(4 months ago)
Commons ChamberI completely agree. Further on ethnicity and inequalities, I have not only prioritised women’s health as Secretary of State, but announced £50 million of research into maternity disparities for women of colour, given the worrying statistics associated with that. I have also responded to calls from brave constituents, put forward by hon. Members on both sides of the House, for further research into lobular breast cancer, because although it is responsible for 15% of diagnoses, we do not have the research or evidence to help women who are affected by it.
The reality is that someone living in the inner city in the Bradford district is likely to live 20 years less than those living in the more affluent parts of the region. That has not just happened; it is a result of 14 years of underinvestment in and cuts to not only our NHS, but our community services. Will the Secretary of State just admit that the Government frankly could not care less about people from places such as Bradford, because otherwise they would have accepted my levelling-up bid, which would have addressed this injustice at its core?
I am so glad that the hon. Gentleman has mentioned levelling up, because presumably he will know from his bid that the 12 levelling-up missions are mutually reinforcing. Conservative Members take the approach that in order to help people with their health—[Interruption.] The hon. Gentleman is shouting at me. I thought that this answer would be important to his constituents.
Levelling up is not just about health. It is about the impact of education, housing and other matters in our environment, which is why in the forthcoming major conditions strategy we will tie together the conditions that have the most impact on a healthy life. We will draw together a cross-Government strategy to help people who are living with those conditions to live longer but also healthier lives.
(6 months, 2 weeks ago)
Commons ChamberMy hon. Friend is exactly right. She is a wonderful constituency Member who speaks up for her constituents, and I can assure them that she has been talking to me since the moment I was appointed. As for advertising the new services, this is an opportunity for Members across the House—and I do hope that Opposition Members will be gracious—to ensure that their constituents are aware of them. We all want the best for our constituents, and the more we encourage local dentists to take up the new patient premiums and units of dental activity as well as the golden hellos, the sooner we will all see benefits in our constituencies.
For nearly a decade, I have stood in this Chamber and told numerous Ministers that there is more chance of finding gold bricks on the streets of Bradford than there is of getting an NHS dentist when you need one. For 14 years, Ministers have made a political choice to ignore our calls, but now, in a general election year, the Government suddenly want to take part of Labour’s plan and present it as their own—frankly, it is shameless. Will the Minister at least accept that unless there is proper reform, our NHS dentistry will remain rotten to the core?
Again, we have heard a very loud performance from the hon. Gentleman—a typically loud performance. If only it had been as factual as it was loud. I have already set out, in response to the hon. Member for Ilford North (Wes Streeting), the difference between Labour’s plan and our fully funded plan to secure immediate and long-term changes. After 14 years of opposition, is this it?
(8 months, 3 weeks ago)
Commons ChamberI would be delighted to meet my hon. Friend’s constituent. What the employer does is really important for retention and recruitment of adult social care staff, along with our ambitious workforce reforms for the care workforce.
I assume from the hon. Gentleman’s question that he fully supports our efforts to get consultants back into hospitals as well as junior doctors and doctors in training. It is all very well to sit there commenting, but we on the Government side of the House are working with doctors to try to help them look after the NHS for us all.
(1 year, 7 months ago)
Commons ChamberI am delighted that the hon. Gentleman raises the additional funding that the Government are putting into social care. In his autumn statement, the Chancellor made the biggest social care spending increase of any Government in history: an extra £2.8 billion next year and £4.7 billion the year after. That is £7.5 billion over two years, on top of the £6.6 billion he put into the NHS over two years. At a time when, as a consequence of the pandemic and the war in Ukraine, inflation is extremely high and there are acute cost of living pressures for constituents across the country, the Chancellor prioritised spending not just on health but, as the hon. Member for Eltham (Clive Efford) helpfully highlighted, on social care. Bringing health and social care together is exactly what I set out in my statement to the House on Monday.
Will the Secretary of State give way?
I will take one further intervention, and then I will make some progress.
The Secretary of State refers to significant challenges, as though this crisis started a few weeks ago. This crisis has been ongoing for more than a decade, and it is worsening year on year, but Ministers come here blaming it on anything other than, frankly, their incompetence and negligence over the last decade. When will they wake up, move away from their ivory tower and accept that it is on their watch that their incompetence and negligence have resulted in our constituents suffering today?
The data shows very clearly the profound impact of the pandemic, and the data shows that the impact is not constrained to England. It is acute in—[Interruption.] The hon. Member for Bradford East (Imran Hussain) has just had his intervention. If he wants to hear the answer, the reality is that the pandemic has had a profound impact on the NHS in Wales and Scotland, just as it has across Europe. That is what he is ignoring. He does not like the facts, but the facts are clear.
I will answer the hon. Gentleman’s first question. I will then give him a second go, as he is chuntering. Hospital flu admissions went up sevenfold in a month. The figure is 100 times higher this year than last year, and that comes on top of the severe pressure from the pandemic—9,000 cases. Perhaps he wants to explain the situation in Wales and why he feels the pandemic has not had an effect.
Of course, the Minister did not answer my question. I ask him about two things. First, every time this Government are put on the spot, they refer to what has become the Welsh defence; they would much rather not talk about their own incompetence. Secondly, how does he explain that in at least seven of the past 12 years they have missed their target overwhelmingly? That suggests we were in a crisis a long time ago.
Again, I can understand why the hon. Gentleman does not want to talk about the performance of the Welsh Government, but I was talking about the Scottish, French and German Governments, and about the fact that the pandemic has had a severe impact across the UK and across Europe.
(2 years, 2 months ago)
Commons ChamberYes, I am. I have seen the report my hon. Friend refers to and have discussed aspects of it with its authors, so the short answer is yes.
I will later.
In terms of the changes we are making, let me first turn to primary care. The hon. Member for Ilford North, in his motion today, is calling on me to
“urgently bring forward a plan to fix the crisis in primary care”,
as he puts it. That is his motion. He is probably too busy supporting the strikers to have read my speech to the NHS Confederation last week. Had he bothered to listen to or read what I said in that speech, or the similar words from Amanda Pritchard, the chief executive officer of NHS England, he would have heard me acknowledge that our current model of primary care simply is not working. I have made no secret of that, or of my desire for change.
We are now working on a plan for change and, based on today’s motion, I will be glad to count on the hon. Gentleman’s support when we bring those plans forward, because what he has asked for, we are already doing. Our plans, for example, include a much bigger expansion in what our fantastic pharmacists can do. In fact, on the very day that I made that speech in Liverpool, we also announced a new pilot scheme to allow people with signs of cancer to be assessed and referred by pharmacists. That is yet another example of how we are working hard to enhance the role of our brilliant pharmacists and thereby freeing GPs to spend more time with their patients.
Thus far, if I have got this right, the Secretary of State has told us that there have been record levels of investment across our NHS services, including GPs and hospitals, and that any minor concerns that have arisen are because of the covid years. Does he think that the British public have been asleep for the last 12 years? Does he think that the British public will buy this? The stark reality on our streets—the Secretary of State may want to go and have a look—is as dire as it has ever been.
As I said—I am glad that the hon. Gentleman was listening—there have been record levels of funding in the NHS, and, as we set out in our spending plans, that will continue. But that is no thanks to the hon. Member for Ilford North and his colleagues, who all voted against that record funding. They wanted to deny those resources to their constituents. He should reflect on the impact of that had their wish gone through the House.
On the changes that we are making, we are going further, from improving telephone services to letting others such as nurses and pharmacists complete fit notes. Appointment numbers are already exceeding pre-pandemic levels—for example, in April, GPs and their teams were delivering 1.26 million appointments per working day. That is a phenomenal achievement, which the hon. Gentleman should be commending, not castigating.
The hon. Gentleman raised Wakefield and primary care. He was using dodgy numbers, so he was corrected by my hon. Friend the Member for South West Bedfordshire. He also gave out further dodgy information by somehow claiming that the King Street walk-in centre was under threat. I do not know if you have seen this in the by-elections, Mr Deputy Speaker, but the Labour party has a history of just making things up and creating fake news to scare local people. That is the respect that they show for local people. The walk-in centre has never been under threat. The local clinical commissioning group has confirmed that it has never been under threat. If he had any decency, he would stand up and withdraw his remarks. I give him that chance.
For many people living in Bradford, being unable to get an appointment with their GP for days or weeks, or being unable to see an NHS dentist at all, is one of the most depressing issues they face—if not the most depressing. Although such a scandal in our healthcare system is of course unacceptable anywhere, the harm that it is causing in Bradford, where we face especially stark health inequalities and where people are dying a decade earlier and facing a higher rate of preventable diseases, is particularly damaging.
It seems that the Government either do not understand or just do not care. Earlier, the Secretary of State opened for the Government. According to him, we have had record levels of investment, the Government are now planning many initiatives, and any concerns were entirely a result of the two years of covid. Of course, everybody in this Chamber would accept that the NHS, GPs, dentists and all the health services faced pressures during covid. I do not think anyone is denying that. The Secretary of State said to the shadow Minister, “You supported us during that period”. Of course we did. We were a responsible Opposition and of course we ensured that any pressures during a very difficult period could be alleviated. But to say that the issues have suddenly resulted from that period is simply untrue, and Ministers know that it is untrue.
The second assertion—those who were in the Chamber will recall that I pressed the Secretary of State about his record investment in the NHS—was that of course there was record investment, but let us look at that investment. Let me go to my district, to Bradford, and see the record investment that Ministers and the Secretary of State want to boast about. Frankly, they live in some parallel universe, because we do not see the effect that they come here and tell us about. In Bradford, one of the most deprived districts—more than 50% of the deprivation in my constituency is in all the top 10 deprivation indices—child poverty is now at a record high because of those on the Government Benches. Nearly 50% of children in my constituency today live in poverty because of the draconian, ideological cuts made by this Government over the past decade. I have said this in the Chamber many times: people who live in the inner cities are likely to live 10 years less than if they live in the leafy suburbs, which are far more affluent and, frankly, get more investment.
What does the record investment that the Secretary of State and Ministers tell us about equate to in Bradford terms? They tell us that, on average, we will get £4 per patient more than the rest of the country, even though we have the levels of deprivation, poverty and health inequalities that I have gone through. But actually the situation is worse, because even that £4 of investment that they tell us we are getting is fudged figures and smoke figures, because in real terms, if inflation was to be counted, we are getting £3 million less than we had before this Government came to power. On average, we have more than 2,800 patients per GP, whereas the national average is 2,100 patients per GP. If anywhere should be seeing this record investment, it should be in places such as Bradford, but are we seeing it? How does that equate? The hon. Member for St Albans (Daisy Cooper), who is no longer in her place, talked about the stark reality on the ground. This is why I say that Ministers are living in a parallel universe, because the stark reality on the ground is not as they see it. Most people simply cannot get GP appointments. People start ringing first thing in the morning and are on hold for hours on end. Many people will then have to wait until the next day. Getting through to a GP practice on the phone takes days on end.
When the Minister comes to her feet, I am sure she will say that X number of people have been able to access a GP, but have they been able to access their own GP? We have heard time and time again from health professionals how important continuity of care is. Does my hon. Friend agree that this is not just about seeing any old GP—it is about someone seeing their own GP?
I absolutely agree with my hon. Friend, who makes the point that I was coming on to raise. Her Luton constituency is not dissimilar to mine. With a single GP having 2,800 patients, it is obvious why those patients are not getting to see their GP. I could spend a long time in this Chamber going through constituency cases that I have recently dealt with. Indeed, I have done that in the past and those cases are on the record. Let me cite just one case today. An elderly lady in her 90s had to go to hospital and was then told to go to see her GP. Her son tried day after day to make a simple GP appointment for her. She had multiple health needs. My office had to intervene and even we were unable to secure a GP appointment for her. People are having to go through this ping-pong of not getting a GP appointment and then going to A&E as they have nowhere else to turn.
I am grateful because I did ask the Health Secretary about Bradford and urgent treatment centres, and he did favourably say that he would arrange a meeting with the Minister for Health, the hon. Member for Charnwood (Edward Argar), who joins us now, at precisely the right time. I look forward to that meeting because that is a way through and I am grateful for that offer. But the reality remains that the Government’s promise—or the points the Secretary of State made earlier today—is not apparent on the streets. People continue to suffer, they cannot get GP appointments and they have nowhere else to turn. That point has been made eloquently by a number of Members.
At least, after days and weeks of trying, people are able to get an appointment with a GP. Many Members have talking about issues with joining an NHS dentist. There is more chance of finding gold bricks on the street, or of finding the parallel universe that Government Ministers live in, than there is of getting on to the list of an NHS dentist. People simply cannot get NHS dentists, and we have heard accounts today of how they are being forced to carry out DIY operations at home, without anaesthetic or any medical care—I have come across such cases in my own constituency—because they have no other option. Frankly, as the fifth largest and richest economy in the world, it is shameful that people are having to resort to DIY treatment at home. Again, that is happening on this Government’s watch.
I have been in this place since 2015, and every time we have a debate about NHS dentists or GPs, Tory Members refer back to the Labour Government of 12 years ago. I remember that when I was growing up, under a Thatcher Government, GP practices were back-to-back houses on terraced rows without adequate facilities. The last Labour Government brought in record investment, gave us state-of-the-art health centres, and reduced health inequalities and child poverty. That was all under a Labour Government, but Tory Members cannot pretend that the Labour Government of 12 years ago are somehow responsible for the issues we face today. The Whips are not in their place, but I say to the Tory Whips, “Please do your Members justice and remove that line from the long-standing script you have for them”, because it is becoming embarrassing when Tory Members stand up and say, “12 years ago, there was a Labour Government, so it must be all their fault.” They can use that line for a year or two, but unfortunately, in nobody’s world can they use it for 12 years. Tory Members need to start understanding that.
Can we expect any more from this Government? This is a Government who believe people choose to be poor—they have said so in this very House and on TV. This is a Government who believe people should work extra hours and do more, and that those who are forced into poverty are not forced, but have chosen poverty. The reality is that this is a Government who could not care less about people in Bradford who continue to suffer. [Interruption.] The Minister chunters from the Front Bench; she will have time to address those points when she responds.
I would be interested to hear the hon. Gentleman’s opinion on the position in Wales, which was set out in the Secretary of State’s opening remarks. Wales faces exactly the same pressures, and its waiting times are actually worse than England’s. What is the hon. Gentleman’s reason for why the Welsh Labour Government are in exactly the same position as this Government?
Again, the first defence is “Labour 12 years ago”; the second defence is “Labour in Wales”. The point about Labour in Wales has already been appropriately addressed, but the Minister’s job is to address those issues in England. Rather than address those issues, she thinks that saying “What about Labour in Wales?” somehow provides a cover, an umbrella, and a defence against the incompetence that exist across our health sector. That does not wash with the British public, because they have not been asleep for the past 12 years. They have noted the devastation that the Tory Government have caused in our communities, and the back-door privatisation and ideological agenda they have brought to our health service. I have said it before, and I will say it again: people will repay them with interest at the ballot box.
(2 years, 2 months ago)
Commons ChamberI have not read that review, but now that my right hon. Friend has mentioned it I will certainly take a look at it. He raises an important point about access to GPs. He is right to say that many people would want to see the same GP again and again—that would be their preference. One can see how that may lead to better clinical outcomes, but I hope he will respect the fact that others do not mind if they do not see the same GP and just want rapid access. It is important that we get the right balance.
The hon. Gentleman is right to talk about the importance of timely access to GPs, whether in Bradford or across the country. There are, of course, challenges across the country, which is one reason why we put in place an action plan, including some £500 million of extra funding, during the pandemic. On his plea for an urgent treatment centre, I will make sure that the Health Minister will meet him.
(2 years, 5 months ago)
Commons ChamberI rise briefly to speak on these measures with regard to the coroners process and particularly the registration of deaths.
In my local authority of Bradford, some of the measures over the past two years have seen a significant reduction in the bureaucratic hurdles and red tape that people face in registering deaths. That includes a significant decrease in the delay between the death of an individual and their burial. Some may see that as trivial, but for those of the Muslim faith it is particularly important, as it is a key requirement for the recently deceased to be buried as soon as possible. I strongly believe that it would also be a good thing for those of all faiths as well as of no faith, because it enhances the dignity that is afforded to an individual after their passing; the deceased can be put to rest as soon as their relatives wish.
However, what the Government propose in this statutory instrument does not include the measures that we have seen over the past two years that have helped such a rapid turnaround. The SI does not include measures that allowed for deaths to be registered over the phone rather than solely in person, which is incredibly useful for the bereaved at a difficult time; measures that allowed the medical certificate of cause of death to be issued if the patient had been seen by a doctor within 28 days of their death rather than the previous 14 days; or measures that allowed certificates to be issued on the same or next working day, overnight, at weekends, or on bank holidays. Following their expiry last week, these measures are no longer in force. As a result, families will begin to see longer wait times and greater difficulties in their relatives being released from mortuaries, which will understandably cause great distress.
The measures that the Government are extending today are essentially intended to clear a backlog in the legal system, but we must remember the backlogs elsewhere in the public sector, such as in GP surgeries and hospitals more broadly. That is a particular concern to bodies in Bradford such as the clinical commissioning groups, Bradford Council, NHS organisations and other partners, which all feel that the changes of the last two years have worked well to make the system more efficient and sympathetic, at a time of immense distress for families. While I fully understand the need for protections to be put in place, I implore the Minister to work with Health Ministers—I am also happy to work with the Minister to discuss this further—to see what can be done to ensure that the deceased can be released quickly.
I endorse what my hon. Friend says. Can he think of any reason why regulations cannot be introduced now to ensure that the speedy turnaround of death certificates that has been achieved, which has been of great comfort to the Muslim and Jewish communities in Britain, can be introduced urgently, so that this process can continue without causing stress to families who, by tradition, want if at all possible to undertake a burial within 24 hours of death?
My right hon. Friend makes an excellent point, which is the one I was coming to. I implore the Minister, because not only is this hugely important to our Muslim and Jewish communities; as I said earlier, dignity in death is important to those of all faiths and none. My right hon. Friend makes a valid point. This is an area where the Minister maybe has the power to work with us to bring something to the House that can secure cross-party support, in order to make a real difference and give people dignity in death. Again, I offer the Minister my support to work on this in all sincerity.
(2 years, 6 months ago)
Westminster HallWestminster 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.
This information is provided by Parallel Parliament and does not comprise part of the offical record
It is, of course, a pleasure to serve under your chairmanship, Mr Gray. Time does not permit me to repeat the excellent points made by my hon. Friends the Members for City of Chester (Christian Matheson), and for Hornsey and Wood Green (Catherine West), but I certainly align myself with what they said.
I want to concentrate on two areas of huge concern to my constituents. The first, which has already been mentioned, is privatisation. Three years ago, in Bradford, I fought alongside trade unions and NHS staff to stop plans to introduce dangerous back-door privatisation into our local hospitals. Although we beat those plans to move key services out of the NHS and place them in the hands of private companies, the danger of the privatisation of our NHS in Bradford has not passed.
That threat has only grown as a result of this Government’s Health and Care Bill. While removing enforced competition, the Bill does nothing whatever to roll back the wave of privatisation that successive Tory Health Ministers have unleashed on our NHS over the last decade. Rather than improving patient care, the Bill allows private companies with a vested stake in driving greater privatisation in the NHS to sit on local health boards and make decisions about our health care; at the forefront of their mind are not patients, but profits. There is no greater threat to the future of our NHS—free at the point of use and in public hands—than the Health and Care Bill and this Tory Government. We must stop both before it is too late.
We also have to look at the future of our NHS for GPs, who are at the coalface of health care but are all too often overlooked. Each week, without fail, a worrying number of constituents tell me that they have been unable to get any form of appointment, let alone a face-to-face appointment with a GP; that they have been left on hold when calling, waiting for phones that are never answered; or that, when they are given an appointment, it is weeks away, even when it is an urgent issue that simply cannot wait.
I dealt with two such cases this week. I heard from a son whose 82-year-old mother went to accident and emergency, but was sent away and told to go see her GP the next morning. Her son began ringing the GP practice first thing next morning, but when he eventually got through, hours later, he was given an appointment in two weeks’ time. In the other case, involving very similar circumstances, my constituent was once again told to wait for weeks. It is unacceptable.
That level of service would be unacceptable anywhere. However, in Bradford—where we have higher rates of deprivation, where life expectancy is below the national average and where we have greater rates of preventable illnesses—it is beyond serious, and can even be fatal. No one should have to wait for more than a fortnight for an appointment, and certainly not for urgent cases, but as the inner city of Bradford has one of the worst GP-to-patient ratios in the country, that comes as little surprise.
Although fewer GPs being forced to see more patients explains the scarcity of appointments, it does not explain the poor service that patients in Bradford are reporting to me. I want to use this debate to put on notice those practices that are letting their patients down. I want to be clear: there should be a better service to ensure that urgent cases receive urgent appointments, and to help close the health inequality gap between the richest and the poorest in Bradford.
Finally, I listened to the hon. Member for Stockton South (Matt Vickers), who opened this debate. His speech implied that he was anti-privatisation. I say this to him and all those on the Government Benches: the reality is, over the last decade, we have seen an ideological, intentional attack on our NHS. Let us not beat around the bush: if the hon. Member for Stockton South and others wish to stop the back-door privatisation of our NHS, they should be opposing the Health and Care Bill. Any form of privatisation needs to be taken out of the Bill. We do not need the smoke and mirrors that we see in the current legislation.
(2 years, 8 months ago)
Commons ChamberDuring the next few days, when we have the debate in Parliament and a vote next week, we will set out more of the data. In terms of one of my hon. Friend’s key questions about what happens should the data change or we get more evidence that suggests that omicron is less severe or its impact on the vaccines is not what it seems at this point, we will not hesitate to act and remove these restrictions.
I thank the Health Secretary for his timely update to the House today. I am still somewhat unclear as to what additional support is available for individuals and businesses as a result of his announcement. In particular, can he ensure that enough support is made available for those businesses where people will now have to work from home?
I hope that the hon. Gentleman would agree that with the measures set out today, which are essentially the plan B measures that were the contingency plan the Government set out to this House two or three months ago, although there will be some impact on some businesses, that should be minimal. The extent to which any further support needs to be provided will be kept under review.
(3 years, 4 months ago)
Commons ChamberYes, absolutely. The booster shot programme will be rolled out in a similar way to the first two jabs. There will of course be some differences, not least because of the interaction of an autumn covid vaccination programme with the autumn-winter flu vaccination programme. We still need the final clinical results on their interaction to see whether someone can have both at the same time, which would obviously be logistically easier. Those matters need to be resolved. The reason for the announcement today is that we want to be absolutely clear that a booster shot programme will happen this autumn—later this year—and we are determined to make it as efficacious as possible, because, ultimately, dealing with these new variants will require booster shots, especially for the most vulnerable.
Over the last week, several serious concerns have been raised with me about the managed quarantine hotel system, with harrowing stories of families with young children stranded in airports because they cannot contact the booking provider to arrange accommodation, and others in quarantine hotels left without food for days on end. Will the Health Secretary tell me just what he is doing to urgently resolve the frankly shambolic situation with the booking system, and what he is doing to end the inhumane treatment of quarantine hotel guests by ensuring that food is not only provided on time but meets the faith and dietary requirements of travellers, particularly those fasting during Ramadan?
I am afraid I do not agree with the prognosis. We are, of course, very careful to ensure that the vast majority of people who go through the managed quarantine service—hotel quarantine—have a good experience. Of course, they have to be in a hotel when often they would rather not be, so it is an unusual situation, but it has been put in place with great sensitivity and I am very grateful to all those who have worked so hard on it, not just in my Department but among the hotels, the airports and the carriers. However, the hon. Gentleman clearly has some significant individual concerns, and I would be very happy to ensure that the Minister for Public Health, my hon. Friend the Member for Bury St Edmunds (Jo Churchill), meets him to hear those individual concerns and to try to make sure that they are resolved—in particular the point about ensuring that food provision is appropriate for those fasting at Ramadan, which of course is very important.