Virtual participation in proceedings commenced (Order, 25 February).
[NB: [V] denotes a Member participating virtually.]
[Relevant Documents: e-petition 300073, Increase pay for NHS healthcare workers and recognise their work, e-petition 316307, Award all Nursing Staff in the NHS a pay rise of 10% backdated to 1 April 2020, and e-petition 560253, Recognise all members of NHS nursing profession by giving them a 12.5% pay rise.]
9:25 am
Stewart Hosie (in the Chair)
I remind hon. Members that there have been some changes to the normal practice in order to support the new hybrid arrangements. The timings of debates have been amended to allow technical arrangements to be made for the next debate. There will be suspensions between debates. I remind Members participating, physically and virtually, that they must arrive for the start of a debate in Westminster Hall and are expected to remain for the entire debate. I must remind Members participating virtually that they are visible at all times, both to one another and to us in the Boothroyd Room. If Members attending virtually have any technical problems, they should email the Westminster Hall Clerks’ email address. Members attending physically should clean their spaces before using them and before leaving the room. I remind Members that Mr Speaker has stated that masks should be worn in Westminster Hall. Members attending physically who are speaking in the latter stages of the call list should use the seats in the Public Gallery initially and move on to the horseshoe when seats become available there. Members can speak from the horseshoe only where there are microphones. Sadly, because this is a very well subscribed debate, there will be a three-minute time limit for all Back-Bench speakers.
It is a pleasure to serve under your chairmanship, Mr Hosie. I thank my hon. Friends the Members for Luton South (Rachel Hopkins) and for Birkenhead (Mick Whitley) for co-sponsoring this debate. I am pleased to have been allocated such a generous amount of time for the debate. That is entirely justified given the importance of the subject at hand—NHS pay.
I thank all those who have taken the time to sign the following petitions: e-petition 300073, signed by more than 170,000 people and titled “Increase pay for NHS healthcare workers and recognise their work”; e-petition 316307, titled “Award all Nursing Staff in the NHS a pay rise of 10% backdated to 1 April 2020” and signed by more than 140,000 people; and e-petition 560253, which is titled “Recognise all members of NHS nursing profession by giving them a 12.5% pay rise”, has been signed by more than 19,000 people and does not close until 7 June.
I sought before the debate the hon. Lady’s permission and your permission, Mr Hosie, to intervene. The petitions before us are an indication of the numbers of people across the whole United Kingdom who feel strongly about this issue. The people emailing me are not just NHS workers. They are families; they are people who have been recipients of the goodness of NHS workers. I believe that there is a moral obligation on us—I have said this to Government as well—to deliver a satisfactory pay increase for nurses. We need to give them a rose of appreciation in the springtime, not a dandelion.
I completely concur with what the hon. Gentleman has said.
The figures that I have given lay bare the strength of feeling that people in our communities have for our incredible NHS staff as a whole. People who know me and have listened to any of my previous contributions on the public sector will know that I like to set the historical context, that context being the last decade and the political decisions taken by the Conservative party in office during that time, especially on matters of public spending and public sector pay—matters that are very close to my heart. During debates such as this, the Government may like to pretend that the pre-pandemic world does not exist. According to them, decisions that they take during the current economic crisis should be taken in the context of spiralling debt and deficits, as well as the looming prospect of inflation. But we have been here before, have we not, especially given that the last economic crisis was not too long ago? The Government are starting to sound like a broken record stuck on repeat, using the same smokescreens that they used in the early part of the last decade, which laid the pretext for an outright assault on public sector pay.
Public sector workers, and not least the brave women and men who staff our national health service, have long memories. What is it that I am referring to that existed at the front and centre of the NHS worker psyche going into this pandemic? It is the fact that nurses’ pay is down £840 in real terms since 2010. Further to that, the likes of the Health Foundation have stated that at the start of the pandemic, NHS wages were £600 lower per employee in real terms than in 2011-12. It is the fact that staff morale is at rock bottom, with many leaving certain NHS professions and the Government failing most spectacularly to fill the gap in staff shortages—nearly 50,000 combined vacancies exist across doctor and nursing professions. It is the fact that workers have had to endure rising demands on their work with less reward.
It is a pleasure to serve under your chairmanship, Mr Hosie. I am very pleased to have secured today’s debate alongside my hon. Friends the Members for Liverpool, Wavertree (Paula Barker) and for Birkenhead (Mick Whitley).
Workers across the public sector have faced unprecedented challenges during the pandemic, and NHS staff have been at the forefront of our response to the coronavirus, spending long hours in suffocating PPE in overwhelming environments. A nurse described to me that it felt like they were part of a horror movie. Frontline NHS staff at Luton and Dunstable hospital have told me that colleagues have broken down on many occasions, and that the past year has had a severe psychological impact on them owing to stress associated with separation from their families, sleep deprivation and heavy workloads. The whole of society is extremely thankful for their work in protecting us, looking after our loved ones and keeping the country going.
The country came together to clap for our carers, but claps do not pay the bills and NHS workers deserve to be rewarded for their dedication. The Government’s recommendation of a 1% increase for NHS staff in England is truly shameful. After a decade of austerity, TUC research shows that if the 1% increase goes through for 2021-22, nurses’ pay will be £2,500 less than in 2010 when adjusted for inflation, with an equivalent fall of £3,330 for paramedics and £850 for porters. Experienced nurses will take home only an extra £3.50 a week. Not only does the 1% pay proposal reflect the Conservative party’s complete undervaluing of NHS staff, but it even breaks their previous measly promise of a 2.1% pay increase set out in the NHS long-term plan.
The British Medical Association, the Royal College of Nursing, the Royal College of Midwives and Unison have all told the Government to reconsider the pay offer. A recent poll from Opinium found that 72% of UK adults believe the Government’s 1% pay proposal is too low.
Stewart Hosie (in the Chair)
Order. I am afraid the three minutes are up. You can have half a sentence.
It is a pleasure to serve under your chairmanship, Mr Hosie. I thank my hon. Friend the Member for Liverpool, Wavertree (Paula Barker) for leading this important debate, and I thank the Members who co-sponsored it. I especially thank my fantastic fellow Luton MP, my hon. Friend the Member for Luton South (Rachel Hopkins). I know that her commitment to the NHS and every healthcare worker in it runs deep. Together we will keep fighting for every healthcare worker in Luton to get the recognition, pay and protections that they deserve. It should run deep for everyone, not just during the pandemic, and it should certainly last longer than the minute that the Prime Minister stands on his steps to clap for the key workers who saved his life and the lives of countless others, and who held the hands of the 126,000 loved ones lost this year.
Among those who lost their lives were healthcare workers, going into battle with covid-19 under-resourced, underfunded and overworked. After the year we have had, I cannot fathom why the Chancellor thought a pay cut was good enough for healthcare workers. It is not good enough. Frankly, it is a disgrace, and I am embarrassed at the excuses that have been given. One Conservative peer even suggested that nurses were lucky to have their jobs, which is an insult. What porters, cleaners, paramedics, nurses, carers, healthcare assistants, operating department practitioners, administration staff, midwives and doctors need and deserve is not Ministers putting their hands together, but Ministers putting their hands in their pockets and their money where their mouth is. Give our healthcare workers a pay rise!
I pay tribute to healthcare workers’ hard work, commitment and sacrifice. It has taken a toll, not only on them, but on their families. A Facebook memory flashed up for me today. It is eight years to the day since my mum, Siew Owen, retired from being a matron. That did not mean she stopped working; she went back to be a staff nurse for the last eight years of her career and only fully retired this year. She worked for a total of 47 years for the NHS after coming from Malaysia when she was just 19. She and thousands of other nurses like her come from all over the world to care for our sick and build our healthcare system. However, if she had come today, under this Government she would have faced a number of unnecessary and unjustifiable barriers, because it is not only pay that is an issue for NHS healthcare workers; there are also hidden costs.
It is a pleasure to serve under your chairmanship, Mr Hosie. I pay tribute to my hon. Friend the Member for Liverpool, Wavertree (Paula Barker) for securing this crucial debate and for her tireless efforts to ensure that our key workers get the fair pay they deserve.
Yesterday, we came together to reflect on the tragic events of the past year. We remembered the family members and friends we lost. We also paid tribute to those who cared for them. My constituency is home to the renowned St Thomas’ Hospital. That is the hospital that saved the life of the Prime Minister and the lives of countless other people during this pandemic. The hospital’s staff are now working hard to deliver the vaccine, while still maintaining the hospital’s regular services to the local community and to people from right across the country. I admit that I have a personal bias for St Thomas’ Hospital, as I received excellent care from the team there throughout my two pregnancies.
This past year has undoubtedly been one of the most difficult years for our NHS workers. They are physically and mentally exhausted. I recently had the pleasure of meeting the staff team at Saint Thomas’ when I was invited to speak at the Unison branch annual general meeting. I am proud to be a Unison member, and I am proud to have such an iconic hospital in my constituency. The staff team—including the dedicated nurses, security team, porters and junior doctors—told me about all the challenges they face while working day and night during this pandemic.
During the lockdown, I participated in the weekly clap for our carers, along with my son and daughter, because I genuinely wanted to show my appreciation. But clapping does not pay the bills. I know that, in some cases, nurses have to rely on food banks as they struggle to make ends meet. Many of my constituents who have been caught up in the cladding scandal are NHS key workers. They have been working long hours and making personal sacrifices to keep us safe, but now they face extortionate costs that they cannot afford.
It has been a year now since hospital beds started filling up. Since then, there have been more than 126,000 deaths: our mothers, fathers, brothers and sisters, friends, neighbours and colleagues—in the NHS, more colleagues than most. Last night, like many others, I reflected on a heartbreaking year of loss, but while last year was tragic, what happened was not unavoidable. Implementing the first lockdown just one week earlier, as advised, could have halved the early mortality rate. Our hospitals and NHS staff weathered a storm of the Government’s making.
Let us cast our minds back to March 2020. It seems implausible now that the Prime Minister was boasting about shaking hands with every person he met on a visit to a hospital with covid-19 patients. Edwina Currie compared him with Princess Diana. Others were less favourable. It has been revealed by the BBC this week that the Prime Minister said that the best thing would be to ignore the virus and that overreaction would do more harm than good.
The NHS is facing immense challenges, and overcoming them will be fundamental to its survival. There is the pandemic, of course, and the small matter of rolling out the most ambitious vaccination programme in the nation’s history. Not only is our NHS asked to bear the brunt of the pandemic; it is forced to do it with one hand tied behind its back. In February, NHS hospitals, mental health services and community providers were reporting a shortage of nearly 84,000 staff; 38,000 of those vacancies were for nurses—the enduring backbone of our national health service. A decade of underfunding, lack of accessible training and failure to prioritise healthcare workers have hit the NHS hard, but the Minister knows that—it is a situation of Government design.
The NHS is sick. It is underfunded and understaffed. Just as a sick patient is not aided by removing their medicine, the NHS will not be healed by cutting the pay of its workers. The Government’s and their spin doctors’ praise for the NHS has been almost evangelical. We have seen the Prime Minister clapping on our TV screens. We have heard Tory Ministers refer to NHS workers as heroes and angels. We saw the hyperbolic outburst reach fever pitch when the Health Secretary cried on national breakfast television. Most of the NHS workers I know have no desire for constant praise and adoration. They do not want to be called angels. They are skilled professionals who have worked and are working through a deadly pandemic. Most would be happy for their hospitals to be properly funded, for their patients to be given the best chance of survival and, finally, for a pay packet reflecting their workload. To cry hero, and then cut pay, is as manipulative and cruel as it is unsurprising, from a party that has systematically sought to undermine the health service and its workers.
9:53 am
20 of 57 shown
That is what NHS workers, who make up 4% of our entire labour market staff, have had to suck up since 2010 in order to pay for an economic crisis—a crisis in the casino economy that they had no part in creating. According to research delivered by London Economics for NHS trade unions, pay levels at every single Agenda for Change spine point have lagged behind inflation since 2010-11, resulting in a significant decline in total pay in real terms. Most spine points have exhibited a decline in excess of 10%, and total pay on the Agenda for Change spine point with the highest incidence of staff, at the top of band five, has declined by 15%. That is three times the decline in median earnings experienced by full-time private sector employees across the UK over the same timeframe.
Let all of us here today contextualise the debate by reflecting on the picture faced by our brilliant NHS staff before and going into the pandemic. They have had their pay cut, their spending power slashed, their living standards squeezed, and their morale smashed. That is the so-called old world that the new kids on the block—the Prime Minister and the Chancellor—would rather us all forget, one built by their predecessors. However, no amount of rebranding will disguise the fact that the current Government intend to continue the same legacy of making public sector workers pick up the tab for a crisis they had no part in creating. Indeed, this time it is even worse than that. They are paying for a crisis that they have ensured we have, and will, overcome. Some thanks, I say, and shame on this Government.
In this new decade, the message being received by NHS workers from the Government is this: brace yourself for more of the same. Staff in our NHS have had to endure all of that, and then 12 months ago were asked to once again go above and beyond, to gravely enter the unknown, risking their mental and physical health. They have sacrificed their family and personal lives. Some have paid the ultimate sacrifice of their own lives in the line of service, duty and compassion.
Let us cast our minds back to how terrifying the news headlines, the newspaper stories and social media chatter were when the virus first emerged on these shores. The virus was the absolutely terrifying unknown for all our people, except for our NHS workers who were not afforded the luxury of watching this public health crisis unfold from the sidelines as passive observers; they were the frontline against the great unknown.
To this day, their unrelenting commitment to the public service still moves me, as it should all people here today in Westminster Hall. I am not one to often quote Winston Churchill, or indeed make wartime references, but never was so much owed by so many to so few. If any of this brave few were able to come up for breath for just a moment, maybe because of their shift patterns, and sit in front of a TV screen on a Thursday evening last year, they would have seen many ordinary folk applauding their efforts. They would also have witnessed the galling sight of the occupiers of No.10 and No.11 clapping for the photo op, with little intention of rewarding them for their work, their sacrifice or their trauma.
Appreciation of NHS workers is not about rhetoric, warm words and pats on the head. Let me be absolutely clear. Claps and smiles do not pay the bills. It is about deeds and actions, and when it comes to NHS pay, the only deeds and actions made by the Government have been a fresh round of insulting pay offers, or, in real terms, pay cuts.
The Prime Minister recently told the House of Commons that the Government have delivered a 12.8% increase in the starting salary of nurses. It may well be true to say that some—but not all—nurses have received a pay rise of more than 12% since 2017-18. However, that is in cash terms, not in real terms, and it does not account for the fact that inflation erodes the spending power of workers’ wages over time. It is a flattering figure in other ways: it applies only to one group of nurses rather than reflecting the experiences of all NHS workers in England, and it does not take into account the years of austerity that defined the years prior to 2017-18. The Government cannot spin an assertion that they are awarding pay rises when millions of NHS workers know the exact opposite is true.
All we ever hear from the penny-pinchers that occupy the Government Benches is that we cannot afford this or that—basically, anything of social value or any moral good. The old mantra that public sector equals bad and private sector equals good is making a return. This tired politics draws the economic orthodoxy to the conclusion that suppressing public sector pay is of economic benefit in times of crisis, rather than the opportunity to grow the economy that it represents. It is almost as if a decision has been taken according to the same logic that public wages are a drain on the public purse and therefore a resource to be tapped into in order to control public finances when it suits.
It is sound economics to deliver a just and fair pay rise for NHS staff and a decent pay rise is affordable. Currently, just over 1 million nurses, midwives, allied health professionals and NHS support staff are covered by the Agenda for Change pay framework in England. The same aforementioned research conducted by London Economics concluded that a 10% increase to the NHS England pay bill amounting to £3.4 billion would result in the net expenditure of only £0.66 billion when including factors that are offset against the original figure.
Such offsets include increased tax receipts, because public sector workers pay taxes, and increases in direct, indirect and induced tax receipts, because public sector workers spend money in their local areas that helps to grow local economies and support communities. A pro-public sector agenda is a pro-business agenda. It is a miracle that public and private sector workers exhibit similar economic behaviours—who knew?
There would also be savings in recruitment and retention, because better paid staff are happier staff. There is even an extra £130 million in savings from the lower student debt write-offs for nursing students. This is the sort of sensible, moral and longer-term economic thinking the Government are totally incapable of. Instead, we have crumbs for midwives and support staff; their dignity, livelihoods and take-home pay are unaffordable, according to this Government, but not lucrative, publicly funded contracts for the friends of Tory Ministers to deliver personal protective equipment shortages and botched public health projects to the tune of billions of pounds. Apparently, that sort of spending is every bit affordable: in fact, we are told, it should be celebrated. Not only do we have a Government guilty of cronyism, but of skewed priorities. We see that only too well today when not a single Conservative Member apart from the Minister is here for this debate.
Government policy on the NHS tells us everything that we need to know. Nurses, midwives and support staff are left neglected, their immense contributions disregarded, forgotten by a Government and party intent on reverting to type. There is no policy impact assessment, as the real burden for public sector pay restraint will once again fall on the shoulders of women who make up so much of the public sector, especially our NHS. There is no regional impact assessment on areas more reliant on public sector spending, such as my city of Liverpool—so much for the levelling-up agenda.
To round up, the public overwhelmingly support a pay rise for NHS staff because they, like me, understand and appreciate their service each and every day; in times long before covid, during it and long after. They are out on the frontline, as I speak here today, delivering vaccine shots in the arms of millions of people, as well as catching up on the huge backlog of urgent elective care procedures while the Government parade around this place telling us that the economics will not permit just recognition and reward. If any group of workers in our National Health Service collectively decide that enough is enough and they embark on a course of industrial action, they will have unwavering solidarity. I appeal to the Government to change their course, walk the walk on NHS pay and give the NHS staff the pay rise that they so deeply deserve.
We have heard already that there is a nursing vacancy crisis that is compromising staff safety. Although the Government state that they are recruiting more nurses, there are still more than 36,000 nursing vacancies, including 3,314 in the eastern region where my constituency is, which has barely changed over the past year. The issue is retention. How do the Government expect to retain experienced nursing staff who have suffered a sustained real-terms pay cut over the past decade? How can the Government expect people to aspire to a future career in the profession when there are reports of nurses having to access support from food banks?
A nurse at Luton and Dunstable hospital told me that they deserve proper recognition of the level of skill and responsibility needed for the roles that they do. They also said that there is no motivation, no incentive, no value or appreciation.
The latest figures from the NHS staff survey show that more than 300,000 staff worked unpaid over the past year. That is 13,000 more staff working overtime than in 2019. The Government might point to the uncertain financial situation and current low inflation for the real-terms pay cut, but that is economically illiterate. If affordability is the Government’s main contention, they should consider the knock-on benefits. The Government hope—
This is the third time in probably as many weeks that I have sat opposite this Minister, and I will ask her again whether she believes that it is right to continue charging healthcare workers who have come here from overseas to use the very system they work in. Is the pause on the immigration health surcharge for NHS workers and care workers temporary, or will it continue post-pandemic? How is it right that a nurse at Luton and Dunstable University Hospital had to borrow money from other nurses to pay the IHS? I have asked the Minister this question before, and I have also put it to the Secretary of State, so I would be grateful if we could get a straight answer today for the healthcare heroes, to whom we owe a great debt. Healthcare workers prioritised our health during the pandemic; it is high time they were prioritised by this Government.
A 1% pay rise is not a meaningful pay rise; after inflation, it is essentially a pay cut. It sends all the wrong signals to the NHS workers who have kept our country going during this dreadful pandemic. It is an utter betrayal by this Government not to give our NHS workers a bigger pay rise. The Prime Minister spent three nights in intensive care, on a ward for patients who needed specialist attention. He said afterwards:
“I can’t thank them enough. I owe them my life.”
Jenny and Luis stood by the Prime Minister’s bedside, watching him during the night. The NHS protected him. It protected us. Now is the time when we must protect it.
The NHS has done so much more than just jobs during the pandemic. Its staff risked their lives every single day for our most vulnerable. They held the hands of those in the their final moments whose loved ones could not. They have been a bright flame of hope in a year filled with anxiety and fear. NHS workers have given us more than we can ever give back. Their compassion, bravery and will is something we may not ever be able fully to repay. The recognition of their work can be fulfilled by a decent pay rise.