Oral Answers to Questions

Anne Milton Excerpts

Tuesday 8th March 2011 Commons Chamber

[Lorraine Fullbrook (South Ribble) (Con)]

12. What progress he is making in reducing mixed-sex accommodation in the NHS.

[The Parliamentary Under-Secretary of State for Health (Anne Milton)]

Mixed-sex accommodation breaches patients’ privacy and decency. The number of breaches is now coming down, but there are still far too many. That is why, from April, hospitals will be fined £250 for every breach of mixed-sex accommodation. That money will be reinvested back into patient care.

[Lorraine Fullbrook]

I welcome the Government’s move to increase accountability to patients by publishing all occurrences of a patient being placed in mixed-sex accommodation. Does my hon. Friend agree that this move, with the prospect of hospitals being fined £250 per patient placed in mixed-sex accommodation, shows that this Government are tackling a problem that the previous Government claimed was impossible to solve?

[Anne Milton]

We are taking this extremely seriously. I should point out to my hon. Friend that there should be no exceptions to providing high-quality care, which includes high standards of respect for people’s privacy and dignity. We need robust information and the monthly publication of the breach figures, which will tell the public what is going on and allow the NHS to make progress. The previous Government dragged their feet on this issue with a complex system that was neither transparent nor effective.

[Michael Connarty (Linlithgow and East Falkirk) (Lab)]

15. What steps he plans to take to reduce the incidence of tuberculosis.

[The Parliamentary Under-Secretary of State for Health (Anne Milton)]

We expect NHS organisations and their partners to ensure early detection, treatment completion and co-ordinated action to prevent and control TB. The Department and the National Institute for Health and Clinical Excellence have published supporting guidance. We are also continuing to support the charity TB Alert to raise public and professional awareness of TB.

[Michael Connarty]

I think the House should be concerned that in an excellent presentation back in September, it was explained that only 61% of people in London complete treatment for tuberculosis, that the incidence of tuberculosis in the UK is behind only the levels in Spain and Portugal, and that there were over 400,000 cases in the European Union in 2009. The London report that came out said that we had to invest in the service to provide a TB board for London and probably spread that to other big cities, where most of the people who have TB were not born in the UK.

[Anne Milton]

The hon. Gentleman is absolutely right. The World Health Organisation threshold for high instance is defined as 40 cases per 100,000. Of the 19 relevant primary care trusts in this country, 16 are in London. There is no doubt that this is a complex problem. In the past two decades, the increase in instances has come from people who were not born in this country. We are doing a number of things. The Home Office is reviewing the effectiveness of screening, and is running a pilot of pre-entry TB screening in areas of countries where there is a high instance. The problem is that it is not always detectable when people enter this country.

[Mary Macleod (Brentford and Isleworth) (Con)]

Tuberculosis is a key health issue for those in the London borough of Hounslow. What more does my hon. Friend feel we can do to build public awareness and to ensure early diagnosis?

[Anne Milton]

My hon. Friend is right. NHS London will continue to fund the TB find-and-treat outreach programme for the homeless and other vulnerable groups, which includes the use of mobile X-ray units. The Department will continue to provide money to support TB Alert, which builds capacity in the voluntary sector and raises awareness.

[Alex Cunningham (Stockton North) (Lab)]

16. What estimate he has made of the average amount of time per week GPs will allocate to the administration of commissioning consortia under his proposals for NHS reform.

--- Later in debate ---

[Stuart Andrew (Pudsey) (Con)]

What plans does my right hon. Friend have to increase the number of single rooms in the NHS? Increasing their number will help to tackle mixed-sex accommodation, and increase privacy and dignity in end-of-life care.

[The Parliamentary Under-Secretary of State for Health (Anne Milton)]

I thank my hon. Friend for that question. As was said earlier, privacy and dignity are central to all the care that we provide in the health service. Mixed-sex accommodation was not tackled by the previous Government; we are determined to tackle it now, and providing single rooms is part of that. Privacy and dignity must be maintained at all times.