Recovering Access to Primary Care

Debate between Steve Barclay and Bernard Jenkin

Tuesday 9th May 2023 Commons Chamber

[Steve Barclay]

I agree and thank the hon. Member, who is absolutely right to recognise the huge amount of work done by GPs and their staff, including receptionists. That is why the recovery plan is very much targeted at recognising the workload. I flagged in my statement the additional volume of patients that a typical GP surgery is seeing and that reflects the huge amount of work that is done. I think pensions were a factor, certainly in the feedback from the profession. The issue was raised. The changes the Chancellor announced take 9,000 GPs out of the tax changes, but the hon. Gentleman is right—that was not the only factor; the workload was another. The recovery plan looks to cut bureaucracy and, as I say, reduces the targets to five. It also looks at areas where there are appointments that we do not feel are necessary—so it looks at how secondary care can do fit notes, for example, rather than someone needing to go to the GP to get one. There are areas where we can streamline GPs’ workload and that is what the recovery plan does. On the workforce plan, we have said on a number of occasions that, post purdah, we would set that out very shortly. We will have more to say on that in due course.

[Sir Bernard Jenkin (Harwich and North Essex) (Con)]

I join the hon. Member for Sheffield South East (Mr Betts) in inviting the Secretary of State to thank all our GPs for their incredible work. I very much welcome his statement. Will the Pharmacy First plan enable places such as Harwich and Dovercourt in my constituency to increase the out-of-hours cover that pharmacies provide? Otherwise people will have to travel miles just to get a prescription. Also, where are all these new GP staff going to be put? Most GPs have very cramped premises. West Mersea surgery in my constituency has been trying to develop new premises for a long time, unsuccessfully because the GPs’ partners will not take the risk. At the Mayflower surgery in Harwich, there is empty space in the building rented by the NHS from a failed Labour private finance initiative project, but the GPs cannot afford to pay the rent, so the space sits empty, although it is still paid for by the taxpayer. What are we going to do about that?

[Steve Barclay]

First, I join my hon. Friend in paying tribute to the work that GPs do in his constituency, as they do elsewhere. On pharmacies, part of the reason for the investment is to support pharmacy, including in rural settings. The more funding going in, the more they can prescribe. The more things they are able to do, the better the business model. There are more pharmacists and more pharmacy shops than there were in 2010, but it is important we make the business model more viable and that is what the announcement does. On estates planning, that is an issue for each integrated care board to consider. He mentions a specific issue locally with a former PFI and how it is being used. That is not a new issue. I sat on the Public Accounts Committee when it was chaired by the right hon. Member for Barking (Dame Margaret Hodge) and I remember looking at many a Labour PFI. The regional fire control centres were a case in point; the estate could no longer be afforded and the space was empty. If there is an issue like that, I will be happy to look at it in due course.

Checks on Goods: Northern Ireland and Great Britain

Debate between Steve Barclay and Bernard Jenkin

Thursday 24th October 2019 Commons Chamber

[Stephen Barclay]

The hon. Gentleman and I would agree on the desire to grow that business, because economic ties underpin the democratic relationship that we have, and we both share a common desire to have a strong Union with Northern Ireland as a central component of that. There will be scope, both during the passage of the withdrawal agreement Bill and then in the implementation period, to look at the things that can be done to strengthen that. I would draw his attention, for example, to what we secured on state aid in Northern Ireland, where there is scope to look at the UK economy as a whole, which again enables us to ensure that Northern Ireland’s place in the United Kingdom is central to the decision making of this and any future Government.

[Sir Bernard Jenkin (Harwich and North Essex) (Con)]

I welcome the tone of these exchanges, which seem to me very calm and very sensible and do recognise the concerns being expressed from Northern Ireland. I suggest that we need to separate two things—the symbolism of a process of compliance required between Northern Ireland and the rest of the United Kingdom, and the substance of the effect of that policy. It seems to me that all the questions are about the substance of compliance and that those are fears that possibly can be assuaged, and that we should seek to assuage, while recognising that there will still be deep concerns in the loyalist community in Northern Ireland about having any kind of agreement that requires that compliance.

[Stephen Barclay]

My hon. Friend absolutely captures a key point in terms of that distinction, and I very much agree with him. I would expect most firms to get intermediaries to complete the administrative process required for moving goods, so he is absolutely right in the distinction that he draws. Indeed, that is exactly what the implementation period would be used for—to address that distinction.

European Union (Withdrawal) Acts

Debate between Steve Barclay and Bernard Jenkin

Saturday 19th October 2019 Commons Chamber

[Stephen Barclay]

I have always had great respect for the legal acumen and the seriousness of my right hon. and learned Friend, but there is an inconsistency in his case when he talks about wanting to look at legislation in more detail, having supported the Benn-Burt legislation that was passed in haste, and having supported the Cooper legislation, which needed to be corrected by Lord Pannick and others in the House of Lords, because it would have had the effect of doing the opposite of what it intended as it would have forced a Prime Minister to come back to this House after the EU Council had finished, thereby making a no deal more likely rather than less. That Cooper legislation is a very good example of where my right hon. and learned Friend did not look at legislation in detail, and, indeed, where it would have had a perverse consequence at odds with his arguments for supporting it at the time. Indeed, there is a further inconsistency: he championed section 13, but when the Prime Minister secured a new deal, which my right hon. and learned Friend said that he could not achieve, he then denies the House a right to vote in a meaningful way as required by his own section 13 because he no longer wants it to apply on the same rules as it did when he passed it.

[Sir Bernard Jenkin (Harwich and North Essex) (Con)]

I am most grateful to my right hon. Friend for giving way. This deal has hardly lacked scrutiny, given the number of times it has been voted on and debated in this House, although we now have an altered deal. May I just point out that the implementing legislation is simply that: it does not alter the substance of the agreement but merely implements the agreement in domestic law. We can do that very quickly and amend that Bill after ratification of the agreement if necessary, because it is only a piece of domestic implementing legislation. There is no case for delaying that legislation, and I am going to vote for the deal today, if I get the chance.

[Stephen Barclay]

First, I welcome the support of my hon. Friend. One issue that the shadow Secretary of State and I agree on is that, on these issues, there has not been a lack of scrutiny, given the frequency with which we seem to debate them in the House.

It is also worth reminding ourselves of what the motion is addressing today. The motion is addressing the withdrawal agreement and the political declaration secured by my right hon. Friend the Prime Minister. The mechanism to implement that—the withdrawal agreement Bill—has still to be debated. Indeed, even that pertains only to the winding-down arrangements and not, as is often referenced in this House, to the future trade deal that we want to get on and debate. It is therefore rather odd that the main issue—our relationship with Europe—is being thwarted because of a circular, endless debate on the same issue, when we need to support the deal today in order to unlock the withdrawal agreement Bill that we need to debate.