(2Â weeks, 6Â days ago)
Commons Chamber
Tom Gordon
I agree with my hon. Friend that we need to see that, and I tabled new clause 93 to get the answers to some of those questions that not just constituents in my patch but those in hers are asking us as Members of Parliament. It is particularly frustrating that we are in the third year of this Labour Government, and although talk of dental contract reform kept cropping up at the outset, we have seen little progress since, so I would press the Minister on what more can be done to make sure those gaps are filled.
On new clause 121, I am the chair of the all-party parliamentary group for diabetes, and we have some fantastic care and world-leading practice for diabetes, as was mentioned by the hon. Member for Uxbridge and South Ruislip (Danny Beales). This new clause would maintain existing national diabetes prevention, treatment and audit programmes, and would mean we see an explanation from the Government with regular reports in Parliament about how those are being continued.
Overall, Members across the House have tabled a fantastic number of amendments. I hope the Minister will pay attention to them and can provide us with some responses.
Anna Dixon
I worked as a civil servant for the coalition Government, and I saw at first hand some of the duplication and confusion caused when NHS England was set up, so I welcome this Bill and the decision to abolish NHS England. However, reversing the fragmentation caused by the Tories’ failed reforms of the NHS will not on its own create a more integrated and joined-up service for patients and carers. That is why I have tabled new clause 106, which would require the Secretary of State to report to Parliament within six months of the Act passing on how well NHS bodies and local authorities are working together to integrate health and social care in England.
Having worked in the health and care sector, I know how vital it is to have integrated services, and I know as an MP, as I am sure do others, and from personal experience how devastating unco-ordinated care can be for patients, their families and our NHS. One of my constituents, Ellerie Carroll, was diagnosed with diffuse intrinsic pontine glioma, an inoperable brain tumour, in September 2024. Very sadly, she died in May this year, aged just nine. Ellerie and her parents, Freya and Christian, suffered in ways that are unimaginable, but it was a lack of co-operation between services that added to their suffering. To give just one example, after going for a MRI scan at Great Ormond Street hospital, Ellerie had to endure a repeated scan at Leeds General Infirmary in Leeds due to an inability to share results between hospitals. I hope that the single patient record, which the Bill also creates, will help to join up systems and reduce such problems.
We see disjointed care within the NHS between hospital and community services, but also between health and social care. Another constituent, Roger, in his 90s, had a fall and serious head injury last year. After the acute hospital treatment in Leeds, there was a failure in the NHS to join up his care with Bradford social services, resulting in delays to his discharge. He developed infections and delirium. After nine months of being moved from one hospital to another, and despite his wife fighting to get him home with support, he died in hospital. These are the consequences when our health and care systems are not integrated. It is also expensive. Around one in 10 hospital beds in England are occupied by someone who does not need to be there, often because community care or social care are not available.
Any reform of the NHS will ultimately fail unless we simultaneously reform adult social care. That is why I welcome the priority given to this issue by the Prime Minister and the commitment he made to bring forward the conclusion of the Casey commission. But even if we build a national care service, which we must, there is a risk if it does not work in sync with our national health service. It is essential that we place very clear obligations on all parts of the NHS to co-operate and integrate with social care.
I ask the Minister to set out in her closing remarks how she and the Secretary of State will monitor the Bill’s impact on integration, and how they will ensure co-operation remains a critical priority for the NHS—not just on paper, not just in law, but in the way that we all experience health and care in a joined-up way.
(5Â months, 1Â week ago)
Commons Chamber
Anna Dixon (Shipley) (Lab)
Tom Gordon (Harrogate and Knaresborough) (LD)
(1Â year, 2Â months ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
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Anna Dixon
Indeed, and I note that FE colleges, on average, have a higher number of SEND pupils than others. They give really good opportunities for children with additional needs to thrive and to go on and educate, so I commend the work of her local college.
Tom Gordon (Harrogate and Knaresborough) (LD)
I thank the hon. Lady for securing this important debate. One of the first things that I had to do after the general election was to ensure a funding guarantee of more than £20 million for a rebuild of Harrogate college. Due to the local authority dropping the ball, the planning expired and the funding period elapsed. I was grateful to work with the Labour Government to secure that funding. I do worry, though, about the £90,000 cut to Harrogate college’s adult skills funding. The response that I got from the Government said that that is now devolved to the Labour mayor. Does the hon. Lady agree that we need more funding for our devolved mayors to ensure that we keep up adult skills funding?
Anna Dixon
I am pleased to hear that the Labour Government have secured the future of Harrogate college. I also agree that it is vital that, as the workplace changes, people keep their skills up to date with lifelong learning, so it is essential that we protect and maintain adult education funding. I would like to hear from the Minister on that. Will she outline the Government’s plans to ensure sustainable funding for FE colleges, as well as the ongoing support for adult education as mentioned?