Long Covid
Jo Gideon Excerpts(3 years, 10 months ago)
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Jo Gideon (Stoke-on-Trent Central) (Con)
The coronavirus pandemic has shed light on some of the inequalities that exist in our society. The evidence shows that those worst affected by the virus are generally those who had worse health outcomes before the pandemic, including people from less affluent communities such as Stoke-on-Trent Central.
Professor Altmann, the Government adviser and professor of immunology, was clear in his remarks to the all-party parliamentary group on coronavirus that although there is relatively little consensus in the clinical world regarding the causes and treatment of long covid, there is a shared understanding among medical professionals that long covid can affect anyone and everyone in society, including those who are young, fit and healthy. However, we know that the body’s ability to recover is better if a person’s general health is strong, so it is vital that we do everything we can to reduce health inequalities so that constituencies such as Stoke-on-Trent Central are not disproportionately affected by the consequences of coronavirus and the impacts of long covid.
Tackling obesity must be placed at the very top of our political agenda. We know that people who are obese are far more likely to become seriously ill and go into intensive care if they contract the virus. I believe that food labelling needs to be reformed so that we place the emphasis on promoting the eating of healthy foods, not simply junk food that is bad for people but meets food safety standards. The myriad statutory food labelling requirements from nine different agencies are bewildering and do not make it easy for the consumer.
We know the benefits of clean air and exercise for our physical and mental health. A recent report in The Lancet highlights a very real problem: reduced movement behaviours among children and young adults caused by covid-19 restrictions, if not adequately addressed, will have serious ramifications for long-term health outcomes. So I welcome the recent proposal in the Centre for Social Justice report to extend the school day for years 7 to 11 by two hours for sport and physical activities.
One of the many symptoms reported by people suffering from long covid is something similar to a brain fog. This causes a lack of mental clarity, an inability to focus and poor concentration levels, and it was very eloquently described by the hon. Member for Denton and Reddish (Andrew Gwynne). I know that the Government are absolutely committed to investing in mental health services, including, in my constituency, with a record £15 million to fund acute and community mental health services. Many people suffering from a brain fog find respite by taking in fresh air and doing light exercise in green spaces with good air quality. So I am particularly keen to see more access in my constituency to the River Trent and to support environmental health projects.
If there is one thing that we have learned from this pandemic, it must be that the health of our nation is a collective responsibility and impacts each and every one of us. From our economy to our environment and the health of our communities, it is absolutely integral that we look after each other and our communities for our nation’s long-term recovery and our ability to build back strongly.
Oral Answers to Questions
Jo Gideon Excerpts(4 years ago)
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Matt Hancock
The hon. Gentleman and I share a passion for ensuring that organ donation is possible and is supported wherever it is needed. That is very close to my heart through personal experience—not mine, but that of a friend. The hon. Gentleman has raised this issue and driven a change in the law, and I am glad that the change in the law to an opt-out system has happened. However, during the first lockdown there was clearly a slowdown in the number of donations, and we do not want to see that. There are more services available in the second peak of this coronavirus crisis. I look forward to working with him and others to make sure that organ donation is as high as it possibly can be.
Jo Gideon (Stoke-on-Trent Central) (Con)
Matt Hancock
Yes, I do, and so does the Prime Minister. We feel very strongly about this. It is so important that we have the work across the country to tackle obesity; this has only been made more urgent because we know of the link between obesity and the risk of dying from covid. I look forward to working with my hon. Friend and others to make this happen.
Obesity: Covid-19
Jo Gideon Excerpts(4 years ago)
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Jo Gideon (Stoke-on-Trent Central) (Con)
It is a pleasure to serve under your chairmanship, Mr Davies, and I am grateful to the hon. Member for Strangford (Jim Shannon) for having secured this incredibly important and timely debate. The contributions we have heard so far show how broad a subject this is, and how vital it is that we discuss it in full. As a member of the all-party parliamentary group on obesity and chair of the all-party parliamentary group on the national food strategy, I am very much aware that this issue should be top of our agenda as we come out of covid and look at public health. I join my hon. Friend the Member for South West Bedfordshire (Andrew Selous) in congratulating the Food Foundation on the excellent work it has been doing on this issue.
The global pandemic has made us all aware of our vulnerability. It has forced us to question how our underlying health might impact our personal level of risk from the virus. Although current evidence does not show that excess weight increases a person’s chances of contracting covid-19, it does indicate that obese people are far more likely to become seriously ill and to need intensive care. Over the past 12 months, we have seen a dramatic shift in public attitudes towards measures for tackling obesity, as a result of many people seeing only too clearly the health consequences and risk factors of being overweight. Reducing the risk of serious illnesses and the raised risk of suffering badly with covid-19 is reason enough to prioritise tackling obesity; other reasons include the estimated cost of £6.1 billion to the NHS every year, and three times that cost to the economy through absences for sickness, as well as the increased risks associated with heart disease, type 2 diabetes and certain types of cancer.
Tackling obesity is central to our commitment to levelling up. Statistics tell us that excess weight is more likely among those living in deprived areas, those with disabilities, and those without qualifications. That means that areas such as Stoke-on-Trent Central, my own constituency, have higher than average levels of obesity. Levelling up is not just about the left-behind areas catching up with other parts of the country: it is about tackling the entrenched economic and social inequalities of our society—the social inequalities that hold people and communities back right across the country.
In my own constituency of Stoke-on-Trent Central, a number of socioeconomic inequalities are known to have direct links to higher rates of obesity and poor nutrition, which in turn can lead to malnutrition. A recent analysis conducted by the Health Foundation charity found that people living in post-industrial towns and cities across the midlands, the north-east and parts of Wales have unequal exposure to the potential causes of obesity. That means that, on average, residents living in areas such as Stoke-on-Trent live much closer to fast food and junk food outlets compared with the rest of the UK—on average, they have 114 fast food outlets per 100,000 people, compared with 77 per 100,000 in the south-east. That matters, because evidence shows that an individual’s ability to be active or eat healthily is strongly influenced by the circumstances in which they live.
Wera Hobhouse
The hon. Lady is focusing on the number of takeaways in those communities. They are there because people cannot cook for themselves. It is important that the Government look at how many families have the ability to cook for themselves. I recognise the temptation to order a takeaway, but it is the result of the problem of people not being able to cook.
Jo Gideon
I thank the hon. Lady and absolutely agree. There are other factors as well, including income, housing, access to green space and exposure to junk food advertising.
On the extra factors, I discussed the issues around exercise with Stephanie Moran, the executive principal of the Esprit Multi Academy Trust, and visited the Grove Academy in Hanley to see first hand the challenges of organising outdoor exercise in a covid-safe way. This Victorian-built junior school, which was built for 100 people in a busy, dense residential area, has no green space and an inadequate playground area for what are now up to 480 pupils to exercise daily. We must include the right to exercise as a vital element of tackling obesity as well as looking at nutrition, and ensure that schools such as Grove Academy have access to green space.
Recently, I spoke to consultants at the Royal Stoke University Hospital, who shared their concerns about the increasing number of children with type 2 diabetes whom they had to refer as a consequence of poor diets and unhealthy lifestyles.
The Government started to address the challenge of poor diet in 2018 with the soft drinks industry levy, which has led to a significant reduction in the sugar content of drinks. This July, I wholeheartedly welcomed the Government’s Better Health campaign, which looked to address some of the issues through measures such as a ban on the TV and online advertising of fatty foods before 9 pm, and an end to all “buy one get one free” deals on unhealthy foods.
However, successive Governments have adopted different approaches to tackling obesity and, until now, they have neglected to address the structural inequalities that are so strongly linked to levels of obesity. The national food strategy and the Government’s obesity strategy are intended to be long-term approaches with comprehensive and holistic solutions.
I was delighted with the announcement from the Department for Work and Pensions earlier this week. It confirmed that, as of April next year, the Government will increase the amount of financial support made available to pregnant women or those with children under the age of four, to help them buy fruit and vegetables. The recommendation is to increase the rate of the Healthy Start payments from £3.10 to £4.25—just one of the core recommendations in part 1 of the national food strategy. It is a decisive step in the right direction, and I look forward to working with the Government, through my chairmanship of the all-party parliamentary group on the national food strategy, to see future recommendations implemented as part of their strategy for tackling obesity and malnutrition in the UK.
I say this to the Minister: although obesity is perceived as a health issue, for the reasons we have discussed today, it very much also goes to the heart of levelling up, so I believe that the solution can only be found in a cross-departmental way.
As we slowly but surely emerge from this pandemic, it is important we do everything in our power to capitalise on the momentum and shifting public perception within our attitudes towards tackling adult and childhood obesity. By addressing the structural, economic and social inequalities that exist in parts of the UK and by implementing the long-term and holistic solutions that will emerge from a national food strategy, we will be in the unique position to turn the tide on obesity once and for all, and ensure that everyone has access to healthy food and opportunities to exercise in every community across our country.
Covid-19 Update
Jo Gideon Excerpts(4 years ago)
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Jo Gideon (Stoke-on-Trent Central) (Con)
I really welcome today’s news that we are now much closer to the roll-out of vaccines, but, as of today, the Royal Stoke University Hospital in my constituency has more than double the number of covid patients than during the first peak, and that is combined with record-high levels of covid-related staff absence. That is of concern to me, fellow MPs in Stoke-on-Trent and my hon. Friend the Member for Newcastle-under-Lyme (Aaron Bell). Will the Secretary of State join me in praising the heroic efforts of our NHS staff in Stoke-on-Trent and help us to deal with the situation until such time as it is improved by the roll-out of vaccines?
Matt Hancock
Yes. I know Stoke-on-Trent’s hospital and I think that the people who work there do a brilliant job. They are a great team that works so closely and well for the people of Stoke-on-Trent and, indeed, Newcastle-under-Lyme. Stoke has got an outbreak under control a couple of times in this virus. In fact, it had a second peak in the summer, which it got under control, so this is really the third peak in Stoke. Stoke-on-Trent City Council worked closely with us on the early roll-out of mass testing in a pilot even before Liverpool. I thank everybody at the Royal Stoke for all their hard work and I urge everyone in Stoke and across the country to respect social distancing and follow the rules, because that is the best way to support our NHS.
Oral Answers to Questions
Jo Gideon Excerpts(4 years, 1 month ago)
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Felicity Buchan (Kensington) (Con)
Jo Gideon (Stoke-on-Trent Central) (Con)
Angela Richardson (Guildford) (Con)
Matt Hancock
Yes, absolutely. The private hospitals of this country have played a very important role in responding to covid, and we have a contract with them to be able to continue to deliver much needed services, including cancer services. Because by their nature they rarely have the pressures of emergency attendance, we can ensure that they are part of the green part of the health service—that they are as free as is feasibly possible from coronavirus—and therefore safe to carry out all sorts of cancer treatments. They are an important part of the recovery plan.
Jo Gideon
In my constituency of Stoke-on-Trent Central, patients being treated for cancer at the Royal Stoke University Hospital were relocated to Nuffield Health in Newcastle-under-Lyme. That is an example of practical measures that hospital trusts across the UK have taken to limit the spread of coronavirus since the outbreak in March. As we approach the winter pressures on the NHS, will my right hon. Friend outline the precautions the Government are taking to ensure that cancer patients’ treatments and appointments are not put to the back of the queue and do not suffer from undue delays?
Matt Hancock
My hon. Friend makes an important point. The Royal Stoke Hospital has performed brilliantly during coronavirus, and I thank everybody who works there for the efforts that they have gone to. It is critical for everybody to understand that the best way to keep cancer services running is to suppress the disease; the more the disease is under control, the more we can both recover and continue with cancer treatments. I believe that it behoves us all to make the case that controlling this virus not only reduces the number of deaths directly from coronavirus, but enables us as much as possible to recover the treatment that we need to for cancer and other killer diseases.
Mr Speaker
Can I just say to those on both Front Benches that these are meant to be short and punchy topical questions, not full debates?
Jo Gideon (Stoke-on-Trent Central) (Con)
Matt Hancock
Yes, I wholeheartedly agree with my hon. Friend, who speaks well for her constituent. I am very sorry that her constituent had that experience, and of course GPs should be sensitive, as the large majority are.
Coronavirus
Jo Gideon Excerpts(4 years, 5 months ago)
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Matt Hancock
The hon. Lady is right to raise this important issue. We are rolling out a risk assessment across England for all those with a higher risk of suffering from coronavirus, including BAME staff in the NHS in England, who do so much to keep the service on its feet.
Jo Gideon (Stoke-on-Trent Central) (Con) [V]
The impact of coronavirus has been significantly greater in less affluent areas, such as Stoke-on-Trent Central, where one in four children have free school meals. Does my right hon. Friend agree that tackling the health inequalities in constituencies such as mine is essential if we are to make progress on the issue of inequality of opportunity?
Matt Hancock
I agree 100%. The need to level up is no greater than in health inequalities. The differences in life expectancy between different parts of our country is stark and has been laid bare further by this crisis. The crisis has been like sheet lightning that has laid a light on some of the health inequalities that were there before but which must with increased urgency be addressed. That is one of the big learnings from this crisis. It is something we all knew before but which we must redouble our efforts to resolve after this crisis is over.
Covid-19 Response
Jo Gideon Excerpts(4 years, 5 months ago)
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Matt Hancock
No, I am not saying that. I asked Public Health England to produce this work because I was very worried by the evidence of the increased morbidity and mortality among black and minority ethnic communities. I gave a deadline of the end of May. The work was delivered to me on Sunday, at the end of May. I considered it yesterday and brought it to the House at the first chance.
Jo Gideon (Stoke-on-Trent Central) (Con)
Will my right hon. Friend join me in thanking the British Ceramic Confederation for its work advising the Government on safety in the hospitality industry? A chipped plate is not covid-safe, so will he encourage the hospitality industry to buy high-quality chip-resistant tableware from our world-class manufacturers in Stoke-on-Trent?
Oral Answers to Questions
Jo Gideon Excerpts(4 years, 8 months ago)
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Dr Kieran Mullan (Crewe and Nantwich) (Con)
Jo Gideon (Stoke-on-Trent Central) (Con)
The Secretary of State for Health and Social Care (Matt Hancock)
We are currently considering all options to increase the range of healthcare professionals permitted to administer low-risk medicines. This is all part of making sure that our NHS workforce is as flexible as possible, and we will do that in the light of what can be done, while of course keeping a highlight on patient safety.
Matt Hancock
Yes, the 26,000 extra staff, as well as the extra GPs in primary care, are going to improve the position, but we also taking steps to improve access by making sure that people can access primary care in the best possible way. I can be clear to the House today that we will take a digital first approach to accessing primary care and out-patient appointments, so that, wherever clinically and practically possible, people can access—and should access—primary care through phones and digital means. This is especially important in the current coronavirus outbreak. Already, a roll-out has started, but we will make this across the country with immediate effect.
NHS Funding Bill
Jo Gideon ExcerptsMonday 27th January 2020
(4 years, 10 months ago)
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Jo Gideon (Stoke-on-Trent Central) (Con)
I am delighted to contribute to this important debate.
I made several key commitments to the people of Stoke-on-Trent Central, not the least being that we would get Brexit done in order to get our money out of Brussels and into our NHS. We will meet the first part of that commitment on Friday, when, finally, we will honour the referendum result and leave the EU. The second part of the commitment requires us to pass this Bill.
Only a year has passed since the publication of the NHS long-term plan, and I am delighted that we are close to enshrining in law its commitment to ensuring financial sustainability. The plan sets out how the NHS will be taken forward in the coming decade, and it includes a hugely welcome commitment to more integrated care and a greater focus on prevention. Our NHS can be trusted to care and cure to the best of its ability, but if we can help people to avoid being hospitalised and to avoid falling ill, it will be a win-win all round. Particularly important for Stoke-on-Trent is the promise to target a higher share of funding towards geographies with high health inequalities, and to increase investment in primary medical and community health services as a share of the total NHS revenue spend.
One thing that I particularly want to highlight in the long-term plan is the commitment to ensuring that adult social care funding does not impose any additional pressure on the NHS, and that the NHS funding settlement that we are debating tonight takes that pledge into account. We really need, across the House, to work constructively to find future solutions to the pressing needs for adult social care, needs that are increasing as we live longer. We must welcome the fact that we now live longer, and meet that challenge.
I do not think that I will be alone in pushing the Treasury to reassert itself as an active partner by proving more generous than any of us has so far been led to expect; and, of course, I will still be keen to see the necessary capital resources available for improved and relevant health provision in Stoke-on-Trent. For instance, there is a need for building work at Royal Stoke University Hospital to improve the patient experience and the efficiency of care. The current hospital, in part, dates back to 1842, and has developed over that time as a pretty disparate set of buildings scattered across the site. To optimise the provision of acute beds, investment is needed in rationalising the campus.
I was grateful for the Prime Minister’s announcement of capital funding for three new wards and scores of beds last August, but there is still more to be done. The Secretary of State was recently a welcome visitor to the Royal Stoke, and he will know that it is a wonderful hospital with superb, hard-working staff, but he will also know that it operates under a cloud of financial problems stemming from the PFI deal it was lumbered with by the Labour party. The financial consequences have forced the trust into special measures, with sanctions being applied that it cannot afford. I say to those on the Front Bench that a review of the sanctions placed on trusts that are clearly working to exit financial special measures would be welcome. I certainly applaud the Department for working with the trust to eliminate the deficit in this financial year, but I would be grateful if my hon. Friend the Minister confirmed that the Department is actively looking at the genesis of this story—the sorry situation at the Royal Stoke as a result of Labour’s shoddy PFI deal—so that it might finally be resolved.
In conclusion, this is a Government who get things done and who get things done for a purpose. After years of uncertainty for our public services and businesses, we are getting Brexit done and moving on to the long-term planning needed to meet the challenges of the 2020s. We are showing that, yes, we are getting our money out of Brussels into our NHS. The Bill is a hugely significant step in restoring public faith in our politics, and I shall be proud to support it tonight.