(6 years, 10 months ago)
Commons ChamberFunding allocations to clinical commissioning groups vary to meet the needs of local populations, including mental health needs. These allocations are determined by a formula managed for the NHS by the Advisory Committee on Resource Allocation. For mental health, the formula takes into account patient-level data covering community, out-patient and in-patient mental health services, as well as improving access to psychological therapies activity and hospital episode statistics.
One in three early intervention in psychosis services in the north of England does not meet the standard that NHS England expects. What is NHS England doing to end this postcode lottery and ensure that my constituents can access the same high-quality mental health services as people in other areas of the country?
The hon. Lady is right to highlight this. Good care depends not only on money but on performance, and we expect the Care Quality Commission to be very challenging in inspections so that we can guarantee consistency in the quality of services, rather than experiencing the postcode lottery she mentions. I am disappointed that the CQC rated Sheffield Health and Social Care NHS Foundation Trust as requiring improvement following the inspection in May and June last year, but we expect that challenge to continue so that there are obvious improvements.
(7 years, 3 months ago)
Commons ChamberI do not think I can make it any clearer: this Government are committed to providing community services right where people need them, and we are putting our money where our mouth is. Last week, the Prime Minister announced a major new investment in primary and community healthcare of £3.5 billion.
According to a recent poll of doctors by the Royal College of Physicians, almost six in 10 doctors report feeling very worried or worried about the ability of their hospital to deliver safe patient care over the winter period. What is the Secretary of State or the Minister doing to help our hard-working NHS staff provide the best possible care for patients?
The NHS faces a challenging winter, but it has been planning throughout the year for this winter. It has been supported by an extra £420 million to redevelop A&Es, improve emergency care and help patients get home quicker. Those plans, more directly, include reducing the extended hospital stays we saw last year, increasing access to GP appointments and increasing the volume of cases that can be treated by emergency dentists.
(7 years, 9 months ago)
Commons ChamberI could not agree more. We need GPs to understand that they must consider a patient’s needs as a whole, not just the condition that is presented at the time, and that message has been sitting behind the guidance that we have been issuing to GPs on how they manage patients with long-term health conditions.
Nursing remains a strong career choice, with more than 22,500 students placed during the 2017 UCAS application cycle. Demand for nursing places continues to outstrip the available training places.
Figures from the Royal College of Nursing show that applications have fallen by 33% since the withdrawal of bursaries. At the same time, the Government’s Brexit shambles has led to a drastic decline in EU nursing applications. How many years of such decline do we have to see before the Secretary of State and the Minister will intervene?
What matters is not the number of rejected applicants, but the increase in places—the number of people actually training to be a nurse. The reality is that 5,000 more nurses will be training each year up to 2020 as a result of the changes.
(8 years, 4 months ago)
Commons ChamberNearly every day, my office is introduced to a new case in which a constituent and his or her family are facing the harsh and difficult realities of a social care system in crisis, but this is not a crisis born out of necessity. Unfortunately, it is the cruel consequence of an ideologically driven cost-cutting agenda in action. It is a crisis that has been created at the heart of No 10.
The Tories have presided over an unprecedented attack on social care budgets. Some £4.6 billion has been taken from adult social care budgets since 2010, at a time when demand is growing. Reports by the King’s Fund make it clear that the adult social care system as it stands is
“failing older people, their families and carers”,
and that it will have a funding hole of £2.1 billion by 2019-20 which, if left unresolved, will continue to fuel the crisis. The same pattern is found in my home town, Sheffield, where there is a growing population of over-65s, all with a longer life expectancy than ever before. Sheffield City Council’s budget has been cut to the tune of £352 million since 2010, and further cuts are on their way.
As a result of the cuts, councils have had to make difficult decisions. Across England, 400,000 fewer people are able to access publicly funded social care, and one in eight older people is living with unmet care needs. The impact on people and their families in our communities has been harrowing. What is more, the deep cuts inflicted by No. 10 are not only cruel, but nonsensical and ineffective. For example, councils are having to limit the hourly care fees paid to providers.
A recent case in my constituency has highlighted the doubly negative effect of limited administration and care payment resources. My constituent has significant daily care needs, and she and the council have struggled to keep up with resourcing those complex needs. Care providers have withdrawn at short notice, leaving the council and the patient’s family frantically trying to find a new provider. The under-resourcing of social care creates the dual problem of a higher than acceptable turnover of providers, and councils without the resources to step in effectively. That causes much upset and pain to the most vulnerable in our society.
Another consequence of the deep cuts is the level of the duty of care that is being placed on unpaid carers, and, as we know, women are largely bearing the brunt of that work. In one case, a granddaughter cared for her grandmother for 100 hours per week, and when she applied for a care package in the hope of receiving some financial support, it took six months to come through. The long-winded process often leaves carers with no support at all. That is not an isolated case; in fact, there are 6.5 million unpaid carers in the UK.
I am proud that in Labour’s election manifesto we pledged to increase carer’s allowance for unpaid full-time carers to align the benefit with jobseeker’s allowance rates. That is a practical and sensible solution, which also seeks to highlight the valuable work that nurses, social care workers and carers do for our communities. Too often, they are sidelined and their efforts shunned. They need a Government for the many, not just the privileged few, to stand up for them.
Crucially, the knock-on effects of a social care crisis are felt acutely by the NHS. Indeed, this year’s general election was the ultimate litmus test for the social care policies presented by the Tories and the Labour party. Labour not only pledged to invest £8 billion to alleviate some of the immediate problems facing social care, but promised to build a new national care service bringing together health and social care, which we would implement following a cross-party consensus. In a civilised society, it is vital for us to pool the risk, and not allow the most vulnerable to fend for themselves in old age.
Meanwhile, the Prime Minister launched a nasty campaign against older people the likes of which we have not seen in decades. Following their U-turn on the dementia tax, the Tories have now turned their attention to blaming and threatening councils with fines and sanctions—