Oral Answers to Questions Debate
Full Debate: Read Full DebateLindsay Hoyle
Main Page: Lindsay Hoyle (Speaker - Chorley)Department Debates - View all Lindsay Hoyle's debates with the Department of Health and Social Care
(1 day, 7 hours ago)
Commons ChamberI wholeheartedly agree with my hon. Friend. This Labour Government are introducing the first ever fair pay agreement for care workers. That is better pay and conditions for care workers, and more people recruited into the profession. It is backed by £500 million, and Scotland will receive extra funding through the Barnett formula. The question for the SNP is: where is the money going, and why is it not going into the pockets of Scottish care workers, as Jackie Baillie has demanded?
On Friday, I visited Young Devon, an early support centre in the heart of rural North Devon, where I met young people who told me heartbreaking stories of how they felt left out and let down by the system. Young Devon was quite literally a lifeline for them. It has an open-door, person-centred approach. I am delighted that its funding has been continued for one more year, but it is only one year, and those who run the centre told me that this makes it incredibly difficult for them to plan. Can the Secretary of State clarify what the longer-term plan is for these early support hubs, how they sit alongside Young Futures hubs, and how he can help organisations like Young Devon thrive into the future?
I join the Chair of the Health and Social Care Committee in paying tribute to Young Devon and the work it is doing. As she will know, I have enormous sympathy for the challenge she raises about medium-term certainty on funding. As was demonstrated on the Floor of the House yesterday by the Education Secretary, my Department and the Department for Education are working closely together to make sure we are better joining up education, health provision and support for young people. There is more to do. I accept the challenge that she sets down around medium-term certainty on funding; that is why we are doing more through, for example, the medium-term planning framework. I accept, in the spirit of this exchange, that there is lots done, but lots more to do.
Last year in Shropshire, which is a fairly typical rural area, 158,000 patients waited more than a month for a GP appointment. That is not surprising, given that, like many other rural areas, we have 50 fewer qualified GPs than we did a decade ago. Meanwhile, already busy GPs are trying to develop integrated neighbourhood teams, but they report that they have not received any dedicated Government funding, and still do not have the model neighbourhood framework. Will the Secretary of State act to ensure that GPs have the resources and guidance that they need to develop those neighbourhood health teams, and ensure that everyone can access an appointment within seven days, or 24 hours if it is urgent, particularly in rural areas, where provision is poor?
The NHS’s work on this is vital, but I also draw the Minister’s attention to Mind in Hackney, which is pioneering a new approach to make sure that people get two sessions of mental health support within two weeks. They can get more later on, but that is what they get, rather than waiting in a queue for six months for long-term support. For many people, that, along with a long-term treatment plan, is enough. May I urge the Minister to come and visit? It is only half an hour up the road from Westminster; he could fit it in before Prime Minister’s questions.
Dr Ahmed
I am grateful for my hon. Friend’s invitation. She is right: we need to think of innovative ways of attacking the mental health issues that face our country, and particularly our young people. Those include digital and face-to-face therapies, both of which we are expanding at a rapid pace. I am delighted to pass on her invitation to the Minister for Mental Health.
Our manifesto commitment was about improving access to urgent dental care, and that is precisely what we have done by commissioning hundreds of thousands of additional urgent treatments. It became clear as we were working through that process that the clinical definition was too narrow and out of step with the common-sense interpretation, so we acted on the advice of the chief dental officer and broadened the definition. From this April, urgent care will be embedded in the contract, and of course we continue to work with the sector on long-term contract reform.
Everyone in this House knows that NHS dentistry was allowed to fall apart under the Conservatives, resulting in DIY tooth extractions, people being forced to go to A&E because they are in pain, and children suffering in every corner of the country. Last year, 38,000 children in Shropshire did not see a dentist. In Surrey, that number was 100,000 and in Sussex it was 133,000. That is a disgrace. The Government promised an extra 700,000 urgent appointments to fight this crisis, but that promise looks set to have been broken in the previous year. Will the Minister today highlight in black and white how many extra urgent appointments were actually delivered last year, rather than simply commissioned?
The Minister responsible runs a regular ministerial surgery and would be more than happy to meet the hon. Member.
I declare an interest as a consultant paediatrician in the NHS. Prevention of ill health is crucial. It is particularly important in children, perhaps most especially when one is trying to prevent ill health in children caused by doctors. I have expressed concerns previously about the puberty blockers trial, as have many in both Houses. The trial has now been paused due to a Medicines and Healthcare products Regulatory Agency letter. When were Ministers first aware of that letter and when were they first aware of the concerns described within it?
Joe Robertson (Isle of Wight East) (Con)
The Secretary of State for Health and Social Care has compared GPs’ salaries to that of the Prime Minister. I can understand why he is taking a keen interest in how much a Prime Minister is paid, but can the Government assure the House that the GP contract will include an increase in GP funding over and above inflationary pressures? [Interruption.] They are on the frontline of ensuring that national wellbeing indicators in this country improve.
I am not entirely sure what any of that has to do with wellbeing indicators—
Order. Let me do my job and I will let the Minister do hers. Try to answer the question—I did add a caveat to it.
Sorry, Mr Speaker; I did not hear you. I can confirm that a written ministerial statement will be tabled at 4 pm in which the contract for 2026-27 will be laid out.
Josh Babarinde (Eastbourne) (LD)
A matter of weeks ago, a power cut plunged parts of Eastbourne district general hospital, where I was born, into darkness and forced our maternity unit to temporarily close, particularly affecting disabled women. People had to use their iPhone torches to see. Despite that power infrastructure failure, we are way at the back of the queue for new hospital funding. Will the Minister commit to accelerating the unlocking of that cash, so that women can have the services they deserve—
Order. I have spoken before about trying to drag in a supplementary question that is not relevant to the main question. I call the shadow Minister and welcome him to the Dispatch Box for the first time.
Gregory Stafford (Farnham and Bordon) (Con)
Thank you very much, Mr Speaker.
Seven months ago, the NHS 10-year plan promised a maternity taskforce. May I ask the Minister how many times it has met?
Harriet Cross
Inverurie medical practice in my constituency saw its national insurance bill rise by £75,000 thanks to this Government. That has put huge pressure on the practice, which was already operating with one GP for 3,000 patients, which is three times higher than the British Medical Association recommends. When did the Secretary of State last meet the Chancellor to discuss the impact of the NICs rise on GP practices, and what are he and his Department doing about the pressure—
I see the Chancellor most weeks. That is why record investment is going into our NHS, which is improving patient satisfaction with access to general practice, cutting waiting lists, and improving ambulance response times—all to fix the mess that the Conservatives left behind. And people should be in no doubt: given the chance, they would do it again. They opposed the investment, they opposed the reform, and they can never be trusted with our NHS.
We acknowledge the important issue of the potential negative impact that gambling advertising may have on children and young people’s health. My officials continue to work closely with officials at the Department for Culture, Media and Sport, and I will be discussing the issue with the Minister for Gambling, who is responsible for gambling advertising policy. We continue to keep the public health evidence under review, and to consider suitable action to protect individuals and communities from gambling harms.
In the plan for change, the Government committed to meet the 18-week standard for routine operations, but the latest data suggests that the Government are not on track to meet that commitment by the end of the Parliament. In December, fewer people were treated within 18 weeks than in the previous month. Will the Secretary of State now accept the reality that patients are experiencing and, as the Institute for Fiscal Studies has warned, that the Government will not deliver their commitment on their key milestone to deliver the 18-week standard?
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—
Noah Law (St Austell and Newquay) (Lab)