Oral Answers to Questions
James Wild Excerpts(1 month ago)
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Stephen Kinnock
My hon. Friend is absolutely right to raise this vital issue. Prevention is of course always better than cure, so I am very proud of the fact that we are introducing supervised toothbrushing for three to five-year-olds in the most deprived communities and where there is the most unmet need. We are also working to sort out the NHS contracts so we can ensure that children get the care they need.
James Wild (North West Norfolk) (Con)
Having training locally at the University of East Anglia is important for my constituents, but in the short term, what steps is the Minister taking to speed up the process by which dentists get on the dental performers list, so that they can work in the NHS and not just privately? Is he also considering bringing in a provisional overseas registration scheme?
Stephen Kinnock
I thank the hon. Gentleman for that question. We are looking at provisional registration. As I also mentioned to his hon. Friend the Member for Broadland and Fakenham (Jerome Mayhew), we are very open to the idea of a dental training school at the University of East Anglia. We need to ensure that we push on the full spectrum of all these measures, because there is a crisis in NHS dentistry and we need to get on and fix it.
Income Tax (Charge)
James Wild Excerpts(1 month, 2 weeks ago)
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The Secretary of State for Health and Social Care (Wes Streeting)
This Budget is the moment we turn the page on 14 years of Tory neglect of our NHS, when we begin to fix the foundations of our public finances and public services, when we wipe the slate clean after 14 years of stagnant growth and under-investment, and when we start to rebuild Britain. This Government were elected to deliver change: from economic chaos to stability, from crumbling schools and hospitals to first-class public services, and from short-term sticking plasters to a decade of national renewal.
On Wednesday, the Chancellor took the tough decisions to set our country on a better path to a brighter future. Labour’s manifesto promised to protect the payslips of working people while asking the wealthy to pay more, and the Chancellor delivered. We promised economic stability through new fiscal rules, and the Chancellor delivered. We promised more teachers in our state schools paid for by ending tax breaks on private schools, and the Chancellor delivered. We promised to end the non-dom tax status to fund 40,000 extra NHS appointments a week, and the Chancellor delivered.
Our country, our economy and our NHS were crying out for change, and the Chancellor delivered. She did so against the backdrop of the most appalling inheritance faced by any Government since the second world war—and not just the £22 billion black hole in the public finances. Let me set out for the House exactly what I was greeted with in my Department alone when I walked through the door on 5 July.
The Conservatives had told the country that they were on track to build 40 new hospitals by 2030. The former Health Secretary told the House that the funding had been provided. Putting aside the fact that there were never actually 40 new hospitals planned, I was informed in July not only that the programme was years behind schedule but that the funding was to run out in March. The only place those hospitals existed was in Boris Johnson’s imagination.
The Conservatives promised to cap social care costs by October 2025, just 15 months after the general election, but there was not a single penny set aside to pay for it; the cupboard was completely bare. Within weeks of the general election, councils were warning that it would be impossible to implement the cap by next October because the preparations had not been made. Those were fantasy pledges that the Conservatives never intended on keeping.
James Wild
On the new hospital programme, the Government committed in the Budget to move swiftly to rebuild reinforced autoclaved aerated concrete hospitals. The Queen Elizabeth hospital in King’s Lynn is keen to make progress with its plans. Will he meet me and the trust so that we can unlock the funding and get that hospital ready by 2030?
Wes Streeting
That is a commitment that we have made and a commitment that we will keep. I am happy to ensure that the hon. Member can meet the relevant Minister and project team as we get under way on delivering that project.
I did actually go back to check the pledges made by the Conservative party in its 2024 manifesto just to see how extensive the work of fiction was, only to find that the manifesto page on its website now reads “page not found”. The truth is, had the Conservatives won the election, it would have been deleted just as quickly.
That was not all I was told when I became Secretary of State in July. Despite 18 months of strikes in the NHS, there was no funding put aside to end the junior doctors’ dispute. What is more, the previous Health Secretary had not met the resident doctors since March—the Conservatives had given up even attempting to end the strikes. People should remember that this winter. For all the challenges that the NHS will face, this will be the first winter in three years when NHS staff will be on the frontline, not the picket line. That is the difference that a Labour Budget makes.
I was told that GPs would be qualifying this year with no jobs to go into. The Government found the funding and we are hiring an extra 1,000 GPs this year. That is the difference that a Labour Budget makes.
NHS: Independent Investigation
James Wild Excerpts(3 months, 1 week ago)
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Wes Streeting
My hon. Friend is absolutely right. We need to make sure that we have the right staff in the right place and an equitable distribution of access to NHS services right across the country. We also want to shift from the hospital-centred NHS that we see today to a neighbourhood-centred service. That is why we have acted immediately to put 1,000 more GPs on the frontline before the end of this year. I am looking forward to working with GPs to expand access to primary care right across the country, especially in communities that are particularly under-served.
James Wild (North West Norfolk) (Con)
This review highlights the need for capital investment in the NHS. The question that NHS staff and patients in North West Norfolk have is urgent: are the Government committed to replacing their hospital, which is affected by reinforced autoclaved aerated concrete, with a new Queen Elizabeth hospital in King’s Lynn by 2030—yes or no?
Wes Streeting
I can absolutely reassure the hon. Member that RAAC-impacted hospitals are a priority. We are putting safety first, and it is just a shame that when his residents had a Prime Minister in their backyard, the Conservative Government did not fix the problem.
Oral Answers to Questions
James Wild Excerpts(4 months, 4 weeks ago)
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Wes Streeting
I was about to say, Mr Speaker, that the good people of Lancaster and Wyre will be delighted to have sent my hon. Friend to Parliament, because she is second only to you in collaring me about a local hospital project—you are the holder of that record. There is a serious point: thanks to her determined efforts to collar me around the parliamentary estate, I know the particular urgency around land. A scheme will be put to me shortly, which I will consider carefully, and I will look at the programme in the round and ensure that I am able to come back to this House and to the country with promises that we can keep and that the country can afford.
James Wild (North West Norfolk) (Con)
During the general election campaign, Labour said it was
“committed to delivering the new hospitals programme, including modernising the QEH at Kings Lynn to address its potentially dangerous RAAC”.
Will the Secretary of State honour that pledge, which was made to my constituents and to the staff at QEH, and approve the business case submitted by the trust for the new multi-storey car park, which is a key enabling project for the new hospital that we need by 2030?
Wes Streeting
Hospitals with reinforced autoclaved aerated concrete are at the top of my list of priorities. I am extremely concerned about the dire state of the NHS estate. Once again, I think that is a bit rich from Opposition Members, whose party was in government only weeks ago. They had a Prime Minister local to that hospital, and they did not do anything when they had the chance, but they should not worry—we will clean up their mess.
NHS
James Wild Excerpts(6 months, 4 weeks ago)
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Victoria Atkins
May I say how delighted I am to see my hon. Friend back in one piece, given her abseil down the hospital recently, and also say how much I enjoyed seeing the confidence, ambition and professionalism of the new services being provided by her local hospital? I hope that she is pleased that I can confirm today that the Government have the ambition to expand the use of fracture liaison services to every integrated care board in England, achieving 100% coverage by 2030, which is very much inspired by her hospital.
James Wild (North West Norfolk) (Con)
Since being elected to represent North West Norfolk, I have campaigned, with strong local support, for a new hospital. Can my right hon. Friend the Health Secretary confirm that only this Conservative Government are committed to building a new Queen Elizabeth Hospital in King’s Lynn by 2030, for patients and staff, as part of our fully funded plan?
Victoria Atkins
I thank my hon. Friend, and very much understand and acknowledge his campaigning on this matter. Yes, we want to ensure that his county has the modern hospital facilities that it needs. I note in passing that, in the Norfolk and Norwich trust, this summer, we will see the opening of more surgical capacity precisely to help to deal with some of the waiting lists in his county. This is positive, practical action to secure a bright future for his local NHS.
NHS Dentistry: Recovery and Reform
James Wild Excerpts(10 months, 2 weeks ago)
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Victoria Atkins
I am delighted to confirm that. We have wanted to deal with the issues as quickly as we can, but also with an eye to the future. This is the way in which the Government set out our plans for the NHS and for our social care system. I am confident, for example, about the introduction of golden hellos for new dentists. We know that that works with GPs and we now want to try it with dentists to see whether we can get dentists into those areas that do not have the service they need at the moment.
James Wild (North West Norfolk) (Con)
According to the National Audit Office, North West Norfolk has one of the lowest numbers of dentists per population. Can my right hon. Friend confirm that my constituents will benefit from the £20,000 incentives and from the mobile dental vans? On training, will she look closely at the proposal from the University of East Anglia for a dental training school? That is the obvious place to have it in the east of England.
Victoria Atkins
My hon. Friend will not be surprised to learn that I have received rather a lot of lobbying about the location of future dental schools. He will see in the plan that we are very open to the idea of training people with a view to their remaining in those areas. This is where golden hellos come in, and they will most definitely apply in the hardest-to-reach and underserved areas. As I say, we are taking very careful criteria-driven decisions about where the dental vans will be supplied, but we understand the problem that Norfolk has.
Pharmacy First
James Wild Excerpts(10 months, 3 weeks ago)
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Dame Andrea Leadsom
To a pharmacy. NHS 111, GPs and urgent and emergency care can all refer to pharmacists for those particular common conditions.
James Wild (North West Norfolk) (Con)
I join others in welcoming the new scheme. Will my right hon. Friend ensure, as part of the communications, that the NHS website is updated to show which pharmacies have signed up to Pharmacy First, and will she continue to encourage those that have not yet signed up to do so?
Dame Andrea Leadsom
What is brilliant is that over 95% of all community pharmacies have signed up, including 172 in my hon. Friend’s area.
NHS Dentistry
James Wild Excerpts(11 months, 1 week ago)
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Victoria Atkins
No, I will give way to my hon. Friend the Member for North West Norfolk (James Wild) and then I will make some progress.
James Wild (North West Norfolk) (Con)
My right hon. Friend mentioned levers. One issue facing recruitment in North West Norfolk is the time involved in getting on to the NHS performers list. Newly in post, will she look at that issue and bring forward proposals as part of the plan to speed up that process and boost recruitment?
Victoria Atkins
I am extremely grateful to my hon. Friend. His intervention shows the level of detail that colleagues on the Conservative Benches have gone into in trying to address the understandable concerns that local NHS providers are voicing. I will look into that. I am very keen on my three words: faster, simpler, fairer. I want to make it as simple as possible for dentists to rejoin and join the NHS. I will say more on that later.
The choice of whether patients are offered NHS exams and treatment lies with the dentists, who are independent contractors to the NHS. As well as making simple, common-sense changes, in July 2022 we announced a package of far-reaching reforms to make NHS work more attractive to dentists. We have created more bands for units of dental activity, so that dentists are properly rewarded for taking on more complex care, and the best-performing practices can see more NHS patients.
Previously, regardless of the amount of time the dentist took on each patient, they received the same payment for every individual treatment package in band 2, which covers fillings and tooth extraction. Perversely, that meant they received the same payment for doing one filling as for three. That left many dentists unable to afford to take on patients who had not seen a dentist for some time and therefore needed extensive treatment. That needed to be put right for the sake of both patients and dentists. Thanks to our reforms, dentists now receive five units of dental activity when they treat three or more teeth, which is a significant increase from the old maximum of three. Root canal treatment on molar teeth is now rewarded with seven units of dental activity, as opposed to three, meeting one of the British Dental Association’s key demands.
We also recognise the barriers that too many communities have faced when accessing NHS dentistry, with people left phoning around practices to see who was taking on NHS patients. That is why we have made it a contractual requirement for dentists to update the NHS website regularly, making it clear whether their practices are taking on new patients, as well as explaining the services that they offer, thus making it easier for patients to find a dentist that can deliver the care they need. These reforms have improved access to dentistry and ensured that the system better supports dentists and their teams, so they were well received by dentists, their representatives and patient groups across England, with Healthwatch’s national director recognising that these reforms show that the Government are listening to patients and taking action, and these reforms can help ensure that dental care is accessible and affordable to everyone who needs it.
Debbie Abrahams (Oldham East and Saddleworth) (Lab)
I find it absolutely extraordinary that the Health Secretary lectured the shadow Health Secretary on calling a debate to hold this Government to account. Twelve million people are not able to access dental care, including thousands in my Oldham constituency.
Debbie Abrahams
You are the Government, unless you want to call a general election.
NHS Winter Update
James Wild Excerpts(11 months, 2 weeks ago)
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James Wild (North West Norfolk) (Con)
Is not the rejection by the BMA of derogation requests made on the basis of patient safety dangerously irresponsible? Rather than Dr Laurenson, co-chairman of the junior doctors committee, saying that the NHS hates doctors, it is past time that they called off this damaging strike action and put patients first.
Victoria Atkins
Very much so—the NHS belongs to us all, as I say repeatedly. It goes without saying that doctors are a critical part of our workforce. That is why, since becoming Secretary of State, I have wanted to have a good, constructive working relationship with all of the representatives of doctors and the wider workforce. That was why I called in the BMA and “Agenda for Change” as soon as I possibly could, and I am pleased that I have been able to find fair and reasonable settlements with consultants and specialty doctors. I very much hope that junior doctors will call off their strikes and come back around the table so that we can find solutions for them too.
Hospice Services: Support
James Wild Excerpts(1 year, 6 months ago)
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James Wild (North West Norfolk) (Con)
I congratulate my hon. Friend the Member for Eastleigh (Paul Holmes) on securing this important debate. It is timely for me, as on Friday I visited the Norfolk Hospice Tapping House in my constituency to talk to the staff and volunteers who provide the care, comfort and compassion for people living with life-limiting illnesses.
Tapping House is rightly a valued part of the west Norfolk community, supporting more than 1,000 families each year. At the heart of that hospice, and all hospices, are the incredible staff who provide high-quality care and go above and beyond to make people’s final days as comfortable and memorable as possible—even, I heard, providing virtual reality headsets so that patients can imagine being on a tropical island and enjoying a cocktail from their bed. The brilliant team at Tapping House is supported by hundreds of volunteers, and it is testament to the great care provided there that many of the volunteers and fundraisers are family members of people who spent their last days in the hospice. We have heard about the escalating costs in Tapping House, as energy costs have risen by 36% in the past year alone.
That brings me to funding. Only 30% of Tapping House’s services are funded from the NHS, with the rest coming from donations. Despite the challenging economic backdrop, Tapping House just held one of its most successful events, Tulips for Tapping, at which people could go into tulip fields near Sandringham and experience their great beauty. That event raised more than £140,000. However, the NHS funding received for in-patient units has not increased for the past two years, and community-based services have not seen an increase for several years.
I would be grateful if the Minister could say how much of the £1.5 billion for additional costs has actually flowed through to hospices. Along with other MPs, I have previously called for additional support for hospices, and the Government responded positively. The sector needs urgent support now; I hope the Government will carefully consider the requests that have been made and provide that additional support.