Pharmacies: Medicines at Home

Lord Jackson of Peterborough Excerpts

Wednesday 17th May 2023 Lords Chamber

[Lord Jackson of Peterborough (Con)]

My Lords, on the subject of support services, is my noble friend the Minister aware of, and does he deprecate, the widespread practice of catheterising very elderly people who are only temporarily immobile or infirm? In the long term, that reduces their independence and adds to the cumulative costs to the state of their care, particularly to primary care, the NHS and local authorities.

[Lord Markham (Con)]

Yes.

Bread and Flour Regulations 1988

Lord Jackson of Peterborough Excerpts

Tuesday 7th February 2023 Lords Chamber

[Lord Markham (Con)]

The noble Baroness is correct. Key to all these things is awareness that the best advice is to take folic acid supplements, as suggested. I am happy to provide precise figures of how that has moved in recent years. I completely agree that, as ever, education and awareness are key to this.

[Lord Jackson of Peterborough (Con)]

My Lords, I welcome my noble friend the Minister’s very positive tone. I first campaigned on this issue as a constituency MP 18 years ago, but it is 32 years since the Medical Research Council established the causal link between the ingestion of folic acid and the reduction of neural tube defects such as spina bifida and hydrocephalus. Scores of countries have pursued this policy and it has had a significant impact on reducing the tragedy of lifetime disability that has affected many families. Can the Minister ensure that the review is concluded expeditiously so that we can erode these terrible medical conditions as soon as possible?

[Lord Markham (Con)]

Yes, I am very happy to do so. It has been quite a process, as my noble friend says, but we are getting there. As I said, the good news is that the industry is seeing the direction of travel and is responding as well. That is always better when done voluntarily. We are seeing more foods with levels of fortification. We will get there in terms of it being mandated as well.

NHS Shared Business Services

Lord Jackson of Peterborough Excerpts

Monday 27th February 2017 Commons Chamber

[Mr Hunt]

I am very happy to write to hon. Members in the areas affected with any extra information that we are able to provide. However, I reassure the hon. Gentleman that to date we have not been able to identify any patient in any part of the country who has come to harm as a result of what happened.

[Mr Stewart Jackson (Peterborough) (Con)]

It is a shame that the synthetic outrage from Labour Members was not apparent when they were calling for a public inquiry into deaths in Mid Staffordshire, or, officially, the worst ever IT white elephant disaster, with £12 billion of costs uncovered by the Public Accounts Committee in 2013. Has not my right hon. Friend observed the appropriate parliamentary accountability protocols? He not only employed clinical expertise but came to the House in July, his officials updated the PAC in September, and he came here again today? There is no cover-up.

[Mr Hunt]

I am grateful to my hon. Friend. As he rightly points out, this was a judgment call, because going public at a very early stage about what happened risked overwhelming GP surgeries, with GPs being unable to investigate the most serious cases as quickly as possible. That is why I received very sensible advice to hold back, but I did decide that the House needed to know before the summer break, which is why I made the effort.

Oral Answers to Questions

Lord Jackson of Peterborough Excerpts

Tuesday 20th December 2016 Commons Chamber

[David Mowat]

The right hon. Gentleman rightly says that we must change the contract to move away from 90% of the income coming from dispensing. Far more must come from services, which are separately commissioned by CCGs and others. The Murray review, which he will be aware of from his work on the all-party group, sets out a road map for that, and NHS England is determined to implement it.

[Mr Stewart Jackson (Peterborough) (Con)]

May I pay tribute to the excellent work of pharmacies in my constituency? Last night, “Look East” demonstrated the pressure that urgent care centres in the east are under because of extra patient footfall. Will the Minister give me an undertaking that he will put in place guidelines to CCGs to encourage them to work much more closely with pharmacies to reduce that footfall?

[David Mowat]

My hon. Friend raises an important point, and he is right to say that we must move the community pharmacy network away from just dispensing and into services, which will include minor ailments and repeat prescriptions. I will be encouraging CCGs to do that.

Social Care Funding

Lord Jackson of Peterborough Excerpts

Monday 12th December 2016 Commons Chamber

[David Mowat]

I have acknowledged that the system is under pressure, but I have also acknowledged that different councils respond to that pressure in different ways. For example, Leicester City Council has increased its adult social care budget for next year—2016-17—by 7% in real terms.

[Mr Stewart Jackson (Peterborough) (Con)]

Shroud waving by the Labour party is particularly depressing given that it did virtually nothing on this issue during 13 years in power. Does my hon. Friend agree that it is important for the Department for Communities and Local Government and the Treasury to use fiscal incentives to encourage the construction of more extra care facilities? Does he also agree that it is important to iron out the disparities between different local authorities in the quality of care delivered?

[David Mowat]

Yes, there is disparity—still—in the marketplace and between local authorities, and we need to do everything we can, working with the CQC, to ensure that it is eliminated.

Health Service Medical Supplies (Costs) Bill

Lord Jackson of Peterborough Excerpts

3rd reading: House of Commons & Report stage: House of Commons
Tuesday 6th December 2016 Commons Chamber

[Rob Marris]

The right hon. Gentleman may well be correct on that specific point, and I fully accept that. There is in privatisations, however, a nexus between quality and price, and very often—although not always—the companies that promise a quality at a certain price are unable to deliver it. They cannot deliver the quality of service, and/or they cannot do so at the price at which they promised to do so. He can correct me on this if he wishes, but we see that time and again when rail franchisees come back to the Government and say, “We promised a certain level of service for a certain price. We cannot do it: we need a bigger bung.”

[Mr Stewart Jackson (Peterborough) (Con)]

I think that the hon. Gentleman may have stumbled into a quagmire in referring to Hinchinbrooke. The Public Accounts Committee, of which, as he may know, I was a member for four and a half years, found that pricing was not the significant issue that led to the end of the franchise of the private provider Circle. The significant issues involved the wider healthcare economy, and the failure of the strategic health authority to discharge its duties in respect of clinical business for the hospital.

National Health Service Funding

Lord Jackson of Peterborough Excerpts

Tuesday 22nd November 2016 Commons Chamber

[Jonathan Ashworth]

My hon. Friend is running a brilliant campaign on that. I hope that when the Minister responds, he will reply to that point.

[Mr Stewart Jackson (Peterborough) (Con)]

Will the hon. Gentleman give way?

[Jonathan Ashworth]

I shall make a little progress because many other Members want to speak and I want to give them a chance.

The scale of the financial pressures engulfing the NHS are such that the chief executive of NHS Providers, Chris Hopson, said recently:

“The gap between what the NHS is being asked to deliver and the funding it has available is too big and is growing rapidly.”

The King’s Fund said, with respect to the NHS deficit, that

“it signifies a health system buckling under the strain of huge financial and operational pressures.”

In the most damning assessment of the Government’s handling of the NHS, the National Audit Office concluded today that financial problems in the NHS

“are endemic and this is not sustainable.”

Even the former Health Secretary, Andrew Lansley, said that

“in 2010 we knew we had to implement a tight budget squeeze for five years, but we never thought it would last for ten.”

--- Later in debate ---

[Jonathan Ashworth]

The chief executive’s comments to the Select Committee speak for themselves. Talking of repudiation, when are we going to get £350 million a week, or were the Tories typically saying one thing before the people voted and something completely different after they had had their say? That is what the ex-Education Secretary should be telling us.

Let me remind the House what the Health Committee said. I see the hon. Member for Totnes (Dr Wollaston) in her place, and she said:

“The continued use of the figure of £10 billion for the additional health spending up to 2020-21 is not only incorrect but risks giving a false impression that the NHS is awash with cash.”

She is sitting only a little further down from the right hon. Member for Surrey Heath (Michael Gove). Perhaps he can have a word with her if he disagrees.

The Secretary of State hopes we do not notice that he is stretching the timeframe over which he presents this funding allocation. He hopes we do not notice that NHS spending has been redefined by the most recent spending review. He hopes we do not spot that he is cutting billions from public health budgets and other Department of Health funding streams—a £3 billion cut. But we have noticed.

[Mr Jackson]

Will the hon. Gentleman give way?

[Jonathan Ashworth]

In a few moments.

We have spotted the Secretary of State’s conjuring act because we have seen this Tory trick before—robbing Peter to pay Paul. The result of this trick is cuts and underfunding, more pressures flowing through to the frontline, and, as the NAO said,

“Financial stress…harming patient care”.

In all our constituencies we see ever-lengthening queues of the elderly and the sick waiting for treatment. Across the board, we see the worst performance data since records began.

--- Later in debate ---

[Jonathan Ashworth]

I praise the hard-working staff in the NHS every day of the week, but I rather suspect that staff in the NHS will have more sympathy with the position I am outlining than with the right hon. Lady’s position, not least when, according to surveys, 88% of NHS staff think that the NHS is under the most pressure they can remember, and 77% think that there is less access to resources, putting the quality of patient care and clinical standards at risk. That, I say to her, is what NHS staff are saying.

[Mr Jackson]

Will the hon. Gentleman give way?

[Jonathan Ashworth]

Oh, okay.

[Mr Jackson]

Perhaps I can just allow the hon. Gentleman to break off from reading his press release. I think we are moving towards a consensus on this issue, in that we do need to integrate acute clinical care and adult social care, and I understand that. In that vein, why was it that, in 13 years, when there was significant demographic change, the Labour Government failed to bring forward a better care fund or a precept for social care?

[Jonathan Ashworth]

It beggars belief! We tripled investment in the NHS, and the hon. Gentleman and his hon. Friends voted against every penny piece. When we left office, we had the best waiting times and the highest satisfaction levels on record. That is the difference between a Labour Government and a Conservative Government on the NHS.

--- Later in debate ---

[Mr Hunt]

The shadow Health Secretary also did not talk about cancer. In 2010, we had the lowest cancer survival rates in western Europe. Since then, we have referred for cancer tests 2,200 more people every day, and 100 more people are starting cancer treatment every day. The cancer charities say that this is saving 12,000 lives a year. On mental health, he did not mention the fact that we are treating 1,400 more people every day, with record dementia diagnosis rates.

[Mr Jackson]

Would not Opposition Members be a little more straightforward and honest about the wider context if they admitted the demographic challenge that this Government face, as they would have faced? The number of over-60s will increase by 50% in the next 15 years. Should they not also admit that the private finance initiative was an appalling millstone—£64 billion —to bequeath to this Government? That has had an impact on frontline care.

[Mr Hunt]

My hon. Friend is absolutely right to raise that point. People will be astonished to hear Labour Members wasting their time talking about a privatisation of the NHS that is not happening when they were responsible for PFI, the worst possible privatisation that has done such enormous damage.

Another point that the shadow Health Secretary did not mention was the quality and safety of care in our NHS that Labour left behind. The Francis report revealed massive problems—short staffing, a culture of denial and cover-ups—and they were not just at Mid Staffs but, as we now know, at Basildon, Morecambe Bay and many other trusts. Since we have been in office we have changed that. We have put 31 hospitals into special measures, which is more than 10% of hospitals across the entire NHS, and we have recruited record numbers of doctors and nurses.

I want to tell the House about one hospital that was put into special measures. Care was unsafe at Wexham Park in Slough—so much so that fewer than half the hospital staff were prepared to recommend the care provided there to their own friends and family—but it has gone from having six of its eight clinical areas rated as requiring improvement or inadequate, to having all eight of them rated as good or outstanding. It has come out of special measures, as have 15 hospitals in total, and we should all commend the staff who have worked incredibly hard to turn around those hospitals.

Leaving the EU: NHS Funding

Lord Jackson of Peterborough Excerpts

Tuesday 15th November 2016 Commons Chamber

[David Mowat]

Had I been writing something on the side of the bus, and had I been campaigning on that cause in the referendum, I might have been more circumspect. I might have said that £350 million could become available and could be spent on whatever the Government’s priorities were, one of which was very likely to be the NHS. I hope that that satisfies the hon. Gentleman.

[Mr Stewart Jackson (Peterborough) (Con)]

I regret that I seem to have stumbled into a sort of elongated primal scream therapy session involving refighting last June’s referendum. The hon. Member for Streatham (Mr Umunna) would have a more persuasive and cogent argument if he saw the other side of the equation. Yes, EU workers have a massive impact on and are committed to the NHS, but unrestricted EU migration over a number of years has put massive strains on the delivery of our health services. He has never conceded that point.

[Mr Umunna]

That is not what I am talking about.

--- Later in debate ---

[David Mowat]

It is not for me to make that specific guarantee. The Prime Minister clearly said that she hopes and expects them to remain. It is disappointing that a similarly strong statement has not been made by any Head of State in any other European country.

It is also right that we do more to train more of our own nurses and doctors—not because we need to replace people from the EU, but because it is the right thing to do. We should try to become self-sufficient in these matters, and that will happen.

We have knocked around this point quite a lot during the debate and have talked about variables such as the exchange rate, GDP and the EU bonus or payment that we will get, but there is one thing that is not a variable and it is probably the single most important constant: the extent to which this Government give priority to the health service in their spending commitments. That constant is absolutely clear. The previous Prime Minister treated the NHS as his No. 1 commitment, as does the current Prime Minister. Many of the points we have discussed this evening are things that should properly form part of the negotiation that we are going to have after we trigger article 50, as we hope to do by the end of March, and I am certain that that will be the case. What is not negotiable is that our commitments to NHS funding and social care funding are unmoved by any of these things; this is the No. 1 priority for this Government.

[Mr Jackson]

Is it not the case that in the future dispensation after Brexit we might have a fairer system of recruitment and retention of NHS staff? In all our constituencies, we have staff from outside the EU—my constituency has Nigerian, Ghanaian and, in particular, Filipino nursing staff—who have hitherto been discriminated against inadvertently vis-à-vis those from the European Union, and we will have a much fairer system in reaching out and getting the brightest and best to work in our NHS in the future.

[David Mowat]

My hon. Friend uses the word “fairer”, and of course we do have staff from other parts of the world. I will be honest and say that part of me has difficulty with this country taking large numbers of doctors and nurses from places such as Nigeria and others parts of Africa that need them more than we do. So it is right that we try to train more of the people that we need in these vital public services, but it is also right that we make it absolutely clear how important the people who currently work in our NHS and in social care are—those from the EU and from outside it, as my hon. Friend reminded us. That is important.

I make the point again, because I will not go on until 7.30 pm, that the NHS is this Government’s No.1 spending priority and it will continue to be so.

Question put and agreed to.

Oral Answers to Questions

Lord Jackson of Peterborough Excerpts

Tuesday 15th November 2016 Commons Chamber

[Mr Stewart Jackson (Peterborough) (Con)]

I thank the Secretary of State for taking time last week to visit the Peterborough City hospital and to praise the magnificent staff there, who are labouring under a £35 million annual private finance initiative millstone. Is the wider context not that we would have a lot more money to spend on front-line care if we did not have to deal with a poisonous legacy from Labour of £64 billion of appalling PFI contracts in the NHS?

[Mr Hunt]

My hon. Friend is absolutely right. I was incredibly impressed with the staff I met at Peterborough hospital—there was incredible commitment to patients and some fantastic work going on in the oncology and renal departments, which I visited. He is right: PFI was a disastrous mistake, saddling hospitals up and down the country with huge amounts of debt, which cannot now be put into front-line patient care. We are doing everything we can to sort that out and not repeat those mistakes.

Brain Tumours

Lord Jackson of Peterborough Excerpts

Monday 18th April 2016 Westminster Hall

[Nick Smith (Blaenau Gwent) (Lab)]

It is a pleasure to serve under your chairmanship, Sir Edward.

As my hon. Friend the Member for Warrington North (Helen Jones) said, brain tumours are the biggest cause of cancer death among children and adults under 40 in the UK. Surely, research into that disease should be a priority in the UK and around the world.

I will talk today about five-year-old Cian Case. My friend, Huw Irranca-Davies, who has now left this place after being the hon. Member for Ogmore, has been dealing with Cian and his family for some time, and he wanted me to pass on Cian’s story.

At the end of November 2015, Cian was admitted to the Royal Glamorgan hospital with acute stomach pain. A scan identified a tumour on his spine and he was rushed to the University Hospital of Wales in Cardiff, so that as much of the tumour as possible could be removed. The trauma left Cian completely paralysed from the waist down, with the neurologists sceptical about how much mobility he could recover.

Cian was diagnosed with an extremely rare and aggressive cancer that affects the central nervous system and that is mainly diagnosed in very young children. The survival outcomes are not favourable. The “seeds” of this cancer had already begun to spread to Cian’s brain. Fortunately, Cian responded well to that initial dose of chemotherapy and is now receiving intensive chemotherapy to his brain and spine.

[Mr Stewart Jackson (Peterborough) (Con)]

I pay warm tribute to Carole Hughes, the inspirational woman behind Peterborough-based Anna’s Hope. She is in the Gallery today. In view of the fact that cancer affects children in particular, does the hon. Gentleman agree that it is important that specialist neuro-rehabilitation therapy centres are set up to assist children in that position and to try to get them to fulfil their ultimate potential?

[Nick Smith]

I agree with the hon. Gentleman, who makes an important point.

I am pleased to report that Cian continues to make good progress and that his mobility is improving weekly, defying the original prognosis. Cian’s dad, Richard, is one of the more than 120,000 signatories to the petition we are discussing. He understands that cancers such as Cian’s are rare, and that that is why funding may not have been forthcoming enough. He believes, however, that more research can lead to longer and healthier lives for youngsters blighted so early by this disease. I am pleased that Cancer Research UK has committed to increasing spend on research into brain tumours, and we can all welcome that good news.

It is difficult standing here today relaying the story of one family’s brush with tragedy and the long road to recovery ahead, so I do not want our successors, years from now, to face the same questions, wringing their hands and saying, “Something should be done.” The community has rallied around Cian and his family—the school, the rugby club and the community drop-in centre have all organised different activities to raise awareness and funds, for which the family are incredibly grateful. The Noah’s Ark children’s hospital, LATCH and everyone in the health service has been fantastic on every step of Cian’s fight. They are all doing their bit; now it’s our turn.