Defending Public Services — House of Commons, 2016-05-23
Topic: Health
Nicholas Dakin (Labour, Centre-left): It is a real pleasure to follow the hon. Member for Bexhill and Battle (Huw Merriman), who came to the debate from the viewpoint of people on the frontline. That is to be commended, because what they do on behalf of us and our constituents is most important. We should never move far away from focusing on that I want to speak about what the Queen’s Speech offered my constituents on the two biggest issues of concern to them: local health services and the future of our steel industry. Local health services are severely challenged. We were told last week that NHS trusts nationally had reported a deficit of £2.5 billion in 2015-16. When I asked the Secretary of State earlier whether he could rule out the books not being balanced at the end of the year, he was unable to do so. Some 121 of 138 acute trusts ended 2015-16 in deficit, so there is a real problem with the finances. Members on both sides of the House have echoed that today In the Scunthorpe area, our whole health economy is severely challenged financially. Balancing the books is a long-running problem for the clinical commissioning group and the local hospital. That raises the question, which hon. Members have asked today, of whether there is enough cash in the system to allow local health services to do the job we expect. There are wonderful people working in the system in the Scunthorpe area and elsewhere in the country—nurses, care workers, porters, doctors, paramedics, administrators and many others. They go to work every day determined to do a good job, but as my hon. Friend the Member for Southampton, Test (Dr Whitehead) said, they are being asked to do more for less, day in, day out, which produces a strain. As the hon. Member for South West Wiltshire (Dr Murrison) said, the system is at full tilt —or we might say at full stretch There have been challenging evaluations of our local health services during the past six months, and we have received poor Care Quality Commission reports for mental health, hospital and some care services, and most recently for ambulance services. People are not going to work to do a bad job, but there is strain in the system and that is reflected in issues of quality and delivery. Disproportionate cuts to social care are adding to the strain on the system Locally, there has been an ongoing review of health provision, "Healthy Lives, Healthy Futures", and there is a general recognition that the way forward is to move resources into the community and closer to patients. That is the theory, but managing to deliver it is challenging because the acute demand at the secondary care end of hospitals, and people turning up at accident and emergency, does not get any less. How do we turn off the tap at that end so as to invest where we know it is needed As many Members have said, the real challenge is the ageing population. The Secretary of State said that there will be 1 million more people over the age of 70 by the end of this Parliament, which illustrates the challenge to the system. My hon. Friend the Member for Oldham East and Saddleworth (Debbie Abrahams), many other Members and I are wearing badges from Dementia Friends, which is a reminder of the growth in demands on mental health services, particularly with an ageing population. Despite the excellent work done by the Alzheimer’s Society and others, much more is needed to deliver what needs to be done There are massive challenges, and it would be good if it were easier for local services to develop their local workforce, so that healthcare assistants can be translated into nurses, and other innovative things can be done to meet local needs. Given the importance of community services, pharmacies are being challenged by the Government’s desire to take away £170 million of pharmacy funding. That is not a huge figure, but it seems to run counter to the desire to recognise pharmacies as deliverers of community services, particularly for older people who are close to the community, or those who suffer from mental health problems. Why challenge pharmacies in that way? The other week I was proud to present in this Chamber a petition signed by more than 800 local people that said, "Look after our local pharmacies." As we consider the challenges to health services, we will see that much can be done intelligently to work with the situation and make it better I was disappointed that there was nothing in the Queen’s Speech—just as there was nothing in the Budget—to support the steel industry at its time of great challenge. A real industrial policy would make a difference to setting a strategic path, and give confidence to all players, be they employers, trade unions or other stakeholders in our manufacturing industry, especially our steel industry. The Government have been slow to respond to the challenges facing our steel industry, and I hope that in a week Tata long products will move into new ownership, and there will be a new and positive chapter for the future. Today is the closing date for expressions of interest in the ownership of the other part of the Tata empire from across the steel industry in the UK The fact that such things are happening does not mean that the Government can go to sleep. They must wake up and do more, including on business rates. When Tata invests in a new blast furnace at Port Talbot, or a reconditioned blast furnace at Scunthorpe, it is ridiculous that that capital investment should mean an increase in its business rates. That is the economics of madness. We should have a system to encourage investment in further production, not penalise it We must do more on procurement. The Government’s procurement policy has positive aspects, but when businesses such as DONG Energy develop the North sea wind farm, the test is whether they use UK steel or not. We need action against Chinese dumping, to address the lesser duty rule, and we must stop dragging our feet and stopping the European Union carrying out measures that would support our steel industry In those two big challenging areas—the local health economy and the steel industry—the Queen’s Speech does not offer a great deal at the moment. However, this debate, and contributions from across the House, can allow it to be developed into something much better.