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Category: Speeches

  • Barney Heyhoe – 1986 Speech on Normans Riding Hospital in Gateshead

    Below is the text of the speech made by Barney Heyhoe, the then Minister for Health, in the House of Commons on 7 February 1986.

    As I would expect, the hon. Member for Blaydon (Mr. McWilliam) has deployed his case with both case and concern on behalf of his constituents in raising again the decision to close Normans Riding hospital. I have listened with great interest to all that he has said and I will certainly write to him if there are points which, on reflection, I think deserve a further response from me other than that which I can give in this brief debate. I am most grateful to the hon. Gentleman for his kind comments about my ministerial colleague the Parliamentary Under-Secretary of State my hon. Friend the Member for Wycombe (Mr. Whitney) with regard to the way in which the deputation led by the Member for Blaydon was received and the manner in which the matter was dealt with.

    To set the closure of Normans Riding in its proper context, I should perhaps begin by referring to the important developments taking place at the Queen Elizabeth hospital in Gateshead. As the hon. Gentleman knows, schemes 1 and 2 of that hospital were commissioned in 1967 and 1972 respectively. Those two schemes provide a full range of radiological diagnostic support services, out-patients’ department, and so on, to support the 263 acute and maternity beds. As the hon. Gentleman also knows, scheme 3, built at a cost of some £9 million, will add a further 200 acute beds, six operating ​ theatre suites, six intensive therapy unit beds and further supporting services. Scheme 3 is due to come into use in the next few months and various groups of patients will be transferred to the new facilities. One result will be that facilities at Dunston Hill hospital will become vacant. Patients currently at Normans Riding hospital will be transferred to the vacant facilities at Dunston Hill.

    In addition to scheme 3 of the Queen Elizabeth hospital, there are other exciting developments taking place in Gateshead. For example, there is the recently opened community unit for those with mental handicap. There are priority service developments for the elderly who are severely mentally ill.

    The hon. Gentleman referred to beds for the elderly and the general provision in his area, and I understand that with the completion of the schemes to which I have referred a number of beds for the elderly will become available. If further beds for the elderly are required, these could be provided at Bensham or at Dunston in a rather more economic fashion than would be achieved by retaining the facilities at Normans Riding.

    Mr. McWilliam

    Does the right hon. Gentleman have any idea of the distance or the transport difficulties that are involved in getting from Ryton, Blaydon or Winlaton to Bensham or Dunston?

    Mr. Hayhoe

    I would not claim any knowledge that meets even remotely that which the hon. Gentleman has of the area which he represents. I intended to say something about transport facilities but, as he will understand, I must rely upon advice that I am given.

    Within the general area there is increased provision for patients flowing from the increased resources that have been provided for the NHS. That does not mean — I accept what the hon. Gentleman says on this score — that there is not real pressure on the available resources. As he has said, the district is achieving only 92 per cent. of its target under the RAWP arrangements, though it is moving up steadily as a result of the overall policies that are being implemented. I hope that 100 per cent. of the RAWP target will be achieved over the course of the next decade. This means that health authorities must examine carefully the way in which services are organised to ensure that they are provided in a sensible and efficient manner. If money is tied up in a hospital which is not required, other developments cannot take place.

    It was against that background, and with the desire to concentrate services for the elderly at the Dunston Hill hospital site, that the Gateshead health authority considered carefully the need to retain the Normans Riding hospital.
    The hon. Gentleman will know much better than I do that the Normans Riding hospital is sited in a relatively remote part of the district away from any real back-up medical facilities. I have read past correspondence and I have found that much has been made of the pleasant site of the hospital. I accept fully that that is so. At the same time, I cannot ignore the high cost of upgrading — estimated at £500,000 — that would be required if the hospital were to be retained. The relative isolation of the hospital causes difficulties for patients and staff alike. I am advised that the only public transport to the site is the twice-weekly special bus service that is laid on to coincide ​ with visiting times. On other days, relatives without their own transport must use taxis or make other special arrangements.

    Mr. McWilliam

    The hospital is within three quarters of a mile of one bus terminus, from which there is at least one bus an hour. It is within 500 yd of a bus stop at which buses stop less frequently but fairly regularly.

    Mr. Hayhoe

    I do not think that that detracts from what I have said. The hon. Gentleman has put the matter in a local context, which local people will know.

    Patients who require investigative treatment must usually be taken by ambulance to the Queen Elizabeth hospital in Gateshead. Day-to-day medical cover at the Normans Riding hospital is provided by local GPs. Any condition requiring a specialist opinion currently requires a special trip by the consultant.

    That overall situation will be greatly eased when the patients are transferred to Dunston Hill hospital where patients and staff will have easier access to important diagnostic and other services. The medical aspects of these matters must loom large in all the attention which is given to them.

    I understand that Dunston Hill hospital is served by about 10 bus services, making visiting by most relatives and friends much easier. It is important not to expect old folk to have to walk, perhaps in inclement weather such as that that we have experienced recently, and there is a great advantage in having the public transport going close to the hospital.

    Inevitably, much has also been made of what is seen as the loss of a good hospital. I fully appreciate the local anxieties and loyalties that are always amplified when an issue of this kind comes before the public’s attention, but perhaps those aspects have been somewhat exaggerated. In practice, only a quarter of the patients currently at the Normans Riding hospital come from the immediate area and the move to Dunston Hill hospital will bring the majority of patients nearer to their homes and families. That is my advice, and I presume that people have looked carefully at where the families and friends of the current patients of Normans Riding live.

    Mr. McWilliam

    I do not want to take up much more of the Minister’s time because he has been more than fair to me in giving way, but patients from the immediate area of Normans Riding hospital are being transferred miles across the borough deliberately and patients from miles across the borough are being transferred into Normans Riding hospital to prove the point. It is being done deliberately.

    Mr. Hayhoe

    I am not in a position to confirm or deny that. I have not examined the records myself. As I say, I am advised that the position is as I have given it to the House today.

    Two of the four wards at Dunston Hill hospital which will be used for existing patients from Normans Riding have already been upgraded. There has been talk of the standard of accommodation. Plans are in hand to upgrade the other two wards. I should stress that that upgrading is for real; I have seen some suggestions that it is merely a cosmetic operation.

    I hope that the hon. Gentleman will have seen for himself on his visit to Dunston Hill hospital earlier this week, to which he referred, the efforts that the authority ​ is making to provide attractive, homely surroundings for the patients. The two wards yet to be upgraded will be upgraded to a high standard and over the next few years attention will be given to landscaping the hospital site and to a number of other significant improvements to parts of the site.

    It has been suggested that the developing expertise in the care of terminally ill patients at Normans Riding hospital will be lost as a result of the move. The hon. Gentleman referred to that aspect. The Gateshead health authority is aware of that concern and will be seeking to ensure that that expertise will continue when patients transfer to Dunston Hill hospital. As the hon. Gentleman may know, all the permanent staff at Normans Riding hospital are being offered similar appointments at Dunston Hill hospital. It is hoped that a majority will be able to transfer with their patients, thus providing a high measure of continuity of care.

    The hon. Member referred to the health advisory service report which was broadly welcomed by the Gateshead health authority because it contained many helpful recommendations. The authority established a small group of members to look at its specific points. One can quote from a report a sentence or paragraph or two to sustain one position or another. Perhaps the hon. Gentleman will therefore appreciate it if I quote one paragraph to buttress my case, just as I would expect him equally fairly to quote another paragraph that was more in tune with his point. Paragraph 100 states:

    “The policy of integrating geriatric medicine with general medicine on the Queen Elizabeth site following scheme 3 and concentrating facilities for the elderly on fewer sites is commendable and should secure the medical care of the elderly in the mainstream of clinical medicine. This will give all ​ patients, irrespective of age, immediate access to the diagnostic and therapeutic resources of the district general hospital which will improve morale and recruitment of staff to the speciality of geriatrics and last, but by no means least, create the means of introducing the multidisciplinary patient-oriented approach to illness at all ages into the acute sector wards.”

    There is a real bonus in medical terms to be gained from the proposition which I have agreed. Revenue savings will be achieved by closing Normans Riding hospital and transferring the services to Dunston Hill hospital. The savings are estimated at £178,000 in a full year, all from non-direct patient care services — administration, domestic, catering, portering and estate managing services. Those savings are to be deployed elsewhere to improve services to patients.

    I have accepted the assurance from Gateshead health authority that the transfer of the facilities from Normans Riding hospital to Dunston Hill hospital will enable the authority to provide the same level of service more efficiently and will release much needed money to improve existing services across the district to the overall benefit of the community who look to the authority for health care.

    For these reasons, and after careful consideration, I concluded that I should support the decision of the Northern regional health authority and the Gateshead district health authority by approving the closure of the hospital. Although I have listened with great care and interest to the hon. Member for Blaydon, I am not persuaded by what he said that the closure decision I made was wrong.

  • John McWilliam – 1986 Speech on Normans Riding Hospital in Gateshead

    Below is the text of the speech made by John McWilliam, the then Labour MP for Blaydon, in the House of Commons on 7 February 1986.

    First, may I thank the Minister for Health for the fair and interesting hearing that the hon. Member for Wycombe (Mr. Whitney) gave to the deputation from Gateshead that came to discuss the closure of the Normans Riding hospital. The Under-Secretary of State took on board several points. Unfortunately, he did not take on board all the points of concern. The Minister for Health wrote to me on 22 January informing me that the hospital was to close. He said that he had concluded

    “that the interests of patients were best served by allowing the proposed closure to proceed. I am satisfied that by closing the hospital, significant financial savings will be achieved with no reduction in the services provided.”

    That is the point on which I take issue.

    In September 1985 the National Health Service health advisory service and the DHSS social services inspectorate reported on services for the elderly provided by the Gateshead health authority and the social services department of the borough of Gateshead. The report raises several problems and difficulties that do not confirm the Minister’s view that he kindly set out in his letter to me. Although not directly related to the closure, but related to the cause of the closure, paragraph 5 states:

    “Despite the fact that Gateshead is a deprived District the Regional Health Authority’s budgetary distribution does not, in the short term, improve the situation in that the 1985–86 allocation leaves the District even further from target.”

    Gateshead spends only 92 per cent. of what, even by the Government’s standards, should be spent on health. Gateshead was specifically mentioned in the Black report. We have severe problems of social deprivation and unemployment and the general difficulties of an area without major teaching hospitals. However, my constituency has a further problem, because it has a large number of former coal miners who worked in one of the dustiest coalfields in Britain. Consequently, the number of those with bronchial and other complaints associated with working with coal is markedly higher than it is in other areas. The fact that we have only 92 per cent. of the resources that we should have can only exacerbate the problems, because people are not getting the health care that they require.

    Normans Riding hospital is largely a geriatric hospital. There are 10 general practitioner beds that deliberately have never been used as such. In the report, the general practitioners’ view on the provision of geriatric services is as follows:

    “All but one of the general practitioners met expressed concern about difficulties in achieving admission to hospital of elderly people with sub-acute illness compounded by sociological and psychological overtones that precluded continued care at home. In such cases, a domiciliary consultation was virtually a precondition of direct admission to a geriatric bed and then usually via a waiting list.”

    It is still via a waiting list.

    The community health councils view of the proposed closure of Normans Riding hospital is,

    “that there was considerable under-provision for the elderly in Gateshead with a fear that the needs upon which the Health Authority plans were based did not match the needs in the community: there was deep concern about the closure of Normans Riding hospital.”

    That is true. Those needs do not match the needs in the community.

    The decision of the district health authority is based on an assumption about the local authority provision, especially part III provision, that can be made. I have consulted the leader of Gateshead authority, the chairman of social work and the deputy chairman of social work. Their problem is that if the local authority increased expenditure to provide the part III provision that is needed to alleviate the problem, although it would not solve it completely, the local authority would inevitably incur penalty under the rate support grant scheme. The DHSS has not taken sufficiently into account the restraints which the Department of the Environment has placed on that local authority.

    If we are to do something effective about care for the elderly in Gateshead, the two Departments must come together, and one of them—presumably the Department of the Environment—must admit that the allocation of rate support grant to Gateshead and the grant-related expenditure assessment for social work in Gateshead will have to be increased to meet what the district health authority expects the local authority to provide, because it clearly cannot be provided now.

    The Minister’s officials also stated:

    “The hospital service relies heavily on the practice of ‘swapping’ to gain admission to Part III beds. The present allocation system, with no health service input, reinforces this practice which medical have used to gain what they see as a fair proportion of beds for their patients. Between 4 January and 17 May 1985, 35 beds were allocated to the hospitals … of which 20 were ‘swapped’ with existing hospital patients.”

    It is clear from cases that I have taken up in my constituency that, even in semi-acute cases, people cannot obtain geriatric beds unless something else is seriously wrong with them or unless arrangements can be made with the local authority.

    The report continues:

    “The Health Authority have proposals for the closure of the Normans Riding Hospital. In this situation it is inappropriate to dwell on the structural problems observed. However, the toilets and sluices on most wards are most unsatisfactory for elderly patients.”

    They are, but it would be fairly inexpensive to bring those toilets and sluices up to standard. What is more, it would be a fairly inexpensive. job to sort out the structural problems in Normans Riding hospital, because they are not fundamental problems, but problems of construction begun at a time when people were working in a hurry because a war was about to break out. There would not appear to be too great a difficulty. The advice given by the Minister’s officials is:

    “If patients are to be accommodated at the Normans Riding Hospital for any length of time, it is imperative that”

    the sluices be brought up to date.

    The suggestion is that those patients should be transferred to Dunston Hill hospital, which is also in my constituency and which I visited on Monday. I have every regard for the dedication and skill of the people who work an that hospital and for what they are trying to do in difficult conditions, but the advice of the Minister’s officials is this:

    “The Health Authority should not transfer patients from Whinney House, Normans Riding and St. Mary’s Hospitals to Dunston Hill Hospital until accommodation of a satisfactory standard is available for each group of patients. Application to the Regional Health Authority for special funding to ensure this work is carried out should be considered.”

    Within the last month, the northern group of Labour Members met the chairman of the regional health authority. Although helpful, he could not give the kind of commitment that we want. It will cost £400,000 to bring the wards at Dunston Hill to the standards suggested. If Normans Riding is left in place that expenditure will not be needed.

    Two aspects of this annoy me particularly. First, the decision to close Normans Riding was taken on the casting vote of the chairman of the district health authority who is appointed and paid by the Minister. Secondly, I believe that we need both Normans Riding and the upgraded Dunston Hill to meet the needs of our elderly. The assumptions being made about the ability of the local authority to cope appropriately with the problems faced by elderly people in my constituency and in the rest of Gateshead will not be fulfilled unless that provision is made.

    The decision to close Normans Riding was a mistake. It is an excellent hospital with special expertise nationally in the care of the terminally ill. I am very upset indeed that the Minister has decided to close that hospital on the casting vote of his paid chairman and against the wishes of the community and the GPs when all the evidence shows that insufficient provision has been made and when it is perfectly clear that £400,000 will have to be spent to provide an alternative.

    Finally, Normans Riding is the only purpose-built isolation hospital on Tyneside. It is not connected to the main sewerage system, it has its own kitchens, and so on. I should not like to think of a situation arising in which we would need those isolation facilities, but if we get rid of Normans Riding we shall never again have a facility which — God help us — may at some time be needed. The alternative — the Queen Elizabeth hospital — is in the most densely populated part of the borough and is clearly not appropriate for the provision of isolation facilities in an emergency.

  • Paul Channon – 1986 Statement on British Leyland

    Below is the text of the statement made by Paul Channon, the then Secretary of State for Trade and Industry, in the House of Commons on 6 February 1986.

    Yesterday, I informed the House that talks were at an advanced stage on the proposal for a merger between Land Rover —Leyland and the Bedford Commercial Vehicle subsidiary of General Motors. It is the Government’s intention that, subject to satisfactory terms and conditions, and the receipt of firm undertakings from GM on its manufacturing and sourcing intentions, these negotiations should be brought to an early and successful conclusion.

    I also confirmed that, following an approach by the Ford Motor Company, wide-ranging but, at this stage, exploratory discussions with the Austin Rover Group were in progress which might lead to a proposal for the merging of those businesses. I wish to inform the House at the earliest opportunity of the most recent developments affecting these discussions, in particular as regards Austin Rover.

    The Government would have preferred to have waited until the exploratory talks had clarified the difficulties and opportunities a merger might have created and then taken a decision in principle, on the basis of a considered analysis, whether to pursue the possibility further. Speculation surrounding these exploratory talks has itself given rise to very great public concern and uncertainty. If that were to continue for an extended period, it could have seriously damaged the prospects for Austin Rover’s business, its employees, its suppliers and its dealers. Nor would such a period of uncertainty have been helpful to many people associated in comparable ways with Ford’s business in this country. Concern about these developments was expressed very clearly on both sides of the House in yesterday’s debate. The Government have given full and immediate consideration to the situation so created. We have decided that the right way to end the uncertainty is to make it clear that the possibility of the sale of Austin Rover to Ford will not be pursued.

    It is the Government’s intention, with the agreement of the BL board, that negotiations should be pursued for the separate privatisation of Unipart by the early placement of shares with United Kingdom institutions.

    Collaborative arrangements in the motor industry will become increasingly necessary and important. Austin Rover Group’s successful relationship with Honda is an example of that. I hope that Ford and Austin Rover will also consider positively other opportunities for collaboration. I should like to pay tribute to Ford’s contribution to the British economy through research and development, manufacturing and employment.

    I hope that the Government’s decision and the ending of uncertainty will leave Austin Rover free to devote its efforts to the further development and growth of its volume car business, building on creditable progress which has already been achieved.

  • Ken Clarke – 1986 Statement on the Inner Cities

    Below is the text of the statement made by Ken Clarke, the then Paymaster General and Minister for Employment, in the House of Commons on 6 February 1986.

    With permission, Mr. Speaker, I should like to make a statement on Government help to people living in inner city areas.

    We are all only too well aware that people who live in many inner areas of our cities suffer from a wide range of long standing problems. The Government have increased the amount of central Government money spent on employment and training programmes, urban regeneration and industrial assistance in these areas. We have taken a number of measures, including setting up last year city action teams to co-ordinate and target Government effort in the seven inner city partnership areas.

    In order to complement and build on that existing work, we have now decided to try out a new approach to the task by intensifying and bringing together the efforts of Government Departments, local government, the private sector and the local community in eight small inner city areas.

    This initiative is a further step to improve the targeting and enhance the benefit to local people of the money channelled through existing central Government programmes. They include the employment and training programmes of the MSC, the Department of Trade and Industry’s programme of regional and industrial assistance, the Department of the Environment’s urban programme, and the Home Office programmes of black business support and grants to support staffing of services to ethnic minority populations.

    Within the chosen areas we shall try out new approaches, particularly on training provision, and employment or self-employment opportunities for local residents. That will be tackled through projects and activities of wider but direct benefit to the residents of the areas concerned and their environment. We shall seek to stimulate enterprise and provide a stronger base for the local economy. We shall give special attention to the problems of young people from ethnic minorities where they are particularly disadvantaged.

    To test our approach we have selected eight areas which are diverse in their character but whose residents all share problems of deprivation and lack of opportunities. They are not necessarily the eight most deprived areas in our cities, but the people who live in them need more employment opportunities, support for their local business economy, and a better physical environment. We shall introduce our new initiatives in Notting Hill and north Peckham in London, the Chapeltown area of Leeds, north central Middlesbrough, the Highfields area of Leicester, Moss Side in Manchester, St. Paul’s in Bristol and Handsworth in Birmingham.

    We shall be establishing small task forces in each of those areas. They will work with the local authorities and local community and voluntary organisations. They will quickly seek to attract private sector participation.
    We shall seek early discussions with the local authorities concerned about the details of this initiative. We hope to persuade the local authorities to join us and use their own programmes alongside our own in a concentrated and targeted effort to improve work prospects and the quality of life in those areas.

    Large sums are already available to the chosen areas under existing Government programmes, but, in order to help the initiative get off the ground, the Government will be supplementing the sums with £8 million of additional money of which £3 million will be found from within my Department’s existing provision and £5 million will be found from the reserve.

    The initiative will be led by a team of Ministers drawn from the Departments of Employment, Education and Science, Trade and Industry, Environment and the Home Office. My right hon. and noble Friend the Secretary of State for Employment will have overall responsibility for the co-ordination of the initiative. I shall have responsibility for its day-to-day management and supervision with the support of a small central unit. This inner cities initiative will complement and not replace existing Government programmes.

    I hope that the House will welcome a bold experiment in concentrating all available efforts and resources in a joint way on the improvement of job expectations and the quality of life of the residents of those small inner city areas.

  • Alistair Goodlad – 1986 Statement on Sellafield

    Below is the text of the statement made by Alistair Goodlad, the then Parliamentary Under-Secretary of State for Energy, in the House of Commons on 6 February 1986.

    British Nuclear Fuels plc has reported that during maintenance operations yesterday there was a small release of plutonium radioactivity within the main reprocessing building at Sellafield. The incident arose during maintenance operations on a pump, during which air was accidentally blown across a flow of liquid with plutonium in it. This caused a mist with a small amount of plutonium in suspense. Monitoring equipment in the building, which is extremely sensitive, gave an alarm. The staff quickly traced the sources of the escape, shut off the flow of air and instituted procedures for evacuating all non-essential staff.

    Tests on staff contamination have so far shown no cause for concern. BNFL will carry out further tests on staff over the next few days. On present evidence, there was no risk to the public.

    A member of the nuclear installations inspectorate was on site and was notified at the time. My Department and other interested Government Departments were notified shortly afterwards. The company has estimated that a very small radiation release from the building of 50 micro-curies may have occurred, but no release was, in fact, discernible from its monitoring equipment outside the building.

    The nuclear installations inspectorate has already initiated an investigation in co-operation with the radio-chemicals inspectorate, and will make a statement about the incident within the next few days. The company is also conducting its own inquiries into the incident.

  • Kenneth Baker – 1986 Statement on Water Privatisation

    Below is the text of the speech made by Kenneth Baker, the then Secretary of State for the Environment, in the House of Commons on 5 February 1986.

    With permission, Mr. Speaker, I will make a statement about the future of the water authorities in England and Wales.

    On 7 February 1985, the then Minister for Housing and Construction, my hon. Friend the Member for Eastbourne (Mr. Gow), announced that the Government would examine the prospects for privatisation in the water industry. A discussion paper followed in April. In the light of the responses, and of professional advice on the financial issues, the Government have now decided to transfer the 10 water authorities in England and Wales to private ownership; already, 25 per cent. of water is supplied by private sector water companies.

    With my right hon. Friends the Secretary of State for Wales and the Minister of Agriculture, Fisheries and Food, I have today presented to Parliament a White Paper setting out our proposals. Legislation will be necessary, and we shall put the water authorities on the market as soon as possible thereafter.

    Transferring water to the private sector will offer unique opportunities and challenges. The water authorities are not merely suppliers of goods and services. They are managers of natural resources. They safeguard the quality of our rivers. They control water pollution. They have important responsibilities for fisheries, conservation, recreation and navigation. These functions are inter-dependent and inseparable.

    We will maintain the principle of integrated river basin management and we will maintain existing boundaries. The water authorities will be privatised with all their existing responsibilities but for the one exception of land drainage and flood protection. Financing and co-ordination of that function will remain a public sector responsibility.

    The authorities are largely natural monopolies. The public will, rightly, expect us to set up a firm regulatory framework. We will appoint a director general of water services. He will control the authorities through an operating licence. This will lay down strict conditions on pricing and on service standards. The system of promoting the interests of consumers will take into account a report which I am publishing today from Professor Littlechild of Birmingham university. Under the director general, there will also be strong machinery for representing consumer interests and investigating complaints.

    Water authorities are responsible in England and Wales for the implementation of national policy for the water environment. Necessary existing safeguards—including appeals against water authority decisions on discharges and Government controls on the authorities’ own discharges—will continue. And we shall strengthen the system of pollution control in two main ways: first, we shall legislate to make their river quality objectives subject to ministerial approval; secondly, we shall provide for any new requirements to be laid down through a parliamentary procedure. In this way we shall use the opportunity of privatisation to improve environmental standards on a continuing basis.

    Over the last seven years considerable progress has been made in improving the management efficiency of ​ water authorities. Their operating costs have been reduced in real terms, even while the demand for their services has been growing. Manpower has been reduced by 20 per cent. The number of board appointments has been reduced even more dramatically — from 313 to 123. In 1979 their investment was falling; in real terms it is now above its 1979 level and it is rising. In the last six years we have made the water authorities fit and ready to join the private sector; and, as reported to the Public Accounts Committee, the quality of water services has been improving in almost all regions.

    Privatisation is the next logical step. It will bring benefits to customers, to the industry itself and to the nation as a whole in improved quality, more efficient service, greater commitment of the staff to the work they are doing, and greater awareness of customer preference.

    With the disciplines and freedoms of the private sector, I expect the industry to move from strength to strength. I know that these proposals will be welcomed.

  • Ray Whitney – 1986 Speech on Horton Hospital in Banbury

    Below is the text of the speech made by Ray Whitney, the then Parliamentary Under-Secretary of State for Health and Social Security, in the House of Commons on 4 February 1986.

    I am very grateful for the opportunity to respond to this Adjournment debate. It is well known to the House that my hon. Friend the Member for Banbury (Mr. Baldry) takes a very close interest in all the affairs of his constituency but particularly in the medical cover that is provided for his constituents—appropriate indeed for the son of a medical family.

    I am grateful to my hon. Friend for placing his entirely fair points in the context of the increasing and expanding medical care that is being provided by this Government. I do not wish to enter into a statistical knock-about, but it cannot be said too often that significantly and steadily, in real terms, this Government have increased the proportion of resources that are devoted to the National Health Service both nationally and regionally, including the Oxfordshire district and the Horton general hospital.

    The real terms increase in expenditure since 1979 will be over 20 per cent. this year. My right hon. Friend the Secretary of State for Social Services has announced that during the next three years we shall continue to give the same degree of priority to the NHS. Expenditure in Great Britain on the NHS is set to rise by nearly £2·8 billion to well over £20 billion in 1988–89. That represents a real terms increase in each year.

    I shall now refer briefly to the Oxford region. I represent an Oxfordshire constituency and therefore take a particular interest in the region. It reinforces my ministerial responsibilities. My hon. Friend referred to the resource allocation working party. Pressures continue upon the Oxford region. They spring largely from its rapid growth in population. The pressures on the Oxford region have been taken into account in the allocations. For example, the allocation to the region in 1986–87 represents an increase of 7·3 per cent. over 1985–86. That compares with increases in other regions that range from 5·7 per cent. to 8 per cent.

    This is a slightly lower allocation, in cash terms, than that which the region had hoped for or expected, but an increase of 7·3 per cent. is significant when there are heavy pressures upon expenditure generally. That allocation will put the region back on the course from which it was deflected. It will move towards its target of receiving a fair share of resources and it will correct the drift away from that target which has been a feature of recent years. The region, we estimate, is now within 2 per cent. of its target. The planning guidelines which we are now issuing to the regions, predict growth for Oxford of 1·7 per cent. in 1987–88 and 1·8 per cent. in 1988–89, and are designed to continue this process. I therefore submit that Oxford is feeling the benefit of the change in the RAWP formula in 1985–86 from past population figures to population projections for the year of allocation, a change specifically aimed to reflect more fully the needs of regions with rapidly growing populations. Coming from the region, as I have said, I well recognise that factor.

    My hon. Friend referred to the impact of RAWP formula. The regional health authority has put a paper on RAWP to Ministers, and it will have an opportunity to put to Ministers its arguments on this issue in a regional review which will be chaired by my right hon. Friend the Minister for Health. We have also asked the National Health Service management board to undertake a review of the ​ RAWP formula, keeping the guidelines which aim at a general equalisation of health provision throughout the country. While the terms of reference of the review have not yet been finalised, the objective is to ensure that the RAWP formula is applied with common sense and sensitivity. This will provide an opportunity for the region to put to the department its particular concerns about the application of the RAWP formula to the Oxford region.
    I therefore hope that my hon. Friend recognises in the application of these figures that substantial funds are available. I hope that they have been applied flexibly, recognising the changing pressures in the regions, and specifically in the Oxford region and district.

    I deal now with other points which my hon. Friend made about the general pressures on the health authority to meet the pay awards. That is recognised, and it must inevitably be part of any arrangements of the funding of the Health Service. We have provided increases which are above the rate of inflation. It is important to understand that the cost improvement programmes are making available additional funds to authorities which go back into the kitty to cover not only the pay awards but improvement in the services. Resources released in this way through increased efficiency and cost improvements added something like 1·5 per cent. nationally to the money available for services and pay awards. Authorities are expected to improve on that next year. Oxfordshire has a cost improvement programme in 1986–87 of 1·8 per cent. In fact, in 1985 authorities have been able both to fund the 1985 pay awards and to develop services.

    Health authorities cannot expect, any more than employers in other industries and services, to be insulated from uncertainties about the level of pay settlements. It would be wholly unrealistic to expect the taxpayer to pick up whatever costs arise. We have no plans to increase health authorities’ cash limits to fund pay awards. As we have made clear, there is an inevitable trade-off between expenditure on pay and on services, and the precise balance will vary from year to year. I hope that my hon. Friend will accept that that is the way that we must conduct our services.

    Mr. Baldry

    The difficulty is that district health authorities and others fix their budgets at the beginning of the year in anticipation of a pay award and halfway through the year they find themselves with percentage increases that they did not and could not have anticipated, because of review body decisions.

    Mr. Whitney

    No one pretends that it is an easy problem. The pay awards must be contained within the steadily increasing percentage of the national wealth that is devoted to health. I hope that with cost improvements authorities will accept that and find sufficient flexibility. The awards are phased and that helps health authorities solve the problem which, I accept, is difficult.

    It may not be possible for me to cover all the points mentioned by my hon. Friend. Nationally, there has been an increase of about 50,000 nurses and midwives. My hon. Friend said that the shortening of their working week is a factor in that. We have significantly—perhaps not as much as we should have wished—increased the rates of nurses’ pay in real terms. That produces pressures.

    I understand that there are problems at the Horton hospital in Banbury and with the Oxfordshire health authority. The authority has set a review committee to ​ work. I am not sure whether it has reported, but when it does we shall consider how the health authority can cope. It is a problem that must be solved locally, because the national picture shows a steady increase in the number of people employed in nursing since we took office.

    My hon. Friend mentioned those elderly people who would be better off in a nursing home. He referred to the level of supplementary benefit. From November, the allowance for an elderly person in a private nursing home was increased to £170 per week. That is subject to examination and review. Management consultants are studying the level and its feasibility. We have set in train studies on the assessment of old people to ensure that the service is being provided for those who genuinely need it. At £170 per week, the provision is not ungenerous.

    As a Minister with responsibility for social security I had the privilege of going around the country looking at nursing and residential care homes. It struck me as entirely possible to provide a good level of care in nursing homes with such funding. I hope that will continue to be the case.

    It is regrettable if facilities are not used. Because of the way in which we run our Health Service, many decisions ​ at local level must be taken by the district health authority. My hon. Friend was kind enough to accept that the resources made available to the Oxfordshire health authority and the Horton hospital were not ungenerous. The Oxfordshire health authority has gained substantially and expenditure on Oxford district between 1978–79 and 1984–85 has more than doubled, representing an increase of 13 per cent. above inflation.

    During the past six years £2·1 million has been spent on capital developments at the Horton hospital, and in 1983 four new operating theatres were completed. Next year a new phase will begin which will provide 100 beds for elderly people and a new day hospital at a cost of £5·2 million. There are plans to replace the accident and emergency unit. The upgrading scheme will be assisted by local fund-raising, which, as my hon. Friend says, demonstrates the support for the hospital.

    This is a good story. I understand the problems, but with the support that the health authority is receiving at national level, I hope that it can cope with them.

  • Tony Baldry – 1986 Speech on Horton Hospital in Banbury

    Below is the text of the speech made by Tony Baldry, the then Conservative MP for Banbury, in the House of Commons on 4 February 1986.

    I am grateful for the opportunity to raise this important subject and I thank the Minister for the care that he has taken so far in dealing with the representations that I have made about the Horton hospital.

    As both my parents have spent their working lives in the National Health Service—my father is a doctor and my mother a nurse—I have, naturally, always had an interest in the NHS, and since becoming the Member for Banbury I have taken a particular interest in the Horton general hospital. It is a first-class general hospital with well-qualified and highly motivated staff serving the medical needs of a wide catchment area stretching into Northamptonshire and Warwickshire.

    Any debate on the NHS is liable to become either a statement of statistics or an exercise in special pleading. I hope to do neither. Horton is a well run hospital. The local community has every reason to have confidence in the hospital’s unit administrator, Dennis Baston, and his team. Whereas the average national daily cost per inpatient is £79, at Horton hospital it is only £66, and whereas the national average in-patient case cost is £577, at Horton it is £528.

    Some people seek to give the impression that the NHS is in a state of constant decline, is starved of resources and has ever-shrinking staff numbers. In fact, the figures show that local health services have never had so many resources devoted to them. Revenue spending on health services in Oxfordshire has increased by 101·7 per cent. in cash terms since 1979, representing an increase in real terms of 13·2 per cent. That means that the Health Service in Oxfordshire has a budget 13·2 per cent. bigger than it was in 1979. Revenue spending on Horton general hospital has increased by 103·8 per cent. in cash terms since 1979, which represents an increase in real terms of 14·4 per cent.

    During the past six years, about £2·25 million has been spent on new building works at the hospital, and during the next five years about £6,640,000 is planned to be spent on new building works. Since 1979, about £670,000 has been spent on new medical equipment at the hospital. There is no doubt that Horton general hospital is a more secure, better district hospital now than it was in 1979.

    Against that background of consistent achievement in the NHS and consistent extra resources for the hospital, I raise my specific anxieties, because, despite the consistent improvement, many beds at the hospital are empty for want of nurses and some financial resources. The first legitimate anxiety relates to RAWP which, as my hon. Friend will know, is the formula by which resources are allocated from central Government to regional health authorities. There are good grounds for suggesting that Oxfordshire regional health authority is underfunded. As my hon. Friend will know, it is one of the fastest growing areas of population in Britain, yet although in 1977–78 the region was 7 per cent. above its RAWP target, it is now 3 per cent. below target. It would appear to have had a more negative movement than any other region. I do not understand why Oxfordshire regional health authority should be in that position. The region’s budget may be underfunded, so, however hard it tries, it will have ​ difficulties in meeting all its commitments. At the end of the day, that means that in a good district general hospital beds are not being used as they should be.

    In a letter to me last October, my hon. Friend the Minister acknowledged that Oxfordshire is not receiving its fair share of resources. He said:

    “It is true to say that Oxford RHA receives 3 per cent. less than its fair share of the available resources, whereas in 1977–78 it received 7 per cent. more than its share.”

    What happened was that, just at the point when the region was on target to receive exactly its fair share, its relative need for health care increased because of rapid population growth. The target shifted. This had the effect of converting Oxfordshire health authority from an over-target region to an under-target region. In simple terms, that means that the regional health authority has insufficient funds for its means and is not receiving a fair share of the funds available.

    I appreciate that, this year, Oxfordshire is receiving about £1·4 million of growth money from the Government to pay for better services. However, that entire sum may be swallowed by unexpected bills: £344,000 to cover Oxfordshire massive rates increase; £700,000 to pay for higher than expected wage awards; and £250,000 to pay for a new national agreement on ambulance men’s pay. I simply ask: when will Oxfordshire again receive its fair share of central Government money?

    Our second anxiety relates to the nurses that the district health authority can provide at the Horton. That is partly a consequence of the resources that the regional health authority can apply to the district and the district health authority can apply to the hospital. Recently, Oxfordshire health authority undertook a comprehensive review of nursing. That review is not yet completed, but its results so far demonstrate such low numbers of nurses at present on the wards as to give rise to great anxiety. It is neither fair, sensible nor acceptable to allow the numbers of nurses on wards and in the community to reach such levels that the staff who remain become demoralised It is unfair to the nurses and to the patients. I fully appreciate that some of the problems relate to difficulties in recruiting nurses. Horton, like every other hospital in Oxfordshire, is suffering and is finding it difficult to recruit either state registered or state enrolled nurses. Nursing services are extremely stretched.

    At Horton beds are closed because of a combination of recruitment problems and revenue difficulties.

    In a recent letter to the county’s Members of Parliament, the district group manager, Dr Paine, observed:

    “The options will have to be those which will bring up the level of nursing staff on individual wards to such a level that they can feel that they carry out their duties effectively and without exhaustion and disillusion, as is too commonly the present case. It looks as though some reductions of service will be inescapable if this is to be achieved within even the optimistic predictions for the district’s funding in 1986.”

    That letter was written prior to certain of the unexpected expenditure which the district will incur, such as the rates increase to which I drew the attention of the House earlier.

    There is genuine concern that, because Oxfordshire health authority has not been able fully to fund the increases in nurses’ pay, the number of nurses at Horton has had to be cut. That has meant that beds have had to come out of service and it has hit, in particular, cold ​ surgery so that the waiting times for operations have lengthened and on a number of occasions the hospital has not been able to use the operating theatres in the most cost effective way.

    I have read with interest the auditor general’s recent study into nursing and I fully appreciate the argument that substantial savings can be made nationwide on redeploying nurses. However, having made several visits to Horton hospital, and having discussed the matter at considerable length with those involved, I am more than satisfied that in Horton the nursing staff are already being used as cost effectively and efficiently as possible, given the size of the hospital, the present 37½ hour working week which makes it difficult to provide 24-hour-a-day, seven-day-a-week cover, and other constraints imposed by the Royal College of Nursing. I should be very surprised if anyone going into Horton could find a more cost effective way of using the money available for the nursing staff. The situation with nurses will be even more critical next year as each 1 per cent. increase in nurses’ pay, which is not funded centrally, costs Oxfordshire health authority £8 million. When will we have a system of pay reviews that ensures that health authorities have available locally the resources necessary to honour pay awards agreed nationally.

    The last matter to which I wish to draw the attention of the House and which impinges upon the efficiency and effectiveness of Horton hospital is the effect of the recent introduction of the regulations on the maximum amount of money available to keep people in private nursing homes. I support fully the need to control such demand spending and understand why it was necessary to introduce the regulations. However, it is estimated that at any time there are up to 20 people in Horton hospital who are not really ill. They are old and would be far better off in nursing homes, but they cannot be admitted to private nursing homes because the Department of Health and Social Security cannot fund them. In consequence, they are costing the community far more by being in hospital and they are also taking up valuable beds which could be used by patients in need of acute medical beds.

    The chairman of Oxfordshire health authority and the chairman of Oxfordshire community health council have as a matter of urgency been carrying out an evaluation of all the private nursing provision in Oxfordshire. If it should be shown that the present DHSS levels have been set too low to enable private nursing homes to provide proper accommodation for those who are entirely dependent upon the DHSS for support, I trust that my hon. Friend will again consider the limits. It must be in everybody’s interest that no acute bed in a general hospital is unnecessarily occupied.

    I hope that by the tenor of my comments I have made it clear to my hon. Friend the Under-Secretary of State and to the House that I do not approach this matter by way of special pleading. I hope that I approach it by way of balanced and objective analysis, wishing to try to discover how it is that at a time when more money than ever before is being devoted to the Horton hospital and to the National Health Service as a whole we find ourselves in the curious position that, notwithstanding, there are empty beds at a good, efficient hospital like Horton. The Horton hospital is a first class general hospital. We intend to ensure that it remains a first class general hospital that is able effectively and efficiently to serve the medical needs of local people.

  • Paul Channon – 1986 Statement on British Leyland

    Below is the text of the statement made by Paul Channon, the then Secretary of State for Trade and Industry, in the House of Commons on 3 February 1986.

    With the approval of the BL board, discussions are in progress between BL and General Motors with the aim of creating an internationally competitive United Kingdom commercial vehicle industry and improving the long-term prospects for the constituent BL companies. These talks cover Leyland Trucks, Land Rover, Freight Rover and certain related overseas operations. Discussions are at an advanced stage, but a number of important issues remain to be settled Separate discussions are taking place with the Laird Group, which owns Metro Cammell Weyman, about the future of Leyland Bus.

    As to the other BL businesses, it remains the policy of Her Majesty’s Government to return them to private ownership as soon as practicable. Talks with other car manufacturers on a variety of potential business ventures are in progress; some of them are wide-ranging, but are at an exploratory stage, and it is too early to tell whether they will lead to any potential equity stake, acquisition or merger.

  • Peggy Fenner – 1986 Speech on the Scotch Whisky Industry

    Below is the text of the speech made by Peggy Fenner, the then Parliamentary Secretary to Ministry of Agriculture, Fisheries and Food, in the House of Commons on 3 February 1986.

    One of the delights of my job in the Ministry has been the opportunity to visit some of those fine Scottish distilleries, so I welcome this opportunity for a debate on the Scotch whisky industry. The hon. Member for Gordon (Mr. Bruce) has paid tribute to the industry as well as challenged it, and I wholeheartedly endorse what he has said. The Government fully recognise the importance of this industry as an important source of employment—some 16,500 jobs, many of them in disadvantaged areas—and as one of the United Kingdom’s top five net export earners, the value of exports last year having topped the £1 billion mark. At home, the industry is very important, making a similar level of contribution to the revenue. There can, therefore, be no question but that the Government fully recognise the important role of this industry in the country’s economy.

    I recognise, however, that the hon. Member, in seeking this debate, is concerned at current trends in the industry and especially the effect of several recent major bids. As the House well understands, responsibility for monopolies and mergers policy does not rest with my Department. The Ministry, however, has responsibilities for the Scotch whisky industry and that is why I am pleased to reply to this short debate. As regards competition policy, as my right hon. Friend the then Secretary of State for Trade and Industry made clear in a statement in this House on 5 July 1984, references to the Monopolies and Mergers Commission would be made primarily on competition grounds. “Primarily” does not of course exclude other considerations. For example, the major consideration behind the recent decision to refer the bid for Allied-Lyons plc by Elders IXL Ltd., was the method of financing, which was thought to raise issues deserving of further consideration. On the other hand, the decision not to refer the Guinness bid for Bell’s and Argyll’s bid for Distillers was guided primarily by considerations of competition.

    I know that there has been comment on these decisions. Reference decisions, whichever way they go, often arouse controversy. I do not want to stray too far into the responsibilities of my right hon. Friend the Secretary of State, but I should point out that there were significant differences between the financing of the Elders and the Argyll bids which led my right hon. friend to his different decisions on the need for a reference. ​ The hon. Member has also raised the question of a possible referral of the recent Guinness bid for Distillers. This decision of course rests with my right hon. Friend, the Secretary of State for Trade and Industry. He will take that decision on the basis of advice submitted by the Director General of Fair Trading. It would not be appropriate for me to anticipate that decision or to comment on the matter at this stage.

    Mr. lain Mills (Meriden)

    Surely Guinness should have the same chance to bid to the shareholders as Argyll?

    Mrs. Fenner

    I have made the point that this is a matter for my right hon. Friend the Secretary of State. I have no doubt that the Secretary of State will be aware of the question of balance that has been put by my hon. Friend.

    As the hon. Member for Gordon will be aware, my hon. and learned Friend the Parliamentary Under-Secretary of State with responsibility for corporate and consumer affairs, the hon. Member for Folkestone and Hythe (Mr. Howard), has announced that a review of the Government’s competition policy will begin this year. The precise scope of the review has not yet been finalised but will be announced in due course. In the meantime I am sure that the interesting points made in this debate by the hon. Member will be considered in the review.

    The hon. Member has mentioned several problems which are worrying the industry. As he is aware, the distilling sector working group of the National Economic and Development Office, which includes representatives of the industry, Government and the trade unions, has carried out a wideranging review which was published as recently as October 1984. This followed an earlier review in 1978. Matters have been examined carefully in a short time.

    The report identified all the major issues of current concern to the industry, several of which the hon. Member has mentioned, and made recommendations for action by Government and the industry during the next five years. We are still very much involved in implementing these recommendations and, of course, we are ready to play our part with the industry in tackling any new issues that may arise.

    The possibility of the Government restricting bulk exports, particularly of malt whisky, has been suggested because of the benefits that would bring to the UK in employment and in other respects. I should point out that this issue was examined in the 1978 report, which concluded that the industry was insufficiently united voluntarily to regulate its bulk exports, while Government were restrained from such action by their international commitments under the GATT and by Community obligations. The 1984 study reached similar conclusions. Nonetheless, its analysis suggests that such exports have tended to stabilise around the 1978 levels, and figures just released in respect of last year’s exports show a substantial fall in this trade. I am sure that that will reassure the hon. Member.

    As for the abolition of stock relief in the 1984 corporation tax changes, the Government are well aware that because of its large stocks of maturing whisky, the Scotch whisky industry has been particularly affected by these measures, although in the longer term, as ​ corporation tax rate falls, the industry should pay slightly less tax even without stock relief than it did before the 1984 changes.

    In his decisions on taxation at the last Budget, my right hon. Friend the Chancellor of the Exchequer recognised the difficulties faced by the industry. I cannot of course anticipate the decisions that he will take in this year’s Budget, but I am aware that the Scotch Whisky Association has made detailed representations.

    The Government are working closely with the industry in several areas in which there is agreement that progress can be made. For example, the Government are currently considering proposals for whisky definitions to be prescribed in new regulations under the Food Act 1984. Any proposals will be subject to the usual consultation with all the interests concerned. We are also giving strong support to Community proposals laying down clear definitions of the spirit drinks most commonly traded within the Community. The industry is keen for the enactment of measures which should help the competitive position of Scotch whisky in export markets. We shall aim to press ahead with these proposals during our Presidency of the Community in the second half of this year.

    We maintain regular and close contacts with the industry on the trade barriers it faces throughout the world and we pay special consideration to its efforts in the far east. The Government also have the interests of the industry very much in mind in their approach to the EC Commission’s proposals on the harmonisation of the structure of duties on alcoholic drinks. Our joint aim is to help establish fairer terms of competition for the industry throughout the Community.

    I know that the Scotch whisky industry has been through a difficult period during the past six years. World recession, coupled with changes in drinking fashions, has contributed to a drop in sales in many key markets. I would not, however, like to conclude on such a pessimistic note, which would not, I think, reflect current attitudes in the industry. In the past year or so, the industry has made substantial efforts to bring maturing stocks more into line with sales expectations. There is also some evidence now that the decline in world sales may be taking a turn for the better. In the domestic market, there was a 6 per cent. rise in consumption in the first nine months of 1985 as compared with the same period in 1984, with considerably greater growth in the as yet small malt whisky market. These are encouraging indications which we hope foreshadow a sustained improvement in the industry’s performance to the benefit of the whole economy.

    Sir Hector Monro (Dumfries)

    Will my hon. Friend bring home to my right hon. Friend the Chancellor the strength of feeling in the debate and the number of hon. Members who attended it? We want a revitalised Scotch whisky industry. The only way in which there can be a dramatic improvement in the near future is through budgetary measures. I hope that my hon. Friend will bring that point home to my right hon. Friend the Chancellor.

    Mrs. Fenner

    My hon. Friend puts his point very clearly.