Future of Stoma Care

Debate between Giles Watling and Will Quince

Wednesday 17th May 2023 Westminster Hall

[Will Quince]

I thank the hon. Lady for her intervention and for sharing her personal experience, which is a hugely valuable part of this debate. As I have said, a large number of products are already available on the NHS. She is absolutely right to say that we should engage with patients, because product selection should always be based on the clinical need of individual patients, not on manufacturing brand, pressure from particular companies or relationships with individual trusts. Yes, patients will be at the heart of the decision-making process, and rightly so. We are currently engaging on that exact point with a number of patient groups and with the industry, which is an important part of this as well. We will launch a targeted consultation over the summer, and I encourage patients, charities, organisations and industry to take part; I think they naturally will. We must ensure that the tariff continues to provide effective products to patients, wherever they live in the country.

My hon. Friend the Member for Clacton touched on patient care. I, too, recognise that the patient pathway for stoma care differs depending on the model of care that commissioners have adopted, hence my reference to a postcode lottery. Stoma service delivery models have been supported nationally through past NHS initiatives such as the QIPP, the national quality, innovation, productivity and prevention programme—it is a mouthful —which published recommendations on best practice for delivering stoma services. There are already really good examples across the country, such as in Rotherham, Nottingham and the midlands, of stoma services being delivered effectively based on those fundamental principles. It is important that we share that best practice and ensure that it is rolled out across all the country’s integrated care systems.

[Giles Watling]

In the rush for equity, which I am asking for so that everybody has equal access to the best possible care, we must not lose sight of the fact that each individual is individual and requires specialist care. There cannot be a one-size-fits-all answer.

[Will Quince]

I totally agree. It has to be based on clinical need and on the choice of the individual patient. However, when we look at the examples of the areas that do this really well and get those pathways so right, we can see that patients are followed up with regularly, receive annual reviews and have a wide range and choice of products. As my hon. Friend rightly points out, it is based on independent clinical advice on the best product for their need that they know best suits them as a patient. That is the exemplar, if you like—the model that we want to see across the country.

My hon. Friend talked about medtech and research and development investment in life sciences, a passion of mine. Colleagues may previously have heard me speaking about the Department’s work to ensure that the UK has a flourishing life sciences sector with a focus on innovation. I want to make sure that we always bring the best possible medtech, medicines and therapies to UK patients as quickly as possible.

The Medicines and Healthcare products Regulatory Agency is currently updating the medical devices regulatory regime, which is designed to support innovation and improve patient access to innovative medical devices by improving the regulation of novel and growing areas such as artificial intelligence, which we know will play such a big role. The medtech strategy is a meaty document, but I recommend that hon. Members look at it: it sets out a clear ambition to provide a streamlined pathway from pre-registration products through, ultimately, to adoption within the NHS.

My hon. Friend is right to say that we must work with industry to make sure that the UK is its launch platform or country of choice, because we want UK patients to be the very first to get access to the most cutting-edge and innovative medtech. We work closely with industry and across the system to implement actions to address the barriers to adoption in the UK. That predominantly involves removing duplicative evaluations to ensure that procurement processes are as streamlined as possible for companies, thus making the UK a best-in-class destination.

The medtech community is a key focus area for implementation of the strategy. As part of my Department’s engagement with industry and patient groups on its upcoming consultation on part IX of the drug tariff, officials have planned various roundtables and engagement points with stakeholders. That engagement will include industry and patients, which speaks to the point that the hon. Member for Lewisham East (Janet Daby) made about the importance of putting the patient voice at the heart of everything we do. As my hon. Friend the Member for Clacton knows, the Government’s medtech strategy sets out how we will ensure that the health and social care system can reliably access safe, effective and innovative medical devices. I am pleased to assure my hon. Friend that it is absolutely a priority for me, for the Department and for the Government.

I thank my hon. Friend the Member for Clacton and the hon. Member for Lewisham East once again for bringing this issue to the Government’s attention and for flagging particular areas. I look forward to continuing to work with charities and hon. Members across the House on the matter. Finally, on my hon. Friend’s most significant ask, I would be absolutely delighted to meet him, charities and Coloplast to take this forward.

Question put and agreed to.

Oral Answers to Questions

Debate between Giles Watling and Will Quince

Monday 9th March 2020 Commons Chamber

[The Parliamentary Under-Secretary of State for Work and Pensions (Will Quince)]

The Department is working with a range of organisations to support claimants who are transitioning to universal credit. Help to Claim, which is being delivered by Citizens Advice, is working effectively for claimants, and we are in the concluding stages of detailed discussions for a second year of delivery.

[Giles Watling]

On a recent visit to my local jobcentre, it was clear that we have excellent staff and that they support universal credit. Will the Minister outline what plans are in place for outreach services for those who might be intimidated by a visit to the jobcentre or, indeed, who want to access support online?

[Will Quince]

I thank my hon. Friend for his question and for visiting his local jobcentre. All jobcentres have wi-fi and computers available for claimants to access the internet. For those who are still unable to access or use digital services, or who are not able to travel, assistance to make and maintain their claim is available via the freephone UC helpline. As I mentioned, Help to Claim offers tailored practical support to help people make a UC claim.

Oral Answers to Questions

Debate between Giles Watling and Will Quince

Monday 13th May 2019 Commons Chamber

[Will Quince]

I thank the hon. Lady for her question, but I gently point out that youth unemployment has halved under this Government.

[Giles Watling (Clacton) (Con)]

6. What steps her Department is taking to increase financial support for vulnerable universal credit claimants compared with the legacy system.

Homelessness

Debate between Giles Watling and Will Quince

Tuesday 27th February 2018 Commons Chamber

[Will Quince]

The hon. Lady, with whom I worked on the Homelessness Reduction Act, makes a good point. If she bears with me, she might like what I will have to say in just a few moments.

In my view, the Housing First approach is a common-sense approach. Think about it: how can we provide the support services needed to help rough sleepers with their mental health, drug or alcohol issues when the support workers never know from day to day where they can find those individuals? How do we address the general and mental health problems that are all too common with rough sleepers when they are under extraordinary pressure and physical strain from living on the streets?

Like the hon. Member for Dulwich and West Norwood (Helen Hayes), I am pleased the Government have launched the pilots, but I think that it is time to go further and faster. I believe that the Secretary of State for Housing, Communities and Local Government wants to go further. He is committed to tackling the issue and is determined that the Government will halve rough sleeping by 2022 and eliminate it entirely by 2027. But I want him to be bold and radical. If this was the first time that such a project had been undertaken, I would understand being hesitant about moving faster and the desire to evaluate how the pilots work, but they already exist in the UK and are used across the world. We should implement Housing First across the country as a priority. At the very least—and I look to the Minister on this—let us have a timetable for the full roll-out of Housing First programmes across England.

Most importantly, we must ensure that the programmes are fully linked up with local support services that are given the funding they need to help those sleeping rough with their mental health problems or addictions. Of course, that will involve spending money, but in my view that is a short-term cost. The study by the University of York and the Centre for Housing Policy found that Housing First programmes cost between £26 and £40 an hour, yet the potential savings are estimated to be as high as £15,000 per person per year if we include reductions in use across the NHS and in our police and courts services. So this is not only the right thing to do, but will save the taxpayer money.

Homelessness and rough sleeping in particular often have many complex underlying issues, which means that addressing them will require more than one solution. The Government have already made good progress on tackling homelessness, whether through the Homelessness Reduction Act—it was a privilege to serve on the Bill Committee, and I am delighted that it has become an Act of Parliament and will be implemented in April—

[Giles Watling (Clacton) (Con)]

Will my hon. Friend give way?

[Will Quince]

Of course.

[Giles Watling]

I am very grateful to my hon. Friend. As a student, I studied sociology and I spent some time on the streets and at St Martin-in-the-Fields at the Crypt. I know that people went through a lot of hard times down there, and that was many years ago—decades and decades ago. This problem has been with us for such a long time but what we must do is think outside the box and always be flexible. Housing First is a great and a wonderful project, but we must go further and we must always look at these people, communicate with them and ask them why they are there. It is not always just about mental health or family breakdown. There are many reasons, but we must keep the line of communication open.

[Will Quince]

I thank my hon. Friend for that intervention, which has taken up a fair chunk of my remaining time—but nevertheless I thank him for it. We need to stop thinking of rough sleeping as simply a homelessness problem and, by rolling out Housing First programmes across England, linking them with support services and giving them the funding they need, we have the opportunity to transform the lives of the people sleeping rough on our streets. My hon. Friend is right that we need to think outside the box. I think that to a large extent Housing First is the answer, but we must roll it out faster and further. I know that the Secretary of State wants to do this, so I say to the Minister: let this be the Government that end rough sleeping for good.