(1 week, 5 days ago)
Commons ChamberThe hon. Gentleman makes a fair challenge on the bureaucratic nature of decision-making. We are working with Treasury Ministers and colleagues across Government to take an axe to that unnecessary bureaucracy. He will be absolutely fuming when he finds out who was responsible for it.
I am conscious that my former colleagues at NHS England will be concerned about today’s announcement, but I am very confident that the Secretary of State will do all he can to support them. It is an inescapable fact that the 2012 reorganisation led to inefficient layers of management in the NHS, delivering poorer care and greater costs to the taxpayer. How does he plan to cut excessive layers of bureaucracy, get resources to the frontline and, crucially, deliver better care for the people of this country?
That is a brilliant question. We have put in place a transformation team, led by Sir Jim Mackey, which we will work with to start fundamentally changing the way the NHS works, by shifting more power, resources and responsibility out of Whitehall and closer to the frontline and the communities where decisions are made, and by getting rid of the unnecessary bureaucracy that drives patients and staff to distraction.
(2 months, 1 week ago)
Commons ChamberTwenty years ago this month, both my parents died aged 60, of cancer. They died just one week apart, but that is where the similarities ended. My father died a horrible death, receiving very poor—if any—palliative care. My mother won the postcode lottery, if you like, and passed away in the Royal Stoke, in Stoke-on-Trent, where she received superb care and died a dignified death. I live with the twin legacies of those deaths. I stress to the Minister the importance of ensuring that trained palliative care staff are spread equally throughout the country. It is vital. It makes a difference.
Stoke-on-Trent has also won the postcode lottery in a way, with our excellent hospice, the Dougie Mac. Having merged with the Donna Louise children’s hospice, it now provides care for all people of all ages across north Staffordshire. It provides many innovative services, including a dementia care service and a rapid response ambulance service, which responds for patients at the end of their lives. Instead of taking them to A&E, they travel to the hospice. That saves the local hospital 350 A&E visits a year, saving on ambulances and saving the trust money. Unfortunately, the hospice does not receive any funding to help deliver that service. I want to take the opportunity to put on the record my thanks to the chief executive, who I spoke to at great length recently, to all the staff across both sites, in Blurton and Trentham in my constituency, for all the work they do, and to all the amazing volunteers in the shops throughout Stoke-on-Trent.
I welcome the Government’s commitment to funding hospices and the £100 million injection, but like everyone else I support ending the postcode lottery. We must end inequality in the delivery of service and we must provide a more sustainable model in future.