Smokefree 2030
Neil O'Brien Excerpts(1 year, 6 months ago)
Commons ChamberRead Full debate Read Hansard Text Watch Debate Read Debate Ministerial Extracts
The Parliamentary Under-Secretary of State for Health and Social Care (Neil O’Brien)
I thank my hon. Friend the Member for Harrow East (Bob Blackman) and the hon. Member for City of Durham (Mary Kelly Foy) for securing this important debate. I add my voice to the voices of those who have wished the hon. Member for City of Durham a speedy recovery. A lot of the people who contributed to this debate, including the hon. Members for Stockton North (Alex Cunningham), and for Blaydon (Liz Twist), and my hon. Friend the Member for Erewash (Maggie Throup), who all spoke eloquently, have personal experience on this subject, and a real passion for and dedication to achieving a smoke-free England by 2030—a goal to which the Government are completely committed.
I am pleased to update the House on the Government’s work on the Khan review—the independent review of Smokefree 2030 published in June. Tragically, smoking remains the single biggest cause of preventable illness and death across the country. There are still six million smokers in England, and up to two out of three of them will die from smoking unless they quit. Smoking causes seven out of 10 cases of lung cancer, and most people diagnosed with lung cancer die within a year. One in five deaths from all cancers in the UK was connected to smoking in 2019. Smoking substantially increases the risk of heart disease, heart attack and stroke. Smoking is responsible for around 3.7% of all hospital admissions, and so costs the NHS a staggering £2.4 billion each year.
People who start smoking as a young adult lose an average of 10 years of life expectancy, or around one year for every four years of smoking after the age of 30. As many hon. Members have said, action is vital if we are to meet the Government’s manifesto commitment of extending healthy life expectancy by five years by 2035. The Government are committed to levelling up society and extending the same chances in life to all people across the country. As various Members have said, smoking is one of the largest drivers of health inequalities, and rates vary substantially across the country; we heard about that from the hon. Member for Stockton North. As Dr Khan stated in his independent review, smoking prevalence is four and a half times higher in Burnley than in Exeter, so there is huge variation around the country.
Smoking is a huge drain on the household finances of the most disadvantaged families. In Halton in Cheshire, smokers spend an estimated £3,551 a year on tobacco—nearly 15% of their income. That is a shocking statistic. Reducing smoking presents a huge economic opportunity to increase productivity and people’s incomes. Smoking is very high in certain populations, and as my hon. Friend the Member for Erewash said, a third of all cigarettes smoked in England are smoked by people with a mental health condition—an incredible fact.
Behind all these statistics are individuals, families and communities who are suffering from the harms of tobacco. That is why we are so committed to our goal to be smoke free by 2030. We have committed to doing more to help smokers quit and to stop people taking up this deadly addiction in the first place, because we know that most smokers want to quit and many wish they had never started.
The UK is considered a global leader on tobacco control, and investment in evidence-based stop smoking interventions, a strong regulatory framework, local authority stop smoking services and the NHS has ensured that we now have the lowest smoking rate on record: 13.5% in England, down from 21% in 2010 and 45% in 1974. That is a huge change in our society.
In the 2017 tobacco control plan, we set a bold ambition to reduce smoking prevalence among 15-year-olds from 8% to 3% or less by the end of 2022. I am pleased to say we are well on track to meet that target. The Government have also committed to an escalator that increases duties by more than two percentage points above inflation until the end of the current Parliament. In 2010, the average price of a packet of cigarettes was £5.70; and in 2022 the average price is £12.72. Since 2010, duty on cigarettes has more than doubled, and a minimum excise tax has been introduced to increase the price of the very cheapest cigarettes, because we know that one of the most effective ways of stopping people smoking is making it more expensive.
On top of that, we continue to fund a range of comprehensive tobacco control interventions. We have provided £72.7 million to local authority stop smoking services through the public health grant, and more than 100,000 people have quit with the support of a stop smoking service in 2020-21. This year alone, we have provided £35 million to the long-term NHS commitment on smoking, which means that by the end of 2023-24 all smokers admitted to hospital, whether an acute hospital or a mental health hospital, will be offered NHS-funded tobacco treatment services. We will be using those regular touch points, as my hon. Friend the Member for Erewash suggested, to drive down smoking.
My hon. Friend the Member for Harrow East asked about maternal smoking, and the same model is being provided for expectant mothers through the new smokefree pregnancy pathway, including focused sessions and treatments. A new universal tobacco treatment offer is being piloted as part of specialist community mental health services for long-term users of specialist mental health and learning disability services, to help the most vulnerable populations.
The change in treatment for women who smoke in pregnancy is remarkable. Women now routinely get a carbon monoxide test. People will be offered support. In some cases, there are exciting experiments with vouchers and financial incentives that can help, particularly in some poorer communities, people to stop smoking. There is a lot of work on maternal smoking.
Since leaving the EU, we have implemented a new UK-wide system of track and trace for cigarettes and hand-rolled tobacco to deter illicit sales. I have talked about how we have increased duties to drive up prices and to deter smoking, which would of course be undermined if illicit products were circulating.
We have limited the number of cigarettes that people can bring into the country via duty free to 200, making it much harder for those who want to illegally evade excise duties on tobacco. That will help to prevent the sale of cheap cigarettes, further reducing the illicit market.
Although smoking rates have fallen, we recognise that they are not falling fast enough. That is why we asked Dr Khan to undertake the independent review to help the Government to reduce the devastation that smoking causes. The review makes a number of bold recommendations.
Stop smoking services run by local authorities and funded through the public health grant continue to offer smokers the best chance of quitting, and people who get help from local stop smoking services are three times more likely to quit successfully than those who try to quit unaided. I pay tribute to the work of those services, and I assure them that they remain a key part of the Government’s smokefree 2030 ambition.
Alex Cunningham
The Minister knows as well as I do that local authorities have been under tremendous financial constraints in recent times. How can we ensure that local authority public health continues to be funded so that these services can continue? At the moment the services are quite inadequate.
Neil O’Brien
The hon. Gentleman is right that these services are hugely important. All authorities saw an increase last year and there is a 2.8% increase this year, with funding heavily weighted towards more deprived areas, but there is much more we need to do, and we keep it under active review.
We are also building investment in anti-smoking marketing campaigns. It was heartening to see the number of people who joined the annual Stoptober campaign last month. This well-known initiative encourages smokers to abstain for 28 days each October, as we know that smokers who manage to quit for 28 days are five times more likely to quit permanently. In England, the Stoptober campaign has now helped more than 2.1 million people quit since its inception in 2012.
Dr Khan also called for the NHS to prioritise further action to stop people smoking. The long-term NHS plan commitments are a huge step towards preventing smoking-related illness, and they are making significant progress towards reducing preventable ill health and reducing the burden of smoking on the NHS. I have talked about using touch points in hospitals to offer people help to stop smoking.
We have discussed vaping as a substitute for smoking. We recognise that vaping is far less harmful than smoking and can be an effective quitting device. We also recognise that there is more the Government can do to tackle the myths and misconceptions that surround vaping. Our recently published “Nicotine vaping in England” report set out the most up-to-date evidence on vaping, providing an even more compelling case for supporting smokers to switch. However, in recognition of the recent increase in vaping rates among children, which my hon. Friend the Member for Erewash mentioned, we are doing more to prevent children from vaping. We have updated our online materials, and we are working closely with the Department for Education to communicate with schools on how best to set policies around vaping.
My hon. Friend asked a specific question about the MHRA and medical licensing. We are working closely with the MHRA to support a future medically licensed vaping product, which would carry many benefits, including tackling scepticism of e-cigarettes among healthcare professionals. We understand that several products are applying for medical licences early next year. I pay tribute to my hon. Friend for all the work she has done on public health.
As a world leader in tobacco control, the Government continue to support lower and middle-income countries to implement effective tobacco control strategies, and through official development assistance funding to the World Health Organisation-led framework convention on tobacco control 2030, we are supporting a further nine countries to protect their populations from the harms of tobacco.
Both my hon. Friend the Member for Harrow East and the hon. Member for Denton and Reddish (Andrew Gwynne) mentioned article 5.3 of the tobacco control treaty, to which I can confirm the Government are absolutely committed. I consider myself forewarned about the report mentioned by my hon. Friend the Member for Harrow East.
The Government are determined to address the challenges raised by the independent review and to meet our bold smokefree 2030 target. I understand the compelling arguments made by the Khan review and the very strong evidence in the recent “Nicotine vaping in England” report. Over the coming weeks, we will be quickly taking stock on whether a refreshed tobacco control plan is the best way to respond, and on how and when to take forward all the suggestions made by that review.
The Government recognise that more action needs to be taken to protect our people from this dangerous addiction. We know that the action we take must be comprehensive, bold and ambitious. The prize of reaching a smokefree 2030 will be huge for this country, particularly for our most disadvantaged citizens. I thank all hon. Members who have taken part in this debate.
Oral Answers to Questions
Neil O'Brien Excerpts(1 year, 6 months ago)
Commons ChamberRead Full debate Read Hansard Text Watch Debate Read Debate Ministerial Extracts
Drew Hendry (Inverness, Nairn, Badenoch and Strathspey) (SNP)
The Parliamentary Under-Secretary of State for Health and Social Care (Neil O’Brien)
Pensioners and children are particularly vulnerable to cold weather, which is why we are spending £37 billion on our energy support package. A typical household will save a third—£700—of what they would have paid this winter. The 8 million most-vulnerable households will get £1,200 in support this year to help with the cost of living. The record block grant agreed at the spending review will enable devolved Administrations to provide further services to support those in need.
Drew Hendry
It is a fact that growing up and living in poor and cold housing leads directly to bad health outcomes. The director of University College London’s Institute of Health Equity, Sir Michael Marmot, stated that the Government must act now, because
“we are facing a significant humanitarian crisis with thousands losing their lives and millions of children’s development blighted”.
That was before the Chancellor’s U-turn on the energy price guarantee, which will mean that average household bills are £4,000-plus a year, or more if they are off-gas grid. Does the Minister think that is acceptable, or will he urge his colleagues to do much more?
Neil O’Brien
I actually agree with the first part of the hon. Gentleman’s point. That is why, as well as the huge direct support to households, we are investing £12 billion in Help to Heat schemes to help make people’s homes warmer and cheaper to heat, another £1.1 billion in the home upgrade grant, and £500 million in the sustainable warmth competition. We take this issue very seriously, and colleagues at the Department for Levelling Up, Housing and Communities are taking further actions to clamp down on squalid housing.
Theresa Villiers (Chipping Barnet) (Con)
Access to GP appointments is particularly important to help to deal with winter pressures, so can the Minister update the House on progress in implementing the improvements promised in October last year to help GPs to expand to meet demand over the winter?
Neil O’Brien
My right hon. Friend is so right, and she has been a powerful champion on this issue. We have invested £1.5 billion to get an extra 50 million GP appointments per year. The number of appointments in September was up 7% compared with the same month in 2019. We now have an extra 2,300 doctors working in primary care compared with 2019, and an extra 19,300 primary care professionals, on the way to the goal of 26,000 extra primary care professionals. This is hugely important, we are investing in it, and my right hon. Friend is right to campaign on it.
Andrew Gwynne (Denton and Reddish) (Lab)
We know that, if poorer communities cannot afford to heat their homes, health inequalities will worsen significantly over the winter months and beyond. Despite the seriousness of this issue, the previous Health Secretary—that is the right hon. Member for Suffolk Coastal (Dr Coffey), in case Members are struggling to keep track—planned to ditch the Government’s long-promised health disparities White Paper. Does the current Minister intend to do the same? If he does, how will he seriously address the dreadful health inequalities that have widened after 12 Tory years?
Neil O’Brien
The hon. Gentleman implies that I disagree with him about this. In fact, the Government are working hard to clamp down on squalid housing. That is exactly what we were doing in my previous Department, DLUHC, and I have just mentioned some of the things that we are doing: the £37 billion we are spending to help people to meet the cost of living, the £15 billion of that that is targeted on the very poorest households, and the £12 billion that we are investing in making people’s houses easier to heat. We will continue to tackle health disparities across the board.
Neil O’Brien
We are taking the action that I have just been describing in terms of direct support for households. Of course, because health is devolved, we are also helping the devolved Administrations. The Scottish Government, for example, receive £126 per person for every £100 per person of equivalent UK Government spending in England and Wales. That enables the Scottish Government to provide extra help for those in need. It is another example, on top of furlough and the energy support scheme, of how this country is strongest when we all work together constructively.
Mary Glindon (North Tyneside) (Lab)
Mark Fletcher (Bolsover) (Con)
The Parliamentary Under-Secretary of State for Health and Social Care (Neil O’Brien)
During the pandemic, we provided £1.7 billion to protect dental services. Now, through the improvements announced in the summer and our recent plan for patients, we will pay dentists more fairly and improve access for patients. We are enabling practices to deliver more activity than they are contracted to deliver—up to 110%—practices will have to keep their NHS website details updated, making them easier to find, and we are enabling dentists and their wider teams to work to their full scope of practice, improving access. The number of dentists doing NHS work increased by over 530 last year, but there is much more to do.
Mark Fletcher
The Minister is aware that recent Local Government Association analysis showed that Bolsover has some of the worst dentist provision in the UK. That is highlighted by constituents to me daily. Whether it is getting access to treatment or even registering for an NHS practice, my constituents are struggling. Will the Minister take a look at that and meet me so we can discuss what more we can do for dentistry in Bolsover?
Neil O’Brien
Absolutely. My hon. Friend has been a formidable campaigner on this issue. I know he met the Secretary of State to talk about it in the summer. It is a pleasure to have talked to him already and I am happy to meet with him further. Seven Derbyshire dental providers have been commissioned to deliver extra weekend activity to improve access this winter and, nationally, we are exploring how to incentivise dentists to work in areas where getting an NHS dentist is proving challenging.
Chi Onwurah (Newcastle upon Tyne Central) (Lab)
Effective dental provision is essential not only for quality of life but for nutrition and confidence. Indeed, not being able to access it at important points in life is storing up more trouble for later, yet nine out of 10 dentists are not accepting NHS patients and, with the soaring cost of living, my constituents cannot afford dental treatment. What will the Minister say to them and do to address the millions who cannot get the dental treatment that they need?
Neil O’Brien
The hon. Lady asks a powerful question. As well as the reforms that we started this summer and I announced in our plan for patients, as we start to think about the next dental contract, we are thinking about all the different things we can do to incentivise dentists to work in particularly poorer areas where there is difficulty accessing services. We are also working with the General Dental Council to review the processes that overseas dentists have to complete before they start to provide NHS care, which are sometimes more arduous than those for doctors. We are also thinking about the internal market of the UK and making it easier for dentists in Scotland to practise in England as well.
Dame Maria Miller (Basingstoke) (Con)
I welcome the shift in responsibility for NHS dental services in my area to my local Hampshire integrated care board. That will bring a real improvement by focusing on local priorities, rather than the previous regional approach. Will my hon. Friend join me in encouraging ICBs to ensure that they adequately fund dental services, especially for elderly people and children? Dental health is as much of a priority as any other aspect of our health.
Neil O’Brien
My right hon. Friend is absolutely right. The shift to ICBs is right and it is an opportunity to integrate services in a way that has not been done before. She is right to stress the important preventive role that dentistry can play, which also reduces demand on other services, including accident and emergency.
Dr Alan Whitehead (Southampton, Test) (Lab)
A constituent of mine recently rang the national health contact centre about the possibility of an NHS dentist in Southampton and was told not only that no dentists in Southampton were taking on patients but that no one within 25 miles of Southampton was taking on patients either. What does the Minister have to say to my constituent, who has no prospect of a dentist now and no prospect of a dentist remotely in the future?
Neil O’Brien
That is extremely concerning. This year, in NHS Hampshire and Isle of Wight ICB, there were 1,255 active dentists, compared with 1,248 the previous year. However, there is clearly an issue, which the hon. Gentleman was right to raise in the House. I am happy to talk to him more about that offline to ensure that we can solve that important problem.
Kenny MacAskill (East Lothian) (Alba)
Richard Foord (Tiverton and Honiton) (LD)
The Parliamentary Under-Secretary of State for Health and Social Care (Neil O’Brien)
In the hon. Gentleman’s local NHS this year there were 758 active NHS dentists, up from 736 in the previous year. I have already mentioned some of the steps we are taking to tackle the problem of dental deserts and ensure that everyone in the country can see the dentists—and the GPs—whom they need to see.
Gordon Henderson (Sittingbourne and Sheppey) (Con)
Members of the Kent and Medway integrated care board are doing their best to recruit more GPs, but they are finding it difficult to attract them to our area. One reason is their close proximity to London, where newly qualified GPs can earn thousands of pounds more than they can if they practise in Kent. Will my right hon. Friend consider extending the NHS London weighting allowance to Kent and Medway?
Maggie Throup (Erewash) (Con)
With flu cases on the rise, what action is my right hon. Friend taking to ensure that all parents are aware that they can access the free nasal vaccine at their GP surgery for all pre-school children?
Neil O’Brien
My hon. Friend’s question gives me an opportunity to thank her for her fantastic work on vaccinations and our world-leading roll-out of vaccines across the country. She has also provided an opportunity to remind everyone of the opportunity to get those life-saving vaccines this winter and to get boosted.
Karin Smyth (Bristol South) (Lab)
This month a care provider in my constituency is closing, citing the workforce crisis. I have listened carefully to the Ministers’ answers, and the current Chancellor spent the last year telling us about the critical need for a workforce strategy. The door is open. Has the Secretary of State had a conversation with the new Chancellor to ask for a workforce plan on which we can all rely?
Kettering General Hospital Redevelopment
Neil O'Brien Excerpts(1 year, 6 months ago)
Westminster HallRead Full debate Read Hansard Text Read Debate Ministerial Extracts
Westminster 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
The Parliamentary Under-Secretary of State for Health and Social Care (Neil O’Brien)
It is a pleasure to serve under your chairmanship, Mr Dowd. I congratulate my neighbour, my hon. Friend the Member for Kettering (Mr Hollobone), on securing this important debate. The fact that he has managed to trigger so many debates on this subject shows what a relentless champion he has been for the project. It was pleasing to hear about the good progress that is being made, in no small part thanks to his help. As he says, I should declare an interest: many of my own constituents use the hospital; and, as I come through his constituency on the train each night, I see the expansion of Kettering that he described, and which makes the investment so necessary.
My hon. Friend asked a number of technical questions that I am afraid I will have to take away and come back to him on, because I want to give precise answers rather than ones that are wrong; however, I undertake to do that with the Department. Kettering General Hospital NHS Foundation Trust continues to work closely with our new hospital programme team as part of the plan to deliver 48 hospitals by 2030. I am pleased to see that, to date, the scheme for Kettering General Hospital has received £4.4 million, and on 14 October—these are live events—we wrote to the trust confirming £38.2 million for the package of enabling works that he talked about, including the new energy centre, which as he said is much needed, and the high voltage cable.
On 20 October, just six days ago, officials from the new hospital programme met with the trust to discuss the next steps for the enabling works, to ensure that the funding can be accessed swiftly. It was a very positive meeting and, subject to some technical assurances being met, which are progressing rapidly, we are working towards a memorandum of understanding that will be signed to enable the drawdown of the funds. That will enable the works to commence and is a positive step forward in providing the facilities that the staff and the patients need. All the hospital projects that are part of the new hospital programme, including the one at Kettering General Hospital, will work with that central team with the support of regional system and local trust leadership to design and deliver that new and exciting investment.
The collaborative approach is intended to help each trust to get the most from its available funding, while avoiding repetition of works. For example, modern construction methods and net zero techniques will be embedded in the programme from the outset, as my hon. Friend called for. That will maximise the benefits of the programme and ensure that we get the best value for money for taxpayers in Kettering and across the country. The commitment to fund a programme of new hospitals is an exciting opportunity to build the next generation of intelligent healthcare facilities, as well as to embed a long-term capability to manage future capital investment into the NHS, which is much needed.
We are working closely with Kettering on how it will deliver better and more efficient design through the standardisation that comes from the approach we are taking. The intention is that end-to-end delivery timescales will be reduced and we will be able to deliver more quickly. That will also allow the new hospitals to benefit from efficiencies and economies of scale and from being built concurrently with others of the same kind. For Kettering General Hospital, that will mean state-of-the-art facilities to ensure world-class provision of healthcare. That will improve patient outcomes, which is what we all want to see.
The Government have been doing ambitious work, providing substantial capital investment to support the biggest hospital building programme in a generation. In October 2020, an initial £3.7 billion of funding was confirmed to support the delivery of 40 new hospitals, with a further eight schemes invited to bid for future funding to deliver 48 hospitals by 2030. I am pleased that six of the hospitals in the programme are already in construction, including the Royal United Hospital in Bath, which is the first of the 40 new hospitals to begin construction. In addition, in August last year, the northern centre for cancer care opened, the first of the eight hospitals confirmed by the previous Government. This hospital building programme comes in addition to significant upgrades to over 70 hospitals worth £1.7 billion, and a wider programme of capital investment.
In conclusion, I pay tribute to my neighbour, my hon. Friend the Member for Kettering. He has done such good work in continuing to push in such a constructive way to ensure that the meetings are happening as quickly as they need to, that everyone is playing their part and that both sides are working together to fix the issues that he has talked about, to deliver the opportunities that he sees so clearly. I am delighted that we have now approved the business cases for the £38 million-worth of enabling works for the energy centre and the cable, which will enable the work to commence at the site. We will make sure that this ambitious and innovative approach to building new hospitals is a success, not only at Kettering General Hospital, but across the country.
Question put and agreed to.
Motor Neurone Disease
Neil O'Brien Excerpts(1 year, 6 months ago)
Commons ChamberRead Full debate Read Hansard Text Watch Debate Read Debate Ministerial Extracts
The Parliamentary Under-Secretary of State for Health and Social Care (Neil O'Brien)
I thank my hon. Friend the Member for Northampton South (Andrew Lewer) and the hon. Member for Newport East (Jessica Morden) for securing this important debate, and thank everyone who has taken part. My hon. Friend the Member for Northampton South has been a fantastic champion for research on this cause. I was grateful for his comprehensive speech, and for the chance to speak to him beforehand. He has given me very clear marching orders.
The hon. Member for Coatbridge, Chryston and Bellshill (Steven Bonnar) made important points about head impacts in sport, which is clearly a key priority for research, while my hon. Friend the Member for Berwickshire, Roxburgh and Selkirk (John Lamont) gave us the inspiring words of Doddie Weir and made the important point that we must simplify funding for researchers. The hon. Member for Strangford (Jim Shannon) made a typically compassionate and experienced speech, and made important points about the need for all of us around the UK to learn from each other and the interaction between MND research and research into other diseases. My right hon. Friend the Member for Dumfriesshire, Clydesdale and Tweeddale (David Mundell) told us about the inspiring courage of those who have been victims of this terrible disease, but go on to channel that into campaigning for improvements. He also made important points about the need for older people to get themselves checked up, and talked about some of the encouraging research that is happening in Edinburgh.
I was extremely sorry to hear about the terrible personal experiences of the Opposition Front-Bench spokesman, the hon. Member for Denton and Reddish (Andrew Gwynne). To answer some of his questions directly at the start, that £50 million is still absolutely Government policy. He was completely correct to highlight the importance of social care, hence our announcement the other day of an extra £500 million for social care.
I pay tribute to all those impacted by MND who dedicate their time to campaigning for a better future, including those involved in the “United to End MND” campaign and the My Name’5 Doddie Foundation. There is a lot that we must be grateful to them for.
MND is a brutal condition. We have heard throughout the debate about the devastating impact on people and their families. We have made great strides in research, but we still do not know exactly what causes motor neurones to die off. I echo the sentiment expressed in the House: we must move fast for people living with MND now and those who will be diagnosed in future. We need a better scientific understanding of the causes and mechanisms of MND, and we need to ensure that we are delivering the highest-quality care and support for those living with it and their families.
I will now talk about how we are supporting people living with MND and then talk about research. People living with MND need treatment and support to ease their symptoms and maintain their independence for as long as possible. As such, NHS England has set out that all services for patients with MND should be specialised, commissioning the specialised care that those patients may receive from 25 specialised neurological treatment centres across England. That includes the prescribing of complex communication devices, to enable people with MND to communicate as effectively as possible; offering non-invasive ventilation to support respiratory function; and compassionate personal care and support that meets people’s individual needs.
In 2019, the National Neurosciences Advisory Group published a toolkit for improving care for progressive neurological conditions, including MND. That toolkit is helping commissioners to make improvements to pathways for people with MND, enabling quicker and more accurate diagnoses. It also helps to commission services that are co-ordinated, flexible and responsive to the rapidly changing needs of the patient, with improved choice in end of life care for people with MND. That will ensure that people with MND receive the best possible care.
We know we need to get things right for people living with MND and other neurological conditions. That is why we are delivering the neuroscience transformation programme, which will support services to deliver the right service at the right time for all neurology patients closer to home. NHS England has appointed a national clinical director for neurology, who will provide national leadership and specialist clinical advice, and an announcement on that is expected imminently.
Through research, we are making major advances in understanding and treating the disease and funding world-class researchers across many of our universities in the UK. We are seeing real progress, and there are many reasons for optimism. The Medical Research Council invested £10.3 million in MND research in 2020-21, supporting vital research to increase understanding of the causes and genetic mechanisms of MND. At the UK Dementia Research Institute, scientists are investigating the root causes of amyotrophic lateral sclerosis, or ALS—the most common form of MND—and identifying ways to protect brain cells from damage. Earlier this year, the researchers developed a test to detect abnormal protein in the brain. This protein causes 40% of familial ALS cases—that is, ALS that occurs in more than one family member. That highly sensitive test is now being used in a clinical trial to assess the effectiveness of a new treatment for ALS.
At the Francis Crick Institute, researchers are working with stem cells to investigate the molecular processes that cause MND. That research is identifying what may go wrong with neurones, to find ways to treat the underlying disease mechanisms. The National Institute for Health and Care Research translates scientific breakthroughs into treatments that will benefit patients. The NIHR spent £3.2 million on MND research last year, supporting research on care and quality of life, as well as trials of new therapies. Researchers at NIHR’s biomedical research centre in Sheffield have pioneered evidence-based interventions to manage the symptoms of MND. For example, many people with MND struggle to consume sufficient calories, even though there is evidence that eating a high-calorie diet may improve survival. Researchers are developing nutritional interventions to support people with MND in eating a high-calorie diet, which may enhance their quality of life.
The NIHR is also supporting trials of potential new therapies to treat the underlying disease. One study under way is the Lighthouse 2 study, which will test the effectiveness of Triumeq, a repurposed drug from the treatment of HIV, in improving survival rate, function and quality of life for people with MND. In September, NIHR-funded scientists reported findings from a phase 3 trial of the drug tofersen. The trial showed that the drug can slow and reduce progression of the disease in patients with MND caused by the faulty SOD1 gene.
During the debate, we have heard about the need for greater investment in MND research. We have already talked about the £50 million that we are investing over the next five years, and that commitment was reaffirmed in September and again today. That money is available to apply for now from the NIHR and UKRI, and officials continue to work closely with the MND research community and those in aligned scientific disciplines to ensure that the scientific ambitions for MND research can be realised.
In June, we launched a new £4.25-million collaborative partnership, which is jointly funded between Government and charity partners, to bring the MND research community together. That partnership will be led by Professors Ammar Al-Chalabi and Chris McDermott. I know that they and the patient group that has been campaigning for greater investment in MND research are optimistic about the opportunities that the new partnership will provide. Some of its key aims are: to develop better ways to clinically measure MND progression, to develop a bank of human cell models on which to test new therapies, and to improve MND registers so that doctors can collect detailed, high-quality data about the disease. We also launched an NIHR highlight notice on MND to signal to the research community that MND is a priority area and to invite ambitious research proposals from all researchers working in MND and aligned scientific areas.
I am sympathetic to researchers who want to minimise the number of applications that they have to make to secure funding, which is why, during the summer, officials from the Department of Health and Social Care, the Department for Business, Energy and Industrial Strategy, the NIHR and the Medical Research Council met researchers linked to the United to End MND campaign to discuss how the MND research community could effectively access funding through a smaller number of focused applications. The NIHR and the MRC look forward to seeing those applications when they come in and to talking more about how we simplify things.
I personally welcome the opportunity to meet some of those researchers in due course to discuss their progress and how we can further streamline funding and avoid wasting researchers’ time with lots of applications for small penny packets of research funding. That is an important priority in research across the piece, but it is more important in this area than anywhere else, because the research is so urgent and there are many people desperate to see progress. I am keen to meet those researchers and take that forward.
Motor neurone disease is a priority for the Government. I am encouraged that we are seeing progress in research. We will continue to invest in MND research and work with charities, the research community, and people with MND and their families to build on the successes and deliver breakthroughs for people living with MND now and in future.
Coronavirus
Neil O'Brien Excerpts(2 years, 10 months ago)
Commons ChamberRead Full debate Read Hansard Text Read Debate Ministerial Extracts
Neil O’Brien (Harborough) (Con) [V]
None of us wants these restrictions to go on for a moment longer than they have to. All of us are proud of our world-leading vaccination effort, and I pay tribute to everyone involved in delivering it in Harborough, Oadby and Wigston. However, when we see that cases are doubling roughly every 10 days and that within a week or two we will be back to the same number of cases every day that we had at the start of the November lockdown, we can see why there is real cause for concern. That is why it is right to go for the delay that we will vote for this evening. We know that getting a second vaccination dose gives people a lot more protection against this dangerous new variant. We know that many more people will be fully vaccinated as a result of this delay and that will potentially save thousands of lives, so it is the right thing to do.
My pleas to Ministers are as follows. The first is that we use the time that we are buying tonight to really drive vaccination rates among that last 4%—perhaps 1 million people—among the most clinically vulnerable groups. As the number of cases accelerates, those people have a target on their back, and it would be a tragedy for them to die of fear, ignorance or simple lack of knowledge at this stage, at the very end of the pandemic.
My second plea to Ministers is to continue to improve our ability to detect at an early stage and close our borders against dangerous new strains. While the Indian variant is very dangerous, as this thing bounces around the world, one day there will potentially be something worse, and we need to be ready for that. Last but not least, we must improve our ability to nip future pandemics in the bud. I believe that involves reappraising our attitudes to things like challenge trials, so that we never have to go through this again.
It is the right thing to do to delay ending the restrictions for a few more weeks. It is a difficult decision but it is the right one. We need to put in place all the right measures to ensure that we are never in this position again, and that when we abolish these restrictions, we abolish them forever.
Madam Deputy Speaker (Dame Rosie Winterton)
No. 47 has withdrawn, so the final Back-Bench speaker is Shaun Bailey.
Covid-19 Update
Neil O'Brien Excerpts(3 years, 2 months ago)
Commons ChamberRead Full debate Read Hansard Text Read Debate Ministerial Extracts
Matt Hancock
We have had significant measures at the border throughout. The new, stronger measures are necessary because of the arrival around the world of new variants of concern at the same time as the vaccine roll-out is progressing successfully. We do not want the very successful vaccine roll-out to be undermined, so it is reasonable to take a precautionary approach to international travel now, while we assess the effectiveness of the vaccines. We are clear that they have some effectiveness; the question is to what degree. That is being tested right now.
Neil O’Brien (Harborough) (Con) [V]
Given the incredible success of the UK vaccination programme, it would be terrible to put at risk our opening up by importing new variants like those seen in Brazil. Will my right hon. Friend stand ready to further tighten the measures at the border and the enforcement of quarantine, and does he agree that if we want to see rapid opening up, as we all do, we should be supporting strong measures at the border?
Covid Security at UK Borders
Neil O'Brien Excerpts(3 years, 3 months ago)
Commons ChamberRead Full debate Read Hansard Text Read Debate Ministerial Extracts
Neil O’Brien (Harborough) (Con) [V]
One of the great pleasures of recent weeks has been to see lines of people queueing up outside in Market Harborough and up in Oadby to get their vaccines against the coronavirus. It has been an inspirational effort, involving everyone from Britain’s amazing scientists to NHS workers—the doctors and nurses who are rolling out the fastest vaccination programme anywhere in Europe. We have now managed to vaccinate more than France, Spain and Italy put together. It is a fantastic effort, where we really are among the world-leaders.
With that inspirational background in mind, and that success that is bringing us closer every day to getting back to normal—[Inaudible.] Of course there must be support for people in the transport sector who are badly affected by this, and I welcome the fact that somewhere between £2.5 billion and £3 billion of aid has been given to the air transport sector alone, but we are right to tighten the borders to protect the effort we have made on vaccinations.
It is right that we are bringing in the new 10-day quarantine, with the option to go to five if people—[Inaudible.] I welcome the extra policing—[Inaudible.] I encourage Ministers, in all the different things they are doing, to get things in place and stand ready to go further as appropriate—[Inaudible.] I think that the red list and the hotel quarantine is an excellent idea, and I commend what Ministers are doing there. We are learning from the—[Inaudible.] All have had in common strong health borders, so it is great to see that Ministers will stand ready and will, I am sure, add to that list and tighten that regime further if necessary.
It is also very good to be bringing in the new requirement that people have to have a negative test within three days of travelling to the UK. Again, let us bring that in —it is an excellent measure—and stand ready to tighten the nut further if necessary. That could perhaps be through, in countries where it is possible, adding a lateral flow test or doing other things to add to the health border.
Overall, I congratulate Ministers on the decisive steps they are taking. I think it is good to be bringing in these health borders as Britain, now leading the world in vaccinations, tries to get back to normal in a safe way, protecting lives. We have seen today the new South African variant arriving in the UK. That is a warning to us all and shows just why these measures are so desperately needed. I support what Ministers are doing, and I stand ready to support them as they go further and tighten the nut.
Covid-19 Update
Neil O'Brien Excerpts(3 years, 4 months ago)
Commons ChamberRead Full debate Read Hansard Text Read Debate Ministerial Extracts
Matt Hancock
We are opening more and more GP vaccination hubs each day. The answer specifically on Chester-le-Street is as soon as we practically can, but it has to be done in a safe way. That is out my hands and out of the right hon. Gentleman’s hands. An important operational set of procedures needs to be gone through to open the hubs. It is complicated. I will look into the right hon. Gentleman’s example and write to him with details, but he will understand, as I am sure the people of Chester-le-Street will, that we are trying to get the vaccine rolled out as quickly and as safely as possible, but “safely” is an important part of that.
Neil O’Brien (Harborough) (Con) [V]
Will my right hon. Friend confirm that if people in Harborough and Oadby and Wigston continue to drive down rates of infection locally, the different districts and boroughs in Leicestershire can be put in different tiers if the data supports that? Will he join me in congratulating our local NHS here in Leicestershire on the efficient way in which it is rolling out the vaccine across the county?
Matt Hancock
Yes on both counts. We looked at Leicestershire in great detail and I wish that we could have taken the county and the city out of tier 3. Unfortunately the data did not support that conclusion. I am grateful to everybody across Leicestershire, because I know that this has been a long, hard slog with measures in place for a long time.
Covid-19 Update
Neil O'Brien Excerpts(3 years, 5 months ago)
Commons ChamberRead Full debate Read Hansard Text Read Debate Ministerial Extracts
Matt Hancock
The right hon. Gentleman asks a characteristically critical question and puts his finger on a vital logistical point. We are planning to help students to get home safely with the assistance of mass testing. In places such as Leeds, mass testing is being made available to the directors of public health. Of course, these things must be dovetailed. The universities will be in the lead on the mass testing of students, but this process, by its nature, will absolutely draw on the public health knowledge and expertise of the local council. Although each of us has become something of a public health expert over the past 11 months, the professional support from the public health team in the council will be critical to this task.
Neil O’Brien (Harborough) (Con)
I welcome my right hon Friend's announcement on the roll-out of mass testing for NHS staff and congratulate him on securing so many doses of the vaccine. It is wonderful news that the efficacy of the first of these vaccines seems to be so very high. I have read in newspapers over the past month countless pundits telling me that there would be no vaccine and that the right thing to do would be to let the virus rip and try to protect a few vulnerable people. Does this not show that it is right to listen to the scientists and the real experts rather than pundits who would have put millions of people’s lives at risk?
Matt Hancock
My hon. Friend feels strongly about this point. That is understandable, because the strategy that we have pursued has been to suppress the virus while we work on the vaccine. We are not there yet, but this progress towards a vaccine demonstrates why we followed the strategy of protecting life even though we know that there are challenging consequences for businesses and other parts of society. We have done so because we have a good degree of confidence that a vaccine will come and will make a significant contribution to solving this problem without the huge risk of its impact on taking people’s lives, especially the most vulnerable, that would be incurred if we did not suppress the virus.
Covid-19 Update
Neil O'Brien Excerpts(3 years, 7 months ago)
Commons ChamberRead Full debate Read Hansard Text Read Debate Ministerial Extracts
Matt Hancock
Yes. We put an extra £10 million into the local authorities in the north-east to support contact tracing and we are also stitching together the data feeds between the national system and each of the individual local authorities in the north-east. We will keep working hard on that project. I will keep listening to the needs of the local authorities in the north-east and across the rest of the country.
Neil O’Brien (Harborough) (Con)
It is good that we are now testing more than other countries and good that we have a quarter more testing capacity than we had in August, and we are very grateful to the staff of the mobile testing centres that we now have in Oadby and Wigston, but what is my right hon. Friend doing to further drive up testing capacity so that we can stay ahead of this?
Matt Hancock
That is the subject of a huge amount of Government effort, working with the NHS and with the private sector on both the current technology and the new technology. I will just make a point about Oadby and Wigston in my hon. Friend’s constituency. People say, “Where is a local lockdown having an effect?” Well, the answer is in Oadby and Wigston, where the case rate has come down because the good people of Oadby and Wigston have followed the locally applied rules and that has brought the virus back under control. I am very grateful to my hon. Friend for the leadership that he has shown there, along with the leaders of the county council and of the district council, who have worked really hard together to make this happen.