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Stephen Hammond: My hon. Friend will have heard me say in answer to the earlier question that my right hon. Friend the Secretary of State and the Chancellor are in discussions about that matter. It would be unfair of me to comment on the progress of those discussions, but we hope to resolve them soon.
Stephen Hammond: My hon. Friend is absolutely right. That role has been introduced to help build the capacity of the nursing workforce and support nurses and wider multidisciplinary teams. As he will have heard me say earlier, I am delighted that Health Education England is leading the national nursing associate training programme, with a commitment to train 7,500 nursing associates this year.
Stephen Hammond: My hon. Friend raises an important issue. The NHS faced the loss of a contract last year, which was then safely put back into place. The point he makes about guidance is absolutely right, and if he wants to come and talk to me about it, I will be happy to discuss it.
Stephen Hammond: It is a pleasure to serve under your chairmanship, Mr Hollobone. As you know, I have met the chief executive of the team from Kettering, I have visited Kettering and I have responded to you on the Floor of the House about Kettering. Kettering and its requirements for the A&E are therefore not far from the forefront of my mind. I congratulate the hon. Member for Lincoln (Karen Lee) on...
Stephen Hammond: There is a commitment to treatment and the funding that backs it in the long-term plan, and that money is dedicated to that commitment. That is pretty clear.
Stephen Hammond: The hon. Lady is asking me to use the word ring-fenced, but if I say that the money is there and allocated for that matter, then it is specifically ring-fenced for it. My hon. Friend the Member for Sleaford and North Hykeham (Dr Johnson) gave us a valuable insight into the NHS, given her experience as a consultant. She is right to say that we must tackle a number of workforce issues, and...
Stephen Hammond: Thank you Mr Hollobone. I will not just say anything other than that I wanted to address a number of issues about east midlands care, so I will put them in a letter and write to Members who have participated in this debate. It is important to address the huge number of issues raised by colleagues and ensure that the context is clearly understood. This Government wish to thank all hardworking...
Stephen Hammond: It was an improvement on last year, so it was not the worst.
Stephen Hammond: I am grateful to have the opportunity to set out the Government’s approach to setting a mandate for NHS England for 2019-20. The Government’s annual mandate to NHS England for 2019-20 will, for the first time, be a joint document with the annual NHS Improvement remit letter, called an accountability framework. This signals the importance of these two arm’s-length bodies working...
Stephen Hammond: Anyone listening to that will have realised that the hon. Gentleman is more concerned with political points scoring and process than with the substance and funding of the NHS. [Interruption.] The hon. Member for Dewsbury (Paula Sherriff) shouts at me, but she will want to remember that the shadow Secretary of State welcomed the long-term plan—or much of it—back in January. It is...
Stephen Hammond: —rather than shouting political points across the Dispatch Box. The hon. Gentleman says there are no targets. He is of course wrong.
Stephen Hammond: No, the hon. Gentleman said there were no targets likely to be set for the NHS this year. The accountability framework will include detailed and specific annual deliverables and set out in detail a process for delivering future implementation as well as some of the early delivery goals for 2019-20. He is wrong therefore to say that the framework will not have deliverables attached to it. It...
Stephen Hammond: I have said, as the hon. Gentleman has heard many times, that we are finalising that. Again, it is more important to get it right. On the long-term plan for workforce implementation, a draft plan is being produced and I expect that plan to be published in the very near future—[Interruption.]
Stephen Hammond: There are all sorts of lines I could follow that with, Mr Speaker. It is clear that it is this side of the House that is putting in the funding to make sure that the NHS can deliver for the patients, staff and families.
Stephen Hammond: My hon. Friend will have noted, as I said in my opening remarks, that this is an accountability framework because it brings together both the mandate for NHS England and the remit letter to NHS Improvement. It is a sign of more collaborative working which, as he says, almost everybody in the NHS and the healthcare arena would welcome.
Stephen Hammond: The hon. Lady will know that the Government have committed £33.9 billion up to 2023-24, and the first element of that has arrived this year. There will be, as I said earlier, publication of a Green Paper on social care and, combined with the comprehensive spending review, that will ensure that the Government will provide for the social care funding that is necessary.
Stephen Hammond: My hon. Friend is right. At the heart of the long-term plan is the emphasis on primary care and prevention. Providing care for people in their own homes undoubtedly achieves better outcomes for patients and he is right to welcome it.
Stephen Hammond: The hon. Gentleman is right to point out that a consultation is being undertaken on various aspects of the long-term plan and the legal framework that needs to be put in place. It is entirely up to local CCGs to make decisions on their procurement policy.
Stephen Hammond: My hon. Friend and I have sometimes disagreed on certain things, but one thing we agree on is his advocacy for his constituents, and he is right that I have been to see for myself the issues in Kettering in terms of the current configuration of the accident and emergency department. He is right to press for that urgent care centre, and he knows that he has impressed the case on my mind.
Stephen Hammond: The hon. Lady knows that the House and her Committee will have the fullest opportunity to scrutinise the document as and when it is published. She also knows that there is a commitment to publish it soon. She also rightly points out that it will deliver on the need to ensure that health and social care are integrated.