Building an NHS Fit for the Future

Fleur Anderson Excerpts

Monday 13th November 2023 Commons Chamber

[Helen Whately]

I am not going to stand here and explain whipping policy, which is not my job as a Health Minister, but I am delighted to see the potential of this legislation. As with so many other worthwhile Government policies, such as increasing funding for the national health service, I would be delighted to see the right hon. Gentleman and other Opposition Members support this policy.

We are also cracking down on the alarming rise in vaping among children. There is no doubt that vaping is safer than smoking and is a terrific tool to help adult smokers quit, but, like Members across the House, I am concerned that one in five children has tried vaping, which can be hugely damaging to their health. The whole House knows that no child should be using nicotine.

The rise in youth vaping is no coincidence. Disposable vapes are consistently marketed at children and are available at pocket-money prices, with many retailers ignoring their duty not to sell them to young people. With more than 5 million being thrown away every week, disposable vapes are also damaging our planet. We are acting now to protect our children and our planet. We are looking at banning child-friendly flavours, restricting colourful packaging and mandating that vapes are displayed only behind the counter. We are also exploring a ban or a restriction on disposable vape sales and empowering local authorities to dish out on-the-spot fines for selling vapes to children. All these proposals are being developed with parents and teachers across the UK, and they will strike a balance between giving adult smokers a choice to switch to vaping and preventing our children from taking it up.

I recognise the disappointment that the mental health Bill was not included in the King’s Speech, but I can assure hon. Members that this Government are committed to achieving genuine parity between mental health and physical health, improving the care of those detained under the Mental Health Act 1983 and bringing forward the Bill when parliamentary time allows.

We are not going to wait for legislation to make change. We will continue to pilot models of culturally appropriate advocacy, providing tailored support to hundreds of people from ethnic minorities to better understand their rights if they are detained under the Mental Health Act. This comes on top of the record investment and staff numbers we are putting into mental health. Since 2010, the mental health workforce has grown by more than 20%, and by March we will have invested over £2 billion more in mental health than four years ago, meaning that 2 million more people, including more than 300,000 children and young people, will benefit from mental health support.

[Fleur Anderson (Putney) (Lab)]

One of the biggest issues raised by every school I visit in my constituency is mental health support, and I am disappointed not to see the mental health Bill in the King’s Speech. Will it be addressed in any other way? Where is it?

[Helen Whately]

As I said a moment ago—let me remind the hon. Lady of this—we are not waiting for legislation in order to bring forward mental health reforms. That is why, for instance, we have already been rolling out mental health support teams in schools. We are already ahead of schedule on that; we are giving a quarter of England’s school and college children access to mental health support teams a year ahead of schedule. In addition, thanks to this Government, dormitory accommodation for mental health patients will soon become a thing of the past.

It has been a pleasure to work with the new Secretary of State for Environment, Food and Rural Affairs, my right hon. Friend the Member for North East Cambridgeshire (Steve Barclay), and a huge honour to work with my hon. Friends the Members for Colchester (Will Quince) and for Harborough (Neil O'Brien) as part of a Government taking the long-term decisions to build a health and care system for the future, one with more doctors, nurses, pharmacists, physios and care workers, better mental healthcare for adults and children, more proactive care in the community, greater capacity, the newest technology and more choice, where conditions are diagnosed quicker or prevented altogether, thus helping people to live longer and healthier lives.

--- Later in debate ---

[Fleur Anderson (Putney) (Lab)]

It is an honour to speak in this historic debate on the first King’s Speech for 72 years, but, to be frank, it is not a pleasure. When I go around and talk to people in Putney, Southfields, Roehampton and Wandsworth town about what I can say for them on their behalf in Parliament, many just shrug their shoulders and say, “Where do you start?”, because there are so many things they feel that the Government should be doing that they are not doing, whether that is: the climate crisis; the cost of living crisis; a million children living in destitution in the UK; the damage to our international reputation; or the NHS crisis, with 125,000 vacancies in our NHS and nearly 8 million people on waiting lists. Those are all things that my constituents think should be tackled by the Government, and I just have not seen that in the King’s Speech. It is disappointing.

Before turning to the pressing issue of healthcare, I put on record my disappointment at the lack of legislation to move us towards a net zero green future in the King’s Speech. There could have been so much more in that legislative programme. It is being left to Labour to pick up the pieces, but we will do so in all our actions for Government. There is also welcome reform for leaseholders, but the legislation is too weak and is mainly not for current leaseholders, but for future and new-build leaseholders. I am pleased to see that the Government have reintroduced the Renters (Reform) Bill in the King’s Speech, but the long delay has caused suffering across the country and across London. Will the section 21 eviction ban actually see the light of day, as we need it to?

I will focus on three serious issues of concern on healthcare for my constituents: the dropping of any reform to the Mental Health Act; dental health; and, support for GP surgeries and primary healthcare.

Last week, the Government broke yet another promise to reform the Mental Health Act—a promise they have been making for six years. There has long been cross-party support for reforming the Act. A Committee met from summer last year to January, and a report was made, but it has not received any Government response. Legislation is there, waiting to be put into place.

The Mental Health Act 1983 is outdated and unfit for purpose, yet it remains the main piece of legislation outlining the rights of people who are being detained in hospital for mental health treatment. There are huge problems with it. Black people are five times more likely to be detained under the Act and more than 11 times more likely to be given a community treatment order than white people.

The Government are letting down people with autism and learning disabilities. In September alone, more than 2,000 autistic people and people with learning disabilities were detained in mental health hospitals in England, including 205 children—often in solitary confinement. The Care Quality Commission has said that these people

“continue to be in hospital inappropriately when they should be receiving care in the community.”

There were concrete plans to tackle that in the draft Mental Health Bill, but that has been dropped. What are the Minister’s plans to take action on this issue going forward? The reforms were a crucial chance to give people more dignity and independence, yet the Act continues to fail children and young people in particular. It takes away agency from those detained to have any say over their treatment.

Mental health is not the only area in which the Government are failing our NHS: my constituents are unable to get GP appointments. The most recent GP appointment survey data found that the proportion of people who secured an appointment when wanted has fallen to just 51%: the lowest level in five years. Too often, our GP surgeries—the premises—are unsuitable, with a report from the Royal College of General Practitioners finding that 40% of GP staff consider their premises unsuitable. I was told in a recent letter from a GP in Putney how far too many surgeries are

“stuck in tiny residential buildings”,

which really affects GPs’ ability to provide the services—prevention services in particular—that they want to provide. Will the Minister tell the House what is being done to improve the GP estate—GP surgeries in particular—and to expand it in future?

Labour would reverse the decline in GPs by doubling the number of medical school places to 15,000 a year, rapidly improve GP appointment performance and provide a public service that has time for people with more complex needs. Labour’s NHS workforce plan will train a new generation of doctors and nurses.

Also missing from the King’s Speech was any mention of dentistry. At my most recent visit to a local GP surgery, I said, “What is the main issue that you face?” I expected all sorts of issues that we might think would be bigger, but they said that it was NHS dentistry for children. They are seeing the impact of that—people cannot get an NHS dentist appointment, so they come to their GP—and that problem is growing, especially for children. It is increasing the health inequalities in my constituency, which I see from one part of the constituency to another in dentistry more than anything else.

During covid, I took part in many debates in which we laid out how the NHS dentistry contract was going to fail local people and how it was not fit for purpose, yet it was not changed then and the problem has been exacerbated since. Labour will address the immediate crisis in NHS dentistry by providing 700,000 more urgent dental appointments and recruiting more dentists. In the long term, it will reform the NHS dentistry contract as well so that everyone who needs an NHS dentist can get one.

Alongside reform of the Mental Health Act, Labour will transform mental health services in Britain so that timely support is available to those who need it. We will recruit thousands more mental health professionals, provide mental health hubs in every community and put mental health support—that crucial early prevention work—into every school.

The Government must now make way for a party with a vision for a revitalised NHS that works for everyone or risk running our healthcare service further into the ground. It is time for a general election now.