Mental Health In-patient Services: Improving Safety
Debate between Luke Pollard and Steve Barclay(10 months ago)
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Steve Barclay
The chair is to be appointed, and given that statutory basis and the independence of the chair, it would be wrong for me to pre-empt the terms of reference. People can look to other statutory inquiries and come to a conclusion. The inquiry is not starting from scratch, and part of the reason we originally went with a non-statutory inquiry was because of the desire for speed. Of course, Dr Strathdee has done a huge amount of work and it will be available to the new chair of the statutory inquiry. One can look to other inquiries and draw conclusions, but I would expect it to move more quickly in this instance because a significant amount of work has already been done.
Luke Pollard (Plymouth, Sutton and Devonport) (Lab/Co-op)
I welcome the statutory inquiry, which is a step in the right direction. I also welcome the Secretary of State’s focus on families. Ensuring family involvement in the care of mental health in-patients not only improves patient outcomes but enables proper scrutiny and questioning of care. In regions such as the south-west, many patients facing the most serious mental health crises receive care outside the region, which is often a long way for families to travel. Is he considering the increased commissioning of local provision so that families can know their loved ones are being well cared for? Many families will be concerned about the statement and the experiences of patients in Essex. The right care and the best care for many patients is closer to home.
Steve Barclay
The hon. Gentleman raises an extremely important point, and he is right that a particular downside of out-of-area placements is often the distance from families. Indeed, one can see in the data that there is often a corresponding uptick in issues of harm. The crux of his point is very valid. That is why we are committed to building new facilities, with three new hospitals for mental health announced in the statement I gave on the new hospitals programme; that included three new mental health ambulances. This is also about preventing people from needing in-patient care through our crisis cafés, our earlier intervention in community services and the interplay with 111. More fundamentally, it is about giving greater power to commissioners on a place-based basis. The reforms through integrating health and social care, having fewer targets from the centre and allowing more devolved decision making mean that those areas that want to put more money into in-patient mental health, for example, have greater flexibility to do so. The point the hon. Gentleman raises is extremely important and it is exactly what we are facilitating.
Oral Answers to Questions
Debate between Luke Pollard and Steve Barclay(1 year, 1 month ago)
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Steve Barclay
My hon. Friend highlights an absolutely brilliant point, one I am extremely seized of, which is: how do we get detection much sooner, looking at genomics, screening and identifying issues before the patient is even necessarily aware that they have a condition. Early care delivers far better patient outcomes but it is also far cheaper to deliver. That prevention, as he highlights, is extremely important.
Luke Pollard (Plymouth, Sutton and Devonport) (Lab/Co-op)
The primary care crisis in Plymouth is getting worse, but there is a cross-party solution in Plymouth, which is to build a new super health hub, the Cavell centre, in the city centre. The Government have withdrawn the £41 million funding for that, but the Minister’s predecessor offered to put pressure on Devon’s integrated care board to see what could be funded locally and whether there is a national-local partnership that could deliver this pioneering pilot project, which could really improve healthcare in Plymouth that would be a model for the rest of the country. Will the Secretary of State look at Devon’s ICB and whether he could put pressure on that ICB to fund that pioneering project?
Steve Barclay
The hon. Gentleman reasonably highlights that the commissioning is a decision for the ICB, but also rightly draws attention to the opportunity to look at different models, for example, how we look across communities at economies of scale, and how we combine that with modern methods of construction to deliver projects far more quickly. I am happy to look, with Devon ICB, at the issue he raises.
Urgent and Emergency Care Recovery Plan
Debate between Luke Pollard and Steve Barclay(1 year, 2 months ago)
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Steve Barclay
We are encouraging integrated care boards to take ownership of individual decisions, rather than trying to make all the decisions centrally from Westminster, so that those closer to the ground and to the issues are in power to make the trade-offs. I am sure my right hon. Friend will want to have those discussions with the chair and chief executive of his ICB. There is a wider issue of how we make greater use of community sites, not least given the workforce pressures and different staffing ratios that they have, and that is absolutely the way we help to get more people out of hospital who are fit to leave.
Luke Pollard (Plymouth, Sutton and Devonport) (Lab/Co-op)
Ten days ago, I shadowed one of the brilliant emergency department consultants at Derriford Hospital. They are working their socks off under some very difficult conditions. The additional capacity for beds is welcome, especially because of the structural under-funding and lack of beds in the south-west, but doctors and nurses were saying that they want to slow the flow of people getting to the emergency department in the first place.
Can the Minister look again at the mothballed Cavell Centre programme—the super health hub programme—which would have done so much to slow the flow and deal with collapsing primary care services? In particular, can he look again at the Government’s decision to withdraw £41 million from the super health hub in Plymouth, which would have been the national pioneer, would have shown that this project works and could help our hospitals to deal with the crisis they are facing?
Steve Barclay
The hon. Gentleman asks how we slow the flow of people going to emergency departments and how we accelerate their discharge once they are fit. The substance of the point he raises is valid and absolutely right. It is why there are schemes such as the community response service and the falls service. We are looking at the likes of the North Tees model and getting more staff into community support, thereby integrating the health and social care side. As I said to my right hon. Friend the Member for New Forest East (Sir Julian Lewis) a moment ago, the trade-offs for individual sites are best determined by ICBs. I am very happy to look with ministerial colleagues at any specific proposals, but it is really for the ICBs to be looking at how to best use their estate.
Oral Answers to Questions
Debate between Luke Pollard and Steve Barclay(1 year, 9 months ago)
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Steve Barclay
I am grateful for my hon. Friend’s campaigning on this issue; it is something she has highlighted on a number of occasions. The sorts of areas where the measures announced today will help include the management of NHS dental contracts, increasing the use of the skills mix in the dental workforce, and rewarding complex treatment to better reflect the complexity of that work.
Luke Pollard (Plymouth, Sutton and Devonport) (Lab/Co-op)
There are 18,000 people on the NHS waiting list for dentistry in Plymouth; it is a real crisis. As a city, we have a cross-party plan for the new Cavell centre, a west end health hub as part of a health village in the city centre, with extra dental capacity with our brilliant dental school. However, we urgently need the Government to unlock the funding for it. Will the Secretary of State agree to meet a cross-party delegation from Plymouth to make the case for that, so that we can get on, get spades in the ground and get people’s teeth healed?
Steve Barclay
As part of the Government’s wider commitment to levelling up, we are very interesting in taking a place-based approach. Indeed, the essence of the integrated care boards is to help facilitate that. I am very happy to have discussions with colleagues across the House on how we best deliver that.
Oral Answers to Questions
Debate between Luke Pollard and Steve Barclay(5 years, 1 month ago)
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Stephen Barclay
As the shadow spokesman, the right hon. and learned Member for Holborn and St Pancras (Keir Starmer), said yesterday, there have been discussions between the respective Front Benches. I agree with him that it is right that we do not go into the details of those discussions on the Floor of the House, but there have been discussions and I think that that is welcome. Both the Chair of the Select Committee, the right hon. Member for Leeds Central (Hilary Benn) and other distinguished Members, such as the right hon. Member for Birkenhead (Frank Field), noted in the debate yesterday that there had been progress. It is important that we continue to have those discussions, but that those of us on the Government Benches stand by our manifesto commitments in respect of not being part of a EU customs union.
Luke Pollard (Plymouth, Sutton and Devonport) (Lab/Co-op)
Stephen Barclay
The hon. Gentleman is right that we need to secure change. The Brady amendment showed that in terms of the legally binding change to which the Prime Minister has referred. I am sure the hon. Gentleman’s constituents, like mine, also want to see us move on. The way that we do that, and end that uncertainty, is to back the Prime Minister’s deal.
Oral Answers to Questions
Debate between Luke Pollard and Steve Barclay(5 years, 4 months ago)
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Luke Pollard (Plymouth, Sutton and Devonport) (Lab/Co-op)
Stephen Barclay
I pay tribute to the hon. Gentleman for his approach of working with other Plymouth MPs, my hon. Friends the Members for Plymouth, Moor View (Johnny Mercer) and for South West Devon (Mr Streeter). I recognise the importance of this to the three constituencies, and I am happy to raise the issue with my right hon. Friend the Secretary of State for Defence. We recognise the importance of Barden as a firm, and I am happy to work with the hon. Member for Plymouth, Sutton and Devonport (Luke Pollard) and his constituency neighbours as we take the issue forward.