Oral Answers to Questions
Kate Hollern Excerpts(4 months, 3 weeks ago)
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Victoria Atkins
May I thank my hon. Friend for bringing his professional expertise to the Chamber? Of course, minimising “did not attends” is a critical part of ensuring that clinical time is optimised, and I will take his suggestion away and mull it over.
Kate Hollern (Blackburn) (Lab)
The Minister for Health and Secondary Care (Andrew Stephenson)
I understand the hon. Lady’s concern. As she knows, we share a local NHS hospital trust. I am very keen to work with her on this issue. Of course, this Government are the first to introduce a long-term workforce plan for the NHS, which will deliver thousands more clinicians for a range of services across the NHS in the years to come.
Health and Social Care
Kate Hollern Excerpts(9 months, 1 week ago)
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Kate Hollern
In May last year I wrote to the then Health Secretary and the Prime Minister about the case of a young man in my constituency, Elliott Simpson, who was misdiagnosed with a water wart in a telephone consultation with a GP. When Elliott was finally able to see someone face-to-face, he found that he had late-stage skin cancer. He passed away on 28 April, aged just 27.
Between January and March this year, both the two-week wait target and the 62-day target were missed at East Lancashire Hospitals NHS Trust. Does the Secretary of State accept that delays are costing lives?
Steve Barclay
The whole House will be hugely saddened to learn of the passing of Elliott, especially at such a tender age.
The hon. Lady is right to highlight the importance of speedy diagnosis, and I was pleased that we met the faster diagnosis standard in February for the first time and again in March, with three in four patients receiving their diagnosis within two weeks and nine in 10 starting treatment within a month. She is also right to point out that there is still variation between trusts, and we are focusing on that in particular, but it is good that nationally we are hitting the faster diagnosis standard.
[Official Report, 6 June 2023, Vol. 733, c. 664.]
Letter of correction from the Secretary of State for Health and Social Care, the right hon. Member for North East Cambridgeshire (Steve Barclay):
Errors have been identified in my response to the hon. Member for Blackburn (Kate Hollern).
The correct information should have been:
Hospice Services: Support
Kate Hollern Excerpts(10 months, 2 weeks ago)
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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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Kate Hollern (Blackburn) (Lab)
It is a pleasure to serve under your chairmanship, Ms Nokes, and I congratulate the hon. Member for Eastleigh (Paul Holmes) on securing this important and timely debate.
I begin by paying tribute to East Lancashire Hospice, and the staff and volunteers who deliver exceptional services to people in difficult family circumstances. You will excuse me if I get a bit emotional, Ms Nokes, because my family benefited greatly from East Lancs Hospice, and I could not have come through a very difficult time without its support.
Sadly, many hospices are facing an existential crisis. Unlike big business, as energy and food prices rise, hospices cannot pass the cost on to their customers. In fact, the opposite is true, because as the cost of living increases, donations invariably decrease as individuals on whose generosity hospices rely feel the pinch. As a result, hospices have less money available for paying staff, who themselves are struggling to make ends meet.
It is vital that the Government address that unsustainable situation because the care provided by hospice services cannot be replicated elsewhere within the NHS. Indeed, hospices take a burden off the NHS. Let us be honest: a reduction in hospice services would result in increased hospital admissions, higher costs and bed shortages, all of which would further stretch our already overwhelmed health system.
According to Hospice UK, hospices are collectively budgeting for a deficit of £186 million. Therefore, Hospice UK is calling for the Government to take action to help hospices with rising costs, and asking for £30 million of Government funding for hospices to offset the cost of increased energy bills in the year ahead, as well as £102 million for hospices in England to help them to keep pace with NHS pay rises.
In April, I visited East Lancs Hospice. I met the chief executive and staff, and I had the pleasure of observing the remarkable care provided by this wonderful team every day. I was in awe of the diligence with which staff supported patients and their families, but I was also reminded me of the support and care given to John, my partner, in the last days of his life.
Back to business. The hospice does not receive full funding from the NHS; apart from its core grant, it must fundraise in order to make ends meet. Like most hospices, it is very creative in that fundraising. The turnover of the East Lancashire Hospice is £4 million, but the core grant is only £1.6 million. That means that they must find £2.4 million. I beg the Minister to address the funding for hospices urgently.
Oral Answers to Questions
Kate Hollern Excerpts(10 months, 3 weeks ago)
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Neil O’Brien
The hon. Gentleman is campaigning for a reduction in the VAT on suncream, but let me put this into perspective. As I have said, our cost of living support is worth, on average, £3,300 per household. That is help on a huge scale. On cancer we are taking more action across the piece, and more people are being given life-saving checks, referrals and treatment than before.
Kate Hollern (Blackburn) (Lab)
Mr Clive Betts (Sheffield South East) (Lab)
The Secretary of State for Health and Social Care (Steve Barclay)
We are diagnosing and treating patients faster. In March, nearly three in four people were diagnosed or given the all-clear within two weeks—ahead of the 28-day target—and nine in 10 patients start treatment within a month.
Kate Hollern
In May last year I wrote to the then Health Secretary and the Prime Minister about the case of a young man in my constituency, Elliott Simpson, who was misdiagnosed with a water wart in a telephone consultation with a GP. When Elliott was finally able to see someone face-to-face, he found that he had late-stage skin cancer. He passed away on 28 April, aged just 27.
Between January and March this year, both the two-week wait target and the 62-day target were missed at East Lancashire Hospitals NHS Trust. Does the Secretary of State accept that delays are costing lives?
Steve Barclay
The whole House will be hugely saddened to learn of the passing of Elliott, especially at such a tender age.
The hon. Lady is right to highlight the importance of speedy diagnosis, and I was pleased that we met the faster diagnosis standard in February for the first time and again in March, with three in four patients receiving their diagnosis within two weeks and nine in 10 starting treatment within a month. She is also right to point out that there is still variation between trusts, and we are focusing on that in particular, but it is good that nationally we are hitting the faster diagnosis standard.
Government PPE Contracts
Kate Hollern Excerpts(1 year, 4 months ago)
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Kate Hollern (Blackburn) (Lab)
Members across the House repeatedly warned about the contracts that were being awarded to companies during the toughest days of the pandemic, and especially to companies in the high-priority lane. It was not just about PPE; I raised concerns about testing kits that put residents of care homes in Blackburn at risk.
Our debate today is about the failure of proper due diligence. It was not a harmless failure; it hampered our response to covid and enriched VIP politicians while putting the public at risk. Constituents and companies were eager to help. The support that they offered was tremendous, and it could have saved lives if it had been accepted much, much sooner.
I would like to read from an email from a constituent, the managing director of a medical equipment company in Blackburn. The company, which has been going for 30 years and provides equipment across the world, contacted the Government in March 2020 to offer its services. Six weeks later, it had had no response. Those were six weeks lost. When a response did come, it was pretty miserable: it pointed to a link on the Government’s website. The company never got a proper response. The managing director wrote:
“None of what I am seeing makes any sense, when all this calms down as one day it will the lawyers will have a field day…people are using non medically approved or tested equipment…whilst there are recognised businesses that can supply the necessary approved and tested PPE that are being ignored by government.”
The company was producing PPE for councils and other public bodies that had been let down by the Government.
The scandal has been exposed and it is important that cronyism is never allowed to happen again. Billions of pounds of public money were wasted and lives were lost. It is disappointing that so few Conservative Members are here to hear about their failures, because you can only learn by your mistakes. They are turning a deaf ear to the scandal. Accountability, openness, honesty and integrity are all on the table this evening. It would be shameful if Conservative Members failed to vote.
This is a call for transparency. We must not fail the public in these situations ever again. We must demonstrate that we have learned from the mistakes. We must demonstrate transparency. If, as the Minister claims, there is nothing to see here and everything has been done properly, I suggest he votes for the motion and promises to put the papers in the Library as soon as possible.
NHS Dentistry
Kate Hollern Excerpts(1 year, 6 months ago)
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Kate Hollern (Blackburn) (Lab)
I share the concern of the hon. Member for Waveney (Peter Aldous) and my hon. Friend the Member for Bradford South (Judith Cummins), who tabled the motion. Many of my constituents in Blackburn are at the sharp end of this crisis, because there are currently no practices accepting new NHS patients in Blackburn or Darwen and families are facing the consequences. Children end up in hospital because they cannot get the dental treatment that they need. Between 2020 and last year, 135 children under 10 were admitted to hospital for tooth extraction. That is an appalling state of affairs. Constituents in Blackburn and many around the country are being forced into DIY dentistry.
Although we are here to discuss NHS dentistry, Members will be painfully aware that these sorts of fires are burning throughout primary care and throughout our health system. The workforce and access inequalities are driving health inequalities between the regions. The Government have let the problem get out of hand, because they cannot introduce a serious workforce plan to ensure that we have the staff we need to treat patients on time.
A recent briefing from BUPA stated:
“There is a lack of data about the dental workforce to inform a clear, centrally driven plan focused on improving recruitment and retention…the registers of the General Dental Council only list dental practitioners, but not whether they are practicing.”
It is important to have meaningful data so that we can start making the plan to deliver the dentists that this country needs.
A constituent of mine, who works for the NHS, said that she is
“expected to provide a minimum standard of care to all patients”—
and asked:
“Where is the support for dentists to provide the same?”
She asked me to ask the Minister: where is the additional support to train and retain NHS dentists, especially for areas in the north—such as Blackburn—to which it is traditionally hard to recruit?
The Minister needs to publish the Government’s health and social care workforce plan as soon as possible. It needs to account for how communities in places such as Blackburn are often under-served by the primary care system. Dentists, like GPs, often want to practise and work in more urban communities. It is important that the right incentives are delivered to get them practising and staying in the most under-served communities, like Blackburn.
Oral Answers to Questions
Kate Hollern Excerpts(1 year, 9 months ago)
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Judith Cummins (Bradford South) (Lab)
Kate Hollern (Blackburn) (Lab)
Steve Barclay
The number of face-to-face appointments is increasing and in May 2022, excluding covid-19 vaccines, 64% of appointments were face-to-face, up from 55%. But the hon. Lady is right to say that patients should have the choice, and that is why the NHS access improvement programme has been supporting practices experiencing greater access challenges. Indeed, one of the first visits I did in my new role was to a GP practice to look at the practical measures it was putting in place to facilitate greater access for its patients.
Kate Hollern
The inverse training law is depriving communities in Blackburn of access to primary care. Blackburn already has one of the lowest ratios of GPs to patients in the country, and it struggles to attract and retain GPs. The Government have committed to provide 6,000 new GPs by 2024, but according to the British Medical Association there are actually 1,737 fewer GPs as of this month. What is the Secretary of State’s Department doing to level up primary care and deliver the incentives for GPs to train and practise in communities such as Blackburn?
Steve Barclay
I know this is an issue of concern that the hon. Lady wrote to my predecessor about, and indeed she raised its impact on her constituency in the House last month. There are specific programmes such as the targeted enhanced recruitment scheme that was launched in 2016, and the one-off financial incentives to attract GPs to the more deprived areas. We are also looking at how we can have the right skills mix to boost not just the number of GPs but wider access to appointments.
Steve Barclay
May I take the opportunity to thank my hon. Friend for his service as Minister of State? I think he was one of the longest-serving Ministers in that role; in fact, I think he took over from me, or shortly after me. He carried out the role with great distinction, as I am sure the whole House recognises.
I am very happy to reconfirm our commitment. I think the number is at about a third of a million, and great progress is being made. That enlarged measure is down to my hon. Friend’s work as Minister of State.
Kate Hollern (Blackburn) (Lab)
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.
Access to GP Services and NHS Dentistry
Kate Hollern Excerpts(1 year, 10 months ago)
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Sajid Javid
We are working with our colleagues in the Home Office on this and other skills and healthcare issues, so I can give the hon. Gentleman that assurance. He talks about the major problem he is facing in Wales, and that major problem is a Labour Government. I hope he agrees—[Interruption.] He is nodding.
Look at the performance of Labour in Wales, whether on health or education: the median waiting time for outpatients in Wales is almost double the median waiting time in England. People in Wales are waiting more than three years, whereas the longest wait in England is more than two years. Thanks to the covid recovery plan we set out in this House a few months ago, the number waiting more than two years has been slashed by more than two thirds in just four months, and it will be almost zero next month.
Thousands of people in Wales are waiting two or three years. In fact, one in four patients in Labour-run Wales are waiting longer than a year. In England it is one in 20, which is far too high and will be lowered, but in Wales it is one in four. It is not surprising the hon. Member for Ilford North had nothing to say about his colleagues in power in Wales.
Sajid Javid
I would like to hear what the hon. Lady thinks of the Labour Government in Wales and their abysmal performance when it comes to healthcare.
Kate Hollern
There is much better performance from the Welsh Government than from the UK Government. The Prime Minister promised 6,000 more GPs, which has not happened.
I wrote to the Secretary of State about Blackburn having only 33 GPs per 100,000 people, whereas the south-west has 73. I wrote to him about a young man whose cancer was misdiagnosed, but I have not had a response. I would say Wales is doing much better than the Secretary of State.
Sajid Javid
That is a very strange comment about the hon. Lady’s colleagues in Wales. Either she does not know or she is deliberately saying something she does not quite believe. Perhaps I can make her aware of the facts in Wales, where the number of people waiting more than two years for treatment currently stands at more than 70,000. That is more than three times the figure in England. That is more than three times the figure in England. It is at 70,000, and the hon. Lady seems to be very comfortable with that. I am surprised—it tells us all we need to know about Labour’s ambitions for government if she thinks that is acceptable.
Randox Covid Contracts
Kate Hollern Excerpts(2 years, 5 months ago)
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Kate Hollern (Blackburn) (Lab)
To echo the words of my hon. Friend the Member for Rochdale (Tony Lloyd), this matters. Blackburn was hit harder than most areas, so I took a keen interest in what the Government were doing to help ease the situation. In June 2020, I raised with the then Secretary of State for Health and Social Care my concerns over Randox tests. Care homes were trying to apply the test, but the swabs were snapping and there was a danger that they could go down an old person’s throat. We found that residents were developing blisters in their mouths.
Similarly to the hon. Member for Amber Valley (Nigel Mills), at that time the Secretary of State for Health and Social Care said to me, “Nothing to see here. It’s fine. There’s no problem with these tests, and we are satisfied with the health and safety standards.” Two weeks later we tried to get tests to replace the banned tests, but we were told that care homes could not have them because none would be available until September. That was disgraceful, and it had a huge impact on elderly and vulnerable people, as well as a huge financial and emotional impact on providers of care within our communities. In July, the Secretary of State admitted that those 750,000 tests had to be withdrawn.
We are talking about contracts and their allocation, and unlike other Members who have spoken, I am not an expert in procurement. However, this statement claims that there were serious shortcomings with the contracts. Documents show that ahead of the 9 April call—I understand that contracts were awarded on 18 May, not in March as the Minister suggested—civil servants in the Department of Health and Social Care were trying to compensate for shortfalls in Randox’s equipment. A clause in the contract said that the Government would
“help them source equipment if they are short or struggling to get it”.
Civil servants confirmed that Randox needed additional equipment for
“loans of the various things we need.”
That was escalated to No. 10, which was told it had to send letters to universities to assist with shortfalls in the equipment. The UK Government had to pay airlines to fly used test kits from England to Northern Ireland, so that Randox could analyse them in the laboratory.
Did that not set alarm bells ringing that there was something wrong with the tests? Why did we award the contract for £133 million? Why did the then Secretary of State for Health say, “Nothing to see here, move on”, only to admit that there was a fault two weeks later? That is bad. I recognise the urgency of getting test kits, and we could excuse some mistakes in the first three months, but to then award another contract six months later when there were still problems, is outright disgraceful. It was putting lives and businesses in Blackburn at risk.
The Minister spoke about the National Audit Office. According to its investigation of Government procurement during the covid-19 pandemic, there were failings to document how risks were considered and were to be managed. There was no competition and a failure to justify why particular suppliers were chosen, or how potential conflicts of interest were identified and managed. What does that say about the objectivity of those Ministers? What does it say about Ministers taking decisions fairly, on merit and openly? These decisions should be taken in an open and transparent manner, with accountability, and Ministers should submit themselves to the scrutiny of the House, not just to ensure that they are held accountable, but so that the people we in this House serve get the service they deserve.
Over the past 20 months, we have learned that these things cost lives. The Government need to move forward from this shameful episode and strengthen not just the standards that we have in this House and must abide by, but the standards of public service. Our constituents deserve better. Blackburn has been devastated by the pandemic, and failings over test and trace have cost financially, emotionally and lives. The Government must be held to account. They must accept their mistakes and publish the detail to learn from those mistakes. They must act to ensure that such mistakes are never allowed to happen again.
I feel exceptionally sorry for the Minister, who has been asked to come here and defend the indefensible. I have been battling with the Department for Health and Social Care since the start of the pandemic and I have never had adequate responses to letters. It has always been, “This is an emergency. We’ll get back to you.” I asked the Secretary of State about the £133 million and how much would be recouped from that failed contract, but I am yet to receive a response. I do not know whether the Minister is aware of this, but Blackburn has a serious shortage of GPs and some of that £133 million —[Interruption.] If she would just pay attention, it would be good. If the Minister would commit to investigating completely—she can use Blackburn as an example of the failings—and to ensuring that she does everything possible to level up some of the unequalness that she has created across east Lancashire, I would be more than happy, but it is important that lessons are learned and actions taken.
Oral Answers to Questions
Kate Hollern Excerpts(3 years, 7 months ago)
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Matt Hancock
Yes. The direct provision of healthcare is of course devolved, but as the UK Health Secretary I take an interest in ensuring we have high quality healthcare right across the country. I am very happy to work with my colleagues in the Welsh Government on improving the delivery of services in the Betsi Cadwaladr health service. I wish the new chief executive all the very best. I am sure she will take the service, improve it and work with her colleagues in this House to make sure that the people of north Wales get the very best health services that they deserve.
Kate Hollern (Blackburn) (Lab)
Matt Hancock
In response to the last point, the turnaround time for test results is now the next day for almost every one. However, there has been a challenge, referred to just now and in a previous question, with the Randox kits. The test results from the Randox kits that were withdrawn were accurate. The challenge was that the Randox kits did not pass our very high and stringent standards; essentially they were not as clean as we would have wanted. I am informed by the clinicians that there is no evidence of any health threat from that, but of course we have to make sure that we protect people as much as possible. Hence, we had to withdraw the kits. As I said, we have a catch-up programme that is under way.