(3 years, 1 month ago)
Commons ChamberI want people to be able to get the care they need when they need it and to have the choices they want. I want people to live their life in full and to live independently as part of a community for as long as possible without facing an astronomical care bill. We are committed to social care reform, and we will bring forward proposals this year.
First, my right hon. Friend is right to bring to the House’s attention the way that the Government are also working on social care for working-age people. He is also right to point out—I was thinking about this the other day—that around 55% of total adult social care spending is for working-age adults, and it is important that we continue to provide that support. He will be pleased to know that I am working with the current Chancellor and other Cabinet colleagues on bringing forward a more sustainable long-term plan, and I hope he will support it when it comes forward.
I welcome what my right hon. Friend has said so far and the moves he is making to deal with the social care issue. One thing that elderly people particularly are worried about when they are in care or in hospital are the recent reports of “Do not attempt cardiopulmonary resuscitation” orders. Will my right hon. Friend give an assurance that they will only be put in place with the authority of the patient or their next of kin? Is he making inquiries into recent reports of their widespread use?
My hon. Friend will be interested to know that the Department commissioned the Care Quality Commission to review the DNACPR decisions that were being made during the first wave of the pandemic. That review was published in March, and the Department then established a new ministerial oversight group that will be responsible for delivery and the required changes that were recommended in the review. We want to ensure adherence to the guidance throughout the system whenever DNACPR orders are used. The first meeting of this new group will take place on 8 June.
(3 years, 1 month ago)
Commons ChamberOrder. I warn colleagues that this statement will finish at 6 o’clock due to the need to get back to the debate on the Bill, so I urge colleagues to be brief.
The majority of my constituents will welcome the Secretary of State’s statement, but NHS Digital data shows that the case rate in the council area is 591 per 100,000. That is considerably ahead of the national average and is causing inevitable concern, particularly among elderly and vulnerable groups. I have full confidence in the local NHS, the council and other officials dealing with the situation, but if it continues to worsen, will my right hon. Friend meet me and my hon. Friend the Member for Great Grimsby (Lia Nici) to discuss whether additional support and resources are required?
I of course understand the importance of my hon. Friend’s question. As I said in my statement, I believe that the case rate nationally, including in his constituency, will worsen, but the hospitalisation and death rates are far more important. He will have heard what I said earlier, but I am more than happy to meet him on any occasion to discuss such issues further.
(3 years, 2 months ago)
Commons ChamberUrgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.
Each Urgent Question requires a Government Minister to give a response on the debate topic.
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The hon. Gentleman makes a really important point about respite for carers. Being a carer is hard and back-up support and respite services help make it more possible, but frustratingly, during the pandemic many of those services have not been able to function as normal. I am currently working with Ministry of Housing, Communities and Local Government Ministers to help local authorities across England ensure that day services and respite care are fully restarted as that is very important, and I would like to see that across the whole of the UK.
I appreciate this is very difficult for the Minister, because until we actually know what the Government’s proposals are, she is answering questions based on assumptions and guesswork, but she will know that the main concerns of families are twofold: that they get adequate care; and that they will not have to sell their family home to provide that care. What assurance can she give that the Government will take into account the fact that people want to hold on to their family home? On the assumption that the value of assets will play some part in whatever formula we come up with, what account will be taken of the vast difference in prices of property in London compared with, for example, Cleethorpes?
I hope my hon. Friend will forgive me if I am not drawn on the assumption point that he made in the second part of his question, but what I can say to him is that the Prime Minister has been clear that he wants a social care system where no one needing care should be forced to sell their home to pay for it.
(3 years, 6 months ago)
Commons ChamberAs the right hon. Lady knows, we have brought in very significant measures at the border to control the arrival of those from countries at risk, for instance, South Africa and other southern African nations, Brazil and nations around Brazil, and Portugal. The self-isolation requirements that she mentions are absolutely critical, but we are also of course looking at what further measures are necessary.
The roll-out of vaccines in north and north-east Lincolnshire is going extremely well and I am sure that my right hon. Friend will want to join me in congratulating all those involved on their magnificent efforts. To follow on from questions about the housebound, yesterday I was contacted by the family of an elderly gentleman who lives alone in a rural part of my constituency, who received an invitation for a vaccination at a centre considerably far from his home, and he wanted it locally. I appreciate that there is a follow-up, but the initial letter can cause confusion for people. Will my right hon. Friend do all he can to assure me that the follow-up letter inviting people for a local vaccination comes swiftly after that first letter?
Yes, I am happy to work with my hon. Friend. The best thing might be if I ask the Minister for Vaccine Deployment to call him straightaway to ensure that his constituent gets the vaccination as locally as possible.
I also take on board the broader point, because it is not just about that constituent, important though that is; it is also about making sure that everybody can have the vaccine as locally as reasonably possible. We also need a local voluntary effort, which is happening in so many parts of the country, to help elderly people to be able to get to a vaccination centre. If a constituent is housebound, the roving vaccinations teams need to be able to reach them. That takes longer than vaccinating through any other route, for obvious reasons, but it is a very important part of the scheme.
(3 years, 8 months ago)
Commons ChamberThere has to be a 21-day window from the first vaccine dose to the second. We are aiming to send out invitations so that people can come as close to that 21-day marker as possible. Clinically, the 21 days is a minimum not a maximum, but the goal is clearly on or as close to the 21st day as possible.
As my right hon. Friend is aware, my constituency is in tier 3, and although there has been a considerable drop in the infection rate, people are still concerned about the roll-out of the vaccine. Can he give an update and an assurance that my constituency will feature in the roll-out in coming weeks?
Yes, we are working very hard to get the vaccine to every part of the country, including Cleethorpes. I will look into exactly when the vaccine is arriving in Cleethorpes and get back to my hon. Friend as soon as possible.
(3 years, 10 months ago)
Commons ChamberAs the hon. Lady will have heard me say, the combined support schemes, particularly where there is the UC top-up, will mean that people get at least 80% of their wages. I am afraid that I refute her point about the living wage in this country, as I believe it is a significant achievement by this Government and the previous Chancellor, George Osborne. It is a huge step forward, and rather than belittling it, we should recognise the impact it has had.
South Yorkshire is where many, perhaps most, visitors to Cleethorpes come from. They are very welcome and vital to the local hospitality sector, but many of them occupy caravans and chalets for weeks and months at a time. Again, that is welcome, but there are concerns among local people that people perhaps come and go during this period to and from an area in tier 3. What support can the Government offer to the local authority to monitor that?
My hon. Friend highlights an important point, and we have been clear that people in tier 3 areas should not undertake travel in and out of that area. They should abide by the rules of the area in which they live, rather than travelling to another area and applying the rules in that area. The rules apply on the basis of the area in which someone lives.
(3 years, 11 months ago)
Commons ChamberLike some of my hon. Friends, I rise to give qualified support to the Government. It is qualified inasmuch as we all have reservations about one or two of the decisions that have been taken but, overall, we recognise the enormous challenge presented over the past six months. For those such as my right hon. Friend the Prime Minister and his colleagues, who are instinctively libertarian and freedom loving, the decisions to restrict the freedoms of the British people have been very difficult. The Government have, on the whole, acted rationally and proportionately in their decision making, and the public have clearly recognised that: only a few days ago, a YouGov poll showed that 78% of the British public supported the most recent restrictions. It is fair to say that in a constituency like mine, which has been fortunate to have a very low infection rate, another 5% could be added to that proportion, without any doubt.
If we are to move forward, we will have to retain the good will of our citizens, and to do that we have to be honest and straightforward with them. To some extent, that may involve admitting the occasional error in the past. We also have to take them forward by bringing them into the debate. We need to explain our policies, and when announcements are made, we need to give reasons. If we do not, we leave an open goal for our critics. Of course, there will always be anomalies in the various guidance that is provided, because guidance cannot cover every individual circumstance, but when we are talking about restricting people’s freedoms, we do need to bring them onside.
The availability of tests has been a great challenge. I urge Ministers to ensure that no one enters a care home unless they have been tested and cleared. The other particularly vulnerable group with which I have had dealings in my constituency are those who live with clinically vulnerable people. They have made additional sacrifices—perhaps they are not going out as much or enjoying even the limited leisure activities that are currently available—and we need to give them additional support.
My Cleethorpes constituency is, partly, a tourist destination. It is particularly important that we recognise that another lockdown would mean some businesses going under. We have to recognise that if, by Government decree, we prevent someone from carrying out their normal business, which is perfectly legal and successful, we need to take action to support them. That applies in particular to the self-employed and freelancers, whom we have heard about during this debate but who have fallen through the net in recent debates.
Let me turn to sporting activities. A couple of weeks ago, I met the chairman of and the majority shareholder in Grimsby Town, which is my local football team. Grimsby Town is a league two team with its home ground in Cleethorpes, and very much part of the local community—for example, it is involved in the delivery of the National Citizen Service. The club needs half a million pounds to survive this season, but it is realistic: although it is a financially sound club, it recognises that it should not be the taxpayer who supports it. We have only to look at the football sector, with the transfers in recent weeks, to realise that adequate resources are available in football to support the lower-league teams. If the Premier League is not prepared to take action—I know that negotiations are taking place—I urge the Government to force it to take action.
With some reservations, I have supported the Government’s approach up to now. I say to my colleagues that although this may be a time to give the Government a nudge in the right direction, it is not the time to defeat them. We need to hear from the Government a strategy for the coming months. We do not need to hear definite dates—we cannot give definite dates; it is no good saying that on 1 January we will do this or on 1 March this will happen—but we can lay the foundations and put in place markers so that we know that when we get to certain points, we can release of some of the restrictions we are placing on our citizens.
(3 years, 11 months ago)
Commons ChamberWe are indeed determined to support social care, and particularly the care homes, with repeat, regular testing. As the hon. Member knows, because we have spoken about it, there has been a delay with our repeat testing of care homes because of a particular issue with some of the test kits. That was communicated to her and to the sector. As I said in my previous answer, we have now been able to offer repeat testing to all care homes for older people, to open up the portal to those care homes with working age adults as residents, and to initiate our second round of repeat testing for the older sector.
I thank my hon. Friend for his question. He and I have had the opportunity in the past to discuss his hospital trust and I pay tribute to its work. I am conscious that his trust has faced financial challenges, running a £57 million deficit a year ago. That has now been halved, meeting the financial control total. I also understand that income levels at his trust increased by 22% from 2015-16 to last year.
I thank the Minister for replying and also for meeting me and my hon. Friend the Member for Great Grimsby (Lia Nici) before the recess. May I emphasise the importance of the Diana, Princess of Wales Hospital in Grimsby that serves my constituency as well? It needs £150 million to £200 million of major infrastructure work to avoid infrastructure failure. I urge him to consider that and bear in mind the pressures on the trust as he considers the additional resources?
My hon. Friend quite rightly raises the Diana, Princess of Wales Hospital in Grimsby. He has raised it with me before, and I give him that commitment.
(4 years, 1 month ago)
Commons ChamberThe Nightingales project was one of the most successful projects in the history of the NHS—building the Nightingales in nine days was something that many people in this country thought would be impossible—but the Nightingales were designed very specifically for intubated patients who were not conscious. They were not built to be effective and useable for people who are, and there are some very practical reasons for that. I understand the hon. Lady’s call to use the Nightingales for other reasons, but they were built with a specific intention in mind; they met that intention, and they were a great success.
The pandemic has inevitably led to a backlog in other treatments, which is causing anxiety among my constituents. Can my right hon. Friend give an assurance that the Northern Lincolnshire and Goole NHS Foundation Trust and the two clinical commissioning groups that serve my constituency will have the additional resources that they need to meet the backlog?
It is vital that we deal with the back- log of cases that is building up because of the absolutely necessary requirement, in the peak of the crisis, to pause a lot of activity. I can absolutely assure my hon. Friend that we will continue to support and protect the NHS, including with increased resources.
That point brings me back to something that the hon. Member for Leicester South (Jonathan Ashworth) said at the start and that I should have responded to. He seemed to complain about the £1.5 billion of capital funding that we have put into the NHS recently, but of course it is also very important that we take forward measures to ensure that there is capacity there, too.
(5 years, 1 month ago)
Commons ChamberYes, the hon. Gentleman is absolutely right. I agree with what he says. There is a need for the whole medical profession to be constantly up to date with the latest treatment and diagnostic science. I am determined that part of the drive for early diagnosis is about not just diagnosis once referred, but better referral. We all have a part to play in that—wider society, as well as primary care.
Many people in my constituency find it difficult to obtain NHS dentistry. While that is part of the short-term plan, on the ambitions outlined in the plan for long-term improvements to oral health, what assurance can the Secretary of State give that NHS dentists will be in place to deliver them?
NHS dentistry is incredibly important. Ultimately, dentistry is part of prevention; it prevents oral ill health. We are doing a lot of work on what further we can do to support oral health. In fact, I had a meeting with the Minister with responsibility for public health on that subject this morning. I would love to meet my hon. Friend to discuss it further.