04/05/2016 House of Commons


04/05/2016

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. Urgent question. And maimed. Thank you, Mr Speaker.. I would like to

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ask the secretary of state to make a statement on the reforms to Dublin

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agreement on the effects of asylum. The Minister at the Home Office.

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Thank you, Mr Speaker. This morning the European Commission published

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its proposals for reform of the Dublin protocol and emergency

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relocation in response to the migration crisis in the

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Mediterranean. These proposals were first announced under the EU Turkey

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deal and agreement is critical to finding a solution to Europe's

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asylum systems ahead of the summer. The Government will now scrutinise

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these proposals carefully. As the House will be aware, the UK has an

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opt in to any EU proposals on justice and home affairs issues. It

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is not bound to sign the proposals the commission has published today

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and we will have three months to consider whether or not to do so.

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The proposals will be laid before Parliament and an explanatory

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memorandum will be provided. Scrutiny committees in both houses

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will look at this in detail and Parliament will be able to consider

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these proposals in the usual way. The Government strongly supports the

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principles behind the Dublin regulation. We believe that an

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asylum claim made in the EU should be dealt with by the member state

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most responsible for the applicant 's presence in the EU. This provides

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certainty for the applicant and protect other member states asylum

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systems from abuse. But our starting position is clear. We will not opt

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in any legislative proposal that replaces the existing Dublin

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principles with a redistribution mechanism. And we do not support

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relocation. Those in need of protection should claim asylum at

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the first save country they reach. We support the existing Dublin

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regulations and the principles underpinning them. In this context

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it is worth noting that the commission themselves have been very

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clear today that, should we not opt revised Dublin regulations, the

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existing regulations will continue to apply between the UK and other

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member states. This is at least part a direct result of a government's

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engagement with the commission and other member states. As such, there

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is no risk that we would lose our existing powers to return people to

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other EU member states. Powers that we have used nearly 12,000 times

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since 2005. Where an individual is responsibility of another member

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state under EU law, the Government will seek to return them under the

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Dublin regulations and we will continue to do so. We have been

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engaged in regular constructive conversations with our European

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counterparts and the European Commission and will participate

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fully in the negotiations of this draft proposal at European level as

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these proposals are negotiated. I commend this statement to the House.

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Thank you, Mr Speaker. I thank him for his statement, and am somewhat

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concerned it seem as if all we know what this beloved light in reality

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given that we have got a very big referendum coming up between that

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time. Will he say, he said debris, it should not be undermined, and

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it ensures a printable EU countries can deport refugees to their first

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port of entry as he's just reconfirmed, and the Secretary of

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State recently restated her views that amending the Dublin regulation

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is unnecessary and risks undermining a vital tool in managing asylum

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claims within the EU. Despite her views, the EU commission is pressing

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ahead with reforms and that's despite many countries expressing

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their extreme disquiet. Under the existing laws written ostensibly has

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the right to deport asylum seekers to their first port of entry however

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in practice, that means he did give a figure but it's only 1% of asylum

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seekers from the UK each year relocated to the first port of entry

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according to Eurostat. Does he accept this very low figure of only

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1% of relocation is being accurate and if so, can you explain why the

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UK is performing so badly and the current regulations? In practice,

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the Dublin agreement is far from perfect and the EU was desperate to

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find ways of evening out the numbers of asylum seekers but not rocking

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the British boats before the referendum and even the European

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Commission has acknowledged the current system doesn't work. Germany

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is all but abandoned it and Greece is not abiding by it apparently

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since 2011. The commission recently stated that even when member states

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accept transfer requests, only a quarter of such cases reported in

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effective transfers and after that there were frequent cases of

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secondary movements transfer Mink back member state. Does he accept

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even the low number of relocation is 1%, we are obliged to readmit those

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individuals under the process? Does he have any figures to inform the

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House how many are actually relocated back to the UK?

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Given the low numbers currently sent back under the system, does the

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minister then still believe that this is a good deal for Britain?

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Despite the haggling and horse trading going on behind closed doors

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as we speak, the Secretary of State, has the Secretary of State secured

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permanent and favourable opt out and any form of quota sharing that

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cannot be overruled at any point in the future by other member

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countries? It is important to know this. These proposals are part of a

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package to manage the surge in migrants and refugees flooding into

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Europe. The commission is currently in the process of revising measures

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in the Dublin regular gin, namely of imposing a financial penalty of

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250,000 euros on every refugee not taken by a country if another member

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state's experiences of sudden influx. How will this new quota

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penalty system proposals it with the current Dublin proposal the minister

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says he wishes to stay in? Finally, has the minister secured a permanent

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and favourable opt out from any form of penalty payment that might be

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negotiated in the future for nonacceptance of quotas? And would

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that not be overruled at any point in the future by other member

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countries? Order. Before the minister responds, two points should

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be made. First of all, I say in all courtesy and gently to the

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honourable lady that she modestly exceeded her time allocation. I am

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sure that was inadvertent and will not be repeated. Secondly, equally

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courteously, I say to the minister, with reference to his final

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statement commending his statement to the House, the honourable

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gentleman did not make a statement to the House. He could have

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volunteered one. The reason the honourable gentleman is in the

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chamber is that I've acquired a minister to attend the chamber to

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answer the urgent question from the honourable lady. It may seem a fine

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distinction to those attending our proceedings, but it is an important

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one. The honourable gentleman is here involuntarily and not

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involuntarily! I hope the position is now clear. He doesn't need to be

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deported, we want him to answer the question!

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Thank you, Mr Speaker. I am always the servant of the House in this

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regard. On the various points my honourable friend has raised, I can

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say that the UK does have a clear opt in arrangement in relation to

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justice and home affairs matters. Therefore, we do retain that ability

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to decide which measures that fall within the Justice and home affairs

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matters we decide to opt into, as I explained in my opening comments. In

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relation to the benefit, yes, we do see significant benefit from the

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existing Dublin regulations. We have sought to remove nearly 12,000

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people from the UK to other EU member states over the last ten

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years using that process. She highlights the issue of whether in

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some way, we may subsequently be required to be participants of the

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new arrangements. I would want her to a statement that was published

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within the European Commission's press release, which says that the

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UK and Ireland are not required, but instead determined themselves the

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extent to which they want to participate in these measures, in

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accordance with the relevant protocol is attached to the

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treaties. If they do not opt in, the current laws, as they operate today,

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will continue to apply to them in line with the treaties. That is

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important in terms of the clarification she was seeking.

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Clearly, because of the opt in, we have that protection in relation to

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matters as to whether we decide to opt in or not. That provides

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protection on the quota penalty she referred to. So Keir Starmer. Let us

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be clear from the start. Through our opt out, Britain would not be

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required to take part in any asylum relocation system, nor would we be

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required to pay any financial levy to avoid it. But it is also keen

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that -- clear that we have a keen national interest and moral

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responsibility to ensure effective systems are in place to tackle the

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worst humanitarian crisis in a decade in Europe, a crisis on a

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scale that clearly needs a concerted, EU wide response. It is

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clear that the Dublin arrangements are not working on the ground. They

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are not able to cope with the numbers and to process the claims

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that need to be processed. We in Labour have been calling for a

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reconsideration of how the Dublin arrangements work in practice for

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many months, precisely on these grounds. The government, as ever,

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has been slow and reluctant to act, characterised by the involuntary

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appearance here today. Labour is also clear that the key Dublin

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principles preventing first country states from refusing to process

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asylum seekers and allowing return to first country are important

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intervals. So we welcome the government's update on this, but

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what proposals have they made to the commission on reform? Mr Speaker,

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there is also the wider question of unaccompanied children in Europe

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today, the chair of the Kindertransport Association of

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Jewish refugees called on the Prime Minister to do more to help what he

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called the most vulnerable victims of the Syrian conflict. We cannot

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continue to sit on our hands. We can't continue with the repetition

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of the repugnant rhetoric that these children in Europe are safe. They

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are not. There is a groundswell of support. When will the Government

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finally listen? If there is to be a U-turn on this issue, the sooner it

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happens, the better. I gain from the honourable gentleman's comments that

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he did not hear what the Prime Minister said at prime ministers

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question time a few moments ago in respect of how we are in discussions

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with Save The Children and the UNHCR in terms of what assistance can be

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provided to those already registered in Europe before the EU Turkey deal

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came into force and the discussions we will have with local authorities.

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I reject the point he makes about the government's slowness to react

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in relation to the Dublin begin nations. That is why we have sent

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experts to France and other European countries to support that process,

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to see that there is that practical implementation on the ground. That

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is bearing fruit and seeing a speeding up of the process. The

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honourable gentleman equally highlights issues around the Dublin

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regulation itself. The government believes that the long-standing

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principle is at the heart of the Dublin system are the right ones,

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and it would be a major error to tear them up and replace them with

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something completely different. Dublin may not be operating as it

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should, but that does not mean it principles are fundamentally flawed.

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That is the approach this government will take in terms of further

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negotiation. No honourable members in this House will have seen the

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proposals in detail, because they have only just been published.

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Therefore, it is right to reflect on them in detail and continue

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discussions to see that we have a reformed Dublin that benefits the

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UK, whilst recognising the protections we have to maintain the

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existing Dublin arrangements. I congratulate my honourable friend,

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the member for St Albans, for not only putting forward a question, but

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also for the manner in which she conducted the analysis. She is

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right, of course. The European scrutiny committee looking at this

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matter and will be talking about it this afternoon. Would the minister

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be good enough to give us an assurance that if we so decide,

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which I feel we will, that there should be a debate on the floor of

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the House, that he would encourage that? And would he also make sure

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this matter is not left hanging around for as long as three month

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's? We need an urgent and quick answer to these questions. The

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three-month time period is the period we have as the UK to consider

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whether to opt into measures at the outset, as he will know. That is one

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of the protections we have in terms of our relationship with the EU

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under Justice and home affairs matters. The commission has its

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papers this morning. I am sure that we'll see scrutiny in detail by the

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European scrutiny committee. And the government will provide information

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and support that process to see that this measure is properly scrutinised

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by this house. There is not any delay on the government's part in

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relation to the three months. The Dublin rules were not fit for

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purpose even before the current crisis in Europe developed. That

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crisis has pushed the system way beyond breaking point. Even a child

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could understand that front line countries such as Greece and Italy

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cannot be expected to deal alone with all the asylum seekers who

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arrived there. This proposed system of financial penalties would be an

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improvement, but it is a distant second best to the proper sharing of

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responsibility throughout the European Union. Can the minister

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tell us, if the UK are not prepared to sign up to the new EU asylum

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system, exactly what steps the government will take in order for

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the UK to do its bit for those already in Europe, particularly the

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child refugees? One I was in Calais with other SNP MPs at Easter, we met

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many refugees with family in the UK, and we met men who had acted as

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interpreters for the UK Armed Forces, including men who had been

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at Camp Bastion at the same time as Prince Harry and when the Prime

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Minister visited. The government keeps assuring us that they are

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taking action to speed up processes. But will the minister now provide us

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with the figures on processing times, which we have repeatedly

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asked for, so that we can have some evidence that these requests are

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being more speedily with? Secondly and more fundamentally, there is a

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problem on the French side of things being handled slowly. Many refugees

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in Calais and Dunkirk are afraid to claim asylum in France because of

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the very bad experiences they have had their already, including being

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tear-gassed by French authorities. Will the British government consider

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building a route to bypass the French system and allow direct

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claims to the UK, based on family ties? In terms of the time it is

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taking to process the relevant requests under the existing Dublin

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arrangements, they are being processed in a matter of weeks, as I

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have indicated to the honourable lady previously. And it is through

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having those direct contacts between the officials on both sides that are

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able to make speedy decisions to work to see that those who have

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those links to the UK can be reunited. That is a principle of

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this government believes in strongly. Equally, the work we are

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going through additional funding and investment in other parts of Europe

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is intended to support that. She highlights the issue over the

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actions of the French government. I would say that the French government

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have a specific NGO that they have engaged to work with those in the

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camps to be able to identify, to see that they are protected speedily. We

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support that work and will continue to support the French government and

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play our part in seeing that those who have that connection to the UK

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are established, identified and come to the UK quickly. Mr Kenneth

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Clarke. With the minister agree with me that the migrant crisis we face

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is our part of a crisis that affects every European Union member state

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and requires a European Union solution? It is a complete absurdity

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first promulgated by Ukip that somehow, if we left the EU, these

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people would no longer be a problem. As the government has played a full

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part in the limited progress so far in closing the of Europe and making

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arrangement with Turkey for the return of asylum seekers, does he

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accept that we are quite entitled legally to insist on the Dublin

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Convention, and of course, we must exercise our opt out when it is in

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our interests, but actually, we have to have regards to the problems of

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Greece, Italy and other countries who have not encouraged these vast

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numbers to come to them, and we will need the cooperation of those

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governments if eventually, we are to restore the situation to order in

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every member state including the United Kingdom?

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My right honourable friend is absolutely right in this being an EU

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wide problem and it is something we will need to continue to address at

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that level and somehow, by the UK leaving the EU on the referendum,

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that will suddenly make the migration crisis go away, that is

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clearly not the case. He talks about Turkey and Italy, sorry, Greece and

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Italy, and he will equally know the Turkey deal is absolutely intended

:19:39.:19:42.

to support those issues on the front line and how we are sending out

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experts from next week around 75, to support the front line activity in

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Greece. Thank you, Mr Speaker. In his heart, the Minister for Public

:19:57.:20:01.

accepts everything the Honourable lady for Saint Alden 's has said

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today. The Dublin agreement is in crisis, not because of the UK, but

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because other countries in the EU are flouting the way in which it

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operates, the Home Affairs Select Committee, we've seen for ourselves,

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when the visited Greece and Italy, and what other partners need to do

:20:22.:20:26.

is to fulfil their obligations under Dublin, deal with these matters in

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their country, so people do not end up coming to Calais seeking to come

:20:31.:20:36.

over to the UK. To do this, maybe just 10% of the money that is gone

:20:37.:20:40.

to Turkey, the EU Turkey deal with the most generous in history, we

:20:41.:20:45.

need to support Greece and Italy, these other countries need our

:20:46.:20:54.

support. He will know, as I just indicated, the practical support we

:20:55.:20:58.

are providing to the European Asylum support office, to those front line

:20:59.:21:01.

member states who have seen significant numbers arriving on

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their shores and, in terms of the funding that we have provided, ?70

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million of funding to the response, that obviously is a significant

:21:12.:21:14.

contribution to support the activities that are needed to

:21:15.:21:19.

support vulnerable migrants there. Here's right in saying we need to

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continue to work with Greece, Italy, precisely what this Government will

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continue to do, recognising the pressures those governments are

:21:27.:21:34.

under. The EU documents about the EU Turkey agreement and the creation of

:21:35.:21:37.

the Visa free area for most of the EU and Turkey made very clear that

:21:38.:21:43.

part of this policy has to be strengthening the Turkish frontier

:21:44.:21:50.

with Syria, Iraq and Iran and the document quite remarkably, strangely

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says it's going to help build walls and fences and ditches over what is

:21:55.:21:58.

an extremely long border. Can he tell us how many miles of these

:21:59.:22:03.

impediments to migration EU has in mind and what the cost might be? The

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clear focus is on seeing refugees do not make the journeys across the

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Mediterranean Sea to the shores of Europe, which is consistent with the

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approach this Government has taken and why we have clearly pledged the

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?2.3 billion we have two the humanitarian crisis and how that is

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giving that sense of hope and opportunity to those that are there

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through work, education. That is the right approach to ensure that we are

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giving that sense of why people should not be making those journeys,

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and how the EU Turkey deal supports that. I know the Minister is very

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proud of his pudding but he seems to agree that in principle, the refugee

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crisis is a European crisis which requires collective action. If we

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were having the broken instead of the Dublin regulations, what exactly

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would they be? I'm very grateful to the right honourable gentleman for

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his frame of the question in that way. It underlines the need for each

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EU member state to play a part, which is precisely what the UK is

:23:17.:23:22.

doing. We are providing expert support, funding, and very

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significant aspect in relation to the issue of resettlement, and the

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new children at risk resettlement scheme. We think the basic

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principles of Dublin are right, they need to be upheld, it is how we can

:23:38.:23:44.

improve the practical aspects of it. The Dublin Convention requires the

:23:45.:23:47.

collection of biometric data from migrants if it is to work optimally,

:23:48.:23:52.

a process which understandably the more savvy migrant declines to

:23:53.:23:57.

cooperate with, probably with the connivance of the Italian and Greek

:23:58.:24:00.

officials. What can be done to strengthen that part of the Dublin

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arrangement? This is about practical implementation. The 75 experts we

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are sending out to Greece, other European countries are doing the

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same, to see the practical measure, taking fingerprints, is upheld the

:24:18.:24:21.

front line and that practical support I think will make the

:24:22.:24:26.

difference. Does the Minister accept that the regulations should be a

:24:27.:24:32.

flaw in what we do and not a ceiling? With that in mind, will you

:24:33.:24:36.

look again at the treatment of those who claim asylum now who previously

:24:37.:24:42.

helped the Armed Forces in Afghanistan as interpreters,

:24:43.:24:46.

because, frankly, if they had treated us as we now treat them,

:24:47.:24:52.

then the lives of many, many of our service men would have been put at

:24:53.:24:56.

risk or lost. I will look very carefully at what my right

:24:57.:25:00.

honourable friend has said in relation to those who have supported

:25:01.:25:03.

our British Armed Forces in Afghanistan. The manner in which

:25:04.:25:08.

they are analysed and treated within our asylum system, I know this is an

:25:09.:25:16.

issue many members have raised and I can assure him it is something I'm

:25:17.:25:22.

giving close attention to. Would the Minister agree with me that EU

:25:23.:25:25.

reform in this area should take into account a member state it was effort

:25:26.:25:30.

to resettle refugees from third countries outside the EU and fund

:25:31.:25:35.

those countries? With the UK having delivered 1,000,000,008 to stop

:25:36.:25:38.

powerless journeys at sea, would be right for the EU to endorse our

:25:39.:25:46.

approach to reduce migration? My right honourable friend is right in

:25:47.:25:50.

the steps were taken in the scheme. Our focus remains on providing those

:25:51.:25:53.

safe Routes to the most vulnerable in the region, the UK has made an

:25:54.:25:59.

important contribution through its efforts and that, I think, plays a

:26:00.:26:03.

part in the overall work across the EU in providing that stability and

:26:04.:26:06.

preventing people from making those journeys. Thank you, Mr Speaker. The

:26:07.:26:13.

Minister will know that there's a huge amount of concern in this

:26:14.:26:15.

country, especially mothers unaccompanied children in the camps

:26:16.:26:19.

in Calais and it's welcome to hear them today agreeing that given what

:26:20.:26:24.

he's saying, the problems we've seen, through the current Dublin

:26:25.:26:29.

arrangements, to give us some numbers, how many young people is

:26:30.:26:32.

the actually think the UK will now be able to offer sanctuary as a

:26:33.:26:38.

result of the decision made today? The Prime Minister said earlier on

:26:39.:26:41.

that we will be discussing with local authorities, also discussions

:26:42.:26:47.

with the UN HCR save the children and others. It's right we look at it

:26:48.:26:54.

in that way to assess the issues carefully and therefore come to the

:26:55.:26:59.

right conclusion. Does my right honourable friend agree that with

:27:00.:27:01.

respect to this proposal, the UK has a double protection of being outside

:27:02.:27:06.

the automatic opt in but also being outside Schengen so when asylum

:27:07.:27:11.

seekers choose not to claim asylum at the first port of call, they

:27:12.:27:15.

can't travel the no border zone into the UK? I think we have the best of

:27:16.:27:21.

both worlds being outside the borders areas of Schengen, the

:27:22.:27:24.

protection against us, the ability for us to uphold our own border and

:27:25.:27:29.

do the necessary checks as one of having those legal rights through

:27:30.:27:32.

the optimums and the enhanced mechanisms that the Prime Minister

:27:33.:27:37.

achieved through his new negotiations that will add to those

:27:38.:27:44.

negotiations. I think it would be help fall if you said you would

:27:45.:27:49.

accept the amendments but many of these opt outs are designed to

:27:50.:27:53.

control Britain's borders so he will be aware of good journalism in the

:27:54.:28:00.

Telegraph which says the semaphore system went down for a few days last

:28:01.:28:05.

summer and yesterday his Permanent Secretary would not say, admitted

:28:06.:28:10.

this happened many times, would not say when and for how long. Don't we

:28:11.:28:19.

deserve to know this information and will you publish it? We provide

:28:20.:28:23.

clear protection to the UK border, multilayered approach we take and

:28:24.:28:29.

ink it includes the primary control points which we ensure have 100%

:28:30.:28:34.

checks, something the last Labour Government did not do. It is that

:28:35.:28:39.

focus on our board and security this Government will continue to

:28:40.:28:47.

maintain. -- border. My right honourable friend will know from the

:28:48.:28:50.

conference at which both he and I spoke last week on the migrant

:28:51.:28:55.

crisis of the anger and despair of the Hungarian Government at what is

:28:56.:28:59.

now being proposed by the European Union. Can explain to me what our

:29:00.:29:06.

Government is doing to criticise all enforced against Germany their

:29:07.:29:08.

unilateral rejection of the current regulations? As I have indicated to

:29:09.:29:19.

the House, the Government has the opposite out in relation to certain

:29:20.:29:23.

measures and so there are aspects in relation to Schengen we are not

:29:24.:29:30.

party to. We are not part of the Schengen area. It's a matter for

:29:31.:29:32.

those bound by those regulations to enforce the commission the

:29:33.:29:37.

compliance and therefore it's a matter for them and not the UK. I

:29:38.:29:42.

hope the Minister will find a way to provide more support to

:29:43.:29:47.

unaccompanied children. Compassion demands it. Cody outline how the UK

:29:48.:29:51.

front line support that is going to be provided to Greece and Italy will

:29:52.:29:56.

help ensure a unaccompanied children already in the European Union don't

:29:57.:30:02.

go missing? I think he makes an important point of the issue of

:30:03.:30:07.

things like trafficking, exploitation, it is why Kevin

:30:08.:30:10.

Highlands, the anti-slavery commissioner, will travel to Greece

:30:11.:30:15.

and Italy shortly. Therefore, the experts we are sending out will

:30:16.:30:19.

include those with knowledge and understanding of these issues in

:30:20.:30:23.

relation to children to seek to provide greater assurance over the

:30:24.:30:31.

very matters he has identified. The Government has recently demonstrated

:30:32.:30:35.

an axiom of our EU membership is our common European citizenship which

:30:36.:30:38.

implies the common treatment are people right across the EU. Will he

:30:39.:30:42.

not concede that sooner or later if the public vote to remain in the EU,

:30:43.:30:47.

he will not long be able to resist in the Council of ministers a

:30:48.:30:51.

pressure to concede our opt out and join whatever the arrangements are

:30:52.:30:54.

in a process of bargaining away in order to achieve whatever the

:30:55.:30:58.

Government's objectives happened to be? No, I don't, Mr Speaker. I think

:30:59.:31:06.

the UK has very clearly got protections, indeed the way we opted

:31:07.:31:09.

out of a number of pre-existing measures. It shows the clear

:31:10.:31:15.

approach of this Government in upholding what is in the best

:31:16.:31:18.

interests of the UK and I think I have been very explicit this

:31:19.:31:21.

afternoon in highlighting that being part of relocation mechanism, it's

:31:22.:31:28.

not in the interests of the UK. Thank you, Mr Speaker.. Given the

:31:29.:31:34.

Minister has said the asylum regime may well change after the EU

:31:35.:31:39.

referendum, will he concede that there is no status quo on the ballot

:31:40.:31:42.

paper in the EU referendum just as those who voted a stay in the common

:31:43.:31:47.

market in 1975 did not get the status quo? Given that the parties

:31:48.:31:51.

opposite seemed to be working on the basis that other EU countries are

:31:52.:31:57.

incapable of providing decent and humane refuge to asylum seekers,

:31:58.:32:01.

does he agree we should be in part of a political year who treats

:32:02.:32:08.

asylum seekers properly? I think in terms of the status quo, I would say

:32:09.:32:13.

to my right honourable friend the Commissioner has been very explicit

:32:14.:32:17.

about the Dublin regulations to say we can continue to uphold and

:32:18.:32:21.

operate the existing arrangements if we do not decide to opt into the new

:32:22.:32:27.

measures that have been published today and I think that is quite

:32:28.:32:30.

important in terms of at that assurance and clearly, we will work

:32:31.:32:34.

with other EU partners to support them to ensure that those who are

:32:35.:32:38.

claiming asylum in their shores are able to do so effectively, which is

:32:39.:32:42.

why our expert support is precisely in tune with that. Part of the time

:32:43.:32:50.

announced today means it proposal European countries who refuse to

:32:51.:32:53.

give shelter to refugees could be forced to pay into the cough is of

:32:54.:32:57.

countries that do take them. Whilst we have a temporary opt out on this

:32:58.:33:02.

at present point in time, could the Minister state that this is

:33:03.:33:06.

absolutely guaranteed opt out that we will not consider reneging on and

:33:07.:33:09.

equally, would you publish the legal advice given the legal basis for

:33:10.:33:15.

this proposal? I say to my honourable friend others is not some

:33:16.:33:20.

temporary opt out I'm referring to. It is the basic principles of the

:33:21.:33:24.

treaty in relation to our ability to opt into measures in respect of

:33:25.:33:29.

Justice and home affairs matters. That is the issue I know that he

:33:30.:33:32.

will understand and recognise and that is the basis upon which I have

:33:33.:33:35.

made the point before the House this afternoon.

:33:36.:33:40.

Mr Peter Bone. Mr Speaker knows the problem of human trafficking. One of

:33:41.:33:51.

the problems with continental Europe is the open borders. Whatever the

:33:52.:33:57.

other advantages are, it is a human trafficker's tartare. These new

:33:58.:34:01.

measures will add to that. What we actually want is more checking to

:34:02.:34:05.

stop this evil crime of trafficking. I pay tribute to the work of my

:34:06.:34:08.

honourable friend, who has done so much in relation to highlighting

:34:09.:34:13.

this issue and has assisted in the reforms that have taken place. We

:34:14.:34:18.

need to step up our response to organised crime. That is why we will

:34:19.:34:23.

continue to work with European partners to highlight these issues

:34:24.:34:26.

and see that children are protected and do not fall into the hands of

:34:27.:34:30.

the traffickers, which is why the work on the front line and the

:34:31.:34:34.

further inputs we have from Kevin Highlands will assist us not just as

:34:35.:34:38.

the UK, but also in supporting other EU states as well. Order. I have to

:34:39.:34:45.

notify the House in accordance with the royal assent act of 1967 that

:34:46.:34:51.

Her Majesty has signified her royal assent to the following acts.

:34:52.:35:01.

Enterprise act 2016. Northern Ireland Stormont agreement and

:35:02.:35:07.

implementation plan act 2016. Bank of England and financial services

:35:08.:35:16.

act 2016. Trade union act 2016. Transport for London act 2016.

:35:17.:35:24.

Order. We come now to the ten minute rule motion. I beg to move that

:35:25.:35:32.

leave be given to a bill to make provision about the disclosure,

:35:33.:35:36.

consideration and approval of proposals for onshore electricity

:35:37.:35:39.

power stations for 50 megawatts or less to require the application of

:35:40.:35:44.

engineering construction industry terms of conditions and certain

:35:45.:35:48.

circumstances and to require sector specific collective national

:35:49.:35:51.

workforce agreements in other circumstances and for connected

:35:52.:35:55.

purposes. Any solid biomass or combined heat and power plant

:35:56.:35:59.

producing 50 megawatts or below, indeed, any power project breaching

:36:00.:36:03.

50 megawatts or below, does not come below the terms of national planning

:36:04.:36:07.

and consent. Ostensibly, this sounds fine as it supposedly gives more

:36:08.:36:11.

control to local people about developments in their locality.

:36:12.:36:13.

Projects with a generating capacity of 50 megawatts or less are

:36:14.:36:18.

considered part of the town and country planning act of 1990 and can

:36:19.:36:22.

be dealt therefore with by local authorities. This is where your

:36:23.:36:26.

problems begin if you are part of the construction industry. Civil

:36:27.:36:30.

engineering demands loyalty and hard graft, where workers often work long

:36:31.:36:34.

hours under arduous and sometimes dangerous conditions to produce the

:36:35.:36:38.

end product. But all those great virtues can for nothing when the

:36:39.:36:42.

dice are loaded against you. From Teesside to South Yorkshire,

:36:43.:36:46.

Scotland to Wales, a recent epidemic of deliberate subterfuge has been

:36:47.:36:49.

used to evade industry standards for terms and conditions of construction

:36:50.:36:53.

workers in the power generation sector. Luckily, I am fellow

:36:54.:37:01.

Teesside MPs have been trying to unravel a complex knot of potential

:37:02.:37:05.

expectation and undercutting. We have been working alongside the GMB

:37:06.:37:08.

and Unite union of both regional and national level. The sleight of hand

:37:09.:37:13.

employed and the deliberate use of opaque contractual arrangements via

:37:14.:37:17.

umbrella companies which have seen workers pay their own national

:37:18.:37:19.

insurance twice is universally known. But this together with the

:37:20.:37:23.

potential undercutting and expectation of migrant workers and

:37:24.:37:27.

this only frustrates an area and its people which has seen massive

:37:28.:37:29.

provision in light of closures at exercise steel -- SSI steel to

:37:30.:37:38.

mention one of the sites undergoing closure. This frustration has

:37:39.:37:41.

culminated in a year-long escalation of unrest in the construction

:37:42.:37:49.

industry, with mass protests at one site over a waste product being

:37:50.:37:53.

built in to side with a predominantly non-UK labour force.

:37:54.:38:03.

Any one constructing a power blood must be aware that if it is under 50

:38:04.:38:08.

megawatts, it will have achieved any content from a local authority, and

:38:09.:38:10.

that consent will almost certainly not carry the necessary requirements

:38:11.:38:15.

for workers on the construction project, which would also instil a

:38:16.:38:21.

level playing field. An assumption up until now has been that those

:38:22.:38:28.

terms would carry over. Sadly, that has not been the case. Due to

:38:29.:38:32.

unscrupulous practices by certain construction campaigns, the lack of

:38:33.:38:35.

a voice in this growing market has led many who have been shut out of

:38:36.:38:39.

employment to take on board tactics which are borne out of pure

:38:40.:38:43.

frustration, which can then develop into demonstrator languor.

:38:44.:38:46.

Construction workers in large numbers on the warden noted protests

:38:47.:38:50.

outside the new biomass power station in Rotherham, South

:38:51.:38:52.

Yorkshire, Port Talbot and Dunbar on but the 1st of March and 7th of

:38:53.:38:58.

April in 2015 were in support of GMB, unite members who blockaded

:38:59.:39:04.

work on these sites on those days. The rate should be higher, but the

:39:05.:39:20.

migrant workforce has been paid just nine to 13 euros an hour,

:39:21.:39:24.

approximately ?7 to ?10. With above average levels of unemployment at

:39:25.:39:28.

the current time in the industry, it is no wonder those workers are angry

:39:29.:39:31.

with the expectation of migrant labour at the expense of local

:39:32.:39:34.

implement. How can the developers and employers get away with this?

:39:35.:39:42.

Take this example in Rotherham. The local council gave planning consent

:39:43.:39:45.

in 2011, but sites producing less than 50 megawatts have no need to

:39:46.:39:51.

adhere to regulations. The partnerships who bought the site

:39:52.:39:54.

then sold to son at a big profit to a Danish company. They then

:39:55.:40:08.

contacted Babcock and Wilcox, known as BWV. Subsequently, BWV

:40:09.:40:17.

subcontracted the construction of the boiler to a Croatian firm, who

:40:18.:40:25.

tendered the lowest bid on Croatian economic wage levels. The correction

:40:26.:40:30.

firm has very bad form. It is the same company that GMB Unite court

:40:31.:40:35.

underpaying its largely migrant workforce last year on a power

:40:36.:40:40.

station in Yorkshire. Because that job came under the independent audit

:40:41.:40:47.

facility. The unions were able to force the company to repay every

:40:48.:40:53.

euro it owed. However, they later found out that when they got back to

:40:54.:40:57.

Croatia, the workers and that their wages were retaken under duress.

:40:58.:41:00.

Because the Rotherham biomass project and similar waste energy

:41:01.:41:04.

project is not covered by collective agreements and because they are

:41:05.:41:07.

under 50 megawatts, the employer can then pay below the rate and legally

:41:08.:41:12.

get away with it. Well-meaning legislation from the European Union

:41:13.:41:14.

to combat this malpractice doesn't go far enough. Italy currently gives

:41:15.:41:21.

workers posted to work temporarily in another country the minimal

:41:22.:41:25.

protection of the country's standards, namely the minimum wage.

:41:26.:41:32.

This is not that you's fault, it is ours, by not protecting all workers'

:41:33.:41:37.

blanket collective bargaining for blanket collective

:41:38.:41:41.

all workers, firms will use caveats to exploit. A support of

:41:42.:41:48.

collective-bargaining is the only solution to prevent exploitation of

:41:49.:41:52.

immigrant labour and a real means by which we as a nation can prevent the

:41:53.:41:56.

deliberate social discord rated amongst our own communities by the

:41:57.:42:01.

means of effectively excluding workers from our own towns from

:42:02.:42:03.

seeking and achieving meaningful employment. The means by which we

:42:04.:42:08.

can achieve this and help local authorities under severe financial

:42:09.:42:10.

and logistical pressure is to ensure that at the start of the planning

:42:11.:42:15.

process, whether a power generation that is above or below 50 megawatts,

:42:16.:42:22.

a collective agreement and national terms are adhered to by any complete

:42:23.:42:26.

constructing on British soil. This must be clearly written within the

:42:27.:42:32.

contract. Order. The question is that the honourable member have

:42:33.:42:36.

leave to bring in the bill. As many as are of the opinion, say "aye". To

:42:37.:42:40.

the contrary, "no". The ayes have it, the ayes have it. Who will

:42:41.:42:48.

prepare and bring in the Bill? Kevin Barron, Sarah Champion, John Healey,

:42:49.:42:54.

Andy McDonald, Anna Turney, Ian Wright, and myself, sir.

:42:55.:43:08.

Town and country planning, electricity generating consent bill.

:43:09.:43:36.

Second reading, what day? Friday the 13th of May. Friday the 13th of May.

:43:37.:43:44.

Thank you. Order. We can now to... Oh, not before the point of order

:43:45.:43:46.

from the honourable gentleman. Point of order. On a point of order, I

:43:47.:43:54.

would like to ask you whether you have received immediate notification

:43:55.:43:56.

of a statement by the Secretary of State for Energy and Climate Change

:43:57.:44:04.

in respect of the admission by the chairman of dossiers relating to

:44:05.:44:12.

parts of reactors meeting required standards had been falsified and the

:44:13.:44:15.

extent to which those falsifications were present in the generic design

:44:16.:44:21.

assessment process for the operation of reactors in the UK. No. I have

:44:22.:44:31.

received no indication on this extremely important matter that the

:44:32.:44:36.

Secretary of State for Energy and Climate Change has any plans to make

:44:37.:44:40.

a statement to the House. The honourable gentleman maybe

:44:41.:44:46.

dissatisfied by that news, and if he is, he has manifold ways in which to

:44:47.:44:51.

pursue the matter through the use of the order paper and the facility of

:44:52.:44:55.

this chamber. And knowing his experience and dexterity, I feel

:44:56.:44:59.

sure that he will use all the instrument is available to him. If

:45:00.:45:08.

there no further points of order, we come now to the opposition day

:45:09.:45:14.

motion in the name of the Leader of the Opposition. To move that motion,

:45:15.:45:19.

I call the shadow Secretary of State for Health, Heidi Alexander. Thank

:45:20.:45:27.

you, Mr Speaker. I beg to move view motion on the order paper in my name

:45:28.:45:30.

and the names of my honourable and right honourable friend. Before I

:45:31.:45:36.

begin, can I inform the House that I have been told that the

:45:37.:45:39.

Parliamentary Undersecretary of State, the member for Ipswich, will

:45:40.:45:42.

be opening this debate for the government? Given that the Health

:45:43.:45:47.

Secretary is sat next to him, can I ask why we will not be hearing from

:45:48.:45:51.

his boss today? If you would like to explain a genuine reason, I would be

:45:52.:45:57.

happy to take on intervention. If not, I take it that the Health

:45:58.:46:00.

Secretary simply doesn't want to come to this house to defend his

:46:01.:46:08.

policy. Order. There is a certain amount of chirruping from the

:46:09.:46:10.

Treasury bench and elsewhere on this matter. I simply make two points.

:46:11.:46:14.

First, it is for the government to decide which minister to field. But

:46:15.:46:20.

I do very gently say to the Secretary of State, and indeed to

:46:21.:46:24.

the deputy leader of the, that to sit on the bench while these matters

:46:25.:46:28.

are being debated is one thing, particularly in the case of the

:46:29.:46:34.

Secretary of State, but to sit there fiddling ostentatiously with an

:46:35.:46:37.

electronic device devised the established convention of the House

:46:38.:46:42.

that such devices should be used and I remind members, without impairing

:46:43.:46:50.

Parliamentary decorum. They are imperilling Parliamentary decorum,

:46:51.:46:54.

and in simple terms, are being discourteous to the shadow Secretary

:46:55.:46:57.

of State and to the House. It is a point so blindingly obvious that

:46:58.:47:01.

only an extraordinarily clever and sophisticated person could fail to

:47:02.:47:06.

grasp it. Heidi Alexander. Thank you, Mr Speaker. Of course, this is

:47:07.:47:09.

in the first time the Health Secretary has chosen not to respond

:47:10.:47:14.

to debates that I have brought or questions I have put. Order. I say

:47:15.:47:18.

to the deputy Leader of the House, put the device away, and if you

:47:19.:47:22.

don't want to put it away, get out of the House. It is rude. Order! I

:47:23.:47:29.

am not inviting a response from the honourable lady. I am simply telling

:47:30.:47:35.

her it is discourteous to behave like that, a point that most people

:47:36.:47:40.

would readily understand. The shadow Secretary of State, Heidi Alexander.

:47:41.:47:47.

In the last few months ministers and I have had a number of exchanges

:47:48.:47:53.

across this dispatch box about the unnecessary and dangerous fight this

:47:54.:47:58.

Government is picking the junior doctors. You might think that,

:47:59.:48:03.

having totally alienate it one section of the NHS workforce,

:48:04.:48:07.

ministers would think twice about doing it again. That he would be

:48:08.:48:13.

wrong. Not content with junior doctors, the Government are now

:48:14.:48:17.

targeting the next generation of nurses, midwives and other allied

:48:18.:48:23.

health professionals, podiatrist, physiotherapists, radiographers and

:48:24.:48:28.

many, many more. Instead of investing in these health care

:48:29.:48:33.

students, instead of valuing them, and protecting their bursaries,

:48:34.:48:36.

which help with living costs, and cover all of their tuition fees,

:48:37.:48:43.

this Government is asking them to pay for the privilege of training to

:48:44.:48:50.

work in the NHS. Scrap the bursary, ask tomorrow's NHS workforce to rack

:48:51.:48:53.

up a enormous debts, and claim this is the answer to current staff

:48:54.:49:02.

shortages. I will give way. She is making a spending commitments so why

:49:03.:49:06.

does she stand on a manifesto that oppose Government 10p in the pound

:49:07.:49:09.

investment in the NHS a few months ago? Thank you, Mr Speaker. . The

:49:10.:49:16.

Labour Party has always been clear it would have given the NHS every

:49:17.:49:23.

penny it needs. You would think the approach that I have outlined when

:49:24.:49:26.

it comes to health care students most people would think that the

:49:27.:49:31.

Government have taken leave of their senses. And they would be right. A

:49:32.:49:41.

few weeks ago... I'm very grateful. My constituents are baffled by the

:49:42.:49:44.

approach the Government are taking at a time when local hospitals are

:49:45.:49:48.

recruiting nurses from Spain and other European countries. To

:49:49.:49:53.

actually stop bursaries to get more people into training seems

:49:54.:49:59.

absolutely ridiculous. I absolutely agree with my honourable friend.

:50:00.:50:05.

Indeed, the bursary acts as an incentive to get those students into

:50:06.:50:08.

training and to get them into the NHS. A few weeks ago, the Government

:50:09.:50:13.

launched their consultation on the technical detail of these changes.

:50:14.:50:20.

Not the principal, just the detail. In his foreword, the Parliamentary

:50:21.:50:22.

Under-Secretary of State claimed that these proposals are good for

:50:23.:50:27.

students, good for patience and good for the NHS. The opposite is the

:50:28.:50:35.

case. But before I set out why these plans are so bad, it's important we

:50:36.:50:40.

remind ourselves why our country has a nursing shortage in the first

:50:41.:50:45.

place. Shortly after the 2010 election, the Coalition Government

:50:46.:50:49.

cut the number of nurse training commissions in an attempt to make

:50:50.:50:56.

some short-term savings. Those cuts soared nurse training places reduced

:50:57.:51:01.

from more than 20,000 a year to just 17,000, the lowest level since the

:51:02.:51:08.

1990s. As a result, we trained 8000 fewer nurses in the last Parliament

:51:09.:51:13.

and we would have done had we maintained commissions at 2010

:51:14.:51:19.

levels. At the time, experts such as the Royal College of Nursing, warned

:51:20.:51:24.

that the cuts would cause, and I quote, "Serious issues in

:51:25.:51:28.

undersupply for years to come." They were right. But they were ignored by

:51:29.:51:32.

ministers who were too focused on the short-term and too distracted by

:51:33.:51:40.

their plans to launch a massive reorganisation of the NHS. Our

:51:41.:51:48.

health service is now suffering the consequences of those decisions. New

:51:49.:51:51.

analysis by the House of Commons library which has been released

:51:52.:51:55.

today has shown the number of nurses per head of the population fell from

:51:56.:52:09.

6786 per million people in 2009 two 6645 in 2015. Unison survey

:52:10.:52:14.

published just last week found that two thirds of respondents felt

:52:15.:52:17.

staffing levels and got worse in the last year, with a further 63% saying

:52:18.:52:23.

they felt they were inadequate numbers of staff on the wards to

:52:24.:52:27.

ensure safe, dignified and compassionate care. Because of these

:52:28.:52:33.

shortages, hospitals are forced to recruit from overseas or spend vast

:52:34.:52:41.

amounts on expensive agency staff. I will gave way. In 2014-15, three 3p

:52:42.:52:49.

was spent on agency staff in the NHS. Does this short-sighted move

:52:50.:52:53.

mean Billy good trusts may be more reliant on agency staff as a result

:52:54.:53:04.

of moving the bursary? She's to point out the problems of staff

:53:05.:53:07.

shortages leading to more agency staff needing to be used are

:53:08.:53:12.

creating an enormous black hole in hospital finances and my fear is

:53:13.:53:16.

that these proposals would put off the next generation of nurses. It

:53:17.:53:23.

now appears that the Government is making the same mistakes all over

:53:24.:53:28.

again. A report sneaked out on the day this House rose for Easter

:53:29.:53:32.

recess revealing the Government has only commissioned one tenth of the

:53:33.:53:38.

extra nurse training places experts said we needed this year. The report

:53:39.:53:42.

from the migration advisory committee says this. " We were told

:53:43.:53:48.

that health education England has acknowledged that on the basis of

:53:49.:53:52.

workforce modelling alone, they would have liked to commission an

:53:53.:54:00.

additional 3000 places in 2016-17. Funding constraints meant they could

:54:01.:54:05.

only commission an additional 331 places, one tenth of what was

:54:06.:54:10.

actually needed." The report... I will gave way. Would she not agree

:54:11.:54:17.

with me that by changing the way we run the NHS especially on bursaries

:54:18.:54:21.

and opening it up to more of a competition, we would get more

:54:22.:54:24.

nurses coming into the NHS plugging the gap she's describing? I don't

:54:25.:54:30.

agree with the honourable gentleman. Further in my speech I will explain

:54:31.:54:35.

in some detail as to why. I would like to go back to the migration

:54:36.:54:38.

advisory committee report because it doesn't make happy reading for

:54:39.:54:42.

ministers, Madam Deputy Speaker. It goes on to say," it seemed

:54:43.:54:47.

self-evident to as the reduction in the number of commissioned training

:54:48.:54:53.

places between 2010-13 across England, Scotland, Wales and

:54:54.:54:56.

Northern Ireland was a significant contributing factor towards the

:54:57.:55:02.

current national shortage of nurses and, finally, the crucial sentence

:55:03.:55:07.

which sums up why we are experiencing across the board

:55:08.:55:11.

nursing shortages, almost all of these issues relate to and are

:55:12.:55:18.

caused by a desire to save money, but this is a choice, not a fixed

:55:19.:55:25.

fact. The Government could invest and resource if it wanted to. Those

:55:26.:55:31.

are not my words. They are the words of the migration advisory committee.

:55:32.:55:36.

Hospitals are short of nurses, mental health services are short of

:55:37.:55:42.

nurses, care homes, hospices, primary care is, too. We therefore

:55:43.:55:48.

have a big problem. No one in this House disputes that but no one

:55:49.:55:53.

should be under any illusion as to the cause. The question is, when

:55:54.:55:58.

faced with this problem, what is the right thing to do? How best can

:55:59.:56:03.

Government work with experts to ensure we are training enough staff

:56:04.:56:08.

and supporting those staff so they stay motivated and stayed working in

:56:09.:56:15.

the NHS? I will gave way. Of course we all agree there is a significant

:56:16.:56:19.

shortage of nurses and his absolutely right to ask the question

:56:20.:56:23.

what should be done. Issue therefore giving support to the government's

:56:24.:56:26.

concept of associate nursing which I believe will make a huge difference

:56:27.:56:30.

in places like my constituency, Gloucester, where we need new nurses

:56:31.:56:34.

to increase the numbers of home trained nursing staff? I'm grateful

:56:35.:56:42.

to the honourable gentleman for his question and think the key question

:56:43.:56:46.

that we need to have answered with regard to nursing associates is

:56:47.:56:50.

whether it's the intention of a Government that they replace

:56:51.:56:55.

registered nurses, because if that's the case, I fear these proposals

:56:56.:57:01.

would be bad for patient care. Madam Deputy Speaker, you might think a

:57:02.:57:05.

sensible approach to try to resolve this problem would be to sit down

:57:06.:57:09.

with the Royal College of Nursing and other trade unions,

:57:10.:57:14.

universities, health providers, to try and work out a way forward but

:57:15.:57:20.

no, this Government seems incapable of that. Instead, in just two lines

:57:21.:57:24.

in the Chancellor's Autumn Statement, they announced they would

:57:25.:57:28.

scrap NHS bursaries and asking student nurses to pay tuition fees.

:57:29.:57:33.

The Minister will argue that this will allow universities to train

:57:34.:57:38.

more students. But his problem is this. I will gave way. Doesn't you

:57:39.:57:44.

think the Government doesn't do the Royal College when it says these

:57:45.:57:47.

proposals they are putting forward our high risk, potentially deterring

:57:48.:57:52.

students from entering the nursing profession and risks worsening the

:57:53.:57:58.

current nursing shortage? I entirely agree with my honourable friend. I

:57:59.:58:03.

think the Government's problem is this. They have failed to back up

:58:04.:58:08.

their claims with any evidence. They are now faced with a breadth of

:58:09.:58:12.

opposition to this proposal, not just from members of this House, but

:58:13.:58:17.

from the Royal College of Nursing, the Royal College of midwives and

:58:18.:58:22.

Unison, organisations such as million-plus, the Association for

:58:23.:58:26.

modern universities, are also questioning the assumptions on which

:58:27.:58:30.

the Government is basing this policy. I will gave way. Does she

:58:31.:58:35.

agree with my constituent Zoe who was at trained nurse who was

:58:36.:58:41.

concerned for mature students because she feels many of them, 50%

:58:42.:58:46.

of the time is spent on unpaid clinical placements in hospital and

:58:47.:58:49.

the community and therefore they don't have the opportunity to do

:58:50.:58:52.

part-time work to support themselves as others do. Will not affect them

:58:53.:58:59.

disproportionately? I do agree with my right honourable friend and I

:59:00.:59:02.

will make some remarks on precisely that point later in my contribution.

:59:03.:59:08.

Madam Deputy Speaker, the purpose of the opposition in calling this

:59:09.:59:10.

debate today is that we hope that this House can rally round what many

:59:11.:59:15.

people would think is a straightforward and reasonable

:59:16.:59:19.

proposal about the Government drops these plans and instead consults on

:59:20.:59:24.

how to properly fund and support the future health care workforce. Let me

:59:25.:59:31.

set out why these plans are bad for students, bad for patients, and bad

:59:32.:59:35.

for the NHS. The Government claim these plans will leave health care

:59:36.:59:39.

students 25% better off but what they won't say is that, according to

:59:40.:59:45.

their own consultation, in order to be 25% better off, a student will

:59:46.:59:49.

have to take out a maximum maintenance and tuition fee loan for

:59:50.:59:54.

three years and will graduate with debts are between 48000 and ?59,000.

:59:55.:00:02.

I will gave way. Many people in the House today will know I had a son at

:00:03.:00:09.

23 weeks gestation which spent weeks in intensive care with a neonatal

:00:10.:00:14.

nurse called Nicola who sadly died not long after my son come out of

:00:15.:00:18.

hospital. I'm frightened many people like Nicola will not go into that

:00:19.:00:26.

profession because of his astronomical amounts of debt they

:00:27.:00:30.

will take on. Really, that's a progressive step in the Government

:00:31.:00:35.

should think again about that. I completely agree with my honourable

:00:36.:00:39.

friend. It seems the Government argument is students will be better

:00:40.:00:43.

off because they can borrow more. The simple truth is that loan

:00:44.:00:47.

repayments will head the take-home pay of nurses. There's no two ways

:00:48.:00:52.

about it. The current starting salary from nurse is ?21,692. Just

:00:53.:01:00.

above the student loan repayment threshold, which of course, has been

:01:01.:01:04.

frozen. This means nurses will start paying off loans as soon is they

:01:05.:01:09.

graduate and, according to Unison, based on current salary levels, and

:01:10.:01:13.

this will be faced with an average pay debt of over ?900 a year to meet

:01:14.:01:18.

their debt repayments. How can that possibly be justified? And worse, as

:01:19.:01:24.

the average age of the student nurses 28, the current 30 year

:01:25.:01:28.

payment period means many nurses will be paying off loans to within

:01:29.:01:34.

years of retirement. On this side of the House, we say it is wrong to

:01:35.:01:39.

burden the next generation of NHS staff with a lifetime of debt and

:01:40.:01:45.

wrong to expect tomorrow's nurses to pay the price for this government's

:01:46.:01:52.

mismanagement of the NHS. Does the Minister not understand that student

:01:53.:01:54.

nurses, midwives and other allied health professionals are different

:01:55.:02:01.

from other students? Can he not see it as dangerous to assume that just

:02:02.:02:05.

because application rates remained stable after the troubling of

:02:06.:02:09.

tuition fees in the last Parliament, the same will happen with his

:02:10.:02:13.

proposals? I say to him, assuming health care students will respond in

:02:14.:02:18.

the same way as other students to tuition fees hike, is one hell of an

:02:19.:02:25.

assumption and one hell of a risk. Courses for nursing, midwifery and

:02:26.:02:29.

other allied health professionals are substantially different to other

:02:30.:02:37.

degrees. Not only are there fewer holidays, longer days, longer term

:02:38.:02:41.

times, but students are also required to spend half their time in

:02:42.:02:46.

clinical practice, 2300 hours in the case of a student nurse including

:02:47.:02:51.

nights and weekend shifts as a normal part of their studies. I've

:02:52.:02:55.

already given away to the honourable gentleman and I want to make some

:02:56.:03:00.

progress. Madam Deputy Speaker, these changes will effectively

:03:01.:03:04.

charge students for working in the NHS. And of course, longer term

:03:05.:03:10.

placements also make it harder for these students together part-time

:03:11.:03:14.

job to supplement their income as many other students do. It's not

:03:15.:03:18.

just the course that makes health care students unique. They are much

:03:19.:03:23.

more likely to be women, much more likely to be mature students, much

:03:24.:03:28.

more likely to have children and more likely to be from the M E

:03:29.:03:33.

backgrounds. Many nursing students have already completed 1 degrees and

:03:34.:03:39.

turned to nursing in their late 20s or early 30s -- BME. The average age

:03:40.:03:46.

of a student nurses 28. When I think of my own friends, who are nurses

:03:47.:03:51.

and midwives, three out of four of them took the decision to retrain

:03:52.:03:55.

having done a different first degree. Now I know the Minister

:03:56.:03:59.

probably moves in different circles to me, but I can tell him that if he

:04:00.:04:05.

wants a dose of reality, I'm sure my friends would be more than happy to

:04:06.:04:10.

oblige. I understand that the Minister may not have experienced

:04:11.:04:16.

the same conversations as I did within my working-class family about

:04:17.:04:21.

the pluses and minuses of racking up debts to get a degree. But I can

:04:22.:04:29.

tell him that, for many nurses, and his proposals, that will be an all

:04:30.:04:32.

too real For the one in five health care

:04:33.:04:41.

students with children, does he not realise that the fear of debt is

:04:42.:04:46.

greater for them than for a carefree, privately educated history

:04:47.:04:50.

student bound for Cambridge? Madame Deputy Speaker, my concern about

:04:51.:04:55.

these proposals is that we ultimately end up with those who are

:04:56.:05:01.

best placed to pay becoming nurses and midwives, and not those best

:05:02.:05:10.

placed to care. That brings me to why these proposals are bad for

:05:11.:05:15.

patients. I thank the honourable member for giving way. We are all

:05:16.:05:18.

agreed on the need for more nurses, the question is how we fund them.

:05:19.:05:23.

Will she advise how much money she would take away from front line NHS

:05:24.:05:28.

care in order to fund the expansion of nurse places that we need in this

:05:29.:05:36.

country? At the last election, we set out clearly costed plans for how

:05:37.:05:41.

we would recruit additional nurses, doctors and care staff to the NHS.

:05:42.:05:48.

The NHS should have a workforce that reflects the population it serves,

:05:49.:05:53.

just as this place should. The mental health sector in particular

:05:54.:05:58.

relies on mature students, and the additional life experience they've

:05:59.:06:04.

bring -- and they bring to a demanding environment. A few months

:06:05.:06:08.

ago, I met Marina, a young woman who has not had an easy life, but is now

:06:09.:06:14.

on a mission to become a mental health nurse. When Marina says to me

:06:15.:06:19.

that she thinks some of the people best placed to care for others are

:06:20.:06:24.

those who have experienced hardships themselves, I think she has a point.

:06:25.:06:29.

And when she says she would not have been able to start her training

:06:30.:06:34.

without the bursary, I believe her. Why is the minister so convinced

:06:35.:06:40.

that the NHS can do without people like Marina in the future, and why

:06:41.:06:44.

does he think they should pay to train. Why will he not consider

:06:45.:06:53.

other options for increasing student numbers? The quality of training

:06:54.:06:58.

that student nurses, midwives and other allied health professionals

:06:59.:07:00.

receive will also be dependent on the quality of their clinical

:07:01.:07:06.

placements. Whilst government ministers claim these changes could

:07:07.:07:09.

deliver up to 10,000 extra places over the course of this Parliament,

:07:10.:07:15.

can they set out what capacity hospitals and other providers have

:07:16.:07:20.

to accommodate these extra students, and whether health education England

:07:21.:07:25.

has sufficient funds set aside to fund these placements? Can the

:07:26.:07:31.

minister also be clear as to how they have arrived at this 10,000

:07:32.:07:36.

figure? Is this an assessment of what the system needs? Is it what

:07:37.:07:39.

health education England can afford to fund, or is it simply a big

:07:40.:07:44.

sounding number plucked out of the air at random? An extra 10,000

:07:45.:07:50.

compared to when? What is the baseline year from when to judge his

:07:51.:07:56.

policy by? I have now asked the minister that question three times

:07:57.:08:00.

in Britain parliamentary questions, and each time, I have not got an

:08:01.:08:05.

answer. Does he not understand that if his department can't even ants

:08:06.:08:11.

are a simple question about -- if they can not even answer a simple

:08:12.:08:15.

question about the claims of their policy, it doesn't exactly inspire

:08:16.:08:19.

confidence. There are some any questions the minister needs to

:08:20.:08:23.

answer. It is impossible to do them all justice in one speech. As has

:08:24.:08:32.

been indicated, it is agreed that we need to expand places, but thanks to

:08:33.:08:36.

this government, 10 billion additional pounds has been put into

:08:37.:08:40.

GP services, cancer treatment and hospital care. Which of those

:08:41.:08:45.

services which she cut to fund the alternative bursary scheme she has

:08:46.:08:52.

in mind? I am afraid the honourable gentleman does not seem to realise

:08:53.:08:56.

that that money is plugging a very big black hole in NHS finances at

:08:57.:09:02.

the moment. When the minister stands up, I am sure he will note that many

:09:03.:09:07.

applicants to study nursing and other health care degrees are turned

:09:08.:09:13.

away. But what proportion of those unsuccessful applicants actually

:09:14.:09:16.

meet the entry criteria? How can he be sure that his new system will

:09:17.:09:22.

deliver the required numbers of different types of nurses and other

:09:23.:09:25.

health care professionals in the right geographical areas? Can he

:09:26.:09:34.

also say what guarantees he has given to higher education

:09:35.:09:36.

institutions that the new arrangements will cover the costs of

:09:37.:09:40.

delivering degrees? Can he also say what assessment he has made of the

:09:41.:09:46.

amount of an repaid student debt which will accumulate, given that

:09:47.:09:50.

over a lifetime, some nurses will not earn enough to repay the

:09:51.:09:54.

totality of their loans plus interest? The proposal to scrap NHS

:09:55.:10:04.

bursaries is a massive gamble, at a time when the NHS needs certainty.

:10:05.:10:11.

Put simply, it shifts the cost of training nurses, midwives and other

:10:12.:10:15.

allied health professionals from the state to the individual. If we are

:10:16.:10:21.

all happy to enjoy the benefits of the NHS, why should we not all

:10:22.:10:26.

contribute to the training of those who work in it? I was the first

:10:27.:10:34.

person in my family to go to university. I was someone who had my

:10:35.:10:40.

tuition fees paid in full, and received a full maintenance grant. I

:10:41.:10:45.

am really worried that people like me, people like my friends, will be

:10:46.:10:51.

put off from what could be a fulfilling and important career. We

:10:52.:10:55.

should be doing all we can to inspire today's's schoolchildren to

:10:56.:10:58.

become nurses and health care professionals of the future. Sadly,

:10:59.:11:03.

the government is doing a good job of doing the opposite. If ministers

:11:04.:11:09.

want to continue to import staff from overseas, they are going the

:11:10.:11:15.

right way about it. I say we owe a debt of attitude to those staff, but

:11:16.:11:23.

we want home-grown staff as well. In conclusion, I would like to return

:11:24.:11:28.

to the government's consultation. One of the sections is titled

:11:29.:11:32.

"Nursing, midwifery and allied health professionals students

:11:33.:11:37.

deserve the same opportunities as other students". On this side of the

:11:38.:11:41.

House, we say no. They deserve better. They should be treated

:11:42.:11:48.

differently to other students, as they will look after us when we are

:11:49.:11:54.

older, who will care for our relatives when they are sick and who

:11:55.:11:58.

will staff the NHS when this shambolic government has long gone.

:11:59.:12:03.

The government should drop these proposals and think again. I commend

:12:04.:12:10.

this motion to the House. The question is as on the order paper.

:12:11.:12:20.

Thank you, Madam Deputy Speaker. It is a pleasure to be answering this

:12:21.:12:24.

motion put by the honourable lady, not least because I think this is

:12:25.:12:30.

potentially one of the most exciting things we will do in the NHS in the

:12:31.:12:37.

next five years to increase opportunity and quality and the

:12:38.:12:41.

presence of nursing staff on warts. And we will do that because of a

:12:42.:12:46.

reform that has helped so many other students across this country in the

:12:47.:12:50.

last five years. The honourable lady came to the House at the same time

:12:51.:12:58.

as I did. We were in that debate in November 2010, on opposite sides of

:12:59.:13:02.

the House, making contributions in a debate where many of us were anxious

:13:03.:13:08.

about the outcome, not least because of the enormous pressures that were

:13:09.:13:14.

on us from our constituents. Members who have been here for many years

:13:15.:13:18.

will know that it was the first time you could hear a riot outside the

:13:19.:13:22.

chamber whilst you were sitting in this place. And they were outside,

:13:23.:13:28.

complaining that we were going to destroy the ability of people to go

:13:29.:13:32.

to university. We were going to make it impossible for people to go who

:13:33.:13:38.

came from disadvantaged backgrounds, and we were going to set back years

:13:39.:13:43.

of progress in closing the inequality gap in this country.

:13:44.:13:46.

There were people who spoke on both sides of the House who feel very

:13:47.:13:51.

passionately about that. We believe it could be sold by different means.

:13:52.:13:57.

But we have had the ability of the last five years to see the effect of

:13:58.:14:00.

the changes and to see, as the honourable lady has posited in her

:14:01.:14:06.

speech, the evidence for the changes that were made. And the evidence is

:14:07.:14:14.

clear. This year, there were 394,380 people accepted onto places in this

:14:15.:14:20.

country. That is 35,000 more people accepted onto university places than

:14:21.:14:26.

in 2010, when we had that debate. If that were one university, it would

:14:27.:14:31.

be the fourth largest university in this country. That was a result of

:14:32.:14:43.

the reforms undertaken in this House in 2010. But the honourable lady

:14:44.:14:47.

says, how was it that that expanded opportunity to those who most need

:14:48.:14:53.

university? I regret the tone she took in this portion of her remarks.

:14:54.:14:57.

I am afraid it was beneath. It is indeed wrong that when I went to

:14:58.:15:04.

university, my fees were in part paid for by nurses on low wages

:15:05.:15:11.

paying tax. That is wrong. We accepted that that was wrong. We

:15:12.:15:15.

also accepted that the system was not helping people who most need

:15:16.:15:19.

university in order to escape their backgrounds to get into university.

:15:20.:15:23.

So the results we should really be looking for what has helped people

:15:24.:15:29.

from disadvantaged backgrounds get into university in the last five

:15:30.:15:38.

years. In the last five years, the numbers of people going to

:15:39.:15:41.

university from disadvantaged backgrounds has increased by 10,150,

:15:42.:15:48.

a massive increase over the last five years. Had someone said that

:15:49.:15:56.

would be possible in 2010, I doubt anyone would have given 5000-1 odds

:15:57.:16:04.

on that happening. But 10,150 people is the size of the university of

:16:05.:16:08.

Leicester. It is the number of people who we have brought into the

:16:09.:16:11.

university sector as a result of the changes we have made. One university

:16:12.:16:17.

more follow people from disadvantaged backgrounds that we

:16:18.:16:23.

have created -- full of people. I know that her motivations in 2010

:16:24.:16:26.

were entirely honest and commendable. I also know that many

:16:27.:16:32.

members of the side of the House felt likewise, but we have to accept

:16:33.:16:36.

when we get things wrong man that is where am afraid the honourable lady,

:16:37.:16:41.

not ourselves, is failing to learn from history. Back in that debate,

:16:42.:16:49.

she said "I fear", in an intervention on one of my honourable

:16:50.:16:53.

friend 's," that the changes proposed will mean huge debt forced

:16:54.:16:59.

onto students and they could now have a greater incentive to go to

:17:00.:17:05.

university than there is for students from more affluent

:17:06.:17:08.

backgrounds". She made exactly the same point she has made in this

:17:09.:17:12.

debate back in 2010. She was wrong then, and I humbly suggest that she

:17:13.:17:16.

is wrong on this occasion. She should listen to the evidence that

:17:17.:17:23.

has been put forward not by me but by so many institutions about the

:17:24.:17:26.

progress that has been made in reducing inequality. For that reason

:17:27.:17:36.

alone, I will come onto the reasons for reducing bursaries later.

:17:37.:17:41.

Does he not accept that health care students have very different

:17:42.:17:48.

characteristics compared to other students and their behaviour will

:17:49.:17:52.

not be the same, necessarily, as those students who were affected by

:17:53.:17:59.

the reforms in the last Parliament? I do accept the differences. Implied

:18:00.:18:04.

in her point she is accepting she was wrong in 2010 and therefore

:18:05.:18:07.

should be more measured about the proposals. It hasn't all been plain

:18:08.:18:14.

sailing since the reforms came in, not least the impact on applications

:18:15.:18:19.

from materials students. Given the proportion of material students who

:18:20.:18:23.

make up the nursing cohort does the Minister not accept there is nothing

:18:24.:18:28.

in the consultation that proposes how to mitigate against that risk to

:18:29.:18:32.

good recruits from mature student backgrounds who currently make up a

:18:33.:18:35.

significant proportion of the nursing workforce? He is wrong on

:18:36.:18:42.

both points. The number of material student applications is higher than

:18:43.:18:46.

in 2010 and there are specific recommendations to deal with mature

:18:47.:18:53.

students. Doesn't this demonstrate the point he is making that you have

:18:54.:19:01.

a choice? You either inspire people to aspire and give them the

:19:02.:19:04.

opportunity to come into the NHS by talking it up or you top it down by

:19:05.:19:13.

being negative and put people off. I believe that is why the opposition

:19:14.:19:17.

was wrong in 2010 and had we followed their advice we would have

:19:18.:19:22.

fewer people from disadvantaged backgrounds going to university. As

:19:23.:19:27.

a result of us taking forward brave proposals in the teeth of

:19:28.:19:33.

opposition, we have done more for the prospects of people from

:19:34.:19:41.

disadvantaged backgrounds since education -- higher education was

:19:42.:19:52.

reformed. The fact that the offer of an alternative is so anaemic makes

:19:53.:19:56.

it clear there is no alternative suggestion the honourable lady can

:19:57.:20:11.

put forward, which is an increase in numbers and people from diverse

:20:12.:20:16.

backgrounds. It implies she accepts that workforce planning over the

:20:17.:20:27.

last 40 years has failed. Perhaps she is not willing to say that is

:20:28.:20:30.

because everything we have to do now to correct workforce numbers, the

:20:31.:20:36.

5000 additional GPs my right honourable friend fought the last

:20:37.:20:38.

election campaign on and will deliver in the next few years, is a

:20:39.:20:43.

result of commissioning decisions being made poorly, not under the

:20:44.:20:47.

Coalition Government or even the latter years of the Labour

:20:48.:20:51.

government but 20 or 30 years ago. It is the failure to predict in

:20:52.:20:57.

advance of the numbers of GPs and professionals that is landing is in

:20:58.:21:05.

these perpetual situations where we are not accepting British students

:21:06.:21:09.

who want to do a training course into university places and so not

:21:10.:21:15.

creating the number of domestic trained nurses we need, and having

:21:16.:21:23.

the response to the inadequacies in care uncovered in the mid-Staffs

:21:24.:21:27.

scandal and the failure of the Labour government to have nurse

:21:28.:21:31.

numbers across the country, importing nurses from abroad and

:21:32.:21:36.

filling most places with agency posts, something we have to correct

:21:37.:21:42.

now. Can I just tell the Minister that one of the main areas of

:21:43.:21:46.

feedback I have had from the Salisbury Hospital foundation trust

:21:47.:21:53.

is that they are frustrated with the reliance on agency nurses so I

:21:54.:21:58.

welcome the Government 's moves in this area because it will open up

:21:59.:22:03.

the supply and reduce the reliance and significant additional cost over

:22:04.:22:08.

the last few years? It is precisely to help that hospital we are making

:22:09.:22:18.

these reforms. He said before there was no alternative to these

:22:19.:22:23.

proposals. Can he tell us which of the Royal colleges the consulted

:22:24.:22:30.

with before that decision? I have spoken at length with the Royal

:22:31.:22:36.

College of Nursing but we do differ on key parts of the plant but I

:22:37.:22:46.

would expect that. -- plan. You will see in their initial response to the

:22:47.:22:51.

consultation that they accept the premise under which we are

:22:52.:22:55.

proceeding. I want to find through the period of consultation those

:22:56.:23:01.

areas where we can agree and improve the proposals we have put before the

:23:02.:23:05.

public and that is why we have been very open about this consultation

:23:06.:23:09.

and offered the full length, 12 weeks. Many people said we would not

:23:10.:23:13.

but we did. Precisely so we can listen to the concerns and exciting

:23:14.:23:21.

challenges across the sectors and improve our proposals to the NHS.

:23:22.:23:27.

There is a suggestion of a whole series of things apart from one

:23:28.:23:30.

thing which is the opposition's proposals to do anything different.

:23:31.:23:36.

What they will not do is offer new money to the NHS. They were offering

:23:37.:23:41.

?4.5 billion less than we did at the last election. It would have to be

:23:42.:23:46.

cut elsewhere in the service, I can only presume. The honourable lady

:23:47.:23:51.

has no credibility in making her argument unless she comes to the

:23:52.:23:56.

House saying she will offer 10,000 additional training places and pay

:23:57.:24:02.

for them out of taxpayers' money rather than finding an alternative

:24:03.:24:06.

funding mechanism. I will say this. I am not going to lead the House by

:24:07.:24:11.

a series of suggestions about what might or might not be better and

:24:12.:24:17.

merely setting to criticised the proposals rather than offering

:24:18.:24:26.

constructive ideas. She is contributing now in her debate

:24:27.:24:28.

although sadly there were no actual solutions about what we could do

:24:29.:24:34.

alternatively. What I intend to do is set up not by suggestion but by

:24:35.:24:38.

very clear announcement the plans that we have, the reasons why we

:24:39.:24:43.

want to do them and how we will enact them over the years to come.

:24:44.:24:52.

This opposition has proffered many solutions to the Government over

:24:53.:24:56.

time. Last week, in the form of a cross-party solution to the doctors

:24:57.:25:01.

crisis, which was thrown back in the face of our front bench. There is a

:25:02.:25:05.

solution. The Government at the moment is taking an apprenticeship

:25:06.:25:10.

leading from large employers, including the NHS. Would he agree to

:25:11.:25:13.

speak his business colleagues to see whether the apprenticeship levy

:25:14.:25:20.

could be spent on subsidising nurses to tackle the challenge they have in

:25:21.:25:25.

funding? Has honourable friend, the member for Ilford North, discussed

:25:26.:25:29.

this with me a number of times and he has concerns about the proposals.

:25:30.:25:35.

He offered useful suggestions about the detail and I accepted what he

:25:36.:25:38.

wanted to say and incorporated them within our thinking. I am willing to

:25:39.:25:44.

listen to people across the House when they have helpful suggestions

:25:45.:25:49.

and I'm sure the Minister for Skills would like to listen to his

:25:50.:25:53.

contributions. The way not to do it is to come to the House with a

:25:54.:25:57.

series of criticisms and not one suggestion, least of all any money

:25:58.:26:03.

to provide an increase in training places this plan was provide. --

:26:04.:26:14.

will provide. Were it not even further number and reason of

:26:15.:26:17.

producing 10,000 additional training places in our university systems, or

:26:18.:26:23.

for the fact we have a broken planning system, because we will not

:26:24.:26:31.

be able to predict in 20 or 30 years' time the number of NHS

:26:32.:26:37.

workers we will require, even if it were not for that it would be

:26:38.:26:41.

important to make this change because of the changes it will make

:26:42.:26:44.

to the quality of training we can provide to nursing graduates. What

:26:45.:26:50.

has happened in the undergraduate sector across the rest of

:26:51.:26:53.

undergraduate training is that we have seen universities released to

:26:54.:26:59.

innovate, provide improvements in their courses, satisfaction levels

:27:00.:27:05.

have gone up, dropping out rates have gone down, and people are

:27:06.:27:09.

getting a better experience. But we have not been able to spread those

:27:10.:27:13.

advantages to nurses who, I'm afraid, still are trapped in a

:27:14.:27:17.

system which is prescriptive rather than listening to what they need and

:27:18.:27:21.

what their future employers will need in terms of skills. That is why

:27:22.:27:29.

by releasing universities from the straitjacket in which they have had

:27:30.:27:34.

to operate, we will be able to provide significant improvements to

:27:35.:27:36.

the quality of training they provide. It is an assertion which is

:27:37.:27:44.

backed up by the evidence of the past five years and has received the

:27:45.:27:51.

recommendation of Professor Jessica Corner, the chairman of the Council

:27:52.:27:56.

of deans of health. She said, we recognise this has been a difficult

:27:57.:28:00.

decision to the Government at we are pleased the Government has found a

:28:01.:28:05.

way forward. Fully implemented, this should allow universities in

:28:06.:28:10.

partnership with NHS to increase places and improve day-to-day

:28:11.:28:13.

financial support for students while they study. The plan means students

:28:14.:28:17.

will have access to more day-to-day maintenance support through the

:28:18.:28:24.

system and likewise universities UK support increasing professional

:28:25.:28:28.

student numbers to work with the Government and NHS to secure the

:28:29.:28:32.

sustainable funding system we have provided. They are pleased about the

:28:33.:28:38.

impact this will have on placement training. These are the people

:28:39.:28:43.

providing training in our NHS and they support the proposals we have

:28:44.:28:47.

had forward because they will release the same kind of innovation

:28:48.:28:49.

we have seen elsewhere in the university sector. I wanted to

:28:50.:28:56.

reinforce a point he is making witches, I think, and he will know

:28:57.:28:59.

the answer, that the shows actually far more people from deprived

:29:00.:29:04.

backgrounds have gone to university since the changes made five years

:29:05.:29:08.

ago. Could you confirm that? At a time when the benches opposite said

:29:09.:29:12.

it would have the opposite effect. The evidence is more conclusive then

:29:13.:29:19.

he said. Could you confirm the maintenance grants will go up to

:29:20.:29:24.

25%, which will help on that specific point he mentioned? It

:29:25.:29:30.

brings me onto the next point I wanted to make which is the great

:29:31.:29:33.

virtue of these reforms as far as June finance is concerned is that it

:29:34.:29:37.

means we can increase student finance support, maintenance support

:29:38.:29:43.

by 25 cent. She makes some clear and sensible points that working as a

:29:44.:29:48.

student nurse, training as a student nurse is different from being a

:29:49.:29:52.

history undergraduate. It means you have less time to take on jobs but

:29:53.:29:58.

even more reason therefore to provide better maintenance support.

:29:59.:30:03.

She has not come to the House saying she is gone to provide 25%

:30:04.:30:07.

additional maintenance support for students who do not have the time to

:30:08.:30:10.

be able to go and get second jobs as a result. She has not come with that

:30:11.:30:17.

commitment and yet she has criticised our efforts to increase

:30:18.:30:20.

maintenance support by 25% precisely to help those people who would not

:30:21.:30:25.

otherwise be able to take time out in order to take on university

:30:26.:30:30.

courses. She cannot have it both ways. She can't on one hand

:30:31.:30:34.

criticise us for the reforms we are undertaking while at the same time

:30:35.:30:37.

seeing students need greater support. It is through those reforms

:30:38.:30:42.

we are producing the support so many students require. He talks about

:30:43.:30:51.

maintenance support. Can you clarify that support will no longer be in

:30:52.:30:55.

the form of a grant but in the form of a loan and will land a student in

:30:56.:31:00.

even more debt when they finally qualify? By reforming the system so

:31:01.:31:06.

it becomes alone rather than a grant we are able to produce 25% extra

:31:07.:31:11.

support for students whilst the train, much as with the rest of the

:31:12.:31:17.

student population. The results on newly qualified nurses are not, as

:31:18.:31:23.

the honourable lady suggests. Here, she should be very clear in the way

:31:24.:31:26.

she addresses this question because all of us have a duty to inform the

:31:27.:31:32.

public properly. The one thing that would be remiss of us is even if we

:31:33.:31:38.

disagreed as to mislead potential students into thinking they will

:31:39.:31:41.

have to pay more than they otherwise would. In her speech she said that

:31:42.:31:49.

students would have to pay hundreds of pounds more in terms of

:31:50.:31:55.

repayments once they qualify. It just is not the case. We anticipate

:31:56.:31:59.

a newly qualified nurse will be paying roughly ?90 per year more,

:32:00.:32:05.

about the same as they are currently paying because of the way student

:32:06.:32:13.

payment finance is, and the impact on newly qualified nurses will not

:32:14.:32:18.

be anywhere near the impact she has suggested. She should be careful

:32:19.:32:23.

about how she addresses are points because otherwise people will

:32:24.:32:27.

receive an impression about these loans that is not fact. Can he tell

:32:28.:32:35.

us what cancellation he has made of how much will be unpaid back of the

:32:36.:32:47.

loan? The economic impact assessment as part of the consultation. It

:32:48.:32:53.

depends on the way the student work first developed over the next 20 or

:32:54.:32:56.

30 years but it is fully costed within the Treasury's assumptions.

:32:57.:33:01.

We anticipate people working beneath the current limits will not be

:33:02.:33:06.

paying back more than at the moment. That is the way the payments are

:33:07.:33:12.

cultivated. This will not land on newly qualified nurses with new

:33:13.:33:14.

payments that they had otherwise not expected.

:33:15.:33:20.

I am grateful to the Honourable Gentleman. The Minister urged me to

:33:21.:33:27.

be careful with my words, which I was, and I recognise he is being

:33:28.:33:33.

careful with his as well. He is talking about newly qualified

:33:34.:33:37.

nurses. Can he confirm what the average repayment would be for the

:33:38.:33:44.

average nurse? The average nurse, as she claims it, is not a figure we

:33:45.:33:50.

currently have, because how would I project 50 years into the future for

:33:51.:33:54.

precisely the reasons we have discussed, where their career path

:33:55.:34:00.

will go? But the actual repayments, I will turn to the Honourable Lady

:34:01.:34:08.

from Kingston-upon-Hull in a second, the actual payments are listed in

:34:09.:34:11.

the consultation document and are clear about the man to be paid back

:34:12.:34:19.

over and above what would -- what students would be expected to pay --

:34:20.:34:24.

the amount to be paid back. The only way we are going to square the

:34:25.:34:30.

circle is by reforming student finance, so rather than shouting,

:34:31.:34:34.

she may like to know that whereas she suggested many in her

:34:35.:34:39.

constituency would be none the wiser about this reform, when I talked

:34:40.:34:43.

about the reforms to nurses in her constituency a few moments ago and

:34:44.:34:48.

about the introduction of apprenticeships, nursing associate

:34:49.:34:52.

grades, all of which are at peace with the reforms I am outlining,

:34:53.:34:57.

they were excited about the changes we are making to the nursing

:34:58.:35:01.

profession. All of this is only possible within a budget carefully

:35:02.:35:05.

controlled where priorities are being made about where money is

:35:06.:35:12.

being spent. I will give way. From a sedentary position I shouldn't have

:35:13.:35:15.

been shouting at the Minister that I am surprised that he comes to this

:35:16.:35:19.

House and is unable to answer a basic question about what the amount

:35:20.:35:23.

of money lost would be through the scheme he wants to Jews. Surely he

:35:24.:35:29.

ought to those facts at his fingertips. I do have them. A newly

:35:30.:35:36.

qualified nurse will not pay more than one under the current system.

:35:37.:35:43.

For those on higher pay rates... If she does not have the details I will

:35:44.:35:48.

write to her with the details. What I will say to be Honourable ladies

:35:49.:35:53.

and gentleman opposite is that rather than picking precisely at

:35:54.:35:57.

points because they are refusing to face up to the fact that they have

:35:58.:36:02.

two fund their commitments out of additional money, they should listen

:36:03.:36:06.

carefully to the entirety of the reforms we are proposing. I will

:36:07.:36:11.

make some progress if the Honourable Lady will not mind. First we are

:36:12.:36:16.

introducing a new nursing associate grade which my Honourable Friend

:36:17.:36:20.

mentioned previously. This is an extraordinary opportunity to be able

:36:21.:36:24.

to eradicate one of the great unfairness is in the NHS at the

:36:25.:36:28.

moment, that there are brilliant people working as health care

:36:29.:36:31.

assistants who cannot become registered nurses because they were

:36:32.:36:34.

let down by the schools they went to. It is a consequence I am afraid

:36:35.:36:39.

of the failure of school reform under the previous Government and

:36:40.:36:42.

over previous governments, people were failed to the extent that they

:36:43.:36:51.

have not been given the opportunities they deserve. We will

:36:52.:36:53.

reverse them by providing an apprenticeship ladder, both to

:36:54.:36:55.

nursing associate role and from there to registered nursing

:36:56.:36:59.

position, degree apprenticeship available to both able and confident

:37:00.:37:04.

to reach that grade, a route of opportunity not available under the

:37:05.:37:09.

previously the Government, a route of opportunity brought in by this

:37:10.:37:13.

Conservative Government, one nation party for all. It is by making those

:37:14.:37:18.

reforms, by bringing in a nursing associate role, by creating 100,000

:37:19.:37:23.

apprentices in the NHS, many of whom will be health care assistants

:37:24.:37:27.

working their way to a nursing associate position and from there to

:37:28.:37:32.

registered nursing grade, will give multiple opportunities for people to

:37:33.:37:37.

become nurses. Both those who want to learn while they are learning who

:37:38.:37:42.

are already in the service, who will take four and a half, five, six

:37:43.:37:49.

years to get to a registered nursing role or those able to take time out

:37:50.:37:53.

to do a degree to become a registered nurse for whom we will

:37:54.:37:57.

provide additional support in terms of maintenance grants. Members are

:37:58.:38:03.

shaking their hands but I don't know what out, are they shaking their

:38:04.:38:06.

heads at the 100,000 apprenticeships we are creating or the nursing

:38:07.:38:12.

associate roles, or at the increased maintenance support? None of that

:38:13.:38:17.

has been addressed in the Honourable Lady's speech. That is why I hope in

:38:18.:38:24.

my last remaining minutes, I hope my Honourable Friend won't mind if I

:38:25.:38:27.

conclude my remarks. I know members across the House want to intervene

:38:28.:38:33.

on this debate. Why this reform is important, not just for individuals

:38:34.:38:37.

who want to become nurses, not just for matters of social equality and

:38:38.:38:42.

opportunity, but also important for the NHS. You see, the NHS is not

:38:43.:38:49.

able to innovate like other parts of our public sector and private sector

:38:50.:38:53.

because of the long lead times in terms of training people. We do not

:38:54.:38:59.

have the instruments within the NHS to be able to reflect the dramatic

:39:00.:39:02.

changes in demographics and technology which changed the NHS not

:39:03.:39:07.

year by year but month on month. The great benefit of bringing in

:39:08.:39:11.

apprenticeship routes, nursing associate roles, of diverse of the

:39:12.:39:16.

skill mix, creating quicker and more numerous routes into the nursing

:39:17.:39:20.

profession, is that we can create a more diverse, more flexible and more

:39:21.:39:28.

agile trained workforce. All will be possible because of the reforms of

:39:29.:39:32.

which this bursary reform is part. None would have been possible with

:39:33.:39:37.

the reduction in funding promised by the party opposite or the failure to

:39:38.:39:40.

wish reform upon the system. That is why, Madam Deputy Speaker, I hope

:39:41.:39:48.

this House will reject this motion, full of suggestions and indications

:39:49.:39:54.

rather than firm plans, from the party opposite. This motion says

:39:55.:39:59.

nothing for the future of the people that the NHS depend upon. It does

:40:00.:40:04.

nothing to suggest how we will increase numbers or provide

:40:05.:40:08.

additional maintenance support, almost importantly, provide

:40:09.:40:11.

opportunity for those who have not yet had any. We will do that by

:40:12.:40:16.

reforming the system just as we did in 2010. We will make sure we do not

:40:17.:40:20.

listen to the well-intentioned but erroneous voices from the party

:40:21.:40:25.

opposite, which had we listen to in 2010, would have denied opportunity

:40:26.:40:34.

to tens of thousands of people. We will be determined not to do that.

:40:35.:40:37.

We will be the party of opportunity, presenting it to those who want to

:40:38.:40:39.

be in nursing or any other position in the NHS because this will only be

:40:40.:40:43.

a truly national health this event provides opportunity to the many,

:40:44.:40:49.

not the few. Many thanks, Madam Deputy Speaker. I must initially

:40:50.:40:52.

declare an interest you to my work in the NHS and for having had the

:40:53.:40:56.

privilege of being trained as a doctor with the availability of a

:40:57.:41:01.

grant. The National Health Service is one of our most esteemed public

:41:02.:41:05.

services but at present in the UK there is a long-standing shortage of

:41:06.:41:10.

qualified health care professionals. While the current bursary system for

:41:11.:41:14.

nursing and allied health care students may not be without issue

:41:15.:41:18.

the UK Government's proposed changes to this as laid out are concerning.

:41:19.:41:24.

Additionally, is the manner these have been presented with detailed

:41:25.:41:27.

consideration of the impact somewhat lacking? As you have heard, the UK

:41:28.:41:33.

Government are proposing the current NHS bursary system be changed.

:41:34.:41:38.

Instead health care students will be required to pay tuition fees and be

:41:39.:41:42.

subject to the same standard loan system other students in a number

:41:43.:41:47.

subject to. The UK Government have indicated they expect these reforms

:41:48.:41:52.

to create up to 10,000 additional nurses and health professional

:41:53.:41:55.

training places over the current Parliament. But this appears to be

:41:56.:42:00.

narrow sighted. The proposed move to a system allowing students funding

:42:01.:42:08.

themselves by taking on debts as raid substantial concerns amongst

:42:09.:42:09.

unions, professional bodies and students. One of the key questions

:42:10.:42:17.

is such a move could be a barrier to tearing prospective students from

:42:18.:42:20.

entering the profession. I must say as I stand here, the first doctor in

:42:21.:42:25.

my family, I would not have considered applying had it meant

:42:26.:42:28.

racking up such debt. I am particularly concerned about access

:42:29.:42:33.

to doctorate causes and for postgraduate requirements. Will we

:42:34.:42:37.

create an elite workforce, one not based upon ability but instead upon

:42:38.:42:44.

means? Unison estimate that under the new scheme student undertaking a

:42:45.:42:48.

three-year 30 week course outside London will graduate with debtor lit

:42:49.:42:54.

-- of at least ?51,600 plus interest and any over draft plus any personal

:42:55.:43:04.

debt. Her own achievements are to be applauded by all of us, but does she

:43:05.:43:08.

recognise that there are people out there who don't think university is

:43:09.:43:12.

for them, but for whom a two-year apprenticeship course offered by the

:43:13.:43:16.

new nursing associate route will give a real opportunity to get into

:43:17.:43:21.

the NHS, and maybe later go on to be a full nurse. I thank the Honourable

:43:22.:43:25.

Member for his intervention. I would like to see a widening of access

:43:26.:43:31.

into schemes in the NHS in terms of training. I would hope that it is

:43:32.:43:35.

properly funded and we don't rely on NHS staff to take other jobs while

:43:36.:43:42.

training and to undertake the stress of the straining along is -- stress

:43:43.:43:45.

of the training alongside other jobs. We know the NHS staff we have

:43:46.:43:53.

are invaluable and we want to fund them in that capacity. For many,

:43:54.:44:01.

their loans may be higher due to the additional cost from longer courses

:44:02.:44:05.

and courses in London, and as already stated I am particular

:44:06.:44:09.

concerned about postgraduate courses for doctorate trainees who may not

:44:10.:44:12.

be able to afford continual loans which are to their debt. As such it

:44:13.:44:19.

is likely that the majority of health care students, the size of

:44:20.:44:22.

their debt could be considerably higher. I believe it is naive to

:44:23.:44:27.

think larger loans will not be a psychological deterrent, especially

:44:28.:44:32.

those from poorer or nonuniversity backgrounds or mature students, or

:44:33.:44:36.

those who have changed careers who may have additional financial

:44:37.:44:39.

responsibilities or debts from those degrees or in relation to family

:44:40.:44:44.

life. The demographic of students on nursing, midwifery and allied health

:44:45.:44:48.

professions tends to be different from other student populations as we

:44:49.:44:52.

have heard. It is more likely to be women from black and minority ethnic

:44:53.:44:56.

backgrounds, parents and mature students. It is likely therefore,

:44:57.:45:02.

and a real concern, that abolishing bursaries will reduce diversity,

:45:03.:45:06.

Foster inequality and encourage potentially high quality applicants.

:45:07.:45:14.

I thank the Member for giving way. She is making a very valid,

:45:15.:45:21.

important point. Can I get to something the Minister said, the

:45:22.:45:26.

frustration for me was that I was a Unison trade union wrap before I

:45:27.:45:29.

came to this place in home care, and we were able, with those women who

:45:30.:45:33.

weren't qualified before, give them access to health care assistant to a

:45:34.:45:42.

foundation degree, vacation all degree, into hospital, in much the

:45:43.:45:46.

way the Minister claims is not possible. It is important they are

:45:47.:45:54.

not disadvantaged by the thousands of pounds of debt they take on. I

:45:55.:46:01.

think you have made your own point! It is extremely important that

:46:02.:46:05.

people from all backgrounds are encouraged to enter our NHS. We have

:46:06.:46:10.

a diverse society in the UK and we have two insure our health staff

:46:11.:46:15.

respect this and support people from all backgrounds to enter it --

:46:16.:46:20.

health care staff. I also think it is not enough just to increase

:46:21.:46:25.

numbers by creating an open market for training. To ensure a quality

:46:26.:46:29.

service it is crucial that student places are well planned, well

:46:30.:46:33.

supervised and well distributed between the areas within the

:46:34.:46:37.

service. Therefore much consultation will be required. In response to the

:46:38.:46:41.

Government's proposals the chief executive of the Royal College of

:46:42.:46:46.

Nursing has commented, the last thing we need are disincentives to

:46:47.:46:49.

recruitment. We should do everything possible to attract applicants as

:46:50.:46:53.

the country needs more nurses now than any other time in history. The

:46:54.:46:59.

Honourable Member is making many valid points. For example, if you

:47:00.:47:04.

live in Wales and you want to study at an English university the

:47:05.:47:08.

proposals are to stop the bursary but if you live in England, Scotland

:47:09.:47:12.

or Northern Ireland and want to study in Wales, Welsh university,

:47:13.:47:16.

nursing, midwifery or an allied health profession, the label Welsh

:47:17.:47:24.

Government will pay that bursary. Taking that to conclusion, the

:47:25.:47:28.

numbers will decrease in England and increase in Wales and Scotland and

:47:29.:47:33.

Northern Ireland. But my most concerning point is that the UK

:47:34.:47:39.

Government does not commit to undertaking an impact assessment on

:47:40.:47:42.

cross-border applications before proceeding with these changes. Does

:47:43.:47:45.

the Honourable Member think they should have? Many thanks. Once again

:47:46.:47:52.

the Honourable Lady makes her point very well. My belief is that we are

:47:53.:47:57.

required to staff the NHS well across the UK. Impact assessments

:47:58.:48:02.

may be required to be considered down the line if there is a shortage

:48:03.:48:07.

as a result of this policy in England, and I hope that answers

:48:08.:48:12.

your point. In Scotland the SNP Government recognised the value of

:48:13.:48:17.

investing in our NHS and provided a support package which is hugely

:48:18.:48:18.

generous in comparison to England. Singh and midwifery student

:48:19.:48:35.

bursary... This can be topped up with a range of income assessed

:48:36.:48:43.

allowances. There are other examples of other ways to progress in terms

:48:44.:48:48.

of this policy. Under the SNP government, the NHS staff numbers

:48:49.:48:52.

have increased by over 10000 and the party is committed to supporting the

:48:53.:48:55.

development of a quality health service which will meet the needs of

:48:56.:49:00.

Scottish people not just now only but in the future as well. Workforce

:49:01.:49:07.

projections from this years show 1000 extra NHS staff expected to be

:49:08.:49:13.

recruited across Scotland this year. There is an 8.4% increase in NHS

:49:14.:49:19.

staffing to a record high, more qualified nurses and midwives per

:49:20.:49:23.

1000 population in Scotland than in England and Wales and in the last

:49:24.:49:27.

year Scotland has seen all nursing and midwifery staff increase with a

:49:28.:49:35.

projected increase of 600 full-time equivalents over the financial year.

:49:36.:49:44.

Doctors are up 26.7% or 2000 500 full-time equivalents, and

:49:45.:49:50.

consultants are at a record high. If a newly qualified nurse is

:49:51.:49:53.

guaranteed one year of employment once they complete studies, a

:49:54.:49:57.

commitment not offered anywhere else in the UK. The health Minister also

:49:58.:50:04.

confirmed the nursing and midwifery student bursary and allowance would

:50:05.:50:08.

be protected at existing levels in 2016/ 17. The NHS is a crucial

:50:09.:50:20.

public service and this government cannot continue to railroad their

:50:21.:50:26.

way through it. Although reform may be needed to address current issues

:50:27.:50:29.

within the service, such decisions should not be made hastily and

:50:30.:50:35.

without full consideration of the impact and potential workable

:50:36.:50:38.

alternatives. We have already heard workable alternatives today. I would

:50:39.:50:43.

urge the Minister to commit to a comprehensive consultation on the

:50:44.:50:47.

full proposals to determine the best way to support and invest in the

:50:48.:50:51.

service and to support its students. This is a vital workforce which we

:50:52.:50:56.

depend upon in our times of crisis. It is only right that the should be

:50:57.:51:06.

able to depend upon us during their training and the NHS in future. We

:51:07.:51:11.

will have a time of seven minutes to start with. There are quite large of

:51:12.:51:18.

people wanting to speak. Can I start by congratulating the shadow health

:51:19.:51:26.

secretary by calling this debate? It matters because of the impact on

:51:27.:51:30.

patients, the nursing workforce shortfall. We had evidence on the

:51:31.:51:40.

health committee about an estimated shortfall of 15,000 - 20,000 nurses.

:51:41.:51:47.

It is not the overall shortfall but variations geographically and in key

:51:48.:51:52.

areas, primary care, community, mental health, so we need to look at

:51:53.:51:58.

this as a big picture. That shortfall adds costs and we know the

:51:59.:52:03.

agency staffing bill was around ?3.3 billion in the last year. And three

:52:04.:52:08.

quarters of trusts are still breaching the agency price caps.

:52:09.:52:12.

Although we are making some progress with it being 303 million in October

:52:13.:52:17.

last year and 287 in February this year. These are resources which

:52:18.:52:22.

should be spent elsewhere on patient care. There is an over dependence on

:52:23.:52:28.

nurses trained overseas, very valued part of the workforce but these are

:52:29.:52:32.

often recruited from countries that can ill afford to lose them. We need

:52:33.:52:37.

to train more nurses. That is the prime consideration of this debate

:52:38.:52:43.

and how we achieve that. I congratulate the minister in the

:52:44.:52:47.

proposals to open up very many more places to nursing students but we

:52:48.:52:51.

should consider some unintended consequences and those are the areas

:52:52.:52:56.

I would like to touch on further. We must do so without disadvantaging or

:52:57.:53:01.

cutting off our current core nursing workforce and it is absolutely right

:53:02.:53:08.

we pay particular attention to the impact on mature students because we

:53:09.:53:13.

have heard the data on that. 23% of all nursing applicants are over 30.

:53:14.:53:19.

More than half are over 21. The average age is 28. This mature

:53:20.:53:26.

nursing workforce, are they going to be deterred from applications? We

:53:27.:53:32.

have already seen an innovative example. That is the University of

:53:33.:53:43.

Bolton partnering with the Lancashire teaching hospitals NHS

:53:44.:53:46.

Foundation Trust to start offering places where students apply through

:53:47.:53:53.

the UCAS route and they introduced 25 places in the first pilot,

:53:54.:53:59.

February last year, there were 650 applicants for those 25 places. Even

:54:00.:54:03.

though the applicant 's new they would have to access loans. A very

:54:04.:54:10.

successful second round, and it is now increased to 75 places this

:54:11.:54:14.

year. I think the assumption that people simply will not apply for

:54:15.:54:19.

these courses is not correct. Of course we need to bear in mind that

:54:20.:54:23.

does not necessarily mean we can extrapolate that to a wider increase

:54:24.:54:29.

in numbers but I think one of the things perhaps I would say to the

:54:30.:54:33.

Minister is, is there any room as we start to roll this out to retain in

:54:34.:54:38.

the first few years at least until we know the impact, some bursaries

:54:39.:54:43.

for our very valued core material nursing workforce? Is that something

:54:44.:54:50.

he would touch on in summing up, if there is any room for a period of

:54:51.:54:54.

transition? It is important that we bear in mind the potential for

:54:55.:54:59.

unintended consequences here. The fact is that two thirds of those

:55:00.:55:06.

applying for nursing places are unsuccessful. I think it is

:55:07.:55:09.

unreasonable not to increase the opportunity for those students. I

:55:10.:55:16.

very much welcome the Minister's plan to rule out other opportunities

:55:17.:55:21.

to enter the nursing workforce. We know from the Cavendish review that

:55:22.:55:25.

one of the reasons we lose so many of our core health care assistant

:55:26.:55:31.

workforce is because there are now continuing professional development

:55:32.:55:34.

opportunities for them and very many of those who we know are fantastic

:55:35.:55:41.

at their job are no longer able to progress in the way we should allow.

:55:42.:55:45.

The focus should be what is best for patients. That is for us to train up

:55:46.:55:52.

a more diverse workforce and to do so through many routes. I think

:55:53.:56:00.

there is a case for saying let's not completely abolish bursaries in the

:56:01.:56:05.

first round but perhaps phase that in slowly. Perhaps another

:56:06.:56:07.

opportunity we could look at to attract people into nursing is to

:56:08.:56:12.

recognise the clinical component is very high in the nursing Court,

:56:13.:56:19.

around 50%, and is there any way we could recognise that with a system

:56:20.:56:24.

for those who would otherwise be deterred from payment? Or perhaps at

:56:25.:56:30.

the end of a nursing course, recognising, particularly for mature

:56:31.:56:34.

students have taken on a second agree, could we allow an extra

:56:35.:56:39.

payments to go for those nurses, particularly those who will go on to

:56:40.:56:44.

train in specialties, linked with a period of NHS service? I know we are

:56:45.:56:49.

using that in general practice to attract people into specialties.

:56:50.:56:54.

Would the Minister also consider in responding to the legitimate

:56:55.:56:59.

concerns about the impact on the mature nursing workforce? In

:57:00.:57:04.

summary, I would say there are things we are doing and making

:57:05.:57:11.

progress on but I think we should recognise unintended consequences. I

:57:12.:57:16.

hope the Minister will also look at some of the other recommendations

:57:17.:57:19.

from the recent health committee inquiry into primary care to

:57:20.:57:24.

actually ask what we can do is we increase the number of the courses,

:57:25.:57:28.

to increase the exposure to shortage specialties within the period of

:57:29.:57:35.

their training. Too many of our health care workforce are staying

:57:36.:57:40.

within acute-care and we know if they have increased exposure during

:57:41.:57:49.

training they are unlikely go into specialties. Could the Minister

:57:50.:57:54.

please touch on the area of registration? We heard evidence that

:57:55.:58:00.

sometimes not being registered as a deterrent to people taking on

:58:01.:58:05.

physician associates and I think it is a recognition of their skills and

:58:06.:58:12.

expertise to allow them to be registered. These should be

:58:13.:58:16.

professional qualifications and I hope the Minister will refer to that

:58:17.:58:25.

in his summing up. Jeff Smith. It is a great pleasure to follow the

:58:26.:58:30.

honourable lady. I have a lot of respect for her and she commands

:58:31.:58:33.

respect across the House and it is important we listened to her views.

:58:34.:58:38.

It is important to listen to other people's views, like her colleague

:58:39.:58:45.

who said, speaking as a nurse I would struggle to undertake miners

:58:46.:58:48.

training given the proposals bursary scheme changes. I don't think it has

:58:49.:58:56.

been thought through. As a South Manchester MP I am proud to

:58:57.:58:59.

represent a large number of Manchester University students

:59:00.:59:02.

including many of our nurses and midwives of the future. The school

:59:03.:59:08.

of nursing midwifery and social work at Manchester University was the

:59:09.:59:11.

first institution in England to offer a nursing course and it

:59:12.:59:13.

remains one of the top ten universities in the world to study

:59:14.:59:21.

that same degree today. For the 2000 students currently studying there as

:59:22.:59:24.

well as those weighing up their future with health care education in

:59:25.:59:28.

mind, the Government proposals on student bursaries do nothing to

:59:29.:59:31.

instil any confidence that the Government understands the

:59:32.:59:33.

perspective of student nurses or potential student nurses. I want to

:59:34.:59:39.

use my brief remarks to raise two main points. First, the

:59:40.:59:45.

disappointing lack of consultation with organisations such as the Royal

:59:46.:59:48.

College of Nursing and the effectiveness will have on potential

:59:49.:59:55.

future students and patient care. Ensuring access to these professions

:59:56.:00:01.

remains fair and funding is sustainable and that the Government

:00:02.:00:07.

suspects with experts -- consults with experts is vital. One of the

:00:08.:00:17.

biggest concerns consistently raised is the Government's reluctance to

:00:18.:00:22.

engage with stakeholders. We have heard from charities,

:00:23.:00:25.

representatives of organisations and think tanks that the evidence base

:00:26.:00:30.

for these proposals is at best uncertain and at worst nonexistent.

:00:31.:00:34.

I think the very real fear is these proposals will reduce and not

:00:35.:00:40.

increase numbers entering nursing studies. Even the 12 week

:00:41.:00:44.

consultation the minister spoke of earlier takes the form of a

:00:45.:00:49.

technical questionnaire on their implementation of the proposals

:00:50.:00:52.

rather than a real consultation on the substantive policy proposals. In

:00:53.:01:02.

terms of stakeholders consultation and so on, would he agree with me

:01:03.:01:07.

that where you have a hospital like Gloucestershire Royal hospital which

:01:08.:01:10.

is very strongly supporting the concept of nursing associates and

:01:11.:01:13.

wants to run a pilot project, you must assume they see real value in

:01:14.:01:20.

terms of providing good nursing for its patients and my constituents and

:01:21.:01:24.

that surely is is telling us anything in a formal consultation?

:01:25.:01:32.

Parliamentary questions showed us the Department of Health failed to

:01:33.:01:35.

consult with either of the Royal College of midwives, nursing or

:01:36.:01:44.

Unison prying... Prior to last year. It is not just the Labour Party who

:01:45.:01:49.

are worried, there is Royal colleges, the NHS independent review

:01:50.:01:55.

body and other members across the House. It is little surprise that

:01:56.:02:05.

they fail to understand the unique characteristics of the sector and

:02:06.:02:09.

those who work in it. This has been driven by short-term financial

:02:10.:02:11.

savings at the cost of tackling the big questions about how we fund the

:02:12.:02:16.

NHS in decades to come. What about the effects of this policy on the

:02:17.:02:20.

nurses and midwives of the future? At the centre of any health care

:02:21.:02:25.

education policy must be the students themselves. In this case

:02:26.:02:30.

they are diverse, older than most, the average age is 28,

:02:31.:02:34.

overwhelmingly female, greater numbers from BME backgrounds and

:02:35.:02:42.

completing a degree that necessitates 2300 hours over three

:02:43.:02:46.

years in clinical practice. Any legislation we need to design to

:02:47.:02:53.

encourage students in future to guarantee high quality care for

:02:54.:02:57.

patients must recognise those people, people like Katie, a nurse

:02:58.:03:03.

in my constituency who wrote to me about our concerns about the

:03:04.:03:06.

prospect of debt. She said it is particularly worrying for mature

:03:07.:03:11.

students, many of whom have dependents and it could deter them

:03:12.:03:13.

from joining the profession altogether. I can relate to this is

:03:14.:03:18.

the real my close colleagues are mature students and stated on

:03:19.:03:21.

multiple occasions that without the bursary nursing school would not

:03:22.:03:25.

have been an option. Student nurses are not like other students. 50% of

:03:26.:03:32.

their time is spent on unpaid clinical placements in hospitals and

:03:33.:03:35.

therefore there are simply not the same opportunities for part-time

:03:36.:03:39.

work as other students. I could not have completed this course without

:03:40.:03:43.

the bursary. Studying nursing involves anticipation in

:03:44.:03:47.

extracurricular activities and this is in line with the recent national

:03:48.:03:53.

initiative revalidation therefore time for part-time work becomes very

:03:54.:03:56.

difficult and many of my friends have been turned away from part-time

:03:57.:04:00.

jobs because our weekly schedules, working shifts and completing unique

:04:01.:04:06.

work is often sporadic. -- university work. This bursary

:04:07.:04:09.

covered my rent and without it I would not have been able to support

:04:10.:04:14.

myself and Norwood my family. We must take these views on board when

:04:15.:04:15.

we look at this new policy. The House of Commons research has

:04:16.:04:26.

showed that the net savings made to the Treasury by measures taken by

:04:27.:04:31.

this Government since 2010, 80 6% will have come from women. Would he

:04:32.:04:35.

agree that these proposals are no different from those in the junior

:04:36.:04:41.

doctors dispute and bloodthirsty affect women rather than men. My

:04:42.:04:45.

Honourable Friend makes a very important point, it is important to

:04:46.:04:50.

remember that, and also important to remember how the prospect of paying

:04:51.:04:55.

off over ?100,000 of debt affects the calculation for a student

:04:56.:05:05.

studying a second time to become mental health nurse. It is important

:05:06.:05:08.

to consider how lone parent thinking of becoming midwife will consider

:05:09.:05:13.

?59,000 of repayments when considering the fact future for

:05:14.:05:18.

their family. That is the latest estimate of debt. It is important to

:05:19.:05:22.

consider how a nursing student taking part in a 48 week extended

:05:23.:05:27.

course is expected to find part-time work to make his or her studies by a

:05:28.:05:32.

bull. Not only is the Government's evidence based desperately weak but

:05:33.:05:37.

research by the Higher Education Funding Council for England says

:05:38.:05:40.

poorer students, lone parents and BME students, the demographic of

:05:41.:05:44.

many of those attracted to nursing, are disproportionately dissuaded

:05:45.:05:49.

from applying to university by the prospect of large amounts of debt.

:05:50.:05:54.

So this policy fails on two fronts. The refusal to engage with experts

:05:55.:05:59.

in the field have led to a misguided policy which privileges health care

:06:00.:06:04.

education for those who can afford it and four decades of debt. It

:06:05.:06:09.

fails to ensure fair and equal access to health care education.

:06:10.:06:12.

Secondly there is a real danger that this policy will fail to achieve its

:06:13.:06:17.

own name of attracting future students. Everyone in health who

:06:18.:06:21.

knows about these issues are shortage of nurses, midwives and

:06:22.:06:24.

other health professionals, but moving the of payment onto students

:06:25.:06:30.

widens the mistake. Deterring potential candidates by imposing

:06:31.:06:39.

debt on graduates is not the answer. I want to join the call from the

:06:40.:06:44.

Royal colleges of nursing and midwifery to ask the Government to

:06:45.:06:48.

rethink and scrap these proposals. We need a thorough and inclusive

:06:49.:06:52.

consultation process where those with experience of the system can

:06:53.:06:56.

contribute properly and I join their call for the Government to ensure

:06:57.:07:01.

that future students at Manchester University's School of nursing,

:07:02.:07:04.

midwifery and social work are not forced to bear the burden of a

:07:05.:07:09.

Government unwilling to listen. The Royal College of Nursing has said

:07:10.:07:12.

the Government has not thought had enough about the risks. It is time

:07:13.:07:21.

to do so. Madam Deputy Speaker, it has been a pleasure to follow on

:07:22.:07:25.

from the Honourable manner but for Manchester Withington. I would like

:07:26.:07:30.

to congratulate the spokesman for securing this debate because this

:07:31.:07:33.

debate does highlight what the pressures within the NHS and what we

:07:34.:07:39.

are currently facing. Currently, we start with 20,000 nurses. We lose

:07:40.:07:45.

3000 year. Maybe that is where the migration committee report gets its

:07:46.:07:49.

figures from, where we have to plug 3000. The Government say we need

:07:50.:07:57.

10,000 new nurses per year. Those figures are saying in stark terms

:07:58.:08:00.

that there is a loss percentage so maybe we can work out the costs of

:08:01.:08:05.

how many people drop out and how much it costs, and may we will can

:08:06.:08:10.

use that money within the NHS to put back into an apprenticeship scheme

:08:11.:08:13.

which is what the Government is proposing. The magic 3000 figure, it

:08:14.:08:18.

seems, actually does play into what the governments are thinking of in

:08:19.:08:23.

their respective creating of 10,000 -- in respect of creating 10,000 new

:08:24.:08:29.

nurses. The opposition say we have lost 2400 nurses in the last

:08:30.:08:34.

Government. The last Government said we had 3000 more nurses. Which one

:08:35.:08:39.

is correct? The truth is, both of them, it depends when you measure

:08:40.:08:44.

them. If you measure from election to election, meaning from May 2010

:08:45.:08:49.

to May 2014, the Prime Minister was correct saying we have created 3000

:08:50.:08:55.

new nurses. We also take into consideration health visitors,

:08:56.:08:58.

midwives and physiotherapists to an extent. The opposition say it is

:08:59.:09:05.

2400 from September to the following September, of 2014, there is a drop.

:09:06.:09:11.

Because believe it or not, recruitment and loss is seasonal. So

:09:12.:09:14.

we have to be grown up and address these concerns. How do we do this?

:09:15.:09:23.

Quite simply by reforming. We must open up from having fixed bursaries

:09:24.:09:29.

where we are attracting in the region of 20,000 nurses a year and

:09:30.:09:36.

losing 3000. You know, in the last Government, the opposition said, and

:09:37.:09:40.

I am saying this with respect to the opposition, at the time, bringing in

:09:41.:09:43.

reforms at that time in education would attract people from all

:09:44.:09:49.

backgrounds, I wouldn't say disadvantaged, all backgrounds, to

:09:50.:09:53.

go to university. I didn't go to university but my son is that

:09:54.:09:56.

University, the first Member of my family ever to go to university, and

:09:57.:10:01.

that isn't aspiration and an accolade. But here we are five years

:10:02.:10:08.

down the line, we have 10,150 new places since 2010 of students going

:10:09.:10:16.

to university, so we must actually open up that philosophy to the NHS.

:10:17.:10:20.

Because what is the difference between a student nurse starting on

:10:21.:10:27.

?21,000 or thereabouts a year and a junior doctors starting at ?26,000 a

:10:28.:10:33.

year? Nurses are as valued as doctors in the NHS. I certainly feel

:10:34.:10:39.

that. So why do some have bursaries yet we are not attracting the

:10:40.:10:44.

numbers, and some don't? My own trust, which is in difficulty at

:10:45.:10:49.

this time, but has overcome a lot of the difficulties and his

:10:50.:10:52.

Administration, and it is an accolade to them to do that, have

:10:53.:10:58.

been abroad recruiting nurses, where we could get nurses by opening up

:10:59.:11:04.

the bursary scheme... Taking away the bursary scheme and opening up to

:11:05.:11:08.

academia and trying to get more people within the system with

:11:09.:11:10.

apprenticeships. We could do that and plug the gap with home-grown

:11:11.:11:15.

skills and jobs here. So in the short time I have, Madam Deputy

:11:16.:11:23.

Speaker, to sum up, I think reforming will actually plug the gap

:11:24.:11:28.

in the skills shortage we need. I also think it will be fair to bring

:11:29.:11:33.

in nurses in line with doctors in the professional. -- in the

:11:34.:11:41.

profession. I also think people who want to get correctly accredited

:11:42.:11:44.

academia will see that as a good starting plate for the career that

:11:45.:11:49.

starts off at ?21,000. In all honesty the career doesn't start at

:11:50.:11:54.

21000 and then there, it goes up the pay scale like doctors do. So in

:11:55.:11:59.

conclusion, thank you very much Madam Deputy Speaker, and I thank

:12:00.:12:03.

all colleagues in the House for this debate, because I do think it is

:12:04.:12:07.

measured, and I do think it is something we have two address on all

:12:08.:12:14.

sides of the House. Thank you Madam Deputy Speaker. Can I begin by

:12:15.:12:18.

thanking the Shadow Health Secretary and shadow health team for securing

:12:19.:12:21.

this important debate this afternoon to give us the opportunity to

:12:22.:12:27.

effectively debate early day motion 1081, set to become the most popular

:12:28.:12:32.

early day motion in this session of Parliament, signed by members from

:12:33.:12:36.

across this House including those on the Government benches, because of

:12:37.:12:39.

the grave concerns people have about the potential consequences of the

:12:40.:12:44.

decision the Government proposes to take around the NHS bursary. As I

:12:45.:12:49.

have argued previously in the adjournment debate we had on the

:12:50.:12:53.

floor of this House and also in Westminster Hall, we are debating

:12:54.:12:56.

this afternoon the biggest shake-up in the funding of nursing, midwifery

:12:57.:13:03.

and abide -- Allied health object since 1968, announced will without

:13:04.:13:06.

adequate evidence and planning as part of the Chancellor's budget

:13:07.:13:10.

rather than a carefully thought through policy proposal, which is

:13:11.:13:13.

why the Government is now in a position of only consulting people

:13:14.:13:22.

with a technical consultation rather than all stakeholders on the

:13:23.:13:24.

principle of this policy as they really ought to have done. Although

:13:25.:13:28.

myself and others will refer to student nurses and midwives, as

:13:29.:13:31.

shorthand it is important to acknowledge, as my Honourable Friend

:13:32.:13:34.

the Shadow Health Secretary did, this will affect students of all

:13:35.:13:39.

sorts of subjects that trained vital workers in a range of aspects of the

:13:40.:13:46.

NHS, for physiotherapists, occupational therapist, dieticians,

:13:47.:13:48.

radiographers, paramedics and others. That is why over 100 Right

:13:49.:13:54.

Honourable members signed the early day motion on thousands of members

:13:55.:13:58.

of the public have spoken out through the online petition. At

:13:59.:14:02.

present nursing, midwifery and allied health subjects are not

:14:03.:14:06.

subject to Jewish and fees, and students on those courses receive a

:14:07.:14:11.

non-means tested grant of up to ?1000 a year -- subjected tuition

:14:12.:14:19.

fees. As well as a bursary of up to 3900 pounds year, recognising they

:14:20.:14:22.

have to work considerably long hours in the courses, not just in

:14:23.:14:27.

libraries and lecture theatres but also on clinical practice as part of

:14:28.:14:33.

the full 24-hour care cycle. It is estimated student nurses work at

:14:34.:14:37.

least 2300 hours across the course of their degree. I am not sure many

:14:38.:14:41.

of this in this House with degrees could claim to have put in so many

:14:42.:14:46.

hours when we were at university and I think we should recognise the

:14:47.:14:50.

effort they need to make to secure their qualifications. Those who do

:14:51.:14:54.

work outside course hours to fund their degrees can end up working up

:14:55.:14:59.

to 60 hours as a result, and we should not expect them to do so,

:15:00.:15:09.

because of the deleterious impact it can have not just on their academic

:15:10.:15:11.

studies but their approach to clinical practice. Under the

:15:12.:15:13.

proposals brought forward by the Government the changes will mean

:15:14.:15:16.

students of the subjects will be charged tuition fees in excess of

:15:17.:15:20.

?9,000 a year, and as a result will be burdened with ?51,600 worth of

:15:21.:15:26.

debt. They will begin paying this back as soon as they graduate which

:15:27.:15:30.

means nurses will take on average pay cut of ?900 year. If that were

:15:31.:15:36.

not unacceptable in and of itself, I think the militias there should also

:15:37.:15:42.

explain when he winds up -- I think the Minister should explain, how it

:15:43.:15:46.

is fair that there is no recognition under the proposals in the student

:15:47.:15:51.

support system of the unique demands placed on these students. As a

:15:52.:15:55.

result of the NHS bursary as it exists at present alongside the

:15:56.:16:00.

tuition fee remission the students effectively received there is at

:16:01.:16:03.

least a recognition that for many of these students it is difficult if

:16:04.:16:07.

not impossible to take on the sorts of part-time work I did when I

:16:08.:16:12.

studied either for my A-levels or at university. For these students it is

:16:13.:16:20.

not possible to fund their degrees in this way, and there should be a

:16:21.:16:23.

recognition in the student support system that it is more expensive to

:16:24.:16:29.

study on these subjects, that the opportunities to earn extra income

:16:30.:16:33.

on top of your courses are not as readily available for these students

:16:34.:16:36.

as other students. It is a real mistake for the Government not to

:16:37.:16:40.

recognise that. I will give way to the chair of the select committee.

:16:41.:16:45.

Would he also accept that there is a serious problem with

:16:46.:17:01.

hardship on the existing bursaries particularly as the amount drops in

:17:02.:17:04.

the final year? I am grateful for that intervention. I will thank some

:17:05.:17:07.

of the people who have been in touch, but in particular I will

:17:08.:17:09.

never forget the first conversation I had with a student nurse in my

:17:10.:17:12.

constituency who sat with me a members area and cried because under

:17:13.:17:15.

the existing system she struggled to meet the costs of training to be a

:17:16.:17:17.

nurse, even with NHS bursary currently provided. Of course I want

:17:18.:17:19.

the student support system to be more generous for these students,

:17:20.:17:23.

because other students like her have dreams of being a student nurse, and

:17:24.:17:28.

it is not right that financial support, or lack thereof, should be

:17:29.:17:33.

a barrier to them taking on this valuable location that does so much

:17:34.:17:39.

for so many. The Government's policy is riddled with risk. Earlier, the

:17:40.:17:44.

Minister challenged my assertions on mature student numbers. It is a fact

:17:45.:17:48.

that in the wake of the introduction of the coalition's reforms to higher

:17:49.:17:53.

education, there was a fall in part-time mature numbers. The

:17:54.:17:56.

Minister claimed there were record numbers of missed your applicants to

:17:57.:18:00.

higher education. I can only assume he was referring to last year's

:18:01.:18:05.

figures. We should not identify a trend with one-year's figures not

:18:06.:18:09.

least because new figures for the 2016 application cycle published on

:18:10.:18:15.

the fourth of her brew 2016 shows an increasing 18-year-old applicants

:18:16.:18:21.

but a fall for most other older age-group categories. I am more than

:18:22.:18:24.

happy to look at the data and have an evidence -based debate, but let's

:18:25.:18:28.

have an evidence -based debate and not take one years worth of figures

:18:29.:18:31.

and claims there is some sort of trend.

:18:32.:18:35.

The Blues are the figures you display to house a very welcome

:18:36.:18:42.

indeed but they are different from the front bench of your opposition

:18:43.:18:49.

spokesman's figures. I don't think I disagree at all with the figures put

:18:50.:18:53.

forward by my honourable friend the Shadow Health Secretary. This is the

:18:54.:18:59.

problem with lies, damn lies and statistics. We must look at all the

:19:00.:19:06.

data before we identify trends. The minister singled out one year of

:19:07.:19:10.

application data. It is possible that numbers are around nursing,

:19:11.:19:17.

midwifery, allied health subjects account for a significant amount.

:19:18.:19:21.

The minister is talking about general applications for all

:19:22.:19:25.

subjects and I think we should probably ask the library to do some

:19:26.:19:29.

work so we can get to the bottom of the claims and counterclaims.

:19:30.:19:33.

Nonetheless I think most people around the higher education debate

:19:34.:19:36.

acknowledge there are still serious challenges in terms of access to

:19:37.:19:41.

higher education for part-time and mature applicants in light of the

:19:42.:19:44.

coalition reforms and that is one reason why the Government should

:19:45.:19:48.

tread carefully in this area. There is a shortage in the number of

:19:49.:19:56.

nurses we need. In 2011-12 the number of training places was cut to

:19:57.:19:59.

the lowest level since the 90s. Unison, which I am proud to be a

:20:00.:20:03.

member of, conducted a survey that found that two thirds of nurses

:20:04.:20:06.

believe staffing levels were worse than previously and 63% fuel the

:20:07.:20:13.

numbers are inadequate to provide a safe degree of support. But also

:20:14.:20:20.

reflects feedback from NHS staff in my own constituency and that is the

:20:21.:20:25.

thing -- something the Government should take seriously. I have met

:20:26.:20:33.

many nurses, midwives are professionals and students in health

:20:34.:20:44.

cert... -- health subjects. I am grateful for the research

:20:45.:20:47.

undertaken. A bit like to thank Unison, the Royal College of

:20:48.:20:51.

Nursing, Midwives, speech and language therapists. I would like to

:20:52.:20:56.

pay tribute to the outgoing president, Megan Duff, for the

:20:57.:21:01.

effective way she represented students during her term. These

:21:02.:21:06.

reforms to reflect a big risk to nursing numbers. I think at the very

:21:07.:21:11.

least this afternoon the minister should commit that before these

:21:12.:21:15.

reforms are implemented there will be a further full debate on the

:21:16.:21:19.

floor of this House and a vote of both this House and the other place

:21:20.:21:23.

before such a radical change to the funding of these crucial subjects is

:21:24.:21:30.

changed in the way the Government seeks to take forward. There is

:21:31.:21:35.

considerable concern and ministers shouldn't downplay this and I hope

:21:36.:21:39.

you will at least commits to a full vote in this House before it goes

:21:40.:21:45.

ahead. It is a pleasure to follow from the member for Ilford North who

:21:46.:21:49.

made a thoughtful speech and highlighted an important point about

:21:50.:21:53.

the different study load of those training to be nurses compared with

:21:54.:22:00.

some of us at university. I don't think that invalidates the

:22:01.:22:04.

Government's response but I think it is important to take it into

:22:05.:22:09.

account. Why can't I congratulated opposition spokesman for calling

:22:10.:22:13.

this debate, it has been very important, and I congratulate the

:22:14.:22:16.

Minister for a characteristically thoughtful, reasonable and lucid

:22:17.:22:20.

response to it. I can't help observing that actually this debate

:22:21.:22:25.

does demonstrate the value of having people in this House who come from

:22:26.:22:29.

genuine professions rather than having reached year purely as a

:22:30.:22:34.

result of being political professionals, and there have been

:22:35.:22:38.

considerable input from those who have been in the NHS. Although it is

:22:39.:22:44.

an opposition debate, there are points we can all agree on. We

:22:45.:22:52.

should agree we need to recruit, retain and train enough nurses to

:22:53.:22:59.

staff our health service to meet the needs of the British people.

:23:00.:23:06.

Secondly, we can agree it is wrong, morally wrong, to rely on recruiting

:23:07.:23:10.

nurses from poorer countries who have had to bear the cost of their

:23:11.:23:14.

training to meet our failure to train enough nurses ourselves and

:23:15.:23:22.

thirdly we should not to be turning away British people who want to

:23:23.:23:26.

train as nurses when we need more nurses ourselves. Surely we can all

:23:27.:23:35.

agree on those points. We can debate how best to refinance the

:23:36.:23:40.

recruitment, retention and motivation of sufficient nurses in

:23:41.:23:42.

this country but we should all agree that is the objective my initial --

:23:43.:23:52.

objective. My initial interest resulted in my first career and I

:23:53.:24:02.

discovered that we were denuding Africa of nurses. We had recruited

:24:03.:24:10.

more than one in eight of all the nurses in sub-Saharan Africa and

:24:11.:24:13.

brought them to this country. That could not be right. I lobbied

:24:14.:24:19.

against it and the then Prime Minister promised there would be no

:24:20.:24:25.

active recruitment from Africa although seven years later I

:24:26.:24:28.

discovered that we had recruited another 60,000 and four continuing

:24:29.:24:34.

to recruit several thousand per year, but we were promised it would

:24:35.:24:42.

cease. I blame myself that it took so long to realise the problem did

:24:43.:24:47.

not lie in recruiting in Africa and other places but our failure to

:24:48.:24:53.

train enough nurses of our own. I didn't ask why we were not doing so

:24:54.:24:58.

until I was talking to my local NHS who told me that they were

:24:59.:25:02.

recruiting abroad. Mainly in southern Europe but also in Asia.

:25:03.:25:09.

They were doing so despite the fact they preferred to recruit and

:25:10.:25:14.

employing nurses from the University of Hertfordshire, which they

:25:15.:25:17.

described as excellent, well trained and in every way desirable. I asked

:25:18.:25:22.

them why they did not recruit more and they said they could not recruit

:25:23.:25:28.

enough even if the recruited the next several years' worth. That's

:25:29.:25:36.

why they were recruiting abroad. I am thankful to the honourable member

:25:37.:25:41.

for giving way. Would he agree that it is ironic that through our

:25:42.:25:47.

international aid programmes we are actually assisting developing

:25:48.:25:50.

countries to pay for training placements in clinical studies was

:25:51.:25:53.

such as hospitals abroad and yet we do not afford the same rights to our

:25:54.:26:01.

NHS trainees here? It is certainly bizarre that we pay African

:26:02.:26:08.

countries to train nurses, and then probably recruit them to come here.

:26:09.:26:16.

It is bizarre. I don't mind the manner in which their training is

:26:17.:26:22.

financed. The problem was they couldn't get enough nurses from the

:26:23.:26:25.

University of Hertfordshire. I spoke to the university who said it wasn't

:26:26.:26:30.

because they had any lack of applicants for places, they turned

:26:31.:26:33.

away three quarters of applicants to their highly regarded nursing

:26:34.:26:37.

courses, but they were not allowed to expand. It had taken me decades

:26:38.:26:42.

to realise we had a system which limited the number of people we were

:26:43.:26:51.

recruiting. I lobbied the Government and it may be because of my lobbying

:26:52.:26:54.

we now have this proposal for bursaries although I suspect they

:26:55.:27:00.

reached the decision on the basis of their own evidence. The sad truth is

:27:01.:27:07.

that successive ministers of all parties, and we should recognise

:27:08.:27:13.

this, have bucked the question of how do we train enough people here.

:27:14.:27:20.

The tents to be the time horizon of the time it takes to train in as so

:27:21.:27:27.

why put up with perverting the resources into training wind output

:27:28.:27:31.

is going to come when you cease to be Minister of health. I'm glad that

:27:32.:27:36.

this Minister of health, sector of state and fellow ministers have

:27:37.:27:39.

addressed the question. We should recognise it is symptomatic of a

:27:40.:27:43.

wider problem across British business in both the private and

:27:44.:27:48.

public sector that we have a failure -- a culture which does not put

:27:49.:27:54.

enough emphasis on training. It is bizarre that in the universities we

:27:55.:27:57.

allow on limited numbers of people to study art history, media studies,

:27:58.:28:04.

but we restricted the number of people who can train to the nurses

:28:05.:28:06.

when we know we have a desperate need for more. I am agnostic about

:28:07.:28:13.

the best way to finance the training of more nursing recruits. If nurses

:28:14.:28:22.

brother extra costs it will have to be reflected in their remuneration.

:28:23.:28:27.

The minister told us they will be no worse off so I assume therefore the

:28:28.:28:30.

assumption as they will not have to repay much of their loans. This is

:28:31.:28:37.

somewhat of an artificial future of the public finance rules but it is a

:28:38.:28:42.

future and may be the only way of not borrowing the money from the

:28:43.:28:46.

public ourselves is that the nurses borrow and we write off their loans.

:28:47.:28:51.

In the long run we have to pay nurses enough to recruit, retain and

:28:52.:29:00.

motivate them whatever the financial system, and probably the end of

:29:01.:29:03.

bursaries and placement by loans is the only options. One other issue we

:29:04.:29:09.

should look at is that I think there are 200,000 trained nurses in this

:29:10.:29:13.

country who maintain themselves on the register at their own expense

:29:14.:29:16.

and are not currently working in the NHS or elsewhere but who have taken

:29:17.:29:22.

time off to raise a family and I thinking perhaps some of coming

:29:23.:29:26.

back. We must be much more flexible and creative in providing patterns

:29:27.:29:29.

of work which meet their family needs to bring back those trained

:29:30.:29:35.

and valuable and caring and experienced people into the health

:29:36.:29:38.

service and that will help meet the needs of the health service, as the

:29:39.:29:42.

Government is trying to do sensibly and wisely in the measures it has

:29:43.:29:47.

brought before us to replace bursaries with loans. I'm grateful

:29:48.:29:56.

for the opportunity to contribute to today's important debate. It is the

:29:57.:30:02.

second time I have raised concerns about the Government's plans to

:30:03.:30:07.

scrap NHS bursaries in favour of loans for nursing, midwifery and

:30:08.:30:15.

Allied health profession students. Following on from a debate in

:30:16.:30:24.

January I do not propose to reiterate my previous arguments,

:30:25.:30:28.

instead I just intend to make a feud brief observations about the

:30:29.:30:31.

Government's proposals. They have been roundly condemned, as it has

:30:32.:30:37.

been said by students, trade unions and professional bodies alike, and

:30:38.:30:41.

described by one of these, the Royal College of Nursing, as high risk. To

:30:42.:30:47.

my mind, these proposals are high risk because they take a significant

:30:48.:30:52.

gamble with the future sustainability of the NHS workforce.

:30:53.:30:55.

There are several reasons for this. First they have the potential to

:30:56.:31:01.

deter many committed and talented prospective students from pursuing

:31:02.:31:05.

nursing, midwifery and Allied health professions degrees altogether due

:31:06.:31:10.

primarily to concerns over the huge level of debt associated with the

:31:11.:31:15.

change to a loans based system. This is particularly true for more debt

:31:16.:31:19.

averse mid-tier students who may have young families -- mature

:31:20.:31:31.

students. There is also a considerable problem with

:31:32.:31:34.

recruitment and retention of staff in the NHS and the Government's

:31:35.:31:37.

plans are likely to exacerbate the problem further and impact adversely

:31:38.:31:45.

on the future security of NHS workforce, at a time when we have an

:31:46.:31:48.

ageing and increasing population which will necessitate more front

:31:49.:31:52.

line health care professionals going forward. Second, the proposal is to

:31:53.:31:58.

not take into consideration the fact that nursing, midwifery and Allied

:31:59.:32:02.

health profession courses are very different to most other arts and

:32:03.:32:08.

science degrees. These courses are much longer with shorter holidays

:32:09.:32:11.

and often fewer opportunities for students to supplement their income.

:32:12.:32:16.

As they are required to spend a significant amount of their time

:32:17.:32:19.

working with patients in clinical practice with a requirement to work

:32:20.:32:24.

regular and longer evening and weekend shifts as standard. The

:32:25.:32:29.

Government proposals will effectively mean these students, the

:32:30.:32:33.

individuals who keep our awards running and are involved in

:32:34.:32:35.

life-and-death decisions on a daily basis, are forced to pay for the

:32:36.:32:42.

privilege of undertaking often physically and emotionally demanding

:32:43.:32:46.

work in the NHS. Third, they seek to replace the bursary system that has

:32:47.:32:51.

for some considerable time fostered strong and enduring links between

:32:52.:32:55.

health care students and the NHS that begins right from the start of

:32:56.:33:00.

the course. I severing that link, as the Government propose to do, they

:33:01.:33:05.

risk reducing the student loyalty to and the attractiveness of the NHS as

:33:06.:33:11.

a potential future employer. These are a few of the reasons why the

:33:12.:33:15.

Government's plans are high risk. There are many more, some of which

:33:16.:33:19.

have been eloquently articulated by others in the House today. I

:33:20.:33:25.

conclude by urging ministers to drop their proposals and instead work

:33:26.:33:28.

with trade unions, professional bodies and, most importantly, those

:33:29.:33:32.

dedicated individuals who work within the NHS, nurses, midwives,

:33:33.:33:39.

physiotherapists, speech and language therapists, occupational

:33:40.:33:45.

therapists, dieticians, radiographers, chiropodists and

:33:46.:33:48.

podiatrists, to find a fairer and more sustainable and effective

:33:49.:33:55.

funding solution. Can I start by declaring my interest is a member of

:33:56.:33:59.

a health care profession allied to nursing?

:34:00.:34:17.

Tens of thousands of people every year. Despite the comments made by

:34:18.:34:27.

some Honourable members, these are good high-quality applicants. I

:34:28.:34:35.

looked up the entry requirements for the three universities accepting

:34:36.:34:39.

candidates onto general nursing degree courses for adults in the

:34:40.:34:43.

South West at Bournemouth, the University of the West of England

:34:44.:34:49.

and Plymouth. The typical offer for those schools is 300 UCAS points,

:34:50.:34:55.

that is three B grades at A-level. So it is not, as some on Honourable

:34:56.:35:01.

members suggested is the case, that there is a shortage of academically

:35:02.:35:08.

well-qualified, qualified in every way, applicants. There are many

:35:09.:35:14.

young women who wish to study nursing through our being turned

:35:15.:35:18.

away. It is a double tragedy, isn't it? We have a gross shortage of

:35:19.:35:24.

nurses in this country. Nothing I have heard from the benches opposite

:35:25.:35:28.

gives me any confidence that they have any sort of plan as to how we

:35:29.:35:32.

had to satisfy those two imperatives of allowing those who want to study

:35:33.:35:40.

nursing to do so and to plug up the shortage we have in the National

:35:41.:35:47.

Health Service. At the moment we are only able to accommodate because

:35:48.:35:51.

nurses from overseas are prepared to come here. Nurses very often from

:35:52.:35:55.

countries that can scarce do without them. Historically, of course,

:35:56.:36:02.

student nurses have been an intrinsic part of the NHS workforce.

:36:03.:36:08.

My Honourable Friend, the Member from top -- for Totnes, will

:36:09.:36:13.

remember, as do I, that they were essential to the working of all

:36:14.:36:17.

would. Some of the points by members opposite revolve around this point.

:36:18.:36:22.

The question is whether in this day and age we are still heavily reliant

:36:23.:36:26.

upon that workforce for proper functioning of hospital wards

:36:27.:36:29.

because if that is the case, there is a good case to be made for that

:36:30.:36:36.

in the bursary arrangements we make for student nurses because it is

:36:37.:36:40.

simply not right to expect them to do service work and for there not to

:36:41.:36:46.

be compensated in some way for doing that. I hope as part of that

:36:47.:36:50.

consultation that strand of thought will be taken up. The fact remains

:36:51.:36:57.

that as far as project 2000 in the 1990s, the nursing profession itself

:36:58.:37:01.

decided it would move away from a hospital based training structure to

:37:02.:37:05.

one based around universities. This was driven by the profession itself.

:37:06.:37:08.

I think the debate we are having today is part of the continuum of

:37:09.:37:14.

that process, the process by which nurses become graduates, in exactly

:37:15.:37:21.

the same way as any other graduate preparing, for example, to teach in

:37:22.:37:27.

schools. I think it is very potent that when we designed the finances

:37:28.:37:32.

around student nurses, we of course understand the difference between a

:37:33.:37:38.

nursing degree course and a normal, as it were, degree course, but also

:37:39.:37:42.

acts that this is a graduate profession and that it is not right,

:37:43.:37:51.

as the Honourable Lady "Trying to do, to distinguish between graduates

:37:52.:37:53.

and say one is more worthy than another. She may have a view of the

:37:54.:38:07.

graduates. I think we start on a difficult path if we try to hold up

:38:08.:38:18.

one graduate as superior to others. That is difficult to sustain. I

:38:19.:38:21.

support the notion of a nursing associate. I am old enough to

:38:22.:38:26.

remember is to enrolled nurses, who had not satisfied the entry criteria

:38:27.:38:32.

for a course leading to state registration but wanted to be

:38:33.:38:37.

members of a caring occupation. Nursing associates will not be as

:38:38.:38:42.

RNs revisited because we now live in a different age. But there is surely

:38:43.:38:48.

a place within our NHS for a group of people who may not want the

:38:49.:38:54.

academic rigour that goes with a nursing degree or at that stage in

:38:55.:38:59.

their lives be fitted for it, but nevertheless, want to nurse, to

:39:00.:39:02.

enter a plea hands-on caring occupation. This is an important

:39:03.:39:13.

difference, where sen suffered so badly. There must be sufficiently

:39:14.:39:20.

impervious system to allow people, if they have the skill set, to be

:39:21.:39:26.

able to enter a nursing stream. It was a tragedy that so many qualified

:39:27.:39:34.

as RNs were not able to develop their careers. I hope as we design

:39:35.:39:40.

the future for nursing we keep that in mind. A few Honourable members

:39:41.:39:50.

have made comments on planning. It has been abysmal. We need to do

:39:51.:39:56.

better in the future. For example we need to avoid unintentional

:39:57.:40:06.

consequences. We need to ensure the ?21,000 threshold does not mean

:40:07.:40:13.

people are inclined to avoid it by working part-time where they might

:40:14.:40:16.

otherwise work more full-time hours. That would be an overall this

:40:17.:40:24.

service to the workforce. We need to understand that the need to create

:40:25.:40:31.

10,000 places must not be denuded by offering these places to applicants

:40:32.:40:34.

from overseas because that would then not be in the interest of our

:40:35.:40:43.

NHS. We need to understand that nursing graduates may be tempted to

:40:44.:40:48.

migrate as a result of this introduction of fees. So I would ask

:40:49.:40:53.

the Minister in his consultation to think of all the unintended

:40:54.:40:58.

consequences which may develop this general historical tradition in this

:40:59.:41:02.

country that we have of doing health workforce planning so abysmally

:41:03.:41:08.

badly. It is a pleasure to follow the thoughtful contribution from the

:41:09.:41:11.

Member for South West Wiltshire who draws attention to workforce

:41:12.:41:18.

planning which is clearly very challenging for those doing it or

:41:19.:41:24.

not doing it. The recent inspection of North Lincolnshire hospital trust

:41:25.:41:27.

exposed issues of real concern around staffing levels. The

:41:28.:41:35.

challenges of securing a sufficient nurses and other medical staff has

:41:36.:41:40.

become a constant theme of my conversations with the trust since

:41:41.:41:45.

2010. Attracting, securing and retaining staff is a consistent

:41:46.:41:49.

challenge, and the Scunthorpe Hospital is no different to many

:41:50.:41:54.

other hospitals around the country. The more I have got involved in it,

:41:55.:41:59.

the more I have thought that locally designed solutions would have a role

:42:00.:42:05.

in this, and talking to health education in England, it is

:42:06.:42:10.

disappointing that they cannot do more to support health care

:42:11.:42:12.

assistants, for instance, growing into nurses within the local patch,

:42:13.:42:18.

because they are clearly a potential resource. So there are lots of

:42:19.:42:24.

issues about recruiting, training and retaining, as the Member for

:42:25.:42:30.

Hitchin Harpenden said, and making sure, as the Member for Morecambe

:42:31.:42:35.

and loons Dale said, if we lose 4000 nurses year, how do we keep them.

:42:36.:42:39.

That is a big issue as well as how we recruit and retain them. In

:42:40.:42:49.

Scunthorpe... I give way. Just to clarify, we are not losing 3000

:42:50.:42:53.

nurses a year, we are losing 3000 applicants to be nurses per year. I

:42:54.:42:58.

thank the Honourable Member for his intervention but there are many

:42:59.:43:00.

members being lost -- nurses being lost to the system as well which is

:43:01.:43:05.

a clear issue and one in which his comments highlighted. In essence in

:43:06.:43:09.

Scunthorpe we are having to recruit from other areas, Spain and Portugal

:43:10.:43:13.

and elsewhere in the world, and ours has been pointed out, though helping

:43:14.:43:17.

and supporting us, this has impacts on those areas of the globe where

:43:18.:43:21.

those nurses are being recruited from. I would like to quote from a

:43:22.:43:28.

young student nurse who is a constituent, her words, because in

:43:29.:43:31.

some way they capture the comments people are making to us from around

:43:32.:43:39.

the country. Katie May Taylor says, I am a first-year student nurse and

:43:40.:43:43.

when I start placement for three months I will just about be able to

:43:44.:43:47.

govern my travel on top of rent and food. When you see the hours we have

:43:48.:43:51.

to complete and have a fraction of the summer holidays you have to

:43:52.:43:54.

understand why the proposed cuts to the bursary and overall funding to

:43:55.:43:58.

the NHS isn't beneficial. I appreciate to other students getting

:43:59.:44:01.

a monthly bursary must seem a luxury but every penny I get goes towards

:44:02.:44:06.

my rent. It is not pocket money. We are seeing reports that parents are

:44:07.:44:10.

already telling students not to go into nursing and future nurses are

:44:11.:44:13.

being scared out of applying to university. This is deeply

:44:14.:44:17.

saddening. It is such a wonderful course to be a part of Hundal nurses

:44:18.:44:27.

are vital in the care of society's health and maintenance of our NHS.

:44:28.:44:29.

If the bursary is scrapped many student nurses will end up working

:44:30.:44:32.

70 plus hours a week in placements, study time and jobs. Will a student

:44:33.:44:36.

nurse working that many hours make for safe patient care?" Capture very

:44:37.:44:42.

effectively the concerns we have. The Government I think is taking a

:44:43.:44:47.

huge gamble with the NHS workforce and patient safety. There is already

:44:48.:44:51.

a nurse shortage in the NHS and scrapping Bursaries risks making

:44:52.:44:54.

staff recruitment and retention even harder. Student nurses are not like

:44:55.:44:59.

other students. They are required to work in clinical practice throughout

:45:00.:45:03.

their degrees and deserve to be treated differently. The Member

:45:04.:45:07.

force of that -- South West Wiltshire was right in saying it is

:45:08.:45:10.

worth looking at how much they are an intrinsic part of the NHS and if

:45:11.:45:14.

they are that needs to be recognised in this consultation so there are

:45:15.:45:18.

given credit for that and remunerated effectively. The Member

:45:19.:45:22.

for it all had North is right to emphasise that this is the unique

:45:23.:45:29.

position of student nurses. The longer placements make it harder for

:45:30.:45:33.

nurses to get part-time jobs. NHS students are more likely to be

:45:34.:45:37.

women, more likely to come from BME backgrounds are more likely to be

:45:38.:45:42.

mature students. Many nursing students have already completed 1

:45:43.:45:45.

degrees and turned to nursing in their late 20s or early 30s. The

:45:46.:45:51.

average age of the student nurses 28 and many have family or caring

:45:52.:45:56.

commitments. If we look at what has been pointed out in terms of the

:45:57.:45:59.

changes to the higher education funding system in 2012, it has been

:46:00.:46:04.

less favourably received by mature and part-time students. These groups

:46:05.:46:08.

make up a much greater proportion of the nursing, midwifery and allied

:46:09.:46:12.

health student body, so it is worth looking at that part of the evidence

:46:13.:46:17.

as well. Analysis by London Economics estimated that the switch

:46:18.:46:21.

will have a significant negative, -5%, impact on participation at

:46:22.:46:32.

least initially, especially of one person mind the competition of the

:46:33.:46:34.

student health cohort. The Government 's insistence that loans

:46:35.:46:36.

will be repaid at the same time will require repayment rate of 15% above

:46:37.:46:39.

earnings for those students accessing undergraduate and

:46:40.:46:43.

postgraduate loans. This will be in additional to any tax, national

:46:44.:46:49.

insurance and pension contributions due. It is questionable the level of

:46:50.:46:52.

savings to the taxpayer. The Minister wasn't clear on that when I

:46:53.:46:58.

pressed him in his opening remarks. The Department of Health estimates

:46:59.:47:01.

taxpayers will be better off as a result of this switch but it is a

:47:02.:47:05.

short-term calculation. It is less likely these students will repay

:47:06.:47:09.

their loans as graduates in the 30 year repayment period than the

:47:10.:47:13.

general higher education cohort. This is a switching responsibility

:47:14.:47:16.

for funding of the education of health workers from the state to the

:47:17.:47:21.

workforce itself primarily designed to reduce the budget in the

:47:22.:47:31.

Department of Health. We need to know more about what estimate the

:47:32.:47:33.

Government has made of the percentage of second-degree student

:47:34.:47:36.

loans written off after a 30 year period. We need have an estimate for

:47:37.:47:38.

how much the taxpayer will be better off. We need these figures. All the

:47:39.:47:44.

key stakeholders have the same concern, whether the Royal College

:47:45.:47:50.

of midwives, nursing, podiatry, speech and language therapists, even

:47:51.:47:54.

the NHS pay review body has said the removal of the incentive of

:47:55.:47:56.

bursaries could have an unsettling effect on the number and quality of

:47:57.:48:00.

applications for missing training in the early years. There are concerns

:48:01.:48:06.

by all the people closest to what is on. I hope the... The Minister is a

:48:07.:48:14.

good minister, and I hope you will listen and engage with all these

:48:15.:48:17.

bodies who know what they are talking about, they are not making

:48:18.:48:21.

it up, these concerns are real and genuine. The Royal College of

:48:22.:48:25.

Nursing is calling on the Government to work with all stakeholders to

:48:26.:48:28.

create a model of student funding that encourages people to join the

:48:29.:48:33.

profession and recognises the unique aspects of a nursing degree course.

:48:34.:48:39.

I hope the Government will take the opportunity of the strong initiative

:48:40.:48:45.

from the Shadow Health Secretary to work together to come up with a

:48:46.:48:48.

solution that will allow us not only to recruit and retain but also to

:48:49.:48:53.

retain all these professionals into the future.

:48:54.:49:05.

I am grateful for you calling me to speak. It is a pleasure to follow

:49:06.:49:11.

the honourable gentleman of Scunthorpe. He was speaks with

:49:12.:49:17.

credibility and experience. I am more than happy to acknowledge there

:49:18.:49:20.

are many colleagues in the House today with more experience than I

:49:21.:49:34.

have of working in the NHS. My experiences as a customer or a

:49:35.:49:36.

relative of someone who has been treated within the health service. I

:49:37.:49:42.

have to say that, to date, my experience has been nothing but

:49:43.:49:47.

positive. The treatment are NHS continues to deliver to our nation

:49:48.:49:52.

is the best in the world and I think something that we on this side of

:49:53.:50:00.

the House should be proud of. I think a good thing about -- the

:50:01.:50:08.

opposition seemed to think they have a monopoly on caring about the NHS.

:50:09.:50:18.

There are people on our side who care deeply about it. Every Labour

:50:19.:50:23.

Party leader since the Second World War has said we have 24 hours to

:50:24.:50:29.

save the NHS before the tap Tories come into government and they repeat

:50:30.:50:33.

that every single time. I think the truth is when you look at the facts,

:50:34.:50:40.

in 2010 at the general election the Prime Minister was only party leader

:50:41.:50:42.

who entered the election saying would protect the NHS budget when

:50:43.:50:50.

others didn't. In 2015, the Prime Minister was the only party leader

:50:51.:50:53.

that committed to the extra 8 billion think it was at the time

:50:54.:50:58.

support funding for the NHS when other opposition parties would not

:50:59.:51:03.

back that figure. Today, that figure is ?10 billion extra this party is

:51:04.:51:12.

backing the NHS with and delivering services, an aspiration to deliver

:51:13.:51:16.

seven days a week. So people like me who are using the NHS get that

:51:17.:51:23.

service to a very high quality seven days a week. The only way we could

:51:24.:51:36.

deliver the extra funding into the health services by having a credible

:51:37.:51:41.

economic plan which stacks up to scrutiny and I think the British

:51:42.:51:46.

public understand that and what it means to have a credible plan that

:51:47.:51:48.

you can actually deliver when you get into government. There is a lot

:51:49.:51:55.

we agree on. A number of colleagues have outlined where we agree and

:51:56.:51:57.

nobody could deny there is a recognition within government and

:51:58.:52:03.

the opposition that we need more nurses but I think the difference is

:52:04.:52:07.

how we then deliver those extra nurses we require. How do we come up

:52:08.:52:13.

with a credible plan that gives us the extra nurses we all recognise?

:52:14.:52:20.

We have had lots of speeches from all around the chamber, recognising

:52:21.:52:25.

the need to deliver extra nurses but I think it is only on this side

:52:26.:52:28.

whether as a credible plan to actually make that happen. You

:52:29.:52:34.

cannot hope it happens or just state it is going to happen without

:52:35.:52:36.

stating where the extra money is going to come from because the

:52:37.:52:40.

consequence of doing that is to actually withdraw cash from front

:52:41.:52:45.

line services, from those existing doctors and nurses, operation

:52:46.:52:53.

theatres and wards and put that into training if you are not doing that.

:52:54.:52:59.

What I would say is clearly the first thing you should not do if you

:53:00.:53:02.

are going to try to increase the number of nurses running into the

:53:03.:53:08.

NHS is restricted the number you can train. It seems fundamentally

:53:09.:53:13.

obvious to me that the way to lift the number of nurses within the NHS

:53:14.:53:17.

is to lift that artificial cap which we seem to have been left with in

:53:18.:53:21.

terms of the numbers that we are able to train and I would welcome

:53:22.:53:27.

what the Government is doing in considering its options and

:53:28.:53:29.

consulting on this and looking to make sure there is no artificial cap

:53:30.:53:33.

so we can train as many people who have that inspiration to go into the

:53:34.:53:40.

nursing profession. Once again, I want to reiterate my admiration for

:53:41.:53:45.

those people who, clearly, if you leave school and full-time education

:53:46.:53:51.

at school age, you do not enter nursing because you want to be rich,

:53:52.:53:55.

you do it because you care and because you see it as a vocation. I

:53:56.:54:00.

think we must support those people who have that calling, that

:54:01.:54:04.

aspiration to want to care for others and wants to look after those

:54:05.:54:08.

in society who find themselves ill and in need of support. We need to

:54:09.:54:13.

make sure we find a system that allows them to aspire, whatever

:54:14.:54:18.

their background, a system that gives them the ability to go through

:54:19.:54:21.

the training and reached the point where they can follow that vocation.

:54:22.:54:27.

The arguments deployed against what the Government is suggesting

:54:28.:54:32.

appeared to be very similar to what we heard around student loans where

:54:33.:54:36.

we were told that those from a deprived background would be put off

:54:37.:54:39.

and those who came from more challenging areas would not be able

:54:40.:54:44.

to find a way through the system to be able to follow that desire to

:54:45.:54:50.

follow their vocation and I think we must reflect on what happened during

:54:51.:54:56.

those changes to student loans and look at the evidence, and the

:54:57.:54:59.

evidence is that those from challenging background who we were

:55:00.:55:04.

told would not be able to do it, those numbers have gone up and the

:55:05.:55:10.

opposite is true. We must find ourselves at the end of this process

:55:11.:55:15.

with an NHS which can adapt and change goes there is enormous social

:55:16.:55:19.

pressure, particularly as society gets older, the challenge between

:55:20.:55:26.

adult social care and the NHS. We need an NHS able to adapt and change

:55:27.:55:31.

does not win cash is short, we must spend that on front line services

:55:32.:55:36.

on. To us and nurses and drugs that can improve the lives of those

:55:37.:55:40.

people who need the support of the NHS, and I look forward to the

:55:41.:55:45.

consultation. I'll note the team in the health department will -- I know

:55:46.:55:50.

the team in the health Department will look at it. I hope we get to

:55:51.:55:54.

the right place at the end of this with more nurses. I am pleased to

:55:55.:56:02.

hear the member values NHS so highly but he might like to reflect on the

:56:03.:56:05.

fact that the Coalition Government legislated to allow all NHS

:56:06.:56:12.

hospitals to make up to 49% of their money out of private patients and

:56:13.:56:16.

perhaps he will review his opinion of his own party's performance when

:56:17.:56:20.

he starts to see the number of private patients in his own hospital

:56:21.:56:23.

increase and the number of NHS patients decrease. The Royal College

:56:24.:56:34.

of Nursing, and Midwives said abolishing bursaries will break the

:56:35.:56:37.

link between NHS and trainee nurses and I share their concerns because

:56:38.:56:41.

the link is a historic one and I believe the Government proposal is

:56:42.:56:45.

part and parcel of wider changes this government is seeking to make

:56:46.:56:48.

in the culture of the NHS, turning the emphasis away from training

:56:49.:56:52.

people to be part of NHS family, a family in which they can work with

:56:53.:56:55.

dedication throughout their working lives, to the provision of training

:56:56.:56:59.

for individuals to work in a fragmented health marketplace. If

:57:00.:57:04.

these plans go ahead, future nurses may no longer feel the same

:57:05.:57:08.

obligation to work in the NHS and could be more inclined to work

:57:09.:57:11.

abroad or in private hospitals to pay off their debts, and who could

:57:12.:57:14.

blame them? They will have felt that the Government has left them and

:57:15.:57:19.

deserted them. The minister could not tell us what the average

:57:20.:57:26.

repayment would be. Let Unison give him the answer. They say debt

:57:27.:57:32.

repayment will mean, in effect, a pay cut of over ?900 a year. The

:57:33.:57:38.

question arises, will these changes that are people from training to be

:57:39.:57:43.

nurses in the first place? The Royal College of Nursing and other bodies

:57:44.:57:52.

thinks it will. The Government consultation document estimates a

:57:53.:57:57.

trainee nurse taking out the maximum tuition and maintenance loans for

:57:58.:57:59.

three years with graduate with debts of between ?47,712 and ?59,106. Who

:58:00.:58:10.

would want to embark on a lifetime of caring for others with the level

:58:11.:58:15.

of debt that size? This brings us to the concern that these measures will

:58:16.:58:18.

lead to further shortages will stop we are all aware of the shortages in

:58:19.:58:24.

our hospitals. The Coalition Government allowed the number of

:58:25.:58:27.

training places to fall from over 20,000 to just 17,000 in 2011-12.

:58:28.:58:34.

The lowest level since the 1990s. As a result, there were over 8000 fewer

:58:35.:58:39.

nurses trained in 2010 - 15 Parliament compared to 2010-11

:58:40.:58:46.

levels. Nurse numbers have failed to keep pace with demand. According to

:58:47.:58:50.

calculations, the rate of nurses per hundred thousand population has

:58:51.:58:59.

fallen from 679 in 2000 and 92 665. There are concerns the removal of

:59:00.:59:03.

NHS bursaries will only make matters worse, as has been mentioned by my

:59:04.:59:11.

friend the member from Scunthorpe, their NHS independent review body

:59:12.:59:13.

said their removal of the bursary would have on effect on the number

:59:14.:59:24.

of places. The reduction in net pay will make a package... The Secretary

:59:25.:59:37.

of State should focus on that. The Royal College of Nursing is

:59:38.:59:40.

concerned there is also a risk the changes could result in an uneven

:59:41.:59:42.

distribution of students across nursing specialities. Also

:59:43.:59:47.

geographically across the UK. Currently, health education in

:59:48.:59:53.

England commissions student places for four branches of nursing, adult,

:59:54.:59:57.

children, learning is about these and mental health. Without workplace

:59:58.:00:01.

planning centrally there could be insufficient numbers across these

:00:02.:00:04.

branches as some may be more popular than others. There is no indication

:00:05.:00:08.

whether there will be control over which sectors nurses trained for in

:00:09.:00:16.

future or whether it will be dictated by, of course, the market.

:00:17.:00:20.

It could lead to greater shortages than at present. Tuition is

:00:21.:00:26.

currently paid for by health education England. Now students

:00:27.:00:29.

under the current system have to pay tuition fees and they are not means

:00:30.:00:33.

tested. They also receive ?1000 non-means tested grant year, pro

:00:34.:00:39.

rata for part-time students. They also qualify for a maintenance grant

:00:40.:00:44.

or bursary, means tested, where a term lasts longer than 30 weeks and

:00:45.:00:49.

helps with placements. I feel this is the appropriate way to deliver

:00:50.:00:53.

NHS nurse training. If we are to continue to have a state-run public

:00:54.:00:56.

NHS free at the point of need we must continue to provide bursaries

:00:57.:01:00.

for our NHS nurses. It is the least we owe them. If you ask any patient

:01:01.:01:16.

about their experience in hospital, one thing they're sure to talk to

:01:17.:01:21.

you about is nurses who looked after them. They are normally talking

:01:22.:01:23.

about nurses and health care assistants, because patients don't

:01:24.:01:30.

tend to differentiate. We note nurses have far more interaction

:01:31.:01:34.

with patients and doctors so their quality and time is critical to

:01:35.:01:39.

patient experience. It is also critical to their outcomes for

:01:40.:01:43.

agents in hospitals. Good nursing can be the difference between life

:01:44.:01:47.

and death. We have known that since Florence Nightingale. We were

:01:48.:01:53.

reminded of that with the inquiry into Mid Staffordshire and the

:01:54.:01:56.

France's report and from recent search into strokes outcomes or

:01:57.:02:05.

anyone who has looked into Salford Royal and how it has such a good

:02:06.:02:11.

reputation, and much of that is high standards of nursing. So, an

:02:12.:02:17.

excellent NHS which I believe we wanted needs excellent nurses and

:02:18.:02:22.

enough of them. This afternoon, people have spoken about how we need

:02:23.:02:28.

more nurses in the order of maybe 10,000 - 20,000, the numbers range.

:02:29.:02:33.

We also note we need a shift in their skills. We need more mental

:02:34.:02:41.

health nurses. Right now there are not enough nurses in our system and

:02:42.:02:46.

hospitals across the country have vacancies. They are using large

:02:47.:02:51.

numbers of agency staff and international recruitment is very

:02:52.:02:54.

important to many hospitals including those serving my

:02:55.:02:58.

constituents in Kent. I am not confident that more of the same will

:02:59.:03:08.

solve these problems. Nor was the nursing Department of a London

:03:09.:03:10.

University I spoke to about this last year. They said they needed

:03:11.:03:15.

more funding per nurse place to stop the recognised in asking for more

:03:16.:03:18.

money for their nurses it could be taking money away from front-line

:03:19.:03:24.

care in the NHS and that was not a good answer so they were very open

:03:25.:03:29.

to a new funding model. Last summer, the Council of deans of health and

:03:30.:03:33.

universities said the current funding system is no longer working

:03:34.:03:36.

for either students or universities. Universities having to subsidise

:03:37.:03:41.

cost of nursing degrees from other courses and NHS funded students

:03:42.:03:46.

having less to live on than others even though they are often studying

:03:47.:03:50.

longer degrees, more intense degrees with more hours. They are even less

:03:51.:03:55.

able to do other work outside their qualification. We know we need more

:03:56.:03:59.

nurses and their current funding system isn't working.

:04:00.:04:04.

said on the question, then, at how we get more nurses, is the answer

:04:05.:04:12.

better workforce planning? I remember hearing that in 2008-9 when

:04:13.:04:18.

plans were being drawn up the Centre for workforce intelligence. That

:04:19.:04:23.

would be the answer, lots of skills exploits doing fantastic modelling

:04:24.:04:27.

into the future -- skills experts. I was sceptical than because look at

:04:28.:04:31.

the history of the NHS and systems around the world that have

:04:32.:04:35.

centralised planning for the health care workforce, it almost always is

:04:36.:04:41.

wrong, you get periods of oversupply and undersupplied, right now we are

:04:42.:04:45.

in a period of undersupplied with all the knock-on consequences. So

:04:46.:04:49.

doing it better and having more experts sounds great in theory but

:04:50.:04:52.

in practice I think we have seen it doesn't work. So much better answer

:04:53.:04:57.

is to set universities free to offer more places for all those students

:04:58.:05:05.

who want to study nursing, so all those students currently being

:05:06.:05:09.

turned away -- turned away can study nursing, and I would like to see

:05:10.:05:16.

more nursing applicants, particularly as universities do more

:05:17.:05:18.

to make their courses more attractive and work more closely

:05:19.:05:22.

with employers, as to what employers need, and to look at specialist

:05:23.:05:27.

skills and expertise required within nursing, as I mentioned, to meet the

:05:28.:05:32.

needs of the care system we have now and in future. But to do that we

:05:33.:05:39.

must uncouple the funding of nurse training from the NHS. We have to

:05:40.:05:44.

take away this constraint that every pound spent on training and NHS

:05:45.:05:49.

nurse is a pound potentially taken away from funding front line care,

:05:50.:05:53.

which puts such a premium on avoiding access of nurses. I think

:05:54.:05:58.

this is very much the right direction of travel. I also think it

:05:59.:06:02.

is very important to increase maintenance grants to nurses so they

:06:03.:06:06.

are not struggling with their living support as they are at the moment,

:06:07.:06:10.

but they should be more routes into nursing. The nurse associate role is

:06:11.:06:15.

very welcome. An apprenticeship route so nurses can work and train

:06:16.:06:20.

in parallel, which we know is very appealing to more mature students

:06:21.:06:24.

who need an income and also want to be more hands-on during their

:06:25.:06:29.

training and are less appealed to buy university environment. Having

:06:30.:06:35.

worked for some time on the background of health care assistants

:06:36.:06:38.

and wanting to see more recognition given to their role and

:06:39.:06:42.

qualifications, I really recognise the opportunity for them to be

:06:43.:06:46.

supported even more towards becoming qualified nurses. Another thing I

:06:47.:06:54.

think is important is to have a greater investment in continuing

:06:55.:06:57.

professional development for nurses. We know we need a more flexible

:06:58.:07:02.

workforce that can adapt to the demands of the future. Yet one of

:07:03.:07:06.

the things that is so often squeezed in times of financial pressure is

:07:07.:07:10.

the investment in ongoing training and the time given to ongoing

:07:11.:07:14.

training, so let's this is a -- use this as an opportunity to re-shift

:07:15.:07:19.

that balance and re-purpose the workforce as needed to meet the

:07:20.:07:23.

demands and needs of the system. I would also like more attention to be

:07:24.:07:28.

given to the appeal of the Singh career and the experience of all

:07:29.:07:35.

nurses in work -- of the nursing career. Nurses at the front line

:07:36.:07:39.

have told me so many times, this weekend I will beyond my own. The

:07:40.:07:44.

only permanent nurse in this ward. I will work alongside agency nurses

:07:45.:07:48.

who don't know this ward, and it will make it a difficult weekend. We

:07:49.:07:55.

need to put an end to that. The only way we can do that, alongside, of

:07:56.:08:00.

course, the work going on to reduce agency staff, is to increase the

:08:01.:08:05.

numbers of nurses trained to work in the NHS. I am out of time but just

:08:06.:08:10.

to sum up, I think the direction of travel is right, but also let's make

:08:11.:08:14.

sure we get the details right on how this is put into practice. I am

:08:15.:08:23.

pleased to contribute to today's debate. I only hope my scratchy

:08:24.:08:28.

throat will hold out. My apologies to colleagues. My contribution marks

:08:29.:08:35.

the third occasion I have spoken on this issue and called on the

:08:36.:08:39.

Government to keep the NHS bursary for students in England studying to

:08:40.:08:46.

become the next generation of Nudd -- nurses, midwives and allied

:08:47.:08:49.

health professionals. The bursary is essential to complete a nursing

:08:50.:08:54.

degree. The Royal colleges say so, but perhaps more importantly my

:08:55.:08:59.

sister says so. Luckily for student nurses in Scotland the SNP also says

:09:00.:09:04.

so. I am aware that this debate has been about the removal of the

:09:05.:09:07.

bursary to students in England but the SNP say they have a job in this

:09:08.:09:14.

place fighting Tory austerity. The Scottish Government will continue to

:09:15.:09:18.

supply it might provide bursaries and we want the same support for all

:09:19.:09:23.

nursing students regardless of where they study. As well as receiving

:09:24.:09:27.

representations from my sister and have also met nursing students based

:09:28.:09:31.

at my local university, the University of the West of Scotland.

:09:32.:09:36.

It helps train and educate 4000 nursing students, one of the largest

:09:37.:09:40.

cohorts in Scotland. It does a fantastic job equipped in tomorrow

:09:41.:09:44.

-- equipping tomorrow's workers with the skills they need. I want to

:09:45.:09:54.

propose the question on this issue to the Chancellor -- I proposed. His

:09:55.:09:58.

answer did not provide the commitment nursing students were

:09:59.:10:04.

demanding but after a few months of contemplation I urged the Chancellor

:10:05.:10:09.

to consider their plans to abandon the bursary. The Royal College of

:10:10.:10:16.

Nursing, which comprises 30,000 members, have made representation to

:10:17.:10:20.

the SNP outlining the opposition to the Government's plans. It is not

:10:21.:10:24.

only nurses and students in England urging the Government to abandon

:10:25.:10:29.

plans but the vast majority of medical professionals, and students

:10:30.:10:32.

and workers in Scotland are also demanding the bursary packages

:10:33.:10:37.

retained. It is important to understand why nursing students

:10:38.:10:39.

receive a different funding settlement compared to other

:10:40.:10:44.

students. I know only too well the long hours my sister studied at

:10:45.:10:49.

University. Not all students work such long hours and nurses spent

:10:50.:10:56.

time on the ward working with fully qualified nurses. I'd know how much

:10:57.:11:02.

time they spend working and they also put through their paces on the

:11:03.:11:06.

ward. Replacing the bursary with alone will effectively means

:11:07.:11:09.

students are paying the Government for the privilege of working while

:11:10.:11:15.

on placement. The majority of nursing students are older and

:11:16.:11:20.

typically women, the average age being 29 years old. Many of these

:11:21.:11:24.

will have caring responsibilities. In addition it is not uncommon for

:11:25.:11:30.

them, despite the demands of the course, to also work part-time

:11:31.:11:33.

alongside studies. It is only proper that they have a funding settlement

:11:34.:11:38.

which meets their circumstances. As we have heard, Unison, the NUS, the

:11:39.:11:47.

Royal College of midwives and others all state that this new system will

:11:48.:11:50.

lead to students Achaemenid Singh ?51,000 of debt -- accumulating.

:11:51.:12:01.

Let's be clear, the removal of the bursary will be detrimental to

:12:02.:12:05.

people wanting to study. We should instead encourage people from all

:12:06.:12:09.

backgrounds to consider a career in the NHS. This point was made by the

:12:10.:12:13.

Royal College of midwives when they said the cuts are likely to deter

:12:14.:12:17.

any potential student from entering the profession which is God not --

:12:18.:12:33.

not good news for the profession. The Chancellor and Health Secretary

:12:34.:12:37.

claimed the current system is unaffordable. I disagree and would

:12:38.:12:40.

encourage them to take guidance from the Scottish Government on how to

:12:41.:12:44.

support the health workers of tomorrow. In contrast to the UK

:12:45.:12:49.

Government desire to abolish bursaries, the Scottish Government

:12:50.:12:54.

will provide for ?6,500 to students. The UK Government previously

:12:55.:12:58.

operated a means tested system. The Scottish Government will continue to

:12:59.:13:03.

offer it without means testing. Whereas the UK Government sanctions

:13:04.:13:08.

charges of up to ?9,000 a year for university education, the Scottish

:13:09.:13:11.

Government preserve the right of a free education. The UK Government

:13:12.:13:15.

works against the health service and educational partners the Scottish

:13:16.:13:19.

Government works in partnership with them to improve education and health

:13:20.:13:23.

services that exist in Scotland. There are 41% more qualified nurses

:13:24.:13:28.

and midwives in Scotland than anywhere else in the UK but despite

:13:29.:13:33.

this we have increased numbers of students by 5.6% in the next

:13:34.:13:37.

academic year with a thousand extra nurses in training every year

:13:38.:13:42.

compared to the previous. The Government needs to stop attacking

:13:43.:13:45.

the health service and those who work in it. If the Prime Minister is

:13:46.:13:49.

serious about one nation Government he needs to engage with the concerns

:13:50.:13:53.

raised by nursing students and others across the and university

:13:54.:14:01.

sector. -- health and university sector. By also congratulate the

:14:02.:14:06.

Shadow health team on securing this debate. A few weeks ago I found

:14:07.:14:12.

myself in a packed lecture theatre in Cambridge, invited there by a

:14:13.:14:16.

student nurse, and the room was packed full of her colleagues. They

:14:17.:14:19.

were angry, not for themselves, but for those who in years ahead should

:14:20.:14:23.

follow in their footsteps, because they are convinced, absolutely sure,

:14:24.:14:29.

but if the Government's changes go ahead, people like them will not do

:14:30.:14:34.

as they have done, when the embarking on the training so

:14:35.:14:39.

essential to the future of our NHS. They are rightly furious. There

:14:40.:14:42.

seems to be a complete misunderstanding about how different

:14:43.:14:45.

they are as a cohort from other students and how different their

:14:46.:14:51.

courses are from other courses, a failure to understand how their

:14:52.:14:55.

courses about being at work, sometimes as they explain to me

:14:56.:14:59.

going way beyond the call of duty, being at work, not just on a course.

:15:00.:15:02.

Their testimonies and those of others across the country speak

:15:03.:15:07.

volumes, and I pay tribute to the Royal College of Nursing for putting

:15:08.:15:11.

together hundreds of these stories. I will say in directly to the

:15:12.:15:15.

Minister, what makes him so sure that he knows so much better than

:15:16.:15:19.

all these people who are actually doing it and actually know and

:15:20.:15:23.

understand the choices people in their situation are likely to make?

:15:24.:15:30.

Before being elected, I work for Unison and met many student nurses.

:15:31.:15:34.

The Government simply fails to understand the simple truth that

:15:35.:15:38.

nursing, midwifery and allied health care students are not like other

:15:39.:15:42.

students. One important fundamental difference lies in the requirement

:15:43.:15:45.

health care students spend a significant proportion of their

:15:46.:15:49.

studies on clinical placement. The RCN point out as others have done,

:15:50.:15:53.

they are not like other students. 50% of their time is spent in

:15:54.:15:57.

clinical practice working directly with patients and their families,

:15:58.:16:00.

and they have a longer academic year. They must spend a minimum 2300

:16:01.:16:06.

hours on clinical placement during their studies, working, providing

:16:07.:16:14.

care, making a vital conservation to the health service, also including

:16:15.:16:16.

early shifts, night and weekend shifts. In practice the funding

:16:17.:16:18.

changes will charge students to go to work and do a job desperately

:16:19.:16:22.

needed. Furthermore it is clear these changes are being rushed

:16:23.:16:25.

through without proper consideration of the consequences. The Government

:16:26.:16:29.

says it will create 10,000 new nursing, midwifery and allied health

:16:30.:16:34.

degree places which would be welcome if it happened, particularly when

:16:35.:16:37.

agency staff are plugging the gap and draining NHS finances. It has

:16:38.:16:42.

not been made clear that there are resources in place to support

:16:43.:16:46.

students in clinical settings. Put simply, do the placements exist? The

:16:47.:16:51.

concern is linked to a wider issue about the uncovering of education

:16:52.:16:54.

commissioning and workforce planning. The potential consequences

:16:55.:16:58.

of a disconnection between University recruitment and NHS

:16:59.:17:01.

workforce planning must be addressed and I would welcome the Minister's

:17:02.:17:05.

comments on the wrist this uncoupling poses on the NHS's

:17:06.:17:13.

ability to be the best for planning workforce requirements. One of the

:17:14.:17:17.

more interesting aspects of the Government's proposals is to

:17:18.:17:22.

increase routes from nondegree courses. Does he agree with me that

:17:23.:17:26.

the Government ought to tread carefully given the report in the

:17:27.:17:30.

Lancet in February 20 14th that suggested across nine European

:17:31.:17:35.

countries, every 10% increase and the number of bachelors degree

:17:36.:17:40.

educated nurses is associated with a 7% decline in patient mortality.

:17:41.:17:44.

Even on the more positive aspects of the Government proposals they ought

:17:45.:17:48.

read more carefully. I hope this point is one the Minister will

:17:49.:17:52.

address. There are other ways nursing and midwifery and allied

:17:53.:17:55.

health students are different. They are

:17:56.:18:08.

more likely to be older, to be women, to come from BME backgrounds,

:18:09.:18:12.

to have children and already have a first degree, and the average age is

:18:13.:18:14.

28. These characteristics matter because they increase the likelihood

:18:15.:18:17.

that funding changes will be a disincentive to people taking

:18:18.:18:18.

degrees. The Royal College of midwives point out that the removal

:18:19.:18:21.

of bursaries mean women with children and those who have a first

:18:22.:18:23.

degree will be hit particularly hard. Many already make up a large

:18:24.:18:28.

proportion of our current midwifery student base.

:18:29.:18:36.

It is hardly likely they will be enthusiastic about the prospect of

:18:37.:18:45.

taking on an additional debt. The starting salary for nurses is only

:18:46.:18:53.

?21,000 a year. Replacing NHS bursaries with loans will mean a pay

:18:54.:18:58.

cut of over ?900 a year for a nurses, midwife or health

:18:59.:19:03.

professional. We know that debt particularly deters poorer students,

:19:04.:19:10.

those who are more likely to find interim nursing and midwifery.

:19:11.:19:17.

People can best explain this and the Royal College of nurses has put this

:19:18.:19:25.

together in a huge blue book. I really commend it to the Minister.

:19:26.:19:32.

Let me conclude by returning to that room of students in Cambridge and

:19:33.:19:36.

give some of those of voice. Sarah from Cambridge says, I would not

:19:37.:19:41.

have survived without my bursary. A nurse's salary is poor and have debt

:19:42.:19:45.

on top is terrible. Amanda says, I'm adult learner with a husband and two

:19:46.:19:50.

children. I had my children young so was unable to fulfil a degree. If I

:19:51.:19:54.

was to have debt at the end, it would not have been worth my while.

:19:55.:19:59.

I fear it will put up adult learners entering into the degree programme

:20:00.:20:07.

which will mean the NHS is losing out on valuable decent people who

:20:08.:20:09.

would make fantastic nurses. And Maria says, we are in danger of

:20:10.:20:13.

preventing mature students from entering training. This will mean

:20:14.:20:18.

the NHS loses the chance of recruiting a great resource

:20:19.:20:23.

potential nurses. Another Sarah says, I am really disappointed by

:20:24.:20:27.

this change. Nursing is not like any other profession so should be

:20:28.:20:31.

treated uniquely. It is tough being a nursing student and the proposed

:20:32.:20:36.

bursary changes should be considered carefully to respect the work,

:20:37.:20:40.

commitment and enthusiasm of student nurses. She puts it very well.

:20:41.:20:45.

Perhaps if the government would listen to me, they will at least

:20:46.:20:55.

listen to her. -- will not. It's been a very high quality debate

:20:56.:21:01.

today and I do have sympathy for the Minister responding because we all

:21:02.:21:05.

know that this policy was not devised in his department was was

:21:06.:21:10.

put together somewhere in the Treasury borrowing the Chancellor's

:21:11.:21:15.

?2 billion raid. It seems that this is a case of cut first and ask

:21:16.:21:19.

questions later. I say that because in just two lines of the Autumn

:21:20.:21:24.

Statement with no consultation or evidence, this government has

:21:25.:21:27.

committed itself to a huge gamble in the future of the NHS workforce and

:21:28.:21:32.

patient safety. We have had a comprehensive debate among pay

:21:33.:21:37.

tribute to my honourable friend the leading this campaign and his record

:21:38.:21:41.

in this area is unparalleled. He highlighted expertly the many

:21:42.:21:47.

student nurses are innate different position to other students and the

:21:48.:21:51.

concerns he and other members have about the effect these proposals

:21:52.:21:55.

will have on future numbers. Other members contributed in a similar

:21:56.:21:57.

vein including my honourable friend 's. The honourable member for

:21:58.:22:05.

Scunthorpe pressed the Minister without reply about what estimate

:22:06.:22:08.

has been made about the number of loans that will be off. I trust and

:22:09.:22:13.

we hear the answer to that, the Minister will be able to fill us in

:22:14.:22:17.

with details. We also heard from my honourable friend the Wirral West

:22:18.:22:25.

who came to this place with a great reputation and spoke with great

:22:26.:22:29.

authority. My honourable friend the member for Cambridge has spoken and

:22:30.:22:33.

he asked a very pertinent question about the capacity of the health

:22:34.:22:36.

service to take on these extra students. We also had an important

:22:37.:22:41.

contribution from the chair of the health Select Committee and I hope

:22:42.:22:45.

the Minister responds to the real concerns that she raised. Mr Deputy

:22:46.:22:51.

Speaker, the government is presiding over the worst accident and

:22:52.:22:54.

emergency figures since records began. There is a crisis and morale

:22:55.:23:03.

against the workforce with a Secretary of State to belligerent to

:23:04.:23:06.

listen. They have alienated generation of junior doctors and now

:23:07.:23:11.

they risk doing the same that our future nurses and midwives. As well

:23:12.:23:16.

as many other health professionals, why is this government looking to

:23:17.:23:20.

and settled the huge section of our NHS workforce at a time when

:23:21.:23:23.

goodwill is more important than ever? We have a number of concerns

:23:24.:23:29.

with this policy, many of which have been by honourable members today,

:23:30.:23:33.

and the government has yet to give any credible answer. Let us look at

:23:34.:23:36.

the actual problem these proposals will address. But the black created

:23:37.:23:40.

by the Chancellor but the shortage of nurses in NHS. This government is

:23:41.:23:47.

entirely responsible for that shortage because it decided to

:23:48.:23:52.

reduce nurse training places. If it had maintained level set by the last

:23:53.:23:56.

Labour government, we would have had 8000 more nurses trained in the last

:23:57.:24:01.

Parliament alone so when we hear about is agency costs and staffing

:24:02.:24:09.

shortages, it's not the nurses, trusts, patients but this

:24:10.:24:13.

government's mishandling of the NHS. This proposal will deliver 10,000

:24:14.:24:22.

more nurses, midwives and other health professionals at best. When

:24:23.:24:26.

the government says this proposal could deliver that, they really are

:24:27.:24:31.

looking at the glass half full. That figure of 10,000 extra comes with so

:24:32.:24:36.

many caveats and warning that if it were a used car, I would not even

:24:37.:24:41.

taken a test drive. The government's own assessment acknowledges there

:24:42.:24:46.

could be adverse impacts on parents and carers and childcare costs could

:24:47.:24:50.

have a significant influence on participation. It's worth picking up

:24:51.:24:53.

a few quotes from the government's own document to get a flavour of

:24:54.:24:58.

just how flaky this old proposal is. It says that example, the precise

:24:59.:25:03.

impact is difficult to estimate with certainty. Behavioural change is

:25:04.:25:08.

uncertain. There may be uncertainty over applications in the short term.

:25:09.:25:13.

There is no robust set of information to make this assessment.

:25:14.:25:16.

In other words, the government says they have done an assessment they

:25:17.:25:20.

have no idea what the impact of the policy will be. If that doesn't

:25:21.:25:25.

amount to a huge gamble, I don't know what does. But if the

:25:26.:25:29.

government won't take heed of its own assessment, it might listen to

:25:30.:25:32.

the Royal College of Nursing which is said there is a

:25:33.:25:44.

risk of a concern than that. They are particularly concerned about the

:25:45.:25:48.

impact on which all students and as we have heard during the debate, the

:25:49.:25:51.

average age of a student nurses said it is 28. The changes will act as a

:25:52.:25:55.

disincentive for some students like mature students or those from lower

:25:56.:26:00.

income backgrounds. Research shows that nine out of ten student nurses

:26:01.:26:03.

said they would not have gone into training if the new proposals have

:26:04.:26:07.

been in place. That is a trivial number. Even if the numbers turn out

:26:08.:26:12.

only be half that amount, the implications for the NHS would be

:26:13.:26:15.

catastrophic, so where is the evidence to reassure us that won't

:26:16.:26:23.

happen? There isn't any. The Minister knows he is not comparing

:26:24.:26:27.

like with like and any evidence of the mature student experience does

:26:28.:26:33.

not support his case. Higher education statistics say which all

:26:34.:26:36.

students between 20112015, the number has fallen by 17%. There's

:26:37.:26:41.

big play about what this policy means for all nurses. Due to the

:26:42.:26:47.

decision of the government is freeze the student loan repayment

:26:48.:26:51.

threshold, or future nurses are facing a real terms pay cut.

:26:52.:26:55.

According to Unison, based upon current salaries, the average health

:26:56.:27:01.

professional will lose ?900 a year to meet their debt repayments. Start

:27:02.:27:07.

retention is a huge issue for all NHS staff. As the honourable member

:27:08.:27:10.

rightly pointed out, the government's record and this is Paul

:27:11.:27:15.

and sadly nurses with extra debt will only make the matter worse. I

:27:16.:27:24.

didn't say it was poor at all. I pointed out we needed reform, which

:27:25.:27:30.

is something we're here to today. I think we have had a very good

:27:31.:27:37.

constructive debate today. I think the honourable member, if he is

:27:38.:27:41.

stating facts, that says more about the fact the way they were presented

:27:42.:27:49.

the government. Let's be clear. This is a debt that these nurses are

:27:50.:27:56.

never likely to pay off. Nurses will graduate with debts of ?50 --

:27:57.:28:02.

60,000. The many mature students will find themselves with ?100,000

:28:03.:28:07.

worth of debt. Let's repeat that figure. Here we are as a country,

:28:08.:28:11.

looking down the barrel of the policy that will sadly nurses with a

:28:12.:28:16.

6-figure debt, not bankers, lawyers but people who will own a fraction

:28:17.:28:20.

of that keeping the NHS going. We already have the highest level of

:28:21.:28:23.

student debt in the English-speaking world which is not a record we

:28:24.:28:26.

should be proud of in these proposals will only make matters

:28:27.:28:30.

worse but it would be an error to put nurses in the same category as

:28:31.:28:35.

other students. Not only are their courses longer each year, meaning

:28:36.:28:37.

they have less opportunity than other students to work while they

:28:38.:28:41.

study, they're also required to spend 50% of their time working in

:28:42.:28:46.

clinical practice. This requires real commitment of 2300 hours at

:28:47.:28:54.

least doing difficult jobs at anti-social times and now this

:28:55.:28:57.

government is asking people to pay for the privilege of doing that.

:28:58.:29:01.

This policy team is like some kind of perverse extension of workfare.

:29:02.:29:06.

Last year, there were unfilled places in London. The government

:29:07.:29:12.

needs to raise its game to improve retention levels among nurses. It

:29:13.:29:17.

has been getting worse. We saw nearly 9% of nurses leave. Some may

:29:18.:29:21.

have gone to work elsewhere in the NHS but many have left altogether so

:29:22.:29:27.

surely sorting that out will be more effective to our problems than a

:29:28.:29:31.

punt on a trusted future plan? There appears to be no dialogue with

:29:32.:29:35.

providers who seem unaware of the oncoming rush. Each student nurses

:29:36.:29:40.

to be clinically assessed by a registered nurse but there appears

:29:41.:29:45.

to be no assessment made to take on these extra responsibilities. With

:29:46.:29:49.

all these flaws, it's clear to see this policy was announced with no

:29:50.:29:53.

consultation, no engagement with the sector and with no evidence basis.

:29:54.:29:58.

With such a high degree of uncertainty, surely the sensible

:29:59.:30:01.

thing would be to consult on the principle before embarking on the

:30:02.:30:06.

policy. Not this government, it knows best, and I say that despite

:30:07.:30:09.

the fact the government is not even seem to know what its own record is

:30:10.:30:13.

in this area. When I asked the minister a simple question on how

:30:14.:30:16.

many nurses are qualified in the last five years, I received the

:30:17.:30:20.

following response: the Department does not hold information on the

:30:21.:30:23.

number of nurses who qualified in the last five years. What an

:30:24.:30:28.

absolute shambles! You would think with such a gap, the government

:30:29.:30:34.

would have gone out of its way to undertake a full consultation and

:30:35.:30:38.

seek evidence before announcing the policy, but no. The Royal College of

:30:39.:30:44.

midwives, nursing, podiatry and speech and language therapists, all

:30:45.:30:50.

respected institutions, not one of them was asked to formally input

:30:51.:30:53.

into this policy before it was announced contrary to what the

:30:54.:30:56.

minister said today. When he was asked who he did consult, he said,

:30:57.:31:04.

there has been consultation with leading nursing professionals, not

:31:05.:31:07.

the Royal colleges. I have asked the Minister to sell us exactly who he

:31:08.:31:11.

did consult with and to publish a copy with the resource advice he

:31:12.:31:16.

received in the library. Let us not pretend that now this consultation

:31:17.:31:21.

has been published, it is meaningful on the principle or detail of the

:31:22.:31:25.

proposals. It simply asks a few technical questions on how to

:31:26.:31:29.

implement changes. You can have any colour you want as long as it is

:31:30.:31:34.

black. It is frankly in a sop to the public, patience and profession.

:31:35.:31:40.

This government's proposal should be withdrawn and they should commit to

:31:41.:31:43.

a full consultation on how to support available student nurses,

:31:44.:31:46.

how to increase the number of nurses in the NHS and how to improve

:31:47.:31:52.

retention levels. I urge all members who care about the future of our

:31:53.:31:57.

health service, who have concerns about what effect these proposals

:31:58.:32:00.

will have you are not prepared to gamble recklessly with our nurses to

:32:01.:32:03.

send a clear message to the government that it's time to think

:32:04.:32:07.

again. I commend this motion to the House. Thank you. And you have been

:32:08.:32:21.

where? Oh, sorry. It's not as good as real life and being on the floor

:32:22.:32:29.

of the Chamber. Mr Deputy Speaker, thank you very much for the

:32:30.:32:33.

opportunity to respond to the debate and I thank the honourable lady for

:32:34.:32:37.

raising this important question of the development of the expansion of

:32:38.:32:38.

nurse Can I thank all the award has been a

:32:39.:32:48.

very good debate and a good set of discussions? Informed on various

:32:49.:32:52.

occasions by those who have close connections to the NHS. Either

:32:53.:32:55.

personally or through family. I want to begin by paying tribute to all

:32:56.:33:00.

those who are the subject of our debate. Those who work, or training

:33:01.:33:05.

hospitals. Those with Philby posed that we have been talking about. Not

:33:06.:33:09.

just the nurses and midwives but a number of colleagues have made the

:33:10.:33:12.

civic reference to those in the Allied health profession. Diabetic

:33:13.:33:19.

occupational therapy, prosthetics, physiotherapy, chiropody, radios

:33:20.:33:28.

therapy -- regular therapy, dental therapy. These are all very

:33:29.:33:32.

important component of the National health Service. All of us recognise

:33:33.:33:38.

the importance of the work that is done in hospitals. We thank them for

:33:39.:33:41.

the work that they do. This is not an unusual debate. The current

:33:42.:33:46.

proposals to change something, the opposition react with horror. That

:33:47.:33:52.

is the way it. Whether or not, they are given to good or bad, this is

:33:53.:33:55.

the way in which it goes. There have been a bright young are doing, some

:33:56.:34:01.

good, some less good, though. Essentially, whenever changes

:34:02.:34:04.

proposed, there is a set of reaction. As far as the Brewers

:34:05.:34:10.

reaction, I do say to the honourable lady, with the great sincerity,

:34:11.:34:15.

please don't go down the class route. That was unnecessary. Picking

:34:16.:34:22.

out what people may have heard as they were growing up in certain

:34:23.:34:26.

places and graduating. I'm the son of a doctor and a teacher, public

:34:27.:34:29.

health workers in my household. I think the shape and sensitise got a

:34:30.:34:34.

public service and commitment was possibly shape there. I don't dig it

:34:35.:34:40.

was any different for the honourable lady. I see no evidence from the

:34:41.:34:46.

honourable lady of Liverpool that, in any way, though useful

:34:47.:34:48.

conversations were, in any way shape or form will be because of a

:34:49.:34:53.

commitment to mental health or anything else. To suggest that my

:34:54.:34:56.

honourable friend may not have picked up the same sort of

:34:57.:34:59.

information as you, and that may have impacted on his care and his

:35:00.:35:03.

work as a health minister, I thought that was pretty low. The honourable

:35:04.:35:06.

lady should not go down that road and not go down that road again. The

:35:07.:35:16.

two main arguments presented against what we are trying to do today have

:35:17.:35:24.

been deterrence. Or the fact that the odd occasions are somehow

:35:25.:35:26.

unpalatable and people will not go into them. Deterrence. I am old

:35:27.:35:30.

enough to be for the original debate about the introduction of student

:35:31.:35:34.

fees and everyone at that time who protested against said no one would

:35:35.:35:38.

ever go to university again, with pork backgrounds would never go to

:35:39.:35:41.

university again. -- poor backgrounds. The same argument have

:35:42.:35:46.

been proven false time and time again. What is not false the damage

:35:47.:35:51.

done at the time of those debates in trying to

:35:52.:35:51.

want to aspire to higher education want to dig themselves a different

:35:52.:36:00.

direction that are somehow, it will be made impossible for them and they

:36:01.:36:04.

will be unable to do so. They were wrong then. They are wrong now. But

:36:05.:36:10.

what is unique about this has been mentioned several times during this

:36:11.:36:16.

debate. Nurses using the bursary scheme enter as mature students

:36:17.:36:19.

disproportionately, including three of my nieces who would not have gone

:36:20.:36:26.

on to train as excellent nurses if they had not had the bursary

:36:27.:36:31.

available to them. At the same time, the honourable lady would have heard

:36:32.:36:37.

people speak about problems of hardship on bursary, from the

:36:38.:36:43.

honourable gentleman from Ilford North to people on the side. People

:36:44.:36:47.

want access to more funds. That may help the people the honourable lady

:36:48.:36:50.

has just mentioned. The assumptions made that, because Asian one has

:36:51.:36:55.

come in, because of the change, people just will not want to do so.

:36:56.:36:59.

There is no evidence to suggest that that is correct. Using it as a scare

:37:00.:37:04.

story is not helpful in terms of the recruitment they want to see. Yes. I

:37:05.:37:09.

thank the Minister for giving way. Does he accept there is genuine

:37:10.:37:13.

anxiety from the Royal colleges about the proposal? Will reconnect

:37:14.:37:17.

to engaging as fully as possible without's that is a good question.

:37:18.:37:24.

Yes. Of course. At a time of change, there is a degree of uncertainty. I

:37:25.:37:28.

think my main point is, the way in which it has blown up yet again

:37:29.:37:33.

unfamiliar ground, this sort of interaction about student loans will

:37:34.:37:40.

deter people from going, it will disadvantage people from poorer

:37:41.:37:43.

backgrounds, has been problem to be false. Of course, the concerns are

:37:44.:37:45.

very much the matter of consultation. I would say, knowledge

:37:46.:37:52.

into that, the consultation process is very wide and very genuine. He is

:37:53.:37:59.

listening to ideas about 's operations and proposals. The

:38:00.:38:02.

consultations are not complete. The scheme is not complete. He is

:38:03.:38:08.

keeping a very close here on these consultations. There is a

:38:09.:38:13.

recognition, of course, that there are different characteristics for

:38:14.:38:16.

those who go into nursing and midwifery and allied health

:38:17.:38:20.

professionals. That is why we want to make sure that there is an

:38:21.:38:26.

appropriate support available. Student support regulations give

:38:27.:38:30.

more support than the bursary. Secretary of State retains the power

:38:31.:38:33.

to give discretionary funding in capital cases and it is open to

:38:34.:38:44.

reform is reflecting that. I will in just a moment. Recognising our

:38:45.:38:48.

position to say, as my honourable friend, the member for Totnes...

:38:49.:38:58.

Sorry, for Faversham said, more of the same want to do the job. The

:38:59.:39:01.

need for changes there. We need more nurses. We need more nurses

:39:02.:39:05.

domestically trained and we are going to do something different.

:39:06.:39:09.

Recognising what they might be in relation to change, that is why the

:39:10.:39:13.

consultation is there. Unique characteristics are reflected. That

:39:14.:39:16.

is what the consultation is about. Keeping me sane system now does not

:39:17.:39:20.

work. It won't work any future. That is why we need change. -- the same

:39:21.:39:26.

system. I thank my honourable friend forgiving way. Would you agree that

:39:27.:39:34.

we are and it's a current crisis with half Ian Ward actually staff at

:39:35.:39:43.

lowly minimum staffing level for safety? Do you think this will

:39:44.:39:49.

hinder the issue? -- the board. I believe the honourable lady is

:39:50.:39:52.

knowledgeable about this. The proposals help. At the moment, the

:39:53.:39:55.

problem of nurse training in this country is that it is limited. The

:39:56.:39:59.

universities cannot take all the people who want to be nurses. They

:40:00.:40:06.

have to turn them away. 30 7000. What is scheme does is open up the

:40:07.:40:09.

opportunity for more people to train. -- 30 7000. -- 37,000. Will

:40:10.:40:25.

this open up more opportunities? Yes, it will. That is why the

:40:26.:40:29.

proposal is there. I want to set up the details, just to those who have

:40:30.:40:31.

not been able to send you hold debate also just to indicate the

:40:32.:40:36.

basis of the reforms and then answer one or two questions that a rate. To

:40:37.:40:40.

deliver more nurses, midwives and allied health professionals for the

:40:41.:40:45.

NHS, a better funding system in England and a sustainable model for

:40:46.:40:50.

universities. We need to movies from grants and bursaries on to the

:40:51.:40:54.

standard student loan system. -- move these. The bursary system is

:40:55.:40:59.

not a viable option for the Government. Any two increased

:41:00.:41:03.

student places, live within our budget and increase investment by an

:41:04.:41:11.

additional ?10,000. The subjects we are talking about our extended

:41:12.:41:15.

bottle for students. In 2014, nursing register as the fourth most

:41:16.:41:24.

popular subject on UCAS. 20,000 places were applied for. Surely it

:41:25.:41:30.

is better than denying many students a place at university, to ensure

:41:31.:41:33.

there are enough health professionals for the NHS while

:41:34.:41:38.

cutting the current reliance on overseas staff and giving more

:41:39.:41:41.

applicants the chance to become health professionals. Part of the

:41:42.:41:44.

reason why we need to modernise the funding system is for student

:41:45.:41:52.

nurses, midwives and allied health professionals to have access to more

:41:53.:41:55.

money via the student loan system. A move to the Launceston in the

:41:56.:42:01.

future, this would ensure a 25% increase in the financial resources

:42:02.:42:05.

available to them. Especially for living costs during Atlantic

:42:06.:42:08.

University. It is not possible to pick out all the speeches were made

:42:09.:42:11.

today, but I would like to make reference to some. The honourable

:42:12.:42:17.

lady, the member for East Kilbride, Stadt Haven and Lesnar Eggo made

:42:18.:42:24.

reference to graduates shouldn't switch were important. -- a

:42:25.:42:33.

Fulbright. We acknowledge, any consultation, there are some courses

:42:34.:42:36.

which currently fall outside the postgraduate loan package. Working

:42:37.:42:44.

with the Treasury means that we will be able to address these in the

:42:45.:42:47.

consultation responses. She is right to raise that. My honourable friend,

:42:48.:42:56.

the chair of the health select committee and the chair for Totnes

:42:57.:42:58.

said we have detained more nurses. That is the bottom line of what

:42:59.:43:02.

you're trying do. She said that it was important to listen to the needs

:43:03.:43:09.

on transition and also she spoke about getting more professionals

:43:10.:43:13.

into other parts, away from the acute sector and into primary care.

:43:14.:43:17.

She knows that is a major interest of the Government and these

:43:18.:43:21.

proposals will help that as well. My honourable friend from Morecambe

:43:22.:43:27.

said they would like to recruit more at home. They will be able to under

:43:28.:43:32.

these proposals. My honourable friend, the member for hedging and

:43:33.:43:36.

happened in a spoke about what he had discovered in relation to

:43:37.:43:44.

talking to people in his own constituency, he once to know about

:43:45.:43:49.

taking on more students from overseas. It is important to

:43:50.:43:52.

recognise that this will ease that situation to some degree and that we

:43:53.:43:58.

will not have to. He spoke about the minister's dilemma, pouring money in

:43:59.:44:04.

and problems coming later. This is important for any Government to

:44:05.:44:07.

recognise. More money has to go into training, both of doctors and the

:44:08.:44:10.

people we're talking about today. There will be a return later, but it

:44:11.:44:16.

is important to do so today. I am conscious of time and I'm sorry I

:44:17.:44:19.

cannot cover more speeches. I have to say this. The NHS never sleeps or

:44:20.:44:24.

stays still, as the country changes, so that the NHS and it must do so.

:44:25.:44:29.

Even the least that is quote is not good enough, you need for

:44:30.:44:33.

innovation, which will be challenging and resisted, is

:44:34.:44:35.

imperative. In the Government, the NHS has got that commitment and will

:44:36.:44:43.

report promote the Reds option of a deficit. We do not want any nurse to

:44:44.:44:49.

be denied it. We do not want people with access to bursaries to fall

:44:50.:45:01.

under hardship. As many as are of the opinion, say "aye". To the

:45:02.:45:02.

contrary, "no". The ayes have it. As many as are of the opinion, say

:45:03.:45:51.

"aye". To the contrary, "no". Order, order. The ayes to the right,

:45:52.:56:21.

158. The noes to the left, 277. Thank you. The ice to the right,

:56:22.:56:32.

158. The noes to the left, 277. The noes have it. The noes have it.

:56:33.:56:45.

Unlock. We now come to the backbench debate on education. Thank you very

:56:46.:56:53.

much, Mr Deputy Speaker. It's a pleasure to have secured this debate

:56:54.:56:58.

and to have the chance to raise this issue on Baja bug myself and a

:56:59.:57:01.

number of other colleagues cross-party who are members of the

:57:02.:57:05.

all-party Parliamentary group on London which consists of 47 Members

:57:06.:57:10.

of Parliament from London and 20 or so peers as well. This is an issue

:57:11.:57:18.

of concern, both to the current mayor and the current leaderships of

:57:19.:57:24.

both parties on all councils. That is why we raise in the way we do it.

:57:25.:57:31.

Can I make it clear at the start, neither the mayor zero London

:57:32.:57:34.

councils have an issue with the principle of there being a national

:57:35.:57:39.

funding formula and greater transparency? The lack of

:57:40.:57:44.

transparency is a genuine issue. That is my personal approach as

:57:45.:57:48.

well. Other issues we want to flag up is this, there is a consultation

:57:49.:57:53.

currently out. There are good things in it but risks as well which we

:57:54.:57:56.

think need to be drawn to the attention of the House and

:57:57.:58:00.

government because there are ways in which they could particularly impact

:58:01.:58:05.

on London because of its nature. Can I congratulate the honourable member

:58:06.:58:10.

on securing this most important debate and the power. He has made?

:58:11.:58:17.

Can I agree with him that I have no argument with their funding but my

:58:18.:58:21.

schools are saying to me we need to level up not down, we are in danger

:58:22.:58:27.

of setting deficit budgets and we want to retain some flexible local

:58:28.:58:35.

ability? I am conscious of those were views expressed in a meeting

:58:36.:58:41.

and I am sure other members may well raise those issues in the course of

:58:42.:58:46.

the debate. There are a number of issues that arise. What I want to

:58:47.:58:51.

concentrate on is this, first floor, no problem with the principle that

:58:52.:58:56.

take into account circumstances in London, and that London is not a

:58:57.:59:01.

single unit. There are different pressures which make the capital

:59:02.:59:04.

different from the rest of the country in different parts of the

:59:05.:59:07.

capital different from each other as well. Therefore, we have to be

:59:08.:59:12.

particularly careful in the way in which any formula is applied. That's

:59:13.:59:18.

important because London has been a success in education terms. It now

:59:19.:59:23.

outperforms all other regions in every key of testing, it outperforms

:59:24.:59:34.

its peers at Key stage two, four, in terms of entry to the English back,

:59:35.:59:40.

schools being rated as outstanding or good, 89%, above the national

:59:41.:59:47.

average. It's a success story and it's one we do not want to put into

:59:48.:59:51.

jeopardy. I will give way once more to someone from outside London! I am

:59:52.:59:55.

very grateful for the honourable member giving way. And for

:59:56.:00:00.

recognising and anticipating the point I may make someone who

:00:01.:00:03.

represents South East Cambridgeshire. London has enjoyed

:00:04.:00:08.

great success but isn't it right that other areas should benefit from

:00:09.:00:11.

the opportunity for that same success and you have historic

:00:12.:00:17.

underfunding who had been brought up to the same level that London has

:00:18.:00:24.

enjoyed? The other two things I would observe this, I mentioned that

:00:25.:00:30.

London is not homogenous and this approach. London bar is like mine in

:00:31.:00:38.

Bromley and others... And others have lower levels of funding than

:00:39.:00:44.

those that are headlined in respect of inner London boroughs. Boroughs

:00:45.:00:48.

like ours have levels of funding the scarcely different at all from the

:00:49.:00:54.

shire counties around us. As a Member of Parliament representing

:00:55.:00:57.

Kingston upon Thames, would he agree that it cannot be right in the same

:00:58.:01:01.

city children and my Boro get less than ?5,000 yet other borrowers,

:01:02.:01:13.

pupils get over ?7,000 per pupil? I would make progress and take

:01:14.:01:17.

interventions. It's worth setting in context one other point. London has

:01:18.:01:23.

had high levels of funding because dozens applied to every borough.

:01:24.:01:27.

Secondly, there is a reason why that is. I will make this blog before I

:01:28.:01:32.

give way again. There is a reason for that. London has on many levels

:01:33.:01:39.

greater challenges. Far greater levels of children with English as a

:01:40.:01:42.

second language, high levels of deprivation, there is great wealth

:01:43.:01:48.

but also great deprivation, and they are closely geographically and

:01:49.:01:53.

physically in juxtaposed and there are extra costs of being a teacher

:01:54.:01:57.

in London and running a school in London. Land values are very much

:01:58.:02:08.

higher. And the cost of housing need the teachers waging up to be higher.

:02:09.:02:11.

So it's not a legitimate for that to be reflected in a formula. London is

:02:12.:02:18.

a city is the UK's principle economic driver and puts more into

:02:19.:02:25.

the economic than it takes up. Now I will give way to the venerable

:02:26.:02:29.

member for West Ham. I am grateful to the honourable member. Can I

:02:30.:02:32.

congratulate him on securing the debate but also with the manner in

:02:33.:02:36.

which he has approached the debate? I agree with almost everything he

:02:37.:02:41.

said. I come from an outer London borough officially but we have in

:02:42.:02:45.

London needs and that is not reflected in the funding we received

:02:46.:02:48.

from central government. Does he agree with me that we must make sure

:02:49.:02:54.

that the funding received is commensurate to the needs of the

:02:55.:02:55.

children in that area? She is right because that brings me

:02:56.:03:09.

to the second point about funding. Some of the outer London boroughs

:03:10.:03:17.

are no better funded than other areas in the country, but there is

:03:18.:03:21.

an artificial the section in the way that the funding and winding is

:03:22.:03:24.

split between inner and outer London. If we are to bring justice

:03:25.:03:31.

to the formula, Yahoo move away from that this thinking. It is historic.

:03:32.:03:37.

-- you have too. It goes back to 1863, when in London was in fact the

:03:38.:03:48.

old London county council, which had been county education authority and

:03:49.:03:51.

the outer London boroughs had authorities in their own right.

:03:52.:03:55.

Either as part of counties or county boroughs. What the honourable lady

:03:56.:04:02.

refers to is the fact that her local authority is an amalgamation of two

:04:03.:04:10.

county berries, -- boroughs, whereas one, which is a much more prosperous

:04:11.:04:18.

borough is an inner London Borough of the others and outer London

:04:19.:04:20.

borough. That is something we have to break down. That sort of

:04:21.:04:24.

distinction distorts the formula. Riot Compensation Bill he is quite

:04:25.:04:29.

right. The funding system today is broken. It has to be handed over

:04:30.:04:34.

from the previous Labour governments. It is broken in London,

:04:35.:04:37.

urban areas and rural allied. They need to be fixed. On a final point,

:04:38.:04:41.

just on the issue of additional costs on London, no one suggests

:04:42.:04:50.

that anywhere outside of London has such a significant cost per head.

:04:51.:04:55.

Provided we get that built in, there needn't be an argument between

:04:56.:04:59.

people. It is a question of making sure that any formula reflecting

:05:00.:05:03.

diversity of needs that areas within and out with London... I will give

:05:04.:05:13.

way. I thank the honourable gentleman forgiving way. I also

:05:14.:05:18.

thank him for bringing this debate to us. Some of the factors which

:05:19.:05:21.

have impacted on the differential costs on London and elsewhere, would

:05:22.:05:26.

he agree with me that the mobility of families in London is a different

:05:27.:05:31.

factor? I have two primary schools in my constituency that have a 30%

:05:32.:05:34.

turnover every year. That means every teacher has to teach 40

:05:35.:05:39.

children a year, and the additional costs of getting to know, assessing

:05:40.:05:46.

and then responding to those needs, and setting the it is to be a set

:05:47.:05:50.

formula for every child in the country. I would entirely agree with

:05:51.:05:55.

the honourable lady. I need to say to the Government, that is something

:05:56.:05:59.

that I do hope is included into the formula without any damage to the

:06:00.:06:02.

overall principle. And for that very good reason. But simply because, in

:06:03.:06:07.

a London borough, they are geographically so small and it is

:06:08.:06:10.

part of one single housing market and one single job market, people

:06:11.:06:14.

will move across London boroughs. You can move, in my constituency,

:06:15.:06:20.

quarter of a mile off half a mile and the road and be in a completely

:06:21.:06:22.

different borough. There is much more cross - borough mobility that

:06:23.:06:32.

you experience than in a shire county roads you can move several

:06:33.:06:35.

miles and still be in the same county. That is something that you'd

:06:36.:06:37.

be taken into account to reflect that matter. Of course I will. Thaw

:06:38.:06:42.

I am very grateful. The honourable lady mentioned turbulence as a

:06:43.:06:47.

reason for funding certain schools, particularly in London. With my

:06:48.:06:51.

honourable friend agree with me that London is not the only place water

:06:52.:06:55.

turbulence as suffered? Premiums have to be introduced to account for

:06:56.:07:01.

the fact that everything changes all the time regarding this, and the

:07:02.:07:10.

formula cannot break that. It is worth stressing that turbulence does

:07:11.:07:15.

happen in other places, but is acute in London. This is due to be put

:07:16.:07:21.

relation as a whole, people moving in and out of London, as well as in

:07:22.:07:24.

London and within London. Authorities have do couple are far

:07:25.:07:29.

more cross- borough Plaisance. That is another issue about artificial

:07:30.:07:36.

distinction which has to sensibly be incorporated into the formula. Can I

:07:37.:07:45.

then, because I know several other member Max want to get on and the --

:07:46.:07:57.

honourable member's. When we talk about the inner and outer

:07:58.:08:00.

distinction, which is out of date, there is pressure of which the whole

:08:01.:08:04.

question of deprivation is measured. It is currently done by postcode.

:08:05.:08:08.

Again, we know that in some London boroughs, the postcode can have

:08:09.:08:15.

massive extremes. In regards to wealth and poverty. I can think of

:08:16.:08:19.

many places, in terms of doctors, or that is very apparent. I will give

:08:20.:08:25.

way. Firstly, may I congratulate you on securing this debate. I

:08:26.:08:29.

absolutely tinker with your point and deprivation. With somewhere like

:08:30.:08:34.

Kensington, they still have two of the most deprived areas in all of

:08:35.:08:39.

Britain. Nobody should think that Kensington is just paved with gold.

:08:40.:08:43.

We also have some outstanding schools and the calculations from

:08:44.:08:48.

the initial proposals that we have run through, which I hope the

:08:49.:08:54.

Minister will take heed of, that 28 of 30 schools will have funding

:08:55.:08:59.

reduction should these proposals be implanted. I thank you again for

:09:00.:09:06.

drawing this to our attention. There are pressures. It is very clear that

:09:07.:09:11.

increasing tubule populations will increase that. There is no doubt we

:09:12.:09:16.

have two increases significantly. We're looking at a year-on-year

:09:17.:09:22.

growth of around 3%. That needs to be funded. There is also the issue

:09:23.:09:26.

that London has a particularly high pressure in relation to a special

:09:27.:09:31.

educational needs provision and also the Department does not provide the

:09:32.:09:35.

capital funding for this provision. That is a particular issue when you

:09:36.:09:40.

are dealing with many places in the country. I am being generous and I

:09:41.:09:45.

really do need to move on. There are issues that need to be dealt with

:09:46.:09:49.

there. There are issues not directly on the national funding formula, but

:09:50.:09:55.

the formula could a row correction one and two in the designated school

:09:56.:10:01.

grounds. The honourable Minister for Surrey has already been very helpful

:10:02.:10:08.

with this. This is in terms of Irene Riot Compensation Bill I running out

:10:09.:10:17.

rigidity of the transport, that is so intrinsically linked with the

:10:18.:10:22.

schools themselves. When you get psychological services as well, it

:10:23.:10:26.

is exactly same area. If you pick up the margins in this consultation, it

:10:27.:10:32.

could be of great assistance. They run a pretty tight and efficient

:10:33.:10:43.

ship. It has been said that perhaps the biggest risk lies any the

:10:44.:10:49.

special-needs block. There is concern that there was a big budget

:10:50.:10:55.

assumption that they will be billed cardiac council taxpayers, which is

:10:56.:11:00.

a major departure from the underpinning of the schools grant.

:11:01.:11:03.

That is ring fenced. That is a fair point that has been made. I hope the

:11:04.:11:07.

Government can take on a means of removing what, I'm sure would have

:11:08.:11:11.

been, and unintended consequence everyone to get that formula

:11:12.:11:15.

sufficiently clickable. The final point I will make actually comes

:11:16.:11:21.

from two headteachers in my own constituency. I took the liberty of

:11:22.:11:25.

finding out from them what their experience was. One, a headteacher

:11:26.:11:32.

of a highly rated primary school very close to where I live myself,

:11:33.:11:35.

simply said this was we already manage on a very tight budget. I can

:11:36.:11:40.

confidently claim that without the very generous support of our PGA, we

:11:41.:11:44.

would not be in a position to form many of the resources that allow us

:11:45.:11:49.

to run so efficiently. Such as technology, sports coaches and even

:11:50.:11:58.

things like exercise. -- PTA. This is a school that is doing all the

:11:59.:12:02.

right things. It is gone from a small school into a multi-Academy

:12:03.:12:04.

trust, which is what the Government what to do, but there are tight up

:12:05.:12:14.

against it in the margins. The head of a good secondary school has also

:12:15.:12:20.

pointed out that Bromley is the lowest funded in London and as many

:12:21.:12:27.

of the Shara counties, -- shire counties. The whole question she

:12:28.:12:35.

reiterates is the arbitrary distinction, you go a very short

:12:36.:12:38.

period when she is paying teachers at one level am finding at one

:12:39.:12:44.

level, and outer London level, when the rolled English and Greenwich,

:12:45.:12:47.

the demographic is no different but there is a line on the map and that

:12:48.:12:56.

somehow has to be picked up. That, I think, is a helpful summary from

:12:57.:13:02.

people at the face of it. I will not use any more time, I hope I have

:13:03.:13:06.

flagged up the issues because I know there are many people who want to

:13:07.:13:09.

bring their own perspective to this debate. I am very grateful for the

:13:10.:13:18.

cancer rate issue. The question is, as on the order paper, can I suggest

:13:19.:13:23.

they get ten minutes each and they where it goes?, thank you. I pay

:13:24.:13:33.

tribute to my honourable friend for his work. Today's debate raises

:13:34.:13:39.

concerns that changes to the national funding formula, as the

:13:40.:13:42.

honourable gentleman has highlighted, will massively impact,

:13:43.:13:48.

in a negative way, an London's schools and pupils. Despite the

:13:49.:13:55.

current's policy of ring fenced funding, the reports suggest that

:13:56.:13:58.

London schools are already facing reductions in real terms by 8% over

:13:59.:14:04.

the next five years. It now looks very likely that the schools in

:14:05.:14:10.

London will face a further ?260 million per year due to changes in

:14:11.:14:13.

the national funding formula. The Minister has, in the past, said that

:14:14.:14:18.

is not the case. I hope he will take the opportunity today, when he

:14:19.:14:24.

responds, to clarify whether this figure is one that he accepts.

:14:25.:14:33.

Whether he can confirm to members that 260 million pounds per year is

:14:34.:14:36.

not the cut that London's tools will face. I will give way. It is also

:14:37.:14:45.

the case, is it not that the funding formula is driving some perverse

:14:46.:14:48.

outcomes between schools within local authorities. Westminster

:14:49.:14:53.

Council has advised me that there will be 20 schools that will lose up

:14:54.:14:59.

to 14% of the right because of the way funding formula looks.

:15:00.:15:02.

Perversely, some of the schools with the highest provision was the most,

:15:03.:15:05.

and some of the schools with you with deprivation are actually

:15:06.:15:10.

gaining. It is just between -- it is not just between local authorities,

:15:11.:15:14.

it is also between schools. Riot Compensation Bill I thank my

:15:15.:15:16.

honourable friend for her contribution and I hope the minister

:15:17.:15:21.

listens carefully to those insights. This kind of invocation means that

:15:22.:15:32.

it is school children that offer. It puts at risk the improvements in

:15:33.:15:36.

performance that we have seen in schools in London. Which is

:15:37.:15:43.

something that should be the envy... It is the envy of the world, in

:15:44.:15:48.

fact. Many studies have shown how London has progressed. It has taken

:15:49.:15:50.

a generation to achieve that. I hope the Minister will recognise the

:15:51.:15:55.

concerns today and the dangers of this change that we risk affecting

:15:56.:16:01.

never Riot Compensation Bill negatively on the performance in

:16:02.:16:04.

London schools. I want to highlight some of the backdrop of which London

:16:05.:16:10.

has transformed schools and, as I said earlier, it has taken a

:16:11.:16:14.

generation. The danger is that this change will take a very short time

:16:15.:16:20.

to set us back. London faces some of the highest child poverty in the

:16:21.:16:26.

country. London also, as the honourable gentleman pointed out,

:16:27.:16:32.

faces the highest inequality in the country and extremely high cost of

:16:33.:16:36.

living, which has a detrimental effect on teachers being able to

:16:37.:16:39.

find accommodation, especially against the rising cost of housing

:16:40.:16:43.

and other living costs. Despite the challenges, local education

:16:44.:16:49.

authorities across parties, Labour councils as well as Conservative

:16:50.:16:53.

councils, have worked tirelessly to improve education in London. As a

:16:54.:17:00.

result, nine out of ten schools are good or outstanding. I hope the

:17:01.:17:03.

Minister will think very carefully about the impact of these reforms on

:17:04.:17:07.

that progress. Because, if we are not careful about what happens, the

:17:08.:17:13.

danger is that we will set schools back in London. London is seen by

:17:14.:17:18.

other regions as an example. People point to the London Challenge, which

:17:19.:17:23.

was introduced in the last Labour Government, and support it. It is

:17:24.:17:25.

recognised by people across different parties for its

:17:26.:17:28.

achievements. Other regions have try and you like that. It is really

:17:29.:17:31.

important that we built on the successes of our regions, rather

:17:32.:17:35.

than pitting against each other. That, I fear, is one of the things

:17:36.:17:39.

that will happen as a result of this change. It is wrong to do that. It

:17:40.:17:43.

is wrong to have educational being put in an position where it can be

:17:44.:17:49.

in constant for the wrong reasons. We should be looking at how we can

:17:50.:17:53.

improve conditions for all of our children across the country.

:17:54.:18:00.

It's important we have a fair system across the country. Parts of London

:18:01.:18:09.

have disproportionately benefited. In Lambeth schools, they can have

:18:10.:18:13.

more than ?1500 a head more in a class of 30 down a school in

:18:14.:18:19.

Croydon. We do need to fix that. What I would say to the honourable

:18:20.:18:26.

gentleman is that what we have got is very good results in London. Nine

:18:27.:18:32.

out of ten schools in London where they are good and outstanding. So

:18:33.:18:38.

what we should be doing is building on that, not putting scores against

:18:39.:18:44.

each other. As somebody who serves on the education committee, he

:18:45.:18:47.

should know better than to make that argument. I wasn't going to

:18:48.:18:53.

intervene again but I have two because the Conservative Party on

:18:54.:19:00.

its manifesto said, under a future Conservative government, the amount

:19:01.:19:05.

of money following your child into school will be protected. Does my

:19:06.:19:10.

honourable friend agree with me that a change in the formula to take

:19:11.:19:15.

money away from some children is not the right way to meet a manifesto

:19:16.:19:20.

commitment? I completely agree with my honourable friend. It's yet

:19:21.:19:24.

another broken promise. I hope the minister will listen carefully today

:19:25.:19:27.

and make sure that that promises not broken. I wonder if she has seen

:19:28.:19:36.

their estimate I have seen, that if the F 40 proposals were implemented

:19:37.:19:45.

as tabled, then the effect would be that the most prosperous authorities

:19:46.:19:51.

in the country would gain over ?200 million, and the least prosperous

:19:52.:19:57.

would lose over ?200 million? My honourable friend makes a very

:19:58.:20:01.

important point. This is exactly what school teachers are concerned

:20:02.:20:06.

about. What we cannot have is that happening. It just goes to show that

:20:07.:20:12.

the motive behind this change is not good one. I think the government

:20:13.:20:16.

should be ashamed of itself. The minister or to take action. I will

:20:17.:20:22.

give way to my honourable friend. My honourable friend makes a very

:20:23.:20:25.

powerful point about the collective endeavour to improve standards of

:20:26.:20:29.

education for children in London. Does she agree with the concern but

:20:30.:20:35.

I have got there in Southwark, that will be undermined if Southwark

:20:36.:20:44.

schools as -- are set to lose 8-20% between nine and 2020? Dishy agreed

:20:45.:20:52.

that that is not protecting it? I completely agree with my honourable

:20:53.:20:56.

friend. I find it shocking that government ministers can make the

:20:57.:21:00.

argument that they are protecting budgets when it's the opposite and

:21:01.:21:05.

it will devastate schools in London. I appeal to the government to look

:21:06.:21:08.

at how they can build on the achievements in cities like London

:21:09.:21:12.

rather than set them against each other with other regions that is

:21:13.:21:20.

deeply unhelpful and is deeply unhelpful to our educationists who

:21:21.:21:22.

work tirelessly to make sure they do well. I will turn to the specific

:21:23.:21:29.

example of my constituency to highlight of the Minister just how

:21:30.:21:36.

the investment in schools in London has transformed education. Under the

:21:37.:21:41.

last Labour government, schools and Tower Hamlets rose from being at the

:21:42.:21:45.

bottom of the national league tables turn being some of the country's

:21:46.:21:49.

best against the backdrop of two out of three young people being eligible

:21:50.:21:54.

for free school meals, over 75% of pupils with English as a second

:21:55.:21:57.

language and some of the highest levels of child poverty in the

:21:58.:22:02.

country. Tower Hamlets is now in the top third of the national league

:22:03.:22:06.

tables in a city that has had the highest

:22:07.:22:19.

percentage of schools are good or outstanding. However, we can't

:22:20.:22:22.

afford to be complacent. Despite these achievements, 40% of London's

:22:23.:22:23.

pupils leave school without good GCSEs and funding reduction could

:22:24.:22:26.

the further improvements at risk. We need to build on our achievements

:22:27.:22:30.

and make sure that 40% can lead the education system with good results.

:22:31.:22:33.

That is where the government should be focused on rather than special

:22:34.:22:38.

mating success through cutting funding in London. The issues around

:22:39.:22:47.

funding, as the honourable member pointed out earlier, are connected

:22:48.:22:51.

to recruitment issues, London faces increasingly challenges around

:22:52.:22:58.

recruitment because of the cost of living crisis and in a context where

:22:59.:23:07.

73% of the schools budget on average is allocated to staff costs, these

:23:08.:23:15.

potential changes will meet fewer teachers in London schools,

:23:16.:23:18.

potentially of the 6000 fewer schools in London. I will give way.

:23:19.:23:26.

With the honourable lady accept that the increase in house prices in

:23:27.:23:30.

outer London means the difficulty in recruiting teachers is one that is

:23:31.:23:33.

all around London and the distinction between inner and outer

:23:34.:23:36.

London no longer is made good with the increase in house prices across

:23:37.:23:40.

the city as a whole quest to work in bars like mine and new worm and

:23:41.:23:46.

Hackney, there has been unprecedented rise, much higher than

:23:47.:23:50.

out of London. But I accept his point that house prices are a major

:23:51.:23:53.

issue. But the government should be looking at how to address this

:23:54.:23:59.

problem across London and the country rather than dividing

:24:00.:24:02.

communities in areas. We have got to build on our achievements and not

:24:03.:24:06.

turn areas against each other because that does not serve our

:24:07.:24:12.

constituents or young people well. I want to turn to the question of

:24:13.:24:17.

population growth in London. In a context where the population is

:24:18.:24:23.

growing by 100,000 a year in London, we cannot afford to have less

:24:24.:24:28.

teachers. If we are looking at 6000 fewer teachers now, imagine what

:24:29.:24:32.

would happen in the future. We need to plan ahead for the needs of

:24:33.:24:37.

cities like London. If you want London to be a world-class city

:24:38.:24:40.

where we have the best educated young people in the country and we

:24:41.:24:45.

help other areas to improve and replicate what we achieve in London,

:24:46.:24:50.

we should make sure we don't throw away that success. I will continue

:24:51.:24:53.

because I know other members will want to come in. I have given way a

:24:54.:24:58.

number of times. Perhaps she will have a chance to come in and speak

:24:59.:25:05.

as well. As has been pointed out already, the cost of living in

:25:06.:25:09.

London has meant that teachers are finding it difficult to survive on

:25:10.:25:16.

the salaries they are already being paid to stop its important there is

:25:17.:25:20.

recognition of the fact that they require the London weighting

:25:21.:25:25.

equivalent to enable them to live in London and work in London. Already

:25:26.:25:30.

in bar is like mine and elsewhere, local authorities are struggling to

:25:31.:25:33.

maintain and keep the teacher numbers they have, and the context

:25:34.:25:40.

is that with these cuts, they will have to lay off teachers, which is

:25:41.:25:47.

not what local schools need. There is an additional point, which is

:25:48.:25:55.

what we have seen in burrows is that collaboration, partnership,

:25:56.:25:59.

effective use of the resources that has been given, working closely

:26:00.:26:03.

between teachers and local education authorities is what helps is create

:26:04.:26:09.

success stories that transformed our schools. What we need to do is build

:26:10.:26:14.

on that model. It's not the Academy 's Asian schools in my borough. We

:26:15.:26:19.

did not have academies. It's collaborative model and partnership

:26:20.:26:24.

along with resources targeted into schools, training, investment in

:26:25.:26:30.

training and support to teachers that transforms schools in my

:26:31.:26:34.

constituency and elsewhere and that is well recognised, not just in the

:26:35.:26:42.

UK but around the country. Recent reports highlight what it took to

:26:43.:26:49.

highlight education. My plea to the Minister is that he takes back these

:26:50.:26:55.

plans, looks at the formula again and make sure that the funding is

:26:56.:27:02.

targeted to those who need the funding and in London, given the

:27:03.:27:06.

inequality and deprivation, it's vital that we maintain that support

:27:07.:27:11.

and the government should look at levelling up the support to schools

:27:12.:27:17.

across the country, as has been said earlier, not taking resources away

:27:18.:27:21.

and punishing schools for doing well. My plea to the Minister is,

:27:22.:27:28.

let's remember that it has taken a generation to transform schools like

:27:29.:27:31.

those in my borough and across London. It will take a matter of

:27:32.:27:38.

years, even less, if this funding formula is introduced, with

:27:39.:27:42.

resources taken away from schools, to decimate our education system in

:27:43.:27:46.

London. Surely he will appreciate that it's far better to improve and

:27:47.:27:50.

learn from each other and build on our achievements rather than damage

:27:51.:27:58.

it? Thank you, Mr Deputy Speaker. I congratulate my honourable friend

:27:59.:28:02.

the leading this debate and its pleasure to follow the honourable

:28:03.:28:08.

lady. I must say, I did not agree with the tone of her speech. Her

:28:09.:28:14.

party is committed to a fair funding formula because the one we have now

:28:15.:28:19.

is broken within London. There were examples all around London where you

:28:20.:28:22.

can find schools hundreds of yards apart with tens of thousands of

:28:23.:28:26.

pounds per classroom difference in the funding. It's completely broken,

:28:27.:28:32.

it's wrong, and across the country, it's broken. The biggest gain from

:28:33.:28:41.

the proposals is Barnsley. Other major northern cities would be

:28:42.:28:46.

beneficiaries. They would lose out because what we have now is erratic,

:28:47.:28:51.

irrational and there's no examination. IBEC members opposite

:28:52.:28:58.

in particular not to use the language used by the honourable

:28:59.:29:02.

lady. The government has set out a consultation setting out the

:29:03.:29:07.

principles and she didn't itemise a single principle in that

:29:08.:29:11.

consultation. She simply asserted that it was some sort of appalling

:29:12.:29:17.

assault on London to reverse the progress that has been made. Nothing

:29:18.:29:21.

could be further from the truth. There are limited resources,

:29:22.:29:28.

recognised by the frontbenchers on both sides of this House of Commons.

:29:29.:29:33.

So talk of levelling up is all very well so long as your party is

:29:34.:29:37.

committed to the vast budgetary increases that would be required.

:29:38.:29:41.

The Labour Party is committed to no such thing and neither is this.

:29:42.:29:45.

Whatever the budget, even if it were increased, we should sit down in a

:29:46.:29:52.

broken inequitable system and seeks to make sure that every child, every

:29:53.:29:57.

single child, regardless of their disability, race or geography, their

:29:58.:30:02.

needs are met. She was right to say we need a system based on needs.

:30:03.:30:07.

That's precisely what the government has put consulted on. Whatever they

:30:08.:30:11.

come up with will not be perfect but to suggest that the motive... To

:30:12.:30:18.

question the motive when the government is setting out with the

:30:19.:30:22.

support of the Labour from French to introduce a fairer funding system is

:30:23.:30:25.

beneath the honourable lady and to say we will see debt decimating of

:30:26.:30:30.

London education is so far from the truth. We need every area of this

:30:31.:30:33.

country to enjoy the improvements that have happened in London and one

:30:34.:30:41.

of the ways we're doing it is by making sure we have a system which

:30:42.:30:45.

is truly fair and I hope across this House that partisan voices won't

:30:46.:30:49.

stop us coming to a fair and consensual conclusion. He makes a

:30:50.:30:55.

very important point that we need fairness that every child to get an

:30:56.:30:59.

equal opportunity to an education but will he agree with me that many

:31:00.:31:04.

of the points that have been made around London, growth, special

:31:05.:31:10.

needs, high house prices, and need to recruit and retain teachers,

:31:11.:31:15.

apply to other areas of the country, not only London, like Cambridge, for

:31:16.:31:21.

which every single one of those factors apply? She is absolutely

:31:22.:31:28.

right. We had language about dividing communities. The only

:31:29.:31:31.

people attempting to do that today would be the honourable lady who use

:31:32.:31:35.

language which is inappropriate. No one is seeking to divide

:31:36.:31:39.

communities. If we have a broken system, and if anyone would like to

:31:40.:31:43.

make the case about how our system is fair, reasonable and just, please

:31:44.:31:49.

do so. If it isn't, we have to redistribute, so making pernickety

:31:50.:31:52.

points about the manifesto, saying the government will protect the

:31:53.:32:00.

money, which it is, to the point when you cannot redistribute it from

:32:01.:32:03.

someone who has been grossly unfairly funded in one place, is

:32:04.:32:10.

ridiculous and is beneath the honourable lady that brought up and

:32:11.:32:14.

beneath members opposite, including the highly distinguished finger of

:32:15.:32:15.

the honourable gentleman. Most people don't regard these as

:32:16.:32:27.

pernickety. What is not being addressed is that the reality is, he

:32:28.:32:31.

is asking for more resources for its local authority and let others.

:32:32.:32:35.

Would he have the frankness to acknowledge that? The honourable

:32:36.:32:39.

gentleman is actually incorrect. I am not. What I want is a fair

:32:40.:32:46.

system. A system based on principle in which need is accessed and the

:32:47.:32:49.

money follows the pupil and that need. That is what all those should

:32:50.:32:57.

want. I think it is, the garment has, in a transparent way, put

:32:58.:33:04.

aside... In this house, we can rise above that. If the details come out

:33:05.:33:13.

and they are found, in some way, not to fit pencils, then they would be

:33:14.:33:16.

worthy of criticism. Right now, you cannot say that. To have a broken

:33:17.:33:23.

situation now and not wanted to change, what we have to talk about

:33:24.:33:27.

is, what emphasis do you want to give too deprivation? To population

:33:28.:33:32.

movement? The Government has touched on all those. I don't see how it is

:33:33.:33:36.

possible for someone to say that they have a problem with a lot of

:33:37.:33:40.

people who have English as a second language. That is in the formula.

:33:41.:33:46.

You cannot talk about deprivation in London because that is also in the

:33:47.:33:52.

formula. I give way to my extremely experienced Northeastern colleague.

:33:53.:33:57.

I am very grateful to the honourable gentleman forgiving way. There are

:33:58.:34:04.

many different reasons as to which, quite the differences in the country

:34:05.:34:09.

exist, one of them is historically the choice of local authority

:34:10.:34:13.

concerned. Some authorities used to choose to spend above standard

:34:14.:34:19.

funding assessment. The thing was, they funded that out of local

:34:20.:34:23.

taxation. That was then built into the funding which was taken out of

:34:24.:34:29.

the distribution which now exists. It is a crucial point. It is an

:34:30.:34:34.

interesting point Andy honourable gentleman, as ever, is well

:34:35.:34:38.

informed. If you'll get the picture, look at Westminster. Westerners

:34:39.:34:41.

always mention. Look at the council tax rates that people in very

:34:42.:34:45.

expensive properties there are paying. Absolutely on the floor.

:34:46.:34:49.

Look at the council tax being paid by my constituents in homes at a

:34:50.:34:53.

fraction of that value and see how much more they are paying. It does

:34:54.:34:57.

not wash. You cannot suggest that there is some fairer funding system

:34:58.:35:04.

being undermined by the fact that some distant past mid-people paying

:35:05.:35:07.

less council tax. The truth is, there are very high level than that

:35:08.:35:18.

of council tax in areas with areas of low funding. And the opposite.

:35:19.:35:21.

What he wanted a system that is there for everyone. I will give way.

:35:22.:35:26.

Thank you to my honourable friend for allowing me. Would he agree with

:35:27.:35:29.

me that property prices is an element in this formula which must

:35:30.:35:33.

be taken into consideration? Particularly boroughs like the

:35:34.:35:38.

London Borough of paper which is right when the very outside of outer

:35:39.:35:43.

London were teachers are paid an outer London allowance. -- Haverham.

:35:44.:35:48.

Newly qualified teachers apply for jobs in our schools and 11 found to

:35:49.:35:54.

not able to afford the accommodation. They then moving

:35:55.:35:59.

toward Dagenham and other nearby boroughs where the property cheaper.

:36:00.:36:03.

My honourable friend is out on the right. Across London, there are all

:36:04.:36:10.

sorts of boroughs which, as I said, funded to the Jews of tens of

:36:11.:36:16.

thousands of pounds. Lester Craft -- tens of thousands of pounds less

:36:17.:36:22.

than others clash. Interestingly, only point of improving standards,

:36:23.:36:27.

despite that. Outer London has been part of the London educational

:36:28.:36:32.

transformation. To suggest that, if you move to a situation of gross

:36:33.:36:37.

inequities, to one to Sarah to all, that you undermine quality, when in

:36:38.:36:43.

fact those who have suffered that, such as my honourable friend's

:36:44.:36:46.

constituency, proves that it is not just about money but the money does

:36:47.:36:51.

need to be distributed fairly. What is important today, we have to do,

:36:52.:36:55.

as a house, say we want a system that is fair to all. We should be

:36:56.:36:58.

discussing the principles and making sure the Government does not wriggle

:36:59.:37:02.

on any of them for its own partisan or any other interest. Quite right.

:37:03.:37:06.

Let's not get longer. Let's not try to divide communities when the aim

:37:07.:37:11.

of fairer funding is the right one. Everyone across the house, including

:37:12.:37:17.

labour and the other frontbenchers, should strive for that as well. I

:37:18.:37:21.

will start by congratulating the honourable gentleman for Bromley for

:37:22.:37:25.

securing this important debate. I was delighted to co-sponsor it

:37:26.:37:30.

alongside him and several others and co-chair of them. It is important to

:37:31.:37:36.

see London members on all sides in the chamber is making the case for

:37:37.:37:43.

London's children. In the expectation that the Government

:37:44.:37:45.

builders in and do the right thing by the capital's children. London

:37:46.:37:49.

schools have been transformed over recent years, particularly since the

:37:50.:37:54.

London Challenge that was injured by the last Labour Government in 2003.

:37:55.:37:59.

It was before a performance of London's children above the national

:38:00.:38:03.

average, well they have remained ever since. London students

:38:04.:38:08.

outperform their peers in both GCSE and Key stage two and they have the

:38:09.:38:14.

highest rates in England for a GCSE maths and English. However, no one

:38:15.:38:19.

here, no one in education in London considers that we job done. We need

:38:20.:38:24.

to keep the pressure up to improve further. In a globalised economy,

:38:25.:38:27.

one has to compete with the destiny world. -- London has two. We cannot

:38:28.:38:35.

undermine our schools, head teachers, teachers, parents and,

:38:36.:38:38.

above all, our hard-working students. Now, my honourable friend

:38:39.:38:47.

said it was pernickety to keep your education promises. That is not

:38:48.:38:52.

pernickety. It is a matter of trust. To breach that trust, as the

:38:53.:38:56.

Government does time and again, is absolutely the wrong thing to do.

:38:57.:39:00.

All schools deserve fairer funding. As my honourable friend has said

:39:01.:39:05.

during this debate, that means living link up funding, not

:39:06.:39:13.

levelling down. -- levelling up. We are told that schools could lose

:39:14.:39:17.

?260 million per year from their budget. Some London boroughs are

:39:18.:39:21.

bracing themselves for a loss of up to 20% of funding for every school,

:39:22.:39:25.

cuts on that scale would push education backwards in the capital.

:39:26.:39:32.

To completely protect schools and funding, the Government would have

:39:33.:39:40.

to do is increase the budget by ?540 million per year. That would give

:39:41.:39:44.

all schools the ability to match the highest performing school. Clearly,

:39:45.:39:48.

that is a very significant and out money but it is a fraction of how

:39:49.:39:55.

much will be put into touring schools in the academies. That could

:39:56.:40:01.

go as high as ?1.3 billion. Surely a deranged proposal that would detract

:40:02.:40:11.

many schools in London from focusing on governance. Instead, 80% of all

:40:12.:40:16.

schools are already rated as good or outstanding. It beggars belief that

:40:17.:40:19.

the Government wants to undermine their success. Especially with these

:40:20.:40:25.

unnecessary, dogmatic changes. There is no need to be lies children in

:40:26.:40:32.

London. Education cannot just be seen as a sunk cost. It is an

:40:33.:40:37.

investment baggage and people a better chance in life. It boosts

:40:38.:40:42.

economic growth. It gives us a better skilled workforce that will

:40:43.:40:45.

benefit everyone. Now... I will give way. We are talking about a better

:40:46.:40:53.

chance in life and a more skilled workforce. I am quite sure everyone

:40:54.:40:57.

in this chamber will agree with me that the people that are often

:40:58.:41:01.

disadvantaged at the moment our children with special education

:41:02.:41:05.

needs. We have got to make sure that that funding is maintained, if not

:41:06.:41:10.

improve. There are real problems starting to appear in our

:41:11.:41:16.

constituency, wrongly, particularly in schools in which secondary

:41:17.:41:20.

schools, like the Langley schools, of which my own children are a part.

:41:21.:41:28.

The honourable gentleman makes a very good point. I am glad he raised

:41:29.:41:32.

it and I will be astonished that anyone any chamber disagrees with

:41:33.:41:36.

them. He is cried right, we need to keep a trite eye on support

:41:37.:41:39.

available for those children because of their vulnerability. They have

:41:40.:41:43.

not always been supported properly to achieve the things that they

:41:44.:41:47.

should be supported to achieve. I would like to focus, for a moment,

:41:48.:41:52.

only situation on Croydon. Borrower is per pupil at ?592 over manual and

:41:53.:42:00.

an average. We have the biggest shortfall of places in the country.

:42:01.:42:03.

Over the five years, the number of primary schools in Croydon is

:42:04.:42:09.

projected to go, grow at twice the London average. Croydon faces a huge

:42:10.:42:13.

demand for new primary school places that the Government cannot continue

:42:14.:42:16.

to ignore and which the governor cannot exacerbate with funding

:42:17.:42:20.

proposals that will follow disadvantaged children in our

:42:21.:42:24.

borrower. A particular problem, which has been forwarded to

:42:25.:42:27.

elsewhere in this debate, is the fact that teacher pay an London

:42:28.:42:35.

boroughs -- in London boroughs can be ?5,000 more than outer London

:42:36.:42:38.

boroughs. If you are in a school on the border, like in my constituency,

:42:39.:42:41.

it can be hard to attract teachers who could earn so much more money at

:42:42.:42:45.

another school which may be just a few hundred yards away. That is an

:42:46.:42:52.

anomaly which has to be addressed. So the covenant ministers do not

:42:53.:42:57.

misunderstand me, I don't mean it has to be addressed by cutting pay

:42:58.:43:04.

in inner London. It was asked why anyone would question the

:43:05.:43:05.

Government's motives over this issue. Well, one of the reasons

:43:06.:43:10.

parents in London are so fearful for their schools is the way that the

:43:11.:43:15.

Government implemented the cuts relief grant, the transitional

:43:16.:43:18.

relief grant will this year. Under that scheme, intended to ease the

:43:19.:43:25.

pain of local government funding cuts, ?300 million of funding was

:43:26.:43:28.

made available but all the relief went to wealthier areas who

:43:29.:43:32.

experienced the accused levels of cuts. Sorry, got another 24 million

:43:33.:43:41.

-- sorry got another ?24 million to spend while Croydon got so much less

:43:42.:43:45.

than that. It was political gerrymandering. If that happens

:43:46.:43:49.

again, with schools funding, one of those that children will suffer.

:43:50.:43:56.

London's councils estimate that 23 boroughs are at risk of losing

:43:57.:44:03.

funding. Such a decision would be perverse. I hope the new mail of

:44:04.:44:11.

London will be elected tomorrow, and I hope it is the member of Tooting,

:44:12.:44:18.

will join me and many other MPs in making powerful representations in

:44:19.:44:23.

terms of making London schools much more equal. I will not undermine our

:44:24.:44:29.

capital city's education. Our children's lives matter too much. We

:44:30.:44:33.

depend on the success. I urge ministers to turn back and think

:44:34.:44:45.

again. I congratulate my honourable friend from Bromley for bringing

:44:46.:44:53.

this debate is to us. They are absolutely right. It is a crucial

:44:54.:45:00.

issue for the capital. I am worried about the process of which the

:45:01.:45:04.

Government has gone through to get as to this point. There was a

:45:05.:45:10.

document published in March, the run-up to the consultation, anyone,

:45:11.:45:15.

there was a series of meetings which, as far as I can tell, were

:45:16.:45:22.

exclusively representative of the F 40 group of authorities. According

:45:23.:45:27.

to the F 40 wreck website, they met with the Department on the 21st of

:45:28.:45:36.

January 2015 on the 15th of June 2015, and on to be more occasions to

:45:37.:45:40.

discuss these proposals. As far as I can establish, no representatives

:45:41.:45:47.

for any London councils were present at any of those meetings. I am very

:45:48.:45:51.

worried that, because of the very unbalanced process that the

:45:52.:45:54.

Government has gone through, we are going to end up with a very

:45:55.:45:58.

unbalanced proposal. Nobody can object to the F 40 group. I will

:45:59.:46:08.

gladly do so. I thank my honourable friend forgiving way. Can I assure

:46:09.:46:11.

that my door is always open every member of this house and any member

:46:12.:46:16.

of any representative of any local authorities that wants to discuss

:46:17.:46:19.

any concerns they have within my portfolio? Thank you for that. The

:46:20.:46:26.

worry is that the door has only been open to this particular group.

:46:27.:46:35.

Nobody can object to championing the F 40. They promote their own

:46:36.:46:43.

interests and that is something we cannot complain about Taylor. There

:46:44.:46:48.

was a version of the minutes of the September meeting with the F 40

:46:49.:46:54.

group which courted an official from the Department for Education

:46:55.:46:57.

offering, and I am quoting, offering to share proposals with the F 40

:46:58.:47:03.

group in confidence. Well, proposal should not be fair share in

:47:04.:47:06.

confidence with one particular set of authorities. I noticed the

:47:07.:47:09.

minutes have now been altered so they don't say that any more. No

:47:10.:47:14.

such offer should ever have been made. My worry, deep worry, is that

:47:15.:47:21.

we are heading towards a woefully unbalanced proposal as a result of

:47:22.:47:26.

the privilege act that has been given to that particular group. I

:47:27.:47:31.

want to ask... Say to the Minister, and I am grateful for his

:47:32.:47:34.

reassurance about his door being opened, I want him to give us the

:47:35.:47:38.

commitment that when the numbers are put on the structure that is

:47:39.:47:43.

contained in the consultation which will be published in March, -- which

:47:44.:47:50.

was published in March, that there will be no cut in the school funding

:47:51.:47:53.

for pupils in the most disadvantaged areas of the country. As I have

:47:54.:47:59.

heard from I honourable friend, it has been pointed out that the

:48:00.:48:02.

Conservative manifesto certainly sounds as though there will be no

:48:03.:48:06.

cuts for any individual students although I hope that commitment will

:48:07.:48:10.

be maintained. I particularly want to press the Minister that Bill

:48:11.:48:16.

should be no cuts in schools funding for pupils in the most disadvantaged

:48:17.:48:24.

areas. It would be surely quite perverse now to slash the same

:48:25.:48:29.

funding through this formula. As I have mentioned in my intervention

:48:30.:48:34.

earlier, the F 40 proposals, if they were projecting to affect would mean

:48:35.:48:40.

the 30 most disadvantaged is already in the country losing ?245 million

:48:41.:48:47.

per year. The 30 most affluent authorities in the country would

:48:48.:48:51.

gain over 218 million per year. It would be a straightforward switch of

:48:52.:48:57.

hundreds of millions of pounds from the most disadvantaged authorities

:48:58.:49:02.

to the most affluent. I hope the Minister will reassure us that kind

:49:03.:49:10.

of switch advocated by the F 40 group, clearly and understandably in

:49:11.:49:13.

the interest of what they want to see, I have the Minnesota reassures

:49:14.:49:21.

them that will not happen. -- I have the Minister. Looking at your likely

:49:22.:49:31.

impact of the formula, the request was refused, officials said they did

:49:32.:49:37.

have this information but it was refused on the grounds that it was

:49:38.:49:44.

formulation of Government policy and was therefore exempt from freedom of

:49:45.:49:50.

information obligations. As I said, there has clearly been lots of

:49:51.:49:53.

access for representatives of the F 40 authorities I would ask the

:49:54.:49:58.

Minister, and he has given us the commitment that is the result was

:49:59.:50:02.

open that the information should be released to other authorities as

:50:03.:50:06.

well. So that everyone can see where we are heading. As it stands, some

:50:07.:50:11.

authorities have been taken into the Government's confidence and a

:50:12.:50:16.

refused information on what has been going on.

:50:17.:50:19.

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