Children and Young People with Cancer

Lisa Smart Excerpts

Wednesday 8th January 2025 Westminster Hall

[Clive Jones]

The hon. Member is absolutely right: we could save the NHS a lot of money, because a lot of appointments will be cancelled because people are getting used to the fact that their child has cancer, and that they have to make alternative arrangements in order to take them to the hospital where they will be treated. If they were able to get a payment straightaway, that would save the NHS money in the long term. The money that it might cost to make those payments could be recouped further down the line, so the hon. Member is absolutely right.

[Lisa Smart (Hazel Grove) (LD)]

I am grateful to my hon. Friend for securing today’s debate. He mentioned the impact of investing early and of people being able to qualify for payments from day one. Does he agree with me and with Teach Cancer a Lesson, a charity set up by one of my Hazel Grove constituents in Mellor, about the impact of ensuring that education continues when children have a cancer diagnosis? Teach Cancer a Lesson talks about making sure that local authorities have a responsibility to review the education provision for a child on day one, or within 28 days of a cancer diagnosis. Does my hon. Friend agree that the same principle applies—that it costs far less in the long term, in educational terms, if that review is done early, rather than waiting and waiting and allowing a child’s education to suffer?

[Clive Jones]

My hon. Friend is absolutely right. If a child can try to have a normal life, which includes still going to school, seeing their friends and being educated, that will help them and their family to cope with their treatment. Schools and local authorities should work hard to ensure a normal life for that child very quickly.

One family supported by Young Lives vs Cancer received their first DLA payment only in January, after their child was diagnosed in July. In another case, a delay of four months from the start of a DLA application meant that a young cancer patient’s mother was left with no financial support, because her statutory sick pay ended before the DLA started. How the Government expect people to manage with those extra costs is beyond me.

This is the very worst form of bureaucratic inflexibility, and it leads to some people not applying for benefits because they see a system stacked against them, quite apart from the burden of applying during the most disruptive time of their lives. People are not going to prioritise form filling when they or their child needs radiotherapy. The process takes so long that sometimes children and young people have either finished their treatment or, most concerningly, passed away before the benefits have been awarded. A child being treated in Leicester sadly died before a DLA decision was made, leaving their family to go through the challenging conversation of wanting the claim form still to be reviewed because the family were owed a back payment. That is unacceptable.

The Minister responded to a parliamentary question by arguing that those nearing the end of life can apply for special rules. However, this simply does not work very well, because situations can change quickly and some who are not terminally ill can rapidly deteriorate. Some may still receive potentially curative treatment even if the risk of death is high, or some may wish not to know their prognosis. The Minister needs to urgently assess the benefits of changing to a medical evidence-based eligibility for these patients.

There is a precedent for medical evidence being used to expedite access to benefits. The existing special rules process for those with terminal illness definitions means that they do not need to meet the three-month qualifying period with medical evidence. That principle should be applied to all children and young people with cancer, to facilitate immediate access to benefits.

“Get Britain Working” White Paper

Lisa Smart Excerpts

Tuesday 26th November 2024 Commons Chamber

[Liz Kendall]

I thank my hon. Friend for his question. I have already spoken quite a lot about changes to the apprenticeship levy, which are important, but there are many other things that we can do. We have seen real success with sector-based work academies, which are run by jobcentres. Those are short, six-week courses that give the specific skills an employer needs, alongside guaranteed work experience for the potential employee and a guaranteed interview. They have had huge success for people looking for work and for employers, because they get someone with the skills they actually need. We are committed to doing that this year, and I hope we will roll it out further. That is just one of many examples of how we can change our jobcentres and the DWP to better serve employers and their needs.

[Lisa Smart (Hazel Grove) (LD)]

Stepping Hill hospital in Hazel Grove has a huge repairs backlog, which is reported to cost £130 million. We have had buildings knocked down because they are no longer safe, medics wading through flooded corridors and, most recently, a light fitting falling down in a delivery suite when the couple were in active labour. This situation has a massive impact on waiting lists and, consequently, on how much my residents can work, including Anthony, who got in touch yesterday to say that he is waiting for rehab after having a heart attack in June. Can the Secretary of State confirm that any extra funding will go towards what local communities need in order to get back to work? Many of my constituents are as keen as mustard to do so, but they are on waiting lists. Even the most wonderful work coach can do very little when somebody is awaiting surgery.

[Liz Kendall]

The hon. Lady raises a massively important point, and I am really sorry to hear about what her constituents are experiencing. We have to get people back to health and back to work. It is no wonder that so many people are out of work due to long-term sickness, given that waiting lists are at near-record levels. That is why my right hon. Friend the Health Secretary is sending in extra help, including doctors, to drive down waiting lists in the areas that need help the most. It is a no-brainer that we have to get people off waiting lists to get them back to work. That is what I mean when I say that a healthy nation and a healthy workforce are two sides of the same coin.

Income Tax (Charge)

Lisa Smart Excerpts

Monday 4th November 2024 Commons Chamber

[Lisa Smart (Hazel Grove) (LD)]

My constituents will have been listening to the Chancellor last week and hoping for some specifics on new money for our hospital. Stepping Hill remains the No. 1 concern raised with me in my inbox and on the doorstep. It has a reported repairs backlog of more than £130 million, which is a sad legacy of the last failed Government. We have seen buildings having to be knocked down because they were no longer safe. We have video footage of medics having to wade through flooded corridors because of burst pipes, and within the past fortnight a couple have shared photos with me of a light fitting that fell from the ceiling in the delivery suite during active labour, only minutes before the baby arrived. We were disappointed to get a letter from the Minister for Secondary Care, the hon. Member for Bristol South (Karin Smyth), in the past couple of weeks to say that the Government were unable to commit the funding needed to fix the problem. We have had some encouraging indications from the Chancellor about funding, but there is a lack of clarity on what this Budget means for Stepping Hill.

Our health and social care system is in crisis. We need to ensure that everyone can see a GP within seven days and that we support our hospices and fund dental services, and we should not subject GPs, hospices and dentists to a substantial tax rise, as the Budget has done. We need to prevent people from needing to go into hospital in the first place and enable them to leave when they are medically fit to do so, rather than have them waiting on a ward for far too long for a social care placement to be sorted for them. Real action on social care is essential, because without it, the NHS crisis will not end. I encourage the Government to urgently start cross-party talks to make social care sustainable.

As the Lib Dem home affairs spokesperson, I was hoping to hear more about proper community and neighbourhood policing. If I had had another couple of minutes, I would have made an incisive point about bus fares.