Oral Answers to Questions

Diana Johnson Excerpts

Tuesday 20th October 2026 Commons Chamber

[Fleur Anderson (Putney) (Lab)]

14. What steps she is taking to improve access to GPs.

[The Minister for Public Health and Patient Safety (Dame Diana Johnson)]

We now have the highest number of fully qualified GPs since 2015, and almost 16 million more GP appointments were delivered in the last year than in the 12 months before the election. As a result of that investment, 77% of people now say that they have a good local service. We know that there is more to do, especially in rural and remote areas, but there is clear progress against our 10-year plan.

[Alan Mak]

Vital NHS services, including scans and X-rays, have been removed from Oak Park clinic, which serves every resident in the Havant constituency. Will the Minister meet me and support my campaign to restore those vital services so that my constituents do not have to travel to Portsmouth or further afield?

[Dame Diana Johnson]

I am happy to meet the hon. Gentleman. I have looked at the issue around Oak Park community clinic and I know that he has met the integrated care board. I am told that all options are being considered to provide a sustainable and accessible solution for diagnostics at the Oak Park site, but I am happy to meet him.

[Fleur Anderson]

I am concerned about NHS England’s GP list cleaning programme and its impact on London specifically. Putney GPs have told me that in the last six months, 344,000 patients have been taken off GP lists, 44% of whom are in London. Some are taken off after not responding to a single letter. That means that they do not get cancer check-ups, vaccines or GP care. Something is going on with the London part of the GP lists. Will the Minister pause, review the programme, look into it and meet me and other London MPs to talk about it?

[Dame Diana Johnson]

I understand the concerns that my hon. Friend has raised, particularly with regard to vulnerable patients, but it is important that GP lists are as accurate as possible. We think that there are around 6 million more registrations than England’s population and most people flagged are confirmed to have moved abroad. Strong safeguards are in place, including no patient being removed on the basis of a single indicator or because they failed to respond to one piece of correspondence. Overall, it takes more than five months from identifying a patient who may no longer reside to deregistering them from a practice system. I am always happy to meet my hon. Friend.

[Dr Luke Evans (Hinckley and Bosworth) (Con)]

One thing that hinders access to and the effectiveness of primary care is Labour’s mandatory use of single point of access—so much so that a safety watchdog has linked it to deaths. After those on the Government Front Bench dismissed the concerns raised by Conservatives, it turns out that an investigation has been set forward, with the NHS Strategy Unit asked to look at the matter. Will the Minister set out the terms of reference that the Strategy Unit is using, the timeframe and when this House can expect to hear the answers to ensure this is done safely?

[Dame Diana Johnson]

I am grateful to the hon. Gentleman for raising this. He will appreciate that I am relatively new in post, but I am going to find out and I will write to him with the specific answers to the questions he has posed today.

[Dr Marie Tidball (Penistone and Stocksbridge) (Lab)]

Constituents in Stocksbridge, Deepcar, Wharncliffe Side and Oughtibridge regularly tell me how important it is for them to have access closer to home to routine blood tests, X-rays, special educational needs and disability support, mental health support, NHS dentistry and mammograms, because of the poor transport links and delays in accessing NHS diagnostic services in Sheffield. Therefore, I was delighted to welcome Stocksbridge towns fund board members, local health leaders and experts to visit the 519 community hub site in our town. Will the Minister meet me to discuss our proposal for a community diagnostic centre in the new 519 building, to maximise its benefit to our community—mirroring the excellent Glass Works and Alhambra centre facilities in Barnsley—and to bring health to our high streets locally?

[Dame Diana Johnson]

My hon. Friend is a doughty champion for her local area and for ensuring that we have services close to populations and close to where people live. I am very happy to meet her to discuss this.

[Dr Simon Opher (Stroud) (Lab)]

5. What steps she is taking to help improve the health of young people.

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[Jessica Toale (Bournemouth West) (Lab)]

6. What steps her Department is taking to support women affected by diethylstilbesterol.

[The Minister for Public Health and Patient Safety (Dame Diana Johnson)]

I pay tribute to my hon. Friend for all her campaigning on diethylstilbesterol and to her constituent Jan Hall and her family. We recognise the serious intergenerational effects of exposure to DES, including increased cancer risks and reproductive complications, and we have asked NHS England and clinical networks to improve awareness of those issues and the people affected by them. We have commissioned an evidence review of the intergenerational effects of DES, which will inform our efforts to strengthen support in this area.

[Jessica Toale]

I thank the Minister for her answer and the constructive way in which the Department of Health and Social Care has engaged with me and campaigners from DES Justice UK, but I am still meeting women who are being denied breast cancer screening, colposcopies and other things that are essential for their care, despite the letter from the cancer alliance about DES exposure risk. How can we ensure that GPs and other health professionals are truly aware of the risks of DES, and that the women who need the support can get it when they need it?

[Dame Diana Johnson]

I recognise that some women exposed to DES still face difficulties accessing advice, monitoring and referral. Clinicians should consider individual medical histories, symptoms and risk factors. I had a look at the letter that was sent on 12 December explaining what more should be done by clinicians. I will again ask officials to look at whether we need to reissue that letter or whether we need to take any other action to ensure that the information about DES is spread as widely as possible among clinicians.

[Alison Bennett (Mid Sussex) (LD)]

I am pleased that the Minister is talking about ensuring that medical professionals are more aware of DES and the risks for those who were potentially exposed to it, but what is her assessment of the feasibility of tracking and informing those who were potentially exposed? My constituent Heather did not realise that she—or her mother—had been exposed until long after her mother’s death.

[Dame Diana Johnson]

As I just said, the Government are improving identification and support for people affected by DES by raising awareness among clinicians and strengthening the dissemination of existing NHS guidance. There are considerable challenges associated with recalling records from the 1940s to the 1970s, particularly because of the record-keeping practices of that era and the fact that the Medicines and Healthcare products Regulatory Agency had not yet been established at that time, but I am mindful of the point that the hon. Member makes.

[Dr Sam Rushworth (Bishop Auckland) (Lab)]

7. What steps her Department is taking to increase the use of community hospitals and beds for step-down intermediate care.

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[The Minister for Public Health and Patient Safety (Dame Diana Johnson)]

One of the reasons the Government committed to bring back the family doctor was the importance of maintaining continuity of care for patients. I am pleased to say that the proportion of patients who say they are able to see their preferred clinician when they make a GP appointment has risen from 61% to 68% since the election, but we recognise that there is more to do, and this remains an important priority for the Government.

[Sir Jeremy Hunt]

Has the Minister read the Norwegian population study published in the British Journal of General Practice, which says that people who see the same doctor over many years are 30% less likely to need out-of-hours care, 28% less likely to need emergency care and 25% less likely to die? It has been two years since the Government made the pledge to bring back the family doctor, but the basic structure of general practice has not changed. Can we see some changes in the next GP contract negotiations to bring back the system we used to have, in which everyone has their own doctor?

[Dame Diana Johnson]

I recognise the enormous experience and knowledge of the former Secretary of State for Health and his work on this issue and patient safety more generally. The Department has started to look at expert advice, with a clinical working group, on how best to support continuity of care in modern general practice. I have not read the report that he referred to, but I am happy to go and have a look it. I am also happy to have a discussion with him, because it would be helpful to understand his thinking on what I know he considers to be a very important issue.

[Maya Ellis (Ribble Valley) (Lab)]

Continuity of care in maternity services is based on women building relationships with maternity practitioners who meet them where they are. I would like to echo the comments of the hon. Member for North Shropshire (Helen Morgan): many obstetricians and midwives have been truly disappointed at comments from an NHS leader yesterday, who argued that more maternity units should be shut and that only consolidation of services can make births safer. Women in this country will not accept the industrialisation of our bodies. This Labour Government have promised neighbourhood and preventive healthcare, which has to include allowing new mums to feel rooted in the communities where they will go through their biggest physical and psychological change. Can the Minister assure me that our bodies will not be treated like a manufacturing supply chain to be optimised as she develops the asks for maternity services in this country?

[Dame Diana Johnson]

Gosh, my hon. Friend made a very passionate statement there, and I absolutely agree with what she said. This work will be undertaken with the national maternity and neonatal taskforce, and we will look at all these issues. I hope my hon. Friend will feel able to contribute to that work if she wishes to.

[Mr Speaker]

I call the shadow Minister.

[Mr Speaker]

Order. It is a struggle to get from the original question to where we are, but the Minister is happy to answer.

[Dame Diana Johnson]

I will be mindful of your comment, Mr Speaker. What happened recently is totally unacceptable, and the Secretary of State has made that clear. My understanding is that those individuals who have accessed information about patients, and had no businesses to access it, have been suspended. Disciplinary action will follow, possibly with dismissals. Such actions are totally unacceptable.

[Dr Caroline Johnson]

Another issue that affects continuity of care is when patients remain in the emergency department for prolonged periods after a decision is made to admit them to a ward. That has gone up by over a third since the general election. Can the Government say why?

[Dame Diana Johnson]

Times in A&E are being speeded up. The hon. Lady speaks with experience because she is a clinician, and I am happy to go away and look at that issue and write to her if there is information we need to let her have. My understanding is that we are speeding things up in A&E, and getting people through and on to the ward as quickly as possible.

[Richard Baker (Glenrothes and Mid Fife) (Lab)]

11. What steps she is taking to improve cancer diagnosis and treatment.

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[Chris Coghlan (Dorking and Horley) (LD)]

12. Whether she plans to implement a redress scheme for people harmed by pelvic mesh and sodium valproate.

[The Minister for Public Health and Patient Safety (Dame Diana Johnson)]

I am aware that a number of right hon. and hon. Members are very interested in this issue, and as the new Minister for Public Health and Patient Safety, I am driving the work and giving the report by the Patient Safety Commissioner the urgent and thorough consideration that it requires. As has been stated, the Government are committed to making meaningful progress in this Parliament, and we are advancing non-financial redress to improve health service support for those affected.

[Chris Coghlan]

In 2006 my constituent, Ruth, had pelvic mesh implanted. It has corroded and caused her severe pain. She has been desperate for me to raise this issue with the Government. Three years ago, she paid for surgery to remove it but that has left her tens of thousands of pounds out of pocket and she requires more surgery. What steps is the Minister taking to implement the recommendations of the 2024 Hughes report, particularly if we are to give justice to pelvic mesh patients and support to those who cannot access the NHS compensation scheme?

[Dame Diana Johnson]

I am very sorry to hear about Ruth’s experience and what she has gone through. Just last night, I watched the film that has been produced about the experience of a number of women—my hon. Friend the Member for Washington and Gateshead South (Mrs Hodgson) provided a screening of it in Parliament last week—and the stories in it are harrowing. As I have said, I am looking at the issue. I am conscious that right hon. and hon. Members are interested in what the Government are going to do. The previous Secretary of State had made it clear that progress would be made by the end of this Parliament. That is as far as I can go today, but I am personally looking at this issue.

[Dr Allison Gardner (Stoke-on-Trent South) (Lab)]

From pelvic mesh to diethylstilbestrol, women have been harmed by a health system that has not and still does not listen to them, as starkly illustrated in Mumsnet’s recent report, “Medical Misogyny: A Lifetime of Failure”. Does the Minister agree that tackling medical misogyny must be at the heart of how we rebuild the NHS?

[Dame Diana Johnson]

My hon. Friend makes a very important point. That is why we have revised the women’s health strategy. It makes it very clear that medical misogyny is not acceptable and that women’s voices must be heard.

[Ian Roome (North Devon) (LD)]

13. What steps her Department is taking to improve NHS maternity services in Devon.

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[The Minister for Public Health and Patient Safety (Dame Diana Johnson)]

There is money available for GP surgeries; as my hon. Friend the Member for Bristol South (Karin Smyth) has already said, many of them were left in a terrible state under the previous Government. They were not invested in over many years. There is money available, and when I meet the hon. Gentleman, I will be happy to discuss that with him.

[Helena Dollimore (Hastings and Rye) (Lab/Co-op)]

T7. Many hospital specialisms are increasingly shared between Eastbourne hospital and Hastings Conquest hospital, which is in my constituency. That means that the people I represent who do not drive are required to travel a long way by public transport to get to Eastbourne hospital—between 90 minutes and two hours, and that involves a lot of walking. The hon. Member for Eastbourne (Josh Babarinde) shares my concerns about people travelling in the other direction. With so many services shared between the two hospitals, I am calling on the NHS integrated care board, the trust, and the Reform-run county council to look at providing a shuttle bus that would make it easier for people to travel between the two hospitals. Does the Minister agree that this is something health commissioners should look at when planning services?

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[Tracy Gilbert (Edinburgh North and Leith) (Lab)]

Demand for surrogacy from the UK is leading to the exploitation of women in countries across the globe, including Ukraine, Nigeria and Mexico. Can my right hon. Friend give a commitment on when legislation will come to the Floor of the House, so that we can play our part in ending that exploitation as soon as possible?

[Dame Diana Johnson]

We are clear that no surrogacy arrangements should place any party at the risk of exploitation, and the Foreign, Commonwealth and Development Office provides guidance on the risks of overseas surrogacy and the steps that intended parents must take to return to the UK with their child. The Government have no current plans to legislate to prevent people domiciled in the UK from entering international surrogacy arrangements.

[Mr Gagan Mohindra (South West Hertfordshire) (Con)]

Under the last Conservative Government, upwards of £300 million, which would have been lifesaving as well as life-changing for many of my constituents, was earmarked for the new Watford general hospital. The lack of those funds, combined with the closure of the urgent care centre at Mount Vernon hospital, means that many of my constituents are not now receiving the first-class healthcare that they would reasonably expect. What assurances can the Minister give local residents?

[Jayne Kirkham (Truro and Falmouth) (Lab/Co-op)]

Percy, a five-year-old constituent of mine, wrote to me ask whether gluten-free products would ever be provided on prescription for people with coeliac disease. What steps is the Minister taking to address postcode variations in the provision of gluten-free food by integrated care boards?

[Dame Diana Johnson]

The national position in England remains that gluten-free bread and mixes can be prescribed on the national health service for eligible people diagnosed with coeliac disease. As my hon. Friend says, ICBs can restrict or end the prescribing of gluten-free food, but I am happy to discuss this matter with her.

[Seamus Logan (Aberdeenshire North and Moray East) (SNP)]

The Department has thus far refused to publish the impact assessment associated with the US-UK pharma deal. May I ask what the Government are trying to hide?

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[Baggy Shanker (Derby South) (Lab/Co-op)]

Despite increasing demand, the previous Government scrapped plans for a new health centre in Sinfin, denying our community the care and capacity that it deserves. Will the Minister confirm that this Government are taking a different approach, providing the NHS services in local communities such as Sinfin and beyond?

[Dame Diana Johnson]

Absolutely. That is a core part of the neighbourhood health offer that this Government are making. We have already announced, in wave 1, a number of neighbourhood health centres; wave 2 will be announced shortly. This is absolutely key to keeping people out of hospital and providing healthcare in local communities.

[Helen Maguire (Epsom and Ewell) (LD)]

The unit of dental activity formula is broken, pushing dentists out of the NHS every single day. In Epsom and Ewell, there is a dentist who is restricted from providing NHS dentistry by the UDA quotas. Will the Minister reform the dental contract now, and incentivise NHS dentistry?