I should first declare that I am a member of the British Medical Association. As an NHS consultant paediatrician and a member of the Health and Social Care Committee, I take a great interest in the Bill and particularly in its impact on health. During my career, I have worked—indeed, I continue to work—with many fabulous NHS staff. However, as many hon. Members have rightly pointed out, the pay rise of over 19% demanded by the Royal College of Nursing is simply unaffordable.
The pay rises being demanded would also continue to drive up inflation at a time when the Government are working night and day to keep it down. Because of the way in which NHS staff are paid, we cannot give one group a pay rise without giving it to others in the same pay band. Although different unions give the impression that they are negotiating separately—the ambulance staff, the nursing staff, the middle and junior managers—in reality, they are all on the same banding scheme. A rise for one is a rise for all, with each 1% rise costing £700 million.
It is clear that the Opposition seem to have misrepresented the Government’s policy as an attempt to take away the right to strike, when that is so clearly not the purpose of this legislation. When it comes to the NHS, it is not right that those who are in desperate need of medical care cannot get an ambulance or receive care because of strike action. These are measures designed to protect lives and ensure that people who face an imminent threat to life or limb have quick access to care and treatment. How could anybody not want such care to be received? That is why minimum service levels are individually negotiated by the various ambulance services, but that leads to inconsistency across the country. A pre-agreed national minimum level will help to improve patient safety.
Another reason we need minimum service levels is that legislation on striking services does not require people to say whether or not they are striking. That has recently meant a situation in which people organising ward rotas have not known who is turning up to work, which makes it very difficult to plan even minimum services for shifts. That is all very well when you are dealing with parcel deliveries, but when you need a certain number of people to care for acutely sick people, it is vital to be able to plan. A minimum service level allows that.
Furthermore, the Opposition are suggesting that the Government want to sack people for striking. That, again, is a gross distortion. Striking is a collective decision; that is why it is voted on. The Government’s measures apply to those who, having agreed to be part of a minimum service level, then do not turn up to work. That would be a dereliction of duty under any circumstances, and in practice we all know that it is not going to happen, because NHS staff would simply never do that.
It has been clear for some time that Opposition Members are not brave enough either to say how much they would offer the unions or to criticise the strikes, even when they so clearly threaten the lives of their constituents. It is perhaps no coincidence that the unions behind the recent ambulance strikes are some of the Labour party’s biggest donors. In the meantime, the Government, my Back-Bench colleagues and I will continue to serve our country and our constituents. The first duty—