(1 day, 10 hours ago)
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Adam Jogee (Newcastle-under-Lyme) (Lab)
The Parliamentary Under-Secretary of State for Health and Social Care (Ashley Dalton)
I thank my hon. Friend for his continued support for people with Parkinson’s disease, a condition that I know is close to his family. This Government inherited long waits for neurology services, with only 53.4% of patients, including those with Parkinson’s, waiting less than 18 weeks for a referral in June. Our elective reform plan will free up over 1 million appointments each year for those who really need them, including patients with Parkinson’s, and NHS England’s Getting It Right First Time programme continues to work with 27 specialised centres in England, including at University Hospitals of North Midlands.
Adam Jogee
I thank the Minister for her answer and congratulate her on her appointment. Will she join me in paying tribute to my constituent Julie Hibbs, from Bradwell in Newcastle-under-Lyme, who has long campaigned for support for people with Parkinson’s, like her? Will the Minister meet me and Julie to discuss the merits of adding Parkinson’s to the medical exemption list, and to discuss how we ensure that those with Parkinson’s get the support they need and deserve?
Ashley Dalton
I am happy to meet my hon. Friend and his constituent to discuss all of those matters of concern—I look forward to doing so as soon as my diary will allow.
Shockat Adam (Leicester South) (Ind)
The eyes are not only the windows to the soul, but a window to our health. Last week I had the pleasure of meeting the team at Moorfields eye hospital who, alongside a team at University College London, have done some work on a simple retinal scan that can detect Parkinson’s disease seven years prior to any symptoms. Does the Minister agree that optometry, eye care and eye health should be at the forefront of NHS England’s plan for integrated care, and that we should bring forward a national eye health strategy?
Ashley Dalton
Yes, I would be more than happy to support that. That is part and parcel of this Government’s aim to shift the NHS from hospitals to community.
Munira Wilson (Twickenham) (LD)
The Minister for Care (Stephen Kinnock)
After 14 years of Tory neglect and incompetence, we inherited a broken NHS, and nowhere is that more apparent than in our mental health services. Too many people are waiting too long to access the care they need. To fix that, we will recruit 8,500 more mental health workers; provide access to specialist mental health professionals in every school, as the hon. Member has called for; roll out Young Futures hubs in communities; and modernise the Mental Health Act 1983.
Munira Wilson
With the Terminally Ill Adults (End of Life) Bill being amended to include a panel that will involve psychiatrists who will determine whether a request for assisted dying should be granted, as well as a number of cross-party amendments rightly calling for the involvement of mental health professionals earlier in the process, what assessment have Ministers made of whether there is sufficient capacity in mental health services, which the Minister has just noted are overstretched, to meet those demands, and on the potential knock-on impact on both waiting times and treatments for those with mental health conditions?
Stephen Kinnock
The hon. Lady will know that the Government’s position on the Terminally Ill Adults (End of Life) Bill is one of neutrality. I am on the Bill Committee simply to speak about the Government’s position on the workability and operationalisation of the Bill. We look forward to seeing the amendment that will be brought forward by my hon. Friend the Member for Spen Valley (Kim Leadbeater). Any comment we make or position we take will be based on the operationalisation of that amendment, should it become part of the Bill and, ultimately, should the Bill gain Royal Assent.
Jen Craft (Thurrock) (Lab)
Thurrock community hospital does fantastic work on integrated care, particularly on integrated mental health care. On a visit, representatives said that what makes the hospital successful is a commitment to working across integrated care boards, the local authority and other relevant partners in the community, as well as a commitment to meeting people where they are, finding out what is important for them and working from there. Does the Minister see that model as integral to the reform of mental health care in this country? Will he join me on a visit to Thurrock community hospital to see what it does and what can be learned from how that work is undertaken?
Stephen Kinnock
My hon. Friend is a doughty campaigner on this issue in her constituency. She is right that the integration of services is crucial to ensuring that we get the best possible outcomes for people who are struggling with their mental health. I would be very happy to discuss with her the possibility of me visiting her constituency.
Jeremy Hunt (Godalming and Ash) (Con)
Is the Minister aware of the brilliant work done by Mersey Care NHS foundation trust in reducing in-patient mental health suicides to zero, which is an extraordinary achievement. Under a former Health Secretary, who may be standing not a million miles away from where I am standing now, that became an objective for all mental health in-patient units across the NHS. Will the Minister look into whether that objective still stands? If not, can it be reinstated?
Stephen Kinnock
I am not familiar with the detail of the case that the right hon. Gentleman mentions, but it sounds like a positive and interesting development, and I would be happy to consider it further. The Government are committed to delivering the cross-sector suicide prevention strategy for England, published in 2023. The 8,500 new mental health workers who we will recruit will be specially trained to support people at risk.
Andrew Cooper (Mid Cheshire) (Lab)
I am regularly contacted by constituents who are concerned that their children are not receiving the mental health care they need. Having met GPs in Winsford, I know that there are clear concerns that access to child and adolescent mental health services is being rationed to the point that it has become almost inaccessible to all but the most severe cases. Will my hon. Friend tell me what progress has been made towards our commitment to provide specialist mental health professionals in schools, ensuring that there is early intervention that prevents issues from escalating?
Stephen Kinnock
After the disastrous 14 years that we have had, we are facing a very serious situation in terms of mental health provision. It will take some time to get the workforce in place, but we have a clear commitment to having a specialist in every school. The appointment and training of those specialists will take some time. We are also rolling out open-access Young Futures hubs in every community. I am confident that the combination of those two interventions will get us back to having mental health services that this country can be truly proud of.
Layla Moran (Oxford West and Abingdon) (LD)
I welcome the Under-Secretary of State for Health and Social Care, the hon. Member for West Lancashire (Ashley Dalton), to her place. I look forward to working with her, as I do with other Ministers.
As the Minister for Care will know, 20% of the burden on the NHS is due to mental health, yet only 10% of the budget is allocated towards it. The mental health investment standard has been a welcome maintenance under this Government. However, the Select Committee heard from Amanda Pritchard the other day that the standard is guaranteed for only the next two years. Does the Minister agree that the standard has had a positive effect on mental health community services, and would he commit to protecting it?
Stephen Kinnock
The Chair of the Committee will have seen that we have made an explicit commitment to the mental health investment standard—we are absolutely committed to that. In addition, we have to drive reform in the system so that it is about not just the amount of investment going in, but how we ensure that it is working properly. I am absolutely confident that the commitment to 8,500 new specialists, the Young Futures hubs and having a mental health specialist in every school will facilitate the delivery of services in a far more effective way than is currently the case.
Chris Vince (Harlow) (Lab/Co-op)
I thank the Minister for his continued commitment to supporting mental health in this country. Does he also recognise that mental health involves supporting NHS frontline staff? I had the wonderful opportunity of spending time with the East of England ambulance service on Saturday morning. They work incredibly long hours and work incredibly hard. Obviously, we need to think about their mental health as well.
Stephen Kinnock
We in this Chamber should, whenever possible, pay tribute to the people providing those frontline services, who every day work heroically in very difficult circumstances. My hon. Friend is absolutely right about the pressures on the workforce—we are very conscious of that. We will bring forward a workforce plan in the summer, and we are working at pace to recruit the 8,500 mental health workers.
Helen Morgan (North Shropshire) (LD)
Last week, the Secretary of State issued a new mandate for the NHS in which a number of mental health targets were dropped. I accept that targets that drive perverse behaviours should be dropped and that some sharpened focus is necessary, but mental health waiting lists are at a record high, huge numbers of people are not at work because of poor mental health, and our young people are being let down badly by CAMHS, not least in my constituency of North Shropshire. Does the Secretary of State accept that mental health targets should be reinstated and that mental health should be treated with equal priority to physical health?
Stephen Kinnock
What we know about targets is that if we try to overload a system with too many targets, it causes confusion and ends up with, as the hon. Lady rightly says, perverse outcomes. We are clear that we do not want to have a system based on just making policy by press release, as was the case under the previous Government, putting out press announcements about loads more targets. It all makes for nice front-page headlines, but it does not lead to any serious delivery of the strategy that we need to deliver. I am with her on the point about focus. We are absolutely committed to mental health, as is set out in the planning guidance. It is also one of the priorities in the planning guidance, and we will continue to deliver on that priority.
Monica Harding (Esher and Walton) (LD)
The Secretary of State for Health and Social Care (Wes Streeting)
UK leadership on global health is critical to safeguarding our national and international health security, building resilience and creating prosperity. I work closely with my counterparts across Government. I recently met the Foreign Secretary to discuss these issues, which are also high on the agenda of the Minister for Development. The UK has one of the largest vaccination programmes in the world, and our confidence and uptake rates are among the highest globally.
Monica Harding
The NHS and the UK reap the benefits of our work in global health. Gavi is one of the UK’s greatest success stories: it has inoculated 1 billion children worldwide, but it has also strengthened our health security, keeping us safe from diseases such as Mpox and Ebola. What leadership will the Secretary of State and his Department take to strengthen organisations such as Gavi to keep us safe here in the UK?
Wes Streeting
The hon. Member raises an important point. I know that my ministerial colleagues in the Foreign, Commonwealth and Development Office are looking at the investment cases for Gavi and the Global Fund as part of the spending review. I will ensure that her representations are relayed to the FCDO, and she is very welcome to make those points during oral questions to that Department.
Dr Caroline Johnson (Sleaford and North Hykeham) (Con)
There were almost 67,000 cases of serious antimicrobial-resistant infections in the United Kingdom in 2023. War is increasing such infections globally; 80% of patients in one Kyiv hospital in Ukraine are said to have such infections. The Conservative Government had a plan to tackle that. Do the Labour Government plan to follow that plan, are they on track to meet those targets, and if not, what will the Secretary of State do about it?
Wes Streeting
I am delighted that Dame Sally Davies continues her work on antimicrobial resistance. That is an absolutely critical issue, and I pay tribute to the previous Government, particularly Minister Quince, for their work on it. It is in the national interest that we maintain not just the national focus but the international focus on antimicrobial resistance, which is why UK leadership in those global fora is so important.
Dr Johnson
Another time when it is important to work together is during a pandemic, such as by sharing research. Unfortunately, recent history tells us that when Labour negotiates, Britain loses out. Can the Secretary of State confirm that, whatever emerges from discussions with the World Health Organisation, he will not reduce the UK’s capacity to take decisions in the interests of the British people.
Wes Streeting
May I just say how regrettable it is that a sensible shadow Minister is sent along to parrot the absurd lines of her leader?
Ben Obese-Jecty (Huntingdon) (Con)
The Minister for Secondary Care (Karin Smyth)
As I am sure the hon. Member knows, Hinchingbrooke hospital is in wave 1 of the new hospital programme, and his constituents can now look forward to a new hospital under this Labour Government. The hospital has received over £44 million to deliver RAAC mitigation safety works, and my right hon. Friend the Secretary of State has commissioned a site-by-site survey of RAAC hospitals, which will ensure that individual development plans address the highest-risk elements as soon as possible.
Ben Obese-Jecty
Last July, Deborah Lee, the senior responsible officer for the Hinchingbrooke hospital redevelopment programme, stated that the deadline for the new hospital was 2030. In a written answer to me last year, the Minister confirmed that, even after the mitigation measures of failsafe steelwork, the lifespan of the remaining RAAC buildings would run only until approximately 2030. Can the Secretary of State confirm that the rebuild, and all waves of the new hospital programme, will not be delayed by the review of building safety regulations guidance announced by the Deputy Prime Minister in December? Will he assure my constituents that the RAAC buildings at Hinchingbrooke will be safe to use beyond 2030, and if so, will he publish the risk assessment that he has conducted to confirm that?
Karin Smyth
The hon. Gentleman has outlined the shocking state of some hospitals. I confirm again that we want a site-by-site report of those hospitals for exactly that purpose: to ensure that they are safe and to understand any critical issues before the schemes go forward. We expect that report in the summer.
Josh Fenton-Glynn (Calder Valley) (Lab)
Given that the Tory predecessor of the hon. Member for Huntingdon (Ben Obese-Jecty) failed to mention RAAC once, and mentioned Hinchingbrooke hospital only five times in 23 years, does the Minister agree that people in Huntingdon and across the country need a Labour Government committed to rebuilding the NHS, not a Tory Government who pay lip service but fail to back it up?
Karin Smyth
I commend my hon. Friend on his research into the previous Government, and for the hard work that he is doing on behalf of his constituents. We are committed to the rebuild of Hinchingbrooke and have put the new hospital programme on a sustainable footing, which is something that his constituents can look forward to.
Ellie Chowns (North Herefordshire) (Green)
The Secretary of State for Health and Social Care (Wes Streeting)
This Government inherited a waiting list with a staggering 7.6 million people on it. Since July, that waiting list has already been reduced by almost 145,000, and ensuring that the NHS once again meets the 18-week standard for elective treatment is at the heart of the Government’s plan for change. Our elective reform plan sets out how we will meet that standard by the end of this Parliament, through a combination of investment and reform that Labour knows from past experience delivers results.
Ellie Chowns
I get regular messages from constituents facing terrible waits for care with potentially serious consequences, including a one-year delay for an early dementia referral and an 18-month delay for a cardiology review. Although I understand the case for the short-term, one-off use of spare private capacity to tackle the backlog while the NHS is rebuilt, can the Secretary of State please outline his longer-term thinking regarding privatisation of the national health service? In particular, why is he encouraging the development of long-term relationships with the private sector?
Wes Streeting
The NHS has always worked constructively with the independent sector, and I do not believe that ideological hobby horses should come before patients getting faster access to care. This Government are investing in our NHS, and before the hon. Lady complains about that, I would just point out that the Green party’s manifesto on the NHS said that it would require an
“additional annual expenditure of £8bn in the first full year”
of this Parliament, rising to £28 billion later. The Chancellor has just delivered a Budget that delivers £26 billion of additional investment, and the Greens complain about it.
Deirdre Costigan (Ealing Southall) (Lab)
I welcome the new Minister, my hon. Friend the Member for West Lancashire (Ashley Dalton), to her place. Hundreds of my constituents are on waiting lists for knee and hip operations, and while the hon. Member for North Herefordshire (Ellie Chowns) says that she would like to see those waiting lists reduced, the Green party has done everything it can to oppose Labour’s plan for change—it opposed our Budget, with its record investment in the NHS, and it opposed our agreement with the independent sector to bring down the backlog. Does the Secretary of State agree that it is time for the Opposition parties to stop wishing for a reduction in waiting lists and start backing Labour’s credible plan to make a real difference?
Wes Streeting
I wholeheartedly agree with my hon. Friend. As we know from the Greens’ experience in local government, they cannot clear the bins, let alone the waiting lists.
Dr Luke Evans (Hinckley and Bosworth) (Con)
The Labour Government’s elective reform plan says that there are plans for 10 straight-to-test pathways. Can the Secretary of State name them, or give one example?
Wes Streeting
It is absolutely ridiculous, Mr Speaker. Conservative Members turn up, criticising and carping about this Government’s elective reform plan, but I remind the hon. Gentleman that when his party was in office, it delivered the longest waiting lists in the history of the NHS. If he wants to do a pop quiz, he can use Google.
Dr Evans
This is the Secretary of State’s own plan. There was one example in the plan, but as an article in The BMJ on 17 January helpfully pointed out, that one example—which featured Sarah, who had sinus pain and hearing issues—was quietly removed from all online and future drafts after
“a flurry of GPs pointed out that her treatment”
was “wholly inappropriate.” That article went on to say that
“Sarah can pick up her dose of unnecessary radiation along with her weekly shop.”
On this part of the Government’s plan, The BMJ concluded:
“Sarah’s story is one of over-investigation, fragmented and inappropriate care, spurious choice, and a lack of senior decision making at first presentation. Activity for activity’s sake has little to do with high quality care.”
Does the Secretary of State agree with The BMJ, and if not, why not?
Wes Streeting
I always believe in holding our hands up when mistakes are made. I am happy to say that the reason that case study was removed from the published elective reform plan is because it was a genuine mistake, for which I accept responsibility as the Secretary of State. Now, maybe the Conservative party might like to accept responsibility for the highest waiting lists and lowest patient satisfaction in history, and finally have the decency to apologise to the country for the mess it left us in.
James Naish (Rushcliffe) (Lab)
Kate Osamor (Edmonton and Winchmore Hill) (Lab/Co-op)
Harpreet Uppal (Huddersfield) (Lab)
The Minister for Care (Stephen Kinnock)
Hospices provide vital care and support for patients and their families at the most difficult time. I am very proud that this Government have provided a £100 million capital funding boost for adult and children’s hospices over this year and next. We are currently finalising the delivery mechanism for this funding, and we are pleased that Hospice UK is standing ready to distribute the money to local hospices across England. We are also providing £26 million of revenue funding for children’s hospices in England in 2025-26.
James Naish
While I wholeheartedly welcome the £100 million capital funding boost for hospices announced before Christmas, 17 members of staff at Nottinghamshire hospice, which is a large community-based hospice serving my constituency that provides care for family members in their own homes, have recently been told they are at risk of redundancy. Can the Minister please expand on how the Government will support organisations such as this to continue to deliver excellent care in the community?
Stephen Kinnock
I thank my hon. Friend for this important question, and I commend the work of hospices such as Nottinghamshire hospice in his constituency, which I know does a wonderful job for people in his area. The investment I referred to in my earlier answer will help hospices such as Nottinghamshire hospice to provide quality end-of-life care to patients and their families this year and next. It can be used to improve IT systems, make it easier for GPs and hospitals to share vital data on patients, and help to develop and improve outreach services to support people in their own homes, when needed.
Kate Osamor
North London Hospice in my constituency has a site in Winchmore Hill that receives one third of its funding from the NHS, with the rest coming from the generosity of the public. Many of its services, such as out-patients and wellbeing, are funded entirely by donations. While it welcomes the announcement of the £100 million in funding, what assurances can the Government provide about long-term hospice funding, given the significant delays in accessing funding from integrated care boards this year? Hospices are anxious to seek clarity about the allocation and distribution of this funding.
Stephen Kinnock
I thank my hon. Friend for that question. On her point about long-term funding, last week I chaired a roundtable with key stakeholders from the sector, and we were absolutely focused on developing a plan to secure the long-term sustainability of the sector. We cannot go back to the cliff edge that we have had over the last few months, primarily due to the utterly chaotic and shambolic way in which the Conservative party managed our system in the past.
Harpreet Uppal
I have had the privilege of witnessing at first hand the exceptional work of my local hospices, Forget Me Not children’s hospice and the Kirkwood. However, as my hon. Friends the Members for Rushcliffe (James Naish) and for Edmonton and Winchmore Hill (Kate Osamor) have stated, they are also struggling with long-term funding pressures and have had to make the difficult decision to reduce services and staff. What further work are the Government doing to ensure that hospices thrive, and to ensure that end-of-life care is included in the 10-year NHS plan?
Stephen Kinnock
I thank my hon. Friend for that question. One of the three shifts that the 10-year plan will deliver is shifting more healthcare out of hospitals and into the community. In the context of the plan, we are having discussions about the long-term sustainability of the palliative and end-of-life care sector, including hospices. As we develop the plan, we will be carefully considering policies in this area, with input from the public, patients, health staff and our stakeholders. As I mentioned in response to my hon. Friend the Member for Edmonton and Winchmore Hill (Kate Osamor), last week I was pleased to chair a roundtable to discuss long-term strategies for hospices to get palliative and end-of-life care, including hospices, on to a more sustainable footing after 14 years of Tory neglect and incompetence.
Mr Peter Bedford (Mid Leicestershire) (Con)
Leicestershire is home to some superb hospices, such as Rainbows and LOROS, both of which are set to be massively impacted by the hike in national insurance contributions. Given the important work that these hospices do, particularly for people at the end of their lives, will the Minister urge the Chancellor to reverse this pernicious tax rise?
Stephen Kinnock
I am once again struck by the fact that Conservative Members seem to welcome the additional investment that the Chancellor has put into our health and care service, but do not seem to have any plan or proposals at all about how the revenue should be generated for that funding. Until we get an answer to that question, we will struggle to get much further in this House, although I note that Toby Porter, the chief executive of Hospice UK, has said that the
“funding will allow hospices to continue to reach hundreds of thousands of people every year with high-quality, compassionate care. We look forward to working with the government to make sure everyone approaching the end of life gets the care and support they need”.
Stephen Gethins (Arbroath and Broughty Ferry) (SNP)
First, may I pay tribute to those who work in hospices? I think we can all agree that they do an astonishing job. The Minister will agree that the national insurance hike has had an impact on those who work in hospices. Can he assure me that when it comes to the Scottish Government’s funding—I acknowledge the 14 years of Tory misrule and the funding settlements that were handed down—any Barnett consequentials will be passed on in full to the devolved Administrations?
Stephen Kinnock
We have seen the biggest settlement in many years for our health and care system across the country. It is now up to the SNP Government in Edinburgh to absorb and deliver that funding in a way that will actually improve services in Scotland—something that we have not seen for a very long time under the misrule of the Scottish National party.
Mr Gregory Campbell (East Londonderry) (DUP)
The magnificent work done by those who work in hospices, including the four in Northern Ireland, needs to be reflected in the funding formula. Will the Minister undertake to discuss with ministerial colleagues the need for the Treasury to review that funding formula, particularly in relation to devolved settlements?
Stephen Kinnock
From the roundtable discussions, and from subsequent discussions we have been having with the sector, it is clear that we need to look at the long-term funding issue. We faced a cliff edge towards the end of last year. That is not the right way to do things. We must start getting the funding discussions moving so that, well in advance of the end of this financial year, the funding situation for the palliative and hospice sector is much clearer.
Debbie Abrahams (Oldham East and Saddleworth) (Lab)
The Parliamentary Under-Secretary of State for Health and Social Care (Ashley Dalton)
Lord Darzi’s report laid bare the shocking health inequalities in our country. It is completely unacceptable that in Britain in 2025, maternal mortality rates for black women are more than double those of white women and life expectancy at birth for females in Blackpool is eight years less than in Kensington and Chelsea. Reducing inequalities in elective care was identified as a key priority in the planning guidance and mandate that the NHS published last month, and further measures to address these inequalities in our country will be at the heart of our 10-year health plan, which will be published in the spring.
Debbie Abrahams
In 2013, the then coalition Government reduced the health inequalities weighting in the NHS formula, with the result that less money went to deprived areas. That was despite evidence that between 2001 and 2011, every £10 million invested in such areas resulted in four fewer men and two fewer women dying early. Can my hon. Friend reassure Government Members that that health inequalities weighting will be reinstated so that we can ensure that deprived areas get the funding they need and that lives are saved?
Ashley Dalton
The Government mandate to NHS England was published on 30 January and makes the importance of tackling health inequalities clear. NHS England has an existing programme that targets the most deprived 20% of the population, with the aim of reducing health inequalities. I can reassure my hon. Friend, who has been a determined campaigner on inequalities, that the health inequalities weighting has not been withdrawn. The funding in question, which amounted to £200 million, has been incorporated into the main integrated care board allocation. The weighting of that health inequalities adjustment has been increased from 10% to 10.2%, so that the ICBs still benefit from that extra investment, with funding redistributed to areas with the poorest health outcomes, based on measures of avoidable mortality provided by the Office for National Statistics.
Sir Alec Shelbrooke (Wetherby and Easingwold) (Con)
I welcome the hon. Lady to her position. She may be unaware of the number of debates that I have led into women’s health and endometriosis and pelvic mesh, and there is an inequality in the health service with how women are treated. Many women are deeply concerned by the announcements and statements about how the concentration on women’s health has been reduced. Will the Minister speak to the president of the Royal College of Obstetricians and Gynaecologists? Following that meeting, will she speak to the Secretary of State, who rightly says that he recognises when mistakes have been made, about reconsidering the approach to women’s health taken in the statement the other week?
Ashley Dalton
The Darzi review highlighted that there were too many targets set for the NHS, which made it hard for local systems to prioritise actions. There has been no reduction in women’s health services. The Government are committed to prioritising women’s health as we build an NHS that is fit for the future, and women’s equality will be at the heart of our missions. Women’s health hubs, which provide integrated women’s health services in the community, have a key role in tackling the inequalities faced by women. The Department has invested £25 million over 2023-24 and 2024-25 to support the establishment of at least one pilot women’s health hub in every integrated care system.
Connor Naismith (Crewe and Nantwich) (Lab)
The Minister for Secondary Care (Karin Smyth)
I thank my hon. Friend for his ongoing work in raising awareness in maternity services. We are committed to improving maternity care for women and babies. Evidence does not currently support screening for vasa praevia in the UK, but we have asked the Royal College of Obstetricians and Gynaecologists to review the guidance around this issue.
Connor Naismith
My constituent Cate Maddison suffered with severe vasa praevia in childbirth. This condition causes severe bleeding and can often result in the death of infants in childbirth and complications for the mother. However, the risks are significantly reduced when identified during pregnancy. Thankfully, Cate’s child survived, but she is campaigning to reduce unnecessary complications and deaths arising from the condition. Will the Minister meet me and Cate to discuss how we can tackle this important issue?
Karin Smyth
I am incredibly sorry to hear about Cate’s experience. We want to ensure that women receive safe, personalised and compassionate maternity care and that women with the condition are supported. That is why we have asked the college to look at the guidance. I will of course be happy to meet my hon. Friend and his constituent.
Jim Shannon (Strangford) (DUP)
There is clearly a need to consider vasa praevia as part of antenatal care. The hon. Member for Crewe and Nantwich (Connor Naismith) set the scene very well and the Minister responded in a good fashion. This issue, which the hon. Member was right to highlight, is also an issue in Northern Ireland. Will the Minister share what is going forward here with representatives at the Northern Ireland Assembly?
Karin Smyth
I thank the hon. Member for that point. As he knows, I am always keen to ensure we share good practice across the United Kingdom so that his constituents, like mine, can benefit. We will work through the usual processes to ensure that happens.
Lisa Smart (Hazel Grove) (LD)
The Minister for Secondary Care (Karin Smyth)
I thank the hon. Lady, along with my hon. Friend the Member for Stockport (Navendu Mishra), for her continued support for Stepping Hill hospital. I know that she is working hard on this issue. We are backing the NHS with over £4 billion of funding for integrated care boards for capital priorities, with a dedicated £750 million estate safety fund next year to address the poorest quality hospitals. I am pleased that the replacement of Stepping Hill’s outpatient facility is already under way, backed by £11.5 million this year. I look forward to visiting as soon as my diary allows.
Lisa Smart
I am grateful to the Minister for her response and our ongoing correspondence on this issue. I very much look forward to meeting her on site at Stepping Hill so that she can see for herself the reported £134 million repairs backlog at the site. The most recent board papers mentioned a £19.9 million significant risk backlog, which is having a detrimental effect on the hospital team’s ability to see and treat patients. What hope can the Minister give that there is a plan for the funding of buildings at Stepping Hill so that my constituents get the treatment that they deserve?
Karin Smyth
The hon. Lady outlines for her constituents what many across the House will recognise: the state that the last Government left the capital estate in. The autumn Budget committed over £13 billion into next year, with £4 billion for ICBs to start prioritising some of this work. We have allocated £1 billion for critical backlogs, maintenance and upgrades. A longer-term capital plan will follow the 10-year plan that we are currently developing to offer the hope for her constituents that she asks for.
Charlotte Cane (Ely and East Cambridgeshire) (LD)
The Minister for Care (Stephen Kinnock)
Children and young people with special educational needs are waiting too long for the NHS services that they need, in large part because local authorities have been hollowed out by 14 years of austerity. We are supporting earlier intervention through the partnerships for inclusion of neurodiversity in schools—PINS—programme, which is backed by £13 million of funding. NHS England has also launched a taskforce to look at how support can be improved for people with attention deficit hyperactivity disorder. We look forward to its report later this year.
Charlotte Cane
Cambridgeshire has some of the lowest funding in England for GP practices and schools. Given the Government’s focus on growth for the area and the record demand for special educational needs and disabilities and young people’s mental health services, will the Minister work with colleagues across Government to ensure that high-growth areas no longer suffer lower than average funding?
Stephen Kinnock
Our commitment to improving SEND conditions is universal. We are looking at this from the point of view of improving provision right across the country. I am very pleased that the PINS programme is making progress. I draw the hon. Lady’s attention to the early language support for every child—ELSEC—programme, in which nine pathfinder sites over two years will provide early identification, and targeted and universal support for children with speech, language and communication needs in early years and primary school settings. We are working very closely with colleagues across the Department for Education and NHS England on that.
Alistair Strathern (Hitchin) (Lab)
Local authority resources are a big driver of some challenges in the SEND system, but it is clear to anyone working in it that a systemic under-prioritisation of children’s health, all too often by local NHS trusts, is a big contributing factor. Young people right across my constituency waiting for assessment and lacking support are paying the price. As part of our 10-year plan to reform the NHS, how will we ensure that children’s health is front and centre again, with much more support for people with additional needs?
Stephen Kinnock
I am working very closely with colleagues in the DFE on how we mainstream SEND provision more effectively, get more rapid education, health and care plans and autism diagnoses, and on a whole range of issues that require strong cross-party work. I would be happy to brief my hon. Friend on that separately.
Joe Robertson (Isle of Wight East) (Con)
The Secretary of State for Health and Social Care (Wes Streeting)
The dementia diagnosis rate target was not met for the last five years of the Conservative Government, and it declined over the course of the last Parliament. This Government are committed to ensuring that at least two thirds of people living with dementia receive a diagnosis. The Government are investing in dementia research across all areas, from causes, diagnosis and prevention to treatment, care and support, to help people live with this condition.
Joe Robertson
Nearly 1 million people are living with dementia—it is the biggest cause of death in the country today—and by the end of the 2030s that figure is set to rise to 1.4 million. Early diagnosis is one of the best things we can do to support people living with dementia, so will the Secretary of State explain why the dementia diagnosis target no longer features in NHS England’s priorities, as published two weeks ago? Will he commit to reinstating both dementia and the commitment to a diagnosis target in NHS England’s priority guidelines?
Wes Streeting
I just restated the Government’s commitment to ensuring that at least two thirds of people living with dementia receive a diagnosis. Our investment and reform agenda will speed up diagnostics across the board. Under the last Government, NHS planning guidance was a wish list of fantasy targets, most of which were never met. As the NHS got worse and worse, they piled on more targets to make themselves look busy. This Government are ending the micromanagement, turning our NHS around and clearing up their mess.
Mr Jonathan Brash (Hartlepool) (Lab)
My dad was a GP in Hartlepool for over 30 years—the Secretary of State was kind enough to meet him the last time he was in Hartlepool—and he has Alzheimer’s. Every day, I think about why we did not spot the signs early enough to get the treatment that he needed at an earlier stage. The Alzheimer’s Society estimates that only 29% of social care workers have any form of dementia training. Does the Secretary of State agree that it is critical that we up that number and ensure that all social care workers have dementia training, to ensure early diagnosis?
Wes Streeting
I am grateful to my hon. Friend for his question—I know how personal this issue is for him. I was delighted to meet his father on my visit to Hartlepool, and wish him very well. I take very seriously what my hon. Friend has said about the importance of workforce training. He mentioned training for health and social care staff, which is important, but I would argue that the point applies more broadly across our society. On 6 September, the Department launched the adult social care learning and development support scheme, which allows eligible employers to claim for funding for certain training courses and qualifications, including relevant dementia training, for eligible care staff. We will continue to keep this under observation and review.
Sojan Joseph (Ashford) (Lab)
The Minister for Secondary Care (Karin Smyth)
I know that this issue is close to my hon. Friend’s heart, after his years of service as a nurse in the health service. We have to ensure that the NHS is an attractive place for nurses to work, and that they can progress. We hear directly from staff through our 10-year plan, and work closely with the Royal College of Nursing, Unison and other trade unions through our social partnership forum.
Sojan Joseph
I must disclose that I worked as a mental health nurse in the NHS for the past 22 years, and that in my career, I progressed from nurse to head of nursing.
Recruitment and retention of nursing staff across the health and social care sector is key to delivering an NHS that is fit for the future, but the most recent NHS staff workforce survey showed that just 56% of staff felt that the health service acted fairly when it came to career progression. What steps will this Government take to address this issue, and to ensure that our nursing workforce feel valued and feel a sense of purpose in their wider work?
Karin Smyth
My hon. Friend is absolutely right that the issue is key, and that the results are worrying. I know how proud my friends and family members were to become nurses, and what a great career nursing offered them. We have to deliver on the promise of a good career, and build on that pride in being a nurse. We absolutely recognise that we cannot rebuild the NHS without their skills and their high-quality critical and compassionate care.
Rosie Duffield (Canterbury) (Ind)
Does the Minister believe that the NHS should expect biologically female nursing staff to get changed in front of biologically male colleagues who identify as female?
Robin Swann (South Antrim) (UUP)
The Secretary of State for Health and Social Care (Wes Streeting)
I was delighted to work closely with the hon. Gentleman when he was Minister for Health for Northern Ireland, and I am delighted to work with his successor. I have met regularly with my counterparts in Northern Ireland, Scotland and Wales since I took up office. The Chancellor’s recent Budget meant a massive £26 billion-a-year boost for the health and social care services; thanks to the Barnett consequentials, the devolved Administrations will benefit from a major increase in their budgets—the biggest since devolution began.
Robin Swann
I thank the Secretary of State for his answer. Just over a year ago, the former Health Secretary wrote to counterparts in the devolved Administrations to offer patients from Wales and Scotland who were experiencing lengthy waits the option of treatment by providers in England. The offer was declined, as it was seen as a political stunt. Would the Secretary of State consider reviewing that offer, but this time including Northern Ireland, so that his call to offer the best of the NHS to the rest of the NHS can be shared across the entire nation?
Wes Streeting
I am absolutely committed to our working across the whole of the United Kingdom of Great Britain and Northern Ireland on cross-border working and co-operation, where we can. I have had constructive conversations, particularly with my counterpart in Wales, to that effect, and I would be delighted to work with my counterpart in Northern Ireland in the same spirit. Despite our differing views on the future of the United Kingdom, I have had equally constructive discussions with my counterpart in Scotland, although he may not thank me for mentioning it.
Brian Leishman (Alloa and Grangemouth) (Lab)
The Secretary of State for Health and Social Care (Wes Streeting)
Yesterday, we kicked off National HIV Testing Week. Getting tested for HIV is quick, free and confidential. I pay tribute to the leadership of my right hon. and learned Friend the Prime Minister, who became the first leader in the history of the G7 to take an HIV test. As a former member of the independent HIV Commission, I am determined that this Government will deliver on our commitment to end new transmissions of HIV in England by 2030. We will set out our aim shortly in our new action plan, which will be developed by me and my brilliant new Minister, my hon. Friend the Member for West Lancashire (Ashley Dalton).
Brian Leishman
Fourteen years of austerity have created a new stratum of society: the in-work poor. Recent talk of ruthless cuts to social security is beyond alarming. Does the Secretary of State agree that having a welfare system that covers the cost of essentials, as proposed by the Trussell Trust and the Joseph Rowntree Foundation, would alleviate hunger and hardship, and therefore relieve considerable strain on the NHS?
Wes Streeting
I am a product of the welfare state, and I remember the benefit system putting food in the fridge and money in the electric meter. I also know from lived experience that people who are trapped in the benefits system want to escape. The best way out of poverty is not through social security, important though that is, but through fair, decent work that pays. That is the Government’s agenda.
Edward Argar (Melton and Syston) (Con)
I congratulate the hon. Member for West Lancashire (Ashley Dalton) on her promotion to the Front Bench.
Eating disorders affect over 1.25 million people, and this is the last Health and Social Care Question Time before Eating Disorders Awareness Week, which starts later this month. The Secretary of State will be aware of the amazing work done by the eating disorder charity Beat, which I met a few months ago, and to which I pay tribute. Will he back Beat’s call for broader access to intensive community and day treatment for those with eating disorders—there are limited places currently—and set out a timetable in which that will be delivered?
Wes Streeting
I really welcome the shadow Secretary of State’s raising that important issue. Too often, even when patients with eating disorders are in health settings, they do not receive the right care or support at the right time. I would be delighted to receive representations from Beat on how we can improve the situation.
Edward Argar
I am grateful to the Secretary of State for that answer. He will know that osteoporosis impacts 3 million people. He is aware of the campaign by the Royal Osteoporosis Society, and the powerful parallel campaign led by The Mail on Sunday and the Daily Mail, for access to fracture liaison services across the country. Pre-election, he committed to support that, and a roll-out plan. People will look for an answer that looks to the future, not the past, so when will he publish the fracture liaison services roll-out plan, to ensure that all who need to access those vital services can, and will he work with campaigners and me to achieve that roll-out before 2030?
Wes Streeting
This is unusually consensual today. The Government are committed to rolling out fracture liaison services across every part of the country by 2030. I promised that before the election, and that is what we are delivering. In fact, we have already started by investing in 14 hi-tech DXA—dual-energy x-ray absorptiometry—scanners, which are expected to provide an extra 29,000 scans to ensure that people with bone conditions get diagnosed earlier. I note that the shadow Secretary of State does not want to look to the past—I am not surprised, given the Conservatives’ record—but I am sure that we can work together in the future.
Joe Morris (Hexham) (Lab)
The Minister for Secondary Care (Karin Smyth)
I holidayed in my hon. Friend’s constituency this summer—it is a very beautiful part of the world—so I understand some of the rural challenges. It is a matter for local integrated care boards how they organise ambulance services. There are many problems that we want to resolve, and I would of course be very happy to meet him.
Helen Morgan (North Shropshire) (LD)
I, too, welcome the new Minister to her place. This morning’s oral health survey revealed that more than one in five five-year-olds in England have experienced dental decay, affecting their ability to smile and socialise, as well as causing pain and distress. Will the Secretary of State guarantee the Government’s commitment to tackling the problem, and back Liberal Democrat calls for an emergency scheme that guarantees dental check-ups for children?
Wes Streeting
This is an issue that the Government are prioritising. The hon. Member will be aware of the commitment we made to provide 700,000 urgent dentistry appointments. We are ramping up to deliver on that commitment, as well as to deliver supervised toothbrushing in our schools. Further wider-ranging reform is needed; I am working closely with the Minister for Care to rebuild NHS dentistry, after the rot left in it by the Conservatives.
Matthew Patrick (Wirral West) (Lab)
The Parliamentary Under-Secretary of State for Health and Social Care (Ashley Dalton)
Increasing HIV testing is a vital step towards meeting our goal, and it will be a core element of our new HIV action plan, which will be published later in the year. We are investing more than £4.5 million in delivering a national prevention programme, and, with backing of an extra £1.5 million, we will extend the programme for a further year, until March 2026.
Christine Jardine (Edinburgh West) (LD)
Wes Streeting
The hon. Member is right to raise this serious and important issue. We want to ensure that we improve diagnostics, access to treatment and research, and I can think of no better person to lead the work on this area of the national cancer strategy than my hon. Friend the Minister for Secondary Care, who has lived experience, and who demonstrates that people can live well with cancer.
Lee Pitcher (Doncaster East and the Isle of Axholme) (Lab)
Karin Smyth
I entirely appreciate the frustration and distress caused by medical supply shortages. We are working intensively with industry to resolve the HRT supply issues, and the problems with the supply of Estradot are expected to be resolved by the end of the month. Meanwhile, we have issued a serious shortage protocol to allow community pharmacists to supply alternative brands of the same medicine, and those remain available.
Mr Gagan Mohindra (South West Hertfordshire) (Con)
Wes Streeting
If the hon. Member is so committed to that project, perhaps he can explain why his party did so little about it in government.
Peter Lamb (Crawley) (Lab)
Since April, Crawley’s urgent treatment centre has been temporarily closed overnight because of low staffing levels. What do the Government intend to do to ensure that normal services are resumed for communities such as mine?
Karin Smyth
We are absolutely committed to urgent treatment centres, which play a vital role in supporting patients, especially during periods of high demand. I understand that this is temporary, and that the centre is running a pilot. I know that my hon. Friend will work closely with his local integrated care board to ensure that it serves his constituency adequately.
Jim Shannon (Strangford) (DUP)
Wes Streeting
Where have I heard that before? The hon. Member knows that I will agree with him on the matter of the Union, but I also believe that we should work cross-border wherever we can, especially when it comes to important issues such as Parkinson’s. We have to make better breakthroughs in research, treatment and, hopefully, finding a cure.
Catherine Atkinson (Derby North) (Lab)
After 14 years of Conservative government, 77% of people in Derby cannot access an NHS dentist. Can the Minister tell us what caused the rot to set in and how we can fill the cavities in provision?
The Minister for Care (Stephen Kinnock)
I see what my hon. Friend did there, and she should brace herself as we drill down into this answer. The Conservative party is the cause of the rot: spending on NHS dentistry fell by a staggering 18% between 2010 and 2024, so it is little wonder that dentistry is on its knees. We will shortly set out plans to introduce supervised tooth brushing for three to five-year-olds in the most deprived communities, and we are working with the dental sector to implement our rescue plan.
John Lamont (Berwickshire, Roxburgh and Selkirk) (Con)
Stephen Kinnock
It is vital that we have a palliative and end of life care service that works and is on a sustainable footing. I have had discussions with the sector. We want to ensure that we do not have the cliff edge that we had at the end of last year. The hon. Gentleman is right to point to this, and we will report back in due course.
Sally Jameson (Doncaster Central) (Lab/Co-op)
The Minister will be aware that the contract uplift for dentists is facing a near 11-month delay. Can he confirm that dentists will be receiving their uplift? What will be done to make sure that they receive enough money to cover the costs of NHS dentistry?
Stephen Kinnock
I can reassure my hon. Friend on that point. We implemented the contract uplift on 29 January. Dentists will therefore be receiving their uplifted payments in March, backdated to 1 April 2024. For the first time in more than a decade, we have also increased payments for practices training a foundation dentist.
Sir John Whittingdale (Maldon) (Con)
Stephen Kinnock
We are in negotiations about the future contract with the General Practitioners Committee England of the British Medical Association. Those negotiations are proceeding, and the right hon. Gentleman is right that we need serious reform; we will be pushing reforms through on that basis. On his point about the estate, we have a £102 million commitment on capital for the primary care estate, which I think will go some way towards reassuring him.
Clive Lewis (Norwich South) (Lab)
I thank my hon. Friend the Minister for all the support he has given the University of East Anglia to set up its dental school, but he will be aware that all those shiny new dentists coming out in a few years’ time will be going into the private sector, not the NHS, unless we can sort out the NHS dental contract. Can he give us any kind of timeline for when we can expect to hear an announcement on that critical factor?
Stephen Kinnock
I wish my hon. Friend all the best with his efforts to get that dental school up and running. As for the need for serious reform, there is no perfect payment system, but we have to get a payment system in place that makes NHS dentistry attractive—at least as attractive as doing work in the private sector. We are working at pace on that, and I will report back on that as rapidly as possible.
Vikki Slade (Mid Dorset and North Poole) (LD)
Wes Streeting
The hon. Member is absolutely right to put the spotlight on paediatric health. Mental health is important for children and young people, but physical health is too. This Government are committed to dramatically reducing waiting lists and returning to the 18-week standard by the end of this Parliament, but we should aim to go even harder after those childhood waiting lists, because many children waiting in pain and agony are losing valuable years of their childhood that they will never get back.
Tonia Antoniazzi (Gower) (Lab)
The Government know how hard I have worked as co-chair of the all-party parliamentary group for medical cannabis on or under prescription. I am pleased to hear that there is a trial, but I urge the Minister and her team to make sure that it actually goes ahead, as others have not because of Brexit, covid and elections. Can she please meet me to ensure that the APPG and I are kept up to date on the work of the NHS?
Karin Smyth
My hon. Friend has been a strong campaigner on this issue on behalf of her constituents, and I congratulate her on that work. We are confident that the randomised trial will go forward, and we have invested over £8.5 million in it. I am very happy to meet her, and I urge people to come forward and support the trial. That is the way forward on this issue.
Lee Anderson (Ashfield) (Reform)
The new Health Minister has stated that it is okay for a human being to present as a llama. If I have a family member who presents as a llama and suddenly becomes ill in the middle of the night, should I send for a doctor, a vet or a straitjacket?
Wes Streeting
I can say to the hon. Member that my hon. Friend the Minister believes in treating every human being with the dignity and respect they deserve—even the hon. Gentleman.
Josh MacAlister (Whitehaven and Workington) (Lab)
Shortly after the election, the new Government announced £4.3 million for a new community mental health hub in Whitehaven. Unfortunately, the local mental health trust followed that decision by announcing the closure of the Yewdale ward for acute mental health services. Does the Minister agree that we need to get early intervention right before we close acute services, and will he bring together a meeting to scrutinise that decision?
Stephen Kinnock
Integrated care boards are responsible for providing mental health services to meet the needs of their local populations. As part of our plan for change, we will reduce delays and provide faster treatment. We are working with NHS England to transform mental health services, shift care from hospitals to local communities, and increase access to support for people across the country, including in rural areas.
Robbie Moore (Keighley and Ilkley) (Con)
Insomnia affects many patients, including my constituents, who are being advised by their GPs to try cognitive behavioural therapy as an alternative to medication. However, digital CBT programmes are not available on the NHS, leaving many without access to drug-free treatment. Will the Minister outline what steps the Government are taking to ensure that patients have access to digital therapies, so that more people can get access to evidence-based, drug-free support?
Wes Streeting
The hon. Gentleman hit the nail on the head when he mentioned the importance of evidence-based treatment. As part of the Government’s shift from hospital to the community, from analogue to digital and from sickness to prevention, the NHS absolutely should be in this space, and we are considering those issues as we develop our 10-year plan for health.
Daniel Francis (Bexleyheath and Crayford) (Lab)
The NHS South East London integrated care board provides services to my constituents, and I have discussed some ways in which we could better deliver services by redeveloping the Erith community hospital site in Northumberland Heath. Is the Minister able to provide an outline of the Government’s plan to provide capital funding for expanding community services like those at Erith hospital?
Stephen Kinnock
I would be delighted to meet my hon. Friend so that we can get into a bit more detail about what is happening in his constituency, but he is absolutely right to point to the need for more and better community health services. That will be at the heart of our shift from hospital to community in the 10-year plan that we are delivering.
Steve Darling (Torbay) (LD)
Health authorities in Devon are set to trial the relocation of a vital coronary service from Torbay to Exeter, which is 24 miles away. Will the Minister meet me and fellow south Devon MPs who have grave concerns about the impact on patient safety?
Wes Streeting
It is important that people are able to get the right care in the right place at the right time, and I recognise the challenges, particularly in geographies such as Devon and Cornwall, which have more rural and remote communities. In the first instance, I encourage the hon. Gentleman to take this issue up with local health leaders and his integrated care board, but Ministers are always open to receiving representations beyond that if he needs further reassurance.