Kim Johnson debates involving the Department of Health and Social Care during the 2019 Parliament

Oral Answers to Questions

Kim Johnson Excerpts
Tuesday 5th December 2023

(3 months, 3 weeks ago)

Commons Chamber
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The Secretary of State was asked—
Kim Johnson Portrait Kim Johnson (Liverpool, Riverside) (Lab)
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1. What steps she is taking to improve the commissioning of primary care dental services for vulnerable people.

Layla Moran Portrait Layla Moran (Oxford West and Abingdon) (LD)
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16. What recent assessment she has made of the potential impact of levels of availability of dentistry appointments on other NHS services.

Victoria Atkins Portrait The Secretary of State for Health and Social Care (Victoria Atkins)
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May I, through you, Madam Deputy Speaker, wish Mr Speaker a very speedy recovery?

As Secretary of State for Health and Social Care, I want to reform our NHS and social care system to make it faster, simpler and fairer. Dentistry is a critical part of that. Integrated care boards are responsible for identifying areas of local need and determining the priorities for investment. NHS England published guidance in October this year to help ICBs use their commissioning flexibilities within the national dental contractual framework, and I will be looking carefully at how the boards are identifying need and investment across England, including for vulnerable people.

Kim Johnson Portrait Kim Johnson
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I am glad that the Minister mentioned ICBs. Liverpool has a very high percentage of children with dental decay, and tooth extraction is the most common hospital procedure for five to nine-year-olds at Alder Hey Children’s Hospital, yet there was a £10 million underspend for primary care dentistry, and instead of investing it in preventive care, NHS England gave permission to all ICBs, including NHS Cheshire and Merseyside, to use the balance to balance their budgets. Will the Minister agree, here and now, to reinstate the ringfenced funding to commission extra capacity for the most vulnerable patients?

Victoria Atkins Portrait Victoria Atkins
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I am delighted to be able to inform the hon. Member that NHS England has provided guidance for ICBs that requires dental funding to be ringfenced, with any unused resources redirected to improve NHS dental access in the first instance. Interestingly, ICBs will report their expenditure against the dental ringfence to NHS England as part of their in-year financial planning, which will happen at the end of this financial year.

Kim Johnson Portrait Kim Johnson
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But the underspend is not being used on dentistry—

Eleanor Laing Portrait Madam Deputy Speaker (Dame Eleanor Laing)
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No, no—you do not get another supplementary question. I was about to call Layla Moran for Question 16, which is grouped with this one, but unfortunately she is not present so I shall go straight to the Chairman of the Health and Social Care Committee.

Future of the NHS

Kim Johnson Excerpts
Tuesday 24th October 2023

(5 months ago)

Westminster Hall
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Kim Johnson Portrait Kim Johnson (Liverpool, Riverside) (Lab)
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It is a real pleasure to serve under your chairship, Mr Pritchard. I thank my hon. Friend the Member for Wirral West (Margaret Greenwood) for securing this important debate and for her tireless defence of the NHS. This year we celebrate 75 years of the NHS. It is the greatest achievement of this country and of the Labour party: delivering a universal healthcare system based on need, not profit. We know the fight for this system is now existential. Thirteen years of austerity and the systematic defunding of public services have left our communities facing abject poverty and inequalities—conditions not dissimilar to those of the 1940s when the NHS was first introduced. Health inequalities are rampant and growing: children living in poverty are now diagnosed with Victorian diseases, life expectancy is falling for the first time in recent memory, children’s height is now reducing year on year, and chronic ill health, both physical and mental, is increasing. Systematic underfunding, private sector plundering, decades of privatisation via the back door and the fragmentation of diagnostics and treatment services have brought the NHS to its knees.

Before the NHS existed, there was a complex, fragmented and chaotic patchwork of services. This led to poor and inconsistent practices motivated by profit, rather than best practice. This is the direction in which many on the Government Benches are now pushing, with demands for a public-private partnership and insurance-based funding models—the privatisation of sections of the health service being touted under the guise of reform. It did not work then, and it will not work now. The evidence is clear: health services are of a better quality, more equitable and more cost-effective when nationally planned and provided by democratically accountable public bodies with expertise.

The hon. Member for Shrewsbury and Atcham (Daniel Kawczynski) has talked about the benefits of the private sector. I want to point out that Carillion, which was building an NHS hospital in Liverpool, went bust. This had a significant impact on the delivery of services to my constituency of Liverpool, Riverside.

We must repeal the Health and Care Act 2022 and reverse and eliminate the US-style integrated care systems which enable corporate influence over policy and profiteering, at the expense of patient care and workers’ pay. We must tackle health inequalities head on and push back attempts to establish a two-tier health system, which would only entrench these inequalities yet further. We must completely abolish the private sector in the delivery of NHS services and instead restore much needed funding levels, with a serious programme to recruit and retain the staff needed to end the exodus of NHS staff.

Only with this bold action to restore the fundamental model of the NHS—universal provision free at the point of need—can we once again make the NHS a world-leading institution. I will end by thanking all the hard-working staff across the NHS services in my constituency of Liverpool, Riverside.

Recovering Access to Primary Care

Kim Johnson Excerpts
Tuesday 9th May 2023

(10 months, 3 weeks ago)

Commons Chamber
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Steve Barclay Portrait Steve Barclay
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My hon. Friend is absolutely right on this and we plan to have a communications campaign. The front door to the NHS can often be confusing for people—whether they should go to primary care, a pharmacy, accident and emergency or elsewhere. We will have a campaign, not just linked to the opportunity to access care through Pharmacy First, but looking at the technology innovations we are bringing on stream, particularly on the NHS app. We are also making changes to 111. So there will be a communications campaign, on exactly the lines she references.

Kim Johnson Portrait Kim Johnson (Liverpool, Riverside) (Lab)
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I wish to thank all the primary care workers in my constituency. Despite the Minister’s assurances, 600 pharmacies have closed since 2015, which is having a significant impact on our most disadvantaged communities. Does he agree that more funding is needed to prevent more pharmacies from closing and to fix the broken NHS? Will he join me in condemning the Rowlands Pharmacy on Lodge Lane, which is pulling out of the community and preventing another pharmacy from taking its place?

Steve Barclay Portrait Steve Barclay
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I join the hon. Lady—as I did the other colleagues from across the House who have done this—in paying tribute to the primary care staff in her constituency for the work they do. We have touched a number of times on the fact that there are both more pharmacies and more pharmacists than there were in 2010, so there is more capacity. However, we also recognise the scope to better use the expertise within pharmacy, which is why an additional £645 million of investment—new funding—is going into pharmacies over the next two years.

Oral Answers to Questions

Kim Johnson Excerpts
Tuesday 24th January 2023

(1 year, 2 months ago)

Commons Chamber
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Will Quince Portrait The Minister of State, Department of Health and Social Care (Will Quince)
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I thank my hon. Friend for his question. National NHS guidance is absolutely clear: providers are expected to facilitate visiting for patients in hospital wherever possible and to do so in a risk-managed way. It is up to individual providers—they do have discretion—but I understand the benefit that this brings to patients. It is a very important factor, and I will meet NHS England to discuss this further.

Kim Johnson Portrait Kim Johnson (Liverpool, Riverside) (Lab)
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T5. According to a recent Care Quality Commission report, black people experiencing mental health crisis are 11 times more likely to be sectioned and to receive restrictive and violent community treatment orders. How will the Minister tackle these inequalities and implement the recommendations in the report?

Maria Caulfield Portrait The Parliamentary Under-Secretary of State for Health and Social Care (Maria Caulfield)
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I thank the hon. Lady for her question. She is right that black and ethnic minority groups are more likely to be detained under the Mental Health Act 1983. We are planning to reform the Mental Health Act. There has been pre-legislative scrutiny, and I hope that when we reform that Act there will be an improvement in those figures.

Draft Mental Health Bill

Kim Johnson Excerpts
Monday 27th June 2022

(1 year, 9 months ago)

Commons Chamber
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Rosena Allin-Khan Portrait Dr Rosena Allin-Khan (Tooting) (Lab)
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I thank the Secretary of State for an advance copy of the statement, and for sharing his family’s experiences over the weekend. I am so sorry to hear about the circumstances surrounding his brother’s tragic death.

This overhaul of the Mental Health Act 1983 is long awaited. We welcome the draft Bill, and the fact that the Government have accepted the majority of the recommendations from Sir Simon Wessely’s independent review of the Act. It was interesting to hear, in the statement, of the Government’s focus on keeping people in crisis out of A&E, and of their plans to reduce the use of general ambulance call-outs for those experiencing a mental health crisis. In 2020, there were over 470,000 calls to 999 because someone was in a mental health crisis, which took up an estimated 66,000 hours of call time. In my email inbox, I have numerous examples from across the country of children being stuck in A&E for over 24 hours waiting for a mental health bed. One child waited over three days. When I work shifts in A&E, I see more and more people coming into hospital in crisis. The increased frequency is deeply concerning. Conditions are getting worse and illnesses are going untreated. We would not allow that in cancer treatment, so why is it allowed in mental health treatment?

Deprivation of liberty and the use of coercion can cause lasting trauma and distress. That is especially true for children and young people who find themselves in these most difficult situations and whose voices are often not heard when decisions are made. We are pleased that patients will have greater autonomy over their treatment in a mental health crisis, and we are glad that the Government have been working with organisations to listen to the experiences of those with learning disabilities or autism, but will the Secretary of State explain what safeguards will be put in place for people with learning disabilities or autism should the worst happen and they find themselves in prison? This is not a straightforward issue. Many people with learning disabilities or autism also live with serious mental illnesses, and we have to make sure that they have their rights protected and have dignity in their treatment.

In our communities, we witness the harsh reality of the health inequalities that so desperately need to be addressed. As the Secretary of State said, black people are over four times more likely to be detained under the Mental Health Act.

Kim Johnson Portrait Kim Johnson (Liverpool, Riverside) (Lab)
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Will my good friend give way?

Irish Diaspora in Britain

Kim Johnson Excerpts
Thursday 17th March 2022

(2 years ago)

Commons Chamber
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Kim Johnson Portrait Kim Johnson (Liverpool, Riverside) (Lab)
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I congratulate my hon. Friend the Member for Rochdale (Tony Lloyd) on securing the debate and wish everybody a happy St Patrick’s day. I am very proud of my Irish heritage. My nan Mary Higgins was born in Dublin before she travelled across the Irish sea to the greatest city in the world, Liverpool. I am privileged to represent Liverpool, the city where I was born and raised. I am a very proud Scouser because we are a world in one city, with communities hailing from all corners of the world. Three quarters of Liverpool’s population has Irish roots and it is not for nothing that Liverpool is often referred to as the 33rd county.

The contribution of Irish working-class communities is immeasurable and has fundamentally shaped the soul of our great city into what it is today, from politics, to art, music, our unique sense of humour and life and soul of the party spirit. Many, of course, came to Liverpool in the great famine of the 1840s. 1.5 million passed through the port. Most were en route to America, but many settled, choosing to make Liverpool their new home and joining an already established Irish community. By 1851, the Irish-born population already made up nearly a quarter of the population. Those who came built much of the Liverpool docks and the canal system, while others staffed the shipping lines and worked on the quayside. The trade unionist and socialist James Larkin, Liverpool born of Irish immigrant parents, was pivotal to the 1913 Dublin lockout.

On every street corner, more evidence lies of the Irish community’s footprint on the fabric of our great city. The beautiful Walker Art Gallery and the Liverpool World Museum were built by Ballymena-born William Brown and are now situated on the street named after him. Irishman Michael Whitty was the founder of the Liverpool police and later the fire service. The renowned Agnes Jones from County Donegal was the first trained nursing superintendent of the Liverpool workhouse infirmary. Famed for her work ethic, Agnes died tragically at the age of 35 from typhus. Florence Nightingale described her as

“one of the most valuable lives in England.”

Before her came Kitty Wilkinson, an Irish immigrant from Derry, nicknamed Liverpool’s saint of the slums because of her educational campaigning to teach the public about health and hygiene. As the only person in her Liverpool neighbourhood to own a boiler in the 1832 cholera epidemic, she invited all those with infected bedding and clothing to use it, saving countless lives. Soon after, she opened the first public wash house in Liverpool.

The Irish contribution to our Liverpool health service continued with Irish nurses targeted for recruitment to work in the new NHS. By 1971, it was estimated that 12% of all UK NHS nurses were Irish. John Lennon, Paul McCartney and George Harrison all hail from Irish ancestry, and the Irish still contribute massively to Liverpool and British culture: think of Roger McGough and Jimmy McGovern, to name just a couple, not to mention our two great football clubs, both of which employed Irishmen as their first managers.

Liverpool is a city that marches to the beat of its own drum, and we owe so much of our rhythm and spirit to the Irish settlers and their descendants over the centuries. We are proud to celebrate with them today on St Patrick’s day.

Elective Care Recovery in England

Kim Johnson Excerpts
Monday 7th February 2022

(2 years, 1 month ago)

Commons Chamber
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Urgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.

Each Urgent Question requires a Government Minister to give a response on the debate topic.

This information is provided by Parallel Parliament and does not comprise part of the offical record

Edward Argar Portrait Edward Argar
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I am grateful to my hon. Friend for touching on the 10-year cancer plan. He is absolutely right that the earlier the diagnosis, the better the outcome, as a rule, in cancer treatment. Yes, we set targets, but we always hope to exceed them. It has been incredibly challenging to do that over recent years, and that is why we as a Government are not only investing the resources, but putting in place the reforms that are needed to achieve these targets.

Kim Johnson Portrait Kim Johnson (Liverpool, Riverside) (Lab)
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I start by thanking all the NHS workers, who have done a tremendous job throughout the pandemic. My mum has been waiting for shoulder replacement surgery for more than two years, and the delay in this plan means that she will live with excruciating pain. Can the Minister give us assurances that this backlog will be dealt with in a timely fashion, and that that work will be adequately resourced and funded?

Edward Argar Portrait Edward Argar
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I join the hon. Lady in gratitude towards all those working in the NHS. I am sure that every Member of this House will receive correspondence from constituents who are in the position she outlined. Understandably, they will be distressed and often in pain. This plan is not a necessary precursor for work to be done to bring that waiting list down and get it under control; such work is already under way. As I said, not only is record investment in resources going into it but, while the Government focus to a degree on that, we also focus on what that taxpayers’ money does in delivering outcomes for people—hence why we have already announced the community diagnostic hubs and set out plans for surgical hubs. We are very grateful to all the charities and campaigning organisations that have, over recent months, engaged with us to help to advise on interventions that they think can make a genuine difference to waiting lists, but also to keeping patients informed and supported while they do wait.

Future of the NHS

Kim Johnson Excerpts
Monday 31st January 2022

(2 years, 1 month ago)

Westminster Hall
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Westminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.

Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.

This information is provided by Parallel Parliament and does not comprise part of the offical record

Kim Johnson Portrait Kim Johnson (Liverpool, Riverside) (Lab)
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It is a pleasure to serve under your chairmanship, Mr Gray. The future of the NHS hangs in the balance, and the petition is entirely correct in calling on the Government to renationalise the NHS, scrap integrated care systems and end private finance contracts.

The Health and Care Bill threatens to open the floodgates to further privatisation by implementing a healthcare model that incentivises cuts and closures and rations funding to health boards while welcoming private profit-driven companies such as Virgin and Serco on to the boards of integrated care systems, giving them a say on where NHS money gets spent. The new legislation will further dilute the voice of patients and the public, with the new boards covering populations of up to 3 million people that will be remote and centralised, with no obligation to be open, transparent or accountable to ordinary people.

Catherine West Portrait Catherine West
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My hon. Friend is making an excellent speech. Does she agree that if we have that lack of transparency we might see a repetition of the Government’s wasting £4 billion during covid? There is a fear about related-party transactions, where people know exactly where the money is going—into their pockets.

Kim Johnson Portrait Kim Johnson
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I fully support what my hon. Friend says. The boards will be remote and centralised and will seriously restrict the power of local authorities to protect local services. With these changes, private healthcare giants will not only have a bigger say over the NHS but will be granted contracts with even less scrutiny than now.

By opening the door to private healthcare providers to take decisions on NHS budgets and services, the Bill makes it easier for public health contracts to be distributed to private providers, with less transparency and accountability. Safeguards in the Public Contracts Regulations 2015 will be excluded, watering down protections for employment and environmental provisions in procurement processes. There is no doubt that the Bill will put on steroids the cronyism we have seen during the pandemic while our NHS heroes have worked day and night, putting their lives on the line. The Government have cut real pay for nurses while handing out billions of pounds of contracts through an illegal VIP system to their mates and donors and to the failed track and trace system.

The NHS is the jewel in the crown of our public services—our proudest achievement. However, 12 years of Tory austerity, and now the pressures of the pandemic, have stripped it to the bone. An unbelievable £100 billion has gone to private healthcare providers in the last decade alone. The last thing the NHS needs right now is a dangerous overhaul that puts the private sector at its heart. We must take this and every opportunity to support amendments to the Bill that establish the NHS as the default option for all NHS contracts, to mitigate the worst parts of it. We must stand up to these new attacks or risk losing the NHS to privatisation by stealth. We must go further in our demands to roll back the damage done, reinstating the NHS as a truly national service and establishing a fully integrated national care service with staff and patients at its heart.

Public Health

Kim Johnson Excerpts
Tuesday 14th December 2021

(2 years, 3 months ago)

Commons Chamber
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Wes Streeting Portrait Wes Streeting
- Parliament Live - Hansard - - - Excerpts

This is a difficult decision—two Members from the same region—but my hon. Friend the Member for Liverpool, Riverside (Kim Johnson), right in the corner, has been very patient, so I will give way to her. I will then come to my hon. Friend the Member for Wallasey (Dame Angela Eagle).

Kim Johnson Portrait Kim Johnson
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I appreciate my hon. Friend giving way. He is making an excellent speech; however, the British Medical Association has identified some serious concerns about mandatory vaccines—the fact that we have a chronically under-staffed NHS. Does he believe that this policy is likely to have a significant impact and cause more harm than good?

Wes Streeting Portrait Wes Streeting
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That is such an important point, and I am grateful to my hon. Friend for making it. There is a reassurance I would like to offer her and a call to action that I would like to issue to the Government. The reassurance is that there were concerns about what would happen to the social care workforce, which very much influenced Labour’s position on that statutory instrument at the time, but we did not see the collapse in the social care workforce that was warned of and there was lots of evidence that there was a positive impact on take-up.

I say to the Secretary of State and his team that if they are asking the health and social care workforce to do their duty as professionals, the Government must show greater respect to their professional voice and experience—on pay, conditions and workload. It is often said that the NHS runs on goodwill, so I would like to see the Government showing greater goodwill in return and engaging with the royal colleges and staff trade unions, not just on the plan for vaccine roll-out to their members, but on the debate about the future of our health and social care systems and the big workforce challenge.

On vaccinations, there is still precious time to do the work on persuasion. I have met the trade unions in recent days, including a great meeting with Unison yesterday—I should declare that I am a member of Unison. Unison had some really helpful advice and practical feedback about the kind of conversations with occupational health that are making a big impact in giving staff the confidence to choose to take the vaccine well ahead of the deadline. Of course we would much rather persuasion than compulsion.

Covid-19 Update

Kim Johnson Excerpts
Monday 13th December 2021

(2 years, 3 months ago)

Commons Chamber
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Sajid Javid Portrait Sajid Javid
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I congratulate my hon. Friend on getting boosted. She may have heard me say earlier that we will be opening many more walk-in and pop-in centres. I have heard her representation and so has the vaccines Minister, my hon. Friend the Member for Erewash (Maggie Throup), and we will certainly try to make that happen.

My hon. Friend the Member for Winchester (Steve Brine) asked me earlier about proof of vaccination for children. Let me make it clear that although the proof will take the form of a letter, it can be ordered online. The digital pass access will come later.

Kim Johnson Portrait Kim Johnson (Liverpool, Riverside) (Lab)
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The contain outbreak management fund is a vital resource used by local authorities and directors of public health, but it is due to end in March 2022. Can the Secretary of State tell us whether it will in fact continue beyond that date, and also whether it will be increased to support local authorities?

Sajid Javid Portrait Sajid Javid
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It is an important fund, and I will look into that.