Oral Answers to Questions

Nusrat Ghani Excerpts

Tuesday 14th November 2017 Commons Chamber

[Mr Hunt]

We have introduced something similar. In areas where it has been difficult to recruit GP trainees for three years or more, we have provided a £20,000 salary supplement to attract people to those areas. It has been very successful, and we have extended it to 200 places this year.

[Ms Nusrat Ghani (Wealden) (Con)]

High Weald Lewes Havens clinical commissioning group has undertaken a consultation on closing Rotherfield surgery, which is in my constituency, against the wishes of the community and local councillors. Does my right hon. Friend agree that CCGs have responsibilities and liabilities when it comes to supporting rural practices, and that they should do all that they can to recruit GPs in rural areas?

[Mr Hunt]

I do agree. I also know that, although areas such as Wealden are beautiful places in which to live, it is sometimes very difficult to recruit people to become, in particular, new partners in general practices in such areas. We are concerned about that. Nationally, we have a plan to recruit 5,000 more GPs by 2020-21, but we need to ensure that they go to rural areas such as that represented by my hon. Friend.

Valproate and Foetal Anticonvulsant Syndrome

Nusrat Ghani Excerpts

Thursday 19th October 2017 Commons Chamber

[Mims Davies]

I absolutely agree. I hope to pull that issue together as I go on with my remarks. It is really important that we raise the case of sodium valproate, which, as we have heard, is still in use. All of these issues need to be looked at.

Common to this debate—and in all such cases, including Primodos—are the hidden, missing and lost documents, along with a delay in education and information. That was raised again today by the right hon. Member for North Norfolk. I pay tribute to Sky News for its exposés on valproate and Primodos, because this really matters to the families affected.

[Ms Nusrat Ghani (Wealden) (Con)]

My hon. Friend raises a valid point about media coverage. I congratulate right hon. and hon. Members on raising the issue in the Chamber today, but I am concerned that it might make some women nervous about taking medication if they are pregnant, or are considering whether they would like to become pregnant and are on medication. Surely one of the messages we want to send out today is, “Please consult your doctor and do not respond to everything you read in the press if you are taking epilepsy medication.”

[Mims Davies]

I thank my hon. Friend for her intervention. Many of us have constituents, friends or family who are affected by epilepsy, which, in itself, is very serious, or by bipolar disorder. Appropriate use remains very important. For the vast majority of patients, treatment can be effective and useful if it is done right—if managed, if educated and if understood. The argument, therefore, should not be about ceasing use, but about telling the truth and looking at appropriate use during pregnancy. Men use the drug too, so we need to take a balanced approach and reflect all situations.

Baby Loss Awareness Week

Nusrat Ghani Excerpts

Tuesday 10th October 2017 Commons Chamber

[Will Quince]

The fact that we have some really ambitious targets is to be applauded, and I welcome the Minister’s update on the Government’s position on those targets. Even if we achieve a target of about 50%, however, that would mean that between 2,500 and 3,000 babies will still die every year. We must ensure that the parents, grandparents and wider family members have a support network. That is why the all-party group was established very much on the basis of bereavement care, and our focus very much remains on bereavement care.

[Ms Nusrat Ghani (Wealden) (Con)]

My hon. Friend mentioned support networks, and I want to draw attention to the Crowborough birthing unit in my constituency of Wealden. It does fantastic work with mums and dads, and siblings, to make sure everyone can go through the process either of having a healthy baby or, if they have such a tragedy, of losing a child.

[Will Quince]

My hon. Friend gives a great constituency example. Maternity units up and down this country have the most incredible provision and offer the most incredible compassion and care. In fact, we have some of the best provision in the world. Tragically, however, that is not replicated all across the country, and there is regional variation. I will come on to what we need to do to address that a little later.

To return to bereavement, the very first debate, which I led in this House back in November 2015, was about bereavement care. It specifically looked at bereavement suites in maternity units, and that was very much the focus. I am pleased to say that the theme of this Baby Loss Awareness Week is bereavement.

This week, we have seen something incredible, something truly groundbreaking—the result of over a year of work —which is the establishment of the national bereavement care pathway. The pathway has been developed by a number of charities and professional organisations, with the support of the Department of Health and the all-party group on baby loss. It has primarily been developed to improve the quality of bereavement care experienced by parents and families at all stages of pregnancy and, indeed, baby loss up to 12 months. The objective of the pathway is to ensure that all bereaved parents are offered equal, high-quality, individualised care that is safe and sensitive.

The national bereavement care pathway was launched yesterday in 11 pilot sites, and the plan is to roll it out nationwide over the next year. This has been an incredible exercise in collaborative working. I want to pay tribute to Sands, all the baby loss charities and organisations that have made an input, NHS trusts, the Department of Health and all the parents who have fed in their experiences. It is not easy for them to talk about their loss, and the evidence of all the parents who have talked about their tragic experience will improve care for very many others up and down the country. I also pay tribute to a former colleague, Ben Gummer, who, when he was the Minister with responsibility for care quality, pushed so hard for this and worked so hard to make it happen.

Yes, it is important that we push the Government to address the UK’s high stillbirth and neonatal death rate, but the support that we give bereaved parents is just as important, if not more so. We need to make sure that they have the support that enables them to have the time and the space in which to grieve. We know that going through this most traumatic of experiences can often lead to mental health issues—such as depression and post-traumatic stress disorder, about which there is growing evidence—whether they appear weeks, months or sometimes even years later. The number of couples that separate after losing a child is still very high, and that comes with huge social costs. Putting in place the right level of high-quality, consistent bereavement care is not just the right thing to do for parents; it should be part of our push to improve mental health care nationwide.

Adult Social Care Funding

Nusrat Ghani Excerpts

Thursday 6th July 2017 Commons Chamber

[Steve Brine]

I confirm that there will be the widest possible engagement across the House and across the sector, including with the Select Committee that the hon. Gentleman may or may not be in charge of in the next few weeks.

[Ms Nusrat Ghani (Wealden) (Con)]

I have visited many nursing and care homes in my constituency of Wealden and have met committed and caring care staff. Does the Minister agree it is the inspection system introduced by this Government that is finally shining a light on poor care and driving up standards?

Oral Answers to Questions

Nusrat Ghani Excerpts

Tuesday 4th July 2017 Commons Chamber

[Steve Brine]

I thank my hon. Friend for her question. I think I can call her that; we have worked closely together in the past. I am new to my ministerial post, but I have been through the plan, and it is I who has to stand up and defend it. I want to be sure that it is right and that I am as happy with it as everyone else in the Government. My intention is that it will be published before the summer recess.

[Ms Nusrat Ghani (Wealden) (Con)]

Within East Sussex, Wealden has the highest number of smoking-related deaths. I welcome the update on the tobacco control plan, but how will my hon. Friend raise awareness and provide equal access for rural communities?

[Steve Brine]

Rural communities are as important as any other. It is up to East Sussex County Council to come forward with a local tobacco control plan, and I know my hon. Friend will be taking a close interest in that, as she does in all matters when representing her constituents.