Air Ambulance Funding

Imran Ahmad Khan Excerpts

Monday 26th April 2021 Westminster Hall

[Imran Ahmad Khan (Wakefield) (Con) [V]]

It is a pleasure to serve under your chairmanship, Mr Stringer. I thank the hon. Member for Linlithgow and East Falkirk (Martyn Day) for his considered speech. I am delighted, given that my constituents are so passionate about air ambulances, that this debate is taking place. This year alone, 13 incidents have been attended in Wakefield, and dozens more in the wider Yorkshire area, by the air ambulance helicopter or the rapid response vehicle. Yorkshire Air Ambulance is located at Nostell Priory, just outside Wakefield city centre, and has been marked as one of the best air ambulance facilities in the UK by the Civil Aviation Authority. It is therefore no surprise that the constituents of Wakefield hold their air ambulance in high regard.

Yorkshire Air Ambulance works closely with NHS emergency services, using a similar operational methodology that has been adopted by the NHS emergency service dispatch system, and with emergency staff and doctors on secondment to it. The services provided by the air ambulance are vital to Wakefield and the surrounding towns and villages, and to communities across West Yorkshire, in dealing with issues that cannot be dealt with as effectively by the employment of conventional ambulances alone. Some of the most experienced and highly qualified first responders are employed, complementing rather than competing with existing NHS emergency services. The high calibre of personnel employed by Yorkshire Air Ambulance means that bespoke responses can be delivered to meet the specific needs of Yorkshire’s most critically injured and unwell. Emergency surgery—including caesarean sections and open heart surgery—has on occasion, as we have heard, been conducted in the field.

The people of Wakefield, together with the rest of the United Kingdom, have rightly recognised in the petition that there is a clear need for a well-funded air ambulance. Bringing those services under the umbrella of emergency services could, however, result in a number of unintended consequences. First, doing so could unintentionally degrade the autonomy and flexibility that an independent regional air ambulance provides. If one compares Yorkshire Air Ambulance with London’s Air Ambulance, for example, one will see that there is a stark difference in the requirements needed, specific treatments provided and even frequency of use. London’s Air Ambulance predominantly focuses on violent injuries such as shootings and stabbings, while Yorkshire’s focuses more on road traffic accidents and cardiac arrests.

Even the geographical differences, such as terrain and urban density, make significant differences. A serious road traffic accident on the motorway network in my constituency could lead to simultaneous tailbacks on the M1, M62 and M621 into Leeds, and the A1/A1(M). The ability to land a helicopter directly at the scene means that lives can be saved in minutes. To the north of Yorkshire Air Ambulance’s operating area, it could be flying deep into the dales where there are no roads whatsoever.

As charities with their own independent operating procedures tailored to their specific local requirements, air ambulances have the ability to be flexible and to determine how they want their services to run. They are not subject to the constraints under which the public sector must, by necessity, operate, which is a constant issue facing the NHS when it comes to both day-to-day operations and emergency life-and-death situations. Rather, Yorkshire Air Ambulance is clearly a willing and constructive partner with its NHS colleagues, but critically does not form part of the NHS’s organisational structure.

Her Majesty’s Government have importantly made significant funds available to air ambulances, from LIBOR fines to recent financial support for their vital work throughout the pandemic. Upon inquiring, it has been made abundantly clear to me that Yorkshire Air Ambulance, as we have already heard from many of its colleagues around the UK, such as in Devon, is grateful for the stability that central Government grant funding provides, and would undoubtedly welcome further grants, but not if they are to come at the expense of its operational independence.

Covid-19

Imran Ahmad Khan Excerpts

Tuesday 12th January 2021 Commons Chamber

[Imran Ahmad Khan (Wakefield) (Con) [V]]

I thank the Prime Minister and the Minister for Vaccine Deployment for the efficacious enthusiasm that hallmarks their sterling work in establishing more than 1,400 inoculation centres and ensuring that the most vulnerable will all be able to receive a vaccine soon. It is this United Kingdom’s Conservative Government’s splendid foresight in securing vaccines months ago, far in advance of certification and roll-out, that has made the UK the leading country for vaccinations in all Europe. I welcome the establishment of the large-scale covid vaccination centre that will shortly open in Wakefield.

I commend the Government’s great ambition to ensure that the lives, livings and liberties of the British people will be swiftly returned. While we are on track to vaccinate all care home residents by the end of January, and everyone over 70 and the clinically extremely vulnerable by mid-February, the challenges we face and the hazards that covid-19 present require us to ever widen our ambition. Furlough and the numerous emergency schemes implemented by the Government both support taxpayers and cost them billions of pounds every month. The nation’s rapid and effective inoculation is the only way these fearsome costs will be tamed and our lamented routine returned. It is therefore imperative that everything is done to ensure that everyone receives the vaccine as early as possible. At this critical stage in the battle against covid, we must set ever more ambitious objectives and incentivise our dynamic private sector to capture them, rather than simply accepting prevailing limitations.

The financial and human cost of the pandemic justifies and demands a warlike effort in retaliation. The Adam Smith Institute recently released a report on how to effectively accelerate the UK’s covid-19 vaccination programme. Providing a 24/7 vaccination service is one such proposal. Other recommendations include commissioning pharmacies to provide vaccine services, allowing walk-in services for spare appointments and doses and simplifying the recruitment process to maximise the number of volunteers in the UK’s jab army. West Yorkshire alone has more than 540 community pharmacies with staff trained in giving vaccinations.

I wholeheartedly agree with our Prime Minister and Health Secretary, who both declared that our best route out of lockdown is through mass inoculation. That being right and true demands that our national strategy be one that strains every sinew and effectively leverages and employs every conceivable mechanism that it can to increase, improve and bolster the United Kingdom’s vaccination campaign.

Covid-19 Vaccine Roll-out

Imran Ahmad Khan Excerpts

Tuesday 8th December 2020 Commons Chamber

[Imran Ahmad Khan (Wakefield) (Con)]

I, too, commend the titanic effort of all those involved in the creation, manufacturing and distribution of the covid-19 vaccine. As more and more of us are vaccinated against covid-19, will my right hon. Friend outline what plans there are to ease the most draconian measures across the tier system, so that people and businesses can sensibly return to normal?

[Matt Hancock]

While the vaccine rolls out, the best way to get any area down through the tiers is to continue to follow the restrictions that are, unfortunately, still absolutely necessary to keep people safe. Having said that, because we have a vaccine, the faster we can roll it out, the sooner we can get to the point where we get rid of the system altogether.

Cancer in Teenagers and Young Adults

Imran Ahmad Khan Excerpts

Tuesday 1st December 2020 Westminster Hall

[Imran Ahmad Khan (Wakefield) (Con)]

It is a pleasure to serve under your chairmanship, Sir Christopher. I thank my friend—for he is one—the hon. Member for Strangford (Jim Shannon) for securing today’s important debate, and I hope it raises further awareness of this important issue. As my friend so poignantly illustrated, we have all sacrificed a great deal in the fight against coronavirus. Lockdown and the ensuing restrictions, which we continue to endure, have had a seismic impact on the services that the NHS can provide, none more so than cancer services.

Cancer is sadly the leading cause of death from disease for those aged between 13 and 24. Every day, seven young people between these ages in the United Kingdom receive the devastating news that they have cancer. I remember all too well a young family friend, Daniel Illias, a son and brother, who died from cancer as a teenager. It was particularly difficult as he received treatment at the same time, in the same hospital and with the same medical team as my own father. My father was 59 at the time, with prostate cancer. I remember going in and often seeing them, despite the age difference, playing chess or chatting about theology and other issues; the bond between the two was particularly strong. The day that his father telephoned to let me know that Daniel had died, and I had to go up to my father, in his bed, to let him know, was an awful, difficult day indeed.

My dearest friend, Will James, died of bowel cancer at just 26, only months after marrying his new, beloved wife Jen. We had just been celebrating his wedding. I think of Will every day.

It is only through early diagnosis that lives can be saved and complications can be prevented. Young people have been profoundly hit by the lack of cancer treatment as a consequence of the response to covid-19, whether in diagnosis, operations, chemotherapy, or radiotherapy. Cancer Research UK has highlighted that thousands fewer people are being referred for hospital tests, especially for lung and prostate cancer. According to Dr Louise Soanes, director of services for Teenage Cancer Trust, cancer referrals were down by as much as 75% in England, across all age groups, during this coronavirus pandemic.

Cancer can be effectively caught early and acted upon only if we ensure that the symptoms of cancer are fully understood and that people can see doctors. No one should have to suffer the physical or mental ordeal, or have their lives put at risk, from having their treatments delayed.

Covid-19 is certainly one of the greatest health emergencies we have had to fight, but at what cost? I, and a number of colleagues, have said in this House that we must ensure the treatment is not worse than the disease. Nothing brings this into sharper relief than the provision of cancer treatments.

In closing, I pay tribute to the heart-breaking story of young constituent of mine, Ellis Price, who lived with his mother and step-father, Laura and Ashley Pearman. Last year, Ellis’s mother noticed that he was falling over a lot. She took him to the doctor, but they raised no issues. Two days later, Ellis began to vomit violently and Laura took him back to the doctors. He was subsequently sent to Leeds General Infirmary, where it was discovered that Ellis had a brain tumour. Ellis underwent brain surgery, and the horrific ordeal of chemotherapy and radiotherapy. Sadly, on 20 July this year, Ellis’s family were told that the treatment did not work. The tumour had spread to Ellis’s spine, and was now terminal. Ellis died on 20 September. He was three years old. How many families have to suffer through the heartbreak of watching their child fight and, like Ellis, tragically lose to cancer?

I applaud the efforts of charities such as Teenage Cancer Trust and Cancer Research UK for raising the vital message of early recognition of symptoms. As we emerge from the current health emergency, more must be done to ensure that young people are educated on the symptoms of cancer, so that fewer families like Ellis’s have to suffer.

Breast Cancer Diagnosis and Services: Covid-19

Imran Ahmad Khan Excerpts

Thursday 12th November 2020 Westminster Hall

[Imran Ahmad Khan (Wakefield) (Con)]

It is not just a pleasure but a delight to serve under your chairmanship for the very first time, Ms McVey. I thank my hon. Friend the Member for North Warwickshire (Craig Tracey) for securing this important debate at a critical time. It is a great pleasure to follow my indefatigable friend, the hon. Member for Strangford (Jim Shannon)—I believe this is the first time, as he usually follows me.

The lockdown order and the ensuing restrictions that we presently endure have had a seismic impact on the services that the NHS can provide, including, crucially, cancer services. NHS figures show a 60% drop in urgent cancer referrals from the initial days of the March lockdown, compared with the same time last year.

Breast Cancer Now, which has been mentioned by a number of colleagues, has raised concerns that almost 1 million women in the UK have missed NHS breast cancer screenings as a direct consequence of the pandemic, because they were paused during the first lockdown before being gradually resumed. Mammograms have the potential to detect cancer in its early stages and, ultimately, to save lives.

Treatment for those with other cancers has been significantly disrupted. The national guidelines may well have stated that urgent and essential cancer treatment must continue, but that has not been the case in every hospital. Not everyone who has required urgent surgery has been able to access it, whether because of a lack of intensive care units or because it is too great a risk to patient or staff.

Similarly, those who have required major surgery have not always been fortunate enough to receive it. That, again, has been a consequence of a lack of recovery beds with ventilation or of there being no ICU beds, if the surgery encountered complications, or because the surgery was simply too risky. Aftercare—whether palliative care or chemotherapy—has also been disrupted by the lockdown.

The reality of those delays not only puts women under a great deal of stress and anxiety, but risks making the cancers diagnosed harder to treat if they are caught at later stages. I truly understand that pain: an inordinate number of my family members have suffered from cancer.

Those who suffer from breast cancer should not be collateral damage in the battle against covid. Worryingly, that has been the case for virtually all forms of cancer treatment. The Health Data Research hub for cancer has warned that, as a result of the pandemic, there could be an additional 18,000 deaths of people with cancer.

In Wakefield, the Mid Yorkshire Hospitals NHS Trust has been proactive in its attempts to ensure that cancer diagnoses occur and cancer patients are treated. Prior to the pandemic, cancer was sadly already the biggest single cause of early death in the district. Breast cancer was the second most prevalent form, with about 250 new cases diagnosed each year.

In May, Pontefract Hospital was temporarily developed into a dedicated cancer centre to care for the people of Wakefield and North Kirklees who need diagnosis for surgery and suspected cancer during the covid-19 outbreak. Here, I have similar concerns to my hon. Friend the Member for High Peak (Robert Largan), because the move from Pinderfields Hospital to neighbouring Pontefract was undertaken on the basis that exposure to covid-19 in Pontefract was significantly lower than in Pinderfields, which is the regional hub for covid-19 patients.

However, while I concur with the chief executive of the NHS trust, Martin Barkley, that we are

“fortunate that we have excellent modern facilities at Pontefract Hospital”,

which is relatively close to Wakefield, having to travel significantly further afield will likely be a behavioural impediment on attendance for constituents scheduled for diagnosis and treatment. That adds to the existing fear about patients entering hospitals, evidenced by Abdul Mustafa, GP lead for cancer care at NHS Wakefield CCG, who said:

“Clinicians working in cancer services know that patients are choosing not to have time-critical cancer treatment because of fear of exposure”.

In closing, I simply say that we must ensure that, however well meaning the policies, the antidote does not become worse than the disease we seek to cure.

Dementia: Covid-19

Imran Ahmad Khan Excerpts

Thursday 12th November 2020 Westminster Hall

[Imran Ahmad Khan (Wakefield) (Con)]

It is a pleasure to serve under your chairmanship, Sir Graham.

The human consequences of this horrific pandemic have been the most painful to bear. As we have heard from all Members here today, we share a common bond forged in the fire of this pandemic. As Members of Parliament who serve our constituents, we are witness to stories of dread suffering caused by the circumstances created by our response to this virus. However, I have found that when constituents have written to me or met me to ask for help and support, and shared the circumstances that define their lives and the lives of their dementia-affected family members, it is then that one’s heart truly bleeds and one struggles to keep strong for them. When one finishes reading their letter or bids them farewell at the door, on considering their cases, one invariably finds one’s cheeks a little wet.

There is no gilding the lily. These have been, and continue to be, bruising, brutal days for all of us in the country. The impact that covid has brought upon dementia care patients and their immediate professional and familial carers is one of immeasurable emotional anguish. In my Wakefield constituency, 1,197 people have been diagnosed with dementia. The representations I have received from their carers and families through this pandemic have highlighted immense suffering above and beyond the explicit death count that the pandemic has brought.

I will raise two important points: the increased vulnerability of dementia patients during the pandemic and the irreplaceable nature of human contact. While we, as legislators, continue to interrogate and evaluate the data presented to us, we can say with certainty that age is a strong determinant in both the development of dementia and serious illness and fatality as a result of covid-19. Those with dementia are often susceptible to further underlying health conditions that affect their status of vulnerability. A joint study published by University College London and the London School of Economics in August found that people with dementia accounted for 25% of covid-related deaths in England and Wales, and for 31% in Scotland. As such, it is both rational and morally right to put dementia patients at the very front of the queue to receive the vaccine, to mitigate as far as possible the immense double distress caused by having dementia and a pervasive fear of catching coronavirus.

My second point is perhaps more poignant. We often speak of the pandemic’s disruptive capacity in bringing forward years of technological change in a matter of months. Dementia lays bare the irreplaceable nature of meaningful human-to-human contact in care provision. The very condition of dementia degrades people and, over time, deprives them of memories of their loved ones. In many cases, when only frail muscle memory remains, the only thing that provides a sense of recognisable comfort is the faint recognition of a family member or regular carer in an increasingly confusing and scary environment.

With the myriad rules and regulations that have been imposed upon us, that necessity becomes ever more critical. I am sure that many of us in this House have seen the distressing videos of a retired nurse being taken from her residential home by her daughter, a trained nurse. That was not only deeply distressing, but painful, and a sorrowful metaphor for the anguish that many care providers face when making decisions relating to their nearest and dearest.

As I said about breast cancer in the earlier debate in this Chamber, we must ensure that the cure is not worse than the disease. When imposing measures on the freedom of the individual, the state and its representatives must retain human kindness, compassion and decency at their very core.

Covid-19

Imran Ahmad Khan Excerpts

Wednesday 11th November 2020 Commons Chamber

[Imran Ahmad Khan (Wakefield) (Con)]

First, I thank my right hon. and gallant Friend the Member for New Forest West (Sir Desmond Swayne), who is not in his place at this moment, for providing the House with what I can only describe as an energising tonic—perhaps an antidote—after what I can only describe as the soporific dirge that immediately preceded him.

The news that the first effective coronavirus vaccine could prevent 90% of people from catching covid-19 is incredibly reassuring. That success may well indicate the first steps towards returning to normal life and an end to the damage caused by lockdowns, a renewed focus on economic recovery and people regaining the freedoms and liberties curtailed during this crisis. Crucially, the efforts of BioNTech and Pfizer demonstrate the power of the private sector and of capitalism to benefit everyone.

In March this year, Pfizer and BioNTech announced details of their collaboration to develop a covid-19 vaccine. In doing so, there has been limited state involvement. Pfizer accepted advance purchases from a number of Governments, but did not accept conditional research and development funds, including funds from Operation Warp Speed in the United States. The millions spent and the resources diverted towards an uncertain innovation by these two firms have been at their own risk, with no guarantee of success.

Without the bureaucracy that state-run projects are burdened with, Pfizer and BioNTech have been able to focus solely on the scientific challenge that confronted them, whether that be research and development, the logistics of manufacturing or the operations of distribution. Dr Albert Bourla, the CEO of Pfizer, rightly stated that he

“wanted to liberate our scientists from any bureaucracy.”

This extraordinary effort demonstrates that profit incentives and altruism are not diametrically opposed or in any way contradictory. The efforts of Pfizer and BioNTech will save countless lives and help forge a path of recovery, while both firms stand to make a profit. Her Majesty’s Government made the right decision to pre-purchase 10% of Pfizer’s global supply. Once again, it shows the vote of confidence we should all give to the private sector in tackling great challenges. When we emerge from this crisis—and we shall—we should unleash the full power of our private sector and unburden it from excessive regulations and high taxes. Only through doing so can we ensure a sustainable recovery.

Finally, I would like to thank the constituents of Wakefield and the wider Wakefield district, who in the first lockdown adhered to the rules, did exactly what they said, saved lives and protected the NHS. When we came out of that lockdown they, with gusto only known by Yorkshiremen, took the Chancellor’s offer of a bargain, with more than 130,000 people utilising eat out to help out. We had the biggest bounce back of anyone in the region, with a 27% increase in footfall in Wakefield. When we were put on the warning list for covid, people adhered to the rules, our rate came down and we were no longer on it; we had a lower covid rate than almost anyone else. Again, they have been put into these particular strictures, but there is light at the end of the tunnel and I have every confidence that yet again the people of Wakefield will do the right thing, and protect the NHS and each other.

Public Health: Coronavirus Regulations

Imran Ahmad Khan Excerpts

Tuesday 13th October 2020 Commons Chamber

[Imran Ahmad Khan (Wakefield) (Con)]

In March, we adhered to lockdown measures to protect one another’s lives and prevent the NHS from being overwhelmed. Evidence indicates that the virus is on the increase across the nation. The analysis of what that means, however, is contested, and I remain to be convinced that the imposition of further measures in Wakefield at this time is the right thing to do. The measures before the House, which seek to arrest the spread of covid-19, will cripple Wakefield’s economic recovery and sound the death knell for many businesses. There is no silver bullet, and without one, although it is difficult, we must learn to live with the virus. The continued peaks and troughs are unsustainable and offer false hope.

Last week I visited Ossett brewery, which employs close to 400 people in my constituency. Having spent tens of thousands of pounds on becoming a covid-secure business, the incomprehensible 10 pm curfew—at best grounded in questionable science—has left the business in jeopardy. This afternoon I received an email from the managing director, who said that the imposition of tier 2 measures would merit the brewery’s closure.

I have similar stories to tell from restaurateurs and businesses from across my constituency. My inbox is swamped with people asking me—imploring me—to help the Government to realise that their businesses will be damned. I have not received one letter or email asking me to commend the Government on their proposals.

Throughout the pandemic, the people of Wakefield behaved responsibly, adhering to the Government’s guidelines. When my constituency was marked as an area of concern, my constituents diligently followed social distancing advice and were rewarded. Wakefield now has a lower number of covid cases than neighbouring Kirklees and Calderdale—indeed, lower than the Chancellor’s constituency of Richmond, which has been categorised as tier 1. As a consequence of this new tier system, Wakefield will be unfairly characterised as tier 2, along with the rest of West Yorkshire. As Wakefield is placed in stricter measures—

[Naz Shah]

Does the hon. Gentleman agree that we should thank local health officials, particularly the directors of public health such as in Bradford West, and that they have the real answers? That expertise is very local and this needs to be led locally, as opposed to nationally with “one size fits all” in cases such as his?

[Imran Ahmad Khan]

The hon. Lady raises an interesting point. Certainly, if we used a model such as Germany, that would be the case, but Germany has a strong federal system with the Länder while the United Kingdom is far more centralised, so I do not think there is a fair comparison. It would be best if all our citizens co-operated entirely with test, track and trace, downloaded the app and used it, and behaved responsibly. In the end, with the covid virus, the human variable is key to limiting and controlling the disease. We have to get individuals to understand their responsibility and their key use in sorting this problem out themselves.

As I was saying, under this new tier system, Wakefield will be placed under stricter measures while other areas in West Yorkshire with a far higher incidence, such as the hon. Lady’s, will enjoy eased measures. Wakefield’s infection rate merits the disaggregation of the Wakefield Metropolitan District Council area from West Yorkshire and its placement in tier 1. The Secretary of State has already said that this is possible in High Peak and parts of North Yorkshire, so, if he would commit to so doing for Wakefield, I would reconsider and vote with the Government. Without such assurances, I fear these measures would, for Wakefield, be death by a thousand cuts. I could not look my constituents in the eye if I had voted for measures that broke them.

Covid-19

Imran Ahmad Khan Excerpts

Tuesday 1st September 2020 Commons Chamber

[Matt Hancock]

We are introducing more rapid turnaround tests and validating that technology. We are also rolling out asymptomatic testing to care homes. We did have a problem with the delivery of tests from Randox—these were the leading tests we were using with care homes—as I made clear to the House in July. We have spent the summer recovering that programme.

[Imran Ahmad Khan (Wakefield) (Con)]

I welcome the Secretary of State’s statement, and recognise his and his Department’s Herculean efforts in leading our national fight against the virus. Throughout my constituency, there exist growing concerns that the lockdown measures to tackle localised spikes of covid-19 that have been imposed on swathes of West Yorkshire, across the Pennines and beyond may well be imposed on Wakefield, thus harming livelihoods. In order to help manage these fears and encourage adherence to the guidelines, will he publish the criteria that inform his decisions to impose or ease specific lockdown measures in certain areas, such as Kirklees, Greater Manchester and Leicester?

[Matt Hancock]

We publish the data on which the decisions are made and we have published the so-called “contain framework”, the one in which those decisions are taken, in consultation with the local authority and local representatives, should such an intervention be needed. What I would say to residents of Wakefield, and indeed of any other area, is that the best way to avoid local action and a local intervention is to follow the social distancing rules: “hands, face, space, and get a test if you have any symptoms”. By following social distancing we are more likely to be able to control the virus without the need then to resort to local action.

Independent Medicines and Medical Devices Safety Review

Imran Ahmad Khan Excerpts

Thursday 9th July 2020 Commons Chamber

[Ms Dorries]

As the hon. Gentleman knows, that is not a commitment that I can make here at the Dispatch Box today, but we will return to this. All the report’s recommendations are being studied. It is a deep, comprehensive, two-and-a-half-year report, and it deserves thorough analysis and a proper response. It is not for me to come here and make recommendations the next day on the back of a huge report. We only saw it yesterday, and we need to evaluate it before we can come back with recommendations.

[Imran Ahmad Khan (Wakefield) (Con)]

This morning, I had a moving conversation with Julie Satari, a well-loved schoolmistress in Wakefield who underwent the mesh removal procedure. In addition to the significant cost, the nature of such procedures is tortuous, both physically and emotionally. Julie told me that she, along with many others she knows, cried yesterday as she read the Baroness’s report approvingly. Julie asks, “Will Her Majesty’s Government help wipe away their tears with immediate action, not promises for the future?”

[Ms Dorries]

As I have just said, this is a two-and-a-half-year report: it is complex. It is a deep dive into issues relating to Primodos, sodium valproate and vaginal mesh. There is absolutely no way that I could come to the Dispatch Box today and do what my hon. Friend asks. We need to evaluate the report properly to do it justice—to do those brave women who came forward justice. As I say, we will return to the House with our recommendations and an evaluation of the reportj in full.