Oral Answers to Questions

Rob Butler Excerpts

Tuesday 17th October 2023 Commons Chamber

[Mr Tanmanjeet Singh Dhesi (Slough) (Lab)]

13. What steps he is taking to improve access to primary care services.

[Rob Butler (Aylesbury) (Con)]

21. What steps he is taking to improve access to primary care services.

--- Later in debate ---

[Steve Barclay]

There is a two-tier approach within the UK, between what is going on with the NHS in Wales and what is going on in England. We have more appointments, more staff—over 2,000 more doctors and over 31,000 additional roles—and more tech, with £240 million invested in delivering the digital telephony and the online booking system so that we can get patients to the right level of care with an appointment as part of our commitment to 50 million more appointments in primary care.

[Rob Butler]

In my constituency of Aylesbury we have some absolutely fantastic GPs and some brilliant services being delivered, thanks in part to many of the policies that have been introduced under this Government. I thank my right hon. Friend for continuing with that. However, there are still challenges for constituents to get through to their GP surgery to make an appointment in the first place. He has just mentioned digital telephony. Could he update the House on the progress that is being made on rolling out this technology to health centres to end the incredibly frustrating waits that people have, sometimes being on hold on the phone for hours at a time?

[Steve Barclay]

Through that £240 million, we have 100% adoption from GP practices that want to take part in receiving those funds and putting digital telephony in place if they have not already done so. This includes call-back, which allows people to know where they are in the queue, and links to online booking, which allows us to maximise the 31,000 additional roles that we have put into primary care so that people can see the specialist that they need. In my hon. Friend’s own integrated care board, appointments for July increased from 768,000 last July to 816,000 this July, so more patients are being seen, more appointments are taking place and more tech investment is going into the practices in his area.

Oral Answers

Rob Butler Excerpts

Tuesday 25th April 2023 Commons Chamber

[Maria Caulfield]

I can reassure the right hon. Gentleman that we are putting an additional £7.9 million into four new pilot gender identity clinics, because we want services to improve and waiting times to come down. The four new pilot services are now operating in Greater Manchester, Cheshire and Merseyside, East of England and London, and a new clinic will be opening in Sussex later this year. The four pilot studies have already removed 3,400 patients from the waiting list and I am hoping the fifth clinic will go further.

[Rob Butler (Aylesbury) (Con)]

2. What steps his Department is taking to reduce health inequalities in deprived areas.

[Gavin Newlands (Paisley and Renfrewshire North) (SNP)]

23. Whether he has made a recent assessment of the potential relationship between poverty and life expectancy.

[The Secretary of State for Health and Social Care (Steve Barclay)]

The Government are committed to our levelling-up mission to narrow the gap in healthy life expectancy by 2030. That is why, in October, we committed an additional £50 million to 13 local authorities to tackle inequalities and why we are also setting out our plans through the major conditions strategy.

[Rob Butler]

Even in areas that people consider to be affluent, such as Buckinghamshire, health inequalities can be a serious concern. Figures from Opportunity Bucks show there is an eight-year difference in life expectancy between residents of the Aylesbury North West ward and the Ridgeway East ward, both of which are in my constituency, yet the funding for those areas is essentially the same. Will my right hon. Friend explain the steps he is taking to ensure that deprived communities, wherever they are in the country, get the additional help and support—not necessarily purely financial—that they need to address their needs?

[Steve Barclay]

My hon. Friend is absolutely right to highlight the importance of targeting health inequalities. Let me give the House a practical example. For lung cancer, patients are 20 times more likely to survive five years if we catch it early rather than late. Before the pandemic, those in the most deprived communities had the worst diagnosis. However, as a result of the targeted action we took with lung cancer check vans, they now have the best early diagnosis, which obviously has a big read-across for the five-year survival rate.

NHS Winter Pressures

Rob Butler Excerpts

Monday 9th January 2023 Commons Chamber

[Steve Barclay]

I recognised the hon. Lady’s second point at the start of my statement. On the wider point around those specific very troubling cases, one purpose behind integrated care systems having control centres is to get much earlier sight of the issues and much clearer escalation, with the result that these issues will get more scrutiny than is currently the case.

[Rob Butler (Aylesbury) (Con)]

In addition to the substantial increase in the number of cases of flu that my right hon. Friend mentioned, the intense cold snap shortly before Christmas put further unforeseeable pressure on hospitals. Stoke Mandeville Hospital in my own constituency saw four times as many broken hips as it normally would in that period, so I pay tribute to all the staff at Buckinghamshire Healthcare NHS Trust for treating those additional patients. I warmly welcome the Health and Social Care Secretary’s announcement on freeing up thousands of beds. Does he agree that putting a real, great focus on intermediate care and intermediate step-down beds is key, so it will be very important for integrated care boards, including the one covering Buckinghamshire, to put an intense concentration on that and on working constructively and effectively with the local authority and the local NHS trust?

[Mr Deputy Speaker (Sir Roger Gale)]

I call Clive Efford—

Children’s Mental Health

Rob Butler Excerpts

Tuesday 8th February 2022 Commons Chamber

[Rob Butler (Aylesbury) (Con)]

It is a pleasure to follow the hon. Member for East Kilbride, Strathaven and Lesmahagow (Dr Cameron) and her very constructive comments.

I welcome the opportunity to speak in this debate on children’s mental health. It is a subject that has thankfully received much more attention in recent years and is discussed far more openly by children themselves, and by their parents and teachers, and healthcare professionals. Children’s Mental Health Week is an excellent way to shine a spotlight on the importance of young people’s mental wellbeing. This year it is particularly appropriate to do so given the tremendous challenges that children have faced during the pandemic.

In Aylesbury, the formidable charity Youth Concern has highlighted mental health problems among young people in Buckinghamshire. The charity supports a wide range of young people, from those who require low-level support to those who have had major relationship breakdowns at home. It provides counselling services, which can be of significant benefit to those who do not reach the threshold for a referral to child and adolescent mental health services, or CAMHS. I commend everyone at Youth Concern for the difference they make to young people’s lives in my constituency.

I would also like to take this opportunity to thank teachers and parents across the constituency of Aylesbury for all they did to look after children at a time of such intense disruption in the pandemic, especially when pupils could not go to school for face-to-face lessons and instead had to learn at home. That is why I am so pleased that the Government focused on getting all children back into the classroom, ensuring that they could get the world-class education they deserve. It was this party and this Government who delivered on our promise to prioritise education, and the first step of the road map for leaving lockdown saw the return of all pupils to schools and colleges in March. That was a very welcome step, because Buckinghamshire Council’s education team, despite doing an incredible job over the past two years, has witnessed considerable increases in mental health issues among pupils, which has in turn put further pressure on local CAMHS.

I absolutely acknowledge that waiting times for help from CAMHS are too long, but that cannot be resolved overnight. There have been shortages of qualified clinicians for a very long time. I would respectfully suggest to Labour Members that it is simplistic to suggest that guarantees of an appointment within one month could be delivered.

One of the reasons I was keen to speak in today’s debate was my previous involvement in the youth justice system. I take this opportunity to declare my interest as a former board member of the Youth Justice Board, former non-executive director of HMPPS, former youth magistrate and member of the Sentencing Council. As the Justice Committee said in our recently published report on children and young people in custody, it is generally recognised that around a third of children in custody report a known mental health disorder. That is an absolutely shocking proportion, and it is very important to recognise the immense efforts of those who work in the youth secure estate to care for those young people, because that is not what our youth custody estate is designed for.

I am pleased to say that over the past few years much has been done to improve provision for children with mental health needs in custody. NHS England and NHS Improvement have led on the development of a framework for integrated care called SECURE STAIRS. That is being delivered in partnership with the Department for Education, the Youth Custody Service and the Ministry of Justice. It is a psychologically informed, trauma-based framework for integrated care that creates a single plan around the child. It is exactly what we need and it is exactly what is being done. It is based on the idea that every interaction matters and input from every member of staff is fundamental. As it was put to us by the NHS, from the top of the Youth Custody Service to the cleaners and the cooks, every interaction matters, and its focus on the child’s story, not on their diagnosis, their offence or any other label.

This is a clear demonstration of the Government recognising the requirement for specific support for a cohort of children with mental health needs, and then bringing together all the relevant organisations to deliver that help. Labour Members have been quick to criticise the Government, but the NHS long-term plan is clear that over the coming decade the goal is to ensure that 100% of children and young people who need specialist care can access it. Mental health support for children and young people will be embedded in schools and colleges. So far from the picture painted of strife and woe, this Conservative Government have grasped the nettle, are delivering on their promises and are taking action to ensure that all children and young people have a strong start in life.

Oral Answers to Questions

Rob Butler Excerpts

Tuesday 18th January 2022 Commons Chamber

The Secretary of State was asked—

[Rob Butler (Aylesbury) (Con)]

1. What steps his Department is taking to support the effective discharge of patients from hospital during the covid-19 outbreak.

[The Secretary of State for Health and Social Care (Sajid Javid)]

We are working closely with the NHS, social care and local authorities to significantly reduce delayed discharge and free up beds for those who need them most. We are making full use of non-acute beds, including those in hospices, other community beds and beds in the independent sector. To drive further progress and support regional and local systems, I also established a new national taskforce last month to help deliver best practice.

[Rob Butler]

I thank my right hon. Friend for his answer. Many people would like to leave hospital when their treatment is completed, but they are not quite well enough to cope alone at home. That is obviously frustrating for them, because they want their independence, it creates problems for hospitals, which need the beds, and it costs the taxpayer unnecessary money. Does my right hon. Friend therefore agree that the development of a strategy to provide intermediate care to support discharge would help alleviate pressure on both the NHS and the social care sector?

[Sajid Javid]

I do agree with my hon. Friend. That is why, as part of our continued response to the covid-19 pandemic, on 2 December last year NHS England asked local systems to consider ways to increase patient flow out of acute hospital settings. That includes surge capacity in care homes, identifying unused hospice capacity and, in some cases, repurposing hotel accommodation where appropriate. NHS England is reporting to me on this regularly, and it is something that we will closely monitor progress on.

Health and Social Care

Rob Butler Excerpts

Friday 3rd December 2021 Commons Chamber

[Edward Argar]

The latest statistic I have on the number of cases in this country is, I believe, 42. That work is still being done. We have seen various news reports today on things that might be encouraging, but I encourage everyone to wait and see while that analysis is done. It will take two to three weeks for the scientists to do their amazing work in understanding whether this new variant is more infectious and more virulent as well as how it responds to therapeutics and vaccines, and I am afraid that we will have to be patient while they do that work. Hopefully, they will come back with positive news, but it is too early to say.

[Rob Butler (Aylesbury) (Con)]

I welcome the publication of the health and social care approach outlined by the Minister. The details of the funding breakdown to help tackle a backlog in elective care will undoubtedly provide hospitals with the clarity and support that they need. However, we also need to reduce the number of people remaining in hospital when they no longer require medical care. Does he agree that one possible option to help alleviate that would be intermediate care provision that is a step between hospital and home?

[Edward Argar]

My hon. Friend is absolutely right to highlight that. My hon. Friend the Minister for Care and Mental Health has done a huge amount of work on both investment and working with local systems to improve hospital discharge for those who do not need to be in hospital any more, to give them that step-down support, be that domiciliary care or in other settings. In the current context, we must do that safely, but she is working extremely hard to deliver that and doing a fantastic job.

Oral Answers to Questions

Rob Butler Excerpts

Tuesday 23rd November 2021 Commons Chamber

[Maria Caulfield]

The right hon. Gentleman will find no greater supporters of community pharmacists than this Government. That is why we launched the community pharmacist consultation service, where GPs and NHS 111 can refer patients directly to pharmacy services. We now see pharmacies dealing with minor ailments such as sore throats, coughs and colds, providing the new medicines service and providing public health services such as weight management and stop smoking services. We place on record our thanks to all in community pharmacies.

[Rob Butler (Aylesbury) (Con)]

Community pharmacies in my constituency have played a crucial role during the pandemic, not least in providing vaccines, as at Hughenden Valley. Will my hon. Friend join me in thanking them, as well as the pharmacists working in GP surgeries such as Meadowcroft surgery in Aylesbury, which I visited last week? Their growing role in primary care is an important part of our efforts to improve the health service and ensure that patients get the best possible care.

[Maria Caulfield]

My hon. Friend makes some excellent points, and I put on record again our thanks to community pharmacists and all community pharmacy teams. During the pandemic, more than 1,500 community pharmacy-led covid vaccination sites have been set up, delivering 15 million covid vaccinations so far, and this winter more than 3.8 million flu vaccines have been delivered through community pharmacies, which shows that they are leading the way in primary care.

Covid-19 Update

Rob Butler Excerpts

Monday 15th November 2021 Commons Chamber

[Sajid Javid]

The hon. Lady will know that, as I said in my statement, the vaccines are absolutely central to protecting us against this virus, but it would be wrong for anyone to suggest that they are the only thing the Government are focusing on. There is of course a lot more; for example, I draw the hon. Lady’s attention to our recent announcements on antivirals.

[Rob Butler (Aylesbury) (Con)]

The enthusiasm of 16 and 17-year-olds in the Aylesbury constituency for having the jab has been extremely impressive. Given that they are a particularly key age group in our fight against covid, will my right hon. Friend thank them for their contribution to tackling the pandemic and can he let them know how soon they can expect to get the second jabs in their arms?

[Sajid Javid]

The second doses for 16 and 17-year-olds will be available from Monday next week. I also join my hon. Friend in thanking, in particular, the local schools for all the work that they have done in Aylesbury to help with that.

Covid-19 Update

Rob Butler Excerpts

Monday 6th September 2021 Commons Chamber

[Nadhim Zahawi]

My right hon. Friend is right to highlight that there is a group of older patients who received both doses with a three-week dosing interval, not a 12-week dosing interval. They will be our priority when it comes to boosters. The data from Cov-Boost is imminent, as I said earlier. The system is ready and primed to go as soon as we have that data, so that we boost the most vulnerable, including the group to which he refers, as quickly as possible to offer that additional protection.

[Rob Butler (Aylesbury) (Con)]

During the summer I visited the “Grab a Jab” van in Aylesbury, which proved especially popular with younger people. Will my hon. Friend join me in congratulating everybody involved in rolling out that vaccination programme and in encouraging all 16 and 17-year-olds in the Aylesbury constituency to get their jab so that they can live a full life, whether studying, working or just having a good time?

[Nadhim Zahawi]

I certainly urge all 16 and 17-year-olds to come forward to get their jab and the protection and freedoms that go with it. I thank the “Grab a Jab” team in Aylesbury for all the work they have done.

Covid-19 Update

Rob Butler Excerpts

Monday 28th June 2021 Commons Chamber

[Sajid Javid]

I am pleased that the hon. Gentleman has raised that issue, because it is very important. The point he is rightly making is that when we are asking children not to be in school for those reasons, to try to control infections, it is having a huge knock-on impact on their education, and none of us wants to see that. I have already asked for fresh advice from my Department on this issue and I intend to discuss it with my right hon. Friend the Education Secretary to see what more we can do.

[Rob Butler (Aylesbury) (Con)]

I wholeheartedly welcome my right hon. Friend to his new position. Given his extensive experience, both inside and outside Government, does he agree that the UK’s success post-pandemic will depend on the Department of Health and Social Care working closely with local councils, social care providers, businesses and community representatives to ensure that we protect both lives and livelihoods in the years ahead?

[Sajid Javid]

I agree wholeheartedly with my hon. Friend. As someone who has also been the Local Government Secretary and the Business Secretary, I agree with him even more, just directly from that experience.