PARLIAMENTARY DEBATE
Engagements - 19 October 2016 (Commons/Commons Chamber)
Debate Detail
This morning I had meetings with ministerial colleagues and others. I will have further such meetings later today, in addition to my duties in this House.
Mr Speaker, as you might know it is my birthday today. The Prime Minister has already given me a huge birthday present by letting everyone know that we will be out of the European Union no later than 31 March 2019. May I press her for another present? Her excellent policy of closing Victorian prisons and opening modern ones is spot-on. Will she support the reopening of Wellingborough prison as part of this excellent programme, or would she rather just sing happy birthday?
On the serious issue about prisons, I welcome the fact that my hon. Friend applauds the policy we are following of closing out-of-date prisons and building new ones. I hear the lobbying he has made for Wellingborough, and I can assure him that Wellingborough is one of the sites that is being considered. The Secretary of State will look at the issue very carefully and make an announcement in due course.
One in four of us will suffer a mental health problem. Analysis by the King’s Fund suggests that 40% of our mental health trusts had their budgets cut last year, and six trusts have seen their budgets cut for three years in a row. Is the Prime Minister really confident that we are delivering parity of esteem for mental health?
It is right that we are introducing parity of esteem for mental health in our national health service. We have waited too long for this, and it is important that it is being done. We are actually investing more in mental health services—an estimated record £11.7 billion. In particular, we are increasing the overall number of children’s beds to the highest number for mental health problems, which I think is important. There is, of course, more for us to do in looking at mental health, but we have made an important start and, as I say, that funding will be there.
“NHS is so dramatically underfunded”
that too often it is left to the underfunded police forces to deal with the consequences of this crisis. Indeed, the chief constable of Devon and Cornwall has this month threatened legal action against the NHS because he is forced to hold people with mental conditions in police cells because there are not enough NHS beds. I simply ask the Prime Minister this: if the Government are truly committed to parity of esteem, why is this trust and so many others facing an acute financial crisis at the present time?
The right hon. Gentleman raises the whole question of the interaction between the NHS and police forces. I am very proud of the fact that when I was Home Secretary I actually worked with the Department of Health to bring a change to the way in which police forces dealt with people in mental health crisis. That is why we see those triage pilots out on the streets and better NHS support being given to police forces, so that the number of people who have to be taken to a police cell as a place of safety has come down. Overall, I think it has more than halved, and in some areas it has come down by even more than that. This is a result of the action that this Government have taken.
I agree with the Prime Minister that it is a very good thing for Members to stand up and openly discuss mental health issues that they have experienced, because we need to end the stigma surrounding mental health conditions throughout the country. However, NHS trusts are in a financial crisis. According to NHS Providers, it seems to be the worst financial crisis in NHS history: 80% of acute hospitals are now in deficit. There was a time, in 2010, when the NHS was in surplus. What has happened?
May I offer an analysis from the Care Quality Commission, which seems to have quite a good grasp of what is going on? It says that cuts in adult social care are
“translating to increased A&E attendances, emergency admissions and delays to people leaving hospital, which in turn is affecting the ability of a growing number of trusts to meet their performance and financial targets.”
Will the Prime Minister also address the reckless and counterproductive adult social care cuts that were made by her predecessor?
“our case for the NHS has been heard and actively supported.”
The right hon. Gentleman also raised the question of social care, and the interaction between healthcare and social care. More than £5 billion extra was put into the better care fund in order to deal with precisely those issues, and local authorities are able to raise 2% of council tax to deal with the social care costs that they face. What is important, however, is for the health service and local authorities to work together to ensure that they deliver the best possible service to people who require that social care. I saw a very good example of that at Salford Royal on Monday, and I want to see more examples throughout the national health service, delivering for patients. We have put in the funding, which the right hon. Gentleman’s party would not have done, so that the NHS will receive better care for patients.
Next month, sustainability and transformation plans are going to be published. Many people across the country are quite alarmed by this because of the threat to accident and emergency departments. Will the Prime Minister deal with this issue now by quite simply saying there will be no downgrades and no closures of A&E departments in the statement coming out next month?
I started by asking the Prime Minister about parity of esteem. All this Government have produced is parity of failure—failing mental health patients; failing elderly people who need social care; failing the 4 million on NHS waiting lists; failing the five times as many people who are waiting more than four hours at A&E departments—and another winter crisis is looming. The Society for Acute Medicine has it right when it says that this funding crisis and the local government funding crisis are leaving the NHS “on its knees”.
Thousands of innocent civilians have now been killed by Saudi air strikes in Yemen. Can the Prime Minister assure the House that those civilians have not been killed by Paveway IV missiles partially manufactured in Scotland that are under licence from her Government to Saudi Arabia?
As the right hon. Gentleman knows, we have one of the toughest regimes in the world in relation to arms exports. When allegations arise, we press—I have pressed in the past and my right hon. Friend the Foreign Secretary has pressed—the Saudi Arabia Government to properly investigate the issues and to learn lessons from them.
I have to say to the hon. Lady that one of the important aspects of this is that, over the years, too many people have had concerns that those in positions of power have intervened to stop them getting justice. There were stories around about the inquiry and about individuals related to the inquiry, but the Home Secretary cannot intervene on the basis of suspicion, rumour or hearsay.
The hon. Lady refers to the statement that was made in this House yesterday about information being discussed with a director general at the Home Office. She will also have noted that it was asked that that conversation would be confidential, and it was, as far as I am aware, treated as such. It is important for us to recognise that when the Home Office was officially informed of issues, it acted. It is now for the inquiry to get on and deliver for victims and survivors.
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