Oral Answers to Questions

Karin Smyth Excerpts

Tuesday 6th May 2025 Commons Chamber

[Jack Rankin (Windsor) (Con)]

1. What assessment he has made of the potential merits of implementing a national maternity improvement strategy.

[The Minister for Secondary Care (Karin Smyth)]

We expect all women to be shown the utmost care and respect when receiving maternity and neonatal care. This year’s planning guidance requires integrated care boards and providers to deliver the key actions in this final year of NHS England’s three-year delivery plan. It is clear from listening to the harrowing stories of bereaved and harmed families, however, that we must do more. The Secretary of State is urgently considering the significant action needed to ensure that all women and babies receive the care they deserve.

[Jack Rankin]

Last year’s birth trauma inquiry report exposed that maternity services in this country are woefully underfunded, and now the Health Secretary intends to cut the budget for maternity improvement from £95 million to just £2 million, equating to less than £4 per child born in this country each year. What kind of change is that? What message will that send to mothers across the country? Does the Secretary of State plan to implement any of the recommendations from the birth trauma inquiry report, many of which were committed to by the previous Government?

[Karin Smyth]

The hon. Gentleman is not correct: maternity funding is not ringfenced at the same level—I think that is what he is referring to. It has, however, absolutely been committed to as far as ICB allocations are concerned. Local leaders will decide how best to allocate that money. We will continue to work with Donna Ockenden and the families who have been affected by previous incidents and ensure that the recommendations of her report and the maternity review are fully implemented.

[Jen Craft (Thurrock) (Lab)]

As colleagues will be aware, there is a consistent failure in maternity units to listen to women and put their experiences—and quite often their pain during childbirth—at the heart of driving improvements. What assurances can the Minister give us that women’s experiences and voices will be at the heart of any maternity improvement strategy that the Government focus on?

[Karin Smyth]

My hon. Friend is absolutely right to highlight that point, which has been found in all the reviews that have been undertaken. It is completely unacceptable. That is why the Secretary of State has continued to meet families and hear their experiences to ensure that we learn from them, continue to support the implementation of those recommendations and, crucially, ensure that women’s voices are taken forward as part of our 10-year plan.

[Mr Speaker]

I call the shadow Secretary of State.

[Edward Argar (Melton and Syston) (Con)]

I fear that many will have found the Minister’s answer to my hon. Friend the Member for Windsor (Jack Rankin) disappointing. He highlighted that the previous Government committed to the headline recommendation of the cross-party birth trauma inquiry led by the hon. Member for Canterbury (Rosie Duffield) and the former Member for Stafford, Theo Clarke, who has recently written about her experiences in a book, and in the Daily Mail called for a national maternity improvement strategy. No equivalent commitment has been made by this Government. Let us try again: will the Minister commit without any equivocation to implementing the inquiry’s recommendation to produce a national maternity improvement strategy?

[Karin Smyth]

To be clear for the shadow Secretary of State, the Secretary of State is continuing to look at all those recommendations and consider how best to respond.

[Mr Speaker]

We now come to the Liberal Democrat spokesperson.

[Helen Morgan (North Shropshire) (LD)]

Too many families in Shropshire have suffered the agonising loss of a baby following the scandal at Shrewsbury and Telford hospital NHS trust. The Care Quality Commission rates 65% of trusts as inadequate or requiring improvement for maternity safety, and the taxpayer forked out a staggering £1.15 billion in compensation for maternity failings last year. With the £100 million put aside to deal with unsafe staffing no longer ringfenced, can the Minister reassure us that those safe staffing levels will remain on our maternity wards?

[Karin Smyth]

I know the Liberal Democrat spokesperson follows this issue very closely in her own local community. As she knows, we are committed to ensuring that the recommendations of the reviews are fully implemented as part of that three-year plan, but I gently say to her that the Liberal Democrat party has consistently opposed the extra £26 billion that this Government raised to support the wider health service. Without that extra funding and the decisions that the Chancellor has made, we would not be able to make the progress that we are now starting to see.

[Jessica Toale (Bournemouth West) (Lab)]

2. What steps he is taking to shift care from hospitals into the community.

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[Blake Stephenson (Mid Bedfordshire) (Con)]

5. Whether he has had discussions with the Secretary of State for Housing, Communities and Local Government on the interaction between mayors and integrated care boards, in the context of the English devolution White Paper.

[The Minister for Secondary Care (Karin Smyth)]

Our mission-driven approach to this issue means that we are working with all Departments to deliver an NHS fit for the future. We expect integrated care boards to work closely with their mayors to maximise public health and contribute to the Government’s health and growth missions.

[Blake Stephenson]

Funding and delivery of a GP surgery for Wixams in my constituency continues to fall between the cracks of developers, local councils and the local ICB. Does the Minister agree that to break those deadlocks and build the infrastructure that our communities require, new mayors should have the power to direct ICBs, making locally elected politicians responsible rather than unelected quangos?

[Karin Smyth]

The hon. Member tempts me slightly on local accountability, on which he has been a strong campaigner. As he knows from meeting me, I agree that it is important that such local bodies respond properly so that where there are expansions of housing, which we want to see, they are supported by local infrastructure. I am happy to come back to him with any further detail.

[Alice Macdonald (Norwich North) (Lab/Co-op)]

Norfolk and Waveney integrated care board is consulting once again on closing Norwich’s walk-in centre. It asked the same question two years ago and the city and Norfolk said, “No, we want to save our walk-in centre.” Does the Minister agree on the importance of walk-in centres, and in the context of devolution, how will we ensure that ICBs heed what residents say?

[Karin Smyth]

My hon. Friend is right to campaign on behalf of her constituents to make sure that more services are delivered in communities. We want to see services brought out of hospital and into local communities. It is up to the ICB to decide how those are commissioned, but we will certainly make sure that, as part of our commitments under our 10-year plan, we see more of those sorts of services working together in neighbourhoods.

[Natasha Irons (Croydon East) (Lab)]

6. What plans he has to reform NHS health and social care services.

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[Laura Kyrke-Smith (Aylesbury) (Lab)]

8. What steps he is taking to improve perinatal mental health provision.

[The Minister for Secondary Care (Karin Smyth)]

I commend my hon. Friend for her work on such an important topic; I know it is very personal to her. Specialist perinatal and maternity mental health services are available across England, providing vital support to parents before, during and after pregnancy, including increased access to evidence-based psychological therapies. We are training thousands more midwives to better support women throughout pregnancy, with mother and baby units and community services providing postnatal support.

[Laura Kyrke-Smith]

Tomorrow is World Maternal Mental Health Day, recognising the particular challenges that some mums face from pregnancy to birth, and after birth. I commend the Secretary of State and his team for their rapid work to get the NHS delivering better for patients again. As they develop the 10-year plan for the NHS, what measures will be taken to ensure that all women facing perinatal mental health challenges can access the right psychological support, and that there is no postcode lottery?

[Karin Smyth]

I absolutely join my hon. Friend in recognising the importance of supporting women’s health throughout pregnancy and into parenthood on Maternal Mental Health Day. We are committed to improving the support available, and it will form an important part of our 10-year plan. We are investing £126 million in family hubs and Start for Life services, to support parents from pregnancy to their child’s early childhood, and we will continue to work with her on this.

[Freddie van Mierlo (Henley and Thame) (LD)]

I thank the hon. Member for Aylesbury (Laura Kyrke-Smith) for her question and the Minister for her answer. I am delighted to be forming the all-party parliamentary group for fatherhood. Will the Minister outline the steps that she will take to improve perinatal mental health for fathers?

[Karin Smyth]

I congratulate the hon. Member on taking forward that work. The Minister responsible will be happy to continue to work with him in any way possible to support that work on this important aspect of parenthood.

[Katie White (Leeds North West) (Lab)]

9. What steps he is taking to use new technology to help improve preventive healthcare.

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[Gareth Snell (Stoke-on-Trent Central) (Lab/Co-op)]

12. What discussions he has had with Staffordshire and Stoke-on-Trent integrated care board on patient waiting times.

[The Minister for Secondary Care (Karin Smyth)]

Driving down waiting times is one of this Government’s top priorities, and my colleagues at NHS England continue to keep in regular contact with ICBs on improving waiting times and delivering the ambitions set out in our elective reform plan. Since July, we have cut waiting lists by more than 219,000 across England, and by 6,000 for University Hospitals of North Midlands, and have delivered 3 million more appointments.

[Gareth Snell]

I thank the Minister for her answer, and recognise the Herculean effort the Department is making to reduce waiting times, particularly in Stoke-on-Trent, but one cancer patient who is having treatment at the Royal Stoke hospital in my constituency has shared her story with me. From the initial operation, it took six weeks for her to be told that she may have cancerous cells in her lymph node. There was a delay in getting the CT scan, and after the scan, she was told that it would be 10 weeks before she could meet an oncologist to discuss the results. Will the Minister say a bit more about how the Department, while reducing waiting times to access services, will make sure that treatment is given in a timely fashion once someone has a treatment plan?

[Karin Smyth]

I am sorry for the experience that my hon. Friend’s constituent has had, and he highlights a really important aspect of the patient journey through the system. I want him and the House to be assured that we are looking at the entire patient journey, both into hospital and between hospitals. We are determined to improve patient experience and quality of care, and to get back the patient satisfaction that was squandered by the last Government.

[Adam Jogee (Newcastle-under-Lyme) (Lab)]

13. What steps he is taking to tackle hospital backlogs.

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[Mr Speaker]

Order. I think Ministers have got the message. If they have not by this stage, I would be surprised. Who is answering?

[The Minister for Secondary Care (Karin Smyth)]

My hon. Friend is absolutely right that this is exactly the sort of thing that is being rolled out across the country, and that we are committed to delivering care closer to where his residents live.

[Blake Stephenson (Mid Bedfordshire) (Con)]

T5. Residents in Mid Bedfordshire are concerned about the standards of maintenance at our two local hospitals. What action are the Government taking to support our hospitals in Luton and Bedford to catch up on maintenance backlogs?

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[Robin Swann (South Antrim) (UUP)]

Getting It Right First Time is a clinician-led programme that leads on improvement and transformation. Can the Secretary State give reassurance that in any restructuring of NHS England, that programme will not just be continued, but expanded and still available to the devolved Administrations?

[Karin Smyth]

I am absolutely willing to give the hon. Member that commitment, and I know he worked on this programme in his previous role in Northern Ireland. It is delivering results, and we want to see results. We want to take the best to the rest of the NHS, and we absolutely want to work together across the United Kingdom to make sure that all our residents benefit from the programme.

[Gregor Poynton (Livingston) (Lab)]

Lung cancer causes more deaths in Scotland than anywhere else in the UK. In England, early detection programmes are under way, and by 2028 every patient is likely to gain access to screening. In Scotland, doctors tell me that that programme is a distant dream. Does my hon. Friend agree that the SNP is failing Scottish patients and Scottish healthcare professionals? This UK Government are getting on with the task of fighting this deadly cancer.

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[Jon Trickett (Normanton and Hemsworth) (Lab)]

Pharmacies play a key role in communities in rural areas such as mine, but it is deeply frustrating when the supply chain breaks down and a pharmacy cannot deliver its medicine. Can the Minister tell me where we are now with the supply chain? Will she also thank all the heroic workers up and down the country who are doing their very best to deliver medicines, and will she thank in particular the 400 Superdrug workers in my constituency who are trying to make the supply chain work?

[Karin Smyth]

I am pleased to congratulate the pharmacies that are on the frontline on their hard work, and also to congratulate all those in the Department and elsewhere who ensure that our supply chain is as resilient as possible. I know that this issue concerns many Members and many of our constituents, and we hope to arrange a parliamentary event to ensure that Members have more information. Those people do a great deal of work; we know that the issue is important, and I will update the House on other measures that we intend to take to ensure that Members and their constituents are better informed.

[Vikki Slade (Mid Dorset and North Poole) (LD)]

Last month I began to receive concerning emails from employees of the NHS trusts in my constituency, saying that the trusts were seeking to create a subsidiary company and move staff into it. They are really worried about their future rights. I know how important it is to the Secretary of State that people have good employment rights. What steps is he taking to ensure that there is full consultation with staff before the creation of subsidiaries, and to prevent the creation of two-tier employment practices in the NHS with no continuity of service?