Future of the NHS

Debate between Florence Eshalomi and Matt Hancock

Thursday 23rd February 2023 Commons Chamber

[Matt Hancock]

No, that is not right. There are record numbers in training, and the opening of the new medical schools that were put in place by my right hon. Friend who is now Chancellor of the Exchequer is another Conservative achievement in that space.

However, given the record numbers of nurses and doctors, the record numbers of training places, the record numbers of GPs coming out of training places and the record funds going into the NHS, there is still a record-scale problem. I do not at all deny the scale of the challenge, but that challenge demonstrates to me the vital importance of reform of the NHS—we cannot support its long-term future without supporting reform. My experience of the NHS and of being Health Secretary tells me that the single most important thing that has to happen for the NHS to be as effective as possible in the future is the widespread and effective adoption of the use of technology and data, so that the NHS can be more efficient, giving clinicians back—as Eric Topol put it when he launched his review in 2019—“the gift of time”.

The inefficiency of the NHS because of poor use of data leads to appointment letters being sent out that arrive after the appointment date has passed. Who gets a letter these days for an appointment, anyway? We all use modern technology instead.

[Florence Eshalomi]

Will the right hon. Member give way?

[Matt Hancock]

I will in a moment.

That inefficiency means that different parts of the NHS cannot talk to each other, and indeed cannot talk to social care. It means that a person can end up going into hospital for a serious procedure, but their GP will not know that they have had that procedure, because they went in urgently rather than through that GP. It means that there are people right now who go into an NHS hospital and find that their records, which are on paper, cannot be adequately analysed. Service provision is worse as a result, which directly impacts people’s health. The poor use of data is the No. 1 factor holding back the effective use of the resources that we put into the NHS—not only the cash but, crucially, the staff. They find it deeply frustrating that they have to work with these terrible IT systems when every other organisation of any scale in this country, or in any developed part of the world, uses data in a much more efficient, effective and safe way.

[Matt Hancock]

I will make one final point before I give way to the two hon. Members who are seeking to intervene, which is that the inefficiency in the NHS is best exemplified by its ridiculous continued use of fax machines. Those machines are totally inefficient and completely out of date, and are also terrible for privacy and data protection, because one never knows who is going to be walking past the fax machine. When the Minister sums up, I would like him to set out what he is doing to not just get rid of those fax machines—I tried to do it and made some progress, but did not manage to finish the job—but, more importantly, drive the use of high-quality data, data analytics and digital systems throughout the NHS. Investment in that is the single best way to ensure that all patients can get the service that they need.

[Florence Eshalomi]

To bring the right hon. Member back to the point he made about digital data and making sure that patients are accessing services, I hope he will agree that for a number of my constituents, and probably his constituents as well, access to the internet is a luxury that they cannot afford. A number of people I represent cannot afford a monthly broadband connection because they are choosing between heating their home and paying their rent. They do not have monthly broadband, so they cannot log on to book online appointments; they want to see a GP, but they cannot.

[Matt Hancock]

Of course, it is critical that people do not have to use a computer to access a universal service. Many people will never use a computer in their lives, but the fact of the matter is that well over 95% of us use technology every single day. We can get enormous gains through the use of technology, which allow us to give better provision to the tiny minority of people who do not use technology. The point that the hon. Lady makes is absolutely valid, but it is no argument for not using data and digital services effectively. On the contrary, we can make it easier for the very small minority of people who cannot, will not or cannot afford to use digital technology by using data more effectively for the rest of us.

One example that shows this can be done is the vaccination programme, which was built on a high-quality data architecture. People could book their appointment, choosing where and when to get vaccinated—where else in the NHS could they do that? They should be able to do it everywhere in the NHS. Hardly anybody waited more than 10 minutes for their appointment; it was one of the most effective and largest roll-outs of a programme in the history of civilian government in this country, and we started with the data architecture. We brought in the brilliant Doug Gurr, who previously ran Amazon UK, to audit it and make sure that it was being put together in a modern, dynamic, forward-looking way. It was brilliant, so anybody who says that data cannot be used more effectively is fighting against history.

Of course, a tiny minority of people did not use the IT system to get vaccinated. That was absolutely fine, because that high-quality data system meant that everybody else could, leaving resources free for people who either needed to be phoned or needed a home visit in order to get the vaccine.

Covid-19 Update

Debate between Florence Eshalomi and Matt Hancock

Tuesday 2nd March 2021 Commons Chamber

[Matt Hancock]

Coventry and Warwickshire have done an amazing job, and I was very pleased to see them top the ranks published on Thursday of the areas of England that have vaccinated the most. I congratulate my hon. Friend and his team.

On foreign holidays, we said in the road map that international holidays will not be allowed before 17 May. We are working with the global travel taskforce, which met this lunchtime, just before I came to the House. It is chaired by my right hon. Friend the Transport Secretary. I am on it, along with Home Office and Foreign Office colleagues and representatives from the travel industry—from the airlines, cruise ships and others. That will report by 12 April. Last year, international travel restrictions were about restricting the number of cases due to high prevalence elsewhere when the prevalence here was low. The challenge now is that we have to take into consideration the risks from variants of concern, which means that more understanding about the impact of vaccines on variants of concern, such as the one first discovered in Manaus in Brazil that we were talking about earlier, is critical to answering the question of when we will be able safely to reopen international travel.

[Florence Eshalomi (Vauxhall) (Lab/Co-op) [V]]

I received some welcome news this morning that Lambeth’s local covid vaccination team is one of the highest performing teams in the country. Our local clinical commissioning group reports that 85% of people over 75 and 89% of residents in care homes have now been vaccinated. Here in Vauxhall, we have had to implement the surge testing operation in the past few days because a case of the South African variant was discovered locally. This is all down to the tireless efforts of our primary care workers, nurses, GPs, pharmacies and an army of volunteers. I am concerned, though, that despite this heroic effort, there is still some misinformation and vaccine hesitancy. Does the Secretary of State agree that more needs to be done to counter this misinformation and to support the vaccine roll-out and take-up among our black, Asian and ethnic minority communities?

[Matt Hancock]

Yes, I do. I want to add one more person to the long list of people whom the hon. Lady rightly thanked for their incredible work of getting take-up in Lambeth to as high as 85% among the over-75s, and that is her. She has played a personal leadership role, and I thank her and pay tribute to her for that. There is still much more work to do, and I hope that we can keep working together on it.

Covid-19 Update

Debate between Florence Eshalomi and Matt Hancock

Programme motion
Monday 19th October 2020 Commons Chamber

[Matt Hancock]

My hon. Friend makes an incredibly important point: everybody needs to follow the rules to give Barrow the best chance of coming out of level 2 restrictions. If people live in a level 2 area, those rules apply to them even if they travel to a level 1 area. If people live in a level 1 area and travel to a level 2 area, when they are there the level 2 restrictions apply. I hope that is very simple for everybody to follow. He has provided great leadership in Barrow in describing so clearly why it is important for everybody to follow the rules. If we do, we can get this virus under control and get Barrow back into level 1, where I am sure everybody who lives there will want to see it.

[Florence Eshalomi (Vauxhall) (Lab/Co-op)]

I have heard the Secretary of State say that he welcomes the Chancellor’s support, and he refers Members to that, but does he understand the impact on the ground, especially on small businesses? A constituent of mine in Clapham is a supplier to the hospitality sector and more than 50% of his business is with pubs, restaurants and hotels. He says that if there is a further downturn in this tier 2, he will not be able to stay afloat. The Government must listen to these small businesses and understand the real-world impact the situation is having. So will he ask the Chancellor what additional provisions the Government are going to put in place right now to help the hospitality sector?

[Matt Hancock]

Of course I will speak to my right hon. Friend the Chancellor about that. I come from a small business background, so I fully understand the challenges people face, including the cash flow ones. Nobody wants to have these restrictions in place for a moment longer than is necessary. If she has the concern that she understandably raises, perhaps she can help to explain why this localised approach of having only the restrictions needed for that area in place is the right one.

Covid-19 Update

Debate between Florence Eshalomi and Matt Hancock

Thursday 15th October 2020 Commons Chamber

[Matt Hancock]

Some of the Nightingale hospitals can take non-intubated patients—not ones who need full intensive care, if they have multiple organ failure—but not all of them can because of the way that they are set up. We need the ventilators, the space and the staff to ensure that the Nightingale hospitals can be expanded as much as possible.

[Florence Eshalomi (Vauxhall) (Lab/Co-op)]

Yesterday I received an email from my constituent, Anna Shipman, who is really concerned about test, track and trace. She has a friend who is on a vaccine trial and has a routine test every Wednesday. At the beginning of the trial, he would normally get his test results the next day. Anna is pregnant. She told me that her friend met her on Friday and then, on Saturday, he met his elderly mum, who is 75. On Saturday and Sunday, he went back to work as a full-time carer, exposing extremely vulnerable adults. He did not receive his test results until Sunday. This system is a shambles. Will the Secretary of State highlight when we will protect vulnerable people from being infected by people who do not know because they are not getting results on time?

[Matt Hancock]

No, the turnaround times are reducing. While I absolutely pay tribute to the hon. Lady for raising this individual case, it is very important to look at the system as a whole, where the number of tests is at a record level and the turnaround times are, I am glad to say, reducing.