Oral Answers to Questions

Nigel Mills Excerpts

Tuesday 5th March 2024 Commons Chamber

[Dame Andrea Leadsom]

I am very surprised and disappointed to hear the hon. Lady say that. We are delivering 2.5 million more appointments through the new patient premium, which started last Friday. We will have information within a month to see which dentists have taken up this generous new patient premium to ensure that many more people get access to dentistry. Not only that, but we have golden hellos to attract dentists to areas that are underserved, mobile dental vans and, importantly, a new focus on Smile4life. That is going to ensure that all babies and young children have that fabulous smile for life.

[Nigel Mills (Amber Valley) (Con)]

T5. The Pharmacy First service has proved popular in Amber Valley, but some pharmacists report confusion because the ear infection service applies only to under 18s and patients are being referred to pharmacies when they should not be. Will the Minister either extend the service to over-18s or ensure that NHS communications are clear that this service is only for children?

[Dame Andrea Leadsom]

My hon. Friend raises an important point. He will be aware that a decision was taken that ear wax removal services are better done in the community and that ear syringing can cause problems. That area is under review and I am happy to write to him to address the specific point he makes about over-18s and children.

Pharmacy First

Nigel Mills Excerpts

Wednesday 31st January 2024 Commons Chamber

[Dame Andrea Leadsom]

What is brilliant is that over 95% of all community pharmacies have signed up, including 172 in my hon. Friend’s area.

[Nigel Mills (Amber Valley) (Con)]

Key to the service’s success will be pharmacies actually offering it when patients turn up. Does my right hon. Friend know how many individual pharmacists have been trained to provide the services, and is there a way of gathering and publishing data on when pharmacies will offer the service, so that patients will not have a frustrated journey and we can see where the gaps are?

[Dame Andrea Leadsom]

As I say, more than 95% of all community pharmacies have signed up to the service, and all their pharmacists have been trained in how to deliver it.

Draft Health and Social Care Information Centre (Transfer of Functions, Abolition and Transitional Provisions) Regulations 2023

Nigel Mills Excerpts

Tuesday 17th January 2023 General Committees

[Nigel Mills (Amber Valley) (Con)]

It is a pleasure to serve under your chairmanship, Mrs Latham.

It is tempting to ask whether any of the Lansley reforms from decades ago have survived, and whether we have abandoned them all. We may be considering the last surviving bit to keep. Do the Government now believe that the right structure for the NHS is to have as few organisations as possible and to have them doing everything? We are seeing that with integrated care boards across the country, and now we are bringing stuff into NHS England. What is the Government’s vision for how the NHS should look? Will we see a plan under which we unravel a few more of the trusts that are still stuck around and for which none of us could quite understand the reason? Is that the vision: fewer organisations doing more gives a better outcome than lots of different things doing specialised work?

Vaccination Strategy

Nigel Mills Excerpts

Wednesday 12th January 2022 Commons Chamber

[Maggie Throup]

I, too, pay tribute to the work of Kate Bingham. Without her leadership, we would be in a worse position in regard to vaccines.

The hon. Gentleman has raised the issue of Valneva in the past, and, as I have said in the past, I cannot comment on commercial decisions.

[Nigel Mills (Amber Valley) (Con)]

I join the Minister in thanking all those who rushed out the booster programme in December, but some of our constituents have been confused by the two booking systems, the one for the GP centres and the national booking system. Will she commit herself to trying to establish a single booking system by the time we get round to the autumn boosters, or whatever we are going to have, so that we can see full capacity in all the sites that patients can use in one location?

[Maggie Throup]

My hon. Friend makes a very good point. I think what we have achieved in the last year is incredible, and we know that we can improve things such as booking services, which is one of the areas I am sure we will be looking at. My hon. Friend makes the point that sometimes people were not aware that slots were available through their GP and thought they had to go through the national booking service. These are lessons to be learned. We have achieved an awful lot in just over a year, and I am sure we will be looking into that as a matter of urgency.

Randox Covid Contracts

Nigel Mills Excerpts

Wednesday 17th November 2021 Commons Chamber

[Nigel Mills (Amber Valley) (Con)]

I was not planning to speak in this debate, but I have a few remarks I would like to make. As one of the co-chairs of the all-party parliamentary group on anti-corruption and responsible tax, I take these kinds of accusations very seriously, and as someone who has served on the Public Accounts Committee, I have done my fair share of time looking at how Government procurement works. There are some very serious questions that need very serious and comprehensive answers, but we have to be pretty generous in spirit to the situation that the Government found themselves in back in March 2020. We had a pandemic of a new virus. We did not have anything like the testing capacity or the PPE in stock that we needed, and we had to try to find solutions to those things quickly. I just do not think it would have been feasible in that situation for every normal process to have been carried out for the Government to have delivered what people had every right to expect them to be trying to deliver. We should look at it generously and not expect to see every i dotted and every t crossed, as we would normally expect.

That is not to say we should expect there to be no process at all, and the Government should have been cognisant that if they were going through a rapid emergency process, there were very great risks that things could go wrong and money could be wasted, with the possibility of overpayments, buying from people who could not deliver, and not ending up with the right amount of stuff. That heightened the risk and should have created more sensitivity around process to ensure that such accusations could not be made retrospectively.

We should have seen the Government try to be as transparent as possible about what happened, what was bought, what was paid and about who introduced who and how. That is where the Government have gone wrong at the end of this process. I can accept that mistakes were bound to be made at the start. I can probably accept that we probably wasted money, paid too much, paid the wrong people and things went wrong. In the middle of this panic, if I knew someone who I could trust and who I thought could deliver, I may well have pushed them forward more than I would ever normally do. I can accept all that may have happened, but now—we are 18 months on from that point—let us publish everything we feasibly can, and let us be as clear as we possibly can about what happened and why.

I suspect that there is not actually much to see here. I suspect we will find things that are embarrassing and things that went wrong, but I do not think we will find much evidence of corruption. However, if there is any, let us get it out there, see it, deal with the people who did it, get the price of it and then let us move on from this. I do not see why we are trying to hide things now and resisting publication, so I will support this motion if there is a vote later. May I urge the Government, on all the other things and all the other requests, just to publish it and get it out there? I am sure there is nothing to see, and I am not sure how it helps to resist all this now. Let us just do it. When we see a scandal involving a former Member of this House and the same company, it is just not prudent to think that we can not publish everything involved in that. I hope—I sincerely hope—that there is nothing there to see, but let us just be clear about it.

I think my final advice to the Government would be that the only way we will move on from these issues and clear the stench, which I am sure is unfounded, is transparency. Just publish everything, even if it is embarrassing, even if we would not normally do it and even if there were commercial restrictions we would not normally have. I think those are all trumped in this situation because we could not have the normal procedures, but we have to have a different process now. Let us be open, let us publish it and let us move on from all of this.

Oral Answers to Questions

Nigel Mills Excerpts

Tuesday 19th October 2021 Commons Chamber

[Andrew Jones (Harrogate and Knaresborough) (Con)]

16. What recent steps his Department has taken to increase NHS capacity.

[Nigel Mills (Amber Valley) (Con)]

19. What recent steps his Department has taken to increase NHS capacity.

[The Secretary of State for Health and Social Care (Sajid Javid)]

The NHS will receive an extra £5.4 billion for the second half of this financial year to support its response to covid-19. This includes an extra £1 billion to help to tackle the treatment backlog and £478 million to continue the enhanced hospital discharge programme, freeing up beds. This brings the total extra investment in health and care services so far this year, during the pandemic, to £34 billion.

--- Later in debate ---

[Sajid Javid]

My hon. Friend is right to highlight the importance of mental health. He will know that one of the unintended consequences of the lockdowns is that, sadly, there were more cases of mental ill health. The NHS long-term plan commits to increasing investment in mental health at least as fast as investment in physical health, with at least £2.3 billion of extra spending on mental health by 2023-24, which I hope he welcomes.

[Nigel Mills]

Local general practitioners report that they are working as hard as they ever have, with full lists of appointments, but constituents are still unhappy that they cannot get appointments quickly or in the format they would like. Is there more the Government could do to help local GPs across the country to give patients the service that they want and that GPs want to provide?

[Sajid Javid]

We are hugely grateful for the tireless efforts of GPs and their teams throughout the pandemic. In our comprehensive new plan, which we announced last week, we are including a £250 million winter access fund to support GPs and make it easier for them to see and speak to their patients. A record number of GPs began training in 2021, and we are committed to increasing the number to 4,000 each year.

Covid-19 Update

Nigel Mills Excerpts

Monday 7th June 2021 Commons Chamber

[Matt Hancock]

The way the hon. Lady characterises this policy proposal is not accurate. People listening to this debate should be reassured that the privacy and security of their data are absolutely paramount. I look forward to her working with the NHS and with government to reassure people about the use of their data, because, ultimately, by making sure that we can understand what is happening, we can find better treatments, improve individuals’ treatment and save lives. This is all about making sure we use the best of modern technology to save lives and, in the process, improve the privacy and security of data. I hope she will take that message and reassurance and pass it on to her constituents and others with whom she is working, because, ultimately, improving and saving lives is the NHS’s historic mission and this policy proposal is just another small step in that.

[Nigel Mills (Amber Valley) (Con) [V]]

I welcome the Secretary of State’s confirmation that we will hit the end of July target of vaccinating all adults in England. Will he give us a bit of a forward look to what he is planning for the autumn in terms of the flu season and any covid booster jabs? Is he expecting all adults over 50 to have a third jab? Does he think that that will be at the same time as a flu jab? Will it be combined? Or will we have to have two separate healthcare visits?

[Matt Hancock]

We are working on exactly that question. Of course, there is the question in advance of that of the vaccination of 12 to 18-year-olds, on which we are taking advice from the JCVI. We are conducting trials as to what are the best jabs to give, given which two previous jabs people have had, to give them the strongest protection. The third thing we are doing is working with AstraZeneca to develop a vaccine specifically targeted at the variants—that was part of the G7 work and announcements last week. If we can give a flu jab and a covid booster jab at the same time, that would be great. That is also under clinical evaluation, because, obviously, it would make the logistics so much easier over the autumn. Likewise, I am taking advice on which age groups and which groups it should be for: whether it should just be for the over-50s or for everybody; how to vaccinate; what group to put health and social care workers in; and whether there is a special regime for those who live in care homes, as there was in the first round of vaccination, where care home residents and staff came first. All of those are live questions on which we do not yet have answers, but that is the scope of the decisions we need to make ahead of the autumn for the autumn vaccination programme.

Covid-19 Update

Nigel Mills Excerpts

Monday 19th April 2021 Commons Chamber

[Matt Hancock]

We simply do not know that. We are acting on a precautionary basis. I cannot give the hon. Gentleman that assurance, but we are looking into that question as fast as possible. The core of my concern about the variant first found in India is that the vaccines may be less effective in terms of transmission and of reducing hospitalisation and death. It is the same concern that we have with the variant first found in South Africa and is the core reason why we took the decision today.

[Nigel Mills (Amber Valley) (Con) [V]]

May I add my thanks to the NHS in Amber Valley, which has been moving through the vaccines so fast that it had even done more than 70% of the 40 to 50 age group by last week? What is my right hon. Friend’s message, though, to those who are saying that, based on media reports, we have now reached the herd immunity level and therefore this problem has all gone away?

Covid-19: Government’s Publication of Contracts

Nigel Mills Excerpts

Tuesday 9th March 2021 Commons Chamber

[Edward Argar]

It is a pleasure to be opposite the hon. Lady once again at the Dispatch Box—two weeks after we were last here. I will do my best to answer the questions she raised, not just for my own Department, but more broadly across Government.

The hon. Lady raised a number of points. She is absolutely right to say that transparency matters, because transparency of procurement and transparency in Government is one of the foundations of the trust that is so vital to our democracy. That is why we are working flat out to ensure that, as new contracts are awarded, the contract award notices and other relevant pieces of information are published in line with the requirements of regulations.

What is most important, though, is to recognise the situation that we faced last year, with rising infection rates, rising hospitalisation rates and the need to do everything we could—to “strain every sinew”, to quote one of the hon. Lady’s letters to the Chancellor of the Duchy of Lancaster at the time—to make sure we got those working flat out on the frontline what they needed to keep them safe. I pay tribute to the officials in my Department, who did exactly that: they focused on getting what was needed in bulk in an incredibly challenging global market, to make sure that PPE did not run out.

The hon. Lady quite rightly quoted the judgment, and I will quote paragraph 149 of the judgment—the original judgment, not the supplementary judgment. The judge, Mr Justice Chamberlain, stated that

“the overall picture shows the Secretary of State moving close to complete compliance. The evidence as a whole suggests that the backlog arose largely in the first few months of the pandemic and that officials began to bear down on it during the autumn of 2020.”

I think that recognises the efforts that have been put in place to ensure that we meet our transparency requirements. One hundred per cent. of the Department’s CANs—contract aware notices—have been published.

The hon. Member asked a particular question in referring to my right hon. Friend the Prime Minister’s comments on 22 February—I hope I am correct in surmising that. My right hon. Friend was responding to a question around the failure to publish the details of specific contracts that are subject to judicial reviews. I am advised that, at the time of his statement, the details for all the contracts under scrutiny were published.

[Nigel Mills (Amber Valley) (Con) [V]]

As the co-chair of the all-party parliamentary group on anti-corruption and responsible tax, I think that the Government’s following robust procurement measures is absolutely critical, but clearly a year ago we were not in normal circumstances; most reasonable people would accept that desperate times called for desperate measures. Will the Minister confirm that the Government are now following all normal, standard procurement processes? Will he confirm what percentage of the contracts from a year ago have been fully published and when the remainder will be published?

[Edward Argar]

My hon. Friend highlights the situation we faced at the time. He also, quite rightly, highlights the importance of transparency and complying with all transparency processes. The Government invoked regulation 32, which recognised the exceptional circumstances that allowed for procurement without the usual tendering process. I believe that the usual tendering process could take, at a minimum, 25 days. My hon. Friend recalls the situation at the time. The Government did what we felt was right to ensure that we got the PPE that our frontline needed. The court case also found that there was no policy to deprioritise compliance with transparency regulations. I give him the assurance he seeks: the Government are doing everything possible to ensure that we fully comply with those regulations going forward.

NHS Staff Pay

Nigel Mills Excerpts

Monday 8th March 2021 Commons Chamber

[Mr Speaker]

We now come to the final question, from Nigel Mills.

[Nigel Mills (Amber Valley) (Con) [V]]

Will the Minister confirm that the public sector pay review body can take into account the exceptional service and sacrifice of our nurses and medical staff over the last year, and that if it recommends a higher pay rise than 1%, the Government will look at funding that from new resources and not have to scrimp and save elsewhere in NHS to fund the difference?

[Helen Whately]

I agree: our NHS workforce—in fact, our whole health and social care workforce—have done a phenomenal job through the pandemic and, we should not forget, continue to do so. I will not pre-empt the recommendations that we will receive from the pay review body, but I assure my hon. Friend that we will absolutely consider them carefully before coming to a decision.