Oral Answers

Maria Caulfield Excerpts

Tuesday 25th April 2023 Commons Chamber

[Mr Ben Bradshaw (Exeter) (Lab)]

1. If he will make an estimate of the average waiting time for treatment for gender dysphoria; and if he will make a statement.

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

NHS England does not routinely collect or publish data on waiting times for treatment for gender dysphoria, but I can tell the right hon. Gentleman that as of February this year 28,290 adults were waiting for a first appointment in England.

[Mr Bradshaw]

Four years on average for an initial appointment, and seven years at the south-west clinic in Exeter. With healthcare for trans people in effect non-existent, the Government planning to remove trans human rights from the Equality Act 2010, breaking their promise to ban conversion therapy and to reform the gender recognition process, and now threatening to force schools to out trans students to their parents, can the Minister see why this tiny and particularly vulnerable minority feels under attack by the Government, and that some who can afford to are even leaving the country for a less hostile environment?

[Maria Caulfield]

I can reassure the right hon. Gentleman that we are putting an additional £7.9 million into four new pilot gender identity clinics, because we want services to improve and waiting times to come down. The four new pilot services are now operating in Greater Manchester, Cheshire and Merseyside, East of England and London, and a new clinic will be opening in Sussex later this year. The four pilot studies have already removed 3,400 patients from the waiting list and I am hoping the fifth clinic will go further.

[Rob Butler (Aylesbury) (Con)]

2. What steps his Department is taking to reduce health inequalities in deprived areas.

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[Wera Hobhouse (Bath) (LD)]

6. What steps his Department is taking to improve access to maternity care in the south-west.

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

Accessibility and choice remain high in the south-west. All but one trust in the region have a minimum of three birth options.

[Wera Hobhouse]

In my local council area, birthing units were closed in 2020. My constituents were promised a new midwife-led unit at the Royal United Hospital in Bath, but three years on it is still not up and running. The Minister will say that it is a funding decision for the local area, but it is an NHS England funding decision and the Government are the paymaster, so when will Bath get its midwifery unit at the RUH?

[Maria Caulfield]

I am very happy to contact the hon. Lady’s local commissioners to find out the answer for her. However, I highlight the fact that the £7.6 million health and wellbeing fund is funding 19 projects across England to reduce health disparities in new mothers and babies. Two of those projects are in the south-west: the Trelya in Cornwall, a community-centred whole-family provision that takes a holistic approach to working with children and their families; and the Splitz Support Service in Wiltshire, which aims to improve community knowledge, access to and engagement with pre-conception and perinatal care. We are investing in the hon. Lady’s region, but if she has a local funding issue I am very happy to speak to her local commissioning group on her behalf.

[James Gray (North Wiltshire) (Con)]

I am very glad that the maternity unit at the Royal United Hospital in Bath is rated as outstanding—we actually have very good choices in our local area. Does the Minister agree that choice is an important thing in maternity services? I am very glad that we have a first-class birthing centre in Chippenham and another in Malmesbury. One of the most important things is allowing women the choice to have the birth at home. That requires first-class midwifery support thereafter, which we also have in our area.

[Maria Caulfield]

Absolutely; choice is important. Only last month we published the single delivery plan for maternity and neonatal services, which I am sure Members across the House will already have read. It puts women at the heart of decision making and learns from the Ockenden and East Kent inquiries, to ensure that women have better choice when giving birth.

[Andrew Lewer (Northampton South) (Con)]

7. What progress his Department has made on the delivery plan for recovering urgent and emergency care services.

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[Dame Caroline Dinenage (Gosport) (Con)]

8. What steps his Department is taking to tackle health inequalities experienced by people with learning disabilities and autistic people.

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

Annual health checks for people with a learning disability are important in addressing the causes of avoidable deaths and avoidable morbidity and in improving health.

[Dame Caroline Dinenage]

It is eight years since the Transforming Care programme started, with a target of halving the number of people with a learning disability and autistic people in in-patient mental health settings by 2024, yet according to the Challenging Behaviour Foundation, the number of children in those settings has nearly doubled since then, the average length of stay is 5.4 years and, 12 years on from the Winterbourne View scandal, reports of appalling standards of care are still too frequent. Does the Minister agree that people with learning disabilities and autistic people deserve so much better?

[Maria Caulfield]

I thank my hon. Friend for her work in this place. Our priority is always to ensure that children and adults with a learning disability and autistic people receive high-quality care. More than 2,000 people—children and adults—are still waiting to be discharged from in-patient facilities but that is a reduction of 30% and we are making progress. I am meeting individual integrated care boards—[Interruption.] Perhaps the shadow Minister would like to listen to this. I am meeting individual ICBs to go through their patients who are waiting to be discharged to see what more support we can give to make that happen as quickly as possible.

[Richard Thomson (Gordon) (SNP)]

Last year the Scottish Government announced £2 million-worth of funding and help for health boards to deliver health checks for all people with learning disabilities so that any health issues could be identified and treated as quickly as possible. What plans do the UK Government have to do similar across England?

[Maria Caulfield]

We also ensure that those eligible for safe and wellbeing reviews get one. Last year about 87% of those who were eligible did so.

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

10. What recent assessment he has made of the adequacy of the availability of NHS dental services.

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[Henry Smith (Crawley) (Con)]

T9.   What assessment has the Department made of antimicrobial resistance to superbugs originating in industrial farming?

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

Successfully containing antimicrobial resistance requires co-ordinated action across all sectors. That is why the UK takes a “one health” national approach to AMR across humans, animals, food and the environment. Since 2014, the UK has reduced sales of veterinary antibiotics by 55% and has seen a decrease in antimicrobial resistance as a result.

[Mr Speaker]

I call the SNP spokesperson.

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[Kim Leadbeater (Batley and Spen) (Lab)]

T2. What is the Secretary of State doing to tackle the severe national shortage of desperately needed psychiatric intensive care beds, which means that people, including some of my constituents, have to travel hundreds of miles to see their loved ones?

[Maria Caulfield]

We are spending an additional £2.3 billion a year on mental health services, and we have recently announced £150 million for crisis community support, because we are trying to reduce the number of people being admitted in the first place by treating them at an earlier point in their mental health illness. That will free up beds, but it will take time. Community crisis intervention is the way in which we want to make progress.

[Anne Marie Morris (Newton Abbot) (Con)]

Investors need certainty and the British people need access to more medicines. The growth cap in the voluntary pricing agreement for branded medicines between the pharmaceutical industry and Government makes the size of the medicines rebate unpredictable. Will the Minister remove the growth gap from the 2024 voluntary scheme for branded medicines pricing and access, to supercharge investment that is currently leaking to Germany and Ireland?