Andrew George

It is a pleasure to serve under your chairmanship, Dr Huq. I congratulate my hon. Friend the Member for Torbay (Steve Darling) on the debate. I will try, in my remaining two minutes, to cover four subjects very quickly. The first is about the fair funding question or whether the funding to an area is sufficient. The hon. Member for Truro and Falmouth (Jayne Kirkham) rightly referred to the seasonality of the pressures and the rural nature of the geography, but in Cornwall there is also the issue of the peninsularity of the geography. People cannot call on an emergency service to the north, south or west in a place such as Cornwall and therefore we need to make provision for services so that they can cover all eventualities. Also, this year, during the settlement process, people are talking about cost improvements within the ICB spending programme over the future year. In Cornwall, it is a cost improvement—the rest of us might describe it as a cut in services—of £108 million, which is about 7% of the budget overall. That will create tremendous pressure in areas such as ours. The second issue is value for money estimates. I visited a brilliant project very recently: the Helston Gateway project, which has created a new GP surgery across 20 consultation rooms, and achieved that on the basis of a building cost of just £1,400 a square metre, which is half the cost that people would get if they went to private sector contractors doing it through NHS development programmes and certainly significantly less than in the private finance initiative programmes of the past. I strongly urge Ministers to look at such brilliant initiatives as a brilliant way to provide services. The third issue is stopping private sector organisations cherry-picking the profitable parts of the NHS and therefore undermining acute sector trusts. Finally, I would welcome clarity as to why the acute trust in Cornwall is not having its debt written off, unlike other provider trusts and ICBs.