(1 week, 5 days ago)
Commons ChamberI am grateful to my hon. Friend for the representations that she has consistently made since before the general election. I think her constituents will particularly welcome the investment in Shotley Bridge community hospital, which will be in wave 1, with construction starting in 2026-27. I know that that is not the only need for health and care provision in her constituency; we will continue to work together to make sure that her constituents experience an improving NHS, as opposed to being lumbered with the broken one that was left behind by the Conservatives.
This announcement will come as a terrible blow to the people served by Basingstoke and North Hampshire hospital, particularly after the very personal commitment made by the now Prime Minister in June 2024. We assume from what the Secretary of State has said today that, come the spending review, the Government will set out detailed capital budgets stretching into the 2040s. Can he tell us in the meantime what his announcement will do to his projections for operating costs, for repairs and maintenance costs and for the provision of stopgap facilities where they are needed?
Given that the right hon. Gentleman served in the Cabinet under successive Conservative Governments, he has some brass neck, frankly, in turning up today and complaining in the way that he has. He wants to talk about the costs placed on the country, but he should look in the mirror and consider the costs that he and his colleagues in government lumbered this country with when they imposed over a decade of austerity, of Trussonomics and the worst sort of kamikaze ideological project that this country has experienced in modern times.
I would just remind the right hon. Gentleman—[Interruption.] I remind him and those on the Conservative Benches who are living in an alternate reality where they bear no responsibility for their actions of only months ago, that the National Audit Office said:
“By the definition the government used in 2020, it will not now deliver 40 new hospitals by 2030.”
The Infrastructure and Projects Authority gave the scheme a red rating, saying that
“the project appears to be unachievable… The project may need re-scoping and/or its overall viability reassessed.”
What on earth does he think that record did for NHS managers, given the stop-start, stop-start? What on earth does he think that did to communities who were seeking certainty and assuming that the promises made by the Conservatives would be kept? They said in their manifesto only last July that they would deliver 40 new hospitals by 2030. Well, according to the NAO’s definition and the IPA’s report, that promise was never going to be kept. They knew it. They did not care. They just said what they wanted to try to win votes, and that is disgraceful.
(3 weeks, 4 days ago)
Commons ChamberMy hon. Friend makes an excellent point on behalf of young people. It is disappointing that the Scottish Government do not seem to be allocating the funding as they could. He raises a powerful case, and I know that he will work hard with the Government in Edinburgh to make the situation better for his constituents.
Is the mental health support in schools that the Minister just mentioned the same as or different from the plan for mental health support teams in schools that was already being rolled out by the previous Government?
(2 months, 1 week ago)
Commons ChamberI am sure the officials in the Box will have noted the concerns the hon. Gentleman rightly raised about his ICB. I will ensure that that is communicated back to the Minister for Secondary Care, my hon. Friend the Member for Bristol South (Karin Smyth), so she can look in more detail at those concerns and communicate with the Hampshire MPs. If a meeting is necessary at the end of that, I am sure she will be more than willing to meet him and his colleagues.
We want to ensure that every part of our NHS is working as well as it can and, as I say, good performance will be rewarded as part of our reforms. Alongside a college of executive and clinical leadership, that will ensure the NHS continues to develop and attract the best talent to top positions, bringing the best outcomes for patients and taxpayers alike.
Let me turn to some of the specific issues that the hon. Member for Winchester raised. On local hospital provision, patients deserve to have safe, compassionate and personalised care in a fit-for-purpose environment. That is why this Government have committed to building and refurbishing hospitals across the country. The new hospital programme includes a new hospital for north and mid Hampshire and a major refurbishment at Winchester to provide specialist and emergency care. As part of the proposal, I am aware that the local trust explored changes to the current obstetrician-led maternity services at the Winchester site. I know the hon. Member has been a strong champion of that, having raised it with the Prime Minister in October.
As announced in the Chancellor’s autumn Budget, my right hon. Friend the Secretary of State will set out further details of the review of the new hospital programme in the coming months, alongside a new and realistic schedule for delivery. The Hampshire hospitals scheme is in scope of the review, and I acknowledge the local concern over the proposal and the impact on the Winchester site and on maternity services.
My constituents use both Winchester hospital and Basingstoke hospital, as well as others, such as Frimley Park, the Queen Alexandra and Guildford. I understand that a clinical assessment was made about urgent treatment and services at Winchester, but there is a need for a new hospital in or near Basingstoke. In what the Minister said about a review of the new hospital programme, I accept he says a statement is coming soon, but will he confirm that it is about timing and that he or a colleague will come forward to the House soon with the certainty that people in Hampshire need?
Absolutely. I will try to be as unpartisan as I can, but the hospital programme that we inherited from the right hon. Member’s Government did not have anything like the money it needed to back it up. Conservative Members can shake their heads, but it is true. It had nothing like the money needed to bring forward those hospitals. As I have said, we will review that. Our intention is to bring forward those schemes, but that has to be done in an achievable programme, with the finances to back it up. When we announce to the House how we will schedule the hospital programme, I expect that all the answers he wants will be there. We intend to introduce the hospital building programme, but it must be done with money—we cannot build them with fresh air.
The hon. Gentleman raises an important point. No part of the United Kingdom holds a monopoly on wisdom, and if we are doing something good or if there is innovation in one part of the United Kingdom, it is incumbent on Health Ministers across the devolved Administrations and here in Whitehall to share best practice—to work together and, where possible, take a four-nation approach. I hope I can reassure the hon. Gentleman that since this new Labour Government came into power, we have really tried to reset our relationships with the devolved Administrations and with the various Ministers. I have had several meetings with Mike Nesbitt on a range of health issues that appertain to the whole United Kingdom on which we want to ensure there is consistency of approach. I am more than happy to communicate further with Mike Nesbitt and colleagues in the Northern Ireland Executive on how we reform our health and social care services in England to see whether things can be taken by them in Northern Ireland. Vice versa, if there are good ideas from Northern Ireland, I am more than happy to consider them in how we transform NHS services in England.
The hon. Member for Winchester mentioned social care, and he is right to raise winter resilience. I have spoken about fixing the front door to the NHS through primary care reforms. We also have a serious job to do to fix the back door and ensure that patient flows through the system are not held up because of a lack of social care. On winter resilience, I hope he will understand that we are working to ensure that there are no crises and that we tackle the issues of social care. Getting beds in appropriate places is a key part of our plan.
In the long term, there are no quick fixes. The Dilnot reforms were announced by the previous Government, but it is fair to say that, when we came into office, we found that the money apparently set aside for the Dilnot reforms had already been spent on other NHS pressures. Laudable though it may have been to spend that money to try to get waiting times and waiting lists down and to fix some of the problems that that Government had created, it left us with a bit of a social care issue, given that the reform money had gone, had disappeared and was no longer there to be spent.
Over the next decade, this Government are committed to building consensus on the long-term reform needed to create a national care service based on consistent national standards, including engaging across the parties. It is good to see the shadow Secretary of State, the right hon. Member for Melton and Syston (Edward Argar), in his place, and I am sure he will be very willing to work with us, as indeed will the Liberal Democrats. We genuinely want to make sure that we get cross-party consensus on the future of our adult social care, so that we can finally grasp this nettle once and for all, and to fix it without it becoming such a contentious issue, as it became, sadly, in 2010 and 2017. Neither of the two main parties has a good story to tell on this, because we have both shamefully used it as a political football from time to time. It is now appropriate that we set aside those politics and get on with fixing social care. I hope that, in due course, we will be able to move forward on that agenda.
I assure the hon. Member for Winchester that we are acutely aware of the problems with mental health services. We both agree that waiting lists are unacceptably high. Indeed, the people of Hampshire and most of England are not getting the mental health care they deserve. He has spoken previously about Lord Darzi’s report, which has shone a searing spotlight on the waiting lists that young people face, in particular. I am immensely proud that this Government are intent on tackling the issue head on, with specialist mental health professionals in every school in England. That is our aim. These NHS-funded mental health support teams in schools and colleges will work with young people and parents to manage mental health difficulties and to develop a whole-school approach to positive mental health and wellbeing.
Can I just check whether I heard the Minister correctly? Did he say there would be a mental health specialist in every school in England?
(2 months, 1 week ago)
Commons ChamberThis truly has been one of our nation’s worst ever scandals and injustices. Thousands of patients contracted HIV or hepatitis viruses, or both, from contaminated blood, and this was not an accident or something that could not be avoided. Nor was it down to pure negligence or people not being sufficiently attentive, although there was plenty of that. The report is clear about the
“systematic, collective and individual failures”
in identifying and managing infection risk from blood products, and in the response of the health service and the Government.
This issue affects the constituents of very many MPs, but it has a particularly tragic depth of salience in my constituency. East Hampshire is home to Treloar’s, a non-maintained special school and college that delivers outstanding education, nurture and care to children with some of the most profound disabilities. However, it was also the place where there was a terrible concentration of victims of this scandal. Because 40 to 50 haemophiliac patients were there at any one time, it came to be seen as a unique opportunity to study the disease, and a haemophilia centre was established at the nearby hospital in 1972. Towards the end of the 1970s, the hospital still catered to the needs of the wider community, but the haemophilia centre was relocated to the school grounds. The inquiry report dedicates an entire chapter to the experiences of pupils at Treloar’s, and to how research objectives often outweighed the best interests of the children. The inquiry heard that of the 122 pupils with haemophilia who attended the school between 1970 and 1987, only around 30 remain alive.
I have spoken to a number of my infected or affected constituents over the years, including Adrian “Ade” Goodyear, a man who speaks with remarkable dignity and determination. I will quote briefly from his most recent message to me:
“The camaraderie and unity of we former pupils—well the handfuls of us that are left…We have stuck together to get to the truth due to the promises and pacts we made towards our lost when they were living, as well as for their families.”
We have been waiting a very long time for the truth about a string of failures, omissions and wrongdoing, starting with the failure to achieve domestic self-sufficiency, and the decision to allow the importation of higher-risk factor VIII concentrates, which in many cases were procured via commercial arrangements that made infection more likely because the products came from high-risk groups, including prisoners and drug users. We were complacent about the risks of hepatitis C and slow to respond to the risks of AIDS, and we permitted research to be conducted on people without telling them—or, in the case of children, their parents—or informing them of the risks. In some cases, we failed to tell people that they were infected, thus closing down the possibility of their managing the progression of their disease or its transmission to others. In other cases, people were told starkly and insensitively about a diagnosis of HIV. There was defensiveness, a lack of candour, the active destruction of evidence and, of course, the absence of a meaningful apology or redress for so many years.
In his statement on 21 May, my right hon. Friend the Member for Salisbury (John Glen) rightly accepted Sir Brian Langstaff’s recommended five categories of pay awards and confirmed additional interim compensation payments. There now needs to be clarity about the basis on which claims can be assessed, and the speed of those payments. Campaigners have raised concerns about the information sources available, and I hope that the Minister can provide assurance that steps will be taken to ensure that there is easily accessible information to support people making compensation claims.
I have been asked by former pupils at Treloar’s to ask about the compensation amounts of £10,000 and £15,000, which have been mentioned by the hon. Member for Eltham and Chislehurst (Clive Efford). It would be helpful to have on the record, and in Hansard, an explanation of those sums of money.
We have talked about memorialisation and the national memorial. The inquiry also recommended that there be a memorial dedicated specifically to the children at Treloar’s, and that it be provided at public expense. I hope that the Minister can provide an update on that, either in his closing remarks or in follow-up correspondence.
I hope that one of the positives that can come from this generation will be the instituting and institutionalising of a duty of candour, in both letter and spirit. The report recommends a review of the existing statutory duty of candour, which requires NHS organisations to be open and transparent about mistakes and harm in care, and requires leaders in health service organisations to be personally accountable for responding to concerns about safety. I think we all welcome the Bill appearing in the King’s Speech. For this generation, we need to make the duty of candour an established principle across the whole of public service, which is something in which we are all involved, in our different ways, as parliamentarians and members of the Government.
Nothing can ever make up for all these failings, but we can at least ensure that the compensation scheme works as well as it can, and that we as a state face up to our failings and truly learn the lessons, so that we can have confidence when we say, “Never will this happen again.”
(3 years, 6 months ago)
Commons ChamberWe are committed to halving childhood obesity in England by 2030, and the 2020 strategy takes decisive action to help everybody to achieve and maintain that healthier weight. We have five trailblazer sites working to create a healthy environment for our children. We have laid regulations for out-of-home calorie labelling. We have put £100 million into funding for adult and child weight management, and announced the introduction of some of the toughest advertising restrictions—both on TV and online—regarding children’s exposure to high fat, salt and sugar products. This is about the cumulative effect of several policies.
I am grateful to my hon. Friend for mentioning that wide range of measures. May I also encourage her to work closely with colleagues at the Department for Education and the Department for Digital, Culture, Media and Sport on an expanded children’s sports and activity plan, both in and out of school, to try to make 60 minutes a day as much a norm as five-a-day fruit and vegetables by bringing in the power of sports clubs and the governing bodies, and finally getting more school facilities available for out-of-hours use?
My right hon. Friend’s question is music to my ears. He will be pleased to hear that, last week, along with Ministers from DCMS and the DFE, I was in front of the Lords National Plan for Sport and Recreation Committee talking about doing just that—about how we can build on the DFE’s £10.1 million contribution, so that we can unlock the 40% of facilities that lie on school estates and help to get children active for 60 minutes a day. We will be publishing our cross-departmental update to the school sport and activity action plan later this year.
(3 years, 7 months ago)
Commons ChamberI thank my hon. Friend for his years of service working in mental health. Mental health is one of this Government’s top priorities, and I assure him that we are doing our utmost to ensure that mental health services are there for everyone who needs them. Through the NHS long-term plan, we are expanding and transforming mental health services in England and investing an additional £2.3 billion a year in mental health services by 2023-24.
In addition, we have published our mental health recovery action plan, backed by a one-off targeted investment of £500 million in addition to the £2.3 billion, to ensure that we have the right support in place this year. The plan aims to respond to the impact of the pandemic on the mental health of the public, specifically targeting groups that have been most impacted. We have set up a cross-Government ministerial group to monitor progress against the actions listed in the plan, and the group will also identify areas for further action and collaboration.
I welcome the priority put on young people’s mental health, which is perhaps more important now than ever. Will the Minister give an update on progress on implementing the proposals in the children and young people’s mental health Green Paper, particularly on mental health support teams in Hampshire and nationwide?
We are making good progress on implementing the Green Paper proposals, and I am pleased to say that we have established 11 mental health support teams in Hampshire. Nationwide, there are currently 180 mental health support teams, covering around 15% of pupils in England. Over 200 more are in training or being commissioned, and we expect to have around 400 in place by 2023-24, covering 35% of pupils. We recently announced £9.5 million to train thousands of senior mental health leads among school and college staff.
(4 years ago)
Commons ChamberIt would be an understatement to say that people have restriction fatigue. I, like others, hate having to have the sorts of curtailments on people’s freedoms that a lockdown means. It is right—indeed, it is essential—that these regulations be time-limited, and I welcome the stipulations on regular reviews. I support the regulations because the contrast and choice before us is not between having curtailments or not; it is about the very difficult things that we do now as a country and a society, against even harder things that we would have to do in the future.
The data are startling in Hampshire, as elsewhere, with a dramatic growth in case rates since the start of December. Without truly stringent measures, there is a real risk of overwhelming the NHS. “Overwhelming” and “overtopping” have become commonplace phrases, but we need to stop, pause and reflect on their true meaning and implications far beyond covid.
The difference now, of course, as the Secretary of State has said, is vaccination. We can see, ultimately, a way through. It has been impressive to see the speed with which the Hampshire vaccination programme has got off the ground. Clearly, all hands now have to be put to the programme. I was pleased to hear what the Secretary of State said about the removal of red-tape barriers to volunteering. Clearly, close attention needs to be given to every stage of the vaccine’s production, distribution and administration.
As well as business support during lockdown, we are clearly going to need a sector by sector plan for how to come out of this, including for pubs, hotels and so-called non-essential retail, which are essential to our high streets and to the events business. We are going to need a national effort and mission on the return to school—preparing ahead of it, repairing the impact that this period will have again on children’s lives, and trying to get them back on track. It will need different approaches for different age groups and different individual children. Some will have fallen back in some subjects, not others. Some, of course, will have had truly terrible experiences in this time, and that will also put a strain on children’s services departments, which we need to recognise. More generally, more attention than ever before will need to be given to the mental health of children and young people, and to a return to physical exercise in some cases.
There will need to be specific interventions in schools. The tragedy, of course, is that some of those had already started. The £1 billion fund is in place and, obviously, needs to be kept under review. I very much welcome what the Prime Minister said earlier about one-to-one tuition, but we also need to think about what needs to be done to overcome the constraints on that. In some places it is already hard to find supply teachers, let alone one-to-one tutors. There will be a more important role than ever before for volunteer readers, mentoring programmes and strengthening links with business. I hope that my right hon. Friend the Secretary of State can assure me that that is being considered across Government.
(4 years, 2 months ago)
Commons ChamberWe are processing coronavirus tests on an unprecedented scale and expanding capacity further, having already met our testing capacity target of 500,000 tests a day by the end of October. We now have five Lighthouse labs operating across the UK, with two more announced yesterday, and significant progress on next-generation testing technologies.
We have discussed many times in this House the importance of the use of testing because of the terrible dilemma of wanting to keep people safe in care homes, yet also wanting to allow visiting. Testing can help to resolve that. The pilots are ongoing in some parts of the country, and I very much hope that we can get to a position where we can offer testing to enable visiting across the country before Christmas
I welcome the testing pilots that are happening, including in Southampton. How will the Government be able to support local authorities and public health teams with the logistics of mass testing, particularly in large rural areas such as Hampshire?
Increasingly, the test itself is only one part of getting a high-quality testing system. The logistics around it are also vital. We are already funding local authorities across the country to support them to roll out mass testing, but we will learn from the pilots, including in Hampshire, to see what extra might be needed.
(4 years, 10 months ago)
Commons ChamberThose are both very important points. Children who receive free school meals often receive their best or, in some cases, their only meal at lunch time at school, and it is an issue that I discussed with the Education Secretary over the weekend.
My hon. Friend the Member for Folkestone and Hythe (Damian Collins) talked about the importance of information consistency, but some constituents are seeing competing messages which look like they come from credible sources and are then passed on in good faith. In the worst cases, not only do they mislead, they can even be dangerous. May I encourage my right hon. Friend to continue his work with the platforms not only to ensure the primacy of the official information, but to actively work against that which disinforms.
(10 years, 11 months ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
My hon. Friend makes a powerful point. I will acknowledge later the veracity of some of the points raised, but he is right that some irresponsible fears have been raised, which do nothing but damage public health. The MMR debacle is a good example of why we need to use those data and why we need very high rates of opt-in so that they can be used in that way.
Unsurprisingly, due to that debacle, many now ask whether there is a future for this quiet revolution in the use of patient data to deliver the benefits outlined above. After all the controversy and public backlash, where can the hope of a data-led NHS go? Is public trust now so low that the Arab spring of health outcomes and transparency is over? I suggest that it is not, and that the Government and NHS England’s decision to delay the care.data initiative in order to give more time for a wider public discourse provides a platform for rebuilding public trust and confidence. I will make some specific suggestions for the Government to consider that I think would go a long way towards achieving that.
I will begin by sketching out the revolution that I believe is currently under way in 21st-century medicine and how data are central to driving it. I will then show how the ten-minute rule Bill that I have introduced on patient rights over patient data, and the Patients4Data campaign that I helped to found, some of whose members are here in the gallery, are articulating the benefits of patient data. I will then summarise and address the understandable concerns of many patient data opponents, which have been aired in the past few weeks. We must carry public trust and confidence; how can we put measures in place to combat those concerns? Finally, I will set out how I believe the scheme can be saved and how we can ensure that patient data can be used to deliver the benefits that we all want in a way that carries public trust.
Fundamentally, I suggest, this debate on data is a small but important test for our politics. Will we let some of the greatest advances in modern medicine and the chance of a truly 21st-century model of health care elude us and get lost in a muddled partisan debate that generates more heat than light, or let failures of health care delivery like those in Mid Staffordshire be compounded by failures of parliamentary and political process? Or will we rise above it to recognise the reasonable objections raised by opponents, address them with the studied calm that an issue of this importance demands and find a workable solution on a truly cross-party basis?
I hope that this debate will play a part in helping us take the latter course and show this House at its best, with politicians coming together to find answers in the interests of the British people, patients and the NHS, as well as the care professionals who rely on us to get it right. As they have a duty of care to the patients of this country, so we as elected representatives have a duty of care to the democratic process and to them as citizens. The transformational impact of data is too important to get lost in a debate dominated by petty factionalism and party rivalry. This serious issue demands serious answers, which this debate will help to provide.
I mentioned a quiet revolution in modern medicine. I suggest that slowly but surely, 21st-century health is changing from something done to us by government when government has thought that we needed it to something that modern citizens do for ourselves. It is a revolution ultimately driven by data in three profound ways—a quiet revolution in transparency of outcomes across the NHS; in research and how medicines are developed; and in empowerment of patients to take more responsibility for their own health care.
On transparency, we saw—most traumatically in the Francis report, although it is working across other areas of health care—that our constituents increasingly want to understand and see that their patient journey through the health system and, crucially, the care system is properly tracked. To share a personal example, I have power of attorney for my elderly mother, who was hospitalised last summer. When she came out of hospital, as thousands of our constituents do every day, she was suffering and in pain, and not getting the care that she needed. I wanted to be able to log on quickly to see what her diagnosis was, what she had been prescribed by way of pain relief and which of the mountain of expensive multicoloured pills she had been prescribed over the previous weeks and months she should have been taking that afternoon. I wanted to be able to ask the right questions of the system and the people in it when she was unable to do so for herself. Why could she not simply have given me her login password so that I, with power of attorney, could log on with her NHS number to her care record and see at a glance live information on her condition?
I have given a small example, but it is one that the younger generation in particular now expect in the delivery of public services. They want and expect data and easy online access to drive accountability. The genie is somewhat out of the bottle in terms of public interest in the power of data and online access to drive both transparency of outcomes and patient empowerment. The frightening truth is that we are currently in a dark age in some areas of our health service. The Government have sought to tackle that through the care.data initiative, and we should welcome that. The issue is how we tackle that in a way that commands public trust and confidence.
Despite all the technological advances of the last century, we are still unable to say how many people receive chemotherapy in the NHS each year, or how many prescriptions are issued. For all we know, there could be another Harold Shipman—God forbid—operating in a GP practice somewhere in Britain; or, more likely, a GP surgery or social care unit that is operating well below acceptable standards. We—the patients, taxpayers and citizens of this country—have a right to know, and to expect that MPs are asking the right questions and using our position in Government and privileged access to that vast data set to ensure that we are asking those questions and demanding the answers.
The horror stories from Mid Staffs were brought to light only by the power of outcomes data. Patients were dying unnecessarily. People were drinking water from flower vases. We now know that whistleblowers were ignored. It was only through the power of data that the scandal was uncovered. After all, data do not lie. If, as the Secretary of State said, sunlight is the best disinfectant, open data provide the light we need to stop the sort of abuses that were going on in places such as Mid Staffs and Winterbourne View.
The second and perhaps most groundbreaking application of data is in research. The truth is that the traditional model of medicines development on which we and the NHS have relied for almost 50 years, in which the pharmaceutical industry goes away for us and spends hundreds of millions—increasingly, billions—and comes back with a perfect drug claiming to suit everyone, is a model that neither we nor the NHS can afford any longer.
Having had a career in biomedical research, my experience is that over the past 10 to 15 years this country has quietly come to lead in the appliance of patient data sets in particular disease areas to drive and accelerate the development of modern medicines. That has had extraordinary benefits for NHS patients. I declare an interest in that I spent the last seven years of my career in biomedical science and research helping to create partnerships in the NHS between NHS clinician scientists, research charities, industry and university scientists, in order to try to accelerate the process by which modern medicines are discovered and developed.
The truth is that the more we learn about genetics, genomics, patients and disease, the more we know that someone else’s disease will probably be different from mine. Our susceptibility to it will be different, as will our response to different drugs. The revolution in research data offers an extraordinary opportunity for the NHS to be the place in the world where we develop and design 21st-century medicines targeted at the patients who need them, and generate extraordinary opportunities for NHS patients and clinicians. Instead of being a country that can no longer afford a spiralling drug bill and that, through inevitable rationing, becomes an ever less attractive place to develop and launch new drugs—accelerating our crisis in access to medicines—we could become the best territory in the world in which to do patient-centred drug design, and thus get the fastest access to the latest medicines. That would be a huge prize for our country.
I shall give an example that brings that opportunity to life. The last project that I worked on before coming to Parliament was at King’s college here in London, with Professor Simon Lovestone, the head of research at the college’s academic health science centre and the professor of psychiatry. The project was funded by the NHS National Institute for Health Research and looked at the catchment population of the South London and Maudsley NHS mental health trust—250,000 patients suffering from a range of mental health ailments. Members will be aware that there is no magic bullet drug in mental health; there is a huge cocktail of some very difficult drugs, with often hugely traumatic experiences and side effects for patients. It is an unsatisfactory area of modern health care in which we are still failing a large number of patients, despite the best efforts of those seeking to care for them.
The system that was put in place, funded by the NIHR, created an anonymised data set of the 250,000 patients, which allows researchers to look across that cohort at relationships between medicines and outcomes and between disease diagnosis and MRI scans. It shines a light on which drugs are working for which patients and starts to allow us to improve treatments, target the right drugs to the right patients, and begin to understand the complex interplay of genetic, lifestyle and pharmaceutical factors shaping disease, as well as giving possible opportunities for breakthroughs in diagnosis and treatment.
Interestingly, in the context of the anonymisation debate, crucial to the success of the NIHR-funded system is the ability to trace and analyse GPs’ notes in a long sequence of diagnoses for an individual patient, and to understand the interaction of a number of different factors in that patient’s life in predicting particular patterns of predisposition and response to drugs. In discussing anonymity, pseudo-anonymisation and total anonymisation, we must therefore be careful to ensure that we support a system that allows the right people to use the right data in the right way in order to drive health benefits.
We must also distinguish the use of data for research from the publication of data. We have discovered from the story this week in The Daily Telegraph about a secondary analysis of data by insurance companies that those data were originally published by a think-tank. We must therefore be careful to put in place an appropriate system so that, for core research within the NHS, the necessary freedoms to look at individual patient and non-anonymised data are protected, but we have a cascade of protections leading out so that published data are absolutely safeguarded against de-anonymisation.
I congratulate my hon. Friend very warmly on securing such a timely and important debate. The protections that he is talking about are fundamental to a lot of people with strong views on this issue. By what mechanism does he envisage data sets becoming available? Who would be in charge of the protection? Do we make large data sets available? Would there be some sort of automated system to find breaks in the data? My question, essentially, is: what are the mechanisms to reassure people?