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Jeremy Hunt's statement to MPs on junior doctors' dispute - Politics live | Jeremy Hunt's statement to MPs on junior doctors' dispute - Politics live |
(35 minutes later) | |
1.52pm GMT | |
13:52 | |
Jon Skewes, director for communications, policy and employment relations at the Royal College of Midwives has criticised Hunt’s vow to impose the contract on doctors. | |
Imposing contracts without further negotiation will further sever the little trust left between Jeremy Hunt and hardworking healthcare staff. | |
Both junior doctors and midwives already provide seven day services, day and night, 365 days a year. | |
Today’s announcement is further proof that the Government is failing to listen to the concerns of NHS frontline staff. | |
Imposing a contract on junior doctors in this manner is likely to damage morale further and is an attack on all NHS staff. | |
1.51pm GMT | |
13:51 | |
Around 500 people have said they will join an emergency protest tonight outside the Department of Health at 5pm, against the imposition of the contract. | |
The government have decided to *try* to impose this contract on junior doctors. Let’s show them what they can do with it. #junioraction #juniorcontract | |
1.48pm GMT | |
13:48 | |
Much has been made over how junior doctors have been moving in droves to Australia and New Zealand over working conditions and morale in the NHS. But they may not need to go as far as that. | |
Any junior doctors in England should know they will not have the contract imposed if they cross the border, the Welsh health minister Mark Drakeford has said in a statement released just now. | |
We have no plans to impose a new junior doctors’ contract. | |
Wales has a strong tradition of working in partnership with our staff and their representatives. | |
Wales will continue to offer attractive working arrangements and a positive training experience, based on the existing new deal arrangements. | |
Junior doctors from any part of the UK interested in working in Wales will find fair working conditions and a very warm welcome here. | |
Updated | |
at 1.49pm GMT | |
1.42pm GMT | |
13:42 | |
My colleague Rajeev Syal has posted his first take on the tense exchanges between MPs and Google executives and HMRC earlier at the public accounts committee today, including the moment that Google’s Matt Brittin said he did not know his own salary. | |
In the early stages of a grilling over Google’s tax affairs, the internet company’s European boss was asked to tell MPs what he was paid – but said he could not disclose the figure because he didn’t know how much he earned. | |
Matt Brittin was appearing before the public accounts committee in the aftermath of a row about £130m in back taxes it agreed to pay in a deal that caused a public outcry, despite being described as a victory by George Osborne. At the beginning of the session, Brittin, the president of Google Europe, declined to respond to a request to say how much he was paid, saying: “I’ll happily disclose that if it’s a relative matter for the committee.” | |
The committee chair, Meg Hillier, demanded to know it, but Brittin said he did not have the figure. “You don’t know what you get paid, Mr Brittin?” she said to laughter in the room. | |
She continued: “Out there, our constituents are very angry, they live in a different world clearly to the world you live in, if you can’t even tell us what you are paid. | |
“It seems a bit of a PR disaster if you didn’t have the nous to realise in the same week that taxpayers were filing their tax returns, and sweating over a little bit of bank interest and getting it in on time, and you announce this as a good deal. | |
Here’s the rest of the report: | |
Related: Google boss claims he does not know his salary in Commons grilling | |
1.39pm GMT | |
13:39 | |
Junior doctors have been tweeting me with their analysis of Hunt’s comments in the House of Commons earlier. | |
@jessicaelgot we cannot seek to "boost basic pay" rotas are rotas can't choose to work out of hours or not #juniorcontract | |
@jessicaelgot People will remember this day at the ballot box #juniorcontract | |
@jessicaelgot govt has 1 major bargaining chip in #juniorcontract - they are monopoly providers of postgraduate medical training [1/2] | |
@jessicaelgot most have worked incredibly hard for junior training posts – no way to progress in career unless we accept their contract[2/2] | |
@jessicaelgot thanks! I'm leaving for a research post in April and do not plan to return to NHS after. I'm about 1 year away from consultant | |
. @jessicaelgot Heartbroken that Govt imposing contract.Juniors will vote with their feet: England's loss is Scotland,Wales&Australia's gain | |
Updated | |
at 1.45pm GMT | |
1.35pm GMT | |
13:35 | |
Jeremy Hunt finds support from the Telegraph’s Asa Bennett, who has little sympathy for the BMA. Here’s an extract. | |
This Saturday pay offer was far from unjust for junior doctors, who can already count themselves lucky for getting any premium for working that day. The same can’t be said for firefighters, police officers, air ambulance pilots, retail assistants or restaurant staff – all of whom work Saturdays on their standard rate of pay. Most care home nurses and managers work Saturdays at their normal rate too. As a union, the BMA is of course meant to have its members’ best interests at heart, but digging in over issues like this shows how out of touch it is, seemingly unaware of how others work in the public and private sector. | |
1.28pm GMT | |
13:28 | |
BMA reaction: 'a flawed contract' | |
The full text of the BMA’s press release can be found here. Another snippet: | |
Junior doctors already work around the clock, seven days a week and they do so under their existing contract. If the government want more seven-day services then, quite simply, it needs more doctors, nurses and diagnostic staff, and the extra investment needed to deliver it. Rather than addressing these issues, the health secretary is ploughing ahead with proposals that are fundamentally unfair. | |
Updated | |
at 1.30pm GMT | |
1.24pm GMT | |
13:24 | |
Denis Campbell | |
Here is the Guardian’s story on Hunt’s decision, which contains reaction from the BMA. | |
Dr Johann Malawana, chair of the BMA’s junior doctors committee, said: “The decision to impose a contract is a sign of total failure on the government’s part. Instead of working with the BMA to reach an agreement that is in the best interests of patients, junior doctors and the NHS as a whole the government has walked away, rejecting a fair and affordable offer put forward by the BMA. Instead it wants to impose a flawed contract on a generation of junior doctors who have lost all trust in the health secretary,.” | |
Imposition could prompt a generation of “alienated” junior doctors to choose not to continue their careers in the NHS, Malawana added. | |
“This is clearly a political fight for the government rather than an attempt to come to a reasonable solution for all junior doctors,” he said. “The government’s shambolic handling of this process from start to finish has totally alienated a generation of junior doctors – the hospital doctors and GPs of the future, and there is a real risk that some will vote with their feet.” | |
Related: Jeremy Hunt to impose contract on junior doctors | |
1.20pm GMT | |
13:20 | |
Jeremy Hunt has been on Sky News defending the new contract. While feelings are running high in the middle of an industrial dispute, he argues, once the dust settles people will realise in a few years’ time that it was the obvious thing to do. He rejects the argument that the contract is unsafe as it will mean a reduction in maximum hours worked in a week and fewer consecutive night shifts. | |
12.57pm GMT | 12.57pm GMT |
12:57 | 12:57 |
Lunchtime summary - Jeremy Hunt imposes contract on junior doctors | Lunchtime summary - Jeremy Hunt imposes contract on junior doctors |
12.51pm GMT | 12.51pm GMT |
12:51 | 12:51 |
Hunt has finished taking questions on his statement. Here’s some of the latest reaction on Twitter to the news he will impose the contract. | Hunt has finished taking questions on his statement. Here’s some of the latest reaction on Twitter to the news he will impose the contract. |
Hard to believe Hunt was brought in to calm things down in the NHS after the warfare triggered by Andrew Lansley and his reforms #savethenhs | Hard to believe Hunt was brought in to calm things down in the NHS after the warfare triggered by Andrew Lansley and his reforms #savethenhs |
Glad to hear that Prof Sue Bailey chair @AoMRC has agreed to lead a wider review of long standing issues affecting junior doctors' morale | Glad to hear that Prof Sue Bailey chair @AoMRC has agreed to lead a wider review of long standing issues affecting junior doctors' morale |
If current and earlier docs offer both "cost neutral", there is something very wrong with way @Jeremy_Hunt & Health Dept do their sums! | If current and earlier docs offer both "cost neutral", there is something very wrong with way @Jeremy_Hunt & Health Dept do their sums! |
Jeremy Hunt should be forced onto Question Time this evening so he can't hide away this evening after forcing his Junior Doctor contract. | Jeremy Hunt should be forced onto Question Time this evening so he can't hide away this evening after forcing his Junior Doctor contract. |
12.44pm GMT | 12.44pm GMT |
12:44 | 12:44 |
Many MPs are bringing up the effects of imposition of the contract on morale and recruitment. | Many MPs are bringing up the effects of imposition of the contract on morale and recruitment. |
Hunt says he believes “the biggest threat to morale is when doctors are not able to deliver the care they came into the profession to deliver.” | Hunt says he believes “the biggest threat to morale is when doctors are not able to deliver the care they came into the profession to deliver.” |
That’s what we’re trying to put right. In the end, the government have to decide what is right for patients and services as well as right for doctors. | That’s what we’re trying to put right. In the end, the government have to decide what is right for patients and services as well as right for doctors. |
Updated | Updated |
at 12.46pm GMT | at 12.46pm GMT |
12.38pm GMT | 12.38pm GMT |
12:38 | 12:38 |
Jack Dromey, Labour MP, asks if Hunt is proud that he has alienated junior doctors, and patronised them by saying they did not understand what was on offer. | Jack Dromey, Labour MP, asks if Hunt is proud that he has alienated junior doctors, and patronised them by saying they did not understand what was on offer. |
Hunt says Dromey “can do a lot better than that” but insists the BMA would not meet the government without pre-conditions until December this year, when they had already balloted for industrial action. | Hunt says Dromey “can do a lot better than that” but insists the BMA would not meet the government without pre-conditions until December this year, when they had already balloted for industrial action. |
12.35pm GMT | 12.35pm GMT |
12:35 | 12:35 |
Here’s the full statement from Labour’s shadow health secretary Heidi Alexander to Jeremy Hunt a few minutes ago. | Here’s the full statement from Labour’s shadow health secretary Heidi Alexander to Jeremy Hunt a few minutes ago. |
This whole dispute could have been handled so differently. | This whole dispute could have been handled so differently. |
The Health Secretary’s failure to listen to junior doctors, his deeply dubious misrepresentation of research about care at weekends and his desire to make these contract negotiations into a symbolic fight for delivery of seven-day day services has led to a situation which has been unprecedented in my lifetime. | The Health Secretary’s failure to listen to junior doctors, his deeply dubious misrepresentation of research about care at weekends and his desire to make these contract negotiations into a symbolic fight for delivery of seven-day day services has led to a situation which has been unprecedented in my lifetime. |
Everyone, including the BMA, agrees with the need to reform the current contract. But hardly anyone thinks the need to do that is so urgent that it justifies imposition, and all the chaos that will bring. | Everyone, including the BMA, agrees with the need to reform the current contract. But hardly anyone thinks the need to do that is so urgent that it justifies imposition, and all the chaos that will bring. |
One of the hospital chief executives who the Secretary of State claims is supporting him has tweeted this morning: “I have supported the view that the offer made is reasonable… I have not supported contract imposition”. | One of the hospital chief executives who the Secretary of State claims is supporting him has tweeted this morning: “I have supported the view that the offer made is reasonable… I have not supported contract imposition”. |
Can the Health Secretary not see that imposing a new contract which doesn’t enjoy the confidence of junior doctors will destroy morale which is already at rock bottom? | Can the Health Secretary not see that imposing a new contract which doesn’t enjoy the confidence of junior doctors will destroy morale which is already at rock bottom? |
Does he not realise that this decision could lead to a protracted period of industrial action which will be distressing for everyone – patients, doctors, everyone who works in or depends upon the NHS? | Does he not realise that this decision could lead to a protracted period of industrial action which will be distressing for everyone – patients, doctors, everyone who works in or depends upon the NHS? |
A poll earlier this week found that nearly 90 per cent of junior doctors are prepared to leave the NHS if a contract is imposed. The Health Secretary needs to stop behaving like a recruiting agent for Australian hospitals and start acting like the Secretary of State for our NHS. | A poll earlier this week found that nearly 90 per cent of junior doctors are prepared to leave the NHS if a contract is imposed. The Health Secretary needs to stop behaving like a recruiting agent for Australian hospitals and start acting like the Secretary of State for our NHS. |
The Health Secretary has been keen to present a new junior doctor contract as the key which unlocks the delivery of 7 day services. This is a massive oversimplification and he knows it. Whilst research shows a higher mortality rate amongst patients admitted to hospital at the weekend, there is absolutely no evidence which shows a lack of junior doctors specifically causes this. | The Health Secretary has been keen to present a new junior doctor contract as the key which unlocks the delivery of 7 day services. This is a massive oversimplification and he knows it. Whilst research shows a higher mortality rate amongst patients admitted to hospital at the weekend, there is absolutely no evidence which shows a lack of junior doctors specifically causes this. |
What we heard from the Secretary of State today could amount to the biggest gamble with patient safety this House has ever seen. He has failed to win the trust of the very people who keep our hospitals running and he has failed to convince the public of his grounds for change. | What we heard from the Secretary of State today could amount to the biggest gamble with patient safety this House has ever seen. He has failed to win the trust of the very people who keep our hospitals running and he has failed to convince the public of his grounds for change. |
Imposing a contract is a sign of failure. It’s about time the Secretary of State realised that. | Imposing a contract is a sign of failure. It’s about time the Secretary of State realised that. |
Updated | Updated |
at 12.36pm GMT | at 12.36pm GMT |
12.33pm GMT | 12.33pm GMT |
12:33 | 12:33 |
MP Bernard Jenkin says he has such sadness that junior doctors were caught up in a dehabilitating and damaging dispute. He asks Hunt to speak directly with them and calls the BMA relationship “destructive.” | MP Bernard Jenkin says he has such sadness that junior doctors were caught up in a dehabilitating and damaging dispute. He asks Hunt to speak directly with them and calls the BMA relationship “destructive.” |
Hunt reiterates he believes there was no reason to have this dispute, and a seven-day NHS was something that was desired by every single doctors who “chose a career in medicine with the highest ethical motives.” | Hunt reiterates he believes there was no reason to have this dispute, and a seven-day NHS was something that was desired by every single doctors who “chose a career in medicine with the highest ethical motives.” |
He says he will continue to engage with doctors directly. | He says he will continue to engage with doctors directly. |
Updated | Updated |
at 12.34pm GMT | at 12.34pm GMT |
12.29pm GMT | 12.29pm GMT |
12:29 | 12:29 |
Here’s some of the first reactions from junior doctors, students and others to Hunt’s confirmation that he will be imposing the contract. | Here’s some of the first reactions from junior doctors, students and others to Hunt’s confirmation that he will be imposing the contract. |
Hunt announces Junior contract to be imposed. He has failed Patients, the NHS & this country. There'll be no certainly, only uncertainty now | Hunt announces Junior contract to be imposed. He has failed Patients, the NHS & this country. There'll be no certainly, only uncertainty now |
We seem to be living in a dictatorship not a democracy #juniorcontract @Jeremy_Hunt | We seem to be living in a dictatorship not a democracy #juniorcontract @Jeremy_Hunt |
@Jeremy_Hunt you're a liar. A complete liar. Thank you for making me feel like the last 6 years of uni have been for nothing #Juniordoctors | @Jeremy_Hunt you're a liar. A complete liar. Thank you for making me feel like the last 6 years of uni have been for nothing #Juniordoctors |
I'm devastated for my F2 daughter who is going to Oz in August and my son who graduates as a Dr this year #notsafenotfair #juniordoctors | I'm devastated for my F2 daughter who is going to Oz in August and my son who graduates as a Dr this year #notsafenotfair #juniordoctors |
12.25pm GMT | 12.25pm GMT |
12:25 | 12:25 |
Labour MP Barry Gardiner says it is logical to assume the problem he is trying to solve will get worse as fewer doctors join the NHS. | Labour MP Barry Gardiner says it is logical to assume the problem he is trying to solve will get worse as fewer doctors join the NHS. |
Hunt says there are 10,600 more than five years ago. | Hunt says there are 10,600 more than five years ago. |
There have been a lot of smoke and mirrors about what the contract proposal is. | There have been a lot of smoke and mirrors about what the contract proposal is. |
I hope all trainees and medical students look at the proposal that independent experts believe fair and reasonable and we will continue to recruit more doctors into the NHS. | I hope all trainees and medical students look at the proposal that independent experts believe fair and reasonable and we will continue to recruit more doctors into the NHS. |
Updated | Updated |
at 12.25pm GMT | at 12.25pm GMT |
12.23pm GMT | 12.23pm GMT |
12:23 | 12:23 |
Hunt is challenge on his statistics on weekend death rates by the SNP’s Philippa Whitford, who is a doctor, who points out studies show that nurses are more important to mortality. | Hunt is challenge on his statistics on weekend death rates by the SNP’s Philippa Whitford, who is a doctor, who points out studies show that nurses are more important to mortality. |
Hunt calls her comments “immensely more constructive” than Labour’s, but says the contract will be looked back on as a major step forward for a seven-day NHS. | Hunt calls her comments “immensely more constructive” than Labour’s, but says the contract will be looked back on as a major step forward for a seven-day NHS. |
Conservative MP Dr Sarah Wollaston, a former GP, said the BMA should welcome the inquiry into morale announced today and asks that both sides move forward in a positive way and “take the temperature down”. | Conservative MP Dr Sarah Wollaston, a former GP, said the BMA should welcome the inquiry into morale announced today and asks that both sides move forward in a positive way and “take the temperature down”. |
.@Jeremy_Hunt: "hope we can go forward in a positive spirit". That's just laughable as he's IMPOSING a #juniorcontract. #juniordoctorexodus | .@Jeremy_Hunt: "hope we can go forward in a positive spirit". That's just laughable as he's IMPOSING a #juniorcontract. #juniordoctorexodus |
Updated | Updated |
at 12.27pm GMT | at 12.27pm GMT |
12.13pm GMT | 12.13pm GMT |
12:13 | 12:13 |
Here’s a list of the NHS chief executives backing the imposition of the contract. | Here’s a list of the NHS chief executives backing the imposition of the contract. |
A list of NHS chief execs backing the position set out in Sir David Dalton's letter to Jeremy Hunt #juniorcontract pic.twitter.com/y2RjJ9x1iN | A list of NHS chief execs backing the position set out in Sir David Dalton's letter to Jeremy Hunt #juniorcontract pic.twitter.com/y2RjJ9x1iN |
But the consensus is already crumbling, as Heidi Alexander points out, one of the chief executives listed says he has not agree that the contract should be imposed, only that doctors should accept the deal | But the consensus is already crumbling, as Heidi Alexander points out, one of the chief executives listed says he has not agree that the contract should be imposed, only that doctors should accept the deal |
@cpeedell I have not supported contract imposition. I have supported the view that the offer made is reasonable. | @cpeedell I have not supported contract imposition. I have supported the view that the offer made is reasonable. |
Updated | Updated |
at 12.15pm GMT | at 12.15pm GMT |
12.10pm GMT | 12.10pm GMT |
12:10 | 12:10 |
Heidi Alexander, the shadow health secretary, says the imposition of the contract will “destroy morale” among junior doctors and says Hunt’s statistics on weekend death rates are “deeply dubious”. | Heidi Alexander, the shadow health secretary, says the imposition of the contract will “destroy morale” among junior doctors and says Hunt’s statistics on weekend death rates are “deeply dubious”. |
She cites the number of doctors moving to Australia to work, saying the UK should not train doctors to export them to the Southern hemisphere. | She cites the number of doctors moving to Australia to work, saying the UK should not train doctors to export them to the Southern hemisphere. |
This could be the biggest gamble with patient safety this house has ever seen. Imposing a contract is a sign of failure and it is about time the Secretary of State realised that. | This could be the biggest gamble with patient safety this house has ever seen. Imposing a contract is a sign of failure and it is about time the Secretary of State realised that. |
12.05pm GMT | 12.05pm GMT |
12:05 | 12:05 |
Hunt announces review into 'morale' of junior doctors | Hunt announces review into 'morale' of junior doctors |
Hunt said the process has “uncovered deep seated concerns about morale, well-being and quality of life” and he cites separation from spouse and families on placements and inadequate support from seniors. | Hunt said the process has “uncovered deep seated concerns about morale, well-being and quality of life” and he cites separation from spouse and families on placements and inadequate support from seniors. |
He has asked Dame Sue Bailey, president of the Academy of Medical Royal Colleges, to lead a review into measures outside the contract that will improve morale. | He has asked Dame Sue Bailey, president of the Academy of Medical Royal Colleges, to lead a review into measures outside the contract that will improve morale. |
Updated | Updated |
at 12.41pm GMT | at 12.41pm GMT |
12.04pm GMT | 12.04pm GMT |
12:04 | 12:04 |
Hunt says the government’s “door remained open” for three years and said the departments showed a willingness to negotiate time and again. | Hunt says the government’s “door remained open” for three years and said the departments showed a willingness to negotiate time and again. |
But he said it was imperative both sides demonstrated flexibility and compromise. “The BMA proved ultimately unwilling to do that.” | But he said it was imperative both sides demonstrated flexibility and compromise. “The BMA proved ultimately unwilling to do that.” |
He refers to eight studies on weekend death rates, and said that six pointed to inadequate staffing levels. | He refers to eight studies on weekend death rates, and said that six pointed to inadequate staffing levels. |
Hunt said he is confident that the new contract is “one that in time can commend the confidence of workforce and employers.” | Hunt said he is confident that the new contract is “one that in time can commend the confidence of workforce and employers.” |
11.59am GMT | 11.59am GMT |
11:59 | 11:59 |
Hunt says those working one in four or more Saturdays will receive a pay premium of 30%. It does represent a reduction in current rates, because hospitals must be able to afford additional weekend restoring. | Hunt says those working one in four or more Saturdays will receive a pay premium of 30%. It does represent a reduction in current rates, because hospitals must be able to afford additional weekend restoring. |
The government will also give doctors a basic pay rise of 13.5%. | The government will also give doctors a basic pay rise of 13.5%. |
11.57am GMT | 11.57am GMT |
11:57 | 11:57 |
Hunt will impose contract on junior doctors | Hunt will impose contract on junior doctors |
Hunt pays tribute to the chief negotiator, Sir David Dalton, who he said has reached agreement on 90% of issues. | Hunt pays tribute to the chief negotiator, Sir David Dalton, who he said has reached agreement on 90% of issues. |
But Sir David and NHS England’s chief executive, Simon Stevens had asked him to end the uncertainty, and Hunt said he has decided to do that today. | But Sir David and NHS England’s chief executive, Simon Stevens had asked him to end the uncertainty, and Hunt said he has decided to do that today. |
Updated | Updated |
at 12.06pm GMT | at 12.06pm GMT |
11.55am GMT | 11.55am GMT |
11:55 | 11:55 |
Jeremy Hunt in the House of Commons | Jeremy Hunt in the House of Commons |
I’m switching now to cover Jeremy Hunt’s statement on the junior doctors’ contract in the House of Commons, he’s expected to impose the contract on the doctors this summer. | I’m switching now to cover Jeremy Hunt’s statement on the junior doctors’ contract in the House of Commons, he’s expected to impose the contract on the doctors this summer. |
11.54am GMT | 11.54am GMT |
11:54 | 11:54 |
Labour MP Caroline Flint asks why HMRC hasn’t applied any penalties to Google for non-payment of tax over the last five years. | Labour MP Caroline Flint asks why HMRC hasn’t applied any penalties to Google for non-payment of tax over the last five years. |
It is very difficult to argue they have taken insufficient care, even if they have come to the wrong conclusion in their accounting, Harra said. | It is very difficult to argue they have taken insufficient care, even if they have come to the wrong conclusion in their accounting, Harra said. |
Flint says that the lawyers and tax experts of Google have “out- manoeuvred” HMRC and says there is “considerable public anger”. | Flint says that the lawyers and tax experts of Google have “out- manoeuvred” HMRC and says there is “considerable public anger”. |
Updated | Updated |
at 11.54am GMT | at 11.54am GMT |
11.51am GMT | 11.51am GMT |
11:51 | 11:51 |
Lin Homer is going back to the letter sent last night to the committee. The letter contained taxpayer-confidential information, she said, which they needed Google permission to make public. She insists the information was intended to be aired in the committee. | Lin Homer is going back to the letter sent last night to the committee. The letter contained taxpayer-confidential information, she said, which they needed Google permission to make public. She insists the information was intended to be aired in the committee. |
The SNP’s Deirdre Brock said the committee does not need the exact numbers. What they need to know is, is every business treated the same, even small shops in her constituencies? | The SNP’s Deirdre Brock said the committee does not need the exact numbers. What they need to know is, is every business treated the same, even small shops in her constituencies? |
It is exactly the same process, Brock said, though admits the average length of an investigation is 22 months so “this was a long one”. | It is exactly the same process, Brock said, though admits the average length of an investigation is 22 months so “this was a long one”. |