Oral Answers to Questions

Debate between Alistair Burt and Helen Goodman

Tuesday 4th September 2018 Commons Chamber

[Alistair Burt]

Of course, the right hon. Gentleman is right; Israel cannot be expected to find an accommodation with terrorist groups that seek an annihilation and the extinction of the country. However, there are opportunities to make progress on that. Hamas’s position is in contrast with that of the Palestinian Authority, who have accepted the existence of Israel and worked with it on security matters in the past 20 years. A resolution has to be just to all sides in the situation, but Hamas’s position cannot hold.

[Helen Goodman (Bishop Auckland) (Lab)]

I welcome what the Minister has just said about new funding for UNRWA. Labour has been saying for months that proposed cuts from Donald Trump would damage Palestinian schooling and education and harm the peace process. Will the Foreign Office also now take the lead in organising an international emergency conference, so that others may also pledge more support?

[Alistair Burt]

I am grateful for the hon. Lady’s support, and it is a common view in the House. We have increased funding more than once during this year, and more than £40 million extra has been brought forward to support UNRWA. I spoke to the commissioner-general about education in particular. He has the funds to open the schools at present and keep them going, but this will depend on further funding decisions in the future. I hope that we will be able to take part in mutual discussions at the UN General Assembly with other states that are affected. This is not just about the west bank and Gaza; it is also about Jordan and Lebanon. It is about places where children are getting an education. We are talking about an education that is gender neutral in a way in which other parts of the education system in the region are not. The question is: if UNRWA does not provide the education, who might? That is why it is so important to keep this going.

Draft Pharmacy (Premises Standards, Information Obligations, etc.) Order 2016

Debate between Alistair Burt and Helen Goodman

Tuesday 1st March 2016 General Committees

[Alistair Burt]

I am grateful to the Committee for its response and appreciate the support for the draft order in that narrow part of our discussion. I did anticipate that one or two other issues might be raised. With your permission, Ms Dorries, if you feel that those contributions were in order, I am happy to respond briefly.

The draft order is set in the context of the changes being proposed to community pharmacy. Let me lay out, as best I can, what the Government have in mind. In essence, we want to see community pharmacy better integrated into primary care, by increasing the number of pharmacists who bring their skills to GP practices, care homes, and urgent care and public health settings. We need a clinically focused pharmacy service, better integrated with primary care and public health, in line with the five year forward view.

We are consulting with the pharmacy sector and patient groups on how to introduce, for example, the pharmacy integration fund. That will transform how pharmacists operate in the NHS, reducing pressure on A&E and GPs by making better use of pharmacists’ terrific clinical skills to help deliver seven-day health and care services. Proposals for discussion include more pharmacists in GP practices, working closely with GPs to optimise the use of medicines and promote healthy living; patients often seeing a pharmacist instead of a GP, particularly for minor ailments, adding capacity to the system and freeing up appointments; establishing a named pharmacist in care homes who can discuss and review medicines and work with the patients to get the best possible outcomes; and integrating pharmacists as part of all care processes as standard, as a key means of maintaining public health and preventing ill health.

We want to see that development in pharmacy, and to an extent we are going with the grain of what the pharmacy sector has been looking for for some time. Studies by the Royal Pharmaceutical Society and the Nuffield Trust say that pharmacy needs to change, and needs to recognise that it can contribute further to the NHS, in addition to the excellent services that are based in more and more high street pharmacies. Not all high street pharmacies provide the same services; one issue is that some 40% of pharmacies are in a cluster of three or more pharmacies within ten minutes’ walk.

To address the point made by the hon. Member for Bishop Auckland, we are proposing an access fund whereby more NHS resources will be devoted to pharmacies in areas where the cluster argument does not apply. Quite sensibly, no one wants to lose a pharmacy; if a pharmacy finds itself having difficulties with the new financial regime, we want to make sure that it is able to continue. Discussions are already proceeding with pharmacy representatives about how the access fund will be set out, because there must be national standards—a set of rules to let people see how things are done.

We feel that the combination of the access fund, which will make sure that pharmacies in key areas can continue their work, with the integration fund, which will assist more pharmacists to work in different settings, is what pharmacy needs. Let me be honest among all colleagues: it would be great if that could be done against a background of no reductions in finance, or ever more finance going in, but we are not in that situation. We need to fulfil the commitment, made by my party at the general election, to put more funding into the NHS. That £8 billion commitment is now a £10 billion commitment by 2020. All colleagues know that it is not just about the extra money; it also depends on the £22 billion of efficiencies set out by Simon Stevens, chief executive of the NHS. All parts of the NHS need to contribute to those efficiencies, and that includes pharmacy. It is the Government’s genuine belief that, even within the new envelope that will provide £2.63 billion to pharmacy this year, it will be possible for pharmacies not only to continue their excellent work, but to develop it in the ways that I have set out and that we believe pharmacy wants as well. That is what we intend.

There will be an opportunity for further discussion and debate about this; I know colleagues are receiving letters about it, so the debate has some way to go. We are in discussion and negotiation with those who represent pharmacies; there is an interesting conversation taking place and we want to see it continue.

[Helen Goodman]

Is the £2.6 billion subsidy partly for medicine, or is it a subsidy for the infrastructure of the pharmacy network?

[Alistair Burt]

I would not say that this is a subsidy. It is payment made by the NHS and the taxpayer for the provision of premises and the work that pharmacists do. It is essentially more about infrastructure. The drugs bill is beyond that; that is the agreement. It is still a significant amount of money that will go into the provision of services. Where we find pharmacy services looking to work in different ways, which is already happening—there are pharmacists in GP surgeries and on some hospital wards—we want to encourage that process, without damaging the exceptionally good high street service that is provided by the majority of pharmacists, which we want to see continue.

The draft order fits in with that approach by changing the rules on the regulation of premises. It will make sure that the regulators can do their job in the way we all want to see—with procedures for guidance, as opposed to strict legislative rules. This is in line with the autonomy of professional regulatory bodies that the profession and the Government are looking for. I am grateful for the Committee’s support.

Question put and agreed to.

Oral Answers to Questions

Debate between Alistair Burt and Helen Goodman

Tuesday 15th March 2011 Commons Chamber

[Helen Goodman (Bishop Auckland) (Lab)]

T6. Yesterday in the House the Prime Minister said that he wanted to establish dialogue with the opposition in Libya. Unfortunately, over the past five days, my constituent Dr Burwaiss, who has contacts in the national liberation council in Benghazi, has had extreme difficulty, despite his and my efforts, in finding out where and to whom information should be sent. Can this now be corrected?

[Alistair Burt]

I thank the hon. Lady for her question; we have spoken about this over the weekend. The ambassador to Libya, Richard Northern, is working on all available contacts, including the relatives of the gentleman whom the hon. Lady has mentioned. We will make sure not only that contact is made as best as possible but that information is passed back to her constituent.