Oral Answers to Questions
Julian Sturdy Excerpts(3 years, 10 months ago)
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John Lamont (Berwickshire, Roxburgh and Selkirk) (Con)
Julian Sturdy (York Outer) (Con)
Stephen Morgan (Portsmouth South) (Lab)
Matt Hancock
We distribute the vaccine supplies that are available according to population, so it is based on the Barnett formula. In Scotland, of course, the Scottish NHS is delivering. A fair population share of vaccine is available to the Scottish NHS—that is available right now, so the stocks are there—and then it is for the NHS in Scotland to do the vital work of making sure that each and every one of those jabs gets into somebody’s arm and helps to protect lives.
Julian Sturdy [V]
The vaccination programme in York is making encouraging progress, with the first doses of the Oxford vaccine having arrived last week and Askham Bar and Haxby centres delivering injections in line with the priority list, which is fantastic news. However, can the Secretary of State reassure me that every care is being taken to ensure that smaller GP practices in rural areas are in no way disadvantaged in scheduling their patients for vaccination relative to the larger urban practices?
Matt Hancock
Yes, of course. Small or large, rural or urban, we need GPs to be vaccinating right across the country, and that is what is happening. We are organising it through what are called primary care networks, which are groups of GPs that cover between 30,000 and 50,000 patients. The reason we are doing that is so that each of a group of GP practices can contribute some staff to the vaccination team so that they can carry on with the other vital work that they are doing. The networks are of course larger in more sparsely populated parts of the country such as North Yorkshire, but nevertheless we have put in place the commitment to everybody having a vaccination centre within 10 miles of where they live, to make sure that we reach all parts.
Covid-19 Update
Julian Sturdy Excerpts(3 years, 11 months ago)
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Matt Hancock
We are absolutely determined to build back better. That needs to involve tackling long-term underlying health inequalities. A huge programme of work will be needed to do that, after the pandemic has demonstrated those inequalities.
People in Gateshead have done a great job of getting the case rate down. Like other areas, it is still in tier 3—we are not quite there yet. I know that my team and the hon. Lady’s local director of public health have been talking about getting Gateshead and the rest of the north-east into tier 2 when we can. I hope that we can do that, but for now, let us be cautious and keep this under control.
Julian Sturdy (York Outer) (Con) [V]
There will naturally be disappointment across Yorkshire as many areas stay in tier 3. I appreciate that York’s tier will be affected by the current virus picture, but which of the five criteria will the city of York have to improve on to stand a good chance of moving down a tier in future reviews? Will that depend significantly on how our neighbouring local authorities perform against the five criteria?
Matt Hancock
We do look at those human geographies because many people commute from North Yorkshire into York, but York and many of the local authorities around it have done an absolutely fantastic job of bringing the virus under control. In York, the case rate is 65 per 100,000—a bit higher than we typically take places into tier 1. For instance, Herefordshire is 45, which is the same level Cornwall was when it was put into tier 1, but York is moving in the right direction. The over-60s case rate is also low. There has been some pressure, as my hon. Friend knows, on the hospital, but that is abating. Therefore, York and large swathes of North Yorkshire are moving in the right direction. I urge everybody right across North Yorkshire to stick at it.
Covid-19 Update
Julian Sturdy Excerpts(4 years ago)
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Matt Hancock
Yes, there will be a widespread public information campaign about these new tiers. It is on all of us to follow the rules in our local area. Notwithstanding the rules, we all need to behave in a responsible way, because we all have a role in controlling the spread of the virus.
Julian Sturdy (York Outer) (Con) [V]
As the Government continue to impose further unprecedented restrictions on people’s freedoms, it is important to give people hope and justification. As York’s covid rate continues to fall and is the lowest in Yorkshire, can the Secretary of State outline how we can get to tier 1 as fast as possible? Will he publish the assessment and the data based on which York was placed in tier 2, so that we can best judge how to get to tier 1? He talks about regular reviews, but a weekly review would be much more desirable.
Matt Hancock
Yes; I can answer positively on all counts. We have a regular weekly session to go through all these. I am committing to regular reviews rather than weekly ones simply because we sometimes have to do it more than weekly, especially if cases are shooting up in an area. On my hon. Friend’s point about publication, we have published today not only the data—and we will publish more data on each area—but an explanation of the reason for the decision taken in each area. I know that he and colleagues across York have worked hard, because there was quite a serious spike in York, and it is coming down at the moment. Overall, we still require the whole of North Yorkshire to go into tier 2 because the case rates are still elevated right across it, and we all need to work together to get them down.
Covid-19 Update
Julian Sturdy Excerpts(4 years ago)
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Julian Sturdy (York Outer) (Con) [V]
I welcome the roll-out of mass testing and the vaccine update. It is very positive news and offers the hope that the country needs to get back to normality as quickly as possible. Given the unique challenges of infection control in university cities, which my right hon. Friend has touched on already, will the wider roll-out of mass testing be available across university cities such as York for the whole population?
Matt Hancock
Yes, the roll-out and the 10% of population per week availability of lateral flow tests is available to directors of public health right across the country. If that has not already been organised with York, I urge the director of public health in York to come forward and work with the team to make that happen.
Oral Answers to Questions
Julian Sturdy Excerpts(4 years, 1 month ago)
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Angela Richardson (Guildford) (Con)
The Secretary of State for Health and Social Care (Matt Hancock)
The NHS’s recovery approach is restoring urgent cancer referrals and treatment to at least pre-pandemic levels and building capacity for the future. Latest data from July suggests that urgent two-week-wait GP referrals are back to over 80% of pre-pandemic levels.
Matt Hancock
I know the Royal Surrey and I enjoyed visiting it, albeit in the rain, in December last year with my hon. Friend. The Royal Surrey is carrying out some of the most cutting-edge treatments for cancer. We have put extra funding in—a more than £200 million fund—for the use of advanced technology for treating diseases such as cancer, and she will have seen that I announced to the House yesterday that we are engaging with the best regulators around the world as we leave the European Union to ensure that we get cancer treatments to the frontline as fast as is safely possible.
Julian Sturdy
York Hospital, like a lot of others, experienced a fall in cancer referrals at the height of the pandemic as a result of residents having stopped going to consult their GP. There is real concern among health professionals in York about the knock-on consequences of that and the rise in the backlog of cancer referrals locally. What steps can the Secretary of State bring forward to assist NHS trusts such as York’s to ensure that the backlog does not lead to late diagnosis of cases, worsening cancer outcomes?
Matt Hancock
My hon. Friend raises a very important point. As I mentioned in response to the first question, we now have referrals back up to over 80% of pre-pandemic levels, but we need to get that up further, because we all know that early diagnosis saves lives. I am also very glad to be able to report that in July, on the latest data, over 90% of patients saw a cancer specialist within two weeks of a referral from a GP, and 95% of patients receive treatment within 31 days of a decision to treat, so those referrals are leading to the action that is necessary. It is very important that the message goes out that the NHS is open, and anybody with a concern over cancer should come forward and they can get the treatment in a safe way that can help to save their lives.
Public Health
Julian Sturdy Excerpts(4 years, 5 months ago)
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Jo Churchill
To that point, I will address the comments that the hon. Gentleman made about transparency. In recognition of these unprecedented times, SAGE has been publishing statements and the accompanying evidence it has reviewed to demonstrate how the scientific underpinning and understanding of covid has continued to evolve. As new data emerges, SAGE’s advice quickly adapts to new findings and reflects the situations.
I would like to turn to the impact assessments.
Julian Sturdy (York Outer) (Con)
Before the Minister moves on, will she clarify the move from 21 days to 28 days? If the matter is under constant review, which she says it is, I still cannot understand why we have moved from 21 to 28 days. Will she clarify that for me?
Jo Churchill
My understanding is that, as the situation is abating, to push the review out to 28 days while making a constant assessment is deemed the right thing to do to allow a more fluid process.
A full regulatory impact assessment is not required for regulations that last for less than a year. As the regulations are set to expire six months after they come into force, they therefore fit that criteria. However, the Government are considering the economic impact of the regulations on businesses and individuals, as well as the personal impact on those with protected characteristics, on people’s mental wellbeing and on religious groups and many others. As I say, this is an extremely testing and complex situation.
On testing, we have delivered a national response and have rapidly scaled up testing. From some 2,000 tests a day only back in March, we now have the capacity to conduct over 200,000 tests a day across the entire testing programme. Increasing our testing capacity is one of the greatest national mobilisations we have ever seen, and I thank the hon. Member for Hove (Peter Kyle) for his kind words. Back in February, the numbers of cases were such that we could trace at that point.
Moving on, my hon. Friend the Member for Broxbourne (Sir Charles Walker) said how important it is to get businesses open and to get back to work, and I could not agree more. The hon. Member for Westmorland and Lonsdale (Tim Farron) explained the challenges in the tourism industry. My hon. Friend the Member for Mid Worcestershire (Nigel Huddleston) is looking at the unprecedented impact that covid-19 is having on the tourist industry in order to deliver some of the changes that I am sure my constituency of Bury St Edmunds would like to see, as it relies heavily on tourism. I, for one, cannot wait to get back to the hon. Member for Westmorland and Lonsdale’s part of the world. The first walk we ever do when we go there is Swedish Bridge, but to go round the horseshoe or along the coffin trail would be a delight in the current circumstances.
For my right hon. Friend the Member for Forest of Dean, I can make clear that Her Majesty’s Government have given clarification on exactly what is provided for in the regulations and what we additionally suggest as guidance to come out during the review period. There is a complexity in the guidance, and I take on board his broader points. I agree that everybody has so far followed the guidance in a remarkable way.
I thank all Members for their contributions during the debate and provide assurance that we have listened and will take the House’s views into account as measures are kept under review. As I said when I opened the debate, we are incredibly grateful to the public for their sacrifices and their efforts to follow these tough measures. I also pay a fulsome tribute to our NHS and care workers and all the key workers for their ongoing hard work to keep our vital services running, to save lives and to keep all of us safe. I commend these regulations to the House.
Question put and agreed to.
Resolved,
That the Health Protection (Coronavirus, Restrictions) (England) (Amendment) (No.3) Regulations 2020 (S.I, 2020, No. 558), dated 31 May 2020, a copy of which was laid before this House on 1 June, be approved.
Oral Answers to Questions
Julian Sturdy Excerpts(4 years, 6 months ago)
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Julian Sturdy (York Outer) (Con)
Nigel Mills (Amber Valley) (Con)
The Secretary of State for Education (Gavin Williamson)
I am determined to help learning continue in these challenging times. We have committed over £100 million to provide devices and internet access to vulnerable children and published a list of high-quality online educational resources, and we continue to support parents and teachers in supporting children at home.
Julian Sturdy [V]
Headteachers in York have told me of their frustration that they will have to wait at least another month until they can provide students with laptops under the Government’s scheme. What assurances can my right hon. Friend give me that support will be available to schools in the meantime to help their most disadvantaged students learn from home?
Gavin Williamson
As I am sure my hon. Friend will understand, £100 million for computers and other support for schools is a major investment, and it takes a while for these resources to arrive at schools. We have already notified multi-academy trusts and local authorities of what resources they will be getting, and we continue to work to provide resources, with the BBC providing resources in the homes of children right across the country.
Oral Answers to Questions
Julian Sturdy Excerpts(4 years, 8 months ago)
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Helen Whately
My hon. Friend makes a really important point about support for carers and young carers. I cannot answer on the details of his question right now, but I will take it away, talk to the Under-Secretary of State, my hon. Friend the Member for Bury St Edmunds (Jo Churchill), who is responsible for primary care, and the Under-Secretary of State, my hon. Friend the Member for Mid Bedfordshire (Ms Dorries), who is responsible for mental health, and come up with a better answer for him.
Julian Sturdy (York Outer) (Con)
The Secretary of State for Health and Social Care (Matt Hancock)
The systems that we have in place are already securing access to effective new medicines for many thousands of NHS patients—for instance, cystic fibrosis patients through the drug Orkambi. Our commitment to getting new drugs into the NHS through an innovative medicines fund will further expand the access to medicines for NHS patients.
Julian Sturdy
My right hon. Friend is aware that two children in my constituency have families who are self-funding the cannabis drug Bedrolite, which is their only means of controlling their severe epilepsy. He has very kindly agreed to meet me to discuss their case, but what action is being taken to make Bedrolite available on the NHS for families such as the two in my constituency for whom this really is the last resort?
Matt Hancock
My hon. Friend is right to raise this issue, and I look forward to meeting him later this month to discuss it. These are desperately difficult cases. We have to trust doctors to make the right clinical decisions for each individual patient. Two licensed cannabis-based medicines have recently been made available for prescribing on the NHS. We keep working hard with the health system, and with industry and researchers, to improve the evidence base. Also, the costs need to be brought down by industry. Last week, the Under-Secretary of State, my hon. Friend the Member for Bury St Edmunds (Jo Churchill), held a roundtable with leading industry figures. I look forward to continued work to make sure that we can get these drugs to the people who need them.
Wuhan Coronavirus
Julian Sturdy Excerpts(4 years, 10 months ago)
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Matt Hancock
Currently, there is no further need for the draw-down of funding. However, conversations with the Treasury have taken place to ensure that all the funding that is necessary will be available, if it is needed outside existing departmental budgets.
Julian Sturdy (York Outer) (Con)
I thank the Secretary of State for his statement and for keeping us updated on the situation in York. I appreciate that Public Health England says that it is making good progress in identifying everyone in York who has had close contact with the two patients, but it would be reassuring for my constituents and residents in York to have a precise timeline of how long the process will take and when it expects that to be concluded. Can the Secretary of State give us that information?
Matt Hancock
The process of contacting those who have been in contact with the two people who have so far tested positive for the virus is rapid and ongoing—it is a matter of days to complete and get in contact with all those people. This is an ongoing operation and it will be concluded soon. I will let him, the House and the hon. Member for York Central (Rachael Maskell) know as soon as we can make that information public.
Children and Mental Health Services
Julian Sturdy Excerpts(5 years, 4 months ago)
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Andrew Griffiths
The hon. Lady is absolutely right, and we must not underestimate the immense added stress and pressure for families whose child is self-harming. She makes a very good point.
Julian Sturdy (York Outer) (Con)
I congratulate my hon. Friend on securing this important debate. May I follow up on the point made by my colleague the hon. Member for York Central (Rachael Maskell) about the figures for York? Are not parents under huge stress because of these referral figures? In York, CAMHS referral times are peaking and troughing, which has a lot to do with not getting the resources needed. Sometimes referral times are down to six months, but at other times they are longer than 12 months, which has a huge impact on the children involved. It also means that schools are having to take action and exclude young people before they can get the treatment they need.
Andrew Griffiths
My hon. Friend is absolutely right, not only about the impact on schools—I will say more later about what we can do in schools—but about the pressure on CAMHS and the massive importance of getting children seen as soon as possible. Just imagine if one of us were having a mental health episode and were told that we could see someone in 12 months who would then refer us for treatment. CAMHS are not the doctors or the psychiatrists who see the patient. They are not the help; they are the doorkeepers to getting help—the triage, as it were. Even when someone gets through the CAMHS door and jumps over the very high bar for getting treatment, it could be many months before they receive it.
It is a great challenge. I know that the Government take it seriously; their 2017 Green Paper “Transforming Children and Young People’s Mental Health Provision” outlined their ambitious new plans for delivering mental health support in schools, and the announcement this week of the mental health services trailblazers is a welcome part of that strategy. I am delighted that my area, Burton, is to be in the second phase of those trailblazers, which I genuinely believe will make a difference. However, figures from the Children’s Society suggest there has been little expansion in the provision available in schools since 2015, so we are starting from a low base. In particular, the figures point to a worrying lack of awareness among parents about the counselling offered in their children’s schools: just under a third are not aware of what is available at all.
I am pleased that the Government have announced that every school, college and alternative provision across England will be offered training as part of the £9.3 million mental health services and schools and colleges link. However, even though my area is one of the trailblazers, priority access to mental health training for schools and colleges will not be available in my constituency until next year. It is clearly needed now. There are so many MPs, constituencies and constituents who want access, so how can we roll it on quicker? To use my “Oliver!” analogy again—