Rachel Hopkins debates involving the Department of Health and Social Care during the 2019 Parliament

Coronavirus Regulations: Assisted Deaths Abroad

Rachel Hopkins Excerpts
Thursday 5th November 2020

(3 years, 5 months ago)

Commons Chamber
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Matt Hancock Portrait Matt Hancock
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As I said, the Government are neutral on this matter. It is a question for Parliament. There are many ways in which such a review could be brought forward, but the Government’s position of neutrality is important, because this is a matter of conscience on which there are deeply held and very sincere views on all sides. I think it should rest that this is a matter for Parliament, rather than Government.

Rachel Hopkins Portrait Rachel Hopkins (Luton South) (Lab)
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In the past two years, we have seen a significant shift in the views of the medical profession, with the Royal College of Physicians neutral on assisted dying and the British Medical Association poised to drop its opposition. Does the Secretary of State recognise that where there was widespread opposition to changing the law, there is now support for a full review of how the prohibition of assisted dying affects healthcare professionals and patients?

Matt Hancock Portrait Matt Hancock
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Yes. I think it is clear that there are changing views on this subject and that there is a very strong view that any change should be dealt with carefully and sensitively. In fact, the tone of this debate and discussion today reflects the seriousness and sensitivity of this topic and the need to make sure that all the issues are very carefully considered.

Covid-19

Rachel Hopkins Excerpts
Monday 28th September 2020

(3 years, 7 months ago)

Commons Chamber
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Rachel Hopkins Portrait Rachel Hopkins (Luton South) (Lab)
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I want to make a short speech about two key issues that I am deeply concerned about. Like many others, I held a Macmillan coffee morning last Friday, and I heard about the terrible impact of coronavirus on cancer treatment. Macmillan research notes that cancer care provision was in crisis before the pandemic because of understaffing among cancer nurses, which has placed incredible pressure on an overstretched workforce and support services. NHS figures show that only 319 people began receiving cancer treatment in July after attending a screening programme for breast, cervical and bowel cancers. That is 65% lower than this time last year. As well as drastically low numbers coming through the system, only a quarter started treatment on time. That is far lower than the 90% standard. I do not believe that reciting figures reflects the urgency of the situation, as this problem is having a devastating impact on people and on the lives of their loved ones. Life-saving treatments are being cancelled or postponed. I heard on Friday from a Macmillan nurse that, due to accessing screening services late, some patients’ cancer has progressed too far for treatment to be affected and they are now just following a care pathway.

The British Medical Association has already warned that thousands of people would suffer if vital routine care was shut down during a second wave. This should not have happened in the first place, but will the Minister outline what additional measures are being implemented to avoid potentially preventable deaths from cancer, particularly with regard to reducing waiting times and tackling the backlog of patients?

My second area of concern is related to humanist marriages. Today, Humanists UK flagged up the fact that the latest coronavirus regulations to come into force in England today allow religious and civil marriages to have up to 15 guests, but, initially, this did not include humanist weddings. Instead, the regulations said that humanist weddings must be limited to six attendees. However, within the last hour, it seems that the Government have recognised that this would be discriminatory and have now said that humanist weddings can have 15 people. This is vital to many of our constituents. Just last year, a British social attitudes survey recorded that 52% of British people state that they have no religion. Will the Minister to confirm that this is the case and that there will be parity between humanist weddings and others as it stands?

Eleanor Laing Portrait Madam Deputy Speaker (Dame Eleanor Laing)
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With a time limit of four minutes, I call Mr Chris Clarkson.

Covid-19 Update

Rachel Hopkins Excerpts
Thursday 17th September 2020

(3 years, 7 months ago)

Commons Chamber
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Matt Hancock Portrait Matt Hancock
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I will happily look into the testing in Southend, but it is nice to have some good news for the people there today.

Rachel Hopkins Portrait Rachel Hopkins (Luton South) (Lab)
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Luton was an area of concern earlier in the summer, but it came out of it because people were able to get tested whether they had symptoms or not. Now, however, with the prioritisation of only those with symptoms because of the abject failure of the Government to get the testing process right, residents in my constituency are worried that we will see the simple blunt tool of a national lockdown. Can the Secretary of State give some clarification?

Matt Hancock Portrait Matt Hancock
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The hon. Lady is absolutely right that Luton is an example of local action that worked to bring the case rate right down. The outbreak was specific to certain parts of Luton. The council worked with the national bodies brilliantly.

Over the last week in Luton, about 3,000 tests have been done, so those tests are available. I look forward to working with the hon. Lady to make sure that people who have symptoms are able to get the test.

Covid-19 Response

Rachel Hopkins Excerpts
Tuesday 2nd June 2020

(3 years, 11 months ago)

Commons Chamber
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Matt Hancock Portrait Matt Hancock
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This is clearly urgent work to disentangle the different factors that cause the disparities evident in the data in the report published today. The Equalities Minister will be leading that work, working with Public Health England and others, to get to the bottom of that as quickly as possible.

Rachel Hopkins Portrait Rachel Hopkins (Luton South) (Lab)
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My constituency of Luton South is super-diverse, with a large BAME population, and it has significant pockets of deprivation. Given those risks, what do I say to my constituents who tell me they simply do not believe that it is safe to relax shielding, given the Government’s confused messages and apparent endorsement of breaches of public health guidance, with the lack of action taken over Dominic Cummings?

Matt Hancock Portrait Matt Hancock
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That is not an appropriate way to characterise the approach we are taking, because when it comes to people who are shielding, we have recommended that people shield for their own protection, but the clinical advice says that it is safe for people to go outside, because the incidence of disease is now lower than when we brought in the shielding policy, and I think—well, I know—that many of the shielded are so pleased to be able just to go outside. It has had a huge impact on them, when they have given up a great sacrifice.

Covid-19

Rachel Hopkins Excerpts
Monday 16th March 2020

(4 years, 1 month ago)

Commons Chamber
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Matt Hancock Portrait Matt Hancock
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That is a very important point that is being addressed by my right hon Friend the Communities Secretary, along with the mayors and local authorities, who lead in many cases on the provision of those sorts of services.

Rachel Hopkins Portrait Rachel Hopkins (Luton South) (Lab)
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Many local services in my constituency are supported by the third sector, including charities such as Luton Foodbank. They will be hit by a double whammy of many of the volunteers being 70 or over or living with people who may have long-term conditions, and equally having to cancel large fundraising events because they are large gatherings. What support can be provided for those organisations?

Matt Hancock Portrait Matt Hancock
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In answer to a previous question about charities, I made the point that we have a charitable sector that has a huge role to play, including with the increase in volunteering in response to this unprecedented crisis. We will support them in whatever way we can.

Social Care

Rachel Hopkins Excerpts
Tuesday 25th February 2020

(4 years, 2 months ago)

Commons Chamber
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Rachel Hopkins Portrait Rachel Hopkins (Luton South) (Lab)
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I am pleased to speak in this debate as a serving councillor still on Luton council, because we know how much social care needs are impacting on local councils. We have heard much from many colleagues, but I want to bring a bit of lived experience to the debate.

Luton council set its budget last week, but we have been struggling, like many councils up and down the country. Our revenue support grant has been cut by about £100 million since 2010. We have made £130 million-worth of cuts and efficiencies over that time, but we are facing rising demand-led service pressures, predominantly for the vulnerable, especially in children and adult social care services.

But as social care demand rises in our communities the Government are hamstringing the capabilities of councils such as Luton to deal with the pressure by slashing central funding. We cannot expect local councils to deliver social care without the necessary funding. Allowing councils to raise the adult social care precept to 2% does not satisfy the rising financial pressures facing many councils, and it shifts the responsibility on to individual council tax payers without taking into account their ability to pay.

Councils such as Luton, which has a low council tax base due to 80% of our properties being band A, B or C, cannot raise enough tax to meet the demand. A 1% rise in council tax equates to about £700,000, so the maximum of 4% is around £3 million, but the Luton council budget has faced growth pressures of over £7 million in adult social care and children services. So as these demands increase, our ability to meet that demand diminishes. Fundamentally, there is a structural deficit there.

One thing I want to talk about in terms of lived experience is being at the frontline as a local councillor; I want to bring that to the Chamber so that Members here can understand what is happening on the frontlines. For two years I had lead responsibility in the public health commissioning arena as a senior councillor, and we worked very closely in jointly commissioning services with our CCG. Ultimately, I want to praise council staff, CCG staff and health staff providing both domiciliary and nursing care, as well as those working in other social care settings, for all the hard work they do supporting people in my constituency. As has been raised by other Members however, there is a difficulty in that councils are insisting that we only pay certain rates for the provision of care. So we are forced into desperately looking at what prices are to provide care, rather than looking at the whole picture, wanting to provide good-quality, safe and compassionate care. I put the fault for that fundamentally on the Government and the crisis they are putting local councils in.

One of the things we often had to do was look at the provision of the market of social care in our town. It pains me to talk about a market in providing care; it should be a service, publicly provided. However, we are in the situation we are in, but we struggled sometimes with some service providers beginning to fail, and therefore as a council we had to step in and support them, which meant having to bring in better providers, which obviously charge more. That put increased pressure on our budgets, meaning there is a never-ending cycle when we are being significantly underfunded.

There are plenty of other points I could raise, but most of them have been made by fellow Labour Members, so I want to finish my contribution to this debate by recognising all those who provide care to elderly family and friends as unpaid carers, such as my friend Barbara. She spent the last few weeks caring for our friend Ray, who died on Sunday morning. He did not have any family, and he did not live in a house that he could put an annexe on; he lived in a one-bedroom council bungalow. And Barbara, who in the day had a full-time job working in social care, still went to see him every evening to make sure he had the additional support and dignity that he needed. So I spent much of Sunday supporting Barbara because she was sad that he had passed away and she was not there. But, luckily, in the care home where he spent his last few days, the nurse sister who was on that shift was with him. So I praise everybody, whether they are working in social care or like my friend Barbara who was looking after Ray unpaid, because they are bearing the brunt of this crisis and it is not right.