Building an NHS Fit for the Future

Caroline Dinenage Excerpts

Monday 13th November 2023 Commons Chamber

[Dame Caroline Dinenage (Gosport) (Con)]

I am grateful for the opportunity to talk about the NHS and our nation’s health and wellbeing. I welcome the Minister’s commitment to prevention and early detection of disease. For the long-term stability and affordability of our NHS, it is vital that there continues to be a laser-like focus on diagnostic centres and more medical staff. The stronger role for pharmacists is very welcome, but there is still so much more that we need to do to provide adequate GP provision and dentistry. That is acutely felt in my Gosport constituency.

I have spoken many times in this House about childhood cancer, which is the biggest killer by disease of children under the age of 14 in the UK. Early detection is more crucial here than almost anywhere, yet over 50% of children’s cancers are missed in primary care and picked up at A&E, meaning longer, harsher and more invasive treatment, along with a long-term impact on the children themselves, their families and loved ones, and the NHS as well. There are no long-term impact studies in the UK, but studies by St. Jude Children’s Research Hospital in the United States reveal that everyone who has undergone treatment for cancer as a child will experience some long-term health implications in adulthood, from infertility to blindness.

The title of today’s debate is “Building an NHS Fit for the Future”. A future-focused NHS means smarter, more efficient and more appropriate treatment, as well as earlier detection and, ultimately, prevention. We already lead the world in genome sequencing and we should be harnessing its power; that means a childhood cancer mission. I must say that found it disappointing that such a vital piece of the puzzle was missing from the King’s Speech. I look forward to hearing the new Health Secretary talking more about this in the future.

Prevention, as much as cure, is the key to managing the health of the nation, and I am glad to see the tobacco and vapes Bill in the Government’s legislative programme. Smoking is the biggest entirely preventable cause of death and disease. Although vaping is an important tool for quitting smoking, it is absolutely right that more is done to reduce the appeal and availability of vapes to our young people.

As Chair of the Culture, Media and Sport Committee, I have seen and heard about the huge value that grassroots sports have to the health and wellbeing of people—young and old—across the country, so I was pleased to see the guidance from the Government earlier this year on preventing and dealing with concussion in grassroots sport. The Committee’s work in this area, alongside the work of the all-party parliamentary group on acquired brain injury, has shown that signs and risks of concussion, including possible links to dementia, are not yet well enough understood. It is right that the focus is on encouraging everyone in sport—players, parents, coaches, teachers and administrators—to make sure they can recognise and act on concussion, so I look forward to hearing more about what the Government are going to do on that vital issue.

I cannot move on without paying tribute to Sir Bobby Charlton, whose memorial service was today. He was a giant among British sportsmen and will be sorely missed by our football fraternity.

At the grassroots and professionally, women’s sport is thriving in the UK. The Culture, Media and Sport Committee and the Women and Equalities Committee are both considering what more can be done to support women in sport. It is such an important component to women and girls’ physical and mental health and wellbeing. It is crucial to make sure that women have access to the facilities that they need—whether that is schools providing the opportunities to play a range of sports, local clubs providing women’s changing rooms, or training schedules that are not based principally on the convenience of male players. It is also about national institutions finally waking up to the value of women’s sports and ending the disgraceful situation where the England women’s cricket team have never played a test match at Lord’s, the so-called home of cricket.

I look forward to the Committee completing our inquiry in the new year, bringing recommendations from the Government and sporting bodies to improve the provision of sport for women, and I look forward in the new year to revisiting the Committee’s work on discrimination in cricket as the England and Wales Cricket Board begins to implement the recommendations of the Independent Commission on Equity in Cricket.

Looking more widely at sport, it is fair to say that English football has been in the grip of an existential crisis. The failed European Super League, the collapse of Bury FC and the impact of the pandemic called into question the sustainability of our national game. The fan-led review, chaired by my hon. Friend the Member for Chatham and Aylesford (Tracey Crouch), and the Government’s White Paper were both important steps to reform. The promise of a football governance Bill in the King’s Speech is the biggest step in the right direction.

Earlier this year, my Committee published our report on football governance. We want to see the Government getting on with setting up the independent regulator, and for it to be ready to step in to prevent the collapse of more clubs and to ensure fair funding and revenue sharing throughout the football pyramid. We will wait to see the detail of the Bill, and I hope that the Department will be able to introduce it at the earliest possible opportunity.

I also strongly welcome the inclusion of the Media Bill in the King’s Speech and the decision to introduce it so early in this Session. The Culture, Media and Sport Committee conducted pre-legislative scrutiny of the Bill earlier this year, and our key recommendation in both our report on the radio measures and our report on the Bill overall was that this legislation needs to be enacted, because it is vital to protecting the long-term health of the media in this country.

I especially welcome the fact that the Government have listened to the Committee and strengthened the legislation to ensure that specific genres of content are still relevant to the public service remit. I welcome, too, that the Government and Channel 4 have worked together to ensure that the channel is sustainable, while also protecting independent content producers. The Bill balances the ability to adapt to future changes in TV and radio, while ensuring that viewers and listeners have necessary safeguards in place, and I look forward to seeing that Bill progress.

Much of our country’s culture, media and sport does not need legislation to flourish. They are remarkably resilient, imaginative and innovative sectors, but I am glad that the Government continue to act where it is necessary. I am pleased that the Pedicabs (London) Bill will tackle one of the antisocial rip-off behaviours that is targeted at visitors to London, but there is much more that the Government could be doing to support our tourist industry. Tomorrow, the Culture, Media and Sport Committee will be taking evidence on what more can be done, whether that is through restoring tax-free shopping, improving our visa system or growing investment. I look forward to continuing to press for more action wherever it is needed.