Oral Answers to Questions Debate
Full Debate: Read Full DebateStephen Kinnock
Main Page: Stephen Kinnock (Labour - Aberafan Maesteg)Department Debates - View all Stephen Kinnock's debates with the Department of Health and Social Care
(1 day, 19 hours ago)
Commons ChamberChildren’s hospices provide crucial support, but for too long they have faced the cliff edge of annual funding cycles. I am really proud that we have provided certainty with a three-year funding settlement of £80 million, giving children’s hospices the stability and predictability they need to plan properly and focus on caring for seriously ill children and their families and loved ones. I am sure that the hon. Member will join me in welcoming the certainty that we have delivered for the sector.
I absolutely welcome the Government’s announcement last week that funding for children’s hospices will be extended for the next three years and will rise in line with inflation. Julia’s House is one such hospice that serves families in my constituency. However, children’s hospices still face challenges in accessing funding from local NHS bodies and councils, addressing workforce shortages and holding integrated care boards to account for the way in which they commission children’s palliative care, so what reassurance can the Minister give that children’s hospices will benefit from sustainable financial support both now and in the future?
I am delighted that Julia’s House hospice received £525,000 from the allocation. I am sure that was very welcome to the staff and the families. It is also worth noting that, of the £100 million allocation that we made to capital funding, £12 million went to children’s hospices. That is an increase on top of what we have just been talking about. Of course, there are challenging times for funding, but we have also provided the sector with a huge amount of certainty and stability.
This funding is welcome, but hospices such as Mountbatten in my area are still making cuts because of the budgetary choices that the Chancellor made and ICB practices. This is a multi-year funding settlement, but multi-year funding settlements need to be longer. Will the Minister commit to including all hospices in a longer multi-year funding settlement for stability in the sector?
I find it quite extraordinary that Opposition Members come to this House and lecture us on the sustainability of funding, given the way in which they crashed the economy and left us in a dire fiscal position. I would have hoped that the hon. Gentleman would welcome the fact that, rather than the annual funding cliff edge that they left for vital children’s hospices services, we have moved to a three-year funding settlement. His criticism beggars belief.
Thanks to the decisions taken by the Chancellor at the Budget, we are investing an extra £1.1 billion in general practice—the biggest increase in a decade. That funding has allowed us to recruit an extra 2,000 GPs, agree a contract for the first time in four years, and introduce online access. Does the hon. Member welcome that investment, or would she cut it?
GPs surgeries across the Weald of Kent, including in Woodchurch and Charing, tell me how much they struggle with rising staff costs, and the national insurance increases in last year’s Budget put huge pressure on them. Alongside the investment that the hon. Gentleman just mentioned, what discussions have he or his colleagues from the Department of Health and Social Care had with Treasury colleagues about protecting GP partnerships from further NI burdens in the upcoming Budget?
Again, I find it extraordinary that Conservative Members have the brass neck to ask those kinds of questions. They created the mess, and now they are criticising us—it is a bit like the arsonists heckling the firefighters. Patient satisfaction in general practice has risen from 67% last year to 75% this year, and the proportion of patients reporting difficulty contacting their practice has fallen from 18.7% in July 2024 to 10.6% in May 2025. We are just getting started, and I did not hear the hon. Lady welcome the investment.
I welcome the Chair of the Select Committee back from parental leave and greatly look forward to working with her again. Virtual wards allow patients to get hospital-level care in the comfort of their own home, speeding up their recovery while freeing up hospital beds for the patients who need them most. We are rolling out virtual wards further, so that they become the norm for managing many conditions at home.
Earlier this year, I visited the “hospital at home” team at the John Radcliffe hospital, who run an incredible virtual ward. I saw them deliver care to Mavis, who is 91. She was so emotional and grateful for the work they did—we all ended up in tears. Imagine my disappointment that while I was off, we got an email from the team saying that the funding for that incredible service is no longer there and that they face closure. This is an example of the best of the NHS. We want it rolled out to the rest, but if the funding is not there for these nascent services to find their footing, how can we ensure that best practice can be spread across the whole of Oxfordshire and beyond?
The hon. Lady makes a very valid point: this is about the shift from hospital to community, which we have to drive forward. In September 2025, 12,522 virtual ward beds were available—an increase from 12,497 in September 2024. Slowly but surely, we are increasing the number of virtual ward beds and the capability of virtual wards, but there is still a long way to go. I absolutely accept the point that the hon. Lady makes.
The Darzi investigation found that NHS resources are too focused on hospitals at the expense of community care. Our reforms will turn the NHS into more of a neighbourhood health service. We have already recruited an extra 2,000 more GPs, we are rolling out 700,000 extra dental appointments, and we have agreed a new contract of investment and reform for community pharmacy. As part of our 10-year plan, we will be rolling out neighbourhood health centres across the country, starting with the places that are in the greatest need.
I thank my hon. Friend for his answer, and for the brilliant work that the whole team is doing to put the NHS 10-year plan into action. Transferring care into the community will give many more patients quick and easy access to specialist care when they need it. However, access to Parkinson’s nurses—who are worth their weight in gold—remains deeply unequal. Too often, patients are left without nurses and have to travel a long way to see a specialist nurse. Worse still, the few Parkinson’s nurses who are available are predominantly funded by Parkinson’s UK. Can the Minister set out what steps are being taken to increase equitable access to Parkinson’s nurses across the country?
I thank my hon. Friend for that question, and congratulate him on his work campaigning on this issue. Regular support and advice from a Parkinson’s disease nurse specialist is highlighted as a key intervention in the National Institute for Health and Care Excellence guidelines on Parkinson’s disease in adults. The forthcoming 10-year workforce plan will support the 10-year health plan by addressing workforce shortages and skills gaps. This will be crucial to delivering quality and accessible care for those with Parkinson’s.
Ironically, getting care out of hospitals and into the community very much depends on a functioning hospital. Last month, I met the group chief executive officer of Hull University teaching hospitals NHS trust, following news that it had been placed in segment 4 of the NHS acute trust league table. She acknowledged the urgent need for improvement and expressed clear ambition for change, but she will not be able to deliver the transformation of that important hospital alone. Could I meet the Secretary of State or Ministers to discuss what more can be done to support that hospital on its road to transformation and improvement?
I thank the right hon. Gentleman for his question. I am not familiar with the details of that case, but if he would not mind writing to me, I would be very happy to take that issue forward. He is right that there is a mountain to climb, not least because of the mess that was left to us by the previous Government, but we are climbing that mountain step by step. The 10-year plan is a big step in the right direction; it is now all about delivery, and that is what we are doing every day.
As my hon. Friend will know, the consultation closed on 19 August. We are now considering the outcomes, and expect to publish a response very shortly. These reforms will improve support for patients with complex or urgent needs by better incentivising dentists to deliver this care on the NHS.
I did not hear the hon. Gentleman welcome the fact that we provided £100 million—an unprecedented amount—in capital funding for hospices, and £26 million a year and £80 million over three years for children’s hospices. We recognise that hospices benefit from being rooted in their communities, with amazing charity and philanthropy support, but of course we know that the Government need to do their bit as well, and that is precisely what we were doing. I was very pleased to visit Noah’s Ark children’s hospice in Barnet last week and to speak to the chief executive, who warmly welcomed the stability and certainty that the three-year allocation has provided.
As I have pointed out, we are providing unprecedented levels of funding for hospices, but there is clearly a challenging fiscal position. I note that in their manifesto the Liberal Democrats proposed to spend only an extra £8 billion on health and care, whereas we have invested £26 billion. Before calling for more spending, they should tell us what they would cut.
Through a £160 million investment in the additional roles reimbursement scheme, we have recruited more than 2,000 new GPs nationwide, but we recognise the inequities in funding that can exacerbate regional inequalities in access to services. I have launched a review of the GP funding formula to ensure that funding follows the needs of the population. The National Institute for Health and Care Research has begun a review of the Carr-Hill funding formula, which will conclude in six months’ time.
I do not know the details of that case, but if the hon. Gentleman writes to me, I can certainly come back to him on it. That sounds like a vital service that needs to be protected.
In the Secretary of State’s list of what has happened since his last oral questions, he failed to mention the appointment of our hon. Friend the Member for Glasgow South West (Dr Ahmed) as a Minister. He is particularly looking at life sciences. Without life sciences and drug trials, we will not see an improvement in outcomes for rare cancers. Can the Secretary of State make a statement on what will be done about rare cancers?
As you may be aware, Mr Speaker, Reform-led Lancashire county council has opened a consultation on the future of care homes across Lancashire, including the proposal to close Woodlands care home in my constituency of Hyndburn. Will the Minister join me in urging Lancashire county council not to take forward these proposals, to protect much-valued local services, and to keep care close to the community and to the amazing staff who support our residents in Woodlands care home?
I absolutely agree. It has been very interesting to see that all the rhetoric of many Reform-led councils has come crashing down as they face the reality of the situation. Adult social care plays an absolutely vital role in the shift from hospital to community, and I am very happy to meet my hon. Friend to discuss the matter further.
Alton and Petersfield hospitals give excellent step-up, step-down and end-of-life care. The trust is introducing more home-based care, which is good, but it also proposes closing a ward in one of the community hospitals. Will the Minister ensure that there remain sufficient beds and sufficient capacity in our local community hospitals for those patients who need them?
The secure supply of medical radioisotopes is critical for the treatment and diagnosis of many conditions. Is this the Department’s responsibility, and does it support the Welsh Government’s Project Arthur scheme at the nuclear licenced site in Trawsfynydd in my constituency?
I thank the right hon. Member for that question. Security of supply is obviously of importance to the entire Government. My portfolio includes pharmacy, which is a very important part of that. I would be very happy to meet her to discuss further the matter she has raised.
In my constituency of Stafford, Eccleshall and the villages, I recently ran a survey, which had a whopping 99% response rate, in support of an urgent treatment centre in my constituency. Would the Minister agree to meet me to discuss urgent treatment provision in my constituency?
I thank the hon. Member for that question. He will have seen that, in the 10-year plan, we have committed to tie-ins. Once the current cohort is through its studies, new cohorts will be tied into doing NHS dentistry for a period after graduation. I am sure that he welcomes that very important measure.
Jules Fielder is a young woman from Hastings who has tragically been diagnosed with terminal lung cancer after doctors repeatedly missed the early symptoms. Jules is now channelling her personal tragedy into action and campaigning to raise awareness of early symptoms, and she wants shops like Boots and Superdrug to use their shelf space to raise awareness. Will the Minister join me in paying tribute to Jules’s amazing campaigning work?