Off-patent Drugs Bill

Rachael Maskell Excerpts

Friday 6th November 2015 Commons Chamber

[Nick Thomas-Symonds]

I agree entirely with my hon. Friend. It is precisely that kind of benefit that the Bill would bring.

[Rachael Maskell (York Central) (Lab/Co-op)]

Today, a constituent of mine, Mark Hamilton, is laying to rest the ashes of his father, who lost his life very suddenly in September. Had these drugs been available then, he might well be with us today. Is that not why it is so important that the Bill proceeds to its next stage?

[Nick Thomas-Symonds]

I am grateful for that intervention, because the Bill could have a positive impact on the lives of many people. That is why it should move forward.

This is a common-sense solution to an acknowledged problem. There is even a precedent for it. The Secretary of State, who is not in his place, but whom I am sure will be ably represented by the Minister, is the licence holder for a chemotherapy drug called Erwinase. It is manufactured by a state-owned pharmaceutical company called Porton Biopharma Ltd, which was established in July and in which the Secretary of State is the sole shareholder. There is, therefore, a precedent for the type of intervention I am talking about to deal with this market failure. The Bill will bring enormous benefits to people. It is a sensible solution to the problem.

Junior Doctors’ Contracts

Rachael Maskell Excerpts

Wednesday 28th October 2015 Commons Chamber

[Mr Hunt]

We do have regular dialogue. I suggest that the reason doctors in Northern Ireland might be angry is that they have been listening to misinformation about what the Government in England are proposing, which has, very disappointingly, made doctors all over the UK very angry. I hope that the assurances I am giving, which I gave to the BMA last month and the month before, face to face and in letters, will encourage the hon. Lady to report to the doctors she mentions that the right thing for the BMA to do is to come and talk to the Government. Regrettably, the BMA’s junior doctors committee has refused to negotiate since last June. Instead, it put up a pay calculator on its website that scared many doctors by falsely suggesting that their pay could be cut by between 30% and 50%. It has now taken that pay calculator down, but the damage to morale as a result of it continues.

[Rachael Maskell (York Central) (Lab/Co-op)]

Will the Secretary of State give way?

[Mr Hunt]

I will make some progress. Some people say that this is a battle between the interests of patients and those of doctors, but that is profoundly wrong. Doctors who are happy and supported in their jobs provide better care to patients, and the link between a motivated workforce and high-quality care is proven in many studies, as well as in hospitals such as that in Northumbria, where staff have become the greatest advocates for seven-day services since their introduction. Our proposed new system is intended to provide better support to doctors who work weekends, and make seven-day diagnostics more widely available across the NHS.

[Mr Hunt]

If the BMA is serious about wanting to do the right thing for doctors and patients, there is no reason for it not to negotiate with the Government to get the right solution. This is a test of how serious it is—my hon. Friend’s point is well made.

[Rachael Maskell]

This debate is reminiscent of 12 months ago and the “Agenda for Change”, when the Government refusal to negotiate with 1 million NHS staff caused industrial action and a strike. The same thing seems to be happening again. Will the Secretary of State take the shackles off the negotiations and enable the professionals to put their case on the table? Will he listen to them and let them lead negotiations?

[Mr Hunt]

That is exactly what I would like to happen, but it can happen only if members of the BMA walk through my office door—it is open—and sit down and start negotiating, which they have refused to do since last June. Just as it is wrong to pit doctors against patients, it is also wrong for the Labour party to pit the Government against doctors. In the previous Parliament, Labour wanted to cut the NHS budget, but we protected it. In May’s election we promised £5.5 billion more for the NHS than Labour did, and in the last Parliament a Conservative-led Government delivered 9,000 more doctors to the NHS, 1 million more operations a year, and 600,000 more people were referred for urgent suspected cancer every year.

Because we are not stopping at that, and because we are passionate that the NHS should offer the highest standards of care available anywhere in the world, the Government have also been honest about the problems facing the NHS. Two hundred avoidable deaths every week is too many—it is the equivalent of a plane crash every week. Nor is it acceptable that twice a week we operate on the wrong part of someone’s body, or allow other “never events” to happen. In many of those areas the NHS is performing at or better than international norms, but that does not make such things any more acceptable. We want the NHS to be the first healthcare system in the world to adopt standards of safety that are considered normal in the airline, nuclear or oil industries.

NHS Reform

Rachael Maskell Excerpts

Thursday 16th July 2015 Commons Chamber

[Mr Hunt]

It sounds a promising project, and I will keep myself closely informed of its progress. We need to better integrate urgent care centres into the work of GPs and hospitals so that, for example, somebody’s GP medical record can be accessed in those centres and any advice that people get there can be seen by their hospital consultant or GP at a later date.

[Rachael Maskell (York Central) (Lab/Co-op)]

I must first declare an interest as a state-registered health clinician who worked in acute medicine until the election.

I have witnessed pilots of seven-day working, on the ground and across the country, that have just taken five-days-a-week services and stretched the same complement of staff to seven days a week, therefore not making the service any more efficient or safe. With £22 billion of efficiency savings, or cuts, how will we fund seven-day working?

[Mr Hunt]

A lot of the efficiency will come from seven-day working, and I do not agree with the hon. Lady that there will be a simple cost increase. The cost to a hospital of cranking down all its services on a Friday afternoon and then having to crank them up on a Monday morning is huge, and it is not efficient. Part of the savings will come from having more streamlined services that operate to a consistently high standard across the week.

Oral Answers to Questions

Rachael Maskell Excerpts

Tuesday 7th July 2015 Commons Chamber

[Jane Ellison]

I understand that the process is not even halfway through—the CCG’s plans are about to enter the consultation phase—and I would expect my hon. Friend, along with other Dorset MPs, to be engaged with that. I would be disappointed if they felt that they had not been so engaged. However, the House might be interested to know about just one of the proposed improvements. There is currently no 24/7 consultant cover anywhere in Dorset, and the proposed improvement plan aims to correct that.

[Rachael Maskell (York Central) (Lab/Co-op)]

12. What changes in funding he plans to make to address the NHS funding shortfall forecast in NHS England’s most recent “Five Year Forward View”.

[The Secretary of State for Health (Mr Jeremy Hunt)]

We have committed to providing additional funding to the NHS of at least £8 billion by 2020-21, over and above inflation. This is in line with the funding identified in the NHS England “Five Year Forward View” and in addition to the £2 billion extra for NHS front-line services this year.

[Rachael Maskell]

With trust deficits reaching £822 million at the end of the last financial year, commissioners, chief executives and NHS professionals are saying that it is impossible to achieve £22 billion of efficiency savings without cutting services, staff numbers or staff pay or even stripping out the market. Which will the Secretary of State choose?

[Mr Hunt]

Of course, it will be very challenging to find those savings, but I gently remind the hon. Lady that Labour’s manifesto at the last election promised £5 billion a year less for the NHS than we promised, and that was because of our confidence in a strong economy, which is what the NHS needs.

A&E Services

Rachael Maskell Excerpts

Wednesday 24th June 2015 Commons Chamber

[Mr Wright]

My hon. Friend makes a really important point. On the additional resources, the north-east region has not been provided with anything, despite the level of health inequalities and the additional pressure on resources.

Lynne Hodgson, the director of finance at the trust, has said:

“The whole system is stretched financially.”

The situation is so bad that the trust has recently taken out a £2 million loan. That is not for investment in health services—it is not helping to pump prime the return of A&E to Hartlepool—but for paying the wage bills of current staff. When an organisation has to borrow to meet obligations for something as fundamental as its staff’s monthly pay packets, something is fundamentally wrong with the system.

I am arguing for the services to be returned to the town, but given the precarious finances of the trust I am fearful that most services will move further away or simply cease to operate, putting further pressures on the local health economy, such as James Cook hospital, and other parts of health and social care. What will the Government do to ensure that the finances of the North Tees and Hartlepool trust are put on a more secure footing while at the same time allowing such essential services to return to the town?

I fully accept that clinical safety for A&E services is paramount—I will never argue against that—but I have to question the model of acute accident and emergency services in my area. Over the past two decades or so, there has been a tendency to centralise services at North Tees, to the detriment of patients from Hartlepool and those slightly further away in south-east Durham. The momentum programme was going to centralise services on to a single site, culminating in a new hospital at Wynyard that would serve the populations of Hartlepool, Stockton, Easington and Sedgefield. The Government have made it perfectly obvious through their actions that Wynyard will not go ahead, which, together with NHS England’s “Five Year Forward View”, shows that smaller hospitals can thrive. Indeed, we have seen that across the region and the country. Darlington, whose population is only slightly larger than mine and which comes under the County Durham and Darlington NHS Foundation Trust, is able to maintain an A&E. Hexham has a population not of 92,000 like Hartlepool, but of 13,000, and it is able to maintain an A&E at Hexham general hospital. Clearly, centralisation is not the answer everywhere. Different clinical models and reconfigurations are available to allow smaller towns to retain their A&Es.

[Rachael Maskell (York Central) (Lab/Co-op)]

Does my hon. Friend agree that there needs to be more transitional care, with step up, step down facilities, and that we need to address the skill mix of different clinicians in those facilities?

[Mr Wright]

That is an incredibly important point. I started with staffing and I will end on it.

I want to make a vital point. The Minister spoke of local solutions, and the people of Hartlepool, Hartlepool Borough Council and I, as the MP for Hartlepool, want that to be the approach, but we are not being heard. I understand that there are always tensions between the wishes of the public with regard to where health services are located and the essential requirements of clinical safety, but, as shown by the examples I have given, there are other ways. The local trust is simply not listening. Given that I, the people of Hartlepool and the local authority—regardless of its political complexion—want this, what will the Government do to ensure that, in the shaping of local accident and emergency services, the voices of local people and their democratically elected representatives are genuinely heard?

As I said, I started by addressing staffing and I want to finish on that, too. I hope I have made it clear that I want A&E to return to Hartlepool, but it is clear that the pressure on acute services would be reduced if there was more access to primary care. The GP per head of population ratio is low in Hartlepool, with 63 GPs per 100,000. That is significantly lower than the north-east regional average—only Stockton has a lower ratio—and it is lower than the average in England. Greater access to GPs and better integration of all health and social care services has to be the way forward, but that also includes giving the people of Hartlepool what they want, which, put simply, is a fully functioning hospital in the town and an accident and emergency department at its very heart.

Health and Social Care

Rachael Maskell Excerpts

Tuesday 2nd June 2015 Commons Chamber

[Rachael Maskell (York Central) (Lab/Co-op)]

I thank you, Mr Deputy Speaker, for calling me in today’s debate. I congratulate all those who have made their maiden speeches on this crucial issue of health and care, which is so important to my constituents across York Central. I thank those constituents for putting their trust in me to speak on this and many other matters.

Health and care are about the essence of life; they are about our families and our communities. As we have seen over the past five years, passions have been stirred, as Members of this House, with no evidence, took to taking our NHS and putting it on the open market, inviting the profiteers of the sick to run our health service instead of the state. This is the NHS that we built, we paid for, we work in, and we depend on, and we, as Labour, are so proud that we created it.

In 2015, we know that the vision for the NHS of the late Member for Ebbw Vale is not being met, as growing social and financial inequalities manifest themselves in health inequality, and access to vital services is delayed and even denied as a direct result of the £3 billion structural reorganisation that the previous Government introduced. It is that crisis that I want to address in my maiden speech.

First, however, I must pay tribute to the NHS staff whom I have represented as Unite’s head of health. They are dedicated, professional, selfless, compassionate, innovative, caring and loving in all they do 24/7. I must also declare an interest: I have worked in the NHS for 20 years and am the first ever physiotherapist to become an MP. Although our reputation goes before us—I trust that that has been positive and not too painful—I can assure Members that I will not be using my position to massage facts or manipulate statistics. Instead, I will exercise my voice to benefit those whom I represent in my constituency of York Central.

My predecessor, Sir Hugh Bayley, entered this House with a keen interest in health and many will recall that he played an active role on the Health Select Committee, although he was latterly more involved in leading the parliamentary assembly at NATO. I am sure that the whole House will join me in paying tribute to him for the contributions that he made to this place, which were always executed with integrity, honesty and decency.

York is an amazing city and needs no introduction. Our National Rail Museum is emblematic of the once thriving rail industry, which had to shed so many good quality jobs as a direct result of rail privatisation. It left behind the legacy of asbestosis. Our Minster represents our vibrant faith communities. It also serves our city’s food banks, which are ever in demand as the cost of living crisis squeezes families beyond their limits.

Let us turn now to our Viking settlement and our 14th century Shambles. They not only make us look back to how we once lived, but urge us to plan ahead and to build much-needed affordable and social housing. Beyond the medieval city walls are the amazing people whom I have the privilege to serve. They want to see a safe NHS.

There are many points that I could raise about York’s NHS: the failing funding formula, which gives York £117 less per patient; the A&E crisis, which is not unique to York; the crisis in the recruitment of staff, which is due to the pay freezes—15% lost over the past five years—and the depleted public health services. Again, public health is key to our future health. But there is something more urgent, which is mental health. York is in the midst of a mental health breakdown.

Nationally, under the previous Government, we saw mental health services cut by 8.25%, which took its toll in York. I am talking about services to the most vulnerable children and adults in our society. It was therefore deeply regrettable that mental health was absent from the Queen’s Speech. Clearly, it will be the Labour Opposition who will fight for those who experience mental health challenges.

In the heart of our city sits Bootham Park, which hosts our major mental health facility. Not far away is Lime Trees, our child and adolescent mental health services unit. Both units have recently failed a Care Quality Commission inspection. Bootham Park is the oldest mental health hospital in the country. Conceived in 1772 and built 240 years ago, and I quote:

“for the reception and relief of the insane”,

this period building, placed in acres of parkland, speaks more of a stately home than an acute mental health facility. But here need cannot be met, as the quadrangle-shaped wards provide no line of sight for nurses to see patients. Limits on the building mean that we have mixed-sex wards, and we need anti-barricade doors to be fitted and all the ligature points to be removed to prevent suicide risks. Tragically, we lost a member of our community in that way last year. I will not stay silent when the acute needs of my constituents are at such high risk. I have already written and spoken to the relevant Minister and asked for assurances in this debate that this will be given the most urgent attention. Bootham is not fit for purpose and the CQC concurs.

Services have also been criticised by the CQC. In the past 16 months, £2.1 million has been spent on sending mental health patients across the country due to local overcapacity. On another occasion a constituent waited more than a year to start much-needed treatment for depression, anxiety and an eating disorder and the wait brought added complications. Our NHS is in a dangerous state. It is simple: this cannot go on. I am asking for a new state-of-the-art mental health facility for York. I want to tell Ministers that it is simple: lives are at risk until they deliver.

My constituents deserve better and I am totally committed to ensuring that people across York get the right health service in the right place at the right time, that we build on Labour’s desire to integrate health—physical and mental—with social care and that we stop at nothing to ensure that my community has the best services to protect their health. I bring a weighty plea in my maiden speech today, but I assure this House that my constituents deserve the very best and I will stop at nothing to ensure that they get it.