New Hospital Programme Review

Peter Prinsley Excerpts

Monday 20th January 2025 Commons Chamber

[Wes Streeting]

The Minister of State, my hon. Friend the Member for Bristol South (Karin Smyth), will be holding briefings tomorrow for Members from across the House and is happy to receive further questions. The hon. Member seems to be saying on the one hand to go faster, and on the other that he wants to challenge underlying assumptions in the scheme. He cannot have it both ways. As I said to some of his hon. Friends, if he is disappointed with this Government as we clean up the mess they left behind, goodness knows the self-loathing he felt when they were in government.

[Peter Prinsley (Bury St Edmunds and Stowmarket) (Lab)]

I feel doubly blessed this afternoon because the West Suffolk hospital in my constituency is to be rebuilt and the James Paget hospital where I have worked for 30 years is to be rebuilt. Does the Secretary of State agree that our primary care estate is in a terrible situation and that we must also invest in general practice facilities?

[Wes Streeting]

With that track record, my hon. Friend might want to tell us this week’s lottery numbers while he is here. In all seriousness, he makes a good point. Although today’s statement is about the new hospital programme, the challenges across the health and social care estate are enormous. That is why the Chancellor committed at Budget to the capital investment that will deliver not only this programme but a significant investment in the general practice estate. We have an enormous array of capital challenges in health and social care. I ask Members on both sides of the House to bear in mind that while I have to struggle to weigh up the competing priorities across the health and social care budget, the Chancellor and the Chief Secretary to the Treasury have to do so not only for health and social care, but for education, transport, defence, justice, the police estate—right across the board, we have inherited a country left in an enormous hole. We are taking the necessary decisions to get our country out of that hole and beat a path to a better future.

Obesity: Food and Diet

Peter Prinsley Excerpts

Monday 20th January 2025 Commons Chamber

[Peter Prinsley (Bury St Edmunds and Stowmarket) (Lab)]

A bariatric bed is a special big, strong bed used in hospitals for extremely obese people. When I was a medical student, there was no such thing as a bariatric bed—not invented, not needed. But then, hospitals did not have food banks for their staff either. So how have we got our relationship with food into such a mess?

The epidemic of obesity is a public health emergency costing billions. Millions of our citizens are dying early. The Government simply must act. This cannot be left to the market. We did it with smoking, and now we will do it with obesity. We have no choice. We know that at the heart of the matter is high-fat, high-sugar, high-salt, factory-produced food that is often ultra-processed, cheap, convenient, tasty and very profitable for a few very large food businesses. Nor must we forget that it is our poor citizens who are most affected—those who are cash-poor, time-poor and at high risk of a poor diet.

We cannot continue like this. The Government must act to change food habits. This is not the nanny state; this is simply good government. “Smoking kills,” it says on cigarette packets. Some food kills, too, so how about “The food in this packet will kill you if it is not part of a healthy, mixed diet”? Obesity is a massive issue for surgeons, increasing morbidity and mortality. Although we can staple stomachs or inject up to 3.5 million people with anti-obesity drugs, we all know that that is not the answer. Let us use the power of Government to legislate: warnings on food packets, breakfast clubs in schools, which we have already introduced, advertising bans, tax incentives, cooking education and an end to the dependence on the cheap, unhealthy food that blights the lives of so many of our citizens. We have no choice.

[John Slinger (Rugby) (Lab)]

I thank my hon. Friend for giving way during a very interesting speech. Does he agree that the national curriculum review presents the Government with an opportunity to encourage and strengthen the healthy eating component of the relationships, sex and health education curriculum so that citizens and especially young people are empowered to make healthier decisions on eating?

[Peter Prinsley]

My hon. Friend’s intervention was not really an intervention, because I had reached the end of what I wished to say. Nevertheless, I thank him sincerely.

Health and Social Care: Winter Update

Peter Prinsley Excerpts

Wednesday 15th January 2025 Commons Chamber

[Wes Streeting]

Throughout the winter, NHS providers have continued to flex bed capacity to meet demand. The important thing is that our approach to investment and reform delivers the system-wide improvements that help us to break out of the annual cycle of winter crises. There has been criticism of the Government’s focus on elective recovery—for example, people have asked if that is at the expense of urgent and emergency care—but I will not allow a status quo to settle in which the NHS is in effect reduced to a blue-light, emergency service. The Government will improve urgent and emergency care, elective recovery, primary care, community services and social care, because that is what we need to meet the health and care needs of people in this century, and that is what we will deliver.

[Peter Prinsley (Bury St Edmunds and Stowmarket) (Lab)]

Winter pressures have caused the cancellation of thousands of operations, including many of my own lists. Does the Secretary of State agree that the opening of the dedicated Clare Marx surgical centre in Colchester, serving patients in Essex and Suffolk, is an extremely welcome development?

[Wes Streeting]

I thank my hon. Friend for his question, and for the expertise and experience that he brings to the House. We absolutely need to ensure that we are innovating in our service provision, and are shifting the centre of gravity out of hospitals and towards care and treatment closer to home—indeed, in people’s homes. As we have set out in recent weeks, since the investment announced in the Budget and particularly in the elective reform plan, this Government will continue to innovate, in order to provide services that deliver not only great value for the taxpayer but, even more importantly, great outcomes for patients.

Oral Answers to Questions

Peter Prinsley Excerpts

Tuesday 7th January 2025 Commons Chamber

[Stephen Kinnock]

It sounds like there is some interesting, dynamic and innovative work going on in the areas that the hon. Gentleman mentioned. I would be happy to meet him to discuss it further.

[Peter Prinsley (Bury St Edmunds and Stowmarket) (Lab)]

I have just been visited by my former medical student, a young doctor in Yorkshire working in an intensive therapy unit, who told me that 40 of the 50 patients who were admitted with covid died. Many healthcare workers are suffering from flashbacks and post-traumatic stress disorder. What measures will the Government take to look after the mental health of the healthcare workers who so bravely helped us during the covid pandemic?

[Stephen Kinnock]

My hon. Friend raises an important point, which provides an opportunity for us all to reflect on the incredible work of those working in our health service; they are, in many ways, heroes, and we should absolutely acknowledge that fact. We need to explore the point he has raised—we could meet to discuss it further, or I would be happy to write to him.

Health and Adult Social Care Reform

Peter Prinsley Excerpts

Monday 6th January 2025 Commons Chamber

[Wes Streeting]

The previous Labour Government delivered the shortest waiting times and the highest patient satisfaction in history.

[Peter Prinsley (Bury St Edmunds and Stowmarket) (Lab)]

There are very worrying reports of cash-strapped universities reducing the numbers of clinical academics; indeed, some are being made redundant at a time when there is increased demand for doctors. Does the Secretary of State agree that this is an extremely concerning development?

[Wes Streeting]

Clinical academics have an important role to play in the national health service and in innovation in medicine. My right hon. Friend the Secretary of State for Education is focused on university finances, and I think universities should ensure that they prioritise efficiently and effectively, making best use of the resources available to them. I would gently say that universities have not struggled as much as other parts of the public sector over the past 14 years.

NHS Backlog

Peter Prinsley Excerpts

Monday 6th January 2025 Commons Chamber

[Peter Prinsley (Bury St Edmunds and Stowmarket) (Lab)]

I had expected to tell the House that I had come straight to Parliament from my operating theatre in Norfolk, where I had been dealing with ear, nose and throat surgery backlogs this morning, but late last night I received a call telling me that my operating list was cancelled because there are no beds in the day unit that was purpose-built to avoid that issue, and which opened only a few years ago. Every surgeon in the country will be familiar with that situation, and in every hospital, surgical teams are sitting idle waiting for beds. It is like a fog-bound airport where nothing can take off.

There are enormous backlogs across almost all of surgery, especially in gynaecology and orthopaedics. We are short of theatres, short of anaesthetists and short of scanners. Our patients are suffering and deteriorating in front of our eyes. Some of them are dying. We are short of all manner of specialists, including crucial diagnostic radiologists and pathologists. Delays in diagnostic imaging and reporting are very problematic—there are more than 1.5 million people on the waiting list to receive a diagnosis—but the Labour Government will deal with the massive NHS backlogs because we did it before. Between’97 and 2010, we abolished the waiting list, but in the period from 2010 to 2023, waiting lists reached record levels. Now we see access to GPs, dentistry and all routine surgery as the political emergencies that they are.

We all hear terrible accounts of the consequences of such delays from our constituents. We know of them first hand from our own families. My son, who is an A&E doctor, describes trollies of elderly, incontinent patients two abreast in corridors, and in car parks. He is unable to admit his patients, and that is right here in London. We know that we must rebuild our hospitals, and we will start with those that are actually falling down. My constituents were so pleased to hear both the Prime Minister and the Chancellor promise here in Parliament to replace West Suffolk hospital in Bury St Edmunds.

[Gregory Stafford]

Will the hon. Gentleman give way?

[Peter Prinsley]

May I carry on, as I have very little time?

I am glad that the Prime Minister has made general practice and care in the community a central part of his plan. General practice is the front door to the NHS. Patients who have a genuine connection with one or two GPs are less ill and live longer.

There is an illuminating article entitled “Closer to home” in this month’s Fabian Review by my Suffolk GP colleagues Drs Reed and Havard, who reimagine GP as a comprehensive community health service close to the patient, with multiprofessional teams of health workers and with mental health services and district nursing all in one place. Patients know who their doctors are and know that the community health centre is the place to go. Let us call them Bevan community health centres. We really can manage most clinical problems in the community, and investing in our brilliant GPs is truly the key to the crisis. Community hubs with diagnostic capabilities for larger populations would send to hospital only people who need to go to hospital.

We must do something about productivity. I started my career with four workers in the theatre operating on eight children, only to reach a situation today of operating on four children with eight workers. As we reform and rebuild our NHS, let us bring the 1.5 million staff members with us on this great journey, for it is on them that we and the NHS depend. The measures announced today will surely help, but only if we find enough staff and invest in training. Let us look after those who look after us, with fair pay, fair conditions and a great deal of respect. That must be our mission.

Dental Healthcare: East Anglia

Peter Prinsley Excerpts

Wednesday 11th December 2024 Westminster Hall

[Jerome Mayhew]

I am shocked to hear that. An example of that in my constituency was reported to me, but that was in the height of the covid lockdowns; I have not heard an example since then. However, irrespective of the headline-grabbing anecdote, it is almost impossible for new applicants to register to an NHS dentist, and I have the figures to back that up. Office for National Statistics data for November indicates that 98.4% of those who were not registered to a dentist but who wanted to access NHS dental care in the east of England were unable to do so. That is the worst rate of all English regions, yet over that period there was a £58 million underspend in the east of England’s NHS dental budget. That is not because the Government do not want to spend the money, and it is not because the money is not available; it is simply because we do not have enough dentists to satisfy the huge need.

[Peter Prinsley (Bury St Edmunds and Stowmarket) (Lab)]

Does the hon. Member agree that the absolute early priority must be to sort out emergency dentistry? Everybody must be able to contact an NHS emergency dentist for terrible toothache or dental emergencies, and that will prevent so many children from being admitted to hospital for their abscesses to be drained, which I have had to do as an ear, nose and throat surgeon.

[Jerome Mayhew]

My answer is yes and no. Over the past 18 months to two years in Norfolk and Waveney, a lot of money has been spent on increasing access to emergency dentistry. Although I welcomed that and it has helped to deal with some acute issues, there is a much more fundamental problem. We must fix the system rather than decide on the least worst form of emergency care once the problem has become acute.

The big question is why the east of England is in this position. The wrong analysis of how we got here will lead to our imposing the wrong solution. Some people say, “Well, it’s because Norfolk is a remote, rural area with lots of coastline, and that brings problems. If you’re a newly qualified dentist, it’s probably a rather unfashionable place to go to make your new career if you’re not from that neck of the woods. It has a more elderly demographic, which may put off young dentists. It’s not where they want to go to set up their new home.”

Yet compare Norfolk with similar counties, such as Devon. I often use Devon as an example because it shares many characteristics with Norfolk: a slightly older population, a large rural coastline and a pretty similar population size. Look at the number of dentists in Devon: they have 49.6 per 100,000 people, which is far more than we have in the east of England. What is the difference? The answer is obvious. Since 2005, Devon has had a dental training school at Plymouth, which was the last one to be set up. The east of England made a bid for that contract and lost out to the Peninsula bid, and we can see the consequences of that in the teeth of Norfolk residents.

If someone wants to train as a dentist in Norfolk, Suffolk or elsewhere in East Anglia, the nearest place they can go to train is either Birmingham or London. That means that our home-grown talent has to go off somewhere else, several hours away, to train and qualify. The usual things happen: they develop their professional relationships in that region; they meet someone, fall in love and settle down; they put down roots in the community and they stay there and do not come back. The exact opposite is the case for people not from our region who qualify elsewhere. What is the incentive for them to come and set up home in a part of the world that they do not know and that is perhaps not attractive to newly qualified people in their mid-20s?

We also know that about 40% of graduates tend to stay where they train. We have that data from the University of East Anglia and its medical school, because each year it surveys graduates to see where they get their first job and each year about 40% of them take a job locally. This is the really important question for the Minister: do he and his Department accept that analysis? If they do not accept it, what is his explanation for the dearth of NHS dentists and even private dentists in East Anglia?

Tobacco and Vapes Bill

Peter Prinsley Excerpts

2nd reading
Tuesday 26th November 2024 Commons Chamber

[Wes Streeting]

The right hon. Member is right to make that distinction. As a stop-smoking tool, vaping has a part to play. For smokers, vaping is a better alternative—a route away from smoking. We do not want to throw the baby out with the bathwater. What we are interested in tackling is the scourge of youth vaping and the extent to which young people have been cynically addicted. It is important to say that we do not yet know the full extent of the harms caused by vaping, but we do know two things: first, it is better to vape than to smoke—that is why we are striking the balance in this legislation—and secondly, vapes are harmful. Ask any teacher in the country; they will talk about the signs of nicotine addiction that they see in their pupils, and about having to monitor school toilets to stop children congregating to vape. It is urgent and necessary to act today to protect this generation of kids from a new addiction, and that is exactly what we will do.

[Peter Prinsley (Bury St Edmunds and Stowmarket) (Lab)]

As an ear, nose and throat surgeon, I can attest to the absolutely desperate trouble that cigarettes have caused over many generations. Implementing this measure is one of the best things that this Parliament could possibly do, and I expect that the measure will be widely supported all over the House. I am grateful to my right hon. Friend for introducing it.

[Wes Streeting]

I am grateful to my hon. Friend for that intervention, not least because of the expertise that he brings to the House as a clinician. We are well served by his expertise in debates on the health of the nation.

Opposite me sit many opponents of the Bill and of the Government’s prevention agenda. I acknowledge that their opposition is based on genuine, sincere beliefs about the limits of government and the size of the state, but I appeal to them by saying that the Bill is in the national interest and, ironically, in their ideological interest.

Oral Answers to Questions

Peter Prinsley Excerpts

Tuesday 19th November 2024 Commons Chamber

[Peter Prinsley (Bury St Edmunds and Stowmarket) (Lab)]

Will the Secretary of State explain what plans he has—if any—to limit the scope of practice of anaesthetic associates and physician associates, about whom there has been such publicity lately?

[Wes Streeting]

Indeed there has. Medical associate roles can and do play a valuable role in freeing up other clinicians’ time to do the things that only they can do, but there are legitimate concerns within the professions about scope of practice, doctor substitution and transparency for patients. We need to grip that and address it. We will have a further announcement to make about that shortly.

National Insurance Contributions: Healthcare

Peter Prinsley Excerpts

Thursday 14th November 2024 Commons Chamber

[Karin Smyth]

I understand the right hon. Gentleman’s point. As I have said, we will continue our conversations with all affected providers in the normal way.

[Peter Prinsley (Bury St Edmunds and Stowmarket) (Lab)]

Does the Minister agree that the support that we will put in place for general practice and, in particular, the community health hubs that were recently announced, will be crucial to the improvement in the health service that we urgently need?

[Karin Smyth]

I respect my hon. Friend’s expertise and service to the national health service. He will understand the need to make the shift into neighbourhood health services. We have been clear that we will ensure the NHS spends all its allocations in the most effective way to enable that shift, as part of our 10-year plan.