Oral Answers to Questions

Caroline Dinenage Excerpts

Tuesday 15th January 2019 Commons Chamber

[Toby Perkins (Chesterfield) (Lab)]

4. What recent assessment he has made of the effectiveness of primary care in diagnosing fibromyalgia; and if he will make a statement.

[The Minister for Care (Caroline Dinenage)]

Diagnosing fibromyalgia can be difficult because there is no specific diagnostic test and symptoms can vary. A range of support exists to help GPs, including an e-learning course developed by the Royal College of General Practitioners and Versus Arthritis, and a medical guide on diagnosis and treatment developed by Fibromyalgia Action UK.

[Toby Perkins]

I am grateful to the Minister for that answer. I just hot-footed it here from Westminster Hall, where an excellent debate on fibromyalgia took place this morning. We heard a huge amount of evidence about people who suffer with fibromyalgia having waited more than a year to be diagnosed and having received treatments irrelevant to their condition. Clearly, diagnosis is not working at the moment. What more can the Minister tell us about investment in research to improve diagnosis and to try to get better outcomes for fibromyalgia sufferers?

[Caroline Dinenage]

I feel that my colleague the Secretary of State has set the bar for compliments to Members this morning. On that basis, I congratulate the hon. Gentleman on his Westminster Hall debate, which raised a key issue. The Department’s National Institute for Health Research welcomes funding applications for research into any aspect of human health, including fibromyalgia. Its support for that research over the past five years includes £1.8 million funding for research projects and £0.6 million funding for clinical trials through the clinical research network.

[Eddie Hughes (Walsall North) (Con)]

Will the Minister endorse the excellent work by Sue Worrall and her team at Walsall Fibro and ME Link, whose monthly meetings seek to tackle the isolation frequently associated with those conditions?

[Caroline Dinenage]

I warmly welcome the organisation that my hon. Friend mentioned. There are some outstanding voluntary community-led organisations up and down the country that provide invaluable support for people who suffer from this condition. We know that symptoms can vary and that it can be incredibly distressing, so that support is enormously valuable.

[Chi Onwurah (Newcastle upon Tyne Central) (Lab)]

The effectiveness of primary care in this and many other areas is undermined for the most vulnerable and poorest communities by this Government’s insistence on putting out GP contracts for competitive tender, even when there is no competition to serve poor communities. The Watson review of GP partnerships was published today. Will the Minister commit to reviewing the requirement for competitive tender for GP partnerships?

[Caroline Dinenage]

We do of course support the recommendations that were part of that review. We have announced massive investment in primary and community services and spend on those services will grow as the NHS budget grows.

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[Alex Burghart (Brentwood and Ongar) (Con)]

24. What steps he is taking to increase support for people with autism and learning disabilities.

[The Minister for Care (Caroline Dinenage)]

Autism and learning disabilities are clinical priorities in the NHS long-term plan. We are committed to improving the quality of care provided to people with a learning disability or autism and to addressing the persistent health inequalities they face.

[Mike Wood]

I thank the Minister for her response. The commitment to reducing diagnosis waiting times for children and young people is welcome, but what are the Government doing in this 10th anniversary year of the Autism Act 2009 to tackle diagnosis waiting times for all people?

[Caroline Dinenage]

I congratulate my hon. Friend on his active involvement in the all-party parliamentary groups on learning disability and on autism. Over the next three years, we will be testing and implementing the most effective ways to reduce waiting times for specialist services. We are developing guidance to support commissioners to develop the necessary services to support all autistic people, and we have launched a review of our autism strategy.

[Alex Burghart]

As a former governor of a school for children with autism, I thank the Minister for her response. It is well known that people with ASD suffer premature morbidity due to worse rates of heart disease, cancer and death through epilepsy. What is the Minister doing to ensure that fewer people with autism die early?

[Caroline Dinenage]

These are key elements of the NHS long-term plan, and we will shortly start consulting on mandatory learning disability and autism training for health and social care staff. We will work to improve uptake of the existing annual health checks for people with learning disabilities and will pilot the introduction of specific health checks for autistic people.

[Mr Barry Sheerman (Huddersfield) (Lab/Co-op)]

The Minister knows of my interest in access to healthcare as chair of the Westminster Commission on Autism. She will also know that a real barrier is having enough people with the skills not only to identify autism, but to support families dealing with it.

[Caroline Dinenage]

The hon. Gentleman is right, and I pay tribute to his hard work in this area. Training is so important, and we want to ensure that all staff, whether clinical, medical or perhaps just on reception, have the necessary training to be able to help to support people with learning disabilities or autism.

[Chris Bryant (Rhondda) (Lab)]

What are the Government going to do about people who have suffered acquired brain injury? One in four major trauma centres have no neurorehabilitation consultant, meaning that such people all too often fall between the cracks and do not get proper support. Will the Government change that?

[Caroline Dinenage]

The hon. Gentleman chairs the all-party group on acquired brain injury, and we are working on the recommendations of his report. This is such an important issue, and we want to make sure that nobody falls through the gaps.

[Several hon. Members rose—]

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[Barbara Keeley (Worsley and Eccles South) (Lab)]

This Government’s cuts to council budgets have meant that 100,000 fewer people received publicly funded social care over the past three years, and 90 people a day died while waiting for social care last year. What does the Secretary of State think it says to their families that the social care Green Paper and the meaningful funding settlement have been delayed again?

[The Minister for Care (Caroline Dinenage)]

The hon. Lady knows that we have given councils access to nearly £10 billion over a three-year period to address this very issue, but she is right to highlight the issues at the heart of social care. We will be publishing the Green Paper very shortly.

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[Maria Caulfield (Lewes) (Con)]

Children’s hospices provide vital support for children with life-limiting conditions and their families at the most difficult of times. I welcome the £25 million of extra investment in these services, but what more can be done to support children’s hospices across the UK?

[Caroline Dinenage]

My hon. Friend is absolutely right to highlight the incredible work of children’s hospices across the country. Up until now, there has been a disparity between their funding and that of their adult counterparts, which is why I was delighted when, as part of the NHS long-term plan, we announced plans to increase funding for children’s hospices by as much as £25 million a year over the next five years. We can always do more, however, and we are always open to suggestions.

[Yvonne Fovargue (Makerfield) (Lab)]

T5. I have recently been contacted by constituents who have faced long waits in A&E at Wigan Infirmary. Figures show that one in four patients have waited longer than four hours. Can the Minister explain how removing waiting time targets will improve the situation?

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[Andrea Jenkyns (Morley and Outwood) (Con)]

Each month I hold my memory cafés for those suffering with memory loss, dementia and Alzheimer’s, and their carers, families and friends. What support are the Government providing for those suffering with such memory loss conditions?

[Caroline Dinenage]

We remain absolutely committed to delivering the challenge under dementia 2020 and to making England the best country in the world for dementia care by 2020. As part of that, we are more than happy to do everything we can to support steps such as the memory cafés of which my hon. Friend speaks, which are such a valuable local community resource.

[Several hon. Members rose—]