Oral Answers to Questions

Gordon Henderson Excerpts

Tuesday 6th June 2023 Commons Chamber

[Neil O’Brien]

The hon. Member has been campaigning doggedly for this for several years, and I am sure that his local ICB will be strongly seized of that and the strong arguments for it. He raised the issue of developer contributions. One thing that we have done in the most recent primary care recovery plan is set further steps to increase investment from developer contributions so that we match new housing with the much-needed infrastructure, such as primary care facilities.

[Gordon Henderson (Sittingbourne and Sheppey) (Con)]

10. What progress his Department has made on increasing the number of available GP appointments.

[The Parliamentary Under-Secretary of State for Health and Social Care (Neil O'Brien)]

We are taking action to increase the workforce in general practice. We have managed to hit our target of recruiting 26,000 extra clinicians a year earlier. In fact, we have 29,000 extra clinicians in GP surgeries as well as nearly 2,000 more doctors. Of course, we will go further: as well as increasing the training of GPs to a record level—up from about 2,600 to 4,000 a year—we are also taking action to improve technology to take the burden of bureaucracy off GPs through our primary care recovery plan.

[Gordon Henderson]

Although I appreciate the Minister’s response, Sittingbourne and Sheppey still has one of the highest patient to GP ratios in the country. Without more GPs, no initiative to increase appointments will succeed. Our local integrated care board is doing its best to bring more doctors to our area. What help can my hon. Friend give to the ICBs so that they can provide my constituents with the GPs they need?

[Neil O’Brien]

My hon. Friend is quite right that we absolutely need to go further. That is why, through the primary care recovery plan, we are taking some of the pressure off general practice, investing £645 million in the new Pharmacy First service, which will free up about 10 million GP appointments a year. That is why we are investing about £60,000 per practice in new IT and modern online systems. None the less, he is totally right: we need those doctors in general practice. We have about 2,000 more now than we did in 2019, but we will go further. We have already increased GP training and we are looking at building on that further.

Oral Answers to Questions

Gordon Henderson Excerpts

Tuesday 1st November 2022 Commons Chamber

[The Parliamentary Under-Secretary of State for Health and Social Care (Neil O’Brien)]

In the hon. Gentleman’s local NHS this year there were 758 active NHS dentists, up from 736 in the previous year. I have already mentioned some of the steps we are taking to tackle the problem of dental deserts and ensure that everyone in the country can see the dentists—and the GPs—whom they need to see.

[Gordon Henderson (Sittingbourne and Sheppey) (Con)]

Members of the Kent and Medway integrated care board are doing their best to recruit more GPs, but they are finding it difficult to attract them to our area. One reason is their close proximity to London, where newly qualified GPs can earn thousands of pounds more than they can if they practise in Kent. Will my right hon. Friend consider extending the NHS London weighting allowance to Kent and Medway?

[Steve Barclay]

Part of the reason for having the targeted funding is so that ICSs can look at those areas under particular pressure for recruitment and do that on a place-based basis. It would be interesting to look at the evidence, but I know that the fund has been used by my hon. Friend’s local ICS.

Oral Answers to Questions

Gordon Henderson Excerpts

Tuesday 23rd November 2021 Commons Chamber

[Sajid Javid]

I very much agree with the hon. Gentleman. The general vaccination programme for covid-19, or any other vaccine for that matter, should be voluntary. It should be a positive decision that people take to protect themselves and those around them. The only exception to that in England, as the hon. Gentleman will know, is those who work with vulnerable people in the NHS or in social care. Otherwise, it absolutely should be a positive decision that people are encouraged to take.

[Gordon Henderson (Sittingbourne and Sheppey) (Con)]

13. What recent steps he has taken to help ensure that everyone in Sittingbourne and Sheppey constituency has access to a GP.

[The Parliamentary Under-Secretary of State for Health and Social Care (Maria Caulfield)]

The Kent and Medway clinical commissioning group has informed us that all practices in the area have open lists and are accepting new patients. It has also informed us that practices in Sittingbourne and Sheppey are being prioritised for support to help them manage the high levels of demand they are currently facing.

[Gordon Henderson]

I think the Minister has been misled by my local CCG. I can tell her that all the GPs in my area are oversubscribed and people are finding it very difficult to get an appointment with their GP, even including a virtual appointment. Indeed, some patients struggle even to speak to a receptionist, because the phones are engaged for hours on end. I understand that the NHS is planning to give GPs an upgrade of their telephone systems, but such upgrades will be of no use whatever unless doctors have the resources needed to recruit and train additional receptionists to answer the phones. What assurances can my hon. Friend give me that GPs will get those resources?

Draft Food (Promotion and Placement) (England) Regulations 2021

Gordon Henderson Excerpts

Monday 15th November 2021 General Committees

[Gordon Henderson (Sittingbourne and Sheppey) (Con)]

I have a couple of questions because I am slightly confused as to the definition of “prepacked” with regard to prohibited goods. The draft regulations refer to various categories of food, including

“Category 3: Breakfast cereals including ready-to-eat cereals”.

What is meant by “ready-to-eat” when it comes to “other oat-based cereals”? Oat-based cereals, such as oat flakes and Oatibix, are actually very good for people, so I wondered whether they are included in that category.

Vaccine Roll-out

Gordon Henderson Excerpts

Thursday 21st January 2021 Commons Chamber

[Gordon Henderson (Sittingbourne and Sheppey) (Con) [V]]

A large number of people in Sittingbourne and Sheppey who are over the age of 80 have not yet received their covid vaccinations—not because of a lack of will but because of a lack of vaccine. Let me give an example: on the Isle of Sheppey, which has a population of 40,000, local GPs need to vaccinate more than 1,000 people each week to reach the Government’s target of vaccinating every person in the first four priority groups by February. Last week, the Sheppey primary care network was promised 400 doses, but eventually received only 300. This week, it has been promised 1,200 doses, but local GPs worry that this quantity will be cut, too. I appreciate that my right hon. Friend is constrained by the number of doses delivered by the suppliers, but what can he do to ensure that both my local primary care networks in Sittingbourne and Sheppey receive the quantity that they need to meet the Government’s target?

[Matt Hancock]

My hon. Friend asks an astute question which, in a way, demonstrates the challenge we have. There is a demand for more early information about when vaccine will arrive but, because of the lumpy supply, if we give too much prior notice, we sometimes have to make adjustments like the one my hon. Friend described. The good news is that we are on track to deliver the quadrupling of the amount of vaccine to the Isle of Sheppey that he describes. Like him, I very much hope that the full 1,200 doses will come.

We are sending more doses to the areas that have made the least progress so far, to make sure that by 15 February we get that offer to everybody equally, irrespective of where they live, across England for the English NHS and, indeed, we are working with the devolved Administrations to make sure that that offer is delivered fairly right across the UK. There is prioritisation of the areas that have made least progress so far, and I am working with NHS colleagues to make sure that that is done as fairly and effectively as possible.

Oral Answers to Questions

Gordon Henderson Excerpts

Tuesday 6th October 2020 Commons Chamber

[Helen Whately]

The hon. Lady asks a really important question. Clearly, it is a difficult time for students starting university now, but particularly for those with long-term health conditions such as cystic fibrosis. Overall, as she knows, the context is that we are prioritising education. We do not want students to put their life on hold, but we do want them to be supported by their university, particularly if it is harder for them to self-isolate because of health conditions. I am in regular contact with the Minister for Universities and will take up with her the specific questions about support for students with cystic fibrosis and access to supermarket deliveries. If the hon. Lady would like to raise any specific case with me, she should let me know and I will take that up with the Minister for Universities to address the specific issues.

[Gordon Henderson (Sittingbourne and Sheppey) (Con)]

What steps his Department is taking to increase covid-19 laboratory testing capacity.

[The Secretary of State for Health and Social Care (Matt Hancock)]

As part of the drive towards the capacity target of 500,000 tests a day by the end of October, we have announced additional Lighthouse labs as part of the national lab network, and work is ongoing to expand the UK’s lab capacity inside the NHS.

[Gordon Henderson]

The Lighthouse labs do not appear to be delivering sufficient test results. Schools and care homes in my constituency are still having to wait an unacceptably long time for covid-19 test results, and the delays are making it difficult for them to operate properly. What is my right hon. Friend doing to make better use of the many life science companies in Kent, including those at Discovery Park in Sandwich and at the Kent Science Park in my constituency of Sittingbourne and Sheppey? Those companies have laboratories in which some of the tests taken in Kent could be analysed.

[Matt Hancock]

We are increasingly contracting with labs like the ones my hon. Friend mentions—as well as the Lighthouse labs, which have huge capacity—to make sure that we can both increase capacity and reduce the turnaround time. I am glad to say that the latest figures for the past week showed that the turnaround time is coming down, which is important in Kent and right throughout the country.

Social Distancing: 2 Metre Rule

Gordon Henderson Excerpts

Monday 15th June 2020 Commons Chamber

[Edward Argar]

My hon. Friend is absolutely right, and that is exactly what the review will look at.

[Gordon Henderson (Sittingbourne and Sheppey) (Con)]

Caravans and chalets on holiday parks have to be at least 6 metres apart, so residents could easily observe current social distancing guidelines. When the Prime Minister undertakes his review, will my hon. Friend ask him to consider allowing holiday parks to open immediately? In doing so, he would help rescue the economy of coastal towns, which are already among the most deprived communities in the country.

[Edward Argar]

If I recall correctly, my hon. Friend has raised this issue previously. He is right to have done so and I am very happy to give him the assurances he seeks. I will pass his comments on to the Prime Minister.

Oral Answers to Questions

Gordon Henderson Excerpts

Tuesday 23rd July 2019 Commons Chamber

[Caroline Dinenage]

The hon. Lady has hit on a really important point. The truth is that a lot of children who end up in an in-patient setting are not diagnosed with autism or a learning disability until they are there; they normally come in on a mental health diagnosis. There are a few points to make here. One is on making sure that early intervention is there as early as when a child is in school. That is why the Government have made a commitment to having mental health support available from a very early age, in schools. This is also about making sure that families do not get to crisis point, and that the investment is there in the community, so that children get the support that they need at every possible step.

[Gordon Henderson (Sittingbourne and Sheppey) (Con)]

16. What steps he is taking to reduce the number of missed GP appointments.

[The Parliamentary Under-Secretary of State for Health and Social Care (Seema Kennedy)]

Missed appointments are a waste of NHS resources, and we believe that encouraging patients to use the NHS sensibly and responsibly is the right approach. We are encouraging a range of local schemes to help to reduce missed appointments, with clinical commissioning groups and practices embracing technology and adopting a variety of approaches, such as text reminders, patient-recorded bookings and the increased use of online systems that make it quick and easy for patients to change and cancel appointments.

[Gordon Henderson]

A GP surgery in my constituency has reported that in one month this year, 78 people failed to keep their appointment and failed to cancel it. Those failures led to the surgery losing 11 hours’ working time. The surgery has announced that it will consider removing patients from its register if they miss three consecutive appointments. Does my hon. Friend support that proposal, and does she think that the policy should be rolled out across other surgeries?

[Seema Kennedy]

Local NHS organisations know their populations best, and that is why the Government support locally led initiatives to reduce missed appointments. The evidence shows us that people are less likely to miss an appointment if they have a convenient option. Swale CCG has a “Did Not Attend” campaign, which will run across the region this summer and support his constituents in making sure that they use their appointments responsibly.

GP-Patient Ratio: Swale

Gordon Henderson Excerpts

Tuesday 19th March 2019 Westminster Hall

[Gordon Henderson (Sittingbourne and Sheppey) (Con)]

I beg to move,

That this House has considered the ratio of GPs to patients in Swale.

My constituents have a number of major concerns, including local roads, the level of housing in our area, and the ratio of GPs to patients. The three issues are intertwined, as I will explain, but to set the issue in context, I will explain a little about my area. The local authority district of Swale is on the north-east Kent coast. It covers the whole of my constituency of Sittingbourne and Sheppey and also includes part of the constituency of my hon. Friend the Member for Faversham and Mid Kent (Helen Whately), whom I am delighted to see here today. However, the Swale clinical commissioning group area is not coterminous with Swale Borough Council. Instead, it has responsibility only for Sittingbourne and Sheppey. Faversham falls within the remit of the Canterbury and Coastal CCG.

Swale CCG is one of the smallest CCGs in the country, if not the smallest, because when CCGs were first set up, Medway CCG did not want to include Sittingbourne and Sheppey, nor did any of the east Kent CCGs, because my constituency has, historically, a number of areas with a high incidence of health deprivation. Life expectancy in Swale is the lowest in Kent. Within Swale itself, there is a huge, 10-year gap between the highest and lowest life expectancy. In some of the more affluent areas, life expectancy is 84 years, while in the more deprived areas, life expectancy is just 74 years.

A number of areas in my constituency have been identified as being in the bottom quintile on the national deprivation scale—a clear demonstration that not every area in the south-east is affluent—and there is an above-average incidence of obesity-related illnesses in my area. The number of people admitted to hospital in Kent because of health problems related to obesity has rocketed in recent years—around half of Kent’s 1.5 million population is now overweight or obese—and the highest rate in Kent was recorded by Swale CCG, where 1,726 people per 100,000 were admitted to hospital due to obesity-related conditions. My constituency also has a higher incidence of lung-related disease than many other areas in the country. That is particularly true on the Isle of Sheppey.

Such health problems put huge pressure not only on our local hospitals, but on primary care, yet my constituency has the worst ratio of GPs to patients in the whole country. To give an idea how bad the situation is, in Rushcliffe, the ratio is 1:1,192; in Camden—hardly the most prosperous area in the country—the ratio is 1:1,227; and in Liverpool, it is 1:1,283. By contrast, in Sittingbourne and Sheppey, there is just one permanent GP for every 3,342 patients.

My local CCG recognises that the lack of doctors is a problem and managers are doing everything they can to improve the situation, but to succeed, they need to attract more GPs to our area, and to do that they need more help, and more money.

[Helen Whately (Faversham and Mid Kent) (Con)]

I congratulate my hon. Friend on securing this debate on a really important topic. My constituents also face some difficulties getting access to a GP in my area of Swale borough, and also on the Maidstone side of my constituency, where in one practice the ratio of GPs to patients is 1:4,000. It is a real problem. I am concerned that there is not enough of a sense of urgency among some CCGs about fixing the problem. When the Minister sums up, I would be grateful if she could confirm the CCGs’ responsibility, and what metrics they are held to account for, for access to GPs.

[Gordon Henderson]

I accept and understand my hon. Friend’s concerns, but I would put on the record that Swale CCG is doing everything it can to resolve the problem, and does not fall into the category that she mentions.

I accept that Swale is not alone and that the shortage of GPs is a national problem, and that the reason for that shortage is complex. There is little doubt in my mind that successive Governments, including the Labour Government that was in power from 1997 until 2010, and the coalition Government that followed, which of course had to clear up the financial mess left by its predecessor, failed to invest enough in training the doctors we need today. Let us not forget that it takes 10 years to train a GP. To have them practising today, they would have had to start their training back in 2009.

Although there is a nationwide shortage, the problem is more acute in my constituency, and across Kent generally. Indeed, out of the top five areas in England with the worst GP to patient ratios, three of them—Swale, Thanet and Bexley—are in our county. That cannot be a coincidence.

Why is there such an acute shortage in Kent? I believe that the reason is twofold. First, doctors can earn more working in London than they can in Kent, because of the London weighting allowance. I would like to see the London weighting allowance extended to cover Kent, which would make it easier to recruit not only doctors, but also other public sector professionals, such as nurses, police officers, teachers, fire-fighters and prison officers, all of whom it is difficult for us to recruit.

Secondly, doctors undertake their training in London, so they tend to settle in the capital when they qualify. I am pleased that the Government have recognised that problem and a new medical school will be opening in Kent next year. We hope that doctors training in Kent will be more inclined to stay in the county once they have qualified. However, the reality is that any such newly qualified doctors who do decide to stay in Kent and go into general practice will not be available until at least the year 2030, by which time the need will be even greater because of other factors. That is where the two other concerns I mentioned at the beginning of my speech—roads and housing—come into the equation.

The roads infrastructure in my constituency is close to breaking point. We have continual problems of congestion, particularly on the M2, the A2 and the A249, and that congestion is creating ever higher levels of air pollution. As I mentioned, my constituency suffers from a high incidence of lung-related diseases. Ever more traffic congestion will produce ever more air pollution and increase the number of people who, in the future, will seek medical help. Their first port of call will naturally be a GP, putting even more strain on an already stretched primary care system. Something must be done to improve the strategic roads infrastructure in Sittingbourne and Sheppey in order to reduce congestion and air pollution, and that something must be done soon. Time is running out.

The second concern, and a major contributor to our poor GP to patient ratio, is the huge number of housing developments in my constituency over the past 20 years. The area has been transformed and is changing beyond all recognition. Housing numbers have already grown dramatically, and the housing targets being imposed on Swale Borough Council by the Government will see that growth accelerate. The reality is that we are facing the prospect of an ever-growing population at the same time as the number of GPs is diminishing, because the shortage that I spoke about earlier is being made worse by the number of doctors in our community who will retire in the next few years.

If the Ministry of Housing, Communities and Local Government were represented here today, I am sure that it would insist that any future housing developments should have planning conditions placed on them to require the developers to provide health facilities such as a local health centre, as the Ministry has done in the past. What is the use of section 106 money and the community infrastructure levy if we fail to recognise an inconvenient truth: forcing a developer to build a health centre is all well and good, but without the necessary doctors to staff it, at the end of the day it is just another building? Somehow, we have to ensure that something is done to reduce housing targets in areas in which GPs are in short supply, such as my own, until such times as more doctors come on stream.

I appreciate that the Minister has no responsibility for either roads or housing, but I hope she will at least join me in lobbying her colleagues in the Department for Transport and the Ministry of Housing, Communities and Local Government to provide Sittingbourne and Sheppey with the help that is needed to solve the road congestion problem and reduce the planned level of house building. If we can do that together, we will go some way towards improving the health of my constituents and reducing the pressure on primary care in Sittingbourne and Sheppey.

[The Minister for Care (Caroline Dinenage)]

It is a great pleasure to serve under your stewardship, Ms Buck, and I congratulate my hon. Friend the Member for Sittingbourne and Sheppey (Gordon Henderson) on securing this incredibly important debate. He speaks very passionately about his constituency and has raised a number of pressing issues that, to a greater and a lesser extent, I have responsibility for tackling. He has described the pressure that primary care is under in Swale very well. We know that Swale is not alone; I have received representations from other hon. Members, including my hon. Friend the Member for Horsham (Jeremy Quin), who raises very similar points about these pressures.

When my hon. Friend the Member for Sittingbourne and Sheppey talks about the impact of inadequate road infrastructure and excessive housing development exacerbating the challenges with GP accessibility, he could almost be speaking about my own constituency—it is like looking in a mirror in so many ways. I completely recognise the challenges he describes, because my constituency faces almost identical issues with accessing GPs, inadequate roads, housing developments and trying to attract GPs to the area. The Government recognise that this is an issue that affects the care patients receive. We are working very hard to address it and are pushing harder than ever to grow the workforce by the extra 5,000 GPs to which we have committed.

A growing, ageing population and patients with long-term conditions are putting strain on the system. We need to look very closely at recruiting and retaining GPs, but that is not the whole story; we must also look at what GPs are telling us are the biggest issues, including workload, indemnity and risks associated with the GP partnership model. There are a number of tasks that we have to consider.

We recognise the importance of general practice, which is the absolute heart of our NHS. In 2015 we set the ambitious target to grow the workforce by 5,000; we are a long way from achieving it, but more GPs are now in training than ever before. The NHS long-term plan made a very clear commitment to the future of general practice, with primary and community care set to receive at least £4.5 billion a year more in real terms by 2023-24. That was followed by the new five-year GP contract, which will see billions of pounds of extra investment for improved access to family doctors, expanded services at local practices and longer appointments for patients who need them.

The new GP contract will address workload in general practice as a result of the workforce shortage that my hon. Friend the Member for Sittingbourne and Sheppey so beautifully articulated. We need a culture change in the range of health professionals who people are prepared to see when they go and visit their local health centre. NHS England has committed to expanding community-based, multi-disciplinary teams, which will provide funding for 20,000 other staff in primary care networks, such as physician associates and social prescribers.

[Gordon Henderson]

I welcome the Minister’s words and accept that the Government are doing something. I also accept that it is not just my area that has a problem. Does she recognise, though, that Kent has a particular problem? To give an example, somebody living in north Kent can travel 20 minutes up the A2 and get £6,000 or £7,000 a year extra. Although the Government are expanding the opportunities for the other professionals, we cannot even get them. It is not just doctors; it is all the professionals.

[Caroline Dinenage]

My hon. Friend makes an excellent point, and I completely understand that places in the London catchment area can very easily lose key public sector professionals. It is very difficult to compete with the potential extra wages that they might be able to achieve by working in the Greater London area. It is important to acknowledge that diversifying the range of different medical professionals who people can see will immeasurably help general practice to cater for the additional number of patients. It means bigger teams of staff providing a wider range of care options for patients, which effectively frees up more time for GPs to focus on those with more complex needs.

I was very pleased to hear that the CCG general practice in Swale is already using the skills of a wider workforce, including pharmacists working alongside GPs and paramedics providing home visits. We are training more GPs than ever before, and last year Health Education England recruited the highest number of GP trainees ever: 3,473. As my hon. Friend said, a new medical school is opening in Kent next year.

It has been made easier and quicker for qualified doctors to return to the NHS through the national GP induction and refresher scheme. Yesterday NHS England launched a new “Return to Practice” campaign, which is aimed at promoting the support that is available to GPs who have left practice, with a view to trying to tempt them and encourage them back. To bridge the gap while that training is ongoing—my hon. Friend rightly says that it takes a very long time to make a GP—NHS England’s international GP recruitment programme is bringing suitably qualified doctors from overseas to work in English general practice.

[Caroline Dinenage]

It is quite tricky. As my hon. Friend knows, general practices are independent contractors. Each general practice is required to meet the reasonable needs of their registered population, so there is no exact metric or recommendation for how many patients a GP should have, as the demand that each individual places on a GP can be significantly different. There is obviously much greater pressure on a practice in an area with a much older population—with more retired people and those with more complex needs—than on practices in other areas. That is where the complicating factors arise.

It is really important to work on innovative ways not only to bring in a new raft of GPs, but to hold on to the ones that an area already has. I understand that Swale CCG is working with GP practices across the area to improve retention. Supported by funding from NHS England, it is shortly due to launch a pilot GP recruitment and retention scheme. It is being proactive in recruiting the next generation of general practice staff and has been working with local schools and colleges to encourage local students to consider healthcare, and particularly primary care. I understand that three training practices in Swale offer placements for trainee medics, to give them the opportunity to experience general practice and consider general practice training. As of December, there were 11 direct patient care apprentices working in general practice across Swale.

My hon. Friend the Member for Sittingbourne and Sheppey rightly made the point that three of the areas with the highest patient to GP ratios are in Kent. I have been advised that, alongside the CCG’s work, the Kent and Medway sustainability and transformation partnership has set up a primary care workforce group, and has secured £1.5 million from Health Education England and NHS England to implement its workforce transformation plan.

The range of other issues that deter medical graduates from general practice include the spiralling cost of purchasing professional indemnity cover, which is a major source of stress and financial burden. We have addressed that in the new GP contract and from 1 April this year, the new state-backed clinical negligence scheme for general practice will bring a permanent solution to indemnity costs and coverage. That will help drive recruitment and retention of GPs.

We recognise the huge contribution that the general practice partnership model has made to patients over the lifetime of the NHS, but we also recognise that increasingly that model faces challenges, as fewer young GPs want to become partners. An independent review, led by Dr Nigel Watson, reported in January and made seven recommendations on workforce business models and risk, to which we will respond shortly.

My hon. Friend made the point well that air pollution, road infrastructure and congestion contribute massively to the pressure on general practice. The Government recognise that air pollution poses one of the biggest environmental threats, particularly in the case of frail elderly people and young children. Removing congestion from roads is certainly one of the sure-fire ways to reduce some of the air pollution hotspots. My Department will always be happy to furnish him with data that he needs on the health impact of pollution, to support any of his activities for attracting the local road investment that will tackle the problem and help his constituents.

My hon. Friend also raised a concern that housing targets placed on Swale Borough Council by the Government put additional pressure on doctor’s surgeries. The national planning policy framework, which was published last year, makes it very clear that strategic policies must make sufficient provision for community facilities, such as health education and cultural infrastructure. As he says, it is not enough to build a building; we need staff inside it. The views of local clinical commissioning groups and NHS England must be sought with respect to the impact of any new development on health infrastructure and demand for healthcare services.

Examples of primary care being delivered in an innovative way can be found across the country, for example using other professionals to deliver care or GP practices grouping together to work more collaboratively. That is exactly the kind of innovation and co-operation envisaged in the long-term plan, which seeks to change the balance in how the NHS works by shifting more activity into primary and community care. That is enabled by expanding multidisciplinary team working. The NHS long-term plan also commits to the recruitment of 1,000 social prescribing link workers by 2020-21. I encourage my hon. Friend to have a conversation with Swale CCG to see if any of those innovative measures could be introduced to help his constituents.

[Gordon Henderson]

I assure the Minister that I meet my local CCG regularly—I have done since it was set up and will continue to do so.

[Caroline Dinenage]

That was never in any doubt as far as I am concerned, but sometimes CCGs may not have thought of some of the more innovative ideas that are used in other parts of the country. I am sure that my hon. Friend, in his highly esteemed role in the local community, is best placed to raise that issue with the CCG.

The Government are well aware that recruitment and retention of GPs is a huge issue. We know that there are problems and we are doing everything that we can to tackle them. We will keep my hon. Friend updated and I thank him for his contribution to the debate and for raising this very important matter.

Question put and agreed to.

Oral Answers to Questions

Gordon Henderson Excerpts

Tuesday 15th January 2019 Commons Chamber

[Stephen Hammond]

The hon. Lady will know that in the long-term plan we have committed to ensuring that more people are treated and that more money is spent in hospitals. The decision on closure is for local organisations, as she will know, but, as I have said to other hon. Members, my door remains open and I would be delighted to meet her.

[Gordon Henderson (Sittingbourne and Sheppey) (Con)]

T9. As we heard earlier, obesity is a major health problem in Britain. Nationally, 1,100 people per 100,000 are admitted to hospital because of obesity-related problems. This is a particular problem in Sittingbourne and Sheppey, where 1,700 people per 100,000 are affected. That is the highest rate in the whole of Kent and Medway. Does the Minister recognise the huge strain that such a statistic puts on the budget of the Swale clinical commissioning group, and, if so, what steps will he take to provide the funds needed to solve the problem?

[The Parliamentary Under-Secretary of State for Health and Social Care (Steve Brine)]

Yes, of course we recognise the economic strain that obesity puts on the NHS, which is why we are taking the action we are, including with our renewed focus on prevention. The measures in the plan include doubling the capacity of the diabetes prevention programme and the further 1,000 children a year we hope to treat for severe complications relating to their obesity. That should help my hon. Friend’s CCG, as well as mine and those of all Members.