(1 week, 3 days ago)
Commons ChamberAs my hon. Friend knows, we inherited an NHS dentistry system in crisis. This Government are determined to fix it with fundamental reform of that vital service by the end of this Parliament. Since last April, we have delivered extra urgent dental appointments nationwide, and last month we announced new measures to get the right care to the right people at the right time, incentivising dentists to offer more NHS care.
The latest NHS statistics show that the Government really have the bit between their teeth as 7,000 more children saw a dentist in 2024-25 than in the previous year in the Humber and North Yorkshire integrated care board area. However, the rate for adults has slipped from 43% to 41% over the same period. How quickly does the Minister think that my adult constituents in Great Grimsby and Cleethorpes will benefit from more appointments and more dentists?
I congratulate my hon. Friend on the pun in her question. There is good news, in that we are making progress on children’s oral health, but we accept that we still have a way to go on the broader picture. We are making 27,196 additional urgent appointments available in the Humber and North Yorkshire ICB area. Our reforms, which I announced in December, will kick in from April of this year. They will significantly increase the unit of dental activity fee rate that we pay for urgent care to incentivise more dentists to do urgent NHS dentistry. We also have the golden hello system and a number of other measures that we are taking to address underserved areas. A lot has been done, but there is still a long way to go.
Topical Questions
(3 months, 1 week 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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I thank the hon. Member for those questions. I would certainly be happy to meet Members who have Jhoots in their constituency and are affected. I will update the House. We are looking at strengthening the regulation, but there are some constraints on what I can say, because so much of this is now going through legal process. There is pushback, and we do not want to do anything to jeopardise the legal action we are taking through the appeal process, so I will have to be relatively circumspect in what I say. I am happy to have those discussions and to update the House.
I am confident that ICBs can take this forward. In most cases across the country, our assessment is that there is a pharmacy within striking distance of a Jhoots, but certainly in those areas where there is not, that may require particular follow-up action. My officials and I will be following up with those ICBs to ensure that the appropriate action is being taken.
Five members of staff from Jhoots pharmacy in Laceby Road have been to see me. They have been going into work, but they have not been paid since July. It is absolutely appalling. Can the Minister set out what pressure he and the Department can bring to bear on this chain, which has now unfortunately closed its doors for good?
I agree with absolutely every word that my hon. Friend has just said. It is completely unacceptable that people are coming into work, doing an honest day’s work and then not receiving an honest day’s pay. Unfortunately, there is a limit to what we can do, because pharmacies are private businesses and each employer is required to fulfil their legal obligations to pay their staff. I recommend that the members of staff she mentions contact ACAS and their trade union the PDA, if they are not already in touch. For those who are not members of that union, I strongly recommend joining a trade union and seeking legal advice from it. That is a vital part of what trade unions do. They need to take action to force Jhoots to do the right thing.
(8 months ago)
Commons ChamberI beg to move,
That this House has considered access to NHS dentistry.
I thank the Backbench Business Committee for granting time for this debate and the colleagues who supported that application. I am pleased that many Members want to speak and am aware of the limitations on time, so I will keep my remarks brief.
During the general election, Labour promised to tackle the lack of NHS dental services, and I welcome the progress already made in the Labour Government’s first 10 months. After 14 years of neglect we are finally starting to see action to address the crisis in NHS dental care, including the launch of 700,000 extra urgent dental appointments, with my own integrated care board in Humber and North Yorkshire delivering 27,196 of them across the region.
This Government are rightly focusing on prevention by rolling out much-needed supervised tooth-brushing schemes in schools. That is a small intervention with long-term benefits, particularly for children growing up in areas like mine where levels of tooth decay are among the highest in England. Currently, one in three five-year-olds in deprived areas experience tooth decay—a shocking statistic that simply must be addressed.
Over 260,000 people have signed a petition led by the British Dental Association, the Women’s Institute and the Daily Mirror calling on the Government to urgently deliver on their promise to reform NHS dentistry, and the demand could not be more urgent. Catherine, one of many constituents who has written to me about dental provision, had been with her dentist for over a decade but during the pandemic a missed appointment—a simple missed appointment that was cancelled by the surgery itself—saw her removed from her regular appointments, and she has since been unable to join another practice, being told that waiting lists would take at least two years. In the meantime she suffered devastating deterioration to her oral health, losing all of her back teeth, suffering with an infected crown and bridge, and facing the real fear of losing her top teeth too; and Catherine is only in her 40s. She was quoted £14,000 privately for treatment. She simply cannot afford that. She has had to endure constant pain that no one should be left to bear.
Constituents regularly tell me that they cannot find an NHS dentist taking new patients. They are calling every single practice listed on the NHS website and they are getting nowhere. People are living in pain, they are missing work and their mental health is suffering. Some people are even attempting their own dental work, and we cannot allow that to become the norm.
The desire for action is also supported by dental practices in my constituency. One of them told me:
“We’re seeing high-need patients we’ve never treated before, often for complex work—but we’re doing this using the same budget we’ve had for years.”
In fact, some of the new urgent care and schools-based initiatives are not additionally funded. The BDA’s most recent figures show that dentists in England are delivering the least NHS care of all four UK nations: only 39% of dentists in England are spending most of their time on NHS work, compared with nearly 60% in Scotland. Practices are delivering NHS treatments at a loss: they lose over £42 for every denture fitted and nearly £8 for every new patient they see.
This Labour Government pledged to reform the dental contract: it was in our manifesto; it was part of the plan that we were elected on. I welcome the early signs of recovery, but when we say that we want to go further, faster, it is precisely on issues like this that the public are looking to Government to deliver.
In Great Grimsby and Cleethorpes and across the nation we are privileged to have so many dedicated dental professionals. Tomorrow I am visiting Dental Design Studio to celebrate its 20 years of high-quality dental care provision in Cleethorpes. It is a real credit to the team there who have delivered consistent care to local people, often under increasing strain. And our young people are not forgotten locally: thanks to the commitment of Dr Jatinder Ubhi from Dentology, multiple young people in my constituency have received essential dental support.
We must not let dentistry become a luxury service only for those who can afford to go private. We need a new approach that is fair, that funds dentists properly, and that delivers accessible care to everyone who needs it.
Several hon. Members rose—
I am grateful for the number of Members who participated in the debate, and can only apologise to those who were not able to get in or whose time to speak was shortened. I thank the Minister for her comprehensive response. It is clear that we have some way to go before we get the sort of service that people across the country, in all our constituencies, deserve, but I am confident that she will take this forward, having heard all the comments and suggestions made this afternoon.
Question put and agreed to.
Resolved,
That this House has considered access to NHS dentistry.
(9 months, 4 weeks ago)
Commons Chamber
Alex Baker (Aldershot) (Lab)
My hon. Friend has demonstrated again that she is a tireless campaigner for the people of Aldershot, and I am sorry to hear of the challenges faced by her constituents. This Government will deliver 700,000 more urgent dental appointments a year, and will recruit new dentists to the areas that need them most. My hon. Friend’s local ICB has been asked to deliver nearly 7,000 of those additional urgent care appointments in the year from April. In the long term, we will reform the dental contract with the sector, with a shift to focusing on prevention and improving the retention of NHS dentists.
The Secretary of State and Ministers’ commitment to 700,000 more emergency dental appointments is already taking effect in my NHS area, with an extra 27,000 slots, and the feedback is excellent. However, constituents have told me that some dentists seem to be removing non-emergency patients from their lists. Can the Minister please reassure them that their NHS dentists will be there when they need them?
As my hon. Friend says, we are delivering 700,000 additional urgent appointments. Patients are not limited to a registered practice in England, and practices are required to keep their status up to date on the NHS website. Anyone struggling to find a dentist should go to nhs.uk or call 111. It is also clear that while NHS England is not mandating an approach to the purchasing of these additional appointments, ICBs could consider either buying more appointments through new or recommissioned contracts or modifying existing contracts, and/or using flexible commissioning.
(6 years, 3 months ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
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It is a pleasure to serve under your chairmanship, Sir David, and I congratulate my hon. Friend the Member for Halifax (Holly Lynch) on securing this important and timely debate on community pharmacies. Those are critical resources at the heart of all the communities in our constituencies and the first port of call for many of us who experience common or low-level health complaints.
In the North East Lincolnshire clinical commissioning group area, there are no fewer than 30 pharmacies, ranging from branches of Boots—we have already heard some discussion about that this morning—and pharmacies operating out of supermarkets to companies such as Periville, which runs three pharmacies on Cromwell Road, Wingate Parade and Ladysmith Road, two of those out of medical centres. Day Lewis Pharmacy, in Scartho medical centre, gave me my flu jab last year—thanks very much—while Cottingham Pharmacy on Wellington Street in the East March area has been run by the family for 60 years.
We talk about the community element of pharmacies, and Tim Cottingham recently joined me and the Labour campaign for drug reform in a community event hosting about 150 people to talk about the development of drug treatment, the lack of community drug and alcohol support, and the essential role played by pharmacists. Tim knows so many of his customers and provides an incredibly intimate service, working with them to improve their health and move them further away from the trappings of addiction. The tales he told the audience, with compassion and empathy for the human being behind the addiction story, were quite remarkable. That was something I had not seen or heard before, and I was not necessarily expecting it. It was very eye-opening, and we should recognise the important role that pharmacists play in people’s day-to-day lives. Pharmacists provide vital services to residents in Grimsby, and not only do they dispense medicines to those who need them, but they provide residents with advice and guidance to ensure they make a rapid recovery.
North East Lincolnshire pharmacies also take pressure off GPs by providing a minor ailment scheme for anyone who does not pay for their prescriptions, and by providing free advice and treatment for illnesses such as colds, coughs, flus, hay fever, dry eyes, athlete’s foot, conjunctivitis and many other complaints that might end up at a GP’s door without the presence of such an amenity. Given how important our pharmacies are to our health system, it seems counterproductive for the Government to say that they want to develop sustainability and transformation plans for the long-term needs of local communities, and then to cut nearly £300 million from the community pharmacy budget, thus harming those amenities that sit at the heart of our communities.
The impact of the cuts has been severe. The Pharmaceutical Services Negotiating Committee found that in the two years since the cuts were introduced in October 2016, more than 200 pharmacies across the country closed their doors. That includes E A Broadburn of Scartho, which operated and moved into a medical centre, but ended up closing due to loss of footfall.
Lloyds Pharmacy on Dudley Street is part of a much larger corporate structure, but presumably it was not making the returns from that site and decided to close. It sits right on the edge of the West Marsh, which is one of the most deprived communities in Great Grimsby, and that closure meant the loss of another service, including out-of-hours provision.
Independent, stand-alone stores are not necessarily inside medical centres, hospitals or supermarkets, and they can provide 24-hour pharmacy services much more easily than those that are co-located in medical centres. Such closures therefore mean the loss of another service and emergency access pharmacy on which communities rely. Both those shopfronts remain empty, which means another hole in the small parades of shops in which they sat. They were not quite on the high street, but they were certainly on community high streets, and such things make people feel that their communities are not being properly invested in.
In 2017, Ian Strachan, then chair of the National Pharmacy Association, pointed to pared-back services, reduced opening hours and lower morale in the pharmacy workforce as evidence of the pressure that all pharmacies are experiencing. Will the Minister confirm that the extra investment in primary and community care that was announced by the Government last month will not only cover the costs of any extra service that pharmacies might be expected to provide, but will reverse the cuts in real terms?
Great Grimsby contains a number of good medical centres that include multiple GP centres and often contain pharmacies. However, there are also an awful lot of empty spaces, and for a number of years the intention has been for some services to be offered in those community settings. Some things that are done in hospital could be done in the heart of the community, which would be much easier—and there is space available. If that happened, and if some of those services were to operate out of those community-based centres, that would increase footfall and aid some of those pharmacies by giving them the opportunity to reach more people who would otherwise go to hospital.
Pharmacies are often on the frontline when patients encounter wider problems in the NHS. For example, when the contraceptive Microgynon 30 went out of stock earlier this year, it was the pharmacists who spent time informing patients and trying to find solutions to get around the scarcities. All that takes far more time than simply dispensing the drug and can have an impact on pharmacies’ bottom line. The Operation Yellowhammer report told us that we might face many more drug shortages in the event of a no-deal Brexit, so have the Government involved pharmacies in no-deal planning and taken into account the pressures that pharmacies might experience due to drug shortages in the event of no deal?
(6 years, 3 months ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
It is a pleasure to speak in a debate with you in the Chair, Sir Charles. I think that this is the first time I have done so. I join others in congratulating the right hon. Member for Twickenham (Sir Vince Cable) on securing this important debate.
The number of Members contributing in this debate makes clear the appetite to speak on the matter, and it is a pity that more Government time—or even an Opposition day debate—has not been allocated. It is appropriate that on this International Day of Older Persons we have talked largely, though not entirely, about older people. That should remind us all that growing old with dignity is a fundamental right that we should all enjoy.
By my count we have heard 12 Back-Bench speeches and six interventions, and by the time we get to the Minister we will have heard three Front-Bench speakers. Many have rightly focused on the cuts to social care budgets and the harm caused to people who rely on and need social care. We have heard powerful examples of the impact of those cuts. That harm, however, is not inevitable. If social care is properly funded and delivered well, it can be life changing. My hon. Friend the Member for Kingston upon Hull West and Hessle (Emma Hardy) gave an example of how life can be changed in the wrong way if social care is not available.
Social care can keep someone connected to their community rather than isolated and lonely. It can support people to live the lives they want to live, rather than just survive from day to day—sometimes not even that—when the care disappears. But that is not what our social care system looks like today. Over the past nine years nearly £8 billion has been taken out of local councils’ social care budgets as a result of cuts. Hon. Members have mentioned the swingeing cuts experienced by many local authorities. As a result, hundreds of thousands fewer people are receiving the care they need. That is the straightforward result of the cuts.
Age UK tells us that 1.4 million older people in this country are struggling with everyday activities. Whether that means getting washed or eating a meal, they are not getting the help they should be getting. Older people are being left trapped in bed all day and perhaps going unwashed all week because their children can visit them only on weekends. They are having only microwave meals, because that is all their neighbours or family friends have the time to buy in for them. That is not what this country’s older and disabled people deserve.
I am glad that many hon. Members have mentioned the immense pressure that the state of our care system puts on unpaid carers. Wherever the Government pull back from funding social care properly, the UK’s millions of unpaid carers have to step in. As we have heard, that includes young carers in the constituency of my hon. Friend the Member for Plymouth, Sutton and Devonport (Luke Pollard). It is very important to identify and support those young carers. I have tried three times to bring in legislation, including to identify young carers. The Minister’s predecessor did not support it, but we could still do it. I might give the Bill to my hon. Friend so that he can resurrect it.
It is a dire picture, including for young carers. Half of unpaid carers now spend 50 hours a week providing care, while 38% spend 100 hours of every week caring. One quarter of carers have not received any support, either for themselves or for the person they care for. Two thirds of carers say that they do not get as much social contact as they would like with other people. More than eight in 10 say that they cannot spend time doing things that they enjoy or value, and 40% of carers say that they have not had a day off for more than a year. In fact, a recent Carers UK report noted carers saying that if they had a respite care break, they would use it to visit their own GP for a medical appointment, which is very sad.
Even for the smaller number of people who manage to get a social care package, cuts mean that the care provided will not be of the quality expected. One in five social care services has been rated by the Care Quality Commission as either “inadequate” or “requires improvement”. The number of complaints to the local government ombudsman about social care provision has trebled since 2010, rising to more than 3,000, and two thirds of those complaints are upheld. There is very much wrong with our system. I find it deeply concerning that one in five care homes, housing as many as 9,000 older and disabled people, are now rated as unsafe.
These are not services that any of us would like a family member to have to rely on. The situation can mean care homes that are so unclean that residents are at risk of infection, or residents being at risk of malnutrition because nobody is monitoring what they are eating. Care in one’s own home can mean visits by staff who have not been subject to basic checks or who have not completed any training. It can mean staff being so rushed that they do not have time to take off their coat while they are getting people up and dressed. The reality is that some care providers cannot provide high-quality services with the funding available; sadly, other providers choose to protect profit margins rather than the people who use their services.
That issue is clearest in the social care workforce. There are 1.4 million people—or there would be, if the vacancies were filled—working in social care. These people provide vital support day in, day out, but they simply do not get the respect they deserve for the work they do. More than a quarter of those care staff work for a minimum wage, and the same proportion of the workforce are on zero-hours contracts. It is no surprise therefore that there are 110,000 vacancies in the care sector. Those important issues have been touched on by many Members in this debate.
Rather than providing the empathetic care that they want to offer, care staff are often reduced to visits lasting 15 minutes or less. They must rush through their tasks with barely any time to talk to the person they are visiting. This deterioration in the quality of care is the result of nearly a decade of cuts, care staff stretched to breaking point and services that barely deserve to be called “care”. Hundreds of thousands of people have to go without basic support.
My hon. Friend is making an excellent speech and paints a picture of social care in this country. On 15-minute visits, does she agree that the issue is not just the time limit but the ever-changing individual presence? With vulnerable people, consistency of care and the ability to build up a relationship are equally important.
(6 years, 7 months ago)
Commons ChamberI have to say, the hon. Gentleman does it very well: he continually makes noise about this important issue. He is absolutely right that adverse childhood experiences inform people’s future mental health, or mental ill health. We are currently looking at our provision for early years intervention and the first 1,001 days—the hon. Gentleman and I have discussed the importance of that—but we need to make sure that state organisations take advantage of every contact they have with children, to ensure that we pick people up when they are vulnerable.
My learning disabled constituent, who also has mental health and substance abuse issues, was placed in poor-quality housing and left without food and heating by a local care provider called Focus. What is the Department doing to ensure that subcontracted social care providers are fit for purpose?
The case that the hon. Lady mentions is clearly very concerning. It is for local authorities to make sure, when they commission care providers, that they are fit for purpose and discharge their responsibilities in the local care plan, but we also need to recognise that people with learning disabilities as well as mental health issues are particularly vulnerable. We need to make sure that local authorities and local NHS services work together more effectively to ensure that care needs are not neglected.
(6 years, 11 months ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
If hon. Members do not mind, I will make some progress and then give way again.
My constituent Rachael told me that a beautician had attended a party intending to administer some treatments to those in attendance. The beautician in question did not have any medical training, nor, to the best of my knowledge, did she have any formal recognised training in administering this type of injection. Rachael received, as many thousands of our constituents do, a lip filler injection while she was attending a social engagement with friends. As a direct result of the beautician’s mistake—it was not Rachael’s mistake—lip filler was incorrectly injected into Rachael’s artery, causing her lips to swell severely, requiring her to seek urgent medical attention, before being treated privately after the NHS was unable to help. Again, I commend Rachael’s bravery in talking so willingly about her experience, providing a multitude of younger people and others with a message of understanding and empowerment.
These types of procedures, which have been popularised by Instagram celebrities and reality stars such as the Kardashians, have experienced a huge rise in popularity, with more and more people seeking them.
Does the hon. Gentleman agree that although the vast majority of beauticians undertaking these procedures do so in a professional setting and manner and are concerned about the reputation of their businesses, maintaining that professionalism requires some form of regulation, which would stop these Botox parties where things go horribly wrong and people have no redress, and would improve the whole industry?
I thank the hon. Lady for her intervention. She is right to use the word “professional”, but the mark of a professional is somebody who is regulated, and in the private sector it is somebody who has professional indemnity insurance behind them. It is easy for someone to call themselves a professional, but a real professional is someone who is regulated. I am a solicitor and I am regulated by the Solicitors Regulation Authority, and behind me there is professional indemnity insurance. If I give advice negligently, a consumer has redress against the insurance product. We want a healthy, thriving industry in non-surgical cosmetics, where people can freely choose these procedures, but we have a duty as MPs to protect the health and safety of consumers, enabling them to make informed choices when seeking treatment from professional beauticians.
The hon. Lady goes to the nub of this issue. We need to achieve an appropriate balance between allowing consumers to choose to embark on procedures that will enhance their appearance, and identifying whether the issue is something deeper. Again, it comes down to how we regulate those practitioners, the codes of conduct that they will sign up to, and the policies that they will put in place themselves. To an extent, the hon. Lady is right: dysmorphia can only be diagnosed by a medical professional. However, there are signs that can be taken into account, that can lead to the person’s being asked, “Do you really want to do this? Is this an appropriate procedure for you?” Perhaps there should be cooling-off periods, with bookings being made properly, and customers being advised about the risks that such treatments involve, so that they can make an informed choice. The hon. Lady is right to highlight the growing issue of dysmorphia, which we need to be very alive to.
This is a really important point. Even in the realm of plastic surgery, which is a regulated industry, we see grotesque transformations of people’s bodies and faces: people having ribs removed, leaving their external organs exposed, or having their entire appearance amended to make them look like a human Ken doll. We know that regulation in that sector is not really working, so can we make sure that in the currently unregulated sector of Botox injections and dermal fillers, we keep a closer eye on such things?
The hon. Lady makes an extremely good point. The worst thing is that the media representation of those quite grotesque transformations encourages us to look on them as entertainment, yet the person we are looking at has no idea, because those transformations are symptomatic of dysmorphia. The media have to be a lot more sensible about their portrayal of these things. My hon. Friend the Member for South Leicestershire mentioned the adverts during “Love Island”; these artificially enhanced images of people are becoming entertainment. I am delighted that in this country we have banned the Brazilian butt lift, which aims to make people look like one of our friends the Kardashians, but even so, people still aspire to look like that.
We can discuss regulation and ensuring that consumers understand the risks, but there is a wider challenge to society in how we celebrate learning to love ourselves. We have talked generally about the pressure that social media creates, which is becoming much more intense, but there is a hell of a lot more to do. Sadly, we could probably debate this issue for quite some time—we do not have the opportunity to do so today—but the debate about cosmetic regulation and making cosmetic procedures safe brings out these questions, which we as a society need to be better at addressing. If we do not address them, these issues about dysmorphia will only get worse, because our young people are faced with an intensity of images that make them want to change their bodies. It is just not good for them.
As there is limited time left, I will bring hon. Members up to date about what has happened since the Keogh review. Sir Bruce Keogh’s report identified several areas for change: the principles that underlined it were those of high-quality care, using safe products, administered by skilled professionals and responsible providers to an informed and empowered public. We still have a long way to go in both empowering the public and ensuring that all such procedures are administered by skilled practitioners. I wholly endorse the demand by my hon. Friend the Member for South Leicestershire that such practitioners should have professional indemnity insurance. It is important that the NHS has the opportunity to recover the costs of repairing procedures carried out by those practitioners, who should bear the risks. As I say, this is not like going to the hairdresser’s for a haircut: there are risks associated with such procedures, and those engaged in them should bear those risks.
Updated guidance for doctors about this area has been issued by both the General Medical Council and the Royal College of Surgeons. We have introduced a voluntary certification scheme for surgeons working in the cosmetic sector, and Health Education England is developing a training and qualification framework for providers of non-surgical interventions. A key outcome of the Keogh review was setting standards that anyone who wishes to perform non-surgical cosmetic procedures should meet. To that end, the Joint Council for Cosmetic Practitioners was established, and in April 2018 it launched a register for both medical and non-clinical cosmetic practitioners. That register will provide a framework for regulation, but we need to do much more to encourage non-clinical cosmetic practitioners to sign up to it.
Alongside the Cosmetic Practice Standards Authority, the JCCP released an updated competency framework last September, and launched its education and training register. To receive accreditation on that register, providers offering education and training in these procedures must meet rigorous standards set by the JCCP. We need to work closely with the JCCP to develop hallmarks that people who wish to undergo these procedures can look for, so that they can be sure that they are obtaining treatment from a regulated practitioner. We have heard references to Save Face, which also holds a register for clinical cosmetic practitioners who provide non-surgical cosmetic treatments. Some 600 practitioners are currently covered by these registers, but I am sure that hon. Members from across the House will appreciate that significantly more than 600 practitioners offer these treatments. There is some way to go in ensuring that all those involved in this industry perform to the standards that we can legitimately expect, and that those who are not doing so exit the industry. However, I am sure that my hon. Friend the Member for South Leicestershire will agree that those registers are major steps forward in enabling consumers to make informed choices about cosmetic procedures.
I am grateful to my hon. Friend’s constituent for coming forward and telling her story, because probably the best way of helping consumers protect themselves is to have a visual illustration of the risks and someone who can demonstrate their experience. I am very grateful to her for her courage in sharing her story. We need to do much more in the area of public education, to ensure that consumers fully appreciate that there are risks involved in injecting substances into one’s face, and to ensure that the person doing so has appropriate qualifications. Botox is obviously a prescription drug, but the person injecting it does not have to be the person who obtained the prescription. That is another thing that we need to address. I can also advise my hon. Friend that we will be making dermal fillers a regulated medical device, which will remove some of the risks associated with them. However, as I have said, there is plenty more to do.
Motion lapsed (Standing Order No. 10(6)).
(6 years, 11 months ago)
Commons ChamberThe Bill is very clear about the skills and qualifications necessary for those carrying out the assessments, but the code of practice that goes alongside the Bill will be carried out in partnership. We already have a working group made up of third sector organisations that are working to ensure that the statutory document that goes alongside the Bill is as robust as we can make it.
I would like to thank the Minister for meeting me earlier to discuss the Bill. She was very generous with her time. On the question of the code, does she envisage that there will be training on the code for these professionals? If so, how long does she think the training will take, and when will it be properly in force for local authorities to utilise?
Yes, we envisage that there will be training and we will be working with partners such as Skills for Care to look at the best ways of implementing that sort of support.
(7 years, 1 month ago)
Commons ChamberHas the Secretary of State had any discussions with the Justice Secretary about the application of the measures in this Bill upon those who are serving prison sentences, particularly indeterminate sentences?
I have had some discussions on that subject, and I am happy for the hon. Lady to take up that point in more detail either directly with me or with the Minister for Care, or in Committee, because there are significant interlinkages between the two areas.
The Bill builds on the extensive work and recommendations of the Law Commission. It has been fully scrutinised by the Joint Committee on Human Rights and then improved by the other place, as has been discussed. I am grateful for all that work. Ultimately, it is about striking a balance between liberty and protection.