House of Commons
Monday 9 September 2024
The House met at half-past Two o’clock
Prayers
The Chairman of Ways and Means took the Chair as Deputy Speaker (Order, 5 September, and Standing Order No. 3).
Before we begin today’s business, I remind Members that the deadline for submitting nominations and any supporting statements for the Select Committee Chair elections is 4 pm today.
Oral Answers to Questions
Education
The Secretary of State was asked—
Level 3 Vocational Pathways
Qualifications must deliver on our missions, enhancing and spreading opportunity, and growing our economy. The last Conservative Government botched the roll-out of T-levels and defunded them. That is why this Labour Government have announced a pause and review of qualifications reforms, to support skills growth and students, and to bring certainty where there has been chaos. This short, focused review, along with other measures, such as the curriculum assessment review and the creation of Skills England, will allow the Government to improve skills training, unlock opportunity and harness talent.
There are a great many opportunities for technicians and engineers, which will only increase with the Government’s plans for clean energy and their industrial strategy. However, we are currently short of intermediate and advanced-level skilled workers in this country, so will the Secretary of State tell us how her plans will ensure that more young people make the most of those opportunities, and how our education system will deliver the qualifications they need?
I know how passionate my hon. Friend is about ensuring that young people in Sefton and across our country are able to seize the new opportunities of the future. We are determined to drive forward and make Britain a clean energy superpower. Our reformed growth and skills levy will give businesses greater flexibility and enable them to take on more young apprentices. Skills England will allow us to identify the skills gaps in every corner of our country and ensure that we drive forward on that mission.
As a former deputy headteacher, I have seen at first hand the impact of the previous Government’s rushed plans to eliminate most BTec qualifications, in the midst of a botched roll-out of T-levels. How does my right hon. Friend intend to fix the mess that she has inherited and ensure that the diverse aspirations and varied talents of students in Wolverhampton North East are met?
Given her background in education, my hon. Friend knows all too well how important it is that all our young people have the opportunity to achieve and thrive. She is right that we inherited a big mess, but we have acted swiftly and we are conducting a focused, intense review to ensure that all our young people have options that are available to them and we make a success of T-levels.
The Secretary of State is absolutely right that the previous Government botched the roll-out of T-levels. In particular, the failure to deliver the T-level in hospitality and tourism was a huge blow to our communities in the lakes and dales. Her predecessor said that was caused by a failure to gain placements in the tourism and hospitality industry. Surely that is surmountable, so what plans does she have to talk to the hospitality and tourism industry in order to deliver the T-level to communities like mine very soon?
The hon. Gentleman makes an important point about ensuring that placements are available. I am happy to ensure that he has a discussion with the Minister for Skills to make sure we address his concerns about hospitality.
Alderman Tooling in my constituency is one of thousands of employers now investing in the talent of tomorrow. In five years’ time, does the Secretary of State expect the number of apprentices to be higher or lower than today?
I pay tribute to all the businesses across our country that are providing high-quality skills training and apprenticeship starts. However, apprenticeship starts for the under-25s fell by 38% in the period 2015-16 to 2022-23. It will fall to this Labour Government to turn that around.
I call Calvin Bailey.
Apologies, Madam Deputy Speaker; I was not expecting to be called so soon.
I thank the Secretary of State for her focus on T-levels and her recognition of the need for a pause. I back up what my hon. Friend the Member for Wolverhampton North East (Mrs Brackenridge) said about the botched nature of the T-level roll-out. Does the Secretary of State recognise that it is a challenge for many services, such as the NHS, to absorb T-level students effectively? Those qualifications need truly to give our young people the opportunities they deserve. Will she meet me and local further education experts to discuss this issue?
If Members are bobbing, they should be prepared to be called to speak.
Yes, I would be very happy to meet my hon. Friend. In this period of review, we are speaking to employers, training providers and colleges to ensure that we get this right.
I call Jim Shannon to show us how it is done.
I thank the Minister for her response to those questions. I know that she does not have direct responsibility for Northern Ireland, but may I ask her about apprenticeships? In defence and cyber-security—in Thales and Spirit AeroSystems—and in agrifood, opportunities should be there for young ladies as well as for young men. What is being done to ensure that there is equality of opportunity for everyone, both male and female?
The hon. Gentleman makes an important point about ensuring that people from a range of different backgrounds, including young women, see the opportunities that exist. I have had the opportunity to meet my counterparts in Northern Ireland and I look forward to working with them to ensure that, across the UK, we can drive forward on skills, growth and opportunities for all our young people.
Children’s Social Care
Reforming children’s social care is critical to delivering our opportunity mission, to ensure that a child or young person’s background does not limit their ambition. The children’s wellbeing Bill will remove barriers to opportunity and deliver the manifesto commitments on children’s social care, so that all children have a chance to thrive in safe, loving homes.
I thank the Minister for her answer. It is just over two years since I published the independent review of children’s social care, which was commissioned by the previous Government. The review called for a radical reset of the whole children’s social care system, which was urgently needed, and the previous Government took some modest steps down that track but failed to realise the potential. Since the election, a number of the children, families and care-experienced adults who were involved in the review have been in touch with me to share their hopes that we will be able to deliver on the ambition of the review. Do the Government intend to prioritise the resources that will be needed to implement the review in the upcoming spending review?
I thank my hon. Friend for the work he did on the independent review of children’s social care, which this Government are considering as part of our reform programme. Children’s social care is a key priority for this Government, evidenced by our commitment to the children’s wellbeing Bill announced in the King’s Speech in July. A full programme for delivery will be produced in order to support that commitment. We have inherited a challenging set of economic circumstances. However, we are committed to reforming children’s social care, and that will be brought forward, as I have already mentioned, in the children’s wellbeing Bill.
In Norfolk, as in many other areas, we saw during the pandemic some hugely complicated issues around early years, including lack of preparation and learning difficulties, which many of our schools are dealing with. Will the Minister reassure me that, in this forthcoming Budget, real attention will be paid both to supporting that network—supporting the previous Government’s introduction of early years—and to integrating better the mental health support, the learning difficulty support and the social care support? In the end, as these are children living one life, they surely need only one network of support.
I thank the hon. Member for his explanation of all the various challenges experienced by young people and children. If I had a crystal ball, I would be able to explain what will happen in the spending review, but as we move forward and introduce the children’s wellbeing Bill, we will bring clarity to some of the Government’s reforms. The spending review will also reveal where the Budget lies in these things.
Office for Students
For too long, universities have been treated as political battlegrounds. This Labour Government will treat them as engines of opportunity and growth. On 26 July, I published the report of the independent review of the Office for Students and appointed Sir David Behan, who led the review, as the interim chair. Under new leadership and with a sharpened remit, the Office for Students will concentrate on securing the future of universities and putting students first.
I welcome the Secretary of State to her position. Last year, the House of Lords Industry and Regulators Committee presented its report, which was very critical of the OfS—we did not need to read between the lines to understand just how poorly the Committee thought of it. It felt that it was serving neither the students nor the providers. What plans does she have to reset the relationship with the OfS so that it gives renewed focus to the students that it is supposed to represent?
I thank my hon. Friend for all his work in this important area to ensure that our universities are recognised as a crucial part of how we drive growth in our country. Sir David’s review, which we published in July, is a platform for improvement, and I welcome and accept its core findings. The Government will support the OfS in refocusing on fewer key priorities, to do what is most important for students and universities, and to do it well. We will take the necessary action to support that work.
Young people in Weston-super-Mare and across our country deserve the very best opportunities. Since 2016, University Centre Weston has transformed access to higher education in our town, meaning that more can study closer to home, improving access. How will the Labour Government seek to strengthen the strategic objective of the Office for Students to widen participation in communities such as mine?
I strongly agree with my hon. Friend about the importance of widening participation, and he sets out clearly how universities are a key part of towns and cities right across our country. The last Government wanted to use our world-leading sector as a political football, talking down institutions and watching on as the situation became even more desperate. I have appointed the new interim chair to sharpen the focus of the Office for Students, focus far more on the financial sustainability of the sector, and return universities to being the engines of growth and opportunity that we want to see after 14 wasted years.
I am delighted to hear the right hon. Lady talk about engines of growth and opportunity, because that is exactly what universities are when they are well run. In my county we have a new university, the New Model Institute for Technology and Engineering, which is doing exactly that, and offering incredible opportunities for young people to do a masters programme in three years, and then, as we are seeing with the new cohort, to go into companies as good as BAE Systems, Kier, Balfour Beatty, the Atomic Weapons Establishment and others. That work has been assisted by the Office for Students, which granted new degree-awarding powers. Does the right hon. Lady share my view that this is a deeply worthwhile enterprise that could be replicated around the country, and will she come and visit herself?
I am grateful to the right hon. Gentleman for raising this matter. I would be happy to meet with him to discuss it further.
I call the shadow Minister.
We have seen attempts by hostile states to influence our higher education sector, which the last Conservative Government took action to counter. Does the Secretary of State therefore share the concerns about reports that Peking University HSBC Business School in Oxford may be partly operating under Chinese Communist party rules, and does she expect the Office for Students to investigate that?
The shadow Minister will know that the Office for Students is independent, but I will ensure that it looks very carefully at the concerns that he has set out, and addresses them accordingly.
Academic Freedom in Higher Education
The Government fully support academic freedom. Higher education must be a space for robust discussion and intellectual rigour, and it was a Labour Government that enshrined freedom of expression into law. Our recent decision to pause the implementation of further parts of the Higher Education (Freedom of Speech) Act 2023 was precisely because we believe in academic freedom. It is therefore crucial that the legal framework is workable. Baroness Smith in the other place and officials are speaking with a range of stakeholders. Their views will form part of our consideration of all options for protecting academic freedom into the future. No options are off the table.
I thank the Secretary of State for that answer, and welcome her to her new position. Can she give the House a cast-iron guarantee that when she decided to reverse the Higher Education (Freedom of Speech) Act, she gave no consideration to the consequences of the new freedom of speech duties that the Act would impose on universities in terms of their financial relationship with authoritarian regimes such as the People’s Republic of China?
Yes, I can give the right hon. Gentleman that reassurance. We looked very carefully and very closely at the way in which the legislation was going to operate. I want to ensure that we have good, strong, workable legislation. I was concerned about what I had heard from Jewish groups and other minority communities about the unintended consequences that might follow from the legislation. That is why I paused commencement, with a view to getting this right, ensuring that we protect academic freedom while avoiding a situation where hate speech is allowed to flourish on campus.
I congratulate the Secretary of State on taking the hard decisions that are needed in Government, and I am very pleased to hear that no options are off the table. What reassurances can she give me and other women that she will protect female academics, such as Jo Phoenix, Kathleen Stock and Selina Todd, from being bullied and hounded out of successful university careers?
Like my hon. Friend, I take having strong freedom of expression in our universities, and students being exposed to a range of views—some of which they might find difficult or disagree with—extremely seriously. That is why it is so important to have a wide-ranging education. Officials will ensure that we engage with a wide range of views in this important area as we look at next steps, and I would be more than happy to discuss that in more detail with her.
I call the shadow Minister.
I welcome the Secretary of State to her place. The Higher Education (Freedom of Speech) Act 2023 would have ensured that universities in England had the tools they needed to deal with interference and threats to freedom of speech and academic freedom, wherever they originated. Now that the Government will no longer implement that Act, will she clarify her alternative plans to protect academic freedom in the higher education sector?
The hon. Gentleman will know that freedom of expression and academic freedom are incredibly important. The Office for Students sets out duties, and many of those principles are already enshrined in law. However, I want to ensure that we get this right. I am confident that he would not have wanted to be in a position where the Act opened up the potential for hate speech, including Holocaust denial, to be spread on campus—something that the Minister in the previous Government was unable to rule out.
Private School Closures
Excluding private special schools, around 50 private schools close each year. There are a range of reasons for closure, including financial viability and departmental action where schools are not meeting required standards. Some 1,102 private schools closed between 11 May 2010 and 5 July 2024. It is also worth noting that the number of pupils in private schools increased in 2023-24, and that there has been a net increase of 13 private schools over that period.
St Joseph’s preparatory school, a small fee-paying independent school in Stoke-on-Trent, announced that it is closing its doors at the end of this year after a period of financial viability questions. What support will the Department offer the city council and parents in Stoke-on-Trent to ensure that those children can still access first-class education?
I thank my hon. Friend for his question and welcome him back to this place. He is a tireless champion for children in his constituency and regularly speaks up on local schools. I am aware of the situation at St Joseph’s preparatory school. Private schools are of course businesses that are responsible for their own finances, but the Department stands ready to assist. The Government are committed to high and rising standards in schools, and I hope that we can work together to achieve that.
Malvern college, Malvern St James girls’ school, Bredon school and other schools in West Worcestershire that offer places to children with special educational needs not only play an important role in our education system, but support the local economy. Will the Minister state that he does not want to see the closure of any of those important independent schools in West Worcestershire?
This Government’s ambition is that all children and young people with SEND receive the right support to succeed in their education as they move into adult life. We are committed to taking a community-wide approach, improving inclusivity and expertise in mainstream schools, and ensuring that special schools cater to those with the most complex needs. Children whose places in private school have been deemed necessary by the local authority will not be affected by the tax changes.
I call the shadow Secretary of State.
At the start of the new term, we all wish everybody well for the academic year ahead. What will Ministers say next September to parents who, because of Labour’s education tax, find that class sizes are bigger and more schools are full, and that fewer children are able to get a place in their first-choice school in Bristol, Bury, Salford or Surrey?
I welcome the right hon. Member to his place, and I very much look forward to working with him to ensure that every child gets the best start in life. The number of children in private schools has remained steady despite a 20% real-terms increase in average private school fees since 2010, and an increase of 55% since 2003. We cannot predict closures, but we will use indicators such as occupancy to monitor that. My Department works with local authorities to help them to fulfil their duty to secure places.
Apprenticeships: Critical Minerals
This Government will unleash the green skills we need to make Britain a clean energy superpower and spread sustainable economic growth across the country. Businesses can already benefit from the level 6 mine management degree apprenticeship and we are establishing Skills England, which will work across the country and across the Government with employers, local partners, unions and other experts to ensure that we have the highly trained workforce that England needs.
In Cornwall, apprenticeships in the critical minerals industry are so important, creating great work for the next generation, fostering innovation and supercharging our mission for clean energy. Will the Secretary of State outline what steps are being taken to expand our investment in these apprenticeships and meet the growing skills demand in that industry?
My hon. Friend makes an excellent point about the importance of apprenticeships and skills in creating local opportunities and national prosperity. Skills England will work with employers and other partners to identify the skills needs of the next decade, and ensure that the training needed for those skills, including apprenticeships, is accessible through the growth and skills levy.
SEND Provision
The Conservatives left a trail of devastation across education, and nowhere is that clearer than in our current special educational needs and disabilities system. We know that, for too many children and families, the system is just not working, but I give my personal commitment to hon. Members across the House that the Government will listen to and work with families to deliver reform, improving inclusivity in mainstream schools and ensuring that special schools are able to help those with the most complex needs.
Last week, I visited Expert Citizens in Stoke-on-Trent, where people with lived experience of using public services help to inform system redesign. Many of my constituents across different councils have reported issues with SEND transport, which highlights the importance of listening to people with lived experience. In one example, a single working mother may need to give up her job because she does not have a car. She does not get SEND transport because she is 0.1 miles outside and therefore she cannot get her child to school. Does the Secretary of State agree that SEND transport needs a service rethink—one centred and built on the lived experience of the parents and children who use that service?
My hon. Friend is right to stress the need to listen to children, families and all those working in the system in order to deliver reform. If she can share some more detail with me, I will happily take a look.
I am grateful to the Secretary of State for her answer and to the Minister for School Standards for her response to last week’s Westminster Hall debate, led by my hon. Friend the Member for Hitchin (Alistair Strathern), on SEND provision in Hertfordshire. As the Minister will recall, there are many heartbreaking experiences faced by children and young people in Stevenage and across Hertfordshire, where waiting times are much higher than the national average. Will the Secretary of State therefore consider a fairer funding settlement for SEND provision in Hertfordshire when she is next able to do so?
My hon. Friend is right to draw attention to the significant interest in the Westminster Hall debate, and the level of interest today demonstrates the importance of getting this issue right. I know from speaking to him that he is concerned about the issue. I agree that it is important that there is a fair education funding system that directs funding where it is most needed. One aspect of that is the national funding formula and allocating high-needs funding. We will take our time to look carefully at whether any changes are required, including in Hertfordshire.
May I ask my right hon. Friend to detail the Department’s plans to help to solve the recruitment problem for SEND professionals, to enable schools to deal with education, health and care plans in constituencies such as mine, North Somerset?
It is certainly the case that there is a big workforce challenge, and making sure that we have specialists in critical areas is a central part of making sure children and young people can access the support they need. Our school support staff will play a crucial role in that, which is why Labour will reinstate the school support staff negotiating body. We will make sure that teachers have more training alongside support staff, in order to deliver better support and education for our young people, and this year we are investing over £21 million to train 400 more educational psychologists.
I welcome the Secretary of State’s answer. On doorsteps, in surgeries and over email, families across Basingstoke have told me countless stories of the obstacles they have to go through just to have the barest acknowledgement of their child’s needs, only to go through a similar obstacle course for their child to be assessed, and yet again for them to get the help they are legally entitled to. Can the Secretary of State offer families in Basingstoke with experience of this failing system some hope that they can expect better in future?
I joined my hon. Friend in Basingstoke during the general election campaign, so I know that many families in Basingstoke and right across our country were concerned about this issue, and I can give him that commitment. Members on the Conservative Benches may recall that the previous Education Secretary described the system that she left behind as one that was “lose-lose-lose”. I agree. We are determined to turn that around, which is why we have already restructured the Department for Education, with much more focus on support for children with SEND as part of our schools provision.
Speech and language support for children with special educational needs and disabilities was clearly not a priority for the previous Government. I have seen the damage that that has done to families in my constituency of Ealing Southall: at a recent surgery, one mum told me that she just wants her young son to be able to tell her when he is in pain. What steps will the Secretary of State take to ensure that children like those in my constituency receive the speech and language support that they need?
My hon. Friend is right to highlight how important it is that all of our children have strong speech and language skills. That is why this Government will roll out early language interventions to make sure that all of our children get support at the earliest possible point, including extending the Nuffield early language intervention for this academic year, because it is so important that we make a difference when our children are young.
I thank the Secretary of State for her answers so far. People in my constituency of Hexham—one of the largest constituencies in the country—routinely tell me of the struggle they face in enabling their children to access the support they need and the education they are entitled to. Will the Secretary of State or one of her Ministers meet with me to discuss the challenges of accessing SEND education in such a rural constituency?
As the first ever Labour MP for Hexham, my hon. Friend will be a champion of rural communities across the country. I would be more than happy to meet with him—or my hon. Friend the Minister for School Standards will meet with him—to discuss this important concern, which I know many Members wish to discuss.
I thank the Secretary of State for her answer, and for her personal commitment to creating a fairer funding system for children with special educational needs. In that light, she will forgive me if I mention that the East Riding has the lowest high-needs block allocation of any local authority in England. So many people have been genuinely committed to a fairer system in the past. Will the Secretary of State set out how she will achieve that? It is easy to support it in principle, but it is very hard to find a way of delivering it in practice.
I am grateful to the right hon. Gentleman for his question, and will make sure that officials engage with him on that point. If there is anything further he would like to share, I will happily look at it. He is right: this is a difficult area, and we need to make sure we get it right. I am determined to deliver a system where all children and young people have every chance and opportunity. Particularly when it comes to SEND support, we will have to work across the House to get to a much stronger and better position for our children and families.
What is the Secretary of State going to do about the capacity crisis that is rapidly emerging as tens of thousands of children are being forced out of independent schools by this Government’s deeply misguided VAT policy? I have a list of 20 schools in Buckinghamshire with no places whatsoever, and Bristol city council is considering buying places from an independent school to put back in that school, at taxpayers’ expense, a child who recently left that school at the parents’ expense.
We were elected on a manifesto of driving high and rising standards in our state schools. The public back our policy. We think it is right that we prioritise investment in our state schools where the vast majority of our children go to school, including the vast majority of children in the hon. Gentleman’s constituency. I suggest that he spends a bit more time thinking about their interests.
I welcome the Secretary of State’s commitment to improve the provision of SEND services in schools, but does she recognise that many ordinary, hard-working families make extraordinary efforts to find provision ahead of a formal assessment in independent schools as well? Will she commit to making an assessment of what levels of provision currently exist within the independent sector to satisfy special educational needs, because it will be material to the solution she will need to develop?
As the Under-Secretary of State for Education, my hon. Friend the Member for Portsmouth South (Stephen Morgan), has set out, we will make sure that, where children have an education, health and care plan, the VAT on fees policy change will not affect those children. I recognise the point the right hon. Member makes and I believe that parents have a right to choose where their children go to school, but the vast majority of parents in our country who send their children to state school are also ambitious and aspirational for their children.
Maria, in my constituency, has a son who was in a specialist placement, and in October last year that school said it could no longer meet his need. Since then, he has not been back in full-time education, while another headteacher keeps telling me that special needs provision in Shropshire is decades behind elsewhere in the country. If the Secretary of State aspires for all children in the country to have their special needs met, how is she going to ensure that happens in places that are struggling so much with funding, such as Shropshire?
I recognise the challenge the hon. Lady sets out, and part of it is making sure that our mainstream schools are better able to cater for children with a wide range of needs. I am very sorry to hear about the experience of her constituent, and I am sure my hon. Friend the Minister for School Standards will be happy to meet her or to look into that further to see if any action can be taken to support the family.
In Leicestershire, special educational needs has been a real problem that I have seen in my constituency. The last Government made it one of the trailblazers to come together and trial some of the new things that could be done in special educational needs, and we started to see some progress in that. Will the Secretary of State meet me and the other Leicestershire MPs to discuss how we can take that forward, so we can get better provision for Hinckley and Bosworth and for Leicestershire?
The hon. Gentleman is right to draw attention to any emerging evidence that shows new ways of doing things. As a new Government, we are keen to do precisely what he describes to make sure, particularly when it comes to a better join-up between health and education, that we see faster improvement. I would be happy to meet him and Leicestershire colleagues, although my hon. Friend the Minister might be able to step in.
Too many Eastbourne parents, my mum included, are forced to relentlessly fight to get their children into the school that can best meet their children’s special educational needs. That is so often down to a lack of funding, so will the Secretary of State commit to meeting Eastbourne families, Eastbourne school leaders and me to hear about the SEND landscape locally, and provide the funding that local children with special educational needs need and deserve?
The hon. Member is right in his characterisation of a system that is adversarial and where so many parents have to fight to get a good education and support for their children. I would be happy to do so, or perhaps my hon. Friend the Minister might take that meeting.
I call the shadow Minister.
It was in response to growing demand that the last Conservative Government increased the high-needs budget to £10.5 billion and put in place a statutory override so that SEND-related deficits did not overwhelm council budgets. With that set to expire in 2026, what is the Secretary of State’s message to local authorities: is she pushing the Chancellor to extend that protection or for deficits to be written off?
I am genuinely surprised that the hon. Gentleman thinks that question is a source of strength. It represents significant failure over 14 years that we have ended up in such a desperate position facing our councils. We will of course look closely at all of this but, after 14 years when he will have heard that families have been terribly let down by the last Government, a period of reflection on his part might be in hand.
Student Mental Health
This Government are breaking down barriers to opportunity by providing young people with the mental health support they need. The Office for Students is providing universities with £15 million this year to improve their mental health and wellbeing support. Our further education student support champion, Polly Harrow, is driving a strategic approach to supporting mental health for further education students.
I thank the Minister for her answer. The Children’s Society has found that British 15-year-olds are the unhappiest in Europe, and school absences are at record levels, often due to poor mental health or inadequate support for special educational needs. Early intervention is key to tackling mental health issues among our children. Does the Minister agree that, by putting a mental health professional into every primary and secondary school, we could help end the youth mental health crisis?
I thank the hon. Member for her question and sincere concern about the mental health of children and young people. This Government are committed to improving mental health and wellbeing support for all children and young people. It is vital that the right support is available to every young person who needs it. That is why we will provide access to specialist mental health provision professionals in every school.
As I have already mentioned in the House a number of times, I am a former teacher, I am married to a current teacher and most of my friends are teachers—[Hon. Members: “Hear, hear.”] She’ll be pleased with that. The mental health of teachers after the last 14 years is at rock bottom. What steps will the Department take to support not just the mental health and wellbeing of our students, which is really important, but the mental health and wellbeing of our teachers?
I thank my hon. Friend for making it extremely clear that he is a teacher and has teachers within his network. He is right to mention the welfare and wellbeing of professionals and of teachers. I would like to offer him a meeting with an Education Minister to discuss that further.
Every year in the UK, hundreds of teenagers take their own lives—children as young as 12, like Riley Townsend in the constituency of Ashfield, who took his own life just a few weeks ago because of mental health problems. What more can we do to support our young people through the social care and education systems to stop this epidemic?
I thank the hon. Member for highlighting that very serious concern. Student suicide is serious and a concerning matter. In the academic year ending 2020, the suicide rate for higher education students in England and Wales was lower than in the general population of the same age group. However, every suicide is tragic and suicide expert Sir Louis Appleby is overseeing the national review of higher education suicides to learn more to prevent suicides. It has seen excellent engagement from the sector and will report on that.
Last year, there was a 38% increase in the number of CAMHS referrals in Birmingham, while also a sharp fall in the number of young people seen within six months of a referral. Does the Minister agree that we need much more preventive support in schools, and closer working between education and health bodies?
My hon. Friend is right. This Government have committed to recruiting 8,500 additional staff across children and adult NHS mental health services. That will help to reduce delays, provide faster treatment and ease pressure on busy mental health services. Family hubs are also crucial to providing that.
I call the shadow Minister.
The previous Conservative Government introduced mental health support teams in schools, and the impact of the covid-19 pandemic is still being felt by students, particularly regarding mental health. Will the Secretary of State commit to continuing those mental health support teams to ensure that students can access the mental health care that they need?
I thank the shadow Minister for his question. As I have already outlined, this Government are committed to improving the mental health and wellbeing of children and young people, and we will provide access to specialist mental health professionals in every school.
Teacher Recruitment
As a first step in our mission to break down barriers to opportunity, we will recruit 6,500 additional teachers. We have kickstarted the recruitment campaigns, and made a 5.5% pay award, resetting the relationship with the education workforce. We will re-establish teaching as an attractive expert profession after years of damage under the previous Government.
This Government have promised change in education, and made a commitment to raising school standards and increasing teacher numbers after 14 years of Tory neglect. The Scottish National party’s 17 years in power have led to falling standards, under-resourced schools and a growing attainment gap between the richest and the rest. Does the Minister agree that it is time for change, given the Scottish National party’s dismal record on education in Scotland?
Breaking down barriers to opportunity is a key mission for this Government and the Scottish Labour party. The SNP has seen attainment gaps widen and child poverty soar, but we will transform our education system so that all young people get the opportunities that they deserve, by driving high and rising standards across our education system. That is the change that this Labour Government will deliver.
Many teachers in my constituency welcome the drive to recruit more teachers, but they also want the Government to recognise the pressures on those already in the profession. What steps will the Department take to improve teacher retention in constituencies such as Penrith and Solway?
I want teachers to not only remain in the profession, but to thrive in it. That is why we are listening and acting on feedback. The Department, alongside school leaders, has developed a workload reduction toolkit and the education staff wellbeing charter. We will deliver a range of measures to make teaching a better valued and respected profession.
I recently visited Herefordshire, Ludlow and North Shropshire college, which provides excellent further education opportunities for students in my constituency. However, there is not parity of funding for teachers in the FE sector and those in the schools sector, meaning that post-16 education is now better funded for those pursuing academic courses than for those pursuing vocational courses. Will the Secretary of State roll out the 5.5% pay rise to teachers in the FE sector also, so that there is no increase in inequality between academic and vocational opportunities?
We accepted the School Teachers Review Body’s recommendation of a 5.5% award for teachers and leaders in maintained schools in England from September. It is a substantial award that recognises the hard work of those in our teaching profession. We recognise the challenges in the FE sector also and the issues that the hon. Lady outlines. We will continue to keep the matter under review, because we want to ensure that every child has the best opportunities, whether that is in our school system or in our FE sector.
The new Government’s focus on the serious recruitment and retention crisis is welcome. However, as we have heard, the recent pay announcement overlooked teachers who work in colleges, who already face a pay gap of more than £9,000. We have twice the proportion of students from disadvantaged backgrounds in our colleges as in school sixth forms, so the recruitment issue is even more pressing in our colleges. Why is it that teachers of 16-year-olds in schools deserve a pay rise, but teachers of 16-year-olds in colleges do not?
We recognise the challenges that the hon. Lady sets out. We are facing an incredibly challenging fiscal position. From the previous Government, we inherited a £22 billion black hole to make up. This is about the opportunities of young people in this country, and we take the issues that she outlines incredibly seriously. We will continue to do what we can within the fiscal envelope that we have, and within the system that we have inherited. That is why we honoured the recommendations of the STRB review, and we will continue to do what we can in FE.
Children in Care: Educational Outcomes
I thank my hon. Friend for all the work that she has done in standing up for children in social care in recent years. We will champion the ambitions of all children and ensure that background is no barrier to success. In our children’s wellbeing Bill, we will set out our plans to raise standards for all children in social care and will ensure that they are supported to thrive.
The drop-out rate from university for care-experienced students is 38%, compared with just 6% for non-care-experienced young people. As thousands of students are arriving at university for the first time this week, what steps is the Minister taking to ensure that there is a consistent package of support for care-experienced students at every university to help them overcome the barriers that they too often face, and to ensure that university is a place where they feel welcome and can thrive?
I thank my hon. Friend for her question and the passion with which it was delivered. I recently spoke to members of a children and young people’s advisory group, who told me about some of the challenges they face at university. In some cases, they had not even been informed about the option of university, which is quite shocking. We are committed to providing the best university experience for care leavers. Access to higher education should be based on ability and attainment, not background, but too many children across our country do not get the chance to succeed. The previous Government could have done much more.
We will act to address the persistent gaps when it comes to access and positive outcomes for care-experienced young people. We have issued guidance to universities on supporting care-experienced young people and introduced statutory financial support, including a £2,000 bursary, but after the last 14 years, there is still so much more to do.
Children's Wellbeing Bill
The children’s wellbeing Bill will be introduced as soon as parliamentary time allows. The Bill aims to put children and their wellbeing at the centre of the education and children’s social care systems, and to ensure that every child has a fulfilling childhood, enabling them to succeed and thrive.
I know from visiting schools in my Walton constituency that some of the most difficult challenges that teachers face often come from the difficult socioeconomic challenges of the area spilling over into schools, so I welcome the Government’s focus on children’s wellbeing. Most important to my constituents will be the roll-out of free breakfast clubs. Could the Minister tell me a little bit about how and when they will be rolled out?
I thank my hon. Friend for his question. Breakfast clubs are about more than just food: they provide opportunities for children to play, to learn and to socialise at the start of the school day. The Government are giving parents more choice in childcare, and are supporting families with the cost of living crisis. Our plans for breakfast clubs will remove barriers to opportunity by ensuring that every child of primary school age, no matter their circumstances, is well prepared for school.
Topical Questions
We are moving on to topicals; the questions will be short, and the ministerial responses will be snappy.
As we start the new academic year, I want to say thank you to all staff working across education, and to wish all learners the best for the year ahead. It will be the mission of this new Government to break down barriers to opportunity, so that where a person is from does not determine what they can go on to achieve, and so that every child has the best start in life. We launch our mission against a backdrop of many inherited challenges: a childcare pledge without a plan for delivery; a crumbling schools estate; a school attendance crisis; large attainment gaps; and falling apprenticeship starts and training opportunities. I am determined to turn this around. We will drive high and rising standards across education, from early years right through to adult learning.
Across the Macclesfield area, we have fantastic schools, but the legacy of 14 years of Conservative mismanagement means that they have some of the lowest funding in the country. Will Ministers meet me to discuss how we can turn the situation about and fund our schools properly?
I know that my hon. Friend cares deeply about the life chances of children in Macclesfield and across Cheshire East. I would be happy to meet him to discuss the matter further.
The Opposition share the Secretary of State’s good wishes to all for the new term and the new year, but does she recall that last time Labour was in office, not only did England tumble down the world education rankings, but we ended up as the only country in the developed world where the literacy and numeracy of recent school leavers was worse than that of the generation who were about to retire? If she continues to follow the same failed Labour approach, does she expect a different result this time?
The right hon. Gentleman, as a former Minister in the Department, knows all too well that he and others were cautioned about how they should be using data. When we look at the raw numbers, we see that under the last Conservative Government, reading standards were going down, as were standards in maths and science. One in four children did not reach the required standard at the end of primary school, and one in five young people was persistently absent from our schools. We will drive high and rising standards right across academic subjects, but we will also ensure that all our children and young people have a range of opportunities in music, sport, art and drama, not just those with parents who can afford it.
We recognise the challenges that my hon. Friend raises, which is why the Government will introduce changes, so that state-funded schools can be asked to co-operate with local authorities on admissions and place planning. Local authorities have a responsibility to allocate all applicants a school place on national offer day. If children in his area are still without places, I would be happy to meet him, and to support him in resolving those issues.
Disadvantaged pupils between 16 and 19 are likely to be up to four grades behind their more affluent peers. We know that funding drops by about a third at 16, yet 16-to-19 tuition was axed in July, and the pupil premium has never applied to that age group. If the Secretary of State is serious about smashing the glass ceiling, will she consider increasing funding targeted at this group?
I share the hon. Lady’s concern about making sure that we target funding in the most effective way. That is why I have said that my No. 1 priority is ensuring that we support children and young people at the earliest possible point, and give a real commitment around early education and childcare, because that is the single biggest way to ensure that our children arrive at school really well prepared and to stop those gaps opening up as children progress through education.
I thank my hon. Friend for all her hard work while in opposition on these important issues. This Government see early education as more than just childcare; it is central to our mission to give every child the best start in life. We recognise the inherited workforce challenges, in both recruitment and retention. In the coming weeks and months, this Government will set out plans for reform, beginning with a complete reset with the sector, so that the workforce feel supported and valued.
The Secretary of State has set out extensive responses to extensive questions on the inherited challenges in the SEND system. We recognise the issues that the hon. Gentleman raised, and will be happy to meet him and his colleagues around his local authority area to discuss this further.
Further education is front and centre of unlocking opportunity. I join my hon. Friend in congratulating the Shrewsbury Colleges Group on its excellent results.
I recognise the concerns the hon. Lady raises. The Government intend to take time to consider the various funding formulas the Department and local authorities currently use to allocate funding for schools. It is really important that we have a fair education funding system that directs funding to where it is needed, and I would be happy to meet her to discuss the particular challenges in her area.
We expect that private schools will want to continue to demonstrate wider public benefit through the provision of means-tested bursaries and partnerships with state-funded schools after the changes are made. As this is a taxation matter, His Majesty’s Treasury is leading the implementation of the policy. It published a technical note about the proposed changes on 29 July and will confirm its plans at Budget. I encourage all private schools to engage with that process, and I would happily meet my hon. Friend to discuss her report.
The hon. Lady raises a concern that many have raised. She will have seen the level of concern at the special educational needs inheritance that this Government have taken on. Current safety valve agreements will continue to operate, as they are agreed, but we will look at their use going forward. I would be happy to meet her to discuss the particular challenges in her area.
I recognise the important point that my hon. Friend raises. Many parents are doing everything they can, often in very challenging circumstances, to support their children into school. For my part, I can assure her that this Government will do everything we can to make sure children find welcoming, safe environments at school, with better mental health support, breakfast clubs in our primary schools, a broader, richer curriculum, and more support around SEND in mainstream settings.
There were reports in the press a couple of weeks ago that the Secretary of State took meetings with teaching unions who made the argument that multiplication times tables should be taken off the national curriculum. Given our stratospheric success in PISA—programme for international student assessment—numeracy ratings, thanks to changes introduced by the Conservative Government, can she give us a 100% cast-iron guarantee that she will not dumb down the curriculum in this country and will not take times tables off the national curriculum?
I would caution the hon. Gentleman about believing everything he reads in the press. Times tables are an important part of our system. We will drive high and rising standards from Government. Rather than picking pointless fights and avoidable industrial action, what he will see from this Government is a different relationship, as we work in partnership with teachers, school leaders and support staff to deliver better life chances for all of our children.
My hon. Friend is absolutely right. Conservative Members do not like it, but it is absolutely true. I would add that, when it comes to the concerns my hon. Friend raises, we see stark attainment gaps in the difference between what our poorest and more affluent children are able to achieve. That blights the life chances of children in his constituency of Gateshead. We are determined to make progress on that, unlike the previous Government.
I congratulate the Secretary of State and her team, and welcome them to their places.
In my constituency, children are being unenrolled after 20 days of absence, even when there is a valid and compassionate reason for their leave. Will the Secretary of State commit herself to reviewing this harmful and punitive rule, which is leaving children in my constituency without a school for many months, and will she take steps to make the necessary changes to protect those children and their right to an education?
I am happy to meet the hon. Member to discuss the points that he has raised. Attendance and off-rolling are issues that the Government take very seriously, and we will set out more policies on them in due course.
The last Government promised to publish a register of children who were not in school. I welcome the measures taken by this Government, but can the Minister update me on the next steps towards publication of the register?
This Government have no time to waste if we are to fix the foundations of our country after 14 years of decline. We will legislate for the register through the children’s wellbeing Bill, which will be introduced as soon as parliamentary time allows, and which will support the Government’s work to ensure that every child has the best start in life.
Can the Minister confirm that the funding announced on 9 May by the Conservative Government for a brand-new SEND school in the county of Buckinghamshire is in no way, shape or form “under review”, and that we will get that new school?
Ensuring that schools and colleges have the resources and buildings that they need is a key part of our mission to break down barriers to opportunity and give every young person the best start in life. We are committed to improving the condition of the estate through the Department’s annual funding, continuing the school rebuilding programme and fixing the problems caused by reinforced autoclaved aerated concrete.
At the start of the new school year, may I wish all teachers, school staff and children in my constituency the very best for the year ahead?
Does my hon. Friend agree that, as part of the curriculum review, which I warmly welcome and look forward to, we need an education system and curriculum—particularly in primary schools—with much more focus on learning through play, on oracy, and on multisensory movement and the recording of learning? That would benefit not just children with SEND, but all pupils.
The curriculum assessment review, led by experts, will focus on the evidence—what we know from here and abroad about how we can best help children of all ages and abilities to learn, and that includes children with special educational needs. I am sure that those conducting the review will want to investigate different approaches to the primary curriculum, including those mentioned by my hon. Friend, but I would not want to pre-empt the review’s conclusions and recommendations.
Order. That concludes Education questions. I am sorry that I could not fit everyone in; better luck next time.
Government Policy on Health
It is always nice to see the right hon. Gentleman, but I was expecting to see the actual Secretary of State respond to this question. Perhaps he is at a business meeting with health firms—
Order. May I ask the shadow Secretary of State just to pose the question? The Minister will respond, and then the shadow Secretary of State will get her two minutes after that.
(Urgent Question): To ask the Secretary of State for Health and Social Care if he will make a statement on the involvement of people with no formal appointment in the development of Government policy on health.
I apologise to the House, Madam Deputy Speaker. I am more used to answering, but believe you me, I am looking forward to the questions.
And I am committed to making sure that the right hon. Lady is there, asking the questions, for a very, very long time.
Unlike our predecessors, this Government cannot get enough of experts. We work with a wide range of stakeholders in developing policy, because that goes to the heart of our approach to mission-driven government. But I think the shadow Secretary of State was referring specifically to the right honourable Alan Milburn, so let me address him specifically. I walked into the Department of Health and Social Care on 5 July to be confronted with the worst crisis in the history of the national health service: waiting lists at 7.6 million, more than a million patients a month waiting four weeks for a GP appointment —if they could get one at all—the junior doctors still in dispute and on strike, and dental deserts across huge parts of our country, where people cannot get an NHS dentist for love nor money.
This Government are honest about the scale of the crisis and serious about fixing it, which means that we need the best available advice—it is all hands on deck to fix the mess that the previous Government left. If a single patient waited longer for treatment than they needed because I had failed to ask for the most expert advice around, I would consider that a betrayal of patients’ interests. I decide whom I hear from in meetings, I decide whose advice I seek, and I decide what to share with them. I also welcome challenge, alternative perspectives and experience.
The right honourable Alan Milburn is a former Member of this House, a member of the Privy Council and a former Health Secretary. He does not have a pass to the Department and, at every departmental meeting he has attended, he has been present at the request of Ministers. During Alan’s time in office, he gave patients the choice over where they are treated and who treats them, as well as making sure that the NHS was properly transparent, so that all patients were able to make an informed choice—a basic right that we expect in all other walks of life, but which only the wealthy and well connected were able to exercise in healthcare until Alan changed it. He gave patients access to the fastest, most effective treatment available on NHS terms, so that faster treatment was no longer just for those who could afford private healthcare. He made the tough reforms that drove better performance across the NHS and, along with every other Labour Health Secretary, delivered the shortest waiting times and the highest patient satisfaction in the history of the NHS. That is his record and Labour’s record, and it is the kind of experience that I want around the table as we write the reform agenda that will lift the NHS out of the worst crisis in its history, get it back on its feet, and make it fit for the future once again.
I fear that the right hon. Gentleman is betraying his inexperience. It is a shame that he needs all that help and experience; the rest of us have just got on with the job.
The Department of Health and Social Care manages incredibly sensitive information, ranging from the development of healthcare policy to the handling of market-sensitive information concerning vaccines and medication, and the rules regarding patient confidentiality. It has emerged that Mr Milburn, a former Labour politician, has received more than £8 million from his personal consultancy firm since 2016. He advises one of the largest providers of residential care for older people, and is apparently a senior adviser on health for a major consultancy firm. [Interruption.] A Member sitting opposite says, “So what?” Given the risk of conflicts of interest—that, rather than the right hon. Gentleman’s inexperience, is the point of this UQ—has Mr Milburn declared his business interests to the Department? Can the right hon. Gentleman reassure the House on how such conflicts are being managed, so that we can get a sense of the scale of this open-door policy and Mr Milburn’s access?
Could the right hon. Gentleman tell us how many meetings Mr Milburn has attended? How many were with NHS England? How many were conducted without ministerial presence? What sensitive information has Mr Milburn been given access to? Does it include information concerning the sale of patient information to pharmaceutical companies? Has Mr Milburn seen internal DHSC or NHSE documents regarding the pricing of medicines and vaccinations, and other market-sensitive information? This is all information that comes across the right hon. Gentleman’s desk, and there is no formal record for understanding what Mr Milburn has seen.
If the right hon. Gentleman uses, as he has done just now, the excuse that this is all okay because Mr Milburn is a former Secretary of State and a Privy Counsellor, could the right hon. Gentleman set out where in the ministerial code or the civil service code such an exemption exists for unrecorded access to information by members of the public? I hope the Secretary of State will also confirm his lists of other advisers, their commercial interests and any other members of the public attending meetings that are of a deeply sensitive nature, so that we get a sense of just how far this goes.
This is just more evidence of cronyism at the heart of this new Labour Government. Following recent press reports that a Labour party worker had been parachuted into a civil service role in the Department through a closed recruitment process, will the Secretary of State finally come clean to the House and be transparent about who is running his Department and shaping policy for him?
The right hon. Lady wants to compare experience. It took me three weeks to agree a deal with junior doctors—she had not even met them since March—and in the two and a half years that I was the shadow Secretary of State for Health and Social Care, she was the fifth and among the worst. Does it not just tell us everything we need to know about the Conservatives’ priorities? She does not ask me what we are doing to cut waiting lists. She does not ask about the action we took to end strikes. She does not ask about the action that has been taken to hire a thousand GPs, who she left to graduate into unemployment. She has not asked me about the news on the front page of The Daily Telegraph that, on their watch, 50 years of health progress is in decline. And funnily enough, there was nothing on the news from The Observer this weekend that the NHS was hit harder than any other health service by the pandemic because it was uniquely exposed by a decade of Conservative neglect. Having broken the NHS, all they are interested in now is trying to tie this Government’s hands behand our back to stop us cleaning up their mess.
What the right hon. Lady is implying in this question is that, as Health Secretary, she never sought the advice of people who did not work in her Department, which would explain quite a lot actually. I feel sorry for her, because when I need advice, I can call on any number of Labour Health Secretaries who helped deliver the shortest waiting times and the highest patient satisfaction in history. But she never had that luxury, because every single one of her Conservative predecessors left NHS waiting lists higher than where they found them—except, of course, for Thérèse Coffey, who was outlasted by a lettuce.
In fact, it says a lot about the modern Conservative party’s anti-reform instincts that the right hon. Lady is so opposed to Alan Milburn. They used to hug him close when they were cosplaying as new Labour. Andrew Lansley even asked whether Alan Milburn would chair the new clinical commissioning board that his top-down reorganisation created, although Alan sensibly turned him down and labelled the reorganisation “the biggest car crash” in the history of the NHS, which just goes to prove that Alan Milburn has sound judgment and is worth listening to.
But if the right hon. Lady wants to lead with her chin and talk cronyism, let us talk cronyism. Why do we not talk about Owen Paterson lobbying Health Ministers on behalf of Randox? The Conservatives care so much about cronyism that they welcomed Lord Cameron back with open arms following his paid lobbying for Greensill. For reasons of ongoing court cases, let us not even get into Baroness Mone and the £200 million contract for personal protective equipment. Where was the right hon. Lady during those sorry episodes? Cheering on that Government and presiding over a record of abysmal failure that has put them on the other side of the Chamber.
This Government are having to rebuild not only the public services that the Conservatives broke and the public finances they raided, but the trust in politics that they destroyed. We will put politics back into the service of working people and rebuild all three. Clearly, we will have to do it without the support of the Conservative party’s one- nation tradition, who are not even running and have abandoned their flag. It is clear that the Conservatives have not learned a thing from the defeat they were subjected to on 4 July, and we will get on with the business of clearing up their mess.
On a point of order, Madam Deputy Speaker. The Secretary of State has obviously decided that attack is the best form of defence, but the operation of the House will collapse if he declines to answer any questions about a very serious matter of public concern. Can we seek your guidance, Madam Deputy Speaker, on whether he is conducting himself appropriately in the House? We are seeking transparency on a matter of probity, and he has a duty to answer the House, not least under the ministerial code.
The urgent question has just started, so there will be ample opportunity to continue to hold to account the Secretary of State, who no doubt believes that his answers are responding to the UQ. We have some time to go, so if Members bob, I will endeavour to ensure that they are called to do so.
The sheer brass neck of the Conservatives to turn up on the very day that Transparency International UK published its report showing that £15 billion of contracts were red-flagged during the covid epidemic—[Interruption.] I am not reading. Those contracts have been red-flagged and are worthy of further investigation, and £500 million of them were given to companies that had not even lasted 100 days. Should the Conservatives not have taken that into consideration before coming here with this urgent question?
I wholeheartedly agree with my hon. Friend. Frankly, every single contribution from the Opposition Dispatch Box should begin with a grovelling apology for the way they conducted themselves in government, but they will not apologise: they have learnt nothing and they show no humility. To my hon. Friend’s point, when it comes to covid corruption and crony contracts, the message from the Chancellor is clear. We want our money back and the covid commissioner is coming to get it.
I call the Liberal Democrat Front-Bench spokesperson, Sarah Olney.
The Liberal Democrats find it deeply ironic that the shadow Health Secretary has raised this question on the involvement of people with no formal appointment in the development of Government policy. Are they forgetting their record in government? Perhaps we should remind everyone that, under the Conservatives, it was their friends that benefited from large contracts to supply the Government during the covid pandemic. The result is that, just today, as the hon. Member for Eltham and Chislehurst (Clive Efford) has already highlighted, Transparency International UK has revealed multiple red flags in more than 130 covid contracts totalling over £15.3 billion. With the Conservatives out of power, we have the opportunity to clean up our politics, so will the Secretary of State update the House on whether the Prime Minister plans to appoint his own ethics adviser or whether Sir Laurie Magnus will remain in the post? Will the ethics adviser be empowered to initiate their own investigations and publish their own reports?
I am grateful to the hon. Member for her serious contribution. She is right to say that transparency matters. That is why meetings in my Department, and their attendees, will be published in the right and proper way on a quarterly basis.
It is also right to draw a distinction between those areas of business and meetings in the Department that are about generating ideas and policy discussion, and those that are about taking Government decisions. It is right that people from outside government come into the Department for Health and Social Care, or any Department, to lend their expertise and share their views, and it is right that Ministers make decisions absent of those outsiders. That is the distinction I would draw. The hon. Member raises a specific point about the Prime Minister’s ethics adviser. This is a Prime Minister who does take ethics seriously and will not behave in the way that his Conservative predecessors did. As for individuals, that is a decision for the Prime Minister, but I will ensure that the hon. Member gets a more fulsome reply.
I have been a surgeon for 28 years. In the first 14 years, we had a Labour Government and we saw the waiting lists more or less disappear, such that by 2010, a patient coming to see me in the clinic would be offered an operation. In the second 14 years, we have seen record waiting lists. I welcome the advice of Mr Alan Milburn, one of the most successful Secretaries of State and one of the architects of the fall in the waiting lists, and I support the Secretary of State in this.
I am grateful to my hon. Friend and I am delighted to see him here, bringing his experience to the House, sharing it with the nation, standing up for his constituents and being part of the team that will do what the last Labour Government did, which was to ensure that our NHS is back on its feet and fit for the future.
Notwithstanding the Secretary of State’s bluster, he must appreciate that, given Mr Milburn’s involvement in the private healthcare sector, his direct access to the Secretary of State may have conferred a competitive advantage. What does the Secretary of State say to those companies who compete with Mr Milburn’s companies about the access that he has had to the Secretary of State? How can we in the House be reassured about the kind of information that Mr Milburn has been able to access and what, if any, advantage that might have conferred upon him?
With the way that Conservative Members are carrying on, and with the smears and innuendo they are applying, I am surprised that Alan Milburn is not paying them a marketing commission. The right hon. Gentleman makes out that Alan Milburn has come into the Department and is making all the decisions. If he were up to what they are suggesting, I could not think of better word-of-mouth publicity.
There is a clear distinction between inviting people with a wide range of experience and perspectives into the Department to have policy debates and to generate ideas, and having meetings that are about transacting Government business. I can assure the right hon. Gentleman and the House that nothing commercially sensitive has been shared with Alan Milburn, and I am genuinely astonished that Conservative Members think it is inappropriate for a Secretary of State for Health and Social Care to seek views, input and advice from their predecessors. In fact, I wonder how one of my Conservative predecessors, who is coming in to see me soon, will feel about their objections.
In October 2023, when I phoned my NHS dentist to get an appointment for my children, the next available appointment was in June 2024. [Interruption.] When June 2024 rolled around, they cancelled the appointment. The next available appointment is April 2025. Given my right hon. Friend’s disgraceful inheritance, does he think the Conservative party should spend a little more time reflecting on its record and a little less time asking pointless questions?
I wholeheartedly agree with my hon. Friend. Let the record reflect that, when he was raising the crisis that is leaving people in Hartlepool without access to NHS dentistry, Conservative Members were shouting, “What about Alan Milburn?” That says everything about their priorities, everything about their lack of remorse and contrition, and everything about why they should stay in opposition for a very long time while we sort out the state of NHS dentistry in Hartlepool and across the country.
How legitimate is it for the House of Commons to ask about external people coming into Departments and potential conflicts of interest? In cases like Alan Milburn’s, or that of a former Conservative Secretary of State, how does the Department identify and manage conflicts of interest?
It is entirely legitimate to ask questions, and it is also entirely legitimate for Government Departments to invite people with a wide range of experience and insight to advise on policy debates and discussions. That happens all the time. Where do we draw the line? Do we have to send compliance forms to Cancer Research UK before it comes in to talk about how we tackle cancer? Do we have to send declaration of interest forms to patients who want to discuss awful cases they have experienced?
Frankly, I find this pantomime astonishing. I am surprised that the shadow Secretary of State thinks this is such a priority that she should raise it on the Floor of the House rather than NHS waiting lists, ambulance response times, GP access or the state of social care. It is clear that the Conservatives have not learned why they are in opposition.
I congratulate my right hon. Friend on taking advice from his predecessors. As someone who worked as a senior civil servant in the Department under Alan Milburn, I would like to echo my right hon. Friend’s comments about what a fantastic Secretary of State he was and speak to his record in that position. I also worked as a civil servant under the coalition Government.
Will the Secretary of State also be seeking advice from Andy Burnham who, as Secretary of State when Labour last left office, left record low waiting times and high public satisfaction?
My hon. Friend is absolutely right. How fortunate we are to be able to turn to every living former Labour Health Secretary, from Alan Milburn to Andy Burnham, and in every single one of those cases be able to draw on people whose record of delivery led to the shortest waiting times and the highest patient satisfaction in history. I can confirm to my hon. Friend that, both in opposition and in government, I have been talking to the Mayor of Greater Manchester. He is doing some brilliant work on prevention. I am really looking forward to working with all our metro mayors to tackle health inequalities across the country and to improve the integration of health and care services across the land.
I know it will be a novelty for the Secretary of State actually to answer a question during this urgent question, but maybe he will do the House a favour by answering this very simple question with a yes or no. He said that no pass was given to Alan Milburn, so will he guarantee that no confidential documents that could have been used for commercial purposes were accessed or left his Department? Will he take responsibility if any documents or data discussed at ministerial meetings with Alan Milburn leave the Department—yes or no?
Fixing and getting our NHS back on its feet should be a national mission, and everybody should be able to play their part in that. Will the Secretary of State confirm whether any former Conservative Ministers have put themselves forward to try to fix the mess that the party now in opposition created over the last 14 years?
This is the extraordinary thing: notwithstanding the public job application of a former Conservative Secretary of State, which did not meet the bar, I have been approached by former Ministers in the Department of Health and Social Care who served in the Conservative Government who, in a spirit of public service, have wanted either to do work for the Labour Government on issues that they care about, or have sought to share their experiences—the highs or, indeed, the many lows—of being in government. That is a totally legitimate thing to do. I suspect that, if I rang round all my Labour predecessors, I would find that the Conservative Government tried desperately hard to get them to work for them, because, as I say, the challenge for Conservative Health Secretaries was that they did not have any successful Conservative predecessors to turn to.
I share the Secretary of State’s frustration and understanding of the brass neck of the Tories on this point and I do not doubt the expertise of Alan Milburn, but legitimate questions have been asked about conflicts of interest. What safeguards are being imposed or considered to address the appearance of conflicts of interest?
It is absolutely right that people appointed to roles in public life declare their conflicts of interest so that they can be assessed when taking decisions or exercising powers to ensure that they are doing so in a way that manages those conflicts of interest and no conflict arises. Alan Milburn does not, at this stage, have a role in the Department of Health and Social Care. Many people have come into the Department for meetings in the past eight weeks. We do not ask them all to declare their interests. I know there is more red tape now in health and social care than when we left office, but this Government want to reduce that not increase it.
The Conservative party appointed a party donor, Wol Kolade, who wants to change how the NHS is funded, to the board of NHS England. In January, the right hon. Member for Louth and Horncastle (Victoria Atkins) held a meeting with his private equity firm, Livingbridge, less than one month after he gave her party £50,000, so is it not the shadow Health Secretary who ought to be answering questions about cronyism?
It is not for me, thankfully, to answer for the shadow Secretary of State for Health and Social Care; it is just my responsibility to clean up her mess.
Will the Secretary of State please illuminate the House about any conflict of interest concerning the gentleman in question? Did he head into the ministerial floor or access the Department? Many of us want our constituents to access health services and GP appointments. Did the right honourable gentleman, who is the Secretary of State’s friend from the old days and with whom he has worked with previously, have a day pass or a departmental pass? Beyond the bluster, can the Secretary of State assure hon. Members that there is no conflict of interest?
My right honourable friend, Alan Milburn, does not have a role in the Department. He does not have a pass to the Department. I am asked whether he has accessed the ministerial floor. I do not know where the Conservatives held their meetings, but I tend to hold them in my office on the ministerial floor.
Across Cramlington and Killingworth, I have heard countless stories—heartbreaking stories—of residents’ experiences of the NHS. They talk about the staggering length of waiting lists, access to GPs and access to dentists. Does the Secretary of State agree that, rather than focusing on who he might have once had a conversation with, the Conservatives would do better supporting the Labour Government in cleaning up the mess they left behind, which my residents live with every single day?
My hon. Friend is absolutely right. It is because of the way that she champions her constituency and her community that she was sent to this place to stand up for their interests. It will not be lost on her constituents or anyone else in the country that, with our national health service in the state that it is in and with the appalling headlines that we have been reading in recent days, the Opposition have absolutely nothing to say about the responsibility that they bear for the crisis or what they would do to fix it. They have the wrong priorities, but, fortunately, the country has the right Government.
How many meetings has Alan Milburn had in the Department? Will the Secretary of State place a list of all those meetings in the House of Commons Library? Knowing that the former Secretary of State has extensive financial interests in healthcare, did the Secretary of State ask him to declare those interests and publish them?
First, my right honourable friend, Alan Milburn, does not have a role in the Department. Secondly, of course we will publish, in the routine way that we do, details of meetings held in the Department and who attended them. I gently suggest that if the hon. Member has not made his way there already, there are plenty more interesting things to read in the House of Commons Library.
I think Opposition Members may be making the mistake of judging this Government by their own standards. I wish to ask the Secretary of State this: after my constituents and many others have suffered from the economic disaster that was caused in part by dodgy covid contracts and VIP fast lanes, what will this Government do differently?
I am delighted to see my hon. Friend here representing Bishop Auckland. The people of his constituency will be struck by the fact that this afternoon the Conservative party has chosen to create a mountain out of a molehill about a former Health Secretary coming in to lend his advice and experience to a Labour Government. On covid corruption, my hon. Friend is absolutely right to be angry, as indeed the country is, too. That is why my right hon. Friend the Chancellor of the Exchequer has been very clear that, when it comes to cronyism and corruption in covid contracts, we want our money back and the covid corruption commissioner is coming to get it.
There is just one standard and it applies to whichever party is in power, and that should be respected. All this whataboutery relating to what may have gone on under a Conservative Government! Anyone who has done something wrong should be pursued. Anyone in authority should be accountable. It is the failure of accountability, a failure of recognition, by the right hon. Gentleman that lets down the House today. Can he confirm to the House that Alan Milburn did not have access to official sensitive papers? Anyone who visits a Minister—they come in all the time—sits on one side of the table and the official sensitive documents are on the other side. Can he confirm that Alan Milburn did not have access that no other visitor would have?
In the meetings that I asked my right honourable friend to attend—I need to make sure that I get this absolutely right—I tend to think that I saw him on the other side of the table in the corner. I cannot guarantee that he sat at that point in every single one of the meetings, but he certainly was not sitting next to me. With regard to the papers for the meetings that he attended, they were discussion papers about the challenges facing health and social care. They were not Government decision papers or recommendations for Ministers. There is a distinction between those two things. I decide who attends meetings in the Department, and, when it comes to wide-ranging policy discussions, I decide what reading material people receive.
The Conservative party famously said that they had “had enough of experts”, and look at where that got us—the longest NHS waiting list in history. I am pleased that my right hon. Friend rejects that approach emphatically. In the spirit of listening to professionals who are trying to make a difference, I ask him and his team to consider visiting Hertfordshire, where the community trust is working on a hospital at home scheme. The scheme is making a huge difference to patients at the end of their life, who need to be supported, cared for and monitored. This is an important part of easing the burden on our NHS with which we have been left.
I would be delighted for either myself or one of my ministerial colleagues to take my hon. Friend up on that offer. What a refreshing change from so many of the contributions that we have had this afternoon from the Opposition. Of course we want to learn from people with experience and expertise in getting it right on the NHS and social care. Many of those people are outside Government. Many of them have valuable experience in other parts of the public sector, in our public services, in the voluntary sector and in the private sector—or indeed experience as patients, users or carers in our health and social care service. Our message as a Government is clear: when it comes to fixing the crisis in health and social care created by the Conservatives, we cannot get enough of experts, and we are looking forward to mobilising the country in pursuit of our mission, so that we can deliver an NHS that our country can once again be proud of.
Given the potential for commercial advantage to Alan Milburn, will the Secretary of State publish all the papers that Alan Milburn was able to read? If the Secretary of State gave them on Privy Council terms, as he seems to be saying, will he at least give them to any Privy Counsellor who wants them?
Given the state of the Opposition, I bet they would love to see what policy discussion papers we are putting forward in the Department of Health and Social Care. The hon. Gentleman is right: papers have been shared with my right honourable friend on Privy Council terms. The Opposition will, in time, be able to judge the fruits of the labour, in terms of my decisions and the decisions of this Government when it comes to fixing the mess that they created.
I welcome the decision of the Secretary of State to seek wisdom from experts across the health and care system in order to build a better NHS. Is he aware of the virtual hospital system that has been used at West Hertfordshire Teaching Hospitals NHS Trust Watford site, developed during covid in order to treat more people in a better setting?
I am grateful to my hon. Friend for his question. We know that the NHS is broken, and is going through the worst crisis in history. We will shortly hear from the noble Lord Darzi about the outcome of his investigation into the true state of our national health service, but against that bleak backdrop of political failure are stories across the country of triumph against the odds, and of some outstanding public servants doing extraordinary things, showing what the future of our health and care services could look like with a Government on their side. I am pleased that such a Government is here—this Labour Government—and I would be delighted to hear more about my hon. Friend’s constituency.
I wish the Secretary of State all the best in his new role, and in the task that he has taken on. With great respect to my Conservative colleagues, the downfall of the Tory Government was due in part to the fact that people did not trust the background politics behind closed doors. I want the Government to succeed, as do most people in this House. Stability and direction are much needed, but that can happen only with openness, transparency and a desire to put nation before party. How can the Secretary of State assure us that this Government will do things differently, and that policy will be proposed by those with know-how, and passed with scrutiny in this place, not simply due to pressure from lobby groups?
I strongly agree with the hon. Member. In the short time that I have been in post, I have been delighted to have had virtual meetings with the current Northern Ireland Minister of Health, as well as with his predecessor, the hon. Member for South Antrim (Robin Swann), who now sits over there on the Opposition Benches—I am delighted to see him in his place.
Ministerial meetings attended by third parties are declared in our quarterly transparency publication. People will want to lobby and influence Government, and Members of Parliament, all the time. Members of Parliament regularly receive correspondence—let alone the deluge of advice that we receive in government. The important thing is that Ministers take decisions on the basis of the best possible advice available, that they weigh up carefully the evidence and arguments in a fair and proper way, and that advisers may advise but Ministers ultimately decide.
This Government are aware of the deep crisis in trust in our politics. That is why, on his very first day, the Prime Minister talked outside Downing Street about restoring Government to service. It is why it should be no surprise whatsoever that many people who have given outstanding public service to this country, such as my right honourable friend Alan Milburn—and the same is true of Patricia Hewitt, Alan Johnson, my noble Friend Lord Reed, the Mayor of Greater Manchester and many more—want to roll up their sleeves and help the Government. They can see the state that the Conservative party left our country in, and are willing once again to roll their sleeves up to get our country back on its feet, turn the situation around and ensure that everyone in our country can look forward to the future with optimism and hope after 14 years of abysmal failure.