(10 months ago)
Commons ChamberAbsolutely. I am happy to do that, and I would encourage all local authorities across the country to make best use of the funds that are available to them.
Let me turn to mental health and counselling services. As my hon. Friend the Member for Watford discussed, surviving a heart attack can have significant psychological impacts on individuals and their families, and I am grateful to him for sharing his own experience so powerfully. Integrating NHS talking therapies with physical health services can provide better support to people with combined physical and mental health needs, including people with cardiovascular disease.
The right hon. Lady is making an important point. This should not be a bolt-on. It should be part and parcel of the treatment. We tend to address the physical side of the illness, open the door and away we go, and we do not ask people about some of the issues that they are struggling to cope with.
I completely agree with the right hon. Gentleman. As part of the NHS long-term plan, all integrated care boards are expected to expand services locally by commissioning NHS talking therapies services integrated into physical healthcare pathways. I encourage anyone experiencing symptoms of depression, anxiety or post-traumatic stress disorder, even a long time after the event, to reach out to their GP or NHS talking therapies for support.
To conclude, I thank my hon. Friend for raising such an important issue. Across the House we all share the ambition to bring down premature deaths from heart and circulatory disease. Specifically, this Government aim to prevent 150,000 heart attacks, strokes and dementia cases in the next five years. Prevention is not only kinder but so much cheaper than cure.
(6 years, 10 months ago)
Commons ChamberThere has been much extensive consultation, formal and informal, over many years, so that is not the case. In fact, reports from the Joint Committee, the Public Accounts Committee and the Treasury Committee, and the recent financial and explanatory memorandums, have all been useful tools for Members and staff of this place, who wish to acquaint themselves further with the issues around cost and complexity. These documents have also made clear the wide range of views on costs and varying approaches to the works.
As someone who served on the R and R Committee, I can assure my hon. Friend the Member for Ealing North (Stephen Pound) that there was consultation, and we were very keen that the staff of the Palace were very much involved in this whole process.
I am grateful to the hon. Gentleman for his clarification and grateful to him also for his contribution to the Joint Committee.
That brings me to motion No. 2. If the House accepts that it will bear the cost from the taxpayer’s purse, it will be concluding that the work should be undertaken only on the basis of the most robust cost assessments possible. So the second motion seeks to establish an Olympic-style delivery authority, overseen by a sponsor board that will have a majority of members who are parliamentarians. That would produce up-to-date, fully costed proposals for restoration and renewal as soon as possible. The establishment of an Olympic-style delivery authority with external professionals will guard against unacceptable cost and timetable overruns of the sort that we saw with the Elizabeth Tower refurbishment.