Care Services (Older People)

Penny Mordaunt Excerpts

Tuesday 7th June 2011 Commons Chamber

[Stephen Lloyd]

Thank you, Mr Speaker.

As an officer in the all-party parliamentary group for ageing and older people and an active member of the all-party parliamentary group on dementia, and as the Member of Parliament representing Eastbourne and Willingdon, an area that contains nearly 25,000 people over the age of 65, I called for this debate because the current system of care for older people is in crisis. The recent awful and shocking exposé by the “Panorama” programme is a desperate indictment of the worst in care provision, but it would be a naive mistake to believe that there are no other examples of bad practice out there. The growing age profile means that any Government will face difficult challenges for many years to come, and despite the growing demand, care provision has faced years of austerity with almost no net spending increase.

There are currently 291,000 people in residential and nursing homes in the United Kingdom, along with 6 million carers who allow people to live in their own homes. That means that an extremely large proportion of the United Kingdom’s population is directly affected by care service provision. Those who work in social care, or who care for someone on a voluntary basis, are the backbone of our society. They are the unsung heroes whose voices often go unheard, not least because they are simply too preoccupied with the enormousness of the task in hand.

A number of my colleagues who are present this evening will probably focus on several areas of care that affect older people, but I will focus mainly on dementia and on care service provision for dementia sufferers. I look forward to hearing the Minister’s response.

[Penny Mordaunt (Portsmouth North) (Con)]

I congratulate my hon. Friend on securing the debate. He mentions the increased demand resulting from an older population, but does he agree that we are starting from a very low base? In Portsmouth there are 1,000 people with dementia who have no access to services. It is necessary not just to improve the quality of services that people are already receiving, but to give people access to services in the first place.

[Stephen Lloyd]

I agree. My hon. Friend’s important intervention is relevant to one of the key issues with which I shall deal in my speech. Not only have the dementia figures risen hugely over the past few years—and they will clearly continue to rise—but there are still many tens of thousands of people with dementia throughout the UK for whom there is no provision whatsoever.

Let me put some of the figures into perspective. There are currently 750,000 people with dementia in the UK, and the number is set to rise to over 1 million in the next 15 years. One in three people in the UK over the age of 65 will die with dementia. People with dementia are significant users of both health and social care services. For example, people over 65 with dementia are currently using up to one quarter of hospital beds at any one time. That is an enormous problem.

Oral Answers to Questions

Penny Mordaunt Excerpts

Tuesday 7th December 2010 Commons Chamber

[Mr Lansley]

We can do a number of things. For example, the Department has funded TB Alert, which is the UK’s national TB charity, to raise awareness of TB among public and primary health care professionals, which will help. In London, we have supported a find-and-treat outreach service. In a similar vein, that could happen in cities where there is a rising prevalence of TB. TB is not general across the country, but likely to occur in particular areas. Those kind of initiatives enable us to identify TB outbreaks, and we can then structure services around that.

[Penny Mordaunt (Portsmouth North) (Con)]

8. What assessment he has made of the merits of steps to increase the standard of end-of-life care in an acute setting; and if he will make a statement.

[The Minister of State, Department of Health (Paul Burstow)]

The Government are committed to increasing choice for people at the end of life, which will result in fewer people dying in hospital. However, there will always be a need for hospital-based end-of-life care. The national end-of-life care programme has published a guide for achieving quality in acute hospitals, which includes recommendations on holistic assessment, advance care planning, training, and improved multi-disciplinary working. The guide has been widely welcomed as a blueprint for improving the quality of end-of-life care.

[Penny Mordaunt]

Ministers will be aware of the Queen Alexandra hospital’s withdrawal of its G5 service to create a mobile model of end-of-life care. That will extend services across the hospital, but my constituents and I have grave concerns at the number of quiet and appropriate beds that will be left. Will Ministers agree to meet me to discuss what can be done to encourage the QA to meet the public’s concerns?

[Paul Burstow]

I am grateful to the hon. Lady for her question and I know that she has campaigned on that issue. She will know that on 25 October, the Secretary of State asked the independent reconfiguration panel to consider the issue that was raised by the Portsmouth health overview and scrutiny committee regarding a referral of ward G5. The advice has now been tendered, and the Secretary of State has asked the panel to undertake a full review of the case. He expects that report by March of next year and I am sure that during that period, conversations at ministerial level will be helpful.

Oral Answers to Questions

Penny Mordaunt Excerpts

Tuesday 2nd November 2010 Commons Chamber

[Mr Lansley]

The right hon. Gentleman has it completely wrong. We are not neutralising NICE. On the contrary, we will focus NICE on what its real job always was and should be, which is to provide independent advice to the NHS about the relative clinical and cost-effectiveness of treatments so as to achieve the best outcomes. The point that he may be misunderstanding is that by 2014 we intend to ensure that we are no longer denying access to the new medicines that patients need, because we will have a new and more effective value-based pricing system of reimbursement to pharmaceutical companies.

[Penny Mordaunt (Portsmouth North) (Con)]

15. What advice his Department provides to NHS trusts seeking to renegotiate private finance initiative contracts.

[The Minister of State, Department of Health (Mr Simon Burns)]

This Department and the Treasury provide guidance and advice to NHS schemes to maximise the savings and best value for money they can achieve when making variations to their PFI contracts for additional services or facilities, conducting market testing exercises for support services or when assessing refinancing requests from their private sector partners.

[Penny Mordaunt]

What can the Government do to assist the Queen Alexandra hospital in Portsmouth, which is under serious financial pressure because of its PFI contract, a £37 million deficit and, thanks to false planning assumptions, not enough patients to make a super hospital sustainable?

[Mr Burns]

May I pay tribute to my hon. Friend for her assiduous work in her constituency? She represents her constituents and looks after their interests regarding the provision of the highest quality health care. From conversations that I have had with her, I fully appreciate her concerns about the financial situation. I understand that South Central strategic health authority is working closely with the trust as it implements a cost-improvement programme to achieve financial balance.

Contaminated Blood and Blood Products

Penny Mordaunt Excerpts

Thursday 14th October 2010 Commons Chamber

[Steve Rotheram]

I absolutely agree, and the hon. Member for Colne Valley (Jason McCartney) agrees with our view as well. He said:

“It really is time that as a Country, as a government (and forget whatever Party it is), we should now take responsibility for this. It’s a completely shocking scandal.”

Let me tell Members about what happened to a constituent of mine, Mr Christopher Munn. In 1981, he was mugged and stabbed. He received a blood transfusion and contracted hepatitis C. For years, Mr Munn fought for recognition, support and compensation but, unable to afford legal representation, he found himself led a merry dance, and was swatted away like some bothersome pest. An initial application to the Skipton Fund was rejected but, thankfully, on appeal, some 25 years after being infected he was awarded a few thousand pounds. Now, £25,000 or £45,000 is no small sum, but if we do the maths it quickly becomes apparent how risible that amount actually is when spread over 25 years and more.

This issue is largely about the money of course. Many victims, severely debilitated by conditions developed as a direct result of contaminated blood, have been struggling to meet their medical needs, let alone achieve a comfortable standard of living. However, the issue is also about the need for acknowledgement. Victims need the state to accept unreservedly and unconditionally its responsibility for their plight, and to meet its moral obligations. For the NHS and, by extension, the current Government to retain their integrity, they must make amends. To those who have challenged Labour Members with comments such as, “But what did your Government do about it?”, my answer is very simple: not enough.

[Penny Mordaunt (Portsmouth North) (Con)]

Will the hon. Gentleman give way?

[Steve Rotheram]

No, as I am conscious of time.

The bottom line is that successive Governments irrespective of their political persuasion hesitated over investing resources and setting precedents. They were all equally culpable in failing the victims, but rather than bang on about who did or did not do what and when, let us finally seize the opportunity to right a terrible wrong.

I fully appreciate that money is tight, but morality is absolute, not some relative concept that expands and contracts to suit circumstances. We cannot as a society be more moral in good times than in bad. The Government have spoken about compassion and fairness and “the caring society”. They have no option but to put their money where their mouth is in order to put right a decade-old wrong.

--- Later in debate ---

[Mark Garnier (Wyre Forest) (Con)]

It is a great pleasure to follow the hon. Member for Walsall South (Valerie Vaz).

I feel moved to speak today because this is an issue that shows how we as a society can show compassion for our fellow citizens and take responsibility for past mistakes. I have been well aware of the general topic of people suffering from contaminated blood transfusions for some time, but I did not become aware of either the full scale or the injustices of the problem until I met Ros Cooper, a constituent of mine, to whom I am incredibly grateful. She speaks with passion about this subject, and is an incredibly strong advocate for her fellow sufferers. She is relentless in her efforts to get her point across.

Ros’s story is not untypical. Diagnosed with a severe bleeding disorder at just six months, she has received blood products all her life. She receives them from as infrequently as three times a week to as often as twice a day. By the age of 14 she was able to inject herself with blood products. This is a woman who has had to grow up under the permanent threat of severe bleeding. Of course she has received treatment from the NHS, but as a direct result of that treatment she contracted hepatitis C—something she discovered only by hearsay, which seems to be a recurrent theme in this debate. Not only was she not given counselling to help her cope with that traumatic news, but she found out by hearsay that she might have been exposed to CJD.

Ros has received two rounds of treatment for her hepatitis C, but those, of course, are also traumatic. Six to 12 months of antiviral therapy can leave a patient unable to work: Ros was unable to earn a living for up to two years after both rounds of treatment. In the future she faces a liver transplant, cirrhosis or, worse still, cancer of the liver, as all sufferers of hepatitis C do. She is a vibrant young woman and would otherwise have faced a life that was admittedly severely inconvenienced—but still only inconvenienced—by her bleeding disorder. However, because she received contaminated blood products, arguably at a time when those providing them knew there was a risk of infection, she is severely disadvantaged.

Modern medicine has resulted in new types of manufactured blood products, reducing the risk to most patients. However, for Ros this salvation is not available. She suffers from a very rare disorder—type 3 von Willebrands—which means that she must receive real blood products that still come from America and overseas. So from between three times a week to up to twice a day, Ros injects herself with blood products that may carry an as yet undiscovered infection. Every time she feels exhausted or unwell, she will ask herself if she has infected herself with another illness. What is truly remarkable about Ros’s story is that she is clear of HIV, which is very welcome news.

The fact that we are having this debate is a significant leap forward, and I congratulate the hon. Member for Pontypridd (Owen Smith) on his efforts to move this incredibly important issue forward, and the hon. Member for Coventry North West (Mr Robinson) on taking up the banner. That it has taken so long for us to debate the matter, however, is a cause for concern, especially given the 4,670 people infected by hepatitis C and the 1,200 or so infected by HIV—infections that have resulted in nearly 1,800 deaths.

At the core of this debate are the findings and recommendations of the Archer review. To my mind, the eight recommendations are broadly reasonable, and I am amazed that some, such as free prescriptions, were not introduced a long time ago. However, I am grateful to the Minister for making a statement saying that that will be reviewed. Of course, there is always a sticking point—in this case, the level of compensation, which has now been even more confused by the amount of money that we are now discussing.

Some payments have already been made. In 2004 payments of £20,000, rising to £25,000 for more advanced stages of illnesses through hepatitis C, were made through the Skipton Fund. Other payments of a similar initial sum, rising to £60,000 on a needs assessment basis, plus ongoing payments, have been made through the MacFarlane Trust. However, those two systems illustrate that some form of uniformity needs to be established. If an individual’s life is blighted, irrespective of what is causing the blight, it is important to have uniformity of payout. I am very supportive of the Hepatitis C Trust’s recommendations that the Skipton Fund’s payout should be increased to the levels paid by the MacFarlane Trust.

I support the motion in full, but—I say this with a heavy heart—with one exception. When we talk about implementing the Archer report despite the intense financial pressure on the public purse, I am mindful that in just six days’ time my right hon. Friend the Chancellor of the Exchequer will deliver a statement that could make life-changing cuts to public expenditure. I cast an eye towards my many, many constituents, all of whom are extremely anxious about the comprehensive spending review, and I must act in the interests of all of them. It is vital that the victims of this tragedy should be allowed to live their lives as best they can—

[Penny Mordaunt]

My hon. Friend has mentioned the comprehensive spending review, but we should not forget that the health budget is ring-fenced and will be increased. We have also heard mention of the insurance industry and the companies that supplied blood products. I hope that he will join me in urging all Members to come forward with ideas to ensure the maximum compensation pot, whether that comes from public funds or, for example, from the £1 billion that exists in the insurance industry in orphan accounts. All Members should be contributing to that debate.

[Mark Garnier]

I welcome that intervention. It is incumbent on us all to work with Health Ministers to ensure that we find as much money as we can to help the victims. However, we have to be careful to ensure that compensation is not paid at the potential expense of many other special interest groups that need and deserve compensation and funding.

I am pleased that the Minister has said that the issue will be resolved, in one way or another, by the end of this year. I look forward to working with Members who have been affected by the contaminated blood scandal to ensure that the Minister comes up with a satisfactory response.