Oral Answers to Questions
Debate between Nusrat Ghani and Jim Cunningham(5 years, 6 months ago)
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Mr Jim Cunningham (Coventry South) (Lab)
Ms Ghani
I am just as eager as the hon. Gentleman to legislate in this area, considering the amount of work done by the task and finish group. Our commitment is to make sure that standards are raised, security is dealt with and that national enforcement officers ensure that regardless of where people are in the country they are getting into a cab with a driver who has had a standardised background check and has met the threshold for safety and security. I cannot give any more detail right now, but I am pleased that so many Members are as eager as I am to legislate on this issue.
HS2: Buckinghamshire
Debate between Nusrat Ghani and Jim Cunningham(5 years, 7 months ago)
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Mr Jim Cunningham (Coventry South) (Lab)
Like the right hon. Member for Chesham and Amersham (Dame Cheryl Gillan), I have opposed HS2 from its inception; I recognise that she has been a sturdy fighter against it. I notice that the Minister has not answered questions on the total cost. She talks about the midlands benefiting from HS2, but Coventry will certainly not, because it will bypass Coventry. She says it will be a vehicle for ordinary people, but we do not actually know the train fares yet. Train fares on the west coast main line are very expensive to ordinary members of the public.
Ms Ghani
The train fares will be assessed and brought forward at the most appropriate time. We want this line to be accessible to everybody, and because thousands of people will travel on the line, we have to ensure that the fares are appropriate, as they will be. This line will be incredibly important, including to the midlands. I held a series of roundtables for midlands chambers of commerce, with one recently saying that it would be appalling if HS2
“were used as a political football…It is a key piece of national infrastructure at a time when we need to be showing something positive to the world.”
Oral Answers to Questions
Debate between Nusrat Ghani and Jim Cunningham(6 years, 2 months ago)
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Mr Jim Cunningham (Coventry South) (Lab)
The Parliamentary Under-Secretary of State for Transport (Ms Nusrat Ghani)
The Task and Finish Group was established as a result of the ingenious foresight of a previous Transport Minister, my right hon. Friend the Member for South Holland and The Deepings (Mr Hayes). Its report was made public only in the summer, but I am evaluating all its recommendations and will make a statement shortly.
Preventing Avoidable Sight Loss
Debate between Nusrat Ghani and Jim Cunningham(7 years, 8 months ago)
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Mr Jim Cunningham (Coventry South) (Lab)
Does the hon. Lady agree that one of the most important features of this situation is that at least half a million schoolchildren are affected, one way or another, by sight problems, if I may use that expression? Some 100,000 people in the west midlands, of which my constituency is a part, are probably also affected.
Nusrat Ghani
Of course. I will go on to mention children and the fact that it is necessary for them to be tested earlier than we previously believed they should be.
Wet age-related macular degeneration affects the retina and causes changes to central vision. In October last year, Jean Rugg’s eye clinic consultant told her that she needed follow-up treatment. She was told by the receptionist to expect the appointment in the post, but nothing arrived. By December, Jean was continually contacting the booking department and being turned away. She was told that she would not be booked in because the department was just too busy. Time passed. Jean noticed changes in her vision and was extremely worried about permanent damage to her sight. She was getting nowhere, so she contacted her consultant’s secretary and, after much urging, managed to secure an appointment with him to discuss her sight.
By that time, three months had passed. Jean’s consultant was alarmed that she had not received treatment sooner and explained that her vision could well have deteriorated due to the delay, as there had been further leakage of fluid into her eye. Jean needed an urgent course of injections, so the consultant took her to the booking department to try to secure an appointment that same week. They were both told that there were simply no spaces in the injection clinic. After repeatedly explaining the urgency of the matter, the consultant was eventually able to obtain an appointment for Jean the following week.
I am sure that the Minister agrees that that is just not good enough. That delay and lack of responsibility and urgency is just not acceptable. There are many more Jeans across the country. A 2014 survey by the Royal National Institute of Blind People showed that 86.5% of the public were more fearful of losing their sight than any other sense. As I said, 50% of all sight loss is potentially avoidable if treated early, yet NHS England does not give eye health the profile it deserves. There is no overarching NHS England-led strategy to govern it and push for more prevention of avoidable sight loss. There are equivalent strategies for hearing loss and dementia.
Nusrat Ghani
I agree. We most definitely need to prioritise sight loss for all vulnerable people, including older people, who might also have mental health illnesses.
There are eye health strategies in place in Scotland, Wales and Northern Ireland; England is an anomaly. I therefore ask the Government to consider developing and implementing a national strategy for eye health in England. That would not require additional funding, but would be a commitment to improving the efficiency of eye care services and ensuring consistency across the country. It would enable the development of improved clinical leadership at clinical commissioning group level to prevent eye health from slipping down local commissioning agendas, enable closer partnerships between CCGs and local eye health networks, and aid commissioners to identify eye health priorities that respond to the needs of local populations.
The Department of Health and NHS England already do great work to support the voluntary sector-led England Vision strategy, but that is, by definition, limited in its ability to bring together all the relevant organisations in a joined-up way. In response to a written question that I tabled last week, the Department rightly explained that England’s size
“and the diversity of the health needs of different communities”
mean that commissioning is best “owned and managed locally”. I completely agree, but that should not be incompatible with strategic thinking from above by people who see the bigger picture, or establishing principles that local areas can fit to their circumstances.
Local commissioning must be coupled with national leadership. Leaving things to local commissioners is not working as well as it should. There is significant variation in the quality and quantity of services. For example, someone in Luton will wait for 15 days between their first attendance at a hospital out-patient clinic and their cataract surgery, but if they were in Swindon, they would wait not 15, 50 or even 150 days, but 180 days. That is a shocking difference. No doubt the Minister agrees that, again, that is just not good enough.
Small changes to guidelines and legislation would streamline the process for many patients. For example—my hon. Friend the Member for Twickenham (Dr Mathias) may have to help me out with my pronunciation—allowing orthoptists to sign hospital eye service spectacle prescriptions, rather than requiring ophthalmologists to sign them, would allow the delivery of effective patient care and reduce the number of appointments required to access spectacles.
Nusrat Ghani
I hope that the hon. Gentleman does not intend to make a quip about my pronunciation.
Mr Cunningham
The hon. Lady’s pronunciation is not as bad as mine. I would support a national strategy. More importantly, however, the cost of drugs for treatment is an area that creates difficulties. In 2014-15, the cost of two drugs alone to treat age-related macular degeneration was £287 million. There is room for discussion between the Government and the drug companies on the cost of drugs to treat people with eye problems.