(5 months, 1 week ago)
Commons ChamberMay I say how delighted I am to see my hon. Friend back in one piece, given her abseil down the hospital recently, and also say how much I enjoyed seeing the confidence, ambition and professionalism of the new services being provided by her local hospital? I hope that she is pleased that I can confirm today that the Government have the ambition to expand the use of fracture liaison services to every integrated care board in England, achieving 100% coverage by 2030, which is very much inspired by her hospital.
Since being elected to represent North West Norfolk, I have campaigned, with strong local support, for a new hospital. Can my right hon. Friend the Health Secretary confirm that only this Conservative Government are committed to building a new Queen Elizabeth Hospital in King’s Lynn by 2030, for patients and staff, as part of our fully funded plan?
I thank my hon. Friend, and very much understand and acknowledge his campaigning on this matter. Yes, we want to ensure that his county has the modern hospital facilities that it needs. I note in passing that, in the Norfolk and Norwich trust, this summer, we will see the opening of more surgical capacity precisely to help to deal with some of the waiting lists in his county. This is positive, practical action to secure a bright future for his local NHS.
(8 months, 3 weeks ago)
Commons ChamberI am delighted to confirm that. We have wanted to deal with the issues as quickly as we can, but also with an eye to the future. This is the way in which the Government set out our plans for the NHS and for our social care system. I am confident, for example, about the introduction of golden hellos for new dentists. We know that that works with GPs and we now want to try it with dentists to see whether we can get dentists into those areas that do not have the service they need at the moment.
According to the National Audit Office, North West Norfolk has one of the lowest numbers of dentists per population. Can my right hon. Friend confirm that my constituents will benefit from the £20,000 incentives and from the mobile dental vans? On training, will she look closely at the proposal from the University of East Anglia for a dental training school? That is the obvious place to have it in the east of England.
My hon. Friend will not be surprised to learn that I have received rather a lot of lobbying about the location of future dental schools. He will see in the plan that we are very open to the idea of training people with a view to their remaining in those areas. This is where golden hellos come in, and they will most definitely apply in the hardest-to-reach and underserved areas. As I say, we are taking very careful criteria-driven decisions about where the dental vans will be supplied, but we understand the problem that Norfolk has.
(9 months, 3 weeks ago)
Commons ChamberNo, I will give way to my hon. Friend the Member for North West Norfolk (James Wild) and then I will make some progress.
My right hon. Friend mentioned levers. One issue facing recruitment in North West Norfolk is the time involved in getting on to the NHS performers list. Newly in post, will she look at that issue and bring forward proposals as part of the plan to speed up that process and boost recruitment?
I am extremely grateful to my hon. Friend. His intervention shows the level of detail that colleagues on the Conservative Benches have gone into in trying to address the understandable concerns that local NHS providers are voicing. I will look into that. I am very keen on my three words: faster, simpler, fairer. I want to make it as simple as possible for dentists to rejoin and join the NHS. I will say more on that later.
The choice of whether patients are offered NHS exams and treatment lies with the dentists, who are independent contractors to the NHS. As well as making simple, common-sense changes, in July 2022 we announced a package of far-reaching reforms to make NHS work more attractive to dentists. We have created more bands for units of dental activity, so that dentists are properly rewarded for taking on more complex care, and the best-performing practices can see more NHS patients.
Previously, regardless of the amount of time the dentist took on each patient, they received the same payment for every individual treatment package in band 2, which covers fillings and tooth extraction. Perversely, that meant they received the same payment for doing one filling as for three. That left many dentists unable to afford to take on patients who had not seen a dentist for some time and therefore needed extensive treatment. That needed to be put right for the sake of both patients and dentists. Thanks to our reforms, dentists now receive five units of dental activity when they treat three or more teeth, which is a significant increase from the old maximum of three. Root canal treatment on molar teeth is now rewarded with seven units of dental activity, as opposed to three, meeting one of the British Dental Association’s key demands.
We also recognise the barriers that too many communities have faced when accessing NHS dentistry, with people left phoning around practices to see who was taking on NHS patients. That is why we have made it a contractual requirement for dentists to update the NHS website regularly, making it clear whether their practices are taking on new patients, as well as explaining the services that they offer, thus making it easier for patients to find a dentist that can deliver the care they need. These reforms have improved access to dentistry and ensured that the system better supports dentists and their teams, so they were well received by dentists, their representatives and patient groups across England, with Healthwatch’s national director recognising that these reforms show that the Government are listening to patients and taking action, and these reforms can help ensure that dental care is accessible and affordable to everyone who needs it.
(9 months, 3 weeks ago)
Commons ChamberIs not the rejection by the BMA of derogation requests made on the basis of patient safety dangerously irresponsible? Rather than Dr Laurenson, co-chairman of the junior doctors committee, saying that the NHS hates doctors, it is past time that they called off this damaging strike action and put patients first.
Very much so—the NHS belongs to us all, as I say repeatedly. It goes without saying that doctors are a critical part of our workforce. That is why, since becoming Secretary of State, I have wanted to have a good, constructive working relationship with all of the representatives of doctors and the wider workforce. That was why I called in the BMA and “Agenda for Change” as soon as I possibly could, and I am pleased that I have been able to find fair and reasonable settlements with consultants and specialty doctors. I very much hope that junior doctors will call off their strikes and come back around the table so that we can find solutions for them too.