NHS

Baroness Laing of Elderslie Excerpts

Wednesday 5th February 2014 Commons Chamber

[Alison Seabeck (Plymouth, Moor View) (Lab)]

On a point of order, Madam Deputy Speaker. Members will have heard the concern during Prime Minister’s questions about the loss of the main line between London and Penzance. We understand locally that the rest of the Dawlish sea wall might go tonight. Has the Secretary of State for Transport given any indication that he intends to update the House on the current situation and on the measures that he is putting in place to ensure that the economy of the south-west is protected and the rail line kept open?

[Madam Deputy Speaker (Mrs Eleanor Laing)]

I thank the hon. Lady for her point of order, although she and the House will appreciate that it is not a point to be dealt with by the Chair at this moment. I have received no indication that the Secretary of State for Transport intends to come to the House today, but the hon. Lady has ingeniously used the moment to draw attention to a serious matter that is, I am sure, appreciated as such by the Ministers concerned. I am certain that her point, albeit that it is not a point of order, will be noted by those by whom it ought to be noted.

Accident and Emergency

Baroness Laing of Elderslie Excerpts

Wednesday 18th December 2013 Commons Chamber

[Andrew Percy]

The Montague medical centre in Goole had to close its lists down, but if we ask why, we find that it was due to the large uncontrolled immigration we had from the A8 countries. [Interruption.] That is a fact. That is why the lists had to be closed—due to the previous Government’s failure to plan for the number of people coming here—so I thank the hon. Gentleman for that helpful intervention.

Let me deal with a couple of issues in my own constituency. [Interruption.] If Labour Members want to intervene, I am happy to take an intervention rather than be chuntered at. I want to refer to some positive moves locally, which I hope can be rolled out nationally.

First, I called on the NHS ambulance trust in my area to provide advanced paramedics, so that we could use our ambulance service better—a point I have made through the Health Committee—not just to convey people, but to treat them in their homes. We established an emergency care practitioner in Goole, which in the first six to eight weeks saved 56 double-crew manned hours and numerous transfers to Scunthorpe A and E. That has proved to be an effective use of our ambulance services, and I hope that we can start to see it moving through. [Interruption.] Am I running out of time? I am just looking at the clock, Madam Deputy Speaker, and following the time indicated there. I will conclude if the Front Benchers need to sum up—

[Madam Deputy Speaker (Mrs Eleanor Laing)]

Order. The hon. Member is quite right in his watching of the clock, but I am sure that he will have a mind to other hon. Members who wish to speak this afternoon.

[Andrew Percy]

Because it is Christmas, I am willing to forgo my remaining minute.

--- Later in debate ---

[Several hon. Members]

rose—

[Madam Deputy Speaker (Mrs Eleanor Laing)]

Order. The Minister is not giving way. He has limited time, and we will hear him.

[Norman Lamb]

Thank you, Madam Deputy Speaker.

The then Secretary of State, now the shadow Secretary of State, missed the target in this very week when he was in charge. We know that the winter is tough, and that performance always dips at this time of year. We also know that the staff are under a lot of pressure. The truth is that we inherited a dysfunctional system that was crying out for reform, with too many people ending up in hospital because of crises in their care, as my hon. Friend the Member for Bracknell (Dr Lee) made clear. For years, I have argued the case for a different approach.

We are supporting the NHS to enable it to manage better in the short term. For this winter, we are investing an additional £400 million in total—more than ever before. In the longer term, we need to look afresh at how we organise urgent care. That is why Bruce Keogh’s report into urgent and emergency care is so important, and I hope that the hon. Member for Mitcham and Morden (Siobhain McDonagh) will accept the case for a clinically led review in order to achieve the right approach. We will work closely alongside NHS England in putting these reforms into practice. The hon. Member for Stretford and Urmston (Kate Green) was absolutely right to say that we have to communicate better with the public and ensure that the process is a good one.

In the longer term, we need to do more to prevent people from ending up in hospital as a result of avoidable crises. As my hon. Friend the Member for St Ives (Andrew George) said, we need to make two big shifts. The first involves a move to a much greater focus on preventing ill health and the deterioration of health. The second involves a shift from a fragmented system to one that is integrated and joined up. That is the approach that we must follow.

Integrated pioneers around the country, such as those in south Devon and Torbay, Greenwich and Labour-led Barnsley, are doing great work, joining up care, collaborating with the voluntary sector, providing better care and keeping people out of hospital. That is the vision of the health service for the future. These pioneers will help the rest of the country to make the best possible use of the £3.8 billion better care fund. The fund will encourage organisations: to act earlier to prevent people from reaching crisis point; to offer seven-day services; and to deliver care that is centred on people’s needs. I am grateful to my right hon. Friend the Member for Sutton and Cheam (Paul Burstow) for welcoming that important new fund. We are also introducing named, accountable GPs for the over-75s and improving access to general practice.

We are addressing both the short-term and long-term challenges, giving the NHS the support it needs. I want genuinely to thank the excellent staff throughout our health and care services who are tackling these issues head-on. The measures and changes we have outlined today will support staff to deliver the best possible care, even in the most difficult of circumstances.

Question put.

The House proceeded to a Division.

[Madam Deputy Speaker (Mrs Eleanor Laing)]

I ask the Serjeant at Arms to investigate the delay in the No Lobby.

Care Bill [Lords]

Baroness Laing of Elderslie Excerpts

Monday 16th December 2013 Commons Chamber

[Several hon. Members]

rose—

[Madam Deputy Speaker (Mrs Eleanor Laing)]

Order. As hon. Members will be aware, many people have indicated that they would like to contribute to the debate, but we have limited—albeit a long—time available. I must therefore impose a 10-minute time limit on Back-Bench speeches.

G8 Summit on Dementia

Baroness Laing of Elderslie Excerpts

Thursday 28th November 2013 Commons Chamber

[Tracey Crouch]

I agree entirely with my hon. Friend. It is important to note that society has made much progress in the past 20 years and that dementia is not the taboo subject it perhaps used to be. We have changed how we think about it and now treat people with dementia much better, but we still need to get away from the idea of saying, “Nan’s gone a bit dotty.” We have to understand that something can be done about dementia and that proper care pathways exist to ensure that people can live well with it, and we have to support carers as best we can.

On the G8 summit, I turn to my final but no less important point: long-term strategies. The Prime Minister’s challenge on dementia for England has provided a welcome focus on the treatment and care of people living with dementia and the search for a cure, but there is a danger that the focus will be lost, especially as the initiative is not UK-wide but covers only England. Many countries have dementia strategies or brain bank initiatives, and the UK needs a new long-term strategy, because the current one is due to expire in 2014. I would be grateful if—not today but soon—the Minister could outline his plans to evaluate the national dementia strategy for England and tell the House when he will commit to a new strategy following the current strategy’s expiration next year. Notably, the US has a dementia strategy in place until 2025, which means that we could be left in the embarrassing situation of the UK Government leading the G8 in a discussion on dementia without a national long-term commitment comparable with that of many of their international partners.

In conclusion, it is fantastic that the UK Government, under the Prime Minister’s personal commitment, are using the G8 summit to champion a more collaborative approach to preventing, treating and curing dementia, but it is essential that the legacy of this summit goes further than the G8 and that the declaration and communiqué of the summit makes firm long-term commitments to the doubling of research funding, to sharing best practice, and to delivering an international ongoing collaboration on defeating this devastating disease, which affects so many people and their families.

[Madam Deputy Speaker (Mrs Eleanor Laing)]

Order. Several hon. Members have indicated that they wish to speak, but we have only one hour remaining, so I shall impose a limit of six minutes on Back-Bench speeches.

--- Later in debate ---

[Sarah Newton]

rose—

[Madam Deputy Speaker (Mrs Eleanor Laing)]

Order. Hon. Members ought to note that if they wish to hear what the Minister and the Opposition Front-Bench spokesman have to say about the debate, they should not take any further interventions.

[Sarah Newton]

I am a member of the Science and Technology Committee, and I am delighted that my Chairman, the hon. Member for Ellesmere Port and Neston (Andrew Miller), is here and has intervened. I would like to draw the Minister’s attention to some excellent work that our Committee has been doing this year. I think that some of the reports we have published will help him to prepare for the summit. We undertook a very good investigation into clinical trials and also produced a report called “Bridging the valley of death”. Both reports highlighted a very significant issue facing research, not only in the UK but globally.

As Members will know, we have an absolutely world-class science base in our country. The main challenge facing it is to overcome regulatory environments, many of which are international, to enable it to take its first-class research across the valley of death and into the development of ways of diagnosing dementia and therapies for treating it. It is very important to learn the lessons from our very extensive inquiries to enable more of this research to be commercially developed in order to find its way into the marketplace.