Oral Answers to Questions
Debate between Philippa Whitford and Caroline Dinenage(4 years, 3 months ago)
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Dr Philippa Whitford (Central Ayrshire) (SNP)
The Minister for Digital and Culture (Caroline Dinenage)
By taking back control of our money, we are able to focus on spending that reflects the needs and ambitions of UK artists and creative professionals. This includes considering alternatives to former international funding programmes. We are committed to supporting our world-leading culture sector to continue to grow and flourish.
Dr Whitford
As we have already heard from Members in this Chamber this morning, the culture sector has been hit hard by the covid pandemic and many organisations are struggling to simply survive. EU membership is not a requirement of the programme, so why are the Government ending the UK’s membership of Creative Europe?
Caroline Dinenage
Creative Europe funds co-operation across cultural and audio-visual sectors, as the hon. Lady knows. The value of it is roughly £4 million a year. The Government decided that the UK would not continue to participate, but UK beneficiaries will continue to benefit from the programmes for the lifetime of their project, which in many cases runs beyond 2020. In the meantime, we are working in partnership with the devolved Administrations on domestic alternatives, which will be considered as part of the forthcoming spending review.
Living with Dementia
Debate between Philippa Whitford and Caroline Dinenage(5 years, 6 months ago)
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Caroline Dinenage
Respite care was one of the themes of the carers action plan that we published last year. SCIE is putting together guidance for local authorities on how they can best provide that crucial respite moment for those brilliant carers. [Interruption.]
A diagnosis is very much for an individual, but also for their families and loved ones and for their communities and workplaces. When those come together, it is possible to live well with dementia, as my hon. Friend the Member for Witney (Robert Courts) said. Such personal experiences make me passionate about my responsibilities as a Minister. The hon. Member for Halifax (Holly Lynch) challenged me to continue to push the Government to keep dementia as a priority, and I always will. I am proud of the Government’s commitment to deliver on the dementia challenge 2020 in full to make this the best country in the world to live for anyone with a dementia diagnosis.
The challenge aims to transform the lives of people with dementia, as well as their carers and their families, through better awareness, care and research. We have made significant progress as part of the challenge, but we know, as we have heard today, that there is still much more to do. We have already started our work on our strategy for the period beyond 2020. This is not something that finishes in 2020. It is simply the start of the next phase and we will publish our thoughts on it early next year.
One of the key successes of the challenge has been improved diagnosis. We are meeting our ambition, and today two thirds of people living with dementia receive a diagnosis, but we clearly still have some way to go. Of course, not everybody wants a diagnosis, but we know that a timely diagnosis enables a person with dementia to access the advice, information, care and support that can help them to live well with the condition and remain independent for as long as possible.
We are focusing on reducing the variation in local dementia diagnosis rates. There is a real geographical variation, and targeted support to identify and engage the areas most in need of assistance will really help. Reducing the gap in diagnosis rates will ensure that people with dementia have consistent access to a diagnosis wherever they are in the country. We also know that receiving good quality care improves the lives of people with dementia. Equipping our health and social care workforce with the skills that they need is therefore crucial to the quality of care for those living with dementia.
Since 2012—the hon. Member for Bradford South (Judith Cummins) mentioned this—1 million episodes of the tier 1 dementia awareness training have been completed by NHS staff, and more than 1 million care workers completed the care certificate, or common induction standards. We continue to work to meet our commitment that staff have the training appropriate to their role. We want to see more people doing the tier 2 training, which is much more robust, so we are exploring options to see how we can increase take-up for anyone who needs it.
Dr Whitford
Is there an audit of hospital environments? Just before I left to come here, my hospital was redesigned using coloured zones and imagery to help people with early dementia move around the hospital independently. Are there similar projects elsewhere?
Caroline Dinenage
That is an interesting question. I do not know the answer, but I would be keen to look into it to find out. We are looking to explore ways to encourage the take-up of tier 2 dementia training. I recently co-signed a letter to health and care organisations with the chief executives of Skills for Care and Health Education England to highlight the importance of dementia training and education, which is a really important part of our discussions.
We are also meeting our commitment on Government funding for dementia research of £60 million or more each year, to reach at least £300 million invested over the five years up to 2020. The figure is actually more than £60 million this year—it is £83.5 million. In addition, we have the UK Dementia Research Institute, which is funded to the tune of £290 million: £190 million from Government and £50 million each from the Alzheimer’s Society and Alzheimer’s Research UK.
Oral Answers to Questions
Debate between Philippa Whitford and Caroline Dinenage(5 years, 9 months ago)
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Caroline Dinenage
People on low incomes who do not qualify for an exemption may be eligible for either full or partial help with prescription charges through the NHS low-income scheme. In addition, for those who do not qualify for that, the prescription pre-payment certificate is available, under which everybody can get all the prescriptions they need for only £2 a week.
Dr Philippa Whitford (Central Ayrshire) (SNP)
Of the 300,000 who have missed out on their prescriptions, a quarter have had a flare-up of their asthma and 13% have ended up in hospital. Does the Minister not accept that prescription charges simply are not cost-effective and should be abolished, as they have been in Scotland?
Caroline Dinenage
Almost 90% of prescription items dispensed in the community in England are free of charge. That includes medicines for the treatment of asthma. The fact is that people who, like me, suffer from asthma and need those prescriptions have to decide, as taxpayers—as the people funding our NHS—whether we would rather contribute to those prescriptions or see the underfunding we have seen in Scotland, where GPs have been underfunded by almost £660 million over the last four years. It is a case of priorities.
NHS Whistleblowers
Debate between Philippa Whitford and Caroline Dinenage(6 years, 5 months ago)
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The Minister for Care (Caroline Dinenage)
It is a great pleasure to serve under your chairmanship, Mr Davies.
I start by thanking the hon. Member for Central Ayrshire (Dr Whitford) for bringing forward this important debate on a vital issue and for the keen interest she has shown in patient safety across the board. I always listen carefully to what she says, not only because her contributions come from her perspective as a clinician—something that should be incredibly valued—but because, as a Member, I respect the practical, constructive and calm way she presents information to the House. It always makes an enormous difference as a Minister when information is given in that way. I also thank her for the role she has played in the pre-legislative scrutiny of the health service safety investigations Bill—another piece of legislation we are introducing to ensure that our health systems are continually learning and making a difference when things go wrong.
I also put on the record my thanks to my hon. Friend the Member for Stirling (Stephen Kerr) for setting up the all-party parliamentary group on whistleblowers. I am delighted he has taken that step. There are all-party parliamentary groups on a range of different issues, and one often wonders where they are coming from. However, I welcome his wholeheartedly, and I am keen to hear its considered recommendations. I am also delighted that the new Secretary of State for Health and Social Care has already stated his commitment to the health and social care workforce. The work of my hon. Friend’s APPG will go to the heart of that.
The Government are committed to building a culture of openness and transparency in the NHS, which is part of achieving our goal of making it the safest healthcare system in the world. We need to make sure that people who work in the NHS feel safe to speak up. We want that to become routine, and it is a key part of our commitment to ensuring patient safety and improving the quality of services. The NHS should support and welcome all staff—be they permanent employees, agency workers, volunteers or other contracted staff—raising concerns, wherever they have them.
The importance of people in healthcare speaking up has been demonstrated by many brave champions of patient safety, such as Helene Donnelly at the Mid Staffordshire NHS Foundation Trust. It is through the bravery of Helene and those like her that we can fully recognise the changes that have to happen in our health and care services. As the hon. Member for Central Ayrshire has said today and in the past, people blowing the whistle is a sign that the system has failed somewhere earlier on—that something has gone wrong and has not been put right. We want a culture in which we do not need whistleblowers like Helene because stronger preventions and better patient safety measures are in place, because people feel confident to admit when something has gone wrong, and because people feel protected and supported and are willing to raise concerns in the workplace as a norm.
Hon. Members will know that I am the Member for Gosport. I have recused myself from speaking as a Minister on the situation there so that I can continue to represent my constituents in that case, which I have been involved in for the last eight years. However, the case amply demonstrated the risks of not listening to those who raise concerns. It is clear that much of the pain and suffering experienced by families could have been avoided had those whistleblowers been listened to earlier.
Speaking up and raising concerns should be routine in the NHS. As the hon. Lady said, whistleblowing legislation has been in place for 20 years, and all hon. Members have been vocal about its limitations. I am not averse to reviewing the legislation, and I am keen to hear any proposals that the new APPG and other Members feel would be appropriate. Evidence on the legislation’s effectiveness—or ineffectiveness—would be helpful. Hon. Members know that reviewing that legislation does not fall within the gift of either myself or the Department; the Department for Business, Energy and Industrial Strategy holds the control there. However, I am more than happy to speak to Ministers in that Department about this.
We are aware that improvements to our health and care system are needed to ensure that workers feel safe to speak up about problems. Responses to our call for evidence in 2013 highlighted that whistleblowers did not feel that way, which is why we legislated in the Small Business, Enterprise and Employment Act 2015 to require prescribed persons to produce an annual report on whistleblowing disclosures made to them by workers. The regulations to implement that reporting duty are now in place, and the prescribed persons’ first annual reports, covering 2017-18, are due to be published in the next few months. That is aimed at increasing public confidence that prescribed persons take whistleblowing disclosures seriously, through greater transparency about how they handle disclosures, and particularly that they investigate and take action where necessary.
Dr Whitford
The Minister mentions prescribed persons. The fact that Members are also prescribed persons shows how difficult and confusing it can be for whistleblowers to know where they should go. I suggest it would be difficult and confusing for an MP to know what to do with such information and where to go. I recognise that the NHS, as one of the major generators of these cases, perhaps needs its own structure. However, if we had an independent body that covered all other sectors, everyone who wants to blow the whistle would at least know where to go, because a lot do not at the moment. As my hon. Friend the Member for North Ayrshire and Arran (Patricia Gibson) said, they may blow the whistle in the wrong way and to the wrong person, and they will suddenly not be covered by PIDA at all.
Caroline Dinenage
The hon. Lady makes a valid point, which we will take into consideration.
As the hon. Lady knows, the National Guardian’s Office was established in 2016, and the independent national guardian, Dr Henrietta Hughes, was appointed to support NHS whistleblowers and to improve the NHS reporting culture. The National Guardian’s Office also provides leadership, training and advice for a network of more than 750 “freedom to speak up” guardians based in all NHS trusts and foundation trusts. There have been more than 6,700 cases of speaking up in the last financial year. The National Guardian’s Office is looking to extend a network into primary care later this year.
The ability of the National Guardian’s Office to effectively engage the system is already helping it to make recommendations to trusts, arm’s length bodies, the Government and providers of services to the NHS to help drive this cultural change. Its role in the system is as an influencer of change, rather than an imposer of requirements. Organisations should rightly remain responsible for tackling their own cultural issues.
The NHS is one of the largest employers in the world and makes a large investment in its workers. We do not want to lose great people from the NHS because they face discrimination for doing the right thing. That is why we introduced protections from discrimination for people seeking NHS employment who are perceived to have previously blown the whistle. That regulation came into force in May and will support NHS Employers in being an exemplar to others in fostering a culture of openness and a willingness to report problems with care. Separately, we also extended the definition of “worker” within the whistleblowing statutory framework in the Employment Rights Act 1996 to include student nurses and student midwives, meaning that those people are now protected under the Act.
Aside from statutory protections, on 1 April 2016 NHS England and NHS Improvement published a single national integrated “speaking up” policy to provide clarity and consistency across the system. In March 2017, NHS England also launched the whistleblowing support scheme—a nationwide pilot to help workers in primary care who have spoken up. A similar pilot was launched in September 2017 by NHS Improvement for people who have made a disclosure in secondary care. The schemes offer a range of services to support people back into employment. It is too soon to say how the pilots are progressing and how effective they have been. The aim is to ensure that any future scheme is fit for purpose and meets the needs of people who require support after making a disclosure.
We have also made changes at the regulatory level of the health and care system to better protect whistleblowers. The CQC has a legal duty to report on whistleblowing disclosures, and it has revised the “well-led” domain of its inspection assessment framework to include how organisations are progressing with implementing the recommendations from “Freedom to Speak Up”. It is important to mention the link between an organisation’s CQC rating and how seriously it takes speaking up, with 100% of organisations rated as outstanding by the CQC having guardians who reported that speaking up is taken seriously in their organisation, in contrast with only 36% of trusts rated as inadequate.
NHS staff who are prepared to speak up are an important asset. We want NHS staff to feel confident that, when they speak up in the public interest, it will not have a negative impact on their career. Supporting those who speak up in the NHS is utterly crucial to achieving those aims.
Women and the Vote
Debate between Philippa Whitford and Caroline Dinenage(8 years, 6 months ago)
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Caroline Dinenage
May I make a bit of progress? I really want to talk about the lasting change that starts with education. Girls are now outperforming boys at school and outnumbering boys at university. We really need to ensure that success in school translates into career success. To do that, we need to free women and girls from the pressure to conform to restricted choices in aspirations. There are no longer such things as boys’ jobs and girls’ jobs; there are just jobs. That is why the Government are working so hard to broaden girls’ career choices by encouraging more of them to consider careers in science, technology, engineering and maths. Those are the skills that our economy needs and those are the career choices that will narrow the gender pay gap, which, I am proud to say, is now narrower than it has ever been, and it is the Prime Minister’s ambition to eliminate it altogether within a generation.
Caroline Dinenage
I will make a little bit more progress. We have published regulations that will increase transparency around the gender pay gap, and we expect employers to start publishing the required information from next April. We have been working closely with business on these regulations at every stage, and we will provide a package of support to help employers calculate, understand and address their gender pay gap areas.
It is also vital that we continue to gain positions of leadership and influence in business. I am delighted that Lord Davies’s target of 25% of women on the boards of FTSE 100 companies has been met and exceeded. Across the whole FTSE 350, the proportion of women is more than double what it was in 2011. Backed by the Government, this business-led approach is working. The work is not over. We need to promote the business-led 33% target for FTSE 350 boards. I am delighted that Sir Philip Hampton and Dame Helen Alexander will be bringing their wealth of business experience to a new review into the executive pipeline.
Many of the initiatives I have mentioned have been led by the Government Equalities Office. I am immensely proud to be a GEO Minister alongside my colleague the Secretary of State for Education, and to continue the work that has been done by making sure that in everything we do we make the UK a better place for women to live and work.
I am also proud of how the Government lead the way internationally on promoting women’s rights. I was honoured to lead the UK delegation to the convention on the status of women in New York earlier this year, which involved delegates from across the world. It was striking how many common issues were raised that affect women globally. Economic empowerment, the violence against women and girls mentioned by the hon. Member for Wirral South, and political representation are all issues for women across the world.
The progress we have made on these issues has not simply been given to us. It has been fought for every single step of the way and there is still such a long way to go to achieve the genuine equality we all want to see. The hon. Member for Wirral South spoke powerfully about the speech made by the hon. Member for Birmingham, Yardley (Jess Phillips) earlier in the year. Two women a week still die at the hands of an ex-husband or partner, and although we have made so much progress in increasing the number of convictions and prosecutions for domestic violence, every single one of those women is a woman too many.
Caroline Dinenage
Yes, and we have already heard about the parity of voice that is so important in this and many other campaigns. We all have a role to play in inspiring the next generation of women to take these seats and we can do that only if we present a face of Parliament and of Government that women aspire to be part of.
Dr Philippa Whitford (Central Ayrshire) (SNP)
We have referred to the number of women currently in Parliament, but there are still more men in Parliament than there have ever been women in Parliament. We need to point that out on the record. Many hon. Members know that I am a surgeon. I started training as a surgeon in 1982. In 1978, as a medical student, I was told that I could not be a surgeon because I was a woman. At an interview I was asked about monthly mood swings as a problem for a surgeon. I replied that I had worked for consultants with daily mood swings, and that monthly mood swings would be an improvement. Hopefully, we have come a long way, but there are still probably fewer women surgeons than women politicians, so we still have a long way to go.
Caroline Dinenage
We have all met men like that. The hon. Lady is right. We need to keep up the fight, we need to talk about the issues that matter to us, we need to encourage the women around us to get politically engaged, and above all we must encourage them to go out and vote. That is the right that those early suffragettes fought for and we must all use it. As the next big decision facing the UK is put to the vote shortly, I am sure hon. Members on the Opposition Benches share my desire to ensure that women are at the forefront of that, and that their votes count.
Question put and agreed to.