Surgical Mesh Implants

Mims Davies Excerpts

Wednesday 18th October 2017 Westminster Hall

[Mims Davies (Eastleigh) (Con)]

I sincerely congratulate the hon. Member for Kingston upon Hull West and Hessle (Emma Hardy) on securing this debate, and it is a pleasure to serve under your chairmanship, Mr Owen.

I, too, have applied for debates on this subject in the House, so this debate is welcomed by all parties. Like other colleagues, I am pleased that this issue is being discussed so openly, and it is absolutely vital that Ministers listen to the UK-wide concerns that are being raised. I have heard from Eastleigh constituents who have shared simply horrific accounts of the long-term difficulties that they have experienced as a result of having had a mesh implant, so I am very pleased to contribute to this debate.

I was also contacted via Facebook by a long-term friend who wanted to tell me her story after having her third child, and to link me into the Sling the Mesh group, which, as we know, is an ever-growing group, with more than 3,500 women involved with it. After an operation three weeks earlier, my friend had to self-catheterise. It was simply hideous. She said:

“It would seem that health professionals do not want to quite hear the truth or tell the truth about the complications of mesh or the TVTO surgery”,

which she had had. She felt that because the condition was so embarrassing, it was just being under-reported.

After a woman has had a baby, especially her first, she always listens to the professionals. Pain and suffering after a birth are not unusual, but two or three years after giving birth many women are in pain, with incontinence, with an impact on family life, with no sex life, and with no opportunity to play sport or to enjoy time with their children down at the park, or to enjoy time as a family and have time with their partner. Too many women are simply being ignored, post-pregnancy and through the long-term impact, as we have heard. GPs seemingly do not have a full understanding of this matter.

Let us be in no doubt: in some cases, but not the majority, this option is perhaps appropriate for women, but it must be carried out by trained surgeons. However, one more woman suffering in the way that many of our constituents have suffered is one woman too many. We have heard such stories today. So today I urge us to look at all those women who have been so dramatically affected by the long-term impact of trusting the advice of their surgeon. We must make sure that if anyone has a mesh implant put in, they really understand the impact.

I will give one further example that I have been informed about, which is the case of a lady in my local area who had surgical mesh implanted five years ago. Further treatment is ongoing; she has had multiple complications and operations. Her case has also been raised with me by her father, who has spelled out the heartbreak of seeing his daughter in so much pain.

I call on the Minister to ask the Medicines and Healthcare Products Regulatory Agency to work further with the mesh working group to ensure that all those who use mesh know that it is the right treatment for them and fully understand all the issues and concerns that exist about mesh. Nobody should come away from this debate unaware of the warnings and complications. There is no doubt that if someone is suffering, mesh could be a good option for them. However, professionals should ensure that it is the right course for them.

I finish by strongly urging the Minister to act on this worrying, UK-wide concern. Let us not be afraid to end the suffering and let us be prepared to make sure that no further harm is caused by this issue. We should also be bold, because women’s health matters and family lives are simply being blighted.

Oral Answers to Questions

Mims Davies Excerpts

Tuesday 10th October 2017 Commons Chamber

[Mims Davies (Eastleigh) (Con)]

23. On World Mental Health Day, may I also welcome the progress the Government have made? We are doing all that we can to make changes. However, too many patients in my constituency, particularly younger patients, have to travel out of Eastleigh for the treatment they need, especially given the challenges facing Southern Health. Will the Secretary of State outline what he will be doing to right this wrong?

[Mr Hunt]

My hon. Friend is right to draw attention to the issues around Southern Health, which will have directly affected a number of her constituents. That organisation is being turned around. However, she is also right to say that too many people are travelling out of area for their treatment. We have record numbers of children’s beds commissioned, but in the end this is about the capacity of the system of trained psychiatrists, psychologists and therapists, which was why we announced the extra 21,000 posts.

Contaminated Blood

Mims Davies Excerpts

Thursday 20th July 2017 Commons Chamber

[Jackie Doyle-Price]

We need to understand exactly what the concerns are and we will only achieve that through dialogue. I can reiterate that we are here to listen to those concerns. Now that we have decided to go ahead with the inquiry, I want to make sure that we get it right.

[Mims Davies (Eastleigh) (Con)]

May I put on record how pleased I am, for my constituents and their families, about the commitment to hold this inquiry? I thank the Minister for listening to me on this yesterday. Does she agree that it is only by listening to those most affected that we can finally get the answers that the victims and their families are seeking?

[Jackie Doyle-Price]

We can only gain from having dialogue. It is in that spirit that we want to have as many conversations with those people affected as possible. It is disappointing that this morning’s meeting was not attended, but I hope that, in the future, we will have some meaningful dialogue.

Contaminated Blood

Mims Davies Excerpts

Tuesday 11th July 2017 Commons Chamber

[Mims Davies (Eastleigh) (Con)]

I congratulate the hon. Member for Kingston upon Hull North (Diana Johnson) on securing this important debate. I was in the Chamber when the former Member for Leigh raised these very concerning issues, which need to be looked at in the inquiry. That struck a chord with me, so I am delighted to be back in the Chamber to see this debate.

Like many Members on both sides of the House, I have been contacted by constituents who have told me about their experiences and about how contaminated blood has affected them, their family life and their friends. Every so often as a constituency MP, we meet the saddest constituents who tell us the most heartbreaking stories. We sit there week in, week out, and those stories resonate with us, but they are not stories for the victims—they are daily life. These are wrecked lives, but the people have done nothing wrong of their own accord—it is pure injustice.

It is clear that the contaminated blood products that were used decades ago have continued daily to affect people’s lives in a devastating and destructive way. When I have heard the stories of how people have been affected, they have lived with me, and I can understand the campaigning that has been done by Members on both sides of the House. I am therefore delighted to talk about my constituents’ experiences.

Today, we finally recognise what has happened, and the Government are ready to tackle this injustice. I am delighted that that is being done in the name of the victims and their families, who did nothing to bring this on themselves.

After I became the MP for Eastleigh in May 2015, I met one of my constituents from Bishopstoke, Gary Webster, who has been left coping with HIV, hepatitis C and possibly variant Creutzfeldt-Jakob disease as a result of the NHS blood products that were used during a routine procedure in the 1980s to treat his haemophilia.

[Dr Whitford]

It will be important that the inquiry goes far enough back. The decision to heat-treat albumin for hepatitis B was made in the mid-60s, but we did not treat concentrates. We need to make sure that all these conditions are included.

[Mims Davies]

I thank the hon. Lady for that input. It is absolutely right that she, like all our constituents, brings her experience to this. We need to make sure that we do go back far enough.

Last year, Gary attended a debate we had here once again to discuss this heartbreaking issue. He attended a specialist school in Alton, where he was one of many haemophiliacs. He told me that he kept in contact with around 100 other students, all of whom had been affected by contaminated blood, although only around 20 were still alive. These students all contracted illnesses through blood products they had received because of their haemophilia. Tragically, Gary’s story is similar to that of thousands of others across the country.

Other constituents, some of whom wish not to be named, have had grave financial burdens placed on them and their families as a result of the diseases they contracted from contaminated blood, which have affected their lives. It is only right that we support those whose lives have been significantly affected by these contaminated products. I am therefore pleased to hear about the additional support that the Government will provide to those who have been roundly affected. I am particularly pleased that the annual payments for those with hepatitis stage 2 will increase to £15,500, and then to £18,500 in 2018-19. Payments to those co-infected with HIV and hepatitis stage 2 will also go up, to £36,500 by 2018-19. I am pleased to see that these payments will be linked to CPI.

That will help to support all our constituents we know have been affected. I know from speaking to Gary and others about the real hardship and challenges these conditions have brought to their lives, and about the difficulty they face in working, and in bringing up and supporting their families in the way they would have liked had they not been affected.

Almost £400 million has been paid out to those affected by five different organisations, which have been funded by the Department of Health. I am delighted to hear about the £125 million the Government have committed as additional funding for the reformed scheme, which will double the Department’s annual spend on the scheme over the next five years. That money must go to the people who really need it—that should absolutely be noted—because the daily-life decisions they have made have been really difficult because of their financial impact.

[Kelvin Hopkins (Luton North) (Lab)]

The hon. Lady talks about a reformed scheme, and some people have fallen outside the existing scheme. My constituent Sharon Moore, who suffered a transfusion of contaminated blood, has been told that she is outside the criteria. Would the hon. Lady urge the Government to look at cases again under the new scheme to make sure that people are not missed and not excluded unnecessarily?

[Mims Davies]

I thank the hon. Gentleman for bringing that point forward. There is nothing more frustrating for an MP than hearing that people have just fallen outside the bracket. That is the worst place to be, and the scope of the inquiry will perhaps give us the chance to look at that.

This Government have done significantly more than other Governments to protect those who have been affected. There is a commitment to ensure that we pull the five fairly complex schemes together and transfer them into a new scheme in 2017. These people have complicated and difficult lives anyway, and it is only right that we make it easier for victims to get the support they need.

I am so pleased that the Prime Minister made her announcement this morning and that there will be a full and wide-ranging inquiry into the tragedy. I am pleased that the inquiry will be drawn together by the victims, to support and suit the victims. I am pleased that they will finally have a voice—the strongest voice possible—so that they can get the most and the fullest answers they can, which is what they deserve. It is only right that this consultation will be held with those affected by this terrible injustice, so that their families also have a voice.

I hope that the inquiry will provide answers for those who are looking for them. In particular, there are concerns about criminality—when I heard that issue raised in this House, it was extremely concerning. We now have a vehicle to get people’s voices heard, and if there is anything that should be going through the courts, we can do something about that.

With this inquiry, we have an opportunity to make sure that no voice is lost, and that the victims and their families get the right inquiry, the fullest compensation and the answers they rightly deserve.

[Several hon. Members rose—]

Adult Social Care Funding

Mims Davies Excerpts

Thursday 6th July 2017 Commons Chamber

[Steve Brine]

The Secretary of State has been absolutely clear, including at oral questions earlier this week, that we see the migrant workforce as critical to the NHS, by which we mean in-patient care as well as the social care system—we want to see those protected.

[Mims Davies (Eastleigh) (Con)]

Adult social care funding has been raised with me across Eastleigh. Delayed discharge is also being prioritised by the clinical commissioning group, but Eastleigh’s Lib Dems on Hampshire County Council chose back in February not to support a further £27 million for the county’s social care budget. Will the Minister highlight the fact that some parties talk about action but simply fail to make a difference locally?

[Steve Brine]

My hon. Friend is a doughty champion for her Eastleigh constituency, and I also represent part of the borough. What she says surprises me, but I am sure she will raise it in the national debate in the months leading up to next May’s borough council elections.

Health and Social Care Budgets

Mims Davies Excerpts

Tuesday 14th March 2017 Westminster Hall

[Peter Heaton-Jones (North Devon) (Con)]

It is a pleasure to serve under your chairmanship, Mr Bailey. I congratulate the hon. Member for Hackney South and Shoreditch (Meg Hillier) on securing this important debate. It will not surprise colleagues to hear that I am unashamedly here to speak up for Devon, and North Devon in particular. We are part of the south-west, and it is significant, looking around the Chamber, to see so many Members from the south-west from all sides. It is because we are concerned that rural areas in the south-west are not getting our fair share in the distribution of available funds.

I join my hon. Friend the Member for Totnes (Dr Wollaston) in unequivocally welcoming the extra money that the Government have put into health and social care. The £10 billion extra for the NHS over this Parliament and the £2 billion for social care announced in the Budget are extremely welcome, as are the extra revenue-raising powers that have been given to local authorities for social care, and I thank the Minister and his team for those.

However, we need our fair share in areas such as Devon and the south-west. As has been mentioned by the right hon. Member for Exeter (Mr Bradshaw), we face a sustainability and transformation plan that is causing huge concern among my residents in North Devon and among those of other colleagues here from Devon constituencies. There are particular concerns about the future of some acute services at North Devon district hospital. I have said before and I will say again that any cuts to services at that hospital would be absolutely unacceptable. That is because of what I describe as the three Ds: distances, demographics and deprivation. I will not rehearse the arguments here; the Minister knows them well. He has been kind enough to hear me out on many occasions, as have the Secretary of State and many others. Those three factors in Devon and in North Devon in particular mean that we have to look at a fairer way of funding our health service so that we get the services we need. I repeat that any cuts to services at North Devon District Hospital would be absolutely unacceptable.

The holy grail of social care is the integration of the health and social care systems, which many colleagues have mentioned. I want to pay tribute to the Northern Devon Healthcare NHS Trust, which does better than most in working with its social care partners to ensure that packages of care are in place when people are able to move out of hospital. I welcome the hard work of all the people who work in the North Devon services to achieve that.

[Mims Davies (Eastleigh) (Con)]

Will my hon. Friend give way?

[Peter Heaton-Jones]

I will not. The Chair was clear about the time limits; I apologise to my hon. Friend.

I will end by saying we must remember the three Ds. Let us work together across parties to find a long-term solution for the fairer funding of health and social care.

Mental Health and NHS Performance

Mims Davies Excerpts

Monday 9th January 2017 Commons Chamber

[Mr Hunt]

First, of course what happened in that situation is totally unacceptable, but the hon. Lady makes a mistake to continually bring this back to funding, as it is also about demand pressures and models of care. Let me reassure her about the extra funding that has gone into ambulance services. We have about 200 more ambulances and about 2,000 more paramedics, and every day the ambulance service is doing about 3,400 more blue-light calls than it was six years ago. Significant investment has been made, but clearly more needs to happen.

[Mims Davies (Eastleigh) (Con)]

The number of mental health patients in police cells is, rightly, down by 80%. People have bravely come to my surgery to talk about when they and their families have been struggling with mental health provision for those between the ages of 18 and 24. I pay tribute to Solent Mind and Southern Health, which are doing their level best to deal with this issue. One issue directly affecting that age group is the tier system, and people not being “sick enough” and not being sure where they should be going. Will the Secretary of State please confirm that he will focus on recruiting specialists in this area, because it is not about funding in my local clinical commissioning group—it is about finding the people to help those in need?

Coeliac Disease and Prescriptions

Mims Davies Excerpts

Tuesday 1st November 2016 Westminster Hall

[Mr Jones]

The right hon. Gentleman raises a serious point about the life-changing effects that coeliac disease can have. I was only diagnosed by accident, in my 30s; my mother was not diagnosed until she was over 70. Early diagnosis is important, but it is not uncommon for people to live a long time without one being made.

The Health and Social Care Act 2012 included a duty on CCGs to have regard for National Institute for Health and Care Excellence quality standards, but NICE guidance on prescribing gluten-free food for the management of coeliac disease has only recently been published. It says:

“Gluten-free products are more expensive and are usually only available from larger retailers, making access more difficult for people on low incomes or with limited mobility. As coeliac disease can affect more than one member of a family it can also be an additional burden on the family budget”—

as the hon. Member for Aldershot (Sir Gerald Howarth) said.

“To address this, healthcare professionals should help people who may need support to find suitable gluten-free food products on prescription to enable them to maintain a gluten-free diet.”

[Mims Davies (Eastleigh) (Con)]

I declare an interest, having been diagnosed in my late 20s. My cousin and all my second cousins are exactly the same. In fact, at university I was diagnosed with ME because I was so unwell and unable to work at various points.

This debate is an opportunity also to talk about the low incomes and limited mobility that can affect people’s access to these basic items. We must also make a plea through Coeliac UK to supermarkets to ensure that what they provide, which is very expensive, is of better nutritional quality, with lower levels of salt and fat. Although these foods are gluten-free, they might be full of some awful stuff as well.

[Mr Jones]

The hon. Lady raises an interesting point, but I assure her that the products available today are completely different from when I was first diagnosed. The bread then was like cardboard, and today it is very much different.

There is a general duty for GPs to prescribe treatments for health conditions via the FP10 prescribing system where treatment is available, and in the case of coeliac disease that is a gluten-free diet. There is also a duty in legislation for CCGs to reduce inequalities with respect to patient access to services and outcomes, but because of the lack of explicit recommendations on prescribing from NICE, CCGs are being given a fairly free hand to make decisions that run contrary to reducing health inequalities.

Hormone Pregnancy Tests

Mims Davies Excerpts

Thursday 13th October 2016 Commons Chamber

[Emma Reynolds (Wolverhampton North East) (Lab)]

I pay tribute to my hon. Friend the Member for Bolton South East (Yasmin Qureshi) for securing this debate, and for championing in Parliament the concerns of families who have been affected by hormone pregnancy tests. I also pay tribute to all those families who have for years been involved in the Association for Children Damaged by Hormone Pregnancy Tests.

One such family lives in my constituency. Stephen Fensome is a constituent of mine. His mother went to the GP early on in her pregnancy to see if she was pregnant, as any woman would. She was given Primodos. Like any of us, she trusted her doctor, and her doctor, in turn, trusted the advice he had been given. It was only months later when Stephen was born, in 1967, that his parents discovered that he was severely brain-damaged, would suffer a severe form of epilepsy all his life, which would get worse with age, and that he would suffer from daily seizures, often in the middle of the night.

I have met Stephen. He came to my surgery with his parents. He requires 24-hour care. His parents, now in their mid and late 70s, have cared for him all his life, and they love him, just as they love their two healthy daughters, but they struggle to find respite because of the severity of his seizures. It was years before the family discovered that the medication that Pat had been given was equivalent to taking 40 contraceptive pills in one dosage. One does not have to be a medical professional for that to ring alarm bells.

It also became apparent that, as early as the 1960s, and into the 1970s, research carried out warned of the toxic and, in some cases, lethal impact of the drug. Indeed, in 1975, GPs were sent advice not to prescribe it any more, but it was several more years before the drug was withdrawn from the market. Research suggests that it is likely that many women who took the medication suffered miscarriage or stillbirth. Babies who survived this toxic medication were severely affected by abnormalities or disabilities.

I was pleased to learn, as was the Fensome family, that the Minister’s predecessor, the hon. Member for Mid Norfolk (George Freeman), agreed to the establishment of an inquiry. However, as the Minister has heard from all the speakers in this debate, the families have serious, deep and genuine concerns, and I understand that they do not have confidence in this inquiry.

[Mims Davies (Eastleigh) (Con)]

I would like to put on record my thanks to Stephen’s family, including Charlotte, who lives in West End in my constituency. She came to see me to thank the all-party parliamentary group on oral hormone pregnancy tests for its work on the issue, and to explain how her care for Stephen carries on, as her parents age.

[Emma Reynolds]

I thank the hon. Lady for that intervention. Charlotte has been a tireless campaigner for the truth of what happened in the 1960s and 1970s.

I hope that when the Minister winds up, he will answer a number of questions about the inquiry. As my hon. Friend the Member for Garston and Halewood (Maria Eagle) said, we want him to get a grip on the inquiry. Will he guarantee that all the relevant evidence will be put before the inquiry? As the hon. Member for Livingston (Hannah Bardell) suggested, there is great concern that evidence is being cherry-picked. Will he guarantee that the inquiry is independent, full and transparent, and will he give a commitment today, to the House and the families present, that he will do everything in his power to ensure that the inquiry gets to the bottom of what happened, including: why evidence in the 1960s of the harmful—indeed devastating—impact of the drug was ignored for so long; why it continued to be prescribed; why there seemed to be a medical cover-up; why it took so long to be banned; and what was behind the continuous regulatory failure?

The family whom I represent would, although they might not admit it, of course like more help caring for Stephen, as any family would, but they are not driven by a desire for compensation. They are driven by a long and anguished search for truth and justice. They do not want a whitewash. They want to have confidence in the inquiry, but regrettably they do not have it. I urge the Minister to ensure that they get the truth, and justice. Surely they deserve nothing less.

NHS Sustainability and Transformation Plans

Mims Davies Excerpts

Wednesday 14th September 2016 Commons Chamber

[Maria Caulfield (Lewes) (Con)]

Before I start, I wish to declare an interest as a registered nurse. I welcome this debate this afternoon as STPs are a really important issue and, as many Members have said, they have a huge potential to transform care at a local level, bringing in social care and third sector organisations. They represent a huge opportunity, and not one that we want to get wrong.

However, because many of these 44 STPs have not shared or consulted on their plans, there is a suspicion, rightly or wrongly, that they are an excuse to bring in cuts or to bridge financial deficits. I would welcome the Minister’s thoughts on this, and a signal that consultation will happen. That consultation is not happening at the moment, which is part of the problem. It enables those who want to perpetrate this myth and this fear that this is all about cuts to have some breathing space.

My area, which falls into the Sussex and East Surrey STP, has not published its STP. Although it makes great claims to be working with hospitals, clinical commissioning groups, local councils, GPs and HealthWatch, no one I know, and certainly no local MPs, has been involved in discussions about the process. I am very disappointed that some of our key community groups in Lewes and Seaford, such as our senior forums, Families for Autism and many other groups have not been consulted. It is right that STPs should submit their plans to NHS England to ensure that there is a co-ordinated approach across the country, but it is vital that there is time for consultation. I am worried that there is only a short period after October for that to happen.

However, what I say to the doom-mongers who are trying to instil fear into my constituents is that if current investment is anything to go on, I am optimistic about what our STP will look like. My constituency does not have a hospital. We depend on either the Royal Sussex county hospital in Brighton or Eastbourne district general hospital. We are seeing huge investment by this Government: £480 million on a new redevelopment of the Royal Sussex county hospital; £58 million promised for Eastbourne district general hospital; and a new multi-million pound radiotherapy suite at Eastbourne. Only last year, a new dialysis unit was opened in Polegate, which means that patients do not have to travel to Brighton three times a week for dialysis. Working with my hon. Friend the Member for Eastbourne (Caroline Ansell), we have been involved in developing a new state-of-the-art GP practice surgery in Eastbourne. There is a new Macmillan cancer centre in Sussex, and I could go on. There has been huge investment and new services that provide local treatment for local patients.

With all this investment, why are local people so worried about cuts? Despite an increase of £10 billion a year in funding, the NHS has to deliver £22 billion of savings. My constituents know that there is a 6% a year increase in demand for services, that more treatments are available that are costly and that there are more conditions that can be treated. There are concerns that we have not tackled wastage in the NHS, such as in the case of the chief executive of the troubled Southern mental health trust who was offered £240,000 for a new job instead of being investigated for the many hundreds of deaths that happened while she was in her previous role.

[Mims Davies (Eastleigh) (Con)]

To be efficient and effective, the NHS must stop these non-jobs. The creation of highly paid advisory roles is not helpful in letting patients be heard in this process, yet executives are heard, in terms of being given new offices and new pay cheques.

[Maria Caulfield]

Absolutely, and £240,000—