(4 years, 1 month ago)
Commons ChamberMy hon. Friend raises a very important point. As I mentioned in response to the first question, we now have referrals back up to over 80% of pre-pandemic levels, but we need to get that up further, because we all know that early diagnosis saves lives. I am also very glad to be able to report that in July, on the latest data, over 90% of patients saw a cancer specialist within two weeks of a referral from a GP, and 95% of patients receive treatment within 31 days of a decision to treat, so those referrals are leading to the action that is necessary. It is very important that the message goes out that the NHS is open, and anybody with a concern over cancer should come forward and they can get the treatment in a safe way that can help to save their lives.
In June’s departmental questions, I pressed Ministers on the cancer backlog that has grown so greatly under covid, so it was alarming that despite those ministerial assurances, between August and September, with infection rates being much lower than they are today, the waiting list to see a specialist grew by 16%. Things will only get harder now that infection rates are rising and with the NHS facing winter pressures, so will the Secretary of State give us a categorical assurance that he has a cancer recovery plan, and that it will drive down the waiting lists each month for the rest of the year?
Yes, absolutely. I think we agree right across the House on the importance of this agenda. The first and most important part of it is to bear down on the long waits, because the longer that people wait, the more dangerous cancer can become. That is happening, and we also have to make sure we bring the referrals forward, because we do not want to have fewer people referred for the diagnostics. At the same time, we are expanding the diagnostics that are available, both in hospitals and increasingly in community hubs, which are safer from a covid point of view and, for the long term, will mean that diagnostic centres for things such as cancer can perhaps be on a high street or in the places where people live, so that they do not necessarily have to go to a big, acute hospital to get the diagnostics part of the pathway done.
(4 years, 2 months ago)
Commons ChamberThe flu vaccination programme this year will be the biggest in history. As I was going to say in my statement—I will say it now for my hon. Friend—we will be putting before the House proposals to expand the number of NHS qualified clinicians who can administer vaccinations, whether for the flu programme, which is coming, or for a covid vaccination programme, should a covid vaccine come out.
The NHS Confederation, the British Medical Association, the British Dental Association, NHS Providers, the Royal Society for Public Health and many health charities have expressed real doubts about the Secretary of State’s plans for Public Health England. It is evident that, come what may, he will have his own organisation for tackling disease and that, come what may, he will pick which of his pals he wants to lead it, but he seems to have ignored the fact that Public Health England also leads crucial work on tackling drug and alcohol misuse, reducing smoking, promoting sexual health and much more. Six weeks ago, obesity was the Prime Minister’s priority, and now the Health Secretary wants to cut the organisation that leads our fight against it. Will he end the confusion today by committing to the remaining functions of Public Health England continuing to be led by a dedicated national organisation?
The hon. Gentleman obviously did not read the announcement, because part of the purpose of having a dedicated national institute for health protection is also to ensure that the ill health prevention agenda—the health improvement agenda—is embedded in the health system, including the NHS. This is a good day to discuss this, because just this morning the NHS set out the next steps in its diabetes prevention and remission programme. Embedding the anti-obesity drive right across the health system, including the NHS, is a critical part of its future, and we are consulting widely on making sure we have the right and best organisational structure to deliver that.
(4 years, 8 months ago)
Commons ChamberNow that there is onward transmission in the UK, those sorts of measures are less efficacious. Of course, we have been doing that all along and strengthening it, but there are also those who said, “Go further and stop all the flights.” Of course, the Italians were the ones whose who initially stopped flights from China and ended up as the European epicentre of this anyway.
The Secretary of State has indicated a willingness to revisit the statutory sick pay issue if, as many of us think, the current arrangements do not go far enough. When will he make that assessment?
(4 years, 8 months ago)
Commons ChamberAs I have said several times, we are keeping this area under review. We are also looking into what we can do to support successful businesses that might have a short-term negative impact from some of the disruptions that have come with, and could come further with, coronavirus.
Sick pay and statutory sick pay can be complex, but there is one simple truth within that system: the poorer someone is, the poorer their protections are. Those very worst-off at work want clarity from us that doing the right thing and following the Secretary of State’s guidance will not put them at a detriment. Nothing in the public conversation and, frankly, nothing we have heard today gives me confidence to say that to people in my community, so will he take this opportunity to say, from the Dispatch Box, that not one single person in this country who is following his advice will suffer a detriment to their terms and conditions?
I have already made it clear that we have a robust statutory sick pay system in this country, that self-isolation counts as illness within that system and that we are keeping the system under review. So people can have confidence that, if they are asked to self-isolate, that is exactly what they should do.
(4 years, 10 months ago)
Commons ChamberCuts to local government budgets have led to cuts to public health budgets, which have led to cuts to preventive services, which have led to greater demand in A&E and social care. It is bad for individuals, and it is terrible for the health and social care system, yet this weekend, we saw media reports that there are more cuts coming to local government, especially in the poorest communities. Can the Secretary of State assure us that he will tell colleagues in the Treasury and the Ministry of Housing, Communities and Local Government that those cuts cannot take place?
I do not need to, because we are clear that there is an increase in the spending power of local authorities and in the public health grant.
(5 years, 7 months ago)
Commons ChamberUrgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.
Each Urgent Question requires a Government Minister to give a response on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
My hon. Friend makes an important point. The Border Force should not be criticised in this case, because it was following the rules: if a clinician has not signed something off it cannot come in. It is incumbent on us on the health side to sort out this problem. He makes a broader point, however, that this is a completely separate issue to the recreational use of cannabis. I do not support a change in the rules on the recreational use of cannabis; this is about the specialist provision of drugs to some children who are the most vulnerable people in society, and the need to ensure that the medical benefits of such drugs can be brought to bear on people who really need them.
Like many colleagues, I have spoken with parents of children who have profound challenges that could be ameliorated by medicinal cannabis. They are at their wits’ end, and it is no surprise to find that some in this country resort to desperate measures. I have listened for 45 minutes now and I cannot tell the answer to this question: is the Secretary of State really saying that we have a clear, universal, safe and compassionate approach to this issue and, if we do not, when will we?
I am saying that if a patient needs medicinal cannabis, and if a clinician will sign off on that need, the prescription can happen. The guidance from the association does not override the individual judgment of that clinician. That can happen but, because it has not been happening in many cases that have been brought to light, some privately and some very publically, I am putting in place a system of second opinions to ensure that we can get that clinical decision right, at the same time as developing a stronger evidence base for the future.
(6 years, 6 months ago)
Commons ChamberOverall in the UK, we have seen improvements of over 28% in download speeds over the past year, but it is frustrating that we have not been able to get as much broadband coverage in Scotland as we could have done, because the SNP Government in Holyrood have been sitting on millions of pounds of UK cash for over four years now.
In March, a Populus poll of premier league fans showed that 72% supported the introduction of standing areas at football grounds. Why does the Minister believe that only a “vocal minority” want this to happen, and where did she get the figures for such an assertion?
(6 years, 8 months ago)
Commons ChamberUrgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.
Each Urgent Question requires a Government Minister to give a response on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
My hon. Friend is quite right: we have to make sure that we have in place vibrant high-quality journalism and a free press that can hold the powerful to account. Some people may not like that, but it is an incredibly important part of having high-quality political discourse and, ultimately, liberal democracy as we know it. That is what we are focused on.
My hon. Friend mentions the costs, which I had not even come on to. The potential cost of another Leveson inquiry is estimated to be about £5 million. I think that that is money better spent ensuring there is a sustainable future for high-quality journalism.
The Secretary of State says it is not desirable to look at the events of the past because the Department is focusing its efforts on fake news and clickbait. Why can we not do both?
We have already had a full investigation, through Leveson, of what happened. The question now is what we do next.