Oral Answers to Questions

Andrew Gwynne Excerpts

Tuesday 15th October 2024 Commons Chamber

[Lee Anderson (Ashfield) (Reform)]

4. What assessment he has made of the adequacy of treatment for post-sepsis syndrome.

[The Parliamentary Under-Secretary of State for Health and Social Care (Andrew Gwynne)]

I thank the hon. Member for raising awareness of this important issue. He has spoken powerfully about the experiences of patients in his constituency and his wife’s personal battle with sepsis. The long-term complications of sepsis can have a devastating impact long after discharge from hospital. Through the National Institute for Health and Care Research, the Department is funding research to improve outcomes for sepsis survivors.

[Lee Anderson]

Last year, Abbi Hickson from Ashfield lost both her hands and her lower legs to sepsis. The local hospital was very slow to diagnosis her condition, and since then she has been suffering from shortness of breath, fatigue and a lack of sleep. This could be post-sepsis syndrome, yet nobody at the hospital has spoken to her about it. Does the Minister agree that every single sepsis patient and survivor should be advised about this condition?

[Andrew Gwynne]

I absolutely do, and I pay tribute to Abbi, a beautiful woman whom I was privileged to meet after the Westminster Hall debate last week. Although care after sepsis will vary hugely on a case-by-case basis, we need to make sure that the needs of each individual are met. In this case, it sounds like they have not been met. If the hon. Gentleman wants to meet me to discuss this issue further, I am more than happy to do so.

[Jim Dickson (Dartford) (Lab)]

Given that last month was Sepsis Awareness Month, will the Minister join me in paying tribute to the courage of John Snow and his family in my Dartford constituency? Tragically, he has just experienced a quadruple amputation due to sepsis. He has received amazing support from the Dartford community, who have rallied around to help fund support for his family. Will the Minister use that as a spur to improve treatment for sepsis more generally across the country?

[Andrew Gwynne]

I pay tribute to John Snow and, indeed, my hon. Friend’s constituents, who have rallied around him at his time of need. This matter highlights the need to have better joined-up care to ensure that people who have sepsis receive the best care possible, that those who tragically lose limbs as a consequence of sepsis are able to have good-quality aftercare, and that we continue to raise awareness of sepsis and the risks it poses.

[Mike Wood (Kingswinford and South Staffordshire) (Con)]

We think that about 48,000 people a year lose their lives to sepsis, but the truth is that we do not know, because the data is inconsistent. Will the Minister look at establishing a national registry to track sepsis cases, so that performance can be measured, published and improved?

[Andrew Gwynne]

Given the national standards and framework that have been put in place in this regard, I hope very much that the NHS will be able to do precisely what the hon. Gentleman wants it to do.

[Sonia Kumar (Dudley) (Lab)]

Yesterday was Allied Health Professions Day, which raises awareness of 14 professions, including physios, speech and language therapists, and radiographers. Does the Minister agree that all the hard work of those professionals is really important for patient care?

[Andrew Gwynne]

My hon. Friend makes a really important point. The wonderful staff we have working across health and care ensure that our constituents receive, within a very tightly constrained health service, the best possible care that we can give them. The NHS is broken. We have to fix our broken health service, and having good-quality staff at the heart of it is how we are going to achieve that aim.

[Karl Turner (Kingston upon Hull East) (Lab)]

5. What assessment his Department has made of the adequacy of patient waiting times.

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[Johanna Baxter (Paisley and Renfrewshire South) (Lab)]

6. If he will make a comparative assessment of the adequacy of access to primary care services for men in (a) England and (b) Scotland.

[The Parliamentary Under-Secretary of State for Health and Social Care (Andrew Gwynne)]

As Lord Darzi identified in his NHS review, primary care is broken, with 1,600 fewer fully qualified GPs than in 2017. We recognise that men can face particular challenges in accessing services, which is why we are committed to fixing the front door to the NHS, bringing back the family doctor and shifting the focus of care away from hospitals and into the community. Health is devolved in Scotland, but I welcome opportunities to share learning across our two nations.

[Johanna Baxter]

In my Paisley and Renfrewshire South constituency, the rate of premature death in men is 47.9% higher than the UK average. According to National Records of Scotland, the number of people who have died by suicide in Renfrewshire as a whole has increased to the highest level in 10 years. Does my hon. Friend agree that this is a damning indictment of the SNP Government’s record on health? Will he commit today to holding a summit in November, with Movember, to raise men’s health up the agenda?

[Andrew Gwynne]

Those statistics are both damning and shocking. Health inequalities in any part of our United Kingdom need to be tackled, and the SNP Government have real questions to answer on these shocking statistics for men in my hon. Friend’s constituency and across Scotland. I will take up her challenge. A summit with Movember, and with her and other interested Members, to talk about men’s health issues is a cracking idea, and I will get straight on to it when I get back to the Department.

[Seamus Logan (Aberdeenshire North and Moray East) (SNP)]

I appreciate that the Secretary of State is unlikely to comment on the Chancellor’s forthcoming statement, but he and his Front-Bench colleagues have already mentioned funding issues a number of times this morning, so will he confirm that it is the policy of his Government to take steps to increase the UK’s health spending to the average of other countries in north-west Europe? That would lead to an increase of around £17 billion for the national health service and would help address some of the issues referred to by the hon. Member for Paisley and Renfrewshire South (Johanna Baxter).

[Mr Speaker]

Order. Questions ought to be linked to the subject being dealt with, which is access to primary care. I am sure that the hon. Gentleman meant to ask, “Will there also be funding to improve access to primary care?”, which I am sure the Minister can answer.

[Andrew Gwynne]

This Labour Government were elected to tackle health inequalities, fix our NHS and ensure that more people live longer, healthier lives. That will require a concerted Government effort, which is why we have the health mission board in place. My right hon. Friend the Secretary of State is making the case for investment and reform at every opportunity, but let us be clear: every single Labour Government have left the country with a better NHS than they inherited, and this Labour Government will fix our NHS once more.

[Sir Iain Duncan Smith (Chingford and Woodford Green) (Con)]

7. What his Department’s timetable is for announcing the outcome of its review of the new hospital programme in relation to the proposed redevelopment of Whipps Cross hospital.

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[Michelle Scrogham (Barrow and Furness) (Lab)]

8. What assessment he has made of the effectiveness of district hospitals in providing services that meet the needs of local communities.

[The Parliamentary Under-Secretary of State for Health and Social Care (Andrew Gwynne)]

Lord Darzi’s report concluded that the health service is in a critical condition across the country. District hospitals have a vital role to play in meeting the needs of their communities, and this Government will support them to reduce waiting times, to improve urgent care and to play their part in building a neighbourhood health service.

[Michelle Scrogham]

Critical care at Furness general hospital in Barrow has been temporarily downgraded, meaning that those in most need of the highest level of care are now exposed to potentially life-threatening delays during a 50-mile transfer on difficult roads. Will the Minister please look at this worrying decision by the University Hospitals of Morecambe Bay NHS foundation trust and do everything to enable the reopening of this service as soon as possible?

[Andrew Gwynne]

My hon. Friend is a doughty fighter for her constituents. I am aware that the decision she mentions is an interim measure made by the critical care network, the Lancashire and South Cumbria integrated care board and the NHS trust. The decision will be kept under review and patients impacted will receive the appropriate support. The Government recognise that more must be done to improve the sustainability of the NHS both nationally and in rural and coastal areas.

[Gregory Stafford (Farnham and Bordon) (Con)]

Services at Chase community hospital in my constituency, in Whitehill and Bordon, are being run down by the ICB. This is based on a promise that a brand-new health hub will be built in place, which is much welcomed. It has the support of the Defence Infrastructure Organisation, which owns the land, East Hampshire district council and the community, but the ICB is suffering from inertia. Can the Minister speak to the ICB and suggest that it either builds this new health hub or refurbishes and renovates the Chase community hospital?

[Andrew Gwynne]

I have every sympathy with the case that the hon. Gentleman has put forward. This Government want to see a shift of health services from hospital to community, from analogue to digital, and from sickness to prevention, but these decisions are not taken through inertia; they are taken because of the Government’s inheritance from the Conservative party. We have had 14 years of running down our health services, with needless reorganisations that have destroyed and set back the progress that the last Labour Government made on the NHS. This Government will fix the NHS, including in the hon. Gentleman’s local area, but he has to recognise that the root cause of many of the problems faced by Members across the Chamber lies at the feet of the former Secretary of State and the last Government.

[Dr Caroline Johnson (Sleaford and North Hykeham) (Con)]

We have heard about the challenges facing Whipps Cross hospital. The Secretary of State’s decisions to pause capital projects across the country and put them under review has caused worry and uncertainty for staff in hospitals nationwide. Can he say when the review will be completed, so that we have certainty about when things will go ahead?

[Andrew Gwynne]

The review will be completed when all the information has been analysed. The hon. Lady should not just be a little more patient; she should be a little more apologetic for the fact that the Government found a hospital rebuilding programme that was not worth the paper it was written on, because the ultimate paper we needed—the cash—was not there.

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[Mr Tanmanjeet Singh Dhesi (Slough) (Lab)]

T4. Many people in my constituency are grateful that Slough will soon be home to a £25 million community diagnostic centre, which will help to reduce waiting lists, but many are also concerned that the local trust may be contracting out services for MRI scans. Does the Minister agree that, instead of just outsourcing, local trusts should, whenever possible, try to increase expertise and capacity in-house?

[The Parliamentary Under-Secretary of State for Health and Social Care (Andrew Gwynne)]

We are committed to expanding community diagnostic capacity to build an NHS that is fit for the future. However, we are clear that independent sector providers have a role to play in supporting the NHS as trusted partners to recover elective services.

[Blake Stephenson (Mid Bedfordshire) (Con)]

T3. I welcome all efforts to increase the number of GPs throughout England. Residents in new and growing towns such as Wixams in Mid Bedfordshire need a GP surgery. My local councils have been told that they need to put up the capital to deliver one, causing concern about cash flow and borrowing costs. Will the Minister meet me to discuss a new capital investment programme to ensure that residents in new towns such as Wixams do not have to wait for developer contributions to get the services they need?

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[Gareth Snell (Stoke-on-Trent Central) (Lab/Co-op)]

T9.   The Royal Stoke hospital is leading the way when it comes to treatment for stroke patients, but as with so many illnesses, prevention is better than cure. Can the Minister set out what this Government are doing to minimise the number of people affected by these life-altering events?

[Andrew Gwynne]

I agree with my hon. Friend, which is why we have set a goal for fewer lives being lost to cardiovascular disease. We will make it easier for people to have checks in the comfort of their own homes through, for example, the digital NHS health check and the new workplace trials.

[Jerome Mayhew (Broadland and Fakenham) (Con)]

Labour’s cut to the winter fuel payment will cause 262,000 cold pensioners to seek NHS treatment, according to the End Fuel Poverty Coalition. Do the Government agree with those figures, and if not, what are their own estimates?

[Rachael Maskell (York Central) (Lab/Co-op)]

T10. Prevention is the most important intervention to improve health outcomes, yet since 2015 the public health grant has fallen in value by 25%, and by 30% in York. Will the Minister say what he is doing to restore the value of the public health grant?

[Andrew Gwynne]

My hon. Friend is incredibly knowledgeable about public health matters both at national and local level. Lord Darzi’s investigation into the NHS set out the impact of past reductions in local government public health funding. We will confirm public health grant allocations for the next financial year as part of the forthcoming spending review, but the points she made have been made loudly and clearly.

[Esther McVey (Tatton) (Con)]

Can the Secretary of State update the House on the status of Alan Milburn? Does he still attend meetings in the Department and have access to confidential information? Does he now have an official role in the Department? Does he still have private sector interests in the healthcare sector?

[Mary Kelly Foy (City of Durham) (Lab)]

October is Breast Cancer Awareness Month, and I stand here today as someone who was diagnosed, treated and cured of breast cancer this year by the amazing staff in the north-east, but not enough women are taking up their breast screening appointments. Will the Minister do more to raise awareness of, and access to, breast screening appointments, and may I urge all women to check themselves regularly?

[Andrew Gwynne]

I pay tribute to my hon. Friend for her work in this area and for setting out eloquently her own personal experiences. Of course this Government will do more to raise awareness and enable more women to access breast screening services.

[Simon Hoare (North Dorset) (Con)]

A significant impediment to improving adult social care is the split of budget and responsibility and policy between the Secretary of State’s Department and the Ministry of Housing, Communities and Local Government. Will he and colleagues work to remove that hurdle, to have better outcomes more cost-effectively delivered to improve the lives of all our constituents?