(3 years, 7 months ago)
Commons ChamberI think we have just heard the skies opening above us. I am grateful we can now eat inside restaurants.
Hull Royal Infirmary is a tower block and the geography of the building has resulted in a higher number of covid transmissions in hospital, despite the excellent work being done by all NHS staff. I fear that covid cases caught in hospital will only increase with a more transmissible strain of the virus. Will the Secretary of State look urgently at providing Hull Royal Infirmary with the funding it needs to improve its building as we all learn to live with the virus?
As the hon. Lady knows, we are building 48 new hospitals over this decade. Forty of those have been set out, but there are a further eight slots, so she may want to work with Hull Royal Infirmary to bring forward a proposal. Of course, tackling infection within hospital is incredibly important work and always has been since the time of Florence Nightingale. It is even more important right now and I think it will be a higher priority over the years ahead. I am always very happy to look at all proposals.
(4 years, 2 months ago)
Commons ChamberThe coronavirus crisis is not easy for any Health Secretary, but it was a joy to be able to call my hon. Friend and tell him that we are rebuilding Shotley Bridge Hospital on the site of the old steelworks. It will be absolutely fantastic, like a phoenix in the heart of County Durham. It is a joy to work with my hon. Friend, who asks important questions about coronavirus. As he says, we are reducing the turnaround times for test results. We will continue to work to try to make them as fast as possible.
Will the Secretary of State please outline what measures will be put in place to ensure that all family members of residents in care homes can continue to see their families and loved ones over the coming months, including whether guarantee PPE and testing for families will be guaranteed?
The hon. Lady has taken a close and repeated interest in this very important subject. We have put in place updated guidance on visiting care homes, which is a very important and sensitive balance we need to strike, working with local directors of public health. I cannot give the guarantee she seeks in all areas because it is a matter for the judgment of the director of public health locally, because in some parts of the country the virus is more prevalent than elsewhere. I wish I could, but I cannot. I look forward to continuing to work with her to try to get that balance right.
(4 years, 2 months ago)
Commons ChamberWe are taking a more localised approach to tackling this second peak than we did to the first, for two reasons. The first is that the evidence is that it is much more localised in terms of where the virus is concentrated. The second is that we know far more about where the virus is concentrated, but that extra information also tells us that the number of transmissions is much higher in hospitality than in many other settings—for instance, workplaces. That is why we have made the decision that we have, but the core of my hon. Friend’s point, which is that it is safer in places such as Eastbourne because there are fewer transmissions, is reasonable, and we keep all of this under review.
Last week, I spoke to a lady whose husband has dementia. He was in a care home, and she was unable to visit him. He deteriorated rapidly, until he was deemed a risk to himself and others, and he was eventually sectioned, at which point she was allowed to visit him. Of course I completely understand the difficult balance the Minister must make between protecting our health and the health of others, but could he please look specifically at what guidance can be given on rights to visit loved ones who have dementia?
The hon. Lady makes an incredibly heart-rending and important point. The balance in terms of the rules around visiting those in care homes is one of the most difficult to strike. On this, I rely heavily on the clinical evidence of Jenny Harries, the deputy chief medical officer, who works with the four nations to try to make sure we get this balance right. It is very difficult, and the guidance we have put out includes the permissive ability to allow directors of public health to take decisions that are appropriate in local circumstances. However, this issue is a very difficult consequence of the virus.
(4 years, 5 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.
This information is provided by Parallel Parliament and does not comprise part of the offical record
I would be very happy to meet Macmillan. The Under-Secretary of State for Health and Social Care, my hon. Friend the Member for Bury St Edmunds (Jo Churchill), who is the Minister responsible for cancer, has been working on exactly this subject, but I would of course be happy to meet Macmillan and other cancer charities, because this is such an important thing to get right.
The Secretary of State will have received the letter I sent him as chair of the all-party parliamentary group on vascular and venous disease, highlighting the suffering that vascular patients are facing because of delayed treatment caused by covid-19. As I have said before, time is tissue—the longer the delay in treatment, the more likely it is that these patients will need an amputation. What are the Government’s plans for addressing this backlog?
(4 years, 6 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.
This information is provided by Parallel Parliament and does not comprise part of the offical record
Yes. I join my hon. Friend in paying tribute to Hampshire and I am interested in talking to her more about her idea.
A resident contacted me whose mum is classified as clinically extremely vulnerable and is in a care home. The care home has interpreted the Government’s guidance to mean that her mum must be kept in solitary confinement for three months for her own protection.
In 2011, the United Nations concluded that solitary confinement beyond 15 days constituted a cruel and inhumane punishment. The resident is heartbroken. Her mum is deteriorating and has no quality of life. We believe that the care home has the best of intentions, but can the Secretary of State urgently give clear and unequivocal advice on exactly how care homes should treat residents listed as needing shielding?
The hon. Lady is right to raise that heart-rending case. I would be happy to look into the specifics if she writes to me with the details. Of course, the shielding programme is there for the protection of the shielded. If somebody who is being shielded would prefer to do things differently, that is not clinically recommended, but so long as it is within the broader social distancing guidelines, of course we understand why that might be the case. In particular, people coming to the end of their life may want to consider ensuring that they enjoy their last few weeks and months as much as they can. A proportionate approach is required here, and one that is guided by the individual clinical circumstances of that person. I very much hope that the care home will take a proportionate approach. I am sure, as the hon. Lady says, that it has the best intentions at heart, and I would be happy to take up that individual case.
(4 years, 9 months ago)
Commons ChamberI do think it is the right way to go, to make sure that private sector capacity is urgently available to address this crisis. It is a matter of all working together to deliver.
My constituent cannot get mortgage payment support because she does not have a sick note to go with self-isolating. When will electronic online sick notes be available through the NHS 111 service?
We are fixing that, but we are also changing the law to ensure that people who are self-isolating are clearly deemed to be sick for these sorts of purposes.
(4 years, 9 months ago)
Commons ChamberMy hon. Friend is right to raise this issue, and I look forward to meeting him later this month to discuss it. These are desperately difficult cases. We have to trust doctors to make the right clinical decisions for each individual patient. Two licensed cannabis-based medicines have recently been made available for prescribing on the NHS. We keep working hard with the health system, and with industry and researchers, to improve the evidence base. Also, the costs need to be brought down by industry. Last week, the Under-Secretary of State, my hon. Friend the Member for Bury St Edmunds (Jo Churchill), held a roundtable with leading industry figures. I look forward to continued work to make sure that we can get these drugs to the people who need them.
Women suffering from endometriosis often do not get the medicine or treatment they need. One in 10 women suffer from this condition and it takes, on average, seven years to have a diagnosis. Will the Secretary of State please meet me and the all-party parliamentary group on endometriosis to discuss how we can develop research into this condition, and look at the work being done at Hull University?
Yes, I am very happy to look at that research and for either me or the Minister to meet the hon. Member and those whom she represents through the APPG. This is of course a very important issue. I think that it has been under-discussed for too long and should be brought up the agenda.
(4 years, 9 months ago)
Commons ChamberCan the Secretary of State confirm that claimants will not face benefit sanctions if they miss appointments because they are choosing to self-isolate?
(5 years, 1 month ago)
Commons ChamberI was very distressed to learn last week that a higher than average number of people in Hull are having foot amputations, partly because of diabetic foot ulcers and despite excellent work by the vascular department. The message from that department is that it is underfunded, under-resourced and in desperate need of an infrastructure upgrade to its theatre. Time is running out, so instead of asking the Secretary of State to meet me, will he just act very quickly to give it the funding it needs to stop unnecessary amputations happening in Hull?
We have the largest infrastructure investment programme in a generation and I am very happy to look at the specific request from Hull to ensure it gets the infrastructure it needs.
(5 years, 7 months ago)
Commons ChamberYes. It was brilliant to go to County Hospital in Stafford and see the hard work and team work and to be able to thank NHS staff both in Stafford and across the country working over the long weekend. My hon. Friend is a brilliant and diligent voice of Stafford. I have already stopped A&E closures in west London. I do not think that we should be seeing the closure of small A&E units, and I will work with him on the issue.
As the Minister is aware, I have become concerned about the rising number of suicides in my constituency. When I talk to professionals in the area, they tell me that it is not just funding that is causing some of the problems but the lack of staff. What more can the Minister do to ensure that we have the mental health staff that we desperately need?
(5 years, 11 months ago)
Commons ChamberYes, I do. I pay tribute to the work that my hon. Friend did in putting together the areas of the NHS where this is already working. We want to spread that success more broadly across the NHS to make sure that we seize these very exciting opportunities as well as deal with the important day-to-day challenges that the NHS faces.
On 29 December, two young people, one of them aged only 24, committed suicide by jumping from the Humber bridge in my constituency. Since I first commented on this, I have been inundated with comments from local residents detailing the inadequate mental health support that they have. Unfortunately, the Humber bridge is becoming a place that people choose to visit when they are feeling desperate and as though there are no other options. Partly for this reason, can I ask the Secretary of State to commit—not in 10 years, or even in one year or six months, but right now—to providing more money for the Humber NHS Foundation Trust so that we can help to support people when they are feeling so very desperate?
I will absolutely look into the request that the hon. Lady makes. The example that she gives locally in Hull is actually reflected across the country in terms of the need for greater access. For the first time, we are going to have access targets for community mental health, because it is critical to make sure that we have accountability and understand what is happening in mental health trusts in terms of access so that we can then drive policy to meet it. But I appreciate that that is a medium-term goal: in the short term, she has made a specific request for a specific organisation, and I will absolutely look into it and write to her.
(6 years ago)
Commons ChamberCommunity pharmacies, like everybody else, should support the Prime Minister’s deal, which will make sure that that eventuality does not occur.
(6 years, 1 month ago)
Commons ChamberMy hon. Friend is absolutely right; he has put his finger on an incredibly important point. As we spend £20 billion extra on the NHS, we are going to ensure that we train up and attract the people who are going to do the caring.
On the issue of mental health support and services for children, I was quite disappointed that mental health support for schools was missing from the Budget. A lot of money was promised for child and adolescent mental health services but, as the Secretary of State will know, the Education Committee produced a joint report with the Health and Social Care Committee entitled “The Government’s Green Paper on mental health: failing a generation”, in which we outlined that we were really keen to see additional funding for mental health support in schools. Is there anything that the Minister can do to look again at that issue?
Yes—part of the £2 billion of extra mental health funding that we announced yesterday is to ensure that there is support in schools, particularly for young people. That is one of the elements of the funding that we announced in the Budget yesterday, and I am very happy to talk to the hon. Lady about the details.
The social care Green Paper will address the question of long-term funding reform for social care and how we can help people to plan sensibly so they do not have to fear the risk of losing everything. But the Green Paper will not just look at funding; it will also look at the role of housing, at how we can combine a home with high-quality care, and at the links between the care of children and of the elderly. I have seen how such links can benefit both groups, helping children’s development and tackling the scourge of loneliness that elderly people too often face. The Green Paper will of course also look at how we can better integrate the NHS and the social care system. What matters is what works, so we will look at things such as auto-enrolment, and how and if reforms elsewhere can be applied to social care. Like the NHS, the future of our social care system rests not just on funding, but on reform, and we are determined to rise to this challenge.
Every Member of this House will have their own personal story of the NHS. Whether it was the first few breaths of a child or the final few moments of a loved one, from cradle to grave that care is ever present, whatever the shade of Government. This Government want to ensure that that care will always be there for whoever needs it, and that the NHS remains free at the point of delivery. That is why we are putting the extra £20 billion into the NHS. It is only because our economy is strong, employment is rising and we believe in a free market economy that we can fund this increase, for just as there can only be truth when there is freedom of speech, so can there only be prosperity to fund public services when there is freedom of enterprise. It is a great sadness that, in stark contrast with the greats of his party in the past, the shadow Chancellor opposes both. It is now a combination that we can only get under a progressive, optimistic, future-focused Conservative Government. That is what this Budget delivers. I commend it to the House.