Oral Answers to Questions
Alan Mak Excerpts(4 years, 10 months ago)
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Matt Hancock
The hon. Lady is quite right. As part of the long-term plan, we have considered the best way to commission sexual health services, which were moved over to local authorities five years ago. We think that the responsibilities are sitting in the right place, but we need to see far more co-commissioning, where local authorities and the NHS together ensure that there is more joined-up provision, rather than the siloed provision that she mentions.
Alan Mak (Havant) (Con)
Matt Hancock
My hon. Friend is quite right to celebrate the development of the NHS app. More than 80% of people are now able to use the NHS app to link to their GP practice. Our plans for the year ahead include API-based connections to a number of third-party products, including the NHS app. More importantly, I want the opening of this system to allow other innovators to be able to develop products for patients to use in a way that we have not imagined before. I want a load of innovations so that people can get the best possible access to their NHS.
Cystic Fibrosis Drugs: Orkambi
Alan Mak Excerpts(4 years, 11 months ago)
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Paul Scully
The right hon. Gentleman is absolutely right; that is a really good point. Actually, the diabetes came from the cystic fibrosis, but he is right to talk about the medication in that way.
Alan Mak (Havant) (Con)
My hon. Friend is making a persuasive speech. This issue is important in my Havant constituency, as it is in the constituency of my right hon. Friend the Member for Tunbridge Wells (Greg Clark), who is sitting next to me. Does my hon. Friend the Member for Sutton and Cheam (Paul Scully) agree that while we praise the work of the Cystic Fibrosis Trust, we should also commend it for the research into the condition that it does itself? I urge hon. Members from across the House to support any bids for funding that it makes to the NHS or other funding bodies so it can continue its important work in this field.
Paul Scully
My hon. Friend is absolutely right. I have been to the Cystic Fibrosis Trust twice, and I was absolutely blown away. It is the kind of organisation that I got into politics to help. I met Lynsey Beswick, who works there—she may be in the Public Gallery. She is a CF sufferer, and she has just climbed Snowdon. I would struggle with that, and she has reduced lung capacity. [Applause.] That is the first time I have got a round of applause in Westminster Hall; I am not sure it is to be encouraged. Lynsey, that is for you.
Oral Answers to Questions
Alan Mak Excerpts(5 years, 3 months ago)
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Matt Hancock
The hon. Lady is absolutely right that these waiting time targets need to be improved upon, which is one reason why we are putting so much extra taxpayers’ money into the NHS. Of course, waiting times also need to follow clinical need, and we are taking advice on that.
Alan Mak (Havant) (Con)
Genome sequencing and other fourth industrial revolution techniques play a key role in the detection and treatment of cancer and other diseases. How is the NHS adopting those new techniques?
Matt Hancock
The use of new technologies is drilled through the new NHS long-term plan. Genome sequencing holds great opportunities to improve the health of the nation, and my hon. Friend is a great advocate for it.
NHS Long-term Plan
Alan Mak Excerpts(5 years, 4 months ago)
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Matt Hancock
Of course the provision of services locally is a matter for local clinicians, and it must be led by local clinicians. I am always happy to look at individual cases and, as with the other example, I will ask the NHS to write back to the hon. Gentleman with an explanation.
Alan Mak (Havant) (Con)
Upgrading the NHS’s technology is key to its productivity and its future, and it should include rolling out a new NHS app; phasing out outdated technologies such as fax machines; and adopting new fourth industrial revolution technologies. What progress has the Department made in those areas?
Matt Hancock
My hon. Friend is dead right. There is a whole chapter in the plan on using new technologies not only to improve care but to make care more convenient. He has been a doughty campaigner for the use of technology in health services. His trip to my local hospital to understand these issues went down incredibly well locally, and I hope he keeps pushing us to do the best we can.
Gosport Independent Panel
Alan Mak Excerpts(5 years, 5 months ago)
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Matt Hancock
I agree with an awful lot of what the hon. Lady has said, and I appreciate the wisdom that she brings to this issue with her clinical experience.
The need for a just culture in the NHS is very clear, and the Gosport report makes it clearer still. A just culture means that, yes, there is accountability, but the accountability is established with the intent that the system will improve and people will learn; that people can come forward with concerns rather than covering them up; and that when concerns are expressed, they are welcomed.
I am also pleased about the hon. Lady’s attitude to potential legislation. I look forward to working with her, and, indeed, learning from some of the improvements that have been made in Scotland, to try to ensure that we can get this right.
Alan Mak (Havant) (Con)
The events at Gosport are of substantial interest to my constituents in Havant and across the Solent region. I agree with the Secretary of State that lessons must be not only learned but applied. Will he confirm that ensuring patients’ safety will remain at the heart of all that the NHS does, including the development of its new 10-year plan, and will he confirm in particular that better medical records can be produced through, for instance, the use of new technologies?
Matt Hancock
Absolutely, and I pay tribute to my hon. Friend’s work. People from across the country, and certainly from across the region, were affected by this. The need for better medical records is underlined in the report. In the case of several hundred people, we do not know whether their lives were shortened or not. Of course technology has a huge part to play in this. From about 15 years ago onwards it is highly unlikely that medical records would have been lost or misplaced in this way, and therefore new technology has a role to play, but it needs to be improved so that access to those records can be made available to the right people at the right time.
Oral Answers to Questions
Alan Mak Excerpts(5 years, 6 months ago)
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Damien Moore (Southport) (Con)
Alan Mak (Havant) (Con)
The Minister for Health (Stephen Barclay)
Having committed an additional £20 billion in real terms, the Government are asking the NHS to deliver a long-term plan that includes continued improvements in productivity and efficiency, and we are reinvesting the savings in improved patient care.
Stephen Barclay
I am keen to work with my hon. Friend to encourage Southport and other trusts to recycle equipment. I know from my family’s experience that it causes significant frustration when people see hospitals not collecting perfectly good medical equipment that could be recycled. I am keen to work with him and with trusts to ensure that we learn from that.
Stephen Barclay
I commend my hon. Friend for his excellent report for the Centre for Policy Studies, which highlights the opportunities provided by technology. I was at a Scan4Safety event last night, looking at how barcodes are being used at six trusts, and at how that could be expanded to deliver 4:1 efficiency savings and improve patient care through the safety it offers.
Social Care Funding
Alan Mak Excerpts(5 years, 6 months ago)
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Alan Mak (Havant) (Con)
There are just 15,000 centenarians in the UK today, but the population aged 90 and over is growing rapidly. One in six people alive today—more than 10 million—will reach triple figures and get a letter from Her Majesty the Queen. Social care is at the heart of a system that must ensure that everyone can live a long and fulfilling life, and that is both an opportunity and a challenge. I welcome the Government’s action in this area, which is reflected by the Care Quality Commission’s conclusion in its annual state of care report that 82% of adult social care services are good or outstanding.
I commend the hard work of carers, professionals and management who work tirelessly every day to make sure that our loved ones receive the best possible care. That is certainly the case in my region. Across Hampshire, 26 of 28 care homes provided by Hampshire County Council are rated good or outstanding by the CQC. That includes, in my constituency, Malmesbury Lawn care home in Leigh Park. But we need to continue this success, and funding is an important aspect of that. I welcome the fact that the Government have given local authorities an extra £2 billion over the next three years to meet these challenges. I also welcome today’s announcement by the Secretary of State of the extra £240 million to help adult social care get through this winter. Hampshire will receive over £4.7 million, and that is extremely welcome.
However, it is clear that money is not the only issue that needs to be debated and is not the only solution to the challenge of a growing and ageing population. Only by embracing technology, as the fourth industrial revolution accelerates, can we keep more people out of care homes and in their own homes. Some local authorities are already moving forward at pace with ambitious plans to make sure that new technology plays a role in revolutionising social care. In my own region, Hampshire County Council has been at the forefront of the new wave of assistive care technology. That includes alarms worn by patients that can detect falls and epileptic fits, and even have GPS capability in case a dementia sufferer wanders from their care home. Around the county, 8,600 people benefit from supported by assistive technology.
The roll-out of such technology has saved the council about £7 million in domiciliary care and care home costs, so there is a financial benefit to it. Hampshire has also become the first authority to work with Amazon in trialling a new customised version of its Echo device to support people to live independently in their own homes, which should be one of the goals of the social care system. I commend the council’s Liz Fairhurst, the cabinet lead for this area. It is right that she has been shortlisted for the Local Government Association’s councillor achievement awards for this year. She has been a fantastic leader of adult social care services across Hampshire, and other county councils are following its lead.
The use of technology in adult social care is exciting and necessary. However, as I said in my Centre for Policy Studies paper published in May this year, we can make full use of all these technologies only if we end the culture of fax machines, pagers and paper in the NHS. Just as the NHS must go fully digital over the next 10 years, care homes, the care sector and local authorities must also be digital-first. That is the key to making sure that we can make the most of technology to help alleviate the challenges of adult social care in the years ahead. As the baby boomer generation ages, we have a new generation of tech-savvy pensioners who will be going through our care system for the first time. They will be a generation comfortable with new technology and willing to embrace digital care.
I understand that the pressures on the care system are not just financial, and that technology is not a silver bullet, but by deploying technology we can unlock savings, alleviate funding pressures, keep more residents in their homes, and deliver a better service. I hope that these aspirations will be reflected in the Secretary of State’s Green Paper when it comes out in the weeks ahead.
Oral Answers to Questions
Alan Mak Excerpts(5 years, 9 months ago)
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Alan Mak (Havant) (Con)
The Secretary of State for Health and Social Care (Matt Hancock)
It is a great honour to be here, Mr Speaker.
There is good progress in patients using online services in the NHS—about a quarter of patients are now registered to access general practitioner online services, up from about a fifth a year ago—but there is much more to be done to use technology in the NHS for the benefit of patients and clinicians alike.
Alan Mak
I congratulate my right hon. Friend on his appointment. Healthcare delivered by app is increasingly popular with patients in Havant and across the country. Will my right hon. Friend reconfirm his Department’s commitment to the first ever NHS patient app, and update the House on the timetable for its roll-out?
Matt Hancock
The roll-out of technology right across the NHS and, indeed, social care is good for patients and good for clinicians. I have seen countless examples of that in just my first two weeks in this job. I pay tribute to the Centre for Policy Studies report, which was launched by my predecessor and authored by my hon. Friend, which demonstrates how apps can be useful for making healthcare easier to access for patients. Apps are popular with patients, and I cannot wait to drive that forward.
Health and Social Care (National Data Guardian) Bill
Alan Mak ExcerptsFriday 6th July 2018
(5 years, 10 months ago)
Commons ChamberRead Full debate Health and Social Care (National Data Guardian) Act 2018 View all Health and Social Care (National Data Guardian) Act 2018 Debates Read Hansard Text Read Debate Ministerial Extracts Amendment Paper: Public Bill Committee Amendments as at 6 June 2018 - (6 Jun 2018)
Alan Mak (Havant) (Con)
It is a great pleasure to follow my hon. Friend the Member for Banbury (Victoria Prentis). I congratulate my hon. Friend the Member for Wellingborough (Mr Bone) on all his hard work taking the Bill through the House, and I commend him for steering it through Committee without amendment, which I think reflects the importance that the whole House places on this topic.
As my hon. Friend the Member for Wellingborough has said, the National Data Guardian, Dame Fiona Caldicott, has already done much work to promote good practice in handling medical data, and I am sure that putting her role on a statutory footing will enhance that further. I join my hon. Friend the Member for Banbury and others in paying tribute to Dame Fiona, who has played an excellent role and been a strong voice for patients as our first National Data Guardian.
I am particularly pleased to speak in the debate because of my long-standing interest in the fourth industrial revolution, and because of the report I recently released, supported by my right hon. Friend the Secretary of State for Health and Social Care, on how we can better use technology and data to improve the NHS’s performance. This week, as we celebrate the 70th anniversary of the NHS, there is no better time not only to look back at its successes, but to look forward and consider how we can safeguard its future through the use of good data.
The NHS has been a long-standing user of good data, even since its infancy. In the 1950s it was data from 20 London hospitals that first proved the link between smoking and lung cancer, which has certainly saved many lives in the years since. Fast-forward to 2018, and the potential for using medical data to improve lives has certainly grown exponentially.
Despite the clear and unquestionable potential of the fourth industrial revolution, and the new technologies associated with it, many members of the public remain sceptical about its benefits. They, like me, have seen a number of attempts to digitise health services fail, from the national programme of IT under the previous Labour Government to the WannaCry hack last year. There is still much work to do to win over a sceptical public. That is why my argument, and my support for the Bill, is clear. I believe that shared data saves lives, and I believe that the National Data Guardian has an important role to play in spreading that message.
One of the principles of the National Data Guardian is the need to build a dialogue with the public about how we all want information about us to be used. Although the NHS is rightly introducing a wide range of digital services, I have no doubt that the service most coveted by patients and our constituents, especially those in the smartphone generation, is the long-awaited NHS smartphone app. Anyone who has used NHS digital services will know that a wide variety of options are available to patients.
One of the key recommendations of my report was that the NHS should introduce a one-stop shop, with an overarching app that would allow patients across the whole of England to book appointments, order repeat prescriptions, control access to data and seek advice on medical problems. The app would operate 24/7 so that patients could access the NHS at their fingertips, from the comfort of their sofa or their place of work.
My long-term vision is for a smart NHS that personalises medicine and treatment, and provides advice in one integrated place. That is why I was delighted that the Secretary of State recently announced that he will be taking forward plans to build this new NHS app, to ensure that the smartphone generation have access to healthcare at their fingertips. As the Secretary of State, the Minister and their colleagues at the Department of Health and Social Care begin the work of designing and implementing the app, I think that the National Data Guardian can play an important role in shaping its future. She should call for full integration of the app with paperless records to ensure that digitisation takes place across the whole NHS. Only by ensuring that the app is available to everybody can the NHS reach its full potential, delivering all the services envisioned in my report.
In conclusion, the healthcare of tomorrow will be powered by artificial intelligence, big data, automation and increasing digital connectivity. That is why the NHS must be a global leader in this field. At the same time, we must ensure that informed consent is not put at risk, and that the patient voice is kept at the heart of all treatment. Key to that is the role of the National Data Guardian, which is why I am very keen to see her role placed on a statutory footing. I am therefore delighted to support the Bill.
Gosport Independent Panel: Publication of Report
Alan Mak Excerpts(5 years, 10 months ago)
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Mr Hunt
I thank the hon. Gentleman for his comments and agree with what he says. Of course, if the police decide to bring forward criminal prosecutions, that would have the support of the Government, but the police must make that decision independently. If a family feel that an injustice has been done, who can they go to if they feel that ranks are being closed? I think we have made progress on that question, but we need to reflect very carefully on whether it is enough progress.
Alan Mak (Havant) (Con)
The events at the hospital and the panel’s report are of significant interest to me and my constituents, and those of my hon. Friend the Member for Meon Valley (George Hollingbery), on whose behalf I am also speaking. His constituents and mine have asked whether the families can be confident that the report’s findings will be acted on and that people will be held accountable for what happened.
Mr Hunt
My hon. Friend is right to ask that question. The best parallel is the Hillsborough process, which was also led by Bishop Jones. A similar report was published that put documents into the public arena, essentially enabling people to understand truthfully what happened. On the basis of that, inquests were reopened, criminal prosecutions happened and so on. We are at that stage of the process. I hope that the transparency and thoroughness of the report will give families hope that they are at last being listened to.