(4 months ago)
Commons ChamberI pay tribute to the hon. Lady for the work that she and the all-party parliamentary group on spinal cord injury have done on the issue. I would be more than happy to meet them.
Just over a year ago, we set out a plan to improve urgent and emergency care. The plan is working. At East Lancashire Hospitals NHS Trust, 78% of A&E patients in March were seen within four hours. That is 4.5 percentage points better than last year—the biggest year-on-year improvement outside the pandemic since 2010. We know that there is more to do; that is why we are working with the NHS on year 2 of the urgent and emergency care recovery plan.
I am grateful to the Minister for that response, and grateful to her for agreeing to meet me and other local MPs to discuss the emergency care situation in east Lancashire. Could I ask her to go one step further? Perhaps she and even the Secretary of State could visit Burnley General Teaching Hospital in my constituency, meet the trust, and see what more we can do there, partly to reverse the disastrous decision of the last Labour Government to close the A&E there?
I commend my hon. Friend and other east Lancashire colleagues for their campaigning on this matter. I look forward to the meeting we are going to have to discuss the performance of his local A&E, and I thank him very much for the invitation to visit.
(1 year, 8 months ago)
Commons ChamberWe held a cross-party briefing last night on strep A. We want to reassure parents, and if their children have symptoms and they are concerned, please seek help. GPs are ready and A&E departments are ready, and we have directors of public health proactively going into schools where there are cases. There is no shortage of antibiotics—we want to reassure people on that—and we are keeping an eye on that on a daily basis.
The East Lancashire community diagnosis centre already includes Burnley hospital, and as part of that we are opening two new endoscopy rooms in the spring. Residents, the trust and I know that the local hospital can do even more to reduce the covid backlog with the right Government investment. Will the Minister agree to meet me to discuss phase 9 of the hospital’s development, which would bring a brand-new radiology suite?
My hon. Friend is a strong champion for Burnley, and I congratulate Burnley General Teaching Hospital on the incredible innovative work it is doing. He is right that rolling out 91 out of 160 CDCs is a tremendous effort, but we want to go further, and I would be delighted to meet my hon. Friend to discuss these plans further.
(2 years, 6 months ago)
Commons ChamberI welcome the general theme of the debate and recognise the importance of Children’s Mental Health Week. We have come an enormous way as a society on mental health. Although we have not erased the stigma of talking about mental health, we have come a long way. It was 10 years ago that the Health and Social Care Act 2012 enshrined duties on the Secretary of State for Health to improve physical and mental health, and it was a year later, in 2013, that the NHS constitution changed to bring parity to the two.
However, we have to recognise that the pressures on young people and children now are significant. Every generation has challenges, but this generation seems to be contending with more than most. First, there is the impact of social media. People can never switch off from Facebook, TikTok and Instagram—we know that—and platforms have to do much more to allow children and young people to take a step back. They have to do more to help children realise that unrealistic expectations are being put on them about body image, what relationships look like, and what careers and success look like.
Then we have to layer on top of that the impact of covid, and there has been an impact of covid on the mental health of children. It is not just the worry and anxiety that come from a pandemic, but the social isolation, the loss of learning and the loss of emotional development, whether children are four or five and just going to school for the first time, or 16, 17 or 18. These things are difficult to remedy, but that is what we must do.
Colleagues have spoken about the £500 million going into the mental health recovery action plan, and it is very welcome that £80 million of that is for young people. The long-term plan and the mental health leads going into schools are also very welcome, but I want to say a special thank you to Burnley FC in the Community, which does a really important job locally. Through its schools’ mental wellbeing project, working with the premier league, it puts mental health practitioners into local schools. They offer one-to-one sessions and group sessions. Between January 2019 and November 2021, more than 3,500 students were engaged. That helps to reduce anxiety, improve mood and build self-esteem. Lots of progress has been made and there are lots of schemes, funds and projects out there to make a difference, but because of social media and covid, now is the time to accelerate them.
(2 years, 11 months ago)
Commons ChamberThe NHS and volunteers across Burnley and Padiham have done a brilliant job of vaccinating people, but we know there is still hesitancy about getting the vaccine. That includes not only people who have not turned up or do not want to have the first vaccine, but those who have had the first vaccine but are then hesitant about the second. What steps is the Secretary of State taking to understand why that hesitancy is there and what we can do to try to get people the vaccine?
I am pleased that my hon. Friend has raised this issue of where, in a minority of cases, someone has taken a first dose but has become hesitant about the second. In all those cases, people are being individually contacted, often by their GPs or other clinicians, and offered meetings and phone calls. They are being talked to, to try to encourage them to take the second dose. It is really important that in that situation people follow up with a second dose to get the full protection they deserve.
(3 years, 1 month ago)
Commons ChamberIt is true that the social care sector does face a challenge and has faced a challenge in recruiting people. We are supporting the sector and we have supported the sector during the pandemic. As part of our work on social care reform, we are looking at the workforce to see, for instance, how we can make sure that social care is an attractive place to work, particularly for people coming into the workplace for the first time, and then provide career progression opportunities so that they stick with social care for a long time.
Access to a GP is now very patchy. Some of my constituents have no difficulty in getting a face-to-face appointment; others find it almost impossible. We all accept that there are new ways of working and some GP appointments can be virtual, but that is not appropriate in all cases. Over the coming months, if not years, if access to appointments does not improve, we will see that tackling the backlog, and keeping pressure off A&E and our ambulance services, will only get worse. What steps can the Department of Health and Social Care take to support and encourage GPs to get back to operating as normal and get patients through the door?
My hon. Friend is absolutely right about the importance of people being able to access GPs and to get healthcare close to home. NHS England has been clear to GPs that they must ensure that they are offering face-to-face appointments as well as remote appointments. In general, practices are taking this approach, and we will continue to support GPs to provide that access over the months ahead.
(3 years, 1 month ago)
Commons ChamberThe right policy on masks is the one we set out yesterday, but the hon. Lady is right to raise the concerns about flu this coming winter, for the reasons she mentioned. She asked what we are doing about it; one of the things we are doing—this is by no means everything—is this: we recently announced that we plan to have a covid vaccine booster programme in September, starting with the more vulnerable cohorts, and our plan, based on the advice of the Joint Committee on Vaccination and Immunisation, is simultaneously to offer the flu vaccine, which will mean that the take-up of the flu vaccine should be at record highs.
I welcome my right hon. Friend’s statement. An increasing number of constituents contact me about access to GP appointments, with many still struggling to see their GP face to face. We know how that will impact on early diagnosis and the treatment of other illnesses. What steps is the Department taking to encourage and support GPs to see patient patients face to face, which will help to address many of the other challenges?
As my hon. Friend says, it is essential that we get GP access back to normal. We can all understand why, during this pandemic, GPs have had to do other jobs such as help us to get the vaccines out, and have not been available in the normal way because of social distancing rules and for other reasons, but I think we are gradually starting to see things going back towards normal. The changes announced yesterday will help with that. As the vaccine programme—which will continue for a while, as we have set out—settles down and we get more people dedicated to it, we can release GPs from some of those duties. All that put together will help.
(3 years, 3 months ago)
Commons ChamberUrgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.
Each Urgent Question requires a Government Minister to give a response on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
Let me take those questions in reverse. On granular data, we already have the capability in the vaccination programme to see by postcode area where the uptake is at. That is how we can focus our resources to turbocharge the programme, as we have done and will continue to do, including in Kirklees.
On pubs and hospitality, indoor areas and hospitality venues can continue to serve seated clientele, diners and drinkers, as I described earlier. If people have booked visits to their families, they are absolutely able to have them as long as they follow social distancing guidelines and common sense.
We need to make sure that we are vigilant, because the B1617.2 variant is concerning, and we have to bring it under control by turbocharging vaccinations, surge testing, isolating and genome sequencing.
I agree with my hon. Friend the Member for Colne Valley (Jason McCartney): what we need now more than ever before is clear communication from the Government, so that residents of Burnley, Blackburn and Bolton know exactly what is expected of them. Will the Minister confirm that this guidance is guidance and that my constituents can still exercise the freedoms that they reclaimed last Monday? Will he meet me and other colleagues to talk through what more we can do to make sure that communication is clear in the areas where we need it most?
(3 years, 4 months ago)
Commons ChamberI thank the hon. Lady for her question. That is exactly what we are trying to do at the moment. We have posted a public-facing message on the nhs.uk website, which informs the public about how DNACPR decisions should be taken and the process involved. There should be no blanket application of DNACPR notices. Every patient should be involved in the decision when a notice is applied, as well as the family, relatives and care workers, and where possible it should be signed by a clinician. This engagement with the NHS, the wider public and the voluntary and care sectors is ongoing, and we continue to monitor it.
We want health and social care to be joined up effectively, with the different parts of our system working together to meet people’s needs. The health and care White Paper sets out our plans for integrated care systems, which will not only join up local NHS organisations but strengthen collaboration among the health service, local authorities and others involved in social care.
One thing that will really help the integration of health and social care is the better use of technology and innovation, but one of the barriers we face is the sharing of information among different clinicians, general practitioners, hospitals and social care settings, so will my hon. Friend confirm that as part of the plans for better integration we are looking at how data and information can be shared much more effectively?
My hon. Friend is absolutely right: interoperability is essential to harness the potential benefits of health and care data for individuals and to create a health and care system that is fit for the future. We are going to legislate to ensure more effective data sharing across the health and care system and will outline our plans in the upcoming data strategy for health and social care.
(3 years, 6 months ago)
Commons ChamberUrgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.
Each Urgent Question requires a Government Minister to give a response on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
We have been clear, and as I highlighted earlier, the NAO has been exceptionally clear, that there are no suggestions of Ministers behaving inappropriately in any way in the awarding of these contracts. The judge did not find that in this case; it was not a factor. On the hon. Lady’s broader point, we have been clear that we believe in and fully respect transparency requirements, and the Department is publishing—as I illustrated with those latest figures that I put out earlier—the contracts it has. I once again come back to the judge’s saying that the Secretary of State is
“moving close to complete compliance.”
That is exactly what we will continue to do.
At the height of the pandemic last year, the priority for the whole country was getting PPE to where it was needed—on the frontline. I received offers of help from many businesses that I fed into the Department. Will the Minister confirm how many items of PPE have been delivered because of these contracts that came in over the course of last year?
I am grateful to my hon. Friend. As I said, contracts secured by the Department since the start of the pandemic have delivered 8.6 billion items, and around three times that number have been ordered to ensure that we continue to have a robust supply, to ensure that our frontline health and social care and other workers have the PPE they need to protect them, which is the most important thing in this situation.
(3 years, 6 months ago)
Commons ChamberI very much hope to get the hon. Gentleman on side and supporting these reforms, not least because many of them were in not just the Conservative party manifesto, but the Labour party manifesto on which he stood. We have consulted extensively on the measures in this set of reforms over two years. I look forward to further work, consultation and discussions with parliamentarians on all sides before, during and no doubt after the passage of the Bill. It is an incredibly important piece of work. What I do not want to do is delay the improvements that people on the frontline have called for. The core measures of this Bill have been built on the asks of the NHS, working with local government, and I think we should get on and deliver that.
I give my overwhelming support to these proposals, particularly the drive for innovation and technology, which will improve not only access to care but care outcomes for patients. The Secretary of State will be aware that in Burnley General Hospital, we already have some advanced surgical robots that provide incredible care. Could I urge him to look, as part of these reforms, at how we can make sites such as Burnley Hospital regional centres of excellence in areas such as surgical robotics?
Yes. We care about technology in the NHS because we care about people and the improvements to people’s lives that it can generate. Surgical robots are just one example. I am very glad to hear that they are being used in such an innovative way in Burnley Hospital. I would love to come and see that for myself some time. This is exactly the sort of progress that the NHS should be making to free up the time of dedicated and highly skilled clinicians, and to enable the delivery of more high-quality surgery because of, for instance, the higher magnification that one can get in using a robot for surgery. That is just one example of the sort of thing that we can push further as a result of the measures in this White Paper.