(5 years, 9 months ago)
Commons ChamberMy hon. Friend is right; our first intention is that they should be tried in Iraq if it is possible to get justice for them in Iraq, and there is no reason why it should not be, with the new Government in Iraq. Of course, there are cases in which it is not possible for people to get justice in the country where the atrocity happened. That is when the ICC has a role, and that is why we support the ICC. It has a very important role to play internationally, despite a number of challenges that it currently faces.
The Secretary of State is right; the defeat on the battlefield is to be welcomed, but the ideology continues to grow. The fact that they have been defeated on the battlefield does not mean that they are not planning and are not capable of carrying out further attacks. Can he say a bit about what we are doing to track the money that is laundered to fund such attacks? The crucial thing that we need to do is cut off access to the money.
Absolutely. We have taken a number of measures to try to find out what is happening with that money and cut off access to it, including the Sanctions and Anti-Money Laundering Act 2018, the Criminal Finances Act 2017 and the Proceeds of Crime Act, which I think became law in 2010; I cannot remember which party was responsible for it. We can always go further, and for that we need to work with not only UK-based banks but Crown dependencies.
(6 years, 6 months ago)
Commons ChamberMy hon. Friend is right to draw attention to that issue. He does have, I think, 28 more GPs in the west Kent clinical commissioning group area than in 2010, but there is a particular issue over premises. The need to invest in premises is deterring younger GPs from becoming partners, and sometimes making GP surgeries unviable. We are looking at that problem now.
So many GP practices—no matter what salaries or what terms and conditions they offer—are reporting a reluctance by newly qualified GPs to go into GP practice. What will the Minister do about the hours of work—the time given to consult with constituents—to make it easier for people to see GP practice as a viable opportunity to serve their community?
(7 years, 10 months ago)
Commons ChamberI went to Addenbrooke’s in the autumn and saw at first hand how hard the staff there are working. That is another trust that is in special measures, but it has made huge progress in trying to turn things around. I met several staff in the emergency department as well, and I pay tribute to them for their very hard work. I have never said that it is not about funding; what I say is that it is not just about funding. There is huge variation. In parts of the country, emergency departments avoid precisely the kind of overcrowding that the hon. Gentleman described at Addenbrooke’s. Hospitals that do that very successfully include Luton and Dunstable. We need all hospitals to adopt what the best hospitals do.
I welcome the publication of the new suicide prevention strategy, and I welcome the fact that it includes self-harm. I am also grateful for the mention of the work of the all-party group on suicide and self-harm prevention, which I chair. Will the Secretary of State meet Dr Robert Colgate? He has set out a triaging system for mental health, which means that people do not have to wait six to nine months to see a consultant. With the support of frontline staff, they can get an immediate triage assessment and assistance for their condition. Will the Secretary of State meet urgently Dr Colgate, whose work is being peer reviewed by the University of Manchester, to look at how his system, which is being rolled out throughout England, can help us to tackle the problems we have?
I thank the hon. Lady for her work on the all-party group. I am more than happy to meet Dr Colgate. The purpose of the refreshed suicide prevention strategy is to try to ensure that we adopt best practice throughout the country. Some areas of the country are doing a very good job in suicide prevention, particularly in co-opting the public so that they understand that they can make a difference, too, but I am happy to explore with the hon. Lady what more can be done.
(9 years, 11 months ago)
Commons ChamberOf course, that has been a huge problem for Sherwood Forest Hospitals NHS Foundation Trust. I have met the chief executive, who is doing a very good job in turning around the trust, but there are huge challenges. What doctors and nurses in failing hospitals or hospitals in special measures want to know is that they have a Government with a long-term commitment to the NHS and who will deliver the economy that can fund the NHS. They also want to know that they have a Government who will tell the truth about problems so that they get sorted out, which never used to happen before.
Last week, as chair of the all-party group on motor neurone disease, I took evidence from professionals and patients who had been promised that £14 million would be available for communication support from April this year. Not a penny has been spent yet on equipment or new staff. I took phone calls from people who are end-stage kidney diseased who are frightened by the announcement that kidney dialysis is to go from NHS England to clinical commissioning groups. Will the Secretary of State get a grip, make sure that the money that is there is spent, and stop the disastrous move of kidney dialysis to CCGs, which are not functioning?
With the greatest respect to the hon. Lady, I will very happily look into the concerns she raises, but what we are talking about today is more money going into the NHS because the Government got a grip of public finances and got the economy growing. That means more money for people with long-term conditions, including people with motor neurone disease. The hon. Lady should therefore welcome today’s announcement.
(11 years, 9 months ago)
Commons Chamber7. What funding his Department has allocated to research into pre-senile dementia.
The National Institute for Health Research supports a wide range of research, including a number of studies of pre-senile dementias, more commonly known as early-onset dementias. This includes 85 studies recruiting patients with dementia and a further 17 in the set-up phase.
I declare an interest.
Dementia in the ageing population is beginning to be better understood and recognised—I appreciate the Government’s efforts on this—but there are also the frontotemporal dementias, such as Pick’s, corticobasal degeneration, Lewy body, progressive supranuclear palsy, Parkinson’s and stroke-related dementias, which are early onset. There is less understanding and awareness of these dementias. I welcome the Government’s commitment to research in this area, but we also need to extend understanding among nurses, general practitioners and care providers. Will the Government ensure that this wider understanding is available and extended?
I thank the hon. Lady for her interest in early-onset dementia. She is absolutely right: there is a widespread lack of understanding of dementia in general, and of early-onset dementia in particular. In addition to the research that I mentioned in my earlier answer, we are also looking at a major programme to engage GPs. Sadly, some GPs still think that it is not worth diagnosing someone with dementia, and there is a lack of understanding that we absolutely have to put right.
(11 years, 10 months ago)
Commons ChamberToday’s edition of The Daily Telegraph carries an article on dementia, including a quote from a GP who says that it is not useful to give an early diagnosis when there are no drug or care needs. Does the Minister agree that that GP, like many others, fails to realise that for pre-senile dementias in particular, early diagnosis allows planning and allows families to understand the confusion created by altered personalities, behaviour, emotional responses and language skills?
I know that the hon. Lady spoke very movingly in the debate on dementia last week and I wholeheartedly agree with her. The medicines available for people with dementia do not help everyone, but we do not know that until we try them. By diagnosing only 42% of people with dementia, as is currently the case, we are denying nearly two thirds of dementia sufferers the chance to see whether they could benefit from those medicines and, as she rightly says, the chance to plan their care, which could mean that they could live at home for much longer.