(9 years, 10 months ago)
Commons ChamberI echo the hon. Gentleman’s comments about what a remarkable lady Pauline Cafferkey is. When she was asked why she was going, she said, “Why wouldn’t you go when so much suffering is happening in west Africa?” That is the measure of the woman.
On the screening process, I am satisfied that the right clinical processes were followed, but I am not satisfied that it was as well organised as it should have been. That is why we have revised not just the clinical protocols, but the organisation, to ensure that we have the right capacity in place, and that we do not make people wait for as long as they did when Pauline returned on her flight. It is also important to recognise that the Public Health England staff at Heathrow are working very hard doing a difficult job, and are doing their very best.
I commend the federal and state authorities in Nigeria for the work they did in containing the Ebola outbreak there last year. In the space of a four-day visit, I had my temperature taken 34 times—whenever one goes into a public building, one has one’s temperature taken. Everyone who visits a Nigerian airport has to fill out a form giving details of where they have been and where they are going, contact details, and details of where they sat on the plane. Is the Secretary of State confident that he has the same level of traceability in this country as the Nigerian authorities have achieved in their country?
Yes, I am. I join the hon. Gentleman in commending the actions of the Nigerian authorities. What has happened in Nigeria in respect of Ebola shows a great deal of hope for what is changing in Africa more generally. There was a perception that all African countries would find it as challenging to deal with Ebola as Sierra Leone, Liberia and Guinea have found it, but it is clear that a generation of African countries have developed substantially and are able to respond in a much more effective way. That is a very encouraging change from what might have been the case 10 or 20 years ago.
(10 years, 4 months ago)
Commons ChamberMy hon. Friend is quite right to highlight this as a major challenge facing us. I pay tribute to the chief medical officer and to the Prime Minister for the international leadership they have given on this. My hon. Friend will be pleased to hear that the antibiotics market will be considered in its totality by the O’Neill review, which was announced by the Prime Minister on 2 July. It is of course important to bear it in mind that while we look at tackling global antibiotic misuse, we need to balance the need for global conservation measures with accessibility for lower-income countries.
3. What assessment he has made of the adequacy of resources made available by local authorities for the regulation of food safety.
The allocation of local authority food law resources is a local matter. Authorities are increasingly using a risk-based approach to target these resources and looking at ways in which they can work smarter. The Food Standards Agency monitors and audits local authority controls to ensure appropriate resources are in place effectively to regulate food safety.
Food safety standards in this country are generally very good, happily, but that is very much dependent on the work of local authorities and of laboratories. What consideration has she given to the recommendations of the interim Elliott review that there should be better coordination and integration of local authorities and also, possibly, a public analyst service?
Obviously we are awaiting the final Elliott report but, as my hon. Friend would expect, consideration is being given across government to the interim report. The Government are committed to improving co-ordination and intelligence sharing. We can see some of that in, for example, smart back-office sharing, on which his authority, I believe, has taken a lead. We are working across government, local authorities and industry to protect food integrity. Professor Elliott said that we have one of the safest systems in the world but there is always more we can do to work more closely together. I know that the FSA is working more closely with local authorities and that Public Health England has begun to have constructive discussions around the issues. But we will obviously respond in more detail when we have the final report.
(10 years, 7 months ago)
Commons ChamberI think that I received a representation from the right hon. Gentleman in person when he was kind enough to visit my constituency with the Silver Star diabetes charity that he founded. That visit perfectly demonstrated the role of testing in the community; it was fantastic to see people queuing up to be tested in a day-to-day setting outside a supermarket. He is quite right to say that community pharmacies have a big role to play. I recently visited Tesco to learn about its work with Diabetes UK, and about the many tens of thousands of people that those two organisations, working together, have tested.
Does the Minister recognise that not only pharmacists but—here I declare a professional interest—optometrists represent a huge reservoir of underused professional skill and expertise in an unrivalled network of premises? Can we not find ways of using that expertise more effectively in primary care, diagnostics and—as the right hon. Member for Leicester East (Keith Vaz) suggests—screening?
I echo my previous point that all our front-line health care services have a role to play in the community in helping people to keep well, to stay out of acute care and to manage their medicine. Indeed, the NHS is looking at this question more widely, and I understand that the central message of Simon Stevens’s speech today is that we need to look in the round at the way in which all our front-line services work together to deliver great care in the community.
The reason we are not passive observers is that we have made some substantial improvements in mental health provision since coming to office, including legislating for parity of esteem, which is precisely why the right hon. Gentleman feels able to ask that question. There are 55,000 more people every year getting a dementia diagnosis and nearly 80,000 people going on to psychological therapies. Lots has been done, but there is lots more to do, and we will continue to do everything we need to until we get that parity of esteem.
T3. The whole House will have been appalled by evidence from the Winterbourne View case and others of inappropriate methods of controlling patients. Will the Minister now take action to ensure that restraint is only ever used as a last resort, whether in care homes, hospitals or mental health units?
The evidence from Winterbourne View was utterly shocking. The Mind survey subsequently revealed that restraint is used far too much across the health system. We committed to reviewing the guidance, and I am pleased to say that we will publish new guidance later this week to address the very point my hon. Friend raises.
(10 years, 9 months ago)
Commons ChamberI am very happy to talk to the hon. Gentleman about that. My understanding is that the local CCG undertook a retendering exercise with a view to maintaining and, indeed, improving mental health services locally. As he says, Safe Haven did not submit its tender in time. It had a right to appeal, and it chose not to appeal. The CCG is absolutely committed to ensuring that it improves mental health services locally.
Not only do mental health services not get the attention that they sometimes deserve, but the condition of individuals is often exacerbated by the inability of the benefits system to recognise episodic illness and by the insensitivity and incompetence of Atos in work capability assessments. Will the Minister talk to his colleagues in the Department for Work and Pensions so that we can have a system that is suitable and fit for people with mental illness?
I thank my hon. Friend for his question. Indeed, I share the concerns that he raises, and I have recently met my hon. Friend the Minister responsible for benefits specifically because I have those concerns. There needs to be much closer working between mental health services and the benefits system locally.
(13 years ago)
Commons ChamberThe Minister said in reply to an earlier question that there would be no forced redundancies. However, as he explained, Circle will pay off the deficit over a period of time and has an obligation to make profits for its shareholders. Can he explain how it will manage to do that while paying off the deficit?
Did they not understand the policy when they voted for it?
My hon. Friend makes a valuable point from a sedentary position. The driving force behind the arrangement and the key criterion for Circle is the need to turn the hospital around, with regard to its quality and standard of care and its finances. The challenge for Circle is to eliminate completely the £39 million historical deficit over the 10-year period and put the day-to-day running costs of the hospital on a firm footing. I am confident that, within the framework of the agreement, that offers the best change to turn the hospital around.
(13 years, 5 months ago)
Commons ChamberBecause there was no opportunity to have a debate last night. It would have been nice to be able to expose the problems with the way the Government are dealing with the Bill, but unfortunately such an opportunity was unavailable to us. It is a disgrace that there is no opportunity for amendment. It is also a disgrace that the whole Bill is not being recommitted. We have seen none of the amendments. The Government are basically saying, “We’ve decided where we want to change the Bill, and only those bits shall be available for discussion by the Committee.” That is a completely inappropriate abrogation of the powers of this House to the Crown. The person who should be most disgraced by that is the Deputy Leader of the House, because he has said so many times that he believes in better scrutiny and yet is now abandoning that.
Will the hon. Gentleman give way?