(1 year, 10 months ago)
Commons ChamberAs someone who is proud to have gone to school in Blackpool, I do not need a lecture from the hon. Gentleman about what Labour has done to the town centre, or about the important work that Conservatives in Lancashire are doing to help communities such as Blackpool. On Labour’s record, I gently point out, as I try to do at every orals, that the record of the Labour-run NHS in Wales is lamentable. People are almost twice as likely to be waiting for treatment in the Labour-run NHS in Wales. That is not a record of which to be proud.
The hon. Member raises an important issue. It is vital that people with spinal injuries receive care in the most appropriate environment to support their care and rehabilitation. The NHS has developed a range of guidance on the subject, including NHS England’s excellent incontinence care guidance. In addition, guidelines from the National Institute for Health and Care Excellence set out the care that patients with spinal injuries should receive, including through a neurological bowel management programme.
There is a clear need for a national policy on bowel care in NHS settings for people with spinal injuries. I have listened to patients who have been left feeling abandoned and trapped in a hospital bed without the basic dignity of being able to use the toilet—all because of a lack of training for nurses in providing the necessary support. Will the Minister meet me and representatives of the Spinal Injuries Association to discuss how we can make the situation better and ensure that nobody is denied this basic level of care?
I pay tribute to the hon. Lady for the work that she and the all-party parliamentary group on spinal cord injury have done on the issue. I would be more than happy to meet them.
(2 years, 1 month ago)
Commons ChamberThe crisis in NHS dentistry is plain to see and it is affecting so many of my constituents. I am therefore grateful for this opportunity to shed light on this emergency and to support Labour's plan to rebuild our broken dentistry. People are finding it impossible to find an NHS dentist for themselves and their children, which is leading to serious consequences for public health. It is also exacerbating health inequalities, and creating a divide between those who can afford private dentistry and those who cannot. The proportion of children with dental decay in the most deprived areas is more than two and a half times greater than it is in the least deprived areas, and the gap is widening. That has led to a public health crisis: 169 children each day are undergoing tooth extraction; rotting teeth is, shockingly, the No. 1 cause of hospital admissions among six to 10-year-olds; and one in 10 people have even attempted their own do-it-yourself dentistry, which just does damage and puts even more pressure on the NHS. That reads like a Charles Dickens novel, but it is the harsh reality of 14 years of Conservative government. Nowhere is that more apparent than in my constituency, where not one of the seven dental surgeries that recently provided an update was accepting new adult patients and only one was accepting new child patients.
Although those figures are appalling, they are not surprising. I am regularly contacted by constituents who cannot find an NHS dentist and cannot afford to go private. They ask me, “What am I supposed to do?”. Without radical reform, there is no answer I can give them. We often talk about crumbling dental services, but in my constituency they have already crumbled; the services simply are not there for the people who need them most. One constituent has contacted more than 25 dentists in Sheffield, with each telling her the same thing: they are not accepting new NHS patients at this time. The best she has been offered is to be put on a waiting list, which could last years. She cannot afford to go private, so she and her young child are stuck without any access to a dentist. We have also seen the provision of community dental services grind to a halt. Those services are a vital safety net, providing specialised treatment when other dentists cannot accommodate the needs of disabled people and people with long-term health conditions. That safety net is no longer there for all too many people. Research shows that, nationally, more than 12,000 children were on a waiting list for community dental services at the start of 2023, and they could face waits of up to 80 weeks for tooth extractions. Healthwatch has heard from many people and their carers who cannot access community dentistry, leaving them without treatment.
The basic provision of NHS dentistry has been worn away on this Government’s watch. The warning signs of this crisis have been stark for years, but Ministers have continued to bury their heads in the sand. Funding has been cut in real terms, meaning that dentists are leaving the NHS in droves and areas such as mine have become dental deserts. It is clear that this Government are not willing to provide the radical changes needed to bring NHS dentistry back from the brink. In April last year, Ministers promised a new dental recovery plan; but we are still waiting for it to see the light of day. I urge the Minister to tell us when that will happen and not just say “soon”. Labour has formulated a fully costed plan that will get NHS dentistry back up and running. The best treatment is prevention, which is why Labour will introduce a targeted, supervised toothbrushing scheme for three to five-year-olds, encouraging lifelong good dental hygiene. Labour will also provide an extra 700,000 urgent appointments per year to help the most vulnerable access the services they need and introduce an incentive scheme to bring more dentists to dental deserts. I am proud to say that all of that will be paid for by abolishing the non-dom tax status. Those tangible steps will bring NHS dentistry back to constituencies such as mine, where services have disappeared. Where this Government have failed, Labour will step in and help all our constituents to access the NHS dentistry they need. I will be proud to support Labour’s plan in today's vote, and I urge all colleagues, including Conservative Members, to vote with us.
I call the Chair of the Select Committee on Health and Social Care.
(2 years, 9 months ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
It is a pleasure to serve under your chairpersonship, Sir Graham. I thank the hon. Member for Don Valley (Nick Fletcher) and the Petitions Committee for bringing forward this vital debate. I pay tribute to Owen’s and Natasha’s families and to all the people who have come to the debate. I thank them for coming here, because I know how painful it must be for them. I also thank the many thousands who signed the petition.
Owen should have turned 24 last month. This should have been a time of joy and celebration for him and his family. Instead, because of a tragic and preventable failing, he died less than 300 metres from this building. Diagnosed with severe food allergies at just six months, Owen was always careful to manage his allergies and avoid triggering a reaction. On the day that Owen passed, he took the time to inform the waiting staff of his allergies, but because of a miscommunication the information was not passed to the kitchen. That led to his consumption of a chicken burger that had been marinated in buttermilk. Despite the presence of one of the most common allergens, dairy, the information was given only in the small print on the back of the menu, not alongside the product listing. That is in line with regulation 5 of the Food Information Regulations 2014, which requires restaurants to collate allergen information but allows the information to be delivered “by any means”. The regulations do not go far enough to inform customers about what allergens might be a part of their meal. Instead, the onus is unfairly placed on those with allergies to inform their servers. That cannot be right.
Since Owen’s untimely death, his family have campaigned tirelessly for a common-sense change to the legislation, so that it reads “on the face of a menu” instead of “by any means”. That would be much like the vegan and VE vegetarian symbols displayed alongside vegetarian and vegan products in restaurants. I praise the restaurants that acted unilaterally to display allergen information prominently on their menus. That is a straightforward step that could save lives.
The number of people with allergies in the UK has steadily risen, and an estimated one in three people are affected. Owen’s law would benefit the millions of people in the UK who are allergic to a food product or who care for someone who is. Those who suffer with even a mild allergy know the detrimental impact that it can have on their quality of life, the stress caused by social interactions in unfamiliar places, the diligence it takes to analyse everything that they purchase and consume, and the constant worry that their allergy might progress and get worse with little or no warning. It is no wonder that those who are diagnosed with an allergy are more likely also to be diagnosed with depression or anxiety.
At the inquest into Owen’s death, the coroner found that a lack of data collection regarding anaphylactic reactions contributed to a failure to learn from these tragedies. I am pleased that some progress has been made on this front with the establishment of the UK anaphylaxis registry in 2021, but we need to do more to support people with allergies. The past 20 years have seen minimal investment in NHS allergy services, and I support calls for an allergy tsar to advocate on behalf of those with allergies, alongside an increased number of allergen clinics. We cannot eliminate allergens entirely, but one thing we can do is advocate Owen’s law, which would build on Natasha’s law and ensure that allergen information is displayed alongside food products in restaurants so that the proper information is provided in the most accessible manner.
I beg the Minister to ensure that action is taken. No one here has disagreed today; everyone has been in favour of more resources being deployed in this area and of having a tsar who runs a proper strategy and has the proper financial resources to research why so many people are allergic to various products. Let us change the legislation. The Minister has the opportunity to stop many more parents having to face the unthinkable and lose a child or family member. These deaths can absolutely be avoided with the right services and legislation in place.
(3 years, 1 month ago)
Commons ChamberThe Government are working to improve access. We have made initial reforms to the contract and created more unit of dental activity bands to better reflect the fair cost of work and to incentivise NHS work. We have introduced a new minimum UDA value to help sustain practices where they are low, and we are allowing dentists to deliver 110% of their UDAs for the first time to deliver more activity. Those are just the first steps; we are planning wider reforms.
It was very useful to meet my hon. Friend the other day, who is a great expert on this issue. As he knows, we are working at pace on our plans for dentistry. As well as improving the incentives to do NHS work, we are working on the workforce to make it easier for dentists to come to the UK. We laid draft secondary legislation in October to help the General Dental Council with that. We are working on our plans for a centre for dental development in Ipswich and elsewhere in the east of England, as he knows. Although we have not yet set a date to set out the next phase of our plans, my hon. Friend knows from our meeting that this is a high priority area for us and that we are working on it at pace.
I was contacted recently by my constituent Helen, who said:
“I don’t know what to do. I have phoned 25 dental practices today and been told the same thing each time: all we can do is put you on a 3 year waiting list.”
What does the Minister say to Helen and the thousands who, like her, cannot access an NHS dentist? When will he get a grip on this crisis?
We are the first to say that the current situation is not satisfactory. That is why we invested an extra £50 million in the last quarter of last year, and it is why we are working at pace. Let us be clear: dentistry has not been right since Labour’s 2006 contract, and until we fix the fundamentals of that and the problems set up by the Opposition, we will not tackle the underlying problem.
(3 years, 4 months ago)
Commons ChamberOf course we apologise for the cases that we have seen; anyone who watched some of those programmes will have seen the distressing and unacceptable care. I am the Minister with responsibility not just for mental health but for patient safety, so I will be looking at the cases in “Panorama” and other programmes, and at cases across the board, because I want to ensure that in-patient mental health services are as safe as possible. We know that these are some of the most vulnerable patients who often cannot speak out when there are problems. We are looking at the staffing, training and reporting mechanisms. On the case that was highlighted in “Panorama”, the Government are working closely with NHS England, the Care Quality Commission and the individual trusts.
Gynaecological conditions, including endometriosis, are a priority in the women’s health strategy, which we published in the summer. We are committed to improving care for women with endometriosis and are particularly looking at the patient experience and journey from first seeing their GP through to diagnosis.
Last week, the all-party parliamentary group on endometriosis heard from many different women about their shocking experiences of getting diagnosed and treated. Despite the very good women’s health strategy, they are not seeing that on the frontline. Long waiting times, poor care and disbelief from medical professionals are all still too prevalent for women with endometriosis. Commitments in the women’s health strategy are long overdue and women are not fully feeling those benefits. When can we expect to see real progress to back that up and end this national scandal once and for all?
I thank the hon. Lady for her question. The Government introduced the first women’s health strategy to make issues such as endometriosis a high priority. Of course it will take time—we published the strategy only in the summer—but work is happening already. The women’s health ambassador is working to better inform young women about the signs and symptoms of endometriosis, so that they cannot be fobbed off with advice such as, “This is just a normal period.” Better and mandatory training for healthcare professionals in women’s health is being introduced and we are working with the royal colleges to streamline the referral process.