NHS

Debate between Rachael Maskell and Victoria Atkins

Thursday 23rd May 2024 Commons Chamber

[Victoria Atkins]

My goodness me. I thank my right hon. Friend. I have an inkling of the responsibilities and pressures that he bore during the pandemic. There will be many thoughts about how the Government and society handled the pandemic, but he devoted his absolute all to keeping people safe, and to moving our society out of the lockdowns. I thank him sincerely for all his work.

True to his character, my right hon. Friend wants to talk about the future. Outside the pandemic, he had a particular focus, when he was Health Secretary and in previous Cabinet positions, on the role that technology can play in our lives. Our NHS app now has three quarters of adults in England signed up to it. That is a testament to him and to those in the NHS who helped to deliver it. There are more subscribers to the NHS app than to Netflix. The most common users of the NHS app are those over the age of 65. We can see just how powerful the app can be, and the role that it will play in prevention, but we need to invest in the technology. I view the long-term workforce plan as critical to building the next 75 years of the NHS, as is the tech plan that the Chancellor announced in the spring Budget, which provides £3.45 billion for technology to drive forward progress in the NHS—a plan that the Opposition has not supported.

[Rachael Maskell (York Central) (Lab/Co-op)]

May I take this opportunity to thank all NHS staff for their dedication, professionalism and care, which are really quite extraordinary in the light of the circumstances that they face? I spent 30 years working in and around the NHS, and I know that it was on its knees in 1996 and 1997, before the Labour Government made such a difference, but nothing compares to the state of it today. I am thinking particularly about NHS dentistry; my constituents are having to wait seven years for an appointment with an NHS dentist. I know that my hon. Friend the Member for Ilford North (Wes Streeting) will meet dentists on the first Monday after Labour come to office.

The Secretary of State has not adopted a plan that would have worked, the one produced by the Health and Social Care Committee. Can she tell us why she did not adopt that plan in full, and what she will say to my constituents, who will vote at the polls for a service that works, as opposed to one that is broken?

[Victoria Atkins]

I join the hon. Lady in thanking her local NHS staff, and, indeed, NHS staff throughout the country. The NHS employs more than 1.3 million people, and every single one of them contributes in their own way, from clinicians to nurses to hospital porters to administrative staff. All those people play a really important part in keeping us well and safe.

Notwithstanding the picture that the hon. Lady has sought to paint, I hope she will have the graciousness to acknowledge that we are diagnosing more cancer cases, and diagnosing them more quickly at stages 1 and 2. I hope she will acknowledge, for example, that some nine out of 10 cancer patients are treated within 31 days of a decision to treat them, and that the average waiting time in England—not Wales—is just under 15 weeks. Of course there is more to do, but we have plans in place.

I also urge the hon. Lady to look carefully at our dental recovery plan. We have seen more practices open up to provide more NHS appointments, and as the recovery plan is rolled out, we will see up to 2.5 million more appointments, roughly three times as many as will be seen under Labour’s dental recovery plans. Compare and contrast!

Tobacco and Vapes Bill

Debate between Rachael Maskell and Victoria Atkins

2nd reading
Tuesday 16th April 2024 Commons Chamber

[Rachael Maskell (York Central) (Lab/Co-op)]

rose—

[Victoria Atkins]

I am going to make some progress and then I will give way.

As I have said, the tobacco industry questions the necessity of the Bill on the grounds that smoking rates are already falling. It is absolutely correct that smoking rates are down, but as I said, there is nothing inevitable about that. Smoking remains the largest preventable cause of death, disability and ill health. In England alone, creating a smoke-free generation could prevent almost half a million cases of heart disease, stroke, lung cancer and other deadly diseases by the turn of the century, increasing thousands of people’s quality of life and reducing pressure on our NHS. An independent review has found that if we stand by and do nothing, nearly half a million more people will die from smoking by the end of this decade. We must therefore ask what place this addiction has in our society, and we are not the only ones to ask that question of ourselves. We know that our policy of creating a smoke-free generation is supported by the majority of retailers, and by about 70% of the public.

The economic case for creating a smoke-free generation is also profound. Each year smoking costs our economy a minimum of £17 billion, which is far more than the £10 billion of tax revenue that it attracts. It costs the average smoker £2,500 a year—money that those people could spend on other goods and services or put towards buying a new car or home. It costs our entire economy by stalling productivity and driving economic inactivity, to the extent that the damage caused by smoking accounts for almost 7p in every £1 of income tax we pay. As Conservatives we are committed to reducing the tax burden on hard-working people and improving the productivity of the state, which is why this Government have cut the double taxation on work not once but twice, giving our hard-working constituents a £900 average tax cut. That is a moral and principled approach.

Having celebrated the first 75 years of the NHS last year, I am determined to reform it to make it faster, simpler and fairer for the next 75 years, and part of that productivity work involves recognising that we must reduce the single most preventable cause of ill health, disability and death in the UK. This reform will benefit not just our children but anyone who may be affected by passive smoking, and, indeed, future taxpayers whose hard-earned income helps to fund our health service. Today we are taking a historic step in that direction. Creating a smoke-free generation could deliver productivity gains of £16 billion by 2056. It will prevent illness and promote good health, help people to get into work and drive economic growth, all the while reducing pressure on the NHS.

--- Later in debate ---

[Victoria Atkins]

I have already taken an intervention from the hon. Member for North Antrim (Ian Paisley). I will take one more, from the hon. Member for York Central (Rachael Maskell), and then I will make some progress—although I will give way to my hon. Friend the Member for Dartford (Gareth Johnson) in a moment.

[Rachael Maskell]

The Secretary of State has talked about addiction to nicotine. If, as she has suggested, vaping is a pathway to stopping smoking, why does she not envisage a vape-free generation arriving in parallel with a smoke-free generation, so that we can have a nicotine-free generation across the board? Why does she not expand her legislation to ensure that young people take up neither smoking nor vaping?

[Victoria Atkins]

The House has already legislated to ensure that vapes cannot be sold to people under 18. However, as we are seeing in our local shops, the vaping industry is finding ways of marketing its products that seem designed for younger minds and younger preferences. Once the Bill has been passed, that age limit will be maintained for vaping but, importantly, from January 2027 onwards we will not see the sale of legal cigarettes or tobacco to those aged 18 or less.

NHS Dentistry: Recovery and Reform

Debate between Rachael Maskell and Victoria Atkins

Wednesday 7th February 2024 Commons Chamber

[Victoria Atkins]

We have focused this plan on introducing the new patient premium—a bonus for new patients. Having discussed this carefully with professionals, we think that is one way that we can incentivise people into NHS practice. Dentists can already work up to 104% of the contract. Many do that, but some sadly do not, so we are trying to encourage those dentists who already have NHS contracts to go the extra mile and use the full slot available to them.

[Rachael Maskell (York Central) (Lab/Co-op)]

The Health and Social Care Committee took months gathering evidence and putting together a recovery plan, which the Government should have adopted. Dentists wanted that plan put in place. Central to it was reform of the NHS dental contract. However, the Secretary of State has completely failed to even mention reform of that contract. As a result, dentistry in my constituency in York, where constituents are waiting seven years to see a dentist, will not have the recovery that she talks about. Why did she not adopt our plan?

[Victoria Atkins]

I hope the hon. Lady will, as usual, be the help that I expect her to be to her constituents in publicising this plan. We are getting graphics and information out to all Members of Parliament, so that they can help their constituents understand what will be available in their area, because each and every one of us wants the very best for our constituents. She will be interested in the new patient premium, which is encouraging dentists back into NHS practice, or into NHS practice for the first time, and in the increased price for units of dental activity. Reform of the dental contract is part of our agenda, but we realised that we needed to give immediate help to communities such as hers.

NHS Winter Update

Debate between Rachael Maskell and Victoria Atkins

Monday 8th January 2024 Commons Chamber

[Victoria Atkins]

I welcome my right hon. Friend back. I have said throughout this that I was extremely disappointed that the committee chose to walk away from discussions. I also think that there is a lot more to discuss apart from pay—I have made it clear that I would like to look at other aspects of their working conditions—but, unfortunately, the junior doctors committee walked out. The strike action has had a real-terms impact on patients. We need to find a fair and reasonable solution, but I will not do that while the junior doctors committee maintains strikes. It will have to come to the table with reasonable expectations and change their minds on the validity of strike action.

[Rachael Maskell (York Central) (Lab/Co-op)]

We have had 14 Tory winters. One would have thought that they would learn by now that the real crisis in our NHS is that social care is not up to scratch. A quarter of patients in my local hospital are waiting for social care. As a result of jamming the back door, the front door becomes inaccessible to so many patients. After all these years, when will the Secretary of State publish a proper plan for social care, or will she leave it to my right hon. Friend to take over?

[Victoria Atkins]

I am so sorry, I do not know who the hon. Lady is referring to. On the Conservatives’ plans, at the 2022 autumn statement we announced up to £7.5 billion of additional funding—an historic increase—and we did not stop there. This summer, we announced an additional £600 million, which brings it up to £8.1 billion of additional funding over two years. That will support our care workforce, and the majority of the funding will end up in the pockets of the amazing people who provide care and support to the patients we are all concerned about.

Oral Answers to Questions

Debate between Rachael Maskell and Victoria Atkins

Tuesday 21st March 2023 Commons Chamber

[Victoria Atkins]

I am very grateful to the hon. Lady for her question and I urge her to get behind our trade and co-operation agreement. As I say, it is the world’s largest zero-tariff, zero-quota deal. I am delighted to say that the Chief Secretary has just confirmed that we have signed the memorandum.

[Rachael Maskell (York Central) (Lab/Co-op)]

14. If he will take fiscal steps to increase funding for social and affordable housing.

Rape: Criminal Prosecutions

Debate between Rachael Maskell and Victoria Atkins

Tuesday 28th June 2022 Commons Chamber

[Victoria Atkins]

I reiterate that this is a priority for this Government, from the Prime Minister downwards. It is also a priority for colleagues on the Back Benches from across the House, who have raised it. I am very grateful to Conservative colleagues who have raised issues such as cyber-flashing and the use of intimate imagery on the internet, which we will no doubt be discussing as the Online Safety Bill makes its way through this place. There is huge support on the Back Benches for ensuring that victims of domestic abuse get the justice and support they need, and I am extremely grateful to every Member of this House who can join us in our efforts to improve justice for victims of these horrendous crimes.

[Rachael Maskell (York Central) (Lab/Co-op)]

I have had too many cases where survivors of rape have not reached the evidence thresholds demanded by the CPS and, as a result, their cases have collapsed or not even been able to be taken forward. That clearly has an impact on confidence in the system, particularly on the issue of consent and with one word being played off against another even if there is forensic evidence,. What measures is the Minister taking to improve a victim’s opportunity to take their case forward in that context?

[Victoria Atkins]

The hon. Lady hits on a sensitive point, in that the “Code for Crown Prosecutors” sets out the tests that prosecutors must apply, not simply in cases of sexual violence but across all criminal cases, and the threshold of 51% or thereabouts for the evidential stage. This means that, as we know from speaking to victims, there are occasions when the CPS does not believe that test has been met, which is why the roll-out of Operation Soteria, both across police forces and across CPS regions, is so important. In this effort for non-defensive transparency, the CPS is looking at its own actions and ensuring that the right standards are being met, for example in the application of the test and in disclosure. All of this is being lined up to ensure that the law is applied properly and appropriately. We have also reformed disclosure guidelines recently, in order to help the police and the CPS make important decisions about whether material needs to be gathered at all and, if it does, whether it meets the very specific circumstances in which it falls to be disclosed.

Afghanistan Policy

Debate between Rachael Maskell and Victoria Atkins

Monday 13th September 2021 Commons Chamber

[Victoria Atkins]

The hon. Gentleman describes an incredibly difficult case. If Mr Kamal’s family are in Afghanistan, I cannot give him a specific update on their safety and whereabouts, but I am happy to discuss the case with him after the statement because I want to see if we can do anything more.

[Rachael Maskell (York Central) (Lab/Co-op)]

My constituents are children here under the vulnerable children’s resettlement scheme, and their families—Hazara families—in Kabul want to know what steps they need to take to make applications and whether they will fall under the Afghan citizens’ resettlement scheme, not least because the numbers under that scheme are so pitiful. The Minister talks about 5,000 people, which is one or two families per constituency. We really need to re-examine those numbers.

[Victoria Atkins]

I very much hope that the hon. Member is encouraging her local authority to volunteer permanent properties to help resettle families as she has described. On her specific case, if I have understood her correctly, she is talking about children, and she will know that children cannot sponsor adults to come to the United Kingdom under our wider asylum policy because of real concerns that children would be used by people with ill intent. However, if there are asylum matters in particular, the Under-Secretary of State for the Home Department, my hon. Friend the Member for Torbay (Kevin Foster), stands ready to help in that application, if he can.

Domestic Abuse and Hidden Harms during Lockdown

Debate between Rachael Maskell and Victoria Atkins

Thursday 14th January 2021 Commons Chamber

[Victoria Atkins]

The Ask for ANI scheme is focused at the moment on victims of domestic abuse. There has been a huge and careful training programme of the pharmacists who are currently participating. Nearly 8,000 members of staff have been trained in Boots alone. They will be very knowledgeable about what to do when somebody walks into their chemist’s seeking help.

My hon. Friend is right that sometimes just getting out of the house is a huge obstacle. That is why I am delighted that we are also funding a rail to refuge scheme to help victims make that railway journey to a refuge as and when they need it.

[Rachael Maskell (York Central) (Lab/Co-op) [V]]

Sadly, 1,500 children in York are growing up in a home where domestic abuse is a factor, according to the office of the Children’s Commissioner. Will the Minister give clear assurances today that victims can have the confidence that, if they Ask for ANI, they will be provided with more than a conversation, but with safeguarded housing, and wellbeing and psychological help for them and their children?

[Victoria Atkins]

I hope that the hon. Lady knows that the training of members of staff has been meticulous. We have created the scheme hand in glove with domestic abuse charities because we are so concerned to ensure the safety of victims. I see it as the first avenue of support. Once the victim is in the consultation room, she or he can set out what they would like to happen. For some it will be a 999 call, for others it will be access to community services, but I hope that the hon. Lady has a picture now of the tapestry of support that we are rolling out locally to try to help victims of domestic abuse.