Oral Answers to Questions
Royston Smith Excerpts(5 years, 2 months ago)
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Jackie Doyle-Price
I am pleased that the hon. Gentleman has raised this important point. We need to deliver this important public message because, as he rightly observes, the damage caused by alcohol can take place in the earliest part of pregnancy. Anyone seeking to get pregnant should be monitoring their alcohol intake, and in fact withdrawing altogether. It is important that we make the public aware of this, not least because of the rate of unplanned pregnancies, which continues to rise.
Royston Smith (Southampton, Itchen) (Con)
Southampton is above the English average with nearly 6% of GP appointments being missed. Nationally, missed appointments cost the NHS more than £200 million a year. Does my right hon. Friend agree that a standardised online booking system featuring a reminder function with the option of cancelling or rescheduling an appointment would save money and reduce waiting times? Does he have any plans for such a system?
Matt Hancock
Yes, I do. This is one of the sorts of things that NHSX will drive forward. A decent IT system can reduce missed appointments in GP practices by a third—[Interruption.] So, while Opposition Members snigger about using modern technology and want to go back to the past, over here we are providing the best technology for the NHS for the benefit of patients.
Oral Answers to Questions
Royston Smith Excerpts(6 years, 1 month ago)
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Mr Speaker
I will take the next question on condition that Members are exceptionally brief, as time is constrained.
Royston Smith (Southampton, Itchen) (Con)
Steve Double (St Austell and Newquay) (Con)
The Parliamentary Under-Secretary of State for Health (Steve Brine)
We of course recognise the shortages in general practice, which is why we remain committed to delivering an additional 5,000 doctors working in general practice by 2020 compared with 2015.
Royston Smith
Like many other places throughout the country, Southampton is struggling to recruit and retain GPs. There are many reasons for that, but perhaps one is the practice of discouraging medical students from going into general practice while encouraging them to become specialist consultants. Is my hon. Friend aware of that and of how widespread is it? What is he doing to encourage more people into general practice?
Steve Brine
The Secretary of State has already outlined the plans for the new medical schools and the record 3,157 GP training places that were filled. I am aware of the practice that my hon. Friend mentions, and that is why we are working with the profession on a range of measures to boost recruitment into general practice. The existing professionals also have a role to pay, and the superb chair of the Royal College of General Practitioners, Helen Stokes-Lampard, is really leading from the front in that respect.
Hospital Car Parking Charges
Royston Smith Excerpts(6 years, 2 months ago)
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Melanie Onn
My hon. Friend raises an important point. There is room for flexibility, and all trusts should be looking at what they can do to make parking less prohibitive so that people are not put off.
It is galling for my constituents to know that parking charges are much lower in other areas of the town. Local authority car parks, shops and private parking companies all have the same issues of maintenance, lighting and security, albeit to different degrees, but they are not charging that high rate. It feels very much like profiteering off the back of people who have no choice but to be at hospital, whether that is for themselves, their friends or their relatives. The trust offers concessions through lower costs for blue badge holders, although they are not exempt from charges, as well as for parents who are staying overnight with poorly children and those having cancer treatment. That is, of course, incredibly welcome. However, when the justification for the charges is that they pay for the maintenance of the site, it really does not stack up, given the costs of other paid parking sites in the town.
An automatic number plate recognition system was recently installed at the Diana, Princess of Wales Hospital, which led to even more frustration and concern for constituents. While that fantastic new automated system was supposed to make the process a lot quicker and easier for people, all it did was to cause additional delays and costs. After spending time in the waiting room, as I had to, people had to come out to try to pay for their parking with the new machines. It caused absolute havoc, and there were queues going around the block, and people ended up tripping over into the next pay band and paying even more. The process caused an extraordinary amount of frustration and reflected very poorly on the trust, which is a real shame.
The knock-on effect of the charges is that surrounding streets, such as Second Avenue, Edge Avenue and Limetree Avenue, which are all residential streets with limited on-street parking, get filled with the cars of patients, staff and people attending the hospital. I know that there is nothing illegal about that. There is nothing wrong with people parking in those residential streets, but it really irritates residents if a parked car crosses a dropped kerb or impinges on people’s driveways. That is not only incredibly frustrating, but it gives rise to increased concerns about road safety, especially in school hours.
The right hon. Member for Harlow addressed very well the broader point that people with disabilities or long-term illnesses are generally financially worse off than the rest of the population. The additional cost represents a significant inconvenience and potential hardship for people who can least afford it.
Hospital staff have increasingly been talking to me about this issue. There have been discussions with staff about increasing the amount that they already pay to go to work. An increase has been postponed for now, but the opportunity for it to be brought back next year is, I understand, very much on the table, and the increase will be significant. As the right hon. Gentleman indicated, the people affected will be not just consultants or senior executives who might be earning a very good wage. We are also talking about porters, healthcare assistants and medical secretaries—all the people behind the scenes who keep the hospital going—being expected to pay even more.
The frustrations for staff are immense. They say that they already struggle to get a parking space, not least because some shifts overrun. The likelihood that someone might do an eight-hour shift in the NHS at the moment is frankly negligible. Most people, through their own good will, are giving more to the NHS and working beyond their shift. They do not want to leave their patients in the middle of an incident. The number of parking spaces available is therefore reduced, and people are leaving home an awful lot earlier—an hour to an hour and a half earlier—than their shift starts, which increases their working day immensely.
Most of this is not just about travel time. I know that the roads are congested around the Diana, Princess of Wales Hospital, but that is not the only issue. There is also the problem that people are driving around car parks trying to find a space. It is incredibly frustrating that people are paying for a space at work and cannot get one, and sometimes that is even making them late for work.
Royston Smith (Southampton, Itchen) (Con)
The hon. Lady makes a very good point about congestion, with people trying to find parking spaces and there not being enough. Would a compromise be for hospitals to charge a reasonable flat rate, rather than abolishing charges completely, which would exacerbate the very situation she is describing?
Melanie Onn
That is certainly worth looking at. We need a system that does not put people off attending their appointments, and that certainly does not prohibit people going to work or cause them to arrive late. Any suggestions that would allow us to reach a sensible solution would be very welcome.
Finally, I will conclude by saying that all car parking charges should be set in the context of a long-term transportation plan that includes park and ride systems, as well as increasing people’s ability to use public transport, cycles and everything else. The reality is that not enough has been done on any of those things to enable people to use alternative methods of transport that will get them to work at the time they need to be there, or to appointments at the time they need them, so it has all been for nothing. The charges are incredibly prohibitive because no other methods of easy, regular transport suit the patients and the staff.
NHS Blood Cancer Care
Royston Smith Excerpts(6 years, 3 months ago)
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Henry Smith
My hon. Friend raises a very valid point. I mentioned best practice for NHS England and talking with the devolved Administrations, but we also have to go internationally for that best practice. She commented on the difficulty of diagnosis and people having to go to the GP many times before diagnosis, which sadly is a common story.
Royston Smith (Southampton, Itchen) (Con)
On the point about people and diagnosis that my hon. Friend just mentioned, is there some weakness within the system that means that GPs are not diagnosing early enough? If so, what does he think should be done about it?
Henry Smith
I am grateful to my hon. Friend for his intervention. Yes, that is the problem. One of the issues is just that: the symptoms are all too often commonplace. Particularly at this time of year, many of us are suffering from colds, are feeling tired or have other viruses. I will come on to this later on, but there is a message to GPs that, if one or more of these symptoms is being displayed, they should consider that it could be blood cancer and carry out a relatively simple blood test to try to determine that. Far too often, blood cancer patients have to visit their GPs many times before being referred to hospital.
Oral Answers to Questions
Royston Smith Excerpts(6 years, 6 months ago)
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Mr Hunt
I can absolutely tell the hon. Gentleman the answer to that: we have been making very important progress with families over the summer; and we have decided the shape of the inquiry and the leadership of the inquiry and all the factors around the terms of reference need to be decided in close consultation with the affected families. So we are keen to get on as quickly as possible, but we have made some progress in understanding their wishes.
Royston Smith (Southampton, Itchen) (Con)
The Parliamentary Under-Secretary of State for Health (Steve Brine)
I thank one of my constituency neighbours for that question. Improving outcomes for all cancers is one of my main priorities in this job. I visited the Christie hospital in Manchester last week to see the progress being made on the proton beam therapy facility there. I know Barratt’s Wessex in my hon. Friend’s constituency, as it also does work with some of my constituents. We must do better on these rarer cancers with poor outcomes. I will look at what BW does exactly.