Public Services

I regularly meet Northern Ireland Ministers to discuss the shared challenges we face in improving public services, and the Government will do everything we can to help. Last week, I met the new Finance Minister, and we both expect to be in a position soon to announce progress on funding to help with the transformation of public services.

The Northern Ireland Executive were meant to agree their programme for Government today, but apparently the meeting was cancelled at the last minute. The Secretary of State refers to the transformation fund; £245 million was allocated to it over a year ago, but it remains unspent. The transformation board that is meant to be managing that fund is still interim. With every party in Northern Ireland clamouring for transformation, and the Secretary of State and his ministerial team calling for transformation of public services, will the Secretary of State for Northern Ireland intervene with the Executive, and tell them to get on with it?

I hope very much that the programme for Government will be agreed as soon as possible; it is the responsibility of the Northern Ireland Executive, and I look forward to reading it. A number of bids were submitted for transformation funding. They have been carefully looked at by the interim board and, as I indicated a moment ago, I look forward, together with the Finance Minister, to announcing the results of that work soon.

Last December, the Royal College of Nursing Northern Ireland revealed that there is a severe shortage of nursing staff in the north—there are almost 2,000 vacancies in the sector—as well as concerns about retention. What steps is the Northern Ireland Office taking to support the Executive in providing safe levels of staffing in Northern Ireland, including by tackling staffing pressures, low pay and unacceptable working conditions?

I share the concern that my hon. Friend expresses about the number of vacancies. The single most important thing that the Government have done is allocate for next year a record sum to the Northern Ireland Executive of £18.2 billion, which is an increase of £1.5 billion. The resources are there, and it is for the Northern Ireland Executive to decide how they will use them.

I welcome what the Secretary of State has said about public service reform being a shared challenge. Does he agree with me that it is in the interests of patients, both in Northern Ireland and in England, to share knowledge of what works, and best practice?

I agree absolutely with my hon. Friend. Indeed, I discussed that with Mike Nesbitt, the Health Minister, when I met him recently. I asked him what support and help we can give him, but we can all learn from each other across the United Kingdom.

When the Secretary of State has his discussions with the Executive, will he look to the example of Wales and its social partnership model? Government, public sector workers and unions are working collaboratively and are in positive discussions to bring about real change and harmony in the delivery of public services.

I have not looked specifically at the social partnership model in Wales to which he refers, but I look forward to learning more about it; it sounds very interesting. As I have indicated, we have a lot to learn from each other.

The proactive approach that the Secretary of State has set out is an important step change from the approach taken by the previous Government. Does he agree that stabilising and transforming the health service in Northern Ireland is now the priority?

It certainly is. One has only to look at the waiting list figures in Northern Ireland: some 52% of those waiting for a first consultant’s appointment wait for more than a year; the figure in England is 4%. The First Minister recently described the state of the health service in Northern Ireland as “diabolical”. I am absolutely clear that Ministers and the Executive understand that, and I very much support the programme that the new Health Minister is seeking to put in place to deal with that.

Would the Secretary of State agree that the appointment of Mike Farrar as chief executive and head of the Northern Ireland health service—an external appointment—is a positive move, and a good example of the Executive getting on with it, despite comments that have been made?

I do agree. He has great expertise and knowledge, and I am sure that it will be used for the benefit of people in Northern Ireland, particularly patients waiting for appointments.

My daughter lives in Donegal. When her two little boys were born, she had the choice of them being born in Derry or Sligo—on either side of the border. The Republic of Ireland has introduced an initiative called shared island. That is not a united Ireland, but it works in improving services. Will the Government look at its success, and consider how Scotland might work in a similar way to Northern Ireland, for the benefit of services?

As I understand it, there is a long-established arrangement under which people can move from one side of the border to the other to seek care, particularly in Donegal and Derry/Londonderry. Things would be slightly different in Scotland, for physical reasons, but once again, I am sure that all opportunities that can be taken to help people get the care they need would be welcomed.

The Secretary of State will be aware that it has been a year since the Executive was finally re-established. In that time, they have still been unable to agree a programme for Government. This morning, we learned that today’s meeting to agree it has been moved again. Does he agree that, for the sake of the people of Northern Ireland, it is time they got on with it?

As I indicated a moment ago, I look forward to the Executive adopting a programme for Government. I am aware of what happened earlier today; I am confident that another meeting will be arranged, and I look forward to seeing the programme adopted.

I call the shadow Secretary of State.

The Government’s decision to repeal the Northern Ireland Troubles (Legacy and Reconciliation) Act 2023 will mean reopening many inquests and civil cases. Many of those cases will impact on the police. Does the Secretary of State accept that that will mean a significant cost to the Police Service of Northern Ireland?

As the hon. Gentleman is aware, the legacy legislation that the previous Government passed has been found to be flawed and unlawful in a number of respects, and it falls to this Government to clean up the mess that the last Government left. I am in the process of consultation with many parties. I have already indicated to the House the proposals that I put forward in the remedial order, and have said that I propose bringing legislation before the House when parliamentary time allows. It is important that people are able to pursue civil cases, and the ban on them by the last Government has been found to be unlawful. Why should people in Northern Ireland not be entitled to an inquest?

My question was about the liability that the Police Service of Northern Ireland might be under following the Secretary of State’s decision. Police numbers in Northern Ireland are at their lowest ever. Two weeks ago, Policy Exchange estimated that the cost to the PSNI of the repeal of the legacy Act might well stretch to hundreds of millions of pounds. If that is the case, will the Government step in to support the PSNI, or are they content to see a reduction in frontline policing and national security?

The Government have provided additional funding to the PSNI in the autumn statement through the additional security fund. I have read the Policy Exchange report, and it contains a lot of speculation about numbers. The fact remains that the legislation supported by the Government, of which the hon. Gentleman was part, has not worked; it was flawed and found to be unlawful. I am afraid that the Opposition will have to recognise that at some point, and it needs to be fixed.

I call the Liberal Democrat spokesperson.

Pharmacies in Northern Ireland are in a declared state of crisis. Pharmacists are having to dip into their savings just to stay afloat, and they are cutting staff numbers and opening hours. The National Pharmacy Association, which represents 6,500 community pharmacies, has warned that its members may have to further cut opening hours, halt home deliveries and reduce local support services, and that warning is amplified in Northern Ireland. What conversations has the Secretary of State had with the Northern Ireland Executive to safeguard access to crucial pharmacy services across rural and urban regions? Does he agree that an urgent impact assessment on pharmacy underfunding is required to highlight the scale of the crisis for community pharmacies, which provide vital-to-life services?

That issue did not figure in the discussions I had recently with the NI Health Minister, but I have no doubt that it will do so in the future, and I will take the matter up.

Many ministerial decisions are important in getting public services delivered, but so too is back-up by the civil service. There is some concern about the level of expertise in the civil service in Northern Ireland. In the inquiry into the renewable heat incentive, the permanent secretary admitted that the civil service was not able to give timely advice to Ministers, and had not given accurate advice. What can the Secretary of State do to ensure that the gap that there appears to be in expertise in the civil service—because the Northern Ireland civil service is not integrated into the UK civil service—can be filled?

I have met many civil servants who are doing a very good job and are very committed to their work, but the Northern Ireland civil service is the responsibility of the Northern Ireland Executive and the Ministers in the Departments—it is not my responsibility to deal with.

Many projects that are designed to improve public services are being held up in the courts in Northern Ireland because of procurement, planning and the decision process. The latest ruse being used to hold up projects is the claim that they do not comply with the Government’s net zero policies and will lead to an increase in carbon dioxide emissions. One of the projects that is being held up is the important A5 road in the west of Northern Ireland. Does the Secretary of State agree that while we have statutory limits on CO₂ emissions, we will always be vulnerable to major infrastructure projects being held up in the courts?

I do not accept that, because getting to a net zero world is really important for the future of humankind, and the Government have commitments that it is very important to fulfil. As for delays in the planning system and the way in which the courts operate in Northern Ireland, once again, those are matters for the Executive.