NHS 10-Year Plan
Debate between Jim Dickson and Wes Streeting(3 weeks, 3 days ago)
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Wes Streeting
I am so grateful to my hon. Friend for all the work she does as chair of the all-party parliamentary group, for the personal and professional experience that she brings to this House, and for the wisdom, advice and insight that she has offered to help me make better decisions. I am absolutely determined to work with families, especially those who have suffered such grave injustice at the hands of the NHS. It is a wonderful institution, but sometimes when it fails, it fails spectacularly. The culture of denial and cover-up cannot be allowed to persist, and I will work with my hon. Friend to make sure that we end it.
On neighbourhood health, it is so important that we engage with families early, especially where they may be at greater risk of complicated pregnancy or harm, because we know this is an area of grotesque health inequalities. After birth, it is really important that we have strong health visiting, and care in the community and the home that does not just consider the interests of the baby, but asks questions of the mother. How is she feeling? How is she recovering? Is her partner coping? We have to look at the whole family, and I am sure we will get it right. I am determined to get this right, and it will be in no small part thanks to my hon. Friend’s leadership and support.
Jim Dickson (Dartford) (Lab)
I thank the Secretary of State for both his statement and the 10-year plan. I am delighted that residents in Dartford were able to play a full part in shaping its priorities through our consultation meeting in February. They will be really pleased to see not only the additional GP appointments, but the pressure being taken off their local hospital, Darent Valley, through the provision of better and more community services. The hospital was designed with a much smaller community in mind and is now suffering the consequences. Can the Secretary of State give me an idea of the pace of the roll-out of neighbourhood health centres? We could certainly do with one in Dartford.
Wes Streeting
I am grateful to my hon. Friend for his question—representation duly received. I reassure him that one of the ways we will ease the pressure valve on our hospitals is by doing more neighbourhood health. That helps to drive admission avoidance, speed up delayed discharges, and get much more effective flow of patients through hospitals. That is our commitment. We aim to roll out 40 to 50 neighbourhood health centres over the course of this Parliament, and if we can go faster, we will. I have no doubt that my hon. Friend, as a strong representative for Dartford, will make more representations to us shortly.
Oral Answers to Questions
Debate between Jim Dickson and Wes Streeting(2 months, 3 weeks ago)
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Wes Streeting
We are absolutely convinced that better use of digital tools will enable us to reduce the number of missed appointments significantly and factor in the likelihood of no-shows, so that we can reduce waste and eliminate inefficiency. I understand the case for penalties that the hon. Gentleman is making, but that is not a route we want to go down until we have made those improvements and judged how effective they have been.
Jim Dickson (Dartford) (Lab)
NHS England Update
Debate between Jim Dickson and Wes Streeting(4 months, 2 weeks ago)
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Wes Streeting
NHS dentistry is in a terrible state and, in fact, in many parts of the country it barely exists. There are lots of reasons for that, and it is a source of constant astonishment to me that the dentistry budget was underspent year after year despite that situation. The Minister for Care is working with the British Dental Association to reform the contract. I know that Members are frustrated at the pace, and so am I. We are trying to clear an enormous challenge; it is not going to be easy, but we are committed to working with the profession. We are rolling out the 700,000 urgent dentist appointments and supervised toothbrushing, as we promised and as the BDA has welcomed, but we have a lot more to do. That requires working with the profession—not simply tinkering with the system as it is, but fundamentally rethinking it and how we rebuild it into an NHS dentistry service that we can be proud of.
Jim Dickson (Dartford) (Lab)
I welcome the statement, particularly the commitment to ensure that as much money in the NHS as possible is spent on the frontline, where it can really affect patient outcomes. Nowhere is that more needed than in my constituency of Dartford, which is the fastest growing town in the UK. That extra population is imposing a huge strain on our local district general hospital at Darent Valley, despite the excellent efforts of the staff there. Could the Secretary of State outline how the changes will support the shift we need to see from services being delivered in the hospital to the community, thereby relieving the strain on hospitals like Darent Valley?
Wes Streeting
The frustrating thing is that we are delivering the wrong care in the wrong place at the wrong time, which is delivering poorer outcomes for patients and poorer value for taxpayers. People cannot get a GP appointment, for example, which might cost the NHS £40, and then they end up in accident and emergency, which could cost £400. If people cannot find a bed for a delayed discharge and rehabilitation outside of hospital, they end up stuck in a hospital bed, wasting away at greater cost. In fact, when I was up in Carlisle earlier this year, such intermediate care was being offered by a local social care provider, commissioned by the NHS, at half the cost and of a much better quality than the hospital bed that patients had been discharged from. That shift to the community is about delivering better outcomes for patients and better value for taxpayers, and that will be reflected in our 10-year plan.