Speeches by Beales.

“Q6. Hundreds of residents in my constituency at Union Park are facing massive £1 million charges to repair their heating system and for fire safety works that have not been put right by the developer, which has now declared bankruptcy and walked away. Their new freeholder has washed its hands of responsibility and is i…”

“It is a pleasure to serve under your chairmanship, Mr Vickers. I thank my hon. Friend the Member for Bedford (Mohammad Yasin) for securing this important and timely debate on the issues in our constituencies in respect of our fantastic higher education institutions. I have the pleasure of representing Brunel University…”

“I do—we have to consider the costs that outer London boroughs face, as well as London more generally. As has been said excellently by my hon. Friend the Member for Leyton and Wanstead (Mr Bailey), London is special; it is different, and it faces extra costs and pressures. That is the case right across London. This very…”

“Does the hon. Gentleman welcome the significant uplift in public health funding from this Government? Or the fact that there is a third more homelessness funding, a significant and additional uplift in local government funding and millions more to be spent on potholes, one of the biggest levels in London? I could go on…”

“Thank you very much for joining us today. It has been reported that many Health Ministers and Secretaries of State since the Lansley reforms have reported frustrations about ever-increasing—or perhaps never-diminishing—levels of political accountability for the performance of the health service. Ultimately, at election…”

“That is a helpful summary of your view of the system. Your assessment is that we currently have an overcentralised system with NHS England; what is your view of the potential change, with the assumption of some of those responsibilities—we do not know at what level—at the Department of Health and Social Care? Do you th…”

“Matthew, that is a fair challenge to the question. If the crucial part is where the balance lies—empowering the system locally and then holding it to account on a discrete set of measures—what that is done by the centre today needs to stop? What functions of either DHSC, NHS England or other aspects of the centre do yo…”

“This is a general point, but is there ever an aspect of healthcare that does not in some way deal with another aspect of healthcare? If you shift that responsibility locally, would we suddenly have an integrated health and care system where all parts of the system planned and worked together?”

“That is helpful. There are more questions than answers at this stage. I suppose we are trying to get a sense of what you would, ideally, want to see from the emerging reforms. It feels like you are saying, a slimmed down and more focused centre, and more emboldened local leadership, which we hear is the direction of tr…”

“We heard from the previous panel about some of the core national functions that should really be done nationally—healthcare planning, say, or digital capability, for which NHSE was responsible and which was subsumed into NHS Digital. Do you think those core functions and driving the rapid change we want in digital and …”

“My question was how, as a patient, do you hold local leadership to account in the new system? At the moment, patients tell us it is quite hard to navigate the health system. As we discussed, Ministers are seen as very accountable, but in your ideal model of a slimmed down centre, focused on a reduced number of things, …”

“Last, but not least. It is a pleasure—less of a pleasure now, but it was a pleasure—to serve under your chairmanship, Ms Lewell. I echo the points my colleagues have made about the unprecedented financial pressures on London councils. While we need to tackle temporary accommodation, the SEND crisis and much more—that i…”

“Thank you very much. That is really helpful work. Good luck with your bid. I am happy to write a letter of support, personally.”

“It hits harder as a relative percentage because of the total level of income. On your previous slide, you have average loss as £121 versus £137 on the high-intensity group. The post-treatment average loss is £121 versus £137.”

“Relatively, there is a higher level of loss. Relative to income, it is a greater percentage. That is what your data is suggesting. It is about the relative levels compared with previous income.”

“I am sure my colleagues want to come in, but lastly, in terms of the spread of intensity, is it fair to say there is a sweet spot around the zero-to-20-hours level of care that mitigates—”

“You have made my head hurt slightly with the amount of data and graphics. I very much hated SPSS and statistics at university. It is giving me flashbacks to my university degree; trying to interpret data gives me nightmares. It is really interesting data, as my colleague said. Just looking at the gender-based differenc…”

“Building on my colleague’s question, I appreciate that you cannot make policy recommendations, but it seems to me that there is a case being made that, as you said, care work does not affect everyone equally. You could make the case that there is slightly higher income loss for men than women, although the relative imp…”

“Maybe I am interpreting the data wrong, but I read that the post-treatment average loss is £137 in the high group for men and £121 for women, and £137 is a higher loss than £121.”

“My point was that in income terms it is a greater loss, but as a percentage of the starting income, which is lower for women, it is greater.”