Hospice and Palliative Care

Martin Vickers Excerpts

Monday 13th January 2025 Commons Chamber

[Martin Vickers (Brigg and Immingham) (Con)]

First, I congratulate the hon. Member for Wimbledon (Mr Kohler) on securing this debate. As a member of the Backbench Business Committee, I can tell him he made a very convincing argument for this debate.

Like others, I suspect, one of my aims this evening is to praise my local hospices, Lindsey Lodge in Scunthorpe and Saint Andrew’s in Grimsby, which both provide care to my constituents. I have particular affection for St Andrew’s, as my father passed away in its care, and my mother actually died on the day she was supposed to move in. That was more than 30 years ago; I have seen how they have developed in the years since, and they continue to provide absolutely superb care. Of course, demand is increasing: demographics have changed, and people are living longer. Hospices do actually ease the burden on the NHS.

St Andrew’s has 133 permanent staff, but more than 400 volunteers. As it happens, I visited St Andrew’s last Friday—the meeting was scheduled some weeks ago, but it was convenient timing for this debate. I do have a specific question for the Minister relating to St Andrew’s, which I will come to later. Voluntary donations in areas such as north-east Lincolnshire are crucial, as they are elsewhere. However, with relatively low incomes and very low property values, when people leave a legacy of a share in their property, perhaps, that does not realise the same sort of return as it would in many other parts of the country.

I could provide a whole list of what St Andrew’s hospice delivers; instead, I will give one or two significant statistics. It delivers more than 3,000 adult in-patient bed nights and 694 children’s hospice at home sessions; it has physiotherapy, creative therapy and social work contacts; it provides spiritual care for its patients and their families. The cost of operating all parts of the charity in 2024-25 is more than £18,000 a day; only four years ago, it was £14,000 a day—a significant rise, as Members will appreciate. Some 80% of that cost has to be earned or raised by the hospice, which, in times of economic challenge, is increasingly difficult. Its statutory income for ’24-’25 is expected to be only 21.5% of its total income. Currently, for every £1 of statutory income, St Andrew’s has to raise £4.60, posing a considerable financial challenge for the hospice, the volunteers and the fundraisers.

As we know, healthcare inflation runs ahead of general inflation, and hospices have to try to keep pace with statutory salary increases related to the national minimum wage. As with the social enterprises that provide social care in north-east Lincolnshire, hospice staff do not automatically get the increases that go to NHS workers, and the gap is inevitably widening. I raised this matter with the Secretary of State at health questions last week, and I think it will be a growing problem with further NHS wage increases later this year, as the gap between NHS workers and those providing care in hospices and social enterprises widens; it will be about 10% by the time the next increase comes. Needless to say, that is causing difficulties for those employees.

I have a specific question for the Minister, which I will write to him about in the next day or two—I do not expect him to have all the details of St Andrew’s in his pack. St Andrew’s gets only 21% of its income through statutory contributions, which I understand is about 12% below the national average; this has come about because of a whole series of historical adjustments. My plea to the Minister is that St Andrew’s is brought up to the national average as soon as possible.

Oral Answers to Questions

Martin Vickers Excerpts

Tuesday 7th January 2025 Commons Chamber

[Wes Streeting]

I agree with my hon. Friend. I am proud that this Government have taken quick action within our first 100 days. Thanks to the Employment Rights Bill, which is UK-wide legislation, this Labour Government in Westminster are giving the Scottish Government the tools they need to do the job of establishing fair pay for care staff. If they do not do it, Anas Sarwar and Jackie Baillie will.

[Martin Vickers (Brigg and Immingham) (Con)]

In north-east Lincolnshire, a social enterprise employs 800 staff providing health and social care. I have been approached by many staff who are unhappy that they have not benefited from the increases that NHS staff have gained. They have the support of the Royal College of Nursing and are looking for the Government to provide Care Plus Group, which employs them, with the resources to ensure that they are recompensed to the same level. What is the Secretary of State able to pass on to them?

[Wes Streeting]

I am grateful to the hon. Member for that question. With our fair pay agreements, we will be bringing together government, public and private sector employers and staff trade unions to negotiate the future for fair pay agreements that will benefit care workers across the system and give them the professional status and career progression they deserve. The Chancellor, through the Budget, also took steps to ensure that we could invest in our social care services. I am deeply saddened that the Conservative party has not supported that investment.

Hospice Funding

Martin Vickers Excerpts

Thursday 19th December 2024 Commons Chamber

[Karin Smyth]

I thank my hon. Friend for his contribution and, indeed, for his singing. Those events bring joy to people at a particularly difficult point in their life, and they are very welcome.

[Martin Vickers (Brigg and Immingham) (Con)]

Any increase in funding for the hospice movement is of course welcome, but let us be honest: it is giving with one hand and taking with the other. The two excellent hospices that serve my constituency—St Andrew’s in Grimsby and Lindsey Lodge in Scunthorpe—tell me they want certainty. The Minister says they will be told early in the new year. Can the Minister give a categorical assurance that in the first half of January hospices will be told how much extra they are getting from the £100 million she mentioned?

[Karin Smyth]

I thank the hon. Gentleman for welcoming the announcement. As I said, we will be working with the sector in the new year and then we will make allocations accordingly.

National Insurance Contributions: Healthcare

Martin Vickers Excerpts

Thursday 14th November 2024 Commons Chamber

[Karin Smyth]

The hon. Lady tempts me to make specific commitments, which I am not prepared to do, as I am sure she understands. She is right that people are expressing concerns about some of these decisions. That is because they are in such a precarious situation as a result of what we have inherited from the past 14 years. As the Prime Minister and the rest of the Government have been clear throughout the election and afterwards, we have a 10-year plan because it will take a long time to fix the foundations and build up the sector to make it more resilient and sustain it for the future. We want to fix those foundations, and we will talk closely with everyone affected over the coming months, but this will take a long time. Those providers are precarious because of the mess that we inherited.

[Martin Vickers (Brigg and Immingham) (Con)]

Earlier this week, I received a letter from the Lincolnshire and Nottinghamshire air ambulance, a charitable healthcare provider. The national insurance changes will add £70,000 a year to its costs, and if it is forced to close, lives will be lost. May I urge the Minister—I know she will want to protect this service—to do all she can to ensure that that air ambulance and others across the country are not hit by this tax?

[Karin Smyth]

I assure the hon. Gentleman that since we were elected, the Government have already taken action to secure extra investment in the health and social care system, and we are committed to building a thriving health and social care system for the rest of the 21st century.

Breast Cancer: Younger Women

Martin Vickers Excerpts

Tuesday 12th November 2024 Westminster Hall

[Martin Vickers (in the Chair)]

I will call Vera Hobhouse to move the motion, and I will then call the Minister to respond. There will not be an opportunity for the Member in charge to wind up, as is the convention in 30-minute debates.

[Wera Hobhouse (Bath) (LD)]

I beg to move,

That this House has considered breast cancer in younger women.

It is a pleasure to serve with you in the Chair, Mr Vickers. I thank the Minister for being here to respond.

Every woman deserves a fair chance against breast cancer, no matter her age. It is the most common type of cancer in the UK. Most women who are diagnosed are over 50, and it is therefore a disease often associated with older women, but young women are at risk, too. Breast cancer in younger women is often caught later when it is more advanced. That is because there is no routine screening and too often symptoms get dismissed as something less serious. That must change. Awareness and early detection are crucial, no matter your age.

The issue arose for me during a constituency surgery when my Bath constituent Lucy shared her story, which resonated with me because my nephew’s mother died many years ago of breast cancer aged 35. In 2021 Lucy, who was 38, had two young children and was diagnosed with primary breast cancer. She underwent a mastectomy, chemotherapy and radiotherapy before being given the all-clear. In 2024, when she was 41, a self-initiated MRI scan tragically came back showing that her cancer had returned, leading to a diagnosis of secondary breast cancer, which is currently incurable. In both cases she found it a struggle to be diagnosed.

The first time, despite her mother having had breast cancer and Lucy presenting with a lump, at least three different doctors told her that it was likely to be hormones and nothing to worry about. It was not until she requested the biopsy, which ultimately came back showing it was cancer, that the diagnosis was made. The second time she repeatedly voiced concerns about a symptom that she was experiencing, but she was repeatedly assured that it was just a side effect of the treatment. Still concerned, she approached the GP, who did some initial tests but ultimately suggested that her worries were anxiety-driven. After that appointment she came out and sobbed in her car.

Searching for peace of mind, Lucy then paid privately for a breast MRI, which tragically revealed that the cancer had returned, but by then it was too late. In both cases—first by requesting the biopsy and secondly by initiating an MRI—it was up to Lucy to fight for a diagnosis.

NHS Dentistry: South-west

Martin Vickers Excerpts

Tuesday 12th November 2024 Westminster Hall

[Richard Foord]

I agree. One way in which we can share best practice is by thinking about not only training places, but the recognition of qualifications. After the UK’s exit from the European Union, we saw a breakdown in the number of EU dentists wanting to stay or being attracted here. With fewer eastern European dentists, in the south-west of England, for example, we need to look again at dental qualifications and whether there are some dentist qualifications we might recognise that might make it more attractive to be a practising dentist in the UK.

The rural south-west of England needs to be able to expect the same level of NHS dentistry provision that we see in urban areas across the country. Will the Minister commit to the reform of NHS dentistry so that constituents such as Mike and Shirley do not have to go into the red or forfeit heating their homes to get dental care that avoids them going to acute hospitals such as the Royal Devon and Exeter hospital at Exeter?

[Martin Vickers (in the Chair)]

I remind Members that if they wish to speak, they should bob. If they could limit their contributions to an absolute maximum of four minutes, we will probably get everyone in. But it is going to be a squeeze, particularly if there are too many interventions.

Hospice Funding

Martin Vickers Excerpts

Monday 22nd April 2024 Commons Chamber

[Peter Gibson (Darlington) (Con)]

It is a pleasure to follow the hon. Member for Enfield, Southgate (Bambos Charalambous); it is great to see him in the Chamber after his performance yesterday in the London marathon. I congratulate him on completing it.

It is a pleasure to be called to speak in this long-awaited debate, and I thank and congratulate my hon. Friend the Member for Hastings and Rye (Sally-Ann Hart) for moving the motion. I thank hospices around the country that have engaged with me in my preparation for today’s debate, and I thank the Hospice UK team—Toby, Katie and Olivia in particular—for their ongoing support for me and the all-party parliamentary group on hospice and end of life care, which I co-chair along with Baroness Finlay of Llandaff.

I draw the House’s attention to my entry in the Register of Members’ Financial Interests: I am a trustee of North Yorkshire Hospice Care, which operates both Herriot Hospice Homecare and Saint Michael’s hospice in Harrogate. I have served as a trustee of that hospice for over a decade, and have seen the difficulties that piecemeal commissioning causes for our precious hospices. To my mind, this debate is not simply about asking the Government for more money—we know that there are serious public financial challenges post pandemic—but an opportunity to discuss on the Floor of the House solutions to the challenges that our hospices face. I thank the Backbench Business Committee for allowing us to have this debate. The number of Members who wish to speak in support of their local hospices today is testament to how much each and every one of our communities values its local hospices.

This is a matter of life and death. The hospice movement is there to deliver good deaths; that might seem a strange thing to say, but palliative care delivered in the right environment—be that a hospice, a children’s hospice, or a person’s home through a hospice at home service—is a truly wonderful thing. Those precious final few weeks of a person’s life are imprinted into our memories, and it is right that those who are dying, and those who are loving, supporting and caring for them, do so in an environment where there is proper funding and commissioning, and where we can plan and prepare to provide continuing care.

[Martin Vickers (Cleethorpes) (Con)]

I thank my hon. Friend for his contribution, as well as the Members who made the previous contributions, both of which focused to some extent on palliative and end of life care. Two hospices serve my constituency, St Andrew’s in Grimsby and Lindsey Lodge in Scunthorpe; both provide an excellent end of life environment. Does my hon. Friend agree that if we are to defuse the movement towards encouraging assisted dying, we need to ensure that our hospices provide a service as an alternative?

[Peter Gibson]

I am very grateful to my hon. Friend for his intervention. I have my personal views about assisted dying, and I am sure that in the fullness of time, this House will debate that issue. This debate is not about assisted dying: it is about our hospices, and how we fund and support them. With the greatest of respect to my hon. Friend, conflating the two issues is not helpful.

Even post death, our wonderful hospice movement provides much-needed bereavement care to those who have suffered the loss of a loved one. The Health and Social Care Act 2021 made provision for the very first time for the commissioning of palliative care. That is a landmark. Integrated care boards around the country now have responsibility for commissioning palliative care to meet the needs of the community that they serve, which is a good thing. It ensures that local commissioners, working together with local providers and local representatives, can deliver the palliative care needs of their respective communities.

NHS Dentistry: Recovery and Reform

Martin Vickers Excerpts

Wednesday 7th February 2024 Commons Chamber

[Victoria Atkins]

I hope the hon. Gentleman will publicise the new patient premium, because that is one of the levers through which we will unlock places for new patients. I remember that he has taken an interest in this issue. I very much understand the point about location. We have set strict criteria for how dental vans will be deployed, but the new patient premium is across the country. We want as many people as possible to see NHS dentists and fill those 2.5 million more appointments.

[Martin Vickers (Cleethorpes) (Con)]

I particularly welcome the initiative to improve services in coastal and rural areas. The Health Secretary and I are constituency neighbours, and she will know the complexities of delivering local services in what we know as greater Lincolnshire, because her constituency is in the east midlands and mine is in Yorkshire and the Humber. Can she guarantee that the whole of greater Lincolnshire, from the south of the county up to Barton-upon-Humber, will receive the benefits of the new proposals?

[Victoria Atkins]

I am delighted to inform my hon. Friend and neighbour that the new patient premium applies across England, and of course people can move to the dental practice that can offer them the services they need, so I trust that his constituents will be as happy as mine.

COP10: WHO Framework Convention on Tobacco Control

Martin Vickers Excerpts

Thursday 18th January 2024 Westminster Hall

[Dame Andrea Leadsom]

No, to put it simply—and I do not know if that is the case. I am grateful to my right hon. Friend. As he knows, I always listen carefully to his usually very wise words, so I will take that away and get an answer for him.

We should be proud of our record on keeping tobacco control at the top of not just the national agenda, but the global agenda. We are a world-leading trailblazer in tobacco control, and our delegation to COP10 will proudly set out our unique and sovereign approach. My firm belief is that our policy could save countless lives in this country and, through our example, overseas. Crucially, we are using the conference to showcase UK plc to the world.

I say to the hon. Member for Linlithgow and East Falkirk (Martyn Day) that I have been delighted with the collaborative, cross-party approach that colleagues in the devolved Administrations have taken to our smoking and vapes Bill. However, importantly, at an official level, there has recently been an agreed approach to the COP10 delegation. I hope that reassures him that all views from all parts of the United Kingdom are carefully being taken into account.

COP10 will be a forum in which we can exchange ideas with countries such as Canada and Australia. We will back other countries in their efforts to kick the habit, but we will also present our case as strongly as we can. We are going beyond the convention in certain areas, and we have a different view in others. All colleagues should be reassured that we alone will decide what those views are, through our sovereign Parliament.

[Martin Vickers (in the Chair)]

Andrew Lewer has two minutes to wind up.

NHS Long-term Workforce Plan

Martin Vickers Excerpts

Monday 3rd July 2023 Commons Chamber

[Steve Barclay]

The question started by saying that we do not want plans for the future, we want to deal with the present, and finished by asking if we can have a plan for the future rather than for the present. The plan sets out significant additional numbers. Significant investment is going into eye services here and now. Let me give the House one example: at King’s Lynn hospital, in addition to our investment in a new hospital to replace the reinforced autoclaved aerated concrete hospital, and in addition to the new diagnostic centre, I had the opportunity in the summer to open a new £3 million eye centre, which is doubling the number of patients who receive eye care in King’s Lynn. That is just one practical example of our investment in eye services now.

[Martin Vickers (Cleethorpes) (Con)]

May I add my words of condolence for Lord Kerslake, who served on the greater Grimsby regeneration board, which oversees regeneration in the Grimsby-Cleethorpes area? We greatly valued his experience and advice. Following the question from my hon. Friend the Member for Scunthorpe (Holly Mumby-Croft), it is important that we tie in dentists—and I would suggest GPs—to NHS services, but could they also be directed to areas of greatest need, such as northern Lincolnshire?

[Steve Barclay]

The Under-Secretary of State for Health and Social Care, my hon. Friend the Member for Harborough (Neil O'Brien) is looking at how we deliver more services within the existing contract, and at what incentives and reforms can be put in place to ensure that the parts of the country that find it hardest to recruit dentists are best able to do so, through both our domestic supply and international recruitment.