Oral Answers to Questions
Debbie Abrahams Excerpts(3 weeks, 6 days ago)
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Stephen Kinnock
From the roundtable discussions, and from subsequent discussions we have been having with the sector, it is clear that we need to look at the long-term funding issue. We faced a cliff edge towards the end of last year. That is not the right way to do things. We must start getting the funding discussions moving so that, well in advance of the end of this financial year, the funding situation for the palliative and hospice sector is much clearer.
Debbie Abrahams (Oldham East and Saddleworth) (Lab)
The Parliamentary Under-Secretary of State for Health and Social Care (Ashley Dalton)
Lord Darzi’s report laid bare the shocking health inequalities in our country. It is completely unacceptable that in Britain in 2025, maternal mortality rates for black women are more than double those of white women and life expectancy at birth for females in Blackpool is eight years less than in Kensington and Chelsea. Reducing inequalities in elective care was identified as a key priority in the planning guidance and mandate that the NHS published last month, and further measures to address these inequalities in our country will be at the heart of our 10-year health plan, which will be published in the spring.
Debbie Abrahams
In 2013, the then coalition Government reduced the health inequalities weighting in the NHS formula, with the result that less money went to deprived areas. That was despite evidence that between 2001 and 2011, every £10 million invested in such areas resulted in four fewer men and two fewer women dying early. Can my hon. Friend reassure Government Members that that health inequalities weighting will be reinstated so that we can ensure that deprived areas get the funding they need and that lives are saved?
Ashley Dalton
The Government mandate to NHS England was published on 30 January and makes the importance of tackling health inequalities clear. NHS England has an existing programme that targets the most deprived 20% of the population, with the aim of reducing health inequalities. I can reassure my hon. Friend, who has been a determined campaigner on inequalities, that the health inequalities weighting has not been withdrawn. The funding in question, which amounted to £200 million, has been incorporated into the main integrated care board allocation. The weighting of that health inequalities adjustment has been increased from 10% to 10.2%, so that the ICBs still benefit from that extra investment, with funding redistributed to areas with the poorest health outcomes, based on measures of avoidable mortality provided by the Office for National Statistics.
Health and Adult Social Care Reform
Debbie Abrahams Excerpts(2 months ago)
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Wes Streeting
I was grateful to staff at Derriford hospital for showing me at first hand the emergency department pressures when I visited just before Christmas. I have also visited Derriford at the height of summer, when it experiences high pressures. There are year-round difficulties at Derriford, and I thank the staff and leadership of the hospital for what they are doing in difficult circumstances. We will come forward shortly with the timetable for the new hospitals programme. I expect that it will be published sooner than the Conservatives apologise for their appalling record.
Debbie Abrahams (Oldham East and Saddleworth) (Lab)
I welcome my right hon. Friend’s statement, but can he expand a bit more on the new agreement with the private sector? For example, he mentioned that the surgical hubs will be delivered solely by the private sector, but what arrangements will there be for emergency care, when the occasion arises?
Wes Streeting
Some of the new capacity announced in today’s elective reform plan will come through the independent sector, and some of that new capacity will be in the NHS. It is our ambition to rebuild the NHS so that it is available for everyone where and when they need it, and we will work with the independent sector. We are publishing full details of our independent sector agreement, so that people can see the deal that we have reached, and the sensible and effective partnership, including safeguards and protections, that we have come to. I look forward to working with the sector to make sure that everyone, whatever their income and background, can get faster access to care.
NHS Performance: Darzi Investigation
Debbie Abrahams Excerpts(5 months ago)
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Debbie Abrahams (Oldham East and Saddleworth) (Lab)
I will be brief. I think there is general consensus on Lord Darzi’s review of the issues facing the NHS, but in spite of what the shadow Minister says, staff morale is low, particularly when compared with 2010. It has never been so low. I express my gratitude to and solidarity with all the staff, clinical and non-clinical, for the work they do.
I will briefly focus on the key drivers. We have heard a little about them from the Health Secretary, particularly in terms of the Health and Social Care Act 2012. I sat on both the Bill Committees. I was aghast, having just come out of the NHS and having faced the issues. I just knew it would be catastrophic, and it was. It had an almost immediate impact on staff morale.
We must also recognise the impact of austerity between 2010 and 2018. NHS revenue budgets grew by just 1% each year—the lowest rate since the NHS was formed. That compares with growth of nearly 4% a year since then. In 2010, the Commonwealth Fund found that the NHS was one of the top-ranking health systems in the world. It was No. 1 for equity in access to healthcare; we are now ranked 10th. If we compare spending on healthcare, we are ranked 26th in the OECD. Austerity impacted not only the overall funding of the NHS, but the funding allocation formulas. The weighting for deprivation was slashed, so areas such as mine received less money, although we had greater health needs. Austerity also had an impact on other aspects of public funding and local government, and metropolitan areas such as mine were particularly badly affected. It stripped the support from people in need.
Anna Dixon (Shipley) (Lab)
I came into politics because of a desire to reverse growing inequalities in health and disability. In my constituency of Shipley, there is a 10-year gap in healthy life expectancy between those living in Wharfedale and their neighbours over the moor in Windhill. While lots needs to be done to tackle poor housing and poverty, there are things that the NHS can do. Does my hon. Friend agree that the NHS plan must prioritise prevention, as well as just treating sickness?
Debbie Abrahams
As a former public health consultant, I would obviously agree with my hon. Friend. I have similar health inequalities across Oldham. I was about to talk about the impact of other issues, such as social security cuts, which meant greater poverty, including in-work poverty and children from working families living in poverty. That has had a consequential impact on our health as a whole. We have flatlining life expectancy, and in areas such as mine, life expectancy has got worse. That impacts on our productivity and the wealth of our country.
I will briefly mention a couple of points that I know my right hon. Friend the Secretary of State recognises, and might want to consider. An annual report on the state of our health and the state of our NHS, presented to Parliament before each Budget, would pick up on the points that have been raised about cross-departmental impacts on health. We should have a prospective assessment of the impacts of the Budget and the Finance Bill on poverty and inequality, and subsequently on health and the NHS. That can be done; others are doing it. We should have a strategy to identify and address health equity issues in the NHS. We have seen a bit of that through covid, in the inequity around the use of oximeters. We should introduce something like “Improving working lives” for our staff. That had a massive effect on staff when I worked in the NHS. We need a clear commitment to the 1948 principles of the NHS, under which it is funded from general taxation, and a funding allocation based on need.
Madam Deputy Speaker (Judith Cummins)
I call the Liberal Democrat spokesperson.
NHS: Independent Investigation
Debbie Abrahams Excerpts(5 months, 3 weeks ago)
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Wes Streeting
I can absolutely reassure the hon. Member that RAAC-impacted hospitals are a priority. We are putting safety first, and it is just a shame that when his residents had a Prime Minister in their backyard, the Conservative Government did not fix the problem.
Debbie Abrahams (Oldham East and Saddleworth) (Lab)
For the sake of openness and transparency, I will just mention that I am a former chair of an NHS trust and a public health academic. I recognise the real issues that are raised in the findings of the Darzi rapid review. I am grateful to Lord Darzi for referring in particular to the inequalities that we have experienced, and how those inequalities were laid bare during covid. Will the Health and Social Care Secretary expand on the cross-departmental work that he is doing? I agree with my hon. Friends the Members for Walthamstow (Ms Creasy) and for Eltham and Chislehurst (Clive Efford) that people’s socioeconomic circumstances drive their health status. We do not want a situation where, for every 1% increase in child poverty, six additional babies per 100,000 live births do not reach their first birthday.
Wes Streeting
I thank my hon. Friend for her question and congratulate her warmly on her election to the Chair of the Work and Pensions Committee. I am looking forward to sharing, through the Secretary of State for Work and Pensions, the work that our Departments are doing together, particularly on the link between mental health and unemployment and on integrating pathways. She is right about the social determinants of ill health. That is why I am genuinely excited that, through the mission-driven approach that the Prime Minister has set out, we are already bringing together Whitehall Departments, traditionally siloed, to work together on attacking those social determinants. The real game changer is genuine cross-departmental working, alongside business, civil society and all of us as active citizens, to mobilise the whole country in pursuit of that national mission, in which we will be tough on ill health, and tough on the causes of ill health, as someone might have said.