Meningitis Outbreak
Lindsay Hoyle Excerpts(4 days, 9 hours ago)
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The Secretary of State for Health and Social Care (Wes Streeting)
With your permission, Mr Speaker, I will make a statement on the outbreak of meningococcal disease in Canterbury and east Kent.
My thoughts, and I am sure the thoughts of the entire House, are with the families and friends of the two young people who have sadly died. I cannot begin to understand what they must be going through. This is an unprecedented outbreak. It is also a rapidly developing situation. With these considerations in mind, it is absolutely paramount that we stick to the facts, which is what I intend to do.
This is the current situation: as of 9.30 am today, the UK Health Security Agency has confirmed four cases of group B meningococcal disease, with another 11 cases under investigation. The two deaths are associated with this cluster. The majority of cases link back to the Club Chemistry nightclub over the dates of 5, 6 and 7 March, and their associated networks. Club Chemistry is currently closed voluntarily. Going forward, these figures will be updated publicly by UKHSA each day at 9.30 am.
Let me now turn to the timeline of this outbreak. UKHSA was notified about the first case on Friday 13 March. In line with established protocol, health officials began identifying and tracing the patient’s immediate close contacts, who were offered prophylactic antibiotics as a matter of urgency.
On Saturday, UKHSA was in touch with the University of Kent to ensure it had the necessary support, advice and guidance and to establish where the patient was living. Also on Saturday, the French authorities alerted UKHSA to a second confirmed case in France, from an individual who had attended the University of Kent. Both cases lived in private accommodation and at that stage there was no apparent link between the two.
At 7 pm on Saturday evening, hospitals reported that a number of severely unwell young adults were presenting with symptoms consistent with meningococcal disease. Contact tracing of these individuals began immediately and continued into Sunday morning, 15 March. All those traced were offered precautionary antibiotics. So far, 700 doses have been administered.
Recognising the scale of the potential outbreak, at 10 am on Sunday, UKHSA stood up a full-scale response, including preparations for more widespread distribution of antibiotics on campus. By 5 pm on Sunday those antibiotics were in place and distribution began to students in the two halls of residence where we were aware of cases, and by 6 pm, a public health alert was issued.
It is important that the House, and the wider public, understands that even before the public health alert was issued, students and young people who had been in close contact with suspected cases were being offered antibiotics. This is precisely what one would expect as a rapid response, and I am confident UKHSA acted as quickly and as comprehensively as possible.
In addition to cases involving students at the University of Kent, two cases were identified involving sixth-formers in year 13, one of whom has sadly died. The UKHSA made contact with the headteachers at both schools first thing on Monday morning and has worked closely with the schools to provide information, advice and support, including a letter to parents that was issued the same day. We are working closely with the Department for Education on wider communications to schools across the Kent area, and a briefing with schools has taken place this morning.
The strain associated with this outbreak is meningitis B, known as menB. It is an uncommon but, as we have seen, serious and potentially lethal strain of meningococcal disease. The onset of illness is often sudden, and early diagnosis and treatment with antibiotics are vital. It does not spread very easily. The bacteria are passed to others after a long period of close contact—for example, through living with someone in shared accommodation, through prolonged kissing, or through sharing vapes and drinks. However, the symptoms are easily mistaken for other common conditions, and even for something like a hangover.
Let me set out the current advice from the UKHSA. Anyone who attended Club Chemistry on 5, 6 or 7 March, and anyone who believes that they were in close contact with someone who is confirmed or suspected to have meningitis, should attend a treatment centre and receive antibiotics. There are four centres open in Canterbury today, with 11,000 doses available on site. Details about the location of those centres are available on the UKHSA website and are being promoted by the UKHSA, the NHS, my Department, schools and the university, as well as the BBC, and I encourage all media outlets to do the same. There is no need to book an appointment.
A single course of antibiotics is highly effective in preventing the contraction and spread of this disease in 90% of cases. If you become worried about yourself, your child or a friend, particularly if symptoms are getting worse, please seek medical help urgently. Anyone with symptoms should call NHS 111 or, in an emergency, dial 999 to seek medical attention.
People are understandably asking about a vaccine. From 2015, the menB vaccine has been available on the NHS as part of routine childhood immunisations, but clearly most students will not be vaccinated. Given the severity of the situation, I can confirm to the House that we will begin a targeted vaccination programme for students living in halls of residence at the University of Kent in Canterbury, which will begin in the coming days. The UKHSA will provide further advice on other cohorts in the coming days.
On the question of wider eligibility, we obviously follow the expert independent advice of the Joint Committee on Vaccination and Immunisation. In the light of this latest outbreak, I will ask it to re-examine eligibility for meningitis vaccines. I will do so without prejudicing its decision, because we have to follow the clinical advice on this. I will keep the House updated as the situation unfolds, and I commend this statement to the House.
Wes Streeting
I am grateful to my hon. Friend for her question, which raises an important point—the shadow Secretary of State also raised it—about public health information. There are exams taking place at the University of Kent this week, but many students may have returned home, and indeed there will be some students at the University of Kent in Canterbury who commute in from the surrounding area. We have four sites available on and around the campus: the senate building at the University of Kent, the Gate clinic at Kent and Canterbury hospital on Ethelbert Road in Canterbury, Westgate Hall in Canterbury, and the Carey building at the Thanet community health hub in Broadstairs, which is planned to be open from Tuesday 17 March. We are also making sure that students who have gone home and who may wish to access antibiotics because of risk factors or concern about symptoms are able to contact their GPs and receive support locally.
Alison Bennett (Mid Sussex) (LD)
I thank the Secretary of State for advance sight of the statement. Like other hon. Members who have spoken, first and foremost my thoughts are with the family and friends of the two young people who have lost their lives, and everyone who has been touched by this devastating outbreak. It is understandable that many young people and their families will be feeling anxious. With that in mind, is the Secretary of State confident that this outbreak is contained and has not yet spread beyond those present at the initial event?
It is not unreasonable for young people and their families elsewhere in the country to be wondering whether they should be seeking catch-up vaccines. Young people will not have been protected by the menB vaccine that is available to those born after 2015. Is the Secretary of State confident that there is sufficient stock to deliver protection to all those who need it? As well as talking to the JCVI, will he involve Meningitis Now, which has called for teenagers and young people born prior to 2015 to be vaccinated against meningitis B on the NHS?
Vaccination rates are falling in the UK, including for meningitis. For that reason, all politicians and political parties have a moral duty to support science over conspiracy theories. It is deeply regrettable that certain parties have not been responsible in this respect in recent months, and I and my Liberal Democrat colleagues are worried that these avoidable deaths will become more common should a conspiracy theory narrative persist. We must encourage those communities and healthcare workers who are not currently taking up vaccines to do so. We must build trust, tackle disinformation and encourage people—regardless of where they live—to take up lifesaving vaccines.
Wes Streeting
I thank my hon. Friend for his support for the local health system and for engaging so actively with my Department and the UKHSA team in response to this incident. He is absolutely right to press on public advice. It might be helpful to be clear that transmission requires close and prolonged contact, such as someone living in the same household or intimate contact such as kissing or the sharing of vapes or drinks. It is those sorts of things where the risk of spread exists. This disease is not like some of the other respiratory conditions that we have seen recently. It is important that people understand how it is spread, because they may find that reassuring. A range of symptoms can present, including a rash that does not fade when pressed with a glass, the sudden onset of high fever, a severe and worsening headache, stiff neck, vomiting and diarrhoea, joint and muscle pain, dislike of bright lights, very cold hands and feet, seizures, confusion or delirium, and extreme sleepiness or difficulty waking. Those symptoms can also apply to a wide range of other conditions. As ever, if in doubt, the best thing to do is to seek medical advice, whether that is calling 111, or in an emergency dialling 999, or seeing your GP. I urge everyone to share the public health information that is disseminating online, so that we can spread facts rather than misinformation.
Oral Answers to Questions
Lindsay Hoyle Excerpts(3 weeks, 4 days ago)
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Wes Streeting
I wholeheartedly agree with my hon. Friend. This Labour Government are introducing the first ever fair pay agreement for care workers. That is better pay and conditions for care workers, and more people recruited into the profession. It is backed by £500 million, and Scotland will receive extra funding through the Barnett formula. The question for the SNP is: where is the money going, and why is it not going into the pockets of Scottish care workers, as Jackie Baillie has demanded?
Layla Moran (Oxford West and Abingdon) (LD)
On Friday, I visited Young Devon, an early support centre in the heart of rural North Devon, where I met young people who told me heartbreaking stories of how they felt left out and let down by the system. Young Devon was quite literally a lifeline for them. It has an open-door, person-centred approach. I am delighted that its funding has been continued for one more year, but it is only one year, and those who run the centre told me that this makes it incredibly difficult for them to plan. Can the Secretary of State clarify what the longer-term plan is for these early support hubs, how they sit alongside Young Futures hubs, and how he can help organisations like Young Devon thrive into the future?
Wes Streeting
I join the Chair of the Health and Social Care Committee in paying tribute to Young Devon and the work it is doing. As she will know, I have enormous sympathy for the challenge she raises about medium-term certainty on funding. As was demonstrated on the Floor of the House yesterday by the Education Secretary, my Department and the Department for Education are working closely together to make sure we are better joining up education, health provision and support for young people. There is more to do. I accept the challenge that she sets down around medium-term certainty on funding; that is why we are doing more through, for example, the medium-term planning framework. I accept, in the spirit of this exchange, that there is lots done, but lots more to do.
Helen Morgan (North Shropshire) (LD)
Last year in Shropshire, which is a fairly typical rural area, 158,000 patients waited more than a month for a GP appointment. That is not surprising, given that, like many other rural areas, we have 50 fewer qualified GPs than we did a decade ago. Meanwhile, already busy GPs are trying to develop integrated neighbourhood teams, but they report that they have not received any dedicated Government funding, and still do not have the model neighbourhood framework. Will the Secretary of State act to ensure that GPs have the resources and guidance that they need to develop those neighbourhood health teams, and ensure that everyone can access an appointment within seven days, or 24 hours if it is urgent, particularly in rural areas, where provision is poor?
Dame Meg Hillier
The NHS’s work on this is vital, but I also draw the Minister’s attention to Mind in Hackney, which is pioneering a new approach to make sure that people get two sessions of mental health support within two weeks. They can get more later on, but that is what they get, rather than waiting in a queue for six months for long-term support. For many people, that, along with a long-term treatment plan, is enough. May I urge the Minister to come and visit? It is only half an hour up the road from Westminster; he could fit it in before Prime Minister’s questions.
Dr Ahmed
I am grateful for my hon. Friend’s invitation. She is right: we need to think of innovative ways of attacking the mental health issues that face our country, and particularly our young people. Those include digital and face-to-face therapies, both of which we are expanding at a rapid pace. I am delighted to pass on her invitation to the Minister for Mental Health.
Stephen Kinnock
Our manifesto commitment was about improving access to urgent dental care, and that is precisely what we have done by commissioning hundreds of thousands of additional urgent treatments. It became clear as we were working through that process that the clinical definition was too narrow and out of step with the common-sense interpretation, so we acted on the advice of the chief dental officer and broadened the definition. From this April, urgent care will be embedded in the contract, and of course we continue to work with the sector on long-term contract reform.
Helen Morgan (North Shropshire) (LD)
Everyone in this House knows that NHS dentistry was allowed to fall apart under the Conservatives, resulting in DIY tooth extractions, people being forced to go to A&E because they are in pain, and children suffering in every corner of the country. Last year, 38,000 children in Shropshire did not see a dentist. In Surrey, that number was 100,000 and in Sussex it was 133,000. That is a disgrace. The Government promised an extra 700,000 urgent appointments to fight this crisis, but that promise looks set to have been broken in the previous year. Will the Minister today highlight in black and white how many extra urgent appointments were actually delivered last year, rather than simply commissioned?
Ashley Dalton
The Minister responsible runs a regular ministerial surgery and would be more than happy to meet the hon. Member.
Dr Caroline Johnson (Sleaford and North Hykeham) (Con)
I declare an interest as a consultant paediatrician in the NHS. Prevention of ill health is crucial. It is particularly important in children, perhaps most especially when one is trying to prevent ill health in children caused by doctors. I have expressed concerns previously about the puberty blockers trial, as have many in both Houses. The trial has now been paused due to a Medicines and Healthcare products Regulatory Agency letter. When were Ministers first aware of that letter and when were they first aware of the concerns described within it?
Joe Robertson (Isle of Wight East) (Con)
The Secretary of State for Health and Social Care has compared GPs’ salaries to that of the Prime Minister. I can understand why he is taking a keen interest in how much a Prime Minister is paid, but can the Government assure the House that the GP contract will include an increase in GP funding over and above inflationary pressures? [Interruption.] They are on the frontline of ensuring that national wellbeing indicators in this country improve.
Ashley Dalton
I am not entirely sure what any of that has to do with wellbeing indicators—
Mr Speaker
Order. Let me do my job and I will let the Minister do hers. Try to answer the question—I did add a caveat to it.
Ashley Dalton
Sorry, Mr Speaker; I did not hear you. I can confirm that a written ministerial statement will be tabled at 4 pm in which the contract for 2026-27 will be laid out.
Josh Babarinde (Eastbourne) (LD)
A matter of weeks ago, a power cut plunged parts of Eastbourne district general hospital, where I was born, into darkness and forced our maternity unit to temporarily close, particularly affecting disabled women. People had to use their iPhone torches to see. Despite that power infrastructure failure, we are way at the back of the queue for new hospital funding. Will the Minister commit to accelerating the unlocking of that cash, so that women can have the services they deserve—
Mr Speaker
Order. I have spoken before about trying to drag in a supplementary question that is not relevant to the main question. I call the shadow Minister and welcome him to the Dispatch Box for the first time.
Gregory Stafford (Farnham and Bordon) (Con)
Thank you very much, Mr Speaker.
Seven months ago, the NHS 10-year plan promised a maternity taskforce. May I ask the Minister how many times it has met?
Harriet Cross
Inverurie medical practice in my constituency saw its national insurance bill rise by £75,000 thanks to this Government. That has put huge pressure on the practice, which was already operating with one GP for 3,000 patients, which is three times higher than the British Medical Association recommends. When did the Secretary of State last meet the Chancellor to discuss the impact of the NICs rise on GP practices, and what are he and his Department doing about the pressure—
Wes Streeting
I see the Chancellor most weeks. That is why record investment is going into our NHS, which is improving patient satisfaction with access to general practice, cutting waiting lists, and improving ambulance response times—all to fix the mess that the Conservatives left behind. And people should be in no doubt: given the chance, they would do it again. They opposed the investment, they opposed the reform, and they can never be trusted with our NHS.
The Parliamentary Under-Secretary of State for Health and Social Care (Ashley Dalton)
We acknowledge the important issue of the potential negative impact that gambling advertising may have on children and young people’s health. My officials continue to work closely with officials at the Department for Culture, Media and Sport, and I will be discussing the issue with the Minister for Gambling, who is responsible for gambling advertising policy. We continue to keep the public health evidence under review, and to consider suitable action to protect individuals and communities from gambling harms.
Stuart Andrew (Daventry) (Con)
In the plan for change, the Government committed to meet the 18-week standard for routine operations, but the latest data suggests that the Government are not on track to meet that commitment by the end of the Parliament. In December, fewer people were treated within 18 weeks than in the previous month. Will the Secretary of State now accept the reality that patients are experiencing and, as the Institute for Fiscal Studies has warned, that the Government will not deliver their commitment on their key milestone to deliver the 18-week standard?
Karin Smyth
I understand the issues that the hon. Gentleman and many other Members, such as my hon. Friend the Member for Great Grimsby and Cleethorpes (Melanie Onn), have raised in Grimsby and the Lincolnshire area. It is important that the clinical mapping for their new services is supported by clinicians and local people, and I am happy to continue to talk to the hon. Member for Brigg and Immingham (Martin Vickers) and others about progress with that. I am in touch with the NHS England team, and it assures me that it is continuing to do that. I also understand the additional difficulties—
Noah Law (St Austell and Newquay) (Lab)
Pharmacy First: Withholding Payments
Lindsay Hoyle Excerpts(1 month, 1 week ago)
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Dr Evans
It is a regret that I have had to summon the Minister here to answer questions, and surprise, surprise—
Mr Speaker
Order. May I just say that you did not summon the Minister? I granted an urgent question. Think about the language you choose, Dr Evans, and think that we have given you something.
Dr Ahmed
As the hon. Gentleman will know—or should know—the current remuneration method was agreed in conjunction with the sector. The adjustment was agreed with the sector’s representative body, Community Pharmacy England. Advance notice of the change was provided to those contractors by letter and in an article published by the NHS Business Services Authority in May 2025. In addition, Community Pharmacy England knows that, should this be a priority issue for it to negotiate in the next contract, we will take that on board and use it as an option.
There are of course always extenuating circumstances, such as IT not working. Officials have reassured me that, following discussions with Community Pharmacy England, we have introduced specific provisions in the drug tariff that will allow pharmacy contractors to receive payment for claims that were delayed due to IT issues outside of its control.
I can appreciate why the hon. Gentleman wants to expand the remit of the urgent question across primary care—well, let me tell him. I know he had neck surgery recently; I did not realise they put a brass neck in him as well when they did it. He knows what kind of NHS decline and decay over which he and his Government presided over the past 15 years: primary care where people are left wandering around asking for GPs, and the Conservatives left GPs on the scrapheap, unemployed. This Government ensured, when they came into office, that—
Mr Speaker
Order. Minister, one of us is going to sit down, and it is not going to be me. Please can we have a little bit more calm? You have come in as the supporting Minister to the Secretary of State. I want you to set the example and not be the naughty one.
Mr Speaker
Order. We are going to learn the rules between us, Minister. Dr Luke Evans, I have granted you this urgent question. Quite rightly, I wanted your question to be heard by the Minister; I did not want any interruption. I expect you to listen to the answer without interruption.
Dr Ahmed
This Government take our responsibilities seriously in providing an effective 21st-century primary-care NHS, free at the point of care. That is why when we came into power we ensured that the pharmacy sector had the largest uplift of any part of the NHS in the past two years—£3.1 billion. To support primary care further, we ensured that GPs who could not find employment found it under this Labour Government. It is only this Government that can modernise the NHS, make it free at the point of care and ensure that it is a high-quality service going forward.
Dr Ahmed
As I have stated, we have given pharmacies a record £3.1 billion settlement. We absolutely endorse the need for pharmacies to do more in our communities. We are enabling pharmacists up and down the country to expand their repertoire, and we are ensuring that Pharmacy First remuneration is a dynamic process, month on month, that reflects the activity that each pharmacy is doing.
Helen Morgan (North Shropshire) (LD)
Pharmacists play a crucial role in supporting the health service by reducing the pressure on overcrowded hospitals and GP surgeries. They also play a crucial role in local communities by providing access to treatment when appointments remain hard to come by elsewhere. But pressure on pharmacists is severe and has been getting worse, as shown by closures in my constituency and across the country. Those closures hit hardest in rural and coastal areas and in the most deprived areas, where they are most needed. This vital service needs to be supported and not undermined so that our constituents can rely on being able to access the medicines and treatment they need.
Has the Minister considered a new late payment mechanism to ensure that if contractors miss the deadline, they can still receive compensation for the work they have undertaken, especially in the interim as pharmacists adapt to the changes that have been introduced? What discussions has he had with NHSBSA to resolve the technical difficulties being experienced?
Oral Answers to Questions
Lindsay Hoyle Excerpts(2 months, 1 week ago)
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Dr Caroline Johnson (Sleaford and North Hykeham) (Con)
The Secretary of State has previously said that he accepts all the recommendations in the Cass review. One such recommendation is that the Secretary of State mandate the release of data for the data linkage study. Can the Minister tell us what specific steps have been taken to mandate the release of that data?
Wes Streeting
My hon. Friend is absolutely right to raise that issue, and I commend her for the work she is doing in this area. There is a real risk of post-natal depression. Certainly where there have been complications in birth or, worse still, injury or the most unimaginable experience of loss, we need to make sure that women and their partners and the wider families are supported from day one. That does not just mean training and support for staff and making sure that they are doing emotional wellbeing screening; it also means thinking more thoughtfully about estates. One thing that has really struck me is the experience of women who have suffered loss during labour who are asked, during the care that follows, to go back to the very maternity units where their unimaginable pain was first endured. Those are difficult issues to challenge, and it will require investment, but those are the sorts of areas we are getting into as we think more thoughtfully about how to ensure that we take care of not just the physical health of the mother and baby, but the mental health and wellbeing of mother and the wider family.
Layla Moran (Oxford West and Abingdon) (LD)
An Oxford midwife recently told me that sewage regularly rises through the floor and drips down through the ceiling on to a hospital maternity ward. This has become so common that it is now standard procedure for midwives to move the clinic whenever it happens so that patients are none the wiser. Obviously if the hospital had the money to fix the problem it would have already done so, but equally obviously, the staff should be looking after mothers and babies, not shovelling sewage. Can the Secretary of State confirm that when the Amos review has done its work, there will be a flexible pot of money so that specific issues such as this in specific hospitals can be dealt with to improve patient safety and staff retention?
Wes Streeting
I will make certain that my Department and the NHS look into what has happened to provision in the hon. Lady’s area, and I will write to her about it. She is quite right about the need to ensure that parents are given high-quality information from the time of conception so that they can make informed decisions about everything from whether to breastfeed through to the steps that they can take in those formative first 1,001 days to secure the best possible outcomes. I welcome the appointment of Will Quince to lead the 1,001 Critical Days Foundation; although in the past we have crossed swords in the House, I know how committed he is to that agenda.
Dr Caroline Johnson (Sleaford and North Hykeham) (Con)
The maternity and neonatal plan is due in the spring, nearly two years after the Secretary of State took office. The maternity review has been delayed. There are no signs of the 1,000 additional midwives the Secretary of State said he would train. Gynaecology waiting lists are rising, with the number waiting for admission 6% higher than it was a year ago. The Secretary of State has an opportunity to save many lives, and I know that he wants to use all the opportunities available to him. May I ask him to concentrate on making more improvements in maternity care?
Stephen Kinnock
I am not familiar with the details of that case, but I get the impression that my right hon. Friend the Secretary of State is. A really important part of our manifesto commitment was to end the 8 am scramble, which is all about access, and that is precisely what we are doing. In September 2024, patient satisfaction with ease of access stood at just 61%; today it stands at 73%. That is huge progress. It is all about getting better access, and building a primary care estate that is fit for purpose is a very important part of that. I would be happy to meet the hon. Gentleman to discuss the details of that specific case.
Dr Luke Evans (Hinckley and Bosworth) (Con)
Community pharmacies are a vital part of the primary care infrastructure, including in Epping Forest. Using NHS Organisation Data Service data, can the Minister tell the House how many pharmacy contracts ceased in England last year?
Stephen Kinnock
I think there is some dispute over the number that was on the front page of the Express. We are looking into that number and will certainly come back to the hon. Gentleman on it. On his broader point about the decisions that the Chancellor took at the last Budget, I suppose I have a question back to him: would he be cutting the £26 billion that this Labour Government are investing in the NHS, and if not, how would he be paying for it?
Mr Speaker
I think just stick to the responsibility of being in government, Minister; don’t worry about the Opposition.
Chris Vince (Harlow) (Lab/Co-op)
The Secretary of State for Health and Social Care (Wes Streeting)
Regardless of the challenges this winter presents, this is a Government who are facing into them. We have vaccinated over 17 million people this winter, which is 350,000 more than this time last year and 60,000 more NHS staff. We are not out of the woods yet by any stretch, but I can give an example of how our investment in modernisation is paying off: new year’s day was the busiest day in NHS history for 999 calls, but despite that, ambulances arrived to heart attack and stroke patients 15 minutes faster compared to this time last year. Backed by £450 million, our urgent emergency care plan will expand same-day and urgent care services. We are delivering new same-day emergency care and urgent treatment centres, more mental health crisis assessments and 500 new ambulances. Lots done, but so much more to do.
Chris Vince
Will the Secretary of State to join me in thanking the extraordinary efforts of the staff at Princess Alexandra hospital in Harlow for their work over the winter period? A few years ago, we saw the shocking statistic that people were waiting in A&E at Princess Alexandra hospital for 13 hours. Can the Secretary of State outline the changes that this Government are making to bring down waiting times, improve GP satisfaction levels and decrease ambulance waiting times, and explain how this Labour Government are ensuring that the NHS is fit for the future?
Wes Streeting
I absolutely join my hon. Friend in thanking NHS staff in Harlow and across the country for their incredible efforts during the toughest winter weeks. I particularly thank all those staff who have supported their colleagues and worked throughout Christmas and new year, sacrificing time with their families to care for ours. Of course, Mr Speaker, I particularly thank the staff at Chorley and South Ribble hospital who facilitated our visit. Your representations from the Chair for longer A&E access have not been lost on me, or indeed the record.
Helen Maguire (Epsom and Ewell) (LD)
Last night, Surrey Heartlands ICB and two hospital trusts in Surrey declared a critical incident, which means that some hospitals cannot guarantee that patients will be treated safely and operations could be cancelled to make urgent care a priority. Will the Secretary of State confirm what action the Government are taking to support those trusts and what funding will be made available to ensure that such incidents do not recur?
Seamus Logan (Aberdeenshire North and Moray East) (SNP)
I genuinely welcome the fact that the Secretary of State is able to praise the efforts of NHS staff this Christmas and new year, but there is good news in Scotland, too: waiting lists have fallen for the longest waiters for the sixth month in a row and threatened industrial action by resident doctors has been called off. However, there is anxiety not just in Scotland but across these islands about the new UK-US medicines deal and its impact on the NHS. Will the Secretary of State change his habit this new year with a new year’s resolution and answer my question? Where is the money coming from for the UK-US drugs deal?
Mr Speaker
Order. The question is about waiting lists, and I am sorry but we have got to stick to it. [Interruption.] Order. Mr Logan, I was very good in bringing you in, especially with health being devolved, so please let us not change the question before us. Helen Morgan will be a good example.
Helen Morgan (North Shropshire) (LD)
I always am, Mr Speaker; thank you very much. Recently, I have heard from Candice, who was interrupted while changing her stoma bag behind a curtain on the emergency ward; Lynne, who waited 17 hours for an ambulance after breaking several ribs; and Sandra, who has bladder cancer and spent 31 hours on a plastic chair in the “fit to sit” area. They all want to share their stories so others do not have to suffer like they did, in pain for hours and hours. Will the Secretary of State commit to ending the waits and back the Liberal Democrat call, welcomed by the Royal College of Emergency Medicine this morning, for a guarantee that no patient will have to wait for more than 12 hours in A&E?
Wes Streeting
My hon. Friend is right; we have to shift care out of hospitals and closer to people’s homes to make sure that we do not end up with the situation he describes. I know that he is doing a lot of work on that in his community, and I am very happy to meet him to hear about his findings and what we can learn and apply both locally for him and his community and elsewhere.
Stuart Andrew (Daventry) (Con)
With one in five hospice beds no longer available because of increased costs such as national insurance contributions, it is hardly surprising that doctors are raising concerns about the increase in the number of end-of-life patients in our hospitals. It is therefore concerning to hear that the palliative care modern service framework will not now be available until the autumn. Given that the situation is increasingly urgent, will the Secretary of State commit to accelerating that timescale?
The Minister for Care (Stephen Kinnock)
We are committed to delivering 250 centres by 2035, with a progressive roll-out over this Parliament. Early sites are focused on areas of greatest need, with consideration of factors including deprivation and access. Integrated care systems are in the process of planning the best holistic local configuration of a neighbourhood service. I would be very happy to meet my hon. Friend to discuss the potential for a neighbourhood health centre for Long Stratton.
Helen Morgan (North Shropshire) (LD)
The social care crisis is piling pressure on hospitals, with beds taken up by patients who are fit enough to be discharged. It is also piling pressure on local councils such as Shropshire, where 80% of the budget goes to social care, yet the Government are shifting funding from counties to cities and dragging their heels on the social care crisis. Will the Secretary of State take action by reinstating the cross-party talks on social care as a priority, because we need to fix social care if we are going to fix councils, care and the NHS?
Wes Streeting
Cross-party working on social care has never been un-instated. I know there is much more to do, but we have been in government for 18 months and we have put in £4 billion of investment, legislated for the first ever fair pay agreements with £500 million committed to that, made significant additional investment in the disabled facilities grant and, in building the workforce plan for the future, we have commissioned Baroness Casey to do her work. She will be reporting soon and we look forward to taking that work forward.
Mr James Frith (Bury North) (Lab)
NHS: Winter Preparedness
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Wes Streeting
I echo my hon. Friend’s thanks to frontline NHS staff for what they are doing against a very challenging backdrop, which will be made all the more difficult this coming week. I also thank her personally for her ongoing frontline service, which she performs in addition to her duties in this House. I am always delighted to meet her and I would be very happy to discuss her report with her.
Helen Morgan (North Shropshire) (LD)
It is obvious already that this year is going to be very difficult for the NHS, with many A&E departments already overwhelmed, hospital wards full and too many patients looking at spending their Christmas on a corridor. Indeed, corridor care has been common throughout this year and even trusts that have seen improvement in other areas, such as Shrewsbury and Telford in my constituency, are struggling to make real progress in urgent and emergency care. In July this year, one in five people who arrived at an A&E in Shropshire had to wait more than 12 hours, and that was before the double whammy of a record winter flu epidemic and an irresponsible doctors’ strike.
Will the Prime Minister chair regular Cobra meetings to address this emergency? Will the Minister agree to make flu vaccines available to far more people and roll out an emergency vaccination scheme in communities to reach people who have been missed? Finally, will the Government support Liberal Democrat calls for a dedicated winter crisis unit, providing the locum doctors and social care support needed to discharge patients and free up hospital beds?
Oral Answers to Questions
Lindsay Hoyle Excerpts(3 months, 3 weeks ago)
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Wes Streeting
I certainly can, and I am sorry that my hon. Friend’s constituent was let down. Everyone who needs a same-day appointment should be able to book one, and that is what we are working towards. As she says, we are recruiting more GPs. We are also investing £102 million to create additional space for appointments, including in 21 GP practices in my hon. Friend’s local integrated care board system. Nowhere is the state of the NHS, and the crumbling legacy we inherited, more evident than in the NHS estate, and that is why I am proud that in her Budget, the Chancellor will be setting out plans to roll out a new generation of neighbourhood health centres to deal with the crumbling NHS we inherited and to build an NHS that is fit for the future.
Dr Kieran Mullan (Bexhill and Battle) (Con)
There are a number of exciting opportunities for extended GP premises in my constituency—in places like Martins Oak in Battle, Little Common and Old Town, and Oldwood in Robertsbridge. One major challenge is the rates that the NHS district valuer is willing to offer for construction sites; they have just not kept up with the inflation we have seen across all sectors of construction. I did have a meeting with the Minister for Care and it was helpful to start those discussions, but we have not made the progress that we need to. Can we have a further meeting, and will the Secretary of State outline what he will do to ensure that district valuers are offering rates that can allow construction to go ahead?
Mr Gagan Mohindra (South West Hertfordshire) (Con)
Mount Vernon hospital is a cancer specialist hospital in north-west London. Following the recent closure of the Mount Vernon urgent care centre and the delay to the new Watford general hospital until at least 2032, both of which I have previously raised in the Chamber, uncertainty regarding the future of Hemel Hempstead hospital now looks set to further restrict access to vital healthcare services for my constituents. What steps is the Minister taking to ensure that my constituents receive the adequate access to healthcare that they deserve?
Wes Streeting
Industrial action sets back our progress on waiting lists, but frankly, the Conservatives presided over an absolute mess—not just over the course of 14 years, when waiting lists rose every single year during the Conservatives’ time in power, but in their catastrophic mishandling of industrial relations. We came in, and we settled with the British Medical Association—[Interruption.]
Mr Speaker
Order. Mr Fox, you were the last voice I heard. I want to hear what the Secretary of State has to say. If you do not want to, you can go and get a cup of tea.
Wes Streeting
We came in, and we settled with the resident doctors with a 28.9% pay rise. It should be clear to them from the questions that Opposition Members have asked and the extent to which they have opposed a pay rise for not just resident doctors but NHS staff more generally that there is not a more pro-NHS, pro-doctor Health Secretary or Government waiting in the wings. It is either the Conservative party, which lumbered the NHS in this crisis in the first place, or the Reform party, which does not believe in the NHS at all.
Dr Caroline Johnson (Sleaford and North Hykeham) (Con)
I would first like to say I am sorry that the Minister for Public Health and Prevention is unwell and convey to her the best wishes of the Opposition.
I would like the Secretary of State to consider a patient who has waited a year for a procedure and then, after three waiting list validation calls, finally sees the consultant to check that the procedure is still necessary. If the consultant agrees that it is, do the Government figures show that patient as waiting for a year or a much shorter period?
Karin Smyth
Again, what the hon. Gentleman says is really quite astonishing: like everybody else, he knows that no money was allocated by his Government to the new hospital programme beyond last March. The Conservatives know that and they need to start being honest with their constituents—[Interruption.]
Mr Speaker
Order. Dr Mullan, I want you to set a better example—I expect better from you.
Karin Smyth
I think that the Conservatives’ constituents know exactly what their promises were built on: sand. That is why there are very few Conservative Members in the House and a lot of Members on the Labour Benches. We took hold of the programme and put it on a sustainable and credible footing, and we will deliver it.
Karin Smyth
My hon. Friend makes an excellent point about working across Government with GB Energy to support local health systems in reducing health costs. That is an important part of our efficiency drive. He is a strong advocate for a local facility at Maghull, and we are absolutely committed to working with the ICB so that it develops the most efficient services where people are actually located, rather than expecting them to go to and fro and get bounced around the health system. I hope he can see further progress on that issue.
Dr Luke Evans (Hinckley and Bosworth) (Con)
When it comes to hospital provision, the Conservatives believe that we should continue to use private providers to improve access and reduce waiting times. We believe the Government should not let spare capacity go to waste on ideological grounds; we should continue to make use of private-sector capacity to treat NHS patients where available. Does the Minister agree?
Several hon. Members rose—
James Wild (North West Norfolk) (Con)
The Minister told the Health and Social Care Committee that the spending envelope for dentistry would be confirmed by the end of the summer at the latest. Is the Office for Students still waiting for a ministerial direction to launch that competition for new places, so that UEA can bid along with others and so that we can get training places in Norfolk for the first time?
Wes Streeting
I thank my hon. Friend for describing Rachel’s experience. We have introduced Jess’s rule and we are rolling out Martha’s rule, so that, whether in primary or acute care, patients’ voices will be heard and they will be given the power to ensure that health professionals are listening and responding appropriately. However, my hon. Friend is right to acknowledge that much of this arises from medical misogyny. It is not just a case of changing rules and regulations; it is a case of changing culture and practice, so that women are not just seen but heard and listened to. That is a fundamental problem that we determined to address—and of course I should be delighted to meet Rachel to hear about her experience at first hand.
Layla Moran (Oxford West and Abingdon) (LD)
Diethylstilbestrol, or DES, was prescribed to women until the 1980s to treat miscarriage. Those who took it were themselves at greater risk of breast cancer, and their daughters have a higher risk of rare cervical cancers. It is estimated that a whopping 300,000 women have been affected. Two weeks ago the Secretary of State made an apology to victims, but they rightly want more than “sorry”, and they have pointed out that the current screening regime is insufficient. Will the Secretary of State meet me, and campaigners and victims, in order to understand how this was allowed to happen, who will be held accountable, and how those women can go about securing compensation for this egregious scandal?
Wes Streeting
I thank the Chair of the Select Committee for raising that extremely serious issue. I am glad that she has drawn it to the House’s attention. I have apologised, on behalf of the state, for the failure that occurred and for the harm that has arisen as a result. My hon. Friend the Member for Bournemouth West (Jessica Toale) has been campaigning diligently, and the DES Justice UK campaigners have done a magnificent job in raising public awareness. I am always delighted to meet the Chair of the Select Committee because I know which side my bread is buttered on, but I should be particularly delighted to meet her to discuss this specific issue.
Helen Morgan (North Shropshire) (LD)
The impact of health inequalities on women’s health are starkest when it comes to maternity care, with many NHS trusts requiring improvement. Black and Asian women, and those from the most deprived communities, are far more likely to suffer the worst outcomes or even lose their babies. The Royal College of Obstetricians and Gynaecologists and the Royal College of Midwives have vocally opposed the removal of the ringfence from the service delivery fund, saying that funding provided to drive change following the Ockenden review has disappeared at the stroke of a pen. Will the Secretary of State commit himself to reinstating that ringfence, and to ensuring that all the immediate and essential actions arising from that review of the failings at Shrewsbury and Telford hospital NHS trust are taken as soon as possible?
The Secretary of State for Health and Social Care (Wes Streeting)
Obesity robs children of the best possible start in life, hits the poorest hardest, sets them up for a lifetime of health problems and costs the NHS billions, so I can announce to the House that we are expanding the soft drinks industry levy to include bottles and cartons of milkshakes, flavoured milk and milk substitute drinks. [Interruption.] We are also reducing the threshold to 4.5 grams of sugar per 100 ml. This Government will not look away as children get unhealthier and our political opponents urge us to leave them behind.
Mr Speaker
The only thing I will say is that at least we are hearing it first in this House and not on Sky.
Sarah Olney
I congratulate the Secretary of State and the Department of Health and Social Care on the launch last week of the men’s health strategy. My constituent Philip Pirie, who sadly lost his son to suicide, has been calling on the Government to launch a public health campaign to reduce the stigma of suicide. Nearly 75% of those who lose their lives to suicide have not been in contact with mental health services, and that is why we need to reach out. Will the Secretary of State meet me and my constituent to discuss such a campaign?
The Minister for Care (Stephen Kinnock)
I thank my hon. Friend, who is a tireless campaigner on this issue. We want to see more dentists in Burton and Uttoxeter, and across the country, which is why we are offering dentists £20,000 to work in underserved areas. We are making it a requirement for new dentists to practice in the NHS through our tie-in policy. We are also making additional urgent appointments available across the country, including for my hon. Friend’s constituents in Burton and Uttoxeter.
Stuart Andrew (Daventry) (Con)
Thank you, Mr Speaker. Can I ask the Secretary of State why he has not sorted out the strikes and disputes?
Wes Streeting
I wish the shadow Health Secretary a very happy birthday—21 again! It is good to see him here.
We continue to hold the door open to the British Medical Association. If it wants to engage constructively, we are ready and willing. What we will not do is be held to ransom. What we cannot afford to do is pay more than we already have. What we are able and willing to do is go further to improve their career progression and job prospects, and to work with them to rebuild the NHS, which the Conservative party broke.
Stuart Andrew
But, Mr Speaker:
“The power to stop these strikes is in the Government’s hands.”—[Official Report, 6 February 2023; Vol. 727, c. 660.]
“They need to sit down and negotiate to end the strikes, but Ministers are too busy briefing against each other.” Those are not my words, but the Secretary of State’s words when he was standing here on the Opposition side. He said it was so simple. The Secretary of State is embroiled in a leadership battle that is taking over the need to focus on averting walkouts, and the Employment Rights Bill reduces voting thresholds on strikes and scrapping minimum service levels. Does the Secretary of State accept that things are only going to get worse as a result of the Bill? And in his words, does he agree that patients have suffered enough?
Stephen Kinnock
My hon. Friend raises an important point, and I would be more than happy to meet her to discuss it, because I think the complexity of what she raises needs some detail.
Helen Morgan (North Shropshire) (LD)
Every MP will be aware of the huge value that unpaid carers add to the NHS, taking the pressure off paid carers while often under intolerable pressure themselves. We were therefore really pleased to hear the news this morning that thousands of unpaid carers will have their cases reviewed, after they had been left with huge debts as a result of a failure of Government over a long period of time. However, it has been reported that debts will continue to accrue and overpayments will continue to be pursued for as long as a year from now. Given his responsibility to unpaid carers, will the Secretary of State raise the issue with colleagues, urging them to suspend repayments until the recommendations are enforced, and ensure that those people propping up the care system are treated fairly from today, not from in a year’s time?
Dr Ahmed
While the NHS in Scotland has no app and no plans for a national roll-out, the NHS in England has had an app since 2019, with 71 million logins in October 2025. Three in four people now have the app in their pockets and it has more subscribers in England than Netflix. You may ask, Mr Speaker, why NHS Scotland does not have an app? The answer comes in a freedom of information request by the champion journalist Simon Johnson: when asked about some of the drawbacks of applying the NHS England app in Scotland, they said:
“political optics of adopting an English solution”.
It is time for Analogue John to move over and let Anas Sarwar and Jackie Baillie finally drag the Scottish NHS into the 21st—
Mr Speaker
Order. We are on topical questions. The Prime Minister is in the Chamber. If you do not want Members to get in, please tell me; it would be easier.
Sarah Dyke (Glastonbury and Somerton) (LD)
Stuart Andrew
On a point of order, Mr Speaker. I know that you have been incensed by the unprecedented briefings we have seen by the Government in the run-up to the Budget. It beggars belief that, despite your clear statements on this issue, they have done it again today by announcing that the Chancellor will announce £300 million for NHS tech in her Budget tomorrow—not through a briefing to journalists but with an article on the gov.uk website. This happened just today, after a Minister stood at the Dispatch Box yesterday and said:
“I can assure the hon. Member, given the respect that the Government pay to this House and to their obligations in it, that if there is an important policy announcement to be made, it will be made to this House.”—[Official Report, 24 November 2025; Vol. 776, c. 32.]
Given that that was clearly not the case in this instance, despite your statements, can you advise us as to what we as Members of this House can do?
Mr Speaker
It is frustrating for me and all Back Benchers, because everything should be heard here in the Chamber first. The Budget should be sacrosanct; it should be heard only on Budget day. What I would say is that it makes a change for Budget speculation to at least come to the Chamber, as that is quite out of the ordinary at the moment.
I thank the right hon. Member for giving notice of his point of order. As I have said on a number of occasions in recent weeks, the Government’s own ministerial code states that major announcements should be made in the House in the first instance, not in the media. We had an urgent question yesterday on this issue. The Public Administration and Constitutional Affairs Committee has been conducting an inquiry into ministerial statements and the ministerial code. I look forward to seeing its report earlier rather than later. I would also point out that the country expects the Budget to come out on Budget day. It does nothing for the City and it does nothing for how people view this Chamber if it does not. We will leave it there.
Oral Answers to Questions
Lindsay Hoyle Excerpts(5 months ago)
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Wes Streeting
I have had the privilege of meeting some of the campaigners, and particularly the young people affected by that cruel condition, and I understand the hon. Gentleman’s frustrations. I know that the medication is being put through the National Institute for Health and Care Excellence process, and I hope that that will deliver a positive outcome. I would be delighted to keep him apprised of progress.
Mr Speaker
Can I just suggest to Members that their supplementary question should relate to the tabled question? That would be helpful. I call the shadow Minister.
Dr Luke Evans (Hinckley and Bosworth) (Con)
With reports of over £1 billion in costs for integrated care board redundancies and the chief executive officer of NHS England warning that services could have to move to plan B, could the Secretary of State set out what plan B is?
Wes Streeting
We need to make sure that there is better staffing and that we have the right people in the right place. I should just caution the House, though, because in recent years there has been an increase in staffing but not a corresponding increase in the quality of care, so we have to make sure we are looking at this issue in a nuanced way. It is about having the right staff in the right place at the right time to deliver safe maternity and perinatal services, and that is exactly what we will do.
Helen Morgan (North Shropshire) (LD)
Our maternity wards are in a state of crisis, with death and injury rising at an alarming rate. Sadly, this issue is not confined to Shropshire, and there has been a steady drumbeat of maternity scandals, with review after review finding consistent failings across the NHS. Can the Secretary of State explain to me and the many mothers I have met who have faced tragedy and unacceptable trauma why the Government are cutting national service development funding—ringfenced funding to improve maternity care—by more than 95% and why the immediate and essential actions from the Ockenden review into the failings at Shrewsbury and Telford hospital trust, which were to be implemented nationwide, are still not in place more than three years later?
Karin Smyth
Again, I echo comments on the state of mental health services, as the hon. Member has done. As it says in our manifesto, we are committed to those 8,500 extra mental health support workers in local areas such as hers. It is important that commissioners work closely with their local authorities on mental health services, and I know my hon. Friend the Minister for Care is ensuring that that happens as part of the reforms we are undertaking.
Dr Caroline Johnson (Sleaford and North Hykeham) (Con)
I am concerned that the disruption caused by an uncosted, unplanned simultaneous reorganisation of NHS England and the ICBs is affecting patient care. Before the summer, the Joint Committee on Vaccination and Immunisation recommended that the RSV vaccine should be given to those over 80 and those in adult care homes. In July, I asked the Secretary of State to confirm that this vaccine will be available in time for the winter season, and he said,
“I can certainly reassure the shadow Minister on this.”—[Official Report, 22 July 2025; Vol. 771, c. 677.]
The winter vaccine programme started three weeks ago. Why has he not delivered on his promise?
Wes Streeting
Why stop there? We have 15,000 more home adaptations for disabled people through the disabled facilities grant and 135,000 more suspected cancer patients receiving a diagnosis on time. We have more than 200,000 cases off the waiting list, £500 million for the first ever fair pay agreement for care workers and the biggest uplift in carer’s allowance for a generation. The Tories did not do it, and Reform would undo it. That is the difference that a Labour Government make.
Stuart Andrew (Daventry) (Con)
First, it is great to be in this new role. I genuinely want to be part of a constructive Opposition, but equally I want to do my role in holding this Government to account. I note the lack of detail in the Secretary of State’s answers on reorganisation, so can I ask the basics again? How many people will be made redundant, what will it cost and who is paying?
The Minister for Secondary Care (Karin Smyth)
We know that there have been issues with the urgent emergency care response. We are absolutely committed to supporting ambulance trusts to continually improve the patient experience. The urgent emergency care plan for 2025-26 is backed by nearly £450 million of funding. I am happy to discuss that further with my hon. Friend.
Helen Morgan (North Shropshire) (LD)
Every year we come here to discuss the winter crisis in the NHS, but this summer saw record waits at accident and emergency, with more than 74,000 12-hour trolley waits in June and July. That used to be unheard of. With winter looming and the potential for the A&E permacrisis to be even worse this year, what package of emergency measures is the Secretary of State putting in place to ensure that patients are not left to suffer on trolleys or worse in our hospital corridors this winter?
Several hon. Members rose—
Mr Speaker
Order. Minister, I like your style, but your answers are far too long for my health.
Steff Aquarone (North Norfolk) (LD)
I refer the House to my entry in the Register of Members’ Financial Interests: I am a serving Norfolk county councillor.
It is two years since the Conservatives in Norfolk oversaw the closure of two convalescence facilities: Benjamin Court in Cromer and Grays Fair Court in Costessey, in the constituency of the hon. Member for Norwich South (Clive Lewis). This was done without public consultation, and it has been met with outcry from local residents. This short-sighted move will only worsen the backlogs at local hospitals and reduce options for my constituents who need extra support. Will the Minister meet me and his hon. Friend the Member for Norwich South to discuss how we can ensure that these vital convalescence facilities will not be lost?
Stephen Kinnock
I do not know the details of that case, but if the hon. Gentleman writes to me, I can certainly come back to him on it. That sounds like a vital service that needs to be protected.
Wes Streeting
I am so sorry to hear that having experienced such unimaginable heartbreak, the family then had to go through that additional trauma. I would be delighted to meet my hon. Friend and look at what we can do together with our friends at the Ministry of Justice to improve the experience for families in that awful situation.
Points of Order
Lindsay Hoyle Excerpts(5 months ago)
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Dr Caroline Johnson (Sleaford and North Hykeham) (Con)
On a point of order, Mr Speaker. I am concerned that the Health team may have inadvertently misled the House. In July, the Joint Committee on Vaccination and Immunisation noted that respiratory syncytial virus vaccines were so effective that they should be extended to all those over 80 and those in adult care homes. The Secretary of State reassured this House in July that the recommendation had been accepted, and provision would be in place for this winter. When I asked about that today, the Secretary of State said from a sedentary position that he had delivered on that promise, and the Minister for Secondary Care then confirmed that. However, Government and NHS guidelines still show that availability of the vaccine has not been extended. How can I ensure that the record is correct?
Mr Speaker
First of all, you cannot continue the debate, but you have certainly put that on the record.
Stuart Andrew (Daventry) (Con)
On a point of order, Mr Speaker. Before beginning my questions, I meant to pay tribute to our former colleague Oliver Colvile, who sadly passed away last night. He served as the Member for Plymouth Sutton and Devonport between 2010 and 2017 and was named by Conservative Home as one of a minority of Conservative MPs not to have voted against the Government, which, as a previous Whip, I thought was exceptional. He was a true gentleman whose eccentricities endeared him to many. I am sure the thoughts of the whole House are with his family.
Mr Speaker
We all remember Oliver Colvile very fondly. He really was a good MP and a nice kind of guy to meet. I knew Oliver way before he came to this House. We are all saddened to hear the news.
Wes Streeting
Further to that point of order, Mr Speaker. On behalf of the Government and Labour Members, I associate myself fully with the remarks of the shadow Secretary of State, the right hon. Member for Daventry (Stuart Andrew). Oliver Colvile was a decent man and a wonderful public servant—we all share that view. I am sure that my hon. Friends on the Labour Benches will absolutely follow his example when it comes to following the Whip.
Graham Stuart (Beverley and Holderness) (Con)
Further to that point of order, Mr Speaker. Oliver Colvile was loved by Members from across this House. As it will soon be the 175th anniversary dinner of the Lords and Commons cricket team, it is worth remembering one of the most famous wickets ever taken, when Oliver Colvile bowled and took that wicket in India, on live television, watched by tens of millions. I had never seen a triumph like it. He will be much missed. He was always loved and respected in this House.
Oral Answers to Questions
Lindsay Hoyle Excerpts(7 months, 3 weeks ago)
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Dr Caroline Johnson (Sleaford and North Hykeham) (Con)
Respiratory syncytial virus—RSV—is a common reason for attendance at A&E and admission to hospital among older people, and I have raised this repeatedly. Last week, the Joint Committee on Vaccination and Immunisation recommended that the RSV vaccine programme should be extended to the over-80s and those living in adult residential care homes. Can the Minister confirm that these vaccines will be available in time for this winter season?
Karin Smyth
The hon. Gentleman makes an excellent point about the important need to share the learning across the United Kingdom, and I will make sure that we do indeed make efforts to do that.
Jess Brown-Fuller (Chichester) (LD)
Over the weekend, The Guardian reported that the number of women dying in the perinatal period had risen sharply since 2015. Families that have been failed, and health professionals feel that whether it is perinatal depression or unsafe births, lessons are not being learned and the same errors are repeated in review after review. Alongside the inquiry that the Secretary of State has launched, will the Government immediately implement every action from the Ockenden review and put an end to this national scandal in maternity service?
Mr Speaker
The question is on Long Crendon, so we will see how Josh Fenton-Glynn does.
Josh Fenton-Glynn (Calder Valley) (Lab)
Before I start, I pay tribute to the shadow Secretary of State, the right hon. Member for Melton and Syston (Edward Argar), who faces his last set of Health questions. He is an incredibly kind man—we spoke after the loss of my brother—and a fantastic shadow Secretary of State. I am not sure how they will replace him.
One of the key shifts we need to see in the 10-year plan is from hospital to the community. Key to keeping people out of hospital is tackling the dental deserts, with dental problems being the biggest cause of children aged five to nine going to A&E. Will the Minister assure me that the new neighbourhood health centres will include dentistry—
Mr Speaker
Order. That is not linked to the question. That is why I was really bothered when I called the hon. Gentleman.
Mr Richard Quigley (Isle of Wight West) (Lab)
Ashley Dalton
There is nothing covert about the decisions on the Fleming Fund. It has been perfectly open and clear that the existing funding has been cut. Having said that, the work and partnerships that have been developed on AMR continue. The UK continues to be a global leader on this issue, and our ambassador, Dame Sally, continues to do sterling work on it.
Dr Caroline Johnson (Sleaford and North Hykeham) (Con)
Last month, the Government published their 10-year plan. It took a year to write, and it contains promises to make even more plans—a cancer plan, a maternity and neonatal plan, a workforce plan and an HIV plan—which we are still waiting for. Careful planning is important, but taking too long will delay improvements in care, so when do the Government expect to publish those plans and to start delivering?
The Secretary of State for Health and Social Care (Wes Streeting)
The driving force behind this Government’s approach to health is the principle that whoever a person is and whatever their background, they should receive the same world-class services as everyone else, based on need and not the ability to pay. That is why at its core, our 10-year plan for health looks to stamp out health inequalities, freeing up billions to move critical resources such as medicines and equipment to the regions and patients that need them most. Only a Labour Government will protect the NHS as a service free at the point of use, rebuild it, and make it fit for the future for everyone in our country.
Perran Moon
Meur ras, Mr Speaker. Carn to Coast runs GP surgeries across my Camborne, Redruth and Hayle constituency, including the surgery where my father practised for over 30 years. It is struggling under intense pressure, with deep-rooted health inequalities linked to the surrounding areas of deprivation. While I welcome the review of the Carr-Hill formula as part of the 10-year health plan, will the Secretary of State come to Cornwall and visit a Carn to Coast health centre with me, to see the innovative work that is already being undertaken and to discuss how the reforms will support health outcomes in the most deprived areas?
Wes Streeting
I can certainly give the hon. Gentleman reassurance that the work we are doing to streamline and rationalise the amount of money we are spending on NHS bureaucracy means that we will free up resources that can be spent on the frontline, improving patient care and public health. Thanks to the decisions taken by my Department, the Deputy Prime Minister and, of course, my right hon. Friend the Chancellor of the Exchequer, investment in public health is rising and the spending power of local authorities is improving. That is all good news for public health.
Wes Streeting
I should declare that I am a member of Unison. The issue that my hon. Friend raises is a serious one. We obviously do not want to see strike action impacting on her local constituents, and my Department will do everything we can to help bring an end to the dispute.
I will make a more general point: these sorts of choices and trade-offs about resources are precisely why the BMA resident doctors, having received a 28.9% pay rise from this Government in the last year, ought to remember the responsibility that I and they have to some of their lower-paid colleagues. Resources are finite, and it is important that I act in the interests of all NHS staff and have particular concern for those who work extremely hard but are not properly rewarded.
Edward Argar (Melton and Syston) (Con)
The resident doctors’ strike is unnecessary, irresponsible and wrong. Recently, and again today from the Dispatch Box, the Secretary of State has been resolute in not giving in to the BMA resident doctors committee’s demands. Although I do not know the details of the current status of his discussions with the committee, may I encourage him to remain firm in his stance and, while being fair to doctors, to always ensure that he puts the interests of patients and taxpayers first?
Wes Streeting
I am extremely grateful to my hon. Friend for his question. The number of drug-related deaths remains far too high, and we are committed to saving lives through access to high-quality treatment. For 2025-26, my Department is providing £310 million in addition to the public health grant to deliver the recommendations from Dame Carol Black’s independent review, but there is much more to do. We look forward to working with my hon. Friend to achieve success.
Edward Argar (Melton and Syston) (Con)
Dementia is one of the greatest health challenges that we as a society face today and in the future, but too many people with dementia end up in hospital, rather than being treated in more appropriate community settings. The 10-year NHS plan offers a real opportunity to shift care into the community and away from acute settings, including for dementia. Will the Secretary of State commit to working with Dementia UK, the Alzheimer’s Society and other fantastic charities as he develops the implementation of his 10-year NHS plan to ensure that it truly delivers for people with dementia and those who care for them?
Wes Streeting
I deplore Israel’s attacks on healthcare workers, as well as those on innocent civilians trying to access healthcare or vital aid. These actions go well beyond legitimate self-defence and undermine the prospects for peace. I will be in touch with the World Health Organisation to offer my support following the intolerable incident yesterday. I sincerely hope that the international community can come together, as my right hon. Friend the Foreign Secretary has been driving for, to ensure that we see an end to this war, but also the recognition of the state of Palestine while there is still a state of Palestine left to recognise.
Jess Brown-Fuller (Chichester) (LD)
Carers across the country have launched a protest from home today, with the Carers Trust. Their faces are projected on screens around Parliament Square because they are unable to leave their loved ones to protest in person. The Government’s pledge for the carer’s allowance review to report by early summer looks set to be broken. Can the Secretary of State today commit to ending the cliff edge for carer’s allowance and to introducing a statutory guarantee for respite care so that carers know that he is listening?
Dr Danny Chambers (Winchester) (LD)
Many carers have told me how much they rely on respite care to protect their own physical and mental health so that they can continue to care for their loved ones day in, day out. The wonderful Chesil Lodge day centre in Winchester has recently been threatened with closure, and I have been fighting alongside constituents to keep it open. How will the Department ensure that respite services such as those at Chesil Lodge are consistently available and are not subject to a postcode lottery? Can I also—
Stephen Kinnock
Our 10-year plan will boost support for family carers via digital tools such as My Carer and include them in care planning and shared decision-making processes. We have raised the carer’s allowance earnings limit to £196 a week—the biggest increase since 1976—and we have launched the independent commission into adult social care, which will look at unpaid carers’ needs. The hon. Member raises an important point about respite care; I am chairing a cross-ministerial group on our carers strategy, and I would be happy to update him outside the Chamber.
Daniel Francis (Bexleyheath and Crayford) (Lab)
The report, “Barriers for adults with Cerebral Palsy on achieving full life participation”, published by the former all-party parliamentary group on cerebral palsy, highlighted the cliff-edge in support for those with cerebral palsy when they transition at the age of 18 and the need to end the separation of neuro and musculoskeletal knowledge within the NHS, given that cerebral palsy is a neuromusculoskeletal condition, and that those living with it need easy and ready access to both areas. I would therefore be grateful if I could understand—
Mr Speaker
Order. Let me help the hon. Gentleman. If you have a main question and I call you in topicals, you really need to shorten your question in order to let other Members in.
Ashley Dalton
NHS England has worked with key stakeholders to develop a framework to aid integrated care systems to commission high-quality services for children and young people with cerebral palsy, including as they transition to adult services. Guidance from the National Institute for Health and Care Excellence on cerebral palsy in the under-25s also sets out key considerations in transition planning.
Oral Answers to Questions
Lindsay Hoyle Excerpts(9 months ago)
Commons ChamberRead Full debate Read Hansard Text Watch Debate Read Debate Ministerial Extracts
Stephen Kinnock
My hon. Friend is absolutely right, and I commend him for the work he is doing in his constituency, including with pharmacies. In many ways, what we want to see is a culture change, because the interface between general practice and community pharmacy is not where it should be. We believe that pharmacists have a huge amount more to offer, but that requires a better digital interface and better information sharing—a single patient record. That sort of vehicle will be really important for delivering some of those reforms.
Dr Luke Evans (Hinckley and Bosworth) (Con)
I am pleased to hear the Minister speak about Pharmacy First, which was brought forward by the previous Government and welcomed by communities, the public and the pharmacists. Although I am pleased to see the Government continue it, why have they decided to cap the number of consultations that a pharmacist may do?
Karin Smyth
The long-term viability of pharmacies and, indeed, the whole NHS was under threat from the right hon. Gentleman and his party, but thanks to this Government, it is being made fit for the future. This is a serious issue for all our constituents, and we want to make the system work better. The right hon. Gentleman will see from the 10-year plan that we will make the NHS fit for his constituents, mine and those of every other Member.
Helen Morgan (North Shropshire) (LD)
Across the country, community pharmacies struggle not only with supply chain problems but with dispensing some of the critical medicines for our constituents at a loss. I was concerned to read that higher prices for United States pharmaceuticals are on the table for the next stage of trade negotiations with Donald Trump, because an additional £1.5 billion would cost both the NHS and our community pharmacies dear. What steps is the Department taking to ensure that the NHS, and the vital medicine supply on which we rely, will not be used as a bargaining chip in a trade deal with a highly unreliable US President?
Stephen Kinnock
My hon. Friend will know that when we came into Government we inherited the absurd situation where the additional roles reimbursement scheme was weighed down by red tape and it was not actually possible to recruit GPs. We changed that. We invested an extra £82 million and as a result we have well over 1,000 more GPs on the frontline, but that is just the beginning. We have contract reform and £889 million of additional investment in general practice, and we are moving forward with an online booking system, which will be obligatory by 1 October. We have much more work to do—for example, around the interface with pharmacy; we are working hard on that. There is a lot more to do, but my hon. Friend is right that the first step up the mountain has been taken.
Dr Caroline Johnson (Sleaford and North Hykeham) (Con)
Last health questions, I asked about delays to crucial medications in A&E and the Secretary of State said he was interested to hear more, but his office said he would delegate it to a Minister and we still have not been offered a date, so could I encourage him to look into that, please? The U-turn on winter fuel will help the elderly to stay warm and healthy this winter, but another way to help elderly people would be to protect them from the respiratory syncytial virus. Will the Government extend the vaccination to the over-80s?
Wes Streeting
I think the hon. Gentleman will find that, since this Government came to power, we have reduced the size of NHS waiting lists by a quarter of a million. NHS waiting lists are coming down—latest figures show that this is the first time in 17 years that waiting lists have fallen in the month of April—so we are making progress, not least thanks to the investment that we are putting into community diagnostic centres. The hon. Gentleman has some brass neck to complain about NHS services under this Government, when we are cleaning up the mess that the previous Government left behind.
Olivia Blake (Sheffield Hallam) (Lab)
Cameron Thomas (Tewkesbury) (LD)
Until his recent death, my constituent Luke Webster had lived with alternating hemiplegia of childhood. His life was short and he spent much of it being moved between different care facilities, to the frustration of his family. At one such facility, Luke was abused. Will the Minister meet me and Luke’s mother to discuss improved safeguards—
Stephen Kinnock
I have to correct the hon. Lady: the commission is up and running, Baroness Casey has started meetings and she had a roundtable just a few weeks ago with people who have lived experience. The hon. Lady is therefore not correct on that point and I am sure that she will want to correct the record.
On the point about delayed discharge, the hon. Lady is absolutely right. We are reforming the better care fund to get much better interface between hospitals, care and local authorities. That system and those relationships can and should work much better, but there are pressing, long-term challenges. We are conscious of that and are working at pace with Baroness Casey to ensure that those reforms are delivered.
Helen Morgan (North Shropshire) (LD)
As we have just heard, it is widely acknowledged that the crisis in social care is a cause of dangerously high occupancy rates in hospitals that lead to the horrors of corridor care, the dreadful ambulance waiting times that we have seen and a knock-on effect on the community. When I was contacted by the family of a terminally ill man in Wem in my constituency last month, I was reminded that not only is care often provided in the wrong place, but it is often not available at all. Will the Government bring forward the timeline for the horribly delayed Casey review to report back, get it done this year and heed Liberal Democrat calls for cross-party talks so that we can agree on a long-term solution for the crisis?
Wes Streeting
I absolutely agree with my hon. Friend. It is thanks to the fact that his constituents sent him to this House of Commons that we have a Labour Government able to deliver, with him, for his community.
Edward Argar (Melton and Syston) (Con)
May I, through the Secretary of State, pass on my best wishes to the Under-Secretary of State for Health and Social Care, the hon. Member for West Lancashire (Ashley Dalton)? In front of the Health and Social Care Committee in January, NHS England’s then chief financial officer set out that pretty much all the additional funding to the NHS last year would be absorbed by pay rises, national insurance contributions and inflation. What proportion of the latest additional funding will be absorbed in the same way?
Perran Moon (Camborne and Redruth) (Lab)
A couple of weeks ago at my constituency surgery, though tears my constituent Amy explained how, following a hip operation in 2008, she suffered progressive nerve damage due to repeated failures in diagnosis, referral and treatment. Despite raising concerns for years, she was told that her pain was common. A nerve test in 2015 confirmed damage, and further tests last year showed a significant deterioration. After 17 years she has only now been offered surgery. All Amy wants to know is what steps are being taken to ensure that no other patient is left permanently disabled due to such prolonged and systemic failure—
Mr Speaker
Order. That is very important, but why does the hon. Member not want others to get in?
Wes Streeting
First, on behalf of the NHS I apologise to my hon. Friend’s constituent. That is an intolerable situation, but sadly not rare or exceptional. There is too much of that happening, and a culture of cover-up and covering reputations, rather than being honest with patients about failures. We are changing the culture. Safety is at the heart of the 10-year plan, and I would be delighted to talk to my hon. Friend further about his constituent’s case.