Recovering Access to Primary Care

Debate between Emma Hardy and Steve Barclay

Tuesday 9th May 2023 Commons Chamber

[Steve Barclay]

We plan to change planning guidance this year to address that specific issue. I have visited my hon. Friend’s constituency, and we resolved one of the issues in relation to the estate, which was extremely constructive. I know he has been discussing a further issue with the Department, but I hope he can take some comfort that his representations have been heard. The Under-Secretary of State for Health and Social Care, my hon. Friend the Member for Harborough (Neil O’Brien), is planning to make changes to the guidance to better ensure that, where there is new housing, a contribution is made to primary care.

[Emma Hardy (Kingston upon Hull West and Hessle) (Lab)]

The problem in primary care is that we do not have enough GPs to meet the demand for appointments. The problem is not with the telephone system. The area I represent has one of the lowest ratios of GPs to population in the whole country. Will the Secretary of State support our campaign to train more doctors at Hull York Medical School, and for Hull York Medical School to set up a training facility for pharmacists and dentists?

[Steve Barclay]

As I said in my statement, we have 4,000 doctors training in primary care, compared with 2,600 in 2014. We are also looking at how we can better retain the GPs we have. That is why we made the pension changes, which will affect around 9,000 GPs. It is also why we are looking at additional roles to take pressure off GPs, and at how we can reduce some of the burden of bureaucracy, too. We are training more doctors, and we are looking at retention and bureaucracy. No one is suggesting that this is solely an issue of telephony or online booking, as the hon. Lady suggests, but all of this will help to relieve pressure on extremely busy primary care.

Oral Answers to Questions

Debate between Emma Hardy and Steve Barclay

Tuesday 24th January 2023 Commons Chamber

[Steve Barclay]

My hon. Friend raises an important point, and we are investing over a fifth more than in 2016, as part of our wider investment programme. I am very keen to work with her on the role of her ICB. It was set up operationally last summer, and its role is to commission primary care services for the community and to assess the needs of her Gosport constituents. I am very happy to work with her and her ICB on the issues she raises.

[Emma Hardy (Kingston upon Hull West and Hessle) (Lab)]

Hull has the second highest ratio of GPs to patients in the country. Even though GPs see 46 people a day on average, it is clear that demand for their services outstrips supply. Of course the Labour Government will have a plan to resolve this, but in the meantime will the Secretary of State look at giving women direct access to specialist nurses and services, such as endometriosis or menopause specialists, to prevent them from having to go via their GP each time they need renewed treatment and updated medication?

[Steve Barclay]

First, that is exactly what the women’s health strategy is doing through designing women’s health hubs. It is exactly why we are appointing a wider portfolio of roles into primary care. The hon. Lady says that Labour has a plan, but Labour’s plan is to divert £7 billion out of primary care property, which will not improve services for women and will actually impede the ability to deliver exactly the sort of services she is calling for.

NHS Winter Pressures

Debate between Emma Hardy and Steve Barclay

Monday 9th January 2023 Commons Chamber

[Steve Barclay]

That is a fair challenge. Let me divide it into three sections. First, there is a recognition that the combination of the legacy from the pandemic, the ongoing covid issues and, in particular, the massive spike in flu create an immediate pressure in our A&E departments. The package announced today shows that we have listened to those on the frontline, and have responded.

Secondly, there is a recognition—this is relevant to some of the questions asked today—that the system has been under pressure for some time. Therefore, the second phase looks at innovation, technology, artificial intelligence, virtual wards and ways of doing things differently. To take the example of the frail and elderly, that will address their needs upstream in the care home before they get to the emergency department or release them from hospital quicker, provided they have the safety net of being part of a virtual ward, where they are subject to ongoing clinical supervision. If they need to come back to hospital, they can do so much more easily than would otherwise be the case. That stops the boomerang of patients being released early and then coming back. That second phase includes the modular capacity, because space is needed to streamline and to triage. That compression within the emergency department also drives inefficiency and poor care.

Thirdly, the Government have invested in the life sciences industry. R&D investment of £15 billion to £20 billion is a big marker of that. One of the priorities is to say that we can do certain things at scale with companies such as Moderna that will shift the dial in healthcare. That is a third but significant part of this, particularly in respect of the prevention work that we can do.

[Emma Hardy (Kingston upon Hull West and Hessle) (Lab)]

The failure to fix social care is having an impact on not only the acute service but the mental health service. I have raised directly with the Secretary of State the problems facing the Humber NHS trust, where 42% of adult learning difficulty beds have been taken by patients with delayed discharge and where 17% of adult mental health beds and 22% of child and adolescent mental health beds have been taken by patients waiting for discharge. What investment and support will be given to provide the right social care and support services, to enable beds to be freed up not just in the acute service but in the desperately needed mental health services?

[Steve Barclay]

The hon. Lady is right to highlight mental health, which is an extremely important part of the wider health landscape. That is why the Government are increasing funding for mental health by £2.3 billion. We must also consider how we get better value for money from that spending. The reform of the Mental Health Act 1983 that the Minister for mental health, my hon. Friend the Member for Lewes (Maria Caulfield), is taking forward will help us better target that funding in ways that deliver value for money.

NHS Workforce

Debate between Emma Hardy and Steve Barclay

Tuesday 6th December 2022 Commons Chamber

[Steve Barclay]

We are investing in more doctors. We have 2,300 more doctors—a 3% increase. We also have 3% more nurses than we had last year. In fact, under the former Prime Minister, my right hon. Friend the Member for Maidenhead (Mrs May), there was the biggest ever increase in medical undergraduate places—a 25% increase—along with the opening of five new medical schools. Of course, the training takes about seven years, so that is still in progress. As was pointed out during Health questions this morning, we are dealing with the consequences of the pandemic, which is why we are investing in more checks, scans and other procedures, and there will be an extra 9 million of those by March 2025.

[Emma Hardy]

The right hon. Gentleman might recall that, when he was previously Health Secretary before his short break, I raised concerns around the criteria to reside and the number of people remaining in Hull Royal Infirmary who were unable to move into adult social care. At the moment, we have 30% vacancies in adult social care. The problem is that, although the money is promised, it is not delivered. That is partly because of the chaos that we have seen in the Government. He must acknowledge that, although this money was promised, it was not delivered and that we have 30% vacancies in adult social care across Hull and East Riding. Those vacancies always increase before Christmas because retail makes an attractive offer to those same workers. The money has not been delivered in time, and those 30% vacancies are only going to increase. With the greatest respect to the Secretary of State, there is little point in making promises if they are not quickly delivered in time to make a difference.

[Steve Barclay]

The hon. Lady mentioned the summer, and I think she knows that I visited the Jean Bishop integrated care centre and looked at the great innovations and brilliant work that her constituents, among others, are doing there. I looked at how it is bringing social care and the NHS together through an integrated model and how there has been new investment, supported by the amazing fundraising within the local community and by NHS funding. It would be great to get a bit of balance about the amazing feedback I heard from both staff and patients at the Jean Bishop integrated care centre who are working innovatively. I hope the hon. Lady would agree that the innovation of a centre such as the Jean Bishop is what we need to see in more places across the NHS. To her wider point, there are challenges in social care; she raises a fair point. That is why, despite the many competing pressures that the Chancellor faces, he has allocated £500 million for this year. It is also why he then committed the £2.8 billion for next year and the £4.7 billion for the year after—the biggest ever increase in that funding. But it is not simply about the funding increase; it is also about using new models such as that integrated care model to deliver far better care.

Urgent and Emergency Care

Debate between Emma Hardy and Steve Barclay

Monday 5th September 2022 Commons Chamber

[Steve Barclay]

As my hon. Friend knows, my parents live very near the hospital in question. I know he has been a huge champion of the additional funding. If the opportunity arises, I would be very happy to visit. I pay tribute to the work he has done to secure the additional facility, which will benefit his constituents and those across the Fylde coast.

[Emma Hardy (Kingston upon Hull West and Hessle) (Lab)]

In July, I met the Royal College of Emergency Medicine and the chief executive of Hull University Teaching Hospitals NHS Trust to discuss the ambulance delays and the delays at A&E. They both told me the same thing: the problem is actually with exit block. They cannot admit people if they cannot discharge people. I have been told by Hull Royal Infirmary that at points over the summer, more than 170 people were in the hospital who should not have been there because they were waiting for discharge packages. That works out at more than a fifth of hospital beds being taken up by people waiting for adult social care.

A number of months ago, I raised in this place a letter from the Conservative-led East Riding of Yorkshire Council, which said that it did not have the adult social care carers to meet the needs of the population. This situation will only get worse. The Secretary of State has said that he is looking at an international recruitment taskforce. I recommend a simpler solution: pay people more, and then we might get the workers we actually need to deliver adult social care. This is already a crisis and it will only get worse.

Women’s Health Strategy for England

Debate between Emma Hardy and Steve Barclay

Wednesday 20th July 2022 Commons Chamber

[Steve Barclay]

Through highlighting the tragic case of Nicola, the hon. Lady demonstrates very effectively why research in this area is so important and the fact that it has been insufficient in the past. The amount of funding is, to a large extent, shaped by the research proposals that come forward. A key part of the strategy is the clear signal that we are sending to the research community that we are encouraging those willing to do research in the areas that have not been focused on in the past so that funding can be prioritised to them.

[Emma Hardy (Kingston upon Hull West and Hessle) (Lab)]

As joint chair of the all-party parliamentary group on endometriosis, with the hon. Member for Livingston (Hannah Bardell), and as joint chair of the APPG on surgical mesh, with the right hon. Member for Elmet and Rothwell (Alec Shelbrooke), I welcome this strategy, but I want to raise two issues that we would be really keen for the Secretary of State to look at.

First, we would like to see all the recommendations of the Cumberlege review implemented, including redress for the people impacted by vaginal mesh. Secondly, it was good to hear him talk about recognising how women’s health affects women in the workplace, but the charity Endometriosis UK is promoting making workplaces endometriosis-friendly by recognising that women who have endometriosis may have shorter periods of time off more regularly, which, in terms of HR policy, is frowned on and looked on badly, resulting in some women losing their jobs through no fault of their own.

[Steve Barclay]

I know from my own involvement in the mesh campaign just how central the hon. Lady’s role was in it, and I pay tribute the work that she has done on that and a number of other campaigns over recent years. In respect of mesh, she will be aware that an annual review is published. On the workplace issue, a key thing that comes out of the report is the significance of the time off work that many women are experiencing, with the difficulty, quite often, in having these conversations with employers. It is very welcome that the civil service has taken a lead, as has the NHS, in certain aspects of that, but there will clearly be more to do, and the point she raises will be part of that wider conversation.

Areas with Additional Public Health Restrictions: Economic Support

Debate between Emma Hardy and Steve Barclay

Tuesday 6th October 2020 Commons Chamber

[Steve Barclay]

The significant fiscal measures that we have put in place will clearly have longer-term consequences for the public finances. The Chancellor has been quite clear about that in terms of our response to the future fiscal event. In terms of the timing of a vaccine, as the Prime Minister and the Chancellor have set out, things have changed since March, when there was perhaps a sense initially that these measures would be needed for a shorter period, and it is now clear that we will be living with the virus for a longer period—at least for a further six months. I know, however, that through the work of the Secretary of State for Business, Energy and Industrial Strategy, a huge amount of work is going on in the vaccines taskforce, because that is clearly the best way to limit the longer-term damage. However, we cannot guarantee the timing of when any vaccine would arrive.

[Emma Hardy (Kingston upon Hull West and Hessle) (Lab) [V]]

The Minister will no doubt appreciate just how precarious the future of many businesses is and how desperately worried they are that they could face further restrictions and more local lockdowns. Further to the question from my hon. Friend the Member for Lancaster and Fleetwood (Cat Smith), will the Minister please outline the additional and specific support that businesses that do not have to close but are facing significantly lower demand can expect to receive?

[Steve Barclay]

One of most important areas of support is avoiding, if at all possible, businesses closing in the first place. That is why, in response to the measures brought forward by the Secretary of State for Health, we have drawn the balance between businesses being open for the majority of the evening and addressing the risk—outlined by the chief medical officer and others—that social distancing tends to be weaker later in the evening. This addresses the concerns of the Department of Health about the increased risk, while protecting the ability of businesses to stay open. It is important that we keep this measure under review and ensure that the modelling and the data evolve so that we get the balance right for businesses.

The Economy

Debate between Emma Hardy and Steve Barclay

Wednesday 8th July 2020 Commons Chamber

[Steve Barclay]

We have been flexible. The hon. Lady mentioned theatres: we announced a package of £1.57 billion-worth of support as part of the flexibility of which she speaks. People also seem to ignore the fact that we are only halfway through the furlough scheme. It runs until October—we are four months in. The intention, as part of this second phase, is to reopen the economy, including these businesses. As the Chancellor set out, we do not think it is good for people to be away from the labour market for an extended period because skills atrophy, and that is not in their interests.

[Emma Hardy (Kingston upon Hull West and Hessle) (Lab)]

rose—

[Steve Barclay]

I will make a little progress and then of course come back to the hon. Lady.

Now is the time to move to the next step in our economic response. Later this autumn, the Government will deliver a Budget and spending review, but today we set out our plan for jobs. As the Chancellor said, this is not a time for ideology. We are driven by a belief in the nobility of work and the power of opportunity. Most of all, we are motivated by the desire to do what is right for the British people. Where jobs are at risk, we will work to protect them, and where jobs are needed, we will help to create them.

[Emma Hardy]

Will the Minister give way?

[Steve Barclay]

Given the hon. Lady’s persistence, I will, but then I will make some progress.

[Emma Hardy]

On the issue of protecting jobs, the Minister must be aware of the situation facing the caravan industry in Hull and the East Riding. We are asking—this is supported cross-party, by Conservative Members as well—for specific support to protect the caravan manufacturing industry in our area. All the industry is asking for is an additional four months of support to keep it going until spring. We know that more staycations will mean a boom in caravan sales. Will he please look at specific support for this vital industry?

[Steve Barclay]

Again, we have taken measures with specific support, as my right hon. Friend the Chancellor set out. That is why we are cutting VAT for campsites and the tourism sector from 20% to 5%. That is part of it, but as the Chancellor also said, if we extended as the hon. Lady suggests, others would say, “Another month, another month, another month”, and people would be away from the labour market for a long period, which would not be in their interests.

Oral Answers to Questions

Debate between Emma Hardy and Steve Barclay

Tuesday 7th July 2020 Commons Chamber

[The Chief Secretary to the Treasury (Steve Barclay)]

As the Prime Minister said last week, we are doubling down on levelling up, and he committed last week to £95 million for shovel-ready projects in the east midlands, in addition to the £10.25 million of accelerated funding from the towns fund for Kirkby-in-Ashfield. I look forward to working with my hon. Friend in his commitment to levelling up his constituency.

[Emma Hardy (Kingston upon Hull West and Hessle) (Lab)]

It has been a pleasure to meet the young entrepreneurs in Hull. Many of these young people faced great adversity before setting up their own businesses, but they have had no income, no support and no grants from the Government. Have these young people been forgotten?