Oral Answers to Questions

Anna Soubry Excerpts

Tuesday 11th June 2013 Commons Chamber

[Gavin Shuker (Luton South) (Lab/Co-op)]

9. When the Government plan to respond to their consultation on standardised packaging of tobacco products.

[The Parliamentary Under-Secretary of State for Health (Anna Soubry)]

The Government have yet to make a decision. We are still considering the lengthy consultation, and in due course we will publish a report on that.

[Paul Flynn]

We heard on the radio this morning about the poor state of the country on levels of cancer. The Government have an opportunity to reduce those levels by the Bill and by the minimum price for alcohol, but when it comes to the Queen’s Speech, have they again been persuaded by the blandishments of lobbyists, and instead of putting the health of the nation first, have put the needs of big business first?

[Anna Soubry]

I certainly do not agree with the latter part of that. Just because something was not in the Queen’s Speech does not preclude us from introducing legislation should we take that decision. The hon. Gentleman makes some important points when he talks about the link between mortality and choices about how much alcohol one drinks or whether one chooses to smoke, but we await a decision from the Government.

[Gavin Shuker]

Many of my constituents, including Cancer Research UK ambassador, Elizabeth Bailey, are asking a simple question: why is it taking the Government so long to respond to this consultation? Is not the truth that they are caught up in interdepartmental squabbles while public health suffers?

[Anna Soubry]

No, it certainly is not, and I have given my views. The hon. Gentleman will know that like many decisions on public health, these are complicated matters. Most importantly, it is vital that we take the public with us. I have said before that I welcome a debate, and perhaps he and the hon. Member for Newport West (Paul Flynn) might come to you, Mr Speaker, and ask for a debate in this Chamber or in Westminster Hall. Let us have the debate, because taking the public with us is always important when we make these sorts of difficult and controversial decisions.

[Philip Davies (Shipley) (Con)]

Does the Minister agree that some of the proposed standardised packaging is more colourful than the existing packaging, and given that we have a display ban on cigarettes, what on earth is the point of having standard packaging for something that cannot be displayed?

[Anna Soubry]

Unfortunately, I do not have enough time to advance all the arguments, but I am more than happy to meet my hon. Friend to discuss this with him at length and show him a packet of the said cigarettes from Australia, and he may see the light.

[Dr Sarah Wollaston (Totnes) (Con)]

Does the Minister agree that there is nothing plain about plain packaging? It just shows the reality of gangrene of the foot with graphic images, which is not very attractive to hand round at a party.

[Anna Soubry]

Yes.

[Ms Diane Abbott (Hackney North and Stoke Newington) (Lab)]

The Minister is aware that smoking is the biggest single cause of health inequality, and she will know that the Labour Government took difficult, complicated and controversial decisions that were successful in driving down smoking from 27% to 20%, saving thousands of lives. Why are this Government stalling? When will they announce a decision? Or is it that the business interests of Lynton Crosby matter more to these Ministers than the health of the nation?

[Anna Soubry]

I am sure that Mr Crosby would be grateful for that bigging-up. I can assure the hon. Lady that, as she knows, if standardised packaging was as simple as she tries to suggest, no doubt the last Government would have introduced it in some way. I am proud of the fact that we have made sure that the point of sale legislation has been achieved. As she knows and as I have said before, this is a difficult and complex issue. It requires a good and healthy debate. Let us bring on that debate. Perhaps the Opposition would like to use one of their Opposition days to bring it forward. I will be more than happy to take part.

[Luciana Berger (Liverpool, Wavertree) (Lab/Co-op)]

5. What estimate he has made of the optimal level of bed occupancy in NHS hospitals.

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[Stephen McPartland (Stevenage) (Con)]

6. What progress he has made on improving cancer waiting times and diagnosis.

[The Parliamentary Under-Secretary of State for Health (Anna Soubry)]

Cancer waiting time standards set out a maximum two-month wait from urgent GP referral for suspected cancer, through to diagnosis, to the first definitive treatment. Quarterly performance in the past 12 months has consistently exceeded the performance measure of 85%; indeed, the current data show that 86.3% of patients were treated within this time frame.

[Stephen McPartland]

I am a firm believer in bringing cancer care closer to people’s homes. My constituents have to travel thousands of miles during the course of their radiotherapy treatments. Will the Minister support my campaign for a satellite radiotherapy unit to be based at Lister hospital in Stevenage?

[Anna Soubry]

I pay tribute to my hon. Friend’s campaign, which he has been running for some time, and to all the great work that he does for Lister hospital. I am slightly worried that if I give him any support it might be the kiss of death for his campaign, but I wish him all the very best and all power to his elbow.

[Barbara Keeley (Worsley and Eccles South) (Lab)]

One group of people greatly affected by a cancer diagnosis are the carers who suddenly find themselves to be carers of people with cancer. Yesterday I met some people who are carers of people with cancer, and they told me that they did not get the information, advice and support that they needed to tackle that important caring role. Does the Minister agree that it is about time that we recognised those carers and started to give them the advice and support that they need because they suffer financial loss, hardship, loss of career and impacts on their own health?

[Anna Soubry]

I very much do agree. That is why I am so pleased that the Care Bill that is making its way through both Houses has special provision for people who are caring for others with cancer in the way that the hon. Lady describes.

[Andrew Gwynne (Denton and Reddish) (Lab)]

Last week Monitor, the regulator for foundation trust hospitals, said that cancer patients are now waiting longer for treatment and diagnosis because of the A and E crisis in hospitals. Official NHS figures published that same day show that the number of patients waiting over three months for cancer, heart disease and other life-saving tests has more than doubled compared with only last year. Is it not obviously the case that this Health Secretary’s failure to cut the spin and get a grip on the A and E crisis is now seriously damaging patient care?

[Anna Soubry]

That was a very interesting speech but I am afraid that I do not accept the hon. Gentleman’s analysis at all. All cancer waiting time standards are being met, with over 28,000 patients being treated for cancer following a GP making an urgent referral for a suspected cancer. We have already heard about the action that this Government are taking to address the situation in accident and emergency; it was very well explained in last week’s debate

[Gavin Barwell (Croydon Central) (Con)]

7. What steps he is taking to increase accountability in the NHS.

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[The Parliamentary Under-Secretary of State for Health (Anna Soubry)]

We will shortly be seeking cross-Government clearance to publish the UK strategy, which addresses the challenges raised in the chief medical officer’s annual report and sets out the priority areas for action, such as slowing down the spread of resistance, maintaining the efficacy of antimicrobials and supporting the development of new antimicrobials.

[Zac Goldsmith]

In January, the chief medical officer warned that the threat from antibiotic-resistant infections was so serious that it should be added to the Government’s national register of civil emergencies, the national risk register, alongside deadly flu outbreaks or catastrophic terrorist attacks. My hon. Friend is preparing a new cross-Government strategy on antibiotics. Given the growing evidence linking the routine use of antibiotics on intensive farms with antibiotic-resistant infections in humans, can she confirm that the strategy will tackle that reckless practice, regardless of pressure from industry?

[Anna Soubry]

I could give my hon. Friend a long answer, but in short, the matter will be raised at the next G8 meeting. Further to that, as a result of his excellent debate earlier this year, I undertook to write, and have done so, to my hon. Friend the Minister of State, Department for Environment, Food and Rural Affairs. He has replied that the Government recognise that we should look at the guidance issued to farmers. I am more than happy to share the Minister’s letter with my hon. Friend.

[Siobhain McDonagh (Mitcham and Morden) (Lab)]

16. What the status is of the capital programme for the refurbishment of St Helier Hospital.

[The Parliamentary Under-Secretary of State for Health (Anna Soubry)]

I am sorry, Mr Speaker, I am all over the place and do not have now the answer to give the hon. Lady. I believe the programme was signed off in 2010—[Interruption.] In fact, I am right—[Laughter.] Well—[Interruption.] Now, now; that is very naughty from the right hon. Member for Leigh (Andy Burnham). As you get older, Mr Speaker, you sometimes start to forget things—[Laughter.] Not you, Mr Speaker, of course; you would never do such a thing, and in any event you are much younger than I am.

The Government re-approved the business case for the redevelopment of St Helier hospital in May 2010—I was right—as part of the review the previous Government’s spending commitments. As the hon. Lady knows, because of the various configurations and proposed configurations, no final decision has been made yet. We need to ensure that all the plans come to some sort of fruition.

[Siobhain McDonagh]

At my age, I share with the Minister a problem with memory loss, but I do not forget the years when we were trying to get the £219 million redevelopment of St Helier hospital agreed, or that the proposal was supported by the Chancellor in his first Budget. The money is now being used as a slush fund by Better Services Better Value, but its idea is to increase the sizes of A and E and maternity units of all the hospitals around while closing those at St Helier. Does the Minister agree that that was not the intention of the money, and that any future development plans must go back to the Department of Health for agreement?

[Anna Soubry]

I pay tribute to the hon. Lady, who campaigns hard for her hospital, and quite rightly so. I have met my right hon. Friends the Members for Sutton and Cheam (Paul Burstow) and for Carshalton and Wallington (Tom Brake) and am more than happy to meet her to discuss all the important matters she raises.

[Chris Heaton-Harris (Daventry) (Con)]

T1. If he will make a statement on his departmental responsibilities.

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[Simon Hughes (Bermondsey and Old Southwark) (LD)]

T2. In my borough of Southwark we have higher than average smoking rates, and the Cabinet member responsible for health has said that hundreds of people are dying early because they smoke. Can Ministers help me to persuade our Labour council that it is inconsistent to say “Don’t smoke” on the one hand and invest £2.6 million of pension funds in British American Tobacco on the other?

[The Parliamentary Under-Secretary of State for Health (Anna Soubry)]

That is a good point, but I have to say that I am not convinced that it is just a Labour-run council that might have chosen to invest their staff pensions in this way; I strongly suspect that all political parties are guilty of this. While this is, of course, a matter for local authorities, it is also the sort of great campaigning work that MPs can do with their local councillors. It is even more important that they do that, given that they now have this great responsibility for public health.

[Mr Virendra Sharma (Ealing, Southall) (Lab)]

T3. I welcome the leading role that the Department is taking in the formulation of a national strategy for TB. Its importance was reinforced by a recent all-party group report on resistant forms of the disease. One of the key points in the report was the importance of joint working in the development of the strategy, and that it should be public health-led. Does the Minister agree that NHS England also has a crucial role to play in the development of the strategy? Will she ensure that it works closely with Public Health England to develop it?

[Anna Soubry]

The short answer is yes. I pay tribute to the hon. Gentleman for the work of his APPG. We had a good meeting in December and I am looking forward to our follow-up meeting tomorrow when we will discuss this matter further.

[Steve Brine (Winchester) (Con)]

T7. Now that public health responsibilities have, as has been discussed, moved to local authorities and Public Health England, can the Government confirm that raising awareness of the signs and symptoms of cancer and early diagnosis, which is of course so important, will be key priorities for those bodies? Will the Minister tell the House how the Government will assess progress?

[Anna Soubry]

Again, that is a very good point. I completely agree with my hon. Friend and pay tribute to the work of his all-party group on breast cancer. Screening is important. This is also a good opportunity to pay tribute to the Secretary of State’s announcement today of the publication on the website of such outcomes, which will not only drive huge improvement in public health, but, most importantly, ensure that we reduce health inequalities. The previous Government failed to do that; this Government are determined that we will improve them.

[Gavin Shuker (Luton South) (Lab/Co-op)]

T4. An enormous number of people—largely women—involved in on-street prostitution are caught in a cycle of drug and alcohol abuse, and are working to feed their habit, but at the same time, beyond managing drug dependency, many drug and alcohol services do not offer any practical pathways out of prostitution or even ask whether the client wishes to exit prostitution. Will Ministers look into this issue, consider issuing guidance and write to me?

[Anna Soubry]

Absolutely yes on all those very important points. The hon. Gentleman makes an extremely important point to which I absolutely subscribe. I have regular meetings on this matter, and I hope that our sexual health strategy addressed exactly those points, but I am more than happy not only to write, but to meet him to discuss the matter further. If I might say, I think that all Members, whatever the party political divide, could do far more both here and locally to reduce the number of women who find themselves working on the streets as prostitutes. I have long taken the view that these are some of the most vulnerable people in our society, and without exception I have never met a prostitute—I used to represent many of them—who has not herself been abused, usually as a child. They are vulnerable people and we should recognise them for that.

[Zac Goldsmith (Richmond Park) (Con)]

T8. More than 5,000 schools across the UK now serve good-quality, sustainable meals with the Food for Life catering mark, but only three hospitals have achieved the same. It is often said that hospitals cannot do so because of the cost implications, but the three that have done so not only have incurred no extra costs, but, in the case of Nottingham hospital, have actually saved significant amounts. May I urge my hon. Friend actively to encourage take-up of the Food for Life catering mark as a model of best practice?

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[Alex Cunningham (Stockton North) (Lab)]

T6. Three Health Ministers have indicated their support, and one even voted for it, so will the Secretary of State either introduce his own legislation or back new clause 17 to the Children and Families Bill to ban smoking in cars with children present?

[Anna Soubry]

Well, it is a very good point, and the hon. Gentleman knows my own feelings. [Laughter.] No; it is important that we always get the balance right between good public health measures and not getting the accusation from both sides of being a nanny state. [Interruption.] No, no; it is all right his getting agitated, but he knows my view, and I am happy to give him any assistance I can—my door is always open.

[Charlotte Leslie (Bristol North West) (Con)]

Does the Secretary of State agree that any criminal investigation into the 200 to 300 deaths at Mid Staffs should extend not only to front-line staff, who risk getting scapegoated, but to all managerial levels, Department of Health officials and the heart of Government, so that we get answers about who knew what and when, and what action they took or—more importantly—did not take that could have prevented this tragic scandal?

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[Jim Shannon (Strangford) (DUP)]

When a patient is ill and visits their GP, they will do as the doctor orders. One hundred thousand people will die of lung cancer this year. When will the Government do as the doctor orders and bring in plain packaging for tobacco?

[Anna Soubry]

I refer my hon. Friend to answers that I have given beforehand. I know the great work that he does on lung cancer and I am pleased to see that, yet again, we will have a national campaign following the great success of the last one. We can talk further.

[Annette Brooke (Mid Dorset and North Poole) (LD)]

This is cervical screening awareness week. What plans does the Minister have further to encourage women aged 60 to 64 to attend cervical screening, given the declining levels of screening uptake and the increasing levels of incidence in this age group?

[Anna Soubry]

Screening is one of the most important aspects of the work of Public Health England and we are keen to make sure that it is addressed both nationally and locally. Great work can be done by local authorities in making sure that women have this vital screening.

[Geraint Davies (Swansea West) (Lab/Co-op)]

Is the Secretary of State aware of the alcohol treatment centre in the middle of Cardiff, which treats people who are drunk on Friday and Saturday nights and therefore takes pressure off A and E, ambulance services and the police? Will he look at this model, as we are in Swansea, and pilot it elsewhere?

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[Jane Ellison (Battersea) (Con)]

In April, the BBC’s “Casualty” programme highlighted the vital role that health professionals have in spotting young girls at risk of being taken abroad or of having female genital mutilation carried out on them in this country. We are approaching the most difficult time of the year over the long summer holidays, when girls are most at risk. Will Ministers do all they can to draw the attention of health professionals to the vital role that they have in these critical next two months?

[Anna Soubry]

Absolutely, and I pay tribute to my hon. Friend and to other hon. Members on both sides of the Chamber for the great work that they have done on FGM. I am really proud that the Government have produced the FGM passport, which is available to many young women. It does—I hope that it will continue to do so—protect women, especially younger women who are going abroad for this appalling abuse to be carried out upon them. We have done great work already with health professionals who increasingly realise, first, that they must be aware of it; secondly, that they must report it; and thirdly, that they must take action to prevent this appalling abuse of women, especially young women.

[Ian Austin (Dudley North) (Lab)]

I listened to the answer to Question 7 earlier, but surely the best way to improve accountability in the NHS would be much greater consumer choice and competition when it comes to GP services, for which there are virtually no comparative data at the moment. With modern IT, why can patients not choose to have their own medical records and then ring round to find a GP who will treat them when they want to and not when their own GP deigns to see them?