NHS Dentistry

Paulette Hamilton Excerpts

Tuesday 9th January 2024 Commons Chamber

[Mrs Paulette Hamilton (Birmingham, Erdington) (Lab)]

I sit on the Health and Social Care Committee and was shocked at what I heard during the inquiry, but it lined up with what residents in my constituency are facing. There are more than 100,000 people living in my constituency and only seven dental surgeries, at least three of which are not accepting any new adult patients. That issue is not unique to Erdington. Across the west midlands, 73% of dentists are not accepting any new adult patients.

A constituent contacted me after her dentist’s practice closed down, as she had spent four hours trawling through websites and ringing practices, and she was not getting anywhere. She cannot afford private dental care, and her son has a serious health condition that means he requires regular dental check-ups. She explained that to every practice she could, but without success. Another constituent’s daughter was referred for braces in 2021. Two years later, after being referred to three separate orthodontists, she was told that there is a waiting list of more than 1,500 children, and it continues to rise. The response that I received from NHS England advised my constituents to call 111 for any urgent care services, and said that it is

“working to address the challenges facing the service right now.”

The list of challenges is long. The record of the Conservative Government means that NHS dentistry has completely collapsed. Over the past two years, 6 million adults tried and failed to get an appointment, and 4.4 million did not even try because they knew that there was no hope. Rotting teeth is the No. 1 reason that children aged six to 10 are admitted to hospital. Despite that, seven in 10 UK dentists are not accepting any new child patients. Shamefully, one in 10 people in the UK have attempted their own dental work out of pure desperation. That is how my constituents are experiencing the shocking record of the Conservative Government: getting them to properly fund our NHS is quite literally like pulling teeth.

In April last year, Ministers promised a dental recovery plan. In December, the Secretary of State promised in the Government’s response to the Health and Social Care Committee’s report—I was there—that the plan would be “published shortly,” so where is it?

Unlike the Government, Labour does have a plan that would help people in our communities to access the NHS dentistry that they so desperately need. Labour would fund NHS practices to provide 700,000 more urgent appointments. Our plan would create incentives for new dentists to work in the dental deserts that the Tories have created. And, rather than offering sticking-plaster solutions, we would reform the dental contract to rebuild the service in the long term.

It is becoming more and more obvious, everywhere we look in Britain, that nothing works, and our NHS dentistry is no exception. My constituents, and people across the UK, cannot go on without basic healthcare while we watch our NHS crumble around us. Only the Labour party has a plan for NHS dentistry. Like a decaying tooth, it is time for this Government’s extraction.

Oral Answers to Questions

Paulette Hamilton Excerpts

Tuesday 5th December 2023 Commons Chamber

[Mrs Paulette Hamilton (Birmingham, Erdington) (Lab)]

A primary care walk-in facility at Warren Farm in my constituency faces closure due to the presence of reinforced autoclaved aerated concrete. The proposal to close the service will mean that services are relocated away from residents who need them. What is the Minister doing to fund the investigation and removal of RAAC in health facilities while making sure that communities can still access the healthcare that they so desperately need?

[Dame Andrea Leadsom]

I am incredibly sympathetic to the hon. Lady’s constituents. The issue of RAAC is one that the Government are determined to resolve. There has been a £698 million programme of new funding to eradicate RAAC from the healthcare system, and that work is under way. She will appreciate that it is for integrated care boards to ensure that the provision is there for all patients but, if she should need help with contacting or negotiating with her ICB, I will be delighted to help her.

Oral Answers to Questions

Paulette Hamilton Excerpts

Tuesday 17th October 2023 Commons Chamber

[Mrs Paulette Hamilton (Birmingham, Erdington) (Lab)]

17. What steps he is taking to improve waiting times for cancer treatment.

[Jeff Smith (Manchester, Withington) (Lab)]

20. What steps he is taking to improve waiting times for cancer treatment.

[The Minister for Health and Secondary Care (Will Quince)]

Improving cancer treatment waiting times is a top priority for this Government, and it is a key focus of our elective recovery plan, backed by an additional £8 billion in revenue funding across the spending review period. In August 2023, cancer treatment activity for first treatments stood at 105% of pre-pandemic levels on a per working day basis, and the 62-day backlog has fallen 30% since its peak in the pandemic.

[Mrs Hamilton]

Pancreatic cancer is the deadliest type of common cancer, killing more than half of those diagnosed in England within three months. I know the pain of losing close friends and family to pancreatic cancer and how important it is that people are diagnosed and treated quickly. Under this Government we have seen NHS waiting lists go up, not down. What is the Minister doing to ensure that people with pancreatic cancer are seen, diagnosed and treated quickly?

[Will Quince]

I thank the hon. Lady for her question, and, of course, I recognise the importance of early diagnosis and treatment. Cancer checks are up by a quarter on pre-pandemic levels, and in August more than 91% of patients started their first cancer treatment within a month of a decision to treat. We have opened 123 additional community diagnostic centres and an additional 94 surgical hubs, but I accept, of course, that there is much more that we need to do.

Under-age Vaping

Paulette Hamilton Excerpts

Wednesday 12th July 2023 Commons Chamber

[Mrs Paulette Hamilton (Birmingham, Erdington) (Lab)]

I thank my hon. Friends on the Front Bench for choosing this important topic for debate.

I recognise that encouraging the use of e-cigarettes is a vital part of the Government’s strategy for a smokefree 2030. I am a member of the Health and Social Care Committee, and two weeks ago I listened to the expert panel and heard some of their disturbing evidence. It is worrying that the risks associated with vaping are still unclear, as long-term studies do not exist.

I was a nurse for 25 years. Believe me, there is no one who wants to support effective public health measures as passionately as I do, but I am concerned. It is illegal to sell vapes containing nicotine to anyone under the age of 18, but, in 2021, over 20% of children aged 11 to 15 had tried vaping. Clearly, something is not working. At the Health and Social Care Committee, I asked the panel about banning vape sticks, but was struck by the answer that banning them would drive them underground, which worried me.

One secondary school in my constituency told me:

“Vaping has massively increased with children—they are too easy to obtain and the negative consequences are not fully appreciated by the children. Vapes are also being used as a method of supplying harder drugs, which is a wider issue across our estate.”

Forty children and young people were admitted to hospital in England last year owing to vaping-related disorders. We have all seen reports about some of the terrible symptoms that they have experienced, from seizures and shortness of breath, to hypertension and high blood pressure. The Khan review, published last year, recommended that the Government do everything they possibly can to prevent children and young people from vaping.

If Conservative Members are really committed to doing everything they possibly can, they could start by fixing the mess that they have created in the NHS and attempting to make new records, rather than those they are currently achieving for the longest waiting list, the highest vacancies and the most disruptive delays. Doctors and nurses are working incredibly hard, but there are just not enough of them. Vital spaces in hospital beds across the country are being taken up by people who cannot access mental health or social care services and so cannot be discharged.

The Royal College of Paediatrics and Child Health warned that youth vaping is becoming an epidemic and that the number of children admitted to hospital as a result of vaping has almost quadrupled in two years. Our NHS cannot afford for the Government not to take this issue seriously.

Madam Deputy Speaker, I shall say this until I am blue in the face: public health is chronically underfunded and prevention is key. If we cannot stop children vaping once they have started, we need to make sure that they never start in the first place. The potential risks associated with vaping, especially for children living under a Conservative Government who are set on wrecking our NHS, are just too great. We need a Government who will prioritise prevention and support the NHS to take this issue seriously before the problem escalates any further.

Smokefree 2030 Target

Paulette Hamilton Excerpts

Tuesday 20th June 2023 Westminster Hall

[Mrs Paulette Hamilton (Birmingham, Erdington) (Lab)]

I thank the hon. Member for Harrow East (Bob Blackman) and my hon. Friend the Member for City of Durham (Mary Kelly Foy) for securing this important debate. For seven years, I was the cabinet member on Birmingham City Council overseeing public health. Because of that, I have seen the long-term health impacts of smoking on communities across both Birmingham and the UK.

It is shocking that one of the biggest causes of death in the UK—causing around 150 cases of cancer per day—is entirely preventable. Around 6.6 million adults currently smoke in the UK. In Birmingham and Solihull, more than 10,000 people are admitted to hospital per year as a result of smoking. As a district nurse, I saw the effects that smoking can have on people both with and without existing health conditions and how difficult it can be to quit. I met patients with COPD—chronic obstructive pulmonary disease—who were using oxygen to help them to breath and who would still ask to be wheeled outside to smoke because they were so addicted to smoking.

We have a very strong pro-smoking lobby in the UK. Action on Smoking and Health reported that the tobacco industry works to undermine public health measures and is increasing its marketing plans, including to market to young people and to oppose regulation. In the face of that, young people in my constituency do not stand a chance. That is why we truly need strategies to prevent our young people from starting smoking in the first place.

I recognise that encouraging the use of e-cigarettes is a vital part of the Government’s strategy. However, it is important that we do not forget about the risk associated with them. Not enough research has been done on vaping for us to know the long-term effects, especially during pregnancy, and the impact on the lives of children who vape, which are just starting to show through. Last year, 40 children in England were admitted to hospital due to vaping-related disorders, with 15 children under 10 admitted due to the effects of vaping. We are relying on best estimates to understand the impacts of vaping. It is vital that the Government commit to proper research and enforcement, including clamping down on the sale of e-cigarettes containing harmful levels of nicotine.

The ambition is for England to be smoke free by 2030. It is a welcome target, and the Government themselves have recognised that it will need bold action. The Khan review, which was published a year ago, found that, without further action, England will miss the smoke-free target by at least seven years, and the poorest areas, such as my communities in Erdington, Kingstanding and Castle Vale, will not meet it until 2044. We are still to see the Government’s new tobacco control plan more than a year later.

It is ridiculous that, since the Smokefree 2030 target was published—only three years ago—the Secretary of State has changed four times. If we are serious about stopping smoking and improving outcomes for all, we need an NHS fit for the future, with the capacity to deliver long-term, ambitious targets for public health. We need a serious Government, committed to backing our health service. Only Labour can deliver on those promises.

Mental Health Treatment and Support

Paulette Hamilton Excerpts

Wednesday 7th June 2023 Commons Chamber

[Mrs Paulette Hamilton (Birmingham, Erdington) (Lab)]

I refer the House to my entry in the Register of Members’ Financial Interests because I am an independent lay manager. Everywhere we look in Britain at the moment, public services are crumbling. Chronic neglect by the Conservative Government means that people across the UK can no longer trust that they will be able to access mental health services when they need them.

As a lay manager in Birmingham and Solihull Mental Health NHS Foundation Trust, I often see the impact that dwindling services and limited resources have on residents across our city. In our local ICB area in December, nearly 3,000 children and almost 50,000 adults were on the mental health waiting list. In my constituency, parents have told me that their children are waiting a number of years for urgent mental health support.

Birmingham and Erdington are not unique cases. Since 2010, the Conservative Government have cut one in four mental health beds across the country as waiting times for treatment have soared. Currently, 400,000 children are waiting for mental health treatment across the UK. They are being denied the help that they need.

I am a mum and a grandmother. Like all parents, I want the next generation to have better opportunities than I did. That is why Labour’s plan to recruit thousands more mental health staff, guarantee treatment within a month and provide access to a mental health professional in every school is so important. It is inconceivable that the Government have failed to put forward their own plan to recruit mental health staff or even reduce the shocking waiting times that our constituents are having to put up with.

I worked in the NHS for 25 years and, like many of my colleagues, I despair at how it has been treated by the Government. This year will mark 75 years of our incredible NHS, but, over the last 13 years, the Conservatives have done all they can to wreck it. People suffering with their mental health cannot afford to wait any longer for the support that they need. We need serious government. We need a Labour Government to tackle the crisis now.

Future of the NHS

Paulette Hamilton Excerpts

Thursday 23rd February 2023 Commons Chamber

[Mrs Paulette Hamilton (Birmingham, Erdington) (Lab)]

My hon. Friend raises a valuable point. I am passionate about mental health, but at the moment we have no plan. The 10-year plan for mental health services and the way forward was abolished and nothing has been put in its place. Does my hon. Friend feel that that has contributed to the fact that we are seeing so many issues in our young people and elderly, and anxiety in our teenagers?

[Liz Twist]

I most certainly agree that there is a need for a mental health strategy. I have spoken to voluntary organisations that work in the field such as YoungMinds, which is concerned that young people put a huge amount of effort into commenting on the proposed mental health strategy, but that has now been subsumed in the wider health strategy that the Government talked about just a few weeks ago. There are real concerns from not just YoungMinds but many quarters that the mental health strategy will be lost in a wider mix. I hope that the Government will listen to that. YoungMinds engaged a huge number of young people to talk about this issue, and those people feel that their views are not being considered.

There are so many things that I could talk about but I will not, you will be pleased to hear, Madam Deputy Speaker. I want to confirm that our NHS is hugely valued by my constituents and everyone in the country. We need to ensure that it works well and effectively and that we have the staff that we need. I hope the Government will look at the workforce plan, because that is key to many of the issues we face. My constituents need the NHS, and we need it to work properly. I am glad that Labour has plans to do that in future.

--- Later in debate ---

[Mrs Paulette Hamilton (Birmingham, Erdington) (Lab)]

I, too, congratulate my hon. Friend the Member for Jarrow (Kate Osborne) on securing this debate.

I worked in the NHS as a nurse for 25 years. I know at first hand how soul destroying it can be to work long hours with inadequate staffing and funding. I am also a mom, a sister, a wife and a grandmother. I know how worrying it can be when someone is ill and how helpless long waiting times can make families feel. I have also experienced that at first hand with the NHS in the last year. That worry is felt right at the heart of our communities, time and again. My constituents tell me they cannot get a GP appointment. In Erdington, Kingstanding and Castle Vale, and across the country, every morning at 8 am, thousands of people call their local GP surgery to get an appointment. One of my constituents rang up her local practice to get an appointment and was fifth in the queue. By the time she got to the front, there were no appointments left. She told me, “If you ring at one minute past eight, you’ll be on the phone for at least 40 minutes. You won’t get an appointment, because they’ve already gone.”

That is not a unique example. If one of my constituents cannot wait to see a GP and calls an ambulance because they think a loved one has had a heart attack or stroke, they can expect to wait 27 agonising minutes. In December, many waited for over an hour. In November, my husband had a stroke. The ambulance never came. In January, across the UK, more than 40,000 people waited over 12 hours for treatment once they had managed to get to an A&E department.

With healthcare staff reporting stress, poor mental health and that they are still living with the effects of the covid-19 pandemic, it is no wonder that 40,000 nurses and 20,000 doctors left their jobs last year. Only 7,000 actually retired from their profession, so where did the other 53,000 go?

Let us be very clear: the NHS is on its knees. People in my community and across the UK are tired of empty promises from the Government when they know things are not improving. They know as well as I do that the NHS deserves better. People want to be heard. They want to feel like the people responsible for the services are listening to what they are saying and not just leaving the room. From GP practices in Erdington to hospitals and social care settings across the country, one thing is clear: only a Labour Government can fix this mess.

[Rob Roberts]

On a point of order, Madam Deputy Speaker. I apologise to the House for interrupting the debate. At the end of my speech, I may have used a little bit of intemperate language, which was not necessarily in best keeping with the traditions of the House. I apologise to you, Madam Deputy Speaker, and to the House.

NHS: Long-term Strategy

Paulette Hamilton Excerpts

Wednesday 11th January 2023 Commons Chamber

[Mrs Paulette Hamilton (Birmingham, Erdington) (Lab)]

I was a nurse for 25 years and I returned to the frontline during the pandemic. I know at first hand that after 13 years of Tory mismanagement, our NHS is in crisis. Many health workers who have dedicated their lives to caring for others day in, day out are still living with the after effects of having worked flat out during and before the pandemic, all while trying to do the work of three or four people due to staff shortages. It is soul destroying for people to go on duty knowing that there will be inadequate staffing levels for nine or 12-hour shifts. Tory cuts have reduced A&E departments to shells of what they were under the last Labour Government—they are now so busy that staff feel that they can seem, at times, like a zoo.

Social care needs fundamental reform that truly brings together health and social care. People in Erdington, Kingstanding, Castle Vale and across the UK are finding it almost impossible to get a GP appointment, an ambulance or an operation when they need one, but the implications of stress on the health of staff can be tragic. The ongoing failure of the Government to address staffing levels can be a matter of life or death for patients. It breaks my heart to say that I just could not face the prospect of working in nursing right now.

In November, 140,000 people had to wait more than four hours to be admitted to A&E, and unfortunately my husband was one of them. If we add all that time together, collectively, the British public waited almost 65 years for emergency treatment, but the real question is: how much longer will they have to wait for a competent Government—

[Mr Deputy Speaker (Sir Roger Gale)]

Order. I know this is difficult, but we have to keep to the time. We will now not get everybody in.

NHS Industrial Action: Government Preparations

Paulette Hamilton Excerpts

Monday 12th December 2022 Commons Chamber

[Will Quince]

My right hon. Friend is right. We have an independent pay review body mechanism for a reason, and it has worked for a number of years. That is why I made reference to the First Minister in Scotland. Is this a procedure we are going to go through every single year when a pay review body recommendation is made and unions do not like it, and politicians have to get involved? The point of the independent pay review body is that it depoliticises the issue, and Ministers do not negotiate directly with unions. The independent pay review body looks at the issue in the round, along with the wider economy and a number of other factors, then forms a recommendation which the Government can choose to accept or refuse. It is important to stress that in this case the Government accepted the recommendations in full.

[Mrs Paulette Hamilton (Birmingham, Erdington) (Lab)]

I was a nurse for 25 years. Nurses work long hours, day in, day out, to support people all over the country, often on very low pay. I know from experience how tough it can be, and it is shameful that many hospitals have opened food banks specially to feed their staff. Let us be absolutely clear: the power to stop these strikes, which nurses themselves do not really want, lies squarely with the Government. How can Ministers justify refusing to talk to the unions?

[Will Quince]

I thank the hon. Lady for her question and for her service as a nurse. We value hugely and appreciate all our NHS staff. We have given them a pay rise this year, on top of 3% last year, when pay was frozen in the wider public sector. As I have said a handful of times, we accepted in full the recommendations from the independent pay review body. Of course, I do not want to see anybody needing to use a food bank, let alone a member of our NHS. That is exactly why the Government have a broader package of support in place.

I have to take issue with one of the hon. Lady’s comments. She asked who held the power to call off these strikes. There is only one answer: the unions.

NHS Staffing Levels

Paulette Hamilton Excerpts

Tuesday 22nd November 2022 Westminster Hall

[Mrs Paulette Hamilton (Birmingham, Erdington) (Lab)]

I congratulate my hon. Friend the Member for Wirral West (Margaret Greenwood) on bringing forward this important and timely debate. In all areas of healthcare, it is incredibly important that our NHS is able to cope with the growing demand for its services.

Across the board, staffing shortages in the health service, let down by 12 years of Tory chaos, are endemic. In nursing, 40,000 registered nurses in England have left the NHS in the past year. We have lost 4,700 GPs in the last decade, and hundreds of practices have closed since the last election. That has resulted in GP surgeries being massively overstretched, such as the one in my constituency that has 3,200 people on its books.

The cuts are not just numbers; they have a real impact on people’s lives. One of my constituents is a PE teacher with a chronic knee injury. She was unable to book a GP appointment and could not get an MRI scan. So that she could continue to work safely, she felt that she had no option but to book it privately, costing her £300.

In mental health services, local trusts are seriously struggling with a lack of capacity. Last year, around 2.8 million people had contact with NHS mental health, learning disability and autism services in England. That is around 5% of the population, and my city of Birmingham had the third highest percentage of adults in contact with those services. Despite the obvious problems in this area, the Royal College of Physicians has reported that, nationally, we can expect an increase of just 4,000 more mental health nurses by 2024, when more than 12,000 are required to meet demand. We know that the pressures that hospitals face lead them to rely on NHS staff banks and agency workers to cover for the lack of capacity. This year, 83% of nursing staff said that staffing levels on their last shift were not sufficient to meet patient needs safely and effectively.

The new Chancellor of the Exchequer said in 2015:

“For too long staffing agencies have been able to rip off the NHS by charging extortionate hourly rates which cost billions of pounds a year and undermine staff working hard to deliver high-quality care.”

However, this autumn’s Budget pledge to increase NHS spending by £3.3 billion next year is not enough to plug the £7 billion shortfall that the NHS could experience.

I was a nurse for 25 years. I understand how important it is for the NHS to have sufficient levels of staff, and the disastrous effect that staffing shortages have. Nurses work long hours day in, day out, to support people all across the UK. They often do this on very low pay, and we know that many hospitals across the country have opened food banks specifically to feed their staff. After 12 years of mismanagement by the Tory Government, it is no wonder that our nurses have been driven to take industrial action for the first time. As I said earlier, nurses are leaving the profession in droves; some 40,000 quit last year. I for one do not blame them. I cannot say, hand on heart and with 25 years of nursing experience, that I could do the job now. The blame for the mess lies squarely with the Conservatives.