NHS 70th Anniversary

Bill Grant Excerpts

Wednesday 16th May 2018 Westminster Hall

[Bill Grant (Ayr, Carrick and Cumnock) (Con)]

It is a pleasure to serve under your chairmanship this morning, Mr Hosie. I congratulate the hon. Member for Blaenau Gwent (Nick Smith) on securing this important celebratory debate.

On 5 July this year we will mark 70 years of the NHS across the whole of the United Kingdom. Although now a devolved matter, the same core principle of safe, effective, person-centred care applies and it remains free at the point of delivery throughout the United Kingdom. I have no doubt that, no matter where we live on these islands, the NHS is the British institution most loved and valued by the public.

For the past seven decades, millions in the United Kingdom have known that they can rely on the NHS in their hour of need, to treat them when they are sick or injured and help them keep fit and healthy—most importantly, without discrimination. That principle has worked well for 70 years because of the dedication of generations of hard-working NHS staff. In this anniversary year, it is only right that we should thank all NHS staff, past and present, in Scotland and across the United Kingdom for their dedication and service. Mr Hosie, I should have declared an interest. I have two daughters who are nursing professionals in NHS Ayrshire and Arran.

This is indeed a time to reflect on the progress that the NHS has made since 1948 and consider what steps we should take over the next seven decades to ensure that the national health service continues to provide the best possible service to the British public, who very much rely on it.

In 1948, the newly created NHS was more concerned with childhood malnutrition than with obesity. Penicillin, discovered by Sir Alexander Fleming, physician and Nobel prize winner, who was born in Ayrshire in Scotland in 1881, was a relatively new and revolutionary treatment. Polio, tuberculosis and rickets were of major concern as opposed to dementia, the diabetes that was mentioned earlier, and the cancer conditions experienced today.

It is worth noting the progress that the NHS and society in general have made in recent years in recognising the need for improved mental health provision. Health is health, whether we categorise it as mental or physical. The UK Government’s introduction of parity between mental and physical health was a vital and important step forward, and I am glad that the Scottish Government have followed suit.

As our population ages—I fall into that category—and our society changes, the challenges that the NHS faces in health promotion and health and wellbeing will continue to evolve. We need an NHS that is adaptable and committed to embracing new technologies such as genomics wherever possible, and it must be well resourced to meet the increase in demand. I mentioned earlier the dedication of the staff, but it is crucial that there are enough skilled staff to meet today’s demanding and changing workload. Sadly, today’s national health service as a whole has vacancies and challenges in recruiting across the spectrum, whether nurses, allied health professionals or medics. There are too many gaps in the system, which has led to significant funds being paid on overtime and expensive agency nurses. We need to resolve the long-standing UK-wide conundrum of delayed discharges from acute care beds by ensuring that patients are cared for safely in the most appropriate, supported environment.

Over the past 70 years the NHS has been a great success based on a great principle. We are living longer and healthier lives as a result. May I commend the Labour Government who, 70 years ago, in the dark days of a post-war Britain, had the courage and foresight to create the national health service, and also successive Governments, including, dare I say, Conservative Governments, who have supported the service that we all continue to value so much?

[Sir Peter Bottomley (Worthing West) (Con)]

If I were able to make a speech, which I cannot, I would talk about public health even before the health service. However, let me remind everyone that on the creation of the national health service, in January 1944, Henry Willink, a Conservative Minister in the coalition Government, held up the first White Paper that said, “national health service”.

--- Later in debate ---

[Bill Grant]

I thank my hon. Friend for that intervention. I was being extremely kind today to my colleagues in the Labour party. The war prevented the launch at that time, but the general principle and the welcoming of a national health service has been good for the United Kingdom.

Finally, a line from a Robert Burns poem that was penned more than two centuries ago in 1780. It is four verses long but I will recite only one line. It is called, “Here’s to Thy Health”, and it reads as follows:

“I’ll count my health my greatest wealth

Sae lang as I’ll enjoy it”.

Emergency Services and New Estates

Bill Grant Excerpts

Tuesday 27th March 2018 Westminster Hall

[Jenny Chapman]

Yes. As I will go on to explain, the problem is that there is no standardised approach, but there ought to be.

At the moment, ambulance trust mapping databases are provided under the national public sector mapping agreement. Under the terms of that agreement, Ordnance Survey releases updates free of charge every six weeks, but it is reliant on local authorities or developers submitting a request. As I mentioned earlier, emergency vehicle GPS systems are updated only every six to eight weeks on average, when they receive a routine mechanical service—though even that is not the case for all trusts. There is potential for delay at several stages of the process.

There is no consistency between local authority areas, and I have found idiosyncratic practices. In one local authority, the ambulance trust said that its way of dealing with the problem was to send its officers along to planning meetings in person so that it could be promptly informed of new developments. Surely we can find a better way of doing it than that.

If different systems operate across emergency services, we miss the opportunity to find a much more collaborative approach. I ask the Minister whether, given the technological advances at our disposal, an auto-upgrade solution is possible. Most of us have self-upgrading smartphones. With lives at risk, surely we must be able to find some kind of new solution along those lines.

The practices of local authorities and developers could be standardised to ensure that they request that Ordnance Survey carries out work when at least one property on a development is occupied, even if the development is not completed and the roads are not adopted. If the postal service and Amazon can find a property such as Charlotte and Andy’s to deliver mail, could procedures and knowledge not be shared in a joint approach?

A good example can be found in the north-west. The North West Ambulance Service Trust response to my freedom of information request stated:

“On new large developments the map is often blank…so the team add descriptive route notes to aid crews. For example, take the first left on to Flower Crescent off New Bridge Street”,

which might be an existing road. That highlights that different and better ways of developing new mapping systems could save such incidents from occurring.

In speaking on Charlotte’s behalf, I want to make it absolutely clear that what happened was in no way the fault of the paramedics or the operator. It is a flaw in the complex system that our emergency services work with. I have called the debate to make the Minister aware of the problem in the hope that he will commit to act promptly to find the best way to resolve it.

To give some additional information, we sent an FOI request to every ambulance trust. I can provide the Minister with the responses we received, so he can see the disparity for himself. London Ambulance Service said that it had recorded 17 of these occurrences during the last three years, whereby crews had encountered difficulties in locating new build properties. The Welsh Ambulance Service recorded four occurrences, but most ambulance trusts just did not record incidents at all, so we do not know how frequently they are happening.

Given the risk to our constituents and the number of new developments, and the fact that this is a completely solvable problem—it does not require additional resource, and requires only someone’s attention to look at the process and organise it—the Minister could commit to action today.

[Bill Grant (Ayr, Carrick and Cumnock) (Con)]

I thank the hon. Lady for securing a very important debate and for sharing the details of the extremely regrettable tragedy endured by her constituent. After 31 years in the fire service, I understand what she is saying, and my heart goes out to the family and to those who responded, for the challenges that they face in dealing with incidents that would have affected the fire service, the police service and other emergency services. I agree with her point that if Amazon and DHL find places, we should be doing it, and doing it better.

Should that be a planning obligation somewhere in the conditions of planning consent? Prior to a purchaser occupying a house, the developer could be obliged to ensure that the emergency services are aware, so that they can respond to calls using new technology? It is so important.

[Jenny Chapman]

That is a very sensible suggestion. I called for this debate not to provide the Minister with the answers—I just wanted him to know what the problem was and make him understand that it has a direct impact even though it is completely solvable. Nevertheless, the hon. Gentleman’s suggestion may well be a helpful contribution and could well provide us with a sensible way forward that would help significantly.

That is all I wanted to say. I just wanted to make the Minister aware of this problem, and I look forward to hearing his reply.

Medicines and Medical Devices Safety Review

Bill Grant Excerpts

Wednesday 21st February 2018 Commons Chamber

[Mr Hunt]

Our approach on safety issues is that we are happy to do anything on a UK-wide basis if that is what the devolved Administrations want, because we do not see any benefit in not sharing data. If the willingness is there among the other Administrations, we would be happy to play ball.

[Bill Grant (Ayr, Carrick and Cumnock) (Con)]

I welcome my right hon. Friend’s announcement of a review of these three important medical matters and his securing the much respected Baroness Cumberlege to lead it. I should like to focus on Primodos, which has affected around 1.5 million women throughout the United Kingdom. It has been a terrible long journey for those individuals and their families. They have simply been pursuing truth and justice, but to date they have received neither. I have heard much about the use of data and science in the review, but will my right hon. Friend ask the Baroness to introduce humanity into the review as well, and to take into account the peer-reviewed research carried out by Aberdeen University that is now available? I certainly hope that this review will be a stepping stone to a full public inquiry for Primodos victims. Maybe then, and only then, will they receive the truth and justice that they and their families so richly deserve.

NHS Winter Crisis

Bill Grant Excerpts

Monday 5th February 2018 Commons Chamber

[Stephen Barclay]

The Labour party seems to have moved from complaining about the amount of money to complaining that it was not delivered early enough. The hon. Lady’s trust received £3.4 million of additional money, but, as Sir Bruce Keogh has made clear, the point is that preparation for winter this year began much earlier than normal and was far better advanced than has been the case before. That is what the medical director of the NHS has said about how we prepared for winter this year.

[Bill Grant (Ayr, Carrick and Cumnock) (Con)]

Could I reflect on the rather rosy picture that my colleague from the Scottish National party, the hon. Member for Glasgow East (David Linden), painted of the NHS in Scotland? We have poor waiting times at A&Es, we are closing a paediatric ward in Paisley, and the chemotherapy unit at Station 15 in Ayr is under threat. Does the Minister think that having the highest tax base in the United Kingdom is a threat to recruitment in NHS Scotland, and that higher taxes in Scotland might play to the advantage of NHS England?

[Stephen Barclay]

My hon. Friend points to a key point that I have made throughout this session. It is not just about how much money is put into the NHS, but about the outcomes that are delivered as a result. He is right to allude to the fact that in Scotland the SNP has not delivered the improvements it promised on the NHS. That is why there is so much dissatisfaction in Scotland with what is happening in the NHS there.

Cancer Treatment: Patient Travel Times

Bill Grant Excerpts

Wednesday 10th January 2018 Westminster Hall

[Tim Farron]

I am grateful to the hon. Gentleman for raising those issues and his own personal experiences. As I will come to in a moment, the issues affecting children and young people are even greater. I am very happy to pay tribute to the work and provision of CLIC Sargent and, in particular, to recognise the impact on people with cancer who have young children themselves. Maintaining an income and maintaining family life is an immense challenge, and the distances involved can make it yet harder, so I thank him for that intervention.

In its 2007 report, the national radiotherapy advisory group recommended that cancer patients should have to travel no more than 45 minutes one way—an hour and a half both ways—to receive radiotherapy treatment. This was adopted in the service specification by NHS England, but has since disappeared. Experts in the field maintain that travelling any longer could have a hugely negative impact on treatment outcomes and patient wellbeing. If preventing unacceptable travelling times became a part of NHS England’s criteria for delivering radiotherapy, it would hugely increase our chances of bringing a radiotherapy satellite unit to Westmorland General Hospital in Kendal.

[Bill Grant (Ayr, Carrick and Cumnock) (Con)]

I thank the hon. Gentleman for giving way during his important and passionate contribution to this debate. I know that he is focused on England, but may I share with him that in Scotland the issue is the same, if not worse, because of the rurality of Scotland and the distances travelled? I find some of his points very interesting when we have the Ayrshire and Arran health board not closing, but reviewing, a chemotherapy unit, Station 15, at University Hospital Ayr. The closure of that unit would impose a 32-mile round trip on patients who, to exacerbate that, may have travelled a 40 or 50-mile round trip. The issue is UK-wide, so I thank him for securing this debate.

[Tim Farron]

I very much acknowledge the hon. Gentleman’s powerful point. In general, it is important that none of us are misunderstood here: centres of excellence are incredibly important; nevertheless access to treatment is also important. Where we are at the moment means that we are looking at the former to the exclusion of the latter, when both could be considered.

Hormone Pregnancy Tests

Bill Grant Excerpts

Thursday 14th December 2017 Commons Chamber

[Bill Grant (Ayr, Carrick and Cumnock) (Con)]

I thank my right hon. Friend the Member for Hemel Hempstead (Sir Mike Penning) for securing this extremely important debate. Many constituents in Ayr, Carrick and Cumnock, and throughout the UK, will have been disappointed by the recently published outcome of the review by the Commission on Human Medicines expert working group, but I have one constituent in particular who is devastated by it. It was concluded that the scientific evidence did not support a causal association between the use of hormone pregnancy tests such as Primodos in the mid to late part of the last century—roughly from 1953 to the late 1970s—and miscarriages or horrendous birth defects ranging from brain damage and heart abnormalities to transposed internal organs.

Of particular concern to my constituent is the apparent non-availability of her general practitioner records for the relevant period, when she was prescribed—a better word might simply be “given”—Primodos as part of a pregnancy test. It appears that others find themselves in a similar position.

[Lilian Greenwood (Nottingham South) (Lab)]

My constituent, Peggy Gedling, finds herself in precisely that situation. In 1969, when she gave birth to her son Justin, she attended a medical practice in Crawley. Many of the GP notes were handwritten, and they appear to have been lost. Her previous practice in Gloucestershire tried to obtain her medical records and found that she had ceased to exist for 12 years. It is very worrying, is it not?

[Bill Grant]

I thank the hon. Lady for that intervention, which corroborates my constituent’s concerns. This may be a common thread throughout the United Kingdom. As I understand it, general practitioners’ records are normally required to be retained for the duration of a patient’s life. In the case that the hon. Lady describes, if it had been possible to recover the GP records, it might have been interesting to establish whether there was a cluster pattern for such cases.

My constituent advises me that in June 1975, only months after she was prescribed or supplied with Primodos in the January, a warning was added to the packaging, stating that the drug should not be given to pregnant women. My constituent perceives that to be a response to a realisation that a risk had been identified, at least by that point. Her child was born in August 1975 with serious birth defects, which required major surgery. That child, in adulthood, still has to contend with the associated medical complications. Credit to both mother and child, however—despite the trauma and hardship that they have endured, they contribute positively to society and champion the care of others.

One has to ask, if Primodos is not linked to birth deformities in children whose mothers took the drug, what is the common denominator for the tragic outcomes of those pregnancies? It has, as I understand it, sadly been mooted that such women should consider genetic tests to identify other potential causes. In other words, the suggestion seems to be that all who took Primodos might coincidentally also have a defective gene—I do not think so—and that that defective gene was supposedly passed to their child and formed the root cause of miscarriage or deformity. I very much doubt that, although I might not be qualified to comment.

My constituent does not consider that she has received justice for herself or—more importantly, in her eyes—justice for her child. She feels let down by the outcome and the process followed by the EWG. She had high hopes for that outcome, but it brings us nowhere nearer to the truth or to justice for those who might have fallen foul of a drug that might not have been fit for purpose when it was prescribed, or simply given, to the patients.

For the families involved, I would welcome a broad-based and—as has been said—independent inquiry to review the evidence, of which there is a great deal. The hon. Member for Bolton South East (Yasmin Qureshi) alluded to the fact that the journey has been long, and many pieces of the jigsaw are missing. Those should be secured to enable the independent inquiry to find the truth. There might have been a regulatory failure; we need to find out. Outcomes for the people who were subjected to hormone pregnancy testing between 1953 and 1975 have been devastating. The families deserve both truth and justice, and it is the role of parliamentarians relentlessly to pursue the truth about Primodos and other such drugs.

Male Suicide

Bill Grant Excerpts

Wednesday 13th December 2017 Westminster Hall

[Ged Killen]

My hon. Friend makes an important point. In those deprived areas people are on average two or three times more likely to experience suicidal behaviour. Socioeconomically disadvantaged individuals are more at risk and less likely to seek help for mental health problems than the more affluent. It bears repeating that, although each person’s suicide is complex and individual, this is a fact that cannot be ignored: a man living in the most deprived area of our country is 10 times more likely to take his own life than a man in the most affluent area. In no uncertain terms, I am saying that for men in deprived areas, inequality kills.

We cannot conclusively draw links between all Government policies and suicide—I would not seek to do so—but I have a growing fear that the Government’s roll-out of universal credit in its current form will exacerbate inequality and could present an increased risk of suicide in deprived areas.

[Bill Grant (Ayr, Carrick and Cumnock) (Con)]

The hon. Gentleman is absolutely right to focus on deprived areas, but does he agree that there are areas in which people successful in business or agriculture—third or fourth generation—might have a business that slips away from them? They are not necessarily on a journey of deprivation, but they are losing something that the family had built up over the years. They may see the way out as taking their own life. That is the burden of a family business and its loss—does he agree that suicide includes a broad range of unfortunate individuals?

[Ged Killen]

As I said, there are a lot of complex issues that might affect suicidal behaviour. I am identifying specific areas that research shows are more likely to increase the risk of suicide. Living in a deprived area is one of those.

Sadly, many Members have said in the Chamber that they hear from increasing numbers of people showing signs of suicidal behaviour, as do I in my own office. I could not speak in the debate without acknowledging that. But I bring the debate in a spirit of collaboration. I am certain that every Member in this room wants a reduction in male suicides and wants strategies to be devised and implemented to achieve that aim.