(1 day, 20 hours ago)
Commons Chamber
Josh Newbury
I saw a post from my hon. Friend on Facebook earlier today about this very matter. I know that he is fighting very hard on that on behalf of his constituents. I hope that my integrated care board listens to the concerns of my constituents, and I hope that that is reflected in Coventry and Warwickshire and that he can get some progress on a doctor-led unit.
For the past six years, people in Cannock Chase have had to travel to Stafford, Lichfield, Walsall or Wolverhampton for care that they would once have accessed locally. That is not simply an inconvenience; it undermines the objectives of urgent care reform, increases pressure on neighbouring hospitals and pushes more people into A&E. That is exactly the opposite of what the urgent care review is supposed to achieve.
Most worrying of all are those who are not seeking care at all. Not everybody can drive and not everyone has access to reliable public transport, particularly in places such as Staffordshire. When patients are faced with long, complicated journeys for what should be straightforward local treatment, many simply put it off; conditions then worsen, complications develop and people ultimately end up needing an ambulance for something that could have been treated earlier, more cheaply and closer to home.
At the engagement events and in conversations with me since, constituents have told me that the MIU was a lifeline when they did not need A&E but their GP felt they needed to go to hospital. Cannock Chase hospital is very close to a bus station, and most people locally can catch a single bus to reach it; in contrast, travelling by bus to MIUs in Lichfield, Stafford, Walsall or Wolverhampton can be difficult, often involving multiple changes and long journey times. As a result, many of my constituents are paying for taxis instead, which is a significant financial burden.
The issue becomes even clearer when we look at the demographics of my constituency. It has a slightly older population than the national average, with more than 19,500 residents aged 65 and over—around a fifth of our population. Almost half of those older residents—more than 9,300 people—are living with a long-term health condition, a higher proportion than we see nationally. These are the residents who are most likely to need timely urgent care, who are more vulnerable to deterioration if treatment is delayed, and who often face the greatest barriers when services are not available locally. The NHS’s own data shows higher attendances at both surrounding MIUs since ours closed, but not by the total amount of previous activity at Cannock Chase hospital, backing up what residents have been telling us about not always seeking care.
We can also see how these pressures play out in practice at nearby hospitals that many of my constituents rely on when local urgent care is not available. Although Royal Stoke University hospital is not in my constituency, it is a key part of the wider system and serves residents right across our county. In the final quarter of last year alone, that hospital saw more than 33,000 A&E attendances, and over 6,800 patients waited more than 12 hours to be admitted or discharged. That is more than one in five attendances—double the national average—placing the hospital among the most pressured in the country.
Royal Stoke hospital is in my constituency, and one of the things its staff tell me is that if it were not for the Haywood walk-in unit up in Stoke-on-Trent, Leek Moorland hospital or Stafford MIU, the A&E would simply fall over. Naturally, people in Staffordshire gravitate to the A&E when they want help, and the fact that my hon. Friend’s constituency is without an urgent treatment centre has a ripple effect across the county. Will he join me in asking the Minister to say when she winds up whether she has any data demonstrating the impact that the lack of a facility in Cannock is having on neighbouring hospitals, and therefore on the services that are experienced by my constituents and those in constituencies across the county?
Josh Newbury
I thank my hon. Friend and fellow Staffordshire MP for his intervention. He has highlighted a critical point: every part of our NHS can have a knock-on effect on the others, so the system needs to work as a whole. We cannot just focus on individual services; we have to see how it works in the round. That is what the review is trying to do, but of course, many of us feel it is not hitting on what it needs to.
I do not raise these figures to criticise staff, who are working under immense strain, or the Government, who are making strong progress on addressing the pressures I have described. I raise them to underline a simple point: as we have heard, when local urgent care is unavailable, demand does not disappear, it is concentrated elsewhere. Making sure patients get the right care in the right place is critical—too many people end up in A&E not because they need to be there, but because there is nowhere else for them to go. Perhaps in the past, our MIU was not always used for its intended purpose, but even that was often a symptom of failings in community care.
Urgent treatment centres will be a vital part of the fabric of our NHS, sitting between primary care and emergency departments. Not having that service for a population of over 100,000 people is a real challenge, and it weakens the wider system. In the 17 months since the review of urgent care was unveiled, I have had many conversations with our ICB about urgent care more broadly, as have GPs, councillors and campaigners. I know that they are putting in place services that make good on the Government’s commitment to shift care from hospitals out into the community. I welcome the introduction of a wound care local enhanced service, which recognises that wound care was previously a key reason for patients to access the MIU, even though their homes are a better place for that care to take place. This shows that sustained conversations about our local health needs and inequalities are starting to translate into results.
I hope that building on this, Cannock Chase can be a forerunner in the roll-out of multidisciplinary neighbourhood teams. The health inequalities we sadly have locally, coupled with the distance to many secondary care services that I have referred to, means that we would benefit hugely from that model of supercharged community care. Better than having to catch a bus to Lichfield or Stafford would be heading to Cannock Chase hospital, but better still would be getting that care at home. That is what I am calling for, and will continue to fight for, on behalf of my constituents.
There are areas where Staffordshire is performing strongly. Urgent community response services are exceeding national targets, winter planning has helped to stabilise hospital stays during periods of peak demand, and vaccination programmes are having an impact on admissions. This is not an argument against reform; it is an argument for consistency and fairness. If urgent care reform is about reducing avoidable A&E attendance, improving patient flow and ensuring equitable access across the system, then Cannock Chase cannot continue to remain an outlier.
Crucially, this is not just about rhetoric. The Government are making huge strides in the NHS nationally, backed by reform, investment and a determination to ensure that people get the right care in the right place at the right time. That is why I welcome the investment already being made in the Chadsmoor medical practice, the Rawnsley surgery and the Red Lion surgery in my constituency. That will make a huge difference to people’s everyday experience of the NHS that they can see and feel. Strengthening primary care does not remove the need for local urgent care—one cannot simply replace the other.
My ask today is simple and constructive. I am not asking the Minister to pre-empt the outcome of the ICB’s review—I know that she cannot do that—and I am certainly not arguing against the reform of urgent care that prompted this review. I am calling for clarity, fairness and alignment between national ambition and local delivery. If we believe in shifting care out of hospitals and into communities, if we believe in reducing avoidable A&E attendance and if we believe in equitable access to urgent care, then Cannock Chase must have that as part of its future.
I hope that 2026 can be the year that sees an expansion of urgent care back into my part of the world, and I urge the Royal Wolverhampton NHS trust to make better use of Cannock Chase hospital, which many residents feel remains underutilised compared with how things were under the former Mid Staffordshire NHS trust. I would welcome the Minister’s assurance that local voices will continue to be properly heard, that decisions will be communicated clearly and promptly, and that the Government will work with the Staffordshire and Stoke-on-Trent ICB to ensure that communities such as mine are not left without urgent care provision.
Urgent care, at its simplest, is about whether someone with a broken wrist, a deep cut or a worsening infection knows where to go and can actually get there. I look forward to continuing to work constructively with the ICB, the Minister and colleagues across the House to ensure that urgent care in Staffordshire truly works for the communities that we all serve.
It is a pleasure to respond to this debate, and I am grateful to my hon. Friend the Member for Cannock Chase (Josh Newbury) for securing it and raising in a constructive way the important matter of urgent care in Staffordshire. It is always good to have more proud NHS non-clinical bureaucrats in this place to pursue these issues.
This Government are clear that the patient should expect, as my hon. Friend says, high standards of care. We recognise that that has not always been the case in recent years, with too many people waiting too long to access the help they need, but we are determined to change that. We are taking serious, sustained action to restore timely access to high-quality urgent care across the country. Our urgent and emergency care plan for 2025-26 sets out that clear path to strengthening urgent care outside hospitals, so that patients can access timely, appropriate support without needing to attend A&E unless clinically necessary. We are increasing the number of patients treated closer to home by scaling up our urgent community response teams providing rapid two-hour care, expanding virtual wards to provide hospital-level treatment at home and growing multidisciplinary neighbourhood teams that intervene early and prevent avoidable deterioration.
We will support patients to book into the most appropriate urgent care service for them, whether via 111 or the NHS app, and we are using data from shared patient care records and digital tools to support better triage, to join up services and to anticipate pressures before they arise. That is backed by £2 billion of investment in NHS digital infrastructure. We are also investing £250 million to strengthen same-day emergency care and urgent treatment centre provision, helping systems across the country to avoid unnecessary admissions and supporting the same-day diagnosis, treatment and discharge of patients.
Turning specifically to my hon. Friend’s constituency, I know the work that he has done with his local NHS to ensure that his constituents’ voices are heard. In preparing for this debate, I also met the local NHS to understand better the situation that he describes. It is taking steps to strengthen urgent care capacity and to improve patient pathways, in line with the policy outlines that we have made. I am also aware of the concerns about the closure of the minor injuries unit.
As my hon. Friend said, following the closure during covid the ICB undertook a review of whether the service should be reopened. The review concluded that demand previously met by the Cannock Chase minor injuries unit was being met elsewhere. In that time, the NHS has strengthened the wider urgent care offer for local people. It includes enhanced primary care—my hon. Friend talked about wound care, which is very important to local people—as well as GP out-of-hours services accessed via NHS 111, urgent community response services, and access to urgent treatment centres in other locations. Those arrangements ensure that patients can receive timely and appropriate care.
As my hon. Friend mentioned, neighbourhood integrated teams will be scaled up, delivering more proactive and preventive care in order to intervene earlier and reduce avoidable deterioration. Those teams, as he outlined, are central to shifting care out of hospital and towards community care support. Urgent treatment centres do play a vital role in the wider urgent care system, providing timely assessment and treatment for patients whose needs are urgent but not life-threatening. The system is therefore ensuring that those centres meet national standards, improving consistency and simplifying access for the public, to help divert activity away from type 1 emergency departments and ensure that more patients receive the right level of care closer to home. Let me say in response to my hon. Friend and also his neighbour, my hon. Friend the Member for Stoke-on-Trent Central (Gareth Snell), that it is important for Members in the area to understand that that wider movement of capacity will ensure that they have the necessary information.
I am pleased to report that the system in Staffordshire has become the first in the midlands to establish a 24/7 integrated care co-ordination centre, which provides a single access point for clinicians, co-ordinates urgent community services, and prevents unnecessary A&E attendances. Nearly half the calls to the service are now successfully redirected away from hospital, which helps patients to access help more quickly and eases the pressure on A&E departments. Moreover, capacity has been increased in urgent community response services, virtual wards, same day-emergency care and intermediate care. Urgent community response performance is particularly strong, with more than 78% of referrals seen within two hours—well above the national ambition of 70%. Additional clinical resource has been put in place to meet rising demand and support resilience through the winter.
This work sits alongside strengthened pathways for people whom my hon. Friend described—especially those who may be elderly and experience falls, those who may be frail, those who need end-of-life care, and those in care homes. We need to ensure that those patients in particular receive timely and appropriate support and are confident that the service is there for them in that time of need. Together, these integrated services are helping to manage demand in A&E departments, improve patient flow, and make best use of urgent care capacity across Staffordshire, including in Cannock Chase. As my hon. Friend rightly said, those improvements must be felt by the people of Cannock Chase, and as my hon. Friend the Member for Stoke-on-Trent Central also pointed out, we need to ensure that demand is well managed and to support people across Staffordshire.
We are planning for the future as well. Our 10-year health plan sets out the long-term vision for urgent and emergency care reform. As I have said, a central priority is to shift care from hospitals into the community, and that will be driven by continuing to expand urgent care through urgent community response, virtual wards, rapid access clinics and better co-ordination through neighbourhood-based care.
Our plan is working: in the past 18 months the Government have invested a record £26 billion in the NHS, delivered more than 5 million additional appointments, cut waiting lists by 312,000, and launched the 10-year health plan to deliver more care in the community. We know that there is more to do, but our investment and modernisation are making a difference, and the NHS is showing clear signs of recovery. Thanks to these steps, this winter ambulances are arriving faster, A&E waits are shorter, and more patients are being treated closer to home.
I pay tribute to NHS staff across Staffordshire and across the country. Doctors, nurses, paramedics, healthcare assistants and support staff continue to show exceptional commitment, often in the most challenging circumstances, and they deserve our thanks and support. We know that the NHS is under pressure, but this Government are taking decisive action through our urgent and emergency care plan, our winter preparations, and our long-term reforms. We are putting the service back on its feet, and ensuring that patients receive timely, high-quality care.
As we make the NHS fit for the future by making the changes we need to move care out of hospital and into communities, and by making the switch from analogue to digital and from sickness to prevention, we have to communicate better with patients and the public, as my hon. Friend the Member for Cannock Chase has clearly outlined this evening. That includes keeping MPs well informed of the proposals.
I want briefly to highlight the fact that one of the perverse things in Staffordshire is that my constituency is serviced by the Royal Stoke hospital, as is Stafford. Its headquarters are within the ICB that funds it. Some of the places that the Minister has mentioned this evening include Cannock, Burton and Tamworth. Their hospitals are smaller and are linked to a much larger acute hospital in a trust that is headquartered outside the ICB. That is a perversity for cross-border invoicing, and it sometimes make us wonder what the incentive is for some of the trusts. Could a group of us MPs meet the Minister to discuss that?
When I became a Minister, my hon. Friend was one of the first through the door to share some of the issues in Stoke. In my meeting today, in which I had my map in front of me to point out some of the journey times, his comments were in my mind.
As I said, it is really important that we take local people with us as we move the system on the basis of the best clinical evidence. For me, that includes making sure that MPs are well informed of the proposals and the rationale behind them. As we have heard today, MPs are willing to be very constructive advocates for local systems on behalf of their constituents. I welcome the engagement with Members on this issue, and I am very happy to continue working with my hon. Friend the Member for Cannock Chase, other colleagues in Staffordshire and NHS leaders on how we can further strengthen emergency care services for people in Cannock Chase and, indeed, across Staffordshire.
Question put and agreed to.
(2 months ago)
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The hon. Lady makes another excellent point. As I know the Minister and his Department understand, not only is there no magic bullet but many of these issues circulate and form secondary complications that cost—which is the least of it—huge amounts to the health system later.
I will touch on some of the mental health issues. In our society, 80% of us are reasonably lucky, but 20% of us struggle to escape these difficult syndromes related to living with addiction or suffering from mental health. Many of our prisoners are people who are still suffering—they are prisoners, actually, of mental health and addiction—and many of our children are born to parents who have no chance of giving them a start in life. There is a circularity here that drives a lot of underlying health conditions, predispositions and comorbidities.
Without indulging my own back story too much, I want to make the point that this affliction knows no class or geographical boundaries. When I first joined the all-party group back under the coalition Government as a newly elected Conservative MP, I went with some trepidation because it was—very proudly—led by Labour MPs pointing out that poverty is a major cause of addiction and alcoholism, and they were right. The point I made was that it is a curse that goes across our society, too.
I was very lucky to have one of the most materially privileged childhoods—packed off to the greatest schools money can buy and given all the material support—but as a child in a family of two alcoholic parents, in the end it does not matter. If you are suffering that experience, you are lonely and you are on your own. I acquired at a very young age a habit of spotting which adults could see below the line. By that I mean those adults who would look at an eight-year-old, see what was going on and quietly acknowledge it, saying, “And how are you, young man? Things can’t be easy.” That is all you need as a child—to know that somebody has spotted it.
Children are very loyal. The last thing they would ever do is dob their parents in. In fact, it is quite the opposite: many children end up having to lie for their parents to get them out of difficult situations. Those are habits that no child should learn. The thing I learned above all is that there are two types of adults: those who understand—who look, who acknowledge, who see—and those who do not see below the line. That is not shaped by class or geography at all. It is the same in this House: there are some colleagues who really understand the importance of children, who do not have a voice in here unless we speak for them.
I am speaking today on behalf of all those children, wherever they are, whoever they are and whatever background they come from, to let them know that we are listening. This Parliament is here to speak for them. They may not vote, and they may feel silent or unheard, but it is not the case. Many of us here do understand and want to help them.
You probably know a child of alcohol, Mrs Harris, as do colleagues. I say that because people often say, “No, I don’t.” Well, they probably do, because there are sadly over 2.5 million children in this country who are living not with parents who drink a little bit too much—that probably applies to many of us—but with one or two parents with a serious alcohol dependency problem.
Alcohol is part of our cultural history and something that we have come to live with, accept and in many ways encourage as part of our society. However, that often means that we forget the difficult consequences for the children who live with the aftermath, whether of social drinking, binge drinking, the habits that alcoholics acquire—the habits of deceit and often forgetting what they said or did—or the unintended consequences that undermine their ability to parent and that lead to children normalising those behaviours. I am speaking for those children, wherever they are and whoever they are.
Alcohol was a very prevalent part of my childhood. I was very fortunate to have grandparents who were able to step in when it was necessary, but I will never forget. It was the fear of knowing that the pubs had just closed and that my parent would be coming home in a horrible state to disrupt what would normally be a very productive and pleasant household. Sometimes, those are the things that children take away—they are the things that I remember and cannot get away from. Those experiences also impact our relationship with alcohol, to the point that it is not something that I enjoy or particularly partake in, simply because my memories were formed by those experiences at a very young age. While I was lucky to have my grandparents, you cannot get away from those memories.
I am very grateful to the hon. Member for making a powerful, personal and political point. He is absolutely right.
For my part, people often ask me how on earth I ended up in this place. My mother, who went on to become an alcoholic—tragically, my father had been an alcoholic and she suffered terribly through that; it is her funeral on Friday—asked me after I was elected, “When did you decide that you wanted to be an MP?” I said, “Actually, mum, I came on a school trip aged 10 or 11,” as schools do; it is wonderful to see children coming in. Nobody in the class knew that I was then a solo child carer of an alcoholic parent, dealing with the things that those children do.
What struck me about the thing I was living with was the fact that there seemed to be no one I could turn to. There seemed to be no network of support, and no one I could raise it with. One was on one’s own. I walked into the Chamber of the House of Commons, in which we have the privilege to serve, and was literally electrified by what struck me: the fact that there is a place where the nation tries to take responsibility for itself, where people are elected to take responsibility and actively seek it. That, to me, was an electrifying idea.
I remember that I was the least prepossessing boy in the class. I was the smallest boy, with a mop of red hair, a very bad stammer, crushing confidence issues and a double brace. I was the least likely boy in that class to become a parliamentarian. I remember walking into the Chamber and seeing the signs saying, “Don’t touch”, “Don’t sit down”, and staring at the Dispatch Box—it was at my eye height. I remember my teacher behind the Speaker’s Chair saying, “Stop dawdling, Freeman—keep up.” I said, “I’m not dawdling, sir; I’m intrigued, because it says ‘Don’t touch’, but someone has been touching it,” as the Minister will have touched it—the sweaty corner of that Dispatch Box where nervous Ministers, being cross-examined, hold on as they are being forensically held to account, something I now realise having had the privilege of doing it.
My teacher said, “No, no, no—that is not for the public; that is where Ministers hold on when they are being cross-examined.” I was electrified by that idea, and I left the Chamber thinking, “What a place.” If we can give the children out there who are suffering some confidence that we are here for them and that we are listening, I think we will be doing them a great service, and this Parliament and our democracy too.
I want to make a point about the geography of this matter because, as with so many social malaises, we sometimes think of it as an inner-city issue. Many of the formulae that the Government use to allocate money are largely driven by the formulae shaped after the inner-city riots of the 1980s. I used to be a specialist in local government finance, for my sins, and when we look at those formulae, a lot of them allocate money to areas that have high-rise flats and high incidences of minority ethnic families—all important indicators of certain types of deprivation.
In rural areas and many areas that do not fit those qualifications, however, there are many social issues that are often hidden. In rural Mid Norfolk—an area that people drive through on the way to the most beautiful coast in the land—behind the hedges and the beautiful villages there is a tidal wave of mental illness, depression and suicide, with a farmer a week taking their life, and children suffering. We often overlook that rural dimension, and that is equally true for mental health more broadly.
That is why last year I set up the Regeneration Theatre company with my wife, to take her inspiring one-man “Hamlet” made by her ex-husband—a former alcoholic who has been to prison and has been on a journey now—around prisons to help connect with prisoners and help them understand that many of the traumas they have experienced are actually to do with addiction and the behaviours that go with it. I am grateful to the prisons Minister for his support of that.
Today is really about the children of alcohol, and I particularly want to pay tribute to NACOA, the National Association for Children of Alcoholics. Hon. Members will know that there are many all-party groups in this great Palace—although rather fewer than there used to be, which I think is probably a good thing. There were ones for jazz, teddy bears, and even I think “Brideshead Revisited” at one point. Those light, frothy, frivolous all-party groups have gone. They are now generally very serious groups, committed to issues that do not lend themselves well to individual party politics—causes that often get lost. It has been my great privilege to chair a few.
I have to say that the all-party parliamentary group on children of alcoholics is the most extraordinary I have ever seen. The meetings are packed, with 100 or 200 people. We hear from children who come to Parliament to speak about their experiences. We hear from very high-achieving adults who are still dealing with the damage of their experiences. I will mention in particular Calum Best, whose father George Best was one of the greatest footballers in the land, if not the greatest—and a Northern Irelander to boot, I believe. Funnily enough, my mother met George Best at a drying-out clinic 40 or 50 years ago. Calum is an inspiring advocate for this cause. I also want to pay tribute to Hilary, Piers, Amy, Maya and all of those who volunteer to support the children, who without them would have no voice. I will also give a shout-out to Camilla Tominey, who has been a great supporter of our work.
We have supporters in the House of Lords as well. Sometimes, I think people think that privilege comes with a disconnection from some of these ills, but people might be surprised to know how many people there are in the House of Lords who have suffered as children of addiction of all sorts. This is not an issue that lends itself to advocacy by those from just a single party or geographic area.
I welcome the Minister—it is the first time we have had the chance to engage like this—and congratulate him on his appointment as the Minister with responsibility for life sciences, a role that I was lucky enough to be the first to hold. It is great to see him in his place. Having served in his Department, I know how many difficult issues he and the Department have to deal with; there is no magic silver bullet for any of them.
Over the course of this Parliament, the all-party group will try to set out a manifesto of reasonable, deliverable, fundable, understandable and relevant reforms that we hope the Government can work with us on. We do not suggest that the Government are the only body that can deal with this; we require a culture change and a broader network of support to help the charities, the community groups and those on the ground in communities where so many children suffer in silence. I will not go through the list of issues in the manifesto, and I will save for the Minister the duty of reading out the speech that his officials have probably carefully written and gone through point by point, but may I lead a delegation from the all-party group to see him and officials in due course, once the group is formally constituted, to run through the manifesto and talk through what else we might be able to do to help these children?
I want to give the Minister the chance to respond, so I will not detain the Chamber any longer, other than to say this. Let us all keep it in our minds that there are 2.5 million children out there who are, right now, watching the bottles, watching the levels, keeping an eye on their parents, distracted from their school work, struggling to do all the things that children should, learning to normalise anxiety and learning a lot of habits that will stay with them. For some, extraordinary tenacity might serve them well, but for many it will cause them long-term problems. I think that if we can grip this issue, we will be able to do a lot for long-term public health. I am grateful to the Minister, and to you, Mrs Harris, for allowing me this debate.
(6 months ago)
Commons ChamberI am very sorry to hear of Scott’s experience. What the right hon. Gentleman has outlined is clearly unacceptable. I will absolutely follow up on that issue with officials and report back to him. We cannot allow that sort of poor performance to exist, and those responsible must be held to account.
My hon. Friend will know that trusts have responsibility for securing—using the approved procurement framework—an appropriate electronic patient record system that delivers all the core capabilities set out in the digital capabilities framework. Since 2022, £1.9 billion has been invested in digital transformation, including in the roll-out of EPRs to NHS trusts that do not have one and in support to optimise existing ones.
The Minister will be aware that my hon. Friend the Member for Stafford (Leigh Ingham) and I have been working on a replacement system for the University Hospitals of North Midlands NHS Trust in north Staffordshire, which would improve public and patient experience, and productivity, at those hospitals. Will the Minister meet us so that we can consider how further to unlock that funding to improve productivity and patient experience in good time?
I commend my hon. Friend, and our hon. Friend the Member for Stafford (Leigh Ingham), for their diligent work with their trust and local system. Progress is being made on that EPR, which will have huge benefits. I will ensure that he has a clear outline of progress to the final planned operating of the go-live date for that issue. I am happy to meet him.
I thank the hon. Member for her question, and for making everyone aware of the powerful protest taking place today, which so visibly reminds us that lots of people’s voices may not be heard if they cannot participate in person. It is a reminder of the challenges that people face. I will undertake to raise her concerns with my right hon. Friend the Work and Pensions Secretary, and I give carers across the country the assurance that we are working as fast as we can. Having delivered the biggest expansion of carer’s allowance since the 1970s, we want to ensure we deliver for this extremely important group of people, whom we are lucky to have in our society.
I can absolutely give my hon. Friend that reassurance. It was appalling that the previous Government not only cancelled lots of the deprivation-linked funding put in place by the Labour Government but threw all that progress into reverse. That is not the approach that this Government will take. We will have funding based on need, not pork barrel politics. I can assure my hon. Friend that his constituents in Stoke-on-Trent will benefit from our sincere commitment to tackling health inequalities.
(8 months, 3 weeks ago)
Commons ChamberI thank the right hon. Member for recognising the significant investment announced today in GP services and buildings, and I would be delighted to ensure that the relevant Minister meets her.
Driving down waiting times is one of this Government’s top priorities, and my colleagues at NHS England continue to keep in regular contact with ICBs on improving waiting times and delivering the ambitions set out in our elective reform plan. Since July, we have cut waiting lists by more than 219,000 across England, and by 6,000 for University Hospitals of North Midlands, and have delivered 3 million more appointments.
I thank the Minister for her answer, and recognise the Herculean effort the Department is making to reduce waiting times, particularly in Stoke-on-Trent, but one cancer patient who is having treatment at the Royal Stoke hospital in my constituency has shared her story with me. From the initial operation, it took six weeks for her to be told that she may have cancerous cells in her lymph node. There was a delay in getting the CT scan, and after the scan, she was told that it would be 10 weeks before she could meet an oncologist to discuss the results. Will the Minister say a bit more about how the Department, while reducing waiting times to access services, will make sure that treatment is given in a timely fashion once someone has a treatment plan?
I am sorry for the experience that my hon. Friend’s constituent has had, and he highlights a really important aspect of the patient journey through the system. I want him and the House to be assured that we are looking at the entire patient journey, both into hospital and between hospitals. We are determined to improve patient experience and quality of care, and to get back the patient satisfaction that was squandered by the last Government.
(1 year, 1 month ago)
Commons ChamberUrgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.
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I thank the hon. Gentleman for welcoming the announcement. As I said, we will be working with the sector in the new year and then we will make allocations accordingly.
Stoke-on-Trent is wonderfully served by the Dougie Mac and Donna Louise hospices. They are part of a healthcare system in Staffordshire and Stoke-on-Trent that the Minister knows has a £90 million projected deficit. What oversight will there be to ensure that the money that goes to the ICBs reaches the hospices and that the team in Staffordshire and Stoke-on-Trent do not try to use some of this welcome new money to fill holes elsewhere?
My hon. Friend makes an excellent point —one that was raised earlier. It is vital that ICBs work with all providers to understand the needs and how they are best met. I know he will be diligent, as he already has been, in pursuing what is happening with the funding with his local ICB. We will work with Hospice UK to ensure that that happens across the piece.
(1 year, 3 months ago)
Commons ChamberI absolutely take the point the hon. Gentleman is making about the importance of place-based leadership. That is why one thing we will be looking to do, as part of the 10-year plan process, is to clarify roles and responsibilities in different parts of the system to ensure that we have better strategic place-based leadership.
I agree with my hon. Friend, which is why we have set a goal for fewer lives being lost to cardiovascular disease. We will make it easier for people to have checks in the comfort of their own homes through, for example, the digital NHS health check and the new workplace trials.
(1 year, 4 months ago)
Commons ChamberI understand that there are some concerns about that issue, and we will make sure that the hon. Member receives a full answer from my hon. Friend the public health Minister.
In short, these changes will widen access to life-saving medicine. I am sure hon. Members will agree that any death from an illicit drug is tragic and preventable, so I am pleased that we are taking this step and that we have the support of the House this evening for reducing drug-related deaths. On that basis, I hope hon. Members will join me in supporting these important regulatory changes, which I commend to the House.
Question put and agreed to.
Resolved,
That the draft Human Medicines (Amendments Relating to Naloxone and Transfers of Functions) Regulations 2024, which were laid before this House on 29 July, be approved.
On a point of order, Madam Deputy Speaker. Last Thursday, during questions to the Leader of the House on the statement of business, I asked a question about BTecs in relation to colleges. Although it is registered in the Register of Members’ Financial Interests that I am a governor of two colleges, I failed to draw the House’s attention to that fact before asking my question. The two colleges that I am a governor of are affected by the answer, so I take this opportunity to place that on the record, and offer my unreserved apology to the House accordingly.
I thank the hon. Member for his point of order and his clarification. I am sure the record will stand amended and corrected.
Business of the House (Today)
Ordered,
That at today’s sitting the Speaker shall put the Questions necessary to dispose of proceedings on the Motion in the name of Lucy Powell relating to the Modernisation Committee not later than one hour after the commencement of proceedings on the Motion for this Order; such Questions shall include the Questions on any Amendments selected by the Speaker which may then be moved; proceedings on that Motion may continue, though opposed, after the moment of interruption; and Standing Order No. 41A (Deferred divisions) shall not apply.—(Lucy Powell.)
(6 years, 3 months ago)
Commons ChamberMy hon. Friend is right that the local NHS came forward with its plans, but I want to ensure that A&E facilities continue in Telford. We are working on the details, and he will be the first to know.
When the Secretary of State goes to Telford, I suggest that he speaks to Councillor Shaun Davies, who will also tell him about Telford’s needs. As the hon. Member for Burton (Andrew Griffiths) said, Staffordshire is blessed with some first-class facilities that were supported by the last Labour Government, but our problem is that our CCGs are all in financial deficit. Half of the country’s failing CCGs are in Staffordshire. With the new money that is going into the health service, will the Secretary of State tell me what he is going to do to address the disparity in funding? Stoke-on-Trent rates 13th for social and health inequalities, but 48th for funding. If money follows need, we can dig ourselves out of our hole.
The hon. Gentleman raises the problem across Staffordshire. We are trying to ensure that the NHS in Staffordshire looks forward with confidence, and that includes addressing long-standing financial issues for which it has had extra support over the past few years. I pay tribute to all the NHS staff right across Staffordshire, who have done great work, especially in Stoke and Stafford, to ensure that the hospital provision there can look forward with confidence.
(6 years, 7 months ago)
Commons ChamberMy hon. Friend makes an important point. This is a vital post in a hospital and a hospital trust that does amazing work—some of the best medicine in the world is done at King’s—but it also has significant challenges with delivery, especially with respect to meeting financial targets and delivering value for money. King’s needs that support, which we are putting in place. I will raise the specific issue of the post he mentions with the head of NHS Improvement.
The Royal Stoke University Hospital, in partnership with Staffordshire University and Keele University, is training the next generation of clinicians, but the Secretary of State will know those universities need to be properly resourced to continue that vital training. What conversations is he having with the Department for Education to make sure that partnership thrives?
The hon. Gentleman raises an important point. We have expanded the number of medical training places; we have more people going into medicine; and we have a record number of GPs in training. This takes time, of course. I spoke to my right hon. Friend the Secretary of State for Education about this recently, and I will make sure that we keep pushing hard.
(6 years, 10 months ago)
Commons ChamberAbsolutely. My hon. Friend is right to stress the role of families in supporting the children of alcoholics. We made progress on that and were able to announce funding just last week. I pay tribute to my hon. Friend the Member for Winchester (Steve Brine) for all his work—I enjoyed doing it with him—to do everything we can to support the children of alcoholics.
The relative funding across the country for different areas is assessed independently, and by law NHS England makes that assessment. I am happy to write to the hon. Gentleman with the precise details of how those allocations are devised—I am sure that he has got them; they are widely available—and an explanation of the conclusion that NHS England independently reached.