(1 day, 20 hours ago)
Commons ChamberIt does sound concerning that that decision has been taken. I urge all councils to work with their local integrated care boards and other parts of the NHS system to ensure that healthcare of that kind is provided in areas where people can access it, as part of our plan to make certain that healthcare is available throughout the country.
David Reed (Exmouth and Exeter East) (Con)
Too many men lead too much of their lives in poor health and face barriers to access to health services. We have published England’s first ever men’s health strategy to get men speaking about their physical and mental health, and we are getting on with implementing it. From partnering with the Premier League to investing in the men’s health community fund, we are meeting men where they are, and helping them to lead longer, healthier lives.
David Reed
The NHS itself says that prostate cancer often has no symptoms at first, and Prostate Cancer UK says most men with early prostate cancer have no symptoms at all. The Government’s TRANSFORM trial exists because current detection methods are recognised as inadequate. Why does Government messaging still point men towards early symptoms that they are unlikely to have, while cancers that could be cured are becoming cancers that cannot?
Let me be really clear in my advice to any man who is worried about prostate cancer, whether he has symptoms or not: go and discuss it with your GP. Testing is available when GPs recommend it, and I would recommend to no man that he should worry about it in silence, sit at home and fret about what might be going on.
The wider, targeted screening programme to which the Government have agreed is based on the evidence from weighing up the benefits of screening versus the harm that it can cause. We know that, at present, if cancerous cells are identified and treatment follows—for example, removal of the prostate—it leads to permanent urinary incontinence in 20% of cases and in two thirds of cases to permanent erectile dysfunction.
(2 months, 2 weeks ago)
Commons ChamberIf the committee had ever taken me up on my offer to meet the entire committee, I might be able to answer the question, but since it has never done so, I do not know. It is for resident doctors to decide, based on what I have set out, if the committee’s rejection of this offer is reasonable.
Given the material benefits that the offer would bring to resident doctors in a matter of days—an additional 1,000 jobs and significant pay uplifts—and what that would mean for the next few years, I have to be clear that this is our best and final offer. We cannot go any further. If I may say so, we are at a point where the public would judge that we have gone as far as we can; I think quite a lot of people in the country who are watching would say that we have gone further than we should. I do not take that lightly. Resident doctors should not look a gift horse in the mouth, and I hope that they will make those representations to their committee.
David Reed (Exmouth and Exeter East) (Con)
I thank the Secretary of State for his robust view and position on the BMA. In reference to what was said by the Liberal Democrat spokesperson, the hon. Member for North Shropshire (Helen Morgan), on the inflationary pressures that we will feel as a result of the conflicts in the middle east, do the figures for the three-year deal use the inflationary projections from the Office for Budget Responsibility and the Bank of England? If not, given that this is all about pay, and that the BMA will always come back for more—I think it is being unreasonable at the moment—does the Secretary of State agree that we need new rules around minimum service levels if we want to have a reliable NHS in this new world?
Pay structure reform and future pay are linked to the DDRB, which is an independent pay review body; its recommendations are one of the things that the BMA wanted the deal to be shaped around. The Government’s position on minimum service levels has been clear.
The hon. Gentleman sets out an alternative position from the Conservative party. I think the BMA should look at that, and judge whether it would be better to do a deal with this Government and move forward constructively. Does it honestly think that if it hampers NHS progress, and goes on endless strikes over the coming years, it will have a better Government to work with at the end of this? I do not think so.
I ought to say one final thing, which we should take really seriously. I have been thinking about this issue in the context of the covid inquiry report, and where we are in terms of threats to this country, the war in Iran, and the war in Ukraine. This country was more exposed during the pandemic than it might have been if the NHS had been in better shape. This country faces some serious threats in the world, and the NHS is not in good enough shape. In that context, we have to start thinking about whether the actions of the BMA are tolerable.
(11 months, 1 week ago)
Commons Chamber
David Reed (Exmouth and Exeter East) (Con)
I thank the hon. Member for bringing this important issue to the Chamber. My wife and I are expecting our first in the coming weeks, so as hon. Members will expect, this is an important subject in which I am quickly upskilling myself. In my constituency, I have a similar group called Exmouth Bosom Buddies, which does a fantastic job that we know relieves pressure on the NHS. What more does the hon. Member think can be done to allow such groups to grow, thrive and flourish so that they can continue their vital work?
Before the hon. Member gets to her feet, I am just reminded of the midwifery-led Crowborough birthing unit, which helps the lovely mums in my constituency.