NHS England Update
John Slinger Excerpts(10 months, 3 weeks ago)
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Wes Streeting
I am extremely grateful to my hon. Friend, and I echo what he said about the talents of people at NHS England. I did not take this decision with the Prime Minister lightly. Indeed, it was not my instinct coming into government, but it has been shaped by what I have seen and experienced over the past eight months. Clinical leadership is vital, and that is not just doctors; it is also nurses and other clinical leadership. We have a brilliant chief nursing officer, who remains in place and will be part of that clinical leadership team. I can assure my hon. Friend that we do not want any political interference in what should be decisions for clinicians. What we need is the right political leadership to give that clinical leadership the tools, power and freedom to do the job that only they can do, and that they do best.
John Slinger (Rugby) (Lab)
This welcome reform cannot come quickly enough in Warwickshire where councillors, local health campaigners, I and others have been making the case for a doctor-led urgent treatment centre at our local hospital, the Hospital of St Cross, to complement the excellent nurse-led and GP out of hours service, but many of my constituents are concerned about having to travel to the larger hospital in Coventry and the long waiting times they find there. The integrated care board has a review of urgent care under way in Warwickshire, but I still do not know when it will be completed and my constituents want to know when urgent care at our local hospital will be upgraded. Does my right hon. Friend agree that his reforms to NHS England should equip ICBs more effectively to respond to local needs?
Wes Streeting
I am grateful to my hon. Friend for his perseverance in bobbing for so long; they should prescribe it on the NHS. I say to my hon. Friend that this is why I strongly believe in local decision making to make sure services are configured and designed to meet the differing needs of local communities while providing the same standard and quality of care in every part of the country. He also described the frustration of people who will often, including in the future, necessarily be living some distance from their general hospitals; that is why we have to shift out of hospital with the NHS being not just the national health service but a neighbourhood health service, with as many services as possible closer to people’s homes and indeed in people’s homes. That is the exciting future that is up for grabs, and that is the future we will realise thanks to the reforms we are making today. I am delighted they have been greeted with such support right across the House.
Obesity: Food and Diet
John Slinger Excerpts(1 year ago)
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Peter Prinsley (Bury St Edmunds and Stowmarket) (Lab)
A bariatric bed is a special big, strong bed used in hospitals for extremely obese people. When I was a medical student, there was no such thing as a bariatric bed—not invented, not needed. But then, hospitals did not have food banks for their staff either. So how have we got our relationship with food into such a mess?
The epidemic of obesity is a public health emergency costing billions. Millions of our citizens are dying early. The Government simply must act. This cannot be left to the market. We did it with smoking, and now we will do it with obesity. We have no choice. We know that at the heart of the matter is high-fat, high-sugar, high-salt, factory-produced food that is often ultra-processed, cheap, convenient, tasty and very profitable for a few very large food businesses. Nor must we forget that it is our poor citizens who are most affected—those who are cash-poor, time-poor and at high risk of a poor diet.
We cannot continue like this. The Government must act to change food habits. This is not the nanny state; this is simply good government. “Smoking kills,” it says on cigarette packets. Some food kills, too, so how about “The food in this packet will kill you if it is not part of a healthy, mixed diet”? Obesity is a massive issue for surgeons, increasing morbidity and mortality. Although we can staple stomachs or inject up to 3.5 million people with anti-obesity drugs, we all know that that is not the answer. Let us use the power of Government to legislate: warnings on food packets, breakfast clubs in schools, which we have already introduced, advertising bans, tax incentives, cooking education and an end to the dependence on the cheap, unhealthy food that blights the lives of so many of our citizens. We have no choice.
John Slinger (Rugby) (Lab)
I thank my hon. Friend for giving way during a very interesting speech. Does he agree that the national curriculum review presents the Government with an opportunity to encourage and strengthen the healthy eating component of the relationships, sex and health education curriculum so that citizens and especially young people are empowered to make healthier decisions on eating?
Peter Prinsley
My hon. Friend’s intervention was not really an intervention, because I had reached the end of what I wished to say. Nevertheless, I thank him sincerely.
Hospice and Palliative Care
John Slinger Excerpts(1 year ago)
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John Slinger (Rugby) (Lab)
I thank the hon. Member for Wimbledon (Mr Kohler) and the Backbench Business Committee for enabling this important debate.
This morning, I visited Myton hospices’ Rugby Myton support hub, which, together with its two in-patient centres and teams providing many distinct services, gives valued care to my constituents in Rugby. I want to put on record my sincere gratitude to all the staff and volunteers. The team this morning briefed me on the services they provide at the hub, which I will briefly mention. They provide coffee mornings, counselling for patients and families, opportunities to enjoy arts and crafts and to hear music, physical exercise sessions, self-care advice, support for carers and much more. All are delivered with kindness, and all are supported by an amazing array of volunteers. This is all backed by incredible fundraisers, including the former mayor of Rugby, Councillor Maggie O’Rourke; Myton was her mayoral charity recently. Local communities often rise to the challenge of fundraising, and they recently helped Myton to secure £240,000 to recruit, train and pay five registered nurses, so that more people in Coventry and Warwickshire can access a hospice bed.
I hope the Minister will consider three points that arose from my visit. First, volunteers and good will are of course wonderful, but they can only go so far, so any additional long-term funding from the local ICB or central Government would go a very long way, particularly given that the charitable nature of hospices means that there can be a multiplier effect. Secondly, to dispel myths, today I saw that hospices are not just about the last few weeks or days of life. They give a huge range of support to people with life-limiting conditions, so that they can live better until the very end of their life. Furthermore, they are there to support families, and hospices wish to engage with people much earlier in their illnesses. Thirdly, on communications, I hope the Minister will consider the point that despite the best efforts of organisations such as Myton hospice, many people do not understand what hospices are and what services they provide, or that they are free and are not private providers in the traditional sense. What more can the Government do to help hospices educate the public about their services, particularly now that there is more of a spotlight on palliative care, following the recent vote on the Bill introduced by my hon. Friend the Member for Spen Valley (Kim Leadbeater)?
Income Tax (Charge)
John Slinger Excerpts(1 year, 3 months ago)
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John Slinger (Rugby) (Lab)
My right hon. Friend the Chancellor inspired many people last week, including girls and women. The unfortunate comments from the new Leader of the Opposition about the first Budget by a woman Chancellor are not shared by the young women I have spoken to. My right hon. Friend inspired us MPs too, not merely with big-ticket items such as the core schools budget going up by £2.3 billion, but with a more subtle form of inspiration about the long term. It would be more popular in the short term simply to spend money on public services, but our Government have made difficult choices, such as £5.5 billion-worth of savings and ensuring that public money is spent wisely through the new office for value for money. My right hon. Friend has made tough decisions on tax, spending and welfare to restore our economic stability, which helps my constituents.
Freezing the small business multiplier for one year will protect more than 1,000 small businesses in Rugby constituency from inflationary bill increases. Thousands of my constituents will benefit from the increases in the national minimum wage and national living wage, boosting incomes by up to £1,400, and 1,100 carers in Rugby who are in receipt of carer’s allowance will benefit from the working limit being lifted, allowing them to earn more and still claim. Rugby’s 19,000 pensioners will see the state pension increase by 4.1% with my right hon. Friend the Chancellor maintaining the triple lock—that is more than twice the uplift given to people receiving benefits.
Some in my constituency have expressed concern about local hospital health provision. Labour founded the NHS—we will fix it and we will fund it. It is because of my right hon. Friend’s decisions that this Government can provide an extra £25.7 billion in two years to help cut waiting times, and £1.5 billion capital funding nationally for new surgical hubs and diagnostic scanners. That much-needed investment could not have happened had my right hon. Friend chosen immediate popularity by making unfunded promises that raised perfectly legitimate hopes among the public, just as the last Government did when they promised 40 new hospitals without having funding streams in place. The toxic legacy of that false hope is felt by the public, and expressed to every one of us in our inboxes. This Chancellor, this Labour party, this Government will restore faith in the very concept that government can improve lives.
It would perhaps have been more popular to pretend that there were no difficult decisions, only sunlit uplands, or that green shoots do not require watering and that public services can improve without proper investment. But we do not seek short-term popularity. This Budget lays the foundations for long-term economic stability, growth, investment and fairness, and enables us to begin delivering much-needed change to improve our constituents’ lives. As we do that, we will have the opportunity to earn the trust of the public we serve.
Access to Primary Healthcare
John Slinger Excerpts(1 year, 3 months ago)
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The Minister for Care (Stephen Kinnock)
This really has been a vibrant and powerful debate. I thank the Liberal Democrats for using their Opposition day constructively to shine a searing spotlight on the challenges that our constituents face. Hon. Members made a series of outstanding contributions, but I thank in particular my hon. Friends the Members for Aylesbury (Laura Kyrke-Smith), for Bury North (Mr Frith), for Calder Valley (Josh Fenton-Glynn), for Ealing Southall (Deirdre Costigan), for Welwyn Hatfield (Andrew Lewin), for Croydon East (Natasha Irons), for Lichfield (Dave Robertson), for Norwich North (Alice Macdonald), for Worthing West (Dr Cooper), for Uxbridge and South Ruislip (Danny Beales), for Thurrock (Jen Craft), for Gloucester (Alex McIntyre), for Bury St Edmunds and Stowmarket (Peter Prinsley), for Blackpool South (Chris Webb) and for Hexham (Joe Morris) for demonstrating why our party always has been, and always will be, the champion of the NHS.
I also congratulate the hon. Members for North Devon (Ian Roome), for Newton Abbot (Martin Wrigley) and for Harrogate and Knaresborough (Tom Gordon) on their excellent maiden speeches. It is quite shocking to note, however, that in spite of the vital importance of this debate to our constituents, there was not a single contribution from the Conservative Back Benches. [Hon. Members: “Shame!”] Not only do the Conservatives refuse to apologise for the last 14 years, but they have run for the hills. Their silence truly speaks volumes.
Labour Members deal with facts and the unvarnished truth. On the subject of today’s debate, the list of facts illustrating the appalling neglect and incompetence of the last 14 years is truly as long as my arm. If I were to pick out just one statistic to summarise the last 14 years, I might choose that the most common reason for children aged five to nine being admitted to hospital is tooth decay. It is a truly Dickensian state of affairs. I could also point to the UK’s decreasing GP numbers, as there are 1,500 fewer compared with seven years ago, against the backdrop of a rising population. Or I could pick the collapse in patient satisfaction from 80% in 2009 to a shocking 35% last year. Or I could single out the fact that more than 1,000 pharmacies have shut their doors since 2017, and that almost six pharmacies a week have left the market in the last year.
The charge sheet is so long that a month of debates in this Chamber could not cover the profound damage that has been done by 14 years of short-termism and sticking-plaster politics, and by the botched top-down reorganisation in 2012. The reality is that the Tories doused the house in petrol and covid lit the match.
John Slinger (Rugby) (Lab)
The reaction to a proposed ward closure in my local St Cross hospital in Rugby shows how concerned the public are about the health system after 14 years of underinvestment by the last Government. In this case, however, the closure is because patients are being cared for closer to home. Does my hon. Friend agree that bringing more services into the community, and into smaller hospitals such as the one in my constituency, is integral to managing present and future demand, and to putting our NHS on a sustainable footing?
Stephen Kinnock
My hon. Friend is absolutely right. This strategic shift from hospitals into the community will be vital and central to our 10-year plan for the future of our health and care system.
Primary care is the NHS’s front door, but the Tories spent 14 years bricking it over. Now it is walled off to millions of people across our country, so it falls to this Labour Government to tear down that wall. We know that there is not a second to waste, not least on mental health. It is unacceptable that so many children, young people and adults are not receiving the mental health care they need. We know that waits for mental health services are far too long, and we are determined to change that. We will recruit 8,500 additional mental health workers across child and adult mental health services, we will introduce a specialist mental health professional in every school, and we will roll out Young Futures hubs in every community.
We will reopen the front door to the NHS by rebuilding general practice on the firm foundations it needs to get the service back on its feet and fit for the future.