Social Care Reform (Disabled People)

Heather Wheeler Excerpts

Thursday 11th July 2013 Westminster Hall

[Heather Wheeler (South Derbyshire) (Con)]

It is a pleasure to serve under your chairmanship, Ms Clark.

I warmly welcome this Back-Bench debate, which allows us the opportunity to discuss the findings of the joint all-party group’s important report on social care reform for working-age disabled people. I congratulate my colleague, the hon. Member for Bradford East (Mr Ward), on securing the debate, and it is a pleasure to follow him.

I take a moment to thank the right hon. Member for Stirling (Mrs McGuire), the Baroness Campbell of Surbiton and the all-party disability group for joining me and the all-party local government group in writing our report, “Promoting Independence, Preventing Crisis”. I also thank Scope for all its superb help in facilitating the inquiry.

Social care reform is a cross-party concern and provides a clear example, notwithstanding what has recently been splashed across the media, of how all-party groups do good work in Parliament. I applaud the Government’s commitment to investment in social care, which they set out in the 2013-15 spending review—£3.8 billion is not a small sum. As our joint inquiry underlined, the social care system has faced decades of underfunding, and the Government’s understanding of the need to address the problem effectively should be recognised.

It was extremely important to me to be involved in the all-party group’s inquiry. For the first time, we managed to bring together the voices of working-age disabled people with those of local authorities. That represented a valuable and timely opportunity to continue to build on the Government’s positive vision for social change, and to develop the positive disability strategy, “Fulfilling potential: making it happen”.

We want to bring the focus of social care on to working-age disabled people. I praise the Government’s ambition to deliver a care system that is capable of meeting the needs of both the older population and working-age disabled people. The plans to improve integration and closer working between health and social care bodies have been a positive development. However, in the Chancellor’s speech on the spending review no reference was made specifically to the one third of care users who are working-age disabled people. I hope that the Minister will confirm the Government’s commitment that the purpose of moving the money from the NHS to local government was to meet not only older people’s needs but those of disabled people of working age. We must ensure that this group remains in the spotlight when reforming the care system.

I want to reiterate the importance of addressing the national eligibility criteria that my hon. Friend the Member for Bradford East raised. Despite the intention that the current fair access to care services criteria should be a broadly national framework, councils have considerable leeway in setting the threshold for eligibility. That has resulted in significant variation throughout the country. Moreover, councils have been tightening their own local eligibility criteria in response to budget pressures. That is completely understandable, but the implications are that people are living with the fear that they will lose their support. The new eligibility framework and national threshold proposed in the Care Bill will therefore go a long way towards alleviating the lottery of care, and will be vital in ensuring more clarity and consistency in the provision of care for disabled people in England.

The Government published the draft regulations for the national eligibility threshold on 28 June and confirmed in the accompanying document their intention to set the threshold at a level equivalent to “substantial” in the current FACS system. People tell us that that means that, for more than 100,000 working-age disabled people, the bar has been set too high to receive the care and support they need to live independent lives. I hope that the Minister will respond to that.

[Norman Lamb]

I reiterate that the proposed eligibility level set out in the document to which my hon. Friend referred would maintain for the vast majority of people what already exists within their local authority area and, as my hon. Friend the Member for Bradford East (Mr Ward) said, do absolutely nothing to prevent other authorities that choose to be more generous from maintaining that level at “moderate”, as currently exists in Bradford and about 15 other places around the country. Nothing will take away from anyone what they already have as an entitlement.

[Heather Wheeler]

I thank the Minister for his intervention.

I turn to what social care means to our constituents when real help is given. It means that someone can get up, and be washed, dressed and fed each morning. Those are basic, everyday actions that many of us take for granted. When that level of support is offered comprehensively, the person may hold down not only genuine social interaction but employment. Real social care may also prevent social isolation. For example, a member of the National Ankylosing Spondylitis Society has said:

“I feel overly tired most days. Outside of work my participation in activities has been reducing. I don’t spend as much time as I used to socialising with friends and family. I used to be very active and go out in the evenings but now I have early nights instead.”

It is brilliant that, with help, that person feels able to remain in the work force, but we must ensure that the care offered is not at the cost of other factors, such as mental health or well-being.

Well-being is an unambiguous concern of the Government and is clearly addressed through the well-being principle in clause 1 of the Care Bill. That reflects the fact that it is, first and foremost, a human issue. The principle is the thread that runs through the whole of the Bill and ensures that the care system not only delivers basic support but promotes disabled people’s independence, allowing them to realise their potential by participating more fully in their communities. That is a bold vision for the future and will truly revolutionise the care system.

It has been stated that for some people social care means

“being able to have the same aspirations as others. I hold down a job, live independently and I am able to live life in the way that I choose. I believe this is a fundamental right, but it has also given me an immense sense of freedom and satisfaction as I am able to contribute to society.”

Those great quotes come from our inquiry.

Well-being and independence also means providing support when an individual moves from one local authority area to another. The Care Bill should ensure that the receiving authority has a duty to ensure that any social care provision for an individual will ensure the same outcomes as those of their previous local authority. I stress to the Minister the importance of that portability factor to our constituents. They live in a mobile world.

A preventative social care system not only has benefits for the quality of care and the lives of disabled people but represents a financially sustainable approach for the future. In addressing the concern about the eligibility threshold, local authorities will be in a position to deliver appropriate care at an earlier stage, reducing escalation of the crisis. As the British Red Cross told the all-party group’s inquiry:

“There must be a dramatic rethink to the way social care is organised in the future, with a focus on preventing crises before they occur and keeping people independent for as long as possible.”

Without a truly preventative system, councils will have no choice other than to intervene at crisis points when the personal and financial costs are already too great. The former president of the Association of Directors of Adult Social Services, Sarah Pickup, told the inquiry:

“Prevention is one of the very few things where you can get both a better outcome and a reduced cost.”

The Government have recognised that local authorities are delivering innovative solutions in social care provision, and have rightly chosen health and wellbeing boards as the mechanism through which social care can be delivered effectively. The boards have been implemented fully since April 2013. The Health and Social Care Act 2012 mandates a minimum membership consisting of one local elected representative, a representative of the local healthwatch organisation, a representative of each local clinical commissioning group, the local authority director of adult social services, the local authority director of children’s services and, crucially, the director of public health for the local authority. That will ensure a wide range of views and experience on the boards and will help with the implementation of preventative social care.

If the Government fully resource local authorities to implement preventative social care, the financial returns to local authorities, national Government and the NHS will be significant. Deloitte’s economic modelling in Scope’s report, “Ending the other care crisis”, has shown that a £1.2 billion investment in establishing a lower national eligibility threshold would lead to a £700 million saving for the Government and a £570 million saving for local authorities and the NHS. That is care and compassion at a better net price for the nation.

In addition, that money must be available to be used for care services within communities that are not exclusively health focused such as housing and employment. Such support would aid many disabled people in actively contributing to society as independent, participating, tax-paying citizens. As Sue Brown, head of policy at Sense, told our inquiry, the employment market currently risks losing out on the contributions that disabled people can make. That is the crux of the debate; we want to get disabled people living the lives that they want to lead, and being as independent and as self-sufficient as possible. Not only do they benefit from that, but the economy benefits too.

The National Autistic Society told me that new economic modelling by Deloitte published earlier this month shows that for every £1 invested in support for people with autism—and other disabilities—who have moderate needs, returns of £1.30 are generated. As the Government have rightly recognised, social care is not merely about allowing people to survive; rather, it is about enabling them to live full and independent lives. The Bill explicitly places a duty on local authorities to provide care that promotes the well-being of individuals. Let us now establish that the regulations fulfil the Government’s ambition and ensure that more than 100,000 disabled people with significant needs can live full, varied lives, with the basic dignity that we all take for granted.

To reiterate—and to be absolutely clear—I feel that the care provisions that we put in place need to be standardised between local authorities in order to promote portability. Those affected by the provisions are the most vulnerable in society. We do not want to make moving house an ordeal for people, with tensions and stresses about the level of care that they can expect to receive in the new area. Before the excellent changes to this groundbreaking, joined-up government measure can be implemented, we would like to ensure that a proper impact assessment is undertaken. We would like any administration costs, or other associated costs, to be known to local authorities before implementation. We want to ensure that costs do not force the most vulnerable in society to be left behind, because of new bureaucratic layers imposed on local government.

In conclusion, the Care Bill is a significant, welcome step in the right direction that acknowledges that reforms need to be made. Provided that they are properly resourced and supported, local authorities, working with the NHS, now have the opportunity to demonstrate their considerable experience of delivering social care in a financially sustainable manner. Funding preventative social care in the manner that the report recommends represents a win-win situation for the Government. I look forward to the Minister confirming the new way of working, by recognising that budgets between the NHS and local government, as announced in the recent spending review, will be used, not only for the elderly, but for working-age disabled people. Thank you, Ms Clark.

Backbench business

Heather Wheeler Excerpts

Thursday 14th February 2013 Westminster Hall

[Heather Wheeler (South Derbyshire) (Con)]

I appreciate being called to speak, Mrs Osborne, particularly because I am going to nip off later to the second debate in the main Chamber. I hope that my hon. Friend the Minister will forgive me. It is a pleasure to serve under your chairmanship, Mrs Osborne.

I begin by paying tribute to my hon. Friend the Member for Romsey and Southampton North (Caroline Nokes) for securing this very important debate during eating disorders awareness week 2013. She is respected by hon. Members on both sides of the House for her knowledge of this issue. I thank her for the tireless way she is championing an issue that is one of the most pressing and, if the medical profession’s statistics are to be believed, one of the most rapidly growing health issues that the nation faces. Indeed, male admissions to hospital are up by 68% in 10 years.

I also pay tribute to the all-party group on body image, of which my hon. Friend is the chair and which exists to inform the media, the fashion industry and wider society of the complex issues arising from poor body image. Body image is, as reported by the First Steps charity, which works in my constituency of South Derbyshire, one of the most significant causes of disordered eating behaviour. It is heartening that such groups exist and it is evidence that, in some small measure, awareness of the issue is starting to grow. Only a few years ago, the very idea of a group committed to improving body image would have been met with a roll of the eyes and a dismissive comment, yet the reality has always been that women, and now increasingly men, spend fruitless hours examining themselves critically in front of the mirror and obsessing over every lump and bump. They are often driven to self-loathing by what stares back at them.

Poor body image and a media full of unrealistic and unobtainable examples of body shapes that we are told to emulate are undoubted drivers in individuals who go on to develop eating disorders. Many who suffer low self-esteem and poor body image, especially men, go on to suffer serious mental health problems, often manifested in eating disorders and chaotic, dysfunctional and disordered lives, and suffer lifelong unhappiness. Therefore, the focus of the all-party body image group is more than welcome; it is essential and, indeed, it is a weather vane for how attitudes towards such real human issues are changing for the better as awareness of these issues improves.

Eating disorders are a complex issue to discuss in just a few minutes. It is a shame that this debate is not getting the priority that it deserves, perhaps by taking place in the main Chamber, but I am very grateful to the Backbench Business Committee for allowing the debate to be held in Westminster Hall. The number of MPs and, indeed, members of the public here today is testimony to the issue’s importance. Having the debate in the main Chamber would have gone a considerable way towards assuring sufferers that Parliament is at least serious about raising awareness of these issues and the problems that people face.

Of course, not all people with eating disorders come forward to get the help that they need. The most accurate figures of which we are aware are those from the National Institute for Health and Clinical Excellence. They suggest that 1.6 million people in the UK are affected by an eating disorder, of whom about 11% are male. Worryingly, the most vulnerable group are our young people, particularly those between the ages of 14 and 20.

[Jackie Doyle-Price]

Bearing in mind that we have heard from previous speakers in the debate that there is a critical window for intervention to support these people, and given that the incidence of these disorders tends to occur in the mid to late teens, does my hon. Friend think that there is a case for more education of our schools and teaching staff so that they know what signs to look for?

[Heather Wheeler]

Absolutely. I thank my hon. Friend for her intervention; she is absolutely right. We have been debating in the main Chamber what should go on the curriculum for personal, social, health and economic education. Perhaps the Minister can reflect on that in his speech. I apologise to him again for the fact that I will not be here at the end of the debate. I will read his speech in Hansard next week.

It is the case that 1% of the population between the ages of 15 and 30 suffers from anorexia. About 40% of those who suffer never fully recover and 30% suffer the illness in the long term. Official figures show that eating disorders rose by 16% in England from 2011 to 2012. The scale of the problem is therefore hard to ignore.

This subject raises issues pertaining to public health, mental health, nutrition, education and the way in which families are supported in dealing with disordered eating behaviour at an early age. That final point is, for me, the most important one and the one on which I shall focus in the few seconds that I have left. I am referring to how we raise awareness of disordered eating behaviour in such a way and at an early enough stage that recognition and treatment are possible and at a time that predates the long-term physical health problems that eating disorders can cause.

So many who suffer from eating disorders start to experience their troubles as children and adolescents. Many suffer in silence, and in so doing curse their lives, not just with a disordered relationship with food, but by destroying both their physical and their mental health in the process. That will probably affect every aspect of their lives: their career, their relationships and even, sadly, in some cases, their ability to become parents themselves.

The underlying cause of much disordered eating behaviour is a person struggling to cope with anxiety, stress and poor mental health. The cause of that anxiety and stress may be bullying. It may be an escape from abuse or traumatic events. The cause may be a lack of control, bereavement, poor parenting or simply uncertainty over one’s place in the world. However, the cause is undoubtedly psychological. The illness therefore deserves genuine sympathy and understanding, not dismissive attitudes, which compound the problem. Perhaps over time, the disordered eating behaviour may be modified through self-discipline or self-awareness. The sooner someone gets the treatment they need, the more likely they are to make a full recovery.

For the reasons that I have set out, this issue deserves at least equal priority with other physical and mental health problems. We cannot ignore or be indifferent to the obvious consequences of eating disorders. We have only to look at those who so bravely suffer them to see why we as a society must do more to tackle them, and we must start by raising awareness of their existence, their causes and their cures.

East Midlands Ambulance Service

Heather Wheeler Excerpts

Monday 21st January 2013 Commons Chamber

[The Parliamentary Under-Secretary of State for Health (Anna Soubry)]

I congratulate the hon. Member for Bassetlaw (John Mann) on securing this debate. Were it not for the fact that I now sit on the Front Bench, I would have put in for a similar debate—there is no doubt about it—such is my concern, as the constituency MP representing Broxtowe, about the situation with East Midlands ambulance service. It is important that I recognise that interest, because I, too, have had many concerns about EMAS, although they are perhaps slightly different from those the hon. Gentleman has described. As a result, I had a meeting with the chief executive of EMAS, Mr Philip Milligan, a week last Friday. I believe that he has since met the hon. Gentleman, so he will have heard about many of the issues that the hon. Gentleman raised in the House today, and rightly so.

I do not believe that this is simply a matter of finance—that is certainly not where my concern lies—or about the “Being the Best” scheme, which has been out for consultation, as the hon. Gentleman described. My concern, and that of many other hon. Members whose constituencies are covered by EMAS, is about poor response times, notably for elderly people who have fallen. My hon. Friend the Member for Loughborough (Nicky Morgan), for example, has had difficulties in her constituency, and I have had half a dozen problems in mine, with frail elderly people with suspected fractures having to lie on the floor, sometimes for up to four hours, despite being less than 10 minutes from the Queen’s medical centre in Nottingham. My hon. Friend the Member for South Derbyshire (Heather Wheeler) is nodding in agreement, as no doubt she has heard of similar experiences in her constituency. That situation is unacceptable, and I hope to offer some insight as to why that is the case.

[Heather Wheeler (South Derbyshire) (Con)]

In South Derbyshire we have had numerous cases of elderly people falling over in a park and having to wait hours for an ambulance. Residents have come to put blankets on them because they know that they should not be moved. We are 15 minutes from Burton hospital, but we cannot do anything because we rely on the professionals.

[Anna Soubry]

I am grateful to my hon. Friend for her intervention, but I think that it is also important to pay tribute to the ambulance staff who work for EMAS and the outstanding work they do. It is also important to point out that between October 2010 and December 2012 EMAS recruited 65 new front-line staff, so something is going on that is not right. Many people are of the view that unfortunately it is the way that EMAS is being run that is at the heart of the problem.

Adult Social Care

Heather Wheeler Excerpts

Thursday 8th March 2012 Commons Chamber

[Heather Wheeler (South Derbyshire) (Con)]

I congratulate my hon. Friend the Member for Truro and Falmouth (Sarah Newton) and the hon. Member for Worsley and Eccles South (Barbara Keeley) on bringing this debate to the House.

In South Derbyshire, social care is a very big issue, and I praise Derbyshire county council for grasping it with both hands. For the first time, an older people’s village is being built in my constituency, in Swadlincote. It will take anybody over the age of 55 when they do not need any care, until they need intermediate care, and then right until the end when they need dementia care. It is an absolutely brilliant new way of coping with care for the elderly, and I congratulate the council. Interestingly, there is now a strong debate about the typical old people’s homes that councils have run over the years, and people are concerned that the new style of looking after people will have to bed in a bit.

What is important about the older people’s village is not only that people will choose to buy or rent flats in it, or be put there by the state if they cannot afford it, but that respite beds will be available so that carers can have a break. People can have step-down or step-up beds, get themselves well again, and be able to look after themselves with total 24-hour care.

[George Hollingbery (Meon Valley) (Con)]

I want to develop my hon. Friend’s point a little more generally. As many colleagues will know, I am something of a bore on planning, but I think that the planning system has an important role to play in this in future. Does she agree that neighbourhood plans—the new local plans that are coming forward—are an essential part of catering for the needs of the elderly on an ongoing, 20 to 25-year basis?

[Heather Wheeler]

I am grateful to my hon. Friend for widening out the possibilities of my speech. I agree with him. As leaders in our areas, we need to direct people, as part of the consultations with their local development frameworks, to say, “This area could be zoned for bungalows”, or “That area could be zoned for an older people’s village”, or “That area, particularly if it has a section 106 agreement, could have some money allocated not only for the police, for education, or for a children’s play area, but for areas for older people.” We have recently had a planning application approved for a village for 2,500 people on a brownfield site, which included a zoned area for older people. The person who had the brilliant idea of building the village was inspired to do so by what he had seen his older relatives go through in their later years. He wanted to take a completely —dare I say it—holistic approach so that such people could in future grow old gracefully.

As well as championing what Derbyshire county council is doing on my patch, in connection with Trident Housing Association and South Derbyshire district council, I am also chairman of the all-party parliamentary group on local government. We will be conducting a new inquiry into social care, which will dovetail with the findings of the Dilnot report. We hope that, as an all-party group, we will be able to examine the issue a bit more widely and think outside the box, in order to be helpful to Ministers and give them as many ideas as possible. I know that a number of Members who are in the Chamber today will be sitting on that inquiry with me, and I am grateful for the all-party support.

When the Minister of State, Department of Health, my hon. Friend the Member for Sutton and Cheam (Paul Burstow) came to speak to the all-party group, the room was packed. There were 70 people there, which is pretty good going for 2.30 on a Monday afternoon. People came from all over the country to hear him. It was a very uplifting afternoon, and I am grateful to him for giving us so much of his time.

This is an important issue for all of us, but it has been kicked around like a political football. The deficit is horrendous, and we all know that there really is not enough money in the world to deal with the problem, but the mood in the House leads me to hope that we will have some answers before the next general election in 2015. We need to put those answers on the table and get this done, for everyone.

Mental Health Unit (Burton)

Heather Wheeler Excerpts

Monday 19th December 2011 Commons Chamber

[Andrew Griffiths]

My hon. Friend makes an incredibly important point. He has been vociferous in campaigning on behalf of his local residents—as I am attempting to do—and I share his concerns. None of us is a backwoodsman, and none of us wants to ignore the facts, but the facts that are being presented to us by the PCTs are not the facts. When we dig down and look at the assertions that the PCTs are making, they simply do not add up. I shall give the House further evidence of that later.

For the six months during which we were able to examine the occupancy rate, we found that it was already more than 90%. In June 2010, it exceeded 100%, yet the PCT is telling us that it can safely remove those 18 beds from Margaret Stanhope with no impact on mental health provision in my community. I simply do not accept that.

[Heather Wheeler (South Derbyshire) (Con)]

I congratulate my hon. Friend on securing the debate and getting the Minister here to listen to it. I also want to praise the campaigning work of Dr Long, Mr Chatfield and the Burton Mail. My constituency of South Derbyshire is a neighbour of east Staffordshire, and we do not have a hospital. My constituents have to travel either to Derby or to Burton, and my southern villages are covered by the South Staffordshire PCT, which is why my hon. Friend and I have come together on this important issue. It is outrageous that one of the excuses that the PCT is putting forward is that people want care in the community. What people want is respite care, and that is why it is so important that the unit should stay open.

[Andrew Griffiths]

My hon. Friend has been brilliant and steadfast in standing alongside me in my attempt to keep open this valuable facility, and I pay tribute to her for that.

Time is moving on, and I want to get to the facts. We extrapolated what the occupancy rates would have been if the Margaret Stanhope centre had been removed. We found that there would have been an average of 113%, and that in June 2010, it would have been 130%, which is a third more than the 100% that I just mentioned. The PCT tries to argue that in-patients can be cared for in their own homes, but I can prove that that is simply not tenable. In an interview in the Burton Mail, the consultant psychiatrist to the PCT, Abid Khan, who is also the clinical director of adult mental health services at the South Staffordshire and Shropshire NHS Foundation Trust said that he had reduced in-patient stays “by a third”. That is a direct quote. He also cited an independent report undertaken by Staffordshire university.

As my hon. Friend the Member for South Derbyshire (Heather Wheeler) will know, that same report was cited at a passionate public meeting held at the Pirelli stadium in Burton. The report stated that the crisis resolution team could reduce in-patient stays by a third. I asked to see that report. It was also requested by Dr Matt Long, and, after a great deal of fighting, Dr Long managed to get hold of it. We discovered that, far from being independent, it had been produced by Professor Eleanor Bradley, who works not only for Staffordshire university but for the NHS trust. The PCT was claiming that the report was independent, yet it had been produced by someone who was on its payroll. Abid Khan talks about the one third reduction in patient stay, yet when we examine the figures we find that stays over 91 days have been reduced from 39 to 23 days—a reduction, even according to my maths, of about a third—but those between two days and 90 days, which are the vast majority, went down from 524 to 518, a reduction of only six. One-day admittance went up from 48 to 50.

The PCT claims in aid an independent report that is not independent, which states that in-patient stays were reduced by a third, when it is clear that they were not. The PCT expects people to accept the closure of this much-loved facility on the basis of dodgy figures. I put it to the Minister that a PCT cannot be allowed to conduct a consultation in this way, because the consequences are too dangerous to contemplate.

My hon. Friend the Member for Strangford (Jim Shannon) has spoken about the impact on families. We all know that families are hugely important in helping people back into mental health well-being and can act as a huge tonic and support. For those who have to go to St. George’s in Stafford, it is a 27-mile trip one way. [Interruption.] My hon. Friend the Member for South Derbyshire says from a sedentary position that there is no bus from South Derbyshire. That is true. It is 47 minutes by car from Burton. It is an hour on the train, costing £13.50 for a return ticket; then there is a seven-minute bus ride, costing a further £3.50, and a seven-minute walk. A family member wanting to visit a son or daughter, a husband or a wife would face a two and a half hour round trip. It would cost £117 a week or £470 a month. These are some of the most vulnerable people in society, but the PCT thinks it can overcrowd the beds, force people to travel those distances and still provide mental health care that is adequate. I say no—and, more importantly, the people of Burton and South Derbyshire say no.

As a result of the work of Dr Long and of the Burton Mail, 7,500 people have signed a petition to keep the Margaret Stanhope centre open. I have cross-party support for my efforts. East Staffordshire borough council passed a resolution in which every single member united in support for the Margaret Stanhope centre, with Labour councillor standing next to Conservative councillor and the mayor of East Staffordshire, Patricia Ackroyd, manning the battle lines in cold, wet and miserable weather to get people to sign the petition.

I want to make one last point that relates to other services. We all know that people experiencing mental breakdown can often be a danger to themselves or to others. We recognise that the police are at the forefront of dealing with people—it might be a small number—who experience the most acute breakdowns. People often break down in the middle of the night and at the most inconvenient times; they can be a danger to themselves and a danger to their families. Currently, if the police are called to someone at 2 am or 3 am on a Friday or Saturday night, they will try to calm the person as best they can and take them to the Margaret Stanhope centre because they know that the person will get the proper care and support that they need.

I believe that if the Margaret Stanhope centre closes, the police will be faced with two options. Two police officers—they have to travel in pairs—will have to travel all the way to Stafford or Tamworth to drop off a vulnerable person and then come all the way back, which will probably take them out of action for two or three hours. Even worse, however, a vulnerable person might be put in a police cell overnight until the crisis team can come to them. We cannot allow vulnerable people in acute mental breakdown to spend a night in the cell. That is simply not acceptable.

I am hugely grateful, Mr Speaker, for the opportunity to bring this debate to Parliament. I know—I had a text earlier from someone saying, “Andrew, will you straighten your tie?”—that people are watching this debate on television in Burton. I know that there is interest in the issue, because I know that the people of Burton and South Derbyshire care passionately about it. The Margaret Stanhope centre has saved lives. It has rebuilt lives. People throughout my constituency owe a debt of gratitude to the magnificent people who work in this institution, and I owe it to them—and the House owes it to them—to ensure proper consideration.

I will leave the House with the words of one of my constituents, who came up to me on one of those mornings when we were collecting signatures in the high street in Burton in the pouring rain. She said that she had had cause to go to the Margaret Stanhope centre, and that when it happened she was married and had two children. She did not know where she was when she arrived at the centre. She did not know whether she would live through the day, and she did not know whether she wanted to live through the day. But she now knows that the care and compassion of the people in the centre, and the love and support of her family who were able to visit her every day, allowed her to rebuild her life, to go back to society and to work, and to go back to being someone of whom her family could be proud.

It is people such as that whom we are here to support today. I hope that the Minister will accept that, and will help us in our campaign to keep the Margaret Stanhope centre open.

Oral Answers to Questions

Heather Wheeler Excerpts

Tuesday 2nd November 2010 Commons Chamber

[Mr Lansley]

Perhaps I can remind the right hon. Gentleman that the major part of the reorganisation is to eliminate strategic health authorities and primary care trusts, to focus resources on the front line, to get them into the hands of those who are responsible for delivering care and, in the process, to deliver £1.9 billion a year of savings on administration costs.

[Heather Wheeler (South Derbyshire) (Con)]

12. What steps he is taking to prioritise funding for dementia research from his Department’s research budget.

[The Minister of State, Department of Health (Paul Burstow)]

Dementia is a terrible disease that devastates the lives of thousands of people in this country, and research is clearly key. The coalition programme signalled the Government’s intention to prioritise funding for dementia research. The spending review confirmed that and committed to real-terms increases in spending on health research.

[Heather Wheeler]

Will the Minister expand on the future funding of mental health trusts? We all know the statistic that one in four people suffers from mental health problems in their lifetime, and it is a great problem in South Derbyshire.

[Paul Burstow]

The hon. Lady is absolutely right that it is important that we are clear about that. Currently, funding for mental health services comes via primary care trusts, and from 2013-14 onwards allocations will be provided via GP commissioning consortiums.

Mid Staffordshire NHS Foundation Trust

Heather Wheeler Excerpts

Wednesday 9th June 2010 Commons Chamber

[Mr Speaker]

There is no giving way involved; this is a statement.

[Heather Wheeler (South Derbyshire) (Con)]

I welcome my right hon. Friend’s statement. Only yesterday, I wrote to him regarding a constituent in South Derbyshire who had gone through a four-hour wait and was then admitted, to make sure that the four-hour rule was not broken, and had to stay in a ward for six hours and see even more people when he could have been on a bus going home much earlier. There are lessons to be learned across the whole country, and I look forward to the report coming through.

[Mr Lansley]

I am grateful to my hon. Friend. We will take not only the clear evidence from the first Francis report, but evidence from many other places, including that from many of the leading clinical professions that the way in which the four-hour target has been administered has undermined the quality of patient care. We will focus on quality and help the NHS to deliver what it knows is the right quality.