Oral Answers to Questions

Neil O'Brien Excerpts

Tuesday 1st November 2022 Commons Chamber

[Drew Hendry (Inverness, Nairn, Badenoch and Strathspey) (SNP)]

5. What recent assessment he has made of the potential long-term effects of cold weather over the winter on the health of (a) children and (b) pensioners.

[The Parliamentary Under-Secretary of State for Health and Social Care (Neil O’Brien)]

Pensioners and children are particularly vulnerable to cold weather, which is why we are spending £37 billion on our energy support package. A typical household will save a third—£700—of what they would have paid this winter. The 8 million most-vulnerable households will get £1,200 in support this year to help with the cost of living. The record block grant agreed at the spending review will enable devolved Administrations to provide further services to support those in need.

[Drew Hendry]

It is a fact that growing up and living in poor and cold housing leads directly to bad health outcomes. The director of University College London’s Institute of Health Equity, Sir Michael Marmot, stated that the Government must act now, because

“we are facing a significant humanitarian crisis with thousands losing their lives and millions of children’s development blighted”.

That was before the Chancellor’s U-turn on the energy price guarantee, which will mean that average household bills are £4,000-plus a year, or more if they are off-gas grid. Does the Minister think that is acceptable, or will he urge his colleagues to do much more?

[Neil O’Brien]

I actually agree with the first part of the hon. Gentleman’s point. That is why, as well as the huge direct support to households, we are investing £12 billion in Help to Heat schemes to help make people’s homes warmer and cheaper to heat, another £1.1 billion in the home upgrade grant, and £500 million in the sustainable warmth competition. We take this issue very seriously, and colleagues at the Department for Levelling Up, Housing and Communities are taking further actions to clamp down on squalid housing.

[Theresa Villiers (Chipping Barnet) (Con)]

Access to GP appointments is particularly important to help to deal with winter pressures, so can the Minister update the House on progress in implementing the improvements promised in October last year to help GPs to expand to meet demand over the winter?

[Neil O’Brien]

My right hon. Friend is so right, and she has been a powerful champion on this issue. We have invested £1.5 billion to get an extra 50 million GP appointments per year. The number of appointments in September was up 7% compared with the same month in 2019. We now have an extra 2,300 doctors working in primary care compared with 2019, and an extra 19,300 primary care professionals, on the way to the goal of 26,000 extra primary care professionals. This is hugely important, we are investing in it, and my right hon. Friend is right to campaign on it.

[Mr Speaker]

I call shadow Minister Andrew Gwynne.

[Andrew Gwynne (Denton and Reddish) (Lab)]

We know that, if poorer communities cannot afford to heat their homes, health inequalities will worsen significantly over the winter months and beyond. Despite the seriousness of this issue, the previous Health Secretary—that is the right hon. Member for Suffolk Coastal (Dr Coffey), in case Members are struggling to keep track—planned to ditch the Government’s long-promised health disparities White Paper. Does the current Minister intend to do the same? If he does, how will he seriously address the dreadful health inequalities that have widened after 12 Tory years?

[Neil O’Brien]

The hon. Gentleman implies that I disagree with him about this. In fact, the Government are working hard to clamp down on squalid housing. That is exactly what we were doing in my previous Department, DLUHC, and I have just mentioned some of the things that we are doing: the £37 billion we are spending to help people to meet the cost of living, the £15 billion of that that is targeted on the very poorest households, and the £12 billion that we are investing in making people’s houses easier to heat. We will continue to tackle health disparities across the board.

[Mr Speaker]

We now come to SNP spokesperson, Martyn Day.

[Neil O’Brien]

We are taking the action that I have just been describing in terms of direct support for households. Of course, because health is devolved, we are also helping the devolved Administrations. The Scottish Government, for example, receive £126 per person for every £100 per person of equivalent UK Government spending in England and Wales. That enables the Scottish Government to provide extra help for those in need. It is another example, on top of furlough and the energy support scheme, of how this country is strongest when we all work together constructively.

[Mary Glindon (North Tyneside) (Lab)]

6. What estimate he has made of the average waiting time for mental health treatment.

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[Mark Fletcher (Bolsover) (Con)]

7. What steps his Department has taken to help improve local dental provision.

[The Parliamentary Under-Secretary of State for Health and Social Care (Neil O’Brien)]

During the pandemic, we provided £1.7 billion to protect dental services. Now, through the improvements announced in the summer and our recent plan for patients, we will pay dentists more fairly and improve access for patients. We are enabling practices to deliver more activity than they are contracted to deliver—up to 110%—practices will have to keep their NHS website details updated, making them easier to find, and we are enabling dentists and their wider teams to work to their full scope of practice, improving access. The number of dentists doing NHS work increased by over 530 last year, but there is much more to do.

[Mark Fletcher]

The Minister is aware that recent Local Government Association analysis showed that Bolsover has some of the worst dentist provision in the UK. That is highlighted by constituents to me daily. Whether it is getting access to treatment or even registering for an NHS practice, my constituents are struggling. Will the Minister take a look at that and meet me so we can discuss what more we can do for dentistry in Bolsover?

[Neil O’Brien]

Absolutely. My hon. Friend has been a formidable campaigner on this issue. I know he met the Secretary of State to talk about it in the summer. It is a pleasure to have talked to him already and I am happy to meet with him further. Seven Derbyshire dental providers have been commissioned to deliver extra weekend activity to improve access this winter and, nationally, we are exploring how to incentivise dentists to work in areas where getting an NHS dentist is proving challenging.

[Chi Onwurah (Newcastle upon Tyne Central) (Lab)]

Effective dental provision is essential not only for quality of life but for nutrition and confidence. Indeed, not being able to access it at important points in life is storing up more trouble for later, yet nine out of 10 dentists are not accepting NHS patients and, with the soaring cost of living, my constituents cannot afford dental treatment. What will the Minister say to them and do to address the millions who cannot get the dental treatment that they need?

[Neil O’Brien]

The hon. Lady asks a powerful question. As well as the reforms that we started this summer and I announced in our plan for patients, as we start to think about the next dental contract, we are thinking about all the different things we can do to incentivise dentists to work in particularly poorer areas where there is difficulty accessing services. We are also working with the General Dental Council to review the processes that overseas dentists have to complete before they start to provide NHS care, which are sometimes more arduous than those for doctors. We are also thinking about the internal market of the UK and making it easier for dentists in Scotland to practise in England as well.

[Dame Maria Miller (Basingstoke) (Con)]

I welcome the shift in responsibility for NHS dental services in my area to my local Hampshire integrated care board. That will bring a real improvement by focusing on local priorities, rather than the previous regional approach. Will my hon. Friend join me in encouraging ICBs to ensure that they adequately fund dental services, especially for elderly people and children? Dental health is as much of a priority as any other aspect of our health.

[Neil O’Brien]

My right hon. Friend is absolutely right. The shift to ICBs is right and it is an opportunity to integrate services in a way that has not been done before. She is right to stress the important preventive role that dentistry can play, which also reduces demand on other services, including accident and emergency.

[Dr Alan Whitehead (Southampton, Test) (Lab)]

A constituent of mine recently rang the national health contact centre about the possibility of an NHS dentist in Southampton and was told not only that no dentists in Southampton were taking on patients but that no one within 25 miles of Southampton was taking on patients either. What does the Minister have to say to my constituent, who has no prospect of a dentist now and no prospect of a dentist remotely in the future?

[Neil O’Brien]

That is extremely concerning. This year, in NHS Hampshire and Isle of Wight ICB, there were 1,255 active dentists, compared with 1,248 the previous year. However, there is clearly an issue, which the hon. Gentleman was right to raise in the House. I am happy to talk to him more about that offline to ensure that we can solve that important problem.

[Kenny MacAskill (East Lothian) (Alba)]

8. What recent representations he has received on recruitment and retention of the nursing workforce.

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[Richard Foord (Tiverton and Honiton) (LD)]

T8. In rural areas such as the west country, NHS dentistry is more of a distant memory than a vital service. Does the Minister agree that more must be done to boost NHS dental services in rural areas, and will he commit himself to reforming the NHS dental services contract to ensure that it meets patient need and properly incentivises dentists to take on NHS patients?

[The Parliamentary Under-Secretary of State for Health and Social Care (Neil O’Brien)]

In the hon. Gentleman’s local NHS this year there were 758 active NHS dentists, up from 736 in the previous year. I have already mentioned some of the steps we are taking to tackle the problem of dental deserts and ensure that everyone in the country can see the dentists—and the GPs—whom they need to see.

[Gordon Henderson (Sittingbourne and Sheppey) (Con)]

Members of the Kent and Medway integrated care board are doing their best to recruit more GPs, but they are finding it difficult to attract them to our area. One reason is their close proximity to London, where newly qualified GPs can earn thousands of pounds more than they can if they practise in Kent. Will my right hon. Friend consider extending the NHS London weighting allowance to Kent and Medway?

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[Maggie Throup (Erewash) (Con)]

With flu cases on the rise, what action is my right hon. Friend taking to ensure that all parents are aware that they can access the free nasal vaccine at their GP surgery for all pre-school children?

[Neil O’Brien]

My hon. Friend’s question gives me an opportunity to thank her for her fantastic work on vaccinations and our world-leading roll-out of vaccines across the country. She has also provided an opportunity to remind everyone of the opportunity to get those life-saving vaccines this winter and to get boosted.

[Karin Smyth (Bristol South) (Lab)]

This month a care provider in my constituency is closing, citing the workforce crisis. I have listened carefully to the Ministers’ answers, and the current Chancellor spent the last year telling us about the critical need for a workforce strategy. The door is open. Has the Secretary of State had a conversation with the new Chancellor to ask for a workforce plan on which we can all rely?