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House of Commons Hansard
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Commons Chamber
10 October 2017
Volume 629

House of Commons

Tuesday 10 October 2017

The House met at half-past Eleven o’clock

Prayers

[Mr Speaker in the Chair]

Business Before Questions

Middle Level Bill

Motion made,

That the promoters of the Middle Level Bill, which originated in this House in the previous Session on 24 January 2017, may have leave to proceed with the Bill in the current Session according to the provisions of Standing Order 188B (Revival of bills).—(The First Deputy Chairman of Ways and Means.)

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Object.

Bill to be considered on Tuesday 17 October at Four o’clock.

City of London Corporation (Open Spaces) Bill

Bill read the Third time and passed.

Oral Answers to Questions

Health

The Secretary of State was asked—

Mental Health Workforce

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1. What recent steps he has taken to increase the size of the mental health workforce. [901005]

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Today is World Mental Health Day and the whole House will want to congratulate Time2Change on its 10th anniversary and the remarkable change in attitudes towards mental illness that it has helped to bring about. Our mental health workforce has increased by 30,000 since 2010 and another 21,000 posts are planned. [Official Report, 16 October 2017, Vol. 629, c. 4MC.]

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On World Mental Health Day, I congratulate the Secretary of State on the work he has done, especially for children. We have had 42% more children receiving care for eating disorders and over 21,000 more children have received access to mental health provision. What targets does the Secretary of State have to help to improve such provision?

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Our plans envisage treating another 70,000 children every year by 2020-21, but that is still not enough. It will take us from one in four children needing help to one in three. That is why we are publishing a Green Paper on child and adolescent mental health.

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One of the staffing shortages is actually in children and young people’s services. In County Durham in my constituency, the waiting time for autism diagnosis is two years. I have raised this with the mental health trust and NHS England, but the problem seems to be with the clinical commissioning group. What can the Secretary of State do to ensure that the extra money that he has pledged to put into the service actually gets to the service?

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I would like to thank the hon. Gentleman for speaking out about mental health, like so many colleagues in this House, which makes a massive difference to the Time2Change campaign. It is unacceptable for someone to be waiting that long, and I do not want to stand here and defend it. I will certainly look into the individual case that the hon. Gentleman raises, but the fact is that many Members will know of similar cases. The money is starting to get through to the frontline. It is not just money, though; it is also capacity, and having trained mental health therapists—nurses; psychiatrists—and that is why we are boosting their training, too.

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As someone who is married to an NHS psychiatrist, may I start by paying tribute to all those volunteers, carers and professionals working in mental health on World Mental Health Day? Has the Secretary of State seen today’s briefing by the Children’s Commissioner, highlighting the vital importance of prevention and early intervention? Will he set out what steps he is taking to support a growing workforce—volunteers and professionals—working in prevention and early intervention?

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My hon. Friend is absolutely right. I am aware of the report that she talks about. We know that half of mental health conditions become established before the age of 14, which is why early intervention is so important. In July, I announced an expansion in the mental health workforce—another 21,000 posts. A number of those will be in children’s mental health, to address the issues she raises.

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The Secretary of State may know that because of a reduction in the number of mental health clinicians in Cumbria, the Cumbria Partnership NHS Foundation Trust has now chosen to end consultant psychiatric call-out care from 8 pm to 9 am. It would have started last week, but it is going to start in the next two or three weeks. That means, as I am sure he is aware, that it will not be possible to section people under the Mental Health Acts between those hours unless they are within an NHS facility. People in police stations, people in care homes and people at A&E departments will not be—

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Order. If the hon. Gentleman wants to make an application for an Adjournment debate, he can do that on a subsequent occasion. I think we have got the gravamen of his question.

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The question is: does the Secretary of State agree that that is not an appropriate use of resources, and will he provide the resources that are needed?

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The hon. Gentleman raises a very serious issue. I will not go into it in detail now, but I will certainly look into it closely and get back to him, if I may. Obviously it is very important.

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23. On World Mental Health Day, may I also welcome the progress the Government have made? We are doing all that we can to make changes. However, too many patients in my constituency, particularly younger patients, have to travel out of Eastleigh for the treatment they need, especially given the challenges facing Southern Health. Will the Secretary of State outline what he will be doing to right this wrong? [901029]

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My hon. Friend is right to draw attention to the issues around Southern Health, which will have directly affected a number of her constituents. That organisation is being turned around. However, she is also right to say that too many people are travelling out of area for their treatment. We have record numbers of children’s beds commissioned, but in the end this is about the capacity of the system of trained psychiatrists, psychologists and therapists, which was why we announced the extra 21,000 posts.

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On World Mental Health Day, may I thank my hon. Friend the Member for Washington and Sunderland West (Mrs Hodgson) for wearing yellow for #HelloYellow on behalf of our team?

The Secretary of State’s claim that thousands of extra mental health staff will be appointed by 2021 is fanciful unless he tells us how they will be funded. Today, the Care Quality Commission reports that mental health services are struggling to staff wards safely. We have also learned recently that two out of five mental health staff have been abused or attacked by patients in the past year. Most blame staff shortages for that violence. Rather than telling us about recruiting for 2021, what is the Secretary of State going to do today to protect staff from violence? [Official Report, 16 October 2017, Vol. 629, c. 4MC.]

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Let me tell the hon. Lady what has happened in mental health. Some 30,000 more people are working in mental health today than when her Government left office—a 5.8% increase in clinical staff. On top of that —she asked about money—we have committed an extra £1 billion a year by 2021 so that we can employ even more people. We are the first Government to admit that where we are now is not good enough. We want to be the best in the world; that is why we are investing to deliver that.

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21. Parental conflict is recognised as a key cause of children’s mental health problems. What is the Department doing to address that, and will Ministers be willing to meet a group of colleagues who supported the “Manifesto to Strengthen Families”? Its policy proposals seek to discuss how strengthening families can address children’s mental health problems. [901027]

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My hon. Friend is absolutely right. Children who come from troubled or chaotic family backgrounds are far more likely to have mental health issues. I am more than happy to meet her and to feed her thoughts into our mental health Green Paper.

Nursing

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2. What steps he is taking to broaden routes into nursing. [901006]

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Developing new routes into nursing is a priority for my Department, which was why last week I announced plans to train 12,500 new nursing associates through the apprentice route in the next two years and to increase the number of nurses we train by 25%—the biggest increase in the history of the NHS.

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I welcome the fact that there are currently record numbers of nurses working in the NHS, but what is the Secretary of State doing to provide assurances to hospitals, such as the Alex in my constituency, that have faced issues with recruitment and retention? I very much welcome the new routes into nursing, including degree apprenticeships. What further actions does he propose to take?

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My hon. Friend is absolutely right to raise this issue. The Alex is going through a difficult period and I know that as the local MP she is giving it a lot of support. The fact is that in 2014 we turned down 37,000 applicants to nurse degree courses. That is why we think that we need to do much, much better in training a number of people who would make brilliant nurses. That was why we announced the big increase last week, which will help the Alex and many other hospitals.

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University admissions departments have reported an 8% fall in the number of people accepted on to nursing courses this autumn, so the situation is getting worse, not better as the Secretary of State claims. What contingency does he have in place, in the event that we crash out of the European Union, to address a further haemorrhaging of European Union staff from the NHS, and when will he review his disastrous decision to abolish nurse bursaries, which has had such a negative impact?

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Let us be clear: we took the difficult decision on nurse bursaries precisely so that we could have the biggest expansion in nurse training places we have ever had. When we had the higher education reforms in 2011, which the right hon. Gentleman’s party opposed, we also saw a drop in initial applications, but then we saw them soaring to record levels. That is what we want to happen with nurses, because we need more nurses for the Royal Devon and Exeter, and all the hospitals that serve our constituents.

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I welcome the apprenticeship route and the associate nurse route into nursing because living on a bursary of £400 a month is no fun, believe me. However, will the Secretary of State look at nurse training so that when nurses qualify they are able to take on courses such as venepuncture and cannulation as soon as possible? Many student nurses and newly qualified nurses are frustrated that they cannot be used in those roles.

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I will certainly look into that. Of course, my hon. Friend understands this issue better than many in this House. The really exciting change is that it will now be possible for healthcare assistants who could make fantastic nurses to progress to being nurses without needing to take out student loans because they will be able to carry on earning while they learn. That will open up big opportunities for many people.

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Although we support moves to broaden access to nursing, these measures are effectively an admission that the scrapping of bursaries has been a disaster, but whatever recruitment strategies there are, the Government need to improve retention. The Royal College of Nursing recently reported that half of nurses surveyed said that

“staff shortages are compromising…care”.

What steps are the Government taking to ensure that nurses can do their jobs properly right now?

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The hon. Gentleman is right to bring that up. One thing we can do a lot better is to improve the opportunities for flexible working. We have announced that we will be making new flexible working arrangements available to all NHS staff during this Parliament. We are also expanding programmes to encourage people who may have left the profession to come back into nursing.

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I think everyone would welcome an expansion of nurse training places, but the Council of Deans of Health stated in June that no new extra places had been funded either in universities or, crucially, in hospitals, where 50% of the course is carried out. Will the Secretary of State clarify when that funding will be made available?

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Next year.

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Obviously we know that it takes quite some time to train a nurse, and one in 10 posts in England is vacant—that is twice the rate we face in Scotland. We also know that there is a 51% increase in nurses leaving the profession, a 96% drop in those coming from the European Union, and a limit on the use of agency staff, so where does the Secretary of State expect NHS England to find the 40,000 nurses it needs right now?

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Let me just remind the hon. Lady that there are 11,300 more nurses on our wards than there were just four years ago, so we are increasing the number of nurses in the NHS. She mentions what is happening in Scotland. I gently remind her that nearly double the proportion of patients are waiting too long for their operations in Scotland as in England.

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17. The Secretary of State will know that the University of Gloucestershire recently introduced courses for both the higher apprenticeships scheme as a pilot project and for nursing degrees. These have been incredibly popular in my constituency and around the county of Gloucestershire. Does he support our bid to have a university technical college that will provide pathways for people into health and care, working closely with all NHS organisations? [901022]

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I support all universities that are trying to move into offering more courses that can help me to ensure that we have enough staff for the NHS. I am sure that the University of Gloucestershire’s bid will be powerful, but I am aware that other hon. Members are supporting bids from their own constituency—including, I have to say, that of the University of Surrey, which puts me in a somewhat difficult position.

Myopic Choroidal Neovascularisation: Eylea

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3. What his policy is on making Eylea available as a treatment for myopic choroidal neovascularisation. [901007]

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The National Institute for Health and Care Excellence is developing guidance on the use of Eylea for the treatment of myopic CNV. NICE has published draft guidance for appeal that recommends use of the drug subject to a patient access scheme that makes it available to the NHS at a discounted price. NICE expects to publish final guidance this November.

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NICE needs to get a move on, because these drugs have been available to patients in Scotland and Wales, but patients in England will be going blind in the meantime.

Some people are told that their eyesight is too good to be treated, but by the time it has declined, they are told that nothing can be done to help. Will the Secretary of State meet my constituent, Elaine Shaw, who has been campaigning on the issue, the Macular Society and the Royal National Institute of Blind People so that we can discuss how to prevent people from facing an increased and unacceptable risk of preventable sight loss?

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Obviously I would be deeply concerned if patients were losing their sight due to treatment not happening in a timely way. Dudley clinical commissioning group tells me that it has already made funding available for Eylea following consideration of the NICE evidence summary issued in June 2016. This is the first drug that we have appraised through the new fast-track process for treatments that demonstrate clear cost-effectiveness. Patients will have routine access to Eylea from 1 December should the guidance remain unchanged. Of course, I would be happy to meet the hon. Gentleman and his constituent.

Transvaginal Mesh Implants

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4. What discussions he has had with the Medicines and Healthcare Products Regulatory Agency on transvaginal mesh implants. [901008]

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My colleague, Lord O’Shaughnessy, met the MHRA on 27 September to discuss this very important issue. The Department will have further discussions with NHS England on the support given to patients who have suffered due to this procedure and has asked the regulator to work with the clinical community to assess the associated risks and whether alternative treatments offer better outcomes for patients.

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Thousands of women across the country, including my constituent Elaine Holmes, the co-founder of the Scottish Mesh Survivors group, have to live with the catastrophic consequences of transvaginal mesh implants. With health regulators across the globe now waking up to the scandal and issuing alerts or deregistering mesh devices, will Ministers join me in urging the MHRA immediately to reclassify this damaging procedure as high risk?

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I thank my hon. Friend for his work in this area. I fully sympathise with anyone who has suffered complications as a result of these devices, but we do not currently have enough evidence to warrant our asking the MHRA to reclassify these procedures, and this is a view shared by other regulators across the world. I can advise him, however, that the National Institute for Health and Care Excellence strongly recommends that mesh implants not be routinely offered for the first surgical intervention on prolapse. That guidance is being updated—publication is due at the start of the new year—and will include an overarching document that looks in depth at the devices and the conditions surrounding the need for them, as well as the treatment of complications, to support better health outcomes.

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A constituent came to my surgery to explain how this has impacted on her life. It is truly harrowing. I understand that NHS England has set up 17 regional teams to look into this. I want to be able to assure my constituent that the voice of women and how this is impacting them on will be considered. I would be grateful if the Minister could respond so that we might understand what the future holds.

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I am absolutely aware that many women experience substantial side effects and complications following this procedure. Equally, however, many women also experience considerable relief from symptoms. We need a good review of the evidence to make sure that we adopt this procedure only when it fully suits women and that women understand the risks associated with the procedure. But I fully sympathise with the hon. Lady’s constituent.

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It is deeply worrying, though, that this procedure was introduced with so little evidence to support it. I think we all have to agree it has led to unacceptable complication rates for certain products. Will the Minister heed the words of Professor Heneghan and hold a public inquiry into the numbers of women adversely affected and why the safety of so many women was disregarded?

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I say again that many women have received relief from their symptoms following this procedure, but we need more evidence before we can properly review it, so it is important that we allow NICE to undertake its work so that we can take a clear view. Any procedure comes with risk—no surgery is without it—but obviously the more evidence we can gather, the better we can advise women of those risks.

Five Year Forward View for Mental Health

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5. What plans he has for the implementation of the NHS’s five year forward view for mental health. [901010]

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14. What plans he has for the implementation of the NHS’s Five Year Forward View for Mental Health. [901019]

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We are making good progress on the implementation of the five year forward view for mental health. We have published a workforce plan and invested more money than ever before, and we are providing care to 120,000 more people this year compared with 2013.

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The charity Mind recently produced a report called “Feel better outside, feel better inside”, which advocated the benefits of eco-therapy—using activities such as gardening, farming and exercise. The National Garden Scheme has also produced a publication on this. Is the treatment being utilised within the NHS?

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I thank my hon. Friend for her work in this area. Yes, I can give her that assurance. It is welcome that local authorities and clinical commissioning groups are considering innovative approaches concentrating on wellbeing, as well as acute services, and eco-therapy is part of that agenda.

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I am sure that you, Mr Speaker, and the rest of the House will send their condolences to the family and friends of Rebecca Nevin, a constituent of mine who died aged 32 after many years of poor mental health and an addiction to alcohol. Her father, Stephen, like many parents of adult sufferers of poor mental health, felt largely excluded by health professionals. Does my hon. Friend agree that we need health systems and workers who maintain patient confidentiality while recognising and acting on the genuine concerns of parents of adults?

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I am sure that we are all very sorry to hear of the death of my right hon. Friend’s constituent, and we send our condolences to her family. It is extremely difficult to balance patients’ right to confidentiality with the needs and requests of their families, and we will study any recommendations that emerge from the coroner’s investigation.

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I heard what the Secretary of State said about funding earlier, and what the Minister said a moment before. However, I sent freedom of information requests to every CCG in the country, and found for the second successive year that more than half of them are not increasing the proportion of their budgets that they spend on mental health. That flies in the face of a commitment made by the Secretary of State at the Dispatch Box, and it flies in the face of the spirit of the Five Year Forward View for Mental Health. On World Mental Health Day, will the Minister, along with the Secretary of State, commit herself to ensuring that we ring-fence the money that they say is available for mental health?

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On World Mental Health Day, I can confirm that we are spending £574 million more on mental health this year. It remains our principle that decisions should be made locally by CCGs, but we have very clear expectations of them, and they will be held to account via inspections.

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The ‘Five Year Forward View’ suggested that the Government accepted the case for comprehensive maximum waiting time standards in mental health to match those in physical health. Given that children throughout the country are routinely waiting for months to start their treatment, may I ask what progress the Government are making with the introduction of a maximum waiting time standard for children’s mental health?

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The right hon. Gentleman has raised an excellent point. Our Green Paper on children and young people’s mental health will address exactly those issues. We have made clear that we will tackle mental health through early intervention, and early intervention for children and young people is central to that.

NHS Staffing Levels

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6. What recent assessment he has made of trends in staffing levels in the NHS. [901011]

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Not only has the number of nurses on our wards increased by more than 11,000 since May 2010, as my right hon. Friend the Secretary of State mentioned earlier, but the NHS has nearly 11,300 more doctors, over 2,700 more paramedics, over 26,000 more supporters for clinical staff, and 5,700 fewer administrators. However, we recognise the pressures on staff from increasing demand. That is why last year my right hon. Friend announced a 25% increase in the number of doctors in training, and why last week he announced a 25% record increase in the number of nursing training places.

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Huddersfield Royal Infirmary, which is in my constituency, is currently facing plans for a downgrading that would result in the loss of 500 hard-working professionals. Is it too much to ask for the Minister, or the Secretary of State, to visit the hospital, as I have requested, before those hard-working trained professionals are lost, and can he assure me—and my constituents—that those cuts, and the pressures on nearby hospitals, will not jeopardise the safety of patients?

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Order. There is a growing tendency for colleagues to ask two questions rather than one, which is not fair on other colleagues who are trying to get in. Forgive me, but the questions are too long, and frequently the answers are as well.

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I will try to keep this answer short, Mr Speaker.

As the hon. Lady will know, the local joint health overview and scrutiny committee has referred those proposals to the Secretary of State, and it would not be appropriate for me to visit the hospital while the referral is in progress.

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On the subject of vital NHS staff, will the Minister join me in congratulating the thousands of community pharmacists on their daily commitment and professionalism? Will he confirm, once and for all, that he has no intention of downgrading their role and putting patients at risk? Surely he agrees that the Prime Minister would have been well advised to seek a cough remedy from a qualified community pharmacist rather than relying on an unqualified Chancellor of the Exchequer.

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As the hon. Lady will know, we have inserted payment for extra activity into the contract for community pharmacists because we want more activities to take place in community pharmacies. For example, many flu vaccinations throughout the country are now being carried out by pharmacists.

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I thank the Minister for the recent meeting that he had with me and other colleagues about Grimsby Hospital, which is in special measures. It was clear from a recent meeting I had with the chief executive that staff vacancies are one of the biggest problems preventing the hospital from getting out of special measures. What additional support can the Department offer in order to get the hospital back on track?

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I was pleased to welcome my hon. Friend to a meeting a few days ago to discuss the situation, together with his Opposition constituency neighbours. One of the things that we will be looking at in the coming weeks is the allocation of the new doctor training places. As part of the criteria, we will be looking to ensure that some of those places are allocated to areas where it is difficult to recruit, such as rural and coastal areas.

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The Minister has visited Kettering General Hospital and knows the wonderful work that the doctors and nurses there do. The problem that the hospital faces, however, is that too few of the doctors and nurses are full-time permanent members of staff, and too many locums are being hired, at great expense to the hospital budget. What is my hon. Friend’s advice for Kettering hospital on tackling the issue?

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When I visited Kettering General Hospital we discussed excessive agency staff costs. One of the measures announced last week by my right hon. Friend the Secretary of State was a drive to invest more in both regional and local bank agencies within the NHS so that we can reduce the reliance on more expensive agency staff.

End-of-Life Care

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7. What steps his Department is taking to improve end-of-life care. [901012]

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By 2020 we want significantly to improve patient choice in end-of-life care. The Government’s end-of-life care commitment sets out exactly what everyone should expect. In September we published a report on the good progress that we have made over the first year.

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The End of Life Care Coalition has said that it remains deeply concerned about the enduring gap in resources for community-based health and social care services. Meanwhile, Together for Short Lives continues to highlight the unacceptable postcode lottery faced by 40,000 children with life-limiting conditions. What is the Minister doing to ensure that all clinical commissioning groups and sustainability and transformation partnerships will meet the Government’s requirements in full for both children and adults by 2020?

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I thank the hon. Lady for her question, and I know that she, through her role on the all-party parliamentary group for children who need palliative care, will continue to hold me to account on these commitments. We did look at the work undertaken by Together for Short Lives to improve end-of-life care for children, which does require special attention—she is quite right to raise that. NHS England recently co-hosted a policy summit with Together for Short Lives, and I will be meeting it next week to discuss that further. We are also engaging local sustainability and transformation partnerships to support planning for end-of-life care, and helping all trusts to develop and improve their services. This work is ongoing, but it remains a key priority.

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When it comes to baby loss, the end of life can often be sudden and unexpected. In this Baby Loss Awareness Week, will the Minister join me in welcoming the launch of the national bereavement care pathway, and pay tribute to Sands, baby loss organisations and charities, the APPG and the former Care Quality Minister, Ben Gummer, who did so much to make it happen?

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I am of course happy to join my hon. Friend in congratulating those organisations and thank him for all the work that he has done. The 11 pilots launched only last month are very much down to his work and that of hon. Members across the House, who have done so much over the past year to raise awareness of the issue.

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Many people would prefer to die at home, but that is actually very difficult to achieve, not only because of the lack of support for Macmillan nurses, for example, but because, frankly, of the reluctance of the authorities to effect a speedy transition to a home base. What can the Government now do to ensure that dying at home is a real option?

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The hon. Gentleman is quite right: many people would elect to die at home, if the opportunity were available. We need to ensure provision to allow people to do that, if that is their choice, because we should be supporting people to honour their choices at the end of their lives, and it enables us to treat more people in hospitals and hospices.

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Hospices, such as Treetops Hospice Care in my constituency, provide outstanding end-of-life care. Although these services benefit from generous charitable donations that enable them to operate on a day-to-day basis, what more can the Government do to help support hospices when capital investment is needed to improve the current setting of new build?

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One of the strengths of our hospice movement is that it relies heavily on charitable donations, which shows that people are generous and that they want to support good, locally focused care. However, CCGs should look at where they can support hospices with their care costs, and we will certainly consider including that in the end-of-life care programme.

Public Sector Pay Cap: NHS Staffing Levels

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8. What assessment he has made of the effect of the public sector pay cap on staffing levels in the NHS. [901013]

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11. What assessment he has made of the effect of the public sector pay cap on staffing levels in the NHS. [901016]

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NHS staff do a fantastic job in tough circumstances, and pay restraint has been challenging for many of them. However, given the financial pressures, it is also true that the NHS would not have been able to recruit an additional 30,000 staff since May 2010 without the cap.

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The NHS is short of 3,500 midwives and 40,000 nurses. What proportion of those numbers does the Secretary of State put down to the public sector pay cap?

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As I said in my previous answer, without pay restraint we would not have 11,300 more doctors in the NHS and 11,300 more nurses on our wards. The hon. Gentleman will know that we recognise that it was not sustainable to carry on with the 1% rise going forward, which is why we have been given the leeway to have more flexible negotiations next year.

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Hospital wards and GP surgeries are chronically understaffed, and the knock-on effect is that waiting lists are spiralling out of control. Is it not in the best interests of patients to scrap the pay cap so that the NHS can be run with the relevant number of staff in place?

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I welcome what I think is my first question from the hon. Lady, and I can give her some good news: the pay cap has been scrapped.

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In the work that I have done in hospitals, staff have told me that they are most unhappy about too much reliance on temporary staff, rota gaps and not feeling valued, as opposed to issues around pay. The latter—not feeling valued—often goes hand in hand with poor management practices. What is my right hon. Friend doing about those causes of staff unhappiness?

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My hon. Friend, who has a lot of experience of working in the NHS, is absolutely right. The new Care Quality Commission inspection regime is designed precisely to identify good, strong leadership, because that has the best impact on staff and, through that, the best impact on patients.

Drug Treatment Services

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9. What assessment he has made of the advice of the Advisory Council on the Misuse of Drugs on the level of funding for drug treatment services. [901014]

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We thank the ACMD for its report, and we take its advice seriously. Discussions will happen across Government, and we will respond fully in due course in the usual way.

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The ACMD says:

“England had built a world class drug treatment system… This system is now being dismantled due to reductions in resources.”

More than 100 local authorities have had to reduce spending on addiction services this year as a result of Government cuts. Will that reduction in addiction treatment budgets not just cost the NHS more in the long term?

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The Government are already investing £16 billion in public health services over the spending review period. We made it a condition of the public health grant that local authorities have regard to the need to improve the take-up and outcomes of their drug and alcohol services. Local authorities are best placed to make those decisions. The investment in effective services means that the average waiting time is just three days and, according to our monitoring systems, treatment outcomes in Greater Manchester are generally better than or in line with the rest of England.

Mental Health: Education

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10. What discussions he has had with the Secretary of State for Education on promoting improved education in schools and youth settings to tackle the stigma associated with mental health. [901015]

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Ahead of our autumn Green Paper on children and young people’s mental health, we are having productive discussions with the Department for Education on the vital role that schools can play in tackling both mental health problems and the stigma surrounding them.

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The YMCA and NHS’s #IAMWHOLE campaign, which was launched this morning, shows that young people seeking help are often dismissed by those around them, largely due to a lack of understanding of mental health difficulties. Will the Secretary of State meet the YMCA to discuss what can be done to combat the stigma?

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I am more than happy to meet the YMCA. I also want to point out the amazing work done by the “Time2Change” campaign. I was at an event to mark its 10th anniversary, and I heard from young people who have spoken up about their mental health conditions, which takes a lot of courage. Things are changing, and we can draw a lot of hope from what is happening on the ground.

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Family doctors undertake such work, but why have only a quarter of them had any formal training in mental health?

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My right hon. Friend is absolutely right to point out that a GP is often the first point of contact for many people. What are we doing? Three thousand mental health professionals will be seconded to GP surgeries over the next few years to give GPs the back-up they need in that area.

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Not for the first time, I implore the right hon. Member for New Forest West (Sir Desmond Swayne) to issue to colleagues his textbook on succinct questions.

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Since the demand for children and youth mental health services far outstrips supply, will the Secretary of State consider diverting resources to voluntary bodies, such as the admirable Off The Record in my constituency, which have a much lower threshold for referral?

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We will look at the role of voluntary organisations, and I totally agree with the right hon. Gentleman that they have an incredibly important role to play. We must also consider the role of schools, because teachers are extremely enthusiastic to do more around mental health. I think that if we give them more support there is a lot more they could do.

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The Secretary of State will know that when it comes to physical health and stigma, the Department will react right away. Do the Government now recognise the importance of treating mental health with equal status to physical health?

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We absolutely recognise that and we have legislated for it. The children and mental health Green Paper will take further steps in that direction.

Bournville Gardens Health and Community Medical Centre

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12. What progress has been made on the Bournville gardens health and community medical centre project in Birmingham. [901017]

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The building of the new health and wellbeing centre is supported by NHS England for funding in principle through the estates and technology transformation fund, subject to due diligence checks including a value for money exercise.

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That is fine, but is it not the case that although approval was given by the NHS technology and transformation fund last autumn, NHS England has spent the past 18 months negotiating new procedures for the premises cost directions? The delays in those procedures are jeopardising things such as that health and wellbeing centre. Is it not time that Ministers stepped in to ensure that projects on which everyone agrees can be approved under existing regulations and should not have to wait for the renegotiations?

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The hon. Gentleman is right that NHS England has been negotiating changes to the premises cost directions, which govern how we manage premises costs for general practitioners, but that is not the reason for the delay. We are working through the detail of the content of the scheme and it is not yet at the point of seeking approval. At the end of the day, this is public money and I think that the hon. Gentleman and everybody in this House would expect me to make sure that things are done properly.

Congenital Heart Services: North-West

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13. What recent assessment he has made of the adequacy of provision of congenital heart services in the north-west. [901018]

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As the hon. Lady knows, the adult congenital heart disease service provided in Manchester has been included in the long-standing clinical assessment of CHD services undertaken by NHS England, which is now reviewing the more than 7,500 responses to the public consultation, which ended in July. The adult CHD service in Manchester was suspended by the trust in June, when the only CHD surgeon left. Hospitals in Leeds and Newcastle continue to deliver level 1 care and paediatric CHD services continue to be provided by Alder Hey Children’s Hospital in Liverpool.

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Is not the truth behind what happened that Ministers and NHS England prejudged the review and therefore left services untenable and unviable in Manchester? There are no level 1 adult congenital heart services anywhere in the north-west and patients are having to travel to Leeds and Newcastle for the treatment. Will the Minister apologise today to those patients for this botched review, which has left patients with a great deal of uncertainty and has meant that they have had to travel huge distances?

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I am sure that the hon. Lady will not want to confuse her patients by suggesting that relying on a single surgeon for prolonged periods is necessarily in their best interests. The facilities that remain in Central Manchester University Hospitals NHS Foundation Trust are intended to remain and include CHD outpatient services for adults and children. Level 2 services also continue to be provided in Manchester.

Unmet Social Care Needs

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15. What estimate he has made of the number of people living with unmet social care needs. [901020]

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By passing the Care Act 2014, this Government established a national eligibility threshold that defines the care needs that local authorities are required to meet. This eliminates the postcode lottery of eligibility across England. Social care continues to be a key priority for this Government. That is why local authorities in England will receive an additional £2 billion for social care over the next three years. In the longer term, we are committed to establishing adult social care on a fair and more sustainable basis.

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Age UK estimates that nearly 1.2 million older people have unmet care needs. After the Government dropped their disastrous dementia tax policy during the general election, all they can offer people is yet another consultation. In the words of the hon. Member for Totnes (Dr Wollaston), the Chair of the Health Committee, is it not time the Government just got “on with it”?

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I do not recognise Age UK’s assessment of unmet need. As I said, the requirements are enshrined in statute and local authorities should be held to that. In response to the hon. Lady’s final point, let me say that we are getting on with it, but we need a real cultural change in how we tackle these issues. There is a long-term issue to address in the fact that we are all living longer. This is not just going to need a sticking plaster; we will need to take the public with us. So this is not just another consultation; it is a vehicle for making sure that we as a society tackle this issue once and for all.

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The Royal Cornwall Hospitals NHS Trust was put into special measures last week, but delayed discharge caused by unmet social care needs contributes to the pressure in the trust. I welcome the £12 million that was awarded to the council this April to address that, but what more can the Minister do to help to relieve the pressure? Will he meet me and my Cornish colleagues to discuss the healthcare challenges faced in Cornwall and on Scilly?

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My right hon. Friend the Secretary of State has visited twice in the past year, and the Minister of State, Department of Health, my hon. Friend the Member for Ludlow (Mr Dunne) is more than willing to meet my hon. Friend next week, with other colleagues.

Clinical Commissioning Groups and Local Authorities

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16. What assessment he has made of the level of co-operation between clinical commissioning groups and local authorities. [901021]

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The Government want and expect strong relationships and joint working between the NHS and local authorities to make a success of STPs. They are meant to be a one-system solution.

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The London Borough of Bromley has had considerable success in joint working with its clinical commissioning group, through joint appointments, a multi-agency use of funding and a complete sign-up from the council, but we are concerned that reorganisation may detract from this operation at the local level. Will the Minister agree to meet me to discuss Bromley’s proposals to build on the success it has had so far?

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We are confident that we have some of the best STP leaders in place. I was looking last night at the figures for south-east London, and I saw that my hon. Friend’s local STP is highly rated, both on leadership and overall. I was thinking about him in the gym last night and I thought he might say what he did, so let me say that I am very happy to meet him and to broker a meeting between him and the NHS.

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It is interesting to hear about the thoughts of the hon. Gentleman when he is on the treadmill or the exercise bike—it is always useful to have a bit of additional information.

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20. Despite co-operation between the CCG and the local authority, we have had severe rationing and cuts and a seriously underfunded mental health service: the funding formula is seriously failing the health economy in York. In particular, the capped expenditure process will make it far, far worse. Instead of just slashing budgets, will the Secretary of State meet me to understand York’s health economy and to put real solutions in place? [901026]

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I am always happy to meet Members, including the hon. Lady in order to talk about York. As the shadow Secretary of State said, the STP proposals are not about Tory cuts; they are about redesigning services in the local area. So I am happy to meet her to talk about her area.

Topical Questions

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T1. If he will make a statement on his departmental responsibilities. [900887]

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This week is Baby Loss Awareness Week, and the whole House will want to mark the tragedy faced by too many parents every year by redoubling our efforts to reduce avoidable baby death and harm. I am pleased to tell the House that to mark World Mental Health Day today the entire Cabinet was this morning briefed by two of the country’s leading mental health experts, Poppy Jaman and Professor Sir Simon Wessely, on our plans announced today to roll out mental health first aid to 1 million people in England.

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Can the Secretary of State tell us what progress has been made regarding an inquiry into the contaminated blood scandal?

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I can absolutely tell the hon. Gentleman the answer to that: we have been making very important progress with families over the summer; and we have decided the shape of the inquiry and the leadership of the inquiry and all the factors around the terms of reference need to be decided in close consultation with the affected families. So we are keen to get on as quickly as possible, but we have made some progress in understanding their wishes.

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T4. Oesophageal cancer is one of the most aggressive cancers with some of the lowest survival rates. Early symptoms are frequently masked with over-the-counter heartburn remedies. Will the Secretary of State consider meeting manufacturers and charities such as Barrett’s Wessex in my Southampton, Itchen constituency to develop a clear warning on packaging to encourage regular users of heartburn remedies to seek medical advice about their condition? [900890]

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I thank one of my constituency neighbours for that question. Improving outcomes for all cancers is one of my main priorities in this job. I visited the Christie hospital in Manchester last week to see the progress being made on the proton beam therapy facility there. I know Barratt’s Wessex in my hon. Friend’s constituency, as it also does work with some of my constituents. We must do better on these rarer cancers with poor outcomes. I will look at what BW does exactly.

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Order. I gently remind Ministers that answers from the Front Bench must be very brief during topical questions, because many other colleagues are waiting to contribute and I do not want to disappoint them, as that would be unfair.

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Can the Secretary of State tell us how many elective operations he expects to be cancelled by 31 December?

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What I can tell the hon. Gentleman is that every year over Christmas time, when we know that hospitals will be busy, we suspend elective care in particularly busy places. That is how we keep patients safe.

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I am grateful to the Secretary of State for his answer, but already more than 80,000 elective operations have been cancelled. That is an increase on the past year. A&E attendance is up on the past year, bed occupancy is higher than last year and the Care Quality Commission has today warned that the NHS is straining at the seams. Winter is coming. Last week, the Tory party made spending commitments worth £15 billion, but not 1p extra for the NHS, so will the NHS fare worse or better than last year this winter, or are we set for another winter crisis made in Downing Street?

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What the CQC actually said this morning is that the majority of health and care systems across the NHS are providing good or outstanding quality; that the safety of care is going up; and that performance is improving. None the less, the hon. Gentleman is right that we are always concerned about winter. Let me tell him the new things that are happening this year to help prepare the NHS: £1 billion more going into the social care system in the most recent Budget; a £100 million capital programme for A&E departments; 2,400 beds being freed up; and an increasing number of clinicians at 111 call centres. A lot is happening, but, overall, let me remind him that our NHS is seeing 1,800 more people every single day within four hours—that is something to celebrate.

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T7. The Minister will be aware that clinical commissioning groups and the London region are currently consulting on changes to governance and commissioning arrangements. Given the positive words already said about arrangements in Bromley, will my right hon. Friend confirm that no changes of any kind will undermine the accountability at a local level, or the ability to commission locally in Bromley? [900893]

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I can confirm that because the legal accountability, whatever co-operation arrangements are made, will stay exactly the same.

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T2. My hospital trust tells me that there are no open or distance learning courses available anywhere to train new nurses. Considering the number of local people who are keen to be trained and the barriers that face them, will the Secretary of State agree to have a chinwag with me to solve this problem in Bassetlaw? [900888]

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That is a very attractive offer, and I am always happy to have a chinwag with the hon. Gentleman. Last week, we announced something that I hope will resolve that, which is that we are looking at holding nurse training courses on-site in hospital and community sites so that experienced healthcare assistants do not have to go to a higher education institution to do their training.

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T9. The last Labour Government downgraded Frenchay hospital in my constituency. My constituents and I have been waiting for several years for the much-needed and much-promised community hospital. What action are the Government taking to ensure that that finally happens? [900895]

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My hon. Friend is a doughty campaigner for Frenchay hospital and keeps it uppermost in our minds. The way in which we are looking at the pattern of health provision for the next period is through the STP process, and I encourage him to engage with the STP leadership in his area and make the case for Frenchay hospital.

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T3. The palliative care we provide to terminally ill children is an incredibly serious topic. I want to refer to the point made by the hon. Member for Newcastle upon Tyne North (Catherine McKinnell) and to press the Minister on giving children’s care parity of funding with adult care. Will she follow the example of the Scottish Government and provide parity of funding? [900889]

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As I previously advised the House, I am in conversation with Together for Short Lives to look at how we improve palliative care for children. This clearly raises a different set of circumstances and sensitivities, and it is essential that we do our best for these children.

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Do Ministers have any plans to review the “do not resuscitate” guidance for hospitals? I have a constituent who has such an order placed on him, despite the fact that he has left hospital and is in a care home, it cannot be rescinded and his family have not consented.

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My hon. Friend is right to raise this issue. Certainly, in CQC inspections in the past, the whole issue of “do not resuscitate” orders has been an area of concern. This is something we will very much look at as part of the end of life policy, but I would like to hear more about the case my hon. Friend mentioned, if he would like to write to me.

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T5. Accountable care systems are a systemic change to the way the NHS will be managed and a significant step towards an Americanised care system, so will the Minister explain why NHS England is having a fundamental reorganisation take place under the radar without a national consultation? [900891]

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Accountable care systems are supported by such rabid right wingers as Polly Toynbee, writing in The Guardian, because they are about health systems coming together to co-operate to give the best care for patients. That is what is happening across the NHS, and it is already delivering great results.

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This Friday marks Secondary Breast Cancer Awareness Day. In 2015, the Government recognised that data collection for this type of cancer was not good enough. However, research by Breast Cancer Care shows that less than a third of trusts collect the number of people diagnosed with secondary breast cancer. Will the Minister confirm what actions the Government are taking to ensure that all trusts are collecting this information, given its importance to improving outcomes?

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I thank the co-chair of the all-party group on breast cancer in what is BCAM—Breast Cancer Awareness Month. We must never forget the treatment and support we give to those living with and beyond the cancer diagnosis. We must always remember those living with secondary breast cancer and the work of the third sector—brilliant charities such as Breast Cancer Haven and Breast Cancer Care—so that we can focus on access to a specialist nurse. As my hon. Friend says, the collection of data is critical, and I will be discussing that at my roundtable with some of the main players in the cancer community later this week.

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Will the Minister abolish the patient penalty and scrap hospital car parking charges, which punish both the sick and hard-working NHS staff, as well as causing problems for residents living adjacent to NHS hospitals, such as Peterlee Community Hospital in my constituency?

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I do understand the concerns raised, and all hospitals are under a responsibility to make sure that they have proper arrangements in place for people on low incomes and people who have to visit hospitals regularly.

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Antibiotic resistance is a major threat to humanity. Will the Minister outline the progress we have made in opening up the £50 million global antimicrobial resistance innovation fund to applications?

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I thank my hon. Friend for that. We expect the first launch to be the bilateral UK-China partnership £10 million fund, which we expect to go live early in 2018. Further information on the calls for the remaining £40 million will be announced in due course.

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T10. In the light of the latest statistics from the Office for National Statistics showing a record number of drug-related deaths registered in England and Wales, will the Minister meet members of the drugs, alcohol and justice parliamentary group to discuss this issue and see how it can be addressed? [900896]

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I am very happy to meet the group, and the hon. Lady should contact my office. The Home Office is the lead Department for cross-governmental drugs policy, and we obviously released the new cross-Government drugs strategy earlier this year. However, this cannot all be about drugs services and picking up the pieces after things have gone wrong; it can also be about prevention. We should, as somebody once said at this Dispatch Box, understand a little more and condemn a little less.

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This month is Stoptober, and someone who manages to stop smoking for 28 days is five times more likely to quit for good. Legislation is obviously part of this, but perhaps the Minister could update us on what more could be done.

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At the last health oral questions, I committed to publishing the new tobacco control plan. I did that on 18 July. We have had a lot of legislation, from this and the previous Government. It is Stoptober, and there has never been a better time to quit. We now need to take that legislation, work with the control plan the Government have published and work it through local authorities and smoking cessation services, because my hon. Friend is absolutely right that where buddying services are used, we have better outcomes.

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There is a crisis in mental health staffing levels. Does the Secretary of State accept that today, throughout the country, there are 2,000 fewer mental health nurses than there were when he took charge five years ago?

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What I accept is that we have 30,000 more professionals working in mental health than when my Government came into office. There has been a decline in the number of mental health nurses, but we have in place plans to train 8,000 more mental health nurses, and that will make a big difference.[Official Report, 17 October 2017, Vol. 629, c. 6MC.]

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The Gloucestershire Hospitals NHS Foundation Trust capital expenditure bid would fund a 24-hour urgent care service, and it would also increase bed capacity and improve hospital performance in Gloucester and Cheltenham, to the benefit of patients throughout the county. When do Ministers expect to announce the results of the bid? Will they take this particular bid into careful consideration?

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I am aware that, under the Gloucestershire STP, a proposal has been submitted for capital funding to support plans to improve the clinical environment for patients and staff at the Gloucestershire Royal Hospital. I am afraid that my hon. Friend will have to join me in awaiting the Chancellor’s announcement in the Budget as to whether there will be a second phase of capital funding for STPs. If there is any funding, it will be allocated thereafter.

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GPs in my constituency tell me that because of changes to personal data rules they will no longer be able to charge for providing reports for private insurance and legal claims. Will Ministers update the House on the situation? What assessment has been made of how GPs will cope with the additional costs they will face?

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I am happy to look into that matter and write to the hon. Lady.

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If nurses or other NHS staff are awarded a pay rise above the current pay cap, will the Government fund that pay rise fully, or will they require it to be met by cuts in patient services?

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That is something I cannot answer right now, because the latitude that the Chancellor has given me with respect to the negotiation of future pay rises is partly linked to productivity improvements that we will negotiate at the same time. The fact is, though, that we do have that flexibility, and I hope we can get a win-win as a result.

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May I take the Secretary of State back to the issue of nursing associates? Given that evidence shows that for every 25 patients for whom a professionally qualified nurse is replaced by a non-nurse, mortality on an average ward rises by 21%, how comfortable is he with reports that hospitals in Lincolnshire and Leicester are using nursing associates to plug gaps in the nursing workforce?

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The hon. Lady should be very careful before talking down nurse associates. They do a fantastic job, they are trained, they are helping our NHS and they are welcomed by their nursing colleagues.

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Under this Government, there has been an unprecedented fall in the number of nurses: the NHS is short of 40,000 nurses and more than 6,000 have gone since 2010, under this Conservative Government. When will the Secretary of State acknowledge that he is failing the NHS and failing patients, and when will he do something about it?

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With respect, I really think the hon. Gentleman needs to get his facts right. The number of nurses has gone up, not down, since this Government have been in office. The number of nurses in our hospitals has gone up by more than 11,000, because this Government are supporting safer care in all our hospitals.

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The number of unfilled nursing posts in London is now more than 10,000—whatever the Secretary of State’s figures say, it is more than 10,000. When will they be filled?

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When we have put through the biggest increase in nurse training places in the history of the NHS—the 25% increase that I announced last week.

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Suicide is the most common cause of death for men under the age of 45, and men are significantly less likely than women to seek support from loved ones or medical professionals when they have mental health problems. How can services be better targeted at men to encourage them to seek help more quickly and thereby reduce misery?

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This is a very important issue and the hon. Lady is right to raise it. The Time to Change campaign has said that this year it will focus on men, specifically to try to address the issues she mentioned. We are rolling out crisis plans throughout the country to make sure we are better able to reach people who reach out to us.

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What reassurance can the Secretary of State give to the Amplify youth project in Northwich in my constituency that timely and improved access to mental health services will be provided?

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We have said that by 2020-21 we want to be treating an extra 70,000 young people every year, but the truth is that that is still not enough. We need to bring down waiting times much more dramatically, which is why we are doing a lot of work across Government and we have a Green Paper coming out shortly.

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Newly released NHS guidance makes it clear that walk-in services can have a future as part of urgent treatment centres. Does the Secretary of State agree with me and thousands of patients in Bury North that Bury walk-in centre can, should and must stay open and that Bury CCG should ensure this when it concludes its review?

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Current plans by NHS England to look at the urgent and emergency care pathways include creating 150 urgent treatment centres by the end of this year. I am happy for the hon. Gentleman to write to me about Bury and will respond in due course.

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Is the Secretary of State aware that there is widespread support in the House for his Government’s commitment to enact the principle of deemed consent for organ donation? He knows from a previous meeting that my private Member’s Bill is due for its Second Reading early in the new year. Will he therefore agree to an early meeting now, so that we can co-ordinate the two and see how to advance his intentions? I know that my hon. Friend the Member for Barnsley Central (Dan Jarvis) will be with me again and, with the Secretary of State’s commitment to this, we look forward to an early meeting.

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I very much enjoyed our previous meeting, which was not so very long ago. I hope the hon. Gentleman is happy that we have made good progress since that meeting, with the Prime Minister announcing that we will start a consultation, but I am always happy to see him and his colleague the hon. Member for Barnsley Central (Dan Jarvis).

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The Secretary of State will be aware that he and he alone has responsibilities under the Health and Social Care Act 2012 to deal with referrals from local authorities of clinical commissioning group decisions. Almost a year ago, Stoke-on-Trent City Council and Staffordshire County Council referred a matter to the Minister regarding the closure of community care beds. To date we have had no response. Letters from me and my hon. Friend the Member for Stoke-on-Trent North (Ruth Smeeth) have gone unanswered. When will we get a response? Is this a case of wilful indifference towards his responsibilities or just ignorance of the Act?

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May I apologise to the hon. Gentleman if he has not had a prompt reply to any letters to me or my Department? I will look into the issue that he raises and ensure that he gets a rapid response.

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Yesterday the private ambulance service that provided non-urgent patient transport at Bedford hospital ceased trading, leaving the East of England Ambulance Service NHS Trust to pick up the pieces. Will the Minister order an inquiry to establish what went wrong, and does he agree that using private companies to run key services for our NHS is simply not working?

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The hon. Gentleman will be aware that private and independent providers of patient transport services provide services all across the country and support the ambulance services in that work. I will look into the case that he raises in relation to Bedford and write to him.

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All of the local dementia and rehabilitation beds in my rural constituency of High Peak are earmarked for closure. In some cases, patients and their families will have to travel 25 miles across the moors to Chesterfield. Given the importance of staff being able to work with families to support patients to return home, will the Minister agree to look again at such decisions, which make this work practically impossible?

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The hon. Lady will be aware that the STP plans being considered for her area include providing more services in the community by community nurses and other nurses in our community hospitals being reassigned, which will allow them to undertake care for more patients than they can at present within community hospitals.

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Order. I am sorry, but we must move on. Demand invariably tends to exceed supply.

BAE Systems Military Air & Information Sites: Job Losses

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(Urgent Question): To ask the Minister of State, Department for Business, Energy and Industrial Strategy if she will make a statement on the likelihood of over 1,000 jobs being lost across the north of England at BAE Systems Military Air & Information sites.

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I know that the Government, and indeed all of us, are disappointed to hear the news that BAE Systems is considering reductions of up to 1,400 staff in its military air and information business, 375 in its maritime services division and 150 in its applied intelligence business. This is a concerning time for those working for BAE Systems, particularly in the run-up to Christmas. That is why I can assure the hon. Gentleman that the Government stand ready to support fully those affected. Indeed, colleagues across the Ministry of Defence, my Department and others are reviewing what support we can offer the company as it goes through this process. Of course, the Department for Work and Pensions is also standing by to provide whatever advice or support is required.

I would like to set out three main points. First, I will provide an update on the process; secondly, I will explain the rationale for the changes; and thirdly, I will set out what the Government are doing to support BAE Systems and this vital sector with our business. The company will now enter a 30-day statutory consultation process, and no final decisions will be taken about the level or type of redundancies until that process is complete. The Government will continue to work with BAE Systems to ensure that compulsory redundancies are kept to a minimum, and the company assures us that the reductions will be managed on a voluntary basis as far as possible. I emphasise that, as is usual in such cases, the DWP rapid response team is engaged and standing by, ready to deploy. It is incredibly important that the skills that people in the workforce have built up are retained in the UK industry as far as possible. That is why we will be using the talent retention system that was designed by my Department, working with the sector, to ensure that vital skills are not lost to the UK.

I turn now to the rationale for the announcement. The House should be absolutely clear that BAE Systems has taken this decision as a result of normal business practice. The decision is the result of internal restructuring and a drive to transform its business so that it can continue to be one of our most efficient and effective companies, generating export orders across the world. This is not related to any UK defence spending decisions. [Interruption.] Labour Members can shout all they like, but I hope that we can avoid getting politics into this. It was very striking how during conference speech after conference speech Labour Members—not the hon. Members opposite me, for whom I have great respect—went out of their way to criticise the industry that we are talking about. I suggest that we calm down and think about the people affected and what we can do to support them.

In the last year, the Ministry of Defence has spent almost £4 billion with BAE Systems, as part of the £18 billion—half of which is spent in the manufacturing sector—that we spend across Government buying products and services from UK industry. We continually bang the drum and lead the charge for our world-leading defence industry right across the globe, maximising export opportunities for companies such as BAE Systems and the thousands of people employed in their supply chains. Indeed, only last month the Defence Secretary signed a statement of intent with Qatar to buy 24 Typhoons and six Hawks from BAE Systems. This is extremely positive news, and it demonstrates continued confidence globally in Britain’s defence and aerospace industry. We will continue to work with BAE Systems to maximise opportunities for the Typhoon and the Hawk training aircraft, and the Type 26 global combat ship, in markets such as Saudi Arabia, Indonesia, Belgium, Finland, Canada and Australia.

In conclusion, we absolutely understand that this is a worrying time for those affected. We are determined to do all we can to support BAE Systems’ future export opportunities, and I stand ready to meet workers, unions or MPs who are concerned about the potential impact of the announcement in their constituencies.

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Thank you, Mr Speaker, for allowing this urgent question. Today’s announcement by BAE Systems has come as a huge blow to thousands of workers and their families across Lancashire in the run-up to Christmas. The majority of Lancashire MPs have today written to the Prime Minister seeking immediate action and offering to establish a taskforce to avert the disaster. We ask the Minister for a swift, meaningful and positive response to our request.

What intermediate and longer-term actions are the Government taking to win contracts around the globe, to fly the flag and to sell the Eurofighter Typhoon and the Hawk? That is essential to sustaining the UK’s leading-edge technology and sovereign capability, as well as highly skilled jobs and the massive supply chain in the north-west of England. In order to maintain a leading edge, we must look to the future. BAE Systems has taken a big step by developing a £12 million academy in Lancashire. Will the Government play their role and announce an industrial strategy for aerospace, as they have done with shipbuilding, and will they commit themselves to assisting BAE Systems to develop a sixth-generation manned fighter aircraft?

With my right hon. Friend the Member for Chorley (Mr Hoyle) and my hon. Friend the Member for Hyndburn (Graham P. Jones), I met Prime Minister Cameron to urge him to secure vital contracts with Japan and India. We were assured that there was good news on the horizon, but there clearly was not. The Minister mentioned Qatar and that is obviously positive, but it is nothing like the size of the other contracts. Lancashire builds the finest because we have the best workforce in the world. We do not want to be let down again, so I ask the Minister to use her good offices to impress on the Prime Minister the major concerns of Lancashire MPs and indeed of MPs from across the House.

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I commend the hon. Gentleman and many of his colleagues for their absolutely resolute support both for the company and the sector. Of course I would be delighted to meet the taskforce, and I think we should extend the offer to the workers and unions affected. It is absolutely clear that we need maximum communication about the process, or to encourage the company to ensure maximum communication, particularly at this worrying time.

The hon. Gentleman is right to say that the Government have a vital part to play in banging the drum for British exports. I have mentioned the Qatar statement of intent, and clearly there are ongoing conversations with countries, such as Saudi Arabia, that have expressed an interest in this technology. There is an appetite around the world for this technology. For every unit that is sold, the whole provision—supply and maintenance—will have a measurable impact on the work available for the hon. Gentleman’s constituents and those of other Members.

The hon. Gentleman asked about the industrial strategy for this sector. We are very keen—we are already having conversations about this with the aerospace sector—on a bespoke sector deal. He will know that we have worked with the industry, on initiatives such as the technology for the future combat air system, to set out what we need to do both across this export-facing part of the business and right across the supply chain to ensure we have the right level of investment and skills.

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I call the good doctor—Dr Julian Lewis.

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When BAE Systems says to the Government that this is normal business practice, will the Government reply to BAE Systems by reminding it that it is not a normal business, because it enjoys a near monopoly position in many parts of the British defence procurement structure? Will they therefore extract from BAE Systems a promise to work closely with the Government to examine to what extent any streamlining is really necessary and to what extent it can be ameliorated by common action, bearing in mind the special treatment that BAE Systems so often receives from the United Kingdom Government?

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My right hon. Friend is right to remind us that we spend almost £4 billion in procuring products and services from BAE Systems. Again, if we want to have a globally competitive, highly efficient bastion of success in this vital industry, it is really important to allow the company to go through its management processes. Of course we want to procure from BAE Systems, but we also procure from a wide range of other suppliers. It would be wrong for the Government to try to interfere in business processes, but we can say that we are committed to making sure that the company does this as sensitively as possible.

We also want to explore other opportunities. I am struck by the locations of some of the plants that may be affected, and I am also struck by the investment opportunities with, for example, the Siemens investment in offshore wind turbine production in Hull. There are opportunities for skilled engineering staff right accross the UK and right across the region. [Interruption.] I am sorry to hear the hon. Member for Kingston upon Hull East (Karl Turner), who knows Hull very well, talking down a major investment in skilled engineering. We remain absolutely committed to working with this company.

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Employees and families across the country will be hit hard by the news that has come from BAE today. The loss of nearly 2,000 highly skilled jobs is nothing short of devastating for communities and local economies that have a proud history of defence manufacturing. Moreover, if these redundancies go ahead, there is a very real risk that these skills will be lost forever, with a knock-on impact on this country’s manufacturing capability. What support will the Government be offering to those highly skilled workers who have lost their jobs, and how will the Government support the communities affected?

A vibrant defence industry is vital for the security of this country and it brings immense economic benefits. In its statement, BAE points to uncertainty in future orders as a reason for the job cuts, and we know that the Government have pursued a stop-start approach which has not given the industry the long-term stability that it desperately needs. Will the Minister now agree that it is time for the Government to come forward with a proper defence industrial strategy to enable the sector to plan ahead? I know from my conversations with those in the industry that they are very concerned about the gaping funding holes in the MOD’s defence equipment plan. What action are the Government taking to address those and to give the industry confidence?

UK-based defence companies are also facing a great deal of uncertainty owing to the Government’s handling of Brexit. We know that the defence and aerospace industries have wide-reaching supply chains that cross many borders, so what steps are the Government taking to ensure that the sector is not disadvantaged by Brexit, and that companies do not take their manufacturing elsewhere?

Finally, the slowdown in Hawk production was also cited as a reason for cuts, but the Government could take immediate steps to counter that by bringing forward orders for nine new Hawk aircraft for the Red Arrows, thus securing their future as the face of the RAF and a global ambassador for British engineering across the world. That would provide a much needed boost to the industry. Can the Minister commit to doing that today?

This is no time for Government to stand by and do nothing. Ministers need to rise to their responsibilities and realise that proactive engagement with the industry could make a real difference to the workers concerned and to the future of our country’s defence industry.

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I am entirely in agreement with the hon. Lady about the need to engage closely to understand the reasons. To reassure her on a couple of points that she raised, this is not due to any stop-start change in the Government’s procurement; this is in fact due to gaps in bringing forward some of the export orders. As I mentioned, the Secretary of State has signed a statement of intent with Qatar, and indeed we are standing by to do everything possible to support further export opportunities.

The hon. Lady may not have heard, but I mentioned the talent retention system. She is absolutely right: for too long we have not thought about people and their skills and worked out whether there are other opportunities, especially in the region, to ensure that those skills are not lost. That is why we will be deploying the talent retention system that has been developed by my Department with this industry, and looking to see what more can be done.

To allay some of the hon. Lady’s questions about our commitment to shipbuilding, I can tell her that we have published the national shipbuilding strategy. I am told that we will be bringing forward the refresh of the defence industry policy document very shortly.

We need to focus on the people who may be concerned about this, meet them to gain an understanding of their concerns, and see what more can be done, particularly to ensure that those vital skills are not lost to this or other sectors.

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The tranche 3 variant of the Typhoon aircraft, especially when equipped with the new electronically scanned radar, will be one of the most capable and effective combat aircraft in the world. The Minister has already mentioned the letter of intent with Qatar for 24 Typhoons, and there are, as she has intimated, a number of other countries around the globe that are still interested in Typhoon, not least Saudi Arabia. Can she assure Members in all parts of the House that, just as the Government gave strong support to the Qatari deal, they will strain every sinew to try to support further Typhoon exports, not least in Saudi Arabia?

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I am nervously rising to answer a question from my right hon. Friend, who knows more about this than many of us will ever know. He is absolutely right: not only have we signed the statement of intent, but only last month the Secretary of State got on a plane to Saudi Arabia to press the case for using these aircraft, not just for the upfront sale but for the thousands of jobs that depend on the long-term upgrade and servicing.

All Members across the House should be supporting these export deals and the jobs that are reliant on them. It was a shame that hon. Members—[Interruption.] Well, they say, “Here we go.” Perhaps they were not listening at conference. It was a shame that the right hon. Member for Islington South and Finsbury (Emily Thornberry) used her moment on the Labour party conference podium to attack the Government for strengthening co-operation and the deals that this brings with our key regional ally. Let us get behind this industry, so that we can protect and invest in this technology for the future.

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This morning’s news is deeply worrying for BAE workforces across the UK, and we have only just heard that that includes 15 workers in Fife. Of course, it is not just the 2,000 BAE workers who will be affected but the small and medium-sized enterprises, the supply chains and the communities as well. The SNP offer our sympathy this morning to all those who are affected directly and indirectly by today’s announcement.

This is the latest evidence of the Government failing to deliver on defence programmes, and this is not just about an export industry. This is about undermining skilled jobs, undermining our own defence industry and undermining the defence of the UK as a whole. What are the Government doing to investigate what has gone wrong in BAE?

Skilled workers have been mentioned a number of times. Skilled workers are exactly that—skilled. They cannot easily move from one position to another; extra training is required, so what are the Government doing to assist them? And what has been done to provide guarantees to those who are currently still employed in the sector?

Finally, can the Minister now confirm that future MOD orders will come as a steady drumbeat, and not be plagued by the dithering, delays and indecision that have contributed to today’s announcement?

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I appreciate that point, and of course the hon. Lady is right to speak for those who may be concerned about their job future, but she represents, proudly, I know, a country that has built two of the largest ships the Royal Navy has ever purchased and that has contracts to build eight Type 26 frigates and five offshore patrol vehicles—two decades’ worth of shipbuilding contracts signed by this Government. She refers to a stop-start approach. That is why the strategic defence and security review system has been brought forward. That is why we are absolutely determined to spend taxpayers’ money wisely, and supporting British industry, UK industry, is fundamental to that. I suggest that she has a look at some of those proud ships—the QE2 class—and perhaps she will come back just a little bit more cheerful.

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As the Member of Parliament for Warton, where final assembly of Hawk and Typhoon takes place and where 750 of the jobs that will be lost are largely located, I urge the Minister to work, as the Government did in 2011, to mitigate job losses. Then a 3,000 headline figure was mitigated to 100 compulsory losses. A similar effort must be put in this time.

Secondly, thank you for the work that the Government are doing on supporting defence exports, particularly to Qatar and Saudi Arabia, with the Prime Minister’s visits to Bahrain and Saudi and the Defence Secretary’s visit to Qatar. Please will the Minister not be put off by siren voices that want us to disengage from the largest export customers for these aircraft?

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My hon. Friend makes the case very powerfully. Of course, at Warton there are some additional benefits from the F-35 contracts being brought forward, but he is absolutely right to say that we must be really focused on these jobs and the uncertainty, but we must also be resolute in pursuing export opportunities for this fine British company.

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The Red Arrows renewal programme is well overdue and is entirely in the Government’s gift. If it was renewed, it would save jobs at Brough and the Lancashire plants. Get on with it!

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I am sure that the hon. Gentleman’s pulses beat a little faster when the Red Arrows come over, as mine do when they fly over my constituency. I hear what he says and will discuss it with Ministers, but will he please work with me and others to ensure that this uncertainty is minimised for those in his constituency?

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Does my hon. Friend agree that it is somewhat concerning, if not a little peculiar, that those who are standing up, notably representatives of the SNP, to condemn these job losses sing the praises of BAE, quite rightly, yet support a policy of being opposed to all arms sales, notably to Saudi Arabia?

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My right hon. Friend knows that I share her position. I would make the point that these are potential job losses and that we are at the start of the process. There has to be a consultation period. A significant amount of work needs to be done with the unions, the workforce, broader industry and skilled employers right across the affected regions to ensure that we do not lose skills, that we minimise job losses, and that any job losses that do come forward are managed through voluntary redundancy.

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The bottom line is that, had exports gone to plan, these sites would not be in this position. We have heard a lot of commitment in words, but we need to see action from the Government. May I make what I hope is a constructive suggestion? The Minister’s point on participation has been heard and I suggest she does not repeat it now. There are ambassadors all around this House, including on the Labour Benches, who could help in an official position to deliver and to get orders for their workforces in their communities. Will she please consider that?

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I commend the hon. Gentleman, and the people he represents in Barrow, for flying the flag and doing such an amazing job for such a vital British industry. He knows better than anyone else the importance of maintaining those skills. At this point, I think we will all put our shoulders to the wheel and do whatever we can to fly the flag for British exports. I would be delighted to work cross-party to do just that.

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BAE Systems is a vital employer in my constituency. It maintains the Typhoon jets that fly from RAF Coningsby and many of my constituents commute to Brough in Humberside, where BAE Systems provides highly skilled careers and apprenticeships. Sadly, we have heard today that Brough is to lose 400 jobs. In that spirit, I very much hope the Government will work with BAE Systems to ensure opportunities for employees and apprentices at Brough. Can my hon. Friend confirm that the commitment to spend 2% of our budget on defence will continue, and that the Government will continue to support this great British company?

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We will of course spend at least 2% of our national income on the defence budget. We will do all we can by working with the company and other players, in particular through the talent retention system. One crucial point, in response to the hon. Member for Llanelli (Nia Griffith), is that we cannot lose these skills from the British workforce. They are vital and they have been acquired over many years. We have to ensure that they are maintained and that the productivity they generate is developed.

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What are Her Majesty’s Government doing to sell the Type 31e frigate to the United States? The Secretary of State for Defence has mentioned that that is a possibility. Secondly, will the Minister urge the Secretary of State for International Trade to come to the Chamber to explain what exactly he is doing for BAE?

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The hon. Gentleman will know that my right hon. Friend the Secretary of State for International Trade is flying the flag relentlessly for all aspects of the British economy, including British ships. I am sure he would be delighted to answer a written question or a letter from the hon. Gentleman on that point.

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I spoke to BAE this morning as soon as I heard the news. What support will the Department for Work and Pensions provide to those affected? Will the Government assure me that any support package includes Isle of Wight workers affected at the BAE Cowes plant in my constituency? May I also highlight the importance of the advanced radar programme on the Isle of Wight, both for UK defence and for island jobs?

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The Department for Work and Pensions has a well tried, tested and effective rapid response deployment process to get in and talk to companies and people affected during the consultation process to make sure they are aware of any statutory rights and responsibilities, but also of any opportunities. I understand my hon. Friend’s point about the Isle of Wight and I will make sure it is reflected in any work going forward.

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I am afraid the Minister really does not get it. When the French, the Americans or the Russians pursue a contract, they take a relentless whole-of-government approach. Incidentally, that is how it was under Prime Minister Tony Blair. On behalf of the industry and its skilled workforce, will the Government up their game and secure new contracts, especially with Saudi Arabia and the Gulf states?

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The right hon. Gentleman is brave to mention the former Prime Minister’s name. Of course this is a whole-of-government responsibility. [Interruption.] In other countries, leaders of the official Opposition do not stand up in public and criticise exactly the sort of defence deals we are trying to sign, or put at risk the renewal of technologies such as Trident, which are absolutely vital to our technology and knowledge base. I suggest he has a word with the Labour Front Bench and then perhaps we can have more of a conversation.

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BAE’s huge contribution to skills, jobs and exports depends not least on cross-party political support for our exports to foreign Governments. Some on the Opposition Benches absolutely understand that, but the fact of the matter is that the Labour party leadership loses no opportunity to criticise what those of us in the Prime Minister’s trade envoy team are trying to do. Will the Minister confirm that although there will be job losses in some parts of BAE, there have been significant increases in other divisions, for example at least 350 new jobs in its cyber division?

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My hon. Friend is absolutely right to point out that this is a very dynamic business, which has to respond to globally changing conditions. It employs almost 36,000 people right across the UK. He is also absolutely right to point out other opportunities. It is absolutely critical that we back these British businesses, focus on export opportunities and work together. Many of us represent constituencies affected by these sorts of announcements and we all fly the flag for one the most successful companies in the world—BAE Systems. Let us get on and do it.

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Our thoughts are with the workforce and their families who have received such devastating news. Let us be clear that the people who build and develop our military platforms are as vital to our national security and sovereign capability as those who operate them. We simply cannot afford to lose their skills. Will the Minister commit to developing a defence aerospace strategy, and to meeting immediately unions and employers across the sector to ensure we are not in this position again and can retain our sovereign capability?

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Like me, I am sure the hon. Lady is very pleased that we now have an industrial strategy that focuses on these vital sectors, putting together sector deals working with unions, employers and government. The offer has been made to all sectors to come forward with deals. As I understand it, the aerospace sector deal is well advanced.

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What actions is the Minister taking to ensure that all the young people who have started apprenticeships with BAE Systems and may be affected will be able to complete them, not only retaining the current skills we have but building the skills base for the future?

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The hon. Lady is right to highlight the vital role of apprentices. I think we are all proud of the fact that we now have over 3 million apprenticeship starts. Until we know—this will become clear through the consultation process—the details of any redundancies and the types of jobs that are being laid off, it is too early to comment, but she raises a very important point and I will take it under consideration.

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The job cuts at Warton and Samlesbury are twice what they were in November 2015, so it is not surprising that people in Blackpool and Fylde will be concerned. The supply chain has been mentioned. What specifically will the Minister and the Department do with buyers to ensure apprenticeships in supply chains are also supported, and that the Lancashire local enterprise partnership is given the support and resources it needs to support both BAE and the supply chain?

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We stand by ready to understand any potential impact, once the scale of any job reductions is known, and to support the Lancashire local enterprise partnership and other companies in the area to process, cope and adapt to any changes.

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I have constituents who are BAE employees and, even though they are perhaps not directly affected, I know that they will be nervous. May I press the Minister on Ministry of Defence procurement processes? Specifically, will the Department look at work that is currently going out to international competition? I think that that could be avoided and that the work could be held in the UK.

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I refer to my earlier answer about the level of UK Government investment in Scotland, particularly in shipbuilding. We have to look at every procurement decision and understand whether it has the right capabilities for the sorts of conflicts that we ask our armed forces to undertake and what is best value for money for the taxpayer, so it will always be a mix. We should all be proud of the fact that the Government directly spend almost £4 billion a year with BAE Systems and about £18 billion a year with the British industrial sector.

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The Minister will win no friends in east Yorkshire by saying that people who might be made redundant from BAE Systems can go and get jobs in the renewables industry at Siemens. We need both sets of jobs in both industries—both, not one—to flourish in our area. I am not convinced at all that the Minister is taking our sovereign capability seriously if these jobs go. That is important to our national security, so what will she do about protecting it?

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The hon. Lady speaks passionately on behalf of her constituents. To put this in context, we are talking about a company that employs around 36,000 people right across the UK. It has to go through—as all companies do—a process to make itself as efficient and effective as possible so that the maximum number of productive jobs can be maintained. The level of engagement of the MOD and Secretaries of State is striking—getting on planes, signing the statement of intent with Qatar and pushing for the Saudi deal. This is what we need to do. She is right to say that we need both sorts of jobs. We need a vibrant, highly productive industrial sector that operates right across the UK, which is why she should welcome the industrial strategy and the work going on in the low-carbon economy.

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I worked at the Unite trade union when this country was faced with the steel crisis. This Government had to be dragged, kicking and screaming, from a position where it would take no action to a position where it was willing to take a 25% stake in the industry. We are seeing the exact same thing again. If there was a serious industrial strategy, the Minister would take action and guarantee those jobs for the future of the industry.

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I lead for the Government on the steel industry. Indeed, I am working with the steel sector on its sector deal right now. The steel sector is dependent on the opportunities that come from companies such as BAE Systems being able to invest and thrive in the UK economy. The hon. Gentleman should commit to work with the steel companies’ customers, as we want to do, to ensure that they can offer the maximum market for the products of the vital and critical steel industry.

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It has been a bad week for the defence industry. These job losses come on top of rumours that the Government are scrapping the Royal Navy’s amphibious ship capability, and the threat to the Royal Marines. Does the Minister agree that the Government are presiding over emerging sovereign defence capability gaps, and do something about it?

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I gently say that the hon. Gentleman should focus more on the facts and less on the rumours. We have committed to raising our national spending target to more than 2% of national income. We have undertaken strategic defence and security review programmes that have clearly set out a defence strategy for the future. We have invested in two decades-worth of shipbuilding contracts north of the border. I am always happy to discuss the facts. I suggest he puts down the muck sheets and focuses on the facts.

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The Minister talks about seeing things in perspective, but the perspective is this: the loss of 750 jobs in Lancashire is absolutely devastating for individuals, families, communities and the industry itself. Will she not only work hard with BAE Systems to mitigate these losses, keep them to the lowest possible number and protect as many jobs as possible, but look to protect jobs in the supply chain in constituencies such as mine in Burnley, whose very success and existence relies on BAE Systems thriving?

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As I said, we are keen to work closely with the company as it goes through this process. The offer is there for the hon. Lady and others who have important companies in their constituencies to work together, speaking to workers and the unions to ensure that we minimise the number of job losses and maximise skills retention both in this company and in the supply chain.

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When I worked at BAE Systems, more than 1,700 of my colleagues across the British shipbuilding industry were made redundant in 2013. At the time, that was predicated on investment to create a world-class industry, but that investment is no longer happening. We see the same across these cuts. Every time it happens, a major plank of British industrial capability is lost, whether it is the ability to build tanks or carry out the final assembly of the F-35 aircraft. We cannot compete in shipbuilding internationally or in submarine manufacturing to the same extent that we could. Will the Government commit to reviewing how they finance capital infrastructure investment in defence and ensure that we are doing this in the best possible way?

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The hon. Gentleman raises the point—I defer to his considerable knowledge of the company—that companies need to be competitive in order to thrive and export, and we are told that that is the reason for today’s announcement. But we are spending £60 billion over the next 10 years on shipbuilding in the UK. That is one of the biggest investments in shipbuilding that I can remember. We are doing what we need to do domestically but, equally, we need to support the export opportunities for these companies right across the world.

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The latest announcement of the loss of 400 jobs in Brough will be devastating to communities such as Hull and East Riding. I am sorry, but the response so far reeks of complacency. It is not good enough to say that Siemens have created jobs in Hull so that workers from Brough can find jobs elsewhere. We want more jobs, not fewer. So here is a simple question for the Minister: will she choose to save jobs by bringing forward the order for Hawks for the Red Arrows, or will she choose to see 400 jobs go?

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The hon. Lady should be incredibly proud of the fact that one of the highest rates of jobs creation has been in Yorkshire and the north-east. We have to support our industries, which we do through our procurement strategy and our support for exports. I was told that in the recent years to 2015, the county of Yorkshire created more jobs than the whole of France. We should be celebrating that success.

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In order to be competitive, we have to retain the skills that it looks like we are going to lose, but things are going in the wrong direction. Has the Minister seen the estimates from Unite that suggest that 25% of our defence expenditure by 2020 will be in the United States alone? Are we not missing a defence industrial strategy that will stem that, so that we are paying people for skilled jobs, not to be unemployed?

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I am happy to look at the sums, but I am sure that the hon. Gentleman understands that we have to ensure that we are buying the technology we need from the best places across the world when we are supporting our future defence capabilities. We are continuing to invest in and support this vital sector. He will be pleased to know that we are working closely with Unite and other unions where we are producing industrial strategy sector deals. The role and commitment of the workers that—particularly in the steel industry—has been vital in getting us to where we are cannot be underestimated. That is why the door is open for consultations and conversations with workers, the unions and colleagues from across the House.

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Some 750 of these potential job losses are in Lancashire, which rightly worries many of my constituents who work there. The loss of these highly skilled and well-paid jobs will have a devastating impact on the Lancashire economy. Will the Minister tell us more about what conversations she is having with the local enterprise partnership in Lancashire, what resources and support we can have in the area, and what conversations she is having with the Department for Work and Pensions about the potential job losses and the devastating impact on my constituents?

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We are right at the start of the process. Indeed, the company was not supposed to make the announcement until tomorrow, as I understand it. We want to have those conversations with the LEP and other employers with the aim of minimising the number of potential job reductions made by the company and maximising the redeployment of those people who have acquired such valuable skills over their time of work.

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Those of us with constituents who work in the supply chain for BAE Systems, as well as those who have constituents directly employed by the company, are disappointed to hear the Minister’s statement because she talked about managing decline. The Opposition want to see proper investment in the skills we need and in defence industrial strategy so that we do not have to buy technologies from abroad. We need the Government to bring forward orders in order to protect jobs. They can do that now. Why is the Minister not doing that?

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This is not about managing decline. We have a record number of people in work and have committed more than 2% of our national income to national defence. [Interruption.] And we have more than 2 million apprentices, I am told. The hon. Lady will understand that businesses and companies evolve and grow and invest in different technologies. The procurement of the F-35 fighter has brought forward jobs for BAE Systems. I appreciate her passion, but if she wants to stand on the platform of a party that wants to support exports in this vital sector, she needs to come across to the Government’s side of the House.

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The Minister has made a great deal of what was said at the Labour party conference, but what impact will these job losses have on making this a country that works for everyone, and how will it help my constituents to live the British dream?

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I commend the hon. Lady for doing her homework. As the company goes through its normal business processes, we all have to stand by ready to do whatever we can through the consultation process to ensure that the minimum number of people lose their jobs and the maximum number, with those vital skills, find other opportunities. The whole Government stand by ready to do that. Looking ahead, I call that maximising the British dream.

Point of Order

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On a point of order, Mr Speaker. Yesterday, following the Prime Minister’s statement, the Leader of the Opposition, quite properly and rightly, sat through the entirety of the exchanges, as is the custom of the House. It did not go unnoticed, however, that the official spokesperson for the SNP, the hon. Member for Ross, Skye and Lochaber (Ian Blackford), left early. Given that we are about to have a couple more statements, could you rule on whether it is appropriate for official spokespeople on the Opposition Benches to stay for the entirety of the exchanges on a statement, rather than beetling out just after they have made their contribution?

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I thank the hon. Gentleman for his point of order. The position is extremely clear—at least it has always been so—but I am happy to take this opportunity to reiterate it. If the representative of a party speaks for that party as a spokesperson, he or she remains in the Chamber for the remainder of the exchanges—no ifs, no buts. The only circumstances in which I would regard it as excusable to leave—and in those circumstances, the person would make a request—would be if they were suddenly indisposed. It is not acceptable for somebody to leave the Chamber because he or she has finished and thinks, “I have other commitments; I need to go somewhere else.”

I do not mind telling the hon. Gentleman that I was asked yesterday “would it be all right if” the Member left to attend to commitments elsewhere, and my answer was no. Let me say in terms that brook of no contradiction that I do not expect official spokespersons or their representatives to come to the Chair and seek to engage in protracted conversations or attempted negotiations on that matter. I say to the SNP Chief Whip in terms unmistakable that it is a rank discourtesy for a Front-Bench spokesperson to speak and then leave apparently on the grounds of being very busy, having many commitments, having a very full diary or having to be somewhere else. No, that is not acceptable.

As the hon. Member for Shipley (Philip Davies) said very fairly, the Leader of the Opposition sat in his place throughout the exchanges, as he always does and as his predecessors have always done, and that has always been the established practice in the House. If a Member has made commitments to be elsewhere that will cause him or her to have to leave early, the answer is that those commitments should not have been made and should be cancelled. If a Member thinks that he or she would like subsequently to be somewhere else, the answer is very simple: put someone else up to speak on the statement, but do not speak and then leave. Not only is it in defiance of parliamentary convention, but it is rude to other colleagues. I should not have to make that point in respect of a party leader. It is so blindingly obvious I should have thought that everybody would have grasped it in any case.

I think that that is pretty clear and I am grateful to the hon. Member for Shipley.

Race Disparity Audit

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I rise—with some trepidation, Mr Speaker—to make a statement about the race disparity audit, which the Government are publishing today through a new website, Ethnicity Facts and Figures, and a summary report, which I have ordered to be placed in the Library of the House.

The audit was announced just over a year ago by the Prime Minister as part of her commitment to tackling injustices in society. This exercise has been unprecedented in scale, scope and transparency. It covers detailed data on around 130 different topics from 12 Departments. The first product of the audit is the website, which has been created to be used by all citizens. It has been developed through extensive engagement with members of the public from across the UK, public service workers, non-governmental organisations and academics. I hope that hon. Members will agree, once they have had the chance to examine it, that the website is clear and user-friendly. Each section of the website includes simple headlines and charts, and allows users to download all the underlying data.

Although the past few decades have witnessed great leaps forward in equality and opportunity in British society, the audit shows that there is much more still to do if we are to end racial injustice. In itself, that will sound to hon. Members like an unsurprising conclusion, but the audit adds a lot more clarity and depth to that single challenge. It tells us in which public services there are the largest disparities and whether those are increasing over time or diminishing, and about the influence of poverty and gender on the wider picture. For example, black people were over three times more likely than white people to be arrested and more than six times more likely to be stopped and searched.

Three issues demonstrate the added complexity of the data. First, there are significant differences in how ethnic minorities are doing in different parts of the country. For example, while employment rates are generally higher for white people than for ethnic minorities, there is a larger gap in the north than in the south. Also, if people are expecting a report that is relentlessly negative about the situation for ethnic minorities in Britain today, I am pleased to say that it is simply not the case that ethnic minorities universally have worse outcomes. For example, people of Indian and Pakistani origin have similar levels of home ownership to white people, although that is not true of other ethnic minorities.

Secondly, on some measures there are very significant differences between ethnic minority groups. Education attainment data show that there are disparities in primary school that increase in secondary school, with Asian pupils tending to perform well and white and black pupils doing less well, particularly those eligible for free school meals. Finally, on other measures, it is white British people who experience the worst outcomes, such as in relation to self-harm and suicide in custody, or smoking among teenagers.

In terms of what happens next, the data set out on the website present a huge challenge not just to Government but to business, public services and wider society. We hope that the website will not only contribute to a better informed public debate about ethnicity in the UK, but support local managers of public services to ask how they compare to other services.

On behalf of the Government, I have committed to maintaining and extending the Ethnicity Facts and Figures website. More importantly, I commit that the Government will take action with partners to address the ethnic disparities highlighted by the audit. We have made a start through initiatives such as the action taken by the Department for Work and Pensions in 20 targeted hotspots. Measures in those areas will include mentoring schemes to help those in ethnic minorities into work and traineeships for 16 to 24-year-olds, offering English, maths and vocational training alongside work placements.

On the criminal justice system, I want to thank the right hon. Member for Tottenham (Mr Lammy) for his recent report. I am pleased to announce that the Ministry of Justice will be taking forward a number of the recommendations in his review. These will include developing performance indicators for prisons to assess the equality of outcomes for prisoners of all ethnicities, committing to publishing all criminal justice datasets held on ethnicity by default, and working to ensure that our prison workforce is more representative of the country as a whole. In addition, the Department for Education will carry out an external review to improve practice on exclusions. It will share best practice nationwide and focus on the experiences of the groups that are disproportionately likely to be excluded. The House can expect further announcements on future Government work to follow in the coming months.

The approach that the Government are taking is “explain or change”. When significant disparities between ethnic groups cannot be explained by wider factors, we will commit ourselves to working with partners to change them.

The race disparity audit provides an unprecedented degree of transparency in reflecting the way in which ethnicity affects the experiences of citizens. It is a resource that will tell us how well we are doing as a society in ensuring that all can thrive and prosper, and I commend it to the House.

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I thank the First Secretary of State for early sight of his statement.

There is value in putting all the data together in one portal, but what matters most is what the Government are going to do about the problems that have been identified. For some years, the Women’s Budget Group and the Runnymede Trust have been looking at some of the burning issues, including the impact of austerity on black and minority ethnic women in the United Kingdom.

The real uncomfortable truth is that the Prime Minister cannot pretend she did not know that there were in-built structural injustices before 2010, because she wrote to the then Prime Minister about “real risks” that

“women, ethnic minorities, disabled people and older people will be disproportionately hit by cuts”.

Our Prime Minister, knowing full well the damage that would be caused by Conservative cuts, has done nothing but exacerbate the problems. Far from tackling burning injustices, she has added fuel to the fire. We need solutions and a sustained effort to tackle those burning injustices, because talking shops just will not cut it. Mentoring schemes are good, but they are not nearly ambitious enough. The closure of Sure Start centres has contributed to the poor start of many young children, and the closure of Connexions, which was a valuable tool for young people, was also a mistake.

The Prime Minister has said that if these disparities cannot be explained they must be changed, so let me ask the Minister some questions. Will he explain or change the Government’s policy of rolling out universal credit, which has caused some people to lose their homes and has caused vulnerable people to plummet into debt? Will he explain or change their policy on the public sector workers’ pay cap, which has disproportionately affected women and people from diverse communities? Will he explain or change their policies on personal independence payments, which have resulted in the statement by a United Nations panel that the UK has failed to uphold disabled people’s rights? [Interruption.] Conservative Members may not like to hear this, but it is important if we are to tackle the burning injustices that exist in our country.

Will the Minister explain or change the Government’s policies on tuition fees, which have crippled the life chances of young people? Will he explain or change the delay in the increase in the minimum wage, which the Government have renamed the living wage? Will he explain or change the Health and Social Care Act 2012, the house-building programme, the Access to Work policy, or the Trade Union Act 2016? There are so many policies that the Government need to explain or change.

We cannot ignore the fact that the actions of this Government have contributed to the burning injustices in our country. They have failed to understand the value of equality impact assessments, which the last Prime Minister described as “red tape”. Britain is at its best when everyone has the opportunity to succeed—[Interruption.] The hon. Member for Bexhill and Battle (Huw Merriman) says, “What are you going to do about it?” Let me tell him. Labour issued a manifesto to tackle problems of discrimination. Its policy proposals included the introduction of equal pay requirements for large employers; the launching of an inquiry into name-based discrimination; the implementation of the Parker review recommendations; the enhancement of the powers and functions of the Equality and Human Rights Commission, which has been subject to Government cuts; and the boosting of income through the introduction of a real living wage—to name just a few.

There are other possible solutions to the problem, some of which must come from the Minister’s own side. The Government should reintroduce race equality audits and impact assessments, independently assess the Treasury, introduce “blind” sentencing in the criminal justice system, and implement their responsibilities under the public sector equalities duty.

What we need is a Government who are not afraid to act on uncomfortable truths, and Labour is that Government in waiting. History has shown that positive change only happens under a Labour Government, and we are ready once again to deliver a fair and more equal society for the many and not the few.

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I am puzzled by the disparity between the Labour party’s response to the audit and that of the stakeholders who actually work in the sector. I came to the House today from a roundtable at No. 10 that was chaired by the Prime Minister and attended by about 12 of the principal non-governmental organisations that have worked for many years to improve the lives of ethnic minority people in this country. They are universally positive about this, unlike the Labour party—[Interruption.] The hon. Member for Brent Central (Dawn Butler) says that was not what they told her, but I have quotations from them here. Simon Woolley of Operation Black Vote has said:

“The findings from the Race Disparity Audit present us with a real opportunity to make transformative change in tackling persistent race inequality”—

[Hon. Members: “What are the Government going to do?”] He actually went on to say:

“Yes, some findings make uncomfortable reading, but unless these things are laid bare we can’t begin to resolve them.”

After 13 years of a Labour Government trying to hide the facts, we now have a Government who are ready to expose them and to do something about them.

Jeremy Crook of the Black Training and Enterprise Group—apparently it has also been ignored by the Labour party—says:

“The data can support local communities to have conversations with local public bodies about ensuring that no ethnic group gets left behind in education or health or any other area of public life.”

The people who actually know what they are talking about welcome the audit, and welcome what the Government are doing. The people who do not are members of the Labour party who live in their own world.

The hon. Member for Brent Central appeared to take the general view that in all areas problems for people from ethnic minorities were getting worse. I appreciate that the website has been live for only about an hour, so she will not yet have had time to investigate all 130 datasets, but when she does, she will find a point that is much more nuanced than those that she has made. There are some problems, and some things are getting worse, but some things are getting better. The difference between the general employment rate and the rate among all ethnic minorities decreased from 15 to 10 percentage points between 2004 and 2016. Since 2004, employment rates have increased among all ethnic groups. The inactivity rate among Pakistani and Bangladeshi people, who have often had the worst unemployment rates, has fallen by 10%—[Interruption.]

I would hope that Labour Members, rather than laughing from the Front Bench, might welcome the fact that some of our most disadvantaged communities are doing better than they ever have before in this country. The Labour party seems to think that that is something to laugh about.

The hon. Lady referred to universities and tuition fees. I remind her that more disadvantaged people are applying for university places and going to university than ever before, and more people from black and minority ethnic communities are applying than ever before. Labour Members have a view of the world in which people are permanent victims, but that is not what this audit shows. Their lack of transparency, and their lack of ability to welcome a step by the Government that is welcomed by all experts in the field, reflects very badly on their party.

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I thank my right hon. Friend for his statement, and the Prime Minister for her commitment to tackling the injustice that is race discrimination. When will the Government bring forward plans across Government to ensure that it is clear what every single Department is doing to tackle these inequities, and particularly to separate economic disadvantage from race discrimination, because at the moment the figures blur together?

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My right hon. Friend makes a good point, because we of course need to determine the real causes of disadvantage, as I have said. Sometimes they are based on ethnicity, and sometimes on other factors. That is precisely why, in addition to the individual measures that I have announced today for three Government Departments, other Departments will be making policy proposals in the months and years ahead to address the various disadvantages, and they can now, for the first time, be based on publicly available facts and figures. That is the great advantage of the step forward that we have taken today, because we now have transparency. We will have much better evidence to ensure that the policies we bring forward to tackle disadvantage will be effective.

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I thank the First Secretary of State for advance sight of his statement. None of this comes as a surprise to any of us. A lot of work has been done over the years, including by the right hon. Member for Tottenham (Mr Lammy). Although we would welcome any new, user-friendly website, it really should not have been the centrepiece of today’s statement. I very much hope that the Government will be able to take effective and robust action. Given that Departments are carrying out their own pilots in the reviews, it is important that we have a holistic, multifaceted and co-ordinated response. Therefore, when will the Government come to the Chamber with a statement setting out how Departments will go forward with a joint solution for this problem?

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That question is slightly similar to the previous one I answered from my right hon. Friend the Member for Basingstoke (Mrs Miller). When the hon. Gentleman reads the audit, he will find that, rather than having a one-size-fits-all solution, it is precisely the value of the data we now have that will enable us to take specific action in a number of different areas.

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I have announced some of the action today. I am sorry that the shadow Foreign Secretary was not listening to the statement I made all of five minutes ago, when I announced three separate pieces of action. There will be action from other Government Departments as we develop the policy response to the evidence.

Let me make one final point to the Scottish National party’s spokesman. I would encourage him to encourage his colleagues in the Scottish Government to take part in this process, because so far we have found it quite difficult to get the equivalent information for some areas in Scotland that are completely devolved. Facts and figures on reserved matters in Scotland, where they are available to the UK Government, are included in the audit, but at the moment there are no devolved facts and figures, and I genuinely think that it would help people in Scotland if those could be added to the audit figures.

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The review by the right hon. Member for Tottenham (Mr Lammy) did not actually include much hard evidence of discrimination. For example, despite setting out with the assumption that black people are more likely to be found guilty by juries, it concluded:

“Juries are a success story of our justice system. Rigorous analysis shows that, on average, juries—including all-white juries—do not deliver different results for BAME and White defendants.”

Will the Minister therefore ensure that success stories are also highlighted, that any actions taken are based on evidence, and evidence alone, and that we do not have solutions looking for problems?

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I am delighted to have the opportunity to agree entirely with my hon. Friend—that might be regarded as a rare treat. He is exactly right; the report by the right hon. Member for Tottenham (Mr Lammy) was very fair in pointing out the great successes in the criminal justice system as well as the problems, some of the answers to which I have announced today, and my right hon. Friend the Lord Chancellor will follow up on those. Across the board in this area there are indeed some successes, as I set out in response to the Opposition spokesperson. In some areas there are clearly endemic problems that have been going on for a long time, and action needs to be taken by society across the board—by central and local government, by businesses and by arm’s length bodies. We are not desperately searching for problems for our solutions. We will bring forward solutions only for those problems that we know exist.

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I thank the First Secretary of State for the information that he has given the House today about the audit, but it does not answer the probing questions that the data throw up. Why are ethnic minorities still disadvantaged in access to public services, what are the Government going to do about it now that the audit has revealed the extent of the problem, and why have they left out religious discrimination, such as that against Muslims, Jews, Christians, Sikhs and others?

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The answer to the hon. Gentleman’s last question is that it is a matter of what we record in our official information. When he looks at the audit, he will see that all the data sets contain a different level of detail. The question of religious discrimination simply cannot be included in an audit of this type, because we have never collected that kind of information. For example, we do not necessarily ask someone what their religion is when they go to the jobcentre, and I suspect that many people would find being asked for too much information intrusive, so we have to work with the material we have. With regard to disadvantage, he will have heard me announce the three Departments’ policy responses today—there are others that I have not announced, from the Home Office and others. He can rest assured that where the audit identifies problems, central and local government will respond to them across the board.

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May I congratulate the Prime Minister and the Government on undertaking this broad-ranging audit, which is long overdue. We know what the problem is, and we know what needs to be done to address it. However, given the huge scope of the audit, will the First Secretary of State inform the House what is proposed to ensure that there is consistency and a high level of monitoring across the huge breadth of areas covered?

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That is a very good point. There are clearly different problems in different areas, which is precisely why, in addition to individual actions by Departments, there is an inter-ministerial group, which will allow every Department to find out what the others are doing and ensure that it is responding as it should to the individual problems assessed in their area. Of course, the audit is not a one-off event, because the figures will be added to continually so that new policy responses can be made to new problems as they emerge. It will be a living document.

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Let us give credit where it is due, because this data set is important. I welcome the Government’s commitment to the transparency that will help to shine a light on the structural racism that still exists in UK society. May I offer the First Secretary of State some advice based on painful experience? The Conservative side of the coalition Government spent five years insisting that we try to get employers to do gender pay gap reporting on a voluntary basis, until my Lib Dem colleagues and I finally won the battle for mandatory reporting in March 2015. We must not now waste five years in the same way, so will he now commit to introducing mandatory race pay gap reporting?

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As the hon. Lady will know from her time in government—it was a pleasure to serve with her—we are unlikely at this stage to leap to such long-term commitments on the basis of information that we have only just gathered. However, she makes a fair point. The underlying point is that this is an issue not only for central Government, but for the private sector. I know that many private sector organisations, some of which were represented at the roundtable event held at Downing Street this morning, are anxious to follow up a lot of the work on trying to reduce the gender pay gap and to address pay gaps among people from different ethnic backgrounds as well.

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I applaud the Government’s efforts, because this is the first such audit to be carried out. As chair of the all-party parliamentary groups on Pakistan and on communities engagement, I have consistently raised with the previous and current Prime Ministers the matter of the British Pakistani community falling behind on educational attainment, employment and wages. What will the Government’s strategy be to address that? Will there be effective community engagement so that the answers come from the bottom up?

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Absolutely. My hon. Friend has a long and honourable record of campaigning in this area. The employment response from the Department for Work and Pensions will be targeted at specific areas, and 20 hotspots where the most difference can be made will be identified. I obviously cannot commit today to saying what those 20 will be, but I would be surprised if the impact was not deliberately designed to help the areas in which those communities tend to live, where the unemployment rate is not as good as it is on average.

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I am slightly confused, so will the Government confirm something for me? Lots of information has been provided, but some of the data collated were already in place and the Government have not specifically told us what they are going to do about that data. A couple of problems have been identified, but talking about mentoring schemes is not the sole answer to those problems.

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We have identified 130 different data sets, and coming up with 130 different policy responses in one statement might be a bit much. More seriously, much of the information is new—20 of the data sets are completely new—and it seems sensible to consider the evidence, work out what the best policy response is and then do the policy, not the other way around, which is how the Labour party seems to want to do things.

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What a load of sententious, vacuous guff. Honestly, the Secretary of State should be ashamed. Has he just taken over the department for circumlocution and the office of how not to do anything while pretending to do something? The honest truth is that unless serious analytical work is done to check whether the statistics are a matter of correlation or causation, there is no value to this work whatsoever. Mrs Thatcher fell at the same time as Marathons were changed to Snickers, but I am not aware that there was any causal relationship between the two.

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Behind the hon. Gentleman’s characteristic bombast is a serious point. He says that correlation is not the same as causation, so would he like to have a word with his Front-Bench team, who are demanding that all the policy responses should come now before we have done the analysis that he sensibly asks for? We are doing things the sensible way. Not only do his Front-Bench team have no polices, they appear to want policies before they have looked at the evidence. That would be the worst way to go about things. I appreciate that, in all sincerity, he believes that his Front-Bench team are as bad as I believe they are.

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Order. The House is in a very excitable condition. I gently point out to the right hon. Member for Islington South and Finsbury (Emily Thornberry) that she would wish to be viewed across the country and around the globe as an aspiring stateswoman, and I think her demeanour ought to reflect her ambition.

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I am sorry that the shadow Front-Bench team find this issue so amusing. As someone who grew up in a deprived working class area—more girls in my school went to prison than to university—I take this issue very seriously. While I welcome the audit, the fact that it focuses on race, not the common issues that all communities face of broken families, poverty and getting into work, means that it misses some things. I point the Secretary of State in the direction of “A Manifesto to Strengthen Families”, which has been produced by Conservative Members, led by my hon. Friend the Member for Congleton (Fiona Bruce), and addresses some of those issues in more detail.

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I know the valuable document to which my hon. Friend refers. I recommend that she read the audit carefully, because she will find that it reveals the huge differences between areas that look similar demographically or in their ethnic makeup. Anyone who reads the findings carefully and sensibly will realise that some policy prescriptions may not be based on ethnicity and may need to be based on the other factors she mentioned. The sensible way for any Government to proceed—certainly the way that this Government will proceed—will be to look at the evidence and then devise the policy.

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What other reports on race have been incorporated into the race audit data? Why have Sikhs, who are recognised as a separate ethnic group in legislation, been excluded from the audit? Will he put that right by ensuring that Sikhs are not further discriminated against and that the 2021 census will include a Sikh ethnic tick box?

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I can only reply to the hon. Lady with what I said to the hon. Member for Manchester, Gorton (Afzal Khan). Religion is not routinely collected in many of the 130 data sets, so it would be impossible to include. It is not a question of excluding any particular group. Many of the data sets have existed for decades, and we as a society have to decide over time how much personal information we want to collect and publish on every individual in this country. It is sometimes helpful to collect such information, because it helps public policy making, but people sometimes regard it as intrusive. Our view on that may change over time, and we can always have discussions in this House about what level of personal information we want to give to Governments and then have Governments publish, so that might be a way to aid public policy making, and I am happy to discuss that with her.

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Having attended a failing school in your constituency, Mr Speaker —albeit before your time—and then having spent five years in a formerly failing school in west London, I have a real passion for what can be achieved through education if we have these race disparity audits. Indeed, that is exactly what happened to transform a west London school’s five A to C GCSE grade rate from 9% to 60%. In addition to sharing my distaste for the appalling behaviour of the Opposition, I ask Ministers to take the data and learn about the best practice in institutions so that it can be rolled out and applied nationally.

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I am grateful to my hon. Friend for raising an important point. Action that is taken at a local level—perhaps in an individual school—can be transformative for the lives of thousands of people. The audit will enable us to identify the areas with problems in a more fine-grain way than ever before, so that we can deal with those problems, whether they relate to education, employment and training or policing, in the areas where that action can have most effect. That will be how we can make the most beneficial difference to most people’s lives.

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I thank the First Secretary of State for his statement. For some considerable time, black and white British boys in receipt of free school meals have had some of the lowest levels of educational achievement across the United Kingdom, and that is also the case in Northern Ireland. I welcome this initiative, but the data will be of value only if the analysis is mainstreamed into policy making in Departments. What do the Government intend to do to ensure that that happens?

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Much good work has been done in Northern Ireland in that field, and we will continue to spread best practice and learn from where we have had successes. Making that part of mainstream policy making is one of way of doing that. The hon. Lady mentioned educational attainment, and it will be interesting to see the evidence from free schools in the years ahead. I suspect that they will be shown to do particularly well by pupils with various forms of disadvantage, but we will develop the evidence over time and we will base our policy on evidence—[Interruption.] I can tell from the noise level that the Labour party has already come to a view about free schools without any evidence. That is typical of why their policy making is always so bad—[Interruption.]

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Order. Calm. My advice in particular is tendered for the benefit of the hon. Member for Rhondda (Chris Bryant).

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I am very quiet.

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The hon. Gentleman witters from a sedentary position that he is very quiet. I think the answer to that is that it is all relative.

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May I remind the First Secretary of State that it was the previous Labour Government who led an inquiry into the Stephen Lawrence murder and, following that, introduced the Race Relations (Amendment) Act 2000 and the Equalities Act 2010, which require monitoring, and that this Government have neglected much of that? I welcome this audit, but ask the Minister please, for the love of God, to focus on the structural inequalities—that is, child poverty, which will hit 4 million by 2020, and the cuts to further education and to education maintenance allowances. Those interventions and cuts to those provisions are making it worse for ethnic minorities and white working-class communities. If the Government are serious, we need to stop just doing research and evidence gathering. That is important, but it is not good enough if it is not followed by action.

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The hon. Lady is right that one should get the evidence and then take action. I discover from those on her Front Bench that they prefer to take action blind without looking at the evidence first. One fact that we can jointly celebrate is that among the places where educational attainment has gone up significantly for all groups is her area. That shows that there can be improvements in areas that people once wrote off, which should never happen in any part of this country. I can tell the hon. Lady that this Government will not allow that to happen.

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This morning the Communities and Local Government Secretary highlighted that some Pakistani and Bangladeshi women do not have English. May I suggest that one reason for that is that the Government have cut English for speakers of other languages funding by 60%? Will the Minister commit to change that and reverse the cuts so that everybody can reach their potential?

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My right hon. Friend the Secretary of State for Communities and Local Government was quite right to point out that one of the biggest things holding people back is their not being allowed to speak the language of the country. That is why we spent £100 million last year on teaching English to ensure that more people than ever before can have access to it and play a full role in mainstream society.

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In light of the audit today, will the Government commit to implementing their statutory equality impact assessment on some of their policies and, more specifically, on some social security policies, such as universal credit and the personal independence payment?

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I am happy to assure the hon. Lady that every policy has the equality impact assessment applied to it.

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The First Secretary will recognise that disparity effectively begins at birth, and one thing we do know is that in Greater Manchester, for example, four in 10 children are not ready for school when they go there. In a town such as Rochdale, that rises to a considerably higher figure among the Pakistani, Kashmiri and Bangladeshi communities and in the poor white community. Will the report make any real financial difference to investment in that early years education?

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I have not had a chance to welcome the hon. Gentleman back to the House; the last time I met him he was a police and crime commissioner, and PCCs have a key role to play in making this audit practical. I suggest he looks at it, because one fascinating thing I found when I looked at the audit before it was publicly available is the precise level of analysis that can be done of individual communities. He will be able to see that certain similar communities require different solutions. Different problems are at different levels in neighbouring towns that otherwise look very similar. I have looked at a lot of the towns in the north-west in and around Manchester and I can only suggest that he has a look at the evidence. He will find that there will be different policy prescriptions for what would otherwise be similar towns.

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I welcome the focus in the audit on educational attainment and many Members have already spoken about the subject. That shows how stubbornly the gap persists between pupil premium children and others. If the Government are serious about addressing this burning injustice, should they not allocate the money to schools to tackle the problem rather than forcing them to make damaging cuts, which the poorest families are least able to mitigate?

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I say to the hon. Lady that the schools budget is of course protected and, secondly, that the simple prescription that more money means better public policy was exploded many years ago. She can see that through the different performances of schools in different areas and the differences between individual schools. There is certainly a problem in raising educational attainment and that is why I am very proud that over the past seven years we have had 1.8 million more children attending good or excellent schools than we had in 2010.

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Like others, I welcome this audit, but I am not sure that we needed an audit to tell us of the deep rooted injustices and discriminations in many of our institutions. I have a specific question about charges brought under joint enterprise. Is the Minister aware of research from Manchester Metropolitan University that found huge disparities in the number of people in prison under joint enterprise and how those prosecutions are brought?

More than three quarters of those in prison for joint enterprise found that gang narrative and neighbourhood narrative were used in their prosecution if they were from black and ethnic minority backgrounds, compared with less than 40% for those from white backgrounds. I had a recent case in Moss Side that found exactly that: the young black men who were facing these charges found that they relied heavily on a neighbourhood narrative about Moss Side. It is no wonder that people from places such as Moss Side feel that the criminal justice system works against them, not for them. What will the Minister do about it?

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I was not aware of that report, but it is clearly centrally important to the sort of evidence that the audit will produce. The hon. Lady will be able to see from the audit at a local level whether the criminal justice system is working in a discriminatory way. I will speak to the Lord Chancellor and the Prisons Minister about the specific points that she raises.

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Let me turn to the issue of evidence collection as regards schools. Following the Macpherson report, there was a requirement that all schools had to report racially motivated incidents in school to their local authority. In 2010, that requirement was dropped, so there is now no information coming from academies or free schools, no local statistics and no national statistics on racist incidents in schools. Today, the Institute for Public Policy Research has shown that the figures on exclusions probably under-represent the true position—the figure could be five times as high—mainly because academies are dressing up exclusions under other names. Is it not about time that the Government revisited these issues and gave proper powers and oversight to local authorities so that we can get a true understanding of what is happening in both these areas.

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The hon. Gentleman has great expertise in the area of local Government and I am happy to tell him that one policy change that has already come about as a result of the audit is an external review of exclusions to deal with precisely the sort of issue that he has just raised.

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Last year, at Cabinet Office questions on 2 November the then Cabinet Office Minister, Ben Gummer, told me that in preparing this audit the Government would apply the 2011 census classifications, which, for example, enable us to identify Gypsies and Travellers in the statistics. I note from the report that it is not yet the case that all Departments are adopting the 2011 census classifications. Will the First Secretary tell us today whether the intention is to require Departments as well as other Government agencies and bodies to apply those definitions?

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We are certainly working towards that. Some of the problem is that the information in the audit is not all collected by central Government. The audit contains quite a lot of information concerning Travellers, and some of the educational attainment information revealed for Traveller children, in particular, is especially worrying. I take the hon. Lady’s point and we are seeking, as I have said in answer to other questions, to be as transparent as possible with the information we can collect. We will continue to move down that road.

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There is quite a lot of evidence in the audit that Gypsies and Travellers are one of the most discriminated against disadvantaged groups. I sat through and took part in last night’s debate, during which a succession of the First Secretary’s colleagues simply wanted to talk about planning enforcement matters. If he actually wants this audit to have an effect, perhaps he could start by explaining things to his colleagues and changing their attitudes to some of these issues.

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I am not sure there was a question in that, but I take what the hon. Gentleman said in the spirit in which I know he meant it. His remarks will have been heard.

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Will the First Secretary address in a bit more detail the serious issue, highlighted by the audit, of educational underachievement among white working-class children? In particular, will he address the fact that only 32% of white children on free school meals reach their expected level of attainment at key stage 2 and that white working-class children from poorer backgrounds are the least likely to go to university? Are we not dealing with a cycle of deprivation that spans the generations? The challenge is not, as he said it is, to “explain or change”—it is to explain and change. May I put it to him that tackling those cycles of deprivation is not helped—rather, it is the reverse—by cuts to Sure Start and early years provision?

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In that case, I think many of us would agree on the “explanation”. At the root of a lot of the educational reforms introduced in recent years is improving the attainment in schools containing the sorts of pupils the hon. Gentleman referred to, so that they get a fair chance in life. That is what the whole of this is about and we will continue that approach. I have already said that we have far more children going to good or excellent schools than was the case five years ago and we have more children from disadvantaged background going to university than ever before, but there is always more to be done in this area. This audit gives us some of the tools to enable us to do it in a more precise way. That will be the long-term benefit of this audit.

Bombardier

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With permission, Mr Speaker, I would like to make a statement on Bombardier, updating the House on the trade dispute brought by Boeing against that company. The case has serious implications for the workers at Bombardier Aerostructures & Engineering Services—Short Brothers—in Belfast, where the wings for the C Series aircraft are manufactured.

Following a complaint by Boeing, the US Department of Commerce has made two provisional determinations in the case, calculating duties of 220% in relation to alleged subsidies for Bombardier and of nearly 80% in relation to alleged mis-selling by Bombardier into the US market. These initial determinations are bitterly disappointing, but they are only the first step in the process: a final ruling in the investigation is due in February and would be subject to further appeal, were this to be upheld. This Government have been working tirelessly to bring the case to a satisfactory resolution and we will continue to do so.

In filing the petition, Boeing asserted three claims: first, that without Canadian and UK Government subsidies Bombardier would have been unable to develop the C Series; secondly, that Bombardier is selling at or below production cost its C Series aircraft in the US; and thirdly, as a result, that this is causing the threat of imminent material injury to the US domestic aerospace industry. This action followed Bombardier securing an order from Delta Airlines for 75 aircraft.

The Boeing petition makes allegations about funding support from the Canadian federal Government and the Government of the Province of Quebec for the C Series. It also alleges that the UK’s provision of £113 million of repayable launch investment funding, committed to Bombardier Short Brothers in 2009 to support the development of the composite wings, contravened trade rules. We strongly and robustly refute that allegation.

I want to make the Government’s position very clear: we consider this action by Boeing to be totally unjustified and unwarranted and incompatible with the conduct we would expect of a company with a long-term business relationship with the United Kingdom. Boeing does not manufacture a competing aircraft, so although Boeing claims harm in respect of the Delta aircraft order, it actually has no product in the 100 to 125-seat sector. Furthermore, this system of launch investment for the development of new aircraft reflects that of all major commercial aircraft programmes in their early years, including the Boeing 787. We refute entirely any suggestion that our support contravenes international rules.

The Shorts factory in Belfast employs more than 4,200 excellent skilled workers, with almost a quarter of those working on the C Series. It also supports a supply chain of hundreds of companies and many more jobs across the UK, as well as supporting nearly 23,000 workers in the United States of America, where 53% of the content of the C Series is produced by US-based companies. We will continue to work tirelessly to safeguard jobs, innovation and livelihoods in Northern Ireland.

From the outset, as is obvious, this has been a dispute that joins Canada and the UK, and we have been assiduous in working closely with the Government of Canada in our response. The Prime Minister has discussed the case with Prime Minister Trudeau, and I have been in regular contact with Canadian Foreign Minister, Chrystia Freeland, to co-ordinate our response and actions. We have had intensive engagement from across government at the highest levels. The Prime Minister has discussed the matter twice with President Trump, stressing the crucial importance of Bombardier’s operations in Belfast and asking the US Government to do all they can to encourage Boeing to drop its complaint. My Cabinet colleagues, including the Foreign Secretary, the Defence Secretary, the Chancellor of the Exchequer, the Trade Secretary and the Northern Ireland Secretary, and I have reinforced our serious concerns with, among others, the US Secretary of Commerce, the US Secretary of State, the US Treasury Secretary, the US Trade Representative and other members of the Administration, as well as, on this side of the Atlantic, the EU Trade Commissioner. My colleague the Minister for Energy and Industry, my hon. Friend the Member for Watford (Richard Harrington), has met Boeing International’s president, and I travelled to Chicago to meet Boeing’s president and chief executive to make absolutely clear the impact of these actions on the future relationship with the United Kingdom.

I am grateful for the consistent and indefatigable efforts of the constituency Member, the hon. Member for Belfast East (Gavin Robinson), and indeed the whole community in Northern Ireland who are united in opposition to this action. We will continue vigorously and robustly to defend UK interests in support of Bombardier, its workforce in Belfast and those in its UK supply chain. We will continue to work jointly and collectively with the Canadian Government. We will work closely with Bombardier, its workforce and its trade unions, and we will do everything we can to bring about a credible, early resolution of this totally unjustified case. As I said, the initial determinations are the first step in the process, but we completely understand the worry and uncertainty facing the workforce, which means that the earlier this issue can be resolved, the better. To that end, I expect to have further discussions with Boeing, Bombardier, the Canadian Government and the US Government in the days ahead. The House should be aware that neither this Government nor our counterpart in Canada will rest until this groundless action is ended. I commend this statement to the House.

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I thank the Secretary of State for advance sight of his statement.

Following a complaint by Boeing, on 26 September the US Department of Commerce ruled that Bombardier had benefited from state subsidies and imposed a 219% tariff, and on 6 October it found engagement in below-cost selling and imposed an additional tariff of 80%. This decision has catastrophic ramifications for Bombardier, the 4,000 staff it employs directly in Northern Ireland and the 20,000 staff employed throughout the UK in supply chains. Not only does this jeopardise the livelihoods of thousands, but the Northern Irish economy also faces a serious threat, as Bombardier represents 8% of Northern Ireland’s GDP and about 40% of manufacturing output, so the danger to jobs, the future of Bombardier and the Northern Irish economy because of these decisions in the US is very real.

Sadly, also very real has been the apparent inaction of the Government thus far. The Opposition have repeatedly sought information from them, but we have so far been disappointed by the response—so today I will try again. First, what was the specific content of, and what commitments were made during, the Prime Minister’s and other Cabinet members’ conversations with the US Administration and indeed Boeing?

Secondly, have the Government had any discussions at all with the European Commission, specifically with the Directorates-General for Trade and for Competition, about the support that it might be able to provide? Thirdly, does the Secretary of State have any plans to target all relevant US legislators to lobby the US Administration, including the Senate Committee on Finance, the House Ways and Means Committee, the Senate Committee on Foreign Rela