(2 days, 17 hours ago)
Commons ChamberI thank the hon. Gentleman for that follow-up question, but he will recall that, when we met, I and my officials made it clear to him that the UEA has not yet submitted its bid for a dental school. In that meeting, we said: “Please go back to the UEA and encourage them to submit that bid. When they do, we will look at it very carefully.”
Many of my constituents in Bedford are struggling to get an NHS dentist. I am also hearing from those who have tried to book an appointment only to discover that they have been removed from the NHS list without any warning. The Government have committed to improve the dental contract. In doing so, will they ensure that dentists can no longer drop people from their books—leaving them without any access to care—without prior notice?
(2 months, 2 weeks 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
Thank you, Sir Christopher. You said you would surprise me, and you really did. It is a pleasure to serve under your chairmanship.
Like those in many other areas, Bedford’s residents are suffering when it comes to GP and dentist appointments. One of the reasons my constituents are struggling is that we have shortages of GPs. We are trying to recruit from other countries, but we need local GPs. I am pleased that the Government have pledged to train more GPs locally.
Data from the 2021 census showed that the populations in each of the local authority areas covered by the Bedfordshire, Luton and Milton Keynes integrated care board grew much faster than average, ranging from a 10.9% increase in Luton to 17.7% in Bedford. The population in England only grew by 6.6% in that period—
Order. I am afraid I have to call the hon. Gentleman to order because we have run out of time. I am sorry that a lot of people will not be able to give their speeches.
I try to promote self-regulation, but it is worth reminding ourselves that paragraph 7 of the “Rules of behaviour and courtesies in the House of Commons” says that even if time limits are not imposed, Members
“should speak with reasonable brevity and be mindful of others. Brevity in debate will give other Members a greater opportunity to speak and increase…chances of being called early”,
on the next occasion on which a Member seeks to speak. I read that out as this is the first Westminster Hall debate of this Parliamentary Session. It is important that Members take into account that although I would prefer not to have to impose time limits, people then have to regulate themselves.
(4 months ago)
Commons ChamberI congratulate my hon. Friend on her re-election; it is wonderful to see her back in her place. She is absolutely right that the tie-in consultation deadline was 18 July. We are considering those responses with an open mind. On the broader issues that she mentions, our rescue plan is 700,000 more appointments, incentives for new graduates to go to under-served areas, reform of the dental contract and making work pay for dentists. That plan is at the heart of the reforms that she mentioned and that is what we will be doing.
I congratulate my hon. Friend the Member for Bedford (Mohammad Yasin) on his re-election and my hon. Friend the Member for Macclesfield (Tim Roca) on his election. More than a million people with mental health issues are not getting the support they need. This Government will fix our broken NHS. That will include recruiting 8,500 mental health workers, including specialist mental health professionals in every school and rolling out young futures hubs in every community. As announced in the Gracious Speech, we are bringing forward legislation to modernise the Mental Health Act 1983, which is a hugely significant step that has been warmly welcomed by service users, campaigners and, indeed, the former Conservative Prime Minister Theresa May.
I welcome the Minister to his place. Funding to bring desperately needed in-patient mental health services back to Bedford has been sitting in the accounts of our local mental health trust for years, but it cannot be used because of the previous Government’s capital expenditure limits. Will the Minister therefore meet me to discuss a way forward to get this urgently needed mental health facility back in Bedford, so that my constituents do not have to travel miles to access this vital service?
I know that my hon. Friend has been campaigning with great passion and conviction on this issue for some time, and I am in no doubt that his integrated care board will have listened carefully to every word that he has said today. I would be pleased to meet him so that we can discuss this matter in greater detail.
(9 months, 2 weeks ago)
Commons ChamberThanks to the work of my hon. Friend and others, Tees Valley is a powerhouse of growth industries, as exemplified by the Chancellor in his Budget and autumn statements recently. I will take away my hon. Friend’s words of advice about his university. On the point about encouraging ICBs to take part in this work, as this plan is a joint document with NHS England, the expectation will be on ICBs to deliver the plan, because they exist to look after our constituents. This plan is one of the ways we will be able to secure that help.
In Bedford and Kempston, like many areas in the country, we have a dental crisis. I have raised the matter of dentistry previously, including in a Westminster Hall debate. There can be no question but that under this Conservative Government there is a dentistry crisis and the people of this country have been failed. Why does the Health Secretary refuse to admit that 14 years of neglect and underspending have led us to this?
Says the script. I assume the hon. Gentleman will welcome the 2.5 million more appointments that this dental recovery plan will deliver for all our country.
(11 months, 3 weeks ago)
Commons ChamberThe hon. Lady knows full well that making decisions that change legislation requires consultation. That is both the convention and the requirement. The Government have brought forward the consultation as soon as possible. It will close tomorrow and we will introduce legislation as soon as possible in the new year. I think the hon. Lady will find that that legislation really will tackle the problem of the cynical targeting of children.
The hon. Gentleman will be pleased to know that, with huge thanks to all the superb GPs and health teams, our manifesto commitment for 50 million more general practice appointments a year compared with 2019 has now been delivered. Our primary care recovery plan is addressing access challenges by tackling the 8 am rush for appointments, cutting bureaucracy for GPs and, of course, expanding community pharmacy services.
I thank the Minister for her answer, but let me correct her. Since 2014, the number of GP practices in Bedford and Kempston has decreased from 18 to 11; there are fewer doctors, while the patient list has increased; and the number of patients per qualified GP now stands at 2,812, which is a rise of 60%. Will the Minister apologise to GPs and to my constituents, who face a daily struggle to access a GP because her Government have decimated NHS primary care services?
The hon. Gentleman will appreciate that 50 million more appointments between 2019 and now is a fantastic increase. There are just under 4,000 new GPs since 2019, and the hon. Gentleman will appreciate that through the post-covid recovery plan to improve access we have said to GP practices that they should provide urgent appointments on the same day and for every patient within two weeks. That has significantly improved access for patients, and GP appointments are now being hugely supported by access to community first, our flagship programme to improve healthcare throughout the country.
(1 year ago)
Commons ChamberThirteen years of Tory rule has delivered a broken country, where the majority of people know that times are harder now than they were before. Whether it is accessing a GP, trying to get on the housing ladder or meeting the ever-rising costs of food, childcare, energy and public services, people are working harder and paying more taxes for less in return. Our morale is being tested to the limit.
The climate change emergency has been downgraded, the Government are going backwards on their commitments. Our rivers have been turned into open sewers. Schools are struggling to cover their costs. Public buildings are collapsing. Food bank use continues to soar, and more and more children are falling into poverty. All this zombie Government could offer in their last stand before the general election was this pathetic agenda. Instead of genuine attempts to fix the problems they have created, the Government have opted for more division and yet more authoritarian anti-strike measures; they do not believe that public service workers have a right to stand up for fair pay, conditions and better services for the patients they care about.
I will focus my King’s Speech response on health and social care, because more than 7 million people are waiting, on record waiting lists. I am so disappointed on behalf of my constituents that the King’s Speech offered little hope to get the NHS back on its feet—in other words, to how it was the last time Labour was in power. Many of my constituents are waiting for care, and the struggle to get a GP appointment is the norm. Access to dental care is not possible for many, and some of my constituents are struggling to access vital medications because of ongoing drug shortages, particularly epilepsy drugs, HRT and ADHD medication. There was nothing in the King’s Speech to address those problems, and mental health reform has again been kicked into the long grass.
Parts of the Mental Health Act are 40 years old, and we now know so much more about mental health conditions and how to treat them, so why are the Government failing patients and children, and continuing to ignore the mental health emergency? My constituents have been waiting nearly seven years for the in-patient mental health beds they lost to be returned. This Government enabled blatant profiteering during the national health emergency, and the covid inquiry has confirmed what we already suspected: that the Government response to covid was slow, chaotic and deadly. They went from clapping the NHS to calling for their sacking for having the temerity to demand a wage they could live on. The Government say they want minimum service levels on strike days, but what is the Conservative plan to provide a minimum level of service on non-strike days? The Government have finally relented to Labour’s calls to publish a long-term workforce plan for the NHS to ensure that the service can meet demand.
The Health Foundation forecasts that waiting lists will go up to 8 million by next year—not down, as the Prime Minister promised—and these proposals have come far too late. The health service is now short of 125,000 staff, and the announcement will take years to have an impact. There is no plan on retention measures, but I offer the Government one piece of advice: stop blaming hard-working, burned-out NHS staff for the Government’s decade of neglect of our NHS. There is still no long-term social care workforce plan to overcome the severe staff shortages in the care sector. We cannot fix health unless we fix social care. It will be left to the next Labour Government to rescue the NHS from the biggest crisis in its history, to get it back on its feet and to make it fit for the future.
I have spoken to many doctors who come to work in the hospitals in my constituency—
—and in many other parts of the country, and they want to come, work and support the work that we do. We have looked at all those issues and taken them into account, and made a small-c conservative estimate of the impact that it would have. We are confident that that will provide the resources we need to get the backlog down and get Britain working again.
We will overhaul skills with new technical excellence colleges and by reforming apprenticeships, so that no one is ever written off again, whatever their age. We will devolve employment support to local areas to better meet local needs, because the man—or even woman—in Whitehall can never know what is really needed in Leicester, Liverpool or Leeds. We will grow our economy in every part of the country by getting Britain building, through our plans to make Britain a clean energy superpower, and by ensuring that we are the best place to start up and grow a business.
Those are the long-term changes that our country needs. In contrast, the King’s Speech just tinkered at the edges or ignored those problems all together. And what have we seen today? The latest round of chaos, confusion and division in the Conservative party—a party so concerned about its own future that it cannot focus on the future of the country, proving once more than it can never be the change from 13 years of its own failure—and a weak Prime Minister, finally forced to sack his Home Secretary, and to bring back a former Prime Minister he accused only weeks ago of being part of a failed status quo, in a desperate attempt to save his own neck. The people of this country deserve better. They want change. It is time for an election so Labour can give Britain its future back.
(1 year, 5 months ago)
Commons ChamberI know that is an extremely important scheme. My hon. Friend will know that the costs have risen considerably from when it was first proposed, and it is therefore right that we look at embracing modern methods of construction and at whether a rebuild option is the way forward. I am very happy to meet him to discuss it.
The Government have failed to support the East London NHS Foundation Trust’s bid for a new hospital, despite the fact that it has the capital to build the much-needed Bedford health village. We have a mental ill-health epidemic among adults and children. Does the Minister agree that it is reckless to expect my constituents to wait many months and to travel miles to access in-patient mental health services?
(1 year, 8 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 serve under your chairmanship, Mr Hollobone. I congratulate the right hon. Member for Witham (Priti Patel) on securing this important debate. I also congratulate the APPG for the east of England on shining a light on how the east of England is getting a raw deal in Government funding for public services.
Nowhere is that raw deal more acutely felt that in health and wellbeing services. In the east of England, per capita spend on health is the lowest of any UK region or nation, at £2,889 compared with £3,236 nationally. Combine that with the fact that the east of England has the highest population growth of any region, at 8.3%, and it is not difficult to see why, after 13 years of Conservative mismanagement, people are waiting far too long for GP, hospital and dental appointments, and even for an ambulance to turn up to a category 1 call, where there is a threat to life.
Figures released yesterday by the Royal College of Emergency Medicine show that the east of England has been the worst performing NHS region for the last four months, when measured against the four-hour standard. One in 11 patients who were admitted to hospital in the east of England waited 12 hours or more in an emergency department after the decision to admit them was made. That means that the sickest and most vulnerable patients disproportionately experience delays to care, which is why the excess morality rate is going through the roof. Many of them are preventable deaths.
For years we simply have not had the investment in the workforce to provide enough medical staff, including doctors, nurses and midwives, to look after a growing ageing population with increasingly complex needs. Staff are burned out covering gaps in care, and exhausted after covid. The problems are so extensive that the Government do not seem to know where to start to fix the broken system. The urgent and emergency care recovery plan, announced just over a month ago, does nothing to get patients a GP appointment sooner, or to restore district nursing so that patients can be cared for in the community.
The Chancellor recognised the importance of investing in the NHS workforce while he was Chair of the Health and Social Care Committee. It is a shame that he does not put his money where his mouth is now, and broker a deal with nurses, ambulance drivers, paramedics and junior doctors to end the strikes that are causing so much disruption and stress to staff and patients alike. East of England Ambulance Service NHS Trust employees will strike next week for the first time.
Many public service workers cannot afford the cost of living. Why will this Government not listen to them and consider offering them a fair wage for a day’s work? This is not just any work; it is critical, life-saving and highly stressful work. My constituents in Bedford and Kempston want to see the end of these industrial disputes. They are sick and tired of the fact that nothing works any more in this country. They are tired of the Government blaming anyone but themselves for the state we are in. It is the Government’s job to sort the disputes out, so they should get on and do it.
Does the hon. Gentleman not appreciate that it would be far better to have a 5% wage rise when inflation is down at 2%, which would make the rise much more effective? One of the most effective things that we can do right now is bring inflation down and make wages actually mean something.
The hon. Member must know that these people have faced real-terms pay cuts for years. They are critical workers in our NHS; they deserve better. After many years, for the Government to offer them 5% during this cost of living crisis is not good enough. They should be concentrating on work, but they cannot pay their bills, they have to choose between heating and eating, and they are worried about their families. That is the problem. These people deserve better working conditions and pay than they are getting from this Government.
I put on the record how pleased I was to see the East London NHS Foundation Trust people and culture team named team of the year at the Healthcare People Management Association annual awards. It is time that the Government got their act together to release the capital funding to give the trust the go-ahead to build the much-needed mental health village in Bedford. The number of mentally unwell patients, including young people, who are forced out of the area to access treatment is alarming, and it is growing. How much longer do they have to wait for the promised in-patient facility in their area? My constituents deserve better community care and hospitals need relief, so I urge the Government to finally release the funding to build the facilities desperately needed in my constituency.
(1 year, 10 months ago)
Commons ChamberLet me just remind people: these are questions to the Government.
We recognise that increased demand has had an impact on GP services. That is why we are investing at least £1.5 billion to create an additional 50 million GP appointments by 2024.
There is a clear failure to invest in critical infrastructure across the primary care estate, for example, in modernising in-patient mental health services and GP hubs. To make matters worse, Government bureaucracy is holding up capital funding allocations. My constituents deserve better community care and hospitals need relief, so when will the Government finally release the funding to build the facilities desperately needed in Bedford and Kempston?
(1 year, 10 months ago)
Commons ChamberBedford Hospital, its partners in the Bedfordshire, Luton and Milton Keynes trust and ambulance services are currently experiencing an extreme level of pressure, with record numbers of people using services. The NHS is trying to cope with this level of demand with record waiting lists and a depleted and burnt-out workforce. Desperate times call for desperate measures, which is no doubt why The Sunday Times recently reported that Bedfordshire patients could find themselves being treated in field hospitals. Although the trust board said that the use of field hospitals was not imminent, the fact that it is being discussed at all should worry the Government. The Prime Minister and other Ministers will not even admit that there is a crisis. If they did, perhaps they would take some meaningful action.
The latest Care Quality Commission inspection report on Bedfordshire Hospitals NHS Foundation Trust in December found an overall rating of good, which is testament to the hard work of staff and hospital leaders. However, the trust was found to require improvements around safety, particularly in relation to urgent and emergency care, medicine and maternity services. Much of the concern relates to waiting times and staff not having completed training in line with the levels required for their role. Workforce shortages are at the heart of these problems. If staff are unable to take the time to complete training or are spread too thinly to do their jobs properly, it is inevitable that the service they are able to provide will not be as it should. Staff and patients deserve better.
The most pressing issue in Bedford is the serious delays in funding for capital expenditure. The primary care estate is not fit for purpose and is a threat to patient care and the ability to attract GPs to the area.
Despite six years of waiting, the Government are still stalling on their promise to return in-patient mental health beds to Bedford. More children are seeking mental health support than ever before. Plans and funding are in place for a new mental health facility with specialist places for children, yet the East London NHS Foundation Trust is still waiting to hear from the DHSC if its expression of interest in the new hospitals programme, announced a year and a half ago, has been successful.
The Conservatives have been in power for 13 years. It is clear that the NHS has been broken apart piece by piece, despite the best efforts of staff. To go from record NHS satisfaction levels under a Labour Government to patients dying waiting in A&E under this Government is a dereliction of duty and a shame on our nation.