(9 months, 2 weeks ago)
Commons ChamberI am pleased to tell my hon. Friend that our NHS long-term plan sets out a real-terms increase of at least £4.5 billion a year for primary and community care by 2023-24. We now have over 2,000 more full-time equivalent GPs working in our NHS, and we have had the amazing achievement of more than 50 million more appointments per year, beating our target several months early. Things are improving significantly, and there are many more measures I would be delighted to talk to him privately about.
The 62-day backlog has fallen by 27% since its peak in May 2020. We know there is more to be done, and that is why we are bringing forward more measures as early as possible. In April 2023, more than nine in 10 patients—90%—started their first cancer treatment within one month of a decision to treat.
(10 months ago)
Commons ChamberVery much so—the NHS belongs to us all, as I say repeatedly. It goes without saying that doctors are a critical part of our workforce. That is why, since becoming Secretary of State, I have wanted to have a good, constructive working relationship with all of the representatives of doctors and the wider workforce. That was why I called in the BMA and “Agenda for Change” as soon as I possibly could, and I am pleased that I have been able to find fair and reasonable settlements with consultants and specialty doctors. I very much hope that junior doctors will call off their strikes and come back around the table so that we can find solutions for them too.
The latest period of strike action by junior doctors has been the longest in the NHS’s history. We have seen trusts declaring critical incidents and A&E departments telling patients not to come in unless their lives are under threat. Can the Secretary of State tell me why the Prime Minister has not stepped in to resolve the dispute? Does he think it is not serious enough?
As I said earlier, strikes have very serious consequences for the NHS. We cannot pretend that the NHS can be switched on and off at whim. My one ask of the junior doctors committee was that it stop the strikes so that we can return to the table. As the number of patient safety mitigations has revealed—by the way, it is the highest number of patient safety mitigations that local NHS leaders have ever asked for, because of the unprecedented length and timing of the strike—and because the BMA has refused even those derogations, with the exception of two, we have to get to a place where it returns to a more reasonable frame of mind and comes back to the table with more reasonable expectations, so that we can try to find a solution. I will not put patients’ safety at risk: I have to enable NHS England to make preparations and continue the work it is doing day by day, hour by hour, to safeguard hospitals and patients during this very damaging strike action.
(1 year, 2 months ago)
Commons ChamberI very much agree with the Chair of the Select Committee on the need for a one-team approach, and on looking at how we encourage more clinicians into management roles. We need to be clear-eyed that often some of those in management positions were already regulated, because they were in medical or nursing regulatory positions, but it is important that we consider the right approach to ensure accountability for the families. That is why NHS England will look at this further.
Terrible crimes have been committed in the Countess of Chester Hospital in my constituency—my hospital. I thank the Secretary of State for meeting and listening to the families at the heart of this tragic case and for instituting a statutory inquiry into the circumstances surrounding these crimes. Serious questions about NHS accountability and governance have arisen that the inquiry will need to address. Given that the scope of Cheshire police’s Operation Hummingbird has now broadened, what reassurance can the Secretary of State offer my community about our hospital?
First of all, I pay tribute to the hon. Lady for the work she has done with the families and the staff in response to these terrible events. It is important that we reassure patients who are using the Countess of Chester Hospital now about the measures that have been put in place; that is why I wanted to bring to the House’s attention House the steps that have already been taken.
However, it was also striking in my discussions with family members that they were at pains to point out that some of the other staff they had been treated by in the Countess of Chester Hospital had been exceptional in their care. There were specific issues that raised very serious concerns, but the families were at pains to point out that there were other staff who had treated them extremely well. Indeed, as the shadow Health Secretary said, there were staff also raising concerns and ensuring that the police investigated. With NHS England colleagues, we are working closely with the Countess of Chester Hospital on next steps, but it is important that the measures we have taken provide reassurance about the quality of care that is available at Chester now.
(1 year, 4 months ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
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It is a pleasure to speak under your chairmanship, Ms Nokes. I congratulate the hon. Member for Eastleigh (Paul Holmes) on securing this important debate.
As we have heard, hospices provide compassionate care and support for more than 300,000 individuals a year who are facing life-limiting illnesses. They offer a place of comfort, dignity and peace not just for their patients, but for families and loved ones. May I take this opportunity to pay tribute to the incredible staff at hospices around the country, in particular the Hospice of the Good Shepherd in Backford in my constituency, where members of my own family have received care in the past? We should also thank the wider palliative care workforce, who work extremely hard to provide good care for so many.
Unfortunately, as we have heard, the reality for so many hospices is becoming increasingly bleak. Collectively, they are budgeting for a deficit of millions due to rising costs, with high energy bills and rising staff costs hitting hospices at a time when donations have dropped as a result of the cost of living crisis. I applaud the trustees at the Hospice of the Good Shepherd, who have taken the decision to match NHS workforce payments—an important step to establish the workforce and continue as a going concern. However, they are facing energy consumption that is going through the roof. They cannot reduce it, because they need to keep machines running and keep the in-patient unit warm or cool for those who need care.
As we know, the majority of hospices rely on charitable funding for a significant part of their finances. When I visited the Hospice of the Good Shepherd, the staff told me about the brilliant ways people raise funds. They include the corporate challenge, where local businesses grow £50 into £20,000, the Chester Sparkle Walk on 16 June, and local people holding individual events—my friends Steve and Zena held a garden party on Saturday and raised £800.
Those imaginative initiatives are essential for hospices to keep a good connection with their communities, but with costs increasing, Government must do more to lend support to hospices and their staff so that they can continue to provide their essential work.