Access to NHS Dentistry

Robert Largan Excerpts

Thursday 10th February 2022 Westminster Hall

[Robert Largan (High Peak) (Con)]

I am very grateful to be called to speak, Ms Ali. I had to step out of the debate briefly to have an urgent meeting with the Business Secretary about energy prices. Thank you so much for fitting me in. I will be as quick as I can.

I am grateful to my hon. Friend the Member for Waveney (Peter Aldous) for securing this important debate on a subject that comes up frequently on the doorsteps of High Peak. I thank the dentists, orthodontists, hygienists, technicians and all those who have worked incredibly hard in dental practices over the past two years through the pandemic. We are lucky to have some excellent dentists in High Peak, including Dean Kennedy dental practice, which happens to share an entrance with my constituency office in Whaley Bridge.

We all know that dentists work hard for their communities. Nevertheless, a large number of local people have been in touch with me about how difficult it is to get a dental appointment. The response to a freedom of information request by the British Dental Association indicates that 70% of appointments, or 28 million courses of treatment, have been missed in England since the start of the pandemic. Making up that backlog is essential.

I therefore welcome the recent announcement of an additional £50 million investment in NHS dentistry, including nearly £9 million for my region, to help patients access dental treatment and to catch up on that backlog. Beyond the short term, however, it is important for the Government to take steps to guarantee the long-term sustainability of NHS dentistry. Far too many people are finding it impossible to get registered at a new NHS dental practice. I have experienced that difficulty at first hand, in how difficult it was to get registered with an NHS dentist near my home in Glossop.

According to “The Great British Oral Health Report”, carried out by mydentist, 53% of the public have not had a routine dental check-up in the past year. Of those who had not seen a dentist, 28% said that they could not get an appointment and 14% that they were unable to register with an NHS dentist. Those are worrying figures.

I fear that we could be storing up real long-term problems for public health, as relatively routine dental problems go unchecked and untreated, and develop into much more serious conditions, which will need much more expensive treatments in future. Several hon. Members also identified concerns about mouth cancers going undiagnosed in the long run, which is a big worry.

Part of the problem is that there are simply not enough dentists. We need a serious drive to improve both the recruitment and the retention of dentists. I have raised the issue directly with Ministers previously, including making the suggestion—as other Members might have done today—that the Government should look again at the recognition of overseas dental qualifications.

The long-term plan for the NHS rightly emphasised the importance of preventive healthcare, and dentistry should be at the frontline of that effort. I hope that NHS dentists will be represented properly in the governance of the new integrated care systems, including in Derbyshire, so we can have a truly integrated and joined-up approach to public health. I look forward to hearing the Minister’s response to the points that I and other Members have made today. Swift action is needed.

Children’s Mental Health

Robert Largan Excerpts

Tuesday 8th February 2022 Commons Chamber

[Maggie Throup]

No, I will not give way. I must make some headway.

In May 2021 we announced £9.5 million of funding to offer senior mental health lead training to around a third of all state schools and colleges in England in 2021-22, and as part of our commitment to offer this training to all state schools and colleges by 2025. Today we have announced an additional £3 million to respond to the high demand from schools and colleges for this training. This will help them to build on the incredible work that they and their colleagues have done throughout the pandemic to promote and support the wellbeing of their students.

I know that waiting lists are a real source of frustration for young people wanting to access NHS support, and of course for their parents and carers. It is an issue that the shadow Minister also raised. That is why we have set up the first waiting time standard for children and young people’s eating disorder services.

As part of its clinically led review of NHS access standards, the NHS has consulted on the potential to introduce a new waiting time standard, so that children, young people, and their families and carers presenting to community-based mental health services should start to receive care within four weeks from referral. This consultation closed in September 2021, and NHS England and NHS Improvement will publish their response in due course.

[Robert Largan (High Peak) (Con)]

Will my hon. Friend give way?

[Maggie Throup]

I must make some progress.

Throughout the pandemic, NHS mental health services remained open, offering digital and remote access to maintain support and to accept new referrals. It is important that we bank the success of these digital innovations, as service providers are actively considering what has worked well in encouraging children and young people to engage with, and adhere to, their treatment plans.

Government must also play their part. That is why we have provided £79 million of additional funding this year to make a real difference to young people’s lives by ensuring that 22,500 more children and young people can access community mental health services, giving 2,000 more children and young people access to eating disorder services and, as I mentioned earlier, accelerating the delivery of mental health support teams in schools and colleges.

Opposition Members raised the important issue of services for those teenagers transitioning into adulthood, and we have provided £30 million to ensure that young adults, aged 18 to 25, including university students, are provided with tailored mental health support, helping to bridge the gap between children’s and adult services.

Although lockdown measures have been very tough for many, thanks to the success of our world-leading vaccination programme, we can now look to the future. We plan to launch a public discussion paper this spring to inform the development of a new, longer-term mental health strategy, which will include children and young people’s mental health. This will pave the way for a wide-ranging and ambitious conversation about potential solutions to improve mental health and wellbeing both within and beyond Government and the NHS.

We also plan to publish an update to the NHS long-term plan later this year, taking into account the impact of the pandemic. Today we have published the Government’s third annual “State of the nation: children and young people’s wellbeing” report. This year’s report focuses on trends in mental health and wellbeing recovery over the 2020-21 academic year, as well as children and young people’s views about wider society and the future.

We owe it to our future generations to seize the opportunity now for both the health and care and the education sectors to deliver on our commitments to improve the mental health and wellbeing of children and young people in this country. The Government cannot do this alone. There is a crucial role to be played by local authorities, the NHS, the private sector, schools and colleges, and the voluntary and community sector. Most importantly, we must continue to look to children and young people themselves and their parents, families and carers to understand what really matters to them.

--- Later in debate ---

[Robert Largan]

Does the Minister agree that we must not forget the acute services as well? It is fantastic news that we are putting £4.8 million into building a new psychiatric intensive care unit at Tameside General Hospital, which will be a big boost for the fantastic staff at the Cobden unit at Stepping Hill Hospital too.

[Will Quince]

My hon. Friend is absolutely right: acute services, which are of course a Department of Health and Social Care lead, are very important. In the Department for Education, we have a role to play in doing as much prevention as we can and getting early identification and support in place for people so that they do not need to attend the acute unit, which then frees up space for those who desperately do need it.

Let me turn to some specific points made by hon. Members from across the House. Time is relatively short, but I will cover as many as I can. I remind the House that my door is always open; Members can come to see me if I do not address any of these points and I will be happy to meet them to discuss them in person.

The hon. Member for East Kilbride, Strathaven and Lesmahagow (Dr Cameron)—I have probably pronounced her constituency wrongly, so I apologise for that—and my hon. Friend the Member for Burnley (Antony Higginbotham) made positive and constructive comments about how it is so important that we remove the stigma and break the taboo about mental health, and put children and young people at the heart of our recovery. My hon. Friend mentioned Burnley FC and its work through football in the community. It does hugely important work and I echo his comments about it. Those Members, along with my hon. Friends the Members for Sevenoaks (Laura Trott) and for Penistone and Stocksbridge (Miriam Cates), raised the issue of online harmful content, particularly about self-harm and suicide. They rightly said that the Online Safety Bill must tackle this issue, and I can certainly give the House the commitment and confirmation that the strongest protections in the Bill are on the safeguarding and protection of children.

My hon. Friend the Member for Aylesbury (Rob Butler) raised the issue of the Youth Concern charity in his constituency, rightly praising its work, and I echo his comments. He also rightly raised the issue of waiting times, which are too long in too many cases. We need to address them, and we are doing that in part with the NHS long-term plan. His experience of the Youth Custody Service is hugely welcome, and we will certainly be calling on him to discuss that further.

The hon. Members for Batley and Spen (Kim Leadbeater) and for Brighton, Kemptown (Lloyd Russell-Moyle) rightly referenced the serious point about suicide. Of course every suicide is a tragedy, especially so when it involves a child or young person. DHSC has a suicide prevention plan, and we are investing £57 million in suicide prevention by 2023-24, as part of the NHS long-term plan. I know that the Minister for Care and Mental Health, my hon. Friend the Member for Chichester (Gillian Keegan) will be happy to meet both of them to discuss that issue further.

My hon. Friends the Members for Milton Keynes North (Ben Everitt) and for Truro and Falmouth (Cherilyn Mackrory) discussed the importance of green open spaces—I am amazed at the number of people in Cornwall who have not had access to the sea, so we certainly need to look at that. They also mentioned the importance of being in school wherever possible, and I have to say that there are no greater champions for the people of Milton Keynes, and Truro and Falmouth than my hon. Friends. The hon. Member for Ealing North (James Murray) raised the issue of mental health professionals in schools. We are rolling out mental health support leads and mental health support teams up and down the country, and I welcome his interest in this area.

My hon. Friend the Member for Stoke-on-Trent South (Jack Brereton), a passionate advocate for children and young people in Stoke-on-Trent, has made a compelling case for family hubs and the family hub model and investment in Stoke-on-Trent, and we will no doubt discuss that further down the line. The hon. Member for Blaydon (Liz Twist) raised the issue of the importance of early intervention, and I totally agree on that; we are doing this in schools and colleges, and she was right to praise two schools in her constituency, in Whickham and Kingsmeadow.

My hon. Friend the Member for Ipswich (Tom Hunt) is a passionate advocate for children and young people with SEN and disabilities, and I am happy to discuss this issue with him later at greater length. I agree with him on the importance of early diagnosis. My hon. Friends the Members for Devizes (Danny Kruger) and for Sevenoaks, and the hon. Members for Bath (Wera Hobhouse)—I wish her a happy birthday—and for Sheffield, Hallam (Olivia Blake) rightly raised the issue of eating disorders. We have put additional investment in, and there is a new waiting time standard, but I know we need to do more in this area, and I would be happy to work with the hon. Lady.

I am proud of our record in supporting children and young people, and I am grateful for the ongoing support that hon. Members have given to this agenda. Can we do more? Yes. Can we always do more? Yes. We must do more and we will do more. I welcome the spotlight on this issue. Let me assure the House that good mental health and wellbeing for our children and young people remains a priority for me and this Government, and it will continue to be a priority as we recover and build back better from this pandemic, improving children’s futures and the future of our country.

Oral Answers to Questions

Robert Largan Excerpts

Tuesday 23rd November 2021 Commons Chamber

[Sajid Javid]

Once again, the right hon. Gentleman proves he still does not understand the social care programme that this Government have set out. I think that is deliberate; he chooses not to understand it. For the first time, catastrophic costs are being capped for everyone in the country, regardless of where they live, and the generous means-testing system will ensure that the vast majority of people will benefit and that no one will lose out.

The right hon. Gentleman asks me what I am doing about the workforce. We are making the biggest investment in the workforce that this country has ever seen. Yesterday I announced the merger of Health Education England into the NHS, so that we can have a better joined-up strategy, and we have already set out a 15-year framework to consider the long-term needs of the workforce.

[Robert Largan (High Peak) (Con)]

T2. Hundreds of local people have responded to my High Peak GP surgery survey, and I look forward to presenting Ministers with the results shortly. One of the top concerns is about how we can improve access to primary care. One way would be finally to build a major new health centre for Buxton. The local NHS already owns a suitable town centre location with outline planning permission; all it requires is the capital funding. Derbyshire Community Health Service NHS Trust has submitted a strong bid, which I support, so will the Secretary of State meet me to discuss how we can deliver the proposal and improve healthcare for Buxton and the whole High Peak?

Endometriosis and Polycystic Ovary Syndrome

Robert Largan Excerpts

Monday 1st November 2021 Westminster Hall

[Robert Largan (High Peak) (Con)]

It is always a pleasure to serve under your chairmanship, Mr Mundell. I pay tribute to the late Sir David Amess for all his work to establish the APPG on endometriosis, and I am very grateful to him for his efforts.

Like Sir David, I was visited at my constituency surgery by a constituent who has campaigned tirelessly to raise awareness of endometriosis to ensure that other women do not have to go through the pain that she has endured. That constituent, Maddy Howarth, first began to suffer severe stomach cramps aged just 13. By the age of 17, she was visiting A&E practically every month because of the pain she was in and the effects of the drugs that she was taking to manage it, and still the condition went undiagnosed.

Eventually, after several years had passed, Maddy was referred to a gynaecologist for investigative surgery. While waiting to see a specialist for diagnosis, she was forced to give up her home and her job, as she was unable to work through the unbearable pain or access the support that she needed. Then, at the age of just 22, Maddy made the difficult decision to have a hysterectomy to finally stop the pain. I am pleased to say that her health has since improved, but not all women are so lucky.

An inquiry by the APPG last year found that the average waiting time from the onset of symptoms to diagnosis was eight years, and that although nearly all of those with the condition felt that their mental health had suffered as a result, the vast majority have never received any psychological support. That cannot be allowed to continue. Several years ago my partner, Beth, was diagnosed with endometriosis. She has had to suffer intense pain, but she is still on the waiting list for surgery. Needless to say, this issue is very close to my heart.

We all know about the impact that the pandemic has had on NHS waiting lists. Countless constituents have contacted me about how difficult they have found it to access a GP appointment, and about the repeated delays to routine operations. Women with endometriosis have lived through that experience for decades. To stop more women and young girls going through the life-altering pain felt by those such as Maddy and Beth, and if we are serious about building a more resilient and preventive healthcare system, we have to change. That means cutting waiting lists for diagnosis, improving our clinical understanding of the condition, creating a dedicated care pathway and providing stronger mental health and physical support for those currently living with stage 4 chronic endometriosis. This will not be an easy task, but it is a necessary one.

Now is the time for these difficult conversations about how we view and treat women’s health, and now is the time for us to end once and for all the unacceptable situation in which women are left living in fear with unbearable, undiagnosed and untreated pain. We must change that now.

Baby Loss Awareness Week

Robert Largan Excerpts

Thursday 23rd September 2021 Commons Chamber

[Robert Largan (High Peak) (Con)]

It is a privilege to follow my hon. Friend the Member for Cities of London and Westminster (Nickie Aiken). She spoke about her own personal experience and her rainbow baby. I do not think the term existed when I was born, but I am my mum’s rainbow baby, and it was lovely to hear my hon. Friend’s speech. I also congratulate my hon. Friend the Member for Truro and Falmouth (Cherilyn Mackrory) on her powerful and courageous speech, and on all the work she has been doing since she was elected.

Baby Loss Awareness Week gives us all an opportunity to think about families that have suffered that tragedy and what can be done to help. We have heard a number of very moving stories in this debate, and I cannot begin to imagine how painful that experience must be for bereaved parents. I appreciate how difficult it is for people to be open in public about the loss of a baby or a pregnancy. According to the Baby Loss Awareness Week alliance, one in four pregnancies ends in miscarriage, and 14 babies are stillborn or die shortly after birth every day. One of the most powerful things to help those who have experienced that loss is to do everything possible to stop the same thing from happening to other parents.

My constituency of High Peak is home to some inspiring and hardworking maternity teams and bereavement organisations, and I wish in particular to talk about one organisation, and about my constituent, Ciara Curran, who asked me to share her story. Ciara lost her baby daughter Sinead 11 years ago in April 2010 due to pre-term pre-labour rupture of the membranes, also known as PPROM. That condition is when the waters break before 37 weeks of pregnancy, and it puts mother and baby at risk of infection. After such a devastating loss, Ciara went on to set up an organisation called Little Heartbeats to help women who have lost a baby to PPROM, and to ensure that pregnant mothers receive the best possible care if diagnosed with that condition.

Little Heartbeats has worked with the Royal College of Obstetricians and Gynaecologists to produce clinical guidelines and patient information leaflets to help prevent the loss of babies from PPROM. It has also launched studies into the impact of PPROM, as well as possible treatments such as stem cell patches. In recognition of the work done by Ciara and her team, Little Heartbeats received the Butterfly Award for best support organisation in 2017, and it was shortlisted for The Sun’s NHS Who Cares Wins health awards this year. It is amazing to see someone who has dealt with such loss respond with tremendous courage and compassion.

However, we still need greater awareness and a clearer understanding of PPROM, helping us to better identify and treat it. I sincerely hope that the Health and Social Care Committee will look into how the condition can be better managed, and learn from the stories of women such as Ciara who have lost babies to PPROM. I have written to the Chair of that Committee, who is in his place today, on that point. He gave a remarkably powerful speech, and I sincerely hope the Minister listened carefully to it.

We need to make improvements to antenatal and maternity care more widely. That is why I am campaigning for an improved maternity unit and antenatal clinic for Tameside General Hospital, which serves my constituents in places such as Glossop, Hadfield, Charlesworth, Gamesley and Tintwistle. The Charlesworth building at Tameside Hospital houses the current maternity unit and antenatal clinic. Originally built in 1971, it has poor insulation and problems with overheating that affect sensitive clinical equipment, including incubators for new-born babies, and impact on the wellbeing of patients and staff alike. Capital investment is badly needed to improve the comfort of patients and staff by improving insulation and providing new welfare stations and waiting areas. That will also deliver better care for mothers and babies by ensuring that clinical equipment is not overworked. I very much hope that Ministers will carefully consider Tameside Hospital’s bid for that crucial project as part of the health infrastructure plan, which alongside the planned new urgent care centre at Tameside, the proposed emergency care campus at Stepping Hill Hospital, and the long-planned new health centre for Buxton, would make a significant difference to healthcare provision locally.

I thank all the doctors, nurses, midwives, researchers, and organisers who do so much to address this challenge. Ultimately, the NHS cannot deliver world-class care without the dedication and perseverance of its amazing staff. They deserve our thanks, but they also need our support. The Royal College of Midwives has said that maternity services are experiencing a shortage of 2,000 midwives. In a 2020 survey, seven out of 10 midwives said that they were considering leaving the profession. The pandemic has put huge amounts of pressure on NHS staff, and it is vital that midwifery benefits from the Government’s £36 billion package of support for the health and social care system. It is also important that bereaved parents can get specific support and better access to counselling. The Baby Loss Awareness Week alliance carried out a 2019 survey, revealing that 60% of parents who have experienced baby loss said that they needed specialist psychological support but could not get it with the NHS. We need to improve access to counselling and invest more in prenatal nurses, giving them the right training to help parents who experience baby loss. If we are going to meet the Government’s national maternity safety ambition to see baby deaths fall by 50% by 2025, then action is clearly needed.

[Olivia Blake]

I thank the hon. Member for highlighting counselling, which is such an important issue. Does he accept that the quadrupled risk of suicide among people who experience miscarriage should be taken into consideration in suicide prevention work?

[Robert Largan]

I am grateful to my constituency neighbour for her intervention, and I absolutely take that point. That definitely needs to be taken fully into consideration.

The House has been grappling with lots of lots of big, difficult issues these past months. We often have heated debates, and I am sure that we will have many more, for the foreseeable future. But there are times, like this, when parliamentarians can come together to try to find solutions to our shared challenges. Let us work together to help those who are going through the darkest of times and give them hope that things will get better.

Social Care Reform

Robert Largan Excerpts

Wednesday 23rd June 2021 Commons Chamber

[Helen Whately]

Some really interesting and important work has been done on commissioning, looking at the outcomes of care rather than being so focused on inputs, which sometimes leads to the situation described by the hon. Member. One of the opportunities of the oversight system that we propose through the health and care Bill is that it will shine a light on the different ways in which local authorities commission care and give more visibility to what works. Those ways of commissioning that do not lead to such good outcomes can therefore learn from others. We look forward to seeing an improvement in how care is commissioned and, therefore, the care that people receive.

[Robert Largan (High Peak) (Con)]

Fixing our social care system is the biggest long-term challenge facing the country. However, for all the scale and complexity of the issue, fundamentally it comes down to money. We must find a way to fund our social care system fairly and sustainably. Will the Minister assure the House that she will work on a cross-party basis to bring forward reforms as soon as possible so that we can prevent the appalling situation in which people are forced to sell their home to pay for care?

[Helen Whately]

I can absolutely assure my hon. Friend on that point. One of the things we are committed to addressing is the situation where people may have worked all their lives to purchase and own a home and pay off a mortgage but then find themselves faced with a care bill of a size that uses up the value of their home when, perfectly reasonably, they want to be able to pass something on to their family.

Oral Answers to Questions

Robert Largan Excerpts

Tuesday 8th June 2021 Commons Chamber

[Ms Dorries]

I do not believe that meeting almost all our targets for NHS waiting times for mental health services, with £2.3 billion a year of investment into our NHS and no NHS mental health service closing during the entire pandemic, has been a failure. Of course I am sorry for those children and young people who cannot get access to services as quickly as they want; that is exactly why we committed an additional £500 million and established a mental health recovery plan: so that we can put community services in place to reach those who have been impacted most by the pandemic over the past 15 months. We have a long-term plan in place, with the investment that the NHS tells us that that long-term plan needs to provide the very services that we want to provide. The mental health of children and young people is this Government’s priority. We will continue to invest, and are proving to continue to invest, to make sure that those children and young people access the services they need.

[Robert Largan (High Peak) (Con)]

What steps his Department is taking to support the full restoration of GP services as part of the covid-19 recovery.

[David Johnston (Wantage) (Con)]

What steps his Department is taking to support the full restoration of GP services as part of the covid-19 recovery.

[The Parliamentary Under-Secretary of State for Health and Social Care (Jo Churchill)]

General practice has remained open throughout the pandemic, offering face-to-face appointments as well as telephone and online consultations, while playing a leading role in our vaccination programme. We are enormously grateful to general practices, the GPs and their broader teams for everything that they have done, but to ensure that general practice can continue to provide all necessary and appropriate care during this very busy time, we have made an additional £270 million available until September.

[Robert Largan]

If it is done right, we can use technology and data to improve healthcare services, improve patient outcomes and help to save lives, so I welcome the proposals for a new GP data system, but it is vital that we get this right with the appropriate protections in place. With that in mind, will the Minister update the House on these vital reforms?

[Jo Churchill]

I could not agree more. Data saves lives —it is as simple as that. We have seen that in the pandemic, and it is one of the lessons of the vaccine roll-out. The GP data programme will strengthen the system and save lives. Patient data is, of course, owned by the patient. We are absolutely determined to take people with us on this journey. We have therefore decided that we will proceed with the important programme, but we will take some extra time, as we have conversed with stakeholders over the past couple of days. The implementation date will now be 1 September. We will use this time to talk to patients, doctors, health charities and others to strengthen the plan, build a trusted research environment and ensure that data is accessed securely. This agenda is so important, because we all know that data saves lives.

Covid-19

Robert Largan Excerpts

Tuesday 25th May 2021 Commons Chamber

[Robert Largan (High Peak) (Con)]

The experience over the last year has shown that local lockdowns are not effective, because cases simply rocket in the areas immediately outside the local restrictions. With that in mind and to get ahead of the curve, this morning I have been in discussions with Derbyshire County Council and my local director of public health to establish a pop-up vaccination site at Gamesley, where there has been a high number of new cases, so that we can deliver surge vaccination. Will the Minister work with me, my local director of public health and the NHS to ensure that we get the doses we need to get everyone in the High Peak vaccinated as soon as possible?

[Nadhim Zahawi]

My hon. Friend is absolutely right. The important thing is to get those who are eligible vaccinated and for those who need their second dose to get that second dose within the eight-week period. That is the way we control this variant. I will happily work with him on any local initiative that he is working on.

Covid-19 Update

Robert Largan Excerpts

Monday 17th May 2021 Commons Chamber

[Matt Hancock]

On the contrary, the proposed reforms set out in the White Paper, which have come from the NHS itself, will help to deal with the backlog. They will help to make sure that the NHS is ready for the rest of the 21st century. They have been welcomed by the Health and Social Care Committee, and I am grateful to that Committee for its report last week, which welcomed those reforms while asking for further detail on a couple of other areas, which we will work with the Committee on.

I urge the hon. Lady to speak to her colleagues in the local NHS, and ask them whether they think that collaboration is the way forward; whether we should have greater interoperability; and whether we should have greater integration on the ground, and get rid of a load of the bureaucracy that is currently there in law. If she is not persuaded by her local NHS, by me or by the Select Committee, perhaps she should speak to her own Front Benchers, who also welcomed the reforms.

[Robert Largan (High Peak) (Con)]

As of last week, over 82,000 doses of the covid vaccine have been administered across the High Peak. It is an amazing achievement and I put on my record my thanks again to everyone who has made that possible. I urge the Health Secretary to focus on doing surge vaccinations and surge testing in those areas with growing numbers of new cases to put us in the best possible position, so that we can get rid of any remaining restrictions as soon as possible.

[Matt Hancock]

Yes, this is our planned approach. I am glad to say that the number of cases across the High Peak is very, very low. I am also glad to see that the vaccination rates across the whole of Derbyshire are really high—I was in Derbyshire just before the elections, and the rates are high and there is huge enthusiasm behind the project. I pay tribute to my hon. Friend’s work in making sure that that is what has happened.

Future of Health and Care

Robert Largan Excerpts

Thursday 11th February 2021 Commons Chamber

[Matt Hancock]

The crisis has been very tough on dentistry. By the nature of dentistry, the infection prevention and control systems in place are a challenge. I look forward to working with dentists to ensure that this sort of integration can help them appropriately. I am happy to arrange a meeting between the hon. Gentleman and the Minister responsible for dentistry to discuss these concerns.

[Robert Largan (High Peak) (Con)]

I welcome the proposals for more integration and collaboration between the NHS and social care. However, it is vital that these important reforms do not get in the way of investment in NHS capacity and the commitment to recruit 50,000 more nurses. Will the Health Secretary assure the House that they will not and that the Government remain committed to the badly needed new urgent care centres at Stepping Hill Hospital and Tameside Hospital?

[Matt Hancock]

Yes, absolutely. Stepping Hill Hospital is obviously vital to my hon. Friend’s constituents. The urgent care centres are important too, especially in ensuring that people can have access to treatment closer to home for smaller, yet urgent problems. We have also introduced 111 First and people should call 111 before going to an urgent treatment centre or an A&E to let them know they are coming and to check that that is the right setting for them. That is an important part of our wider considerations, which the measures in the White Paper will help.