Oral Answers

Neil O'Brien Excerpts

Tuesday 25th April 2023 Commons Chamber

[Bob Blackman (Harrow East) (Con)]

3. What steps he is taking to tackle vaping by young people.

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

I recently announced new measures to tackle youth vaping, including an extra £3 million for a new enforcement squad to tackle underage sales and illicit vapes. We also launched a call for evidence to identify opportunities to reduce youth vaping, which covers everything from the appearance, marketing and price to the environmental impact of vapes.

[Bob Blackman]

We would all encourage people to vape instead of smoke, but we do not know the long-term health impact of vaping at all. Reports suggest that one in seven young people are taking up vaping directly and therefore becoming addicted to nicotine, the most addictive drug known to humankind. What measures will my hon. Friend take to make sure that young people understand the risks of vaping?

[Neil O’Brien]

I pay tribute to my hon. Friend’s work as chair of the all-party parliamentary group for vaping. He is right; as well as the measures I mentioned, we have updated the guidance on Talk to FRANK, to illustrate for young people the dangers of consuming lots of nicotine.

[Mary Kelly Foy (City of Durham) (Lab)]

In 2021, the Government rejected my amendment to the Health and Care Bill to tackle smoking and youth vaping. England is now set to miss the Smokefree 2030 target by at least seven years, and countless children are now addicted to vapes. I welcome the U-turn, but what steps has the Minister taken to make up that lost time?

[Neil O’Brien]

We are taking action across the board on smoking. I think we are in agreement on what has to be done. That is why we recently announced that we are giving vaping kits to a million smokers to help them swap to stop. We are also bringing in new health incentives for all pregnant women so that we can help them stop—that is based on good local evidence. We are taking preventative action, and I think the hon. Lady and I both want the same thing.

[Rebecca Long Bailey (Salford and Eccles) (Lab)]

4. What assessment his Department has made of the impact of funding allocations for adult social care on charitable and not-for-profit providers.

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[Mark Eastwood (Dewsbury) (Con)]

5. What steps his Department is taking to encourage people to stop smoking.

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

We have the lowest smoking rate on record in England, down from 21% in 2010 to 13% now, partly because we have introduced minimum excise tax on cheap cigarettes and double duty on cigarettes, but we know we have to go further. That is why we recently announced significant new funding to help a million smokers quit, through swap to stop, and introduced a new financial incentive for pregnant women. We are also consulting on new pack inserts, similar to those in Canada.

[Mark Eastwood]

As someone who was able to quit smoking using nicotine patches, following the advice at last year’s Emley show, I welcome the measures announced by the Minister earlier this month to help us achieve our Smokefree 2030 target. Does the Minister agree that, in order to help even more people quit, we should continue to pursue harm reduction strategies such as swap to stop? That will ensure that we maintain our position as a world leader in public health.

[Neil O’Brien]

I absolutely agree with my hon. Friend and congratulate him on quitting. The swap to stop scheme that we are rolling out nationally, which is the first of its kind in the world, is based on strong local evidence. We know it works from local pilots, which is why we are rolling it out at scale.

[Dan Jarvis (Barnsley Central) (Lab)]

Smoking remains the biggest preventable cause of cancer and we know that smoking cessation services are vital to kicking the habit, but smokers in England face a postcode lottery when trying to access them. What is the Minister doing to ensure that everybody who needs those services is able to access them?

[Neil O’Brien]

Absolutely. In total, public health grants will go up by 5% in real terms over the next two years. We want to reduce the postcode variation, because these are important services. I am keen to speak to anyone who wants to work with us at a local level.

[Mr Speaker]

I call the SNP spokesperson.

[Neil O’Brien]

I recently had a very productive meeting with my Scottish Government counterpart. As I mentioned, we have already doubled the duty on cigarettes since 2010 and have brought in a minimum tax for the cheaper cigarettes. Of course, tax is a matter for the Treasury, but we will always be interested in things that can drive down smoking.

[Wera Hobhouse (Bath) (LD)]

6. What steps his Department is taking to improve access to maternity care in the south-west.

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[Christine Jardine (Edinburgh West) (LD)]

22. What progress his Department has made on improving access to NHS dentist appointments.

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

There are 6% more dentists doing NHS work than in 2010, and activity levels are going up. In March the number of patients seen over the past year was up by nearly a fifth on the year before. The initials reforms we have made to make NHS work more attractive are having positive effects but there is much more to do and we will be publishing a plan to improve access to dentistry.

[Rachael Maskell]

In York alone, practices are closing, turning private and handing back contracts. Units of dental activity are down 126,130 compared with four years ago and it can take five years to see a dentist. This is an unacceptable crisis after 13 years of complete failure. Will the Minister enable integrated care boards to have full flexibility to establish an under-18s NHS dental service in schools, along with a full elderly service and one for the most disadvantaged?

[Neil O’Brien]

We will look at all those things. We have introduced additional flexibilities, as the hon. Lady knows, and we are allowing dentists to do more to deliver 110% of their UDAs and bringing in minimum UDA values, but we are also interested in prevention and I would be happy to look particularly at what we can do for younger people.

[Christine Jardine]

Tooth care, like any other form of healthcare, should be universally accessible, but we know that we are facing a crisis across the UK, with one in five adults who could not get an appointment in the past 12 months carrying out dental work on themselves, or getting someone else to do it, which is quite horrifying. The problem is not confined to one part of the UK. In Scotland, 80% of dentists are no longer accepting new adult or child patients. We have a crisis across the UK, so will the Minister commit to introducing a national programme and to speaking to the Scottish and Welsh Governments to address the shortage of NHS dentists for all of us?

[Neil O’Brien]

I am happy to work with the Scottish and Welsh Governments. We are, as I said, driving up levels of delivery, and we will be publishing a plan to take that further.

[Kevin Foster (Torbay) (Con)]

Like other colleagues, I have been approached by constituents who are struggling to find an NHS dentist because their previous dentist has either retired or converted to private practice. When the Minister presents his new dental plan, will it include a target to ensure registrations are available, as well as to increase the number of appointments?

[Neil O’Brien]

My hon. Friend is right, and I am particularly seized of the issue of access for new patients.

[Simon Fell (Barrow and Furness) (Con)]

My constituents in Dalton-in-Furness were dismayed to find out that their dentist has closed. This follows the closure of Bupa in Barrow and in Millom, and Avondale in Grange-over-Sands has handed back its NHS contracts. What was a bad situation has got very bad indeed. I am meeting the ICB next week to talk about what it might be able to do, but will the Minister agree to meet me to discuss what levers he can pull to improve dental access in Barrow and Furness?

[Neil O’Brien]

I am very happy to meet my hon. Friend, and we have already talked to some extent. The minimum UDA value that we introduced particularly helps rural and coastal areas of the kind he represents, and I am happy to talk further, and to go further, on all these things.

[Dr Philippa Whitford (Central Ayrshire) (SNP)]

As in the NHS, workforce is the biggest single issue. The Nuffield Trust has identified that, post-Brexit, dentists are among the key staff we are losing. On top of that, while Scotland and Wales have childhood dental health programmes, England does not. When will England have a national childhood dental health programme, and when will the contract in England be reformed to reward preventive work, rather than just dealing with emergencies?

[Neil O’Brien]

We passed legislation last month to make it easier for international dentists to come to the UK by reforming the General Dental Council to speed up the flow from abroad. The hon. Lady mentions an additional service that is available in Scotland. Of course, Scotland has 25% more funding per head than the rest of the UK, which is just one benefit of being in the UK, and it is one reason why people in Scotland voted to remain in the UK.

[Jack Brereton (Stoke-on-Trent South) (Con)]

The lack of NHS dentists is a major concern in north Staffordshire. Does the Minister agree that we should set up a dental school at Keele University, which already has one of the best medical schools in the country?

[Neil O’Brien]

We are looking at the dentist, hygienist and therapist workforces as part of the long-term NHS workforce plan. I can reveal that this is not the first time my hon. Friend has lobbied me on this idea, and I am sure he will continue to do so.

[Jamie Stone (Caithness, Sutherland and Easter Ross) (LD)]

11. What progress his Department has made on improving access to NHS appointments.

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[Martyn Day (Linlithgow and East Falkirk) (SNP)]

The British Medical Journal has warned that the comprehensive and progressive agreement for trans-Pacific partnership trade deal will make it harder for the UK to regulate tobacco and alcohol or banned products such as those containing harmful pesticides. Given that no health impact assessment has been carried out, The BMJ recommends that one should be performed now. Will the Secretary of State commit to assessing the deal’s threat to public health?

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

We do not plan to debate any of our existing standards. We have some of the strongest standards for control anywhere in the world. We have no plans to get rid of any of those things.

[Peter Aldous (Waveney) (Con)]

Notwithstanding the work that the Government have done, the feedback that I am receiving from Suffolk-based NHS dentists is that there is still a very long waiting list for overseas dentists waiting to take the overseas registration examination, with more than 3,000 applicants and only 150 exams taking place each month. I urge my hon. Friend to leave no stone unturned in working with the General Dental Council to eliminate the waiting list as quickly as possible.

[Neil O’Brien]

We are leaving no stone unturned. Last month, we passed legislation enabling the GDC to increase the capacity of the ORE. We have also made it easier for overseas dentists to start working in the NHS: as of 1 April, no dentist will need to pay an application fee. We also want to radically reduce the time that dentists spend in performers list validation by experience, and we will set out further steps in our dentistry plan.

[Kim Leadbeater (Batley and Spen) (Lab)]

T2. What is the Secretary of State doing to tackle the severe national shortage of desperately needed psychiatric intensive care beds, which means that people, including some of my constituents, have to travel hundreds of miles to see their loved ones?

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[Mike Amesbury (Weaver Vale) (Lab)]

T4. Last week, I visited Leftwich Community Primary School in my constituency. The joint head teachers raised the desperate attempts that are made to secure NHS dentists for children and families in the community. Aside from publishing a plan, will Ministers intervene and make sure that that happens in Cheshire and Merseyside, and throughout the country?

[Neil O’Brien]

Absolutely. We have already taken action to increase the provision of dentistry, and that has begun to have an effect. Activity—the number of people seen—is up by a fifth over the past year as a result of the reforms that we have begun to make by reforming the old contract, but we must go further.

[Sara Britcliffe (Hyndburn) (Con)]

One of my constituents, Bethany Whitehead, suffers from functional neurological disorder, which often presents with a number of debilitating symptoms. Bethany has often been left waiting two to three years before seeing a consultant. Will the Minister meet me to discuss this further?

[Dr Lisa Cameron (East Kilbride, Strathaven and Lesmahagow) (SNP)]

T5. As chair of the all-party parliamentary health group, I have heard from UK patients who struggle to access GP appointments from chain GP practices. Many of those practices have very low ratios of GPs to patients, including, in one case, only two GPs registered for 30,000 patients. Will the Department meet the APPG to address these grave concerns?

[Neil O’Brien]

We have increased real-terms spending on general practice by over a fifth since 2016, and as a result there are now 10% more appointments happening every month. We are grateful to GPs for that. We have more doctors and clinicians, but we want to keep going, and I am happy to discuss this with anyone who has useful ideas to keep us powering forward.

[Mr David Davis (Haltemprice and Howden) (Con)]

Yesterday, when the Prime Minister met business, the huge value of the NHS database was highlighted. Unfortunately, the previous occasions on which the NHS has tried to open its database have been unmitigated disasters. Will the Secretary of State give an undertaking to stick closely to the recommendations of the Goldacre report so that we can deliver the database while protecting the privacy of patients?

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[Neil O’Brien]

I am very happy to meet the right hon. Lady as we work towards the workforce plan and the dental plan.

[Mr Speaker]

I call Mark Fletcher to ask the final question.

[Mark Fletcher (Bolsover) (Con)]

The Minister is aware that BUPA recently closed the dental practice in Bolsover, leaving a severe shortage of NHS dentistry in the constituency. I met the ICB yesterday to discuss the various options for the constituency, but will the Minister commit to meeting me and the ICB to talk through those options and see what we can do to maintain NHS dentistry in Bolsover?

[Neil O’Brien]

I have already met my hon. Friend, but I am very happy to meet him and his ICB to make sure that we commission the services that are so needed locally.

Bill Presented

Digital Markets, Competition and Consumers Bill

Presentation and First Reading (Standing Order No. 57)

Secretary Kemi Badenoch, supported by the Prime Minister, the Chancellor of the Exchequer, Secretary Michelle Donelan, Secretary Lucy Frazer, Kevin Hollinrake, Paul Scully and Julia Lopez, presented a Bill to provide for the regulation of competition in digital markets; to amend the Competition Act 1998 and the Enterprise Act 2002 and to make other provision about competition law; to make provision relating to the protection of consumer rights and to confer further such rights; and for connected purposes.

Bill read the First time; to be read a Second time tomorrow, and to be printed (Bill 294) with explanatory notes (Bill 294-EN).