Oral Answers to Questions Debate
Full Debate: Read Full DebateLindsay Hoyle
Main Page: Lindsay Hoyle (Speaker - Chorley)Department Debates - View all Lindsay Hoyle's debates with the Department of Health and Social Care
(1 day, 11 hours ago)
Commons ChamberWe are investing in the maternity estate, and I am always ready to acknowledge improvements, but for the avoidance of doubt, I am not here to protect the professional blushes of NHS leaders and staff where services fall short. I am here to protect patients, and in this area, over and above any other, I will continue to put that principle first.
Baroness Amos’s recent review found that England’s maternity system was not working: poor quality care covered up, systemic issues around racism and even collapsing ceilings in maternity units. Poor maternity care has not only left many families devastated at a time that should have been joyful for them, as too many of my constituents know; it also costs the NHS £1.3 billion every year in medical negligence payments. Liberal Democrats are calling for a consultant to be present on every maternity unit 24 hours a day, seven days a week, and for guaranteed one-to-one midwifery care for every woman who is in labour as part of a £600 million-a-year maternity rescue package. Does the Secretary of State agree that that would be money very well spent, preventing families from experiencing the heartbreak of an injury or even worse to their new baby or mum, and saving the taxpayer billions every year?
My hon. Friend is a doughty champion for his constituents. I can absolutely give him that assurance. The GP contract is clear that patients must have the option of telephoning or visiting their practice in person, and online tools must be an addition to, rather than a replacement for, other contact methods. However, we have found that by expanding online access, we have significantly reduced pressure on phone lines, and we are ending the 8 am scramble.
As the Question refers to a named area, I call the MP who represents the nearest constituency: Joshua Reynolds.
Mr Joshua Reynolds (Maidenhead) (LD)
The Bracknell Forest wards of Maidenhead constituency have seen massive amounts of house building in recent years, many without the GP facilities to join them. In a recent health survey of mine, 70% of respondents said they found it difficult or very difficult to get access to a GP appointment. Will the Minister back the Lib Dem plan for all new house building developments to come with new or expanded GP facilities in time for those first residents moving in?
I am very pleased that we have our £102 million primary care utilisation and modernisation fund, the precise purpose of which is to develop more estate capacity in general practice, and of course we have our substantial commitment to neighbourhood health centres, with 120 to be delivered by the end of this Parliament and 250 by 2035. The hon. Member should certainly be talking to his ICB about its estate strategy. Now is the right time to intervene and ensure that the issue he raised is being addressed.
Under the Labour Government’s new GP contract, Bracknell GPs and all GPs will have to refer through a single point of access. Can the Minister confirm that every referral deemed clinically necessary by a GP will be reviewed explicitly by a specialist consultant before being rejected or redirected?
John Whitby (Derbyshire Dales) (Lab)
Thank you, Mr Speaker.
Embedding Healthy Babies services in a system that prioritises prevention is central to this Government’s ambition to raise the healthiest generation of children ever. We are starting by investing £200 million to maintain Healthy Babies services in 75 local authorities with high levels of deprivation, and we will deliver the 10-year health plan ambition to roll out Healthy Babies nationally over the next 10 years.
I thank my hon. Friend, and join her in congratulating Stephen and the whole team at University Hospitals of Derby and Burton trust on their hard work to drive down waiting lists and waiting times. We are not complacent; we have set ambitious targets and invested in modernisation to simplify pathways, increase clinical capacity and improve patients’ experience. We have managed to cut waiting lists despite resident doctors’ strike action—I fear we may have to continue doing that. Through our investment and modernisation, waiting lists and waiting times are coming down, and we have shown that the NHS is on the road to recovery. Our foot is on the accelerator, with lots done, but lots more to do.
Making sure that our GP surgeries are revving on all cylinders is key to ensuring that people get the access to NHS treatment that they need. The Secretary of State will know of my campaign to get a new site for Summertown health centre—in fact, we have been trying to meet to talk about it for over 14 months—but we are now at a key moment. The council and the local practices are at a point where, if we do not get a decision in the next few weeks, we risk losing the opportunity. However, there is a block, which is the district valuer. It often asks for rents far below market value, so what is the Secretary of State doing across Government to make sure that the role of district valuers in ICBs is reassessed?
The national cancer plan is a key part of our work to build an NHS fit for the future, and it explains how we will make England a world leader in cancer outcomes. The right hon. Gentleman’s constituents will now be able to see a GP much sooner than they could before the 2024 election, which will ensure that they can get that earlier diagnosis, which is the only thing that will help them to survive and live longer.
I welcome the Minister to her post.
To provide cancer care of the best quality, we need the right workforce. Before the election, the Secretary of State said that he would double the number of medical school places, but he now appears to be quietly dropping that plan. He said that he would provide thousands more medical training jobs, but now he is rowing back on that promise. He said in 2024 that he would publish a comprehensive NHS workforce plan, which was promised for summer 2025 and then for autumn 2025. We are now in spring 2026. When will the workforce plan be published, and does the Secretary of State still intend to double the number of medical school places?
I hope that it will be published very soon, because for people with cancer, being seen quickly is key.
Let me return to what the Minister for Care said to my hon. Friend the Member for Hinckley and Bosworth (Dr Evans). The Government appear to have decided that referrals will no longer be triaged by a consultant, and that a set proportion will be rejected. What evidence do the Government have that it will be safe for others to provide this triage? If a set proportion are to be rejected, does that mean that the Government will ask doctors to change their clinical thresholds, and if so, what evidence do they have that that is safe? Surely the Minister would not compromise patient safety for a short-term improvement in figures.
I am grateful to my hon. Friend for raising that case. It is shocking but sadly not surprising, because the injuries sustained by women during childbirth are often completely ignored as well as going unaddressed. We have to learn from the case raised by my hon. Friend to ensure that constituents such as his are not fighting for the care that they deserve, and we will act on those lessons.
The latest industrial action by the British Medical Association has now ended, yet many will be appalled by reports of individuals boasting online that
“the ability to have 10 days off will make turnout quite high.”
Does the Secretary of State agree that this behaviour is indefensible and represents a slap in the face to patients whose treatments have been cancelled, as well as to the NHS staff who have been left to pick up the pieces?
I thank my hon. Friend for his question; he is a strong voice for palliative care and for Pembridge hospice in his constituency. Palliative care is vital in our communities, and I completely agree that ICBs, like West London, should engage with their local communities to ensure that they can meet their palliative care needs.
Wherever I go in North Shropshire, constituents tell me that access to a GP only gets worse when new homes are built, and they are right. Across the country, there are billions of pounds in unspent community infrastructure levies for new surgeries, and the average number of families that a GP serves has gone up by 917 since 2015. Will the Minister support Liberal Democrat calls for CIL to be used to support the early running costs of new GP practices, or to expand existing ones, as soon as people move into new housing, so that GP access really does come first when housing developments happen?
Helen Maguire (Epsom and Ewell) (LD)
Several hon. Members rose—
Order. I say gently to those on the Front Bench—and I am talking to you, Minister—that these Members want to get in, and I am trying to help them, so you should not be dragging out answers by reminding us about the elections. If nobody is aware of the elections, I am quite shocked.
Patrick Hurley (Southport) (Lab)
The Parliamentary Under-Secretary of State for Health and Social Care (Dr Zubir Ahmed)
My hon. Friend may know that in Scotland there is no NHS app. In England, where there is one, we can facilitate bowel cancer screening through the app, increase uptake, and save more lives. In Scotland, all the SNP has managed to provide in 20 years is, possibly, some dermatology services in Lanarkshire. When we came into power—
I congratulate the units on their work. I appreciate concerns about sickle cell services, which we must maintain. I am aware of some of the other challenges we have had to address in London, where we have got to a good place. It is so important that we work together—that Labour’s investment and modernisation works alongside NHS leaders and those promoting public health—and work with great Labour councils, like my hon. Friend’s.
Shockat Adam (Leicester South) (Ind)
Over the weekend, it was my pleasure to attend the Beat the Odds event in my constituency, which amalgamated 36 grassroots mental health organisations that support people from all backgrounds and of all ages and help those who have sadly fallen through the cracks. The message from those organisations was overwhelmingly clear: they need more financial support. What steps is the Minister taking to ensure that grassroots organisations receive funding to deliver frontline services that save lives?