House of Commons
Monday 7 February 2022
The House met at half-past Two o’clock
[Mr Speaker in the Chair]
The following Member took and subscribed the Oath required by law:
Annalissa Firth, for Southend West.
Yesterday, 6 February, marked 70 years since our Queen acceded to the throne following the death of her father, King George VI. The House will pay a more formal tribute in due course, but I know that I speak for all Members in placing on the record our thanks to Her Majesty for her great sense of duty and her lifelong commitment to public service. [Hon. Members: “Hear, hear!”]
Oral Answers to Questions
Work and Pensions
The Secretary of State was asked—
Progression out of Low-Paid Jobs
I associate myself with your comments, Mr Speaker, on the magnificent service of Her Majesty the Queen.
People can use the Train and Progress scheme to access courses so that they can progress out of low-paid jobs. We are appointing progression champions throughout the country and, from April onwards, will open up access to work coach support to address skills barriers or wider barriers to progression among people who are already in work.
I am grateful to my right hon. Friend and constituency neighbour for that answer. In sectors such as offshore wind and nuclear power in Suffolk, either there are skills shortages or new opportunities are emerging. Currently, many people are not able to acquire the skills needed for such jobs because of the rigid and complex universal credit conditionality rules. Will my right hon. Friend agree to a review of universal credit conditionality, as she and I have discussed and in accordance with the new clause that I have tabled to the Skills and Post-16 Education Bill?
As my hon. Friend is my neighbour, I am conscious of the opportunities in his constituency thanks to the Government investment, alongside that of private investors, in our progress to net zero. I do not agree with him that we need to reshape student finance in such a way; that is not the purpose of universal credit, and only a limited number of people can undertake that training. I assure him that Train and Progress, which I mentioned, the lifetime skills guarantee and the opening up of access, as well as apprenticeships to get into a sector in the first place, are better ways to make sure that we help people to get on in work.
I similarly associate myself and all my colleagues with your remarks before questions, Mr Speaker.
The Government know that, as the hon. Member for Waveney (Peter Aldous) suggests, there is a problem with progression out of low pay, because they commissioned the Ruby McGregor-Smith review, which reported in July last year. In January this year, the Under-Secretary of State for Work and Pensions, the hon. Member for Mid Sussex (Mims Davies), told me that the Government would publish their response “shortly”. Meanwhile, kickstart has failed to deliver and, as the journalist Ed Conway pointed out this afternoon, in the past year the average house has earned more than the average 18 to 29-year-old in this country. That is a disgrace. Will the Secretary of State announce today when she will at last publish the Government’s response to the Ruby McGregor-Smith review of low pay? Will she say how the Government propose to make progress on two key issues that the review identified: public transport and childcare?
I reject the hon. Lady’s assertion that kickstart is not working. More than 130,000 young people have now had access to a proper job in which they have gained employability skills, so it has been an effective response. At the same time, she will be aware that there are more people in work on payroll than there were before the pandemic. People are making good progress in that regard.
The review is important. I will be candid and say that I am the person who has held it up, because I want to make sure we have got all the questions answered as best we can. Meanwhile, we continue to work across Government on some of the hurdles that people are trying to get over, such as childcare and similar issues. I hope that the response will be published shortly.
Menopause: Women Leaving the Workplace
Too many women feel forced to leave work, reduce their hours or take a step back in their careers because of the impact of the menopause. That is why I asked my Department for Work and Pensions “50 PLUS: Choices” team to work with employer organisations and produce the “Menopause and Employment” report. I will be responding to the recommendations in the report shortly.
A poll by the Fawcett Society reported that a quarter of employees currently experiencing the menopause said they would consider leaving the workforce. Furthermore, 10% are actually doing so. That is one in 10 experienced and talented women who have symptoms of the menopause leaving their jobs and their incomes, and potentially entering the benefit system. I know the Minister understands the issues that these women are facing, so would she consider creating a resource specific to women and their employers to help them overcome those barriers and keep more women in work?
I absolutely agree about the challenges when it comes to employment. That leads us to the need for a longer-term plan for pensions and everything that comes with it. Indeed, one in 100 women experience menopause by the age of 40. The hon. Lady and I were both in the first cross-Government taskforce, with the Under-Secretary of State for Health and Social Care, my hon. Friend the Member for Lewes (Maria Caulfield), on Thursday. This is a key agenda point, and I look forward to working with the hon. Lady on it.
I welcome the hon. Lady to her place in the House of Commons, and I welcome back the hon. Member for East Dunbartonshire (Amy Callaghan). It is good to see her back in her place—I am pleased to see that.
The practical truth is that pensioner poverty has reduced under this Government. This Government increased state pension by 2.5% in 2021-22 and will uprate it by 3.1% in 2022-23. We are also spending approximately £5 billion to support 1.4 million pensioners through pension credit.
Pensioners across North Shropshire and the rest of the country are falling into poverty. Last week, a retired couple from Ellesmere, in my constituency, contacted me to tell me that even though they live in a modest bungalow, because of the rising costs of their food and energy bills they have been put in the heartbreaking position of having to choose between heating and eating. That is a choice no one should ever have to make.
Rural communities are being hit hardest by the energy bill price hike, and they have higher numbers of pensioners hit by the suspension of the triple lock. In Shropshire, the Conservative-led council is pushing through the maximum council tax increase this spring. What steps can the Secretary of State or the Minister take to ensure that our retired residents are not put into this dreadful position of choosing between heating and eating?
I refer the hon. Lady to the specific points set out by the Chancellor last week, namely the £144 million-worth of discretionary funding, the non-repayable £150 cash rebate and the £200 smoothing rebate on energy bills for all households. Those are in addition to the ability to claim for pension credit, which is, of course, a passport to many different pension awards in many different situations.
This Government have a very good track record when it comes to protecting pensioners against poverty, not least through the state pension triple lock and the pension credit. However, will the Minister sit down with his colleagues the Employment Ministers and look at participation rates in the workforce among older workers? Some estimates suggest that there are now around 200,000 fewer older workers in the economy than there were pre pandemic. It is important that we bring out all the skills in the economy, not least to fill some of the employment gaps.
My right hon. Friend makes a very good point, as he should do, being a former Secretary of State and very wise on these issues. The Under-Secretary of state, my hon. Friend the Member for Mid Sussex (Mims Davies), has set out the “50 PLUS: Choices” programme and the amazing package of work that is available to people over the age of 50 who wish to return to the workplace. I am certain that if my right hon. Friend was to sit down with her, and other colleagues, there would be much that we can do in this particular space.
Before I start, I thank the hon. Gentleman for his very moving, very personal and very brave tribute to our friend Jack Dromey last week. It is hugely appreciated across the House.
I disagree with the Minister: pensioner poverty is increasing. As we have heard, many pensioners are facing an impossible choice between heating and eating. Pension credit and the basic state pension are being cut in real terms today. He mentioned the package the Chancellor announced. A million pensioners are on the council tax benefit reduction. Will those million pensioners who do not pay council tax get the £150 rebate automatically or will they have to apply for it? If they have to apply, will he guarantee that 100% of pensioners will get that money this April?
First, I thank the right hon. Gentleman for his kind comments. I wanted him to stop there, but I fully understood why he did not. On his specific point, I understand that the Department for Levelling Up, Housing and Communities is publishing guidance on that today.
Can my hon. Friend the Minister confirm that before this Government came into office in 2009-10, the state pension was £95 a week and that this year it will rise to £185 a week? Does he agree that this explains why there are over 200,000 fewer pensioners in absolute poverty than there were a decade ago?
Under the coalition and the Conservative Government there has been a record increase in the state pension. We have never spent as much as we now spend on the state pension—£105 billion. It has almost doubled compared with under the last Labour Government. The practical reality is that there is £129 billion when all the other benefits are added in. As I say, it has never been a larger figure. My hon. Friend is right: there are 200,000 fewer pensioners in poverty than there were previously.
Despite what the Minister said at the Dispatch Box earlier, his Government’s statistics show that even before the effects of the £700 energy cap kick in, pensioner poverty is at a 15-year high, with 2.1 million pensioners classed as living in poverty. The Red Book also shows that the removal of the pension triple lock is going to take £30 billion out of the pockets of pensioners over the lifetime of this Parliament. What impact assessment have the Government undertaken on the removal of the triple lock, and how many more pensioners are going to be plunged into poverty?
The hon. Gentleman will know that there are 200,000 fewer pensioners in absolute poverty than in 2009-10. Through the triple lock and the work that the coalition Government did and this Conservative Government have done, we have never paid pensioners more. There are also the three matters set out by the Chancellor previously. I spent some of the weekend reading “Scotland’s Future” and I see that the SNP has now abandoned its previous position on the state pension—a question that SNP Members did not want to raise today, I conclude.
Will the Minister ensure that supporting our pensioners remains a top priority across Government? What is he doing personally to ensure that as many pensioners as possible benefit from the Chancellor’s support package on energy prices?
Yes, of course, is the short answer. We are doing a huge amount, particularly on pension credit, which addresses the situation of low-income pensioners. We are working with the BBC, various energy companies, Age UK and many other organisations to get greater take-up of pension credit. It is a cross-departmental initiative to ensure that there is take-up of the various things that are available, as announced by the Chancellor last week.
Disabled People’s Benefits: Cost of Living
The hon. Lady will know that the personal independence payment is aimed at providing assistance to disabled people with extra costs. As the Under-Secretary, my hon. Friend the Member for Hexham (Guy Opperman), has just outlined, alongside the £9 billion energy bills rebate announced on 3 February the Government are providing £12 billion of support over this financial year and next to ease cost of living pressures, with help targeted at working families, low-income households, and the most vulnerable.
The increasing cost of living is having a huge impact on so many people, and instead of doing the right thing, this Government buried a £70 million stealth cut to disability benefits in the autumn Budget. For the hundreds of thousands of people impacted, I ask the Minister: exactly how does she expect disabled people to manage their rising energy bills while this Government stand by with woefully inadequate proposals?
I asked the Minister if she would publish the NatCen report into disabled people’s experiences of the benefits system. She said no. The Work and Pensions Committee used its powers to publish the report instead. Having reviewed this research, it is crystal clear what the Government were hiding. Disabled people are struggling on a day-to-day basis. Does she agree that the money disabled people receive is not enough to cover their additional living costs? If she does agree, why has her Department not done anything to address it?
Vulnerable Children: Support
I met the Secretary of State for Education in January to discuss shared priorities on a wide variety of issues, including vulnerable children.
My right hon. Friend will be aware that our Education Committee is doing an inquiry into the educational outcomes and opportunities of children in care. We know that 41% of care leavers aged 19 to 21 are not in education, employment or training. I welcome the Government’s bursary scheme, but a care leaver over the age of 21 is eligible to receive the bursary for apprenticeships only if they are in education, employment or training. Will my right hon. Friend look into the policy and work with colleagues across Government to see what more can be done to support the 59% of care leavers not eligible for this support?
I welcome my right hon. Friend’s passion for this particular group of people looking to find work. This is really a matter for the Secretary of State for Education, but the information I have been provided is that all care leavers aged up to 25 who take up an apprenticeship are considered to be in education or training and therefore would be eligible for the bursary.
From April, the Scottish Government are doubling the Scottish child payment to £20 a week a child. The Scottish child payment, together with the Best Start grant and Best Start Foods, will provide a package of financial support worth £8,400 by the time eligible families’ first child turns six. None of this support is available anywhere else in the UK. Have the UK Government considered matching the level of support that the SNP Scottish Government are offering to families with children in Scotland?
I do not think we have undertaken that assessment. Of course, a benefit of being part of the United Kingdom is the subsequent extra money per head that is given through the Barnett formula, and the Scottish Government can decide what to do with that. I am sure they will be carefully costing their independence things, or that sort of financial support will simply not be there.
Armed Forces Champions in Jobcentres
In April 2021, we updated the offer in our jobcentres, boosting our network of armed forces champions to 50, supported by 11 area leads. They are focused on providing key support to our veterans and other members of the armed forces community to ensure that their talents and abilities are recognised and that they can move quickly on to their next step. I saw that in action on Thursday at the military careers fair in Aldershot with the Veterans Minister, my hon. Friend the Member for Aldershot (Leo Docherty).
As the Minister will know, our veterans have particular skills and needs. Can she confirm that veterans in my constituency in the Scottish Borders, whether they attend a jobcentre in Hawick, Galashiels or Eyemouth, will be able to access the support offered by their district armed forces champion?
Yes, I can confirm that they will. The great work that is being done by our DWP armed forces champions in my hon. Friend’s constituency is playing out, for example, in how the local champion from High Riggs jobcentre has already been working with the local council to secure bus passes for veterans, alongside providing veterans with direct employment support.
With Lincoln and Lincolnshire continuing to have a growing armed forces community—with RAF Waddington playing a national role and the Royal Anglian Regiment 2nd Battalion celebrating its freedom of the city last Friday—delivering the champions scheme along with other important parts of the armed forces covenant is important to my constituents, not least Councillor Bill Mara in Witham ward. What more can be done in respect of the scheme to signpost veterans to these services?
I absolutely agree with my hon. Friend. In Lincoln, the armed forces champion is already receiving good feedback in their role. They work with several councils and local homeless veterans to make sure that those veterans get suitable housing. In fact, in the case of West Lindsey council, they worked with adult social care to get permanent housing for a claimant with a history of alcohol addiction. They are also helping claimants who are veterans back into work, using the flexible support fund and working with local employers and employment agencies.
In theory this should be an excellent initiative, but the Minister will know that the previous veterans action plan, for 2019 to 2021, promised to
“increase the number of Jobcentre Plus Armed Forces Champions and District Leads from the current position of around 45 unfunded, part-time posts to funding an Armed Forces lead in each Jobcentre Plus District and 100 support posts.”
That is not happening, so how can the Minister claim to be supporting the work of armed forces champions, while cutting the number of paid posts?
We have a new model of 11 armed forces champion leads across the DWP districts. We are working with armed forces champions and the covenant locally. We have 50 armed forces champions across the jobcentre network. With covid, of course, some of this upskilling and these add-ons were paused, but we are absolutely committed to making sure that our veterans get the best service at DWP.
I thank the Minister for her response. In Northern Ireland, the role of the armed forces champions in jobcentres and in district councils presents difficulties with the security of some ex-soldiers. What discussions have taken place with the Minister or with jobcentres in Northern Ireland to ensure that veterans in Northern Ireland can access these services?
I thank the hon. Gentleman for raising this issue. Universal credit now has an identifier to help us enhance support for all our claimants who may have a veteran background. Many people do not declare that background and can be working with us for a long time before they recognise that it needs to be understood. Some 83% of veterans are employed within six months, but we need to do better and make sure that all are supported.
Young Jobseekers: Support
Young people claiming universal credit and searching for work are supported through our boosted DWP youth offer. This includes new, dedicated support from youth employability work coaches. Despite the challenges of covid-19, the DWP has opened over 160 new, specialised youth hubs across Great Britain. These innovative and vital interventions contributed to over 130,000 young people starting kickstart roles and, most importantly, to a record low youth unemployment level.
I thank my hon. Friend for her answer. Last week I was fortunate enough to visit the jobcentre in Barrow. It is rare to meet such a dedicated and enthusiastic bunch of people, and they have really been empowered to do their job, working with young people, using the kickstart scheme, and making sure that young people are prepared and have the clothes they need to get to interviews and get to work. It is absolutely fantastic to see. With that in mind, could I invite my hon. Friend to Barrow to see the good work they are doing and hear more about the route into work that they are planning for young people in the future?
I thank my hon. Friend for such warm, generous feedback. That work happens up and down the land in our jobcentres and I hear similar good news stories every day. I invite those on the Opposition Front Bench to actually step into a jobcentre, see what is really going on, meet the kickstarters and see what this has meant to their lives. In fact, at BAE, not far from my hon. Friend’s constituency, one young man has moved into an apprenticeship and is now inspiring people through our youth hubs to do exactly the same by talking about his work journey.
Disabled People: Trust in DWP
As we said in our Green Paper, and as I discussed with the right hon. Gentleman last week, we recognise the need to improve disabled people’s experience of our services. In response to feedback, we have already committed to changes for the special rules on terminal illness. In the British Sign Language Bill and its supporting work, we also show that we are listening to disabled people with an advisory board of BSL users.
DWP’s social security advisory committee highlighted just over a year ago the serious problem that disabled people do not trust the Department. Burying the NatCen report, in breach of the cross-Government social research protocol, has made matters worse. The failure to consult properly on the national disability strategy has also now been found to be in breach of the law. As a first step, should the Minister not accept the social security advisory committee’s recommendation to establish a protocol for engagement to do the job properly with disabled people?
I do want to engage more with disabled people and continue all the work that is going on to listen to disabled people and disabled people’s organisations. That is a priority across a number of areas of work for all the Ministers on the Front Bench. I take issue with the right hon. Gentleman’s point about the NatCen research and the use of the protocol. As has been the habit of successive Governments, including the one that he served in, protecting a private space for policy development has always been a relevant factor and is a permissible technique for ensuring that we can bring research out at the right time, as we undertook to do in this case.
In addition to the Minister’s vital work with leading health and disability charities, can she confirm that she is fully engaged with the regional stakeholder networks to ensure that a full diverse range of disability voices has an opportunity to shape Government work?
I certainly can. My hon. Friend is correct: we need to be able to listen to disabled people and disabled people’s organisations of all shapes and sizes. That is what will help us to come to the right conclusions; for example, in the White Paper that we will be bringing forward in the summer.
The NatCen report is a shocking read that again highlights the hostile environment created by the Department. Disabled people are having to undergo cruel and unfit-for- purpose assessments for their employment and support allowance and personal independence payment; face long delays before a decision is made; and, in most instances, must appeal to a tribunal where they have to wait even longer for vital support. Can the Minister understand why, given those experiences, thousands of disabled people feel let down by the Department? What action will she take to reduce long delays and unfair waiting times?
We are working to ensure that that benefit gets to the people who need it most as quickly as possible. I must take issue, however, with the hon. Lady’s assertion that most claims go to tribunal or reconsideration. They simply do not. I set out the facts on that last week in Westminster Hall.
I welcome the British Sign Language Bill and the important commitment to ensure that the access to work scheme better meets the needs of BSL users. Will the Minister commit to driving that work forward at pace to ensure that more deaf people are supported in reaching their potential?
I am glad to hear that there is support for the Bill on both sides of the House. It is an important piece of work and I pay tribute to the hon. Member for West Lancashire (Rosie Cooper) whose Bill it is and with whom I am pleased to work to bring it forward. As my hon. Friend asks, we are all committed to doing that as quickly as we can because there is so much that we can do to support deaf people to be better involved in education, employment and wider society, which is what the Bill aims to do.
Before I call question 9, I understand that it has been grouped with question 13 but not questions 20 and 22, which are identical. I find that rather strange. Of course, it is up to Ministers to propose groupings, but I make it clear that if the hon. Member for Lewisham West and Penge (Ellie Reeves) and the right hon. Member for Kingston upon Hull North (Dame Diana Johnson) wish to catch my eye, they will be called for their supplementaries.
With your permission, Mr Speaker, I will answer Questions 9 and 13—and, with your guidance, probably a whole load more—together.
We have long championed the principle that work is the best route out of poverty, based on clear evidence of the importance of parental employment, particularly where it is full time, in substantially reducing the risk of poverty. In 2020-21, there were more children living in a home where at least one person was working, with nearly 580,000 fewer children living in workless households than in 2010.
The Joseph Rowntree Foundation highlights that child poverty in families with more than two children has risen, on this Government’s watch, to levels not seen since before 1997. Those families are disproportionately affected by increases in the cost of living and are treated punitively by the benefits system. Does the Minister really believe that it is acceptable for children to suffer more just because of the number of siblings they have? If not, what is he going to do to ensure that all families with children have the support they need at this very difficult time?
At a time of record vacancies, the key thing we need to do is to focus on getting parents into work and helping them to progress in work. That is our underlying priority. For those with vulnerabilities, we will make sure that extra support is available through the household support fund. I understand that Lambeth alone has £2.7 million to support people in the borough.
The End Child Poverty coalition reports that of the 20 UK parliamentary constituencies that have seen the highest increase in child poverty, 17 are in the north-east of England. My constituency of Jarrow is at No. 5. Will the Minister say what he and the Secretary of State are doing to tackle child poverty, specifically in the north-east?
As I said to the hon. Member for Dulwich and West Norwood (Helen Hayes), our key priority at a time of record vacancies is to encourage people into work. The opportunities for the north-east highlighted in the recent levelling-up White Paper and those sponsored by local Mayors and, indeed, local MPs will be a real boost. Of course, the household support fund will be available. In South Tyneside alone, £1.4 million is available.
We need to make sure that we support lone parents into work and help them realise the opportunities that are available. I strongly suggest that they take time to speak to their local jobcentres and work coaches, who can help them get on. Of course, even in Lewisham £2.6 million has been made available through the household support fund.
We want to tackle child poverty in every way, shape and form. As I said earlier, there are now 580,000 fewer children living in workless households. That is a really important statistic. Helping more people get into work means that, over time, they have the support to stand on their own two feet and look after their children fully.
We know that the chance that a child will grow up in poverty falls when both their parents are in full-time work. Last Friday, I visited Stafford College ahead of National Apprenticeship Week. What are we doing to help more parents into work, in particular full-time work, to help my constituents in Staffordshire?
We have a full plan for jobs, which sets out a huge range of initiatives from kickstart for the young through to SWAPs—sector-based work academy programmes—and restart, and even a midlife MOT. Those are incredibly important tools that will help people get their children into a better financial situation. Of course, childcare is also available. We spend about £6 billion a year to support childcare. We need to make sure, as the Secretary of State said, that we make that work better for the families who rely on it.
I completely agree with my hon. Friend that the best route out of poverty is work. By lowering the taper on universal credit, we are enabling people to get into work and retain their benefits. Does he agree that that combination has to be seen through the prism of encouraging people to work and to earn their own living?
I strongly agree. I have seen the amazing work my hon. Friend does in his constituency and did previously in Brent and he sets out our clear direction. Through our plan for jobs, and now, in a time of record vacancies, we are putting huge focus on the Way to Work, which I think he will agree provides even more incentives for those getting closer to job readiness to move into a job and then advance their career.
We know from the Department’s own recently published abstract of benefit rates statistics that the real-terms value of child benefit fell by 16% between April 2010 and April 2021. How many fewer families would now be in poverty if that and universal credit had been uprated consistently in line with inflation?
Work Coaches in Jobcentres
We often hear in this House about honourable colleagues going into their jobcentres and seeing the marvellous work of work coaches, and we see that by the number of people getting back into work. However, we want to constantly improve the performance of our work coaches in terms of outcomes for people and we will continue to do that.
I completely agree that good work coaches can level up opportunities by breaking glass ceilings that hold people back, but inevitably some will be better than others, as we have seen in schools and other public services. If we publish those findings, every jobseeker and their MP will want to know how their local service compares and how it might be improved, so will my right hon. Friend meet me to discuss this as outlined in my recently published work, “Poverty Trapped”?
I do not agree with my hon. Friend’s suggestion about the external assessment. I have asked one of my team to look into his report and I am sure we can arrange a suitable meeting, but I want to assure him that all new work coaches are undertaking a level 4 City & Guilds qualification in service delivery.
The DWP is looking to cut thousands of fixed-term contract work coaches at EO level from jobcentres but reportedly will retain almost all staff at the lower-paid AO grade. Have the Government considered how this will impact on lower-grade staff in terms of workload and stress and how those losing their jobs will afford their living costs until they can secure a new role?
The hon. Lady will recognise that this is an operational matter, but she is incorrect; I am conscious that she may have been given that information separately. Last week the permanent secretary outlined the start of the process potentially for people on fixed-term contracts. We need to make sure we have the work coaches in the right parts of the country where they are most needed for both current claimants and anticipated future demand.
Autistic People in the Workforce
We are working with the National Autistic Society to test ways to make jobcentres more inclusive of people with autism; this test will inform changes to the wider jobcentre network. We encourage employers to consider autistic people for roles and can offer support where needed to Access to Work.
I thank the Minister for that response and the work she is doing. The Office for National Statistics highlighted back in November last year that, tragically, only 25% of autistic adults are in any form of meaningful employment despite record job vacancies. I am encouraged by the Minister’s additional steps, but what can we do to get the regional adjustments in place so employers really take this seriously?
There is a lot that we can do together and this is an effort for the Government, for employers and for others such as the National Autistic Society and the all-party group on autism, to which my hon. Friend gives a lot of time. He asks what we are doing: we are engaging with employers through the disability confident scheme; we are supporting jobseekers, workers and employers through Access to Work; and, as I have said, we are making our jobcentres and youth hubs inclusive in the way they ought to be.
My constituent has a range of conditions, including autism, which has left him with a mental age of 10. He underwent a telephone work capability assessment without a parent or guardian present, which resulted in a reduction in his employment and support allowance. Will the Minister meet me to discuss the case? What steps are being taken to ensure that autistic people and those with additional support needs are helped into work and not targeted in such a manner?
I would be happy to look in more detail at this case—or ask officials to do so—which appears to raise a number of issues. More generally, we are absolutely committed to supporting disabled people appropriately into employment that might be right for them. To do that, for example, there is more than £1 billion of funding in the spending review for disability employment. All our providers who conduct benefits assessments have training in a wide range of conditions so that they can properly support those whom they are working with.
Benefits System: Fraudulent Activity
Fraud in the benefits system is an issue that we take extremely seriously. The Department is working on a proactive and comprehensive approach to ensure that those who commit fraud are tracked down and held accountable. That includes undertaking a targeted review of universal credit claims, investing in advanced analytics and expanding our serious and organised crime team.
The vast majority of my constituents work hard and pay their taxes. They rightly expect the welfare state to be there to support them if they need it, but understandably they have little time for those who seek to exploit the system for their own ends. What investment is the Department making to assist efforts to clamp down on those who seek to rip off the taxpayer?
I understand where my hon. Friend is coming from. In late 2021, the Department secured an additional £613 million that will enable a targeted review of universal credit claims and lead to even greater investment in advanced analytics and in our serious and organised crime team so that we can crack down on fraudsters and save the taxpayer billions of pounds.
I am pleased that we have launched Way to Work to help job-ready people get into jobs as quickly as possible. The new approach is focused in particular on bringing many more employers directly into the jobcentre so that we can accelerate the process from application to interview and job offer. In essence, given the number of vacancies right now—particularly in economically important sectors—it is important that we take the ABC approach: any job leads to a better job, which leads to a career.
The hon. Member and I are both practising Catholics, and I am conscious of the point he is making. However, I am also conscious that the benefit cap takes into account the amount of benefits available to a family compared with median income. It is important that we keep that approach, recognising in particular that the cap can be lifted when people earn, I think, about £605 a month.
DWP already has a range of provisions in place to upskill jobseekers to take on key roles such as HGV drivers, including through the sector-based work academy programme, which give claimants the skills and qualifications that they need directly to take up local driver roles.
Mr Speaker, may I associate myself with your remarks and thanks directed at Her Majesty the Queen?
I read in the newspapers at the weekend that the Secretary of State is considering resigning over the Prime Minister’s rule breaking and partying. Before she heads for the exit door, given that 550,000 children are destitute, half a million children do not have a suitable bed to sleep in and she has cut universal credit by £1,000, why is she pushing through real-terms cuts to support that mean 10 million households will lose £290? How many more children will be in poverty as a result?
Mr Speaker, I want to assure you, the right hon. Gentleman and the House that I am fully behind our Prime Minister as he gets on with the job. Not only has he got Brexit done, but we are getting more people on to the payroll and achieving all the other things voted for by the British public in 2019. What I will say to the right hon. Gentleman is that I do not recognise some of the numbers he used. However, I am conscious of what we will be voting on later. I am also conscious that elements were based on the fact that it was a temporary uplift to universal credit, recognising the impact of what was happening early on, as people new to the benefit system were able to get a similar amount as people on statutory—[Interruption.]
Order. Can I just remind Members that topicals are meant to be short and punchy? We cannot have long statements, because there is a whole list of Members I still have to get in. That is why I am trying to cough: to speed you up a little—nothing else, nothing personal.
The shadow whipping operation will be pleased that the karaoke queen is standing by the party and the Prime Minister. The right hon. Lady talks about getting people into work. Earlier today, the pensions Minister, the Under-Secretary of State for Work and Pensions, the hon. Member for Hexham (Guy Opperman) said that pensioner poverty has gone down. However, the Joseph Rowntree Foundation report shows that pensioner poverty is increasing. Why is she today pushing through real-terms cuts to the pension credit and the basic state pension, which will result in more pensioners in poverty?
I congratulate my hon. Friend, who is also my constituency neighbour and a massive improvement on his predecessor. Auto-enrolment is a massive success as you know, Mr Speaker. I promise my hon. Friend that we will build on that work with the automatic enrolment review. I look forward to reading his Bill in great detail.
We know the benefits regime is counterproductive and punitive. In 2016, the National Audit Office told the Department for Work and Pensions to carry out its own research into benefit sanctions. The Department is now refusing to release that research, despite promises to Committees of both Houses, because it was
“unable to assess the deterrent effect”.
Why is the Secretary of State ruthlessly pushing ahead with the renewed sanctions regime if almost six years later it still cannot find any evidence that they work?
The sanction regime has not changed. In fact, sanctions have been at a record low over the past year. We are applying a sensible approach, recognising the number of vacancies, so that we can help people to get back into work as quickly as possible.[Official Report, 28 February 2022, Vol. 709, c. 5MC.]
I am very sorry for the family of the individual to whom the hon. Gentleman refers. It is the role of the coroners to undertake appropriate investigations. I am surprised, and am sorry to hear, that the letter has not gone back. It is not my intention to meet them, recognising the ongoing work that we continue to do to try and provide service to such people.
Afghan refugees in north Hampshire have been supported through the hard work of many organisations, including our local jobcentre. Many of those refugees now want to get back into employment. What specific support is my hon. Friend giving to that group?
A number of steps are being taken to ensure, as I said earlier, that we get the right benefits to people at the right time, in order that they have the support that we recognise they need. In addition to that general point, we have tried to improve processes in a number of ways during the pandemic. I would be happy to write to the hon. Lady with a little more detail so that she can understand the situation.
We have heard on several occasions about visits to jobcentres, and I have had the opportunity to visit Rugby on several occasions to see the excellent work of the work coaches there. Will the Minister thank them for their work, together with the 13,500 extra work coaches that we have provided to deliver the Way to Work plan?
I thank my hon. Friend for highlighting the daily work that is going on in our jobcentres through Plan for Jobs, Way to Work, and our new additional jobcentres—150 more have opened, and 160 youth hubs. They are absolutely changing people’s lives, and we are committed to helping people to progress.
As the hon. Gentleman will be aware, it is for the Home Office to make that decision, and of course, people who are in that situation can apply to the Home Office for it to be changed. It is a fundamental principle that if people are coming into the country, we want people to be able to support themselves, rather than rely on extra support to which they knew they would not be entitled.
Jobcentre staff across the country are doing excellent work getting people back into jobs, but a team in the east midlands led by my constituent Nicola Brindley are also doing fantastic work on top of their day jobs to spot jobcentre users who are victims of domestic abuse, and connect them to the help they need. The scheme is called J9; it is named after a lady called Janine Mundy, who was murdered by her former husband. Will the Minister join me in thanking Nicola Brindley and her amazing team of volunteers, and will she come to Nottingham to meet with the J9 team and learn more about the incredible work they do?
I thank my hon. Friend for highlighting that brilliant work. It is efforts such as those—the flexible support fund, the trust and empowerment that we have in our jobcentres, and working with the employer covenant on domestic abuse and getting people into work and back on their feet—that are changing lives every day, in Rugby and other local areas. I am delighted by DWP staff across the land, and proud of them.
What I will say is that we continue to try to support pensioners through aspects of pension credit, but it was inaccurate to say that what was proposed was a statistical anomaly. That is why we took the steps we took, and that is why we will continue the debate later today.
I recently hosted the first ever jobs fair in Blyth Valley. It was an amazing success, with more than 50 local businesses taking part. Will my hon. Friend join me in thanking the Port of Blyth, the DWP and all the local firms that made it possible?
My disabled constituent Ann’s monthly fuel bills of £95 have now risen to £140 and will rise to £200 in April; she also faces inflation-busting care costs. In her budgeting, she has to choose between heating and eating—exactly the problems that were highlighted in the NatCen report. Who benefited most from suppressing that report: my constituent Ann or the Government?
I am rather more interested in the hon. Gentleman’s constituent Ann than in party political game playing. I sincerely hope that his constituent Ann will be able to benefit from the £9 billion package that the Government have laid out, which comes on top of £12 billion and is targeted at the most vulnerable. Meanwhile, we are spending record amounts on health and disability benefits: £59 billion this year.
I recently visited Basildon jobcentre and heard how it is bringing employers in to engage with work coaches and jobseekers. Does my hon. Friend welcome that new initiative, which helps to break the stereotypical view of those who use jobcentres to find work?
As a result of the pandemic, many people who never expected to need help have worked with the DWP, as we have heard. Many Conservative Members have seen just what a change that has meant for people. Again, I invite Opposition Front Benchers to actually go down and see what is happening in local communities.
In July 2020, I met my constituent Stacey Conlin—not at a constituency surgery, but in the physically disabled rehabilitation unit at the Queen Elizabeth University Hospital in Glasgow. We recovered from our strokes alongside each other, and I got to hear her story.
Too many people like Stacey have survived catastrophic life events only to be let down by this Government’s woeful welfare system—unable to work and unable to pay for basic necessities that many of us take for granted. Will the Secretary of State commit to revisiting the current levels of universal credit so that stroke survivors such as Stacey can fully live their lives instead of barely getting by?
I am very conscious of the important work that the hon. Lady has delivered, including the status that was addressed for her, and I am conscious that my hon. Friend the Member for Hexham (Guy Opperman) and I have also undertaken such elements in the national scheme. I am more than happy to find out about the specific example that the hon. Lady refers to, but I know that generally we are trying to make sure that this is the right approach and that people have that access to work.
Elective Care Recovery in England
The covid-19 pandemic has had a huge impact on healthcare systems everywhere. The NHS has performed incredibly, caring for covid and non-covid patients alike and delivering the vaccination programme that has helped us to open up this country once again. Throughout the pandemic, we had to take steps to ensure that we could treat those with the greatest clinical need and that we provided a safe environment for those who needed covid care.
As a result, there is undeniably a huge covid backlog that needs urgent attention. The number of people waiting for care in England now stands at about 6 million, and we know that that figure will get worse before it gets better. Furthermore, our best current estimate is that about 8.5 million people who would normally come forward for treatment have not done so during the pandemic. However, we are pulling out all the stops to help the NHS recover and ensure that patients are receiving the right care at the right time.
Hon. Members will be aware that the Government will have invested more than £8 billion in the NHS in the three years from 2022-23 to 2024-25. As part of the new health and social care levy, we will be putting huge levels of investment into health and social care over the coming three years, and all the time we are announcing new solutions to the problem of how we can ensure that the NHS is on the firmest possible footing for the future.
On Friday we launched a call for evidence that will inform an ambitious new vision for how we lead the world in cancer care. As the Prime Minister announced earlier today, we are setting out some tough targets for the NHS on cancer. We want to ensure that 75% of patients are diagnosed or have cancer ruled out within 28 days of a GP referral, and to return the backlog of people waiting more than two months for their cancer treatment to pre-pandemic levels by March 2023. Today the NHS has also announced the launch of a new platform, My Planned Care, which will provide patients and their carers with relevant and up-to-date information ahead of planned treatment, including information on waiting times for their provider.
I am under no illusions about the fact that our health system is facing an enormous and unprecedented challenge. That is why we are doing everything in our power to support the NHS and its patients, recovering services to reduce waiting times and deliver more checks, operations and treatments. We are faced with a once-in-a-generation challenge. We know that we must get this right. We are working with the NHS and across Government to deliver a targeted and far-reaching plan for elective recovery, and we will update the House at the earliest possible opportunity.
Thank you for granting the urgent question, Mr Speaker.
This is not a covid backlog; it is a Tory backlog. We went into the pandemic with NHS waiting lists already at a record 4.5 million, and now 6 million people are waiting on those lists—more than ever before. More than 1 million are waiting for scans and tests used to diagnose cancer, and the NHS itself is waiting—waiting for the Government’s plan to deal with the backlog. So where is it? It was due to be published today but was pulled last night. It is like something from “The Thick of It”, but the reality is worse than fiction—a photo op without a plan; the Government’s own NHS recovery plan just another cancelled operation. But there is no need to worry, because there is a website coming that will tell people that they are waiting a long time, even if there is no plan to ensure that they do not-.
Then there is the “reason” for the delay. Briefings from the Department for Health and Social Care claimed that the Chancellor had blocked the plan. As one Government official said,
“it’s pretty obvious it’s about Treasury reluctance to rescue the PM”.
Is this where the shambles of the Conservative party is taking us? Is the Chancellor seriously playing political games while 6 million people wait for care? No wonder the Health Secretary has not bothered to show his face this afternoon. He is probably still recovering from the embarrassment of this morning’s media round, where the big announcement was literally that there was no announcement. So it has been left to the Prime Minister to clear things up, which tends to go almost as well as breakfast television with the Culture Secretary. No wonder she has been dispatched to the middle east.
Let me turn to the “tough targets” that the Minister mentioned. Today the Prime Minister announced a new target that no one should wait longer than two months for cancer diagnosis, but there is already a target for the vast majority of cancer patients to be treated within two months of referral, and it has not been hit since 2015. Is this not just another example of the Conservatives lowering standards for patients because they consistently fail to meet them? The Prime Minister has also announced that three out of four patients should receive a cancer diagnosis within 28 days, but that is an existing target that was introduced last April and has never been met.
The waiting list crisis is the chickens coming home to roost after more than a decade of Tory failure. The Treasury blocked a plan for staffing and it is now blocking the plan to cut waiting times. Is it not now clear, amid the chaos, confusion and spectacular incompetence on display, that the longer we give the Conservatives in government, the longer patients will wait?
I am grateful to the shadow Secretary of State. As he said, 2 million of those on the waiting list have entered that waiting list since the pandemic began. There is undoubtedly a huge covid backlog, as we had to put in place infection prevention and control measures and ensure the availability of beds for those with covid. I am with him, I suspect, on at least one point, which is that I, like him, entirely understand the impact that this has on people’s lives, their anxiety and their health outcomes. That is why this Government are determined to tackle that waiting list. As I said, this is a once-in-a-generation challenge and it is absolutely right that we make sure we get the plan right. We need to ensure that we have the right plan, delivering the right outcomes.
The hon. Gentleman mentioned delays, and I have to say that this plan is delayed. This is a plan we anticipated publishing in December. The reason that we did not do that was because of the omicron variant and the impact it has had on our health services over the winter. We have made sure that we get this plan right.
The hon. Gentleman also mentioned Her Majesty’s Treasury. I have to say, speaking as a Minister in the Department of Health and Social Care, that we could not wish for better partners than Her Majesty’s Treasury and this Chancellor. They have shown strong support to our health and care system throughout the pandemic, with record levels of funding to support it through the pandemic and to help performance to recover subsequently.
Even before the pandemic, when the current Secretary of State for Health was Chancellor, this Government had already put in place a £33.9 billion increase in funding, enshrined in law. It was one of the first pieces of legislation passed by this Government after the election. We have also set out our long-term funding plans through the health and care levy, which I recall the hon. Gentleman’s party did not support.
We are grateful to the Opposition spokesman, the hon. Member for Ilford North (Wes Streeting), for his sub-leadership bid in raising this important topic. I say to the Minister that today was not an unusual day, in that a constituent wrote saying that she had nothing but praise for the hospital treatment she was getting. Can I pass on my thought, which is that instead of using the word “elective” we should use the words “planned care”, as my hon. Friend did in his response? Through him, I also remind the House that two years into the last Labour Government there was an edict saying that no hospital could do elective care—planned care—until two years past the time when it was booked. Things are much better now and most of us are grateful.
I am grateful to the Father of the House, who once again brings his typical wisdom and experience in this House to our deliberations in the final point that he makes. He is absolutely right. I am happy to join him and his constituents in expressing gratitude to all those who work in the NHS for the work they have been doing throughout the pandemic and that they do every day, irrespective of the pandemic. I know that those on both sides of the House will share in that. The term “elective” is a technical term used within the NHS, but I take his point that it is easy for us in this House to use the technical terms used within our Departments or in the system, but that it is often helpful if we talk in rather more simple terms that mean something to all our constituents.
As a survivor of breast cancer that was treated in 2019, I was grateful to be seen within 10 days of the referral by my GP and to start treatment within a month. It is frightening that in the months between April and November last year over 90,000 women who might have breast cancer were not seen by a specialist within the target of 14 days of being urgently referred by a GP, and that this year half a million people with suspected cancer will wait longer than the supposed two-week maximum to see an oncologist. The Minister will know that an early diagnosis can be life-saving. What does he think the impact for potential cancer patients will be of the delay to the NHS recovery plan when waiting times are spiralling so much?
The hon. Lady and I often exchange views across the Dispatch Box, and she always asks sensible and reasonable questions. She is right to highlight the importance of cancer care, and that there are some illnesses and diseases like cancer where delay can have a significantly detrimental impact on the outcomes experienced by patients.
Between March 2020 and November 2021, more than 4 million urgent referrals were made for cancer, and over 960,000 people received cancer treatment. Thanks to the amazing work of NHS staff, we maintained cancer treatment at 99.7% of pre-pandemic levels in the latest month for which I have statistics, which is November 2021.
As well as looking to the future with the announcement of community diagnostic hubs and a range of other measures, the plan is not necessary for us to do the work, as we are already doing it. The plan is important for mapping out the future direction of care, but we are not waiting for the plan to improve services, to build back better and to tackle the waiting lists.
I am grateful, I think, to my right hon. Friend for his question. As I set out, it is important that this is the right plan and that it does the job for which it is intended. We are working closely with other Departments to make sure the plan, when it is published, does the job for which it is intended, and I look forward to its imminent publication.
It is essential that we address cancer treatment capacity. The Minister talks about diagnostics, which is important, but it is a horse and cart or a hand and glove. I know he is aware of the enormous unharnessed potential of high-tech radiotherapy as a solution to time-critical cancer backlogs, but it still receives only 5% of the cancer budget. Such investment could take enormous pressure off the NHS, especially at this time. Will he arrange a meeting with the Secretary of State so that we can explain to him the important role that advanced radiotherapy could play in tackling the cancer backlog?
My hon. Friend spoke earlier of this Government’s record level of investment in the NHS, but each patient waiting for cancer treatment is undergoing a very long and frightening experience as they wait longer than needed. As he focuses on reducing this backlog, how will he ensure that the record level of investment is focused directly only on measures that will reduce the backlog and is not wasted?
My hon. Friend knows of what she speaks, as a serving consultant in our NHS. She is right that investment is important but that the outcomes are what really matter. We have set out measures such as the community diagnostic hubs, which are bringing diagnostic capacity to local communities and making it more accessible. That is just one example of how we will ensure that the money delivers the required outcomes.
Health conditions do not wait until a medic or a bed is available. They deteriorate, often very quickly, and every single one of the 6 million people on the waiting list will have to rely on their GP for extra appointments and extra treatment, and they will possibly rely on their GP to deal with severe complications. What support will there be for primary care while all these people are waiting for their planned secondary care?
The hon. Lady makes a very important point, and I take this opportunity to put on record my gratitude to all those in general practice for the amazing work they have been doing over the past two years. Again, they are the front door to the NHS for patients and all our constituents. Last year we set out the additional funding being made available to help general practice recover from the changes that had to be made during the pandemic, and we continue to look at the system as a whole, not in its component parts. She is right that general practitioners are often the people our constituents go to if their operation is delayed or if they need additional care while waiting for an operation, so it is important that we provide support to general practice, too.
Given that health service waiting lists are higher in Labour-controlled Wales and that my Bridgend constituents are being told that they are going to have to wait until at least 25 March to find out what Labour’s plan is in Wales, does my hon. Friend agree that much of what the Opposition have said here today would be better directed down the M4 towards their Welsh Labour colleagues?
I am grateful to my hon. Friend, who puts his finger on an extremely important point. I believe that one in five in Wales is on a waiting list. This Government have put in place measures already to help bring down waiting lists, and the plan is due to published imminently, but we are still waiting to see what the Welsh Government intend to do—or whether they even have a plan.
May I urge the Government to abandon this talk of a “war on cancer”? It was Richard Nixon’s term and it was thought to be outdated back then. To many people, when Ministers talk about fighting cancer and how somebody has been particularly plucky or courageous for fighting cancer, it feels as though they are telling off the people who do not survive for not being courageous enough. I know that that is not what anybody means, so may we completely change that language? As I understand it, the Prime Minister has also announced another cancer target today: to get to 75% of all cancer diagnoses being made at stage 1 or stage 2. How on earth is he intending to get to that?
I am grateful to the hon. Gentleman for his remarks. He speaks often on this topic from experience, and it is right that we listen carefully to him. I take his point about the importance of language and how different terms and approaches to it will be interpreted by people who are undergoing treatment or a diagnosis for cancer, and I take the point in the spirit in which he meant that observation. On the Prime Minister’s target, the Prime Minister is unapologetically ambitious in seeking to tackle waiting lists and improve performance on cancer care. That is why we are investing record levels in our NHS and bringing forward new diagnostic hubs. It is also why the hon. Gentleman will see measures in the plan, when it is published imminently—coupled with the plan that the Secretary of State set out on Friday—that will help to reassure him, but I am always happy to talk to him about these issues.
My hon. Friend is surely absolutely right, first, to prioritise this vital catch-up programme for our constituents and, secondly, to ensure that we deliver real value for money. At a time of high taxation overall, my constituents want to ensure that for every pound of hard-earned taxpayers’ money spent on this vital programme they are really getting 100p of value as a result in delivery. I assume it is for that reason that this programme is slightly delayed.
The reason this plan is delayed is, as I have alluded to, the omicron variant and the impact it had on our NHS. My right hon. Friend makes an important point about our prioritising tackling waiting lists and waiting times. He is also absolutely right: this is a once-in-a-generation challenge, and it is right that we get the right answer—the right outcomes for patients and for taxpayer. That is what we will do with this plan.
These waiting times are misery, pain, frustration and agony for my constituents, and then there is the mental anguish of not knowing what is happening or going to happen. I have constituents who are begging and borrowing the money to go private because they cannot stand the pain. Is that the Minister’s plan for the NHS: driving people into the private sector? If it is not, what is his plan?
The hon. Lady is right in some of what she says. We can all appreciate what she says about the impact that a wait for treatment can have on those waiting, in terms of health outcomes and, as she rightly mentions, challenges for people’s mental health as they worry about their diagnosis or when they are going to receive the treatment they need. That applies not only to those who are diagnosed with a life-threatening condition, but to those who have a life-limiting condition or who need orthopaedic surgery, eye surgery or similar, where it has an impact on their quality of life, their ability to work and so on. She makes an important point about that.
As I have set out to the House, we have already made significant strides, as we have come out of this pandemic, in setting out—through the community diagnostics hub and through our approach to surgical hubs—how we can rapidly ramp up the number of planned surgeries that are undertaken. We have to be honest with people that that list will get worse before it gets better, because people who have not come forward will do so. Equally, the golden thread running through is our NHS workforce, and we have to recognise that the people who will be tackling this waiting list are the same people who were working flat out through the pandemic. We have to make sure we give them the space and the support to recover physically and emotionally.
I thank my hon. Friend for his work on this matter. He will know that in order to tackle waiting lists, our NHS staff need the very best buildings and equipment. We have seen some fantastic investment in Scunthorpe General Hospital, but will he meet me to discuss our plans for a longer-term investment in and upgrade to the hospital?
If we are going to deal with this backlog, we need to deal with vacancies in the NHS. That means we do not have time to wait for doctors and nurses to be trained; we need qualified staff now. Can the Minister say where he is going to get those staff? Is he looking abroad? Where is he going to find them?
The hon. Gentleman makes a sensible and serious point. As I said earlier, it is about the workforce. Buildings and technology are fantastic, but it is the people who operate them who really make the difference. I can offer him the reassurance that we are already well on target to meeting our 50,000 nurses pledge from the 2019 manifesto. In October 2021 there were thousands more doctors and thousands more nurses in our NHS compared with October 2020. We continue to grow that workforce from a whole range of sources, including the additional medical school places that this Government delivered a few years ago.
There is no question but that the waiting list is impacting on my constituents’ quality of life, but I fail to see how taking £36 billion out of the system would help. Can I ask my hon. Friend to look further upstream and tell me how the very welcome 10-year cancer plan announced on Friday will improve our health and prevent more complex future interventions? Will he confirm that the 28-day cancer standard, which does sound familiar—I left office three years ago next month—is a maximum, not a target? In other words, we always want to do much, much better, because we know that the quicker cancer is caught, the better the outcome.
I am grateful to my hon. Friend for touching on the 10-year cancer plan. He is absolutely right that the earlier the diagnosis, the better the outcome, as a rule, in cancer treatment. Yes, we set targets, but we always hope to exceed them. It has been incredibly challenging to do that over recent years, and that is why we as a Government are not only investing the resources, but putting in place the reforms that are needed to achieve these targets.
I start by thanking all the NHS workers, who have done a tremendous job throughout the pandemic. My mum has been waiting for shoulder replacement surgery for more than two years, and the delay in this plan means that she will live with excruciating pain. Can the Minister give us assurances that this backlog will be dealt with in a timely fashion, and that that work will be adequately resourced and funded?
I join the hon. Lady in gratitude towards all those working in the NHS. I am sure that every Member of this House will receive correspondence from constituents who are in the position she outlined. Understandably, they will be distressed and often in pain. This plan is not a necessary precursor for work to be done to bring that waiting list down and get it under control; such work is already under way. As I said, not only is record investment in resources going into it but, while the Government focus to a degree on that, we also focus on what that taxpayers’ money does in delivering outcomes for people—hence why we have already announced the community diagnostic hubs and set out plans for surgical hubs. We are very grateful to all the charities and campaigning organisations that have, over recent months, engaged with us to help to advise on interventions that they think can make a genuine difference to waiting lists, but also to keeping patients informed and supported while they do wait.
It is always hard to prove a counterfactual, as my right hon. Friend will know, but we do know that the necessary measures we took during the pandemic to help to tackle this dangerous virus inevitably had a significant impact on waiting lists. Due to infection prevention and control measures and a range of other things, normal levels of surgery and planned surgery were not able to go ahead. He may be able to extrapolate from that, but, as I say, it is slightly difficult to come up with a detailed counterfactual.
My mother died prematurely of lung cancer in her early sixties, so I know, as many others in this House do, that when it comes to cancer, waiting times do not just inconvenience; they literally mean the difference between life and death. I agree with the Minister that this is about not just investment but outcomes, and it is purely on outcomes that this Government are failing. Does he agree that the briefings from his Department suggesting the political games at the top of the Conservative party—“Who’s up, who’s down, who’s going to be the next leader?”—are influencing and impacting on the Government’s ability to get this plan out, and that that will not be forgiven by those people who are waiting for cancer treatment right now?
I am grateful to the hon. Gentleman for his willingness to share with the House his personal experience in respect of his mother. I think that in doing so he probably speaks for a number of Members of this House, and certainly a number of our constituents. He said it is important that we focus on cancer, and he is absolutely right. Clinical prioritisation will be a key part of how we address bringing the waiting lists down, because it is right that we focus on the illnesses and diseases where the longer the delay, the greater the risk of not making a full recovery or of a negative outcome. He is right to highlight the focus on cancer as on certain other key areas. On his final point, I do not share that view. I believe it is right that we get this plan right so that it delivers the outcomes we need. As I have said to a number of hon. and right hon. Members, I do not believe that the plan is a necessary precursor for getting on with taking a number of steps, as we have done as a Government, to start to bring the waiting lists down.
I am grateful to my hon. Friend for his shout-out for his local hospital. He is absolutely right: we need to utilise the resources and the capacity of the whole system, and this is the approach we are adopting. Often, the debate can focus on the large, acute district general hospitals, but he is absolutely right that smaller hospitals, community hospitals and indeed community facilities all have a part to play in helping to tackle this waiting list.
Long delays in diagnosis and inappropriate and sometimes outdated treatment are typical for those living with the condition ME. As chair of the all-party parliamentary group on ME, I was pleased to see the new National Institute for Health and Care Excellence guidelines on treatment of the condition. Can the Minister detail what steps are being taken to implement those and to ensure speedy diagnosis and appropriate treatment?
The hon. Lady raises an important point. I know that the House is grateful for her work on this important issue. She highlights the NICE guidelines, which are an important step forward. We continue to work with NHS England on how to most effectively ensure that patients with ME get the early diagnosis and treatment that they need. I or the relevant policy Minister will be happy to meet her to discuss progress and her and the APPG’s thoughts and ideas in that space.
The Minister is right in what he says again and again. I remember a few years ago, a close relative had liver cancer. They went to see the consultant and were given a one in three chance of surviving but managed to pull through. At the same time, another Government plan for the NHS was announced. I said, “What about that?”, and they said, “Well, we just ignore it, because they’ll change it again in a few years. What we actually do is get on and do best practice now.” I think what the Minister is saying is happening at the moment. What the Government could do in the plan is cut red tape in the NHS, which might speed up the construction of the hospital that we need in Kettering, which is so welcome.
I am grateful to my hon. Friend not only for his well-timed plug for his local hospital in Kettering but for his important point. The NHS and the Government have been getting on with improving things and trying to bring service levels back to pre-pandemic levels. Notwithstanding his comment about plans more broadly, it is important for us to have a clear long-term strategic approach to it, because the sums of money involved are significant. The waiting lists and the impact on those are significant. It is right to ensure that we have a clear plan and clear metrics to show how that public money will deliver the outcomes that we all want to see delivered and that those patients want to see.
Waiting lists for joint replacements are at a record high. I have been contacted by dozens of constituents with arthritis who are waiting in a lot of pain. What can the Minister say specifically about joint replacements to the more than 600,000 people who are waiting for them nationally? Has he met Versus Arthritis about the issue?
The hon. Lady makes an important point. Orthopaedic surgery, for want of a better way of putting it, is a hugely important part of the planned care and surgery that the NHS does. Although it does not have a direct impact on someone’s life chances in the same way that oncology does, it certainly affects their quality of life and their ability to enjoy it. I hope that I can give her some good news: I believe that I am due to meet Versus Arthritis, with which I have spoken in the past, later this week to discuss its work in this space and its ideas on how we can incorporate that in our work.
One in nine people in England are on a waiting list, which is clearly too high. I take confidence from my hon. Friend’s statement and the constructive tone with which he is responding. The figure in Wales is one in five. Does he share my disappointment and dismay at the tone that has been taken by the shadow Front-Bench team in particular, when waiting times in Wales are much longer and the number of people waiting is much higher?
The Minister will be aware of the shocking 77% rise in the number of children needing specialist mental health care for suicidal thoughts and self-harm between 2019 and 2021. Headteachers in my constituency cite that as a No. 1 issue, but their staff simply cannot cope with the numbers and severity of need. Parents are beside themselves as their children in crisis are sometimes waiting a year to access treatment. As it is Children’s Mental Health Week, will the Minister make a commitment to children, young people and their parents up and down the country that children’s mental health will be an urgent priority alongside all the urgent operations that need to be done?
Since the hon. Lady was elected, she has had a long track record of interest and campaigning on that issue. She is absolutely right to raise children’s mental health. Before I was a Minister, I took a close interest in eating disorders, which are an element of that—I worked with Beat the eating disorder charity—and in the challenges that parents face in getting access to child and adolescent mental health services for a first consultation and for the required treatment. I absolutely reassure her that mental health, including children’s mental health, remains a priority for the Government.
I very much welcome the record high levels of funding the Government are putting into the national health service and the rolling out of rapid-diagnostic centres throughout the country. May I seek an assurance from the Minister that the diagnosis and treatment of blood cancers will be a key element of that rapid diagnosis?
I can give my hon. Friend that reassurance. The clinical decision making will rightly inform the approach we adopt to the diagnosis and treatment of cancers, as my hon. Friend would expect, but he is absolutely right that we cannot neglect blood cancer in that context, and nor will we.
The elective recovery fund had perverse thresholds written into it, so those hospitals that really struggled and battled with the pandemic were the very ones that did not get any money. Will the Minister ensure a fair distribution of funding in his plan, so that hospitals such as my local one in York that are still battling with very high levels of covid get the resources they need?
I am happy to reassure the hon. Lady that our approach, and that of NHS England and Improvement, is designed to ensure that all hospital trusts can make progress—hopefully rapid progress—in tackling their waiting lists and get the resources they need to do that.
A key way in which we could get more money directed towards frontline services and elective care would be to fix Labour’s disastrous private finance initiative deals. Will the Minister meet me and the South Tees Hospitals NHS Foundation Trust so that we can look into how we can fix Labour’s PFI debt at hospitals such as the James Cook?
I thank the Minister for his answers, which reflect the fact that he understands the need to do better and wants to improve. Will he outline what discussions have taken place among the devolved Assemblies and the Government here to prevent healthcare from becoming a postcode lottery in the UK? Does he acknowledge the fact that, although waiting lists for appointments were worsened by the covid crisis, they were poor beforehand, so all regions need to work together to address the issue of recovery?
I am being open and honest at the Dispatch Box about the scale of the challenge and about the challenge for us in tackling it, and the hon. Gentleman is right to highlight that. In respect of the devolved Administrations, I regularly speak to—I would like to meet in person but we regularly meet remotely—the Northern Ireland Health Minister, Robin Swann, whose work in this space I pay tribute to. We talk about a range of issues, not just waiting lists and the impact of covid, but the hon. Gentleman is absolutely right and I am always happy to have conversations with my opposite numbers in the devolved Administrations.
I appreciate the fact that 2 million people have been added to waiting lists throughout the pandemic—it is foolish to try to pretend that that has not made a big difference—and I also appreciate the Government’s £12 billion-a-year plan to help to address the situation. Needless to say, many of our constituents continue to wait in pain for elective surgery, including hip and knee replacements. The Minister will know my views about orthopaedic services in Ipswich and some of the concerns I have had about the new centre in Colchester. It could be that the increased capacity in Colchester cuts waiting times, but there is still an issue about people getting to Colchester so that surgery can take place. Will the Minister meet me to update me on how he is ensuring that Ipswich people are at the heart of all future developments when it comes to the hospitals trust?
I am always happy to meet my hon. Friend. Following his election in 2019—a fantastic result in Ipswich—he was one of the first new colleagues I was able to visit and, with him, I saw Ipswich Hospital for myself. He makes an important point: in looking at the healthcare system in Ipswich and Colchester, it is important that we ensure that the people of both Ipswich and Colchester get access to the best possible facilities, which is exactly what my hon. Friend campaigns for.
I thank the Minister for the work he and his Department are doing to support our NHS. Can he confirm that the 100 new community diagnostic hubs will speed up referrals processes, particularly in coastal communities with historically poorer health outcomes, ensuring that residents receive diagnoses and treatments swiftly?
My hon. Friend is exactly right in what she says. The whole purpose of these community diagnostic hubs is to bring cutting-edge diagnostic facilities to the heart of our towns, our rural communities, our seaside communities and our cities to make it much easier for people to access the diagnostic tests they need.
Cromer Hospital is the jewel in the crown of our hospital facilities in North Norfolk, but as my hon. Friend will know, it is 25 miles from the nearest main hospital, the Norfolk and Norwich, and I have many older residents. Will he meet me to discuss the viability of an urgent treatment centre? That would not only be a huge benefit to my demographic, but would go hand in hand with tackling the elective backlog.
I am always cautious to caveat any example with “subject to funding available and Her Majesty’s Treasury”, but I am always happy to meet hon. and right hon. Members to discuss their ideas in respect of their local communities and the services those communities need, because it is hon. and right hon. Members who know their communities best.
I draw the Minister’s attention to an exciting new proposal for a model surgical hub in the east midlands, which would tackle the backlog by focusing solely on elective surgery. The plan is being developed by surgeons in Derbyshire, Nottinghamshire and Leicestershire, including my constituent Dr Tony Westbrook. Will the Minister join me in welcoming this innovative plan and thanking everyone involved in drawing it up? Will he join me in calling on regional health authorities to give it serious consideration?
My hon. Friend makes an important point. What we have seen throughout this pandemic, and we continue to see it now as we look to tackle the waiting lists, is people across the health and care system innovating and coming up with exciting new ideas and new ways to achieve the outcomes that we desire. I will certainly look into the specifics that she talks about, and I congratulate all those involved on their willingness to innovate and come up with new ways of doing things.
I welcome today’s statement, and I take this opportunity to thank all those healthcare workers who have worked on the frontline throughout the pandemic, particularly nurses, who have worked so hard to keep services operating. I am therefore reassured that we have seen a 21% increase in nursing applications in the past year alone. Will my hon. Friend confirm first that that will help us meet our manifesto commitment to recruit 50,000 extra nurses, but, more importantly, that it will help make their lives easier by reducing their workload somewhat?
My hon. Friend is right on a number of counts: first, to pay tribute to the work of nurses up and down the country during this pandemic; and, to highlight the significant progress we have made on the trajectory to meeting our 50,000 nurses manifesto commitment. The reason we made that commitment is exactly as he says: we know we need more nurses in the NHS, and we are committed to recruiting them, which will have a positive impact on all those already in our NHS as they are joined by many newly qualified professionals to help share that load.
Blackpool was one of the first areas to receive additional funding to tackle the NHS covid backlog, and this funding is already making a difference on the ground for my constituents. When further moneys are allocated, will the Minister commit to prioritising those areas, such as Blackpool, that have some of the worst health outcomes in the entire country?
My hon. Friend is a strong champion and a strong local voice for Blackpool in this House. We are clear in this Government that in the investment decisions we make, we are committed to making sure that we level up across this country and that that money goes to where it can make the greatest difference in improving outcomes for all patients and all those who use our NHS.
Prime Minister’s Chief of Staff Appointment
Thank you very much, Mr Speaker.
Before I begin, I am glad to have this opportunity to offer my congratulations to Her Majesty the Queen on reaching the 70th anniversary of her accession. She is a hero to me and millions of others, and I know that the House will join me in wishing her many more years.
In a statement to this House last week, the Prime Minister pledged to make changes in the way Downing Street and the Cabinet Office are managed, so that we can get on with the job that this Government were elected to do, and that is what the Prime Minister is in the course of doing. As the Prime Minister has said, we need to continue our recovery from the pandemic. We need to help hundreds of thousands more people into work. We need to deliver on our ambitious agenda to level up the entire country, improving people’s opportunities regardless of where they are from.
The changes that the Prime Minister made to his senior team over the weekend will bring renewed discipline and focus to his programme of priorities and deliver them faster for the people of the United Kingdom. In his statement to the House last week, the Prime Minister accepted in full the general findings of the Cabinet Office’s second permanent secretary, Sue Gray, in her investigation into alleged gatherings on Government premises during covid restrictions. The Prime Minister offered a sincere apology and also accepted Sue Gray’s recommendation that
“we must learn from these events and act now.”—[Official Report, 31 January 2022; Vol. 708, c. 23.]
In response, as the House will be aware, the Prime Minister has asked my right hon. Friend the Chancellor of the Duchy of Lancaster to provide political leadership within No. 10 as his chief of staff. As the Government have set out, the Chancellor of the Duchy of Lancaster will be in charge of further integrating the new Office of the Prime Minister and the Cabinet Office to make operations at the heart of Government more efficient and effective, and ensuring that the Government agenda is better aligned with the Cabinet and Back Benchers. He will be working very closely with the Cabinet Secretary on the new structure. My right hon. Friend the Chancellor of the Duchy of Lancaster will also work directly with his Cabinet colleagues to ensure that levelling up is a priority for all Departments and is delivered at a rapid pace that brings about tangible improvements in the day-to-day lives of the people of this country.
For the avoidance of any doubt, I would like to make it clear to the House that, in undertaking this role, the Chancellor of the Duchy of Lancaster has been given additional responsibilities. He remains a member of the Cabinet and is not a special adviser. The Prime Minister is expanding on the already cross-cutting role of the Chancellor of the Duchy of Lancaster and giving the chief of staff enhanced, ministerial authority to promote levelling up while also playing a senior co-ordinating role in No. 10 under the direction of the Prime Minister.
There are wider benefits to this new approach. It will significantly strengthen Cabinet Government, meaning an enhanced role for both Ministers and Parliament itself. This is a chief of staff who will himself answer to the electorate and who therefore has the democratic authority to direct civil servants and special advisers as a Minister of the Crown, something an unelected adviser cannot do.
Finally, the Government set out that there would continue to be further appointments over the coming days, with a particular focus—
Thank you, Mr Speaker—I was just on my last sentence. I was saying that the Government set out that there would continue to be further appointments over the coming days, with a particular focus on improving engagement and liaison with Parliament. Full ministerial responsibilities will be announced in due course.
I echo the Minister’s comments regarding the Queen.
It is always nice to be at the Dispatch Box against the Minister but, quite honestly, where is the chief of staff? The Minister mentions what the Prime Minister said. He also said that this change gives “an enhanced role” for Parliament, yet the chief of staff’s very first act is to refuse to even turn up here to explain his own job. But maybe the Paymaster General can tell us: is it a ministerial job, a public appointment, a party role—it is not a special adviser—or is it something that does not even exist yet? Apparently, the chief of staff will not get a salary; perhaps he should join a trade union. Will he appoint or manage advisers or officials? How will he relate to the permanent secretary? Who will appoint staff, as the Minister mentioned, to the new office of the Prime Minister? When will the office be set up, and on what budget, or has the Chancellor given him a blank cheque? Is the post to have a separate Department from the Cabinet Office or are they to merge? How will he answer to us: will he face me here as the chief of staff or as the Minister for No. 10? Is he still in charge of dealing with the channel crossings, tackling the pandemic, protecting the Union, veterans policy and every other priority of the Cabinet Office? This Government are in chaos and the country is paying the price.