Oral Answers to Questions

Maria Caulfield Excerpts

Tuesday 1st March 2022 Commons Chamber

[Karl Turner (Kingston upon Hull East) (Lab)]

12. What steps his Department is taking to tackle regional health inequalities including waiting times for NHS treatment.

[The Parliamentary Under-Secretary of State for Health and Social Care (Maria Caulfield)]

We are determined to address the many health disparities that exist across England, particularly in areas such as maternity. Last week I was pleased to announce the maternity disparities taskforce. It aims to tackle the difference in outcomes for pregnant women based on their race and background, which we want to end.

[Karl Turner]

The problem is that the Government talk a good scrap, but their record on health inequalities is utterly deplorable. Before the pandemic, 4.5 million people were waiting for treatment on NHS lists, and 5,000 people in Hull were waiting for treatment at Hull Royal Infirmary and Castle Hill. Why is someone who lives in east Hull more than twice as likely to be waiting for more than 12 months on an NHS waiting list?

[Maria Caulfield]

While I recognise that the waiting times in Hull are some of the highest in the country, I am sure the hon. Gentleman will welcome the investment that the Government are putting into his constituency to change that. The Royal Infirmary and Castle Hill Hospitals have £60 million of funding, and his own hospital recognises that it will provide some of the most modern facilities in the country. That includes £2.8 million for new respiratory wards, £1.6 million for new specialist theatre facilities, and £1.1 million for oxygen resilience wards, ensuring that his local hospital is able to tackle some of those health disparities.

[Nick Fletcher (Don Valley) (Con)]

In addition to regional disparities, will the Minister look into disparities between men and women’s health? Men die four years earlier than women on average, 75% of suicides are by men, and during the time taken for oral questions, one man will die from prostate cancer. Through my work as chair of the all-party group on issues affecting men and boys, we have taken evidence that points to the need for a men’s health strategy. The Government have done much over the years to reduce the gender pay gap. Will the Minister help me to reduce the gender age gap?

[Maria Caulfield]

I absolutely take the point that my hon. Friend makes around the disparity in life expectancy between those in the most and the least deprived areas, which is greater for men. We will be publishing the health disparities White Paper, and we will focus on any disparities, including those that affect men.

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

The Minister’s answer to my hon. Friend the Member for Kingston upon Hull East (Karl Turner) was quite frankly unbelievable. The fact is that waiting lists are projected to continue increasing year on year. NHS data shows huge regional inequalities in waiting times. Across the river, at Guy’s and St Thomas’ NHS Foundation Trust, over 70% of patients are being seen within 18 weeks, but in University Hospitals Birmingham NHS Foundation Trust just 38% of patients are being seen in that time. That is not levelling up, so exactly when do the Government plan on getting a grip on those health inequalities?

[Maria Caulfield]

I am disappointed that the hon. Gentleman is not happy with the investment going into Hull that will try to tackle some of those disparities, because we recognise that there are waiting lists.

[Andrew Gwynne]

They are going up.

[Maria Caulfield]

I do not know whether the hon. Gentleman realises that there has been a pandemic for two years. The Government have committed funding for elective recovery. We are investing in those areas that are in greatest need in the country, including Hull. I am sure that the residents of Hull welcome the investment that the Government are making in their hospital.

[Bill Esterson (Sefton Central) (Lab)]

13. What plans he has for capital investment in a new health centre at Maghull in Sefton Central constituency.

[The Parliamentary Under-Secretary of State for Health and Social Care (Maria Caulfield)]

Following the recent spending review, the next round of projects, including those from Mersey Care NHS Foundation Trust, are being considered, and local health systems should receive confirmation of their funding envelope for 2022-23 shortly.

[Bill Esterson]

In November 2018, the then Health Minister, the hon. Member for Winchester (Steve Brine), told me that building a new health centre in Maghull was a priority for NHS England, but the estates and technology transformation fund has closed and the funding for Maghull has not been approved by the Government. Can the Minister confirm that the Government still agree that a new health centre, as opposed to what she mentioned before, which is a mental health facility, is needed in Maghull? Can she also tell me what the funding arrangements are in the absence of the estates and technology transformation fund?

[Maria Caulfield]

I take the hon. Gentleman’s point, and of course he will lobby for more investment in his constituency. As I said, the funding envelope will be announced shortly, and it will be for his local area to decide how it spends that.

[Sarah Champion (Rotherham) (Lab)]

15. If he will make an assessment of the potential merits of requiring mandatory reporting of waiting list times for non-consultant led services in NHS mental health trusts.

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[Mrs Sheryll Murray (South East Cornwall) (Con)]

20. What steps his Department is taking to increase provision of NHS dentistry.

[The Parliamentary Under-Secretary of State for Health and Social Care (Maria Caulfield)]

There are three ways in which we are increasing dental provision. First, we are increasing dental activity levels to 85%, as infection controls now allow us to. The second way is through the £50 million access fund, which will increase appointments by 350,000, and we encourage local commissioners to apply for that funding. Finally, we are reforming the contract, which, for too long, has resulted in a perverse disincentive for dentists.

[Mrs Murray]

I thank my hon. Friend for that answer, but my constituents are telling me that there are no places available with NHS dentists in my constituency. Will the Government now make that a priority following the covid pandemic?

[Maria Caulfield]

I thank my hon. Friend for all her hard work on campaigning for more dental appointments for her constituents. I believe that she met the Secretary of State last night to push him further on this. Her local area has an allocation of £4.7 million from the £50 million fund, and I encourage her to speak to her local commissioners to make use of that allocation. We are also looking at improving dental training so that we can get more dentists into her area.

[Rachael Maskell (York Central) (Lab/Co-op)]

Since dentistry was debated just a few weeks ago, another 10,000 of my constituents have received letters to tell them that they will have to go private. They are already waiting for five years to get an appointment. When will they actually get to see a dentist, or are they expected to have poor teeth?

[Maria Caulfield]

I am not sure where those constituents’ letters have come from, but if a contract has been handed back and that is the reason for the letter, the local commissioners should be looking for new providers, so I am very happy to meet the hon. Lady and her commissioners to see what is going on to make that happen.

[Jason McCartney (Colne Valley) (Con)]

T1. If he will make a statement on his departmental responsibilities.

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[Damien Moore (Southport) (Con)]

T7. I recently met Specsavers to discuss how patient choice should be promoted by making all routine community services patient self-referrals, especially when that can free up GPs’ time by not using them as administrative gatekeepers. Will the Secretary of State commit to meeting me to discuss how we can increase GP capacity using such measures?

[The Parliamentary Under-Secretary of State for Health and Social Care (Maria Caulfield)]

I am very interested in hearing proposals on patient self-referral. I am happy to meet my hon. Friend. From a cancer perspective, we are also potentially looking at self-referrals for skin diagnosis for possible skin cancer and for breast lumps, because we want to reduce waiting times and increase GP capacity.

[Alex Davies-Jones (Pontypridd) (Lab)]

T3.   Dydd Gŵyl Dewi hapus to you, Mr Speaker, and the whole House. The Minister should be aware of my long-fought campaign to improve how IVF add-ons are marketed to people who are longing for a baby. These add-ons, such as embryo glue or assisted hatching, often have limited success rates and cost thousands of pounds on top of an already expensive procedure. The system simply needs more regulation, so will she commit to meeting me to discuss this important issue further?

[Maria Caulfield]

I am happy to meet the hon. Lady. She raises a very important point that affects people who are desperate to try for children.

[Laura Trott (Sevenoaks) (Con)]

T8. I thank the Secretary of State for the extremely welcome news that he will introduce a licensing regime for non-surgical cosmetic interventions. This is a huge step forward for women’s health, and one that I have campaigned for over many years, along with many across the House. I am absolutely delighted. Can he inform us how the proposed licensing regime will keep pace with the rapidly changing landscape of these treatments?

[Mr Toby Perkins (Chesterfield) (Lab)]

T4. The response from the hon. Member for Lewes (Maria Caulfield) to the question from my right hon. Friend the Member for Kingston upon Hull North (Dame Diana Johnson) on health inequalities gives me no confidence that the Government have a plan to address these inequalities at all. She says that we have had a pandemic—of course we have, but the point is that it has happened everywhere. What does it say about this Government’s priorities that waiting times are escalating to a far greater extent in more deprived communities than they are in the more affluent communities that the Tories are so happy to represent?

[Maria Caulfield]

I can only reiterate that we have a laser focus on this issue, and that is why we will be bringing forward the health disparities White Paper. I also point the hon. Gentleman to the NHS’s approach of the Core20PLUS5, where it is targeting the most deprived 20% of the population in five clinical priority areas: maternity, severe mental illness, chronic respiratory disease, early cancer diagnosis and hypertension. We will deliver on resolving disparities issues.

[Jeremy Hunt (South West Surrey) (Con)]

Today is the first day of Brain Tumour Awareness Month. The Secretary of State kindly wrote to me in January when my mother died from a brain tumour, and Baroness Tessa Jowell, who was much loved on all sides of the House, also died from a brain tumour. Given that it is the biggest cause of cancer death for the under-40s, and we still do not really know what causes them, does he agree that this should be a priority for research, so that we understand as much about brain tumours as about other cancers?

[Kirsten Oswald (East Renfrewshire) (SNP)]

T9. According to the Royal College of Obstetricians and Gynaecologists, less than 3% of medical research funding in the UK is focused on women-specific diseases such as endometriosis and polycystic ovary syndrome. They are serious conditions, but too little is known about them and we do not hear enough about them, especially polycystic ovary syndrome. The failure to increase research funding is holding back women’s outcomes and experiences. What are the UK Government doing to increase the priority given to research funding for both those conditions?

[Maria Caulfield]

The hon. Lady raises an important point. She is right that women are under-represented in clinical research and are waiting far too long for diagnoses of conditions such as endometriosis. The women’s health strategy will be published very shortly and I think that she will be pleased with some of its recommendations to drive improvements forward.

[Greg Smith (Buckingham) (Con)]

I am grateful to the Minister for Health for giving his time over recent months to hear the case for an exciting and innovative new health centre for the village of Long Crendon in my constituency, as proposed by the parish council and action group. Will he update the House on where we are with finding funding to help the construction of the project?

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[Jane Hunt (Loughborough) (Con)]

A dental practice in Shepshed has informed me that its NHS contract has changed little since 2006. Can the contracts and value of units of dental activity for treatment be increased to focus on prevention, rather than treatment alone?

[Maria Caulfield]

I absolutely agree; my hon. Friend hits the nail on the head of why we are seeing such problems in dentistry. We have started negotiations on the dental contract and are working with the British Dental Association. The UDA has to be reformed as part of that: it is a perverse disincentive that turns dentists away from providing NHS services. I will keep her updated on our progress.

[Jim Shannon (Strangford) (DUP)]

I thank all the Ministers for their responses. What steps have been taken to work with the Education Secretary to provide a higher number of places for medical students containing a golden handshake that allows for no student loan repayment or fees on condition that they stay in the NHS for a set time?