Oral Answers to Questions

Andrew Stephenson Excerpts

Tuesday 23rd January 2024 Commons Chamber

[Mr Rob Roberts (Delyn) (Ind)]

3. What steps she is taking to increase the recruitment of qualified nurses from overseas.

[The Minister for Health and Secondary Care (Andrew Stephenson)]

NHS data shows that we have delivered early on our manifesto commitment to have an extra 50,000 NHS nurses, with the number of nurses working in our NHS increasing from around 301,000 in 2019 to 357,000 today. That has been achieved through boosting training and education routes, ethically recruiting internationally and taking actions to improve retention. Measures such as the health and care visa introduced in 2020 support international recruitment.

[Mr Roberts]

I thank the Minister for his answer. As he knows, the national health service would completely collapse without the input and expertise of clinical staff from around the world. One barrier to those people coming to help us are the high fees for applying for permanent residency. Some nurses from countries such as India and the Philippines are having to take out expensive loans just to feel like they are welcome and able to stay in our country. I have presented a private Member’s Bill to exempt NHS clinical staff from paying those high fees to become residents. Will the Minister support the Bill and work with his Home Office colleagues to find a way to make that a reality for those people who work so hard in our health service?

[Andrew Stephenson]

I join my hon. Friend in paying tribute to the enormous contribution made by internationally recruited staff to our NHS. As he will know, immigration policy and fees are a matter for my right hon. Friend the Home Secretary. However, our long-term workforce plan supports international recruitment. In addition to the new visa route, we are exempting health and care staff from the immigration health surcharge.

[Florence Eshalomi (Vauxhall) (Lab/Co-op)]

The Minister will know that without our fantastic workforce, the NHS would not work. I pay tribute to all those hard-working nurses in all our hospitals and care centres, including at St Thomas’ Hospital in my constituency. Does the Minister recognise that in addition to recruiting staff we have to look at retaining staff, who talk about the workload, their mental wellbeing and the fact that the cost of living is having a big impact on them? Does the Minister agree that the Government need to come forward with a wide-ranging plan on addressing workforce planning, pay, training, staff wellbeing and retention?

[Andrew Stephenson]

I completely agree with the hon. Lady, which is why this Government became the first Government ever to introduce a long-term workforce plan. Retention is one of the key pillars of the long-term workforce plan, and we are already seeing that deliver the result of keeping more staff in our NHS.

[Layla Moran (Oxford West and Abingdon) (LD)]

4. If she will make an assessment of the potential impact of the level of accessibility to dental appointments on urgent dental and oral surgery services.

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[Theresa Villiers (Chipping Barnet) (Con)]

11. What steps she is taking to support the early diagnosis of cancer.

[The Minister for Health and Secondary Care (Andrew Stephenson)]

I know this is an issue close to my right hon. Friend’s heart and pay tribute to her for her work as vice-chairman of the all-party group on radiotherapy. The pandemic has of course presented a real challenge to delivering the Government target to diagnose 75% of stageable cancers at stage 1 or stage 2 by 2028, but I am pleased to be able to tell the House that we are coming through that and last year diagnosed more cancers at stage 1 and stage 2 than ever before.

[Theresa Villiers]

Cancer Research UK has published an ambitious plan, “Longer, better lives”, which reminds us that for some cancer patients just a few weeks of delay can make the difference between whether they can be offered curative treatment or just palliative care. Will the new diagnostic centres being opened by the Government, including at Finchley Memorial Hospital, bring waiting times down and secure that early diagnosis that is so important to surviving cancer?

[Andrew Stephenson]

My right hon. Friend makes an important point. Diagnostic checks are a key part of the cancer pathway and the 150 community diagnostic centres opened by this Government, including the one at the Finchley Memorial Hospital, will provide earlier diagnostic tests, support earlier diagnosis and bring down waiting times, benefiting millions of patients. These centres have delivered more than 6 million additional tests for all elective activity since July 2021 and we expect the Finchley Memorial Hospital CDC to provide over 126,000 tests for elective care in the next financial year.

[Jim Shannon (Strangford) (DUP)]

I thank the Minister for that response. Research and development is very important; it means we can find more cures for cancer. My father, who is dead and gone, survived cancer on three occasions; that happened because of advances in finding cures. What is being done to work alongside those in research and development to ensure that even more cancers can be cured and we can go from a 50% rate to perhaps a 60% or even 70% rate for those who live longer?

[Andrew Stephenson]

I was delighted that one of my first visits in the new year was to Northern Ireland to see some of the life sciences companies, particularly those based around Queen’s University Belfast. That sector in Northern Ireland is flourishing. We are keen to support companies working in research and bring together world-leading universities such as Queen’s with the private sector and the NHS to deliver improved outcomes for all patients across every part of the United Kingdom.

[Janet Daby (Lewisham East) (Lab)]

12. What steps she is taking to improve healthcare outcomes for patients with sickle cell disease.

[The Minister for Health and Secondary Care (Andrew Stephenson)]

I know this is an important issue for the hon. Lady in her role as chair of the sickle cell and thalassaemia all-party parliamentary group. We are working hard to provide the best possible care to those living with sickle cell disease. That includes boosting Ro subtype blood donation numbers, identifying improvements in clinical pathways and delivering world-leading treatments, such as the new blood-matching genetic test announced by NHS England yesterday, which will reduce the risk of side effects and offer more personalised care.

[Janet Daby]

I congratulate NHS England on the launch of the new blood-matching genetic test for sickle cell patients, but it has been more than two years since the “No One’s Listening” report, which made the key recommendation that sickle cell patients receive pain relief within 30 minutes of attending accident and emergency. Why is that still not happening for sickle cell patients, and would the Minister like to meet me and the Sickle Cell Society to discuss how to achieve that?

[Andrew Stephenson]

I of course would be happy to meet the hon. Lady and the Sickle Cell Society to look at how we can improve patient experiences and ensure that all patients benefit from timely access to the medications they need. I am delighted that she welcomes yesterday’s announcement. It is an example of how the NHS can bring forward world-firsts and is leading the way to transform patient care and improve patient outcomes.

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[Ian Byrne (Liverpool, West Derby) (Lab)]

T2. NHS staff have expressed concerns about the Anaesthesia Associates and Physician Associates Order 2024. Can the Minister tell me if resource will be needed for AAs and PAs to be properly supervised by doctors on a one to one ratio? Will he meet trade unions and professional bodies as a matter of urgency to clarify the Government’s position on this hugely important public health issue?

[The Minister for Health and Secondary Care (Andrew Stephenson)]

PAs and AAs are an essential part of the reform piece to the long-term workforce plan. I note that the order was passed by the House last night without a Division, so I am grateful for that cross-party support. We are working with the General Medical Council, the British Medical Association and others to ensure that the regulations are fit for the purpose. We look forward to the GMC launching its consultation on the fine print of the regulations very soon.

[Mrs Heather Wheeler (South Derbyshire) (Con)]

As my constituents have to travel to Tamworth, Burton or Derby for diagnostic tests, can I encourage the Secretary of State to look favourably on a bid for a new much-needed community diagnostic centre in South Derbyshire?

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[Derek Twigg (Halton) (Lab)]

T3. New British Heart Foundation analysis shows that the number of people dying before the age of 75 in England from heart and circulatory diseases has risen to its highest level in over a decade. The rate of premature deaths from cardiovascular disease has now increased in England for three years back to back. Why are the Government taking such a long time to get to grips with this crisis?

[Andrew Stephenson]

The NHS long-term plan commits to a number of key ambitions to improve care and outcomes for individuals suffering from cardiovascular disease, including enhanced diagnostic support in the community, better personalised planning, and increasing access to cardiac rehabilitation. Those ambitions will support the delivery of the aim to prevent 150,000 heart attacks, strokes and dementia cases by 2029.

[Chris Green (Bolton West) (Con)]

The single biggest concern my constituents raise about healthcare is access to GPs, especially in Blackrod and Westhoughton. What more can my right hon. Friend do to ensure we have better GP access?

[Samantha Dixon (City of Chester) (Lab)]

T4. In the NHS in Cheshire and Merseyside between April and June last year, the 62-day cancer waiting time target was not met. If the target had been achieved, around 150 extra patients would have been treated on time. What would the Secretary of State like to say to those 150 patients?

[Andrew Stephenson]

The 62-day backlog has fallen by 27% since its peak in May 2020. We know there is more to be done, and that is why we are bringing forward more measures as early as possible. In April 2023, more than nine in 10 patients—90%—started their first cancer treatment within one month of a decision to treat.

[James Morris (Halesowen and Rowley Regis) (Con)]

Many of my constituents who use Regis Medical Centre have been left angry and frustrated by the botched implementation of an Anima booking system, leading to them being unable to get an appointment or the treatment they need. Will the Secretary of State meet me to discuss how we can learn the lessons from that botched implementation and make sure trust in that GP surgery is restored?