(2 years, 1 month ago)
Commons ChamberI am very sorry; I missed the last part of the hon. Gentleman’s question. I am not sure whether he is allowed to say it again, but on the first part of his question I would simply say that when it comes to Brexit the UK grew faster than the eurozone countries since 2016, so I do not accept his analysis.
I warmly welcome the Chancellor to his place. He, more than anybody else, will be aware of the pressures in the health and social care system as we enter a difficult winter. Will he be able to give reassurance to people working in the NHS and patients across the country that he will maintain the levels of funding necessary to cope with those winter pressures and with the future challenges that the health and social care system will face?
I am, I think, one of only two Chancellors to have been Health Secretary, so I am very aware of the pressures in the NHS. I am not making any commitments, but when it comes to the NHS the whole country wants to make sure that it can cope not just with winter crises but with the pressures we have had since covid. We will look at that very carefully, but I would also like to see reform in the way NHS funding is spent, because I think we can do better with the large sums that we spend already.
(5 years, 4 months ago)
Commons ChamberI congratulate the right hon. Gentleman on his eagle eye in spotting that detail, but I want to reassure him that when HMS Duncan arrives HMS Montrose will not be going out of service immediately. There will be a period, particularly the extremely dangerous period in the next few weeks, when they will be operating together. Secondly, we will get HMS Montrose back into service as quickly as we can. Thirdly, HMS Montrose is based in Bahrain, so it will stay in the region for its refitting and refuelling. It will not be far away.
I commend the Foreign Secretary for his tone during his statement, but does he agree that this act of piracy represents a pattern of behaviour from the Iranians, both directly and through its proxies, in an overall strategy to achieve regional hegemony in the middle east? What we urgently need is a strategy that restores balance, so the Iranians cannot take advantage of our strategic weaknesses.
My hon. Friend is absolutely right. People who have been studying the region for longer than I have would say that there is no issue with Iran being a regional power and a great regional power; the issue is whether it is a great regional military power. It is Iran’s military presence in so many other parts of the region that is so destabilising and is the root cause of many problems. He is absolutely right to focus on that.
(5 years, 7 months ago)
Commons ChamberI would of course be happy to do that. Sadly, what happened in Sri Lanka will colour the review and make us consider the issues around terrorism more fully. When we originally set up the review, we were perhaps not thinking that that would be such a big focus, but I think it must be.
Having visited Sri Lanka several times over the past 30 years, I am acutely aware that what makes Sunday’s events even more tragic is the progress that has been made in that country over the last 10 to 15 years, including prosperity, national unity and the real prospect of it becoming a tiger in south-east Asia. Will the Secretary of State reiterate our commitment to work with the Sri Lankan Government and people to ensure that they build on the progress that they have made over the past 10 to 15 years, so that they can become that prosperous and unified country?
I can absolutely give my hon. Friend that assurance. We are the penholder for Sri Lanka on the United Nations Security Council, so we have a particular responsibility to ensure proper accountability and reconciliation as part of the progress that is being made. I thank him for pointing out that progress. In these dark moments, it is important not to forget that there is actually a lot of hope in the country given the progress that has been made over the past 10 years.
(5 years, 9 months ago)
Commons ChamberI completely share the frustration that the hon. Gentleman has expressed about the role of Russia. We were on track, with the potential for a political settlement that could have removed Assad and meant the people of Syria did not have to suffer from someone who was prepared to use chemical weapons against his own people to impose his bloody rule. However, the Russians then intervened in the process, and it now looks as though Assad is here to stay, to put it very bluntly, so I think the Russians have to take responsibility for the way in which they have changed the situation. Like us, they have a veto at the Security Council, and we cannot stop them exercising that veto. What we can do is to support the work of UN special envoy Geir Pedersen, who has just started and will I think do a very good job. We hope that he can find a way forward, but we do not underestimate the challenges.
I welcome the Foreign Secretary’s statement, and I particularly welcome the progress that has been made on degrading Daesh. Does he agree with me that the continued influence of Russia and Iran in Syria and across the middle east actually presents the biggest threat to the rules-based international order that we have seen for a long time and that Britain needs to redouble our efforts to try to rebuild that rules-based international order over the long term?
I absolutely do agree with that. I think we have to be aware of the limits of our power and of the mistakes that we have made in our own foreign policy over the years in the middle east. As a new Foreign Secretary, I am very conscious that this is not an area of the world that someone can come to understand quickly, so we need some humility as we approach policy in this area. He is right, however, that one of the challenges we have is the involvement of Russia, which has become a more influential player in the region, and we should also say that about the activities of Iran. Taken together, these do present real risks to stability in the region of which we need to be aware.
(6 years, 6 months ago)
Commons ChamberWe are worried about the effects of social media on children and young people, which is why we have asked the chief medical officer to undertake a systematic review of all the international literature, to help us understand what further steps to take.
I recently met a group of headteachers in Halesowen, who expressed real concern about the effects of social media on the health of their pupils. Does the Secretary of State agree that peer-to-peer support among young people in the classroom and in our communities is a vital way of benefiting young people through the positive aspects of social media and combating the negative effects on their mental health?
(8 years, 6 months ago)
Commons ChamberIt is a pleasure to sit on the Treasury Bench with my hon. Friend the Minister for Culture and the Digital Economy for the first time in several years. I will leave him to respond to that point, but I will make a broader point in response to the question from my hon. Friend the Member for Enfield, Southgate (Mr Burrowes) which is that the change we need to make in the NHS is to prevention rather than cure. If we can stop people becoming addicted in the first place, whether to drugs, alcohol or gambling, we will reduce costs for the NHS in the long term. That is the purpose of many of our plans.
Thirdly, a seven-day NHS requires a big improvement in access to 24/7 mental health crisis care, so that whenever a problem arises we are there promptly for some of our most vulnerable people. We will deliver that alongside our broader plans to enable 1 million more people with mental health problems to access support each year by 2020.
May I commend the Government for accepting the majority of the recommendations from the independent mental health taskforce and allocating £1 billion to implement them? The Secretary of State has been talking about system change within the NHS. To deliver on the taskforce’s recommendations, we need system change to make sure that we have the sort of mental health services that the people of this country deserve.
My hon. Friend speaks with great knowledge and as chairman of the all-party group on mental health. He is absolutely right to say that we need system change. The system change we need is to stop putting mental health in a silo, but instead to understand that it needs to be part of the whole picture of treatment when a person is in hospital or with their GP; it needs to be integrated with people’s physical health needs. We need to look at the whole person. We will not get all the way there in this Parliament, but I think the taskforce gives us a good and healthy ambition for this Parliament and I am confident we will realise it.
(8 years, 11 months ago)
Commons ChamberI accept that we need to improve the provision of mental health services for children, but I do not accept the hon. Lady’s characterisation. She will know that in the final Budget before the general election, the previous coalition Government committed £1.25 billion over this Parliament to improving child mental health provision and perinatal mental health support. That has been honoured by this Government, and we are in the process of working out how to roll that out. It is something that the Minister for Community and Social Care, my right hon. Friend the Member for North East Bedfordshire (Alistair Burt), spends a lot of time thinking about.
Before we discuss precisely what things need to happen—I think they should be done in a bipartisan spirit—we should recognise that really important progress has been made in recent years. I want to start with some of the achievements made by the previous Labour Government, who increased funding for the NHS and, within that, for mental health services. They oversaw a significant expansion of the mental health workforce and big improvements in in-patient care, with 70% of mental health patients being seen in private rooms. They increased the use of new drugs and therapies, including psychotherapy. Those were important steps forward.
Under the coalition Government in the previous Parliament, we saw a record investment of £11.7 billion in mental health services at a time of huge pressure on public finances. We passed the parity of esteem clause in the Health and Social Care Act 2012, something we Conservative Members are incredibly proud of. The first access targets were set for talking therapies for psychosis. We are starting to end the distortion that the right hon. Member for North Norfolk talked about, which saw targets for physical health access sucking resources away from local mental health provision over a sustained period.
We have seen particular progress in two areas. It is important to mention them; it provides encouragement that when we decide to focus on improving specific areas of mental health provision, we can make real progress. First, on talking therapies, the NHS is now recognised as a world leader. The number of people getting help from talking therapies quadrupled from 182,000 people starting treatment in 2009-10, to 800,000 starting treatment last year. The total number of people helped in the previous Parliament was 3 million, compared with just 226,000 people helped in the Parliament before that—a thirteenfold increase.
We are hitting the new access target to reach 15% of those needing it, although we are not quite hitting the recovery target; I hope we can put that right soon. That model is being looked at very closely by Scandinavian countries, and a pilot, based on what we have done here, is starting in Stockholm. We can be very proud of that important progress.
The last Parliament saw a 50% increase in dementia diagnosis rates, up from 41% at the start of the Parliament to 67% at the end of the Parliament—the highest dementia diagnosis rate in the world. We have 1.3 million dementia friends and 120 dementia-friendly communities. We have seen a doubling in funding for dementia research, with a new ambition to find a cure or disease-modifying therapy by 2025. In the spending round, the Prime Minister announced funding for a new dementia research institute; that will be another important step forward.
The Secretary of State talks about the amount of money put into dementia research for very good reasons, but is there not a strong argument for building a research and evidence base around mental health? We need a commensurate investment in research on mental health, so that we can understand more about prevalence.
My hon. Friend is absolutely right, and I commend him for the work he does on the all-party group. The truth is that it is still early days when it comes to a proper understanding of mental illness. According to the latest Times Higher Education league table, this country has five of the top 10 health research universities worldwide, so we have a huge contribution to make to that research; he is absolutely right to make that point.
(9 years, 5 months ago)
Commons ChamberIt is an honour to speak about health and social care in our debates on the Gracious Speech, because nothing matters more to this Government than providing security for all of us at every stage of our life, and nothing is more critical to achieving that than our NHS.
I start by welcoming the right hon. Member for Leigh (Andy Burnham) and his colleagues back to their positions. I will not take it personally that two of them want to break from debating with me to go elsewhere. However, it is a topsy-turvy world when the shadow Health Secretary who was the scourge of private sector involvement in the NHS now wants to be the entrepreneurs’ champion. As one entrepreneur to another, may I put our differences to one side and on behalf of the whole Conservative party wish him every success in his left-wing leadership bid? This is perhaps the only occasion in history when my party’s interests and those of Len McCluskey are totally aligned.
That is not to mention the hon. Member for Leicester West (Liz Kendall), who is, in her own way, a kind of insurgent entrepreneur, taking on the might of the Labour establishment, in the mould of Richard Branson or Anita Roddick. Sadly, I fear that she will demonstrate that pro-business, reform-minded, centre-ground policies are as crushed inside today’s Labour party as they would have been in the country if Labour had won the election.
The shadow Health Secretary said countless times during the election campaign that the NHS would be on the ballot paper. He was right—the NHS was indeed the top issue on voters’ minds—but not with the result he had intended. So, just as he has now done significant U-turns on Labour’s EU referendum policy, economic policy and welfare policies, I gently encourage him to do one on Labour’s health policies too.
The Queen’s Speech committed the Government to the NHS’s Five Year Forward View and the £8 billion that the NHS says it needs to fund it. The shadow Health Secretary refused to put such a commitment in Labour’s manifesto, and I hope today he will change that policy so that we can have cross-party consensus on this important blueprint for the NHS.
Does the Secretary of State agree that one of the biggest challenges we face is to achieve parity of esteem between mental health and physical health in the NHS, and that the way to achieve that parity is by ensuring that mental health services are properly funded and that we have a culture change in the NHS that means that physical health and mental health are treated as the same?
My hon. Friend is absolutely right, and I want to thank him for his tireless campaigning on parity of esteem for mental health in the last Parliament. One in 10 children aged five to 16 has a mental health problem, and it is a false economy if we do not tackle those problems early, before they end up becoming much more expensive to the NHS as well as being extremely challenging for the individual involved. We are absolutely determined to make progress in that area.
(9 years, 11 months ago)
Commons ChamberThe training may have started under Labour, but if we do not have enough money in the NHS budget, we cannot pay for these doctors and nurses. We can do that because we took a decision, bitterly opposed by Labour, to disband the primary care trusts and the strategic health authorities and to lose 21,000 administrators so that we could pay for 10,000 extra doctors and nurses, including in Coventry.
The achievement of parity of esteem between mental and physical health in the NHS is absolutely fundamental to its future. As the Secretary of State will know, the Government have a reasonably good record on moving towards parity of esteem. Does he agree that we need not only more investment in mental health services, but, more importantly, better commissioning and a change of culture towards viewing patients as a single whole?
My hon. Friend has campaigned incredibly hard on this issue. I totally agree that the key aspect is a change in the approach of commissioners. People with mental health needs often have physical health needs and different needs relating to gambling and alcohol addictions, for example, that are connected to their mental health problems. Unless all these issues are tackled together, we are unlikely to make progress. We are very proud to have enshrined in legislation parity of esteem as something that we must achieve in the NHS. Today’s announcement will help this to go further.
(10 years, 5 months ago)
Commons ChamberUrgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.
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That is absolutely true. A number of initiatives are taking place, and I welcome them. The involvement of universities can help us to understand some of these very difficult issues. This is uncharted territory for the NHS, because nowhere else in the world are we seeing the rigour with which we are going about our task. I think that we should be open about anyone who can contribute to the debate.
I welcome the Secretary of State’s focus on transparency and accountability. He is right to draw attention to the positive steps that the Government have taken in regard to mental health services in the last four years, but given our aspiration to secure parity of esteem between mental and physical health in the NHS, and our need to drive up mental health care standards throughout the country, should we not extend the transparency and accountability measures that he has announced to those services?
I pay tribute to my hon. Friend’s campaigning on mental health issues, which has done a huge amount to raise the profile of the subject. Let me reassure him that the information that we are publishing on the website today includes staffing data for all the mental health trusts. We completely recognise the parity issue, at least in what we are doing today.
(10 years, 9 months ago)
Commons ChamberWe on the Government Benches will take absolutely no lessons about transparency in the NHS from Labour after what it did for so many years. I think what we are introducing is a huge step forward, because for the first time every hospital in the country will, as a minimum, have to publish their ward-by-ward staffing ratios every single month. They can publish more—they can do what Salford does—but for every hospital in the country to do that every month is a huge step forward.
The Secretary of State talks about finding alternatives to people presenting at A and E. May I commend Rowley Regis hospital in my constituency, which has just opened a GP-led primary care assessment centre in order to deal with people in the community—in a community setting—rather than having to refer to A and E? That hospital used to have five in-patient wards, but they were closed by the Labour party and the right hon. Member for Leigh (Andy Burnham) when he was Secretary of State. However, three of them have been reopened in the past three years, which is a substantial new investment in a very important community hospital.
I commend what is happening; it is very important that locally driven solutions are providing good alternatives to going to A and E. One of the most important things we can do for my hon. Friend’s constituents is make sure we have proper continuity of care so that for our most vulnerable patients there is a doctor who knows what is up with them at any time, whether they are in or out of hospital, and who can give them joined-up care and make sure they have a proper care plan wrapped around them. That is the kind of care we need to see.