Type 1 Diabetes and Disordered Eating Services
Debate between Ashley Dalton and Jim Shannon(3 weeks, 5 days ago)
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Ashley Dalton
I am more than happy to meet the APPG to discuss those matters.
I was really moved to read Lynsey’s story on the Diabetes UK website. One thing that really stood out to me was her experience of turning 18 and moving to an adult clinic. She said:
“I became a number in a system, rather than a patient. Every time I went, I saw a different team, and would have to explain my entire medical history. It felt like it wasn’t worth my time, and I certainly wasn’t going to have a conversation about what was going on with people I didn’t know.”
After just a few appointments, Lynsey stopped going. T1DE cuts across diabetes and mental healthcare, and Lynsey’s interactions with the NHS show that we must never treat patients like interchangeable statistics, bouncing around a cold system that does not seem to care for them. Instead, each patient should benefit from a unique, joined-up approach.
To its credit, NHS England has recognised that there is an unmet need for better treatment of T1DE. As my hon. Friend the Member for Cannock Chase has recognised, it has begun piloting type 1 diabetes and disordered eating services, two of which came online in 2019. The aim of those pilots was to develop the evidence base around how best to manage T1DE by testing an integrated pathway, which means that patients such as Lynsey would not be obliged to recount their medical history on every visit. In the past five years, NHS England has expanded on the original pilots, with funding extended for five T1DE pilot sites until March 2026 to ensure that there are sufficient patient numbers for us to get a full picture of what is happening on the ground. I thank my hon. Friend for his contribution to those pilots.
While those pilots are gathering evidence, NHS England is looking carefully at the findings, with a view to developing a future national strategy. Each of the five new pilot areas is submitting quarterly data to the evaluation, and it intends to publish its analysis of the data by September.
Jim Shannon
I thank the Minister for her comprehensive and helpful response. I first came to this House in 2010, and in 2015 a diabetes plan for the whole of the United Kingdom came out of Westminster for all the regions together, but that came to an end. I had always asked and hoped for that plan to come together again. Will she consider having a diabetes plan for all of the United Kingdom of Great Britain and Northern Ireland working together, because I understand that in Northern Ireland we have the highest number of type 1 diabetics anywhere in the United Kingdom?
Ashley Dalton
As I am sure the hon. Member knows, health is obviously a devolved matter. However, I am more than happy to look at the issues he has raised and come back to him.
The data from the pilot areas will also be shared with all the integrated care boards, so that we can build up the case for more investment in T1DE from ICB budgets while looking at ways in which NHS England can support ICBs in commissioning their services.
While those pilot sites are doing critical work, the NHS is supporting people with diabetes to live well. Central to that is making sure that patients have access to annual reviews that cover eight processes recommended by the National Institute for Health and Care Excellence. We know that people who attend annual diabetes reviews have much better outcomes for emergency hospital admissions, amputations, retinopathy and mortality. That is why it is right that the NHS is investing £14.5 million over the next two years, supporting up to 140,000 people between the ages of 18 and 39 to receive additional tailored health checks by healthcare staff. That support will include vital support to break down any stigma associated with diabetes while helping those people to manage their condition, from blood sugar level control and weight management to minimising the risk of heart disease.
As has been touched on, technology plays a critical role in helping people with diabetes to live healthier lives, and there is great potential to do the same for people with T1DE. NICE has made positive recommendations on offering real-time continuous glucose monitoring and hybrid closed loop technology to adults and children with type 1 and type 2 diabetes, meaning that those treatments are now offered on the NHS. Over two thirds of people with type 1 diabetes currently use glucose monitoring to help manage their condition, and following NICE’s recommendations on hybrid closed loop systems, NHS England has developed a five-year national strategy that began in April last year. I know that five years will seem like a long time to many of those young people struggling with this condition here and now, but the NHS does need an implementation period to ensure we have all the right people with the right skills within specialist adult services. We cannot compromise an inch on safety, and NHS trusts should only ever provide hybrid closed loop if specialist trained clinical staff, experienced in using insulin pumps and continuous glucose monitors, are in place.
Leisure Services: West Lancashire
Debate between Ashley Dalton and Jim Shannon(3 months, 4 weeks ago)
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Ashley Dalton (West Lancashire) (Lab)
I beg to move,
That this House has considered leisure services in West Lancashire.
It is a pleasure to serve under your chairship, Mrs Harris. Today, I will focus in particular on the future of swimming in West Lancashire, and I start by acknowledging the research by Swim England and Swimming Nature on swimming and communities.
Everyone has a relationship with swimming. Some people love swimming—they get to the beach and run for the sea, because they love water and being in it. That is just as natural to them as walking on solid ground. But other people’s relationship with water is far more complicated. For people who are not confident swimmers, like me, or for people who cannot swim at all—like me, sometimes—being in water can be scary and even panic-inducing. Swimming is far more than a hobby or something we watch at the Olympics every four years; it is a life skill.
Park Pool in Ormskirk and the Nye Bevan Swimming Pool in Skelmersdale have both served the communities in West Lancashire for over half a century. Over the decades, Ormskirk and Skelmersdale have boasted more than just swimming pools. The Park Pool and Nye Bevan Swimming Pool have taught thousands of children how to swim. They have been a place for friends to meet, as well as a place to meet new people, and they have also given older people places to remain active in retirement.
However, as the children who first learned to swim in West Lancashire’s pools now reach retirement age themselves, our swimming pools are also ageing. Park Pool and Nye Bevan Swimming Pool have both given so much to our community, but are reaching the end of their usable lifespan. They struggle to cope with modern demands and need major refurbishment or replacement. West Lancashire is not alone in this regard. Nearly two thirds of leisure centres in the UK need urgent investment, and there has been a growing fear that the industry could completely collapse in the coming years. Understanding the importance of our pools, in 2019, West Lancashire borough council announced detailed plans for new health and wellbeing hubs in Skelmersdale and Ormskirk.
Jim Shannon (Strangford) (DUP)
The hon. Lady is outlining the issue that clearly exists and the critical need to improve swimming facilities. However, she has also talked about the importance of leisure, physical activity, social interaction and wellbeing. All those things are critical for her constituents, and my constituents have the same problems that hers clearly have, so when it comes to the improvement of pools, it is important that health and wellbeing are part of that.
Ashley Dalton
I thank the hon. Member for his intervention and I agree that swimming pools and leisure facilities more broadly are crucial for the mental and physical health and wellbeing of all of our communities.
West Lancashire borough council recognises the importance of our pools, so it has issued plans that include replacing the leisure centres in Skelmersdale and Ormskirk, and relocating facilities while keeping the existing provision open during construction, to prevent any reduction in services for local people. However, since 2019, and the pandemic, the energy crisis and the huge rise in interest rates under the last Government, the project costs have risen by more than 30%, from £36.6 million to £49 million, and it is not just the costs of building new facilities that have increased. The cost of simply keeping the doors open at Nye Bevan Swimming Pool and Park Pool have also increased, not to mention the fact that both facilities continue to age.
All of this means that plans to replace our pools in West Lancashire are now at risk of failure. Although West Lancashire borough council remains committed to delivering new pools for the community, it also has to empty bins, provide housing support, and look after our parks and green spaces. Local government finances have been squeezed to the bone over the past 14 years. Councils were once able to undertake large capital projects, in order to invest in the future of their communities, but the rug has been pulled from under their feet. The council has been left with no choice but to open a public consultation on the future of our pools in Skelmersdale and Ormskirk. That consultation ends tomorrow.
Since 2010, more than 400 swimming pools have closed in Britain, with deprived areas taking more of a hit than affluent ones. The number of pools in local councils with the highest levels of health deprivation fell by 14% over the past 12 years, while those in the least health-deprived areas fell by 6%. Only 45% of children and young people attending school in the country’s most deprived areas can swim 25 metres, compared with 76% in the least deprived areas. Among year 6 children, 25% cannot swim 25 metres unaided, while that figure is almost 50% in low-income families.