Oral Answers to Questions
Layla Moran Excerpts(3 days, 13 hours ago)
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Layla Moran (Oxford West and Abingdon) (LD)
Last week, I visited Summertown health centre. Staff there implored me to say to the Government that the issue is not just more money—we welcome the £100 million that has been allocated for capital investment in primary care—but the snarled-up process at integrated care board level and getting investment to the right places quickly. What will the Secretary of State’s Government do to ensure ICBs deliver that money to where it is needed, and fast?
Wes Streeting
The Chair of the Health and Social Care Committee is right that investment is vital, but so is reform. We tasked ICBs with leading the development of the new neighbourhood health service. We are removing their responsibility for performance management of trusts in order to free up their focus, so that primary and community services have the attention that is desperately needed. In the coming weeks, we will be talking to the British Medical Association and the Royal College of General Practitioners about how we ensure the investment announced by the Chancellor leads to improved patient care and a reformed neighbourhood health service.
Access to Primary Healthcare
Layla Moran Excerpts(1 month, 1 week ago)
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Layla Moran (Oxford West and Abingdon) (LD)
The challenges facing the NHS are no secret. In my new role as Chair of the Select Committee, I have begun to meet key stakeholders. The list of things that we need to consider is enormous. I pay credit to those who stood for the Committee, and welcome those who made it on. I understand that Conservative members have been chosen, but I do not yet know who they are—I ask them to forgive me if they are here. I look forward to cracking on.
I will start by highlighting to Ministers a few of the reports by the previous Committee, which I urge them to look at. One is on dentistry and another on pharmacies —and they are from 2023 and 2024, so they are extremely current. There is a note of frustration in the dentistry report as it points out that it makes the same recommendations that the Committee had made 15 years prior. I hope that this Government will take our Committee’s recommendations extremely seriously. Such cross-party recommendations are made thoughtfully—we are here to help.
Today, I will focus on the GP crisis. Another Committee report from October 2022, for which I take no credit—it was done by the previous Committee, so credit should go to its previous Chairs and members—points out what we already know: GPs are overstretched and patients are frustrated. The British Medical Association reports that a single GP now manages an average of 2,282 patients, a significant increase on 2015 figures. I know that there are even more acute numbers across the country. That has led to longer waiting times and difficulty in accessing care. One of my constituents wrote to me about his wife, who was struggling to book a GP appointment. The surgery does not even take phone calls—or at least that was what she thought. It opens an online form for a few minutes at 8 am, and as soon as the appointments are gone, it closes the form. We then called the practice, which pointed out that patients could ring, although it seems that that message is not getting across to those patients.
That experience is being felt across the country, but I do not blame the GPs, because they are trying their very best. The Royal College of General Practitioners found that over 40% of GPs might leave within the next five years, with stress being a key factor, and the crisis in general practice affects the entire NHS. When patients cannot see a GP, they often turn to A&E, worsening pressures on emergency departments. GPs play a vital role in managing long-term conditions and co-ordinating social care at both ends of that flow of patients. Without a functioning general practice system, the entire healthcare ecosystem suffers.
So what can be done? The Committee made four main proposals, which I hope Ministers will include in their 10-year plan. First, we need to urgently increase the number of fully qualified GPs in the system. That means more than just training them: retention is also key. Secondly, we must embrace and improve digital health solutions, undertaking a full review of all primary care IT systems from the point of view of clinicians and patients. We also have to accept that for some people, digital just does not work.
Dr Luke Evans
I was a member of that Committee and helped to author that report. One of the key things that we want to see from the clinical perspective is the ability to join up the IT side, so having a place to share technology is really important. For example, every GP practice suffers with the question of how to set up its appointment system, yet bizarrely, if I wanted to set up as a GP on my own, there is no centre of excellence to say what is the best way to do so. Does the Chair of the Health and Social Care Committee agree that it would be valuable if we had a single point of expertise that each practice could ask, “What’s the best solution that you’ve seen elsewhere in the country?”
Layla Moran
I thank the hon. Gentleman for his work on the previous Committee. The GPs I have spoken to point to that report as describing what they would like to see done, so all credit is due to the ideas that have come out of it.
The third area I wish to mention is prevention, which is at the heart of the Darzi report. That report makes it clear that focusing on prevention and early intervention will relieve pressure on the NHS in the long run.
Finally, I want to talk about continuity of care, which was a key theme—indeed, an entire chapter—in the Darzi report. It makes it clear that seeing the same GP over a long period leads to fewer hospital visits, lower mortality and less cost to the NHS. This is not about some sort of nostalgic harking back to the way things used to be: if we want to solve what is, in my view, the biggest thesis question in the NHS today—the productivity issue—we need to be looking at interventions such as that. Continuity of care within GP practices, understanding the whole person and the whole family, is one of the ways the report identified of making GPs’ time more productive.
The challenges are immense, but not insurmountable. We owe it to our healthcare professionals and, most importantly, the patients to fix this crisis, and I look forward to working collaboratively with my new Committee members to help the Government do so.
Oral Answers to Questions
Layla Moran Excerpts(1 month, 1 week ago)
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Layla Moran (Oxford West and Abingdon) (LD)
What we measure is often what we end up improving, and one of the great assets of Lord Darzi’s report is the technical annex with its 330 analyses. It is incredibly useful; it is a baseline. Will the Secretary of State make sure that it is updated yearly?
Wes Streeting
That is a great constructive challenge. I am absolutely committed to transparency and to keeping that dataset updated in the way that the hon. Lady requests. We are not going to get everything right and sometimes we are not going to make progress as fast as we would like, but where that is the case we are never going to duck it or pretend that things are better than they are. The reason that we will succeed where the previous Government failed is that we are willing to face up to the challenges in the NHS rather than pretend that they do not exist.
NHS Performance: Darzi Investigation
Layla Moran Excerpts(1 month, 2 weeks ago)
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Wes Streeting
I must make progress. There are lots of speakers and little time.
Secondly, there will be a shift from sickness to prevention. It will mean that we take action to give our children a healthier and happier life, flattening the curve of rising pressures that threaten to overwhelm the NHS by building a healthier society, which will help to build a healthier economy.
Thirdly, there will be a shift from analogue to digital. Upgrading the NHS app will give patients real choice and control over their own healthcare, creating a single patient record owned by the patient and shared across the system so that every part of the NHS has a full picture of the patient that they are treating. Getting the NHS working hand in glove with our country’s leading scientists will put modern technology and equipment in the hands of NHS staff, and patients at the front of the queue for the latest treatments.
Wes Streeting
I must begin to conclude my remarks, Madam Deputy Speaker, but I see that the Chair of the Select Committee on Health and Social Care is seeking my eye. Given that I will be before her Committee soon and know where my bread is buttered, I give way.
Layla Moran
The Secretary of State is very kind indeed. I can take no credit for what I am about to say, which comes from reports on prevention and digital transformation published by the previous Select Committee, which he would do very well to look at. What those reports say is very much echoed in Lord Darzi’s report—particularly that the place-based narratives about embedding the NHS into our communities are key, as is reform of Government as a whole, and embedding health in every Department. Will he say a bit more about reform in Government, and not just reform in the NHS?
Wes Streeting
I strongly agree with the Chair of the Select Committee and commend the work of the previous Committee, to which she refers. She has certainly given me some revision for the first meeting that I will attend. To answer her question, she is absolutely right that digital transformation and place-based healthcare planning are key. This Government will have a much sharper focus on health inequalities than the previous Government did. In fact, if we consider the NHS over the past 30 or 40 years, even when it has performed well overall, and patients in every part of the country have received access to timely care, some health systems have still been more challenged than others. We need to be honest about the structural challenges in those areas. Secondly, she is absolutely right that, if we are serious about health and prevention, we need a serious cross-Government approach. That is why I am delighted that the Prime Minister’s mission-driven approach has already seen Departments coming together with a focus on prevention. That will deliver fruit.
This is the major surgery that our national health service needs over the next decade to make it fit for the future. There is no time to waste, so we have hit the ground running. We inherited a Care Quality Commission that is not fit for purpose. I was genuinely stunned to learn that one in five health and care providers has never been inspected; some hospitals have been left uninspected for a decade; and inspectors were sent to care homes when they had never met someone with dementia. The Conservatives did not think that patients would like the answers, so they stopped asking the questions. This Labour Government are different: we will be honest about the problems facing the health service, and serious about solving them. Our policy is radical candour.
Today I am delighted to announce that Sir Julian Hartley has been appointed the new chief executive of the CQC. He is a proven reformer with a track record of turning around large organisations, and I am confident that he will provide the leadership that staff in the CQC need to address this crisis, improve patient safety and restore confidence in the regulator. Sunlight is the best disinfectant, so this Government are taking action to turn the regulator around. That is the difference a Labour Government make.
We inherited the farce of newly qualified GPs facing unemployment. Patients could not get a GP appointment, while GPs could not get a job, so we cut red tape, found the funding and are recruiting an extra 1,000 GPs. That is the difference a Labour Government make. We have tabled a motion to ban junk food ads targeted at children —our first step towards making our country’s children the healthiest generation that has ever lived. That is the difference a Labour Government make. Just this week, the Secretary of State for Science and Technology and I announced funding to produce new cutting-edge cancer treatments: a new blood test that can detect 12 different cancers. We are backing Britain’s scientists to save lives. That is the difference a Labour Government make.
Of course, strikes in the NHS have cost taxpayers billions. Patients saw 1.5 million operations and appointments cancelled. The Conservatives saw strikes as an opportunity to scapegoat NHS staff, so they let the strikes rage on. In fact, the shadow Health Secretary had not even bothered to meet the junior doctors since March. This Government do not exploit problems; we solve them. I called the junior doctors on day one and met them in week one, and in just three weeks, we had negotiated a deal to end the strikes. That is the difference a Labour Government make.
Those are just our first steps. Rebuilding the NHS will not be easy and it will take time, but we have done it before and we will do it again. Along with the millions of dedicated staff in health and social care across our country, this can be the generation that takes the NHS from the worst crisis in its history to build an NHS fit for the future—an NHS that is there for us when we need it, with world-class care for the many, not just the few. That is the change that Britain voted for; that is the change we will deliver together; and that change has already begun.
Oral Answers to Questions
Layla Moran Excerpts(4 months ago)
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Wes Streeting
The Conservative party lauded that plan during the general election, when I think the public delivered their verdict on the progress that it had made. NHS dentistry is non-existent in huge parts of the country. We will stick with some aspects of the previous Government’s dental recovery plan because they are the right solutions, but there are gimmicks that we will not proceed with. We will come forward with a serious plan to reform the dental contract, which the Conservatives committed to in 2010 but failed to do in every single year of their 14 years.
Layla Moran (Oxford West and Abingdon) (LD)
I have a constituent who has been trying to get a dentist appointment for a year. They have painful abscesses, cannot sleep and cannot eat using the right side of their mouth. We need to get on with this. I note that a review of the NHS has been launched, but the British Dental Association is concerned that that review will delay the changes to NHS dentistry that are so desperately needed. Will the Secretary of State give us a timeline for when we will see change?
Wes Streeting
I am grateful to the hon. Member for her question and congratulate her on her re-election to the House. She is right to point to the detrimental impact that the Conservatives’ failure is having on people’s lives. In fact, in 1948, when the national health service was founded, Nye Bevan received a letter from a woman who had worked her entire life in the Lancashire cotton mills about how the dentistry she was given by the national health service had given her dignity and the freedom to associate in any company. What a tragedy that 76 years later, the Conservative party has squandered and destroyed that legacy to the point where people are suffering not just pain and agony, but the indignity of being unable to find a job and unable to socialise in polite company because they are ashamed of the state of their rotting teeth.
The hon. Member is absolutely right: Lord Darzi is conducting a review on the state of the NHS, and it will report in September. That is not preventing us from making progress, talking to the BDA and working within the Department and across the sector to get those 700,000 appointments up and running as a matter of urgency. I look forward to reporting the progress to her and other right hon. and hon. Members.
Oral Answers to Questions
Layla Moran Excerpts(10 months ago)
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Andrew Stephenson
I completely agree with the hon. Lady, which is why this Government became the first Government ever to introduce a long-term workforce plan. Retention is one of the key pillars of the long-term workforce plan, and we are already seeing that deliver the result of keeping more staff in our NHS.
Layla Moran (Oxford West and Abingdon) (LD)
Giles Watling (Clacton) (Con)
The Parliamentary Under-Secretary of State for Health and Social Care (Dame Andrea Leadsom)
I am determined to ensure that everybody who needs NHS dental care can receive it. We have already implemented a package of reforms to improve access and provide fairer remuneration for dentists. That has had an effect, with 1.7 million more adults being seen, 800,000 more children being seen and a 23% increase in NHS activity in the past year. We know we need to do much more, and our dentistry recovery plan will be published shortly, setting out a big package of change.
Layla Moran
I listened carefully to what the Minister said. That change has not come to Oxfordshire, for sure—it is in a dire state. An Oxford resident wrote to me saying that when his NHS practice closed, he rang a dozen others across the county. Each one said they were offering NHS services but, in fact, they were not; they were only offering private care. In this cost of living crisis, people simply cannot afford that. As a result, they are waiting in A&E rather than getting treatment, and that ends up in their having oral surgery. What is the Minister doing now to improve the situation in Oxfordshire and across the country?
Dame Andrea Leadsom
I am incredibly sympathetic to what the hon. Lady says. In fact, in Buckinghamshire, Oxfordshire and Berkshire West integrated care board, the number of adults seen by an NHS dentist rose in the 24 months to June 2023 from 448,000 to 485,000, with a similar increase in the percentage of children seen. The situation is improving, but I completely agree with her that we need to do more, and we will be coming forward shortly with a big package of dental recovery plan reforms.
Oral Answers to Questions
Layla Moran Excerpts(11 months, 3 weeks ago)
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Kim Johnson (Liverpool, Riverside) (Lab)
Layla Moran (Oxford West and Abingdon) (LD)
The Secretary of State for Health and Social Care (Victoria Atkins)
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.
Mental Health Treatment and Support
Layla Moran Excerpts(1 year, 5 months ago)
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Layla Moran (Oxford West and Abingdon) (LD)
There is no doubt that our mental health system is broken. Like many other Members, I receive hundreds of emails from my constituents about the dire state of mental health services, and there is a story for every age and every system failure, but today I want to focus on young people, particularly students.
It will come as no surprise that the Mental Health Foundation found that 40% of students are not coping well with their anxiety. In Oxfordshire, a survey by The Tab in 2022 found a staggering 82% of students at Oxford Brookes University had self-medicated with drugs or alcohol to cope with mental health issues. Where students know that they cannot rely on the NHS, an added burden is put on university staff. Tutors increasingly find themselves acting as therapists or counsellors for their overburdened, ill or anxious students.
Oxford University is working hard to improve services. It has come up with a joint mental health committee and a more common approach across the colleges and departments. It deserves praise for that, but the students I have spoken to have made it clear that
“University wellbeing services are not and cannot be a substitute for adequate mental health care”
and those gaps have dire consequences when severe mental health issues are left untreated. My constituents Jacquie and Mark faced every parent’s worst nightmare when their son Rory reached crisis point. Rory was suffering from anxiety and depression and found no support after a year of absence. He tragically committed suicide at university at just 22. His parents told me that
“we can’t bring Rory back, but we can help other young people preparing to go to uni.”
They are calling for a statutory duty of care for universities, which would force them to take proactive steps and intervene where a student is clearly at risk of harm. It is just common sense. It already exists between employers and employees. All we are asking is for the same duty of care to apply to students.
But, as we all know, the problems in young people’s mental health services are not restricted to those at university. So many people tell me the system is broken: parents, teachers, educational psychologists and clinical psychologists all identify the same failings. One parent wrote to me:
“I am breaking my heart listening to my son saying horrible things about himself, threatening to take his life, and struggling with his mental health in general. Next year we would have been on the waiting list for four years and nothing will probably happen.”
That story is not unique.
So it is left to voluntary organisations and local authorities to step in where this Government are clearly failing. Oxfordshire Mind and Restore do incredible work. Last year, I visited The Abingdon Bridge, a fantastic charity that provides specialist support for 13 to 25-year-olds. When I visited, it had 50 young people on its waiting list, who had to wait up to 24 weeks for an assessment and a further 10 weeks for counselling. Shockingly, that is still much shorter than CAMHS, where the waiting list is between two and four years.
We know how to fix this; it is about more funding. A senior healthcare professional in Oxfordshire told me that
“every pound spent on a child’s mental health saves thousands in the future.”
It is this Government who are failing our young people and their parents. The Government are dragging their feet. Young people and their parents deserve so much better than this.
Covid Pandemic: Testing of Care Home Residents
Layla Moran Excerpts(1 year, 8 months ago)
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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
Helen Whately
I do remember many of those SI debates. I can assure the hon. Gentleman that it was not political decision making as he suggests. At every step of the way, Ministers such as I, the Health Secretary and of course the Prime Minister were making incredibly difficult decisions but always trying to do the right thing to save people’s lives and to protect people from that cruel virus which particularly attacked those who were most vulnerable, such as the frail elderly. In doing so, we continuously took public health advice. The way to look into everything that happened is indeed through the public inquiry: that is where the evidence is being provided and that is the forum in which the reflections will be taken and the lessons can be learned.
Layla Moran (Oxford West and Abingdon) (LD)
My heart goes out to the bereaved families and I cannot imagine what they must be feeling again today. My heart also goes out to care workers, many of whom lost their lives having contracted covid. Many also survived but are now living with long covid and have lost their livelihoods. The Minister may be aware that advice from the Industrial Injuries Advisory Council that would give compensation to just some of those brave workers is currently with the Department for Work and Pensions. In a recent meeting with me, the Minister told me that it could take years for that to be taken up. What conversations has this Minister had with the DWP and, if it will take years, will her Department set up a compensation scheme so that those brave workers get the support they deserve?
Helen Whately
As the hon. Lady says, care workers were among those on the frontline during the pandemic and they had some incredibly difficult experiences. They took the risk of catching covid and, very sadly, some care workers and NHS workers were among those who lost their lives. Others have long covid. The question of compensation is currently with the Department for Work and Pensions. The Minister for Disabled People, Health and Work, my hon. Friend the Member for Corby (Tom Pursglove), is in his place on the Front Bench: his Department is looking at this and will respond in due course.
Access to GP Services and NHS Dentistry
Layla Moran Excerpts(2 years, 5 months ago)
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Wes Streeting
I am grateful to the right hon. Gentleman for that intervention. I will conclude my speech by talking about what a Labour Government will do, but let me answer his direct point about the range of options through which people should be able to access their GP. I value patient choice. Thinking back to my experience of accessing NHS services last year—as many people know, I did quite a lot of mystery shopping on the NHS—I had a range of interactions with GPs. Some were face-to-face. Some interactions at my GP surgery were not with my GP but with a nurse, which was entirely appropriate and much appreciated. Some of my engagements with my GP were over the telephone. I also had a video consultation with a dermatologist. I really valued that flexibility and range of approaches.
I think that the future for primary care has to be different courses for different horses. Of course, people should have a right to see their GP when they want to see their GP—I am clear about that—but there is also a range of ways in which we can offer more flexible access to GPs, particularly for working people who do not necessarily want to traipse down to the GP surgery in the middle of the afternoon if it is something that could be dealt with over the phone or on a video call.
Layla Moran (Oxford West and Abingdon) (LD)
The shadow Secretary of State is making a powerful speech. I commend in particular the point he made that people still trust their doctors. They are desperate to see them, even if it is online. A 74-year-old constituent of mine contacted me and said that he asked for an online appointment but it would take him 30 days to get there. He appreciates that the issue is not with GPs but with the Government’s lack of planning for the number of GPs who can provide that service in Oxfordshire.
Wes Streeting
The hon. Lady makes a powerful point. How is it that the NHS can be one of the largest employers in the world—it employs 1.2 million people—but does not have a workforce plan and strategy that says, “This is the workforce need that we have today, this is what the workforce need will be in the foreseeable future and, in the longer term, this is how we need to change the shape of the workforce to take into account advances in medicine and modern technology, and the changing demographics of our society”?
We gave the Government the opportunity to commission such a report when we debated the Health and Care Bill. It was supported on a cross-party basis, including by the Chair of the Health and Social Care Committee, the right hon. Member for South West Surrey (Jeremy Hunt)—sadly, he is not able to be with us at the moment—yet the Government voted against it. What is it about the ostrich mentality of the Secretary of State and his ministerial team—or, I suspect even more, that of the Treasury—that they would rather bury their heads in the sand, pretend there is no problem with workforce and not even count the numbers of doctors and nurses needed because they worry that the Treasury might face up to the reality of what they need to provide?