Oral Answers to Questions

Maria Caulfield Excerpts

Tuesday 23rd January 2024 Commons Chamber

[Sarah Edwards (Tamworth) (Lab)]

6. What steps she is taking to increase access to child and adolescent mental health services.

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

We are investing an extra £2.3 billion a year to expand mental health services in England, with the aim of enabling 2 million more people to access mental health support, including 345,000 more children and young people.

[Sarah Edwards]

Many constituents in Tamworth are coming to me in desperate need of support for their children. Those constituents include Kate, whose daughter is at crisis point and has been without a psychiatrist since November; Roger, who has been waiting 18 months for an autism referral for his daughter; and Jess, who has been waiting for an attention deficit hyperactivity disorder assessment for her son. Will the Minister explain what action she is taking so that children, parents and families in my constituency can get the support they need?

[Maria Caulfield]

Through the investment we are putting in, particularly in the hon. Lady’s local area, there are a number of initiatives to help support children and young people with their mental health. The Sandbox scheme, which is a funded NHS service, supports those in the south Staffordshire area; Malachi provides family support across Tamworth and east Staffordshire; and Combined Wellbeing, which is an online resource, covers north Staffordshire. There is also the Family Wellbeing Service, Action for Children for those aged five to 18 with mild to moderate mental health needs, and the Staffordshire Emotional Health and Wellbeing Service for those aged five to 18. I would recommend that the hon. Lady’s constituents look up those services, because we are funding them to improve mental health care for children in her local area.

[George Freeman (Mid Norfolk) (Con)]

The agony and damage of undiagnosed and untreated mental health conditions is nowhere more acute than in rural areas, where we see an epidemic of silent suffering. The Norfolk and Suffolk NHS Foundation Trust has long struggled with a series of management problems. I am sure the Minister has seen the recent report highlighting that between 2019 and 2022, we saw over 8,500 avoidable deaths—that is nearly 45 a week. Will she agree to meet me, other Norfolk and Suffolk MPs, and those affected to look at what is really going on here and make sure that we turn that trust into a beacon of the best mental health services, rather than the worst?

[Maria Caulfield]

I thank my hon. Friend for raising this issue. We were holding regular meetings with Norfolk and Suffolk MPs, the trust, the Care Quality Commission and NHS England, and with the new management team, that trust did appear to finally be turning things around. However, I am concerned to hear the points that my hon. Friend has raised. I am very happy to restart those meetings and will ask my office to arrange them as quickly as possible.

[Clive Efford (Eltham) (Lab)]

8. What steps she is taking to increase staff recruitment and retention in the adult social care sector.

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[Sir David Evennett (Bexleyheath and Crayford) (Con)]

9. What steps she is taking to help improve men’s health.

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

I assure my right hon. Friend that this Government are committed to improving men’s health. That is why, in November, we announced a suite of measures, including a £16 million fund for a new prostate cancer screening trial, and the recruitment of a men’s health ambassador. We have also launched our men’s health taskforce to tackle the biggest health issues facing men.

[Sir David Evennett]

I thank the Minister for that answer, and I would urge her to continue to make men’s health a top priority. In particular, can she look at how we can detect prostate cancer better and sooner? It is the most common cause of male cancer in the United Kingdom, and anything that can be done to reduce that number will be most welcome.

[Maria Caulfield]

I thank my right hon. Friend and male colleagues on the Government Benches, including my hon. Friend the Member for Don Valley (Nick Fletcher), who are fighting so hard to improve men’s health. He is absolutely right: 12,000 men a year die from prostate cancer. That is why we are investing in the £16 million prostate cancer trial called Transform, using methods such as MRI to detect prostate cancer rather than PSA, which can be inaccurate. Thousands of men will be recruited. We are hoping that the trial will start in the spring, with recruitment in the autumn, including the recruitment of black men, who are disproportionately affected by prostate cancer.

[Tim Farron (Westmorland and Lonsdale) (LD)]

Does the Minister agree, however, that the information she has just given about why screening for prostate cancer does not happen for men is based on a study that is 20 years old? There are 12,000 deaths a year—it is the biggest killer among men, and the second biggest killer among all people—yet here is this evil cancer for which there is no screening programme whatsoever. Will she take steps to update current NHS guidance to ensure that all those at high risk of prostate cancer receive a targeted early detection service? I think she has hinted that she may be doing that, but will she finally introduce mass screening for prostate cancer? It is the only cancer without specifically commissioned early diagnosis work, and men are dying unnecessarily because of the failure to bring this in.

[Maria Caulfield]

We have more than hinted: we have just announced a £16 million pilot study of prostate cancer screening. We have a plan to tackle those 12,000 deaths a year, and it will work, because until now we have not had a diagnostic test. PSA is not a sensitive test in all prostate cancers: there are many men with prostate cancer who do not express PSA. That is why the Transform study, using detection tools such as MRI, will be trialled, and if they are effective, such tools will be rolled out across the country.

[Kerry McCarthy (Bristol East) (Lab)]

10. What steps she is taking to increase the recruitment and retention of NHS midwifery and maternity staff.

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[Jeff Smith (Manchester, Withington) (Lab)]

14. What steps she is taking to increase access to mental health services.

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

We are investing a record amount in NHS mental health services, committing £2.3 billion extra a year for the expansion and transformation of services in England, which will enable 2 million more people to access mental health support.

[Jeff Smith]

If only the reality was that rosy. The entire sector is calling out for reform of the Mental Health Act 1983. With our mental health services in crisis, why did the Government scrap the long-awaited and overdue mental health Bill, which could have started to alleviate pressures on trusts by reducing the numbers of people detained inappropriately and making services more fit for purpose? Is it not true that we need a Labour Government to take action on this issue?

[Mr Speaker]

It is going to be a long year.

[Maria Caulfield]

I have news for the hon. Gentleman, because we have a plan and it is working. Our investment of £143 million into crisis support is showing early evidence of reducing admissions—admissions are 8% lower. With the crisis telephone services, which are available 24/7, we have admissions down 12%. More importantly, detentions under the Mental Health Act are 15% lower. We have a plan, and it is working.

[Dr Lisa Cameron (East Kilbride, Strathaven and Lesmahagow) (Con)]

15. What recent progress her Department has made on reducing the number of people with a learning disability in in-patient units.

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[Kerry McCarthy (Bristol East) (Lab)]

T8. This week the Riverside unit in my constituency, which treats young people with severe eating disorders, had to close temporarily because of concerns about its ability to provide safe care. What are the Government doing to ensure that young people who, in many cases, go through mental health crises as a result of their eating disorders receive the care that they need as close to home as possible?

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

As the hon. Lady will know, we are investing more in mental health services for young people in particular and, indeed, for those with eating disorders. We are seeing more young people more quickly than ever before, but if the hon. Lady wishes to raise a local issue with me, I shall be happy to meet her and discuss it.

[Kevin Foster (Torbay) (Con)]

The opening of a new block of operating theatres next month marks the latest investment in Torbay Hospital, but it is, of course, a prelude to the major rebuilding work. When does the Secretary of State plan to deliver the next update on the progress of that project?