§ 11. Mr. Spellerasked the Secretary of State for Social Services whether the long-term arrangements for nurses currently being negotiated have yet been settled.
§ Mr. FowlerFollowing my discussions with the nurses and midwives Whitley council on 17 March, a small working group under the chairmanship of my hon. and learned Friend the Minister for Health had its first meeting on 10 June. At that meeting it was agreed that the aim should be to have a new permanent arrangement in place in time for next year's pay settlement. However, it remains clear that a great deal of work needs to be done to develop the ideas that have been discussed so far and the next meeting will therefore be held shortly.
§ Mr. SpellerThe nurses, physiotherapists and similar workers in the Health Service take no pleasure in these annual negotiations, and I am happy that my right hon. Friend is proceeding towards a long-term agreement. May I express the hope that it will be borne in mind that if there cannot be a permanent agreement for the long term, even a two, three or four-year agreement would be useful in saving this annual strife?
§ Mr. FowlerI entirely agree with the generality of my hon. Friend's remarks. We are seeking new permanent arrangements that will continue year after year. I do not think that anyone in the Health Service wants the annual strife that we have seen. We want something that is more sophisticated, more accurate and fairer than the Clegg Commision of last year.
§ Mr. RaceWill the right hon. Gentleman confirm that in the paper sent to the staff side organisations in February 1982 the Government laid the greatest stress on what they called the concept of affordability? Will he tell the House precisely what he means by that? Will he tell the House also why his hon. and learned Friend the Minister for Health gave strong hints at the meeting of 10 June to all the staff organisations to the effect that the special arrangements for pay for the police and the firemen were to be abolished?
§ Mr. FowlerI do not think that the hon. Gentleman has given an accurate description of what my hon. and learned Friend said. The hon. Gentleman must by now be aware that we have said that the new arrangement should have a number of elements. One element is the job position within the profession. Another element is comparability and a further element is what the nation can afford. That is why it is an improvement upon anything that has gone before.
§ Mr. Nicholas WintertonI appreciate what my right hon. Friend has said, but will he accept that the nursing profession, especially the Royal College of Nursing and the paramedical staff, do not and will not go on strike, and for that reason they deserve to be treated as a special case? Will he give an assurance to the House that the special arrangement that he has mentioned today will definitely be implemented for the next financial year? Will he accept that many of his right hon. and hon. Friends would like to see it implemented during the present financial year?
§ Mr. FowlerI give the assurance that we shall do our utmost to have the new arrangement in position by April 1983. I am glad to repeat that assurance to my hon. Friend. I repeat also that we recognise the special position of nurses and, of course, that of the Royal College of Nursing.
§ Mr. CryerWhatever the long-term arrangements that are being negotiated, which no doubt will be welcomed because they will replace the annual bargaining, will the right hon. Gentleman accept that the offer of 6 per cent. for nurses and 4 per cent. for other Health Service workers has been greeted with a sense of outrage, especially when senior civil servants and judges can get 18 per cent. without even asking for an increase? Health Service workers are being driven to take industrial action by the Government's parsimony. Is the right hon. Gentleman aware that Health Service workers in the Airedale general hospital in my constituency welcome the support of Arthur Scargill and the miners in their struggle?
§ Mr. FowlerI know of very few who work in the National Health Service and who respect the interests of the service who welcome Mr. Scargill's intervention, which, from the point of view of the Health Service, is a disaster. It will result in a great deal of lost support within the Health Service.