Covid-19 Vaccine Roll-out

Kate Osborne Excerpts

Tuesday 8th December 2020 Commons Chamber

[Matt Hancock]

Yes. That is the hardest part of the vaccine roll-out to deliver by its nature, because of the minus 70°C requirements of the vaccine, but it is absolutely a part of the plan.

[Kate Osborne (Jarrow) (Lab)]

We already know that poorer areas have fewer GPs, so it is crucial that they receive extra resources to ensure that they are not left behind in the roll-out of the vaccine, on which I congratulate everyone involved. Will the Secretary of State assure me that the vaccine will be fairly distributed across the UK and that working-class communities such as mine in the north-east will not be put at the back of the queue again, as they have been so many other times during this pandemic?

[Matt Hancock]

I can absolutely assure the hon. Lady that the fundamental principle of the roll-out is that it must be done according to clinical need and fairly right across every part of the UK, and that is what we are delivering to.

Covid-19

Kate Osborne Excerpts

Thursday 22nd October 2020 Commons Chamber

[Kate Osborne (Jarrow) (Lab)]

I pay tribute to the health and social care workers, education and childcare workers, those working in the food supply chain, local government, civil servants, utility workers, food bank workers and everyone in my constituency who is fighting in my constituency of Jarrow and across the country day in, day out in the fight against this virus.

I am sorry to say, however, that it seems to me that, on just about every measure, the Government are losing control and, sadly, we are going backwards in this fight. This lack of control has seen the Government resort to treating the north of England as some sort of sick experiment this week. It is beyond belief that now, because London has moved into tier 2, the Chancellor has rejigged his support package and now gone some way in addressing what we in the north have been asking for for weeks. Previously, it fell on deaf ears. Why did it take London going into tier 2 for this to happen when areas like my constituency of Jarrow in the north-east have been in similar restrictions for many weeks? This has come far too late for some and is no consolation for those who have already been made redundant or for businesses that have already closed. Significant economic damage has already been done. The new support will help going forward, but we still need a bold strategy to level up our region to stop covid from further increasing existing inequalities.

Now let us have a look at the money wasted by this Government. We have seen £108 million for a PPE contract going to a firm that is best known for making sweets—it has certainly left a bitter taste in my mouth—and £12 billion for a private track-and-trace system that is now reaching fewer than 60% of close contexts. The only people benefiting are Dido Harding and her Tory mates. With the constant changes in guidelines and restrictions, we are going round in circles. The Government must listen to Labour’s call for a national two to three-week circuit breaker that will give us a chance to fix testing, protect our NHS, and save livelihoods.

Moreover, the Government’s new plans for the job support scheme are still not enough. People on low wages are already struggling, and today’s announcement still leaves many to fall through the cracks. It is still not as generous or as well targeted as others, like the German scheme, and other European countries extended their furlough schemes through to next year months ago, giving certainty and clarity—and those schemes are not dependent on tiers. We must remember that the cost of living in England is much higher than in our European counterparts. We have the highest rents in Europe and pay some of the highest bills for our gas and electricity, so receiving a fraction of what is an already low wage is pushing many further into poverty. Renters who are struggling financially can now, of course, be evicted.

The Government need to stop jumping from one announcement to another. Businesses need to be able to plan in order to survive, and the Government need to stop their haphazard approach. If the Government had had a clear plan from the start, then we would not be where we are now. The Government must change tack, as well as moving to a circuit breaker. They must ditch the proposed job support scheme and extend the 80% minimum furlough scheme across the country. The confusion in the Minister’s eyes says it all. The Government have lost control of the virus and lost control of the message, and they are now completely ignoring the scientific advice from SAGE. My constituents and those across the country deserve better.

[Madam Deputy Speaker (Dame Eleanor Laing)]

The last speaker from the Back Benches will be Greg Smith. I know that many Members who have waited to speak this afternoon will be disappointed, as quite a large number have not been called. I must point out that all the people who have not been called are those who have spoken many times in recent weeks. I am sure that a little arithmetic will show that with the number of Members there are, 650, and with the amount of time that we have to debate every day, which is eight hours, it is actually not possible for most Members of Parliament to make more than one speech in a week or several speeches in a month. It is not possible and it is not normal.

Covid-19 Update

Kate Osborne Excerpts

Thursday 15th October 2020 Commons Chamber

[Matt Hancock]

I would be very happy to take up my hon. Friend’s suggestion about the volunteers. I commend to him the social care winter plan, which sets out how we will balance the very difficult issues that he mentions.

[Kate Osborne (Jarrow) (Lab)]

In my constituency, schools are already closing due to confirmed cases of coronavirus. What conversations has the Secretary of State had on routine testing in schools? Will he publish the science behind the decision not to introduce routine testing for teachers and tell us why schools have been issued with only 10 testing kits each?

[Matt Hancock]

We have a testing prioritisation board which takes into account the order of priorities within testing. Of course, as testing expands it means we will be able to use it for more things, including in schools. I look forward to being able to make that progress just as soon as we make the expansion even bigger.

Local Contact Tracing

Kate Osborne Excerpts

Wednesday 14th October 2020 Commons Chamber

[Kate Osborne (Jarrow) (Lab)]

Let us be clear from the start: the test, trace and isolate chaos that we are currently facing has been caused by outsourced companies running what should be public services for their own private profit. The current restrictions were never inevitable; they became inevitable as a result of this Government’s failure to get a properly functioning test, trace and isolate system in place. The system has been given to private companies with no qualifications for this work, overseen by business executives with no experience in public health. Just days before local restrictions came into place in the north-east, my Jarrow constituents were asking me to find out what has happened with the “shambles”, as they put it, that is the covid testing system. One constituent, Tracy, told me how a family member did a 110-mile round trip from Gateshead to Hawick in Scotland for a test. This was while there were appointments in Newcastle just a few miles along the road, but the centre had IT problems and the QR code was not being generated. She was rightly furious that her family member, while displaying symptoms, had to drive this distance. My Jarrow constituents are right: it is an utter shambles.

This Government’s approach to contact tracing is not just shambolic—it is dangerous. The evidence shows that contact tracing works much better on a local level. Both the South Tyneside and Gateshead local authorities covering my constituency have been constantly telling the Government this, but they are just not listening. I pay tribute to Alice Wiseman and Tom Hall, the directors of public health for those authorities, and their teams, for their dedication and hard work.

From Oldham to Peterborough, from Manchester to Cumbria, and across Wales, we have seen how local councils bring back much higher contact rates and can curb the spread of infection far more than the outsourced model that the Government keep throwing money away on. The Government know it is not working, yet the same old Tory ideological commitment to outsourcing continues. According to the Government’s own data, local health protection teams are reaching 97% of contacts and asking them to self-isolate, while, in contrast, outsourced cases handled online or by call centres return 62.4% contact rates. The most striking thing is that the Government have had plenty of opportunity throughout the summer to address the failures of a privatised and centralised contact tracing model, yet they have chosen to keep pouring money into the likes of Serco to lead the effort on tracking and tracing.

[Jane Stevenson (Wolverhampton North East) (Con)]

There must be a common-sense approach at both ends of this. Does the hon. Lady accept that, as my hon. Friend the Member for Bosworth (Dr Evans) said, the NHS and public health authorities do not have the capacity to cope with the vast number of tests, and we need this national approach as well as local involvement?

[Kate Osborne]

No, I do not. The Government can put this right by putting more money in, of course.

As my hon. Friends the Members for Newcastle upon Tyne North (Catherine McKinnell) and for Bradford West (Naz Shah), among others, have said, we have to stop calling it “NHS Track and Trace”, as it clearly is not. It has failed, it is wasteful, it is throwing taxpayers’ money down the drain, and the people of this country deserve better. In fact, only this afternoon, as already highlighted by my hon. Friend the Member for Chesterfield (Mr Perkins), I heard that the Government paid Boston Consulting Group about £10 million for a team of 40 consultants to do four months’ work on this failed testing system between the end of April and late August. Yet our local public services, hollowed out by 10 years of austerity, are being left with no support to pick up the pieces of a failed system.

Our local authorities in the north-east were crucial in the frontline against the first wave of this virus. That is why the Government must recognise their value by extending additional funding for contact tracing available in tier 3 areas to all parts of the country. The Government must ensure that local authorities and public health teams receive the resources and powers that they need.

Covid-19

Kate Osborne Excerpts

Monday 28th September 2020 Commons Chamber

[Kate Osborne (Jarrow) (Lab)]

I start by paying tribute to the many NHS workers, care workers, retail workers, civil servants, hospitality workers and so many more who have helped to support the residents in my constituency over the last few months and, of course, for many months before that.

The Government have had months to improve the effectiveness of test, track and trace, which we all know is essential in combating the spread of the virus, but they must stop presiding over a strategy that has handed responsibility and funding over to management consultancy firms and outsourcing giants, bypassing our NHS and established public health networks.

Over the last month, there have been signs of the near collapse of what exists of the Government’s testing system, with many people in virus hotspots such as my constituency of Jarrow having absolutely no access at all to testing. Numerous examples can and have been given by Members on both side of the House, and that view is shared by colleagues on the ground at Gateshead Council in my constituency, who tell me that the consistency of support and information from the national track and trace system remains variable and that the national system is currently fragmented, placing additional pressure on local Public Health England health protection teams.

If we are heading towards a second national lockdown, this needs to be sorted now. This time wasting simply is not good enough. We know the devastating impact that a second national lockdown would have on the economy, jobs and people’s mental health. It is a national scandal that students are currently being locked down in their university halls because there is no effective testing and tracking system in place. Throughout the summer, the University and College Union warned that this would happen, but private profit and the needs of landlords have been prioritised over our young people’s education and wellbeing. On top of what many students went through with the exam fiasco, and with the uncertainty now around Christmas, this is a mental health crisis in waiting.

Not only do we need the Government to step up and sort out testing; we need them to sort out communication. We have had endless mixed messaging. Just last month, people were being encouraged to go back to work and to eat out to help out. The Prime Minister even said that it was our “patriotic duty” to go out for a pint. Obviously, we all want to see the hospitality sector reopen and thrive, but alongside that we need effective testing, tracking and tracing. Because of the Government’s incompetence and the lack of effective testing, infections have inevitably risen alongside the increase in human interaction. Instead of offering any self-reflection, the Government pin the blame on people for not following the rules; we are effectively seeing the Government gaslighting the nation to absolve themselves of any blame.

It is not just effective testing and communication that is needed; the Government must also lay out an effective plan to recover jobs, retain workers and rebuild businesses. Industries teetering on a cliff edge, such as aviation, which the right hon. Member for Epsom and Ewell (Chris Grayling) mentioned, retail and hospitality, need further support now to avoid a jobs wasteland.

In conclusion, the Government’s approach is failing and they must quickly get a grip of the situation. We need effective test and trace, improved communication and targeted support to prevent a further jobs crisis. The people of this country are exhausted. They need and deserve better.

Coronavirus Response

Kate Osborne Excerpts

Monday 20th July 2020 Commons Chamber

[Matt Hancock]

I do not have anything further to add yet. The problem was that anybody who had had covid at any point and then subsequently died, whether or not from covid, was being counted in this data. Right at the start of the crisis, that was a perfectly reasonable approach to take, but clearly it needs to be reviewed. It is likely that the number of deaths has been overestimated on this measure, hence the urgent review, and I hope to have more information this week.

[Kate Osborne (Jarrow) (Lab)]

We know that, for some, the recovery from coronavirus can be long and often bring with it debilitating symptoms, including fatigue, headaches and pain. What additional support is the Department giving GPs to ensure that they have the necessary resources to care for patients who are suffering with long-term symptoms and to help them come to terms with this, cope and readjust where necessary?

[Matt Hancock]

The hon. Lady asks a very important question. There is increasing evidence that there are some long-term, debilitating consequences of having had covid for a minority of people, and for that minority—which includes at least one Member of this House—it is very substantial. We have therefore started a whole NHS service to support people recovering from covid who have long-term symptoms. Primary care is, of course, an important part of the service that the NHS provides.

Social Distancing: 2 Metre Rule

Kate Osborne Excerpts

Monday 15th June 2020 Commons Chamber

[Edward Argar]

If I recall correctly, my hon. Friend was a distinguished teacher before his service in the House and served on the Education Committee before he ascended to his current chairmanship of the Public Administration and Constitutional Affairs Committee. He is absolutely right to highlight the fact that there are impacts on schools as well as on businesses; that is one of the things that will of course be taken into consideration.

[Kate Osborne (Jarrow) (Lab)]

As the Government ease the lockdown, we still do not have a sufficient test and trace system set up, the R level is increasing above 1 in some regions, and we still have more than 1,000 new confirmed cases every day. Should the Government be changing crucial social distancing measures, knowing that information? What immediate action is being taken in areas where the R rate has gone above 1 to help get it down? Would lowering this distance be putting profit before people and the economy before health?

[Edward Argar]

I would caution the hon. Lady, on the basis of the SAGE advice, that in no region is the R rate above 1. Out of 10 models done recently one suggested that in two regions it might have gone up, but we consider this in the round, not by cherry-picking one study and ignoring the other nine; so it is not above 1. On her points about test and trace, we have set up the system from scratch and I believe we have done extremely well in the progress we saw reported in the statistics on the first week of the operation of that scheme. On her final point, we have made it clear throughout that this is about following the scientific advice and opening up the economy when it is safe to do so.

Lesbian, Bisexual and Trans Women’s Health Inequalities

Kate Osborne Excerpts

Tuesday 10th March 2020 Commons Chamber

[Olivia Blake (Sheffield, Hallam) (Lab)]

I wish to refer Members to my declaration in the Register of Members’ Financial Interests regarding NHS services in this area. I am thankful we are having this debate today. I, too, thank the Backbench Business Committee for bringing it forward. It is particularly important for my city, which is home to the Porterbrook centre, which is a specialist gender identity clinic.

I want to highlight some of the health inequalities faced by trans people, but before I do I will flag up some of the more general issues in health and social care for the LGBT community. I could have spoken about mental health, access for women, particularly LGBT women, to drug and alcohol services or, as has been expressed by others, access to screening for the detection of cancer. Today, however, I shall focus primarily on social care because it is one area that will affect all LGBT families at some point.

I recommend that anyone with an interest in LGBT health inequalities take a look at a recent report by Stonewall called “Unhealthy Attitudes”. Rather than focus on health inequalities and disparities, it focuses on and investigates the culture in our health and social care system, and asks how inclusive it is for LGBT people.

Some of the report makes for shocking reading. The report details the discrimination and abuse that LGBT staff, patients and service users have encountered in the health and social care sector. The report is based on data collected from health and social care workers. One stark thing about it is that it does not shy away from quoting what the staff themselves say about LGBT patients and colleagues. Although there are a lot of positive comments, there are quite a lot that could be considered bigoted. It is a telling feature of the culture of an institution that this minority of staff feel comfortable expressing these bigoted views.

The report also features direct testimony from LGBT staff on their experience of bullying and discrimination, and from staff who would like to do more. In fact, 38% of social care workers agree that more needs to be done to tackle bullying and discrimination—interestingly, this is more than the figure for health workers, which is 31%. Importantly, it is also clear from the report that staff often feel disempowered to challenge homophobia, transphobia or biphobia when they see it. Sometimes, they also feel like managers will not support them if they are challenging the bigotry of a patient or service user—in fact, in one of the testimonies the person said that their manager was the main offender. For that reason, I wonder whether trade unions, and especially their LGBT sections, might be given more powers to intervene in workplaces to provide education and training.

Training is important. The recent House of Commons report on LGBT health inequalities talks about the systemic roots of injustice in the system, and that is manifested in a lack of training given to workers in the sector. One in four health and social care workers say that their employer has never provided them with any equality and diversity training, and the proportion increases to one third in privately funded services. It is often social care workers who feel least confident dealing with trans patients and service users: 34% of advice workers said that they are not confident, as did 31% of social workers and 24% of support workers. The report finds that one in 10 care and social workers feel unequipped to meet the needs of LGBT people.

[Kate Osborne (Jarrow) (Lab)]

Does my hon. Friend agree that we need to ensure that the health and social care needs of the most marginalised and vulnerable LBT women are urgently addressed?

[Olivia Blake]

Absolutely—I completely agree. This is an urgent matter and the Government should take note and take action.

We need to put person-centred care front and centre. Fifty-seven per cent. of health and social care practitioners say that they do not consider sexual orientation to be relevant to someone’s health needs. Among care workers, that proportion rises to a staggering 72%. This view probably comes from an admirable commitment to equality but, as the recent review of the Marmot report reminds us, equality is not the same as equity. A person-centred approach to healthcare should be holistic: it is about understanding how someone’s personal life and background affects how they receive care and experience care settings, and how their experience of the health and social care system affects their health outcomes. Again, there is massive scope for training, and for unpicking a one-size-fits-all approach.

I wish particularly to mention trans peoples’ experience of the health and social care system. As I said, Sheffield is home to the Porterbrook gender identity clinic, which is a regional provision. We need more resourcing for such clinics to bring down the long waiting times. We also have to look at the experience of trans women as they use the services. A recent Healthwatch Sheffield report explored the experience of trans people using healthcare services in my city. The participants in the report stressed that the care they had received at the Porterbrook centre was good, but they could not say the same about their interactions in other parts of the healthcare system. An issue that they flagged was understanding—understanding from staff about the rights and entitlements for trans service users, and sometimes more basic things, such as the use of correct pronouns. The participants also flagged up the reluctance of many providers and professionals to acknowledge non-binary gender identities.

There is a long way to go in addressing health injustices for LGBT people—and they should be called injustices. Equal treatment is not the same as equitable treatment. We need to acknowledge the specific life experiences that LGBT people have and how those experiences affect their interaction with the health and social care system. We also need to acknowledge the bullying and discrimination that LGBT staff and service users encounter and how that contributes to health inequalities through people’s reluctance to engage with and use services when they have had, or fear, a bad experience.

We need to make sure that our health and social care system is properly resourced. The austerity agenda has been a key driver of the crisis in health and social care, which has hit LGBT people especially hard and hit women hardest, so there is a double impact for LBT women. Injustices are not natural; they are a product of choices. This is about not only NHS-funded services but the massive cuts to local authorities, particularly the cuts to public health grants, which fund services that LGBT communities rely on more than other communities. I hope the Government choose to end the injustice of LGBT healthcare inequality by properly investing in the resourcing and training that is necessary to build health and social care services that work for all our people, so that no one is afraid to access healthcare and everyone has an inclusive health and social care experience.

--- Later in debate ---

[Martyn Day (Linlithgow and East Falkirk) (SNP)]

It is a pleasure to take part in today’s important and informative debate on health inequalities faced by lesbian, bisexual and trans women. I am grateful to my hon. Friend the Member for Livingston (Hannah Bardell) and the hon. Member for Reigate (Crispin Blunt) for securing today’s debate.

The aim of LBT Women’s Health Week is to raise awareness of lesbian, gay, bisexual, trans and queer women’s health inequalities, to make it easier for service providers to empower service users and for communities to support LGBTQ women. It is important for a range of reasons that we eliminate LBT health inequality and improve LBT health, to ensure that all individuals can lead long and healthy lives. It is worth considering Public Health England’s review of health inequalities for lesbian and bisexual women, which reported:

“There is consistent evidence from the UK and internationally that there has been a paucity of attention, concern and research on lesbian and bisexual women’s health inequalities.”

That emphasises the importance of today’s debate.

As we have heard today, the LBT community experience significant health inequalities and specific barriers to services and support. The many benefits of addressing these health concerns and reducing inequality include reducing disease transmission and progression, increased mental and physical wellbeing, reduced healthcare costs and, of course, increased longevity for the people involved.

We have heard from a range of speakers today, with some powerful testimony. My hon. Friend the Member for Livingston made many good points, talking about her own life experience and the value of her supportive network, which not everyone in the community benefits from. She said that coming out can be more traumatic for trans people than gay and bi people. I had not given that much consideration, and we should all remember that point. She highlighted a whole range of issues around safe sex and gave us details of dental dams. I go away informed—every day is a school day!

The hon. Member for Reigate talked about his personal experience of coming out in 2010. I am grateful for his work on the APPG on global LGBT rights. He informed us that this Parliament has more LGBT MPs than any other. As I say, every day is a school day, and it is a pleasure to take part in debates where we go away having learned more than we came in knowing. He also said that we have delivered equality in law, and we now need to deliver in outcomes, and I wholeheartedly agree with that profound point.

The hon. Member for Sheffield, Hallam (Olivia Blake) gave us some interesting statistics, including that 34% of advice workers said they were not confident dealing with trans people. That is a really important figure. In my research for today’s debate, I had been looking at it from the other side, and that backs up what trans people are saying—Stonewall Scotland says that one in four LGBT people have experienced healthcare staff having a lack of understanding of their specific needs.

[Kate Osborne]

Does the hon. Member agree with me that it is essential to ensure that all NHS mental health services train all staff on the mental health needs of LGBT people, including the specific experiences and inequalities faced by LBT women?

[Martyn Day]

I thank the hon. Lady, and she has read my mind because that is exactly the point I was coming to. We are hearing it from both sides—from the healthcare workers and from the community—and both feel that there is a gap, so there is clearly a training requirement that we need to address as a society.

The hon. Member for Runnymede and Weybridge (Dr Spencer) spoke about stigma, and he used a phrase, “minorities within the minority”, which probably sums things up and really gets to the crux of it for the people we are discussing. Latterly, we heard from the hon. Member for North Down (Stephen Farry), who gave us the Northern Ireland perspective. I think we can echo the issues of bias being ingrained in society and concerns about homophobic bullying throughout the rest of the United Kingdom, and I will touch on some of the Scottish perspectives.

Of course, no debate on health goes by without my mentioning that health is devolved and that in Scotland we do some things a little bit differently. Scotland has a really high record of health funding—up by over 60% under the SNP—and frontline health spending in Scotland is £136 per person higher than in England. In our recent budget, which has been termed the equality budget, we will continue to maintain Scotland’s position as one of the most LGBTI-progressive countries in Europe. The budget’s investment in mental health will have a positive impact on LGBTI people, who have higher rates of attempted suicide, self-harm, depression and anxiety.

Tackling hate crime also continues to be a top priority for the Scottish Government, and they will work with LGBTI stakeholders to challenge discrimination and to encourage understanding. An important point that we should take home is that every individual is some mother’s son or daughter, and we need to be far more accepting of one another in our own society.

The definition of gender identity and transgender used in the Offences (Aggravation by Prejudice) (Scotland) Act 2009 is considered to be one of the most inclusive definitions in use. The Scottish Government will continue to work to reduce the stigma of HIV, raise awareness of the condition and reduce its transmission. Scotland is the first country in the UK to make PrEP available free of charge to those at the very highest risk of acquiring HIV.

It is clear that this is one area where our nations face many of the same challenges. In Scotland, LGBT people are at a higher risk of experiencing common mental health problems than the general population. Stonewall Scotland’s survey of LGBT people in Scotland found, as we have heard, that almost half of LGBT people—49% on its figures—have experienced depression over the last year. My hon. Friend the Member for Livingston went through the whole range of figures, so I will not repeat them, but they bring home the very powerful point that there are real questions about inequality.

Scotland is an open and welcoming country. Prejudice, hate and discrimination will never be tolerated, and I believe that diversity makes Scotland richer and stronger, as well as happier and, I hope, healthier. The SNP Government are clear about the central equality of human rights to Scotland’s future and the importance of inclusive growth, fair work and social justice to our economic success and our social wellbeing. Scotland is considered one of the most progressive countries in Europe in terms of lesbian, gay, bisexual, transgender and intersex equality, and we aim to preserve and advance Scotland’s reputation as one of the most progressive countries in Europe for LGBTI equality.

In its 2015 rainbow map, the European Region of the International Lesbian, Gay, Bisexual, Trans and Intersex Association ranked Scotland as the most inclusive for LGBTI equality and human rights legislation: it met 92% of the ILGA’s 48-point criteria. Changes by the SNP mean that Scotland has been named the best country in Europe for LGBTI legal equality by Pink News. Those are all achievements of which we can be proud. However, there remains much that needs doing, and we must continue tackling homophobia, biphobia, transphobia and all forms of discrimination, stigma and inequality.

This debate goes some way to highlighting these issues, and I would just end as I began by once again thanking the hon. Members responsible for bringing it here today.

Oral Answers to Questions

Kate Osborne Excerpts

Tuesday 28th January 2020 Commons Chamber

[Kate Osborne (Jarrow) (Lab)]

10. What recent assessment he has made of trends in the level of life expectancy.

[Ian Byrne (Liverpool, West Derby) (Lab)]

22. What recent assessment he has made of trends in the level of life expectancy.

[The Parliamentary Under-Secretary of State for Health and Social Care (Ms Nadine Dorries)]

Although life expectancy at birth remains the highest it has been, we want everyone to have the same opportunity to have a long, healthy life, whoever they are, wherever they live and whatever their background. We are committed to giving everyone five extra years of healthy life by 2035, and to addressing the needs of areas with the poorest health.

[Kate Osborne]

Life expectancy advances depend on good local service provision. Does the Minister agree with me and the people of Jarrow that, following the devastating closure of St Clare’s Hospice, we should take all possible steps to ensure that palliative care provision is put in place urgently in Jarrow constituency? Will she meet me to discuss this important issue?

[Ms Dorries]

I am unaware of the closure of that hospice, but my door is open to the hon. Lady. If she would like to see me at the back of the Speaker’s Chair after questions, we can arrange a suitable time to discuss the issue.