Northern Ireland Budget Bill — House of Commons, 2019-10-30
Topic: Health
Anthony Joseph Lloyd (Labour, Centre-left): Again, I have real sympathy with the point made by the hon. Member for Belfast South (Emma Little Pengelly). It is similar to the point made earlier by the hon. Member for South Antrim (Paul Girvan) about ring-fencing of moneys for the high streets and the inability to trace those moneys. In fact, some time back I raised with the previous Secretary of State whether it would be possible to have an accountability mechanism whereby the Northern Ireland civil service would respond to questions from Members of this House so we could scrutinise its decisions for exactly those reasons and provide at least transparency, even if that would not necessarily lead to proper accountability of the spend made. These are really important issues, and they would be important even in an annual budget. If this was the budget for a large local authority—the Greater Manchester Combined Authority budget or that of the London Mayor are, I suppose, equivalent to the budget of Northern Ireland—we would be astonished if we did not have the capacity to scrutinise it. I say to the Secretary of State that I think the time is coming when we will need to look again at how the scrutiny process takes place; that will not be resolved today, but clearly we have to look at it I have some questions for the Secretary of State. I should say that we do not intend to block the Bill in any way, shape or form. It is vital that it goes through, and the amount of time available does not allow for any rarefied debate about more than the general outlines. However, there are some issues that we must begin to address. I nearly quoted the permanent secretary at the Department of Health, but I shall paraphrase: he said that Northern Ireland has the money for a world-class health service, but it just does not have the money for the health service that Northern Ireland has. In that, he was referring to the fact that the Bengoa reforms, which would and could have transformed the health service in Northern Ireland, had not been implemented There are issues about areas where we know the spend is no longer adequate. We know, for example, that Northern Ireland now has longer waiting lists than any other part of this United Kingdom. We know that mental health provision is unacceptably poor in Northern Ireland; I have to say that it is poor in my own constituency, but it is nevertheless particularly bad in Northern Ireland. The chilling fact that more people have committed suicide since the end of the troubles than people died during the troubles gives some indication of the need for improvement in those services We know about social care and the demands on it—again, this addresses the point made by the right hon. Member for East Antrim. We know that the number of elderly people and the dependent elderly is growing all the time in Northern Ireland, just as it is in my own constituency, but the capacity of the budget to deal with those issues has remained largely unchanged. We know that education spending is no longer appropriate: Northern Ireland still has a high standard of results in its educational system, but too many people are now being left behind because of the inappropriate nature of the education service I would particularly like to continue the questions raised by my hon. Friend the Member for Birmingham, Selly Oak (Steve McCabe) and my right hon. Friend the Member for Birkenhead (Frank Field), which my hon. Friend the Member for Bristol South (Karin Smyth) raised in Question Time earlier. The Minister of State has used words like "the same refrain" when saying that the answer lies in getting devolved governance back. I understand that that is the long-term answer, but we are going to face a crisis for some individual families because of the exhaustion of the welfare mitigations. It is not simply about housing: it cuts across other areas of spend where those mitigations are protecting families now. The Secretary of State’s response was that he would look to see what could be done by him and the Northern Ireland Office. We have to look very closely at the Secretary of State and Northern Ireland Office working with the Northern Ireland civil service, and that is important. Let me ask a specific question. Does this budget contain money for the Stormont House bodies? Those bodies ought to be set up imminently, of course, so money has to be made available for them. We need to know that the proper provisions are there. Equivalently, and this is also important, if the historical institutional abuse Bill is not going to come before Parliament immediately, I hope it will be introduced rapidly by whatever Government take their place after the election so that that legislation can come into operation. That means we need to see within this budgetary framework resource available for HIA victims, who deserve not simply our compassion but our recognition and our financial support I need in that context to ask the following question. The Secretary of State has been very specific: he has undertaken to see whether it is possible in terms of welfare spend to use imagination around the powers that do exist. I wonder whether he will now begin to apply the same kind of imagination to see whether it is possible to create within the framework of the existing spending operations something that begins the process of reconciliation, even if it is just the simple acknowledgment of payment to victims of institutional abuse. Money clearly is not everything in that context, but is it possible even without the legislative framework to find an imaginative way of making some form of payment that would at least go some way to showing the willingness of the Government and the Secretary of State, which I know is there, to try to rectify the failure of the system and get this Bill through Parliament This Bill is important—I think everybody accepts that. Nobody is going to want to block the capacity for the structures to operate within Northern Ireland over the coming three months, so it is important that this is passed today before Parliament is dissolved. We will support the Secretary of State in moving it through Parliament, but there are some issues that he and his Department need to begin to look at and see whether there are at least some patches that can be applied that can make a material difference to those who would most suffer if we do not get the answers right.