Oral Answers to Questions

Neil O'Brien Excerpts

Tuesday 7th March 2023 Commons Chamber

[Dr Rupa Huq (Ealing Central and Acton) (Lab)]

6. What steps he is taking to help tackle health inequalities.

[The Parliamentary Under-Secretary of State for Health and Social Care (Neil O’Brien)]

We announced in January that we will publish a major conditions strategy, which will apply a geographical lens to each condition to address disparities in health outcomes. We have doubled the duty on cigarettes since 2010 and now have the lowest smoking rate on record. We are investing an extra £900 million through the drugs strategy, increasing funding by 40%, and to fight obesity we have introduced the sugar tax and measures such as the extra £330 million for school sport.

[Dr Huq]

The daily dump of WhatsApp messages in the papers reminds us of covid and the disproportionate deaths suffered by black, Asian and minority ethnic communities. What with that and the figures showing a 20-year gap between life expectancies in our nation’s most affluent and poorest wards, why is it that the Government scrapped a proposed White Paper on health inequalities?

[Neil O’Brien]

As I just said, we are driving forward all that work through the major conditions paper. In addition, we have the Start for Life programme, with another £300 million to improve young people’s start in life. We are absolutely committed to tackling health disparities and driving forward work on all fronts.

[Dr Caroline Johnson (Sleaford and North Hykeham) (Con)]

Vaping was designed as a stop-smoking device for adult smokers, but the flavours, colours and disposable vapes have become a fad for children, encouraging those who have never smoked to take up vaping. What are the Government doing to prevent that?

[Neil O’Brien]

My hon. Friend is quite right. It is something that we are looking at very closely, as she knows from previous conversations. While vaping can be an aid in quitting smoking—it helped about 800,000 people to do so last year—we must stop its use being driven up among children.

[Mr Speaker]

I call the shadow Minister.

[Andrew Gwynne (Denton and Reddish) (Lab)]

We are just 24 days away from a new financial year. Last week, more than 30 public health leaders said that the delay to releasing the public health allocation for 2023-24 was

“putting public health services at risk”.

Early years support, addiction treatment and stop-smoking services should not have to pay the price of this Minister’s incompetence. He must apologise for treating councils and the health of our communities with such contempt. When will the public health grant be announced?

[Neil O’Brien]

The public health grant will be announced within days, not weeks. When it is announced, the Opposition will see that, as well as generously funding public health, we will be funding an extra £900 million on drugs spending to transform treatment and an extra £300 million through the Start for Life programme. We will continue to ramp up support for public health.

[Lee Anderson (Ashfield) (Con)]

7. What steps he is taking to help reduce childhood obesity.

[Nicola Richards (West Bromwich East) (Con)]

8. What steps he is taking to help reduce childhood obesity.

[The Parliamentary Under-Secretary of State for Health and Social Care (Neil O’Brien)]

The Government are committed to addressing childhood obesity. We have introduced calorie labelling for on-the-go food and brought in the sugar tax. To drive up activity, we are spending £330 million a year on school sport through the PE premium and investing £300 million in new facilities through the youth investment fund. We are also spending £150 million a year on healthy food schemes such as school fruit and vegetables, nursery milk and the Healthy Start scheme.

[Lee Anderson]

A top local chef in Ashfield agrees with me that cooking meals from scratch is far cheaper and more nutritious than having processed foods and ready meals. Does my hon. Friend agree that it would be a good idea to start teaching children basic cooking skills in school so that they can enjoy a healthier diet as part of our fight against obesity?

[Neil O’Brien]

My hon. Friend is totally right. As well as the funding that I mentioned for healthy eating in schools, cooking and nutrition are part of the national curriculum from key stages 1 to 3, which aims to teach children how to cook and apply those principles of healthy eating, but I am sure there is more that we can do together.

[Nicola Richards]

The announcement of the Government-backed trial in Wolverhampton to introduce a Better Health: Rewards app is welcome, and I congratulate my hon. Friend the Member for Wolverhampton North East (Jane Stevenson), who has campaigned hard for it. My constituency also suffers from poor health outcomes, including excessive levels of childhood obesity, with one in three year 6 children being overweight or obese. How will the Minister monitor the success of the trial? Will he consider extending it to areas such as West Bromwich East?

[Neil O’Brien]

The Better Health: Rewards pilot that we are funding in Wolverhampton is very exciting, and more than 10,000 residents have already registered with the app. We will be monitoring the lessons of the pilot closely and looking at how we can apply them more broadly.

[Jim Shannon (Strangford) (DUP)]

For such families it is about not necessarily the right food, but the cheapest food, which means that, in many cases, young children become obese through no fault of their own. What can be done to help families to buy healthier foods on a budget that is often minimal?

[Neil O’Brien]

The hon. Gentleman is completely correct. As well as the actions that we are taking on healthy eating and obesity, that is exactly why we are spending £55 billion to help households and businesses with their energy bills this winter—one of the biggest packages in Europe. It is also why we have the £900 cost of living payment for 8 million poorer households, we are increasing the national living wage to its highest ever level, and we are spending £26 billion on the cost of living support this year. He is completely right and I commend his work on it.

[Mr Speaker]

I call the SNP spokesperson.

[Neil O’Brien]

I met the SNP’s public health lead last week and had an excellent conversation with her. As well as the sugar tax, we have introduced calorie labelling; volume and location restrictions on high fat, salt and sugar products, which come in from October; the advertising watershed from 2025; and all those other measures, such as school sport and the youth investment fund. We have done all that because we share exactly those concerns about obesity and we are driving forward work to tackle it.

[Tim Farron (Westmorland and Lonsdale) (LD)]

9. What assessment he has made of the adequacy of waiting times for cancer referrals, diagnosis and treatment.

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[Marsha De Cordova (Battersea) (Lab)]

11. What assessment his Department has made of the impact of NHS backlogs on eye healthcare.

[The Parliamentary Under-Secretary of State for Health and Social Care (Neil O’Brien)]

The elective recovery plan sets out how we are tackling backlogs, including in eye care. As well as having over 4,900 more doctors and 11,000 more nurses than last year, we also have 92 community diagnostic centres operational and 89 surgical hubs, and we are boosting capacity in 180 trusts with expanded wards and modular theatres. Two-year waits have been virtually eliminated, and we now aim to eliminate 18-month waits by April.

[Marsha De Cordova]

The backlogs have meant that the number of patients waiting for ophthalmology treatment has increased by 41% in the last three years, and that is over 630,000 people in England. Average waiting times have increased substantially, and the number of patients starting treatment within 18 weeks of referral has dropped to 62%. We know that delays to treatment can and will lead to avoidable sight loss, and we need a plan to tackle the eye care crisis in the NHS. I recently visited the fantastic eye department at St Thomas’s Hospital, which is doing an incredible job in managing this. Will the Minister back my plan for a Bill and visit the brilliant service that it is delivering?

[Neil O’Brien]

This is exactly why we are investing the extra £8 billion in elective recovery. Ophthalmology 52-week waits are coming down from 42,000 to just under 27,000. But can I pay tribute to the hon. Lady for her passion for this subject? We had a Westminster Hall debate the other day and she had to run to be there—such is her passion—but she made it. I thank her for all her work on this matter.

[James Wild (North West Norfolk) (Con)]

When my right hon. Friend the Health Secretary joined me at the Queen Elizabeth Hospital in King’s Lynn, he saw the new West Norfolk eye centre, which is enabling an extra 2,000 appointments and 2,000 more injections every year to help to deal with the backlogs. Does that not just demonstrate the difference that new buildings can make to better patient care, but underline the importance of the Queen Elizabeth Hospital being added to the Government’s new hospitals building programme, which I know he is working hard to achieve?

[Neil O’Brien]

The Secretary of State will have taken note of my hon. Friend’s representations.

[Kirsten Oswald (East Renfrewshire) (SNP)]

12. What steps he is taking to help reduce the cost of hormone replacement therapy for people with menopause symptoms.

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[Esther McVey (Tatton) (Con)]

14. When he plans to reply to the letter of 24 January from the right hon. Member for Tatton on non-covid excess deaths.

[The Parliamentary Under-Secretary of State for Health and Social Care (Neil O’Brien)]

In my letter to my right hon. Friend, I noted that it is likely that a combination of factors has contributed to potential excess deaths, including high flu prevalence, ongoing covid-19, and the disruption to the treatment and detection of conditions such as heart disease. But I know she is very thoughtful about this and follows it closely, and I will endeavour to get her more details.

[Esther McVey]

I am pleased my question has now resulted in a response, for which I am grateful. However, from that response, I was none the wiser as to how the Government have explained the non-covid excess deaths we have seen. So can the Minister give us an insight into the reasons for the non-covid excess deaths since the pandemic?

[Neil O’Brien]

Even if we just take one disease such as cardiovascular disease, there was disruption to screening, to referrals and to treatment from the covid pandemic. It was noted at the time that that would happen and there would be consequences from it, but let me set out in more detail to my right hon. Friend all the exact facts and figures on this, because I know she has been following it closely.

[Gareth Thomas (Harrow West) (Lab/Co-op)]

When the Minister dug out the letter from the right hon. Member for Tatton (Esther McVey), I wonder whether he also stumbled upon my letter of 8 February to the Secretary of State about the desperate need for new intensive care investment at Northwick Park Hospital in my constituency, and whether he might expedite a reply on that issue.

[Neil O’Brien]

I am sure the hon. Gentleman’s question will indeed expedite it.

[Dr Kieran Mullan (Crewe and Nantwich) (Con)]

16. What progress his Department has made on increasing the number of primary care staff.

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[Mrs Paulette Hamilton (Birmingham, Erdington) (Lab)]

22. What steps he is taking to improve patient access to primary care.

[The Parliamentary Under-Secretary of State for Health and Social Care (Neil O’Brien)]

We have increased real-terms spending on general practice by more than a fifth since 2015. We are growing the workforce, with 2,200 more doctors and 25,000 extra primary care clinicians compared with 2019. We have the most GPs in training ever, up from 2,600 to 4,000. In January there were 11% more appointments in general practice than in the same month before the pandemic. I pay tribute to the work that general practitioners are doing.

[Mrs Hamilton]

Under the Tories, the number of qualified GPs has fallen to a record low, which is hitting local communities across the UK very hard. In January, in Erdington, Kingstanding and Castle Vale, more than 2,000 people had to wait more than a month for a GP appointment. Is it not the case that the longer the Tories are in power, the longer patients will have to wait?

[Neil O’Brien]

As well as the 2,200 extra doctors in primary care, I mentioned the 25,000 extra other clinicians. That means that in the hon. Lady’s constituency there are 55% more staff working directly with patients than before.

[Chloe Smith (Norwich North) (Con)]

At a time when GP and A&E services are under pressure, I am pleased to see the ministerial team’s focus on helping people to see a doctor when they need to. Does the Minister agree that walk-in centres, such as ours in Norwich city centre, are helpful, popular and necessary?

[Neil O’Brien]

My right hon. Friend is absolutely right; walk-in centres are a key part of primary care. We are looking at how they can do more, and I pay tribute to all the work they are already doing.

[Tonia Antoniazzi (Gower) (Lab)]

T1. If he will make a statement on his departmental responsibilities.

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[Steve Brine (Winchester) (Con)]

I welcome today’s announcement of the appointment of Professor Deanfield as the Government’s prevention champion with a focus on cardiovascular disease, one of the main causes of which is, of course, smoking. May I ask where we are with an updated tobacco control plan, and whether the Minister will look again at the introduction of a “smoke-free fund” paid for by the tobacco industry to boost those new public health budgets?

[The Parliamentary Under-Secretary of State for Health and Social Care (Neil O’Brien)]

We will be setting out our next steps on smoking shortly, but we already have the lowest smoking level on record: it has fallen to 13%, partly as a result of the doubling of duty on cigarettes and partly owing to the introduction of a minimum excise tax. We will be investing £35 million in the NHS this year to ensure that all smokers who are admitted to hospital are given NHS-funded tobacco treatment.

[Jim Shannon (Strangford) (DUP)]

T3. Recent analysis from Macmillan Cancer Support shows that 2022 was the worst year on record for cancer waiting times. Will the Minister consider the introduction of an urgent support package for UK cancer services in the upcoming Budget to support our hard-working staff and to ensure that there is additional capacity to deal with the current pressures on the system?

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[Samantha Dixon (City of Chester) (Lab)]

T7. York and Chester have many similarities, and it would appear that a complete absence of any access to dental services is another one. Can I impress on the Minister the urgency of improving access to NHS dentistry, because it is essential that my constituents do not have to travel for miles and worry for months?

[Neil O’Brien]

We will be setting out further steps shortly, but there are 6.5% more dentists doing work for the NHS than in 2010 and we have started the reforms with more units of dental activity bands and a minimum UDA.

[Sir Christopher Chope (Christchurch) (Con)]

Does my right hon. Friend accept that about one third of the activity that takes place in GP surgeries could be transferred to pharmacies? What is he doing to promote that policy and deal with the British Medical Association’s reluctance to co-operate?

[Ian Byrne (Liverpool, West Derby) (Lab)]

T10. Some 30% of disabled people, including many of my constituents, are having to cut back on using essential medical equipment at home due to rising energy bills. Some 70,000 people have signed the charity Sense’s petition calling for long-term ongoing support for disabled people and their families. Will the Secretary of State deliver that support as a matter of urgency?

[Neil O’Brien]

That is exactly why we are spending £55 billion this winter to help households and businesses with their energy bills. That is one of the largest support packages in Europe.

--- Later in debate ---

[Daisy Cooper (St Albans) (LD)]

More than £300 million of the NHS dentistry budget is set to be clawed back by NHS England at the end of this month. That is not because of a lack of demand; it is because the Government’s NHS dental contract is broken and dentists are walking away from NHS work. Will the Government ringfence these funds, rolled over to next year, so that people who desperately need dental treatment can get those appointments?

[Neil O’Brien]

That is exactly why we will continue to reform the contract as the hon. Lady suggests, and it is why we have started allowing dentists to do 110% of their UDAs, but she is right and we will go further.

[Peter Gibson (Darlington) (Con)]

I refer the House to my entry in the Register of Members’ Financial Interests, including my co-chairing of the all-party parliamentary group for hospice and end of life care. Now that integrated care boards have a duty to commission palliative care, what steps is my right hon. Friend taking to assess delivery? Will he join me in calling for the North East and North Cumbria ICB to listen to the hospices in the Tees Valley, which would save our hospices and save the NHS money?