Access to Primary Healthcare
Daisy Cooper Excerpts(2 months, 1 week ago)
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Daisy Cooper (St Albans) (LD)
The Minister may be aware that I lobbied Health and Treasury Ministers in the previous Government for the best part of a year and a half to review outdated Treasury rules that prevent GP practices that want to move from staying within a city centre—the outdated rules force them to move to ring-road locations, away from the populations they serve. Will the Minister look at this issue with fresh eyes, with her new glasses, and work with Treasury colleagues to review these outdated rules?
Karin Smyth
I thank the hon. Lady for her assiduous work in opposition. Looking at the capital estate is one of my favourite new responsibilities, and our commitment to a neighbourhood service means that we need to bring services together. We need to look at this across the piece, to make sure that primary care is provided where it is needed. We often hear about hard-to-reach groups, but I do not think they are that hard to reach. Frankly, services are sometimes located in the wrong area. One of our key commitments is to shift services into communities, and the neighbourhood service programme is part of that.
Just three in 10 NHS dentists are accepting new adult patients, and geographical inequalities are vast. More than 1,200 pharmacies have shut their doors for good since 2017. Again, the record speaks for itself: public satisfaction with general practice has fallen from 80% in 2009 to just 35% last year. If there is any reason why the Conservative Benches are empty, it is because dissatisfaction with access to primary care is so stark, as we learned in July’s general election.
It is absolutely clear that primary care is broken, but NHS staff working in primary care did not break it; the last Government did. They cut funding for the community pharmacy contract, they failed to incentivise enough dentists to perform NHS work, and they pursued a disastrous top-down reorganisation of the NHS, with which we are still living.
The last Government might have broken the NHS, but it is not beaten. NHS staff remain as passionate, dedicated and skilful as ever, and this Government will work in lockstep with them, their counterparts in social care and local partners across the country to fix the NHS.
NHS: Independent Investigation
Daisy Cooper Excerpts(3 months, 1 week ago)
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Daisy Cooper (St Albans) (LD)
Much of the content of Lord Darzi’s report has been known for some years. None the less, today’s report is a scathing summary of the complete devastation that the Conservatives have wrought on our health services and on the health of our communities. We Liberal Democrats have long argued that we need to shift healthcare from hospitals to high streets, and from treatment to prevention, because doing so improves health outcomes and saves taxpayers’ money. It is a win-win.
But the report is long on diagnosis and short on prescription, so may I invite Ministers to read our fully costed manifesto to fix public health and primary care by recruiting 8,000 GPs, ending dental deserts, boosting public health grants by £1 million, implementing our five-year plan to boost cancer survival rates, and putting a mental health expert in every school?
Does the Secretary of State accept that there is an elephant in the room: social care? Will he meet me to discuss the Liberal Democrat plans for social care, starting with free personal care? This bold idea would prevent many people from going into hospital in the first place, as well as enabling them to be discharged from hospital faster. Does he accept that it is a truth universally acknowledged that we cannot fix the NHS if we do not fix social care too?
As for the dire state of our hospitals and primary care estate, well, the Conservatives have left it to fester like a wound. Will the Secretary of State give the green light to hospitals that are ready to rebuild, such as mine in west Hertfordshire? Will Ministers look to reform outdated Treasury rules that are preventing our integrated care boards and hospital trusts from spending and investing their funds in the GP practices and hospitals that we need? This Government say that they want growth. Well, health and wealth are two sides of the same coin, which is something the Conservatives do not understand. If Labour wants economic growth, fixing our health and social care must be its top priority. And it must be a priority without delay.
Wes Streeting
How refreshing to have constructive opposition in the Chamber. It was clear throughout the election campaign that my party and the Liberal Democrats have much in common, both in the commitments we made, which in some cases were identical, and in our shared areas of emphasis: the link between health and wealth, the importance of prevention and the importance of social care.
As the Prime Minister reiterated again this morning, we are absolutely determined to address both the short-term crisis and the long-term needs of the century in our social care system. We want to work on a cross-party basis wherever possible, so I would be delighted to meet the Liberal Democrat spokesperson.
Healthcare Provision: East of England
Daisy Cooper Excerpts(3 months, 2 weeks ago)
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Daisy Cooper (St Albans) (LD)
It is a pleasure to serve under your chairmanship, Sir Christopher. I congratulate the hon. Member for Norwich South (Clive Lewis) on securing this important debate.
The NHS used to be the envy of the world, but it is now in crisis, and services in the east of England are no exception. We have heard many examples in the debate of where our health and care services are in crisis. There is no doubt that the new Government inherit a litany of broken promises from the previous Conservative Government; that is why we Liberal Democrats have put health and social care front and centre of our campaigning in recent months and years. It is why, on the first day after the general election, we called for an emergency Budget to give the NHS and care services the money they so desperately need, and it is why we continue to urge the Government to act with real ambition and urgency on these issues.
In a debate on healthcare in the east of England, it is hardly surprising that dentistry comes out as the No. 1 issue. Dentistry is in an appalling state across the country, and particularly in the east of England, but arguably it is one of the easiest areas to fix. Under the previous Conservative Government we ended up in an absurd position where we had children having their teeth removed and people desperate for appointments, yet we had a £400 million underspend in one financial year. We also have thousands of dentists in this country who are willing to deliver NHS work, but who cannot because the contract is so convoluted.
I ask the Minister to outline the Government’s timeline for negotiations with dentists on fixing the broken dental contract. I also have a specific request from my hon. Friend the Member for North Norfolk (Steff Aquarone), who could not be here: he asks whether it could be made faster for people who want to operate NHS services to register to do so, because there are currently delays in the system.
A number of colleagues have spoken about the challenges with ambulance waiting times. The hon. Member for Norwich South and I have spoken in debates on this before and he will know, as I do, that the East of England ambulance service has had a very troubled history. To give credit where credit is due, there have been welcome improvements in the last 18 months, but there is no doubt that there are still huge delays in ambulance response times, which are very concerning to our constituents. Would the Minister support a Bill that I tabled in the previous Parliament to introduce localised reporting on ambulance response times, so we can see response times on a postcode basis?
Thirdly, I am surprised there has not been more talk about hospitals today. We know there is a legacy from the last Government of crumbling hospitals right across our region—the hospital in King’s Lynn is one of the worst such examples in the country and is being held up by stilts. In my area in west Hertfordshire, we have West Hertfordshire teaching hospitals NHS trust and Watford general hospital is in dire need of a new hospital. It is one of the hospitals in the country that is ready to go—it has the land, it has permission, it has the plans and it just needs the green light from the Government. I urge Labour Ministers to recognise that delaying those plans does not come without a cost, because the repair bill is getting bigger and bigger.
Finally, does the Minister recognise that we need an ambitious plan of recruiting 8,000 GPs? The last Government promised 6,000 and failed to deliver them. Does she agree that we should align the primary care estates strategy with the shift to community care? Does she also agree that the Labour Government will, as part of its consultation on the national planning policy framework, make sure that infrastructure comes first, so that places such as Wixams are no longer let down by the planning system we had under the Conservatives, where people got housing without infrastructure, GPs or dentists?
Oral Answers to Questions
Daisy Cooper Excerpts(5 months ago)
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Daisy Cooper (St Albans) (LD)
I welcome the Secretary of State and his Ministers to their roles, but let me gently warn him that if he intends to run a contest on which Member can harangue him the most on crumbling hospitals, our 72 Liberal Democrat MPs say, “Challenge accepted.”
Under the Conservatives, the new hospital programme ground to a halt. We know the terrible stories of nurses running bucket rotas and all the rest. We have the worst of all worlds at the moment: trusts such as mine in west Hertfordshire are champing at the bit to get going but cannot, and are being held back. Other trusts have capital funds that they want to spend but are not allowed to because of outdated rules, and there are industry concerns that the one, top-down, centralised approach of the Conservatives could decimate competition in that industry, when we need a thriving industry to rebuild our hospitals and primary care. What is the Secretary of State’s response to that approach?
Wes Streeting
I welcome the hon. Lady back to her place. We worked constructively on the Opposition Benches together and, regardless of the size of the Government’s majority, we intend to work constructively with her on this side of the election, too. By extension, I congratulate her colleagues on their election. I have discovered that I have 72 new pen pals, all sitting there on the Liberal Democrat Benches, and they have been writing to me about a whole manner of projects. My colleagues and I will get back to them.
The hon. Lady is right that this is not just about the new hospitals programme, important though that is; the condition of the whole NHS estate is poor. In fact, backlog maintenance, the direct cost of bringing the estate into compliance with mandatory fire safety requirements and statutory safety legislation, currently stands at £11.6 billion. That is the legacy of the last Conservative Government.
Daisy Cooper (St Albans) (LD)
The Liberal Democrats spoke about care a great deal during the general election campaign. At the heart of our plans was our pledge to introduce free personal care. Will Ministers please confirm whether they intend to open cross-party talks and, if so, whether free personal care will be on the table as one potential option?