NHS in London

Andrew Turner Excerpts

Thursday 24th March 2016 Westminster Hall

[Dr Huq]

rose—

[Mr Andrew Turner (in the Chair)]

Order. Before we continue, let me say that Members must abbreviate interventions.

[Dr Huq]

My hon. Friend makes an excellent point that I believe deserved to be made at length. She anticipates a point I will come on to about the business case and the capacity problem. There is a problem with the way these things are organised. The north-west London area does not include West Middlesex hospital, which she mentioned, but that is more proximate to some parts of my constituency than Northwick Park hospital, to which my constituents are being diverted even though it is miles away. That just shows that people do not think in terms of these boundaries.

--- Later in debate ---

[The Parliamentary Under-Secretary of State for Health (Jane Ellison)]

On that specific point, as I am conscious that my hon. Friend might not be back, my noble Friend Lord Prior in the other place took a debate on this topic this week and undertook to set up a meeting with the NHS Institute for Innovation and Improvement and interested peers should there be any slippage in the timetable set out today by NHSI for approval of this important project. I know that that invitation will be extended to my hon. Friend as well, to give him a little assurance on that.

[Mr Andrew Turner (in the Chair)]

I call the Minister—no, Mr Blackman.

[Bob Blackman]

Mr Turner, if I were the Minister, I would be ensuring that it was delivered, but that is another issue. I welcome the Minister’s remarks. Clearly, people will be watching and waiting. As she said, there was a debate in the other place only last week, and we had a good, positive answer during oral questions this week, assuring us that it is a key project for the health service. All those who are waiting with their pens poised could give us an Easter present of which we can all be proud on Maundy Thursday by signing off the business case, letting us get on with the project and ensuring that it is delivered for the benefit of all.

NHS Bursary

Andrew Turner Excerpts

Monday 11th January 2016 Westminster Hall

[Mr Andrew Turner (Isle of Wight) (Con)]

It is a great pleasure to serve under your chairmanship, Mr Pritchard.

With an ageing and increasing population, there is no doubt that we need a stronger nursing workforce in the NHS. I am glad that the Government recognise that. What worries me, and so many others, is the proposed removal of the bursary scheme in England. In moving to a loan-based system, the Government will need to find ways to attract students to a career path that includes irregular and long hours and is often physically and emotionally demanding. We have yet to hear those proposals, although I congratulate my hon. Friend the Member for Sutton and Cheam (Paul Scully) for bringing to our attention some examples of what should be done, including having better salaries and apprenticeships rather than bursarships. The Royal College of Nursing has rightly suggested that the bursary system creates a connection between nursing students and the NHS, a potential future employer, from the start of their education. By removing that connection, we risk reducing the motivation for and attractiveness of such vital jobs in the NHS.

More rural and remote constituencies such as mine, the Isle of Wight, need to make jobs in the public sector attractive and provide motivation for qualified nurses who have student loans that need be to paid off. Most importantly, the island’s peculiarities must be taken into account, especially the fact that journeys to universities on the mainland take students two hours each way every time they travel. I hope the Minister will address that problem.

Southern Health NHS Foundation Trust

Andrew Turner Excerpts

Thursday 10th December 2015 Commons Chamber

[Mr Hunt]

I am delighted that the hon. Gentleman was looked after by Guy’s and St Thomas’s, where my mother was a nurse and where I was born, so I have connections to that trust as well. He is right about making sure that we get the culture right. It is about creating a more supportive environment for people who do a very, very tough job every day of the week. When we have a conversation along those lines with patients and with our constituents, they understand that as well. More than anything else, they want to know that lessons are going to be learned and acted on.

[Mr Andrew Turner (Isle of Wight) (Con)]

Was it necessary to delay the report’s publication for two or three months—a week or two I could understand—and will it now be published not in a fortnight’s time, before Christmas, but next week, when we will be here?

[Mr Hunt]

I hope the report will be published next week. The commitment I have from NHS England is that it will be published before Christmas. I am confident that, whenever it is published, it will generate huge media interest, rightly so and partly thanks to the shadow Health Secretary’s urgent question. When the draft report was sent to the trust, it came back with 300 individual items of concern, and it was right for NHS England, in the interests of accuracy and justice, to consider fully all those concerns. It has given me an assurance, however, that, whether or not it can reach an agreement with the trust about its contents, the report will be published before Christmas.

Cities and Local Government Devolution Bill [Lords]

Andrew Turner Excerpts

Monday 7th December 2015 Commons Chamber

Our democratic traditions do not demand the approach provided for by the amendment, although I recognise the ingenious way in which my hon. Friend the Member for North East Somerset argued that we were perhaps transitioning to a place where they would. I do not think we are in that place yet. Indeed, the approach we have in the Bill, on the choice for a combined authority mayor to be made by councils, is exactly the same approach that is open to councils for choosing a local authority mayor. For those reasons, we cannot accept the amendment.

[Mr Andrew Turner (Isle of Wight) (Con)]

I am very concerned that the Isle of Wight and Hampshire may or may not be subject to the rule about a mayor. What are the Minister’s proposals on that?

[James Wharton]

It is entirely a matter for the Isle of Wight whether it would like to be part of any devolution deal. That would not be imposed on any area. Which areas we would want to see a mayor in as part of a deal, would depend on the deal and what was being asked for in the discussions that took place. There is no single fixed model that we would look to apply, cookie cutter-like, to different communities, but I assure my hon. Friend that if the Isle of Wight did not want to be part of something and felt it would not serve its interests, there is nothing in the Bill that would allow us to compel it to do so.

Amendment 57, tabled by my hon. Friend the Member for Altrincham and Sale West, would enable a local authority to leave a mayoral combined authority, and, should that happen, provide for a fair division of resources. The existing combined authorities legislation, section 106 of the Local Democracy, Economic Development and Construction Act 2009, and the Bill already enable an order to be made to remove a local authority from a combined authority with consent from the area, agreement from the Secretary of State and approval from Parliament.

There would, of course, be a number of practical issues to deal with before making such an order: for example, setting up alternative operational arrangements, working out how to divide budgets and any contractual arrangements. However, the 2009 Act and the Bill provide for that. If an order is made to remove a local authority from a combined authority, it must specify an authority to become the local transport authority. The Bill provides further powers to enable such an order to transfer combined authority functions to another public authority or to be ceased.

We consider that the provisions provide all the powers and flexibility necessary to enable a local authority to leave a combined authority, where that is wanted locally; where the Secretary of State considers that to do so is likely to improve the exercise of statutory functions, and has regard to the need to reflect the identities and interests of local communities, and to secure effective and convenient local government; and where Parliament approves the making of such an order. With those assurances, I look to my hon. Friend not to press the amendment.

I now turn to amendments 7, 8, 13, 15, 18, 19, 20, 26 and 54. The Bill already enables one local authority to be removed from a combined authority if it does not wish to agree to the combined authority’s proposal to adopt a position of mayor. I look to my hon. Friend the Member for North East Somerset, who I know from his earlier comments has a particular interest in this matter. The amendments extend the provisions and would mean that, if one or more councils within a combined authority do not wish to adopt particular aspects of a devolution deal, but the combined authority and other councils within it do, then the area of the combined authority is changed to remove the council or councils that do not wish to participate.

Male Suicide and International Men’s Day

Andrew Turner Excerpts

Thursday 19th November 2015 Westminster Hall

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

It is a pleasure to serve under your chairmanship, Mr Gapes. I was not going to speak in this debate, but I felt moved to do so by events that have occurred in York over the last few days. It is a pleasure to follow the right hon. Member for Basingstoke (Mrs Miller), who raised many issues, and my hon. Friend the Member for Bridgend (Mrs Moon), who has expertise in the subject. I thank the hon. Member for Shipley (Philip Davies) for securing this debate, which is important, although I do not concur with many of the comments that he made. I like to think that we debate based on evidence; anecdotal comments often do not add to debate. However, it is an important debate, so I thank him for securing it.

It is important that we recognise the needs of men and the challenges they face in our communities. Just last week, I had the pleasure of meeting with a group of men and Age UK to highlight the problem of isolation for men in later life and to consider establishing a men’s shed—a safe place where men can gather to discuss issues—in York. A countrywide project has been successful, giving men a space to talk about the challenges they face, particularly health challenges, of which mental health is obviously one.

I rose to speak in this debate because there has been a big debate in York about International Men’s Day and whether we should recognise it. In fact, as has unfortunately reached national headlines, the university was going ahead with a programme for today but has withdrawn from engagement with the process. I say that with regret; the decision comes on the back of a petition from 200 students saying that they did not think the day should be recognised. The university is committed to equality and to progressing the equality agenda, and two male students lost their lives just before I took office, so I think it is important that the university speaks out on the issues and the services available.

What has not been reflected in this debate is the necessity of recognising separately the importance of raising women’s issues. I am not saying that men’s issues and women’s issues are mutually exclusive, just that it is important to recognise ongoing women’s issues, because there is huge inequality across our society. However, I recognise that there are some areas of inequality for men, which is why this debate is important.

Suicide rates across our country are far too high. One person taking their own life is too many, and the fact that in 2013 6,233 people felt that they could not carry on living—a 4% rise on the previous year—means that we have much work to do. As I was researching for this debate, I found, shockingly, that the male suicide rate in my own city, York, is the fourth highest in England, behind Darlington, County Durham and Calderdale. That is worrying. Those places are in the north-east and Yorkshire, so there is a geographical issue to address as well, and behind that we might want to consider some of the causes of suicide, because unless we face up to the challenges as other people are and use this place to address the causes of suicide, we will never change those shocking statistics.

Suicide in York has risen to its highest level: 22 people lost their life in 2013. Even since I have taken office, people have taken their life. Looking at the causes, we know that the last few years have been particularly challenging for many in terms of personal debt, austerity and unemployment, which can have an impact on why people feel that they can no longer go on. We know that people are struggling with mental health challenges and facing changes, whether a loss of or reduction in benefits or other factors, that result in serious life changes or financial challenges to their family.

[Mr Andrew Turner (Isle of Wight) (Con)]

I am interested by that suggestion. All sorts of things have been examined relatively recently, but can the hon. Lady explain why the suicide rate is less likely to decrease for men than for women?

[Rachael Maskell]

That is why the research to which my hon. Friend the Member for Bridgend referred is so important. There are so many causes of suicide that we need to understand. If we look at Greece and the impact of the recession there, we see that male suicide rates have increased tenfold. It is a serious issue. Some serious research has been done, but more needs to be done about the shape of our economy and the impact it has on personal life and the challenges that people face as a result.

In addition to those very difficult statistics, with which we all wrestle, one thing that I want to highlight is the services available to support people with mental health challenges. We know that those services are currently overwhelmed by demand. I look at York Mind —a fantastic organisation with great leadership. In just the last three years, demand for its services has doubled, from 650 people three years ago to 1,300 this year. We are seeing increasing demands on not-for-profit organisations, which always find it a challenge to know where their next pennies or their next resources are coming from. If we are going to take a strategic approach, we need to ensure that the infrastructure bodies are well resourced to deal with the issues, but of course it is always important to get upstream and address the causes.

In York, we have been faced with another challenge, which is the closure of Bootham Park hospital. It was our mental health hospital in York, but it was closed because of the suicide risk the old building, which was constructed in the 18th century, presented, which had not been addressed. To reduce the risk to individuals the hospital was closed, but that created a new risk because people are scattered perhaps more than 50 miles away from the services they need. Some of them have to go as far away as Harrogate to reach a place of safety; having a crisis in the back of an ambulance is not appropriate at all. It is really important that facilities are in the right place, so that people can access them at their time of need.

One of the consequences of the closure of Bootham Park hospital is that there has been an investment in the street triage team. That is why I very much concur with the remarks of my hon. Friend the Member for Bridgend. The street triage team is there at the scene, at the earliest possible point of intervention. None the less, overall risk has increased because there are no facilities locally for somebody then to go to. The insecurity that that causes individuals is a real concern.

Lead clinicians who were working at Bootham Park hospital have highlighted the risk factors of closure, and that is why my continual plea is that we look at the infrastructure and the interrelationship between the not-for-profit organisations, the health service and the other agencies when we are addressing the issues associated with suicide, because we have a responsibility—I would say an obligation—to ensure that those organisations are working seamlessly together. If we have not got those things right, it is also our responsibility if someone is pushed to the point of taking their life.

Foetal Alcohol Syndrome

Andrew Turner Excerpts

Tuesday 14th October 2014 Westminster Hall

[Several hon. Members]

rose—

[Mr Andrew Turner (in the Chair)]

There are four speakers, with 35 minutes available; you can do your own arithmetic.

Oral Answers to Questions

Andrew Turner Excerpts

Tuesday 25th February 2014 Commons Chamber

[Norman Lamb]

For a start, we now have 15,000 more clinicians working on the front line than when this Government came into office in 2010. Also, in the reforms that the hon. Lady mentions, we legislated for parity of esteem so that mental health is treated equally with physical health. However, I have accepted her case and agree that the situation is intolerable. We have to make sure that beds for children and young people are available when they are needed.

[Mr Andrew Turner (Isle of Wight) (Con)]

7. What proportion of medicines prescribed in the NHS are alternative medicines; and what the annual cost is of dispensing such prescriptions.

[The Parliamentary Under-Secretary of State for Health (Jane Ellison)]

The net ingredient cost to the NHS of homeopathic preparations dispensed in the community in England was £143,000 in 2012, which represents 0.002% of the overall NHS prescription cost in the community for the same period. The prescription cost analysis data from which we extract this information do not separately identify other alternative medicines.

[Mr Turner]

I thank the Minister for that answer. At the urging of Councillor John Nicholson, Isle of Wight council has asked the health and wellbeing board to recognise the value of alternative and complementary therapies and elect a representative to the board. Will the Minister and her Department work with that representative to evaluate the cost-effectiveness of such treatments?

[Jane Ellison]

I am aware that there has been interest in this matter in my hon. Friend’s clinical commissioning group. The provision of alternative and complementary therapies is decided by CCGs, which have to take into account National Institute for Health and Clinical Excellence guidance and local health needs and priorities. The responsibility is with CCGs to achieve value for money and to make sure that they are delivering improvements in the quality of care and patient outcomes, and it is against those standards that we would expect them to measure those therapies.

Dermatology Funding

Andrew Turner Excerpts

Wednesday 4th December 2013 Westminster Hall

[Several hon. Members]

rose—

[Mr Andrew Turner (in the Chair)]

Order. We have 22 minutes to go.

Oral Answers to Questions

Andrew Turner Excerpts

Tuesday 26th November 2013 Commons Chamber

[Norman Lamb]

Let me first pay tribute to the amazing work of so many children’s hospices around the country. I know that Little Harbour in St Austell in my hon. Friend’s constituency has benefited from the grant and, indeed, from the increase in the grant last year. It is absolutely the intention both to work with hospices to get this right and to introduce the new system in 2015.

[Mr Andrew Turner (Isle of Wight) (Con)]

Will the Minister join me in sending condolences to Gemma and Aaron Rolf and Jack, the parents and brother of six-year-old Sophie Rolf, who had an inoperable brain tumour and died, sadly, yesterday? Sophie and her family raised thousands of pounds to bring children’s facilities to the Earl Mountbatten hospice on the island. Those facilities were recently opened and will be a lasting tribute to a very special little girl.

[Norman Lamb]

Absolutely. I offer my condolences to the family of Sophie. The remarkable selfless fundraising done by such families does much to provide care for others and that will be a remarkable legacy for a fine young girl.

111 Telephone Service

Andrew Turner Excerpts

Wednesday 5th June 2013 Westminster Hall

[Miss McIntosh]

I entirely agree, and I welcome the hon. Lady’s intervention. One reason why the 111 service has not yet been rolled out in North Yorkshire is that GPs have expressed their concerns, which leads me to my next question, on the involvement of GPs in areas where the service is being rolled out. How are the legitimate concerns of GPs, such as those in her area and in mine, being addressed and met?

Concerns have been raised in North Yorkshire about the governance framework. How are those are being addressed? A key issue in my area is funding, and I would like to know how 111 is being funded and from whose budget the funding has come. The service is replacing NHS Direct, which caused similar concerns when it was rolled out, so this is not unknown territory for us as parliamentarians or for the Department. It is a little depressing that we are seeing the same problems being played out now, because they were clearly not addressed when NHS Direct was rolled out.

Let me express a very personal view—it is not a view I have picked up locally. As a GP’s daughter, a GP’s sister and the niece of a late surgeon, I believe that people just want to see their GP. They want to walk in to the surgery or phone up and speak to their own GP. Sometimes 111 can be seen as a barrier, as NHS Direct was, to seeing one’s own GP.

We have an historic debt of £12 million built up by North Yorkshire’s primary care trust. There is real concern locally that that debt will affect the funding of GP practices, and especially of the new 111 service. The funding issues are absolutely the key to 111 going forward.

[Mr Andrew Turner (Isle of Wight) (Con)]

Does my hon. Friend agree that one of the questions is at what level the 111 service should be sorted out? Is it something, for example, for Hampshire and Isle of Wight or for the south-east, or should it be sorted out nationally? There has been very little concern over this matter on my island, but that is perhaps because it is dealt with more locally.

[Miss McIntosh]

I believe a local solution should be found. A question I will come to is whether there is a difference in the roll-out of the service in rural and urban areas—in my hon. Friend’s case, an island. Local solutions must be found. To me, the best solution will always be for someone to see their own GP on the day they are ill.

I hope that my hon. Friend the Minister will put our minds at rest and say that the story in the newspapers about rationing our visits to GPs is a myth. We cannot dictate how often we will be ill. If an elderly person has a chronic condition, they cannot limit the number of times they might have to call on a medical service in one year.