Oral Answers to Questions

Judith Cummins Excerpts

Tuesday 18th June 2019 Commons Chamber

[Stephen Hammond]

I thank my right hon. Friend for his comments on saving the hospital department—that is very important. He is right to raise the important role of the nursing associates, who deliver hands-on care in a range of complex settings. Thousands of nursing associates began training in 2017 and in 2018. Health Education England is leading a programme to recruit more than 7,500 into training in 2019, and I am sure that some of them will benefit his constituency.

[Judith Cummins (Bradford South) (Lab)]

15. Bradford NHS Trust is pressing ahead with plans to set up a wholly-owned subsidiary company. Last week, 97% of Unison members voted for strike action. Given that the trust is currently run by a temporary chair and a temporary chief executive, and is acting on guidance from a now-defunct body, will the Minister, to improve retention, call on the trust to drop these plans and keep the NHS family as one?

[Stephen Hammond]

The hon. Lady knows that a wholly-owned subsidiary is created as a legal entity. It is 100% owned by NHS organisations. It is also the case that local trust board members sit on the boards of those subsidiary entities. It is therefore appropriate that the local organisation takes that decision.

Medical Aesthetics Industry: Regulation

Judith Cummins Excerpts

Tuesday 14th May 2019 Westminster Hall

[Alberto Costa]

The hon. Gentleman is correct. We need to ensure that we have appropriate regulation with these procedures, or similar types of procedure. He is right to raise this issue on behalf of his constituents.

[Judith Cummins (Bradford South) (Lab)]

I thank the hon. Gentleman for securing this important debate. He will be aware of its importance as he is a vice-chair—along with my hon. Friend the Member for Swansea East (Carolyn Harris) and me—of the all-party parliamentary group on beauty, wellbeing and aesthetics. Does he agree that any new regulations that come forward need to consider non-medical regulation? We need to ensure we have properly qualified beauticians, with recognised qualifications, to carry out these procedures.

[Alberto Costa]

The hon. Lady is correct. I pay tribute to her and to the hon. Member for Swansea East (Carolyn Harris) for setting up the new all-party parliamentary group on beauty, wellbeing and aesthetics, along with me. I look forward to her interventions at meetings of that all-party group; I know she has a great deal of knowledge of this area. I agree that we do not want to stifle the beauty industry—we want it to grow and be successful—but we all want to protect our constituents.

--- Later in debate ---

[Jackie Doyle-Price]

The hon. Gentleman makes a good point, because when we talk about these examples, there is a danger that people can apply that prejudice to the entire industry. It is in the interests of everyone involved in this industry to welcome regulation, not least to celebrate the professionalism of what they do. There are some very reputable practitioners out there who are not actually in the medical industry. For example, semi-permanent make-up—a surgical procedure that does not involve any invasion—clearly does not require as strident regulation as what we are talking about with injectables, but it is the same industry, and we need to ensure an adequate registration system.

[Judith Cummins]

I very much welcome the Minister’s announcement today. On training and regulation for beauticians—non-medical people who constitute around 50,000 jobs in the UK economy—there is huge appetite and support within the industry for proper and appropriate regulation, and there is recognition of the urgent need for that. However, there are no regulated qualifications available for non-medical practitioners for injectables at the moment. Going forward, does the Minister think there will be some kind of progression route for beauticians to go into this kind of industry, so that we can guarantee proper standards for the consumer?

[Jackie Doyle-Price]

The hon. Lady is right, and I am grateful for the spirit in which she makes her comments. Anyone who establishes themselves in business as a beautician wants to deliver a good service, has pride in what they do and would not want to be accused of doing anything unsafe.

My first focus of activity is those organisations that train people in these procedures, because I can see a situation in which a beautician will have paid thousands of pounds to go on a course and will then think that they are qualified, but they might not be. That is where we need to bring the focus of regulation in the first instance, so that when somebody proudly displays their certificates, consumers can have some guarantee that they are legitimate. I welcome the opportunity to air these issues with the all-party parliamentary group as we move this system of regulation forward.

Sadly, we only have 30 minutes for this debate, so I doubt whether I will be able to get through as much as I would wish, but I will do my best. I am grateful for the interest of all Members here. We will continue this discussion. It is worth saying that Botox treatments and dermal fillers are increasing and, along with laser hair removal, now represent nine out of 10 non-surgical treatments performed in the UK. This is a major area of risk.

Hon. Members have referenced the campaign that we launched today. Clearly, consumers will be the best defenders of their own interest, but we must make sure that they have access to appropriate information with which to do so; we need to do much more to inform people about the risk. Just as in my hon. Friend the Member for South Leicestershire’s example of his constituent, I am quite sure that many people who have had fillers—who have gone to have their lips done, like they do—would have no idea that there is a risk of their artery being injected with poison. We need to make sure that consumers are much more aware of that, which is why we are doing so much more in the next six weeks to try to raise public awareness.

We will focus on targeting our messages to women aged 18 to 34, on whom the majority of the treatments are undertaken. I am pleased that we are working with Bauer Media, which publishes Grazia, Closer and Heat, which I hope will be appropriate vehicles to reach that audience. We will make sure that the NHS information is kept up to date and remains a meaningful resource for consumers.

Oral Answers to Questions

Judith Cummins Excerpts

Tuesday 7th May 2019 Commons Chamber

[Seema Kennedy]

I share the hon. Gentleman’s frustration, and I know that Members have been waiting for this. I am reassured by my right hon. Friend the Secretary of State that this will happen. I am going to be making it happen before the summer, and I will return to the House to update it.

[Judith Cummins (Bradford South) (Lab)]

23. The Healthy Start scheme, which provides food vouchers and coupons for free vitamins, reaches only about a third of children living in poverty. It is also woefully out of date; it is worth only £3.10 and it has not been updated since 2009. What are the Government doing to improve both the scale and impact of this important scheme?

[Seema Kennedy]

I thank the hon. Lady for her question. The Under-Secretary of State for Health and Social Care, my hon. Friend the Member for Thurrock (Jackie Doyle-Price), says that she is looking into it and that we will report back.

Non-surgical Cosmetic Procedures: Regulation

Judith Cummins Excerpts

Tuesday 12th February 2019 Westminster Hall

[Judith Cummins (Bradford South) (Lab)]

Does the Minister agree that as well as looking at regulation we need to celebrate the beauty industry, which is led predominantly by women, predominantly employs women, and contributes hundreds of millions of pounds to our economy?

[Jackie Doyle-Price]

I am happy to endorse that point. It is worth bearing in mind that in wishing to regulate the sector we do not want to undermine its dynamism and competitiveness. What we really need is to ensure that consumers are properly educated, so that they can make informed choices about where they seek treatment and can protect themselves. Medical professionals are equipped to deliver some of the treatments, but we do not necessarily want that as a monopoly. Provided we have an appropriate system of regulation with everyone signing up to the same expected standards, such a system can be embraced.

We have had reference to Sir Bruce Keogh’s invaluable review, led by my hon. Friend the Member for Central Suffolk and North Ipswich. The Government have acted to improve the regulation and registration of those performing cosmetic interventions, but we clearly need to make much more rapid and substantial progress if we are to protect consumers properly. The industry is ever-expanding. We have heard that treatments are now available on the high street in places such as Superdrug, but this is not like going to have a haircut. When things are injected into a person’s face, if it goes wrong, it takes a lot longer to fix than letting their hair grow again would. We need to be sure that we are properly looking after consumers, including their safety.

Prevention of Ill Health: Government Vision

Judith Cummins Excerpts

Monday 5th November 2018 Commons Chamber

[Matt Hancock]

Community pharmacies have a hugely important role to play in keeping people out of hospital and in supporting GP surgeries by doing more. Here, it is the French model that I look to for inspiration, but we should look all across the world to improve our health service.

[Judith Cummins (Bradford South) (Lab)]

Tooth decay is entirely preventable, so will the Secretary of State act now to address the concerns of the British Dental Association and others that the new dental contract will not go far enough in prioritising prevention?

[Matt Hancock]

We are trialling the new contract to get it right. We want to get it right, and I look forward to listening to the hon. Lady’s concerns in more detail.

NHS Long-Term Plan

Judith Cummins Excerpts

Monday 18th June 2018 Commons Chamber

[Mr Hunt]

My hon. Friend knows about that from her own family experience and I thank her for telling me about some of the challenges she has had in the interests of improving them for all NHS patients. She is right that one of the biggest opportunities the NHS has is to standardise best practice across the whole health economy. We collect, share and publish more data than any other healthcare system anywhere in the world, so we have the chance to get this right in a way that is not possible in other countries. I know we are absolutely determined to do so.

[Judith Cummins (Bradford South) (Lab)]

Given the crisis in access to NHS dentistry, in particular for our children, will the Secretary of State confirm that dentistry will get its fair share of this funding in line with demand?

NHS Outsourcing and Privatisation

Judith Cummins Excerpts

Wednesday 23rd May 2018 Commons Chamber

[Rosie Duffield (Canterbury) (Lab)]

A few weeks ago, my local NHS trust in east Kent announced that more than 1,000 employees—more than 800 Serco employees and more than 200 NHS employees—working in cleaning, catering, estates and facilities will now be employed by an arm’s length management organisation.

Most of us in this House will be familiar with ALMOs, but for those watching, listening and reading about them for the first time, although ALMOs may sound a bit like that well-known cuddly Muppets character, they are nowhere near as fun. This is not “Toy Story” but Tory story, a story of endless austerity and endless cuts to our vital and much-loved health and public services.

ALMOs have become a mechanism by which primarily local authorities, but now it seems NHS trusts too, can avoid responsibility by keeping things such as housing departments and cleaning facilities at arm’s length—away from too much scrutiny, and away from the managers and councillors whose jobs might depend on keeping themselves as far away as possible from that scrutiny.

[Judith Cummins (Bradford South) (Lab)]

My hon. Friend is making an excellent speech. Staff in Bradford have real concern about the plans to create a wholly owned company that could see 300 members of staff at Bradford Teaching Hospitals NHS Foundation Trust transferred out of the NHS, creating a two-tier workforce. Does she agree that we need to keep our health service, in the words of Unison’s campaign, 100% NHS?

[Rosie Duffield]

Absolutely. I was just about to speak about Unison, which is my union.

Leading unions have called the move in my local NHS trust—the East Kent Hospitals University NHS Foundation Trust—a “wolf in sheep’s clothing” and fear, with good reason, that workers’ conditions, including pay, will be eroded. I know many of those workers personally and they include some of my friends. The unions are right: workers’ conditions will be eroded, and it is already happening in other public services across Kent.

The Conservative-run Kent County Council, for instance, has introduced another ALMO called the Education People. Educational psychologists currently working directly for the council are being transferred to be employed by the Education People. The terms and conditions being offered by the ALMO to new educational psychologists are significantly worse than existing terms and conditions for those employed by the county, so no new educational psychologists have been recruited for Kent. We already have a serious shortage.

Of course, Kent County Council is doing that because central Government have starved it of funds and, perhaps because it is the same shade of blue, it is too timid to make that big a noise about things, so I will do it instead: Conservative central Government cuts are reducing our ability to care for people properly. In my constituency, the local NHS is potentially doing the same by setting up an ALMO to make yet more cuts by stealth. More money, less responsibility.

My union, Unison, represents nearly half a million healthcare staff employed in the NHS. That is one in every 60 or so working adults in one sector in the UK represented by one union standing up with one voice against injustice.

In Canterbury, rooms at the once thriving city hospital can now be found stacked with old equipment, and staff tell me that whole wings of old, neglected hospitals, such as the Buckland in Dover, lie abandoned, underused and under-occupied while waiting rooms in our not-so-local accident and emergency departments remain rammed. In Canterbury, services that were removed “temporarily” in 2017 look likely never to return to those old buildings. Proposals are afoot for a new hospital, but it simply will not be built if the central Government funding is not there to fill it. I am the only Labour MP in Kent and, as such, I am proud to make a loud noise about and stand up against the Conservative cuts that have caused vital hospital services to disappear in my county in recent years.

Things need to change drastically, and the new university medical school in Canterbury will be part of that much-needed change. If someone in my constituency is sick, they currently have to travel a long way to Ashford or Margate to get the emergency care they need.

Combine an underfunded NHS with a South East Coast Ambulance Service in special measures, and we have the ingredients for chaos. Chaos and a lot of sadness are apparent in all the letters I receive from constituents about the NHS week in, week out. Members will get the idea. The funding is not there, so the services have gone.

Oral Answers to Questions

Judith Cummins Excerpts

Tuesday 8th May 2018 Commons Chamber

[Steve Brine]

Gladly. Prostate cancer survival rates are at a record high, but we want to do even better, so last month the Prime Minister announced £75 million to support new research into the early diagnosis and treatment of prostate cancer. The National Institute for Health Research will recruit 40,000 more patients, which is a lot, for more than 60 studies into prostate cancer over the next five years.

[Judith Cummins (Bradford South) (Lab)]

I welcome the recent news that NHS England has committed to redirecting extra funding for dental services to Bradford as an area of need—it comes after a high-profile campaign in the Bradford Telegraph and Argus—but I urge the Minister to recognise the need for long-term reform of the dental contract and for a sustainable funding settlement for all. Will he meet me and others campaigning on this issue to discuss what progress has been made?

[Steve Brine]

Yes. The dental contract has had a good outing this afternoon. I am always happy to see the hon. Lady and I can tick the Telegraph and Argus off my bucket list if they come along as well.

Oral Answers to Questions

Judith Cummins Excerpts

Tuesday 20th March 2018 Commons Chamber

[Mr Hunt]

My hon. Friend is absolutely right. We are totally committed to the O’Neill recommendations and are working internationally to bring them about.

[Judith Cummins (Bradford South) (Lab)]

My local paper, the Bradford Telegraph and Argus, has recently launched its “Stop the Rot” campaign, as children in Bradford have some of the worst dental health outcomes of anywhere in the country. Does the Minister agree that prevention is key to improving children’s dental health? Can he tell us what steps the Government are taking to ensure that prevention is a key element of any new dental contract?

[Steve Brine]

I think that would be the brilliant Bradford Telegraph and Argus. As I said, 75 dental practices are continuing to test the preventive focus clinical approach alongside the new remuneration system, which supports an increased focus on prevention through the dental contract. I know it is taking time, but I want to get it right.

NHS Wholly Owned Subsidiary Companies

Judith Cummins Excerpts

Tuesday 6th March 2018 Westminster Hall

[Liz Twist]

The hon. Gentleman makes an excellent point. NHS staff, whatever their job, are all part of a team that delivers a service, and they all work together. For example, the catering and cleaning staff who looked after my mum’s hospital ward when she was in hospital recently were also a part of the NHS caring process. I think that is a really important point.

[Judith Cummins (Bradford South) (Lab)]

One of the major problems with the creation of these wholly owned companies is that they lead to a two-tier workforce in which often the lowest paid staff, such as domestics and security guards, are on worse terms and conditions than other staff. Does my hon. Friend agree that that represents a race to the bottom and is not just bad for those moved over to the new companies but bad for the NHS overall?

[Liz Twist]

I most certainly do agree, and I will expand on that point shortly.

I want to speak about the impact on staff—some of the same staff we have all been praising in recent days for turning up to work in the snow and coping when we have the only too frequent crises. They are an integral part of the NHS team, as the hon. Member for Central Suffolk and North Ipswich (Dr Poulter) said, making it possible for nursing and medical staff and other allied health professionals to do their bit in caring for patients.

On transfer to a wholly owned subsidiary company, staff already employed by the trust will be transferred on their existing terms and conditions. That is, on “Agenda for Change” terms and conditions and pay rates, negotiated nationally and checked to ensure equal pay for work of equal value. They will retain their membership of the NHS pension scheme and a set of decent terms and conditions applying to all NHS staff. The main way that trusts can make savings through these companies is by employing new staff on different, and worse, terms and conditions.

--- Later in debate ---

[Stephen Barclay]

I will happily give way to the hon. Lady in due course.

That is not about exploitation; it is about empowering members of staff. They get higher pay in the short term in return for a less generous pension. The hon. Member for Stockton North might disagree—

[Judith Cummins]

Will the Minister give way?

[Stephen Barclay]

I signalled that I will give way to the hon. Member for Blaydon. She called the debate, so she should go first.

It is not accurate to say that this is simply about exploiting people if their base salary is increasing from £19,000 to £25,000, as it is in that trust. One can look at the wider bundled package of benefits and total remuneration, but one cannot describe a salary increase of £6,000 as exploitation.

[Stephen Barclay]

The hon. Lady is ignoring the fact that that already happens in the NHS, for existing trust staff: some staff opt out of the NHS pension, and not all the staff who TUPE-ed across in this arrangement were in the NHS pension. Once again, those on the Labour Benches want to deny the choice and options that apply to NHS staff.

[Judith Cummins]

I thank the Minister for giving way, because he has heard me twice now, but I welcome the opportunity. Does he not agree that the difference between then and now is that NHS trusts now are being forced down the path of wholly owned subsidiary companies because of financial constraints? It is not good enough for the Government simply to stand by and watch that happen.

[Stephen Barclay]

Again, that is a complete misrepresentation. The trust itself has pointed to the benefits of the arrangement. Let me give a concrete example of how the arrangement is delivering to the trust savings in the interests of patients.

Under the previous delivery system, local pathology samples were sometimes lost and delayed—that is not in the interests of patients. The QEF brought in a revised system of procuring all sample containers and issuing those to GPs across the region before delivering samples to the hospital pathology laboratory hubs within four hours. The trust forecasts that that will deliver significant benefits—indeed, other trusts are interested in the services. By operating on a more commercial model, therefore, not only has the trust improved how it deals with samples and prevented those samples from being lost as in the past, but it has put in place a system that is better for patients and attractive to GPs in other trusts who now want to contract the services.