Dentistry: Access for Cancer Patients

Debate between Andrea Leadsom and Yasmin Qureshi

Wednesday 17th April 2024 Westminster Hall

[Dame Andrea Leadsom]

No. How it works is that the ICB commissions dentists to provide NHS dentistry, and the NHS contractor undertakes to fulfil a number of units of dental activity. If they do not do that, for whatever reason, at the end of the financial year the ICB claws back the money they gave the NHS dentist to fulfil that contract. I am not judging anything; I am merely giving the hon. Gentleman information that I hope is helpful to him.

[Yasmin Qureshi]

Will the Minister give way?

[Dame Andrea Leadsom]

Yes, but I do not want to run out of time.

[Yasmin Qureshi]

On that point, it is very much an issue of being able to survive: many dentists say they return the units because if they took on all the NHS appointments, they would not be able to survive financially.

[Dame Andrea Leadsom]

I hear what the hon. Lady says. My own assessment is slightly different, but I obviously respect her view.

The hon. Member for Birmingham, Erdington (Mrs Hamilton) and I have worked together for many years on all matters to do with early years intervention. She made a really good point about less survivable cancers, but I would highlight to her the 160 diagnostic centres that are being opened, which will help with early detection. She also made some good points about the importance of good oral health assessments, and she is right to raise that. One thing I would point out to all hon. Members, which was astonishing to me when I came into this role in November, is that since 1948, when the NHS started, only between 40% and 50% of adults in England have ever received NHS dentistry. It is not like Scotland, where the hon. Member for Aberdeen North (Kirsty Blackman) said the number is 90%—is that the right number?

Early Years Family Support

Debate between Andrea Leadsom and Yasmin Qureshi

Tuesday 16th July 2019 Commons Chamber

[Andrea Leadsom]

I am grateful to the hon. Lady. It has been a great experience. When I became City Minister, I was so sorry to learn that I had to drop all trusteeships and the all-party groups overnight. I cannot thank my hon. Friend the Member for East Worthing and Shoreham (Tim Loughton) enough—I have known him for the many years since we were at university together—for picking up the ball and continuing to drive these important issues forward to this day with his amazing dedication, focus and care.

Let me fast-forward through my more recent roles as Energy Minister, Environment Secretary and Leader of the House. On the face of it, there was little scope for me to continue the push on early years, but with the continued collaboration between the right hon. and hon. Members whom I have mentioned and many others, the excellent work has continued, culminating in the Prime Minister herself committing to support the early years agenda and asking me to set up the IMG in the summer of 2018.

The IMG itself comprised my hon. Friends the Members for Louth and Horncastle (Victoria Atkins), for North Swindon (Justin Tomlinson), for Richmond (Yorks) (Rishi Sunak), for Stratford-on-Avon (Nadhim Zahawi) and for Thurrock (Jackie Doyle-Price). I pay real tribute to all of them for their hard work on the group, as well as to the dedicated civil servants who supported us. Our remit was to consider the individual, the family and the wider societal risk factors that affect child development in the conception-to-age-two period and the long-term impacts, as well as the issues with central and local government’s approach.

The Prime Minister had asked the IMG to make recommendations to the relevant Secretaries of State that would support local areas in improving the co-ordination of early years services and in spending their current funding more effectively and more efficiently. I am so grateful to the Prime Minister for her continued support for, and interest in, the IMG, which my ministerial colleagues and I felt demonstrated the high priority being placed on that work.

I was delighted to be told that the Cabinet Secretary, Sir Mark Sedwill, has already prepared a cross-Whitehall civil service team to take our recommendations forward once signed off by the various Departments. We met as a ministerial group several times and undertook a great many visits to learn from examples of best practice right around the country. We visited Manchester children’s centres, the Lambeth Early Action Partnership, a parent-baby drop-in group in Peterborough and an outreach group in Devon. We held roundtables with charities and families, including parents within the civil service. We had consultations on Mumsnet and spoke to so many passionate and dedicated people working within the sector who want to make a clear difference for parents and babies. It was a wonderful and thoroughly rewarding experience. Out of those visits, meetings and consultations, we quickly began to identify a number of common issues that clearly need attention.

First and foremost is the postcode lottery across the country of the availability of perinatal mental health and specialised parent-infant relationship support, particularly around parent-infant psychotherapy services. In some areas, the provision is fantastic, but in others it is almost entirely non-existent. We heard from parents and professionals wanting health visitors to provide greater levels of support to new parents and their babies, particularly where parents are struggling to form a secure bond, with better levels of breastfeeding support and post-partum care. We also had detailed evidence of the need for greater support for dads, greater support for same-sex parents, better availability for couple counselling and for targeted services for new parents, such as debt and housing advice.

One particular issue that we identified was the need for greater support for non-English-speaking parents. The incredible work of children’s centres was highlighted everywhere we visited, and there is no doubt that parents and professionals want to see family-centred spaces such as these protected. There is a great amount of need out there, and it is clear that we have the opportunity to bring about a huge step change in how we deliver early years family support right across the country, if we seize on the recommendations of the inter-ministerial group.

What did we recommend? First and most importantly, getting the 1,001 critical days right can put children on course for good social, economic and physical outcomes later in life. Getting it wrong creates inequalities and significant costs later for Government and society. Secondly, better focus on both universal and targeted services needs to be a priority in this period.

I will not go into all the key recommendations because Mr Deputy Speaker is looking impatient, but I will mention some of them. First, using the wealth of research and evidence taken by the IMG, Departments should work together to create a clear and cohesive Government vision for the 1,001 critical days. That should be published in the autumn after the spending review. Local authorities should be invited to set out their own service models that work for their local communities, and should be properly measured on that.

[Yasmin Qureshi (Bolton South East) (Lab)]

The right hon. Lady has made an excellent speech and I commend her on the great work that she has done. However, she must also recognise that all the suggestions and ideas that have been put forward to deal with this situation require proper funding and new funding: new moneys for local authorities and for different groups to be able to carry out the suggestions. Is that money being promised?

[Mr Deputy Speaker (Sir Lindsay Hoyle)]

Before the right hon. Lady responds, let me just say that I am not impatient—far from it. We have time on our hands. Unfortunately, I do not make the conventions of the House. As a former Leader of the House, the right hon. Lady will be well aware that the opening speech should last 15 minutes and that the Minister will have 10 minutes. I did not make the rules. I am just trying to ensure that hon. Members have enough time to discuss a very important subject that matters to us all.

Business of the House

Debate between Andrea Leadsom and Yasmin Qureshi

Thursday 13th December 2018 Commons Chamber

[Andrea Leadsom]

I am genuinely sorry to hear about the threatened closure of that plant. I encourage the hon. Gentleman to seek an urgent Adjournment debate, so that he can raise the issue directly with Ministers.

[Yasmin Qureshi (Bolton South East) (Lab)]

A UN report and space satellite images show that 1 million Uighur Muslims are in a mass internment camp where they are forced to undergo psychological indoctrination programmes. More recent reports show the widespread use of torture for those who resist. May I ask the Leader of the House to ask the Foreign Secretary to make a statement on what action our Government are taking with regard to this matter, or is it going to be business as usual where we do not want to upset powerful countries?

[Andrea Leadsom]

I share the hon. Lady’s enormous concern for the plight of the Rohingya people. It is absolutely appalling what is—[Interruption.]

[Yasmin Qureshi]

The Uighurs.

[Andrea Leadsom]

I am sorry. I apologise to the hon. Lady. I heard Rohingya. I do apologise. Mr Speaker, may I ask the hon. Lady to repeat her question?

[Yasmin Qureshi]

A UN report and space satellite images show that 1 million Uighur Muslims are in a mass internment camp where they are forced to undergo psychological indoctrination programmes. More recent reports show that those who resist are subjected to widespread torture. Will the Leader of the House ask the Foreign Secretary to come to this House to make a statement on what action our Government are taking in relation to this situation, or is it going to be business as usual where we never want to criticise a powerful country?

[Andrea Leadsom]

My sincere apologies to the hon. Lady for mishearing her the first time round. She is raising an incredibly important point. We have all been horrified to hear the stories of what is going on. We have International Development questions on Wednesday 9 January—[Interruption.] I certainly absolutely agree with the hon. Lady that it is vital that we do all we can in this country, and if she would like to email me, I can take this up directly with the Foreign Office.

Business of the House

Debate between Andrea Leadsom and Yasmin Qureshi

Thursday 11th October 2018 Commons Chamber

[Andrea Leadsom]

I must agree with you, Mr Speaker. I must also tell the hon. Gentleman that he will have made my son’s day, because he is a big fan of Tony Jacklin and the Ryder cup. The hon. Gentleman is right to point out that this year’s was something of a triumph, and we were all glued to our screens. He raises an important point and I recommend that he puts Tony Jacklin forward for an award—I am sure many Members from across the House might provide letters of support.

[Yasmin Qureshi (Bolton South East) (Lab)]

There has been a record number of Islamophobic hate crimes, a disproportionate number of which have been attacks on women with headscarves or on gentlemen with beards. We have seen the rise of populism and nationalism, with Muslims often being the target. May we have a debate in Government time not only to discuss this issue, but to seriously consider how to tackle it?

[Andrea Leadsom]

The hon. Lady raises an incredibly important issue. Any type of hate crime is absolutely unacceptable. We have to stamp out all forms of discrimination that lead to hate crimes such as the ones to which she is referring. I encourage her to raise this issue at the next Justice questions, a few weeks from now, so that we can discuss how we address the issue of hate crimes and Islamophobia.

Private Members’ Bills: Money Resolutions

Debate between Andrea Leadsom and Yasmin Qureshi

Monday 21st May 2018 Commons Chamber

[Andrea Leadsom]

I am sure that the hon. Gentleman will realise that that is simply not true. There have been countless votes. Many Bills are already going through this place and several have received Royal Assent. There is a great deal of activity in this Chamber and in the other place. We continue to respect views right across this Chamber, and to adapt and amend legislation in order to improve it wherever possible. This Government are showing the greatest of respect to all parliamentarians.

[Yasmin Qureshi (Bolton South East) (Lab)]

May I ask the Leader of the House a very direct question that was posed by my hon. Friend the Member for Manchester, Gorton (Afzal Khan)? The convention of Parliament is that the money resolution has to be tabled once a private Member’s Bill has had its Second Reading. Second Reading of this Bill happened five months ago, so why has this not happened?

[Andrea Leadsom]

The hon. Lady will be aware that it is for the Government to initiate financial resolutions to commit taxpayers’ money. It is not without precedent not to bring forward a money resolution when the Government believe that it is not in the taxpayers’ interest to do so at the time. I will explain that further later.

The hon. Member for Manchester, Gorton has been quite strong in his language, talking of an abuse of Parliament and accusing the Government of acting in a profoundly undemocratic way. Well, I would strongly put it to him that the Conservative party has done more to support Back-Bench Members than any other in recent history. The Backbench Business Committee was established in 2010, following a commitment in the Conservative manifesto. This has been a much welcomed and successful change. Elections to Select Committees have been introduced. E-petitions have been a huge success, with the Government responding to 125 of them and 22 having already been debated in this Session. We should all be willing to recognise the achievements of the Conservative party in honouring and respecting Parliament. I could go on, but I think I have made the point.

Week in and week out, I raise matters on behalf of Members from all parties with my colleagues in the Government. I assure the House that this will continue.

Treatment of House of Commons Staff

Debate between Andrea Leadsom and Yasmin Qureshi

Monday 12th March 2018 Commons Chamber

[Andrea Leadsom]

The working group put the complainant at the heart of this procedure, and what was very clear from the evidence we took was that people will come forward only if they feel they will be treated in confidence and they will not then be plastered all over the front of the newspapers.

[Yasmin Qureshi (Bolton South East) (Lab)]

Bullying and harassment occur in all walks of life and in all professions. What is important is that the person is listened to and the matter is investigated independently, but I say strongly that we must also remember the golden thread that runs through our English law: someone is innocent until proven guilty.

[Andrea Leadsom]

Yes, and the laws of natural justice have certainly been applied to the new independent complaints procedure.

Business of the House

Debate between Andrea Leadsom and Yasmin Qureshi

Thursday 16th November 2017 Commons Chamber

[Andrea Leadsom]

I would be delighted to do such a thing, if the hon. Member for Gateshead (Ian Mearns) is happy to do the same. I gather that it was in fact raised at the Liaison Committee, but I think that is a very good idea. I thank my hon. Friend.

[Yasmin Qureshi (Bolton South East) (Lab)]

Before the Leader of the House came into the Chamber, she will have heard the discussion about Primodos. The report published yesterday had already been published a week before, but not formally. The conclusion of that report was different from the one actually published yesterday. In light of that and of what she heard earlier, would she please consider having a debate on this matter in Government time, and will she also ask the Secretary of State for Health to come to the House to make a statement?

[Andrea Leadsom]

Mr Speaker, I am very pleased that you granted the urgent question, giving the Minister the opportunity to come and answer some questions. I encourage the hon. Lady, if she was not satisfied with the level of information, to seek a further debate—perhaps a debate in Westminster Hall or an Adjournment debate in the House—to further probe this subject.