Hospice Funding

Richard Drax Excerpts

Monday 22nd April 2024 Commons Chamber

[Richard Drax (South Dorset) (Con)]

I congratulate my hon. Friend the Member for Hastings and Rye (Sally-Ann Hart) and my hon. Friend the Member for Darlington (Peter Gibson)—who is sat beside me—on securing this debate, and it is a pleasure to follow my hon. Friend the Member for West Dorset (Chris Loder). I start by thanking all those who work in hospices; they do a remarkable job, and we should be very grateful for all they do.

In 2003, when I was reporting for BBC South Today, I was sent to the official opening of Julia’s House in Corfe Mullen, Dorset. Little did I know that the first person I would meet there was my mother, who sadly died in 2019. Her instinct for caring and compassion drew her to that remarkable hospice for children like a moth to a flame. I was immediately struck by the wonderful environment that the dedicated staff had created: a desperately needed service to provide practical and emotional support to families caring for a child with a life-limiting or life-threatening condition was born.

Julia’s House is one of more than 200 adult and children hospices that care for and support about 3,000 patients a year. They work hand in hand with local health and care services, taking the pressure off the NHS. As we have heard, hospices are mainly funded through charity: on average, around two thirds of the income for adult services is raised through fundraising. Alarmingly, for children, that figure is four fifths. In 2022, for the first time, as we have heard, the Health and Care Act introduced a legal duty for integrated care boards to commission palliative care services that meet the needs of the local population. However, a recent report by the APPG on hospice and end of life care, co-chaired by my hon. Friend the Member for Darlington —again, we have heard this in the Chamber, but I make no apology for repeating what colleagues have said—found that despite that legal requirement, funding from ICBs varies significantly across the country.

Today, the sector is under significant financial pressure: Hospice UK estimates that the sector is on track for a £77 million deficit for the 2024 financial year. Nowhere is that pressure more real than at Julia’s House. Its chief executive, Martin Edwards, said that over 90% of its annual running costs were met by fundraising; the Government’s contribution remains low, at only 8%. That over-reliance on people’s generosity—which is enormous—will see Julia’s House face a budget deficit of £1 million this year. [Interruption.] If SNP Members could refrain, I would be grateful. This dire situation is exacerbated by the ending this year of a shared grant of £25 million from NHS England. At its two sites, Julia’s House cares for 176 families across Dorset and Wiltshire. Mr Edwards said that it was coping with children with more complex needs, requiring more staff and putting more pressure on budgets. The care provided is intensive, with a family being supported for up to five years following the death of a child.

As one might imagine, palliative care comes with all kinds of issues, not least medical, emotional and financial. Who do you turn to for help and advice? How does the patient wish to be cared for? Who supports the carer? This is where a remarkable charity, Lewis-Manning Hospice Care, comes into play. Its chief executive, Clare Gallie, told me that its team comes to the patient’s home and, in effect, responds to the needs of the patient and their family by signposting them to relevant services, from treatment to transport. Importantly, it is the need of the patient that is most significant: for example, if their wish is to die at home, everything possible is done to ensure that that happens. Importantly, this free service is proactive rather than reactive, anticipating what the patient and the family want, reducing crisis at the end of life, and saving the NHS a lot of money by freeing up GPs’ time and negating the need for a hospital. A pilot scheme being run in a part of Dorset has already saved the NHS £140,000 in April alone. Imagine if this scheme was rolled out across the country; it would save the NHS millions.

Let me conclude. There is no doubt that there is a need for more Government funding for hospices, independent—fiercely so—as they are, but the funding disparities, as we have heard from virtually every speaker, must be looked at. Yes, I hear the Government say that this is another call for money and there are many other demands, but well-funded hospice care would safeguard this very effective and necessary sector, which cannot live on charity alone, and nor should it.

Pharmacy First

Richard Drax Excerpts

Wednesday 31st January 2024 Commons Chamber

[Dame Andrea Leadsom]

As I have already mentioned, there are many community pharmacies starting up all the time, as well as closing down. The hon. Lady will appreciate that the Pharmacy First initiative is a real boost to community pharmacies. I am happy to discuss it with her, but I would imagine that there will be the capability to open new community pharmacies in her area.

[Richard Drax (South Dorset) (Con)]

I congratulate my right hon. Friend and her Front-Bench colleagues on rolling out this initiative. The Isle of Portland had two pharmacies, both run by Boots, but one is now shut. Can I meet my right hon. Friend and Front-Bench colleagues to discuss how we can ensure that deprived areas such as Portland retain the pharmacies that they desperately need?

[Dame Andrea Leadsom]

I would be very happy to meet my hon. Friend.

NHS Dentists: South-West England

Richard Drax Excerpts

Wednesday 24th May 2023 Westminster Hall

[Richard Drax (South Dorset) (Con)]

It is a pleasure to serve under your chairmanship, Ms Elliott. I congratulate my hon. Friend the Member for West Dorset (Chris Loder) on securing this excellent debate. He, like me, has been concerned about this issue for some time. As he said, NHS dentistry left NHS England on 1 April, so dentistry in our area has now been delegated to NHS Dorset integrated care board, with which we have close connections and work a lot. It has been in place for only a short time and is already looking carefully at this major issue. I hope my hon. Friend and I can get the desired result.

At risk of spouting too many statistics, I think it is worth noting that in my seat of South Dorset there are only 10 dental practices, in Swanage, Weymouth and Portland. None of them is NHS, one is now private, and none was accepting new NHS patients when contacted by Healthwatch six months ago. There are only two surgeries in Swanage. My constituents write to me regularly on this issue, and I am ashamed to say that I did not realise how shocking the situation was until we started to look into it. The figures are shocking, and I hope the Minister will respond today not least on the contract issue, which every Member has mentioned, because this has to change. It simply is not working.

Let me share what four of constituents wrote to me. One said:

“It’s impossible to find a dentist in Weymouth”.

Another wrote:

“I haven’t had a dental checkup in person for two years due to covid”.

A third said:

“Our appointment has been cancelled again and now, our dentist is retiring early”.

And another wrote:

“After telephoning 14 practices ranging from Portland to Poole, Blandford, Sherborne and Wareham in Dorset through to Castle Cary in Somerset, I was met with 12 straight negative replies and 2 offers of being placed on very slow moving waiting lists or private treatment offers”.

That is completely unacceptable.

The hon. Member for Bath (Wera Hobhouse) mentioned that children are being affected, and how right she is. I heard in a telephone call today that 300 children in Dorset have been waiting for months not for dental treatment but to go to Dorset County Hospital to be knocked out by general anaesthetic because their problems are so severe. Because of the pandemic and the backlog, they are waiting in pain. These are children. That is really, really shocking.

Healthwatch also looked at the situation in wider Dorset. I hope Members will forgive me for giving more statistics, but they are quite interesting. Of the 95 practices in Dorset, two have gone out of business, 13 did not reply and 78 responded. Of those, no dentists are taking on new adult patients; two have closed since last year; 17 are now entirely private; 18 accepted new child NHS patients; seven accepted patients with additional needs; 23 have waiting lists, although some did not know how long; 50% have waiting lists longer than 12 months; Purbeck is particularly short of dentists; 75% of registered patients are still receiving routine check-ups, which is good; and most private practices would accept urgent referrals from NHS 111.

The British Dental Association has said—and I agree, from what I am learning—that NHS dentistry is facing an “existential threat”. It shocked me to discover that before the pandemic there were only sufficient funds for dentistry to look after 50% of the population—even before the pandemic, only half the population had their teeth looked after. That is extraordinary. Some 11 million—almost one in four—adults are not having their needs met, and 10% of the £3 billion budget is set to be returned to the NHS this year, not because of lack of demand but because practices are unable to fulfil contractual commitments. Burnout and issues with retention and recruitment are causing a lack of dentists.

As I understand it, the contract, which has been touched on, is based—I hope I have this right—on a quota system, and dentists are penalised if they overperform. They are penalised if they underperform, and their funds are taken away. They are penalised if they take on patients with high needs, because they get paid the same for treating patients with fewer needs. This really is a serious issue, and I very much hope that the Minister can respond, not least on the issue with the contract.

--- Later in debate ---

[Neil O’Brien]

I feel the exact same sense of burning urgency that my hon. Friend feels. I hope our plan will be out very shortly.

[Richard Drax]

The Minister may be coming to this point, but can I ask him about the disincentives—the cap beyond which dentists do not get paid, and the money that is taken off them if they underspend? Is that issue going to be resolved?

[Neil O’Brien]

Absolutely. I mentioned that in the last financial year we brought in the 110% flexibility so that those who do want to go further and deliver more NHS care were able to do so. We are looking at continuing that and also making some further changes to make the system more flexible and give local commissioners more power, so we do not have these rigidities in the system leading to the absurd situation where there is both under-delivery and underspend, which is completely maddening to everyone.

Once again, I thank my hon. Friend the Member for West Dorset for raising this hugely important subject. I am sure all hon. Members will want to see the dentistry plan out as shortly as possible.

NHS Industrial Action: Government Preparations

Richard Drax Excerpts

Monday 12th December 2022 Commons Chamber

[Will Quince]

That is a bizarre question, because the only reason we have to put in a MACA—military aid to civil authorities—request is that the unions have called strike action over Christmas. As the hon. Member asks about recruitment and retention, let me cover off that issue. As I have set out, we are committed to publishing a comprehensive workforce strategy, which will be independently verified; we have set out new pension flexibilities; we have already recruited about 29,000 more nurses and are on track to meet our 50,000 target; and we plan to boost international recruitment. However, I hope that the hon. Member agrees—in the interests not only of our armed forces, many of whom will have to cancel their Christmas leave, but of patient safety—that we do not want industrial action to take place. I urge the unions to meet us to discuss a way forward.

[Richard Drax (South Dorset) (Con)]

I find it regrettable, as I think most people do, that Opposition Members continue to use the NHS as a political football. This is about the care of patients, and if Opposition Members do not think that Government Members care about patients, they are living in another world. My hon. Friend is doing a great job. We all accept—even the shadow Secretary of State does—that the NHS needs a radical reform. Surely it is time for an independent body to look at that argument and make the NHS run far more efficiently.

[Will Quince]

I thank my hon. Friend for his question. We are constantly looking at how we can improve productivity and increase efficiency in the NHS. We have an acute issue not just with winter, but with proposed strike action. The shadow Secretary of State mentioned that the NHS needs reform, and we are undertaking that. Will further reform need to be undertaken? Yes, and if my hon. Friend the Member for South Dorset (Richard Drax) has particular ideas, I am very happy to meet him to discuss those further.

Public Health

Richard Drax Excerpts

Tuesday 14th December 2021 Commons Chamber

[Richard Drax (South Dorset) (Con)]

Let me start by sympathising with the Prime Minister and those on the Front Bench. These are not easy matters, and I appreciate that decisions on restricting our freedoms are not taken lightly. However, I am an independent-minded Back Bencher and I would not be doing my job if I did not question Government policy and vote against it when I think it is wrong. I shall oppose the measure on the wearing of masks, vote for self-isolation, vote against what will be vaccine passports in all but name, and vote against mandating inoculation for NHS workers when lateral flow testing would retain much-needed staff.

Previous speakers have asked whether these further laws will be effective. Whether they are or not is not as much of an issue for me as how we as a nation want to live our lives. Do we want to fear more restrictions every time a new variant appears, as it will? No is my answer. Do we want to damage our economy and all within it every time a new variant appears? No is my answer. Is working from home when I can enter a packed pub the right approach? [Hon. Members: “No!”] No is my answer. Do we want to shut down schools and universities and further ruin young people’s lives? [Hon. Members: “No!”] No is the answer. Do we want to restrict people’s movement and tell them what they can and cannot do when there is no evidence to suggest this would work? [Hon. Members: “No!”] No is the answer. Do we want to see hundreds of thousands of NHS patients waiting, some in agony, because their operations have been delayed again? [Hon. Members: “No!”] No is the answer. Do we want to see the hospitality and retail sectors collapse because we keep instilling the fear of God into their customers? [Hon. Members: “No!”] No is the answer. Do we want to go on spending taxpayers’ money on this eye-watering and unaffordable scale? [Hon. Members: “No!”] No is the answer. Finally—my hon. Friend the Member for Gloucester (Richard Graham) in front of me can now relax—do we want the state to give us back our lives and freedom? A monumental yes is the cry from many a heart.

I had hoped to hear the Secretary of State say at the Dispatch Box this afternoon something along the lines of, “Keep calm and carry on.” I had hoped that the Government would stop bringing in all these laws criminalising the people of England for breaking rules that it seems many cannot follow. This is not the way to win trust and confidence. The way forward is to advise, suggest, encourage and take people into the Government’s confidence. It is time to put fear to one side, put our shoulders back and get on with our lives.

Covid-19 Update

Richard Drax Excerpts

Wednesday 8th December 2021 Commons Chamber

[Sajid Javid]

The Prime Minister has addressed both those issues.

[Richard Drax (South Dorset) (Con)]

My right hon. Friend keeps referring to South Africa, but it does not have the same level of vaccination as we do here. This country is just getting back on its feet, and today hope and freedom—our freedoms—are being taken away again, on the basis of what a variant might, not does, do. These variants will continue to hit us for years to come, and this country cannot go on reacting to them in the way in which we are doing, when there is no evidence to support what my right hon. Friend has said today.

[Sajid Javid]

My hon. Friend is absolutely right that South Africa has a much lower level of vaccination—I believe it is around 25%—but there are other differences between South Africa and the UK, including that the vast majority of South Africans have antibodies against covid through infection. Not only do they have antibodies through infection, but a huge number of South Africans have antibodies through infection from the beta variant. It is important to know that the beta variant is much closer to the omicron variant, and it is quite possible that it might be giving an even higher degree of protection than people have in countries such as the UK, with vaccination against the Wuhan strain.

Covid-19 Update

Richard Drax Excerpts

Monday 6th December 2021 Commons Chamber

[Sajid Javid]

Yes, there has been an excellent roll-out of the vaccine throughout Staffordshire. Alongside the rest of the UK, there is going to be a real step-up in the number of vaccination access points available.

[Richard Drax (South Dorset) (Con)]

Different variants will keep coming at us in the years ahead. In that regard, I heard a very eminent physician on Radio 4 saying that one area of concern was our reaction to the new variants. Can my right hon. Friend assure the House and the country that we are absolutely on the ball when it comes to a new variant appearing and are ready to do all that is needed to keep us safe and safeguard our liberties?

[Sajid Javid]

I can give my hon. Friend that assurance. When it comes to genome sequencing, which is crucial to identifying new variants and any of the risks they may or may not bring, the UK is second only to the United States in our capability.

Public Health

Richard Drax Excerpts

Tuesday 30th November 2021 Commons Chamber

[Maggie Throup]

I speak for myself in saying that I have changed my habits with regard to hand washing since the pandemic began, much to the detriment of my skin. We can take simple measures that have been put in place that have no impact on other people but help to protect us and others indirectly.

[Richard Drax (South Dorset) (Con)]

The Minister is being incredibly generous. Can I clear up something for the travel industry and the airline industry? There is an SI on travel restrictions, not least PCR tests on day two, as I understand it. They are not being debated today. Why not and when will they be?

Covid-19 Update

Richard Drax Excerpts

Monday 29th November 2021 Commons Chamber

[Sajid Javid]

First, I can tell the right hon. Gentleman that we have already done 17 million, which is almost one third of the adult population. That is more than any other country in Europe. However, he is right to ask how quickly we can do those who will become newly eligible. I will have to come back to the House and set out details about how we intend to meet this advice. The advice was received very quickly from the JCVI over the weekend; it did stellar work to turn it around so quickly. I have already asked the NHS about operationalising it. We are not quite there yet, but we will be very shortly, and I will set that out.

[Richard Drax (South Dorset) (Con)]

None of us underplayed the threat of any new variant. As my right hon. Friend has said today, covid is not going to go away. It is not; it is here for the rest of our lives. The country is learning to live with the disease, which is the only way forward. Will he please reassure me, the House and the country that he will never, ever go back to locking this country down?

Health and Social Care

Richard Drax Excerpts

Wednesday 21st July 2021 Ministerial Corrections

[Richard Drax (South Dorset) (Con) [V]]

My hon. Friend said at the start of his statement that the disease was still here and that we were not out of the woods yet. The fact is that variants of covid-19 will be with us for many years to come. If we are truly to live with this virus, freedom day must mean what it says; the alternative is utter confusion, with hundreds of thousands of people having to isolate after being pinged by the NHS app. Here in Dorset, the police are beginning to struggle, because of the numbers who have to isolate. Will my hon. Friend tell me that the emergency services to which I think he referred include the police—that if they are double jabbed, they do not have to isolate—before enforcement of law and order becomes a real difficulty here in Dorset, I believe down in Devon and perhaps in other parts of the country?

[Nadhim Zahawi]

My hon. Friend is absolutely right that we take this step confidently but cautiously. I remind the House that this is probably the most infectious respiratory virus known to humankind, with aerosol transmission, so we need to ensure that we are careful as we head into step 4.

[Official Report, 19 July 2021, Vol. 699, c. 693.]

Letter of correction from the Minister for Covid Vaccine Deployment, the hon. Member for Stratford-on-Avon (Nadhim Zahawi).

An error has been identified in my response to my hon. Friend the Member for South Dorset (Richard Drax).

The correct response should have been: