Oral Answers to Questions

Anna Firth Excerpts

Tuesday 23rd April 2024 Commons Chamber

[Dame Andrea Leadsom]

The hon. Lady is choosing numbers out of the air. She will be aware that there are almost 3,000 more GPs now than in 2019, and very importantly the long-term workforce plan is scheduled to introduce 6,000 new training places by 2031-32. In 2022, we had the greatest number ever of new trainee GPs. That is great news for GP practice, as they are crucial to primary care.

[Anna Firth (Southend West) (Con)]

5. What steps she is taking to ensure adequate funding for hospital repairs.

[The Secretary of State for Health and Social Care (Victoria Atkins)]

May I wish you a happy St. George’s day, Mr Speaker? I also wish the hon. Member for Bristol South (Karin Smyth) a speedy recovery; I hope to see her across the Dispatch Box soon.

The Government have invested significant sums to maintain and modernise NHS buildings, including £4.2 billion for integrated care boards this financial year. This is on top of the expected £20 billion for the new hospital programme. We have invested a further £1.7 billion for over 70 hospital upgrades across England, including in mid and south Essex.

[Anna Firth]

I thank the Secretary of State very much for the Government’s commitment to delivering the £110 million in capital funding for south Essex hospitals and for her recent visit to Southend hospital, where she saw in our emergency village how much £8 million can do in the hands of Southend hospital’s inspirational NHS staff. However, our aged buildings do also need urgent maintenance, so what can she also do to deliver the £38 million in maintenance funding also needed for Southend hospital?

[Victoria Atkins]

I thank my hon. Friend, and also wish her the very best of luck, as she is due to abseil down the hospital next month for its radiotherapy appeal. I very much hope she lands safely and does not trouble Southend hospital. I was delighted to visit the hospital at her invitation earlier this month, and I was very much impressed by the immediate improvements that the £8 million funding has meant in the Dowsett ward and for discharge and treatment times through accident and emergency. This is part of our plan, both through the urgent and emergency care plan and through our recovery plan for electives and the new hospital programme, to rebuild hospitals and provide that investment so that clinicians can use it to treat their local patients.

Hospice Funding

Anna Firth Excerpts

Monday 22nd April 2024 Commons Chamber

[Sally-Ann Hart]

I thank the hon. Member for his intervention, and I could not agree more; he is absolutely right.

[Anna Firth (Southend West) (Con)]

My hon. Friend asks why this support is not funded. In Southend we have the absolutely brilliant Havens hospice, which includes the children’s hospice Little Havens. More than 80% of its funding comes from donations, so it is dependent on sky dives and cycle rides, which is fantastic, but given that we fund, on the NHS, the beginning of life with maternity care, does she not think that we should be funding the end of life?

[Sally-Ann Hart]

I do, and I will be coming to that a little later.

The future of end of life care is uncertain, as increasing costs and demands are putting huge pressures on hospices and care providers. When it comes to the debate on assisted suicide, it is important that people feel confident that their end of life care will protect them from pain and suffering.

Certainly, we need increased funding. More resources are needed for end of life care services, including hospices, home care and palliative care teams. St Michael’s Hospice, for example, costs around £7 million a year to run and it receives about £2 million a year from the integrated care board and the remaining £5 million comes from the community in various forms. Like all hospices, St Michael’s is heavily dependent on the generosity of local individuals, companies, groups and trusts. This funding model is uncertain and unsustainable and places hospices under considerable strain.

Tobacco and Vapes Bill

Anna Firth Excerpts

2nd reading
Tuesday 16th April 2024 Commons Chamber

[Anna Firth (Southend West) (Con)]

I support the Bill’s aim to create the first smoke-free generation. It is bold and visionary, and I support it.

I want to use my time to make four short points. It will not surprise you, Madam Deputy Speaker, that the first one concerns the new city of Southend. My vision is to make the city of Southend safer, healthier and wealthier for all, but the incidence of smoking in Southend is a real barrier to that vision. In 2022, the rate of smoking in Southend was estimated to be over 14%, which is 1.5% higher than the national average. What is even more concerning is that the 2022 figure is 3% higher than the 2021 figure. Although it is laudable that smoking rates have been consistently declining in the UK for the past 40 years, the reality is that in some of our coastal cities—and, sadly, Southend is one of them—the rates are still too high and are even rising. I am delighted that the Prime Minister has sought to tackle this issue, and anything that makes the next generation of Southenders healthier certainly has my backing.

I am delighted that the Bill tackles vaping. As we have heard, recent research shows that nearly a quarter of children use vapes, with more than 10% in secondary schools describing themselves as regular users. Vaping is much more concerning because we simply do not yet know the long-term effects, but what we do know is alarming. We know that vaping-related hospital admissions almost doubled in 2022, with 32 of those cases involving children. Bearing in mind that cigarettes were once considered to be perfectly safe, as we have heard, I believe it is simply not responsible to fail to act to stop young people becoming hooked on these products.

However, like others I have a number of concerns about how the Bill will work in practice. There are only 5,000 trading standards officers around the country. How can such a small number ensure that the ban on the sale of these products is enforced? Just as importantly, as this Bill is currently drafted, if someone were to go abroad on a trip and come back with a pack of 200 Marlboro Gold—apparently only £37 at the current duty-free rate—there is nothing to stop them smoking them or giving them to others because they have not bought them, so that has to be tackled as well.

Like my right hon. Friend the Member for Chelmsford (Vicky Ford), I have engaged with my local students. My last cohort of work experience students, all with an interest in politics, were very interested in this policy. Students from Westcliff High School for Girls, Southend High School for Girls, Southend High School for Boys and the King Edmund School all support the aim of the Bill, but they too raise a number of intelligent concerns. They want to know how shops that already sell illegal and unregulated nicotine products will be dealt with when they add illegal vapes. They want to know how people well into adulthood will be identified for nicotine products—how will shops tackle that? They strongly support the banning of disposable vapes, particularly for environmental reasons, but they are much more concerned about cracking down on the under-age vaping that is already happening than banning future vape purchases. Finally, they raised considerable concerns about the potential for a black market in nicotine products. They pointed out the prevalence of unregulated products cut with even worse substances in the illicit drug market, and they fear we might be opening the door for this to happen with nicotine products as well.

I support the principle of the ban. This is about protecting the long-term health of young people in our country and I will be voting for it, but we must address the real concerns expressed by the very young people the Bill has been introduced to protect.

Cass Review

Anna Firth Excerpts

Monday 15th April 2024 Commons Chamber

[Victoria Atkins]

I thank the hon. Lady for giving me the opportunity to make it clear again that this report is about gathering the evidence to help support our children and young people to the best care they can have. For a very small number that may well be a medical pathway, but for the overwhelming majority we know from Dr Cass’s report that there may be other ways in which they can be best supported and looked after. I do not want anyone to walk away from this debate thinking that this is somehow a report about those adults who have made that decision of their own free will and are living their lives as freely as we all want them to—it is not. It is about the healthcare and emotional care and support that we give to young people and their families, and the professional confidence we give to clinicians to ensure that we get to the right place for each and every individual child.

[Anna Firth (Southend West) (Con)]

I welcome the Secretary of State’s powerful statement and the Cass report. However, we have to acknowledge that the report would not have been commissioned without this Government, with the support of some other parties. So many Opposition Members just stayed silent and thought the report was pretty much a waste of time, and to see the lack of any appreciation of that today is shocking and shameful.

On the timetable to enact the wider findings of the Cass report, I am grateful for what the Secretary of State said about meeting the GMC over the weekend, but there is work to be done. Secondly and really concerningly, what steps are—

[Madam Deputy Speaker (Dame Eleanor Laing)]

Order. I am sure the hon. Lady does not mean “secondly”, because she is not making a speech. She has one question to ask, and I would be grateful if she could ask it.

[Anna Firth]

What are we going to do to provide emotional and psychological support for those who have already undergone this treatment with irrevocable consequences?

[Victoria Atkins]

My hon. Friend’s observations about Members from other parts of the Chamber and their response to this are well made, frankly. [Interruption.] Gosh, I am being told they are not true. Crikey, Opposition Members may have just opened up a Pandora’s box. On my hon. Friend’s point about supporting people who have gone through the process and are trying to detransition, she is absolutely right that they need particular care. I am actively looking into what NHS England needs to provide to look after the very complex needs that such people have.

Oral Answers to Questions

Anna Firth Excerpts

Tuesday 5th March 2024 Commons Chamber

[Dame Andrea Leadsom]

I encourage the hon. Lady to hold her integrated care board to account. We invest more than £3 billion a year in dentistry, and our dental recovery plan means that significant money is available for NHS dentistry. It is for the integrated care board to commission those units of dental activity, which now offer more money—a minimum of £28 per UDA. I am happy to meet the hon. Lady if she finds she is not getting anywhere with her ICB.

[Anna Firth (Southend West) (Con)]

I am currently working with a brilliant local pharmacist, Fizz, to open a new NHS dental practice in Belfairs in my constituency. Premises and dentists have been lined up, but we need the ICB to commission the service. Will the Minister meet me, my local ICB and Fizz to unlock that vital service as soon as possible?

[Dame Andrea Leadsom]

I am delighted to hear about that really good news for my hon. Friend’s constituents—I know she works tirelessly for them. Of course, I will be very happy to meet her.

NHS Dentistry: Recovery and Reform

Anna Firth Excerpts

Wednesday 7th February 2024 Commons Chamber

[Victoria Atkins]

As I have said, dentists are independent contractors but we want to encourage them back into the NHS if they have left it, and we believe that the new patient premium and the work on the UDA are just two of the levers that we can deploy to achieve that. We also have a longer-term vision for our NHS, and through the long-term workforce plan we will be training 40% more dentists by 2031. That is real ambition and a plan for the long-term future of our country.

[Anna Firth (Southend West) (Con)]

I completely welcome this plan, and particularly my right hon. Friend’s focus on underserved areas and coastal communities. This is something I have raised before in the Chamber. Southend is a coastal city with over 180,000 residents but only three dentists currently accepting NHS patients, so we qualify on both counts. Please could she confirm for Southend and Leigh residents that we will also get either a van or better dental care, preferably within months, not years?

[Victoria Atkins]

I am delighted to tell my hon. Friend that those dental surgeries already operating under NHS contracts will have the benefit of new patient premiums and the increased rate of UDA. On the dental van, she will appreciate that we are having to apply strict criteria to this, but I am delighted to see how enthusiastic she is about this recovery plan.

NHS Winter Update

Anna Firth Excerpts

Monday 8th January 2024 Commons Chamber

[Victoria Atkins]

I hope the hon. Gentleman is injecting the same anguish into the conversations that I imagine he is having with his local junior doctors, asking them to come back to work. Of course, having junior doctors not working in hospitals across the NHS has an impact—of course it does; they are a vital part of our NHS. The attention of NHS leaders, medical directors and clinicians over past weeks has had to be diverted towards covering the strike action rather than making the sorts of improvements and progress we all want to see across urgent and emergency care, in line with our recovery plan.

[Anna Firth (Southend West) (Con)]

Happy new year, Mr Deputy Speaker. The majority of NHS staff at Southend Hospital are working incredibly hard. Despite winter pressures and industrial action, they have used winter money to open a new ward, adding extra bed spaces. However, the chief executive has written to tell me he is extremely concerned that approaching 40,000 out-patient and in-patient appointments across the Mid and South Essex NHS Foundation Trust have been postponed since this industrial action started. This afternoon, we learned from the Secretary of State that doctors in training have received above inflation average pay rises of 9%, so is it not time that they simply got back to work, delivering the care my constituents deserve and pay for?

[Victoria Atkins]

I thank my hon. Friend. We know the figures for previous strike actions, but sadly we will hear the true extent and impact of the strike action over the last six days later this week, and I suspect we will have even more missed and cancelled appointments to add to the list she rightly sets out.

On the point about pay, the basic pay of a foundation year one doctor has risen by 10.3%. Once one takes into account factors such as overtime and unsocial hours payments, that means the average salary is £40,800, a figure that I hope begins to reflect the importance we put on doctors and their role in the NHS. As doctors progress with their careers, there is a good package of development and progress, culminating in the pay settlement, currently out to ballot with the BMA, that I hope consultants, who are at the end of their career and do so much to help train younger doctors, will vote for. There is much work to be done, but progress has already been made on pay. That is why the decision by the BMA junior doctors committee to call strikes of such length at this time of year was so disappointing.

Oral Answers to Questions

Anna Firth Excerpts

Tuesday 5th December 2023 Commons Chamber

[Victoria Atkins]

I will not comment on evidence from the covid inquiry, given that it is an independent inquiry. However, on the general principle of encouraging people back into work, we have the plans set out by the Secretary of State for Work and Pensions and the Chancellor at the autumn statement. We want to encourage people back into work and to support them when they fall ill and need help from the state.

[Anna Firth (Southend West) (Con)]

Last year, I asked the Government to show me the money with respect to £118 million of long-awaited capital funding for south Essex hospitals. With £8 million now delivered and the other £110 million now confirmed to be on its way, will the Secretary of State please come with me to Southend Hospital and see how that vital money will transform care in Southend and Leigh-on-Sea?

[Victoria Atkins]

I will be delighted to visit that hospital with my hon. Friend—I suspect that I will be visiting a lot of hospitals.

Building an NHS Fit for the Future

Anna Firth Excerpts

Monday 13th November 2023 Commons Chamber

[Anna Firth (Southend West) (Con)]

On behalf of the people of the city of Southend and Leigh-on-Sea, I wish to express my gratitude and respect for His Majesty. Her Majesty the late Queen Elizabeth II is still much missed in Southend, but His Majesty has acceded the throne with all the dignity and gravitas that we came to expect from his mother. It was a true privilege to witness the first King’s Speech in 70 years.

I judge all new legislation against my three priorities to make the new city of Southend safer, healthier and wealthier. I am pleased to say that the King’s Speech hits all three of those priorities, although today we are, of course, talking about building an NHS fit for the future. That goes right to the heart of much of the work I have undertaken since being elected. As many Members have done, I welcome very much the commitment to creating a smokefree generation, cracking down on youth vaping, growing our NHS workforce and cutting waiting lists. However, I would like to talk a little about capital funding.

I welcome very much that core spending by the end of this Parliament will have increased from £140 billion to £193 billion in 2024-25. We have invested record sums in our NHS. That is an increase of £53 billion in cash terms, or a 37% increase. I welcome the fact that that includes capital spending of £83 million in the current spending review going into Southend Hospital, with another £19 million set to come on top of that, meaning a total of £102 million into my local hospital since the last election. I welcome that wholeheartedly, but we must do more to speed up the arrival of NHS capital funding.

The House is well aware of my campaign to get £118 million of capital investment that was promised to South Essex hospitals in 2017. The lion’s share of that, £52 million, was promised for Southend Hospital and it is much needed. I termed that money the missing millions and I have mentioned it 11 times in this House. Last year, I got £8 million to secure improvements to our emergency department, and two years ago I was absolutely delighted to hear that the rest, the £110 million, was finally confirmed and would be delivered in full. That will mean a modern endoscopy suite for Southend, an upgraded refurbished main theatre, more hospital beds and an upgraded emergency department: better and faster hospital care in better surroundings for all Southend’s residents and those around who come to our hospital. Better late than never, but we must do more to get that money through the bureaucracy faster than we have managed so far.

That investment will be moot if my constituents cannot get to the hospital. Ministers are aware that last year elderly residents were left stranded literally overnight when First Bus withdrew the No. 21 bus service, literally cutting them off from Southend Hospital. Working with First Bus I managed to reroute the No. 3 bus, but that is not good enough because it runs only once every two hours. I reiterate the need to restore that bus service. I am delighted that, working with the previous Roads Minister, bus funding of almost £1 million is now coming to Southend over two years, which should help to protect and enhance local bus services, including getting the No. 21 back. I am now looking forward very much to working with the new Roads Minister—as soon as I know who that is!

Money is not the be all and end all for the future of our NHS. We are investing record sums, but what we need to 100% focus on religiously is reform and prevention. Here, I want to talk about something called the fracture liaison service. I recently visited the fracture clinic at Southend Hospital, which is to launch a new fracture liaison service in spring next year, with the support of the Mid and South Essex integrated care board. This will be the first fracture liaison service in the UK to have a single FLS across an entire area, supporting consistent care across Mid and South Essex. In our region, there are an estimated 8,000 to 10,000 fragility fractures every year in adults aged 50 or over, often causing patients to spend extended periods in hospital, taking up hospital beds and staff time. Over five years, the new Southend FLS is expected to prevent 550 fractures, saving half a million pounds and 1,300 bed days every single year. If that is scaled up nationally, we will be saving 74,000 osteoporotic fractures and releasing 750,000 hospital bed days. Services like this are truly the future of the NHS. Their benefits are unquestionable. I look forward to seeing all regions following our lead in Southend to deliver savings and free up beds across the board.

On waiting lists, I was extremely disappointed to see The Times reporting erroneously that Southend is England’s NHS waiting list hotspot. The number quoted on waiting lists did not include the total catchment population for Mid and South Essex, where waiting lists today sit at approximately one in seven people, not one in five as was quoted. It is disappointing to see prestigious leading national newspapers irresponsibly pumping out the wrong information and not getting their facts straight.

Of course I am not happy for any of my constituents to wait longer than they should, but we must recognise that industrial action has played a part in the extension of waiting lists across the NHS. Mid and South Essex NHS Foundation Trust has a recovery plan, and provided that there is no further industrial action it will virtually eliminate 65-week waits—except in the case of some specialist services—by next March. However, we must have sustainable staffing in order to cut waiting lists, which is why I welcome the proposal to deliver the NHS long-term workforce plan. Like others, I also welcome the commitment to creating a new smoke-free generation. That will save thousands of lives, and it goes without saying that a healthier future for our children means a more sustainable NHS.

Community pharmacies are already saving 619,000 GP appointments every week—roughly 32 million a year—and removing the need for about 3.5 million people a year to visit A&E departments and walk-in centres. Given such staggering results, we must surely consider moving more health services out of hospitals and into the community.

[Mr Jayawardena]

Is it not also important for us to educate the public so that they know how much they can obtain from their local pharmacies rather than always relying on GP appointments or, indeed, associated professionals?

[Anna Firth]

I entirely agree with my hon. Friend, and he has brought me neatly to my next point. The brilliant Belfairs and French’s pharmacies in Leigh-on-Sea are run by an inspirational pharmacist, Mr Mohamed Fayyaz Haji, known as Fizz. The range of services that those pharmacies deliver is incredible, including cholesterol and blood pressure checks, health advice and prescribing, and they are now expanding into primary and community care, from ear syringing to community phlebotomy, earlier diagnosis measures such as measuring prostate-specific antigen levels to test for prostate cancer, electrocardiograms, ultrasound screening for sports injuries, and services for pregnant women. This is a model for community pharmacy care around the country that will keep people out of hospitals unless they really need to be there.

I am delighted that one of my key campaigns has made it into the King’s Speech. My campaign to ban all forms of zombie knives will be enacted through the criminal justice Bill, which will increase the maximum penalty for those who sell dangerous weapons to under-18s and create a criminal offence of possession of a bladed article with intent to cause harm. Being stabbed is the No. 1 fear for young people in Southend for the second year in a row, and I welcome the fact that the Bill will make our streets in Southend safer.

I see you looking at me, Madam Deputy Speaker, so I will summarise my next few points. Bleed kits must be rolled out, because the first person to reach a stab victim is often not an ambulance driver but someone from a pub, a club or a police car. If we support Julie Taylor’s award-winning campaign and roll out those bleed kits, we will save more lives.

No speech from me would be complete without my mentioning Southend United. I wholeheartedly welcome the football governance Bill, which will deliver a more sustainable future for football clubs such as Southend for generations to come.

I believe that this King’s Speech will deliver a healthier future, a stronger economy, and a safer future for all the residents of Southend and Leigh-on-Sea, especially children, and I look forward to voting for it later this week.

[Several hon. Members rose—]

Osteoporosis

Anna Firth Excerpts

Thursday 26th October 2023 Commons Chamber

[Judith Cummins (Bradford South) (Lab)]

I am grateful for the opportunity to raise once again the importance of osteoporosis provisions and support. As many hon. Members know, I have campaigned on this issue for many years. Today’s debate is an important opportunity to highlight the deficiencies in support for a health condition that affects so many women and a large number of men in this country.

Historically, osteoporosis has been a condition shrouded in mystery. I have chaired the all-party parliamentary group on osteoporosis and bone health for some time now, along with Lord Black of Brentwood. Today’s debate coincides with our very first national media campaign on osteoporosis, co-ordinated by the APPG and the Royal Osteoporosis Society—the Better Bones campaign. I encourage all hon. Members to give their support to this important campaign.

Support for the Better Bones campaign has been staggering. It shows the public, professional and political demand for change, because nearly 250 parliamentarians, 44 charities, seven royal medical colleges, business leaders and trade unions are collectively calling on the Government to end the postcode lottery on access to crucial osteoporosis services in this country.

[Anna Firth (Southend West) (Con)]

The hon. Lady is making a critical speech on osteoporosis treatment and support, and on absolutely the right day as well, when her campaign goes national. Is she aware that one in three people over the age of 50 who break a hip die of that injury or related complications within a year? That is a terrifying statistic. A large proportion of those fractures are osteoporotic, so does she agree that prevention and screening are key? There is groundbreaking work going on in Southend. The fracture clinic at Southend Hospital, which I had the pleasure of visiting a couple of weeks ago, is to launch a new fracture liaison service next spring, with the support of Mid and South Essex Integrated Care Board. It will be the first FLS screening service in the UK to offer consistent screening support across a whole region.

[Mr Deputy Speaker (Sir Roger Gale)]

Order. If the hon. Lady wishes to make a speech, I think there may be time, but she is making an intervention.

--- Later in debate ---

[Anna Firth (Southend West) (Con)]

I congratulate the hon. Member for Bradford South (Judith Cummins) on securing this debate. She has made a brilliant speech on a critical topic. As she brilliantly points out, osteoporotic fractures can be prevented and screening is the first step. If we could stop these breaks in the first place, not only would we save lives but we would save the NHS money and enable all our residents and constituents to live longer, healthier lives.

As I said earlier, the statistics are truly terrifying. One in three people over the age of 50 who break a hip go on to die of that injury within a year. We are talking about saving lives. The hon. Lady rightly mentioned that FLS is the start of this. The first FLS to roll out a consistent screening and prevention process across an entire trust will launch at Southend Hospital next spring. It is estimated that the service will prevent 550 fractures in mid and south Essex, saving the trust approaching half a million pounds and, critically, 1,300 bed spaces each year. If that were rolled out across the entire country, we would be looking at preventing 74,000 osteoporotic fractures, saving three quarters of a million bed days and hundreds of millions of pounds, to which the hon. Lady rightly referred.

The hon. Lady is right that this is the future of the NHS—we should be aiming at prevention—and that stopping women, in particular, suffering these osteoporotic fractures has to be done by rolling out FLS across the whole country. I hope the Minister will agree that other regions should follow Southend’s example. It is an exemplar and I thank him and the hon. Lady for giving me this opportunity to speak.