Eating Disorders Awareness Week

Andrew Rosindell Excerpts

Thursday 5th March 2020 Westminster Hall

[Ms Dorries]

Absolutely. On training for GPs, I take the hon. Lady’s point exactly. The NICE guidelines are incredibly clear, in terms of the Hope Virgo campaign and taking BMI, weight and other things into consideration. The NICE guidelines are clear, and it is up to the clinical commissioning groups to ensure that GPs and others do not take weight as a consideration. Tim Kendall is all over this and is working on it. We want GPs and others to abide by what are already very strict NICE guidelines. We have the guidelines; we just need the medical profession to implement them, but I had an idea when the hon. Lady asked her question. We are talking about training for GPs with the General Medical Council and we will continue to hold conversations about that, and I am sure that NHS England is doing exactly the same thing, but there are quicker ways to get information through to GPs.

When I was a nurse and I was training, it was the Nursing Times that informed us, on a weekly basis, of what was new in treatments and operative procedures. For GPs, it is Pulse and other magazines that they receive. I think that there might be a quicker way into GPs’ surgeries to alert them to the fact that the NICE guidelines are not being applied by GPs or by clinical commissioning groups. I think that there may be more inventive ways around that. Yes, training GPs absolutely is important; it is important to include this issue in the GP training programme, but in terms of getting a message through to GPs now, I think that we need to look at a more innovative way of doing that.

On money being diverted and ring-fenced, I think that the hon. Lady knows that the money from the £2.3 billion that goes to the CCGs is ring-fenced for mental health services only. They are not allowed to siphon it off and use it for anything else. We have our own queries as to whether some are doing that, and I know that NHS England, because I raised this with it the last time I met it, is doing an evaluation of clinical commissioning groups and having a look and checking that that money, which is ring-fenced, is spent only on—

[Andrew Rosindell (in the Chair)]

Order. Could I ask whether the Minister intends to give the proposer of the motion his usual two minutes to wind up the debate?

[Ms Dorries]

I think that the right hon. Gentleman, if he wants to talk to me at any time, knows that he can catch me anywhere. I will now give way to him.

[Andrew Rosindell (in the Chair)]

I thank the Minister and call Sir George Howarth.

Oral Answers to Questions

Andrew Rosindell Excerpts

Tuesday 29th October 2019 Commons Chamber

[Mr Speaker]

Yes, speak for Romford. Well done.

[Andrew Rosindell (Romford) (Con)]

13. What progress his Department has made on providing NHS services seven days a week.

[The Parliamentary Under-Secretary of State for Health and Social Care (Ms Nadine Dorries)]

Everyone now has easier and more convenient access to GP services, including appointments in the evenings and at weekends. There are also substantial improvement programmes in place related to seven-day hospital services set out in the NHS long-term plan, including hospitals with major A&E departments providing same-day emergency care services 12 hours a day, seven days a week, by the end of 2019-20.

[Andrew Rosindell]

I thank the Minister for her reply, but I am increasingly concerned that my constituents in Romford often have to wait three weeks or even longer for routine appointments with their GPs. What action are the Government taking to ensure that such long waiting times are reduced and preferably eliminated altogether?

[Ms Dorries]

I thank my hon. Friend for that question. Just over 40% of all booked appointments take place on the same day with GPs. However, it is important to recognise that many patients will be appropriately booking ahead as part of the ongoing plan for long-term conditions. The new GP contract will see billions of pounds in extra investment for improved access to GPs, expanded services at local practices and longer appointments for patients who need them. NHS England is working with stakeholders and is undertaking a national review of access to general practice services.

Acquired Brain Injury

Andrew Rosindell Excerpts

Tuesday 2nd July 2019 Westminster Hall

[Several hon. Members rose—]

[Andrew Rosindell (in the Chair)]

I am sorry to have to inform Members that there will now have to be a time limit. Five Members wish to speak, so unfortunately the time limit will be around four minutes.

ME: Treatment and Research

Andrew Rosindell Excerpts

Thursday 21st June 2018 Westminster Hall

[Sir Edward Davey]

The hon. Gentleman is absolutely right, and it is good that he is here to champion that centre. He makes the point I wish to make to the Minister: a pipeline of research proposals is likely to come about not only from the centre in Norwich, but no doubt as offshoots from research elsewhere—particularly the United States, which is beginning to get its act together on the research side. There is a pipeline, and I urge the Minister to anticipate that, to talk to the research councils and to say with his colleagues, “We will be ready and we will have the funds ready so that when the research proposals come through”—as I am confident they will—“we will back them.” Then we can start making progress. I say to the Minister, please, not to wait to see whether they come through before he dedicates the money and starts pressurising the research councils, because we know that process can take too long. People have already waited too long.

I will conclude my remarks by underlining two points touched on by the hon. Member for Glasgow North West. The first is the need for respect for patients. Sometimes it seems, from the stories I have read, that some in the medical profession—I say some—do not respect patients. They make comments that it is all in people’s minds and that they are making it up. That is no way to talk to adults. A constituent of mine who has been suffering from ME, who I talked to last night, recently went to see her consultant. The consultant said in terms, “All ME people are crazy, except you.” That did not make her feel very happy. I am afraid that type of view among senior medical people is not acceptable, and I hope Ministers will make it clear that they expect patients not to be treated like that.

That links to my final point, on the need to train doctors. We need better guidance and better training so they understand that situation. In that light, I am worried that we are seeing some pressure to reclassify ME. That is sending a dangerous signal, and I hope the Minister will say that the Government are questioning that reclassification and putting it on hold. Otherwise, the training for doctors will not happen, the respect for patients will not happen and we will not see the change that our constituents demand. I look forward to the Minister’s remarks and to the contributions of other hon. Members.

[Andrew Rosindell (in the Chair)]

As a lot of colleagues wish to speak in the debate, I ask that everyone keep their remarks within about eight or 10 minutes each, if that is possible. For the benefit of the Minister and the Opposition spokesmen, I hope to be able to start the winding-up speeches at 4 o’clock.

Oral Answers to Questions

Andrew Rosindell Excerpts

Tuesday 7th February 2017 Commons Chamber

[David Mowat]

The vision set out in the GP five year forward view is of substantially more spend in the community and of an increase, as a proportion, in the amount of money in the NHS going to people in primary care. Part of that will be in polyclinics and the estate generally. As I say, one of the most innovative things we have found in the GP vanguards is that when they start to put together groups of 30,000, 40,000 and 50,000 patients in a GP hub, the quality of care increases dramatically. We are going to accelerate that.

[Andrew Rosindell (Romford) (Con)]

9. What plans the Government have to increase access for patients to innovative drugs and medical devices.

[The Parliamentary Under-Secretary of State for Health (Nicola Blackwood)]

The challenges facing our health system are significant, so we do need to improve the uptake of those innovative technologies that can improve efficiency and patient outcomes to help to meet that challenge, while also providing a pool for investment for innovators. By capitalising on advances in genomics, data, digital health and informatics, the accelerated access review will improve access to cost-effective new products.

[Andrew Rosindell]

I know that the Minister will agree with me when I say that it is vital that we endeavour to ensure that the NHS gets better value for money for the drugs bill so that we can afford to get more of the latest innovative products to patients more quickly, but does she also agree that much more work needs to be done alongside the accelerated access review and the forthcoming life sciences strategy to achieve that objective?

[Nicola Blackwood]

I completely agree with my hon. Friend. Medicines are the second highest area of spending in the NHS after staff, and it is vital that the NHS gets best value from that investment. That is why I am pleased that the House supported our recent Bill on the cost of medicines and medicine supplies, which will enable us to tackle unjustified price rises for unbranded generic medicines. We are also working closely with NHS England to promote the use of the new wave of biosimilar medicines and to ensure cost-effective prescribing behaviour.

National Minimum Wage: Care Sector

Andrew Rosindell Excerpts

Wednesday 23rd March 2016 Westminster Hall

[Several hon. Members rose—]

[Andrew Rosindell (in the Chair)]

I advise the House that a number of Members wish to speak. There is only limited time, so I urge Members to be brief and to keep their contributions to no more than three or four minutes each. I hope that then everyone will be able to speak.

--- Later in debate ---

[Andrew Rosindell (in the Chair)]

There will now be a time limit of three minutes to allow everyone to speak.

Male Suicide and International Men’s Day

Andrew Rosindell Excerpts

Thursday 19th November 2015 Westminster Hall

[The Minister for Community and Social Care (Alistair Burt)]

It is a pleasure to serve under your chairmanship, Mr Rosindell. Do I have until half-past 4?

[Andrew Rosindell (in the Chair)]

Yes.

[Alistair Burt]

It is nice to get a reasonable amount of time without being shouted at for spending a bit of time on my feet. I am pleased to be in that position today.

Cosmetic Surgery

Andrew Rosindell Excerpts

Thursday 5th July 2012 Westminster Hall

[Andrew Rosindell (in the Chair)]

I call the Minister. Sorry, I call Mr Dorrell.

--- Later in debate ---

[David Tredinnick]

On a point of order, Mr Rosindell. My understanding is that the debate can continue at the discretion of the Chair.

[Andrew Rosindell (in the Chair)]

Yes, indeed that is so. I intend to let the debate run on a bit longer to allow the Minister to respond and Mr Dorrell to have his two minutes towards the end.

[Anne Milton]

Thank you very much, Mr Rosindell. I am also grateful to my hon. Friend the Member for Bosworth (David Tredinnick). I was not aware that we were allowed to run on.

I am grateful to the Liaison Committee for choosing the topic for debate and to my right hon. Friend the Member for Charnwood (Mr Dorrell) for the thoughtful way in which he introduced it. I concur with the statement made by the shadow Minister about the usefulness of the Backbench Business Committee. It has allowed us all to raise issues of interest to our constituents in a much more timely fashion.

I welcome the opportunity to set out the Government’s position. My right hon. Friend described much more eloquently than I could the events that led up to what has happened. The stress that the women concerned have gone through has been immense. I am disappointed that the shadow Minister was slightly party political in her response. The right hon. Member for Rotherham (Mr MacShane) said that the issue is not very party political. I gather from the debate that the matter has been on the stocks since 1994. It is time for us to shine a light—possibly this issue has done so—on cosmetic surgery and, indeed, on interventions. We need to make sure that we get our house in order.

The women concerned believed that they had received breast implants containing silicone that was safe and of medical quality. They certainly did not expect to discover that they had been, in some cases, cruelly and cynically deceived and that their interests had been ignored through the fraudulent activity of the manufacturer. Over the past few months, I have met a number of women with PIP implants. They all feel, as do I, that the right lessons should come from what has happened. In fact, although the women concerned certainly do not want to be in the position they are in, they are keen to know that the Government will learn some lessons.

We should start with the science. I assure the shadow Minister that, of course, as with anything, research and review of practice is ongoing. One does not just carry out a review of research and end it there, because research continues. It is extremely important, and not only in this country, that we continue to learn lessons from ongoing research on a number of issues and that we remain open-minded.

Within weeks of the discovery of the fraud, the MHRA commissioned tests to find whether the material in PIP implants was dangerous. Because of legal difficulties over similar tests in France, the MHRA was the first agency in a position to publish the results of that testing, in September 2010. For obvious reasons, the tests were based on a limited number of samples, but the conclusions at that time were relatively reassuring. More tests were then carried out in France and Australia during 2010 and 2011. The results were broadly similar to ours, apart from some inconsistencies over a test for skin irritation.

Towards the end of 2011, the French regulator began to notice that more people were reporting that their PIP implants had ruptured. There was a report of a rare form of cancer in one woman with a PIP implant. The French cancer institute looked at the data and decided that there was no excess cancer risk associated with PIP implants. Nevertheless, as a precaution, the French Government decided to advise all women with PIP implants to have them removed. A number of European countries followed suit.

We, in the UK, decided that an expert group chaired by the NHS medical director should look at the evidence and advise on appropriate policy for the NHS in England. The expert group delivered an interim report within a matter of days; it advised that the evidence at that time did not justify removing all PIP implants as a matter of course. Instead, the group advised that women should speak to their specialist and come to a decision individually. However, it also noted that the evidence base was not perfect, and said that it would collect more information and advise further in due course. I understand that the Health Committee supported that decision.

I am sorry if the shadow Minister feels that anybody from the Government has not appeared sympathetic. It is certainly not a view I have heard expressed. It would be hard not to sound sympathetic when people have been the victims of what, as I said at the beginning, were the cruel and cynical actions of a fraudulent company. I have met a number of the women concerned since then. I hope not only that lessons will be learned, but that any Government procedures will ensure that responses are more timely.

Oral Answers to Questions

Andrew Rosindell Excerpts

Tuesday 18th October 2011 Commons Chamber

[Mr Speaker]

There is just time for Mr Andrew Rosindell.

[Andrew Rosindell (Romford) (Con)]

15. What progress he has made on reducing rates of hospital-acquired infections.

[The Secretary of State for Health (Mr Andrew Lansley)]

The NHS is making significant process toward the zero-tolerance approach that we have made it clear it should adopt in respect of all avoidable health care-associated infections. Over the past 12 months MRSA bloodstream infections have fallen by 29% and C. difficile infections have fallen by 17%.

[Andrew Rosindell]

I thank the Secretary of State for his reply. Will he confirm that the Government will continue with the zero-tolerance approach to hospital-acquired infections as the only sure way to resolve and eradicate this problem?

[Mr Lansley]

Yes, my hon. Friend is absolutely right; indeed, we are extending the range and frequency of the publication of data relating to infections to support the NHS in that work. With his commendable consistency, my hon. Friend asked a question on exactly this subject on 8 March, when he raised the issue of the Barking, Havering and Redbridge trust. I am pleased to be able to report that in the past five months C. difficile infections in the trust have fallen by 57% in comparison with the same five months of 2010, while MRSA bloodstream infections have been reduced by 25%. I expect the trust to continue to bear down on those and other infections in future.

Ovarian Cancer

Andrew Rosindell Excerpts

Wednesday 12th October 2011 Westminster Hall

[Several hon. Members]

rose—

[Andrew Rosindell (in the Chair)]

Order. We have 30 minutes left for general debate, so I ask hon. Members to limit their remarks to no more than five minutes.