Peter Dowd
MP for Bootle · Labour · United Kingdom
“The petitioners therefore request that the House of Commons urge the Government to introduce urgent reforms, known as “Tim’s Law”, to strengthen the response to drink, drug and dangerous driving, including the immediate suspension of driving licences for those suspected of serious driving offences, the introduction of rapid evidential roa…”
“The petition states: The petition of residents of the United Kingdom, Declares that current laws and procedures relating to drink driving, drug driving, and dangerous driving are failing to protect the public, as delays between arrest and prosecution allow suspected high-risk drivers, including repeat offenders, to remain on the roads, co…”
“The NHS will carry out screening and evaluation of newborn babies for spinal muscular atrophy, or SMA, which causes spinal cord deterioration. It is a devastating genetic condition. The evaluation will start in October in England, but not in Northern Ireland or anywhere else. Does my hon.”
“Improving its rail links and connectivity is important, and it has an impact on regional growth. Grid capacity and decarbonisation have to be developed in the context of an appropriate planning framework. Liverpool port deals with bulk timber, bulk liquids, bulk cargo and general cargo and with 720,000 passengers a year.”
“It is a delight to see you in the Chair, Ms Jardine. I congratulate my hon. Friend the Member for Truro and Falmouth (Jayne Kirkham) on bringing this debate to this Chamber. I will talk about the port of Liverpool, which is actually mostly in my constituency of Bootle, and set out its importance.”
“I am really pleased that the Railways Bill has a target of 75% rail freight growth by 2050. That will enable us to unlock other markets, and of course it will provide public and private investment in connectivity; it is important that the two work closely together. Local communities have to be part of the development of the programme.”
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Every one of 600 lines we hold for Peter Dowd, in date order, each linked to its source. Free to read, in full, without an account. Page 9 of 12.
“The Committee also said that NHS England—and the Government are as guilty on this point— “made unrealistic assumptions about the first year of recovery, including that there would be low levels of COVID-19…The NHS is still not planning properly for the staffing and other resources it needs to deliver additional diagnostic and treatment capacity.” I could go on—I will not—but I hope that those points give a flavour of the crisis that the NHS tends to be in, generally, and that particular services are in, whether that is radiology, dentistry or pharmacy. Frankly, the list goes on and on, and that means that our constituents are not getting the care they need. I hope the Minister has read the documents from all the organisations that I have mentioned, as well as those from a plethora of other health and health service organisations.”
“The organisations that I mentioned are external to Parliament, but Parliament’s Public Accounts Committee also said, in relation to the management of NHS backlogs and waiting times in England: “Cancer waiting times are at their worst recorded level and NHS England will not meet its first cancer recovery target.” It stated that, in August 2022, “there were 2,600 patients who had been waiting more than two years.” Let me repeat that: 2,600 patients had been waiting more than two years. A record 7 million people, of course, are on the waiting list.”
“The same is true for bowel cancer. Bowel cancer is the fourth most common cancer in the UK and the second biggest cancer killer. It kills more than 16,500 people a year. A targeted long-term plan for cancer is the best way to improve outcomes for those patients. The Government have to commit, as has been requested, to an ambitious, fully funded, dedicated plan for cancer, which addresses current issues in cancer care and equips services to meet future demand. Yet more organisations are, in effect, asking the Government to pull their finger out.”
“I hope that the Government’s long-term workforce plan will move us along. However, it was like dragging a screaming child to get the Government to agree to a long-term plan. We do not know when that will come out—I hope that it will appear pretty soon, but I am not sure. We need that plan as soon as practicable. For the first time in the history of the NHS, nearly half of all cancer patients fail to receive treatment within two months of an urgent referral. That figure comes from January 2023. It is damning but, more importantly, for the individual patients concerned, the situation is life-threatening. I am not sure that the Government have quite grasped that fact. To do so, they would have to realise the seriousness and challenges they face and I am genuinely not sure that they have grasped the seriousness.”
“Having determined that that is a crucial part of the pathway to diagnosing or treating cancer patients, we find that the shortfall in the number of clinical radiology consultants is 30%, or 1,453 people, and the shortfall in the number of clinical oncology consultants is 17%, or 163 people, which is predicted to rise to 26%, or 317, by 2026. The reality is that the line is going down. Meanwhile, demand is increasing. By 2035, it is estimated that more than half a million people a year will be diagnosed with cancer in the UK, an increase of 40% since 2015. That is why we have to tackle this situation. As the hon. Lady said, without sufficient investment, chronic workforce shortages will continue to be an issue and will limit the capacity and capability for innovation.”
“They show that in England, in January, nearly one in two cancer patients missed life-saving treatment targets. That brings us to the crux of the issue: what are we going to do about that? What do the Government intend to do about that? Notwithstanding what they are trying to do, frankly I am not sure that that is sufficiently robust to take us forward. We are replete with statistics from organisations such as the Royal College of Radiologists, which states that the best way to improve cancer survival rates is by diagnosing and treating patients earlier and more rapidly, as the hon. Lady said, and by ensuring that there are enough radiologists and oncologists to provide cancer care today. That is essential, but there is a shortfall across those areas.”
“It is a pleasure to be in the Chamber under your stewardship, Mr Paisley. I offer my condolences to the hon. Member for West Bromwich East (Nicola Richards). Cancer is a dreadful disease that needs to be tackled in the most empathetic yet robust way. There is no question that cancer care is in crisis. We have heard the figures relating to NHS waiting lists generally. Given that 7 million people are waiting for treatment, that equates to about 13,000 people waiting for care in my constituency alone, many of whom will, without doubt, be waiting for cancer-related care. One of my constituents wrote to me—I will not mention her name—exhorting me to come to the debate, because she said that she was deeply concerned about the latest waiting times for cancer treatment.”
“I am pleased that the hon. Gentleman raised that. Radiotherapy UK provided some figures indicating that “by the end of 2024 there will be 74 out of date machines in the NHS,” and that “by 2025 it will be 90.” Does he agree that that is a pretty grim statistic?”
“Yesterday, I received an email from Sarah Taylor on behalf of the #CatchUpWithCancer and Radiotherapy4Life campaign. Among other things, she indicated that in May 2022 over half the heads of radiotherapy departments wrote to the Health Secretary and warned that “radiotherapy is at crisis point”. However, to our knowledge, so far they have not had a reply from the Department. Will the Minister try to chase that up if I provide her with further information?”
“T5. I am sure the Secretary of State will agree that the safety of hundreds of primary schoolchildren and parents who are unable to use the demolished footbridge at the Park Lane junction on the dangerous A5036, as a result of a lorry collision, is paramount. Will he therefore instruct National Highways to stop its bureaucratic stalling and replace it as a matter of urgency?”
“I congratulate the hon. Member for Stroud on bringing this important Bill before us. I think the Minister will know that, since the agency was set up 11 years ago, almost £500 million has not been paid. That is 80% of the total accruals in deficit, in effect. Will she bring forward in due course facts, statistics and information to show how this Bill may be reducing that figure as time goes by? It is important that we monitor that this Bill, brought by the hon. Lady, is giving us information and showing that action has been taken and that young children, and mainly women, will benefit from it.”
“Order. At the risk of being pedantic, there are a lot of “you”s going on here. Can we address points through the Chair, if Members do not mind?”
“I will call Kirsten Oswald to move the motion and then the Minister to respond. As is conventional in 30-minute debates, there will not be an opportunity for the Member in charge of the debate to wind up.”
“Order. Before Lee Anderson comes in, I remind hon. Members that, although I accept that people are passionate about this issue, the more interventions there are, the less time there is for people who have not intervened. I ask Members to bear that in mind. It is a matter for hon. Members, but I will be clear and unambiguous on the time.”
“Order. As I have said, I appreciate that this is a passionate subject, but I do not want people shouting across the Chamber. And can people stop saying “you”? They must address their comments through the Chair.”
“Is my hon. Friend aware that in the other House, Members expressed concern that the Procurement Bill falls short of the Green Paper, in that there is no exact definition of key procurement principles, there are no specific requirements on climate objectives and, as he just said, there is no real emphasis on social value elements?”
“I am sorry to interrupt my hon. Friend in mid flow. He has dealt with some specifics, but one of my concerns is that there does not appear to be any real assessment of how the measures in the Procurement Bill will fulfil its principles. For example, the Government want to launch new measures to promote jobs and new skills, but how many, and what sort of skills? They want to encourage economic prosperity and growth—God knows, we need it—but there is no indication of how. They want to tackle climate change and level up, but there are no indicators and no metrics at all to assess that. Does he agree that we need not just words but facts and assessment to back this up?”
“It is interesting that a Government publication said: “Value to the taxpayer should lie at the heart of our procurement decisions.” Does my hon. Friend believe that there was value for the taxpayer in that particular process?”
“One definition of contract monitoring is the process of tracking the performance and status of contracts, to ensure that the obligations within them are being fulfilled as intended; it is not just about the purchase of a contract, but the monitoring. Does the hon. Gentleman agree that in the current climate, given the massive cuts that local government has endured over the past 13 years, it is being denuded of its ability to monitor some of those contracts, and that that issue has to be addressed as well?”
“One of the issues that I am trying to tease out is that even when we were in the European Union—I know this, the Minister knows this, and so does everybody in this Chamber—those countries had an imaginative approach to public procurement, and we did not. Even under those rules, we had a less imaginative approach. Even under the provisions that the Government are bringing forward, they cannot move away from the anal retention and enable us to take a much more imaginative approach to procurement. What in the Bill is more imaginative and will enable us to do what we want and we were promised when we were coming out of Europe?”
“I congratulate the hon. Member for Crawley on his Bill and my right hon. Friend the Member for Warley, who has been working on the issue for a long time. I completely support what the right hon. Member for East Antrim says, but on the question of potential extinction, does he agree that it would be better if organisations such as Safari Club International were honest about their position—that they just like shooting and killing things? They appear to be dressing that up as a sort of conservation effort on their part, with the killing of the animals bizarrely irrelevant to that aim.”
“May I pick up on the point made by my hon. Friend the Member for Bristol East? I have had information today that came from Dilys Roe, a member of the UK Government Darwin unit, and Professor Amy Dickman of Oxford University, who describe the figure that 86% of the public would like the Bill to become law as “cherry-picked data” and write that Survation “found that only around 40% of Britons surveyed would want a trophy hunting ban if it caused harm to people or wildlife.” I find it remarkable that we are getting that kind of information when, as far as I can see, the evidence is contrary to that. It really is important—I hope the Minister agrees—to put paid to some of the points being made, which are claims of misinformation that in themselves appear to be misinformation.”
“I understand that every year there are about 1,200 disqualifications of unfit directors. Does the Minister have any indication of how that number may expand? We have the qualitative element. How about the quantitative element?”
“I thank the hon. Lady for giving way and wish many happy returns to her mother. The hon. Lady may recall the passage of the Criminal Finances Act 2017, during which we talked about enforcement and regulatory agencies having the resources to do their job, and us giving them the resources, and the finances, to do it. Does she agree that, following the Economic Crime (Transparency and Enforcement) Act 2022, and the Criminal Finances Act, this Bill, yet again, does not give those agencies the resources, capacity and wherewithal to do the job properly?”
“The disease of not listening troubles me. I am not saying that the Government are not listening, but they are not listening enough. On my right hon. Friend’s point, there are still thousands of properties in London and across the country that have unknown offshore owners and we do not know where the money comes from. Will the Bill, or its previous incarnations, do anything to resolve that issue? I am not convinced that it will.”
“I thank the Minister for his answer. According to a Parkinson’s UK survey, people with Parkinson’s disease will pay an extra £1,196 in heating costs to manage symptoms. Those receiving the £150 disability cost of living payment are already £1,000 a year out of pocket, so will the Minister meet me and representatives of Parkinson’s UK to discuss this very important issue?”
“A person is 23 times more likely to be prosecuted for benefit irregularities than to be prosecuted for tax irregularities, but tax irregularities lose the economy nine times more. Have the Government any plans to redress that imbalance?”
“As far as I can tell, the Government have ruled out voluntary options 1 and 2 in their assessment, on the basis that they will be ineffective, particularly where unions and employers have major disagreements. The question is: why and how have the Government arrived at that decision now, in advance of the legislation itself?”
“My hon. Friend is making a compelling case. I think I know where we could get some of the money from for training places, and perhaps he will agree. We forgo about £3.2 billion in revenue from non-doms every year. There are 68,000 non-doms, there or thereabouts, which works out at about £44,000 a non-dom. Does he think that he could do much with that?”
“I welcome the team to their places. National Highways is planning to plough a road through the much-loved and used Rimrose valley, the only substantial green space in my very urbanised constituency, at a cost of up to £365 million—and that was before the current inflationary crisis kicked in. Perhaps the money could be better used to level up my constituency more constructively, rather than being allocated to a project that is at least 25 years out of date. So will the Department ask Highways England to scrap these plans, which are unwanted and unnecessary, and which will simply exacerbate—”
“Member for Westmorland and Lonsdale (Tim Farron) talked about vacancies in pharmacy, dentistry, radiology, podiatry, ambulance staff, back-office staff—as those people who are at the heart of the service and keep it going are disparagingly called—cleaners and porters. Everybody says the whole NHS is under huge stress.”
“It is a pleasure to speak under your stewardship, Mr Hollobone. I thank my hon. Friend the Member for Wirral West (Margaret Greenwood) for initiating the debate. Where do I begin on this subject? It is difficult to know because Members have brought forward a plethora of information, but I will start with the House of Commons Library briefing, which is always a good source of information, and its research is based on independent sources. It says that the Health and Social Care Committee has said: “The National Health Service and the social care sector are facing the greatest workforce crisis in their history.” The NHS, which is the best part of 80 years old, is facing the worst crisis in its history, with a vacancy rate of 9.7%, which is 132,139 members of staff. There is significant shortfall in staff across the piece. The hon.”
“Community Pharmacy England has plans to “resolve the funding squeeze”, which seems pretty straightforward, to “tackle regulatory and other burdens” that are affecting staffing, to “help pharmacies to expand their role in primary care” and to “commission a Pharmacy First service”. All those things go to the heart of enabling staff to feel wanted and that they are working in an environment where they are treated properly. Of course, we then get people leaving in droves because of pay. I looked at some of the figures in relation to the pay restraint that we have had for the past few years: since the Government came to power in 2010, for all intents and purposes there has been either no pay increase or an increase of 1% here and 2% there.”
“My hon. Friend is right: it is crucial that we do that. A whole range of issues are beginning to affect staffing. For example, there is a £9 billion maintenance backlog in the NHS. Patients are being treated in hospitals that are not, in certain situations, fit for purpose and, importantly, staff have to work in those environments. In many cases, radiology equipment is not up to date, so staff and patients are either working or being treated in an environment in which the conditions and the equipment are not good. That goes to the heart of the staffing crisis as well. There are lots of suggestions about how the Government could get to grips with the situation.”
“In conclusion, staff need a pay rise and better working conditions; the only way they will get that is with a Labour Government in two years’ time.”
“In effect, the Government tell the pay review body what it can do, because of the amount the Department has, and then, when the body agrees with what the Government say, they say it has been an independent assessment. It is not as simple as that. Here is another one: “the Government’s inflation target” is a factor. We all know where that is—whose fault is that? It is not the Government’s fault; it is the Bank of England’s fault. The terms of reference mention: “The principle of equal pay for work of equal value in the NHS”— which was referred to earlier and is not happening. They talk about: “The overall strategy that the NHS should place patients at the heart of all it does”— but it is far from putting them at the heart of the service.”
“The Government say, “Well, this year we have accepted the independent NHS pay review body’s recommendation.” I suspect that this is the first time in many years that they have accepted, championed and blown the bugle for it. Let us look at the detail and analyse it. The terms of reference include “the need to recruit, retain and motivate suitably able and qualified staff”. That is not happening, is it? That is nowhere to be seen. They also mention “regional/local variations in labour markets and their effects on the recruitment and retention of staff”. That is not working either, is it? The terms of reference mention: “The funds available to the Health Departments, as set out in the Government’s Departmental Expenditure Limits”.”
“Yes, we must. When these professionals come into the NHS and work their socks off, for all the hours that God sends, they do not even get a decent pay rise. They have had to pay to do the job, then they pay to do the job again because we are not giving them enough money. My hon. Friend is absolutely right. The amount of funding the NHS gets falls well short of our international competitors in terms of revenue and current and capital expenditure. We spend about £3,055 per person on health; in our competitor countries, which are similar economies with similarly sized populations—such as France and Germany—the figure is £3,600. That difference, of the best part of £600 per person, is absolutely significant. We are falling further behind as the years go by.”
“The Royal College of Physicians produced a short, medium and long-term plan for the NHS, specifically in relation to staffing. I was shocked to read that the measures to increase satisfaction and retention of current staff—getting the basics right—included access to hot food and drink, and rest facilities, at all hours of the day. The Royal College of Physicians putting that into a document shows how poor the situation is. Would my hon. Friend agree that the Government have to listen to that?”
“Given that the Government since 2012 have broken virtually every fiscal rule they have set themselves, why should we pay a blind bit of attention to this new fiscal rule? Why would we believe anything that those on the Tory Front Bench say about their fiscal rules, which are brushed aside as and when they feel like it?”
“When the Tories came to power in 2010, national debt was just under £1 trillion, yet I remind Conservative Members that it is now £2.4 trillion—so much for the party of sound finance.”
“That point about conservation has to be put into the context that as many as 273 million sharks are killed every year; on a figure of just 100 million, which is the lower estimate, that is about 11,000 sharks killed every hour. I congratulate the hon. Lady on bringing the Bill before the House. Does she agree that it will send a message to other countries to end this barbaric practice?”
“As the hon. Member said, more than one third of employees undergoing fertility treatment consider leaving their job because of the problems she has described. Does she agree that that is not good for the economy, let alone the personal and financial circumstances of the person concerned? That is why this debate is so important, and I thank her for initiating it.”
“The Front-Bench speeches will begin at 3.28 pm and quite a number of people still wish to speak. I will not impose a formal limit, but if Members could keep to three to four minutes that would be helpful.”
“Minister, can I just say that there may be votes very shortly? That means that we will be suspending the sitting and coming back, so if you can—”
“Is my hon. Friend aware that not a single dental practice in either the current former Prime Minister’s constituency or the Health Secretary’s constituency is accepting new NHS patients? Should it not spur on the Government that the former Prime Minister’s constituents and the current Health Secretary’s constituents cannot get access to NHS dentistry?”
“I completely accept that covid had an impact on the provision of dental services—it hothoused an already challenging situation—but dental services in all our constituencies were under huge pressure before covid. Let us not pretend that covid was the be all and end all of the dental health problem.”
“I have had no luck and have had to have private dental visits. I have luckily not had to have any treatment as I would not be able to afford it. I have reached out to a few dental practices in the area…to be told that they are only taking on children on the NHS.” That is typical of the experience of everyone in this Chamber. I exhort Conservative Members to stop dealing with this in the abstract, as though it is only affecting individual Members of Parliament; it is a collective issue, and it needs a thorough review and a thorough push by the Government. It is not in the abstract. The hon. Member for Salisbury (John Glen) referred to covid.”
“Where are we to begin with this? We have been here before, time after time. I thank my hon. Friend the Member for Bradford South (Judith Cummins) and the hon. Member for Waveney (Peter Aldous) for bringing us this debate. We have discussed this many times and we had a debate in Westminster Hall in the summer, but nothing has really moved on. Nothing at all seems to have changed. I want to read out part of a letter I received from a constituent, and this is typical of the problem we are facing. I have received even worse horror stories, to the extent that one local dentist told me that they may close in the next few weeks. That is typical and symptomatic of this bigger problem. My constituent said: “I wanted to take the time to get in touch with you over my experience of getting on the books for an NHS dentist.”
“Member for Bath (Wera Hobhouse) referred to an existential threat, and there is one—dentists are telling us that, as is the BDA. In practical terms our constituents are saying that to us, because their experience shows that there is an existential threat. The contract is a discredited one and it needs to be put right; it puts targets ahead of patient care. But this is also down to the fact that, whether we like it or not, and whether the Government like it or not, cuts in dentistry have not had any parallel to any other cuts in healthcare. We are talking about cuts of more than 25% between 2010 and 2020. That factors in and it creeps up on us year after year until we get to the situation where access to dentistry is the No. 1 issue raised with Healthwatch.”