Oral Answers to Questions

Norman Lamb Excerpts

Tuesday 11th June 2013 Commons Chamber

[Mike Thornton (Eastleigh) (LD)]

11. What progress he has made in delivering parity of esteem between mental and physical health.

[The Minister of State, Department of Health (Norman Lamb)]

One of NHS England’s objectives is to ensure that mental health and physical health are given equal priority. By March 2015, we expect the NHS to demonstrate measurable progress towards achieving parity of esteem, so that everyone who needs them has timely access to evidence-based services.

[Mike Thornton]

Freedom of information figures that were obtained by Mind from Southern Health NHS Foundation Trust reveal that in my constituency, the number of people with mental issues who are admitted to hospital, rather than treated by specialist crisis resolution and home treatment services, is higher than average. What steps is the Department taking to ensure that everyone has access to mental health crisis care services that provide alternatives to hospital admission?

[Norman Lamb]

I applaud the work that Mind is doing to demonstrate the stark differences between the treatment of people with mental health problems who are in crisis and that of people with physical health problems. Its work demonstrates that without proper liaison services, people end up in hospital, at increased cost to the NHS. I have asked all the relevant bodies to get together to agree a plan to ensure that there is urgent crisis care for people with mental health problems, like that experienced by people with physical health problems.

[Robert Flello (Stoke-on-Trent South) (Lab)]

I am most concerned that as well as the problems at the crisis level, there is not enough support for people with low-level mental health issues so that they do not get into crisis. Although I welcome what the Minister has said about improvements by 2015, does he not agree that we need stronger and more defined targets to get the progress that is needed towards the mental health services that are required across the country?

[Norman Lamb]

I agree that the more we invest in preventive care, the more we will save problems down the track and stop people’s health deteriorating. Areas that have managed to integrate mental health with primary care have seen good results, with better treatment, quicker access to treatment and less deterioration of health. That is the approach that we need to take.

[Mr Dominic Raab (Esher and Walton) (Con)]

12. What progress his Department has made on implementing local commissioning of NHS services.

[The Minister of State, Department of Health (Norman Lamb)]

By April 2013, 211 clinical commissioning groups were authorised to commission the majority of NHS services for their local populations. CCGs are now empowered to design and deliver services based on the needs and choices of their patients, and NHS England will support CCGs to deliver high-quality outcomes.

[Mr Raab]

I thank the Minister for that answer. My constituency struggled under a particularly inefficient primary care trust. It is, of course, early days, as the Minister has explained, but Surrey Downs CCG is already saving costs in bureaucracy so as to invest strategically in cutting counselling waiting lists, increasing funding for children with multiple disabilities, and setting up virtual wards run by a matron to supervise care in the community. Will the Minister join me in welcoming those important GP-led improvements in local care?

[Norman Lamb]

I applaud the CCG for the priorities it has set. Reducing waiting times for access to psychological therapies is a really good move, and the virtual ward has the potential to keep people out of hospital, maintaining their health better and reducing cost to the NHS.

[Meg Hillier (Hackney South and Shoreditch) (Lab/Co-op)]

Hackney CCG was one of the first to be up and running in shadow form. It is now operational but it is still persisting with a tendering approach to out-of-hours services. Will the Secretary of State write to the CCG to explain what has been said in this House—that tendering is not a requirement—and make it absolutely clear where the law lies?

[Norman Lamb]

The point I have tried to make all along is that this is about the judgment of the clinical commissioning groups, and nothing is imposed by the Government in what is required of them. European procurement rules existed under the Labour Government and this Government, but it is up to CCGs, working within the health and wellbeing board arrangements, to commission as they see fit for the benefits of their population.

[Priti Patel (Witham) (Con)]

Despite Witham town’s growing population, our GP ratio remains above the national and regional average. Does the Minister agree that the local commissioning model, and the CCG in particular, would urge GPs to explore ways to expand Witham’s health care provision to meet the needs of the growing local population?

[Norman Lamb]

I know that my hon. Friend has campaigned vigorously and consistently on this issue and the needs of her local community, and I agree that GPs ought to explore all ways they can of improving health care for her community.

[Keith Vaz (Leicester East) (Lab)]

May I declare my interest, and ask the Minister whether he is satisfied with the progress being made by CCGs in the provision of diabetes prevention work?

[Norman Lamb]

I understand that all clinical commissioning groups have a lead on diabetes care, but we can do an awful lot more to improve prevention work. We know that if we guide people in self-care, we can achieve massive improvements in their own health and well-being, and reduce the number of crises that occur. I am happy to work with the right hon. Gentleman to ensure we do everything we can to improve diabetes care.

[Chris Heaton-Harris (Daventry) (Con)]

13. What recent representations he has received expressing concern about the service provided by the East Midlands Ambulance Service.

--- Later in debate ---

[Pauline Latham (Mid Derbyshire) (Con)]

14. What recent assessment he has made of the national cancer drugs fund list.

[The Minister of State, Department of Health (Norman Lamb)]

In April 2013, NHS England published a national list of drugs available from the fund. The list was updated recently following a meeting of the national cancer drugs fund clinical panel. Clinicians can apply to the fund for the inclusion of a drug within the approved list.

[Pauline Latham]

The cancer drugs fund is due to come to an end in less than a year. Given that more than 28,000 patients have received treatment since the CDF was introduced, what discussions has the Minister had with NHS England on continuing funding for it after the end of the current arrangements?

[Norman Lamb]

My hon. Friend has campaigned vigorously to ensure that as many people as possible get access to the drugs they need. The fund has been a great success. More than 30,000 have I think now benefited from it. We want to do all we can to ensure that the good lessons we have learned from it continue.

[Zac Goldsmith (Richmond Park) (Con)]

15. What progress has been made on implementation of the UK five-year antimicrobial resistance strategy.