Oral Answers to Questions

Ben Gummer Excerpts

Tuesday 7th July 2015 Commons Chamber

[Mark Garnier (Wyre Forest) (Con)]

1. What assessment he has made of the effectiveness of recent reviews of acute services in hospitals.

[The Parliamentary Under-Secretary of State for Health (Ben Gummer)]

The configuration of front-line health services is a matter for the local NHS. It is for NHS commissioners and providers to work together with local authorities, patients and the public to shape their local NHS in such a way as to improve the quality, safety and sustainability of healthcare services.

[Mark Garnier]

The review of acute services in Worcestershire has taken nearly two years longer than anticipated, and that has had subsequent negative implications for the health economy in Worcestershire. It is absolutely right that trusts carry out proper reviews from time to time, but has the system been written in such a way that it creates imbalances that prevent a conclusion from being reached? What steps is my hon. Friend taking to bring in practical measures to expedite the conclusion of such reviews?

[Ben Gummer]

I agree that the process in Worcestershire has taken too long. I am glad that the West Midlands Clinical Senate has made recommendations that are being looked at by commissioners at the moment. I have encouraged commissioners to come to as quick a resolution as possible—I hope within the next few months.

[Ian Austin (Dudley North) (Lab)]

Will the Minister conduct a review of car parking charges? Patients in Dudley are absolutely furious after the people running Russells Hall hospital put up prices by as much as 50% for a short stay. Will he get together with NHS civil servants and the people running the hospitals to sort this out?

[Mr Speaker]

Because of the impact of parking charges on those seeking to access acute services.

[Ben Gummer]

Thank you Mr Speaker—helpful as ever.

The hon. Gentleman is entirely right that those who seek to access acute services on a regular basis require special treatment. That is why we issued guidance in the previous Parliament. I very much hope that his local hospitals will be looking at that with due care and attention.

[Mr Philip Hollobone (Kettering) (Con)]

Kettering general hospital is looking to develop a £30 million urgent care hub—one of the first of its type in the country—to replace and enhance the accident and emergency department, which is under growing strain. This project enjoyed the support of the previous Government. Will my hon. Friend agree to meet me and the two other MPs from north Northamptonshire to make sure that it remains on track?

[Ben Gummer]

I very much look forward to meeting my hon. Friend and his colleagues, and I have already committed to doing so. I hope that the lead he has taken with his colleagues in forging a cross-party consensus will be copied across the House.

[Keith Vaz (Leicester East) (Lab)]

Each week, 1,000 diabetics suffer hypoglycaemic attacks, which require urgent medical treatment and access to acute services. Does the Minister agree that better management of diabetes services by GPs will lessen the pressure on our A&E services?

[Ben Gummer]

I do agree with the right hon. Gentleman, who is an expert in this field. We have a diabetes and obesity strategy coming later in the year. The Under-Secretary, my hon. Friend the Member for Battersea (Jane Ellison), who is responsible for public health, will be leading that effort.

[Bridget Phillipson (Houghton and Sunderland South) (Lab)]

2. What recent estimate he has made of the proportion of patients who waited for at least one week for a GP appointment in the past 12 months.

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[Richard Harrington (Watford) (Con)]

4. For what reasons his Department categorises corrective refractive eye surgery for medical purposes as cosmetic surgery.

[The Parliamentary Under-Secretary of State for Health (Ben Gummer)]

The Department does not categorise refractive laser eye surgery for medical purposes as cosmetic surgery. Laser eye surgery is regulated through providers registered with the Care Quality Commission. Doctors carrying out the surgery must be registered with the General Medical Council and, like all doctors, they must recognise and work within their competence.

[Richard Harrington]

My constituent Mr Shabir Ahmed, whom I have visited, was repeatedly recommended, by the optician he went to for his NHS eye test, to have an eye operation involving complex refractive laser surgery. Over two years, the optician called him every month, bringing the price down until it was half what it was originally. It did not work out: the surgery led to a significant deterioration in his eyesight, and the company denies all responsibility and liability. It seems to me—

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[Mr Speaker]

Questions do need to be shorter, otherwise they will eat into everyone else’s time.

[Ben Gummer]

There are two parts to my hon. Friend’s question. The first is about the high-pressure tactics employed by providers. They will be covered by the new regulations brought in on 1 April by my right hon. Friend the Member for Bromsgrove (Sajid Javid), who is now the Secretary of State for Business, Innovation and Skills, by which we have given powers to the Information Commissioner. I suggest that my hon. Friend refers his question to our right hon. Friend. On the second point about failed procedures, refractive eye surgery operators are governed by the same regulators as hospitals, and achieve exactly the end that my hon. Friend wishes.

[Mr Speaker]

Pithiness personified, I hope—Mr John McDonnell.

[John McDonnell (Hayes and Harlington) (Lab)]

The regulatory procedures are not working. Ten years ago, our late colleague Frank Cook introduced a ten-minute rule Bill calling for regulatory reform, and I reintroduced that Bill three years ago. The Keogh report called for regulatory reform two and a half years ago, and nothing has happened. People are losing their eyesight as a result of some of the companies operating in this field. Will the Minister meet me and the hon. Member for Watford (Richard Harrington) to talk about progress in this field?

[Ben Gummer]

I am afraid that the hon. Gentleman is not right. Progress has been made. Ten years ago, that might not have been the case, but the Care Quality Commission was strengthened under the previous Government and it is regulating refractive eye surgery. Moreover, the doctors who perform those operations are regulated by the General Medical Council, and the Royal College of Ophthalmologists is bringing forward a certification scheme because of the moves that were taken by the last Government.

[Rehman Chishti (Gillingham and Rainham) (Con)]

5. What progress the Government have made on improving safety in hospitals in special measures.

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[Helen Jones (Warrington North) (Lab)]

9. What recent discussions he has had with NHS England on the future of district general hospitals; and if he will make a statement.

[The Parliamentary Under-Secretary of State for Health (Ben Gummer)]

The NHS was launched in a district general hospital. The continuing commitment of NHS England to DGHs is shown in their serial mentions in the “Five Year Forward View”. I recommend that the hon. Lady reads that to see the future for district general hospitals and the important role they will play.

[Helen Jones]

I am grateful to the Minister for that answer, but it ignores the reality on the ground. In opposition, the Prime Minister promised a bare-knuckle fight to save district general hospitals. Since he came to power, Warrington has lost its vascular services and some of its spinal services, maternity services are under review, and a £15 million deficit threatens the future of the trust. Did that bare-knuckle fighter get knocked out, or did he not even bother to enter the ring?

[Ben Gummer]

I gently remind the hon. Lady that the difference is that changes to services provided at hospitals are now made on the recommendation of clinicians, rather than of bureaucrats and Ministers, as it was under the previous Government, in which she served. In respect of her own hospital, the number of diagnostic tests for cancer are up by 22,000 since 2010, the number of MRI scans by 6,000, the number of CT scans by 7,000 and the number of operations by 1,800. That is a record of which to be proud.

[Mr Steve Baker (Wycombe) (Con)]

Wycombe hospital could benefit from one of the excellent models in the “Five Year Forward View”. Will my hon. Friend make sure these excellent proposals are carried through with energy and alacrity?

[Ben Gummer]

The strength of the NHS forward view is that it is a creation of the NHS itself, and we, as the only party to back it in full with cash, will give it the kind of support it needs to make sure it is delivered.

[Heidi Alexander (Lewisham East) (Lab)]

How many maternity wards or emergency surgery departments currently located in district general hospitals will close as a result of the Government’s seven-day NHS plans?

[Ben Gummer]

It is telling that the hon. Lady wishes to talk about wards rather than outcomes. Over the last five years, we have seen a significant increase in the number of patients treated in emergency wards, and we will continue to see an increase, and the difference is that they will operate seven days a week, rather than just five days a week, as is currently the case for many services across the NHS.

[Mr Christopher Chope (Christchurch) (Con)]

11. Whether his Department has discussed with the Dorset clinical commissioning group the provision of accident and emergency services in Dorset; and if he will make a statement.