Health Infrastructure Plan

Scott Mann Excerpts

Monday 30th September 2019 Commons Chamber

[Edward Argar]

At the risk of being a little brief at this point—yes.

[Scott Mann (North Cornwall) (Con)]

Many of my constituents have a two-hour round trip to access an acute general hospital, so they are jumping for joy at the opportunity of getting more money for the cottage hospitals or for a new general hospital in Cornwall, but what reassurances can the Minister give my constituents that this is more than just an aspiration for the people of Cornwall?

[Edward Argar]

My hon. Friend is absolutely right to highlight the need for access to facilities in his county, given its geography. I have been clear today, the Secretary of State has been clear and the Prime Minister has been clear in our commitment to the list of schemes that we have said will get the HIP 2 funding. I know that officials in my hon. Friend’s trust will be looking forward to working with him to develop their proposals.

Services for People with Autism

Scott Mann Excerpts

Thursday 21st March 2019 Commons Chamber

[Scott Mann (North Cornwall) (Con)]

It is a pleasure to follow my south-west colleague, the hon. Member for Bristol West (Thangam Debbonaire), in this important debate. The National Autistic Society says that there are around 700,000 people on the autistic spectrum in the UK, which is more than one in 100. This means that autism is part of daily life for around 2.8 million people, when we include their families. I therefore welcome this debate on services for people with autism, and I would like to raise two specific points in my contribution today.

First, at my surgery last week, I had the pleasure of meeting a chap called Tigger Pritchard, who is the champion for the National Autistic Society in Cornwall. He is running a great campaign to make Bodmin in my constituency the first autism-friendly town in Cornwall, following the example set by the town of Aylesbury in the constituency of my right hon. Friend the Member for Aylesbury (Mr Lidington).

Tigger has been sending letters to businesses in Bodmin telling them of the opportunities that they have to help people with autism and their families to become less socially isolated. For example, if shops were to have a period of time in the day when they turned their music down or off, dimmed their lights, reduced till noise and developed staff knowledge of autism, people on the autistic spectrum would have more access to their services. Tigger has had a great response from businesses in Bodmin in the weeks coming up to April, which is Autism Awareness Month. My team and I will be meeting him again so that we can learn a bit more about autism. Should Bodmin manage to become an autism-friendly town, I hope that it will inspire many other communities in Cornwall and across the UK to become more autism friendly.

The second issue I would like to raise relates to the inquiry into the detention of young people with learning disabilities that is being undertaken by the Joint Committee on Human Rights, of which I am a member. Following the 2011 Winterbourne View abuse scandal, the Department of Health and Social Care’s policy response, “Transforming Care” declared that hospitals were not places where people should live. The “Transforming Care” policy regrettably missed its target to move those who were inappropriately placed in hospital or mental health care to community-based support no later than 1 June 2014. I welcome the renewal of the Government’s efforts to ensure that people with autism are not inappropriately placed in hospital care, and NHS England’s efforts to ensure that a similar scandal does not happen again.

On 9 January, the Committee heard evidence for its inquiry from the deputy chief inspector of hospitals at the Care Quality Commission, as well as from NHS England’s national director for learning disabilities and its current national clinical director for learning difficulties. In my view, we need to improve diagnosis and help people as quickly as we possibly can, and I welcome the new approach that NHS England has brought to its complaints procedure. It is called “Ask Listen Do”, and it allows feedback from people with autism and their families to be given and received by organisations more easily, and provides opportunities to improve the experiences of people with autism, but there is still more work to do. There is a long-standing problem of families and carers being excluded from care decisions and not given appropriate information, as we have heard from my hon. Friend the Member for Bexhill and Battle (Huw Merriman). Moreover, data from the Assuring Transformation collection shows that, although by the end of October 2018 the number of people in learning disability and autism in-patient settings was down from March 2015, the number of under-18s in those settings had more than doubled, to 250.

I encourage people to submit written evidence to the inquiry, so that we can explore how and where we can improve services for those on the autism spectrum. I also want to take this opportunity to encourage all my colleagues in the House to use Autism Awareness Day on 2 April to learn more about autism and to encourage change in their communities to accommodate people on the autism spectrum and their families better. Tigger has kindly offered to come into my office in Cornwall and give us a half-hour training session so that my office can be much more autism aware, and I hope that colleagues will take similar opportunities.

Oral Answers to Questions

Scott Mann Excerpts

Tuesday 23rd October 2018 Commons Chamber

The Secretary of State was asked—

[Scott Mann (North Cornwall) (Con)]

1. What steps he is taking to introduce innovative technology into the NHS.

[Julian Sturdy (York Outer) (Con)]

14. What plans the Government have to improve access to innovative treatments and technologies in the NHS.

[The Secretary of State for Health and Social Care (Matt Hancock)]

We are bringing a tech revolution to the NHS to improve patient outcomes and reduce waste. Today I am delighted to announce the selection of the first batch of products under the accelerated access collaborative, as well as funding for tech test beds to ensure that more patients get faster access to the most effective innovations.

[Scott Mann]

I am grateful to the Secretary of State for his answer. Will he expand further on the recent announcement of the wave 2 test beds project and how it could deliver better outcomes for my residents down in Cornwall?

[Matt Hancock]

The tech test beds programme is about ensuring that we have units around the country that will support local collaborations between the NHS, tech companies and academia to harness new technologies right across the land, including—and no doubt—in Cornwall.

Mental Health Units (Use of Force) Bill

Scott Mann Excerpts

3rd reading: House of Commons
Friday 6th July 2018 Commons Chamber

[Scott Mann (North Cornwall) (Con)]

I rise to speak in support of the Bill. I congratulate the hon. Member for Croydon North (Mr Reed) on getting the Bill to this stage and his work to make sure that people who are detained in mental health units have proper rights and are properly protected. I welcome the fact that the Government support the Bill and that reforms to mental health legislation are on their agenda.

Our understanding of mental health has progressed by leaps and bounds since the Mental Health Act 1983 was introduced. We need mental health legislation that is fit for purpose in our modern times and that gives better protection to people with mental health challenges, and we need better guidance and training for those who are there to help. That is why it is right that we introduce reforms and why I will support the Bill today. Although it focuses only on a specific part of mental health provision, it will nevertheless make sure that better protections are in place.

One big issue in recent years has been the detention of people with mental health problems in police station prison cells, where they do not have the appropriate level of support which they would have access to in a mental health unit. The problem is twofold: first, there are problems with the process and resources at police stations for looking after people with mental ill health; and, secondly, there is a lack of mental health beds in many local communities. Both issues are being addressed through increases in mental health funding, with the Government pledging an additional £1 billion between 2016 and 2021.

I was pleased to hear in March that the number of people being detained in police cells in Devon and Cornwall when suffering a mental health crisis was zero, and I hope that is still the case. I look forward to seeing the numbers and hope that they are still very low. Since 2013, the figures for the number of people put in a cell alongside offenders, under section 136 of the Mental Health Act, have steadily decreased, from 800 to just 31 in 2017.

I welcome clause 2, which will ensure that mental health units have registered managers, and clauses 3 and 4, which will ensure that those managers will publish a written policy regarding the use of force on patients and that there is information explaining patients’ rights in relation to the use of force. I am particularly pleased that clause 5 will ensure that the appropriate training is in place for staff who work in mental health units. That will include making sure that staff involve patients in the planning, development and delivery of care in the unit. The risk associated with using force, its effect on a patient’s mental and physical health, and any use of force could all affect a patient’s development.

I welcome the provisions in the Bill on the use of video recording in units to make sure that any use of force is transparent and accountable. In pursuit of a more transparent system, I support clauses 8 and 9, which legislate for the publication by the Secretary of State of statistics on the use of force and an annual review of any deaths that result from the use of force. It is important that we learn from tragic incidents such as those we have heard about during our consideration of the Bill. The publication of statistics and the review of incidents will make sure that the legislation continues to work properly into the future and that patients are protected.

Once again, I welcome the Bill and the reforms that it will introduce. I wish the hon. Member for Croydon North every success in getting it through Parliament.

Health and Social Care (National Data Guardian) Bill

Scott Mann Excerpts

3rd reading: House of Commons & Report stage: House of Commons
Friday 6th July 2018 Commons Chamber

[Scott Mann (North Cornwall) (Con)]

The hon. Gentleman might or might not be aware, but in Cornwall we have a higher proportion of cases of glaucoma than any other place in the country, and we know no reason why. Does he agree that sharing information on that could help us to understand why some of these complex conditions occur? Does he also agree that when the Data Guardian is in place, they might be able to look at and break down the data to work out why some of these conditions exist?

[Justin Madders]

The hon. Gentleman is absolutely right that there are many variations in conditions and, indeed, outcomes throughout the whole country. The importance of data in establishing patterns cannot be understated.

--- Later in debate ---

[Peter Heaton-Jones]

I hope for both. It is really important that we do not rest on our laurels and simply say that the powers currently held by the guardian are sufficient. She must be given the right to look forward to ensure that in future, as technology changes and advances—as it inevitably will—she is able to encourage other stakeholders, lawfully and in a secure way, to ensure that the data that is provided by NHS patients is used by the many organisations that would need to share it in a secure and safe way.

[Scott Mann]

In my view, one of two things was going to happen after the Cambridge Analytica scandal: either individuals would be in charge of their own personal data or, as the Government have rightly done, we would have a national database that is under one person’s ownership and guardianship. As my hon. Friend the Member for Croydon South (Chris Philp) said, that information can then be used to promote and encourage technological innovation to help people with some of these conditions. Does my hon. Friend agree that, in rural areas such as his and mine, that would be hugely beneficial?

[Peter Heaton-Jones]

That is absolutely the case. I touched on why the new technology that will be used for healthcare provision is so important, particularly in rural areas such as ours, in North Cornwall and North Devon. We need to ensure that everybody is sure that their data is securely held, processed and used. In areas where these healthcare technology advances would be particularly beneficial, such as my hon. Friend’s constituency and mine, people must not be prohibited or inhibited from giving the necessary data simply because they are not sure how secure it will be. Such a situation might mean that they do not get the healthcare treatment using this new technology that they can specifically benefit from due to the geographic challenges we have discussed in our areas.

Although the role of the National Data Guardian for Health and Social Care was established in November 2014, it was always the intention that it be put on a statutory footing, which is why I am so pleased that we have reached this stage. That was also, I am bound to say, a commitment in the Conservative party’s 2017 manifesto, on which this Government were elected. I am really pleased that here we are, a year on—a relatively short space of time in the proceedings of this place—only a short step away, I hope, from enacting that manifesto commitment.

The Bill has cross-party support. As my hon. Friend the Member for Wellingborough said, all the Opposition parties have shown their full support for the Bill, which is really important. Devolution was mentioned in an earlier intervention. It is right that the Welsh Assembly and the Scottish Government look closely at adopting a similar position, and they have, if I might say so, the perfect blueprint for doing so thanks to the hard work of my hon. Friend the Member for Wellingborough and, before him, my hon. Friend the Member for Bury St Edmunds.

We have here the solution to a potential challenge. If we get this right, it could revolutionise the way we are able to treat people in our health and social care system in the future. Data and privacy are without a doubt two of the big issues of our age. If we get this right, the potential to improve services and patient outcomes is huge. The Bill is a very important step forward in doing that. I wholeheartedly support it.

ME: Treatment and Research

Scott Mann Excerpts

Thursday 21st June 2018 Westminster Hall

[Carol Monaghan]

I was not aware of that specific centre, but I am aware that almost all the biomedical research currently taking place in the UK is funded by charities and patient groups, rather than by the Government or research councils.

Interestingly, Professor Sharpe, one of the authors of the PACE trial whom I already mentioned, emailed me this week and told me that my behaviour is “unbecoming of an MP”. I say to Professor Sharpe that if listening to my constituents, investigating their concerns and taking action as a result is “unbecoming”, I stand guilty. [Hon. Members: “Hear, hear!”] If Members of Parliament are not willing to stand up for the most vulnerable in society, what hope do any of us have?

[Scott Mann (North Cornwall) (Con)]

The hon. Lady is making an exceptionally good point about this whole challenge, and the number of Members in the Chamber is testimony to her leading an exceptional debate. Many of my constituents have written to me about this issue. Is the thrust not that the ME community needs to be listened to more broadly in the review by the National Institute for Health and Care Excellence?

[Carol Monaghan]

NICE has said that it will review its guidelines and talk to patient groups and ME charities in doing that. We must continue to urge it to ensure that that is the case, because those best placed to talk about the impact of the current guidelines and what should be in future guidelines are those living with ME.

Social Care

Scott Mann Excerpts

Wednesday 25th April 2018 Commons Chamber

[Scott Mann (North Cornwall) (Con)]

It is a pleasure to follow the hon. Member for Redcar (Anna Turley) and to take part in this very important debate. For me, this is the biggest service delivery challenge that we face as a nation. The UK has an ageing population and a finite amount of money, regardless of what Members on some Benches in this place say. We have to focus on delivering outcomes for people. Sometimes that gets lost when we are chasing our tail and focusing on dealing with conditions, rather than with prevention. We face a challenging environment in terms of service delivery. That is why I would support a royal commission on social care, and I agree with and echo the sentiments of my right hon. Friend the Member for Ashford (Damian Green) on that.

In Cornwall, the challenges are compounded, and let me explain why. The last census showed that 22% of people in Cornwall were over 65, and this will increase as more and more young people leave the county to seek work or a career. I believe that the next census will show that the problem has been compounded even further. As for the rural sparsity of Cornwall, we have 550,000 people in this county of ours across almost 150 miles of coastline. Traditionally, we have had a low-wage economy and a much less competitive marketplace, particularly in care. This highlights the rural productivity lag and the economic challenges facing the day-to-day delivery of care in our area. It is the perfect storm.

A typical day for a carer in Cornwall might involve long journey times to make care visits, difficulties parking and meeting care time targets and delivering complex care in pressured timeframes, and when people step in to cover sickness or pick up a complicated care package because someone is away, it can be particularly difficult. It is easy to see why people might choose to work in a supermarket or another career, rather than work in the care sector, but there might be light at the end of the tunnel. Recent changes implemented by the Royal Cornwall Hospital, which now agrees care packages when people arrive at hospital, have improved the system, increased bed capacity and helped people return to their own beds—in my view, a person’s own bed is the best bed for them. The £12 million the Government recently provided to Cornwall Council, for which I thank them, has also helped.

Technology, which has been alluded to, has a huge part to play in delivering care in rural communities. There are big opportunities here. The roll-out of 4G, 5G and broadband will make rural communities much better connected, while the GovTech initiative, which the Government recently announced, is looking at health provision. We have a chance to utilise technology to take a much more community-focused approach to care. The Post Office has a part to play as well. I recently attended a dinner hosted by the Post Office, and what it does in terms of care in the community should be welcomed.

I am vice-chairman of the Parliamentary Internet, Communications and Technology Forum, and I had a very interesting discussion with somebody recently about a social care app they were developing to provide a care service that works in much the same way as Uber, by linking purchasers and care providers, and which could cut out some of the top slicing by private providers and local authorities and put that money directly into the pockets of carers, who, instead of surviving on the national living wage, could see a significant uplift in income.

It is vital that we retain good people in the profession and boost morale. If we can create a better and more effective system in our rural areas, that is what we should do. So I say to the Government: be bold, go for the technology and see what we can do. The provision of social care needs to be much more socially inclusive and decentralised. We need to empower individuals—both carers and their loved ones—and create a balance that puts rural communities on a level playing field with urban communities. This matters to people in North Cornwall and so it matters to me. I want to make sure we get it right.

[Kelvin Hopkins (Luton North) (Ind)]

It is a pleasure to speak once again in a debate on this important subject. I applaud my hon. Friend the Member for Worsley and Eccles South (Barbara Keeley), the Labour Front-Bench spokesperson, who has made this speech before and been resolute in standing up for the care industry, and I support the Labour motion, which is very good. The hon. Member for Central Ayrshire (Dr Whitford), who spoke for the Scottish National party, also made some very important points.

I support what the royal commission on long-term care for the elderly said 19 years ago: long-term care should be free at the point of need and paid for out of general taxation. I want to go beyond what Labour is saying at the moment, however, which I applaud and support, and look to a world with free long-term care and a care service run on exactly the same basis as the national health service. We were moving in that direction just before we lost office in 2010. The then Secretary of State for Health suggested a national care service like the national health service. I intervened on him and said, “Yes, and paid for out of general taxation and free at the point of need,” but we did not get it. We did not get the support all those years ago, despite the support of many Members for the royal commission report, strong support in the country and a trade union-led campaign calling for free long-term care. It was all to no avail and so the issue has rumbled on ever since. The issue did not go away, however, and I raised it myself in the Chamber several times over those years.

Eventually, the Dilnot commission was set up, and in its 2012 report it recommended a compromise. Sir Andrew Dilnot, whom I know well, is a superb man, and he did a brilliant job. He came up with a compromise that he thought might be worn by the Treasury, proposing that self-funding should be capped at £35,000 for a lifetime. The Government dragged their feet and resisted, but eventually, after wriggling a lot, they agreed to a lifetime cap of £72,000—twice the amount that Sir Andrew had suggested. Even then, however, that was deferred until 2020, and now it seems to have been deferred indefinitely. We are well away from where we should be. Scotland, of course, has had free care, and I applaud Scotland for that. I do not know why we should not follow suit.

If self-funding affected only the wealthy, it would not be such a worry, but it actually affects millions of working-class families. The first generation who became owner-occupiers have been particularly badly hit. Successive Governments have wrung their hands about the difficulties experienced by young people in achieving owner-occupation, while at the same time cutting off one of the only possible routes to owner-occupation for many: the cascading of family equity down the generations, whereby the capital in Granny’s home passes down to grandchildren when she ends her days.

I hold resolutely to the view that long-term care should be free to all, and funded from progressive taxation at the point of need. I am not too concerned about how that taxation is raised—it could be national insurance, income tax or a hypothecated tax—but the money should come from general taxation.

[Scott Mann]

The hon. Gentleman is making a valid point about the funding of care, but I should be interested to know whether he considers the use of technology, which I mentioned and which was mentioned by a couple of my colleagues, is an option that might enable us to do things slightly better.

[Kelvin Hopkins]

I am always in favour of improving the way we do things, and technology is of course important.