Oral Answers to Questions

Lindsay Hoyle Excerpts

Tuesday 23rd January 2024 Commons Chamber

[Mr Barry Sheerman (Huddersfield) (Lab/Co-op)]

rose—

[Mr Speaker]

Barry Sheerman, briefly—[Laughter.]

[Mr Sheerman]

I have turned over a new leaf, Mr Speaker.

May I urge the Secretary of State to take this issue very seriously, to direct much more social media at young people and to get into schools the message about the real damage that can be done to the entire life of a child if the mother is drinking alcohol during pregnancy?

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[Dame Andrea Leadsom]

My hon. Friend is pushing against an open door. He may be aware that in 2023 we made some legislative changes to give the General Dental Council more flexibility to expand the registration options open to international dentists, tripling the capacity of three sittings of the overseas registration exam from August 2023 and increasing the number of sittings for the part 2 exam in 2024 from three to four. That will create an additional 1,300 places overall for overseas dentists aiming to work in the UK. We will also be bringing forward measures to enable dental therapists to work at the top of their training, which will expand the capacity. He is right that reform of the UDA is also required and we will be bringing forward our plans shortly.

[Mr Speaker]

I call the shadow Minister.

[Preet Kaur Gill (Birmingham, Edgbaston) (Lab/Co-op)]

I want to share with Ministers the experience of Emma from Grimsby, who said:

“NHS dentistry is a joke in the town at the moment. Thankfully I managed to get an emergency appointment in Scunthorpe (after being offered one in Doncaster originally) and I’ve now been referred to hospital to have 3 wisdom teeth removed. My dentist closed at the onset of the pandemic and I’ve not been able to register with an NHS dentist since.”

What does the Minister have to say to Emma and the millions like her who cannot get an appointment when they need one?

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[Victoria Atkins]

I am sure that the hon. Gentleman is a fair man, and that, being so, he will point out to his constituents, when they call him with their issues, that ambulance response times for category 2 emergency incidents in his local area have in fact been over 30 minutes faster than last year. However, we accept of course that this is a two-year plan and will take time to meet our full ambitions. Interestingly, the latest figures show that we have provided £6.9 million from the community diagnostic centres fund for the development of a community diagnostic centre at Wakefield. Presumably he welcomes that Conservative innovation.

[Mr Speaker]

I call the Chair of the Health and Social Care Committee.

[Victoria Atkins]

My hon. Friend is right to point out that we are in the final few hours of the consultants’ ballot on the pay reform programme that we have offered the British Medical Association. I very much hope that consultants will feel able to support that programme, because it is about bringing together the frankly quite bureaucratic system that they have to deal with at the moment, so that they are assessed in a shorter time with less bother and paperwork, while respecting their need to train and keep up their education and supporting professional activities commitments. I hope that they will agree with us on that. As I have said to the junior doctors committee from this Dispatch Box, should they return with reasonable expectations, we will, of course, reopen negotiations.

[Mr Speaker]

I call the shadow Minister.

[Karin Smyth (Bristol South) (Lab)]

The Secretary of State has said that preparation for winter started last January, but 54% of A&E departments were still rated inadequate or needing improvement in December, exacerbating the winter crisis. What will she do differently this year to ensure that we do not have another winter crisis in 2024-25?

[Victoria Atkins]

Again, the plan that we laid out last year is having a real impact at local level on the services being deployed through our accident and emergency services. We have seen discharge rates improving, for example. We appreciate that there can be local differences, but the importance that we put on maintaining that flow through hospitals is critical to ensuring that the waiting lists and waiting times that the hon. Lady describes are reduced. However, I gently remind the Labour party that it has been running the NHS in Wales for some time now, and it is a great shame that the good people of Wales—[Interruption.] The good people of Wales are waiting longer for their treatment—[Interruption.] They are almost twice as likely—

[Mr Speaker]

Order. I am a little bothered, because we have a long way to go on the Order Paper. I call the SNP spokesperson.

[Amy Callaghan (East Dunbartonshire) (SNP)]

We cannot discuss winter pressures in the NHS without acknowledging workforce shortages. The Secretary of State is having to contend with new immigration policies from her Cabinet colleagues that prevent dependants from coming to the UK, meaning that we are asking people to come and care for our loved ones while they leave behind theirs. I imagine that she is frustrated that that is now another barrier to recruiting staff to our health and care sectors. Has she expressed those frustrations to her Cabinet colleagues?

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[Helen Whately]

I am actually really shocked by the way the hon. Member referred to the care workforce, with terms like “It is all blah”—very shocking. I am determined that care workers should get the recognition they deserve. We have a 10-year plan for social care, and it is working: the care workforce grew by over 20,000 last year, vacancies in social care are down, and retention is up. We are reforming social care so that it works as a career. That is why, as I said a moment ago—I wish the hon. Member had been listening—we have introduced the first ever career pathway for social care workers and a new national care qualification.

[Mr Speaker]

I call the shadow Minister.

[Andrew Gwynne (Denton and Reddish) (Lab)]

But according to Care England and Hft, 54% of social care providers have increased their reliance on agency staff; 44% have turned down new admissions; and 18% have had to close services altogether. Labour’s fair pay agreements will ensure that staff in the sector are treated with the dignity and respect that will make them want to stay, but after 14 years, why do Ministers not have a proper plan to address the workforce crisis facing adult social care? Is it because it is a crisis of their making?

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[Victoria Atkins]

I thank my right hon. Friend for raising her local college, which does amazing work for the whole of the NHS as well as in her local area. I may have to retain a discreet silence over that particular application but I know that if any Member is sure to advocate effectively for their local area, it is my right hon. Friend.

[Mr Speaker]

I call the shadow Minister.

[Abena Oppong-Asare (Erith and Thamesmead) (Lab)]

Recruiting and retraining more NHS staff is crucial if women are to get gynaecology, obstetric and maternity care. I would like to share the story of Sandy Simmons. She was told 11 months ago that she needed surgery for a uterine prolapse; today, after nearly a year of pain, she is still waiting. Labour candidates such as Keir Cozens in Great Yarmouth are speaking up for women like Sandy and the 905 women waiting more than a year for treatment in Norfolk and Norwich University Hospital. Will the Secretary of State apologise to these women—or, like the Prime Minister, will she just walk away?

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[Jeff Smith]

If only the reality was that rosy. The entire sector is calling out for reform of the Mental Health Act 1983. With our mental health services in crisis, why did the Government scrap the long-awaited and overdue mental health Bill, which could have started to alleviate pressures on trusts by reducing the numbers of people detained inappropriately and making services more fit for purpose? Is it not true that we need a Labour Government to take action on this issue?

[Mr Speaker]

It is going to be a long year.

[Maria Caulfield]

I have news for the hon. Gentleman, because we have a plan and it is working. Our investment of £143 million into crisis support is showing early evidence of reducing admissions—admissions are 8% lower. With the crisis telephone services, which are available 24/7, we have admissions down 12%. More importantly, detentions under the Mental Health Act are 15% lower. We have a plan, and it is working.

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[Ruth Cadbury]

I recently met two constituents with experience of invasive lobular breast cancer. Invasive lobular carcinoma is the second most common form of breast cancer, but it is not generally picked up by mammograms, and it behaves differently from other breast cancers. However, lobular breast cancer has been understudied and underfunded, and it urgently needs research funding. Will the Secretary of State tell the House what specific actions her Government are taking to address those gaps? Will she also reply to the Lobular Moon Shot Project, to which she—

[Mr Speaker]

Order. This is topical questions.

[Victoria Atkins]

I gently remind the hon. Lady about the statement that I just gave. Last week we held the women’s health summit, at which I announced that we are encouraging research into conditions such as lobular breast cancer. I made that announcement because of two amazing women I met recently who were living with the condition. They were introduced to me by my right hon. Friend the Member for Horsham (Sir Jeremy Quin) and my right hon. Friend—

[Mr Speaker]

Order.

[Ruth Cadbury]

I am waiting for the reply.

[Mr Speaker]

Order. Please can I just say that these are topicals? I have got to get through a big list, and lots of Members are standing. We need short, punchy questions, and the same with answers.

[Andrew Jones (Harrogate and Knaresborough) (Con)]

T6. I have been carrying out a health survey of thousands of residents in Harrogate and Knaresborough, to ask them for their experiences and views of the NHS. I will share the results with local healthcare professionals, to support them and their work. When the results are in, will the Secretary of State meet me to discuss how they will help inform and shape our local healthcare planning ?

[Victoria Atkins]

I would be delighted to meet my hon. Friend to discuss that. As always, he is an excellent advocate for his constituency, and I will enjoy listening to the results of his survey.

[Mr Speaker]

I call the shadow Minister.

[Andrew Gwynne (Denton and Reddish) (Lab)]

Mike Reader, Labour’s candidate for Northampton South, shared with me the horrific experience of Stanley, who had severe abdominal pain and called an ambulance, only to be told it would take hours and to go to A&E. There, he was told to wait for assessment on a patio chair outside. It was 3°. Who is to blame?

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[Victoria Atkins]

We understand how worrying the possibility of medication shortages can be. There is a supply issue with riluzole 50 mg tablets, caused by a supplier experiencing manufacturing issues. We have a well-established procedure in place to deal with such issues, and are working with the industry, the NHS and others to resolve it as quickly as possible. We have contacted alternative suppliers and have secured sufficient volumes of stock.

[Mr Speaker]

I call the Scottish National party spokesperson.

[Amy Callaghan (East Dunbartonshire) (SNP)]

Cancer Research UK has found that too much UV radiation is the third biggest cause of cancer across these isles. Does the Secretary of State recognise that cost is a barrier for people wishing to protect their skin from the sun, and will she commit to having conversations with Cabinet colleagues to remove VAT on sun protection products, which will help protect NHS budgets and ultimately save lives?

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[Mr Speaker]

I look forward to seeing that in Chorley.

[Sir Jeremy Quin (Horsham) (Con)]

I warmly welcome what my right hon. Friend said last week about encouraging research on lobular breast cancer, and I look forward to meeting the Under-Secretary of State for Health and Social Care, the hon. Member for Lewes (Maria Caulfield), shortly to work out how we can operationalise what is her clear ambition.