Pharmacy First

Michael Fabricant Excerpts

Wednesday 31st January 2024 Commons Chamber

[Dame Andrea Leadsom]

There will be a big communications plan, which I am happy to share with my hon. Friend. Well over 100 community pharmacies in his area have signed up to Pharmacy First, which is brilliant news. It is incumbent on us all—and the purpose of the statement—to ensure that our constituents know about this excellent new service.

[Michael Fabricant (Lichfield) (Con)]

Although my right hon. Friend and I share a common scepticism of the sclerotic state of the European Union, there are lessons to be learned from Europe. I am glad to see that, like France, we are now respecting community pharmacies. However, I have one specific question. In her statement, she said that one thing on which the pharmacy can act is female urinary tract infections. Why not male?

Oral Answers to Questions

Michael Fabricant Excerpts

Tuesday 5th December 2023 Commons Chamber

[Victoria Atkins]

I thank the hon. Lady for her warm welcome. I look forward to discussing these matters with her over the Dispatch Box.

Over the weekend, I was rather pleased to see the Leader of the Opposition’s damascene conversion to the Conservative cause. As the shadow Secretary of State is on his world tour investigating what other health systems are doing, the Labour party may wish to bear in mind the words of wisdom from the great lady herself: “The problem with socialism is that at some point you run out of other people’s money.”

[Michael Fabricant (Lichfield) (Con)]

2. What recent steps she has taken to help prepare for a future pandemic.

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

Lessons from covid-19 have been incorporated into our planning for any future pandemics across a range of areas. That includes the need to prepare for infections through all five routes of transmission, and for the health and social care sectors to have flexible capabilities that can adapt to a range of health threats.

[Michael Fabricant]

My hon. Friend may have heard that news is emerging from China of yet another respiratory disease spreading through that country. What mechanisms are in place to learn from the covid inquiry when it finishes its work, so that if mistakes were made, we do not make them again in the event that, God forbid, we have another pandemic?

[Maria Caulfield]

First, early indications show that the respiratory illnesses in China are likely to be due to increasing levels of endemic infection. These are normal infections but at a higher level.

Secondly, we are not waiting for the covid inquiry before we implement lessons learned. One of the key changes we have already made is the introduction of the UK Health Security Agency, which carries out surveillance on both national and international threats. A good example of its work is last year’s strep A outbreak, which it managed and contained very well. This year, the identification of a new covid variant—not a variant of concern—meant we brought forward our autumn vaccination roll-out.

Recovering Access to Primary Care

Michael Fabricant Excerpts

Tuesday 9th May 2023 Commons Chamber

[Steve Barclay]

There seems to be a slightly confused response from the Opposition. They challenge this announcement on the grounds that they are not happy with it, and in the same breath claim that it is part of Labour’s plan or a step in the right direction. They need to make up their mind.

As I said in response to two earlier questions, it is for the integrated care boards to adopt estate strategies in their areas. Not all decisions about estates should be made centrally. However, one of the changes that we are setting centrally involves embracing more modern methods of construction and a more modular approach. The unit cost of that approach is much lower, and when the level of confidence is higher, the contingency cost is much lower as well. So we are changing the way in which we build our estate, but the estate strategy is an issue for the ICBs.

[Michael Fabricant (Lichfield) (Con)]

As the hon. Member for Coventry North West (Taiwo Owatemi) will know, it takes five years to obtain a master of pharmacy degree and to become fully qualified. Training continues as pharmacists continue in their work, so they are a valuable resource, and I welcome the statement. As my right hon. Friend the Secretary of State will know, in France, for instance, where it costs €26.50 to see a GP, most people would choose to see a pharmacist first, but is he sure that by taking pressure off general practices, he will not overwhelm pharmacists such as mine in Lichfield and Burntwood?

[Steve Barclay]

My hon. Friend is right to draw attention to the practice in other countries, and the fact that patients are very happy to visit pharmacists when that is more appropriate for the treatment that they are using. That is what the Pharmacy First strategy and the learning of lessons are all about, although we must also think about how to mitigate some of the risks connected with antimicrobial resistance. In the context of the impact on pharmacy, I refer my hon. Friend to what has been said by those in the sector. This is a move that they have called for and have now welcomed, and it responds very much to our discussions with pharmacists who have said that they can do more and are keen to do more, but need the funding to enable them to do so—which is what Pharmacy First delivers.

Oral Answers

Michael Fabricant Excerpts

Tuesday 25th April 2023 Commons Chamber

[Steve Barclay]

I am always happy to praise the brilliant work of clinicians up and down the NHS, who do a formidable job. Given the huge scale of the backlogs we face as a consequence of the pandemic, it is important that we not only use the full capacity available within the NHS, empowering patients through patient choice and technologies such as the NHS app to better enable that, but maximise the capacity in the independent sector.

[Michael Fabricant (Lichfield) (Con)]

T7. Following the excellent television campaign on bowel cancer, which by the way got me to take a test, can I now ask that we have a similar campaign to talk about the importance of pharmacists? If people consult pharmacists rather than their GPs on occasion, it will take the pressure off general practices.

[Steve Barclay]

My hon. Friend makes a brilliant point, and that is something that we are committed to doing. There is a huge amount of expertise within the pharmacy network, which is why we are looking, through technology such as the NHS app, at how we can better enable people to get the right care from the right place at the right time. Quite often, that is not by seeing the GP, but it might be by seeing those in additional roles in primary care or going to a pharmacist who can offer the right services.

Oral Answers to Questions

Michael Fabricant Excerpts

Tuesday 6th December 2022 Commons Chamber

[Neil O’Brien]

One problem has been that having large, remote regional commissioning for dentistry has meant that it is more unlikely that specific local problems will be picked up. That is why we are taking the step that the hon. Member has described. She is now complaining about it, even though it is a measure to get more local accountability over the way that services are commissioned.

[Michael Fabricant (Lichfield) (Con)]

14. What recent discussions he has had with the Secretary of State for Education on increasing the number of university places for medical students; and if he will make a statement.

[The Minister of State, Department of Health and Social Care (Will Quince)]

The Department has commissioned NHS England to develop a long-term workforce plan. That plan will help to ensure that we have the right numbers of staff, including doctors with the right skills, to deliver high-quality services fit for the future. The plan will be independently verified. We have funded 1,500 more medical school places in England and opened five new medical schools in Sunderland, Lancashire, Chelmsford, Lincoln and Canterbury, and there are record numbers of medical students in training.

[Michael Fabricant]

I thank my hon. Friend for his answer. He will know that it takes five or six gruelling years to get a Bachelor of Medicine or a Bachelor of Surgery degree—or Doctor of Medicine in Scotland—but many students, having graduated, think that they would prefer more structured development by working as hospital doctors. What can we do to encourage young graduates to go into general practice?

[Will Quince]

We have record numbers going into general practice, which is the remit of the Under-Secretary of State for Health and Social Care, my hon. Friend the Member for Harborough (Neil O’Brien), but part of the plan is to make it more attractive through practice improvement through cloud-based telephony, the additional roles reimbursement scheme, the 24,000 extra staff in primary care, developing multi-function staff so that people can develop their skills and have specialism but still practise as a GP, increasing the use of pharmacy, moving towards more continuity of care and the new GP contract for 2024-25.

Oral Answers to Questions

Michael Fabricant Excerpts

Tuesday 1st November 2022 Commons Chamber

The Secretary of State was asked—

[Michael Fabricant (Lichfield) (Con)]

1. Whether he supports the continuity of care and long-term relationship between a GP and their patients.

[The Secretary of State for Health and Social Care (Steve Barclay)]

The recent Health and Social Care Committee report rightly highlights the importance of continuity of care, recognising that there is sometimes a trade-off between speed of access and continuity of care.

[Michael Fabricant]

I welcome my right hon. Friend back to the Front Bench in this position; it is great to see him there. Investigations in the United States and in Australia show that if there is a close relationship between a patient and one specific general practitioner, the outcomes are better in terms of both morbidity and visits to A&E. What can the Government do to encourage that practice, and what is the Government’s view of that practice?

[Steve Barclay]

My hon. Friend raises an important point. If one looks at the GP survey of patients, around two in five have a GP that they would like to have continuity of care with, and more than one third of those say that they see them a lot of the time or always. It is more pertinent with complex cases, where that continuity of care adds most value, as opposed to patients who want speed of access on an isolated incident.

Oral Answers to Questions

Michael Fabricant Excerpts

Tuesday 14th June 2022 Commons Chamber

[Sajid Javid]

The hon. Gentleman might know that in 2007 the then Labour Government changed the law to allow takeovers such as that to happen. He might want to reflect on that. In terms of local management, there are consistent high standards that need to be met locally, and local commissioners should be made aware of what he has just said.

[Michael Fabricant (Lichfield) (Con)]

9. If he will take steps to help ensure access to medicinal cannabis for NHS patients.

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

On 1 November 2018 this Government changed the law to allow the prescription of cannabis-based products for medicinal use by a specialist when clinically appropriate. Licensed cannabis-based medicines such as Sativex and Epidiolex are routinely available on the NHS.

[Michael Fabricant]

I am grateful to my hon. Friend for that answer, particularly as she mentioned 2018, because it was of course her boss, the Secretary of State for Health, who was the pioneer in all this when he was Home Secretary. But there is a “but” coming, and it is that young children are not getting this vital medicine on the NHS. Some are having to pay £2,000 a month, and in the last three years only three prescriptions have been issued on the NHS. How can we improve the situation?

Covid Vaccine Passports

Michael Fabricant Excerpts

Wednesday 8th September 2021 Commons Chamber

[Mr Speaker]

I call the voice of pirate radio—Michael Fabricant.

[Michael Fabricant (Lichfield) (Con)]

Thank you, Mr Speaker. Although I understand the libertarian argument regarding this policy and the very good points put forward by the right hon. Member for Orkney and Shetland (Mr Carmichael), is it not the prime duty of any Government to protect their own population, whether in peace or war? And in many ways, are we not in a unique war with this virus? The passport is easily available. I have it on my iPhone now, although it shows my date of birth, which I would rather it did not do. I certainly agree, by the way, that if we want equality, we should be using these passports to get access to this Chamber, because it is also a crowded place. Will not the vaccine passport also encourage more people to get double vaccinated?

Covid-19: Government’s Publication of Contracts

Michael Fabricant Excerpts

Tuesday 9th March 2021 Commons Chamber

[Edward Argar]

I will endeavour to give a short answer to a long question. Two key points there. The hon. Gentleman mentions social care and he is right to do that. The focus of some of the questioning has been around the frontline in the NHS, but he is absolutely right to talk about social care. That is why we went from a supply chain where we were supplying PPE to 226 NHS trusts in England to 58,000 organisations. Historically, social care settings had procured their own PPE on the open market. We recognised the pressures on that market—price pressures and demand pressures—which was why we expanded the supply chain to ensure that 58,000 settings ended up being able to access it.

On the hon. Gentleman’s final point, very briefly, he talks about money spent on contracts where they were either not fulfilled or did not meet the relevant quality criteria. I have already set out to the House the steps the Government are taking to review and audit those, and we will recoup money where appropriate to do so.

[Michael Fabricant (Lichfield) (Con) [V]]

Mr Speaker, do you recall photographs, back in the dark days of March, April and May last year, of nurses wearing bin liners, photographs taken in Spain, Italy and the United States? In fact, if I had not been banned from having a backdrop of Lichfield cathedral on Zoom, I could actually pop up those photographs from The New York Times. Does my hon. Friend the Minister not agree with me that the priority must be for the delivery of the PPE, and that these rather unpleasant Labour slurs actually do no good at all?

[Edward Argar]

It is a pleasure to see my hon. Friend, and I hope it will not be too long before we see him in person in the House again. He is absolutely right to highlight the overall priority as being to get the PPE to the frontline. He highlights clearly the situation we were seeing on our televisions every day—for example, the real challenges at hospitals in Bergamo and elsewhere. That was the context at that time in Europe, and we moved heaven and earth to try to get the PPE needed in time. We did not run out of PPE in this country, but it would be fair to say that there were shortages in particular situations. These were met by the Government through the national shortage response. It was in that context that we had to do everything we possibly could, and I pay tribute to the officials who did it to procure PPE in bulk in an incredibly overheated and challenging global market.

Covid-19 Update

Michael Fabricant Excerpts

Thursday 10th September 2020 Commons Chamber

[Michael Fabricant (Lichfield) (Con) [V]]

My right hon. Friend has said time and again this morning that if people do not have symptoms, they should not get tested, because the antigen test does not work if someone does not have symptoms. Patrick McLoughlin—a good friend of ours, now in the House of Lords—always used to say to me, “If you want to keep a secret, say it in the Chamber of the House of Commons.” How can we get this message across with some snappy title, rather like the rule of six? It is very straightforward. How can we get across the message that if people do not have symptoms, it is pointless and a waste to go and get tested?

[Matt Hancock]

I can think of no better way in Lichfield than to get my hon. Friend out and about making that case—in a socially distanced way, of course. He is quite right. We have to get the message across, in the first instance to Members of this House, and I hope we are doing that today. We are also making clear in the communications around the process of getting a test that, if people do not have symptoms, they are not eligible. We are reviewing what more we might need to do, because we have to use our record testing capacity for the people who need it most.