Patient Choice

Debate between Greg Smith and Steve Barclay

Thursday 25th May 2023 Commons Chamber

[Steve Barclay]

As I touched on in my statement, the choice is there now; it is available right now, but only about 10% of patients exercise it. There is massive variation in the system now, with the existing workforce. We are increasing the workforce. We have made a commitment to produce a workforce plan, but the point is that there is variation within the system now. What patient choice is about is empowering patients to take advantage of it and to access treatment sooner, for example, by being willing to travel often short distances to access it.

[Greg Smith (Buckingham) (Con)]

I really do welcome the revolution in patient choice that my right hon. Friend has outlined, but as chair of the all-party parliamentary group on minimally invasive cancer therapies, it is clear to me that some cutting-edge technologies and treatments are available only in certain trusts under certain consultants. Can he confirm that, within the choice available to them, patients will be able to choose centres that provide unique treatments, rather than the universal treatments that are available everywhere?

[Steve Barclay]

Yes, I can. Part of this is allowing patients to choose according to a number of factors. Some may have had treatment previously and want to go back to a particular consultant-led team. Some may want to look at CQC ratings and other performance metrics. Some may want the convenience of not travelling—relatively small numbers say they are not willing to travel; far more are willing to do so. Patients will look at a range of factors when shaping their decision. The key is to have transparency and the technology that enables patients to take control.

New Hospitals

Debate between Greg Smith and Steve Barclay

Thursday 25th May 2023 Commons Chamber

[Steve Barclay]

My hon. Friend has not only championed Watford General Hospital; he has worked there as a volunteer on many occasions. He has been compelling in the representations he made to Ministers across Government on the case for investment in Watford. It is a huge tribute to him, and as he says, it is also a tribute to the wider leadership team in Watford. He is right that it will have a transformative effect, and I have seen at first hand, with him, the urgent case for investment in Watford that he has championed.

[Greg Smith (Buckingham) (Con)]

I very much welcome this statement, especially the commitment to Milton Keynes University Hospital. It is a key hospital that serves my constituents, alongside Stoke Mandeville Hospital, which also enjoys a new paediatric A&E, John Radcliffe Hospital and Wycombe Hospital. The case of Wycombe shows that it is not just reinforced autoclaved aerated concrete that trusts are grappling with; the tower at Wycombe needs at least £80 million in maintenance and repairs, or preferably, as the trust plans, a full decant, with a £200 million purpose-built planned care centre. That will take national spending. What hope can my right hon. Friend offer Buckinghamshire patients that Wycombe’s plans can become a reality?

Recovering Access to Primary Care

Debate between Greg Smith and Steve Barclay

Tuesday 9th May 2023 Commons Chamber

[Steve Barclay]

The funding will include for prescriptions for the seven common conditions, which form part of Pharmacy First. That will be part of a new NHS service that will be offered, as set out in this plan. That is what the £645 million over the two years is targeted at, and obviously we will have further discussions with the sector on the roll-out.

[Greg Smith (Buckingham) (Con)]

I very much welcome this recovery plan. It is the right thing to do and will make a big difference. Does my right hon. Friend agree that it is also critical for rural communities to have local and convenient access to GPs? With that in mind, will he redouble his Department’s efforts, alongside the Buckinghamshire, Oxfordshire and Berkshire West ICB, to find a way to fund the construction of Long Crendon’s innovative model to replace the old village surgery, which sadly had to close under covid. This will not only deliver first-rate primary care to the village of Long Crendon and surrounding villages, but relieve the pressure on Brill surgery, where patients find themselves displaced to.

[Steve Barclay]

My hon. Friend has raised this issue previously, and he is quite right to champion it—I know that it is hugely important to his constituents. I hope the ICB will take heed of the issue he raises, particularly in relation to the level of visibility on the estate plan. Based on our conversations, I think that more can be done to share that with him. I urge the ICB to engage closely with him to make sure that the estate plan addresses the very real needs that his constituents have identified.

Oral Answers

Debate between Greg Smith and Steve Barclay

Tuesday 25th April 2023 Commons Chamber

[Greg Smith (Buckingham) (Con)]

12. What steps he is taking to reduce the waiting time from receiving a cancer diagnosis to first treatment.

[The Secretary of State for Health and Social Care (Steve Barclay)]

In February, the faster diagnosis standard was met for the first time. In addition, we are investing in additional screening, testing and tech in order to detect cancer much earlier.

[Greg Smith]

Recent data for the Buckinghamshire, Oxfordshire and Berkshire West ICB shows that 42.6% of cancer patients are waiting more than 62 days for treatment. That will only get worse without a significant programme of upgrading radiotherapy equipment and ensuring that there is a skilled workforce of radiographers. So what steps is my right hon. Friend taking to ensure that new, cutting-edge radiotherapy equipment is making it to the frontline, coupled with a fully staffed workforce to operate it and save those lives?

[Steve Barclay]

My hon. Friend is right to highlight the interaction of workforce and capacity in equipment. That is why we have 810 more consultant training places over three years, and we have grants to enable more than 1,000 nurses to train, for example, in chemotherapy and 1,400 new recruits to the cancer diagnostic workforce. Obviously, that sits alongside the expansion in capacity, including both in our surgical hubs and our expanded diagnostic centres.

Urgent and Emergency Care Recovery Plan

Debate between Greg Smith and Steve Barclay

Monday 30th January 2023 Commons Chamber

[Steve Barclay]

The hon. Gentleman asks how we slow the flow of people going to emergency departments and how we accelerate their discharge once they are fit. The substance of the point he raises is valid and absolutely right. It is why there are schemes such as the community response service and the falls service. We are looking at the likes of the North Tees model and getting more staff into community support, thereby integrating the health and social care side. As I said to my right hon. Friend the Member for New Forest East (Sir Julian Lewis) a moment ago, the trade-offs for individual sites are best determined by ICBs. I am very happy to look with ministerial colleagues at any specific proposals, but it is really for the ICBs to be looking at how to best use their estate.

[Greg Smith (Buckingham) (Con)]

I warmly welcome my right hon. Friend’s clear and credible plan, but on the uplift of 800 ambulances, which is good news, I urge him when it comes to their deployment to look at rural areas first. In these areas, ambulances by definition spend much longer per patient on the road going in between much more diversely spread out hospitals.

[Steve Barclay]

I recognise my hon. Friend’s point, not least as a rural constituency MP myself. I have talked to paramedics, as I am sure he has, and the principal cause of frustration of late has not been the issue of pay—important though that is. It has been frustration over long handover times, which has had a particularly damaging impact. I am happy to look at any specific issues in his area but he is right on the wider point about the pressures in rural areas.

Oral Answers to Questions

Debate between Greg Smith and Steve Barclay

Tuesday 19th July 2022 Commons Chamber

[Steve Barclay]

I am very sorry, as I am sure the whole House is, to hear of the circumstances that the hon. Lady sets out. I am happy to look at the case, as I said to her ahead of this sitting, when I discovered that she had written to my predecessor. As I also flagged earlier, the number of face-to-face appointments is increasing. Telephone consultations are not a new thing; they have been around for a long time and are an important part of the mix—indeed, some patients prefer the flexibility that they offer. But of course I am happy to meet the hon. Lady in due course.

[Greg Smith (Buckingham) (Con)]

Long Crendon Parish Council in my constituency has an exciting proposal for an innovative new health and wellbeing centre, including GP services. It has the land from planning gain, and it has an agreement to put Unity Health in as the GP partnership, but we are stretched for funds to build it. I am grateful to my hon. Friend the Member for Charnwood (Edward Argar) for his engagement over the past year. Will my right hon. Friend the Secretary of State meet me over the summer to discuss how we can move the project forward?

[Steve Barclay]

Again, as I am sure my hon. Friend will appreciate, these decisions should not be run from Whitehall and the centre. We should take a place-based approach, letting local decision-makers and commissioners make the decisions to shape the best services through their integrated care boards. My hon. Friend the Minister of State or I will engage with him to ensure that his representations are very much at the heart of any decisions that are taken.

Oral Answers to Questions

Debate between Greg Smith and Steve Barclay

Thursday 31st March 2022 Commons Chamber

[Steve Barclay]

I know that the COP26 President will have a strong commitment to addressing any issues. Rightly, Members across the House have recognised that the event in Glasgow was a great demonstration of the UK working together. It was an illustration of how we are better together. If there are some specific issues that Members of the House are rightly highlighting from a constituency perspective, I will ensure those are brought to the attention of the COP26 President and ask whether he will meet her as a matter of priority.

[Greg Smith (Buckingham) (Con)]

T4. The news that there will be legislation to ensure that we maximise the benefits of Brexit is incredibly welcome. Will my right hon. Friend comment on how that legislation, will enable and set free those companies in the thriving tech sector across my constituency of Buckingham to innovate in a more free manner than when we were in the EU?