Access to Primary Healthcare
Nusrat Ghani Excerpts(2 weeks, 5 days ago)
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Madam Deputy Speaker (Ms Nusrat Ghani)
I inform the House that I have selected amendment (a), tabled in the name of the Prime Minister.
I call Helen Morgan.
NHS Performance: Darzi Investigation
Nusrat Ghani Excerpts(4 weeks ago)
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Helen Morgan
I thank the right hon. Gentleman for his intervention. There is a general problem with care in the community of all types not being there for people. We have people in places where they will not get better as quickly—in some cases, their situation may be deteriorating—because that care is not available. Mental health provision in my constituency is absolutely appalling. People register with a doctor over the border just to access better mental health care. I could not agree with him more.
In conclusion, the Darzi report is shocking, but it is not surprising based on the experience of my constituents. Poor access to primary care—whether that is GPs, dentists or early mental health intervention—is leaving people in pain and distress. Long waiting lists and crumbling hospitals are leaving people unable to get back to work, with their situation deteriorating, and the crisis in social care—the elephant in the room—is depriving people of their independence and leaving them in hospital when they could be at home. The new Government must make fixing the NHS and care their No. 1 priority. Liberal Democrats will be here to provide constructive opposition to ensure that they do.
Madam Deputy Speaker (Ms Nusrat Ghani)
I call Ben Goldsborough to make his maiden speech.
Several hon. Members rose—
Madam Deputy Speaker (Ms Nusrat Ghani)
Order. As the Front-Bench contributions went on for so long, Back Benchers will now be limited to three minutes, and I ask that maiden speeches be limited to five minutes to squeeze in as many people as I can. I call a tieless Dr Luke Evans.
Valerie Vaz (Walsall and Bloxwich) (Lab)
It is a pleasure to follow the hon. Member for Hinckley and Bosworth (Dr Evans).
The report is a tour de force from Lord Darzi, and I thank him for his work. The Secretary of State rightly commissioned the report as a benchmark for future improvement. I was a member of the Health Committee from 2010 to 2015. Given the evidence we heard, there was no alternative but to pause the Bill—the Committee played an important role in that. Chapter 10 of the report sets out the structure. Lord Darzi points out that the 2012 Act was three times the size of the original Act setting up the NHS. The 2022 Act moved into integrated care, and in paragraph 15 on page 121, he raises some concerns about how the ICBs—integrated care boards—operate, and their accountability. Could there be a review into how they operate? Paragraph 37 highlights that trust chief executives’ pay is based on the turnover of the organisation, which encourages trusts to
“grow their revenue rather than to improve operational performance.”
Some are even paid more than the Prime Minister.
The flow of patients is important, which is where working with local authorities is so important. We can move planes around the world, but it seems we cannot move people out of hospital. The Select Committee visited Torbay, which was set up in 2009. We followed Mrs Smith from a single point of contact all the way through. As Lord Darzi said on page 77, collaboration is not the same as integration. On page 5, paragraph 13, he points out that too great a share of the money is spent in hospitals rather than in the community. On page 81, he said that “GP…contracts are complex” and doing the right thing for patients is the wrong thing for GP income. He said, “That cannot be right.”
Our mantra should be “prevention, prevention, prevention”. In our report, we said that public health should be moved into local authorities. As Lord Darzi said, health visitors are dropping. He also said that the NHS is missing an opportunity to intervene early. We had Sure Start, which is where health visitors were focused. He talked about clinical negligence. Some £2.9 billion— 1.7%—of the budget is spent on settling claims. Can the Secretary of State pursue the duty of candour and ask each trust to look at whether they can move cases into arbitration?
Sadly, disparities by ethnicity make very grim and sad reading. Paragraph 24 refers to the median age at death as 62 for white people, 40 for black people, 33 for Asian people and 30 for those from a mixed background. There was supposed to be a chart in the report, but it is not there. Will the Secretary of State look at producing it?
Lord Darzi’s report gives the Secretary of State and the health team an important opportunity to re-set the NHS. It is the envy of the world and free at the point of use. As Lord Darzi said, we cannot afford not to have an NHS.
Alex McIntyre (Gloucester) (Lab)
I congratulate my hon. Friends the Members for South Norfolk (Ben Goldsborough), and for South West Norfolk (Terry Jermy), and the hon. Member for Esher and Walton (Monica Harding), on their wonderful maiden speeches.
I first wish to pay tribute to my predecessor, Richard Graham. Richard represented Gloucester and its residents for 14 years, and I thank him for his service. In the last Parliament, he worked to make spiking a specific criminal offence—something I am proud that this Government will deliver.
It is the most incredible privilege to stand here on behalf of Gloucester residents and to make my maiden speech in this debate, and it is particularly appropriate for three reasons. First, my local NHS hospital, Gloucestershire Royal, has played an important part in my family’s life. It was where my wife and I spent our first night with our little boy, who turns one later this month. I have also spent much of my professional career representing NHS trusts up and down the country, and I have heard at first hand some of the challenges they face, particularly in the recruitment and retention of frontline key workers, to whom I am sure we all owe a personal debt of gratitude. It is also appropriate because I know how many families in my constituency are struggling to get the NHS care they need and will recognise many of the findings in Lord Darzi’s report. Seeing a GP, going to the dentist for a check-up or arriving at A&E in an ambulance and going straight through the doors—those might seem like the basic requirements of a functioning health service, but for my constituents they have become a luxury.
Gloucester is a city rich with potential. We are a city small in size but giant in stature. We have a proud history stretching back to the Roman colonia of Glevum, one of the administrative capitals of Roman Britain. We are one of only three cities in the UK to have hosted a coronation, and our mighty cathedral soars above the city skyline. Younger Members of the House will recognise the cathedral’s cloisters as part of the magical world of Hogwarts, while older Members may recognise our city and our tailor as part of the magical world of another famous Potter—Beatrix.
Last month, we celebrated Gloucester Day, which marks the end of the siege of Gloucester, in which our city stood tall when all hope appeared lost. You can still find brilliant examples of our wonderful heritage across the city, perhaps on a visit to the Folk of Gloucester or on a tour with the Gloucester Civic Trust. We also have a proud military history, from the Glorious Glosters to RAF Quedgeley, which is now Kingsway; and our historic docks, recently designated a heritage harbour by the Maritime Heritage Trust, are home to the brilliant Soldiers of Gloucestershire Museum.
Gloucester also stands out as a place of great innovations: the vacuum cleaner, the ferris wheel, the first jet aircraft and, of course, Viennetta were all pioneered in our great city. But our potential to be great is not confined to the history books—and no, I am not just talking about the country’s finest rugby team, Gloucester-Hartpury, who have won the premiership women’s rugby title two years in a row. The seeds of change were sown in recent years—first under Parmjit Dhanda, Richard’s Labour predecessor, and then under Richard—with the regeneration of the Quays, the Forum and the exciting new university campus, which is due to open next year. But we can and we must go further; plans for the redevelopment of Podsmead and Matson must be brought to life, and brownfield sites across the city turned into the social housing of the future. This Government’s mission to get Britain building can and should unlock our city’s potential.
However, it is not in development that our city’s greatest potential lies; that potential is, of course, in our people—the brilliant people of Gloucester, who are community-minded, fiercely proud and quite happy to tell me exactly what they are thinking. As the new MP for Gloucester, I know that although potential is found in all residents in our city, opportunity is not. I entered politics because I see the potential of every child in Gloucester, and I want to fight to ensure that opportunities like the ones I had growing up in a working-class family under the last Labour Government are open to every single family like mine in our city. When I visit schools in my constituency, I see the next generation of solar and wind engineers, the next cohort of developers and cyber-security experts, and the carers, nurses and doctors who will look after me when I am old.
Gloucester is a diverse city, with over 70 different languages spoken on Barton Street alone—a city that stood united during the uprising of racism and Islamophobia we saw elsewhere in the country this summer—but more needs to be done. At a recent meeting of the Gloucestershire Race Collective, I promised to use my position in this House to give voice to the concerns of our diverse communities in Gloucester, and to work with this Government to tackle rising levels of racism and Islamophobia in our country.
As I work with this Government to deliver on their mission to provide opportunities for everyone in my constituency, regardless of their background, I hope that those opportunities will strengthen the already incredible bonds that bring our city together. Those bonds are best demonstrated by some of the amazing community organisations and charities working in our city, like Gloucestershire Gateway Trust, whose Bridging the Gap programme helps break down barriers to work and gets local people into sustainable employment; like Gloucester Feed the Hungry, whose warm welcome, hot coffee and delicious samosas put a smile on the faces of so many in our city; and like the Holly Gazzard Trust, which is tackling domestic abuse and stalking, turning that family’s personal tragedy into a safer future for all. There are many more such organisations—I could go on all day, but I am conscious of time—that demonstrate the very best of our city: a community that is driven to help others to achieve their potential.
In closing, I make a simple promise to the constituents of Gloucester and the community that I am so proud to serve: I will work tirelessly to deliver a better future for our city. It will be a future in which everyone can access the NHS care they need and every child has the opportunity to thrive; a future that celebrates our heritage, our potential, our diversity and our community—our Gloucester.
Rachael Maskell (York Central) (Lab/Co-op)
Is a real pleasure to follow the new hon. Member for St Neots and Mid Cambridgeshire (Ian Sollom). I am sure that he will be a rising star on the Liberal Democrat Benches. It is a pleasure to follow all hon. Members who have made their maiden speech today.
I am really grateful for the analysis that Lord Darzi has set out for us. The NHS has never been under such duress, nor have its staff, but following a diagnosis, we need a prescription. That is what I want to talk about today. We live in an ageing society, and while we celebrate the medical advances since Labour was last in power—in diagnostics, treatments, digital and technology—we know the urgency with which we need to apply them. Transformation has to be central to the agenda. I congratulate the Secretary of State on his focus on the NHS bringing about the transformation that is needed.
However, before we can look at that, we need to look at the financial flows in the NHS, which are not working, and the governance structures. I am not talking about reorganisation; I am talking about having one controlling mind in the right place in the service, overseeing the system. At the moment, there is too much focus on secondary care. That is sucking resources and work into that part, and driving inefficiency. Moving services into primary care is the key to unlocking the productivity and savings that are needed. It will improve health as well.
In the short time that I have, let me point to two examples in my community. First, in mental health, 30 Clarence Street is set up to be open access, so that there are no more long queues to see mental health practitioners, and multidisciplinary, with the public sector and the voluntary sector working hand in hand to meet people’s needs. I invite the Secretary of State to come and see that service, because it is what we should be doing across our NHS. Two more hubs are to be set up in my constituency, leading the way on mental health. Then there is the work of Nimbuscare in primary care settings; it is pulling out from the NHS all the services that do not need to be in the secondary part. It is unplugging the backlog at the front door of the health service, while ensuring that we are looking after people at the back door. That is the transformation that our health service truly needs. I wanted to share those examples, and set out how they can be extended to build the NHS of the future.
Susan Murray (Mid Dunbartonshire) (LD)
Thank you, Madam Deputy Speaker, for calling me to make my maiden speech. It is a pleasure to speak after the many excellent maiden speeches we have heard, including from the hon. Members for South Norfolk (Ben Goldsborough) and for South West Norfolk (Terry Jermy), my hon. Friend the Member for Esher and Walton (Monica Harding), the hon. Member for Gloucester (Alex McIntyre) and my hon. Friend the Member for St Neots and Mid Cambridgeshire (Ian Sollom). That took a bit of time, but it is important that those excellent speeches are acknowledged. I enjoyed listening to them all.
It is a great privilege for me to stand here today representing Mid Dunbartonshire, and the communities that are close to my heart. I have lived there for 30 years, and it is where both my sons went to school. Mid Dunbartonshire is in Scotland, in case Members had not noticed. It is a new constituency, following boundary changes this year. It sits 100% inside the East Dunbartonshire council area, as did the old constituency of East Dunbartonshire, but it now includes Lennoxtown and Milton of Campsie to the north and some of Lenzie to the east. I am delighted that these towns are now in the constituency I represent, but my sorrow is that it does not include Kirkintilloch East and Twechar, which are also dear to my heart and where I have been a councillor since 2017. I am sure that the hon. Member for Cumbernauld and Kirkintilloch (Katrina Murray) will look after the community there, and it was good to hear her highlight the problems with local bus services in her maiden speech.
It goes without saying that Mid Dunbartonshire is the best constituency in the UK. Local towns are regularly promoted as the best place to live in the UK—Bearsden in 2021 and Kirkintilloch in 2024—and in 2017 “Woman’s Hour” revealed East Dunbartonshire as the best place in Britain for women to live. Incidentally, that was when Jo Swinson began her third term as the Liberal Democrat MP for East Dunbartonshire, so I thank Jo for all her work in the constituency. I also want to recognise her successor, Amy Callaghan, and particularly the personal challenges that Amy overcame during her time as an MP. She has shown such courage in her service to the community, and I wish her well in the future. I also thank Stuart McDonald, who was the MP for the newer part of the constituency. I know that he is held in very high regard and with much affection in that area.
I am pleased to speak in the debate on Lord Darzi’s report, because I know only too well the challenges that individuals and families have to face when our health lets us down. In 2006 my husband had a brain haemorrhage, which changed our lives in an instant. I became his full-time carer and could not continue in my profession, and he was never able to return to his career. From being comfortably off, life changed to watching every penny. Without the support of our family, we could have lost our home, and we were very fortunate. Friends and our community helped me to survive and get on with life. I cannot praise NHS Greater Glasgow and Clyde enough. My husband spent months getting well enough to come home from hospital. Perhaps we were lucky with the timing, because at that time the excellent, talented and caring staff had the resources, which I have seen decline ever since.
I worked in the NHS before a career in medical marketing. I know the NHS from working in it and with it, and from my experience of visiting my husband. Latterly, I have been aware of the integration of health and social care through my role on the council. I know the pressures that good, kind, caring professionals are under to become as efficient as possible, and they are absolutely doing their best.
Looking back, that was the beginning of my involvement in politics. I was thrown into the space that our society refers to as “community”. I know why it is important for Government to fund local authorities and communities and to give them real power. They prevent costs to the NHS every day by stopping the revolving door of treatment, discharge home and relapse back into treatment, and they support self-care and wellbeing. They are our CPS—not the Crown Prosecution Service, but our community prevention service, which pays back investment in spades by preventing costs.
What makes Mid Dunbartonshire special is its people and communities. Like in other places, during covid the community stepped up to support each other, and groups are still helping with shopping and patient transport. There are groups of volunteers fighting climate change, reducing social isolation, providing mental health support and peer support, supporting carers, providing financial advice, helping with housing problems, looking after community buildings, preserving our heritage, knitting for peace, and promoting fair trade, performance art and more—tackling problems at home and internationally. Mid Dunbartonshire people care and take action. From listening to other maiden speeches, I know that that is happening all over the UK. Liberal Democrats want to harness that power for good.
One message that came across loud and clear on the doorsteps was that residents in Mid Dunbartonshire are tired of voting against things; they want to vote positively for things. Thomas Muir of Huntershill in Bishopbriggs was a famous son of Mid Dunbartonshire. At the end of the 18th century, he was a strenuous advocate of equal representation of the people in the House of the people, where I stand today. He said:
“I have devoted myself to the cause of the people. It is a good cause. It shall ultimately prevail. It shall finally triumph.”
The fight for fair votes prompted revolution at the end of the 18th century, and Thomas Muir was found guilty of sedition and transported to Australia for his efforts. In the 19th century, it took three reform Acts of this House to slowly extend voting rights for men. In the 20th century, the Representation of the People Act 1918 gave voting rights to some women and to men aged over 21. But it was not until 1928 that all adults had the right to vote. Today, in the 21st century, the call for better democracy continues.
The turnout in Mid Dunbartonshire at the last election was almost 72%, but many constituencies had a turnout in the low 40 per cents. The result shows a clear failure to engage a huge number of voters. I call on the Government to consider carefully the mandate that the result gave them, to treat every potential voter with dignity and respect, and to make the change to give every vote an equal weight, no matter where it is cast. This is an opportunity to end self-serving and self-obsessed politics, and to truly introduce the politics of service.
I will join my colleagues in this place in scrutinising Government proposals and working constructively with them to improve the quality of life for my constituents and all residents of the UK who make up the rich diversity of our communities.
Several hon. Members rose—
Madam Deputy Speaker
I call Adrian Ramsay, who has two minutes, and I can then squeeze in one more speaker.
Adrian Ramsay (Waveney Valley) (Green)
Thank you, Madam Deputy Speaker. It is a pleasure to follow the new hon. Member for Basingstoke (Luke Murphy) and hear about his pride in his constituency.
Our NHS provides amazing life-saving, dedicated care every day, but we also know that people are too often let down. Too many patients languish, often in pain, on long waiting lists. In rural constituencies such as mine, people often have to travel lengthy distances to access treatment. Lord Darzi points to systemic and chronic under-investment caused by austerity in funding and capital starvation. Resilience was stripped from the NHS before covid, and we owe it to those whose lives were lost or changed forever by the pandemic never to repeat these same mistakes and to do things differently. However, the Chancellor’s arguments about tough decisions and a black hole of £22 billion are alarmingly similar to those made by the previous Government. It is good to see the Chancellor signalling some movement on fiscal rules, and I hope this logic will apply to supporting our public services, which are a crucial investment in our future.
Putting wellbeing at the heart of what we do should help us navigate how we support the NHS. Bad planning, poor housing, weak transport and divisive social policies have a huge impact on health outcomes, for example. So I welcome the Secretary of State’s comments and he has been bullish about reform, but he has not been specific about exactly what he means by private sector involvement in the delivery of NHS services. There are real reasons to keep delivery of the NHS public, and not to outsource it to private providers. The Secretary of State has made statements about using the private sector to reduce waiting lists, but he has not explained whether he considers this to be a short-term plan while the NHS is being rebuilt, or a permanent policy. Lord Darzi’s diagnosis was helpful and the emphasis on prevention is hugely welcome, but to deliver it we require bold action and investment.
Peter Prinsley (Bury St Edmunds and Stowmarket) (Lab)
Fixing the NHS is our great task and our solemn promise, for there is much to fix after 14 years of managed chaos and decline under the neglectful eyes of our mostly absent predecessors. The candid assessment of the state of the NHS from Lord Darzi is truly alarming, and as my right hon. Friend the Secretary of State has said, it presents an accurate diagnosis of our difficulties. The report makes clear many of the problems of resources, management and structure, but today I would like to speak up for medical research, of which this country has such a proud record.
We all know of the catastrophic potential of infection, witnessed so very recently during the covid pandemic. Indeed, like many of us new Members, I too caught covid right here in this House in the crush to hear the King’s Speech. I do hope that hon. Members of a certain age, such as myself, will remember to get vaccinated. However, let us remember Jenner, who devised vaccination, Lister, who pioneered antisepsis, and Fleming, who discovered penicillin. These British scientists leading the fight against infection were probably responsible for saving more lives than any other people in the long history of medicine.
Last week, we learned of the first successful trials from Oxford of vaccines for ovarian cancer, and we will see many amazing advances in the year to come. Today, we can be excited about molecular genetics, artificial intelligence and the huge power of our people’s NHS data to unravel so many of the mysteries of modern medicine. I know that our Government will develop bold plans to repair the embattled NHS, but on this day I urge our brilliant new Government to pledge to do their utmost to support vital NHS medical research, which carries such promise.
Madam Deputy Speaker
Order. Thank you so much, but you must not continue speaking when I am standing. I call the shadow Minister.
Madam Deputy Speaker (Ms Nusrat Ghani)
Order. We did manage to get in 16 speakers even though we had a short amount of time due to Front-Bench contributions.
Government Policy on Health
Nusrat Ghani Excerpts(1 month, 3 weeks ago)
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Urgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.
Each Urgent Question requires a Government Minister to give a response on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
Victoria Atkins (Louth and Horncastle) (Con)
It is always nice to see the right hon. Gentleman, but I was expecting to see the actual Secretary of State respond to this question. Perhaps he is at a business meeting with health firms—
Madam Deputy Speaker (Ms Nusrat Ghani)
Order. May I ask the shadow Secretary of State just to pose the question? The Minister will respond, and then the shadow Secretary of State will get her two minutes after that.
Victoria Atkins
(Urgent Question): To ask the Secretary of State for Health and Social Care if he will make a statement on the involvement of people with no formal appointment in the development of Government policy on health.
I apologise to the House, Madam Deputy Speaker. I am more used to answering, but believe you me, I am looking forward to the questions.
Kit Malthouse (North West Hampshire) (Con)
On a point of order, Madam Deputy Speaker. The Secretary of State has obviously decided that attack is the best form of defence, but the operation of the House will collapse if he declines to answer any questions about a very serious matter of public concern. Can we seek your guidance, Madam Deputy Speaker, on whether he is conducting himself appropriately in the House? We are seeking transparency on a matter of probity, and he has a duty to answer the House, not least under the ministerial code.
Madam Deputy Speaker (Ms Nusrat Ghani)
The urgent question has just started, so there will be ample opportunity to continue to hold to account the Secretary of State, who no doubt believes that his answers are responding to the UQ. We have some time to go, so if Members bob, I will endeavour to ensure that they are called to do so.
Clive Efford (Eltham and Chislehurst) (Lab)
The sheer brass neck of the Conservatives to turn up on the very day that Transparency International UK published its report showing that £15 billion of contracts were red-flagged during the covid epidemic—[Interruption.] I am not reading. Those contracts have been red-flagged and are worthy of further investigation, and £500 million of them were given to companies that had not even lasted 100 days. Should the Conservatives not have taken that into consideration before coming here with this urgent question?
Wes Streeting
I wholeheartedly agree with my hon. Friend. Frankly, every single contribution from the Opposition Dispatch Box should begin with a grovelling apology for the way they conducted themselves in government, but they will not apologise: they have learnt nothing and they show no humility. To my hon. Friend’s point, when it comes to covid corruption and crony contracts, the message from the Chancellor is clear. We want our money back and the covid commissioner is coming to get it.
Madam Deputy Speaker (Ms Nusrat Ghani)
I call the Liberal Democrat Front-Bench spokesperson, Sarah Olney.
Sarah Olney (Richmond Park) (LD)
The Liberal Democrats find it deeply ironic that the shadow Health Secretary has raised this question on the involvement of people with no formal appointment in the development of Government policy. Are they forgetting their record in government? Perhaps we should remind everyone that, under the Conservatives, it was their friends that benefited from large contracts to supply the Government during the covid pandemic. The result is that, just today, as the hon. Member for Eltham and Chislehurst (Clive Efford) has already highlighted, Transparency International UK has revealed multiple red flags in more than 130 covid contracts totalling over £15.3 billion. With the Conservatives out of power, we have the opportunity to clean up our politics, so will the Secretary of State update the House on whether the Prime Minister plans to appoint his own ethics adviser or whether Sir Laurie Magnus will remain in the post? Will the ethics adviser be empowered to initiate their own investigations and publish their own reports?
Wes Streeting
I strongly agree with the hon. Member. In the short time that I have been in post, I have been delighted to have had virtual meetings with the current Northern Ireland Minister of Health, as well as with his predecessor, the hon. Member for South Antrim (Robin Swann), who now sits over there on the Opposition Benches—I am delighted to see him in his place.
Ministerial meetings attended by third parties are declared in our quarterly transparency publication. People will want to lobby and influence Government, and Members of Parliament, all the time. Members of Parliament regularly receive correspondence—let alone the deluge of advice that we receive in government. The important thing is that Ministers take decisions on the basis of the best possible advice available, that they weigh up carefully the evidence and arguments in a fair and proper way, and that advisers may advise but Ministers ultimately decide.
This Government are aware of the deep crisis in trust in our politics. That is why, on his very first day, the Prime Minister talked outside Downing Street about restoring Government to service. It is why it should be no surprise whatsoever that many people who have given outstanding public service to this country, such as my right honourable friend Alan Milburn—and the same is true of Patricia Hewitt, Alan Johnson, my noble Friend Lord Reed, the Mayor of Greater Manchester and many more—want to roll up their sleeves and help the Government. They can see the state that the Conservative party left our country in, and are willing once again to roll their sleeves up to get our country back on its feet, turn the situation around and ensure that everyone in our country can look forward to the future with optimism and hope after 14 years of abysmal failure.
Madam Deputy Speaker (Ms Nusrat Ghani)
That is the end of the urgent question. I thank all Members who participated. In reference to the Secretary of State earlier, the privilege of choosing UQs is down to the Chair and is based on merit and the urgency of the point being raised.
Unpaid Carers
Nusrat Ghani Excerpts(2 months ago)
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Tom Gordon (Harrogate and Knaresborough) (LD)
I thank my hon. Friend for bringing forward this Adjournment debate, and of course for the work she did before this parliamentary Session on what is now the Carer’s Leave Act 2023. One of the reasons why I became involved in politics is that the day before I started my master’s degree, my mum was diagnosed with breast cancer. I studied my degree part-time over two years to look after her and my little sister, who was just five. Looking back, it is clear that I was filling the role of a carer, but I did not identify as one. That is a key point to note if we are to have a carers strategy. A recent Carers Trust survey found that 73% of those who provide or have provided unpaid care do not identify as unpaid carers. Does my hon. Friend agree that a national carers strategy should prioritise the identification of carers across all sectors?
Madam Deputy Speaker (Ms Ghani)
Order. This is an Adjournment debate and interventions must be super-short.
Wendy Chamberlain
I am grateful to my hon. Friend. It demonstrates how prevalent caring is in our society when we have Members who have direct experience of it. Identification of carers, or people identifying themselves as carers, is a key issue that any strategy should address.
The then shadow Minister was right that we need a cross-Government strategy. This is not a new idea, because we have had such strategies before; the last one was drawn up all the way back in 2008, but the problems that unpaid carers face have not gone away. Unpaid carers are significantly more likely to be in poverty than the rest of the population. The most recent data available from the Department for Work and Pensions—the 2023 family resources survey—shows that just under a third of households in receipt of carer’s allowance are food insecure, compared with 10% of households as a whole. That is a huge difference.
To assess food insecurity, the survey asks the respondent whether in the past 30 days: they have has eaten less than they felt they should because of lack of funds; they have been hungry, but not eaten due to lack of funds; or they have lost weight due to not enough money for food. It also asks whether they or someone in their household has gone without eating for an entire day because they lack money for food. Further, the survey found that 13.3% of households in receipt of carer’s allowance—that is just more than one in every eight—had used a food bank in the previous 12 months, compared with just 3% of households overall.
Childhood Cancer Outcomes
Nusrat Ghani Excerpts(2 years, 6 months ago)
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Siobhan Baillie (Stroud) (Con)
I congratulate my hon. Friend the Member for Gosport (Dame Caroline Dinenage) on securing this important debate. I thank my constituents who have written to me about the debate to bring it to my attention. It is important that we bring local and personal experiences into this place when we are thinking about policy and legislation. I am grateful to Sophie’s mum, Charlotte, for sending me notes about Sophie and her beautiful picture. It is impossible not to be brought to tears—I am a crier anyway and I am pregnant at the moment, so I hope that hon. Members will forgive me if I go.
The theme running through many of the examples that we have heard today, and the correspondence that I have received, is a plea for the Government, MPs and policy makers not to misunderstand childhood cancer and not to write it off as rare, because so much flows from that label in terms of funding, attention and even time in this place. I understand that with 80-odd types of childhood cancer, it is complicated, but that is absolutely no excuse. We have already heard that it is the biggest killer of children under 14. I have not done the maths, but I know that that is many, many devastated families, even in the Stroud district, whom we cannot overlook.
One constituent wrote to tell me that the death of a friend when they were in their teens still plays on their mind. The GPs and out-of-hours services that he accessed did not have the training to identify that his symptoms were due to bone cancer and, as a result, after 13 gruelling months—we have heard time and again the horror of the treatment that the children go through—he died from the disease. Had his diagnosis been made sooner, my constituent is absolutely clear that his chances of survival would have been greatly increased.
We hear comments about mystery viruses and mystery symptoms. One of my greatest concerns is listening to the reality of pushed GPs, who are busy people and who are not equipped or trained enough to be able to spot some of the signs soon enough.
Ms Nusrat Ghani (Wealden) (Con)
Is that because there is not enough research? I was surprised to learn that only 4% of funds raised for cancer research and treatment are directed towards childhood cancer and that children, unfortunately, are receiving treatment for adult bodies. It all requires greater investment, which is obviously something that the Minister can respond to. As my hon. Friend has, I have had many cases in my constituency, particularly in Crowborough, Mayfield and Forest Row.
Siobhan Baillie
I thank my hon. Friend for that intervention. What I will say is that that is certainly not due to lack of care and love, because GPs absolutely want to do the best for their patients. Whether it is research, whether it is training, whatever it is, we have to fix this, so I support the calls for a children’s cancer mission, and urgently so. I want to bring everybody together for research and awareness raising.
I am very lucky that Meningitis Now—that fantastic charity, which has been mentioned—has absolutely turned around understanding and knowledge about meningitis in my constituency. It is a small charity, but it packs a punch. Why can we not do that for childhood cancer research and sufferers?
Post-pandemic parents, as I have just said about GPs, will look to call 111 for advice. We told parents and we told the whole country, “Don’t go to the A&E. Don’t go out to your NHS. Call 111.” So this is also about training that is really focused on that service.
Listen, the Minister is a fantastic Minister. I am bothering her all the time about lots of things, so I know her intellect and her care for people up and down the country. The Government have already committed to improving cancer outcomes, and the 10-year plan is absolutely an opportunity to make changes for the hundreds of families who are affected and desperately need our help.
Health and Care Bill
Nusrat Ghani ExcerptsMonday 25th April 2022
(2 years, 6 months ago)
Commons ChamberRead Full debate Health and Care Act 2022 View all Health and Care Act 2022 Debates Read Hansard Text Read Debate Ministerial Extracts Amendment Paper: Commons Consideration of Lords Message as at 25 April 2022 - (25 Apr 2022)
Ms Nusrat Ghani (Wealden) (Con)
I congratulate the Minister and the Department on taking this extraordinary step. The public may believe that we already do not use slave-made goods, but unfortunately we do. It is remarkable that the Department has taken this step, and it is incredibly important that we look at Xinjiang in particular, where Sir Geoffrey Nice QC determined there has been a genocide, as there was in Bosnia. The sanctioned MPs and all our colleagues in the inter-parliamentary alliance on China will work with the Department to ensure we have no Uyghur slave-made products in our NHS.
Edward Argar
I paid tribute to my right hon. Friend the Member for Chingford and Woodford Green, but my hon. Friend the Member for Wealden (Ms Ghani) has also taken a keen interest in this issue. The Secretary of State and I will continue to work closely with others across Government to ensure that our measures to eradicate modern slavery in NHS supply chains are effective and targeted, and reflect best practice.
On Lords amendment 29B, the Government are committed to improving workforce planning and are already taking the steps needed to ensure that we have record numbers of staff working in the NHS. In July 2021, the Department commissioned Health Education England to work with partners on reviewing the long-term strategic trends for the health and regulated social care workforce over the next 15 years. We anticipate the publication of that work in the coming weeks.
Vaccination Strategy
Nusrat Ghani Excerpts(2 years, 9 months ago)
Commons ChamberRead Full debate Read Hansard Text Watch Debate Read Debate Ministerial Extracts
Maggie Throup
The hon. Gentleman makes a good point about ensuring that rural communities have access to vaccines, and that is exactly what we have done through our programme. We have made sure that walk-in centres have been stood up, as well as other ways for people to access vaccines such as vaccine buses, so that community pharmacists can deliver in rural settings and among hard-to-reach groups. Whether in rural or urban areas, it is important that we use every possible route—for example, working through community groups, local leadership and faith groups—to put everything in place to ensure that everyone has access to the life-saving vaccines.
I reiterate what I said to the hon. Member for Denton and Reddish (Andrew Gwynne), that to date we have donated 30 million doses to COVAX and bilaterally. We will continue to fulfil our commitment to donate 100 million jabs globally by the end of June this year.
Ms Nusrat Ghani (Wealden) (Con)
I was not expecting to be called, Mr Speaker. I congratulate my hon. Friend the Member for Penistone and Stocksbridge (Miriam Cates) on securing this important urgent question. Reflecting on what the Chair of the Health and Social Care Committee, my right hon. Friend the Member for South West Surrey (Jeremy Hunt), said about workforce planning, I know that in my constituency, Wealden, and across East Sussex, there is huge concern about accessing healthcare and treatment. Will the Minister explain what risk assessment has been done of how, if unvaccinated staff—as many as 88,000—leave the NHS, treatment will be made available and how my constituents will be able to access day-to-day healthcare and treatment?
Maggie Throup
I think my hon. Friend is referring to vaccination as a condition of employment. I should like to inform the House that already over 93% of the NHS workforce have had their first jab, which is incredible. It is the will of the House, expressed before Christmas, that we implement this policy. Peer-to-peer conversations are going on to make sure that people have the right information they need to take up the offer of a jab, which not only protects them but protects their patients, who are some of the most vulnerable people in society.
Covid-19 Update
Nusrat Ghani Excerpts(2 years, 10 months ago)
Commons ChamberRead Full debate Read Hansard Text Watch Debate Read Debate Ministerial Extracts
Sajid Javid
I remind the hon. Gentleman that the Government have already announced the biggest catch-up fund for electives that the country has ever seen in order to deal with that challenge.. There is an extra £2 billion for the second half of this year and a minimum of £8 billion over the next three years, and the NHS is working on a detailed plan which will be published as soon as it is ready.
Ms Nusrat Ghani (Wealden) (Con)
The Health Secretary should be very proud of our world-leading vaccination programme, and I join the Secretary of State in sending those who are anxious the message that they should come forward and get their vaccinations.
This morning, breakfast telly was being broadcast from the Buxted Medical Centre, a GP surgery in my constituency, where huge anxiety was being expressed about how NHS staff would cope with delivering the vaccinations. I am extremely anxious about the statutory instrument that is mandating vaccinations for NHS staff, because I believe it means that 126,000 of them will leave the sector. Is this the right decision, when NHS staff are already saying that they are working all the hours God gives?
Sajid Javid
We will debate the SI in the House, and I shall be happy to talk more about it then, but I think that the number to which my hon. Friend referred is the number of people whom the NHS estimated to remain unvaccinated at the time when the Government said they were going ahead with the SI. I am pleased to inform her that since then the number has fallen. Tomorrow I will come to the House with the latest figure that we have, but it is improving all the time. When we introduced a similar measure in the residential care home sector, we saw the number of unvaccinated people fall day by day as more and more of them had positive engagement and took up the offer of a vaccine.
David Fuller Case
Nusrat Ghani Excerpts(2 years, 12 months ago)
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Sajid Javid
I would expect that many of those steps may well be in place in many NHS trusts. The purpose of the NHS writing to all trusts is to ensure that the kinds of steps that I set out earlier, and others, are in place, so they are following the current rules and guidance that are set out by the Human Tissue Authority. What we also need to do is determine whether the current rules and guidance are right in the light of these appalling crimes and whether we need to go much further than that. That is also the purpose of having an independent inquiry.
Ms Nusrat Ghani (Wealden) (Con)
Fuller’s vile and depraved acts are hard to comprehend, especially taking into account the number of victims and the fact that the crimes took place over such a long period of time. My thoughts are with the families of Fuller’s victims as they come to terms with the news that they have been told. I am grateful for the inquiry; we need to understand how access was made available to Mr Fuller. May I push the Secretary of State a bit further, especially on family liaison officers? Will he provide assurances that all the victims’ families have that access for as long as they need it and can access mental health services for as long as they need to? Will he provide some assurances that, as far as he is aware, all the families of the victims have been contacted to date? And perhaps he can offer some assistance to the staff of MPs who are dealing with constituents going through this, so that we can make sure that we are offering the most sensitive advice and support possible.
Sajid Javid
My hon. Friend is absolutely right to make those points, and I can give those assurances. The police have informed my Department that all the families of all the victims have been contacted. They all have family liaison officers. That support and other support, such as counselling and mental health support, if required, and the 24/7 telephone line that I referred to, will remain in place for as long as is necessary. Indeed, if she and other Members of Parliament who have constituents who are affected think that there are other ways to provide support, of course we would be willing to do that.
Covid-19 Vaccinations
Nusrat Ghani Excerpts(3 years, 1 month 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
Ms Nusrat Ghani (in the Chair)
Before we begin, I encourage Members to wear masks when not speaking, in line with current Government guidance and that of the House of Commons Commission. Please also give each other and members of staff space when seated and entering and leaving the room.
Elliot Colburn (Carshalton and Wallington) (Con)
I beg to move,
That this House has considered e-petitions 575801 and 577842, relating to Covid-19 vaccination.
It is a pleasure to serve under your chairmanship, Ms Ghani. I am glad that we have another opportunity to discuss vaccinations in this House. I thank the NHS, pharmacists and volunteers in Carshalton and Wallington, and across the UK, for making our vaccination programme such a huge success. I particularly thank Reena from SG Barai Pharmacy in Carshalton and Wallington for administering my covid-19 vaccinations.
I welcome the Minister to her place; I believe this is the first debate she is responding to as Minister. I have always found her to be nothing but courteous and friendly, so I wish her all the very best in her new role.
I draw the House’s attention to the Government’s responses to the petitions, which set out clearly that they are thinking carefully about such matters as certification and vaccine status, and are considering all issues prior to making a decision. I am sure the Minister will want to elaborate on them in her response to the debate, so I will not steal all her material. This debate gives us the opportunity to discuss vaccinations once again, so I want to use it to urge everyone to book their slot for vaccinations as soon as they possibly can. I particularly welcome the news today that we are beginning our booster jabs programme, which I am sure the Minister will want to touch on.
Covid has not gone away. Although we are unlocking and rediscovering many of the freedoms that we have sacrificed over the past 18 months, people are still being hospitalised and dying from coronavirus. The data speaks for itself: the majority of those hospitalised and dying from covid-19 have not been fully vaccinated. It is clear that by getting vaccinated, we are protecting not only ourselves but others, and are playing our part in bringing an end to this pandemic.
Vaccines truly are a marvel of modern medicine. We can be proud that they were discovered by a Brit, Edward Jenner, who demonstrated that a mild infection with a cowpox virus conferred immunity against the deadly smallpox virus. Cowpox served as the natural vaccine for smallpox until more modern vaccines were brought out in the 19th century, which laid the groundwork for the system of vaccinations that we know today. Smallpox remains the only virus considered to be eradicated internationally since 1980.
Since Jenner’s discovery of vaccines as we know them today, vaccines have been developed and have helped to offer immunity to a whole range of virus, such as measles, mumps, rubella, influenza, tetanus, polio, diphtheria, yellow fever, rabies, hepatitis, poliomyelitis, meningitis, and so many more. It is easy, therefore, to take vaccines for granted, but I invite the House to consider how much of an impact they have had on the world. Those illnesses would once have struck dread, fear and anguish into the hearts of the patients who were diagnosed with them, yet today our lives are quietly unaffected by those horrors. We go about our day unworried by them, thanks to the seemingly simple concept of a jab that is over in a matter of seconds, which allows us to carry on our lives, protected and healthy.
These miraculous vaccines must pass extremely rigorous testing before they are licensed for use in the United Kingdom. According to the Oxford Vaccine Group, the following are just some of the stages that a vaccine has to go through before use: a literature review to look at what has been done before; a theoretical development or innovation, coming up with a new idea or varying an existing one; and laboratory testing and development, involving in vitro testing using individual cells and in vivo testing, which often uses mice. A vaccine must then go through three stages of human trials before licensing and reviews, and then continue to be monitored after their approval for wider use to take note of any new developments.
Covid 19 vaccines have been no different. They have had to meet the same testing criteria. Yes, there have been questions about speed, but Dr June Raine, chief executive of the Medicines and Healthcare Products Regulatory Agency, has explained perfectly clearly how the UK has been particularly able to approve this vaccine so quickly. So my message to anyone who still has apprehensions about getting their covid-19 vaccine is this: please, please speak to your GP or pharmacist to get the facts. That is an important point: speak to the professionals with the years of knowledge and training.
We have all had a bit of a laugh over the past week and a half about Nicki Minaj and swollen testicles—something that I never thought I would say in the House of Commons—but that story raises a very serious issue. Rates of vaccination drop as we go down the age groups, and it is important that the Government find ways to reach younger people and encourage them to protect not only themselves, but others around them, by getting the vaccine. That is especially the case when they are being fed misinformation, downright lies, and mad conspiracy theories by people with hidden agendas who are in the pockets of well-funded and well-organised anti-vax movements. I agree with Professor Chris Whitty that those people are preventing others from getting their potentially life-saving vaccine, and they should be utterly ashamed of themselves. My message today is to urge everyone to speak to their doctor and get themselves vaccinated in order to protect themselves and those around them, and help to bring an end to this awful pandemic.
Jack Dromey
My hon. Friend is absolutely right. Some of the propaganda that we have seen, including on the internet, is positively pernicious. If anyone is seduced into believing it and, as a consequence, catches covid and dies because they are not vaccinated, those responsible bear should bear a heavy burden for what they are doing. Everyone with power, including the internet companies, needs to be more proactive and dynamic in ensuring that shameful propaganda is not propagated on social media.
Over the past year, we have seen the tragic impact of coronavirus on our communities. I stress once again that it is absolutely vital that the importance of taking the vaccine is constantly emphasised. I think of Jane Roche in my constituency, who lost her father and, five days later, her sister to covid. Jane remains distraught to this day, one year on. People such as Jane know all too well just how important it is that vaccine uptake remains high, so that no one should suffer the grief that she has suffered. Like other hon. Members who have spoken in the debate, I therefore strongly encourage everyone to get vaccinated for their own protection, but also for that of the wider community.
The Labour party calls on the Government to make a more direct effort to vaccinate those from communities in which vaccination rates are low, particularly young people. I hope that in her response, the Minister will be able to update us on the Government’s efforts to tackle the problems of low uptake.
On vaccine passports, in relation to the petitions before us, we understand why the public might be confused or anxious about perceived discrimination against those that are not vaccinated. I have to say that the Government’s approach to covid passports has been chaotic at times. There has not been consistent clarity from Ministers about what vaccine passports are supposed to achieve, how they would work and what would be expected from the public, businesses and workers, and that meant we had a degree of chaos over the summer and no real preparation before the winter. Two weeks ago, the then vaccines Minister, the right hon. Member for Stratford-on-Avon (Nadhim Zahawi), stood before Parliament to confirm the introduction of covid passports and stress their importance; days later, the Secretary of State for Health and Social Care said that they had been scrapped. No matter the measures being introduced, businesses, workers and consumers need clarity from the Government, not conflicting messages and rapid U-turns. We have therefore repeated many times that we would not accept any certification or passport scheme that was vaccine-only.
The Welsh Labour Government have made some interesting progress on this very issue. They followed the data and applied a mandatory risk assessment that takes into consideration the full risk posed, and then recommends a range of mitigations on that basis. For large venues, crowded events and close-contact businesses, such as nightclubs, the NHS covid pass application is mandated for use; that means using familiar mitigations such as masks, social distancing and ventilation in most business settings, based on the risk level. Use of the NHS covid pass gives people the option to present a negative test result as an alternative to full vaccination.
We do not support the introduction of any scheme that provides access to a service for only fully vaccinated people. Free testing should therefore remain widely available so that we can identify and isolate the virus. The approach in Wales has been welcome in other respects, as it makes a clear distinction between venues such as local cafés on one hand and Wembley stadium on the other, where different mitigations for covid are needed.
We also do not support any potential covid pass scheme for access to essential services that does not get the balance right. That includes, but is not limited to, access to doctors and dentists, supermarkets and other essential retailers. We do not agree that vaccine passports should be used for day-to-day, routine access to the office, health services, dentistry or food.
On health and social care workers, we want everyone working in care homes to take up the vaccine—that is absolutely essential. The vaccine is safe and effective. I stress again: do not believe the sometimes poisonous propaganda of the anti-vaxxers. However, we do not support the case for compulsory vaccination. There are serious warnings from the care sector that the Government’s plan could lead to staff shortages in already understaffed care homes, which would have disastrous consequences for the quality of care.
Again, the UK Government should learn from the work done in Wales, which is running the fastest vaccination programme in the world, and has vaccinated a far greater proportion of its care staff than England. The Welsh Government have rejected compulsory vaccinations and have instead chosen to work closely with the care sector to drive up uptake, as well as valuing the workforce, including a proper pay rise. The Government should focus on driving up standards and retention of staff by treating care workers as the professionals they are, with improved pay, terms and conditions and training. We need all care homes and care workers to have proper personal protective equipment, regular testing and good training.
We are now approaching what is likely to be one of the most challenging winters that the national health service has ever faced, and the top priority must be to protect it. We urgently need a plan from Government that sets out the direction of travel in the next stages. Any plan for the winter period must, first, get vaccination rates up in areas where uptake is low; secondly, outline how and by when vaccinations for children will be rolled out; thirdly, finally fix the issues of self-isolation and sick pay; fourthly, provide proper ventilation in schools and public buildings; and, fifthly, provide a clear plan for businesses, workers and consumers. Those are significant steps the Government could take to greatly improve the country’s response to coronavirus. I hope that when the Minister responds, she will be able to outline in more detail the Government’s plan to fix those problems.
Once again, as other hon. Members have done cross party, I emphasise the importance of vaccine take-up. Covid-19 vaccines have saved thousands of lives and been crucial in protecting the national health service. It is critical that we maintain the protection the vaccine affords and send a clear and unambiguous message to all that vaccines work, and that anyone who can, should receive the vaccine.
Ms Nusrat Ghani (in the Chair)
I now call on Minister Maggie Throup to respond, and welcome her to the Front Bench; I wish her well.
Maggie Throup
I thank the hon. Gentleman for the question. If he will excuse me, I have obviously been in post a short time. As I am led to believe, it is people who regularly go into care homes that will need this. It is not just restricted to the actual carers. If anybody needs to go into a care home in an emergency situation, that is a different scenario. If I may, however, I will clarify that after the debate.
Vaccine uptake nationally in the care home workforce is high, at 85.6% for first doses. This is in line with vaccine uptake in the general population. There is, however, significant variation at a regional, local and individual care home level. Vaccine requirements are designed to level up uptake in the care home workforce. While the majority of care home workers have been vaccinated, the latest published data as of 12 September highlighted that only 81.3% of older adult care homes in England were meeting the SAGE advice that 80% uptake of first doses among staff is the minimum needed to reduce the risk of outbreaks in these high-risk care settings.
While residents in care homes are some of the most at risk from covid-19, the responses to this initial consultation on care homes made a clear case for extending this policy to other settings where vulnerable people receive care and treatments. The Government are therefore seeking views on whether to extend vaccination requirements to other frontline health and care workers—those with face-to-face contact with patients and clients through the delivery of services, as part of a CQC regulated activity. Recent research has shown that people infected with both flu and covid-19 are more than twice as likely to die as someone with covid-19 alone and nearly six times more likely than those with neither flu nor covid-19, so vaccination requirements for both flu and covid-19 are being considered.
I trust that the debate will have helped to dispel some of the myths that hon. Members have raised about vaccinations, and will really reach out to the public to ask them, as colleagues have done, to go and get vaccinated to protect themselves and others. To conclude, I reassure the House that we are doing everything we can to widen and deepen our wall of defence that the vaccine provides. The ask of our NHS colleagues is challenging and complex, yet they have risen to this challenge and do it every day. Once again, I thank them for their dedication.
Ms Nusrat Ghani (in the Chair)
Thank you, Minister, and well done on your first time speaking from the Front Bench.