Oral Answers to Questions

Debate between Jeremy Hunt and Fiona Mactaggart

Tuesday 21st March 2017 Commons Chamber

[Fiona Mactaggart (Slough) (Lab)]

The Secretary of State will be aware that many migrants in the UK are not registered with GPs, yet now when they come to Britain they have to pay an NHS fine. What is he doing, with the Home Office, to ensure that migrants are registered with a GP and are aware of community health facilities?

[Mr Hunt]

I am not quite sure whether I understand the right hon. Lady’s question, but there is not a fining system for migrants; what we say is that people who come to the UK as visitors should pay for their healthcare, or pay the visa surcharge if they are coming for a longer period. There is an exemption for public health, because it is important for everyone that we make sure that we treat people for things like tuberculosis.

Oral Answers to Questions

Debate between Jeremy Hunt and Fiona Mactaggart

Tuesday 20th December 2016 Commons Chamber

[Mr Jeremy Hunt]

My hon. Friend speaks wisely. Christmas can be a very lonely time for a number of people, so we all commend the work of voluntary organisations that do so well. I would be delighted to meet her.

[Fiona Mactaggart (Slough) (Lab)]

More than a third of my male constituents live until they are over 80, and yet next door in Windsor and Maidenhead the same is true of well over half of the residents. In the 10 years before 2010, that gap narrowed. What is the Secretary of State doing to narrow the gap in future?

[Mr Hunt]

The best thing we can do to narrow the gap is make sure that we continue to invest properly in the NHS and social care system, and make good progress on public health, which often has the biggest effect on health inequalities. That is why it is good news that we have record low smoking rates.

CQC: NHS Deaths Review

Debate between Jeremy Hunt and Fiona Mactaggart

Tuesday 13th December 2016 Commons Chamber

[Mr Hunt]

My hon. Friend is absolutely right. Boards now have a legal duty of candour, and are obliged to tell patients the truth about what has happened when something goes wrong, but how can they possibly do so if they do not properly record deaths or avoidable deaths? That is why this is a very significant moment. From next year, on a quarterly basis, all trusts will be publishing how many avoidable deaths there are in the trust. Those figures will be compared with national benchmarks. That is how we will start to make boards feel that they have a critical responsibility on this.

[Fiona Mactaggart (Slough) (Lab)]

I welcome the learning disability mortality review that the Secretary of State has announced, but I am keen to ensure that it includes unexpected deaths in care settings other than the NHS. When I was first elected, Longcroft, which purported to be a care home for people with learning disabilities, was actually a torture chamber for people with learning disabilities. We have ended that kind of thing, but we need to ensure that unexplained deaths of people with learning disabilities in other care settings are fully investigated, and that those investigations feed into this review.

[Mr Hunt]

The right hon. Lady is absolutely right. I will take away with me the question of what the legal responsibilities will be for people in adult social care settings. One thing the report highlights, which I had not particularly anticipated, was the problem that a number of people with learning disabilities are cared for in multiple settings, so if there is a tragedy, the place where the tragedy happens may not be the place responsible for what went wrong. Often, the person’s previous care provider never even finds out that that person has died. One thing that Sir Mike Richards talks about is making sure that all care providers are informed promptly when something happens, so that there can be a multi-institution examination of what went wrong.

Oral Answers to Questions

Debate between Jeremy Hunt and Fiona Mactaggart

Tuesday 11th October 2016 Commons Chamber

[Fiona Mactaggart (Slough) (Lab)]

T5. Deer Park medical centre in Witney faces closure, and patients will be dispersed a long way into other practices in an area where one in four already waits more than a week to see their GP. Duncan Enright, who is Labour’s candidate in the Witney by-election, is campaigning to save the centre. Will the Secretary of State reward his campaign by saving it today?

[Mr Jeremy Hunt]

The Conservative candidate in the Witney by-election will be saying very clearly that because of the extra funding from this Government we are aiming to have 5,000 more doctors working in general practice by the end of this Parliament, something that would not have been possible with the increase of less than half that amount promised by the Labour party.

Oral Answers to Questions

Debate between Jeremy Hunt and Fiona Mactaggart

Tuesday 5th July 2016 Commons Chamber

[Mr Hunt]

We already commit huge resources to that, but we can do more. As I just said, we hope to announce something to the House before the break.

[Fiona Mactaggart (Slough) (Lab)]

8. How many staff working in the NHS have been recruited from other European countries in the last 12 months; and if he will make a statement.

Oral Answers to Questions

Debate between Jeremy Hunt and Fiona Mactaggart

Tuesday 5th January 2016 Commons Chamber

[Mr Hunt]

We are very pleased with the progress that is being made in Herefordshire and in many other areas, and we are looking at how to maintain funding for those areas. Already, 16 million people are benefiting from enhanced access to GPs in the evenings and at weekends, and we would not want to see the clock being turned back on that.

[Fiona Mactaggart (Slough) (Lab)]

Today I received a letter from the chair of Slough’s clinical commissioning group, in which he bemoaned the fact that GP practices were making 95% of patient contacts yet receiving only 8% of the NHS’s resources. He also claimed that there had been a 30% reduction in GP partners’ incomes in the past five years, and said that more and more GPs in Slough were turning to private practice. I have noticed that they are also resisting the creation of new GP practices. What is the Secretary of State doing to ensure that under-doctored areas such as mine get more GPs?

[Mr Hunt]

First, may I ask the right hon. Lady to congratulate, on my behalf, GPs in Slough, who have benefited from the Prime Minister’s challenge fund? Alongside a number of other schemes, it has had a significant impact on reducing emergency admissions in her area. The answer to the point she makes is that we are investing an extra £8 billion in the NHS over the course of this Parliament—it is £10 billion when we include the money going in this year. We have said that we want more of that money to go into general practice, to reverse the historical underfunding of general practice, which I completely agree needs to be reversed.

NHS (Five Year Forward View)

Debate between Jeremy Hunt and Fiona Mactaggart

Monday 1st December 2014 Commons Chamber

[Mr Hunt]

That document is very powerful and I have said before that I hope that in our lifetimes this will become a smoke-free country. It is shocking that we still have 85,000 deaths every year linked to smoking. However, we are a free country so this is about supplying the information, incentives and nudges and not about compelling people.

[Fiona Mactaggart (Slough) (Lab)]

The right hon. Gentleman knows that GPs in my constituency have, on average, 4,500 patients on their list, which is about twice the average for England. Earlier he told my hon. Friend the Member for Stockport (Ann Coffey) that in constituencies such as hers and mine, where funding is so far from the target, we have to depend on NHS England, not him, to remedy the gap. How can we influence NHS England? What pressure is he putting on it to get fair funding for every area?

[Mr Hunt]

The reason we decided to give that decision to NHS England—it is now decided at arm’s length from Ministers—was to remove the worry people had that politicians might make these decisions for political purposes, rather than for what is right for the NHS. I encourage the hon. Lady to make representations to NHS England before its board meeting on 17 December.

Oral Answers to Questions

Debate between Jeremy Hunt and Fiona Mactaggart

Tuesday 21st October 2014 Commons Chamber

[Fiona Mactaggart (Slough) (Lab)]

I assume that the Secretary of State has read the National Audit Office’s report on local funding for health care. In the 17 years for which I have been Member of Parliament for Slough, we have never reached our target for funding and now the gap between Slough’s target and our actual funding is greater than ever before. What is he going to do to ensure that areas get the funding they need to provide the health care their residents require?

[Mr Jeremy Hunt]

First, we have made the decision an independent one, taken at arm’s length from Ministers, to try to take the party politics out of it. Secondly, we protected the NHS budget. Thirdly, one of the most important and significant things for the hon. Lady’s constituents has been the way in which the Heatherwood and Wexham Park NHS Trust has been turned round from failing and being in special measures to being taken over and run by Frimley Park NHS Trust—the most successful trust in the country.

Ebola

Debate between Jeremy Hunt and Fiona Mactaggart

Monday 13th October 2014 Commons Chamber

[Mr Hunt]

Essentially, the plan is to start with the Royal Free, which has capacity to go from two beds to four. Then we have six beds available in Newcastle and Liverpool and two beds available in Sheffield. Following that we can further expand capacity at the Royal Free.

[Fiona Mactaggart (Slough) (Lab)]

Will the Secretary of State ensure that British citizens fleeing Ebola-affected countries are not left destitute and homeless? My constituents Mr and Mrs Mahmood have been working in Sierra Leone for the past four years. When they returned, they were told that they were not eligible for income-based jobseeker’s allowance or housing benefit. Will the Secretary of State speak to his counterparts at the Department for Work and Pensions to ensure that no British citizen is left in such a state when they have to flee a country that is affected by Ebola?

[Mr Hunt]

If the hon. Lady lets me know the details of the individuals concerned, I will happily take up the case.

Oral Answers to Questions

Debate between Jeremy Hunt and Fiona Mactaggart

Tuesday 26th November 2013 Commons Chamber

[Mr Hunt]

My hon. Friend is absolutely right. One of the biggest mistakes made in health care over the past decade was the introduction of the disastrous changes in the GP contract in 2004, which broke the personal link between GPs and their patients. Hard-pressed A and E departments, including the one at Kettering hospital, say that one of the things that will make the biggest difference to them is the provision of a named GP for the over-75s, so that they know that someone is responsible for those people when they are not in hospital.

[Fiona Mactaggart (Slough) (Lab)]

Is it not the chaotic and overstretched nature of many A and E departments that makes A and E an unattractive discipline for people to work in? Ever since the closure of the A and E department at Wycombe general hospital in my constituency, Wexham Park hospital has been unable to cope. What will the Secretary of State do about that?

[Mr Hunt]

We have gained more than 600 additional A and E doctors over the last three years, so the numbers are rising. However, the best thing that we can do for A and E staff is to give them a sense that we are addressing the long-term challenges that they face. The issues of integration with social care and delayed discharges are being addressed through the health and social care integration transformation fund, but we must also ensure that there are better primary care alternatives. The named GP for the over-75s will make a big difference in that regard.

Oral Answers to Questions

Debate between Jeremy Hunt and Fiona Mactaggart

Tuesday 16th July 2013 Commons Chamber

[Mr Hunt]

May I reassure the hon. Gentleman that, first, these people are not doing these jobs against their will, as they volunteered to do them? Secondly, the quality of CCGs is being assured very closely, and they are receiving a lot of support. But it is a big job because, generally speaking, we want more clinical leaders. They need support in learning management skills in order to do that job well, and across the whole NHS we need to be doing that better.

[Fiona Mactaggart (Slough) (Lab)]

Will the training of clinical leaders include training in legal advice about mergers? I was shocked to see a response from Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust and Poole Hospital NHS Foundation Trust showing that they had already spent more than £1.5 million on legal advice about their merger, which has been prevented by the Competition Commission, and that in future they expect to spend £6 million on this scheme. Is it right that our health money should be going on legal advice?

[Mr Hunt]

No, and I am as concerned as the hon. Lady that it is difficult to push through the mergers that local commissioners want to happen. We have to operate within the framework of European law, but we are looking at what we can do to make it easier for these things to happen.

Social Care Funding

Debate between Jeremy Hunt and Fiona Mactaggart

Monday 11th February 2013 Commons Chamber

[Mr Hunt]

I understand where my hon. Friend is coming from. All I can say is that we had very strictly to produce a package that is affordable within the current financial constraints. For that reason, we have come up with the package we have. It is the earliest we think we can afford to do this and the lowest cap we think we can afford, but I will of course reflect on his comments.

[Fiona Mactaggart (Slough) (Lab)]

My question follows on from the previous one about what will happen between now and 2017. Many families are frightened about care costs and the statement has nothing for them. Their loved ones are likely to die in the next four years—2 million people will die before this is implemented. What is the Secretary of State doing additionally for local councils, which are trying to help people in that situation?

[Mr Hunt]

The hon. Lady might show a little humility after her Government did nothing about this for 13 years. We are doing something about it, as quickly as we possibly can.

Oral Answers to Questions

Debate between Jeremy Hunt and Fiona Mactaggart

Thursday 16th June 2011 Commons Chamber

[Fiona Mactaggart (Slough) (Lab)]

T6. In his response to the hon. Member for Devizes (Claire Perry), the Secretary of State spoke about his efforts to persuade internet service providers to create an opt-in system so that families can be protected from porn on their computers. Is it not time to abandon his charm and start using the stick of regulation so we can protect families from porn flowing into the home?

[Mr Jeremy Hunt]

That is precisely what we are doing. We are telling people that if they do not co-operate in bringing forward measures that will deal with this issue fast, we will legislate and regulate.