Health Infrastructure Plan

Sarah Newton Excerpts

Monday 30th September 2019 Commons Chamber

[Edward Argar]

I will at least start by expressing gratitude to the hon. Gentleman for his kind words at the beginning of his remarks. As he says, we work closely together in our city and county, although I suspect that that spirit of co-operation might not extend across these Dispatch Boxes. None the less, it is a pleasure to stand opposite him. Although I would not agree with his characterisation of where the money has gone, is he, on the basis of that characterisation, suggesting that his own seat is a marginal constituency?

I find it extraordinary that the shadow Secretary of State takes opposition to a new level by opposing investment in our NHS, trying to cavil and challenge it. He will forgive me if I do not take his specific questions in the same order as he asked them, but I will run through as many of them as I can recall or as I noted down.

On mental health, I have to say that I find it very difficult to take lessons from the hon. Gentleman when this Government have invested huge additional sums in mental health care. As I mentioned in my opening remarks, we have allocated capital for Greater Manchester Mental Health NHS Foundation Trust—the announcement was made earlier this summer—and for Mersey Care NHS Foundation Trust, so I think the hon. Gentleman is perhaps being a little unfair in suggesting there is no investment in mental health from this Government.

This is an ambitious programme, but unlike the last Labour Government, we will not leave hospitals saddled with masses of private finance initiative debt. That programme was massively expanded under the Labour Government he served as a special adviser. Perhaps he should welcome this Government’s approach, which is to give hospitals the funding they need to deliver without saddling them with debt.

We have made it clear that the hospitals named in HIP 1 have the funding to go ahead, including the hospitals that serve his constituency and mine. I am a little surprised to hear the hon. Gentleman challenge the notion that anyone bidding for huge sums of public money should have to go through a business case. Surely when we are spending public money, it is reasonable of us to make sure it delivers value for money and better outcomes for patients. I know the Labour party does not pay much attention to value for money, but my party and this Government do. We are focused on patient outcomes and delivering investment in our NHS. We can say proudly that, with this raft of announcements, the extra £33 billion and the announcements made already, we truly are the party of the NHS.

[Sarah Newton (Truro and Falmouth) (Con)]

I very much welcome the allocation of £450 million to Royal Cornwall Hospitals NHS Trust. We are keen to work with the Department. Local NHS leaders are eager to work on producing a good business plan that meets the needs of patients and staff in Cornwall. When will the seed funding enabling them to develop those plans be available? If all goes as well, as I am sure it will, we will be able to start building those new facilities in 2025.

[Edward Argar]

I know that my hon. Friend’s local hospital trust and her constituents have no greater champion in this place than her. She is right to highlight the allocation to Royal Cornwall Hospitals NHS Trust. The seed funding was announced yesterday and is there now, so we hope that the trust will get to work using that money to develop plans to improve services at local hospitals.

Oral Answers to Questions

Sarah Newton Excerpts

Tuesday 23rd July 2019 Commons Chamber

[Sarah Newton (Truro and Falmouth) (Con)]

17. What progress has been made on implementing his Department’s strategy and action plan, “Improving lives: the future of work, health and disability”, published in November 2017.

[The Parliamentary Under-Secretary of State for Health and Social Care (Jackie Doyle-Price)]

I am pleased to say that we have made strong progress against the commitments in the Command Paper my hon. Friend refers to, and I thank her for her role in delivering those advances. I can advise the House that the number of disabled people in employment is now 400,000 higher than it was in 2017. There is, however, much more to do, and on 15 July we launched a consultation on measures to reduce ill health-related job loss. We are seeking views on how employers can best support people with disabilities and people with long-term health conditions to stay and thrive in work.

[Sarah Newton]

I thank the Minister for her really helpful response, and I congratulate her on the fantastic work she has done in her position. Last week, the next Prime Minister announced his intention to look again at the tax treatment of at-work referral health services as a benefit in kind to employees, given how crucial fast access to health and support is to so many people. Will the Secretary of State and the Minister work with the new Prime Minister in bringing forward an urgent review, as the current tax regime goes against our focus on prevention and reducing demand on the NHS?

[Jackie Doyle-Price]

Absolutely. We will continue with the emphasis on work being good for people’s health. We need to look at what we can do to make it easier for employers to help their employees, which is good for everybody—it means that everyone can still make an economic contribution, and that we retain the existing workforce, and it is good for people’s wellbeing. We absolutely will look at what we can do to incentivise best practice.

--- Later in debate ---

[Jackie Doyle-Price]

Yes is the short answer, and the hon. Gentleman will be pleased to know that I have regular discussions with colleagues in the DWP to see what we can do to humanise all our processes for benefits claimants, because it is important that when people suffering from mental ill health interact with organisations of the state, we are not causing them harm. I can assure the hon. Gentleman that that is very high on the list of things in my in-tray.

[Sarah Newton (Truro and Falmouth) (Con)]

I greatly welcome the publication of the prevention Green Paper. How will that strategy enable people to keep well by living in warm homes?

[Matt Hancock]

Clearly, the need for join-up across Departments of Government is a vital part of this agenda, as my hon. Friend knows from her work across different Departments; the specific point she raises is one example of that, and we must drive it forward.

Oral Answers to Questions

Sarah Newton Excerpts

Tuesday 7th May 2019 Commons Chamber

[Jackie Doyle-Price]

My hon. Friend is absolutely right. We have spent a lot of time encouraging donors from minority communities, but the real issue with regard to stem cell donation is that it is about genetic composition. We live in a wonderful society where we all have heritage going back in various, very complex ways, but that makes finding a suitable donor for stem cell donation extremely difficult. It is therefore important that we encourage people to take the test to establish their genetic heritage so that we can have more and more diverse people on the register.

[Sarah Newton (Truro and Falmouth) (Con)]

20. What recent steps Public Health England has taken to help ensure that the violence against women and girls service commissioning guidelines are implemented throughout the NHS.

[The Parliamentary Under-Secretary of State for Health and Social Care (Jackie Doyle-Price)]

I thank my hon. Friend for her important work on the whole issue of violence against women and girls. Clinical commissioning groups are the primary commissioners of NHS services, and, as such, play the lead role in ensuring that service commissioning guidelines on violence against women and girls are implemented through the NHS, as informed by evidence available and current guidance.

[Sarah Newton]

Public Health England is planning to update the public health outcomes framework this summer, but there are no planned outcome measures for victims of domestic abuse or sexual violence. Will my hon. Friend liaise with the Home Office and the clinical commissioning groups to consider measures so that we can all be confident that victims are getting timely access to appropriate services?

[Jackie Doyle-Price]

My hon. Friend is knocking on an open door, because this issue is very close to my heart. The public outcomes framework does include a measure of reported domestic abuse incidents and crimes that is intended to give an indication of the scale of the issue in each area, and we expect CCGs to commission services as a response to exactly those issues. I have written to CCGs to remind them to commission appropriate sexual violence services, as well as those already commissioned by NHS England so that we have proper support for people who have been victims of these terrible offences.

Mental Health Support: Young People

Sarah Newton Excerpts

Tuesday 9th April 2019 Commons Chamber

[Jackie Doyle-Price]

In the past we have treated ring fences as a ceiling and set CCGs the clear objective that they need to increase investment in CAMHS by more than what we have been giving them. [Interruption.] However, acknowledging the hon. Member for Worsley and Eccles South (Barbara Keeley), we will look at what more control we can give, and NHS England is keeping a very close eye on how that money is being spent. As I said at the outset, I am not complacent about the challenges we face. I have to say that we are on it. Direction of travel is one thing, but we have to make sure that we are managing expectations and that we can deliver the services that people expect. That includes investment in the workforce to deliver on very clear expectations.

[Sarah Newton (Truro and Falmouth) (Con)]

My hon. Friend is being characteristically generous in giving way. I would like to give her some feedback from Cornwall, where our CCG is spending more money on mental health services and I am seeing those services grow. Does she agree, however, that simple organisational changes can sometimes help? I have two universities in my constituency, Exeter and Falmouth. When young people leave home for the first time and arrive at university, it can take months for the NHS to get their records and services sorted out, but young people with existing poor mental health conditions need those services to be in place when they arrive.

[Jackie Doyle-Price]

My hon. Friend makes a good point. Transition is clearly an area that we need to address, and she is right to highlight the importance of this in universities.

The hon. Member for High Peak made a number of points in her speech. She referred to people with ADHD and ASD, and I could not agree with her more that there is a real issue with the failure to diagnose people with those conditions early enough. We know that those people are more likely to suffer from mental ill health, so early diagnosis is absolutely crucial if we are to equip those young people with the tools to look after themselves. I am pleased that that has been a target in the forward plan that we will roll out. The hon. Lady also rightly highlighted the issues surrounding county lines and knife crime, and there is no doubt that the increased incidence of trauma in communities will bring with it more demand for mental health services. That is something that we are very much tackling as part of the Prime Minister’s summit, which took place just last week.

I have been very pleased to work with the hon. Member for Ogmore (Chris Elmore) on this, and I welcome his all-party parliamentary group’s report on the impact of social media. The impact of social media brings with it a whole new set of pressures on children’s and young people’s mental health. It brings greater intensity to relationships, for example. We think our children are safe in their bedrooms, but they are not necessarily, and we need to be vigilant about how we hold social media and internet providers accountable for the content that they host on their sites.

Infant First Aid Training for Parents

Sarah Newton Excerpts

Wednesday 3rd April 2019 Westminster Hall

[Mr Philip Hollobone (in the Chair)]

Although the title of this afternoon’s debate is “Infant First Aid Training for Parents”, there is some debate about whether it should not be “parental first aid training for infants.” No doubt, all will be revealed. I call Sarah Newton.

[Sarah Newton (Truro and Falmouth) (Con)]

I beg to move,

That this House has considered infant first aid training for parents.

It is a pleasure to serve under your chairmanship, Mr Hollobone. You make a good point—I was never an excellent scholar, and I am sure my English can be improved upon. In the course of the debate, I hope to provide a good explanation of what I was seeking to achieve in securing it.

I would like to begin with Rowena’s story. Rowena had been shopping in a department store with her mother and her five-month-old daughter. They had stopped for coffee in the children’s section, where there were lots of mothers with their babies. Seated near their table was a mother feeding her nine-month-old baby girl some home-made food. Given that they both had little baby girls, they exchanged compliments on the girls and continued with their business.

Leaving her daughter with her mother, Rowena went off to buy some coffees. While in the queue, she heard screaming and a terrible commotion. Looking around, she realised it involved the mother she had just met. Rowena could see that something was wrong with the little girl, who was not moving and was very quiet. Instinctively, she left the queue and ran to the back of the café to see what she could do.

When Rowena arrived back at the table, she saw that two other customers had come to the mother’s aid. They were trying to calm the mother down while furiously patting the back of the baby girl. Rowena quickly realised that the baby was choking on the baby food that she had been fed. Fortunately, Rowena knew what to do. She told the women attempting to help to stop and that she had first aid training, and she took the baby. Because she had completed a baby first aid course, she felt confident enough to help.

Rowena sat on a chair and held the baby face down along the length of her left leg, with the head lower than the knee. She started to give her back blows, hitting her firmly between the shoulder blades. After Rowena delivered the second or third back blow, the baby girl started to cry, so Rowena realised that she could breathe and that the blockage in her throat had gone. She handed the girl to her mum and reassured both of them that everything was okay.

The mother was quite shocked and upset, and so was Rowena. She realised the significance of her intervention. She said:

“I didn’t fully realise until that point what had just happened and the gravity of it”.

She said it had a big impact on her. That day, Rowena had done something remarkable, yet so very simple. With a few simple actions, she had saved that baby’s life. I want to enable every new parent or carer to receive high-quality training.

[Andrea Jenkyns (Morley and Outwood) (Con)]

I commend my hon. Friend on bringing this debate to the Chamber. I had first aid training with the Red Cross over a decade ago, as did my father. My dad put it to use when my mum had a mini-stroke, and my mum ended up using it on my dad when he was dying. I am a mother of a two-year-old little boy, Clifford. I am sure most parents would agree that the most precious thing in any parent’s life is their children. My hon. Friend has prompted me to go and be retrained, especially now that I have my little one. If we can, cross-party, encourage as many parents as possible to do that, that will be a win-win for us and for parents across the country.

[Sarah Newton]

I very much welcome my hon. Friend’s intervention as a young mum. Rowena had her first aid training through the Red Cross, which can provide my hon. Friend with specialist training for babies and children. Administering first aid to a young child is quite different from administering it to an older person. I commend my hon. Friend, and I hope that, as a result of our work today, many more parents will do the same.

[John Howell (Henley) (Con)]

This is an excellent debate. The scale of the task we face is quite enormous. A survey published in The Daily Telegraph not so long ago showed that only 24% of parents thought they had the skills to be able to stop their child choking. That is a very small percentage. What can we do to encourage a vast number of parents to get the training?

[Sarah Newton]

My hon. Friend makes an extremely good point. I am blessed to say that I have three children, who are in their twenties; I remember how many times I was worried about them and went to my GP or to A&E unnecessarily. I wish I had done the training, because I would have felt much more confident as a parent—I certainly would have saved some valuable time in A&E and with doctors.

I was prompted to secure this debate to continue the work I have done to prevent avoidable deaths from sepsis. We have made huge progress, and the Government have done excellent work with the UK Sepsis Trust to make sure that parents are aware of the symptoms of sepsis, as are our healthcare professionals, from paramedics right the way through to people in hospitals, and professionals in nursery schools and primary schools. They are all having sepsis training. That is important, and now is the time to build on that and to empower parents to spot the signs of not only sepsis but all other serious illnesses.

[Mary Robinson (Cheadle) (Con)]

I thank my hon. Friend for securing this important debate and for sharing Rowena’s story. We all know that story could have turned out very differently. My constituents Joanne and Dan Thompson set up Millie’s Trust after their daughter Millie tragically passed away in a choking incident in October 2012. The trust provides paediatric courses for nurseries, emergency first aid courses for workplaces and first aid courses for families, including for young children between the ages of eight and 16—that may answer your earlier question, Mr Hollobone. Does my hon. Friend join me in recognising the wonderful work of Millie’s Trust and charities like it, which offer courses not only to give confidence and reassurance to professionals and parents, but to ensure a good grounding in first aid, potentially giving life-saving information to people in situations such as Rowena’s?

[Sarah Newton]

Rowena’s story might not have ended so well without the wonderful work of Millie’s Trust and all the other organisations that ensure that people have the training to empower them to take the right action at the right time.

That brings me neatly to the statistics from the Royal College of Paediatrics and Child Health, which suggest that 21% of child deaths involve a modifiable factor—something that could have been done to prevent that death. That is quite a significant number of lives that could have been saved if the appropriate action had been taken.

[Emma Little Pengelly (Belfast South) (DUP)]

I congratulate the hon. Lady on securing this important debate. The statistics that she outlines demonstrate how important first aid training could be—it could genuinely save lives. Given the number of agencies and organisations that young parents engage with, from schools and nurseries to GP practices, is there not a good opportunity to signpost the availability of existing courses to parents and raise their awareness of them? In my area, they are available through St John Ambulance and the Red Cross. That would encourage take-up. If parents heard the statistics, very many more would take up the opportunity.

[Sarah Newton]

The hon. Lady makes a very good point. I hope that in our small way—as a result of this debate, the people watching it from outside the Chamber and the media coverage we secure—we will encourage people to take up that opportunity. That is a really good idea.

I have been listening very much to healthcare professionals in my constituency. Dr Simon Robertson, a consultant paediatrician at the Royal Cornwall Hospitals NHS Trust, told me:

“I have been a consultant general paediatrician for the last 12 years. I see children referred into hospital from their GPs, and the emergency department.

From the view of a general paediatrician a child illness and resuscitation course for all parents makes practical sense for the families and NHS services.

Parents are expected to make important decisions about their children’s health and about seeking medical advice. But we know they find it difficult to work out if their child just has a minor viral illness, or something more serious. Unfortunately not all parents are educationally equipped to read instructions from their red book, NHS Choices or health advice apps like the ‘HandiApp’. For them, we know they really need time and practice in a supportive environment to learn these decision making skills. We repeatedly see this in the families we teach resuscitation to on the wards.

What is needed in my opinion, is a course for all parents and those in child care on how to manage the common emergency problems like choking, diarrhoea and vomiting, a seizure, recognising sepsis, managing a head injury, or in preventing accidents, drowning or cot death. These learnt skills could help keep children safe and healthy, so should be the skills highly valued by families. Vitally, early action may help prevent some medical emergencies deteriorating to life threatening illness.

This can only be good for the health of children, and for children’s acute NHS services.”

I completely agree.

In 2013, the Department for Education undertook a confidential inquiry into maternal and child health in England. It conducted a meticulous audit of deaths of babies and children, and reported identifiable failures in children’s direct care in just over a quarter of deaths, and potentially avoidable factors in a further 43% of deaths. The University of Northampton’s 2017 report “Before Arrival at Hospital: Factors affecting timing of admission to hospital for children with serious infectious illness” stated that parents often find it difficult to access relevant health information or to interpret symptoms, and that it can even be difficult for GPs to determine how serious a case is in the early stages.

I have been working with Cornwall Resus, which was established in 2012 by two paediatric nurses to give parents and carers the necessary skills to empower them to recognise when their baby or child is unwell and to respond appropriately. It runs courses for parents in community centres around Cornwall. Those courses last two to two and a half hours and include practical training on choking and resuscitation using lifelike dummies, with lots of time for questions and discussion at the end. I know that I would not be happy to undertake those actions unless I had practised them on a dummy first; having just looked at instructions or a diagram, I would still be very nervous about the amount of pressure to apply, so using dummies and having practical sessions and reassurance is really important.

[Jim Shannon (Strangford) (DUP)]

I thank the hon. Lady for bringing this subject forward for consideration, and I commend her for the work she did as a Minister. I am very pleased to see her active on the Back Benches with the rest of us. I became a grandfather for the third time just before Christmas, when my grandson Austin—I already had two granddaughters—was born. I am very mindful that parents are immensely stressed after the birth of their baby, given the care babies require. For each parent to have just a bit of knowledge about these things at that time can be the difference between life and death. Does the hon. Lady agree that there is an opportunity, through the antenatal classes that mothers do with their local trust and GP, to instil in parents the basic skills she refers to?

[Sarah Newton]

I thank the hon. Gentleman for his contribution. I will come on to what I would like the Government to consider doing. I do not think we should be prescriptive about how this training is enabled. Lots of organisations provide such training—Kernow Resus is one such organisation, but we have also heard about the Red Cross, St John Ambulance and Millie’s Trust—and of course there is the NHS workforce themselves: maternity nurses, and healthcare professionals who visit families at home. We should not be at all prescriptive about how we might enable this training, but it is important that all parents have the opportunity to participate.

Most courses cost around £30, which will seem to most of us like a very modest investment, but not every parent will be able to afford that. That will be a real barrier for some families. That is why I would like the Government to enable universal access to high-quality, evidence-based training delivered by fully qualified providers. That would give us the opportunity to reduce morbidity and mortality and, importantly, family distress. It would also help tackle the associated costs of treatment, hospital admissions and even possible litigation. We have seen huge improvements in child and infant health in our country. The number of deaths of babies and small children has fallen significantly, but it is still far too high, so I really hope that the Minister will consider seriously how we might take forward this relatively modest, straightforward intervention.

The NHS is rightly focused on preventing ill health and injury, and I am delighted that the Government are investing so much in it. I am sure everybody in the Chamber is fully supportive of that investment. It would require only modest investment to pilot this training in a couple of geographical areas and work with a couple of local commissioning groups to see how they might go about delivering it. We have heard about a range of options they might pursue. By giving commissioning groups responsibility to see how they might go about that, we could collect proper evidence about not only the impact on families and the reduction of deaths and harm to children, but the impact on acute trusts and primary care in an area if, as a result of being more confident, parents do not engage with the NHS quite so much.

This would be a small but vital step. It would be such a positive contribution. We would have more Rowenas, and far fewer families would have to cope with the dreadful grief of losing a loved one.

[Several hon. Members rose—]

--- Later in debate ---

[Sarah Newton]

I hope, now that we are at the end of the debate, that the words on the Order Paper are beginning to make a bit more sense. It has been a fantastic debate, and I am grateful to the many Members who have come along today, particularly as there has been so much about Brexit in the main Chamber. That people have chosen to spend time here this afternoon underlines how important this issue really is.

It was great to hear from the parents in the room, including my hon. Friend the Member for Morley and Outwood (Andrea Jenkyns), and my hon. Friend the Member for Moray (Douglas Ross) and the hon. Member for Glasgow East (David Linden), who I congratulate on becoming new fathers and on being prepared to speak so personally and eloquently about their journey as parents. If as a result of this debate we have done nothing more than to make sure than they sign up to courses and tell all their friends who are also young parents to go out and do those courses, we will have achieved something.

I also thank the hon. Member for Burnley (Julie Cooper) for reminding us of the important contribution of grandparents. More than ever, grandparents care directly for babies and children, so it is important that they are also trained and feel confident, because things change over time. It is good to hear a grandparent’s point of view.

As my hon. Friend the Member for Henley (John Howell) rightly reminded us, we are all champions in this place, whatever our personal experience. Whether we are like my hon. Friend the Member for Sleaford and North Hykeham (Dr Johnson), who brings huge professional expertise, or we are unqualified but passionate advocates for our communities, we have a very important role. I am sure that the my hon. Friend the Member for Henley will join my hon. Friend the Member for Cheadle (Mary Robinson) and the hon. Members for Belfast South (Emma Little Pengelly) and for Strangford (Jim Shannon) in leading campaigns in their constituencies to raise awareness of the courses and training that are available, so that more parents feel confident and able to identify the signs of serious illness or injury and to take appropriate action.

I am grateful to the Minister, whom I thoroughly enjoyed working with; I miss working with her. I will certainly take up her kind offer to follow up on the debate. I was particularly interested in her point about the NHS long-term plan and the important future for health visitors. I agree: when I was a new mum, the health visitor arriving each day was a really valuable service. That support from the health visitor was essential in starting me off on my parenting journey. I understand that the Minister is personally committed to developing that workforce, not only in numbers but in their range of skills, and that she is looking at what further roles they may play in providing this important training to new parents. Her suggestion that we work on that is really positive.

I will certainly take up the opportunity to evaluate the first aid courses that are available in my community in Cornwall and the impact that they are having not only on families, but on our local NHS. My hon. Friend the Member for Sleaford and North Hykeham warns me that the forms can be very long and that it can be an arduous process, but we will certainly give it a go. I look forward to working with my hon. Friend the Minister to do what all of us in this room want: to make sure that parents of any age get the best possible support in starting that amazing journey of being parents, so that all their children grow up to be healthy and happy, and we avoid all preventable deaths and injuries.

Question put and agreed to.

Resolved,

That this House has considered infant first aid training for parents.

Exiting the European Union (Food and Agriculture)

Sarah Newton Excerpts

Tuesday 19th March 2019 Commons Chamber

[Steve Brine]

I ask the hon. Gentleman to bear with me. I will definitely come on to that, in respect of all the SIs.

As I said to the hon. Member for Stoke-on-Trent Central (Gareth Snell), the purpose of the SIs is to ensure that UK domestic legislation that implements directly applicable EU regulations continues to function effectively after exit day. The proposed amendments are critical to ensuring that there is minimal disruption to novel foods, feed additives and other regulated products collectively if we do not reach a deal with the EU.

The first SI, the Materials and Articles in Contact with Food (Amendment) (EU Exit) Regulations 2019—also known as Food Contact Materials—refers to all items that are intended to come into contact with food, both directly and indirectly. They include processing line machinery, transport containers—not vehicles, but the actual containers of food—kitchen equipment, packaging, cutlery as sold and dishes and utensils as sold, and can be made from a variety of materials including metal, paper, plastic, wood, rubber and, indeed, ceramics.

Let me say for the benefit of Members who do not live and breathe these regulations, in the unlikely event that there are any, that specific examples of food contact materials are tin cans for holding baked beans and plastic bottles for holding water. The regulations will ensure that those materials are robust enough to do the job, but safe enough to do it without transferring anything to the foodstuffs.

The instrument is critical in meeting our priority of maintaining after we leave the European Union the very high standards of food safety and consumer protection that we currently enjoy in this country. It will ensure that provisions in four main pieces of EU food contact materials legislation continue to function effectively in the UK after exit day. The first is European Commission regulation 1935/2004, which sets out the framework for all materials and articles intended to come into contact with food. The regulations then become progressively more specific. The second is regulation 10/2011, on plastic materials and articles intended to come into contact with food. The third is regulation 450/2009, on active and intelligent materials and articles intended to come into contact with food. The fourth is regulation 2023/2006, on good manufacturing practice for materials and articles intended to come into contact with food.

The instrument also makes relevant changes to other specific technical pieces of legislation on individual types of food contact material. It will ensure that regulatory controls for food contact materials continue to function effectively after exit day, that public health continues to be protected, and that high standards of food safety are maintained. Consumers must be protected against potential adverse effects of exposure to some substances used in the manufacture of materials and articles that are in contact with the food that we eat. The instrument will ensure that the effectiveness of the controls that we have is maintained.

This instrument, and the other SIs that we are debating today as part of the fourth and final bundle, will transfer responsibilities incumbent on the European Commission from Ministers in the European Council to Ministers in England, Wales and Scotland and the devolved authority in Northern Ireland. It will also transfer responsibility currently incumbent on the European Food Standards Authority to the relevant food safety authority: the Food Standards Agency, for which I hold ministerial responsibility in England, Wales and Northern Ireland, and Food Standards Scotland north of the border. The change will also ensure a robust system of control to underpin UK businesses’ ability to trade both domestically and internationally.

Let me now say something about the impact of this instrument on industry. The proposed amendments are expected to have a very minimal impact on businesses that produce or use food contact materials or articles. Existing provisions have received very positive feedback from our previous consultations, and there is no evidence that the changes required will be detrimental to industry. I was asked about the devolved Administrations. They have consented to the instrument. We liaise closely at official level with our opposite numbers, and, as with the instruments that we have already debated, throughout this month we have engaged positively with the devolved Administrations throughout the development of these instruments. Let me place on the record again my thanks to them for their positive engagement with me and my team.

[Sarah Newton (Truro and Falmouth) (Con)]

I am pleased by the Minister’s reassurance about the commitment to the extremely high standards of food safety that exist in our country, but will he consider making some improvements as we take on this responsibility in our sovereign Parliament? A number of my constituents are worried about claims that many of the plastic items used to store and protect food are biodegradable or recyclable when that is actually not true. Will the Minister consider improving the current standards in future, so that we can have proper regulation and proper communications about how biodegradable or recyclable plastics really are?

[Steve Brine]

It is good to see my hon. Friend here, but not so good to see her there. She knows what I mean.

Along with the shadow Minister, the hon. Member for Washington and Sunderland West (Mrs Hodgson), I chaired the all-party parliamentary group on breast cancer for many years. There is definitely talk in the lobbying community about plastics and their impact, and, as the hon. Member for Washington and Sunderland West knows, pieces of academic work make claims in that respect. Those claims are certainly not proven, and there is a wide range of scientific debate about them.

I take my hon. Friend’s point about biodegradable plastics, but it is not specifically a matter for me. The instruments deal with food standards and food safety. They do not make any degradations in our food safety, but neither do they make any improvements; they are housekeeping measures.

The second SI, the Genetically Modified Food and Feed (Amendment etc.) (EU Exit) Regulations 2019, is also crucial to meeting our objective of ensuring that the current high standards are maintained. It was made under the powers in the European Union (Withdrawal) Act 2018 to make necessary amendments to retained EU genetically modified food and feed law. It will ensure that regulatory controls for GM food and feed continue to function effectively after exit day, and that public and animal health and, crucially public confidence are protected. The EU law governing GM food and feed provides a harmonised regulatory framework, including transparent and time-limited procedures for robust risk assessment and authorisation before these products can be placed on the market, and we believe that those strict controls must be maintained.

Integrated Care Regulations

Sarah Newton Excerpts

Monday 18th March 2019 Commons Chamber

[Sarah Newton (Truro and Falmouth) (Con)]

Promoting integrated health and care services for my constituents in Cornwall has been a top priority for me since I was elected in 2010. I am delighted that promoting integrated care is a priority for the NHS long-term plan, enabling an NHS that is increasingly joined-up and co-ordinated, overcoming the traditional barriers between care institutions, teams and funding streams.

The NHS has been developing, testing and evaluating new models of care to integrate services for some time. I was delighted to support the Kernow clinical commissioning group to participate in the integrated care and support pilots, a precursor to the vanguard programme. The vanguard programme built on that work, and evaluation shows that the new models of care enabled more people to be cared for closer to home and at home, supported by joined-up services. That leads to fewer unplanned and emergency admissions to hospital.

That learning is enabling the further changes that this SI will make. I know from conversations that I have with local commissioners of health and care services that, too often, different funding streams, organisational structures and governance arrangements get in the way of commissioning patient-centred, joined-up services for people who need support from NHS primary and secondary care, as well as Cornwall Council. The integrated care contract that we are considering tonight has been carefully consulted upon and will give a new opportunity and more choice to local health and care professionals on how they can improve the services that they provide locally. No two communities are the same. Providing world-class health and care services to people in Cornwall needs a very different approach from the approach in Manchester. I welcome the intention of the SI to enable the right clinical, organisational and financial incentives for providers to collaborate to deliver preventive, proactive and co-ordinated healthcare for the communities that they serve. This is an important SI that will enable improved patient care and I am delighted to support it tonight.