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House of Commons Hansard

Commons Chamber

13 September 2017
Volume 628

    House of Commons

    Wednesday 13 September 2017

    The House met at half-past Eleven o’clock


    [Mr Speaker in the Chair]

    business before questions

    New Southgate Cemetery Bill [Lords]

    Motion made, That the Bill be now read the Third time.

  • Object.

    Bill to be read the Third time on Wednesday 11 October.

  • Oral Answers to Questions

    Northern Ireland

    The Secretary of State was asked—

    Political Situation

  • 1. What recent assessment he has made of the political situation in Northern Ireland. [900724]

  • Northern Ireland remains without a fully functioning, power-sharing devolved Government. Our clear and resolute focus is to re-establish devolved government at Stormont. Together with the Irish Government, we are continuing to support the parties’ efforts to find resolution and form an Executive. However, time is short and I urge the parties to continue to work to reach agreement.

  • I thank the Secretary of State for that answer, as I thank him, as I hope would all Members, for his clear determination, commitment and hard work in the cause of seeking a return to the power-sharing devolved Administration we all wish to see. With that in mind, does he share my view that it is vital that all parties in Northern Ireland continue to approach these discussions in a spirit of compromise and co-operation, with our eyes firmly fixed on the need to secure agreement?

  • I agree with my hon. Friend on the intent that we must have and the approach to be taken. Clearly, we will do all that we can to support the parties in the days ahead. The time for action is now. I stress that we are seeing engagement between the DUP and Sinn Féin. I have been encouraged by the nature of the intensive engagement that they have shown, but agreement has not been reached. A high number of issues remain outstanding and we must focus on finding that resolution and seeing devolved government restored.

  • The Prime Minister has been making phone calls, but does she have a date in her diary to make an extended visit to Northern Ireland?

  • The hon. Lady is right; the Prime Minister has been engaged, and she spoke to the party leaders of the DUP and Sinn Féin last night and underlined the need to be constructive in discussions and to find that resolution. She will remain closely engaged and will play whatever role is needed to support and find that positive outcome.

  • While it lacks its 10 political members, the Northern Ireland Policing Board remains severely constrained. Although I hope that my right hon. Friend’s efforts bear fruit, in the event that the Executive are not restored, what contingency plans does he have to enable the Policing Board to function effectively?

  • I welcome my hon. Friend to his place and to his position as Chair of the Select Committee on Northern Ireland Affairs. I wish him and members of that Committee positive and fruitful endeavours in their work and I look forward to giving evidence to his Committee soon. He makes an important point about the important role of the Policing Board. I am not going to speculate about other options. He highlights the significance—the importance—of the issues that are at stake, and why it is so very important to see an Executive restored.

  • The Prime Minister has been in touch with party leaders in Northern Ireland in recent hours and she will have heard from our party leader a total commitment to restoring devolution immediately, with no red lines or preconditions, to get on with the job of dealing with health, education, jobs and investment in Northern Ireland. Can the Secretary of State indicate whether Sinn Féin continues to adhere to the view that these matters are not as important as seeking the fulfilment of partisan political demands, or whether any progress has been made on that front?

  • I welcome the statement that the right hon. Gentleman has made on behalf of his party, and indeed the comments that Arlene Foster has made about seeing that desire to get back into an Executive. I would also point to the comments of Michelle O’Neill, who has said that she believes that, while there are difficulties, a deal is still doable. I would certainly encourage the right hon. Gentleman and his party to engage in the way that they have, and encourage all parties to have that focus on seeing devolution restored.

  • I thank the Secretary of State. Certainly we will continue to engage intensively in those political talks. Northern Ireland needs a devolved Government and it needs its Executive, not least to deal, for instance, with one of the issues on the horizon—jobs in the Bombardier plant in Belfast. I thank the Secretary of State and the Government for the work that they are doing on that already, and I urge him to remain fully committed and involved with us to ensure that those jobs are safeguarded.

  • I say to the right hon. Gentleman that there are a number of issues that would clearly benefit from having an Executive with local decision making by locally elected politicians. He highlights the issue of Bombardier. While this is a commercial matter, as he knows, the UK Government are working tirelessly to safeguard Bombardier’s operations and its highly skilled workforce in Belfast. I remain in close contact with the Business Secretary. He has had extensive engagement with Boeing, Bombardier and the Canadian and US Governments, and the right hon. Gentleman knows about the Prime Minister’s engagement, too.

  • Executive Accountability

  • 2. If he will take steps to ensure that departments of the Northern Ireland Executive are accountable and accessible to the Northern Ireland electorate. [900725]

  • The people of Northern Ireland need a fully functioning Executive where strategic decisions can be made in the interests of the whole community. That is clearly in line with what they voted for in the Assembly election in March and that is the appropriate means to ensure local accountability and accessibility for all the people of Northern Ireland.

  • I thank the Secretary of State for his response. We have Departments that have been rudderless since March, which is six months ago. The accountability that comes with an elected Minister is sadly lacking. If Sinn Féin continues to hold this Government and the people of Northern Ireland to ransom, will the Secretary of State step in to ensure that proper political oversight is provided for each Department, to ensure that accountability and accessibility are back on the cards, and how does he see that taking place?

  • The hon. Gentleman knows that time is running short. There is the lack of a budget in Northern Ireland and that cannot continue for much longer. The more we head into October the bigger the challenges will be. He makes a point about accountability. Obviously, as the UK Government we have a primary responsibility in respect of political stability in Northern Ireland, but I note the point he makes about responses from Departments within the Northern Ireland civil service and I will certainly raise that with David Sterling.

  • While backing British farming both on the mainland and in Northern Ireland, may I ask my right hon. Friend, in the absence of the devolved Executive, what steps he and his Department are taking to ensure that the views of local politicians are being conveyed to Bombardier, Boeing and the Government of the United States?

  • My hon. Friend makes an important point. Our priority is to encourage Boeing to drop its case and seek a negotiated settlement. I note that the leaders of both the DUP and Sinn Féin have issued a joint letter to the vice-president underlining the particular circumstances and the real significance of this matter to Northern Ireland, and I would encourage everyone to play their part in seeking a resolution.

  • While the Secretary of State is trying to square that circle and get the DUP back to work in the Executive, will he acknowledge the opinion of the House of Commons Library that the Brexit Bill is a power-grab from the devolved Administrations? Will the Government he is a part of be asking the DUP Members here to vote to reduce the powers of the Assembly while it is not sitting? Do the other parties elected to Stormont agree with the power-grab?

  • The hon. Lady fundamentally mischaracterises what the EU (Withdrawal) Bill is about. It is about creating UK-wide frameworks to ensure that we have a smooth transition, and I would have thought that was in the best interests of all of the United Kingdom and that everybody should get behind it.

  • Cross-border Security

  • 3. What recent discussions he has had with the Irish Government on cross-border security. [900726]

  • The UK Government have regular discussions with the Irish Government on a range of issues, including cross-border security. We work closely together to tackle security challenges and keep people on both sides of the border safe.

  • Does my hon. Friend agree that, as we leave the European Union, close co-operation with the Government of Ireland on security will be extremely important? Can she assure the House that that will be a top priority in the coming negotiations?

  • Yes—in short, I certainly can. Co-operation with the Irish authorities is already strong. We wish to see that continue. If I may, I will take this opportunity to commend the security services and police on both sides of the border for all that they do to keep individuals safe.

  • The Minister will be aware of the security assessment that the New IRA represents a very real and present threat to security. What discussions have the Government had with their Irish counterparts about that organisation?

  • Obviously, it is not possible to comment on specific assessments and security matters at this moment, but as I said in my previous response, co-operation is very strong across all security matters. We wish to see it continue that way in order to keep people on both sides of the border safe not only from the scourge of terrorism, but from cross-border crime where that is relevant, too.

  • I am grateful to the Minister for her response and I am sure she will join my hon. Friend the Member for Pontypridd (Owen Smith) and me in welcoming Adrian O’Neill, Ireland’s newly appointed ambassador, to London. Will she also speak to Dublin about how it, as a co-guarantor of the Good Friday agreement, can assist in moving the peace process forward? I very much welcome the spirit of her words.

  • There has been close co-operation with the Irish Government every step of the way in seeking to re-establish the devolved Government, which is a common and shared priority. As the hon. Gentleman has said, that spirit is shared not only by Members on both sides of the House, but by the Governments. I am clear, however, that the UK Government have the specific responsibility of delivering public services and good governance in Northern Ireland as part of the United Kingdom. We act consistently in accordance with our obligations under the Belfast agreement and we are not looking for any principle that might be inconsistent with that agreement.

  • Common Travel Area

  • 4. What discussions he has had with the Taoiseach on maintaining the common travel area after the UK leaves the EU. [900727]

  • The Government’s position on Northern Ireland and Ireland affirmed our commitment to maintaining the common travel area. That is supported by the EU, as confirmed in its recent paper on Ireland. I have regular discussions with the Irish Government and know that they, too, are supportive of maintaining the common travel area.

  • Does the Secretary of State acknowledge the warning from Mary McAleese—the former President of Ireland, who was born in Belfast—that maintaining the common travel area in the long term would be impossible, because it is impossible to distinguish between a UK and Irish or any other citizen who holds a CTA entitlement? Does he acknowledge her view that that would inevitably mean border checks and passport control?

  • I point the hon. Gentleman to the paper that the EU itself issued, which said:

    “The continued operation of the Common Travel Area is fundamental to facilitating the interaction of people in Ireland and the United Kingdom…Continuation of the Common Travel Area arrangements, in conformity with European Union law, should be recognised.”

    I encourage the hon. Gentleman to do so.

  • Given that neither Ireland nor the UK is a member of the Schengen agreement, and given that security information is already shared whenever members of the public cross the Irish sea, does that not provide a framework for co-operation between north and south?

  • My hon. Friend highlights the strong co-operation between the Irish and UK Governments in respect of the common travel area. We want that to continue in the future. It has served us well over many decades, which is why our paper highlights its importance. Indeed, I think that the EU itself recognises that too.

  • The Government have produced a thoughtful, imaginative and innovative position paper on the issues of movement of people and goods across the border on the event of exit. Is the Secretary of State therefore disappointed that Dublin Ministers have taken up Sinn Féin calls for a border along the Irish sea, for special status for Northern Ireland and for staying in the customs union, instead of engaging positively with the Government on the proposals?

  • The Irish Government recognise the particular challenges. We encourage all those involved to engage positively and proactively with the position paper we published to encourage further discussion. It has workable proposals and we need to get down to having a detailed discussion on them.

  • In his discussions with the Taoiseach, has the Secretary of State reflected on the fact that the common travel area is based on neither country being in Schengen, and that the real threat to Ireland and the UK would come from a part of mainland UK joining Schengen, for which the Scottish National party keeps arguing?

  • My hon. Friend makes a very important point about Schengen. Our common framework on the common travel area has operated since the 1920s, and the UK, the Irish Government and the EU recognise its significance. We are determined to find a positive way through, and that can be achieved.

  • Northern Ireland Powerhouse

  • 5. Whether the Government have plans to establish a Northern Ireland powerhouse; and if he will make a statement. [900728]

  • This Government fully support business groups and civic leaders collaborating across boundaries to grow local economies. We are committed to doing our part to build prosperity right across the United Kingdom. For example, in Northern Ireland our UK industrial strategy will support business growth, employment and innovation, and boost levels of trade and investment.

  • The north-east has been part of the northern powerhouse brand for some years now without succeeding in obtaining any significant investment. The Democratic Unionist Party on the other hand seems to have managed the opposite trick of receiving £1 billion of investment without any scrutiny, oversight or branding —or at least not one that it would be orderly of me to cite. Does the Minister agree with me that it is far better to have the money without the branding than the branding without the money?

  • I would hope that those on both sides of the House would agree that in every part of the United Kingdom we need to see jobs growth, the growth of key industries and people living a secure and prosperous life. I am pleased to note that this morning it was announced that the Northern Ireland unemployment rate for the May to July quarter of this year has decreased again. I hope that the hon. Lady would welcome that kind of growth. I also hope that she would turn her attention to what she could do to support the economy in her own constituency. [Interruption.]

  • Order. There are plenty of private conversations taking place in the Chamber, but I am very keen to hear the thoughts of Mr David Simpson.

  • Thank you, Mr Speaker. I am sure the Minister agrees with me that when Northern Ireland achieves the status of 12.5% corporation tax, along and combined with our industrial strategy, our skills base and productivity, we would be ripe for a powerhouse initiative.

  • There are two things to say. First, we would like to see additional economic co-operation within Northern Ireland—namely, the possibility of there being city deals. Secondly, the hon. Gentleman’s comments about corporation tax clearly remind us that we need to work towards the restoration of an Executive who can take such decisions for the good of the people of Northern Ireland.

  • Governance and Political Stability

  • 6. What steps he is taking to ensure good governance and political stability in Northern Ireland. [900729]

  • I have pressed the parties on the urgent need to resolve the current impasse in the interests of the entire community and I believe a deal remains possible. Locally accountable government is essential for the delivery of public services, good governance and political stability in Northern Ireland.

  • I thank my right hon. Friend for that answer and his patience and perseverance in restoring the Executive. How concerned is he about the lack of accountability to locally elected politicians of civil servants who are delivering public services in Northern Ireland?

  • I am concerned, because it is not right that we do not have locally elected politicians making decisions and, yes, making sure that civil servants who act to deliver those services are held accountable. That is why we need to see the restoration of the Executive at the earliest possible opportunity, serving all communities, and delivering those public services that people need.

  • Given that we have not had a functioning Northern Ireland Assembly for nine months, why on earth do the 90 Members of the Legislative Assembly continue to receive their full salaries and their full staffing allowance? It is an absolute scandal that that continues to be the case.

  • I certainly hear that message loud and clear. There is no direct way in which I can intervene; there is no legislation that would authorise me to do so. As I said in a speech in Cambridge on Friday, if we were to be in the situation where the UK Government have to make direct directions, that is certainly an issue that I would have to consider.

  • Having heard the hon. Gentleman regularly expostulating from his seat, it would be good to hear him on his feet. Mr Martin Docherty-Hughes.

  • Thank you, Mr Speaker. If the Secretary of State is so perturbed by a perceived lack of good governance in the province of Northern Ireland, perhaps he would like to tell his Back Benchers why he and his Government technically gave £1 billion to an unaccountable executive, led by the DUP.

  • We have recognised the case for the needs of Northern Ireland, where there has been under-investment in infrastructure and mental health issues. I am sorry if the hon. Gentleman does not acknowledge and recognise that. We firmly do, and act in the interests of all parts of the United Kingdom.

  • Brexit Discussions

  • 7. What recent discussions he has had with political parties in Northern Ireland on the UK leaving the EU. [900730]

  • UK Government Ministers have held a number of meetings with Northern Ireland’s political parties about EU exit. However, our priority remains restoring the Northern Ireland Executive, which will enable direct ministerial engagement on matters relating to the UK’s departure from the EU.

  • I thank the Secretary of State for his answer, but people still need food and drink. Six million cases of Baileys and other cream liqueurs are made in Ireland every year. In Northern Ireland, production crosses the border several times, as is the case for most products. What is he doing to ensure frictionless borders for our farmers and for food production, and ensure that Baileys and Guinness get here?

  • I note my hon. Friend’s focus on drinks and her preferred tipple. The agri-foods sector is a key component of the Northern Irish and, indeed, Irish economy. That is why we highlighted it in our position paper on standards with regard to the need for a frictionless border. We have set out those proposals, and we want that engagement with the EU.

  • The Brexit Secretary borrowed a phrase from the Northern Ireland peace process to describe his approach to Brexit negotiations. He called it generously constructive ambiguity, but on the issue of the Northern Irish border we do not need ambiguity. We need certainty, so will the Secretary of State provide some today. Essentially, he has three options: a hard border in Ireland; a hard border in the Irish sea; or maintaining the UK and Ireland in a customs union through political agreement. Which one does he support?

  • I encourage the hon. Gentleman to read our position paper, which sets out the proposals. We do not want a border emerging across the Irish sea. We do not want a hard border, which is why we have set out proposals on the movement of people and goods and, yes, proposals in relation to customs arrangements.

  • It is precisely because I have read the Government’s paper that I ask for clarity. It has to be made plain exactly what the Government are proposing. The Secretary of State knows that a hard border, either in Northern Ireland or in the Irish sea, would be completely damaging to the Good Friday agreement and the economy of Ireland. The only answer is to maintain a customs union, and I urge him to advocate that today.

  • We have been clear about the maintenance of the common travel area, and we have set out two alternatives for the operation of customs arrangements. On the question of clarity, I would encourage the hon. Gentleman to ask for clarity from the Leader of the Opposition, who has been anything but clear about whether his party supports membership of the single market or not. I encourage him to work on his own side to deliver that clarity.

  • Security Situation

  • 8. What recent assessment he has made of the security situation in Northern Ireland. [900731]

  • 9. What recent assessment he has made of the security situation in Northern Ireland. [900732]

  • 14. What recent assessment he has made of the security situation in Northern Ireland. [900737]

  • The threat from Northern Ireland-related terrorism continues to be severe in Northern Ireland, meaning that an attack is highly likely. Our response to terrorism and paramilitary activity is co-ordinated, effective and fully resourced. This Government remain fully committed to keeping people safe and secure and ensuring that terrorism never succeeds.

  • As part of the security review, will the Minister look at the case of Dennis Hutchings and other veterans, who have been hounded and charged in respect of alleged shootings nearly 50 years ago? There is no new evidence, so surely the time has come to restore humanity and natural justice, and bring in some form of time limitation.

  • The Government will always give their fullest possible backing to those brave men and women who have done, and continue to do, an outstanding job serving the community. As part of our work to implement the Stormont House agreement, the legacy institutions will be under a duty to behave in a manner that is balanced, proportionate and fair. We also have the aim of taking cases in chronological order. [Interruption.]

  • I understand the sense of anticipation, but I remind the House that we are discussing the security situation in Northern Ireland. Out of respect for the people of Northern Ireland it would be good if there were some attention to the questions and answers.

  • Will my hon. Friend join me in sending a message of support and thanks to the brave men and women of the Police Service of Northern Ireland who keep us safe in the light of the severe terrorist threat at present?

  • Yes, I certainly do. I send the Government’s thanks and support to every member of the security services and the police force who keeps people safe in Northern Ireland and here.

  • Will my hon. Friend update the House on efforts made through the “Fresh Start” programme to tackle the scourge of paramilitaries, who continue to exert control through fear and criminal behaviour?

  • This Government have committed £25 million of funding to support the Northern Ireland Executive’s tackling paramilitarism programme. However, I return to the point that this reminds us why we need an Executive back up and running to keep people safe, on this most acute of issues.

  • The Minister must be absolutely appalled by the report from the Northern Ireland Affairs Committee on the response by the Government to Libyan Semtex being used to murder people in Northern Ireland and here in GB. Will she commit to meet my colleagues and me to discuss this report and get a fresh start on dealing with this crucial issue?

  • More broadly, this is a matter being taken forward by the Foreign Office, but I would be happy to meet, or indeed to arrange a meeting, with members of the Government to discuss the issues in more detail.

  • Can the Minister tell us what steps the Government are taking to try to reassure communities that it is safe for them to come forward and work with the police? Surely working with communities is one of the best ways to improve the security situation in the whole of Northern Ireland.

  • Yes, is the principal answer. It is crucial that people have the confidence to come forward to the Police Service of Northern Ireland, to ensure a safe and prosperous future for all parts of the community.

  • Prime Minister

    The Prime Minister was asked—


  • Q1. If she will list her official engagements for Wednesday 13 September. [900819]

  • I am sure that the thoughts of Members across the House remain with all those affected by Hurricane Irma, particularly in our overseas territories. I would like to update the House briefly. My right hon. Friend the Foreign Secretary has travelled to the overseas territories to see the recovery work at first hand and assess what more is needed. As I told the House last week, we had a Navy ship pre-positioned in the region and humanitarian experts on the ground to co-ordinate the UK response. Since Thursday Cobra has met regularly to co-ordinate the Government’s response, bringing together military, aid and consular effort, and today I am announcing an additional £25 million to support the recovery effort, further to the £32 million of assistance that I announced last week. We have now deployed over 1,000 military personnel to the region, with an additional 200 to arrive in the next few days, along with over 60 police. More than 40 tonnes of aid has now arrived. I am sure that Members across the House would like to join me in paying tribute to the hard work of the many people, military and civilian, who are doing an incredible job in difficult circumstances.

    This morning I had meetings with ministerial colleagues and others. In addition to my duties in this House, I shall have further such meetings later today.

  • I would like to echo the Prime Minister’s words of sympathy for the families, but especially the children, affected by Hurricane Irma.

    Oxford West and Abingdon has a vibrant local economy, but, reliant on the university, science and car industries, it is set to shrink if we leave the single market and the customs union, risking thousands of local jobs. Is it not time that the Prime Minister was frank with people about the dangers of leaving and allowed them a say when we finally know the full facts?

  • The hon. Lady’s view of what is going to happen when we leave the European Union is not the right one. If she is telling her constituents that, then she needs to think again. She needs to work with the Government to ensure that as we leave the European Union we get the deal that gives us access to the single market and enables us not just to have that access, but to do trade deals around the world and bring prosperity and jobs here to the UK.

  • Q2. Many of my constituents feel that Yorkshire has not had its fair share of the transport infrastructure cake over recent years, especially compared with London and the south-east. Will the Prime Minister therefore promise to significantly increase the proportion of transport infrastructure that is spent in the north generally and Yorkshire in particular in this Parliament? Perhaps my right hon. Friend can start as she means to go on by ensuring that we get the much-needed and long-awaited Shipley eastern bypass. [900820]

  • My hon. Friend never ceases to raise his constituents’ concerns in the House, as he rightly should, and he makes an important point. We are committed to ensuring that the whole country gets the transport infrastructure it needs. I reassure him that that is not about making a choice between north and south. We are carrying out one of the biggest investments in transport in the region for a generation, spending £13 billion—the largest in Government history—on northern transport in this Parliament. On the Shipley eastern relief road, I believe there is a decision to be taken by the local authority. We do want to see such improvements being supported, which is why we have allocated up to £781 million for the West Yorkshire Plus transport fund to deliver local priorities.

  • I share the Prime Minister’s sympathy for all those affected by Hurricane Irma in whichever part of the Caribbean they have suffered. I hope the Prime Minister will be prepared to look carefully at the speed of our response to Hurricane Irma, and that, if demands are made in the next few days or weeks from any country affected, Britain will respond as generously as we can in helping people at what must be the most catastrophic time of their lives.

    The situation facing disabled people in Britain is described by the United Nations Committee on the Rights of Persons with Disabilities as “a human catastrophe”. Does the Prime Minister think it was right that while her Government funded tax giveaways to the richest, disabled people have been hit hardest by the cuts her Government have made?

  • On the UK response to Hurricane Irma, I assure the right hon. Gentleman that it was a speedy one. RFA Mounts Bay was already pre-positioned, as I have said, and it was able to go in immediately to Anguilla to make necessary repairs, such as ensuring that the hospital there could continue to operate. We recognise that the devastation that has taken place means there will be a significant need for reconstruction in those British overseas territories and in other Caribbean member countries and countries in the region that have been hit. There will be a point at which it is right to start the reconstruction work, and we will work with our overseas territories to ensure that those countries and their economies can be brought to life once again, enabling their people to have a good life.

    On disabled people, we have seen during our time in government more disabled people get into the workplace, we have focused support to disabled people, crucially, on those who are most in need, and we have increased the overall support being given to disabled people. The picture that the right hon. Gentleman presents is, again, not a fair one.

  • The United Nations committee says that the Government’s policies have caused “grave and systematic violations” of the rights of disabled people. We have seen punitive assessments and sanctions, cuts to disability benefits, and the bedroom tax that has hit disabled people, 4.2 million of whom now live in poverty. At the weekend, we were told that the public sector pay cap had been dropped. On Monday, the Prime Minister’s spokesperson said the pay cap would continue as planned, and yesterday we were told it was over, yet later we found out that police and prison officers still face a real-terms pay cut. Will the Prime Minister tell us what the position is at midday today?

  • I remind the right hon. Gentleman that we spend more than £50 billion on benefits to support disabled people and people with health conditions. As a share of GDP, our public spending on disability and incapacity is the second highest in the G7. I suggest, therefore, that he thinks again on this matter.

    On public sector pay, I said to the right hon. Gentleman only last week, I think, when questions were raised on the matter, that two further public sector pay review bodies—for prison officers and for police officers—were to report and the Government had to respond to them. They reported and made their recommendations, and as we have accepted the recommendations of the independent pay review bodies across the public sector, we accepted them for those two groups of workers. We also recognise, as I have said to him previously, that we need to balance out protecting jobs in the public sector, being fair to public sector workers, and being fair to taxpayers who pay for it, many of whom are public sector workers. There is a need for greater flexibility as we look at these issues of public sector pay in the future. We will be working on that in the lead-up to the Budget, and the remits for the pay review bodies for 2018-19 will be published in due course.

  • Does the Prime Minister understand that inflation is now 2.9%, so anything less than that means that dedicated public servants are worse off again? They have been made worse off every year for the past seven years. Yesterday, the POA was not impressed either with the 1.7% offer, saying,

    “it is a pay cut. It is not acceptable.”

    As we discovered that prison officers and the police have been offered a slightly smaller real-terms cut in their incomes, there came the news that this would be funded by more service cuts. Can the Prime Minister guarantee that no more police or prison officers will be lost as a result of decisions that she has made this week?

  • What the right hon. Gentleman fails to remind people is that these pay review bodies that have reported and recommended these sums of pay are independent bodies. They make a recommendation to the Government, and the Government have taken those recommendations. He has also failed to mention one or two other things: he has failed to mention the automatic pay increases over and above the 1% that many public sector workers get. Indeed, a calculation suggests that a new police officer in 2010, thanks to progression pay, annual basic salary increases and the increase in the personal allowance, which is a tax cut for people, has actually seen an increase in their pay of over £9,000 since 2010—a real-terms increase of 32%.

  • There are 20,000—[Interruption.]

  • Order. There is far too much noise in the Chamber. We will get through all the questions, however long it takes; it is just a bit tedious if it is disrupted by excessive noise.

  • Thank you, Mr Speaker. There are 20,000 fewer police officers and 7,000 fewer prison officers than in 2010, 43% of police stations have closed in the past two years alone, and police budgets have been cut by £300 million, but the Chancellor is absolutely on the money on this one, literally. Last week, at the 1922 committee, he told Conservative MPs:

    “look at us, no mortgage, everybody with a pension and never had more money in the current account.”

    A Conservative Prime Minister once told Britain it had

    “never had it so good.”

    Now Tory MPs tell each other, “We’ve never had it so good.” Can the Prime Minister tell us what has happened in the last seven years to the average person’s bank account?

  • I am very interested; the right hon. Gentleman is talking about ordinary people and the situation that they face, but this is his fourth question and he has not yet mentioned the employment figures today, which show unemployment at its lowest levels since the mid-1970s, and that employment—people in work; people taking home a wage, a salary, to support their family—is at record levels, the highest levels since records began.

  • The only problem is that more people in work are in poverty than ever before. More are in insecure work, and more rely on tax credits and housing benefit to make ends meet. Consumer debt is rising by 10% as wages are falling. Household savings are lower than at any time in the past 50 years. That is the Conservative legacy.

    A young woman called Aisha wrote to me last week. She says:

    “I have recently graduated from university, with a hefty amount of debt on my head”.

    She goes on—[Interruption.] I really cannot understand why Conservative MPs do not want to listen to this question; however, I will persist. She goes on:

    “However I am scared about the futures of other young people. People who have always dreamed of being nurses no longer want to train to become one.”

    The Prime Minister’s Government, with the support of the Lib Dems, trebled tuition fees. This afternoon, will the Prime Minister take the opportunity to vote against another Tory hike in student fees?

  • Once again, there are a few things about people’s circumstances that the right hon. Gentleman failed to mention—things that the Government have done, such as giving a tax cut to 30 million people. For a basic rate taxpayer, that means £1,000 more in their pocket. That is what sound management of the economy by a Conservative Government delivers for people.

    The right hon. Gentleman talks about delivering for students. Let us talk about delivery and let us talk about promises that are made. He promised—

  • Ah! [Interruption.]

  • Order. There is far too much noise on both sides of the Chamber. I say in all candour and friendliness to the hon. Member for Brent Central (Dawn Butler), who is in a very animated state: I don’t know what you had for breakfast, but I think I ought to steer clear of it.

  • The right hon. Gentleman promised workers that he would protect their rights and on Monday he let them down. He promised students that he would deal with their debt and he has let them down. He promised the British people that he would support Trident and he has let them down. He promised voters that he would deliver on Brexit and he has let them down. What people know is that it is only the Conservatives who deliver a better Britain.

  • The Institute for Fiscal Studies reports that English graduates have the highest student debts anywhere in the world. The poorest students now graduate with an average debt of £57,000. Who is responsible for that situation but the Prime Minister’s party and the Liberal Democrats?

    We are in the middle of an economic slowdown. The Office for Budget Responsibility says that there is a growing risk of recession on the Prime Minister’s watch. Growth is slowing, productivity is worsening, wages are falling, jobs are becoming more insecure, personal debt is increasing, saving levels are falling, and homelessness is rising all over the country. It is forecast that by the end of this Parliament, 5 million children in this country—the fifth richest country in the world—will be living in poverty. Is it not true that not only is our economy at breaking point, but for many people it is already broken, as they face up to the poverty imposed by this Government?

  • I just say to the right hon. Gentleman that, yet again, he failed to mention something on student fees. Who was it who introduced tuition fees? It was not the Conservative party; it was the Labour party that introduced tuition fees.

    Let us look at what has happened in our economy. What do we see? We see record levels of direct investment in the British economy—firms investing in this country because they believe in the future of this country. We also see from today’s employment figures that there are more people in work than ever before. We see more women in work and more 16 to 24-year-olds in work or full-time education than we have seen before. That is what we get with a strong economy.

    What do we know and what do the people know? That the Labour party, with its high debt, high taxes and fewer jobs, would only destroy our economy, as it did last time. We had to sort it out. The only people who pay the price for the Labour party are ordinary working families.

  • Q4. Britain’s countryside—and, I would argue, Charnwood’s countryside —is the most spectacular in the world, because it is cared for by our farmers. Given that today is the National Farmers Union’s Back British Farming Day, will my right hon. Friend join me in recognising the huge contribution that farming makes to our economy and our country? In her clear determination to deliver a Brexit that works for Britain, will she ensure that Brexit works for Britain’s farmers as well? [900822]

  • I am very happy to join my hon. Friend in marking Back British Farming Day and recognising the enormous and important contribution that is made to our economy by the food and farming industry. As he implies in his question, leaving the EU does give us a new opportunity for UK agriculture. We will be able to design policies for our agriculture industry, and our food and farming industry, that suit the United Kingdom, our countryside and our environment, and that can provide better value for the taxpayer. Yes, I am happy to back Back British Farming Day, and, yes, we will make a success of leaving the European Union for our food and farming industry.

  • Since 2007, annual real wage growth in the OECD has been an average of 6.4%. Can the Prime Minister explain to the House how the UK has measured up over the same period?

  • It might be quite interesting if the hon. Gentleman were to tell the House about the economy in Scotland. I seem to recall that the economy in Scotland is not doing as well as—[Interruption.]

  • Order. The hon. Member for Na h-Eileanan an Iar (Angus Brendan MacNeil) should not yell from a sedentary position. I have been doing my best to nurture the hon. Gentleman’s rise to statesmanship, but he thwarts me at every turn. Calm; repose—the statesmanlike behaviour of the Father of the House would be more appropriate.

  • The hon. Member for Ross, Skye and Lochaber (Ian Blackford) should look at what is happening to the economy in Scotland under an SNP Government. An SNP Government are failing the people of Scotland, but the people of Scotland now have a strong voice in this House through our 13 Conservative Members of Parliament.

  • I was under the impression that this was questions to the Prime Minister. If the Prime Minister wants to question the Scottish Government, perhaps she can get Ruth Davidson to ask her question.

    The UK’s record on earnings has been significantly worse than that of almost any other developed country. In fact, real wages in the UK have fallen by 2.6% since 2007. Wages are not growing, the cost of living is rising and household budgets are stretched. The Government can find the money for quantitative easing—£435 billion since 2009—but they cannot find the money for fiscal measures to grow the economy. This is a Government who do not understand how to use economic levers, and our people are paying the price. Will the Prime Minister take responsibility for the Government’s gross mismanagement of the UK economy?

  • I notice that in the hon. Gentleman’s rather lengthy question never once did he record the increase in employment that has taken place across the United Kingdom, as shown by today’s figures.

    The hon. Gentleman started off by standing up and complaining that I had referenced the acts of the Scottish Government. He believes in independence; he believes that Scotland should be run only by the Scottish Government. So I think that the Scottish people deserve to look at, and we in this House deserve to talk about, what the Scottish Government are or are not doing for the people of Scotland. The one thing that I can tell him and others is that the Scottish economy and the livelihoods of the people of Scotland are better off in the United Kingdom.

  • Order. We have some very excitable denizens of the House today. They ought to take some sort of medicament and calm down.

  • Q5. Residents in communities across the Wells constituency have been angered this summer by a seemingly endless stream of illegal Traveller encampments. Will the Prime Minister look at what more the Government could do to help local authorities to close these illegal encampments more quickly and at less cost to local taxpayers? [900823]

  • My hon. Friend raises an important issue, and it is not unique to his constituency; it is felt by many Members across the House. We are concerned about unauthorised encampments and the effect when they leave communities. A wide range of powers is available to local authorities and the police, and we want to see them working together and with local landowners. We do keep these matters under review, and I am sure my right hon. Friend the Communities Secretary will be happy to meet my hon. Friend to discuss them.

  • Q3. Four years ago, after the death of her mother, my constituent Elissa became the sole carer for her three siblings. Now her eldest sister has gone to university and Elissa has had a child of her own, but despite saving the state hundreds of thousands of pounds in care costs, she is ineligible for the Sure Start grant and for child tax credit. This is an anomaly for kinship carers. Will the Prime Minister today commit to reviewing this ahead of the autumn Budget? [900821]

  • Obviously there are certain rules in place for these situations, but the hon. Lady raises a situation with various aspects to it. May I suggest that she writes to me about it, and I will look at the detail that she has set out?

  • West Midlands Economy

  • Q8. When she next plans to meet the Mayor of the West Midlands to discuss the economy of that region; and if she will make a statement. [900826]

  • I would be happy to meet the new Conservative Mayor of the West Midlands when my diary allows.

  • I am very encouraged to hear it. Last week, in the face of stiff competition, Birmingham defeated Liverpool’s brilliant submission and won the Commonwealth games bid for the west midlands, which is excellent news for the economy not only in Birmingham but in the greater west midlands, including Lichfield. Will my right hon. Friend speak to the Chancellor—I see that she is sitting next to him—to ensure that he backs the bid as well, and then bat for Britain to ensure that Birmingham wins the Commonwealth games over Kuala Lumpur?

  • I am grateful to my hon. Friend for his question. I have noticed that he is apparently shortly to appear on a Channel 4 programme called “Celebrity First Dates”. What I am not sure about is whether he is the celebrity or the first date—maybe he can tell us about that.

    My hon. Friend raises the issue of the Commonwealth games. Obviously their being hosted in the UK in 2022, in Birmingham, would present a unique opportunity for the west midlands, and it would of course promote global Britain across the Commonwealth. The next step is for Birmingham to demonstrate value for money in its bid, but subject to that, I have no doubt that Birmingham will continue the UK’s rich history of hosting successful sporting events.

  • Engagements

  • Q6. Crime involving mopeds and bikes has soared across the country in recent years. Given that yesterday’s unfunded real-terms pay cut to the police will actually cost us more frontline officers, may I suggest to the Prime Minister that the very least she can do is to change the law to protect police officers if they are driving according to their training and experience when pursuing people and responding to blue-light situations, and send a message from this House that no force should be operating a blanket no-pursuit policy? The police protect us every day. Is it not high time that the Prime Minister protected them? [900824]

  • First, I agree that there should not be blanket no-pursuit policies in place, but obviously each chief constable will make operational decisions for their own force.

    The first issue that the hon. Lady raised—crimes relating to mopeds in particular—has been recognised. She says that this is an issue of funding. It is not an issue of funding; it is an issue of how we respond to those crimes. I am pleased to say that my hon. Friend the Policing Minister held a roundtable on exactly this issue yesterday to look at how we can ensure that the police are responding fully to it.

  • Q15. I would like to thank the Prime Minister, because she put me in touch with her powerhouse Minister and we are now looking at getting an enterprise zone in Heysham in my constituency. Ever having a big wishlist, however, may I ask the Prime Minister whether she can help me in any way possible with my ongoing campaign to get the third nuclear power station in Heysham—the tentatively named Heysham 3—built more quickly? [900833]

  • Once again, my hon. Friend is campaigning tirelessly for his constituency. I welcome his efforts across a number of issues which he referred to. We do need affordable, clean energy to keep the lights on in the decades ahead, and he is absolutely right that nuclear energy is an important part of our energy mix. In regard to the particular site, I believe there is land next to the existing Heysham nuclear power station, which is one of the eight sites in the UK that has been designated for new nuclear build.

  • Q7. The House and the Prime Minister will remember the case of my constituent, Lola Ilesamni, whose daughter is under threat of female genital mutilation from Lola’s abusive ex-partner. I want to thank “Channel 4 News” and Cathy Newman for breaking the story, and the Prime Minister for intervening and granting an 18-month reprieve. Lola now has a temporary right to work, but no recourse to public funds if she cannot find a job. That wee girl and her family need long-term certainty. Will the Prime Minister look again at that case and allow Lola and her family to stay in Livingston in the long term? [900825]

  • The hon. Lady is right. She has raised that case before, and I understand that the Immigration Minister was in touch with her. I can confirm that, following a comprehensive and rigorous review, Ms Ilesamni has now been granted leave to remain in the United Kingdom, as the hon. Lady set out.

    I want to say something about the issue of female genital mutilation, which the hon. Lady raised. She talked about her concern about the threat that Lola’s daughter might be facing. FGM is an absolutely abhorrent crime. The Government have done a lot to deal with it, but we cannot tolerate that practice. Our work to tackle FGM is an integral part of our strategy on violence against women and girls, which we published in March last year. We all accept that we need to do more to ensure that young girls are not subject to this horrific abuse.

  • Does my right hon. Friend agree that the Labour party’s cynical attempt to block the European Union (Withdrawal) Bill on Monday shows that it is still interested only in playing party politics, rather than delivering the best deal for our future, which is what my constituents and the majority of this country want to see?

  • My hon. Friend is absolutely right. Most people in this country want to see the Government doing what we are doing, which is getting on with the job of delivering the best deal for Britain from Brexit. There was a certain amount of noise from the Opposition when I said earlier that the Leader of the Opposition let workers down by failing to protect their rights on Monday, but that is exactly one of the issues in the Bill. It is about bringing workers’ rights that are contained in EU legislation into the UK, and he voted against it.

  • Q9. As the Prime Minister was visiting survivors of the Manchester terror attack, families who were heartbroken to have lost their children were also in the vicinity, but the Prime Minister did not visit them. Chloe Rutherford and Liam Curry from South Shields tragically lost their lives, and their parents feel ignored by the Prime Minister. I wrote to her seven weeks ago with their concerns, but she has failed to respond. When will she properly acknowledge their loss? [900827]

  • The hon. Lady raises an important issue. I am not aware of her letter, so I will of course look today to see why she has not received a response. I can only apologise to her for the fact that she has not yet received a response.

    I acknowledged at the time, and I continue to acknowledge, that the attack in Manchester damaged lives in many ways. There are those who were injured and are living with the consequences of their injuries, those who lost loved ones—relatives or friends—and are affected by that, and those whose lives were sadly cut short at all too young an age. We must all ensure that we are providing support for the victims and that our authorities—police authorities and agencies—have the power to prevent attacks in the future. I will look into the issue of the letter because, as I said, the hon. Lady should have had a response already. I am sorry that seven weeks have gone by without her receiving one.

  • Following our successful Offshore Europe exhibition last week in Aberdeen, can the Prime Minister assure me and my constituents that support for the oil and gas industry will be at the heart of the industrial strategy so that we can maximise economic recovery in the North sea? Does she agree that the biggest threat to the industry would be the instability of a second, divisive independence referendum?

  • My hon. Friend is absolutely right. We have already given significant support to the oil and gas industry. I was pleased, some months ago, to visit Aberdeen and to visit the technology centre for the oil and gas industry. It is doing really interesting work looking not just at existing fields but at decommissioning work and how it can export its knowledge and expertise across the world. He is absolutely right that what people and businesses want is the certainty of knowing that Scotland will remain in the United Kingdom and that there will not be a second independence referendum.

  • Q10. Cambridge parents tell me that when young people returned to schools and colleges last week, in some cases they found that almost half the cooks and cleaners had gone. Cambridge News reports that pubs in the area will not be able to serve food, because they cannot find the skilled staff to do it. Is it not ironic that taking back control is a further blow to the great British pub? Will the Prime Minister tell us what plans she has put in place to help institutions deal with this chronic and acute sudden shortage of labour? [900828]

  • The hon. Gentleman talks as if there is no longer net migration into this country, whereas, of course, there is net migration into this country. People are coming here to take on work. The wider issue, which the Government are dealing with, as we have seen from some of the announcements made by my right hon. Friend the Secretary of State for Education, is making sure that young people in the United Kingdom get the training, skills and technical education they need to be able to take on the skilled jobs of the future.

  • Today is World Sepsis Day. Sepsis claims at least 44,000 lives a year in the UK and earlier this year I almost became part of that tragic statistic. Will the Prime Minister look at what more the Government could be doing to support awareness-raising programmes, so that we can catch sepsis more quickly, treat it more effectively and save more lives?

  • I am sure I echo the feelings of everybody across the whole House in saying that we are pleased my hon. Friend managed to battle sepsis, come through and win that particular fight. I commend him for his recovery. I commend all those who supported him in that fight and in that battle, including the excellent medical staff who provided him with the care he needed. He is absolutely right. The estimate is that 10,000 deaths a year could be prevented by better and earlier diagnosis of sepsis. We need to get better at spotting it and at raising awareness. We will be publishing a new sepsis action plan for the NHS. A NICE quality standard is due to be published this week. NHS England will also publish guidance to further support frontline staff.

  • Q11. At the last census, there were 3,000 Aberdonians who said that they were born in Nigeria. Recently, the UN human rights office reported concerns about threats to the Igbo people in northern Nigeria. The Foreign Secretary recently visited the country. Will the Prime Minister tell me what her Government are doing to encourage the communities there to live in peace? [900829]

  • We make efforts across a number of fronts and we are providing support to Nigeria in a variety of ways. As the hon. Lady says, there is a significant diaspora with Nigerian connections and heritage in the United Kingdom. She is right that the Foreign Secretary visited Nigeria. We continue to work with Nigeria. It is important to work with Nigeria on the state of its economy to ensure that communities across Nigeria can feel stability and security for the future.

  • Yesterday, the shadow Justice Secretary refused four times to condemn illegal strike action. Labour’s biggest union paymaster seems to agree. Such illegal action would cause misery for millions of people across the country. Will my right hon. Friend join me in condemning illegal action? Does she agree that it is the Conservatives who understand that this great country was built on the principles of democracy and the rule of law?

  • I thank my hon. Friend for her question. She is absolutely right. I was struck to see this week that Len McCluskey—or perhaps Mahatma, as his friends call him—had said that if they need to act outside the law, so be it. I have to say that I join my hon. Friend. On the Conservative Benches we are very clear: we condemn illegal strikes. We condemn action outside the law. The people who suffer from illegal strikes are the ordinary working families who cannot get their children to school, who cannot access the public services they need, and who cannot get to work. Once again, the price of Labour is pain for ordinary working families.

  • Q12. Owing to recent changes to maternity services in my constituency, a vastly increased number of pregnant mothers are having to make a more than 200-mile return trip to give birth. One can imagine how dangerous that is in the depths of a highland winter. While I recognise that this is a devolved matter, may I nevertheless ask the Prime Minister for advice about how I can help to sort out this desperate situation? [900830]

  • The hon. Gentleman, who is obviously right to speak up on behalf of his constituents in the highlands, points out that health matters are devolved to Scotland, so of course it is for the Scottish Government to make full use of their powers to deliver the healthcare services that people in Scotland deserve. People in Scotland will be sorry that their SNP Government are failing to deliver for them in relation to health services. This week we marked the 20th anniversary of the vote to create the Scottish Parliament, so it is particularly notable. I welcome him to his place in the House, however, and wish him the best in his efforts. Standing up and mentioning in this House the failure of the Scottish Government is part of the answer to his question.

  • The widow of our murdered colleague Ian Gow has expressed dismay and disgust that hundreds of former soldiers face reinvestigation—yet again—over incidents that occurred 40 years ago, while her husband’s suspected killers walk free. Will the Prime Minister now introduce legislation for a statute of limitations, coupled with a truth recovery process, finally to put an end to this grotesque situation, as she is perfectly able to do?

  • I say first to my hon. Friend that the overwhelming majority of our armed forces in Northern Ireland served with great distinction, and we owe them a huge debt of gratitude for what they did. As part of our work to implement the Stormont House agreement, we will obviously ensure that the new legacy bodies are under legal obligations to be fair, balanced and proportionate. This will make sure that our veterans are not unfairly treated and will recognise the fact that 90% of the deaths in the troubles were caused by terrorists, and we should never forget that. Our focus, however, is on ensuring that the investigative bodies responsible for looking at deaths during the troubles operate in a fair, balanced and proportionate manner.

  • Q13. Today is also Back Welsh Farming day, and National Farmers Union Cymru estimates that agriculture contributes 60,000 jobs in Wales and £500 million a year. How will farming be able to continue that contribution once the International Trade Secretary opens up domestic markets to lower-standard food while simultaneously losing unrestricted access to our main export market? [900831]

  • As I have said, I support Back British Farming day, and obviously I back farmers in Wales as well—I was pleased in recent months to sit down and talk to farmers in Wales. We are looking to leave the EU with a good trade deal that enables trade to continue on as friction-free and tariff-free basis as possible, and that will be good for Welsh farmers. There are opportunities, however, for Welsh farmers to export to the rest of the world, and we want to ensure those opportunities through our trade deals with the rest of the world.

  • Tomorrow, I will have the great honour and privilege of hosting in this place a celebratory event marking the 50th anniversary of the Multiple Sclerosis Society. We will welcome partners from across the world who have come together over that half century to tackle and defeat that pernicious condition. May I invite my right hon. Friend, as Prime Minister, to send her good wishes to the MS Society internationally as we celebrate this important milestone and to commit the Government, as they have done over the past few years, to work across Departments to ensure that those with MS have the maximum support and encouragement to get back into work, which so many of them wish to do?

  • I thank my hon. Friend for raising this issue, and I am happy to join him in sending our best wishes to the MS Society. I know from my own family of the impact that multiple sclerosis can have. Society campaigns tirelessly for people with MS, and I am very pleased that my hon. Friend is hosting a reception to mark this important milestone.

    We have seen progress over the past 15 years. The Department of Health has made funds available for neurological research, which, of course, includes research on MS. As my hon. Friend says, however, it is not an issue just for the Department of Health. It is important to try to help people with MS back into the workplace—which we are doing in the Department for Work and Pensions—because many of them want to continue to be in the workplace and to provide for themselves and their families.

  • Q14. Four years after teenager Christina Edkins was tragically killed by Philip Simelane, a man who was acutely ill with psychosis and had only recently been released from prison, the chair of the independent panel has expressed extreme concern about the fact that vulnerable prisoners are still being released without adequate support. Will the Prime Minister make it an urgent priority to ensure that we guarantee that there is proper support, proper continuity of care, and the sharing of information between prisons and mental health services to reduce the risk of another tragedy taking place? [900832]

  • The right hon. Gentleman has raised a very important matter. He has campaigned long and hard on mental health issues, and has made a huge contribution in doing so.

    The issue of the relationship between health services and prisons is long-standing. Efforts have been made, and there has been some progress in improving that relationship—in the context of the responsibilities of the Department of Health and the national health service in prisons—to ensure that cross-cutting action of exactly that sort can be taken; but we will, of course, continue to look at the issue.

  • It is an honour every day to work alongside some incredibly talented female Members of Parliament on both sides of the Chamber. This afternoon there will be a Westminster Hall debate on women in Parliament. What does the second female Prime Minister believe should be done to bring even more talented women into Parliament?

  • I am very pleased, because I think that my hon. Friend is playing his own role—[Interruption.]

  • Order. Let us hear the answer.

  • I think that my hon. Friend is playing his own role in supporting Women2Win, the organisation in the Conservative party that encourages women to see Parliament as a career and to gain the expertise and the skills that will ensure that they sit on these Benches. I am very pleased to see the increased number of Conservative MPs who are women. As a party, we will continue to support women coming into Parliament, and, through the excellent role models that we have of Conservative Members of Parliament, encourage more of them to come forward.

  • Can the Prime Minister explain the logic behind treating European fruit-pickers and cleaners as an economic threat, while at the same time being completely relaxed about European ownership and control of the railways, the water system and the electricity companies, and, indeed, about last week’s takeover of one of Britain’s few remaining technology companies, Aveva? Is this not a case of being biddable to big business, but paranoid about people?

  • We are very clear, in relation to immigration, that we want to welcome the brightest and best who wish to come to the United Kingdom. We have rules for people from outside the EU, and we will be able to have our own rules for people coming from inside the EU.

    I congratulate the right hon. Gentleman on his election to the leadership of his party. He and I, of course, worked together during the years of the coalition, although we did not always agree on absolutely everything. However, in raising the issue of our relationship with Europe, he said something with which I did agree: that a second EU referendum would be

    “seriously disrespectful and politically utterly counterproductive”.

    I was therefore rather disappointed to hear that he has now reversed his position and backs a second referendum; but perhaps it is not unusual for a Liberal Democrat to say one thing before an election and another after it.

  • Point of Order

  • On a point of order, Mr Speaker. Further to the earlier remarks of my right hon. Friend the Member for Islington North (Jeremy Corbyn), I seek your advice on how to elicit a response from the Government on the question of the UN Committee on the Rights of Persons with Disabilities and its report of 31 August. I wrote to the Secretary of State on 5 September, calling on him to come to this House to debate the UN report, but to date have not received any response from him. Obviously, the House rises tomorrow and I am again concerned that the Government have not been held to account on this very important issue. As you know from the earlier remarks, Mr Speaker, the UN describes this as “a human catastrophe”. Have the Government given you any indication as to when they might report to the House? May I also seek your guidance on how to ensure that this House is the first place to hear of how the Government intend to take forward the Committee’s detailed recommendations?

  • I am most grateful to the hon. Lady for her point of order. The short answer to her particular inquiry is that I have received no indication from any Minister of an intention to make a statement on this matter. However, I note what the hon. Lady has told me, and I am conscious of, and sensitive to, the fact that the House will cease to sit tomorrow for the period of the conference recess, and therefore I understand the rationale behind the hon. Lady raising the matter with some sense of urgency today. My response to her is to say, first, that an attempt could usefully be made at business questions tomorrow to elicit from the Government their thinking as to whether, and, if so, when, they intend to broach this matter in the House. My secondary suggestion is that if that does not bear fruit, it is open to the hon. Lady as soon as we return from the conference recess to seek to raise the matter, and if she thinks she can justify doing so, to do so on the basis that it is by then demonstrably urgent.

  • Carbon Monoxide (Detection and Safety)

    Motion for leave to bring in a Bill (Standing Order No. 23)

  • I beg to move,

    That leave be given to bring in a Bill to make provision about requirements for carbon monoxide detectors; to make provision about carbon monoxide safety; and for connected purposes.

    Carbon monoxide is a killer. In recent years, more than 25 people have been killed each year in carbon monoxide-related incidents and hundreds of people have been hospitalised—264 last year—and the figures I have seen show that approximately 4,000 people go to A&E each year with symptoms of carbon monoxide poisoning. We have a problem, and it is a serious problem; in fact, it is a fatal problem. That should not be the case in the 21st century, because it is almost entirely preventable. We should make this “silent killer” history.

    Nearly three months ago, on 14 June, at least 80 people tragically lost their lives in the Grenfell Tower fire. I believe the first hearing of the public inquiry into the fire will be held tomorrow, with an interim report expected by Easter 2018. I am sure there will be many opportunities in future for Members to contribute to the debate and the subsequent changes in legislation that will no doubt follow. But Grenfell serves as a reminder that we need to improve safety across the board for all residents across both the public and private housing sectors, and to design out any weaknesses. That is why I took this early opportunity to secure one of the ten-minute rule Bill slots at the start of this Parliament.

    Carbon monoxide poisoning is predominately a matter of housing safety, and I have no doubt that the improvements to current legislation proposed by my motion will contribute to a reduction in the number of unnecessary deaths each year due to carbon monoxide poisoning. The stories associated with these deaths are heart-rending.

    For example, I have been contacted by Avril Samuel of the Katie Haines Memorial Trust. On 12 December 2009 Avril’s daughter Katie had the happiest day of her life when she married Richard Haines at the church of St Mary the Virgin in Gloucestershire. Katie had planned the day down to the minute and everything went to plan. They honeymooned in Brazil and Argentina before returning to settle into a happy married life. But Katie’s life was tragically cut short just a few months later on the evening of 18 February 2010 when she died of carbon monoxide poisoning. Her husband Richard and father-in-law Gordon were also poisoned, but, thankfully, survived. The Katie Haines Memorial Trust was founded by Katie’s husband Richard and her family to promote awareness of the dangers of carbon monoxide, and in time to support other charities that would have been close to Katie’s heart.

    I have also spoken to Project SHOUT, which was created following the death of Dominic Rogers, whose mother Stacey bravely tells Dominic’s story on the Project SHOUT website. On a night like any other, Stacey kissed her 10-year-old son goodnight, told him she loved him and went to bed. The next morning when she went into his bedroom, she found him cold and face down. Following an investigation, it was announced that he had died from carbon monoxide poisoning, that the carbon monoxide had seeped through the brickwork from the neighbouring property, and that Dominic would have been overcome by the poisonous fumes within five minutes.

    Even one of my staff has shared with me a story of a friend of theirs who moved into a brand-new home just a couple of years ago: brand-new boiler, up-to-date building standards, and ticked all the building reg boxes, but there was a problem, and no one spotted it, because carbon monoxide is undetectable to human senses. A young mother and her child started to get headaches and to feel unwell, and ended up in their local A&E department. It turns out there was a fault with the boiler and they had carbon monoxide poisoning. That would have been completely detectable and preventable if a carbon monoxide detector costing less than 15 quid had been installed.

    I firmly believe that not only should carbon monoxide detectors be mandatory in new-build properties, but they should be installed in all rented properties, including social housing and those in the private rented sector. We should be designing this problem out.

    However, we also need to ensure that people are fully aware of the risks associated with a gas that people cannot see, smell or taste, because any fuel-burning appliance that is not properly maintained has the potential to be a source of carbon monoxide. This is why I am also proposing that fire authorities have an explicit duty to promote carbon monoxide safety. That would not be an additional strain on the public purse, but would make current best practice by many forces enshrined in law.

    The timing of the presentation of this motion is fortunate given that today sees the launch of gas safety week. The promotional material for this event includes an assertion that we should check gas appliances for warning signs that they are not working properly. These include a lazy yellow flame instead of a crisp blue one, black marks or stains around the appliance, and too much condensation in the room. The material also reminds people of the six signs of carbon monoxide poisoning: headaches, dizziness, breathlessness, nausea, collapse and loss of consciousness. People can see a short video of one survivor’s account of her symptoms on the website of the Carbon Monoxide and Gas Safety Society. I am very grateful to Stephanie Trotter OBE, the president and director of that organisation, for the help and support she has given me. In fact, I welcome all of the work done in promoting this seventh annual gas safety week, and I hope that many Members from all parties will promote the event enthusiastically across all media platforms.

    But it would be remiss of me not to acknowledge the work that has already been done recently to improve legislation relating to gas safety. Prior to 2015 there was no statutory requirement on private landlords to install either smoke detector alarms or carbon monoxide detector alarms in their properties. The Government have addressed that, following consultation, via the Smoke and Carbon Monoxide Alarm (England) Regulations 2015, which came into force on 1 October 2015. These regulations require that smoke alarms be installed on every storey of a rented property and that carbon monoxide detectors be installed in any room housing a solid fuel combustion appliance. These changes are of course welcome, but they do not go far enough in helping to prevent unnecessary deaths from carbon monoxide poisoning.

    To mark the start of carbon monoxide awareness week in 2011, Professor Dame Sally Davies, the chief medical officer for England, said:

    “Carbon monoxide is a silent killer which leads to many deaths every year…We can all prevent these avoidable tragedies by making sure gas and fuel appliances are properly installed and maintained and fitting an audible carbon monoxide alarm that meets European Standard EN 50291.”

    Six years later, this advice is still valid. Some devolved nations have already changed legislation to ensure that residents are protected by the presence of carbon monoxide detectors. In Northern Ireland, carbon monoxide alarms are a mandatory requirement for all new homes built since 31 October 2012, after a change to the building regulations there. In Scotland, landlords have been required to install a carbon monoxide detector in every space containing a fixed combustion appliance since 2015. We should embrace some of this best practice. Big international cities such as New York also have similar carbon monoxide laws. Now is the time to enshrine that protection in English law.

    I understand that many prefer to leave such matters to individuals, so that people can make choices for themselves rather than being compelled to action by an overbearing state. In general, I would wholeheartedly agree, but this will not involve loads of new red tape or piles of regulation that will end up becoming an annoyance. It involves three simple things we can do as a society to prevent needless deaths and raise awareness. If we intend to ensure that the lives lost in Grenfell Tower serve to prevent others from losing their lives in the future, we need to carefully consider all options for keeping people safe in their homes—the place where they have a right to feel most safe and secure. This should include protection from carbon monoxide. In a hung Parliament, it is even more important that MPs work cross-party to get things done, and I hope we can all unite in trying to stop deaths from this silent killer. Thousands visit A&E every year with symptoms of carbon monoxide poisoning, hundreds are hospitalised and many die. Let us take this opportunity to do something about that.

    Question put and agreed to.


    That Eddie Hughes, Michael Tomlinson and Mr Barry Sheerman present the Bill.

    Eddie Hughes accordingly presented the Bill.

    Bill read the First time; to be read a Second time on Friday 19 January 2018, and to be printed (Bill 107).

  • That will be a fine day, because it will be my 55th birthday.

  • Opposition Day

    [1st Allotted Day]

    NHS Pay

  • I beg to move,

    That this House notes that in 2017-18 NHS pay rises have been capped at one per cent and that this represents another below-inflation pay settlement; further notes that applications for nursing degrees have fallen 23 per cent this year; notes that the number of nurses and midwives joining the Nursing and Midwifery Council register has been in decline since March 2016 and that in 2016-17 45 per cent more UK registrants left the register than joined it; and calls on the Government to end the public sector pay cap in the NHS and give NHS workers a fair pay rise.

    This is the first Opposition Supply day for six months, and it is my pleasure to bring a motion to the House on lifting the public sector pay cap. In the past 24 hours, the Government have been briefing that the pay cap has ended. The Chief Secretary to the Treasury has said that Ministers now have “flexibility” when setting pay above 1%. If—and it is a big “if”—that flexibility means lifting the cap for the whole public sector and giving public sector workers a fair pay rise above inflation, which stood at 2.9% yesterday, that will be a victory for the Labour party, for the Leader of the Opposition, for the Royal Colleges, for the trade union movement, for the MPs of all parties who signed the early-day motion and, above all, for the millions of public sector workers who have campaigned for fair pay. That flexibility that the Chief Secretary to the Treasury has talked about must mean giving NHS staff fair pay as well.

    What a climbdown this represents for the Prime Minister! The House will recall that, in the general election campaign, she showed the deftness of touch that has come to characterise her dismal, beleaguered premiership by dismissing the heartfelt concerns of a nurse, saying that there was no “magic money tree”. It is funny that the money was there when the Conservatives needed the votes, though.

  • May I tell my hon. Friend about Neil Thompson, a district nurse from Eastwood in my constituency? He has told me:

    “I didn’t expect, after 40 years in the NHS, to be as poor now as when I first started out.”

    How can that be just?

  • My hon. Friend is right to raise that point. It is not just, which is why the Labour party has consistently campaigned to get rid of the cap. The Conservatives have voted against getting rid of it when we have brought motions on this issue to the House.

    Given that the Government are now briefing that the cap is being abandoned, I trust that they will accept the motion in the name of the Leader of Opposition and myself and not divide the House later today. If they are indeed abandoning the cap, let us put them on notice that it must apply to the whole public sector, including the 55% of workers not covered by pay review bodies. We also put them on warning that we will not accept a divide-and-rule approach that plays one set of public workers off against another. Nor will we let Ministers get away with presenting below-inflation pay offers as amounting to a fair pay rise when that is still, in effect, a pay cut.

  • My hon. Friend is making an excellent beginning to his speech. What is his view of the impact of this crucial question on recruitment and retention in our hospital trusts?

  • My hon. Friend is right to raise that point. I shall go on to explain that the pay cap is at the heart of the recruitment and retention crisis that is now facing the national health service.

  • Does my hon. Friend share the shock of GPs and NHS staff when they learned that, while frontline staff were limited to a 1% pay rise, the governing body of the Liverpool clinical commissioning group gave themselves rises of between 15% and 81%? None of the regulators noticed this, including NHS England and NHS Improvement, and it all took place under the nose of the Government. This shows that there is one rule for the bosses and another for the workers.

  • My hon. Friend is absolutely right. She has been determined in her pursuit of this issue and I know that that will continue.

  • I will make a little progress now, if I may. I promise I will take more interventions later.

    I say directly to the Chief Secretary to the Treasury, who will be responding to the debate later, that if Ministers are given flexibility to set pay rates, and if the pay cap has indeed been abandoned, she also needs to grant the NHS the funding that it needs. The NHS is underfunded and it is going through the biggest financial squeeze in its history. On the published figures, head-for-head NHS spending will fall in the next year. Hospitals are in deficit, waiting lists are at 4 million, the A&E target is never met and the 18-week target has been abandoned. Hospital bosses are warning that there will not be enough beds this winter. Last winter, hospitals were overcrowded, ambulances were backed up and social care was at a tipping point. Some even characterised it as a humanitarian crisis. It is not good enough for the Chief Secretary to the Treasury just to grant “flexibility” and expect hospitals to fund a staff pay increase from existing budgets.

  • If the hon. Gentleman does not get the increases he would like, will he support co-ordinated illegal action?

  • The Labour party supports people taking legal industrial action, and if the hon. Lady supports public sector workers, she should be joining us in the Division Lobby later.

  • Does the hon. Gentleman agree that the pay restraint over the past few years has been uncomfortable but necessary, in order to bring Government spending—[Interruption.]

  • None of us would want anyone to be paid any less, but it has been difficult but necessary, in order to control the overspending by Government and put right the financial mess that the country was left in after the last time the hon. Gentleman’s party was in government.

  • I agreed with the hon. Lady’s comments at the time of the debate on the Gracious Speech, when she said:

    “I’m of the view we need to look at public sector pay in the light of increasing inflation.”

    If those were her comments then, she should be joining us in the Division Lobby this afternoon.

  • I will let the hon. Member for Wells (James Heappey) in because he has been very persistent, but first let me make some progress.

    It is not good enough for the Chief Secretary to grant the Secretary of State flexibility and not grant him the funding that the NHS needs. Overcrowded, overstretched hospital trusts cannot be expected to absorb pay rises from existing budgets. We need extra investment now to give the staff the fair pay they deserve.

  • Will my hon. Friend give way?

  • Let me make a little bit of progress, and then I will give way.

    Over the past seven years, a public sector worker on the median public sector wage has seen the value of their wage drop by £3,875. That is more than the cost of feeding the average family for a year. Given what we know about inflation, on the figures published yesterday and on the Treasury’s own inflation forecast, if this cap was to remain in place until the end of the Parliament, a public sector worker on the median wage since 2016 will have seen their pay drop by at least another £2,200.

  • The Chief Secretary says it is not true. These amounts are based on her own Treasury figures.

  • The shadow Minister has been very generous in giving way. May I be helpful and invite him perhaps to revise his earlier statement that the pay rise should be universal across the public sector? Surely that would advantage those in more senior, management positions, who would disproportionately benefit from such a pay rise, and perhaps actually the Government’s position of offering Ministers flexibility to increase pay where there is a clear need is a much better proposal than the universal pay rise that would only benefit fat cat managers.

  • There we have it—the Conservative party playing one part of the public sector off against the other. We believe the whole of the public sector deserves a pay rise.

  • In my constituency, NHS staff are having to rely on food banks in order to be able to eat. A constituent, an ambulance technician who transports critically ill children across the country, told me that she does not have nearly enough money to live on. Does my hon. Friend agree that this is a disgrace?

  • It is a shocking disgrace, which is why the Labour party has consistently campaigned to get rid of the pay cap; it is why, in our manifesto, which we took to the British people a few months ago, we said we would get rid of the pay cap, and why it is absolutely disgraceful that Conservative Members stood on a manifesto to keep the pay cap.

  • Mandy McKeown’s son Liam died seven times. He survived, thanks to the dedicated work of neonatal intensive care nurses. Tracey, who came to Parliament last week, spoke of having suffered a 14% cut in pay, two-thirds of her fellow nurses taking second jobs and a haemorrhage of nurses from the profession that they love. Does my hon. Friend agree that it is utterly shameful to treat those to whom we owe the difference between the life and death of sick babies in this way?

  • My hon. Friend has spoken incredibly powerfully about that case and he is quite right to say it is shameful.

  • The hon. Lady has often spoken out on this matter, so I feel I should take her intervention, but then I will make progress, if the House will indulge me.

  • It is generous of the hon. Gentleman to give way. As he says, I support the lifting of the pay cap and I am pleased that the Government are moving on this. My concern about supporting this motion is that Labour do not seem to have learned the lessons from crashing the economy in the first place. Could he outline what level of pay rise the Labour party is proposing for public sector workers—1.5%, 2% or 3%—and how it will be paid for? That is crucial to influencing the voting intentions of Members like me.

  • I have a huge amount of respect for the hon. Lady; we have had conversations outside the rough and tumble of this Chamber, and I know she takes these matters extremely seriously. I would ever so gently say to her that she has been telling newspapers that she supports getting rid of the cap; she has been hosting nurses in Parliament, saying that she would get rid of the cap; well, this evening she has an opportunity to take a stance, ignore the Tory Whips and vote for getting rid of the cap.

  • In this debate, we must be honest with the British public about how we are going pay for the lifting of the pay cap. If Labour wants to lift the pay cap, can the hon. Gentleman explain how the Labour party will pay for it? Will it be through increased taxation or more public borrowing, or will Labour shift spending priorities? We need to know the detail in order to be able to support this policy.

  • I hope the hon. Lady made those points at the rally last week, when she was talking to nurses. But I would say to her that the Government have found an extra £1 billion or so for Northern Ireland. We do not begrudge Northern Ireland that, but the Government have found more money for Northern Ireland. Also, the Government are giving away billions and billions in corporation tax cuts. They have given away £1 billion in inheritance tax cuts. Government is indeed about making choices. We would make a different set of choices, but if the hon. Lady is genuine, as I believe she is, and sincere, as I believe she is, in wanting to get rid of this cap, she needs to send a message to the Chancellor, not the Tory Whips, and vote for our motion.

  • I thank the hon. Gentleman for giving way on this very important issue, and I must say that I and my colleagues are minded to support the motion that he has put before the House. But it would be appropriate if true sincerity was shown by all Members of this House—if they stopped attacking the Government for giving Northern Ireland that £1 billion, so that we can alleviate the costs that would allow us to make that pay gap narrow.

  • I did say I did not begrudge Northern Ireland the money; I was just making the point that the Government have found the money, when they keep telling us that there is no money for anything else. But we are grateful that the Democratic Unionist party has signed the early-day motion in the name of my hon. Friend the Member for St Helens North (Conor McGinn), and we are aware that the DUP has said consistently that it supports getting rid of the pay cap for public sector workers. We would be very happy for the party to join us in the Division Lobby this evening.

  • I am really pleased to hear what the hon. Member for North Antrim (Ian Paisley) has said today, but I want to put it on the record that DUP Members did have an earlier opportunity to support the removal of the pay cap but actually voted against that—all 10 of them—in the debate on the Queen’s Speech. An amendment was tabled by the colleagues of the hon. Member for Leicester South (Jonathan Ashworth), and the DUP voted it down, but we always welcome repentance.

  • I am grateful to the hon. Lady and I am grateful that she also signed the early-day motion. This issue may be debated further as hon. Members make their speeches today.

    As we know, according to the Office for National Statistics, many public sector workers regularly work an average of 7.8 hours’ unpaid overtime a week, worth £11 billion to the economy. With the pay cap, the Government have effectively been asking them to do more and more on less and less. That is unfair.

  • I will make progress, if I may.

    MPs on both sides of the House have spoken out against this pay cap. We would hope that they will join us in the Division Lobby, including the hon. Member for North Antrim (Ian Paisley). I pay tribute to my hon. Friend the Member for St Helens North for tabling early-day motion 132, which calls for an end to the NHS pay cap, and which we have picked up and adopted as our motion today.

    I know there are many who have sympathy for getting rid of the pay cap. The reason that many in the House have sympathy for getting rid of the pay cap is that in all our constituencies we have met nurses, very directly at our advice surgeries, or indeed in lobbies at Parliament, who have told us that the cap has meant they have seen a 40% real-terms drop in their earnings since 2011.

  • I want to make progress; but I will try to let in as many hon. Members as possible.

    We have all read reports of nurses on their way home from a shift stopping off at food banks. The Royal College of Nursing tells us that two-thirds of its members are forced to undertake bank and agency work to help make ends meet. Is that not an example of how self-defeating the pay cap is, because it is driving an agency bill of £3.7 billion in the NHS?

    We have all read surveys showing that more and more NHS staff are turning to payday loan companies and pawning their possessions, and we will have heard from the RCN lobby recently of the huge hardship that our nurses are facing. Many nurses have been in touch with us.

    Let me give the House the story of Rebecca, who got in touch with my hon. Friend the Member for Oldham East and Saddleworth (Debbie Abrahams). Her story brings into sharp focus the impact of the pay cap, particularly when it is combined with the severe social security cuts that the Government are pushing through. Rebecca is a single parent. She was originally on working tax credit, but she was transferred to universal credit last year, with her payments falling as a result. As a consequence of that reduction and of the ongoing cap on her wages, which have lost their value, she has accrued rent arrears of over £800. Her landlord has now issued her with an eviction notice. There we have it: nurses are turning to food banks, pawning their possessions, and even being issued with eviction notices. Is that not shameful in 21st-century Britain? What a depressing human consequence of Tory economics.

  • I am a nurse and I believe in fairness. This is not just about paying nurses properly; it is about the porters, the housekeepers, the cooks, the cleaners and the admin staff, because they all do a good job. This is about not just healthcare workers but the whole public sector, because if the Government can find £1 billion for the DUP, they can pay the public sector properly.

  • What a pleasure it is to see a Labour MP in Lincoln, Mr Speaker. My hon. Friend is a former nurse—

  • She is still a nurse—I do beg her pardon—and she makes her case powerfully.

  • I will give way to the hon. Member for Croydon South (Chris Philp) because he has been so persistent, but I will then try to get on with my speech.

  • It is kind of the shadow Minister to give way. Of course our hearts go out to the people in the stories he is relaying to the House, but we need to consider the whole picture. In its March report, the NHS Pay Review Body said:

    “We do not see significant short-term nationwide recruitment and retention issues that are linked to pay.”

    The pay review body itself says that pay is not causing retention issues, so should the House not take account of that?

  • Perhaps we really should, but I think the hon. Gentleman, who is an enthusiastic supporter of his Front-Bench team, is quoting selectively from the report, which I will move on to in a few moments.

    Today’s motion is not just about doing what is right for NHS staff; it is about doing what is right for patients, too. I remind the House that we are significantly short of GPs and that we are short of 3,500 midwives. According to the Royal College of Nursing, we are also short of 40,000 nurses, with one in 10 nursing posts remaining vacant. Nearly 40% of the full-time vacancies advertised on NHS Jobs earlier this year were in nursing, and the Opposition know that Brexit is having an impact through nurses leaving the UK. The Nursing and Midwifery Council shows an increase in the numbers of nurses and midwives leaving its register. The average midwife has seen the value of their pay drop by over £6,000 since 2010, and we are significantly short of numbers, with 80% of midwives intending to leave the profession in the next two years as a result of the pay cap.

  • Will my hon. Friend give way?

  • May I make a little progress?

    The hon. Member for Croydon South said that pay does not affect retention and recruitment, but the Opposition say that the pay cap is at the heart of the retention and recruitment crisis. Earlier this year, NHS Providers, which represents hospital trusts, warned that low pay is causing staff to leave the NHS to stack shelves in supermarkets. Chris Hopson said:

    “Years of pay restraint and stressful working conditions are taking their toll. Pay is becoming uncompetitive. Significant numbers of trusts say lower paid staff are leaving to stack shelves in supermarkets rather than carry on working in the NHS.”

  • Does the hon. Gentleman appreciate that anybody listening to his speech would take away from it a story of gloom and doom about our NHS? While there are difficulties and challenges, every day millions of people overwhelmingly enjoy one of the finest health services anywhere in the world, and I and many others are sick and tired of Labour talking it down.

  • The right hon. Lady says that we are talking the NHS down. We are not talking it down; this Tory Government are running it down. She seemed concerned about public sector pay in the NHS a few months ago when she tweeted:

    “The important retention & recruitment of public sector workers is about working conditions (esp in NHS) as well as pay”.

    If she stands by that tweet, she should join us in the Lobby this evening.

  • I thank my hon. Friend for giving way, but I thank him even more for coming to Eastham in my constituency, where our precious walk-in centre is closing owing to staff shortages at our A&E, which is in crisis. The Tories says that we are talking down the NHS and lowering morale, but does he agree that it is not words that matter but action, and that is why we need action on pay?

  • My hon. Friend is right. A popular, successful walk-in centre in her constituency has had to close to shift the staff to fill vacancies at the local A&E at Arrowe Park hospital, because the pay cap and other Government decisions have led to a staffing crisis in the wider NHS.

  • I did promise my hon. Friend that I would give way, but I will take no more interventions afterwards.

  • Has my hon. Friend noticed that the Government do not necessarily have to abide by the pay reviews? In other words, they could give an increase that goes further than what the pay review body recommends. The Tories are wrecking the national health service. They should put their money where their mouth is. If they really appreciate NHS and its staff, they should vote with us tonight.

  • My hon. Friend is absolutely right. The Tories have been running the NHS for seven years now. It is going through the biggest financial squeeze in its history and we have some of the worst waiting times on record.

    The hon. Member for Croydon South should note that the NHS Pay Review Body’s March report said that

    “public sector pay policy is coming under stress. There are significant supply shortages in a number of staff groups and geographical areas. There are widespread concerns about recruitment, retention and motivation that are shared by employers and staff side alike.”

    Again, NHS Providers said that

    “seven years of NHS pay restraint is now preventing them from recruiting and retaining the staff they need to provide safe, high-quality patient care. The NHS can’t carry on failing to reflect the contribution of our staff through fair and competitive pay for five more years.”

    We agree. Addressing NHS pay and lifting the pay cap are crucial to addressing the retention and recruitment crisis now facing the NHS.

  • Will the hon. Gentleman give way?

  • I have given way to the hon. Lady once and I have been generous, so I hope she will forgive me if I do not give way again.

    We have heard several examples of what vacancies in the NHS mean for services. We have heard about the walk-in centre in Wirral, but Macmillan Cancer Support warned last week that bigger workloads and vacancies in key roles are creating “unrelenting pressure” on the cancer care workforce and that some cancer patients are attending A&E because they cannot get help elsewhere. I have mentioned midwifery, and this summer we revealed that almost half of maternity units closed their doors to patients at some point in 2016, with understaffing often used as the justification. Earlier this year, I revealed FOI requests that showed a rising number of cancelled children’s operations, with 38% of trusts citing workforce shortages as the reason for those cancelled operations. Visit any hospital and doctors will talk about rota gaps, and the latest NHS staff survey reveals that 47% of staff view current staffing levels as insufficient to allow them to do their job properly.

    Not only is the pay cap unfair on hard-working staff who are struggling to make ends meet, but it is unfair on patients, who suffer the direct consequences of under-staffed, overstretched services. We look forward to the Health Secretary telling us how he will use his newfound flexibility. We look forward to his telling us what remit he will set for the NHS Pay Review Body in the coming days. He has had all summer to think through his response to these demands. I know that he got into a big argument with Professor Stephen Hawking, but we will leave that there. The Health Secretary sets the remit—he tells the pay review body what it is able to provide—so we look to him to tell us what he is going to ask it to provide. We want him to tell us today when he will publish the remit letter.

  • Will the hon. Gentleman give way?

  • I have been very generous to Government Members, and the hon. Lady has already had a chance.

    The pay cap must be scrapped, and it must be done by giving the NHS extra investment. The self-defeating nature of this policy means that we are already spending £3 billion on agency workers, and the Government have found billions for corporation tax and inheritance tax giveaways, so this new flexibility must mean more investment. We will not tolerate hospital bosses being forced to cut services to find these funds.

  • Will my hon. Friend give way?

  • I have been very generous, and I want to wrap up because a huge number of Members want to speak in the debate.

    As the Government are briefing that the pay cap has gone, we expect the Health Secretary or, if he cannot do it, the Chief Secretary to the Treasury to tell us what extra investment will be made available to the national health service in the coming year to get rid of this pay cap. If they are not prepared to put the extra investment in the health service to get rid of this pay cap, we can quite rightly conclude that the consequence will be further cuts to services at the frontline.

  • Will the hon. Gentleman give way?

  • I have been extremely generous, and I will now wrap up.

    If the Government are genuine and sincere about getting rid of the pay cap, I see no reason why they should seek to divide the House today. If they do seek to divide the House, I say directly to all those Conservative MPs who went to the Royal College of Nursing rally last week, to all those Conservative MPs who have tweeted that they support getting rid of the pay cap, but just not on this occasion, and to all those Conservative MPs who have responded to constituents by telling them that they have their sympathy and that they want to get rid of the pay cap: this is not a time to sit on your hands. I know Conservative MPs will be reconciling the pressures of wanting to be loyal to the Treasury Bench and to their Whip, but 1 million NHS staff, nurses and their constituents are looking to this House to show some leadership and take a stand by giving our NHS staff the fair pay they deserve.

    I commend our motion to the House.

  • I thank the shadow Health Secretary for introducing this debate. NHS staff are doing a superb job in tough circumstances, and it is right for this House to debate whether we are giving them an appropriate level of support.

    I start by addressing the areas on which we agree with the Opposition. First, it is incredibly important to have motivated staff, simply because motivated staff give better care to patients. It is critical for patient safety that we have enough staff in our NHS and social care system, so recruitment and retention matter. It is also true that, right now, it is very tough on the frontline for NHS staff as they cope with the pressures of an ageing population, of financial constraints that have not been as tough in many years, and of changing consumer expectations of what the NHS should deliver. We agree on all that, but there are some fundamental disagreements that I also need to surface.

    The shadow Health Secretary talks about the former 1% cap and the pay restraint that we have indeed had for the last seven years, which his party frequently characterises as austerity—some ideological mission by the Conservatives to reduce the size of the state. [Interruption.] I can see some nods, but it is absolute nonsense.

    I remind Labour Members that in 2010 we inherited the worst financial crisis in our history and the worst recession since the great depression. The shadow Health Secretary was an adviser to Gordon Brown in 2010—he does not talk about that very much—and he knows just how serious the crisis was. He uses the phrase “Tory economics,” but the 2010 Labour manifesto, which he may well have had a hand in drafting, wanted to cut the NHS budget. The Health Secretary at the time, Andy Burnham, said that it would be “irresponsible” not to cut the NHS budget.

    In 2015, five years on from that terrible crisis, the Labour party wanted to put £5.5 billion less into the NHS than the Conservative party did. In short, the austerity that the shadow Health Secretary criticises today is austerity that Labour wanted to go much further with when it comes to the NHS. Labour needs to recognise that if we had followed its advice we would not even have been able to honour a 1% pay rise, we would not have been able to recruit 12,000 more nurses for our wards, we would not have record numbers of doctors and we would not have record funding for the NHS.

  • Will the Health Secretary apologise for the current dreadful state? We have thousands and thousands of nurse places, and hospital trusts are having to go as far as the Philippines to recruit student nurses. Student nurses are coming out of university with £56,000 fees. NHS recruitment and retention is in a deep crisis. Will he apologise?

  • What I will not apologise for is the dreadful short staffing on NHS hospital wards that we inherited in 2010, which led directly to the problems of Mid Staffs. Nor will I apologise for sorting that out and making sure that we have 12,000 more nurses on our hospital wards today than we had in 2010.

  • The Secretary of State is repeating words that the Tories have used to excuse their cuts for years but that have not dealt with the deficit, which is still with us. My constituents do not care about that; they care about Eastham walk-in centre, which is closed because of staff shortages. Will he answer this simple question? When will Eastham walk-in centre reopen?

  • What the hon. Lady’s constituents care about is that today we announced the lowest unemployment level since 1975, which is a massive benefit to her constituents. She says that we have been repeating our reasons for this terrible financial discipline, which has been so difficult. I am not someone who says that the entire responsibility for the recession in 2010 is the Labour party’s. I recognise that it was a global crash, but what Labour cannot deny is that the recession we faced here was far, far worse than in other countries. Why is that? What did the Governor of the Bank of England say at the time?

  • Hang on. I think it is important to listen to what the Governor of the Bank of England said. Sir Mervyn King said:

    “we came into this crisis with fiscal policy along a path that was not…sustainable and a correction was needed.”

    What was he talking about in 2010? The Government borrowed £1 in every £4 that they spent. The deficit was 10.2%, the highest since records began. The reason that, say, Germany did not have to go through austerity is not because a German equivalent of the Leader of the Opposition was throwing prudence to the wind but because Germany did not allow its public finances to get recklessly out of control, which is what happened under the Labour Government.

  • This is a genuine question. I am a nurse, and I see the situation at first hand. I go to work once a month—I still do bank shifts—and the situation is truly awful. We are so understaffed that it is unbelievable. I looked after 10 patients on my last shift. That is not for the audience; it is the truth. The NHS is in that sort of state. Lincoln’s walk-in centre is threatened with closure. All that is going on. I take the Secretary of State’s point about paying for it, but the Conservative party talks about cutting corporation tax and it is paying the Democratic Unionist party more than £1 billion. While that is happening, he cannot talk to us about austerity and say that we cannot have decent NHS services. I am sorry, but he should listen to what I am saying. The NHS really is in crisis.

  • I thank the hon. Lady for her work in the NHS. I am honoured that we have nurses on both sides of the House who do a fantastic job. I agree that we need more nurses. We needed more nurses when I became Health Secretary—the NHS was planning to lose nurses, and I stopped that—and we still need more nurses. I will explain exactly how we will get those nurses.

  • I will give way to some Conservative Members.

  • Opposition Members are raising concerns about staff shortages and about recruiting staff from overseas. I am sure we all have hospitals serving our constituents that have had to go overseas to recruit. We do not want to see that; we want to see nurses trained in the UK and British nurses. I welcome the fact that the Secretary of State has taken action to remove the cap on nurses in training so that we can train more home-grown nurses.

  • My hon. Friend is right about that, because at the heart of this problem is getting the training of nurses right and making sure we train enough nurses.

  • I thank my right hon. Friend for the huge and strong support he has given to Princess Alexandra hospital in Harlow and to our campaign for a new hospital. I welcome the moves the Government are making on the pay cap and I look forward to announcements in the coming weeks. May I urge him to do even more than the Government are doing on nursing apprenticeships, because they are one key way forward? These apprentices do not have any loans and they can do nursing. Finally, let me make the wider point that one of the best ways of helping lower-paid nurses, and everyone in the public and private sectors, is by continuing to do what the Government are doing by cutting taxes for lower earners and acting through the national living wage.

  • No one in this House has championed lower-paid workers as much as my right hon. Friend does, and he is absolutely right in what he says. I want to talk about the recruitment issues.

  • I am going to make some progress and then I will give way further. I want to talk about the recruitment issues raised by the hon. Member for Hornsey and Wood Green (Catherine West) and others, but I wish to conclude on the point about financial discipline, of which Opposition Members are so critical. The consequences for a Government of losing financial discipline are not just pay freezes and 1% caps, but 1 million people unemployed—as a result of that recession post-2008. Every Labour Government in modern times has left office with unemployment higher than when they arrived. That is why this afternoon’s motion is so bogus, because the difference between the Government and the Opposition is not about a desire to invest in public services; it is about the ability to deliver a strong economy so that we can make that investment.

  • I want to make some progress on the recruitment issues, which a number of hon. Members have raised. The argument we seem to be hearing from the shadow Health Secretary is that Labour’s policies would mean more nurses for the NHS and better care for patients, but nothing is further from the truth. Let us look at Labour’s policies at the last election. What did the independent Institute for Fiscal Studies say then about Labour’s spending plans? It said there was a black hole of up to £29 billion, which made even Gordon Brown look like the paragon of prudence that he never was. How can a black hole like that be filled? There are only two ways of doing it. The first is by raising taxes on ordinary people—this is what the IFS said would be one of the biggest tax increases in the past 30 years, equivalent to a 7% increase in income tax. For a nurse on average earnings, this would be a £1,400 tax hike every year. Alternatively, the hole could be filled by increasing borrowing, but that simply passes on debts to future generations in a con as explicit as the con of telling students before an election that their debt will be waived only to cancel the promise after the election.

  • My right hon. Friend does not even need to cite the IFS to see what things would be like with Labour in charge of the UK NHS—he just needs to look to Wales, where the NHS has been cut by 10% and one in seven people are on the NHS waiting list. That is Labour in action.

  • My hon. Friend is absolutely right about that. The whole problem with the tone of the argument made by the shadow Health Secretary is that he is saying that the difference between the Government and Labour is about our support for public sector workers, but we all agree, in all parts of the House, that they do a fantastic job. I see that in the NHS every week. The difference between us and Labour is about knowing what harms public sector workers the most; it is between ignoring and repeating the mistakes of the 2008 crash, as Labour Members are, and what we think, which is that we need to learn from those mistakes and not repeat them.

  • Does my right hon. Friend agree that Labour was not the only party with an irresponsible policy at the general election on funding health and social care, and that although the Liberal Democrats can muster only one MP to debate this important subject today, their 1p on income tax gimmick would have gone nowhere far enough to funding the properly increased services they promised?

  • I will allow the Liberal Democrats to speak for themselves, but suffice it to say that even one MP is quite a large proportion of the Liberal Democrat parliamentary party and we are grateful that it does have some representation here this afternoon.

  • Will the Health Secretary take a few moments to address the serious issue of staff morale in the NHS? In Northern Ireland, we have no Assembly and, thus, no Health Minister, so there is no mechanism by which to give our nurses any pay increase. He needs to speak to the Secretary of State for Northern Ireland, as a start, and to address the crucial and concerning issue of staff morale, which is affected by low pay and the pay cap.

  • I will happily address those issues in some comments that I am coming on to, but I totally agree with the hon. Lady that this is crucial.

  • I will make some progress now, because I know that lots of people want to speak in this debate.

    The other completely bogus claim we have heard this afternoon is that somehow the financial discipline of pay restraint that we have had to have has been deliberately targeted at ordinary people. Again, that is absolute nonsense, as we see when we look at what has happened. Despite the recession and the pressures on public finance, this Government have taken 4 million of the lowest-paid people out of income tax altogether. At the same time, the top 1% are paying more and the top 20% are paying more, and we have gone further, introducing the national living wage, which since its introduction in April has increased the pay of people at that level of pay by £1,400 per annum. The record overall—this is where we see the most obnoxious untruth spread by the story on austerity—shows that over the past seven years we have seen 600,000 fewer people in absolute poverty and 200,000 fewer children in absolute poverty. Income inequality has reduced to its lowest level for 30 years. Why is it that this apparently evil Tory Government have reduced inequality? It is because we have done what Labour never does, which is grow the economy, with 1 million new businesses, 3 million new jobs and unemployment at its lowest since 1975. Today, youth unemployment is below 5% for the first time and there has been a 40% drop since 2010.

  • I am going to make some progress, because I want to deal with the issue of morale, and then I will give way for a final round of interventions.

    A lot of comments have been made about the NHS being at breaking point, at a tipping point and so on. There is huge pressure on the NHS, but, as has been said by my right hon. Friend the Member for Broxtowe (Anna Soubry), who is no longer present, that is not the whole picture. What the shadow Health Secretary did not say is that 7,000 people are alive today who would not have been had we stayed at the cancer survival rates of just four years ago. We are having probably the biggest expansion of mental health treatment in Europe, and an independent NHS England report says that for most major conditions outcomes have dramatically improved over the past three, five or 10 years.

  • I feel that as the sole Liberal Democrat present it is my duty to intervene. Does the Secretary of State accept, as a principle, that ultimately we cannot sustain the NHS on the back of real-terms cuts to people’s pay within the NHS and that that would be unconscionable year after year? Does he also accept that as the difference between public and private sector pay narrows so much, people will just vote with their feet and leave? Therefore, not only is this morally wrong, but it will not work ultimately.

  • I agree with the right hon. Gentleman that when deciding policy on pay we absolutely have to look at the impact on recruitment and retention, and that if we are going to deal with the pressures of an ageing population in the way that he and I would both want, we are going to need to recruit many more doctors and nurses for the NHS over the years ahead.

    The progress that we have made in the NHS in improving outcomes for patients, despite the huge pressure on the frontline, is possible because of the brilliant staff we have in the NHS. I want to recognise that pay restraint has been extremely challenging, which is why yesterday my right hon. Friend the Chief Secretary to the Treasury announced a new policy, allowing Departments flexibility where there are recruitment and retention issues, and where productivity savings can be found. We will also honour the commitment we made prior to yesterday’s announcement, which was that before we take any decisions we will listen to the independent advice of the pay-review bodies.

    To value staff also means to look at non-pay issues as well. It means we should look at making sure that we are training enough staff, so that when hospitals have the budgets to employ staff, they are there for them to employ; it means we should look at flexible working—on which, frankly, the NHS can do a lot better—if we are to tackle the agency bill that the shadow Health Secretary spoke about; it means we should put in place measures to encourage nurses to return to practice, which is why Health Education England is increasing the number of return-to-practice training places to 1,250 from 2019-20; it means we should look at new support roles for nurses, such as the 2,000 nurse associates who are starting training this year; and it means we should look at new routes into nursing, such as the nurse apprentice route that we are opening this year.

  • I am going to wind up my comments now, because lots of people wish to speak. [Hon. Members: “Oh!”] Okay, the House has persuaded me. I shall give way first to the hon. Member for Hornsey and Wood Green (Catherine West) and then to my hon. Friend the Member for Redditch (Rachel Maclean).

  • I thank the Secretary of State for his generosity in giving way to me twice. Will he look again at the issue of student bursaries? It is such mistake.

  • I assure the hon. Lady that we are making reforms because we want to train more nurses and to fund more nurse training places. There has been a dip in the number of people taking up nurse training places this year, as there was when the higher education reforms were introduced in 2012, but it recovered soon after that and we now see in other parts of higher education record numbers of students from poorer backgrounds going to university.

  • On my right hon. Friend’s earlier point about the recruitment and retention of staff, one problem, which I know from having spoken to the Worcestershire Acute Hospitals NHS Trust and the Alex Hospital in my constituency, is the constant negative messaging the public receive. Members from all parties deeply back NHS workers, appreciate and respect how hard they work, and recognise the challenges. If Opposition Members really care about easing the recruitment and retention crisis, I call on them to join us in talking about some of the good news and the good messages that are coming out of the NHS. Those are the things that get through to the public’s mind and that encourage nurses to join the profession, and that is why we have twice the number of applicants for nursing places this year.

  • My hon. Friend is absolutely right. From some of the debates we have in this House, a person would never know that in July, for the second time running, an independent American think-tank looked at health systems in all the world’s major countries, compared us with the United States, Germany, France, Australia and others, and said that the NHS was top—the best healthcare system of any major country. We have a huge amount to be proud of.

  • I am going to conclude my comments by asking three questions. First, who is the real friend of public sector workers—the party that wrecked the economy, leading to massive cuts, or the party that turned the economy around with 3 million new jobs? Who is the real champion of public services—the party that did not only wreck the public finances but wants to do so all over again, or the party that is restoring discipline to the public finances so that we can start to invest more in our public services? Who is the real friend of the NHS—the party that has delivered more doctors, nurses and funding than ever before in its history, or the party that plays politics with the NHS in election after election, despite doing it so much harm?

  • We have had many debates on the NHS in the House, and as I have said previously, the workforce is one of our biggest challenges, which is why it is so important to get this right. The debate is focused on NHS staff, but we are discussing all public sector workers. We are talking about all workers within the NHS: we must not only consider those at different grades, but not allow a separation between frontline and back-of-house staff. As a surgeon, if I turn up at a clinic and there are no case sheets and the patient has not been informed of their appointment, it is a totally pointless exercise. We need to realise that the NHS is a team, and if we do not look after the team, it will not work.

    Obviously this all started with the crash. I will defend Members further along the Opposition Benches, because I get really bored with the Labour party being given responsibility for the crash. Labour did not have that degree of world domination. It was a world crash. At the time of the crash, it was right to look at public sector pay, because it is a big outlay. The reason given at the time was to avoid redundancies and keep people in their jobs. However, although in Scotland we have had no compulsory redundancies, there have been 20,000 NHS redundancies over the past seven years and more than 40,000 compulsory redundancies among public sector workers. That means that people in England had a pay freeze for three years and then a pay cap, but they still lost colleagues.

    I still work in the NHS and, until the recent campaign, I would have heard comments from nursing colleagues about not money but staffing—people being on shifts and feeling thinly spread, unable to care, anxious about the danger to their patients. I would say that that is the No. 1 concern, but people in England have had a double whammy: they have had the pay freeze and the pay cap, yet they have still had redundancies. From what we read, there could be a lot more to come from the sustainability and transformation plans, and that is just plain wrong.

    In Scotland, we focused what money we had in a different way. The people on less than £21,000 got 3% rises every year, with an absolute minimum in 2010 of £250, which has now risen to £400. If we focused only on percentages, a consultant like me would be sitting on a great pay rise, while the person who is cleaning the bedpans and making the beds would get a pitiful rise, so it is important that more of the money is pushed lower down. In Scotland, we pay the real living wage, not what we Scottish National party Members call the pretendy living wage—the national living wage. A living wage should be a wage on which someone can live. It is as simple as that. Our public sector workers demand no less than that.

  • I appreciate the points the hon. Lady makes. She has creatively reflected on how the Scottish Government have directed resources differently, which is exactly what we and the Northern Ireland Executive want to do with the £1 billion resource. It will allow us to direct resources differently so that we can then address the other critical issues. Does she agree that people who begrudge Northern Ireland’s getting that money are actually begrudging public sector workers their rights?

  • I do not begrudge people in Northern Ireland the money that they have gained from that deal. All that the rest of us are asking for is to have something similar elsewhere. Nurses in Scotland, Wales and England are struggling as much as those in Northern Ireland. To be honest, it is a distraction to keep focusing on that deal. I disapprove of it, but not because people in Northern Ireland are getting a bit more of the help that the rest of us would be glad to receive.

    We had the pay freeze and then the pay cap, but there have even been times when the pay review bodies’ recommendations have not been carried through. That has resulted in a band 5 nurse in England being paid £300 less a year than a band 5 nurse in Scotland. We have pushed the money down the way, so for a healthcare assistant or nursing auxiliary, the difference is more than £1,100 a year. However, it is not just a matter of the people at the bottom. In a way, the people who have experienced the freeze the most are those at the top of their grade who are not getting any more increments and are not changing grades. In actual fact, their pay has not moved for several years, and then it has moved by only 1%. Other people’s pay has gone up by increments, so at least they have seen a change in their pay. Earlier, a Labour Back Bencher was talking about a senior nurse. Such senior staff, who are within 10 years of retiring and who carry the experience of the NHS, are looking at other jobs in which that kind of life experience would be much more highly rewarded, and they are thinking, “Can I even afford to stay in this job if I am to look after my family?” In Scotland and elsewhere, we have tried to tackle this appalling issue of low-paid staff in a caring public service such as the NHS, but now we must realise that, for people higher up the grades, the time is over.

  • Following Audit Scotland’s report, which pointed out that in Scotland one third of NHS staff are over 50; that we have a vacancy rate of more than 4.5% for nurses and just under 7.5% for consultants; and that we have a Government in Scotland who put forward a 1% rise to the pay review body, does the hon. Lady agree that now is the time to say that the cap should go? The cap itself and the attitude towards it is driving people away from the NHS and out of the NHS, and it is doing a great disservice to our population on both sides of the border.

  • If the hon. Gentleman had been following what has been happening in Scotland over the summer, he would know that, following the debate in May, the Cabinet Secretary in Scotland had open discussions with NHS staff side. In June, the Cabinet Secretary for Finance and the Constitution said that our Budget at the end of this year would be looking to get rid of the pay cap. It did not just happen the other week when the programme for Government was announced; it has actually been there all summer. The vacancy rate in Scotland may be 4.5%, but, as the shadow Secretary of State said, it is more than twice that in England. We should be focusing on the fact that nurses and other NHS staff in England are getting almost the rawest deal, which is not right, because they are working just as hard as others.

  • Does my hon. Friend agree that it is also extremely important that, if we are to achieve parity between physical and mental health services, we address this issue, particularly for specialist mental health staff—nurses and allied health professionals—who want to work in the service but for whom the work is just not cost effective, as they then seek employment elsewhere?

  • That was exactly the point I made at the start of my speech. Although the Royal College of Nursing led the campaign and the image has been of nurses, the issue affects everyone. I echo what the hon. Member for Lincoln (Ms Lee) said—[Interruption.] Well, it was the RCN out at the front.

  • Unison were a part of it.

  • Order. I appreciate that the hon. Member for Lincoln (Ms Lee) is new to the House, but Members do not make interventions while they are sitting down. If you wish to intervene, you must stand up to do it. I have noticed this happening quite a lot. This is not a general discussion, but a debate.

  • It is very important that people recognise the role that everyone plays, but for nurses in particular this is not just a matter of pay. Last year, we spent a lot of time debating changes to working tax credits, which can leave a lone parent nurse very much worse off. We also spent a lot of time debating the imposition of tuition fees and the removal of the nursing bursary. The nursing bursary still exists in Scotland. It is a non-means tested bursary of £6,500, potentially with a caring supplement of £3,500. We know that the average age to take up nursing study is at the end of the 20s, which means that people often have family commitments. Such people will receive approximately £10,000 a year so that, at the end, they will not face what future nurses in England will face, which is a debt of more than £50,000. The repayment on that kicks in immediately, because graduate nurses start at around £22,000, which is over the limit. At the lower end of band 5, that is another £400 a year off. By the time a nurse gets to the top of band 5, it is another £1,000 a year off. They will never manage to pay off that £50,000 to £60,000, which means that their salary will be reduced by that amount throughout their careers.

  • Does the hon. Lady agree that what appears to be happening is that many of the mature students who previously went into nursing often do not want to take on that debt? That means that we are losing people who seek to transfer from other professions, which is really damaging.

  • I totally thank the right hon. Gentleman for his intervention. That is absolutely the case. It has never been a negative—in fact it has always been a benefit—that we have attracted people who were a bit older to the role of student nurse. Perhaps they had another degree or a student loan to pay off, but they always had a bit more life experience under their belt.

    As a very junior doctor in my first year, I remember what it was like when my hours alternated between 132 and 175, and I had no life that did not involve people who were dying or ill or who had been hit by a car. That is very difficult for a person who has just come out of uni, and who is used to going out for a pint and having parties. There is real advantage in training people who may have had a family and who have lived a bit of life. As the right hon. Member for North Norfolk (Norman Lamb) said, there are people who are attracted to nursing but who will not take it up because they will not put their family through it. We have seen that already with a 23% drop in applications.

  • As a fellow NHS consultant, I entirely agreed with the hon. Lady when she said that this was about not just the nurses, but the NHS as a team and the value of the whole package of care. One cannot work effectively without the other. Yes, there is a debt accrued in doing a nursing career, but the Health Secretary has proposed a new technical route into nursing, which will mean that people can get an apprenticeship in nursing, allowing them to work and earn throughout their training. Therefore, nurses will be able to qualify while working and supporting their families without accruing any debt.

  • I welcome the hon. Lady’s intervention. I definitely welcome other routes into nursing. Of course when I was a wee doctor, we had two routes: the enrolled nurse and the degree nurse. That disappeared with Nursing 2000, but we are now coming back to that discussion. I have no problem with that, but we will need degree nurses. We have nurses in very advanced practitioner roles, which means that they require a more academic design—a more balanced and weighing-up-the-evidence kind of approach. It is important that we do not make it that the only route most people can afford to follow is the healthcare assistant route. I welcome it, but I certainly would not like to see people limited by it. The Secretary of State tells us that this is not an issue, because we still have more applicants than places—as yet, according to the universities, the number of places has not expanded by very much—but what we do not know is the talent that exists among that 23%. It may be fine numerically, but if we are excluding people who might have been absolute leaders in the nursing profession and in the NHS then we are the poorer for it.

    We know that 40,000 vacancies need filling, and the pay cap is definitely making it harder to fill them. Brexit is not exactly helping either. Everyone here knows that my other half is a German GP in our NHS who, 15 months on, still has no idea what our rights and opportunities will be. The pay cap is definitely contributing to that problem and it is time for it to go, but it must be funded, or else it will mean a cut in services, which will hurt not just patients, but staff, who will feel that they are damaging the very service in which they work, and they will feel guilty about that. As that service is cut and contracts, their working day and working life will get worse.

    The Government often talk as if spending on public service staff is money wasted. It is as if we cannot afford that money because we need to get the debt down, but in actual fact money that is put out by public sector workers is irrigating the economy—the money is spent. Some of it comes back in income tax—20% of everything all of us spend comes back. Money disappears when it is pushed at the top. It goes into banks and offshore, and is therefore outside our economy. Money that is in our economy encouraging commerce and business is helping us to recover.

    After the tragedies of this summer—from the terrorist attacks to Grenfell—people right across this Chamber have quite rightly praised NHS staff and emergency workers. Now is the time for us to show not just what we think of them, but how we value them.

  • It is a pleasure to follow the hon. Member for Central Ayrshire (Dr Whitford). I pay tribute to her for her work on the Select Committee on Health in the previous Parliament. That work was inevitably full of expertise and always constructive; I thank her for that. I agree with her that the NHS is a team, but that team should also include the wider social care staff because we cannot continue to look at the two systems in isolation. I echo her point, thanking all our NHS and care staff for the contribution they make not just to our wider economy, but—most importantly—to patients. Those are the people we should keep at the heart of this debate.

    I welcome this debate. I also welcome the relaxation of the cap because we need to give the NHS Pay Review Body greater flexibility to make recommendations about what we need to put in place for our NHS staff. I agree with the hon. Member for Central Ayrshire that we should look at the impact of pay on morale, recruitment and retention—this is an international workforce, as well as a national one—but we also need to look at pay across regions and within specialties because there is great variation. We should focus our efforts on ensuring that we are looking at the situation from the patients’ perspective by, for example, looking at the greatest areas of deprivation, which very often have the lowest ratios of NHS and care staff and who are under the greater pressure.

    Seven years of sustained pressure on NHS pay is taking a toll. Nobody anticipated that it would go on for this long, so it is time to relax the cap. We should look not just at the issue of pay, but at the wider pressures within the NHS. I am delighted to announce that the Health Committee, which held its first meeting just before Prime Minister’s Question Time, has agreed that its first inquiry of the Parliament will be on the nursing workforce. We will look not just at pay, but at the wider workforce pressures, including the increased workload that comes from increasing demand across the system, morale and all the other non-pay issues that contribute to the pressures on nurses. We will also look at bursaries and the new routes into nursing, and at their impact on people entering the nursing workforce. We have heard about that already today. For example, we know that those who drop out of nursing courses are more likely to be in the younger age groups, whereas those who go into nursing as mature students are much more likely to stay. We need to look at all those wider impacts.

  • I really welcome the news that the Select Committee is going to do a review of nursing. Will the Committee look into pay structure? The current Agenda for Change structure is being used by some trusts, in hospitals and communities, as a way of downgrading nursing roles. For example, a senior sister in one place may be paid a band 7 salary, whereas someone in the same role somewhere not too far down the road may be paid a band 5 salary. There is inequity in the current system.

  • That is an important point. I very much hope that my hon. Friend will contribute to the Committee’s inquiry. As well as looking at the new routes into nursing, we will look at the skills mix, roles within health and social care more widely, the impact of Brexit and language testing, workload and morale. We will be seeking contributions from hon. Members across the House and from people outside.

    As I said, we will miss something if we just look at the issue as one of pay. Pay restraint is estimated to contribute between £3.3 billion and £3.5 billion of the five year forward view efficiency savings up to 2019-20. If that goes, what will fill the gap? We have to be careful that there is no loss of services or losses in the workforce, because workforce pressures—probably more than any other issue—contribute to nursing staff leaving the profession. We have to look at the bigger picture.

  • I have been a nurse for 40 years, but this is not just about nursing. There are other groups as well, including occupational therapists and physiotherapists, who are also registered professionals. Along with everybody else, they are just as important as nurses.

  • The hon. Lady is absolutely right. Look, for example, at the applications for nursing courses. Even though the number of applicants has gone down, it may not ultimately result in a loss of numbers entering nursing. Some of the applicants from that overall drop in numbers might have gone on to other courses, so we need to look at the bigger picture. In opting to look at the nursing workforce, the Health Committee is not saying in any way that other parts of the workforce are not important. The NHS is a team, but it would be difficult for us to report within a certain timeframe if we looked at the entire workforce. I have no doubt that we will look at other aspects of the workforce over the course of this Parliament. I assure the hon. Lady that we will not lose sight of the bigger picture and I hope that she will contribute to the inquiry.

    We need to look at the big picture regarding the total budget for health and social care. The right hon. Member for North Norfolk (Norman Lamb) has long made this point, and we have both made it clear that it is time for us to take a cross-party approach to sustainable funding for health and social care in the long term. I look forward to working with him on that over the course of this Parliament.

  • I totally agree with the hon. Lady and I am keen to continue working with her. Did she see the Independent Age survey that showed that well over 80% of Members of Parliament on both sides of the House agree that there needs to be a cross-party settlement for the future of the NHS and the care system?

  • I welcome that and I look forward to working with the right hon. Gentleman over the coming months to try to encourage colleagues on both sides of the House, including the Front Benches, to agree to the idea. Next year is the 70th anniversary of the NHS, and I cannot think of anything more constructive we could do than to work across political parties in order to deliver sustainable long-term funding for health and social care.

    I will bring my remarks to a close because I know that many hon. Members wish to speak. I look forward to hearing suggestions from colleagues in the House and outside this place about the points they would like the Health Committee’s inquiry into the nursing workforce to cover.

  • It will be obvious to the House that a great many people wish to speak this afternoon. We have a limited time for this debate, which will probably finish at around 4.30 pm. Therefore, after the next speaker, I will impose an initial time limit of five minutes, which might be reduced further depending on how many people still wish to speak. There will, however, be no time limit on the next speaker as I call Mr Stephen Morgan to make his maiden speech.

  • Thank you, Madam Deputy Speaker, for allowing me to give my maiden speech in today’s debate. It is a pleasure to follow the hon. Member for Totnes (Dr Wollaston).

    Today’s debate on public sector pay is about the sort of people who ensure that this Fratton boy had the sort of opportunity and aspiration that I want every single young person in Portsmouth to have. Public sector workers and Pompey people are key to delivering this ambition for my constituency. I will say more about that later.

    First, I am grateful to those who have made it possible for me to make this maiden speech today—the people of Portsmouth South, who put their trust in me at the election. I promise that, as long as I have the privilege of serving in this place, I will be an active local campaigner and a strong national voice for Portsmouth, across every single community. I would like to thank my family and friends for also putting me here in this place, and the good employers of Basingstoke Voluntary Action for allowing me some holiday to fight the election.

    I pay tribute to my immediate predecessor, Flick Drummond. While only in this place for two years, she served it well and was an advocate for women’s and transgender rights. I wish her well as the new deputy police and crime commissioner for Hampshire—a task, sadly, made harder by cuts to police in Portsmouth.

    In my lifetime, the constituency has cycled through representatives from the SDP, the Liberal Democrats, the Tories and now Labour. I hope that it has now settled on a choice it can stick with.

    My first job in Portsmouth was as a playworker, serving the most deprived parts of the city—a city where, even today, too many families are still living in poverty, and where too many are still being held back. Coming from a working-class family with a background in public services—my father, a former youth worker, and my mother, a hospital cleaner—I have learned the value of good public services, of meeting local needs and of working hard to help others.

    Proud to be Portsmouth through and through, it is my great city I now want to talk about. The home of Dickens, Kipling, Conan Doyle, Brunel and Amanda Holden, Portsmouth is a city of many firsts: the first to hold a football league game under floodlights, the home of the first person to use an umbrella, the first to open free clinics for the treatment of venereal disease, and the first co-operative set up by dockyard workers.

    It is an honour to be the first ever Labour MP for this historic constituency, in a city that, throughout its history, has punched above its weight. It is the home of the Royal Navy and our nation’s new carriers, and the birthplace of British authors, world-leading engineers, the greatest football club in the land, in my opinion, and the occasional Labour Prime Minister—but one step at a time.

    The constituency is made up of communities united by a sense of pride in Portsmouth. It is the home of world-class businesses built on the tradition of creativity and innovation that drove Britain’s industrial revolution. Portsmouth’s success gave Britain a competitive advantage that has persisted into the modern era. We are a city of doers and a city of makers. Indeed, I would go as far as to say that the success of the UK has been intrinsically linked to the success of my great city.

    The spirit of this innovation is driving success in Portsmouth’s modern economy. Through my conversations with business leaders, I know that there is the potential to build an economy that creates well-paid jobs for the many, not just the few.

    Portsmouth continues to leave an imprint on our world. We welcome hundreds of thousands of visitors each year, who take with them an understanding of British naval history and an affection for a modern British city that has an unrivalled waterfront and world-class events.

    Maybe it is our military reserve that means the people of Portsmouth do not shout about our military success; they just get on with the job. It is this spirit that has fortified the city in the most testing of times. During wars and emergencies, my city has gone and done the job. In the two world wars, it played a key role in delivering victory and winning the peace we all enjoy today. My own family, like millions of other families across our nation, played a role in the second world war, fighting against tyranny—my grandfather leaving Southsea seafront on his 17th birthday to liberate mainland Europe on D-day. I am hugely proud of the strength and courage shown by all communities across Portsmouth during Europe’s darkest hour. The city has a spirit and a determination that is second to none, and that is why I love it.

    The sadness for me, though, is that far too many people in Portsmouth are continuing to fight their own battles, whether it is the daily battle to earn enough money to make ends meet, the battle to find a good school for their child or the battle for a property they can call their home. These are the challenges, plus so many more, that people up and down this land face every day. I want Portsmouth and our nation to tackle these individual challenges head-on. I want our society and our economy to be vibrant and diverse, so that we can tackle these individual battles that ordinary people are facing, and make it our collective responsibility to resolve them together.

    I want to help create a future that is better than the present, where hope replaces division, and where everyone—and I mean everyone—is better off. We know from our history that there is no challenge that we cannot face by working together, so this is my call to every Member of this House: unite to tackle the everyday challenges of the many. If we do this, I know that Portsmouth’s and Britain’s best is yet to come.

    Most disturbing for me, though, is that the generation that literally fought for our country is now facing new battles. With adult social care and our NHS in crisis, the elderly are uncertain in their old age. This is not the world that we promised them. We promised them homes fit for heroes, and we are letting them down. We are not providing them with the level of public services they deserve, due to the current funding and staffing crisis, where years of pay freezes have created challenges for recruitment and retention.

    I want the people who keep our communities safe, who educate our children, who defend our great nation and who save lives to be shown that people in this place understand, value and respect them. That is why I was proud to stand with Portsmouth nurses last week in the lobby of Parliament, and why I am particularly pleased to be making my maiden speech in today’s debate.

    My own sister will be relying on the care of these nurses at my local hospital, the Queen Alexandra, in the next few days. She will be giving birth to her first child. Sadly, she cannot be here today, but I am personally delighted, because I fear she may give birth in this place—not another first I would want to see.

    As I said at the start of my speech, it was public sector workers who gave me hope and who taught me never to accept it when someone said to a Pompey boy, “You can’t do that.” What motivates me now is one simple notion: to ensure that the opportunities of a good education, a good home or a job are not limited to the privileged few, but can be enjoyed by all our citizens, regardless of where they are born.

    For as long as I continue to enjoy the privilege of representing the people of Portsmouth South, I will fight for a future in which power, wealth and opportunity are in the hands of the many, not just the privileged few. Every day, when I—a Fratton lad—arrive in this grand place, I will not forget who sent me here. I will be a local campaigner and a strong national voice committed to serving their interests.

    So, to all those young people growing up in Portsmouth, as I once did, my message today is this: aim high and work hard, and you will achieve. Never, ever accept anyone telling you that you cannot achieve.

    Madam Deputy Speaker, as my fellow Fratton Park attendees say, “Play up Pompey!”

  • I warmly congratulate the hon. Member for Portsmouth South (Stephen Morgan) on a polished maiden speech, and we all wish him the very best in his time in this House.

    Conservative Members agree with what the hon. Gentleman said about the wonderful work that public sector workers do, not least in our NHS. The NHS saved my life when I was 24. I have two children heading to work in the NHS, one of whom worked as a healthcare assistant over the summer. Members of my family are also frequent users of the NHS.

    Over the last few months, I have had the pleasure of spending a day at the Bassett Road GP practice in Leighton Buzzard, and I am full of admiration for the doctors and practice nurses I saw working there. I also spent time at my local hospital, the Luton and Dunstable, which has the best accident and emergency service in the country, and we are learning lessons from it all around the country, which are being spread by the Department of Health. Really importantly, I have also spent time with the social care staff of Central Bedfordshire Council and elsewhere, and seen the independent living schemes that will be key to the sustainability and transformation plans in my area.

    In these debates, we seem to focus entirely on the top line of departmental budgets. In 2016-17, the Department of Health had a departmental expenditure limit of £120.6 billion and annually managed expenditure of £16.2 billion—£136 billion in total. We need to reflect on the words of Jon Thompson, a permanent under-secretary at the Ministry of Defence, speaking to the Institute of Government recently about the attitude, often, of Select Committee members from across this House:

    “They seem to live in a resource unconstrained world…in the end I’ve got a limited amount of money and I have to prioritise.”

    Those are words we need to hear.

    There is another way to free up money within that £136 billion and improve outcomes for patients that could lead to our having more money for NHS staff— that is, to focus on improving quality, something that hardly ever gets a look-in in this House. If we look at the work that the Government are doing with the Getting It Right First Time programme, we see a 25-fold variation in infection rates for patients. Not only is going through that a deeply unpleasant experience for a patient, but the cost of surgical infections can vary from £75,000 to £100,000. If we get this right, not only do we treat patients better but there is more money to put into staff pay.

    It goes on and on. Many hospitals are not using the right hip implants—they are using more expensive non-cemented hip implants. We get better outcomes with cemented implants that actually cost less.

  • It is really important that we are very careful about things that will be implanted permanently in a patient. We have had debates about mesh in this place, and we will be having debates about Essure, which is designed to obstruct the fallopian tubes and is also causing problems. Non-cemented implants are for younger people who may need another implant later on. I would be very careful—think of the PIP breast implants scandal—about cutting the quality of what is left in a patient.

  • I am talking about the data available in the national registry, now, for the first time ever, being properly compiled in every hospital. We should follow the evidence and look at the clinical outcomes, as the hon. Lady has done herself on the Health Committee.

    Forty-five per cent. of surgeons are doing five or fewer complex hip and knee revisions, yet we know that clinical outcomes are better where surgeons do 35 or more a year. As a result of doing only a few operations with worse outcomes, which cost more, they also have to hire in expensive loan kits. Hospitals are spending, on average, some £200,000 a year on loan kits—some hospitals, £750,000 a year. Professor Tim Briggs, with whom I have had the honour of working over the past nine years on the Getting It Right First Time programme, said that

    “there is no way right now I would ask for more money for the NHS. The waste and variation out there is unbelievable and we have got to get our act together across all the specialties to improve quality and unwarranted variation and complications. And it is not just orthopaedics.”

    We are now, for the first time ever, looking at variations in litigation rates—huge amounts of money go out on litigation—in infection rates, and in revision rates. We are making progress, because litigation rates, which went up by 8% in orthopaedics in 2013-14, are down by 5% in 2014-15 and down by 8% in 2015-16.

    This is a really powerful way to get better outcomes for patients and make sure that there is more money for NHS staff. That is exactly what the sustainability and transformation plans are there to do. As Simon Stevens has said, this is

    “the biggest national move to integrating care of any major western country.”

    If we can end our fragmented, silo-ed care through a massive expansion of out-of-hospital care, we will get better outcomes, save money, prioritise prevention, and keep patients out of hospital. If we do that, we will free up precious budget in order to pay NHS staff the decent rates we all want to pay them.

  • I congratulate my hon. Friend the Member for Portsmouth South (Stephen Morgan) on an excellent maiden speech. Modesty prevented him from telling the House that he more than doubled the Labour vote, going from third to first and winning the seat for Labour for the first time since the seat’s creation in 1918. He has a bright future in the House, I think, and I look forward to him being joined by many, many more Labour MPs from the south of England after the next election.

    I should declare an interest in speaking in this debate, not registerable but important none the less, which is that generations of my family have worked in the national health service. My grandmother, great-aunts, aunts and cousins were and are nurses and midwives, and my mother has worked in the NHS for over 30 years.

  • Is modesty perhaps preventing my hon. Friend from mentioning that he himself has, at times, acted as a midwife?

  • I am very rarely accused of modesty, so I shall certainly take that compliment. I did have one occasion to act as midwife when our daughter arrived slightly more quickly than expected. As I said to her godmother, my hon. Friend the Member for Lewisham, Deptford (Vicky Foxcroft), it is not something that I intend to repeat, and I certainly would not recommend it to the untrained.

    It was in tribute to my own family’s NHS pedigree, but most importantly out of necessity to properly value the nurses and midwives of today, that I tabled an early-day motion to end the public sector pay cap in the NHS. I thank the 67 hon. Members from every Opposition party—and indeed from the Government party on the Opposition side of the House, represented by the hon. Member for Belfast South (Emma Little Pengelly)—who signed the motion to scrap the cap. I also pay tribute to my hon. Friend the Member for Leicester South (Jonathan Ashworth), who has relentlessly campaigned on the issue of fair pay for NHS staff, and who has brought this motion before the House today.

    In my local NHS trust, St Helens and Knowsley Teaching Hospitals NHS Trust, there are over 1,000 nurses who do a magnificent job caring for patients in often incredibly difficult circumstances. I am very proud that the trust has been recognised as the best NHS acute trust in England in the latest patient-led assessments, achieving top marks in the country in every area of inspection.

    The context in which NHS staff are showing such dedication and commitment to providing high-quality care makes it all the more remarkable. As we have heard, while working hard to meet increasing demands, nurses have seen seven years’ worth of frozen or capped pay. The rate of inflation has exceeded the pay cap of 1% in five of those seven years. That means less money at the end of the month for nurses—a 14% pay cut in real terms since 2010, according to the Royal College of Nursing, which has campaigned with great tenacity and passion on this issue, alongside many other organisations, including my colleagues in Unison.

    For seven long years, Ministers have refused to introduce a fair pay package for nurses that reflects the skill set and dedication in the profession. They ignored the clarion call for the pay cap to be scrapped—until last night. In an act of cynicism, knowing they faced defeat in the House today, Ministers appear to have suddenly changed their minds—not because the Conservative party suddenly believed the pay cap was wrong, but because the Government might lose a vote in Parliament. What a morally and intellectually bankrupt Government this is, and what a disgraceful way to treat NHS staff—as a tool for seven years of ideologically driven austerity, and now as a tool of political expediency.

    The announcement that the pay cap is to be scrapped is long overdue. Anyone in this House who believes that it should go needs to vote with us tonight, if indeed the Government decide to divide the House. But it is not enough: we need to see action. Thousands of nurses and NHS staff will be waiting eagerly to see what the Government offer above 1%, and millions more people across the country will be waiting to see when this Government are finally going to end their cuts to our public services and start properly funding our NHS.

  • I join other Members in congratulating the hon. Member for Portsmouth South (Stephen Morgan) on his maiden speech. I am sure that he will make many fine contributions to this House, and I look forward to debating with him in the months to come.

    I think we agree across the House that doctors, nurses and all NHS staff are fundamental to the foundation of the NHS, which the Secretary of State referred to as a world-class health system. It is, on a number of measures, such a system. Since 2010, the Government have been determined, despite the pressures we have faced, to maintain and increase funding for the NHS. We made a commitment in 2010—we could have made a different choice, given all the difficult choices we had to make—to continue funding our NHS, and we pledged in the 2015 election campaign to increase NHS funding further.

    I know the vital work that frontline staff do in the hospitals that serve my constituency, such as Russells Hall hospital, Sandwell general hospital and Rowley Regis hospital, where the staff work extraordinary hours and do exceptional work for my constituents. Of course, pay is an important part of incentivising a high-performance workforce, and I welcome the Treasury’s announcement on public sector pay, which indicates that we will look at giving Departments more flexibility. I think that that is important.

    I want to highlight one aspect of the workforce challenge that the NHS faces. I have campaigned on mental health for the last decade or more. Over the summer, Government announced their ambition to increase the workforce for mental health by 20,000 by 2020. There are particular challenges around the recruitment and retention of those who work in mental health in the NHS. If the Government are to have any chance of delivering on their aspirations and objectives as outlined in the five year forward view, which they have committed to implementing, they have to get the workforce challenge right. Not enough people want to go into psychiatry or mental health nursing, and we need to find ways of incentivising people to fill those positions. The stretch ambition to get 20,000 additional people working in mental health is a considerable challenge.

    I welcome the announcement about flexibility, because I think it will open up opportunities to address the particular skill challenge that we face in mental health. We must try to find innovative ways to incentivise people to come into the NHS to work in mental health, whether it is in psychiatry or psychological therapies, to fill that skills gap. Unless we address those issues, there is no way that we will be able to build the kind of mental health services that we desperately need in our NHS. We have made a lot of progress, but this particular workforce challenge lends itself to innovative thinking about pay and incentives.

    I hope that the flexibility that the Government have announced will allow the Department of Health to look at its workforce plan and think in even more detail about how it might develop the incentives necessary to create the mental health workforce that we desperately need. That might mean looking at pay and incentive structures as well as training and other ways of getting people into the profession. I very much welcome the Government’s decision to allow Departments more flexibility on public sector pay. It has been a long road, and the decisions that we had to make at the beginning of 2010 about public spending have meant sacrifices for public sector workers. Everybody agrees that we have particular challenges in the NHS workforce, and we need to find innovative and flexible ways to deliver that workforce, particularly in mental health.

  • I must take the time to declare an interest: I am a junior doctor at St George’s hospital in Tooting.

    When the Conservative Government began their programme of ideological austerity, they imposed the pay cap to secure our nation’s finances. It quite simply has not worked. We were told that the Government could not increase public sector pay beyond 1% because to do so would harm our financial security, but capping public sector pay has harmed us. It has put stress fractures in the foundations of our society—our public services. After seven years of austerity, this Government have borrowed more than all other Labour Governments in history combined. The Government have not paid off the budget deficit, and they lack any credible economic direction. Instead, they are attempting to drive our economy off the Brexit cliff like a lemming.

    A decade on from a global financial crisis and seven years after the Government’s austerity programme began, our nurses, refuse collectors and teaching assistants are still paying the price. The stability of our society—the foundation on which we live our lives—depends on these vital services, from healthcare to our security, our children’s education and our local government. Since 2010, our nurses have suffered a real-terms pay cut of 14%. A hospital porter is £7,000 worse off, and a midwife has been left £18,000 short. These real-terms pay cuts have hit so hard that some of those who choose to stay in the profession are forced to use food banks, take on a second job and rack up personal debt, all because public sector pay rises have consistently failed to keep up with the rising cost of living.

    The bravery of our emergency service personnel has been highlighted in recent months, following some truly tragic events, but when the media spotlight goes away they perform the very same duties, at the same risk and with the same courage. The Government absolutely do not value the people who put their lives on the line every single day to save ours.

  • I am grateful to the hon. Lady for giving way, but I think she should take back what she has just said. Whatever divides us when it comes to pay and financing, the one thing that cannot be said about any hon. or right hon. Member of this House, whichever party they may support, is that they do not care about the workers in the NHS. We certainly do, and we value and respect them.

  • I thank the right hon. Lady for her intervention, but I have to say that a future Labour Government will not just talk the talk; we will walk the walk. A Labour Government will be on the side of ordinary people—those serving on Britain’s frontline. It is not right that in 2017 Britain, those at the top of our civil service can receive golden handshakes, taking home more than a quarter of a million pounds a year, while those on the frontline are stuck on the breadline.

  • In response to the comments from the right hon. Member for Broxtowe (Anna Soubry), does my hon. Friend agree that instead of just saying that we respect our public sector workers, we want to show them that respect? The cap has affected morale and retention. To say otherwise, when we can see that what is being done is harming people, is to be much like the people in the story of the emperor’s new clothes who said to the emperor, “You are not naked.”

  • I agree 100% with my hon. Friend’s argument, which was most eloquently put. While those on the frontline work so hard, they are on the breadline. Our firefighters, teaching assistants, council officers, nurses, policemen and women, prison guards and hospital porters—the list is endless—are the glue that binds our country together. The services in which they work are vital, because they allow people in every part of the country to live their lives, feel safe and have opportunity. Those workers—I have the pleasure of working alongside many of them at St George’s hospital in Tooting—do not seek recognition; they serve our country selflessly on a daily basis. They are simply seeking a decent day’s pay for a decent, hard day’s work. That is why the Labour party would scrap the NHS pay cap and give our hard-working NHS staff pay that recognises the skill and dedication that they bring to their working lives.

  • Will the hon. Lady give way?

  • No, I am going to make some progress.

    The quality of NHS services depends on the skill and talent of the people in them. Those in our NHS facing the everyday challenge of treating our most vulnerable should not be worrying about how they will put food on the table for their children—the very children who are having to accompany them to food banks.

    Let us be clear: lifting the pay cap is not about recognition. It is about removing a cap that actively degrades our public services, weakening the foundations under our feet. Let us stop this demonisation of a workforce who hold this country together. We need an independent pay body to negotiate public service pay. Our services have been gutted by seven years of ideological austerity.

  • Will the hon. Lady give way?

  • I will give way—this will be interesting.

  • I will let you work out whether it is an interesting intervention, Madam Deputy Speaker.

    I am listening carefully to what the hon. Lady says. She speaks with passion and from chalk-face experience. I was interested to hear her make an open-ended pledge that her party would raise public sector pay in the national health service, but she has not said by how much, at what rate, on what timetable or how it would be funded. Can we have some detail?

  • The hon. Gentleman heard the eloquent contribution from the Opposition spokesman today, and I would ask him where the £350 million a week is that we expected to see as a result of leaving the European Union. If his party has its way, we will have even less money for the NHS, so we will not only lose our valuable workforce who have come here from Europe but we will be further underfunded.

    Lifting the public service pay cap would enhance the capacity and skill of each of our public services. In such high-pressure, stressful places of work, we demand that our nurses, police officers and firefighters make life or death decisions with a clear mind. How will they do that if, at the back of their mind they are worrying about how they will be able to feed their children or care for their parents? They will burn out—it is a recipe for disaster, and we are already seeing it happen. How long do we expect those public sector workers to carry on like that?

    There are times when we in the House divide and times when we unite. This debate reaches far beyond a percentage increase on a payslip. It is about not just pay but the knock-on effect on lives. I implore the Government to look at the issue again and pay our public service heroes a decent wage.

  • I am grateful for the opportunity to speak in this debate. West Cumberland Hospital in my constituency has faced significant challenges over many decades in recruiting and retaining enough doctors and nurses. It was because of those challenges that our midwifery unit was under threat of losing 24-hour, seven-day-a-week consultant-led maternity care. In a rural area such as mine, abundant with farms—I am proud to support the National Farmers Union’s Back British Farming Day today—that could mean a two-hour journey on a single-carriageway road up to Carlisle hospital, often being held up by slow-moving vehicles. Having been through four childbirths myself, I simply cannot agree that having to travel an extra 40 miles is an acceptable modern-day service, especially if the mother experiences complications.

    I was pleased that the Minister of State, Department of Health, my hon. Friend the Member for Ludlow (Mr Dunne), came to West Cumberland Hospital to see the challenges for himself, and that the Secretary of State came to the hospital in Carlisle, Cumberland Infirmary, to hear for himself the concerns of clinicians. Not one mentioned the 1% pay cap, but concerns were expressed about morale, recruitment and retention, and how to ensure that enough doctors and nurses join the health sector. In my role on the Education Committee, I look forward to considering how we can recruit doctors and nurses through technical and academic routes. I am really pleased by the huge investment that has been made in our hospital and our NHS trust.

  • The hon. Lady mentioned recruiting doctors and nurses through a technical route. Do she or the Government really propose that route into medicine, without a degree?

  • I thank the hon. Lady; I should have been clearer in saying that I support technical and academic routes into all employment in the health sector, because I understand that it is a team effort.

    Over the past seven years, more than £90 million has been spent on the brand-new hospital in Whitehaven—more investment than ever before. I am delighted that we have been awarded more than £40 million of extra capital investment to refurbish and rebuild parts of the hospital estate, to bring it up to date and improve the experience of patients and staff. The funding will help to deliver faster diagnosis of conditions including cancer, easier access to mental health services and an expansion of our A&E department, leading to shorter waiting times for operations and more services in GP surgeries. There has been huge progress in improving patient care, and the funding will help to secure the highest-quality, most compassionate patient care anywhere in the world. Some £30 million of new funding will be invested across south Cumbria to modernise mental health facilities and improve A&E facilities at our hospitals, and nearly £10 million of the new capital funding has been earmarked for modernising mental health in-patient services.

    Ensuring that we have a full complement of doctors, nurses and other staff on wards is essential. We simply cannot run wards without the appropriate staff. Our public sector workers, including nurses and other healthcare staff, are some of the most talented and hard-working people in the UK. Like everyone else, they deserve to have fulfilling jobs that are fairly rewarded in their take-home pay. We now have 12,000 more nurses working in our hospital wards than we did under the Labour Government, and retaining hard-working nurses and doctors is vital to maintain the service that we all appreciate. I am pleased that yesterday the Treasury decided to remove the 1% pay cap across the board.

    One point I would like to draw attention to is the need to assist our talented, highly qualified medical clinicians to be able to do what they are trained to do and experienced in practising. From speaking to midwives both at my local hospital and elsewhere in our trust, I know that they are regularly spending up to three hours of their eight-hour shifts ploughing through administration work, stuck at a computer screen, rather than being out on the wards doing the work that they are trained to do—assisting mothers in labour and delivering children safely. I ask Ministers to look at innovative ways in which our trained staff can use the skills that they have.

    It is the 42-year record low unemployment rate and our seven-year track record on deficit reduction that have made the end to the pay freeze possible.

  • Does my hon. Friend agree that with the Labour years having led to far less recruitment and training of nurses and doctors than the country needed, we are now in an international labour market for those important workers? It is therefore important that pay rates are high enough to attract them to this country.

  • Indeed; I thank my right hon. and learned Friend for that intervention.

    I end by commending the Treasury for yesterday’s decision to remove the 1% pay cap.

  • I start by acknowledging just how long the constraints on pay in the NHS and across the public sector more generally have applied, and I say that fully recognising that I was a member of the coalition Government. I understood and accepted the reason why constraint was necessary at that time, because public sector pay had run quite a long way ahead of private sector pay, but the situation is very different now. Ultimately, we cannot justify year-on-year real-terms pay cuts for workers in the public sector as a way of sustaining our vital public services, but that is what they are facing and we have to face up to it.

    Alongside the moral case is the fact that the cap simply will not work. The Royal College of Nursing says that the NHS in England is some 40,000 nurses short, and that has consequences. Among the doctor workforce, rota gaps are endemic—I suspect the hon. Member for Tooting (Dr Allin-Khan) recognises that. It is particularly bad in some parts of the country and in some specialties. The hon. Member for Halesowen and Rowley Regis (James Morris) spoke about psychiatry. According to the survey published by the Royal College of Psychiatrists earlier this week, the numbers of psychiatrists vary significantly around the country, with some areas disturbingly short.

    We often talk about doctors and nurses in this House, but so many other people work in the NHS. Allied health professionals, caretakers, orderlies and all sorts of other people are affected by the cap, many of whom are on very low pay. I want to give a particular shout-out to paramedics in the east of England, many of whom regularly work very long shifts and often get home utterly exhausted after dealing with traumatic events. I pay particular tribute to the 70 staff from the East of England Ambulance Service NHS Trust who have signed up to become blue light champions to highlight the importance of mental health among that organisation’s workforce. That has been done with the support of Unison and the involvement of Mind, which does really important work with frontline workers.

    When we talk about pay levels in the NHS, we should also think about pay levels in social care. Non-payment of the minimum wage is endemic in many parts of the social care system, which is intolerable. Too many workers who provide care in people’s homes are still not properly paid for travel time. Information I got from Her Majesty’s Revenue and Customs recently showed that millions of pounds of unpaid wages had been recovered following an exercise in social care. When we talk about the need for a fair deal for NHS workers, we also need to talk about a fair deal for people working in social care, who do often very unattractive but vital work.

  • The right hon. Gentleman mentioned public sector workers more widely. In Scotland, despite voting not to scrap the cap in May, the Scottish National party Government have now listened and done so. However, public sector workers in UK bodies in my constituency and across Scotland are still left out, and will continue to be left out by the recent Tory announcement to lift the cap selectively. Will he join me in urging the Government to value and properly pay all public sector workers across the UK and ensure that none are left behind?

  • I agree that we have to treat people with justice across the public sector to ensure that they are not unfairly and unreasonably left behind.

    On the comments made by the hon. Member for Totnes (Dr Wollaston), behind this issue is the inescapable issue of the amount of money that we are putting into health and care services, because that ultimately determines how much we can pay and how many people we can employ. The bottom line is that we cannot carry on as we are; it is not sustainable. We are not being honest with the British people. The truth is that, at the last election, none of the political parties had a solution for the NHS and the care system. I was challenged earlier about the fact that the Lib Dems argued for a 1p increase in income tax. I absolutely acknowledge that that is not a panacea and would not solve all the problems, but it would provide an immediate £6 billion, which would have a big impact on the sustainability of the system.

    The bottom line is that we need to work together across the party divide. If we do not, we will be letting down the people of this country. We can continue to shout at each other, but that does not help the family whose loved one is let down by failures of care because the NHS and the care system do not have sufficient resources. More than 1 million older people have care needs that are not being met because of the underfunding in social care. As the independent Age UK survey showed, well over 80% of Members of Parliament, on both sides of the House, agree that we need to work together to come up with a long-term, sustainable solution. Please, Government, get on with it.

  • It is a great honour to have been called in this serious debate. I am pleased by the way in which it has been conducted, as we have heard some very good speeches, in particular the maiden speech by the hon. Member for Portsmouth South (Stephen Morgan). It was an amusing, entertaining, heartfelt and serious speech, and I have no doubt that the hon. Gentleman will make valuable contributions in this Parliament and in years to come. It was a salutary speech because it gave one faith in the House of Commons.

    Having been a Member for seven years, I have seen many debates—and some yah-boo politics—in which people apportioned blame for the crisis. Labour says that the Tories cut too much and that it was all the bankers’ fault that we had a deficit of £160 billion—the largest peace-time deficit in our history. The right hon. Member for North Norfolk (Norman Lamb), who was a Front-Bench member of the coalition Government for their full five years, will remember clearly the context in which we came up with the difficult policy of the pay cap. It was not a whimsy, and we did not do it for the hell of it to put people under pressure. The pay cap was a serious response to a difficult and chronic problem—the deficit.

    I do not want to apportion blame, and I echo my right hon. Friend the Secretary of State in recognising that the global crash was not entirely Labour’s fault—I am willing to give it that—but the history of the public finances from 2001, eight years before the financial crisis happened, shows that we ran a deficit in every single one of those years. To borrow a phrase—a mantra—from a departed colleague, Labour did not fix the roof while the sun was shining. The Labour party had a record of fiscal incompetence, and it was against that backdrop that public sector pay restraint became an issue. It is important to look at the history to explain why the pay cap was instituted in 2011.

  • The hon. Gentleman talks about eight years, but Andrew Lansley’s Bill basically destroyed the NHS. That is why we are in this state with the pay cap. I think the hon. Gentleman has forgotten about that.

  • I would like to allow the hon. Lady to speak early on, and there is nothing wrong with intervening, but we do need short interventions. That would be great. I need to know if Members will be giving way, too. I would like to get all speakers in, but the more interventions we have the less chance there is that I will be able to do that.

  • That was a fair intervention, but I completely disagree with the hon. Lady’s point. The deficit had nothing to do with the then Secretary of State for Health. It was not the previous Secretary of State for Health who caused the £160 billion deficit the Government inherited in 2010. Naturally, when running a huge deficit—I think it was something like 12% of GDP—one has to find savings in the budget. The question I pose to Labour Members is, how would they find the extra money? There are only two ways to do that: the Government can either raise the money through taxation, or the Chancellor has to borrow the money. It is very unclear to me what the Labour party proposes to do to increase the pay of public sector workers. No doubt it will have a plan to increase it by 5% or 10%—I do not know by exactly how much it wants to put up public sector pay—but it would have to fund that. I looked at the Labour election manifesto and I think it spent the tax on people earning over £80,000 about 10 times over to fund their various projects and policies.

    We cannot go on kidding ourselves and kidding the British people. I very much like the point made by the right hon. Member for North Norfolk about the fact that we have to be serious about how we are going to fund the NHS and social care provision. He described current model as—his word—unsustainable. I do not share that view—I think we can fund the NHS adequately for the rest of the Parliament—but his general message was right. It does not make any sense for Labour Members to scream, holler and shout about Tory cuts without having a serious proposal.

  • To work together in a constructive, rational and mature way requires the Government to agree to do it. We are still waiting. I met the Prime Minister in February. Please make a decision.

  • I am not privy to the conversations the right hon. Gentleman has had with the Prime Minister—that is something he might wish to take up with her—but this is a serious debate. As he said, we cannot be honest with people on this issue if we are simply screaming and shouting across the Dispatch Box.

    Conservative and Opposition Members have made the point that we have extremely impressive professionals across the public services. The level of public service provision here in Britain is right at the top of the global rankings. I have spent time in Europe, Africa and across the middle east. The public services we have in Britain are really world class and we must never lose sight of that in these discussions. The nature of the debate has been very fruitful and we have had a measure of courtesy, but it does not make sense simply to holler “Tory cuts.” That is what I have heard in seven years of trying to address what are very serious problems.

  • I start by saying it was a joy to be in the Chamber to listen to the maiden speech by my hon. Friend the Member for Portsmouth South (Stephen Morgan). I am confident he will be a strong advocate for his area. I would also like to take this opportunity to recognise my hon. Friend the Member for Leicester South (Jonathan Ashworth). NHS workers must take some reassurance in knowing that they have a champion in him.

    As I have mentioned many times in this House, my constituency lies between two hospitals: Dewsbury and District hospital, which has recently seen a significant downgrade; and Huddersfield Royal Infirmary, which is earmarked for future downgrade and closure. Sadly, and probably as a consequence of these NHS cuts, I receive a large number of hospital complaints from constituents covering a variety of different issues. There is, however, one common theme in all the letters and emails: no one wants to point the finger of blame at NHS staff, because they can see how hard they are working, often in unsafe conditions mainly due to chronic understaffing issues.

    In March this year, it was reported that there were over 30,000 vacant full-time positions across the NHS. There are nearly 200 vacancies at just one of my local hospital trusts alone. This means that in many hospital wards across the country, staff are having to do the work of two or even three people. We have all heard the stories of NHS staff working 12 hour shifts without food, water or even toilet breaks, where staff are close to breaking point mentally due to the undue stresses of their everyday working life. Yet they are consistently ignored when they ask for what should be their basic right: a decent pay rise to reflect the work that they put in on a daily basis in circumstances some of us in this House can only imagine in our worst nightmares. They are, frankly, heroes.

    As we have heard from many of my colleagues today, NHS workers have reported having to: cut back on food shopping; miss meals in order to feed their children; use debt services, taking out payday loans or even approaching loan sharks; and even resort to food banks when the money runs out at the end of the month. Many are leaving the profession to take alternative work in different sectors. Some tell me they choose to work in supermarkets, where the pay is broadly similar but without the stresses and strains of working in a stretched industry where many workers are left feeling undervalued and burnt out from trying to keep up with the unprecedented demand for care. Many worry about the future of their registration, given the pressures they are having to work under.

    By undervaluing our NHS workers to this extent, the Government are presiding over what could be the worst staffing crisis ever seen in the NHS since its inception in 1948. NHS bursaries have been slashed, and we hear that nurse staff recruitment from EU countries is down 96% on last year, mainly because of uncertainty over Brexit. In addition, a huge proportion of the existing workforce is due for retirement in the early 2020s. Instead of looking for solutions to this problem, the Government have chosen to inflict a seven-year, real-terms pay cut on our NHS staff. Yesterday, they came out and offered nothing more than a sticking plaster, with no offer of new money, saying that one group of public sector workers were more valued than another, and a vague promise that maybe in the future there could be a little bit more money made available, but no details on for whom or how much.

    Those of us on the Labour Benches know how those on the Government Benches feel about our public sector heroes. We heard that loud and clear in June this year when they voted to keep the public sector pay cap and then cheered in celebration at their “triumph”. That will stay with me for the rest of my life. These are people who often put their lives on hold for us and put their lives at risk for us. They clearly deserve a pay rise to reflect their dedication and commitment.

  • I declare an interest as a nurse who has worked for over 20 years in the NHS, and who still works as a nurse on my hospital bank. I worked through 2010 to 2015, when the pay freeze and then the pay cap was introduced, so I know exactly how difficult it is to manage on a nurse’s wage and not see an increase. Inflation is now close to 3%, so it is becoming increasingly difficult. Seven years is enough for anyone to have lived with a pay cap or a pay freeze, so I support the RCN’s campaign to scrap the cap.

    No political party comes out of this unscathed. There was a recognition among colleagues back in 2010 that we in the public sector had to tighten our belt if we were to protect jobs and frontline services. We recognised that we had to step up to the plate and play our part, and we did. However, we were promised by those on the Government Benches that that would be for roughly a five-year period. The Government have to take responsibility for not having tackled the deficit completely and for keeping the pay cap going. It is not fair on frontline staff that they are the ones still picking up the pieces of the mess the last Labour Government left the country in.

    It is time now to scrap the cap. Nursing has changed dramatically over the last 20 years. It is now a graduate-only-entry profession. Nurses are taking more advanced roles, including nurse prescribing, and extended roles, such as biopsies and minor ops. Today is National Sepsis day. In A&E, it is often a nurse who sees a patient and, if they suspect sepsis, cannulates, takes blood, does the blood cultures and, if they have done their prescribing course, starts the first line antibiotics. That is done long before the doctor ever sees the patient. That is not because nurses are becoming mini-doctors; it is because they are extending their role, improving outcomes for patients and improving patient experience.

    I want to send a message to Ministers: there are two myths doing the rounds at the moment about nurses’ wages. The first is that nurses are on an average of £43,000 or even £37,000. That is completely untrue. Most nurses are in bands 5 or 6, the average wage for which is £27,000—for an experienced nurse—and the starting salary roughly £21,000. The banding system is used to downgrade nurses and pay them as little as possible. When I do a hospital bank shift, I am on the lowest band 5 wage—after 20 years of working as an experienced cancer nurse who is chemo and intravenous-trained.

    The incremental rise we hear about is also a myth. The banding system is used to start nurses on the lowest-possible salary. They have to wait seven years—each year going up a little bit—till they reach the top of their banding. In no other profession would that happen. We do not see MPs in the 2017 intake being paid less than those in the 2015 intake because they are less experienced or new to the role, but that is exactly what we do to nurses, and then we tell them they should be grateful for that incremental rise. They should be paid what is due for that job, not wait seven years to get the actual pay the job is worth. We do not say to the editor of the Evening Standard, “You’ve never been a journalist before, so you should be paid less than any other journalist in this country.”

    This is about fair pay for a fair day’s work. We are asking people to save lives or put their own lives on the line to save the lives of others. The time has come to end the public sector pay cap, and I welcome the moves by the Government. As for the motion, I hear that the Labour party wants to scrap the cap, but there is not the money to do it across the board, although there are ways to give nurses, public sector workers and other NHS staff a pay rise. If we focus that pay rise on bands 1 to 7 and help those in high-cost areas with high-cost living allowances, we can make a difference, but using this as a political football will not score any goals. It is incumbent on all of us from all parties to work together.

    When Ministers stand up at the Dispatch Box and say, “More schools than ever are good or outstanding”, “More patients are being treated than ever before” or “There is less crime than ever before”, they should remember it is because of the hard work of public sector workers. We need to reward them for their hard work and effort.

  • As the Member of Parliament with the highest percentage of workers in public sector employment in the UK, I will be supporting the motion today in the name of the shadow Front-Bench team.

    The Government’s public sector pay policy can best be described by the Glasgow word “guddle”. Translation: a tangled mess. The Government, seeking to deflect criticism, and no doubt as a direct result of tricky doorstep conversations in the election, yesterday announced a policy that was spun as ending the public sector pay cap. It was no such thing, however, and instantly attracted criticism from the very set of workers they were hoping to silence. The Prison Officers Association correctly pointed out that the so-called increase on offer would amount to a real-terms pay cut since inflation had just hit 2.9 %.

    The title of this Opposition day debate is “NHS Pay”, and it is right that today there is a focus on a vital set of workers providing life-saving services, but I feel that the whole subject of public sector pay cannot be debated in a silo and in the context of one particular set of workers without reference to others. This week at the TUC conference, all the public sector unions came together in a collective call for parity and fairness in pay awards, not selective cherry picking.

    I come from a public sector background and a trade union, Unison, that has always recognised that not rewarding and supporting public service workers properly is a political choice. It is a choice that the Government are trying to avoid being called out on, as from time to time token efforts are made to imply they understand and value public service. The Prime Minister told the Tory party conference last year:

    “Our economy should work for everyone, but if your pay has stagnated for several years in a row and fixed items of spending keep going up, it doesn’t feel like it’s working for you.”

    That sounds good, but it is at odds with the very heart of Conservatism and the shareholder mentality that puts pounds and profits before a public sector ethos. The privatisation of public services is a case in point. Turning public assets into private shareholdings, rather than investing in quality, and targeting public sector pay for quick savings is a hallmark of every Tory Government. I was a public sector worker under John Major’s Government when they, too, had a public sector pay cap.

    We would not be having this debate if the Government really valued public service workers and recognised that although many could earn more in the private sector, they have chosen to contribute their skills to helping others. The systematic punishment inflicted on them year on year by a Government who have chosen to make public sector workers pay the price for the failings of the private sector when the economy crashed in 2008 is morally unjust and unfair and has tested their patience to the limit.

    I strongly believe that cuts to public sector pay is an issue that affects everyone—not just the workers, their families and service users but the wider community and local businesses. Local economies suffer when wages are held down and jobs are lost, and given the scale of the money involved, this is also a national economic issue. The TUC has produced an excellent report, “Lift the Cap”, that outlines in detail the knock-on economic impact on local economies through wages being systematically depressed.

    How can the national economic picture be anything other than bleak if hundreds of thousands of people are on a low-pay subsistence existence and struggling to afford the basics, never mind boost consumer spending, without plunging even further into debt? All the time the cost of living is rising and hitting low-paid workers hardest, especially on energy and transport costs. The question is not: can we afford it? I advocate turning that miserable ideological argument on its head to say that we cannot not afford it. Paying public sector workers properly works for everyone: it generates tax revenues, reduces social security spending and creates jobs in the private and voluntary sectors.

    I am concerned about the Government’s direction of travel in making announcements on police and prison officer pay over that of other public sector jobs. There is a danger that they are targeting professions dominated by men and not dealing with those public services where employment is dominated by women. I would like to hear from the Minister how they plan to tackle that issue. There is a risk of the gender pay gap increasing if the Government do not get their public sector pay policy correct.

  • I agree with the hon. Gentleman’s comments about the Government seeking to divide public services between those with more men and those with more women. That said, regarding the increase in police pay, an officer in my constituency wrote to me that it was only a 1% increase with a 1% bonus and that they did not get it on their overtime or shift allowances, and that it felt like another kick in the teeth, because it was being sold as 2%.

  • That is a fair point. Two years ago, three months after I was elected, I received a 10% pay increase followed by another uplift of 1.3% last year. As a trade unionist, I believe in a rate for the job and in accepting independent pay review processes, so I donated to local charities following the pay rise. It sticks in my craw, however, that there appears to be one rule for MPs and another for public servants. How much more must it offend my constituents?

    Every Member who has spoken today against raising public sector pay while having accepted their own increase must have a different set of values, and they are entitled to their views. Equally, however, their low-paid public sector constituents are entitled to pass judgement on them, and no doubt they will draw their own conclusions. I say: lift the cap, lift it now and fund it properly.

  • I welcome the opportunity to address the House on the subject of NHS pay. Let me start by praising the excellent work that nurses and other NHS staff perform on a day-to-day basis. In my constituency, the excellent Southport Hospital, part of the Southport and Ormskirk Hospital NHS Trust, is a shining example of how a hospital that has had difficulties can turn itself around with the right leadership. It was commended for being the most improved hospital in the first quarter of this year, and I was grateful to my right hon. Friend the Secretary of State for visiting it, talking to staff and listening to their concerns.

    The Government have continued to listen to the public sector pay boards’ recommendations, and I am particularly pleased that they have announced this level of flexibility, which I hope that will extend to those at the lower end of the pay scale. Opposition Members, who did not sort out our economy when they had the opportunity to do so, should bear in mind that we did not introduce the pay cap to penalise nurses; we did it because of the economic situation that existed at the time. For many years, because of the Labour Government’s policies, the economy was like a patient itself—it was sick, and yes, there was some bitter medicine to take—but now, thankfully, the patient is on the road to recovery.

    We know that the only route towards the building of strong public services is through the building of a strong economy, and that is exactly what the Government are doing. The Opposition have made some egregious claims about the situation of NHS staff, and have even tried to claim that there is a nurse recruitment crisis owing to poor pay, although the NHS Pay Review Body recently emphasised that that was not the case, stating:

    “We do not see significant short-term nationwide recruitment and retention issues that are linked to pay”.

    I urge the Opposition to welcome the fact that 52,000 nurses are currently in training, and to celebrate the recent announcement that funds have been set aside for a further 10,000 training places by 2020.

    Let me conclude by making a recommendation to Labour Members. If they are genuinely serious about raising public sector pay, they should consider supporting sensible economic policies that will lead to the nation’s increased prosperity and to rising wages for everyone, not just those in the NHS.

  • Let me join in the congratulations to my hon. Friend the Member for Portsmouth South (Stephen Morgan) on his maiden speech. He was able to demonstrate what Parliament is at its very best, when members of communities come here to give a voice to those communities. It was a fantastic speech.

    I also pay tribute to the members of our Front Bench for the fight that they have put up today, and, indeed, before today. They have ensured that the case has been made—for instance, when representatives of the Royal College of Nursing were across the road campaigning for the cap to be scrapped.

    There is no doubt that we are still in very difficult times. The economy has not grown in the way that people intended; despite the setting of repeated targets, every one of them has been missed, and tax revenues have not been coming in. But, of course, there is always money for priorities, and this situation comes down to that question of priorities. Is the Government’s priority to give money to the wealthiest through corporation tax cuts and personal tax advantages, or is it to establish a foundation of decent public services? Collectively we know that if we are to achieve the type of society that we want, grassroots investment is vital.

    Tomorrow is quite an important day for our country. It will be a decade since the financial crisis began, and queues of Northern Rock customers were forming at the cash machines. Now, our doctors and nurses are experiencing a real-terms pay cut. That is where the axe has fallen. Let us consider the Royal Bank of Scotland, a majority public institution, 73% of which is owned by the taxpayer. Last year it made a £2 billion loss. Let us forget the casino banking that brought our country to its financial knees. A majority publicly owned bank in which the Government had a significant interest, and which had made a £2 billion loss, managed to pay £17 million worth of bonuses. Where is the pay restraint when it matters? It is OK to be tough when that means talking down our doctors, nurses and other public sector workers. Where is that toughness when it comes to sticking it to the banks? The people who caused the financial crisis in 2010 have been allowed to get away with it, and the stress and the strain have fallen on our public sector workers.

    The NHS does not sit in isolation. It is part of a very delicate public service ecosystem. It relies on other public sector agencies to be strong, robust and well resourced to ensure that that pressure is managed. In the north-west, more than 100,000 workers have been taken away from our local authorities and other public sector bodies, which means that there is more pressure on the NHS to deal with matters that ought to be dealt with in the community. Social services departments are under such strain that some are nearly falling over, but rather than dealing with that by paying people a decent amount for a hard day’s work, the Government seem to want to put their fingers in their ears, hum to themselves, and believe that everything is OK.

    I am not fooled, and I do not believe that Conservative Back Benchers are fooled. When they stand up to defend their Government, there is a veneer of support because they have to toe the party line, but they know—they absolutely know—the real impact that their Government are having. [Interruption.] That is the truth. Listen: I know my feelings about the NHS, and they are not just about words. This is about action, about deeds, and about showing genuine support.

    We are sent here to represent our constituents. Can any Conservative Members tell me how continuing to suppress the pay of hard-working public sector workers is to the benefit of any one of their constituents, when at the same time a publicly owned bank is getting away with paying £17 million in bonuses? Let them tell me where the pay restraint is when it really comes to it. Words are one thing, but facts—evidence—another thing entirely.

    This comes down to stark choices. The choice on our side means having decent public services there when they are needed. The choice on the other side means sticking up for the rich at the cost of public services.

  • Order. I want to get everyone in, so I shall have to drop the speaking limit to four minutes because of the earlier interventions.

  • I was going to say that it was a great pleasure to follow the hon. Member for Oldham West and Royton (Jim McMahon), but I truly struggle to do so. If we are to do our job as politicians, the first thing that we must do is drop the rhetoric, drop the slogans and stop the insults. They do not help, they do not achieve anything, and they are insulting. Let me tell the hon. Gentleman, and other Opposition Members, that some of us on this side of the House are getting a little sick and tired of, one, the way that the Labour party continues to run down our NHS, and two, the perpetuation of the stereotype that we do not use it, and, indeed, that we do not have families. In fact, our families have long roots in the NHS.

    I am very proud of four generations of Soubrys all of whom are working, or have worked, in the NHS. My niece is training to be a paramedic, and I am sure that my mentioning that in Parliament in the presence of my right hon. Friend the Secretary of State will advance her career. Of course it will not! Her mother, my sister-in-law, works in a GP’s surgery, and my brother Charlie works at the Queen’s Medical Centre in Nottingham. My mother was a radiographer all her working life; she proudly worked in the NHS for 40 years, finally retiring, long after she should have done, at Doncaster Royal Infirmary. Her mother-in-law—my grandmother—was a nurse, as was my great aunt. I am therefore one of many Members on this side of the House with long, firm roots in the NHS. We get it, we love it, we have a passion for it, and that is why we continue to support it and fund it.

    What the hon. Member for Oldham West and Royton just does not understand, like, sadly, so many of his colleagues, is that the way we achieve the great public services we all agree we want is to have a good, firm, sound economy, and we achieve that through the sort of sensible Conservative policies that we on these Benches have advocated, and have achieved—or we wreck it and destroy that strong economy with the sort of socialism that strangles our economy now being advocated by Labour’s current Front-Bench. The choice for the British people is absolutely clear: if they want a strong NHS delivering those fantastic services, they should support the Conservative party, because it us who deliver the economy to pay for those services.

    I also take grave exception to anybody telling me that I follow the party line; I can think of a few on the Conservative Benches who would take grave issue with that. I make it very clear that there are undoubtedly problems and huge challenges, and all is not well within our great NHS, but, please, we must not talk it down in the way we have done.

    By way of example, a very dear friend of mine died only the other week; he had a terminal illness. Even in her deepest grief, my friend, Dick Benson’s widow, when she called to tell me of his demise, told me of the remarkable care that he had had thanks to the GP in Nottingham who had provided his end-of-life care support. That is just one example of the hundreds of thousands of people who are receiving world-class treatment every day, thanks to our NHS.

    As I have said, however, all is not well. Too many of our NHS workers are working overly long shifts with short breaks. I know of consultant friends of mine having to pay for their lanyards when they are broken at Nottingham University Hospitals NHS Trust, and there are many other examples.

    Finally, let me give an outstanding example from my clinical commissioning group, Nottingham West. It has said that six of the 12 GP surgeries are outstanding. There is much more to be done, but make no mistake: the way we achieve a great NHS and make it even better is to have the strong economy that only the Conservatives can deliver.

  • It is a pleasure to follow the right hon. Member for Broxtowe (Anna Soubry).

    As a nurse of 40 years, I can say that the issue we are debating today is close to my heart. I, like many other NHS staff, struggled to make ends meet with the 1% pay cap, which acted as a pay cut. Since 2010, NHS staff who have decided to stay in the profession have experienced a real-terms pay cut of 14%. They are overstretched and undervalued, which is making patient care in the NHS a real concern. The 1% cap is forcing many experienced staff out of the profession, putting strain on those left. Others are pushed into the arms of agencies where they could earn many times their normal hourly rate, and others pursue a second job to make ends meet, working extra hours to increase their earnings. This puts a strain not only on their financial life, but on their family too.

    In my constituency of Wolverhampton South West, I have constituents who work as nurses telling me they are leaving the NHS because of increasing workloads, which has caused them great stress, and years of pay restraint that has left them feeling undervalued and demoralised. Many hard-working nurses are turning to food banks, facing missing meals and struggling to pay their bills. Pay has not increased, but utility and grocery bills have. The Royal Wolverhampton NHS Trust employs over 8,000, and 7,297 are non-medical staff. Another constituent who is a ward manager at a local rehabilitation hospital in Wolverhampton contacted me explaining how she had been fortunate to train with an NHS bursary and to then be employed there as a staff nurse since 2001.

    In response to a recent question by my hon. Friend the Member for Easington (Grahame Morris), the relevant Health Minister said that the Government changed the funding system for pre-registration tuition and bursaries to the standard student support system. This change means we have moved away from centrally imposed number controls and financial limitations, and therefore the artificial cap has been removed. That is not the case, as the latest UCAS figures show that applications for midwifery and nursing have fallen by 23% this year as health students are put off under this Government. Under this Government, it is difficult to train and to make a living as a nurse. That is why I am proud to have stood and been elected in the 2017 general election on Labour’s pledge, in a fully costed manifesto, to scrap the NHS pay cap and reinstate bursaries—unlike the Tories, who have given out massive tax giveaways worth £70 billion over five years.