Oral Answers to Questions

Nadine Dorries Excerpts

Tuesday 13th April 2021 Commons Chamber

[The Minister for Patient Safety, Suicide Prevention and Mental Health (Ms Nadine Dorries)]

In October 2020, I commissioned the Care Quality Commission to review how do not attempt cardiopulmonary resuscitation decisions were taken throughout the covid-19 pandemic and whether they had been inappropriately applied. We welcome the CQC report, which was published on 18 March, and we are committed to driving forward delivery of the recommendations through a ministerial oversight group, which I will chair, to ultimately ensure that everyone experiences the compassionate care that they deserve.

[Karin Smyth [V]]

I welcome the Minister’s comments. It is over a decade since I worked with clinicians on how to communicate end-of-life care, so I was shocked by some of the reports and by reading the CQC and Compassion in Dying reports. The lessons learned from coronavirus can and should be seen as a catalyst to having more open and honest conversations about this decision making and advanced care planning. Will the Minister commit to a public awareness campaign, including groups such as Compassion in Dying, Marie Curie and Hospice UK, to ensure that patients are fully aware and at the heart of these decisions?

[Ms Dorries]

I thank the hon. Lady for her question. That is exactly what we are trying to do at the moment. We have posted a public-facing message on the nhs.uk website, which informs the public about how DNACPR decisions should be taken and the process involved. There should be no blanket application of DNACPR notices. Every patient should be involved in the decision when a notice is applied, as well as the family, relatives and care workers, and where possible it should be signed by a clinician. This engagement with the NHS, the wider public and the voluntary and care sectors is ongoing, and we continue to monitor it.

[Antony Higginbotham (Burnley) (Con)]

What steps he is taking to support integration within the health and social care system.

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[Seema Malhotra (Feltham and Heston) (Lab/Co-op)]

What assessment he has made of the effect of the covid-19 outbreak on bereavement services.

[The Minister for Patient Safety, Suicide Prevention and Mental Health (Ms Nadine Dorries)]

The Government recognise that the effects of covid-19 have increased the demand for bereavement services and highlighted the complexity of grief that these services support. In response, since March 2020, we have given more than £10.2 million to support mental health charities, including bereavement services, to support adults and children struggling with mental wellbeing due to the impact of covid-19.

[Seema Malhotra]

Last year, along with the Co-operative party, I called for a proper plan for bereavement to ensure that everyone who has experienced loss during this difficult period has the support that they need. Awareness of the services available is vital if people are to get this help. The Good Grief Trust, with which I have been in contact, has said that too many people simply do not know where to turn. What steps is the Minister taking to help signpost families to bereavement charities and support and to increase awareness of the support available to families in need, which also includes support that can be signposted from hospitals when loved ones die?

[Ms Dorries]

I thank the hon. Lady for her important question. The mental health and wellbeing recovery action plan published on 27 March this year aims to respond to the impact of the pandemic on people’s mental health, specifically targeting groups that have been most impacted. She mentioned the Good Grief Trust, and I mentioned the £10.2 million of funding that we have allocated recently. That is on top of the £2.3 billion a year for general mental health, which includes bereavement counselling, and the £500 million additional spending that we received in the spending review. Some of that money did go to the Good Grief Trust, which has done a fantastic job. It has been signposting services by putting cards in doctors’ surgeries and in A&E departments in hospitals so that people have immediate access to a line, but there are 700 other charities across the UK that are providing bereavement and grief counselling services to many members of the public. We recognise that the demand is high, but the services are there and available.

[Dr Rosena Allin-Khan (Tooting) (Lab)]

With your permission, Mr Speaker, I will pay a tribute to my father, Mohammad Aslam Khan, who passed away a few days ago. Not only was he a keen cricketer and an amazing dancer, he was also a champion of equality. He was incredibly strong and brave until his very last breath and he shall be missed beyond measure. I extend a huge thank you to all the team at St George’s, especially the marvellous team on Dalby ward, also to Victor and the incredible staff and carers at Ronald Gibson House and to a wonderful nurse called Anne Wheeler. My brother and I saw at first hand that not all angels have wings.

Covid-19 has stripped the humanity out of grieving, with millions being unable to attend funerals, say final goodbyes, or be with loved ones following a death. Last year, the Government provided £10.2 million to mental health organisations to ensure that services could continue during the pandemic. Many people have been relying on the support of dedicated bereavement organisations to help them cope, yet the extra financial support ended on 1 April. Will the Minister please consider reviewing this vital funding immediately to ensure that no one has to go through bereavement alone?

[Ms Dorries]

I pay tribute to my hon. Friend and her brave words about her much missed father. Politics divides us, but grief, for many reasons, unites us across this House. I have personally declared to my hon. Friend that I am here should she need me. I pay tribute to her for her bravery, being here today so soon after the loss of her wonderful father. I hear her request; it is constantly under review. Bereavement services are incredibly important to me personally and to many of us. She mentioned the £10.2 million. There are 700 bereavement charities, including the Good Grief Trust. We monitor carefully how people access bereavement services. We know that there is an increased need at the moment and that is being watched very carefully. My hon. Friend is incredibly brave.

[Paul Holmes (Eastleigh) (Con)]

What steps he is taking to improve the understanding and treatment of long covid.

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[Christian Wakeford (Bury South) (Con)]

What progress he has made on implementing the recommendations of the independent medicines and medical devices safety review.

[The Minister for Patient Safety, Suicide Prevention and Mental Health (Ms Nadine Dorries)]

A written ministerial statement was published on 11 January 2021, updating Parliament on the Government’s current progress on each of the nine recommendations. The Government will respond in full to the report later this year. It took more than two years to produce the report and we therefore consider it vital, for the sake of patients and especially those who have suffered greatly, to give this independent report the full consideration it deserves.

[Christian Wakeford]

Baroness Cumberlege’s respected report makes it clear that those harmed by sodium valproate have suffered great and irreparable harm for many decades and that redress is needed. The patient reference group adds more delay for people who have waited long enough already. Will my hon. Friend commit to doing the right thing today and take up this issue of redress and give those harmed the support they have waited so long for?

[Ms Dorries]

I would like first to convey my most sincere sympathies to anyone who has suffered as a consequence of taking sodium valproate during pregnancy. It remains still the only drug that some women who suffer from epilepsy can take to control their epilepsy. As set out in the recent written ministerial statement, the Government will carefully consider the recommendations and make a full response to the whole report later this year.

[Claire Coutinho (East Surrey) (Con)]

What progress his Department has made on increasing the recruitment of nurses to the NHS.