Diabetes Care

Debate between Keith Vaz and Jane Ellison

Thursday 3rd March 2016 Commons Chamber

[Keith Vaz]

I will be brief, because I know that the Minister has a lot to tell us. When Members of Parliament write to local health and wellbeing boards, it would help enormously if they were able to tell us how much they spend on diabetes awareness. They cannot do that at present.

[Jane Ellison]

Part of the challenge is because much of the effort that is put in relates to the preventive agenda and the contributory factors. That is one of the challenges in teasing such figures apart. However, I will reflect on whether we can do more in terms of health and wellbeing boards.

To incentivise improvements in the treatment and care of children and young people with diabetes, the best practice tariff for paediatric diabetes provides an annual payment for every child and young person under the age of 19 with the condition, providing that 13 standards of care are met. One of those standards relates to structured education. As the right hon. Members for Leicester East and for Knowsley know, I am passionate about making changes to the way in which we do structured education. We know that it works and that it is very good when people do it, but we also know that a lot of people are not accessing it. I am looking really hard at how we could take a new and radical approach, including whether there are any tech solutions, and I look forward to reporting back on that.

Our ambitions extend further than creating a level playing field. We want the management of and care for diabetes to be driven up right across the board in order to improve outcomes. The NHS is working with a number of other organisations to help to promote services that are integrated around patients’ needs across all settings. It is implementing a customer service platform to empower patients with diabetes to self-manage by booking their own appointments, managing their prescriptions, monitoring the care they have received and viewing their personal health records.

I fear that time will not allow me to touch on prevention in as much detail as I would have liked, but I want to emphasise just how seriously we take it. The right hon. Member for Leicester East has outlined the reasons why it is important, including the escalating figures and how much the rising tide of type 2 diabetes associated with lifestyle will cost the NHS in the future. The factors can be modified, and one of the most powerful weapons in our armoury is the NHS diabetes prevention programme, which is the first national type 2 diabetes prevention programme to be delivered at scale. Its aim is to help people identified as at the highest risk of developing type 2 diabetes to lower their weight, increase physical activity and improve their diet through intensive lifestyle intervention programmes. I am pleased to inform the House that the first providers will be announced by the NHS shortly, and the programme will move ahead.

The programme will also link to the NHS health check programme. Almost 3 million NHS health check offers were made in 2014-15 and almost 1.5 million appointments taken up. That is vital for first awareness and my constituency knows how important early diagnosis can be as a result of the checks carried out by Silver Star when it visited us.

The right hon. Gentleman talked about other important referral routes, including engagement with pharmacists, and I will pass on his concerns to the Minister for Community and Social Care, my right hon. Friend the Member for North East Bedfordshire (Alistair Burt), who has responsibility for community pharmacies.

The right hon. Gentleman criticised the responsibility deal, but I think it has achieved a lot. We have made some important gains working in voluntary partnership with industry, such as the voluntary front-of-pack nutritional labelling scheme, which has greatly empowered consumers to know what is in their food. That accounts for about two thirds of the market for pre-packed food and drinks, but I accept that the challenge is to go further.

We will announce more about our childhood obesity strategy this summer. We will also monitor the impact of NHS England’s proposal for the introduction of a sugar tax on the NHS estate. It will be interesting to see the results of that consultation. The Sugar Smart app has empowered 1.6 million consumers to date to know more about what is in their food.

I thank the right hon. Gentleman again for bringing these important issues to the House. I am absolutely sure that we will discuss them again, because this vital agenda is right at the heart of the Government’s health programme.

Oral Answers to Questions

Debate between Keith Vaz and Jane Ellison

Tuesday 2nd June 2015 Commons Chamber

[Jane Ellison]

My hon. Friend raises an extremely important issue. I welcome the fact that she has so quickly got to grips with some of the key local health facts in her area. Hon. Members across the House can look at how their clinical commissioning group is performing in the national context. My hon. Friend is right to say that her CCG performs poorly when it comes to amputations. There is a huge opportunity for improving the outcomes for people if we can get the worst-performing CCGs in that context up to the standard of the best. The national diabetes prevention programme is very much about preventing people getting to the stage where those complications can cause such terrible problems.

[Keith Vaz (Leicester East) (Lab)]

13. May I join the Minister in congratulating the hon. Member for Fareham (Suella Fernandes) on her place in this House? She was a worthy opponent of mine in 2005 and I am glad she managed to get elected. On the national diabetes prevention programme, for those of us who have diabetes the issue is what is corporate Britain doing to work with the Government in order to reduce the amount of sugar and fat in food and drink? Unless we do that, we cannot tackle the diabetes crisis that we will face.

[Jane Ellison]

The right hon. Gentleman is quite right. Tackling obesity is one the great public health challenges of our age. Right across the developed world we are looking at all the things that are going on around the world—the new science and the new research. The right hon. Gentleman is right to say that industry has a role to play, as has every part of Government—national Government and local government—as well as families, GPs and the NHS. This will be a whole-nation approach to tackling obesity. We are working on our plans, which I look forward to discussing with him in due course.

Oral Answers to Questions

Debate between Keith Vaz and Jane Ellison

Tuesday 15th July 2014 Commons Chamber

[Jane Ellison]

Obviously we are awaiting the final Elliott report but, as my hon. Friend would expect, consideration is being given across government to the interim report. The Government are committed to improving co-ordination and intelligence sharing. We can see some of that in, for example, smart back-office sharing, on which his authority, I believe, has taken a lead. We are working across government, local authorities and industry to protect food integrity. Professor Elliott said that we have one of the safest systems in the world but there is always more we can do to work more closely together. I know that the FSA is working more closely with local authorities and that Public Health England has begun to have constructive discussions around the issues. But we will obviously respond in more detail when we have the final report.

[Keith Vaz (Leicester East) (Lab)]

Sugar is one of the most deadly parts of our daily diets. What can be done to regulate the amount of sugar in our diets locally that will result in a decrease in the number of people with diabetes?

[Jane Ellison]

I congratulate the right hon. Gentleman on the creativity with which he has introduced sugar into this question. He is right to highlight the fact that sugar is an important factor in considering how we get the nation healthier, which we see in the overall context of trying to encourage people to consume fewer calories. A lot of work has been done. He will be aware that we have just had a very detailed scientific report on sugar and carbohydrates more generally. We are considering that but he will be pleased to know that Public Health England has already started to roll out that advice at both a local and national level to consumers and families. We will of course consider what more we might do.

Tobacco Products (Standardised Packaging)

Debate between Keith Vaz and Jane Ellison

Thursday 3rd April 2014 Commons Chamber

[Jane Ellison]

My hon. Friend does not surprise me with his response. Ministers will make the final decision following the process I have outlined, having had regard not only to Sir Cyril’s excellent report but to the other matters I have said we will consider. On this, I cannot agree with him. No one is bringing forward measures to ban smoking; rather, we are all now able to show our support for measures that might have the potential to stop children taking up smoking. I cannot believe that he cannot agree with that. The vast majority of the public are with us, and I fear that in this case he is in danger, very rarely, of being an unpopular populist.

[Keith Vaz (Leicester East) (Lab)]

The Minister is very passionate about these issues, but she needs to recognise that tobacco smuggling costs the taxpayer £2.2 billion every year. It is clear from evidence given by Her Majesty’s Revenue and Customs to the Home Affairs Committee, which is looking at tobacco smuggling, that the data do not exist to support the view that plain packaging will make that much difference. Will she work with the tobacco companies, within her time frame, to make sure that we can track those who use legitimate production for illicit and illegal means? We have to stop illicit smuggling.

[Jane Ellison]

I welcome those comments by the Chair of the Home Affairs Committee. I know that his Committee is undertaking work on illicit tobacco, and it would be very welcome and helpful if it put its draft report or final evidence into the consultation. If he has not already had the opportunity to do so, I urge him to look at the chapter of the report that Sir Cyril devotes to this matter, which I think he will find of great interest. This is one of the wider issues on which the final short consultation will enable people to put their concerns on record so that they can be weighed in the balance.

Oral Answers to Questions

Debate between Keith Vaz and Jane Ellison

Tuesday 1st April 2014 Commons Chamber

[Jane Ellison]

I have received no specific representations on that matter, but my hon. Friend will know that we have taken measures to ban the sale of e-cigarettes to under-18s. He will also know that, as we transpose the new tobacco directive into our country’s law, there will be opportunities to bear down on some of the advertising and on the ways in which e-cigarettes are placed, about which we have some concerns. We recognise that e-cigs can be a way for some people to quit smoking, but we also recognise the concern that they could be a gateway into smoking for young people.

[Keith Vaz (Leicester East) (Lab)]

Does the Minister agree that one way in which community pharmacies can play a larger role in the NHS is in the provision of testing for, and raising awareness of, diabetes? Has she received any representations on that matter? Let us get diabetes testing on to the high street.

[Jane Ellison]

I think that I received a representation from the right hon. Gentleman in person when he was kind enough to visit my constituency with the Silver Star diabetes charity that he founded. That visit perfectly demonstrated the role of testing in the community; it was fantastic to see people queuing up to be tested in a day-to-day setting outside a supermarket. He is quite right to say that community pharmacies have a big role to play. I recently visited Tesco to learn about its work with Diabetes UK, and about the many tens of thousands of people that those two organisations, working together, have tested.

Oral Answers to Questions

Debate between Keith Vaz and Jane Ellison

Tuesday 22nd October 2013 Commons Chamber

[Jane Ellison]

It is good as a Minister to hear the phrase “nanny state” get its first airing. We believe in the informed consumer, and that is the idea behind so many restaurants labelling calorie content on their food. Most of us want to be healthy and most of us know when we want to diet and lose weight. By working with business, we can enable the consumer to make an informed decision about their health.

[Keith Vaz (Leicester East) (Lab)]

I declare my interest and welcome the Minister to her new portfolio. I wish to support the nanny state to this extent: it is fine for companies to sign up to the responsibility deal, but they have to deliver. As her first act as Minister with responsibility for diabetes, will she ban sugar from all Department of Health canteens, and stop selling in our hospitals fizzy drinks that contribute to diabetes?

[Jane Ellison]

As the right hon. Gentleman might know, my first outing as public health Minister was to attend a diabetes think-tank, which I hope indicates how seriously I take the issue. I do not think what he asks for is within my powers, but obviously I will take a close interest in the Department of Health canteen. The right hon. Gentleman is right. We have never said that other measures will not necessarily be taken, but the responsibility deal has taken us a long way when many predicted it would not, and we are keen to inject new energy into it.