the front of the queue. It is also about innovation and the use of data and technology. I believe that, if we look at all those things, although it may not happen overnight—it might take years, perhaps even decades—we can really make a change for the better for all our brave staff and be, not just the biggest employer, but the best employer in the world.

Rushanara Ali Portrait Rushanara Ali (Bethnal Green and Bow) (Lab)
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It has been said many times, but we should never tire of saying that our NHS and care workers are true heroes and that we are incredibly grateful for their skill, dedication, selflessness and sacrifice. We came out on Thursday evenings to applaud them; now it is time to build a system that rewards them with more than applause. That is why it is important that the Government put their money where their mouth is and start to recognise them, as hundreds of thousands of people in each of these petitions have called for. After a decade of austerity, the NHS and social care system is on its knees. The Government were already missing A&E targets as far back as 2015. We know that the NHS has vacancies of 100,000 and that NHS trusts are £1.23 billion in deficit, which needs to be addressed quickly so that they can get on with the job of protecting us. Then there is the mental health crisis.

Across the NHS and care system, there is the scourge of low pay. Unison predicts that we will need another 1 million extra careworkers by 2025. It is vital that we learn the lessons now and ensure that we have a resilient, well-resourced, effective NHS, where people are properly rewarded and have their skills and expertise recognised, rather than being treated shoddily, which is what we have seen.

We also need the Government to ensure that junior doctors are properly rewarded. The Government’s behaviour in recent years has been appalling, yet the doctors, nurses and carers have been the people on the frontline, saving people’s lives and protecting us. We also know that black, Asian and minority ethnic NHS and care workers have had the highest death rate, yet the Government have been inadequate in protecting them. To be frank, the Government have treated them like cannon fodder and the fact that they do not have proper recommendations for those workers is scandalous. They need to get a grip before more lives are lost.

If the Minister for Care thinks that health and care workers should be protected, she should act instead of saying appalling things about them. I hope she will apologise for the remarks she made recently about care staff. The point is that we need to ensure that, when the crisis eases, this Government do not forget the sacrifice and commitments that people in the NHS and care system have made, and that they act to ensure those people are properly rewarded, properly recognised and protected.

Jamie Wallis Portrait Dr Jamie Wallis (Bridgend) (Con)
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It is a pleasure to have the opportunity to speak in this debate on behalf of the many vital careworkers and NHS staff in my constituency. I therefore begin by putting on record, on behalf of everybody in Bridgend, our sincere and heartfelt thanks for everything carers and NHS staff are doing. They do a fantastic job, delivering world-class care. Even with increasing pressures due to, among other things, an ageing population and changing public expectations, they work incredibly hard, always putting patients first and keeping them safe while providing the high-quality care we have all come to expect.