Oral Answers to Questions

Karin Smyth Excerpts

Tuesday 24th February 2026 Commons Chamber

[Ruth Cadbury (Brentford and Isleworth) (Lab)]

6. What steps he is taking to improve the diagnosis of menopause for women in London.

[The Minister for Secondary Care (Karin Smyth)]

It should not be so difficult for women to get a diagnosis for a condition that every single one of us goes through. That is why this Government took a landmark step forward by including menopause in the NHS health checks for the first time ever. It is assessed that this will benefit around 5 million women. We are going further next year, when menopause will be one of the first conditions treated through our revolutionary new digital hospital, NHS Online.

[Ruth Cadbury]

Women in my constituency experiencing symptoms of perimenopause and menopause tell me of very varied experiences of going to their GP—some excellent, and some, frankly, alarmingly poor. I have been particularly concerned to hear about the experiences of south Asian women with perimenopausal and menopausal symptoms. What steps is the Department taking to ensure that all GPs receive thorough and regular training that is appropriate for all London’s communities?

[Karin Smyth]

My hon. Friend makes an excellent point that many of us will, unfortunately, recognise. We need to address variability in training, through the NHS health checks and training that is being rolled out by both the General Medical Council and the royal colleges. We need to go further. There are some great examples, both in London and across the country, of multidisciplinary teams helping with training for specialist services, and of initiatives like menopause cafés to support women. We need to take those best examples to the rest of the NHS.

[Freddie van Mierlo (Henley and Thame) (LD)]

Hormone replacement therapy is a godsend for many women experiencing menopause, but there is a dire shortage of HRT implants. These are unlicensed medicines, but they are absolutely essential for treatment, particularly for women for whom other treatments do not work. There are women in my constituency who are suffering very badly with poor mental and physical health impacts as a result. I have submitted a number of written questions and received responses from Ministers, in particular the Under-Secretary of State for Health and Social Care, the hon. Member for Glasgow South West (Dr Ahmed). We really want to know when action will be taken on this, and when we can get the implants that these women so desperately need.

[Karin Smyth]

The hon. Gentleman makes an important point about supply and availability across the country, which is something we monitor regularly to ensure that if there is a shortage of a medicine in an area, there are alternatives available. We will continue to keep that under review, to ensure that women have the services and the medication that they need.

[Callum Anderson (Buckingham and Bletchley) (Lab)]

7. What assessment his Department has made of the adequacy of access to NHS dental services.

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[The Minister for Secondary Care (Karin Smyth)]

We now have ambulances arriving faster, but we know there is much more to do. We have taken action to reduce handover delays by introducing release-to-rescue 45-minute handovers, supporting ambulances back on to the road to respond to patients faster. We have invested in an extra 500 ambulances. I am pleased to announce that as a result of this Government’s investment and modernisation, West Midlands ambulances are reaching patients with conditions such as suspected heart attacks and strokes almost seven minutes faster this winter than last winter.

[Sureena Brackenridge]

I thank the Minister for her update. I welcome the progress made on ambulance response times and handovers. I recently visited Willenhall ambulance hub to thank the incredible staff and to hear about winter pressures, local handover delays and the strain of late finishes on their family life and childcare. What action is being taken to tackle systemic bottlenecks in A&E departments, high bed occupancy and pharmacy delays to protect staff wellbeing and ensure high-quality patient care?

[Karin Smyth]

I commend my hon. Friend for visiting her ambulance service, as many hon. Members do, to understand the pressures they are working under. It is a useful visit to understand those wider issues, as she says. She raised an important point about handover delays impacting staff as well as patients. Reducing these delays will ensure that staff are no longer stuck outside emergency departments. On the wider issue about the front door, NHS England’s model emergency department will set out core principles and pathways for high-performing emergency departments, which will improve patient experience and flow with lower waiting times and less overcrowding. We are committed to improving rest facilities to support staff wellbeing.

[Helen Maguire (Epsom and Ewell) (LD)]

In November, I joined a local ambulance crew and saw at first hand the great work they do for our community, but services are under huge strain. Will the Minister designate ambulance stations as critical infrastructure to protect them from closure and set up an emergency fund to support them?

[Karin Smyth]

I commend the hon. Member for going out with her crews. One of the reasons we have been so successful this year in improving the services is by looking at things such as where ambulances are located and how they operationalise their services. We will continue to work with NHS England on the best model for local constituencies.

[Lizzi Collinge (Morecambe and Lunesdale) (Lab)]

9. What assessment his Department has made of the adequacy of access to NHS dental services in Morecambe and Lunesdale constituency.

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[Ian Byrne (Liverpool West Derby) (Lab)]

16. What assessment his Department has made of the potential impact of private finance initiatives on the NHS.

[The Minister for Secondary Care (Karin Smyth)]

The health PFI programme between 1992 and 2015 delivered 126 new acute facilities for the NHS, and over £12 billion of investment in the estate. NHS PFI contracts are held by individual trusts, and the National Infrastructure and Service Transformation Authority publishes annual data on them, including the costs of all those PFI projects. The last PFI contract was signed in 2015. We are not bringing back PFI; we are bringing forward a new public-private partnership model that will draw on lessons learned from the past, to ensure that we deliver the commitments of our 10-year plan.

[Ian Byrne]

Alder Hey children’s hospital NHS foundation trust in my constituency faces significant financial pressure due to its private finance initiative deal. That is because over 50% of its total PFI payment is going towards interest charges, with Alder Hey still owing £380 million by 2045 for the PFI investment of £189 million. That is nearly £200 million being drained out of Alder Hey over the next two decades, because of the now discredited PFI system. That money should be spent on making sick children better. What assessment has the Department made of the potential impacts of the use of PFI to fund the recently announced neighbourhood health centres?

[Karin Smyth]

My hon. Friend highlights an important example, where something is clearly not going well. The Department is working with the team at Alder Hey to help rectify some of those problems. That is why we will not be using that PFI model in future. We have learned those lessons and we will take forward a new PPP model for our neighbourhood health service that will transform care for people in his constituency and across the country.

[Harriet Cross (Gordon and Buchan) (Con)]

T1. If he will make a statement on his departmental responsibilities.

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[Sarah Edwards (Tamworth) (Lab)]

T5.   My constituents are forced to travel to Burton, Derby and Sutton Coldfield for their NHS treatment, which cannot be provided at the local community diagnostic centre. Some travel up to 30 miles for chemotherapy, with little or no public transport. What is the Minister doing to deliver healthcare investment locally and to improve the transport links between NHS sites so that those who need to use them can get to their treatment?

[The Minister for Secondary Care (Karin Smyth)]

My hon. Friend highlights an important point about the need to have further roll-outs of CDCs, particularly for communities such as hers. We are expanding those and expanding the time available for them. We are also expanding access through the front door through the NHS app and digital. Our new online hospital service will improve the sorts of issues that she mentions so that we bring services closer to her patients and do not expect them to have to travel.

[Martin Vickers (Brigg and Immingham) (Con)]

T8. Last Friday, a doctor came to my surgery and produced a letter that he and around 100 other doctors and consultants from the hospital in Grimsby had sent to the then interim chair. They were concerned about a rundown of services at Grimsby and Scunthorpe hospitals and a further concentration on Hull. That has been made worse by a series of interim chief execs and chairs. Will the Minister give an assurance that Grimsby and Scunthorpe hospitals will not see any rundown in their services?

[Karin Smyth]

I understand the issues that the hon. Gentleman and many other Members, such as my hon. Friend the Member for Great Grimsby and Cleethorpes (Melanie Onn), have raised in Grimsby and the Lincolnshire area. It is important that the clinical mapping for their new services is supported by clinicians and local people, and I am happy to continue to talk to the hon. Member for Brigg and Immingham (Martin Vickers) and others about progress with that. I am in touch with the NHS England team, and it assures me that it is continuing to do that. I also understand the additional difficulties—

[Mr Speaker]

Order. Speed it up.

[Noah Law (St Austell and Newquay) (Lab)]

T6. In 2024, my constituent Wendy fractured three vertebrae from osteoporosis after being denied a DEXA scan. She spent three months in hospital and suffered lasting harm. Will the Minister review DEXA eligibility and expand local access to prevent future fractures and save the NHS costs?

[Karin Smyth]

My hon. Friend makes a really important point about how important DEXA scans are for osteoporosis, particularly for women. We have already expanded DEXA scans across the country this year; we have also allocated more capital funding for such capital investment, and we will announce the allocations in due course.

[Luke Taylor (Sutton and Cheam) (LD)]

T10. Children’s cancer services are due to move from the Royal Marsden to the Evelina hospital next year. Concerns have been raised with me about the provision of a teaching space for children undergoing cancer treatment and its provision in the new plans. Will the Minister meet with me to discuss that transition and confirm that the Department of Health and Social Care is working with the Department for Education to ensure that a high-quality hospital school is provided at both sites during the transition?

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[Peter Lamb (Crawley) (Lab)]

Crawley A&E’s closure was accompanied by a commitment to a 24-hour urgent treatment centre, a commitment that the trust is now breaking. Can the Minister meet me to discuss how local services can be preserved and improved?

[Karin Smyth]

I am happy to discuss that issue with my hon. Friend. We are determined to have co-located UTCs; I know that that is a matter for the local commissioner, but I am happy to talk about it further.

[Shockat Adam (Leicester South) (Ind)]

Vista is a 160-year-old charity serving people in Leicester and Leicestershire who are suffering from visual disabilities. Last year alone, it served 21,000 people, but sadly, it faces imminent closure if it cannot raise £2 million by the end of March. If that happens, the devastating effect on the national health service and the social care service will be unimaginable, so will the Minister meet me and other local MPs, as well as representatives of University Hospitals of Leicester, to discuss what we can do to save Vista?