Oral Answers to Questions
Ian Lavery Excerpts(3 years, 1 month ago)
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The Parliamentary Under-Secretary of State for Health and Social Care (Maria Caulfield)
I thank my right hon. Friend and I share his concerns completely. Just to reassure him, NHS England provided £1.6 million to East Kent Hospitals University NHS Foundation Trust to fund an additional 38 midwives, with 26 already in post. I would be happy to keep updated with him to see what the clinical experience is on the ground.
Ian Lavery (Wansbeck) (Lab)
The Minister for Health (Edward Argar)
I am very grateful to the hon. Gentleman. This is what this House does best: raising and highlighting particular cases. I am very happy to meet him to discuss this very challenging case.
Oral Answers to Questions
Ian Lavery Excerpts(3 years, 4 months ago)
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Edward Argar
In terms of the elective recovery fund, we have worked with the NHS to determine the right thresholds and the right premiums for payment for elective activity over and above what we would be expecting in the circumstances. The NHS is doing an amazing job in difficult circumstances, as the right hon. Gentleman will appreciate, with the impact that infection prevention control restrictions have had on the ability of trusts to see the number of people that they normally would. Trusts are taking huge strides to restore services and the ERF is there to help to ensure that they are funded for that activity level so that they can get provision up and above where it needs to be in order to get the waiting lists down.
Ian Lavery (Wansbeck) (Lab)
The Minister for Health (Edward Argar)
We have been clear that the NHS, the price it pays for medicines and the services it provides are off the table in our trade negotiations. No trade agreement has ever affected our ability to keep public services public, nor forced us to pay for more medicines. My Department works closely with the Department for International Trade to ensure that this is reflected in the negotiations of new trade deals.
Ian Lavery [V]
Last week we proudly celebrated the wonderful creation of the NHS—the most cherished of all national institutions—yet grave fears remain about its ultimate privatisation under this Government. If the Government are determined to sign up to the provisions in the trans-Pacific partnership for investor-state dispute settlement, can the Minister at least do one thing today to limit that damage? Will he guarantee that the NHS will be totally exempt from the scope of those ISDS lawsuits and ensure that that exemption is written into the terms of the UK’s accession?
Edward Argar
The Government have been clear in our published approach to negotiations, both on the comprehensive and progressive agreement for trans-Pacific partnership and any US trade deal, that protecting the NHS is a fundamental principle of our trade policy. The UK will ensure that the terms we sign up to in any trade negotiation uphold the Government’s manifesto commitment that the NHS, its services and the cost of medicines are not on the table, and that we hold true to our principles underpinning the NHS—of a service available to all at the point of need, free.
Oral Answers to Questions
Ian Lavery Excerpts(3 years, 7 months ago)
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Helen Whately
I completely agree with my hon. Friend that staff must be allowed and supported to recover from the pandemic. We have advised NHS Employers to make sure that staff can carry over annual leave. We are determined that the pace of NHS recovery must also allow staff the rest and recuperation they need.
Ian Lavery (Wansbeck) (Lab)
The Secretary of State for Health and Social Care (Matt Hancock)
The UK is one of the best places in the world to locate a life sciences business. We are making vaccines in Livingston, Wrexham, Oxford and Hartlepool. We are making cell and gene therapies in Stevenage, surgical robots in Cambridge, cancer medicines in Macclesfield, hip replacements in Leeds and care products in Hull. Last week, we announced another £20 million fund to incentivise companies to put medicines and diagnostics manufacturing investments here in the UK.
Ian Lavery [V]
Some people have very short memories, I must say. The UK was found desperately wanting when this horrid covid-19 pandemic swept through the cities, towns and villages of this country. The nation’s silverware was sold off and the stock cupboards laid bare. There was a deliberate policy of under-investment in the NHS, with a view to buying everything on the cheap from elsewhere. This was an ideological crime. What steps are the Government taking to ensure that we are never again left without the capacity to produce essential health and safety equipment, and how might a real industrial strategy aid the need to produce personal protective equipment, to bring good, well-paid jobs to long held back communities like Wansbeck here in the north-east?
Matt Hancock
There might be a meeting of minds between the hon. Gentleman and me. Over the last year, we have developed the capacity to produce 70% of the country’s PPE needs here in the UK. We set that target last summer. We met it at Christmas for all different types of PPE, with the exception of gloves, but we keep working on bringing glove manufacturing onshore. As I said in my response, we have built a huge amount of pharmaceutical manufacturing capacity here in the UK, and there is a lot more to come.
Long Covid
Ian Lavery Excerpts(3 years, 10 months ago)
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Ian Lavery (Wansbeck) (Lab) [V]
These are very worrying times indeed. I am worried as a Member of Parliament and people out there are extremely frightened about what is happening in this country at this moment in time. We saw a record 1,564 recorded deaths only yesterday. People are worried about what is happening and about what the challenges ahead might present. That includes the challenge of long covid, which, as we begin to learn more about it, appears to pose what can only be described as a serious threat—perhaps more so than we once believed—and it is a threat of which many people are still unaware.
The impact of long covid can be absolutely devastating. In the most serious instances, it can be totally debilitating. People can suffer extended periods of symptoms including: fatigue; breathlessness; anxiety; depression; palpitations; chest pains; joint or muscle pain; not being able to think straight or focus, which has been described as brain fog; and many others that have already been described.
A number of my constituents have been in touch about experiences they have had with long covid. In one example, a 29 year-old man has been feeling the effects since way back in February. After numerous visits to the doctors and several false diagnoses, he was finally told he had long covid. Another example is a 26-year-old woman who as a result of long covid ended up having emergency bladder surgery and consequently developed a neurological disorder that has left her unable to mobilise without the use of a wheelchair since November. Both were young, otherwise healthy and worked in the care sector. As a result of having long covid, they have been unable to earn a proper income and show no signs of making a speedy recovery.
There is a failure of the social security system to recognise people suffering from long covid. There should be financial support for those who are unable to work, including a review of the paltry and mean statutory sick pay and of universal credit and the temporary £20 increase. We need to look after the people who have this debilitating disease. I fear that since the Government have failed to tackle successfully any other facet of this pandemic with any degree of competence, they will manage to fail in this as well.
I conclude by pleading for the Government to learn from their mistakes going forward in order to save lives and get the country back to some form of normality.
Oral Answers to Questions
Ian Lavery Excerpts(4 years, 1 month ago)
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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.
Ian Lavery (Wansbeck) (Lab)
The Minister for Patient Safety, Mental Health and Suicide Prevention (Ms Nadine Dorries)
As I said in an answer to the hon. Member for Tooting (Dr Allin-Khan), we are committed to spending on children and young people’s mental health services, which is growing faster than the overall spend on mental health, and the overall spending itself is growing faster than the NHS budget.
Ian Lavery [V]
See, Hear, Respond, a new service managed by Barnardo’s in response to covid-19, to provide early intervention support for families and children in crisis, has received more than 11,000 referrals since June. The majority of children and young people referred need support for their mental health and wellbeing. What early intervention measures have been introduced? Are they enough? Does the Minister agree that early intervention measures are key to tackling the increase in children and young people’s mental health and wellbeing needs?
Ms Dorries
I could not agree with the hon. Gentleman more. The Government’s £8 million Wellbeing for Education Return programme, which is to support staff to respond to the emotional, mental health and wellbeing pressures that some children have experienced during the pandemic, is in place. As I have said, the last train the trainer session took place last week and those trainers are ready to go into primary schools to assist both teachers and parents to recognise when children display early signs of emotional distress or mental health issues as a result of the pandemic. I have been working closely with the Under-Secretary of State for Education, my hon. Friend the Member for Chelmsford (Vicky Ford), to ensure that this programme is in place to address exactly the needs that he has highlighted.
Matt Hancock
The level of cases matters, but so too does the direction of travel, and when the number of cases is falling—especially if it is falling rapidly—that is the sort of indicator that we will look at. One example is the action we took in Leicester a few months ago now, where we removed some of the most restrictive measures when the numbers were coming down sharply.
Ian Lavery (Wansbeck) (Lab) [V]
Matt Hancock
I am very worried about the rates of transmission in the north-east, as I am about parts of the north-west of England. I look forward to working with the hon. Gentleman and colleagues from across the regions affected to take the action necessary to suppress this virus and to support the economy, education and the NHS right across this land.
North East Ambulance Service
Ian Lavery Excerpts(8 years, 6 months ago)
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Westminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
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Ian Lavery (Wansbeck) (Lab)
It is a pleasure to serve under your chairmanship, Mr Bailey. Great credit must be given to my hon. Friend the Member for Washington and Sunderland West (Mrs Hodgson) for securing this timely debate.
The North East Ambulance Service is not creaking at the seams; it is totally and utterly broken. It is in meltdown, and that causes great concern. As has already been said, there is a total lack of any confidence at all in the North East Ambulance Service among the residents. It is failing people of all ages in their time of most need. As my hon. Friends have said, we must place on the record our thanks for the commitment and passion of the workforce in the North East Ambulance Service.
Unfortunately, there is a staff shortfall of between 10% and perhaps 15%, which has been mentioned. That puts huge stress on the remaining individuals, who must make up for the shortfall. My hon. Friend the Member for Washington and Sunderland West suggested that 64% of people have complained about stress. There is a high rate of people employed in the service who cannot go to work any more because of stress; and is it not really alarming that one in four people has considered taking their own life: paramedics—people working in the ambulance service, who we are terribly proud of? We urgently need to look at the situation.
There is a complete lack of staff. The service is undermanned and underfunded, and we have not got the resources we need for the situation we have in the north-east. We have to ask why there is a shortage in the first place. I believe that the wages in the North East Ambulance Service are the lowest in the country. That is one factor. We do not have the resources to pay even on a par with the counties next to us. The wages, terms and conditions are much lower than those of other ambulance services.
Like all the other hon. Members who have spoken I want to mention a few instances. My hon. Friend the Member for Washington and Sunderland West mentioned a young fellow playing football, who broke his leg on the pitch. Now, you would expect an ambulance to come and pick you up, wouldn’t you? Is that too much to ask if someone is lying in agony with a broken bone from playing football on a cold Saturday afternoon? Of course they would want an ambulance. We cannot just push people to the side and wait, and explain to them, “There’ll be somebody coming shortly.”
That is not even the most important example. Everyone who has spoken has given examples of what has been happening—mainly to elderly people. There are lots of elderly people in my constituency—Mrs Robson, for one. She is 78 years old. She slipped on a pavement in the middle of winter. She had to wait one hour and 40 minutes for an ambulance; but the message that comes is: “I’m sorry; you’re going to have to wait, because it is not at crisis point. You are not an emergency.” Of course she is an emergency. If a 78-year-old lady is lying on the floor crumpled in absolute agony, that is an emergency; but on paper—“Sorry, you’re not an emergency.”
I will tell hon. Members what happens. Someone rings up, and they have got a crib sheet in the central office. My hon. Friend the Member for North Durham (Mr Jones) mentioned that if someone is unconscious or has got pains in the chest, the service will come to them. The first question is “Are they conscious? Are they breathing?” “Yes.” “Right. Are they bleeding?” “No.” Then, if they are conscious and not bleeding, they are put right down the pecking order. Quite frankly, it is simply not acceptable.
Mary Glindon
Does my hon. Friend agree that the morale of the call centre staff has been lowered? They can no longer care when they talk to people, but are like call centre handlers, with things being very automated; and they do the minimum to reassure patients because everything is down to time and hitting targets. They are no longer people dealing with callers who are in distress. They are not able or allowed to show any emotion or any support, because they simply have to deal with the call as quickly as they can, to get on to the next one.
Ian Lavery
What I am saying is not meant to be any criticism of the people in the call centre, either—because if they veer from the crib sheet they have got, they are in trouble; but it shows how bad the whole situation is.
I want to mention Mr Taylor. I must say that he is a relative of my wife, who waited 11 and a half hours for an ambulance to arrive. He was really poorly. Plenty of people came from the NHS and said, “He needs an ambulance”—and then someone says “He doesn’t” and someone says “He does,” and someone else says “He doesn’t”. When he actually got the ambulance, at 1.45 in the morning, he was in a coma. That was seven months ago, and he is still lying in a coma as we speak. If that ambulance had turned up before, he might not be.
I will not dwell on that point other than to say that that brings me on to the complaints procedure, because MPs have complained, as well, about what happens to our constituents. We get a chronological list of what happened, and why the ambulances could not come, because they were diverted to other more serious incidents. That is not good enough. It is not good enough for me to say to one of my constituents, “Your mam couldn’t get an ambulance because somebody else was more important”—when she was lying suffering. Or if someone has a terminal disease and is desperate, or someone has a chest disease—it is not good enough; and the complaints procedure is not good enough. They are not treating people like human beings.
I have got lots to say and not a lot of time to say it, but I am going to reiterate the fact that these delays are utterly unacceptable and we cannot continue on this basis with the North East Ambulance Service operating as badly as it is. Someone mentioned that the service will be fully operational in 12 months. I have heard that before. It is not good enough for the people who will trip, fall and stumble. It is not good enough for elderly people, or young people playing football.
Mr Kevan Jones
My hon. Friend has obviously had the same letter from the North East trust that I have had; but does he agree, also, that it is not good enough because it is a question of our constituents’ confidence in the service? It should be a first world service, but it is more reminiscent of the third world.
Ian Lavery
I fully concur with my hon. Friend’s sentiments, and I am pleased about that intervention, because I think I might otherwise have needed an ambulance myself. I feel as if my blood pressure it is getting exceedingly high.
More seriously, we have to look at the North East Ambulance Service now. We cannot announce a review in weeks to come. We have got to get to the bottom of why the service is operating so badly. It is not meeting its major targets in almost every single category. It has been mentioned that it may perhaps be put in special measures, or that it should be broken up. To be honest, I do not have the answers, but one thing I will say is that the Government have to look at the North East Ambulance Service and improve it in the same way as in other areas of the country. There is no reason why people in my area, in the north-east, should be tret any differently from anywhere else in the country. We need to get hold of the situation immediately.
Jane Ellison
Of course I accept that issues of pay are incredibly important. Although we cannot go into the wider economic picture, I gently say that the previous Government and this Government have made reducing the tax bill for some of our lowest paid public servants a huge priority. A huge amount of money is being spent on raising the threshold and that has made a huge difference to people’s take-home pay and standard of living. However, I hear the hon. Gentleman’s point.
I am encouraged that the trust is looking to the future by doubling the number of places on its two-year in-house graduate training programme. Hon. Members have made several thoughtful points regarding some of the wider issues around recruitment and retention. Maintaining staff morale has been mentioned. That is very important and the trust is looking at whether things could be done, other than pay, to attract and retain paramedics. We are looking at that nationally. The debate sits in the context of urgent and emergency care.
Jane Ellison
If there is time, because I want to get to a really important point right at the end of my remarks, and I am starting to run the clock down. Will the hon. Gentleman make his intervention very brief?
Ian Lavery
I thank the Minister for allowing the intervention. She mentioned the fact that we will probably be fully operational by April 2017. Will she guarantee the people of the north-east that she will take action to ensure that the NEAS will look after the people in our area in the intervening period?
Jane Ellison
I intend to follow up on this debate with my colleague in the Department of Health, Lord Prior of Brampton, who leads on the topic, and I will follow up with the service itself. I will make sure that all points raised by hon. Members are drawn to its attention.
The root causes of the increase in demand often lie outside the hands of the ambulance service. NHS England’s review of urgent and emergency care is taking a system-wide approach to redesigning the way that care is delivered. It is important to look at the provision of ambulance services in that context. We need to ensure that people with life-threatening emergency needs are treated in centres of excellence to reduce risk and maximise their chance of survival and recovery. The first part of that is about relieving the pressure on emergency services.
The response time targets are being considered as part of NHS England’s review to ensure that they incentivise the most clinically appropriate response. My hon. Friend the Member for Berwick-upon-Tweed and the hon. Member for North Durham (Mr Jones) talked about having the clinically appropriate response in all contexts. I will ensure that we pick up on those points and draw attention to them. We hope to have advice from NHS England later in the summer on potential changes to ambulance standards in the context of that wider review of urgent and emergency care.
Health
Ian Lavery Excerpts(8 years, 9 months ago)
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Ian Lavery (Wansbeck) (Lab)
The same survey indicates that one in four people are now waiting more than a week to see their GP, and a staggering 1 million people are heading off to A&E because they cannot get an appointment with their GP. It is a total meltdown. What is the Minister doing about it?
Alistair Burt
There are 40 million more appointments available for GPs than in the past. The Government have made a commitment to transform GP access, and £175 million has been invested to test improved and innovative access to GP services. There are 57 schemes involving 2,500 practices, and by March next year more than 18 million patients—a third of the population—will have benefited from improved access and transformed service at local level. That is what we are doing about it.
[Official Report, 9 February 2016, Vol. 605, c. 1422.]
Letter of correction from Alistair Burt:
An error has been identified in the response I gave to the hon. Member for Wansbeck (Ian Lavery) during Questions to the Secretary of State for Health.
The correct response should have been:
Oral Answers to Questions
Ian Lavery Excerpts(8 years, 9 months ago)
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Mr Hunt
What my Back Benches are queueing up to say is, “Thank you for sorting out the problems that Labour swept under the carpet for years and years.” What did Professor Brian Jarman of Imperial College say about the Department of Health under the last Labour Government? He said that it was a “denial machine”, with all the problems in hospitals being swept under the carpet and not dealt with. What is happening under this Government? Every day, 100 more people are being treated for cancer, 2,000 more people are being seen within four hours at A&E departments and 4,400 more operations are being carried out. There are record numbers of doctors and nurses, and the NHS is safer than ever in its history. We are proud to be the party of the NHS.
Ian Lavery (Wansbeck) (Lab)
3. What estimate he has made of the number of patients who went to A&E after having been unable to make an appointment with their GP in the most recent period for which figures are available.
The Minister for Community and Social Care (Alistair Burt)
The results of the last GP patient survey show that 91.9% of all patients get convenient appointments. Of the 8% who are unable to get an appointment or a convenient appointment, 4.2% indicated that they went to A&E.
Ian Lavery
The same survey indicates that one in four people are now waiting more than a week to see their GP, and a staggering 1 million people are heading off to A&E because they cannot get an appointment with their GP. It is a total meltdown. What is the Minister doing about it?
Alistair Burt
There are 40 million more appointments available for GPs than in the past. The Government have made a commitment to transform GP access, and £175 million has been invested to test improved and innovative access to GP services. There are 57 schemes involving 2,500 practices, and by March next year more than 18 million patients—a third of the population—will have benefited from improved access and transformed service at local level. That is what we are doing about it.[Official Report, 22 February 2016, Vol. 606, c. 2MC.]
Junior Doctors’ Contracts
Ian Lavery Excerpts(9 years ago)
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Heidi Alexander
The problem is that junior doctors are not convinced that the Secretary of State is negotiating in good faith.
When one talks to junior doctors about the proposed new contract, one thing is striking: pay is less important to them than patient safety.
Ian Lavery (Wansbeck) (Lab)
I was humbled, privileged and honoured, along with my hon. Friend the Member for Easington (Grahame M. Morris), to march with the junior doctors in Newcastle on Saturday—5,000 junior doctors, hardly militants or revolutionaries, who were fighting not just for the pay but in the best interests of their patients. If there are no problems, if everything in the garden is rosy, why on earth are they demonstrating?
Heidi Alexander
My hon. Friend makes an important point. The junior doctors I have met are genuinely worried that the proposals make it more likely, not less, that they will be forced to work even more punishing hours. The removal of financial penalties for hospitals that force junior doctors to work beyond their rostered hours concerns them. They are right to be concerned.
Oral Answers to Questions
Ian Lavery Excerpts(9 years, 5 months ago)
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The Parliamentary Under-Secretary of State for Health (Ben Gummer)
It is a particular pleasure to see my hon. Friend returned to the House. He will be aware that local commissioning decisions are the responsibility of local commissioners, which is something that this Government will continue, as per our reforms in the last Government. I am making it expressly clear to NHS England that I expect consultations to be full and proper and to engage everyone in the local community.
Ian Lavery (Wansbeck) (Lab)
T4. The Secretary of State has admitted this morning that under his watch the NHS and the taxpayer have been ripped off to the tune of somewhere in the region of £1.8 billion for temporary workers and £3.3 billion for agency workers. How many fully qualified NHS nurses could have been employed with that type of finance?
Mr Hunt
I will tell the hon. Gentleman what we have done: on my watch, there are 8,000 more nurses in our hospitals to deal with the tragedy of the legacy of poor care left behind by his party. That is what we have done. As part of that, trusts also recruited temporary staff. They have become over-dependent on them, which is why we have taken the measures we announced this morning.