Surrogacy
Jessica Lee Excerpts(10 years, 2 months ago)
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Jessica Lee (Erewash) (Con)
It is a great pleasure to speak in front of you during this important debate, Sir Edward. I am grateful for the opportunity to raise the matter in Westminster Hall today.
Of the many functions of Parliament, one of the most important is to respond to changes in society and, when appropriate, to legislate accordingly. The law on surrogacy is outdated, limited and in places illogical. It is difficult to see how the current law, such as it is, can be said to help people who are starting families without the process involving significant stress and risk. Although there is no small or completely straightforward change to alleviate such problems, the time has come for Parliament to take a fresh look at the rules around surrogacy and to commit to helping people to start a family. I have some experience and interest in the matter from my time as a family law barrister.
Surrogacy is on the increase. Despite a lack of official figures, save for what is recorded on the parental order register, it is estimated that between 1,000 and 2,000 children are born through surrogacy each year, which is up from between 50 and 100 in 2008. The numbers are rising sharply, which is why the time is right for Parliament to explore the solutions to help the families and surrogates involved in the process. To start with, it is worth considering why families or individuals turn to surrogacy. There are of course several reasons, including unexplained infertility, cancer, couples being of the same sex or, occasionally, individuals wanting a child. Whatever the reason, however, the current system has uncertainties throughout. Some commentators have described surrogacy as a legal and political minefield, which may be right, but Parliament’s role is to face up to such problems and to try to find solutions.
Not only are there problems with the law in this country, but an international framework for surrogacy, unlike adoption, is lacking. The rules in the UK are so ambiguous that potential parents are increasingly turning to other countries to find surrogates, which has its own problems. The lack of an international structure leads to delays and complications when they return to the UK with their children. The problems were highlighted over the summer with the case of baby Gammy, one of a set of twins born to a surrogate in Thailand for Australian parents. Gammy happens to have Down’s syndrome, and there is a dispute between the surrogate and the intended parents as to the reasons why he is now separated from his twin, who has gone to Australia. It cannot be right for such children to be left without a clear set of international rules to resolve the dispute.
The Minister may not be surprised to hear that I am not short of possible solutions to the issues around surrogacy and ask her to reply directly to my proposals. I am sure that she will agree that the current system has problems and those problems must be the starting point. With that in mind, I am sure that she will be grateful for the opportunity to work with me and others and across Government Departments to help families by seeking solutions that can reform the system.
In summary, I am calling for the following changes. First, I want new legislation to be brought forward to update the law or to amend the current legislation to help prospective parents and surrogates. Secondly, there should be written agreements for those going into surrogacy to ensure that all potential future issues around the pregnancy have been discussed and agreed. Thirdly, I want an international framework for surrogacy. Fourthly, there should be a code of practice for prospective parents and surrogates. Fifthly, we should have pre-birth orders, because it is right that there should be an immediate transfer of parenthood upon birth. Sixthly, payments to surrogates need to be regulated and transparent and should be for the surrogate’s “inconvenience” rather than for the acquisition of a child. Finally, we should end the non-extendable deadline of six months for applying for a parental order. I will discuss a related development that came in a recent judgment later, but it cannot be right to have no flexibility in a family law application of this nature.
The Surrogacy Arrangements Act 1985 and the Human Fertilisation and Embryology Act 1990 provide for the current legislative arrangements. The 1985 Act made it a criminal offence to advertise for a surrogate mother, to advertise oneself as a prospective surrogate or for third parties to broker a surrogacy arrangement on a commercial basis. The Act made the UK surrogacy arrangement unenforceable and the legislation was perhaps aimed to discourage surrogacy. The reality, however, was that surrogacy cases were beginning to rise in the UK and the legislation left the whole structure without professional support, which was reflected on by High Court judges at the time. In 2007, Mr Justice McFarlane commented:
“Given the importance of the issues involved when the life of a child is created in this manner, it questionable whether the role of facilitating surrogacy arrangements should be left to groups of well-meaning amateurs.”
He makes a good point.
The 1990 Act created for the first time a bespoke legal process enabling married intended parents to reassign legal parenthood to themselves and obtain a parental order. It was updated in 2008 and extended those eligible to apply for a parental order to include unmarried and same-sex couples. That, however, is it. That is our entire legal framework. The various pitfalls in the current legislation are many and I will now speak of how Parliament can best legislate to help all involved.
Enforceable written agreements and a code of practice would deal once and for all with the uncertainty surrounding surrogacy. There are an infinite number of questions to ask before going into a surrogacy arrangement. A written agreement and a code of practice would provide clarity for intended parents and for surrogates. All those involved need proper advice and proper safeguards against all eventualities. What if the pregnancy results in more than one baby? What about communication between all involved during the pregnancy? What if the child has a disability? What about the arrangements for the actual birth? Those are just a few of the obvious, practical problems that need to be addressed and could be addressed by written agreements.
I have been discussing the matter with other MPs and some of my constituents. Following a conversation with a couple in my constituency, I will put it like this: I would not expect my constituents—the good people of Erewash—to have to purchase a house or lease a car without a contract, so why when trying to form a family, which is the most important thing that they will ever do, with a surrogacy would they do so with an inadequate framework? It cannot be right, but it is within Parliament’s power to change the rules.
The next change I would like relates to pre-birth orders. It is important to establish legally who the parents are from the moment of birth. At the moment, the surrogate, and their spouse if they have one, are the legal parents of the child. It has been said to me over the past few days that there is always the risk that surrogates will change their mind and that it must happen all the time. It is a common misconception. To my knowledge, only two cases of surrogates seeking to keep their baby have been reported in the past 30 years compared with some 1,000 successful arrangements. Typically, surrogates are mothers who have found pregnancy easy and then want to help other families. They have a commitment to help the intended parents and want to see them have their own family and see the child grow up in that unit. We need to support those women and to make the law work for them.
Furthermore, many children are being born abroad, if the surrogate is based there. That creates more problems, because the child can be born stateless, making arrangements to come home to the UK complex. If the parental order could be obtained during the pregnancy, arrangements to come home with the child would obviously be far more straightforward. A number of MPs have dealt with scenarios in which a child is born abroad and there are difficulties in returning to the UK.
The international context of surrogacy can add to the difficulties of applying existing UK legislation to the reality of modern surrogacy. Surrogacy law can be complex for foreign surrogacy arrangements. There is no international harmonisation of English and international law, and we do not automatically recognise a foreign birth certificate naming the donor parents as the legitimate parents of a surrogate-born child. In stark contrast with adoption, which requires the thorough vetting of parents, anyone can enter into a surrogacy arrangement abroad.
Automatic recognition of the surrogate as the legal mother, however, can cause its own problems in the context of international surrogacy agreements. In 2008, a British couple who had paid £23,000 to a surrogate mother who bore twins for them in Ukraine were at first unable to bring the children back to the UK, since the couple were not recognised as the legal parents. That situation took a year to resolve, during which time the children were left “marooned, stateless and parentless”, leading the judge dealing with the case to issue a stark warning about how dangerous such a scenario is.
There are many practical problems to getting home safely to the UK with the surrogate-born child after the birth, because of issues to do with the right travel papers, entry clearance and citizenship. Parents then have to look at the legal status of the child as soon as they return and any necessary interim legal measures. For instance, are the eligibility criteria for a parental order all in place? What about the legal position of the surrogate, and her partner if that is relevant, under English law? The complications are many.
Rules on surrogacy vary from country to country, so not only do we need to look at our domestic law, but all countries ultimately need to look at the international framework. In some countries, surrogacy is banned completely, such as in Germany, Italy, France and Sweden. In some countries, the law is complex, such as in the UK and Australia. Elsewhere, 19 states in America have laws clearly recognising surrogacy and another 10 states allow unpaid surrogacy. Also, anecdotally, I know of same-sex couples who have moved to the States with work, in part because they know that in due course it will be more straightforward there for them to have a child through surrogacy. Thus, all children born via surrogacy in the USA are eligible for a US passport, regardless of the citizenship of the parents, but that is inconsistent with other countries.
In July this year, the Government of Thailand announced changes to their regime for commercial surrogacy, stating that all surrogates will have to be blood relatives. As I made reference to earlier, a case in Thailand hit the headlines over the summer, and one can only feel sympathy for everyone involved in it. The case of baby Gammy, however, absolutely highlights the pitfalls and difficulties for all concerned. The outcome of such international situations—involving Thailand in this case, but it could be anywhere—might be that surrogate arrangements become more covert, and no one wants that. What we want is clear and transparent arrangements in this country and abroad.
Stuart Andrew (Pudsey) (Con)
I congratulate my hon. Friend on securing this important debate. Among a number of concerns, many people fear exploitation. Is not preventing that another reason for the importance of reaching international agreements?
Jessica Lee
My hon. Friend makes a good point. The way to avoid such exploitation is clearly to have a clear and transparent structure. That is what is missing in domestic law, where there are arrangements, although they are not working properly, and internationally. Far fewer UK couples would consider going abroad if the domestic arrangements for them in England and Wales were completely straightforward, preventing them from feeling the need to travel around the world to find a suitable surrogate.
Parental orders, as I said near the beginning of my speech, have a strict six-month deadline in which to be registered once a surrogate has had the child. The law provided for no flexibility on that until very recently—a judgment was published in the past few days. In that case, the president of the family division of the High Court made the following comment:
“Can Parliament really have intended that the gate should be barred forever if the application for a parental order is lodged even one day late…It is the very antithesis of sensible; it is almost nonsensical.”
The judge then went on to make the parental order and the wardship was set aside. There had been significant delays in returning the child to the UK.
It can be said, therefore, that case law has moved matters forward, but the rules remain the same and that is a matter for Parliament to resolve and to do so early. We are dealing with people’s families and with emotive issues. That is the most important thing. If there cannot be flexibility in obtaining a parental order, that is a most unsatisfactory position. That must be one of the first matters in which there has to be flexibility in an application under family law.
I want to address the issue of same-sex couples. Since the Marriage (Same Sex Couples) Act 2013 passed through Parliament, we probably have had an increase in the number of same-sex couples looking to have a baby through surrogacy. That has been on the rise for some time, but the Act supports it as well. On Second Reading, the Minister gave one of the most thoughtful and measured speeches on the legislation, which I recall clearly, so I am delighted that she is responding to the debate today. She has always taken a thoughtful approach to the issues surrounding same-sex couples.
In the UK, anecdotally, same-sex couples conceive with the help of a friend, relative, or a surrogate introduced to them by a UK-based non-profit surrogacy organisation. As we know, such surrogacy arrangements commissioned in the UK are unenforceable by UK courts, so the problem remains. Increasing numbers of same-sex couples are travelling abroad for surrogacy. As I mentioned earlier, a popular destination is the USA, because some states can guarantee that both fathers will be named on a child’s birth certificate from the outset. But, again, we come back to the problems that I have raised before. Parliament did well by passing the same-sex marriage Act and progressing matters in that way, but for issues that follow on from that, Parliament needs to do the same. We must have an even-handed approach in addressing every aspect of people’s social and family lives, and that is why we need to update the law.
I have set out for the Minister my key requests. I accept that they are not small ones, and some will take time to grant, in particular those concerning an international framework. However, I genuinely feel that there is a real change in emphasis. There is a momentum to address the issue. Judges, as I have quoted, are saying that statute law is not right, and we need to move matters forward. We have an opportunity here today to take the initiative. We very much need to start the process, which would be welcomed across the parties. I have been helped by the right hon. Member for Birkenhead (Mr Field), who apologises for the fact that he cannot be here today. There is strong cross-party support for moving things forward. I urge the Minister to take this one-off opportunity and take a stand today and offer some solutions to these complex and extremely important questions, which could transform people’s ability to have their families in this country.
Oral Answers to Questions
Jessica Lee Excerpts(10 years, 6 months ago)
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Jessica Lee (Erewash) (Con)
I thank my right hon. Friend the Secretary of State for his recent visit to Erewash. He has kindly offered to come back another time. We welcome the Prime Minister’s challenge fund being allocated to Erewash. May I reassure my right hon. Friend that our excellent GPs are working very hard to make sure that services and support are appropriately allocated in our community?
Mr Hunt
I thank my hon. Friend for her work to promote good health care in her area. I very much enjoyed meeting her local GPs. I was disappointed that it was only for about five minutes. I very much hope to go back and have a proper discussion. They were very enthusiastic about the Prime Minister’s challenge fund, and are making some very innovative changes.
Community Hospitals
Jessica Lee Excerpts(12 years, 3 months ago)
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Guy Opperman (Hexham) (Con)
At this moment, Mr Speaker, you must be feeling like Shakespeare’s Henry V at Agincourt, and I suggest you will look back on 6 September 2012 as the day when hon. Members in the Chamber heard many potential Ministers speak for the first time. We had the great honour and privilege of hearing my hon. Friend the Member for Totnes (Dr Wollaston). She is a doctor and spoke with great wisdom when she introduced the debate. The other doctor in the House, my hon. Friend the Member for Bracknell (Dr Lee), also made a fine contribution. We welcome to the Whips Bench my hon. Friend the Member for Guildford (Anne Milton), who formerly distinguished the Department of Health, and throughout the past hour and a half a plethora of Labour Members have indulged us with their oratory and commitment to community hospitals. Finally, I welcome the new Minister who, as you prophesied, Mr Speaker, has a glittering career in front of her. Those were fine words, although I believe that you also admonished her most robustly for being a little too chatty when she was a Parliamentary Private Secretary.
I strongly look forward to hearing the gentle, reticent, shy, self-effacing style that the Minister has characteristically formed throughout the past two and a half years as an MP. Some have described her as Nottinghamshire’s modern Boadicea of Broxtowe, which may stick in the future. If she is able to survive the cake-fests of south Dorset, and future requests to visit many a hospital, she will surely go far.
I must make a brief declaration because I would not be in this House were it not for my campaigning as a lawyer on behalf of community hospitals, and the fact that my grandmother was an NHS matron. Furthermore, over the past two and a half years, I have probably spent more time in hospital than any other Member of Parliament, conducting an in-depth study of all aspects of NHS treatment. Owing to the fact that I was not a very good jockey, I have conducted an in-depth study of orthopaedic skills because I repeatedly seemed to come a cropper at the second last at Stratford, and various other delightful destinations. I am also fundraiser for various charitable organisations in my constituency—the Great North Air Ambulance service and the National Brain Appeal.
The subject of the debate is community hospitals. Amid the requests for preservation, strengthening and support, I want to enlighten the House with some success stories. The Haltwhistle hospital in Northumberland—a small community hospital in the heart of the town—is being completely rebuilt. There have been efforts to rebuild it for many years, and that is now happening on the same site in exactly the right way. That is what all hon. Members would like for their community hospitals. People in Northumberland would suggest that its integrated care is the way forward. There are standard community beds and care beds, and even one room for the larger patient, which is known in the trade as a bariatric room. That is a proper, integrated, long-term local solution in the community, for the community and involving the community. That must be the way forward.
Jessica Lee (Erewash) (Con)
Ilkeston community hospital in my community is held in great affection. Recently, one ward closed—the decision divided opinion among local GPs. We need to examine what services are provided and remind local residents and patients what facilities are available and what procedures they can obtain locally.
Guy Opperman
I endorse entirely what my hon. Friend says and am sure the Minister has taken due note of her comments.
I want to sell and extol the groundbreaking decision in Northumberland in favour of the PFI buy-out of Hexham general hospital. The hospital was built and opened under the former Prime Minister—the right hon. Member for Sedgefield as was—with a substantial PFI that patently impeded its ability to function, but it is among the first in the country to have been bought out by the local community. The way forward must be to try to refinance and improve the financial situation of such hospitals.
Northumberland has a rebuilt community hospital and a general hospital at Hexham, which delivers all the services, including cancer care and maternity, that we would like in local facilities. That should continue, but the problem I want to raise with the Minister is the future of rural health care—the problem will also apply to my hon. Friend the Member for Penrith and The Border (Rory Stewart) and any number of representatives of truly rural communities. Community hospitals are clearly at the heart of that, but the way in which community hospitals integrate in rural health care is one of the significant challenges for the Department of Health in the next five, 10, 15 and 20 years. I suggest that the way ahead must be for rural health care to become more automated—we should provide computer facilities for prescriptions and check-ups—but we must also integrate facilities using examples such as the Torbay and Haltwhistle models. We should also attempt to provide paramedic and GP services in an integrated way. It is good that the hon. Member for Denton and Reddish (Andrew Gwynne), the shadow Minister, is in the Chamber, because that will take co-operation between the unions and between local facilities. Any problems should be overcome if we make the point that people in the community are helping one another.
The future of integrated services—health care, fire, police or ambulance services—must be addressed by whoever is in government. I strongly urge the Minister to come to Northumberland to see the flagship model of the health service and the great job that my trust is doing.
Veterans (Mental Health)
Jessica Lee Excerpts(12 years, 9 months ago)
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Andrew Percy
I will speak only for three or four minutes, which I think will give the shadow Minister and the Minister longer than they were expecting; but as there was not a line of hon. Members waiting to speak, I thought that I would add my voice to this important debate. I apologise, Mr Dobbin, for not dropping you a note.
I congratulate my near neighbour, my hon. Friend the Member for York Outer (Julian Sturdy), on securing this important debate on a vital issue. There are no party politics involved; we all agree about the sort of services that we want provided for ex-service personnel. I just want to tell the story of a constituent of my neighbour, the hon. Member for Scunthorpe (Nic Dakin). He is the gentleman whom I mentioned earlier, Charles Brindley, who is the vice-chairman of the Royal British Legion in Brigg, in my constituency. He has been trying to put together a project in the area to establish better mental health and support services for veterans. He is trying to co-ordinate through the councils, and I am pleased that North Lincolnshire council has taken him up on his offer of working with it.
There is so much involved in trying to bring everything together. The e-mails that we have had from Charles Brindley and the discussions that we have had with him have been quite enlightening. He has been trying to work with the Prison Service, and he found out that one prison does not have a dedicated individual to respond to ex-service personnel there. He has been trying to work with the primary care trusts and GPs on the very point that I raised with my hon. Friend the Member for Hexham (Guy Opperman): raising GPs’ awareness of what is available through the NHS for ex-service personnel. He has also been trying to work with other organisations that I would not even have thought of, such as Age UK, which has told him that older people may now be starting to present with mental health problems that go a long way back.
A range of organisations and institutions come across ex-service personnel at different points in their lives and provide them with services, and the fact that they are not necessarily always joined up concerns me. Some of what is happening can certainly be brought together under the auspices of the local authorities, but I echo the idea of a dedicated veterans agency. The example that is probably most similar to what we want are the incredibly dedicated services, including specialist health services, provided to veterans in the United States, where veterans seem to be provided with a lot of support that we in this country sadly do not give.
As many Members have said, it is often far down the line that mental health problems start to rear up. This summer, I met one of my ex-pupils walking through the town centre. I had not seen him since I taught him when he was about 16, and I asked him what he had been doing since then. He said, “I’ve been out in Afghanistan.” I think he was in a Yorkshire regiment. He said, “I got shot. I’ll show you.” He then rolled up his trouser leg to show me his bullet wounds. I asked him if he was okay, and he said, “I’m absolutely fine. I’m going to get paid out now. I’m going to get a better pension, and I’m going to get a house. Everything’s fine.” He may think that he is fine now, but in 10 or 15 years’ time, with his career in the military effectively ended, a mental health problem, as we know, could rear its head. What will there be to support that individual then? He is getting a lot of support from the Army at the moment—he had no criticism of that—but in 10 or 20 years’ time, that support might not be there, or he might not know how to access it.
Jessica Lee (Erewash) (Con)
I hope that my hon. Friend will agree that another consequence of delayed stress and trauma for veterans can be the impact on their family relationships. Representing families in courts, I have seen over the years that that has caused difficulties. It has been largely a case of fathers having a less meaningful relationship with their children and being less able to take responsibility for them.
Manufacturing
Jessica Lee Excerpts(13 years ago)
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Jessica Lee (Erewash) (Con)
I am delighted to participate in this extremely important debate and thank the hon. Members and colleagues who secured it. I also thank my hon. Friend the Member for Hexham (Guy Opperman) for his fine opening speech.
The constituency of Erewash, which I have the honour of representing, is in the heart of the east midlands manufacturing base. The east midlands has the highest employment level in manufacturing in the United Kingdom. We have been manufacturing products in Erewash for over 300 years. It is the base for one in five of the 2,400 firms in my constituency. To put it another way, 30% of the jobs in Erewash rely on the manufacturing sector.
The range of products is also diverse, and it has developed as the technology has changed over the years. We have made everything in Erewash, from pencils to lace and drainage covers to railway carriages—the list goes on. Indeed, the town’s contribution to manufacturing has continued in peacetime and wartime. At the Stanton Gate works, 873,500 bomb casings were produced during world war two, and my late grandfather, who grew up and worked in nearby Nottingham, was an engineer on the local railways all his life and one of the many engineers asked to help in factories throughout the war, producing, making and helping us to win world war two.
One industry with a proud legacy in Erewash, especially in the town of Long Eaton, is furniture making. In recent years, there has been a resurgence in the trend for Union Jack-themed home accessories and furniture, and I confess that in the Lee household the occasional Union Jack cushion has appeared from time to time, but to me it is a great symbol, because it shows that we support British products and furniture makers, such as Meadowmead in Long Eaton. I am an active member of the all-party group on the furniture industry, and I will continue to do all I can to support the industry.
High-tech engineering and educational suppliers are also successful. We have companies such as TecQuipment, which provides sophisticated engineering training products that are then exported to universities around the globe. We also have Atlas Composites, whose carbon composites are used by top companies, also around the globe.
Being located between Derby and Nottingham, Erewash is a significant supplier to larger companies such as Rolls-Royce and Bombardier, and I note the comments of my hon. Friend the Member for Pendle (Andrew Stephenson) and am delighted to hear about the recently formed all-party group on aerospace. If an application form is sent to me, I shall happily join that group, as it is important.
Through the Industry and Parliament Trust, several MPs recently visited Rolls-Royce. It is an extraordinary site, and I encourage all Members to go. The hon. Member for Hartlepool (Mr Wright), who is seated on the Opposition Front Bench, also attended, and that day everybody was completely mesmerised and impressed by the company’s workmanship, expertise and groundbreaking work.
Indeed, Rolls-Royce is responsible for 2% of the nation’s GDP, and through its encouragement of apprenticeships and its employment, in particular, of skilled graduates from around the globe it has created a fantastic working environment. For the overwhelming majority of employees, once they start working for Rolls-Royce they simply do not want to work anywhere else, a fact that is reflected in the small number of people who ever leave.
The lace industry has also been important in Erewash, and I have spoken about it several times in the House, but I cannot let this opportunity go by without mentioning again Cluny Lace in Ilkeston, the last traditional lace manufacturer in the country. That company made part of the lace on the Duchess of Cambridge’s wedding dress, and we were honoured and delighted to participate in that great day.
I agree with the hon. Member for Derby North (Chris Williamson) that a debate about this topic could not really pass without local MPs mentioning Bombardier. Supply-chain firms in Erewash will be particularly affected by the decision, but we are all agreed in the House, and I am pleased that the Government take the view, that we must review the procurement rules that the previous Government put in place and ensure that we make the best for this country of the procurement process.
I think that I am the first woman MP to participate substantially in the debate, so I should not let this opportunity pass without mentioning women and encouraging them to go into manufacturing and engineering. I have been working with a school in Erewash, and we are looking to set up a scheme. We are going to have an open day, involving as many schools as possible, to show young women and girls currently at school why careers in manufacturing and engineering can be exciting for them—and the wealth of opportunities and interesting careers that they might not have considered.
I was delighted by the Government’s recent announcement of 5,000 new mentors to encourage women entrepreneurs. The scheme should include manufacturing as well, and I look forward to seeing how it develops.
In conclusion, I particularly welcome one other Government proposal: the “Make it in Great Britain” exhibition, which will take place at the Science Museum next year. We need to do all that we can to showcase what we make in Britain and see what we do best. I will be doing all that I can to take schoolchildren from my constituency to visit that exhibition.
We are united in the House about improving manufacturing. The Government have made a good start, but there is much to do. We must celebrate what we do best, talk up the whole of manufacturing in this country and build on those successes to create strong foundations for the future.
Oral Answers to Questions
Jessica Lee Excerpts(13 years, 9 months ago)
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Mr Stewart Jackson (Peterborough) (Con)
10. What steps he is taking to improve NHS cancer services.
Jessica Lee (Erewash) (Con)
13. What steps he is taking to improve NHS cancer services.
Rehman Chishti (Gillingham and Rainham) (Con)
14. What steps he is taking to improve NHS cancer services.
Paul Burstow
There are several aspects to my hon. Friend’s question. One is that we need to see much more commissioning for outcomes in cancer services. We must also ensure that full advantage is taken of the cancer drugs fund. I would be happy to look at any specific details of the case he has mentioned if he cares to write to me.
Jessica Lee
Does my hon. Friend agree that an important part of improving cancer care in this country is supporting the excellent palliative and respite care wards, such as Oakwell ward in Ilkeston community hospital in my constituency? It would be remiss of me, as the daughter of a nurse, not also to ask him to pay tribute to the nursing staff who work in that important area.
Paul Burstow
First, I will take the opportunity to pay that tribute to the excellent and hard work of clinicians in providing invaluable support to people affected by cancer. My hon. Friend is also right to refer to the importance of respite care for families. As part of the end-of-life strategy that the Government are taking forward, we are looking to improve palliative care services and inquiring into the possibility of a per-patient funding mechanism to cover the costs of these services.