Breast Cancer Screening

Debate between Huw Merriman and Jeremy Hunt

Wednesday 2nd May 2018 Commons Chamber

[Huw Merriman (Bexhill and Battle) (Con)]

And I am very proud to have been.

The Secretary of State knows well and cares deeply about safety matters. As he also knows, I have spent too much of my time with the clinicians in the cancer centres of Maidstone and Tunbridge Wells. Will the review perhaps look at administrative and back-office resources and at whether they play any part in improving survival rates?

[Mr Hunt]

The whole House is thinking of my hon. Friend who, like many people in this country, is going through a huge amount of personal pressure as cancer strikes close to home. He is right that back-office systems are often poor when it comes to contacting patients, which is in contrast to the superb clinical care that we are usually able to offer, so we will absolutely consider that as part of the review.

NHS Staff Pay

Debate between Huw Merriman and Jeremy Hunt

Wednesday 21st March 2018 Commons Chamber

[Mr Hunt]

I recognise that there have been pressures on the CPD budget, and that is because we have made increasing the number of nurse training places our main priority. We have increased that by 25%, which has meant that difficult decisions have had to be made about other parts of the budget. I can reassure the hon. Lady, however, that I think that CPD will continue to have a vital role, and we will need to return to the issue.

[Huw Merriman (Bexhill and Battle) (Con)]

Efficiency and productivity deserve to be rewarded, and, given the 16% increase in emergency admissions, NHS professionals have certainly earned that. In the light of this new working relationship, does the Secretary of State envisage staff and the Government working in partnership to challenge patients to be more respectful to those who work in the health service?

[Mr Hunt]

I thank my hon. Friend for making that point. He often raises difficult issues that need to be talked about in this place. We all know that the vast majority of patients are incredibly grateful for the care that they receive from NHS professionals, but occasionally that does not happen. Occasionally, people use services that they do not need to use, which creates pressures and denies other patients what they do need. My hon. Friend is absolutely right that as we start to expand NHS capacity, we need the public to understand their responsibilities as well.

Oral Answers to Questions

Debate between Huw Merriman and Jeremy Hunt

Tuesday 20th March 2018 Commons Chamber

[Huw Merriman (Bexhill and Battle) (Con)]

6. What progress his Department is making on reforming the provision of social care.

[The Secretary of State for Health and Social Care (Mr Jeremy Hunt)]

This afternoon I will make a speech setting out the principles with which we will approach the social care Green Paper, including a focus on the highest standards of care, integration of the health and social care system and developing a long-term sustainable funding solution.

[Huw Merriman]

Given that the arithmetic of this place is so tight, it is clear that there will need to be some form of cross-party consensus for any meaningful reform. Given that the Opposition appear to favour a wealth tax and our party has mooted the idea of individuals paying more for their own care, surely cross-party consensus is within reach; what is the Secretary of State’s view on that?

[Mr Hunt]

My hon. Friend always speaks very thoughtfully on this matter, and it is important, because social care issues will continue for decades ahead unless we find a solution and both parties will have to deal with this issue in government. In truth, both parties have made things worse by politicking in the past, whether by discussion about a death tax in 2009 or a dementia tax in 2017.

Medicines and Medical Devices Safety Review

Debate between Huw Merriman and Jeremy Hunt

Wednesday 21st February 2018 Commons Chamber

[Mr Hunt]

I totally respect the right hon. Gentleman for airing his constituents’ concerns, but, as he will know from my answers to earlier questions, the difficulty in the case of Primodos—and this is incredibly distressing for the families involved—is that scientists do not agree about the issue, and as a result we do, unfortunately, find ourselves having to review what has happened. The review conducted by the expert working group was our first attempt. We are now giving Baroness Cumberlege a free hand to consider that and any other evidence that has come to light, and to draw her own conclusions.

[Huw Merriman (Bexhill and Battle) (Con)]

Just an hour ago I met my constituent Carol Short and Emma Friedmann, a constituent of the hon. Member for Leicester South (Jonathan Ashworth), to discuss the next stage of the valproate campaign, but because of the statement, that meeting was adjourned. I am happy that they are now in the Chamber, and I am sure that they are pleased to hear about the review.

Is it possible to ensure that GPs are giving out the excellent advice that the Medicines and Healthcare products Regulatory Agency has put together? I am sorry to say that it seems that far too many are not, and there appear to be no regulatory sanctions to ensure that they do.

Oral Answers to Questions

Debate between Huw Merriman and Jeremy Hunt

Tuesday 19th December 2017 Commons Chamber

[Mr Hunt]

We are having fruitful and productive discussions about productivity with the “Agenda for Change” unions, including the Royal College of Nursing. We are looking at all sorts of things, including how the increments system works. I am hopeful that we will have a win-win: a modern contract that is fit for the future for “Agenda for Change” staff and that also allows us to go beyond the 1% cap, as the Chancellor has authorised me to do.

[Huw Merriman (Bexhill and Battle) (Con)]

Of course, this is not just about funding. The Secretary of State recently wrote to East Sussex Healthcare NHS Trust to recognise the fact that its A&E department was the most improved in the past six months. When I spoke to the chief executive, he said that the management focus on targets and delivery against them was the reason why that turnaround has occurred.

[Mr Hunt]

I met the chief executive in person last week and was able to congratulate him on several important changes that are happening. He will be pleased that we were able to find £1.9 million more for East Sussex in the Budget. My hon. Friend is absolutely right that it is not just about money. The difference between the Government and the Opposition is that they say it is all about money whereas we know that quality of leadership makes a critical difference in turning around our hospitals to make them the best in the world.

Oral Answers to Questions

Debate between Huw Merriman and Jeremy Hunt

Tuesday 21st March 2017 Commons Chamber

[Mr Hunt]

I recognise the very strong arguments my hon. Friend makes and the strong campaigning he does on behalf of his constituents. We are waiting for the final recommendations to come from his local CCG, but I agree that too often we have closed beds in the NHS when we do not have alternative capacity in the community, and we need to be very careful not to repeat that mistake.

[Huw Merriman (Bexhill and Battle) (Con)]

The cost of presenting with a minor ailment at a pharmacy is only 10% of the cost of presenting at A&E. What more can be done to help persuade those who present themselves to A&E that the pharmacy sector could be a better use of their time?

[Mr Hunt]

I entirely agree with my hon. Friend on that. Despite the current debates, the pharmacy sector has a very bright future, and we have set up a £40 million integration fund precisely to help pharmacists to play more of a role in the NHS and, in particular, to reduce pressure on A&Es.

Oral Answers to Questions

Debate between Huw Merriman and Jeremy Hunt

Tuesday 7th February 2017 Commons Chamber

[Mr Hunt]

We have committed, and the Prime Minister affirmed the commitment only last month, to spend £1 billion more every year on mental health services, but we recognise that it is not just about money. It is also about having a proper suicide prevention plan—we have updated the plan—and making sure that, across the NHS, we properly investigate and learn from avoidable deaths. That is why, following the tragedy of what happened at Southern Health, we have now started a big new programme—the first of its kind in the world—whereby every trust will publish its number of avoidable deaths quarterly.

[Huw Merriman (Bexhill and Battle) (Con)]

21. A year ago, East Sussex Healthcare NHS Trust was rated inadequate. Thanks to the hard work, dedication and care of all its staff, the hospitals are now good on many measures, albeit further improvements need to be made. Will the Secretary of State join me in thanking the staff? Does he agree that we need to talk up our successes, as well as recognising challenges?

[Mr Hunt]

I join my hon. Friend in doing that. It is really important, contrary to what the former shadow Health Secretary, the hon. Member for Lewisham East (Heidi Alexander), says, that we praise NHS staff when they do remarkable things. There is a lot of pressure everywhere in the NHS, and praising NHS staff is not being self-congratulatory; it is recognising when a good job is being done.

Social Care

Debate between Huw Merriman and Jeremy Hunt

Wednesday 16th November 2016 Commons Chamber

[Mr Hunt]

I am more than happy to work with people of all parties to come to a sensible consensus. The one thing that unites all the major parties is a commitment to the NHS and social care system. With respect to the other issues, it is not just about rooting out poor care. It is also about something that the hon. Member for Worsley and Eccles South mentioned earlier—giving a career structure to people who work in the care system and giving them recognition. That is why in April last year we introduced the care certificate, which is based on achieving 15 standards. It is a voluntary system, but the CQC inspects against it, so there is a strong incentive for care providers to get their staff enrolled for the care certificate. I pay tribute to the work done by Camilla Cavendish, who did a lot of thinking and had a long-standing interest in this issue in her time as a journalist and at No. 10, and on whose proposals we are basing our work in this area.

[Huw Merriman (Bexhill and Battle) (Con)]

I am grateful that my right hon. Friend has mentioned the CQC and also touched on wages. When I met the south-east director of the CQC, it was clear that there is an issue of staff not being paid properly and then moving around the care home sector for a small amount of extra money, which is vital to them. Does my right hon. Friend agree that the living wage will stop that occurring and result in more people staying in jobs for longer?

[Mr Hunt]

That is a very important point. We have heard suggestions that the Government have been about words, not action, but the national living wage will do an enormous amount to help keep people in jobs for longer and help them to start to think about their jobs as a career, with potential progression into other parts of the health and care system, such as nursing. I commend my hon. Friend for the work that he does on this in Sussex.

Junior Doctors Contract

Debate between Huw Merriman and Jeremy Hunt

Wednesday 6th July 2016 Commons Chamber

[Mr Hunt]

The way patients have suffered—there have been over 20,000 cancelled operations during this process—has been very disappointing. My hon. Friend is absolutely right to campaign on issues of hygiene and cleanliness, which lead to so many tragedies when they are not properly attended to. I hope we can move on now. I do believe that, despite the disappointing rejection of this deal in the ballot, some trust has been established between the leaders of the BMA and the Government, and we have had a productive dialogue. We have made a number of changes to the May contract since announcing it—things that they suggested and that we agreed to. I would like to continue that process and build that trust.

[Huw Merriman (Bexhill and Battle) (Con)]

Having been somewhat of a burden on the NHS myself over the months as a result of playing football—unsuccessfully—with the hon. Member for Ellesmere Port and Neston (Justin Madders) in December, I spent an hour on the day of the all-out strike talking to the junior doctors who treated me. They asked me if I could tell the Secretary of State and the BMA that there is a need and a desire for more talks. May I thank the Secretary of State for showing flexibility? He does a difficult job extremely well, and it is appreciated on the Government Benches. I am absolutely saddened that a deal on this contract has not been brokered in the way we thought it would in May. Will he ensure that those junior doctors who move on to this contract are made well aware of how unpopular the previous contract was in the medical profession and that this contract’s terms are well sold so that junior doctors are reassured about them?

[Mr Hunt]

I am more than happy to do that. I think that the vast majority of junior doctors think that what has happened is a tragedy and are keen to move on. I hope they take seriously my assurances this afternoon that we will be monitoring every stage of the implementation of this contract, and if there are further things that we can improve, we will do exactly that, because we want a contract that is good for them and good for patients.

Junior Doctors Contract

Debate between Huw Merriman and Jeremy Hunt

Monday 30th November 2015 Commons Chamber

[Mr Hunt]

I do think that that is the primary concern of the vast majority of junior doctors, which is why I think it was wrong for the BMA to refuse even to sit down and discuss with the Government how we were going to implement a manifesto commitment. I now hope we can get past that, so I will not say any more other than that I think it is now possible to get a better agreement for the NHS, and I hope we will now be able to do that.

[Huw Merriman (Bexhill and Battle) (Con)]

Having been fortunate enough to hear both from junior doctors in my constituency and from the Secretary of State, it is clear to me that both parties are talking the same language but that the communication has not quite filtered through via the BMA. Once this matter is, I hope, resolved, will the Secretary of State think of ways in which dialogue can be improved directly between the Department of Health and junior doctors?

[Mr Hunt]

My hon. Friend is absolutely right: we have had some very unfortunate megaphone diplomacy over recent months, but I hope we can now put that behind us and that lessons will be learned. As he rightly says, we have never wanted to do anything other than what I think is good for doctors, as well as what is good for patients, and that is what the proposals were about.