Oral Answers to Questions
Sarah Atherton Excerpts(1 year, 3 months ago)
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Steve Barclay
The hon. Gentleman is right to say that it is a fundamental right that people are able to strike, and the legislation will balance that right, in the same way that other countries in Europe do, with minimum safe staffing levels. That is something that the French, the Italians and many other European countries have, and the Bill is simply bringing the NHS into line with other health systems.
Sarah Atherton (Wrexham) (Con)
Steve Barclay
My hon. Friend makes an extremely powerful point. I hope the Labour-run NHS in Wales takes heed of her comments. She brings professional experience to this issue and is absolutely right that there needs to be investment in the NHS estate in Wales.
NHS: Long-term Strategy
Sarah Atherton Excerpts(1 year, 3 months ago)
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Mike Amesbury
I will not give way. We do not have much time.
We have heard about covid and about flu. Those are facts, but let us take a journey through history to 2010, when waiting lists were substantially lower. In March 2020, when this shower of a Government were in place, the figure was more than 4 million. Now it is 7.1 million. It is shameful.
We must remember that these are not just statistics; these are real people. My constituent Tracey from Runcorn contacted me because her husband required life-saving surgery and it was postponed, as has happened for many constituents who have been spoken about today. Jonpaul was sadly diagnosed with prostate cancer, and was told that the cancer was trying to break free from his prostate. Thankfully, following an intervention from my office, he was able to have his surgery owing to a cancellation, but in many of the stories we have heard in the Chamber today, that has not been the case.
It is not just patients who are suffering; hard-working, dedicated NHS staff simply cannot cope with the current pressures, and now—as the Royal College of Nursing says, for the “first time in history”—they have resorted to strike action, with a very heavy heart. The clapping is long forgotten, and now they are threatened with the sack. That is not just unacceptable but absolutely disgraceful, and any Conservative Members who vote for it should be ashamed of themselves. They are culpable.
As the shadow Secretary of State pointed out, we do have a plan. There is a great big pot of money available from non-doms. I know that the Prime Minister is rather keen on non-dom status—I am not sure what the interest is there—but that money could be used to create not only health but resources, the frontline resources that we need to get waiting lists down. I say to the Government, “Step aside: it is time for Labour. It is time to save and rebuild the NHS.”
Oral Answers to Questions
Sarah Atherton Excerpts(1 year, 10 months ago)
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Sarah Atherton (Wrexham) (Con)
Last week, a BBC Wales documentary reported on the shocking state of Wrexham Maelor Hospital and the NHS in north Wales, which is led by the Welsh Labour Government and was in special measures before covid. The average wait for referred treatment in England is 13 weeks, but in Wales it is 24 weeks. In the words of Nuffield Trust, the
“treatment…may as well not be there”.
Wrexham deserves better, so does the Minister agree that the Welsh Labour Government need to vastly improve the NHS in north Wales before more lives are lost?
Sajid Javid
I do of course agree with my hon. Friend. There are huge challenges for the NHS here in England, but as she has highlighted, the challenges are much greater in Wales because of how the Labour Government there neglected the NHS, way before the pandemic as well as during it. When it comes to leadership, although the Messenger review was commissioned for England, I think they would do well to learn some lessons from it.
Covid-19 Vaccine Update
Sarah Atherton Excerpts(3 years, 2 months ago)
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Nadhim Zahawi
I am grateful for the hon. Lady’s question. It is great to hear about the Harlequins joining the fight, as they always do, when it comes to the United Kingdom actually getting people protected and vaccinated.
Care home and domiciliary staff are both on our priority list, as the hon. Lady knows. We are working with local government, and David Pearson, who is of course a champion of the social care sector, has been working with local government to identify them. The best way to identify domiciliary staff is through local government, because a lot of people will be with agencies and, as the hon. Lady quite rightly pointed out, are hard to reach. They are in our target: they are part of the top four categories, with those who are caring for the elderly in residential care homes, and we will meet our target of offering them a vaccine by mid-February.
Sarah Atherton (Wrexham) (Con) [V]
British-based pharmaceutical companies have been pivotal in the global fight against this pandemic. Plants in Teesside, Livingston and Oxford, and Wockhardt in my constituency, are central to vaccine manufacture. So what conversations has my hon. Friend had with his Home Office counterparts to provide sufficient security to these vital pieces of national vaccine infrastructure?
Nadhim Zahawi
I want to reassure my hon. Friend that, through the vaccines taskforce, we have been liaising extensively with the vaccines’ developers and the related organisations to ensure that the highest level of security exists through the whole vaccine deployment chain. That has, of course, included working directly with the manufacturers, and we have a senior responsible officer seconded to the team to make sure that security is at the forefront of everything we do to deliver this programme. We cannot allow a lapse of security to get in the way of the largest vaccination programme in the history of this country.
Childhood Cancers: Research
Sarah Atherton Excerpts(3 years, 4 months ago)
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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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Sarah Atherton (Wrexham) (Con)
It is an honour to serve under your chairmanship, Mr Mundell, and to follow my Welsh colleague, the hon. Member for Gower (Tonia Antoniazzi), who moved the motion on behalf of the Petitions Committee.
I want to speak about unbeatable Eva, a 10-year-old constituent of mine. I have been involved and in contact with her since she was diagnosed with DIPG in January. As we have heard, this is an inoperable brain tumour, inside the brain stem, and the prognosis is a life expectancy of less than 12 months. Today, it is 11 months and seven days since Eva was diagnosed with that horrendous tumour. The global pandemic has been particularly cruel to Eva and her family. Not only was there no suitable treatment for Eva in the UK, but she was unable to fly to the United States to receive experimental treatment. The cruel hand of covid stopped Eva travelling to Europe to receive life-prolonging pharmaceutical treatment. Think for one minute about the agony faced by a parent knowing that treatment is available and could prolong their child’s life, but being powerless to do anything about it. How cruel is it that, in any other year, Eva might have received that treatment? Covid took that chance from her.
The benefit of these debates is that they show the strength of feeling on a topic. Petitions allow the public to influence what we, as parliamentarians, discuss. Eva and her family should be proud of how much awareness they have raised nationally for this cause. DIPG has been talked about by many Ministers and the Health Secretary. Eva’s name has been mentioned by the Prime Minister in the Chamber, and her plight was highlighted on “Children in Need” and across the news channels. Wrexham has rallied around this little brave girl, and her parents have privately raised more than £310,000 to fund her treatment. I am here today for Eva, and I hope, Mr Mundell, that you deem it appropriate for me to read out a statement from her father, Paul.
We are here to advocate and fight for our constituents; that is our job. However, what really matters is how our constituents interpret the situation they find themselves in—life through their heartbroken eyes, facing tragedy day by day. Paul has asked me to read this out: “60 years ago, Neil Armstrong lost his daughter to DIPG. On the 1st of January this year, when we received Eva’s diagnosis, her treatment plan was the same as it was all those years ago. The lack of progress is solely down to one thing—funding. In a week where the UK Government approved a covid vaccine, having spent in excess of £6 billion on research and development, it is hard to feel anything other than anger. If some of that money had been spent on the cure for this horrific form of cancer, imagine how many parents would have been spared the conversation we had with doctors in January, and more importantly, imagine how many children would have been able to live full and happy lives, as every child should. All cancer is devastating, but the facts about DIPG and the devastation it causes parents, siblings, grandparents, friends and family make it the very worst of the worst, and more must be done where it can.”
Eva’s treatment journey has at every twist and turn been thwarted due to inaccessibility, cost, lack of understanding and research, different healthcare regimes between England and Wales, and covid-19 restrictions. This brave little girl with a beautiful smile has the arms of Wrexham wrapped around her.
Further research in this field is required. Existing DIPG treatments available around the world are not available here. However, we have the desire in this country to fund research on this childhood cancer, as this petition proves. We have the talent in this country to undertake that task, and we have the best—the unique—national health service, free at the point of delivery. We cannot let children lose their childhoods, cut short due to funding and research issues. Let us hope that this debate starts a reassessment of how we look at children’s cancer going forward.
Covid-19
Sarah Atherton Excerpts(3 years, 11 months ago)
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Sarah Atherton (Wrexham) (Con) [V]
First, I would like to relay messages of thanks to the Treasury from a plethora of businesses in my constituency of Wrexham. Without the Government’s generous package of support, we would now be facing business closures and job losses. I would also like to put on record how the people of Wrexham have stepped up to support one another during this crisis. Small cottage industries, community interest groups and neighbour groups have sprung into action to check on the vulnerable people, keep morale high, and deliver food parcels and prescriptions. Wrexham, you have answered the call and I am proud to serve you.
Wrexham sits on the border with England. Life for us involves weaving between England and Wales, and we look to the UK Government for advice during this national crisis. However, here in Wales, under a devolved Welsh Labour Government, we have seen disjointed plans; delays in the delivery of shielding letters, the 111 service and shopping delivery slots; confusion over public health data collection; and, latterly, the abolition of targets against which successes or failures can be measured. Testing and analysis have been chaotic, which has had a particular impact on our care homes. The organisation of volunteering on a national level was also slow to get off the mark, with the Welsh Government taking weeks to decide to delegate the co-ordination of volunteering to statutory agencies or charities.
As a former nurse, I joined the covid-19 temporary register to support NHS Wales nurses on the frontline. After two months of waiting, I have now started back to the floor, and have been overwhelmed by the resilience, spirit and determination of the hospital staff at Wrexham Maelor Hospital. Tonight at 8.30 pm, we will be asked to shine a light through our windows to show support for our nurses—our ladies with lamps. I encourage everyone to do so, and to show our appreciation on this International Nurses Day.
The UK Government have confronted this virus as one United Kingdom. Our Prime Minister has set out a road map to rebuild the United Kingdom for a world with coronavirus. It is a plan that will give the United Kingdom hope. However, the virus has spread at different rates across the country. Therefore, parts of the UK are beginning to move at slightly different speeds. It is this progression of the virus and its consequences that has now caused us, who live on the border with England, some practical challenges. Should people drive the few miles over the border to go to work if that work is not possible from home? Should they drive a few miles over the border to drop their children off at school when schools in Wales are closed? Are our neighbours in England aware that they cannot drive the few miles here to enjoy our countryside for their recreation without risking a fine? This is why a one nation approach to monitoring and managing the R number is vital.
I hope that the trial of the UK Government’s contact tracing app is successful. When it is available, it is essential that the Welsh Government waste no time in deploying this app across Wales—the same app as in England. To design their own will only cause further delay. However, if this route is taken, I request that the Welsh app at least communicates with its English counterpart; otherwise, it will not serve us who live in a border constituency, nor will it benefit the national monitoring of this pandemic. The UK Government have introduced a cautious and measured recovery plan—
Mr Deputy Speaker (Mr Nigel Evans)
Order. Sorry, but the four minutes are up. We now move on to Jamie Stone.
NHS Funding Bill
Sarah Atherton ExcerptsMonday 27th January 2020
(4 years, 3 months ago)
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Jonathan Ashworth
My hon. Friend is absolutely right. Because of the austerity that the Government have imposed on the NHS, its leaders—trust bosses and clinical commissioning group bosses—have had to raid capital budgets repeatedly and transfer from capital to revenue, as my hon. Friend said. These sorts of smash-and-grab raids, which have happened five times, have taken around £5 billion out of the capital budgets, which is why so many of our hospitals now have this huge £6.6 billion-worth of repair backlog, with sewage pipes bursting and roofs falling in.
It is all very well for the Secretary of State to stand there and talk about 40 new hospitals, even though he has not outlined a multi-year capital settlement at all. He just went around the country telling Tory candidates, who have now become MPs—congratulations to them—that he will build a hospital here and they will have a new hospital there. I lost count of the number of times that he committed to new A&E departments and new hospitals that were not on any list that he has published in the House of Commons. We do not actually have a multi-year capital plan to deal with the more than £6.5 billion backlog that faces our hospitals. This is not a serious way to make policy for the national health service. Our trusts’ chief executives need certainty on capital, which is why we need to see the multibillion-pound capital plan. We do not even know whether we are going to get one in the Budget. We do not know when it is coming: the Secretary of State has given us no detail or clarity on that whatsoever.
Whether it is waiting for pre-planned surgery, for cancer treatment, for test results, in A&E or on trolleys, thousands of our constituents wait longer and longer in pain, agony and distress, thanks to years of austerity that the Secretary of State designed. As George Osborne’s right-hand man and chief bag carrier, he designed the years of austerity and is now asking the House to endorse the continued underfunding of the NHS.
Sarah Atherton (Wrexham) (Con)
I refer the hon. Gentleman to the NHS in Wales, which is run by the Welsh Labour Government. In north Wales, Betsi Cadwaladr University Health Board has been in special measures for five years, and it is run by the Welsh Labour Government. Last year, in north Wales alone 6,600 people waited more than 12 hours to be seen in A&E. I would like to hear the hon. Gentleman’s comments.
Jonathan Ashworth
It is unacceptable, and sadly it is happening constantly in the English NHS. Of course, on certain performance targets there is improvement in Wales; there is no improvement on any performance targets when it comes to A&E or electives in the English NHS. I welcome the hon. Lady to her place and she is right to raise that issue, but I hope she will also raise with the Secretary of State his poor leadership on performance data for the English NHS.
The long-term plan rightly calls for more investment in areas of the NHS that have been neglected for many years, particularly mental health services, community health services and primary care. We endorse the approach outlined in the long-term plan. Mental illness represents around 23% of the total disease burden, but only 11% of NHS England’s budget. Mental health patients are some of the most let down by the decade of decline in the NHS. We regularly read heartbreaking reports in the newspapers of patients forced to wait up to 112 days for talking-therapy treatments, when we know that people are supposed to get an improving access to psychological therapies appointment in six weeks. We regularly read of the shortage of mental health beds, which means that too many people—often young people—are sent hundreds of miles across the country. They are often young people in desperate circumstances, sent away from their family and friends, often receiving ineffective care in poor-quality private providers. The rationing of care for children in particularly desperate circumstances has seen more than 130,000 referrals to specialist services turned down, despite those children showing signs of eating disorders, self-harm or abuse. It is totally unacceptable.
The long-term plan calls for increased investment in mental health services, which we welcome. Had we won the general election, we would have gone further and invested more to deliver parity of esteem for physical and mental health, and we would have legislated to ensure health and wellbeing in all policies with a future generations wellbeing Act. None the less, we welcome the ambition in the long-term plan to increase the proportion spent on mental health. In the past 10 years, under intense financial pressures because of underfunding and austerity in the NHS, commissioners have had to raid budgets, especially child and adolescent mental health services budgets, to fund the wider NHS. In the past 10 years, mental health services have often lost out because of financial pressures in the system so, if such an amendment would be in scope, we will seek to amend the Bill to ensure guarantees for mental health funding and that mental health funding can be ring-fenced. We will also seek look to ensure that there is a framework of accountability, under which the Secretary of State would come to the House, perhaps once a year, to update it on mental health funding and where it is being spent.
We endorse the increased funding for mental health, community services and GP services at a faster rate. If the Government are genuinely committed to that, and if at the same time the NHS is to live within its 3.3% uplift, that means that by definition less money will remain for growth in funding for the acute sector. The Secretary of State will need to moderate the rate of growth in acute demand, because if he cannot, there is a risk that either the money that he is allocating to mental health services will be diverted back to hospitals, as has happened in the past 10 years, or waiting times will have to increase and A&E performance will have to worsen ever further.
The problem is that the Secretary of State will not be able to drive up performance and moderate need without a fully funded plan for the whole of the health and social care sector. That is why the Bill is fundamentally inadequate. When in June 2018 the previous Secretary of State, the right hon. Member for South West Surrey (Jeremy Hunt), came to the House to outline the funding settlement, he quite rightly said that he would not be able to fix the various problems facing the NHS if that did not happen alongside a funded staffing plan, a funded multi-year capital plan and a funded social care plan. The previous Secretary of State was correct. The problem with the Bill is that, as the Secretary of State conceded, it excludes key areas of health spending, such as public health; health visiting; the training of doctors and nurses; the capital budgets to build and maintain hospitals; and the capital budgets for community health facilities. That is before we even get on to social care funding, which is another issue that has in effect been kicked into the long grass by the Secretary of State.
We all know that public health services are crucial services that keep people well, prevent ill health and keep people out of hospital. A year ago, the Secretary of State would do interviews to tell us that public health and prevention was his big, No. 1 priority. I remember his interview in The Sunday Times in which he said that he had ordered the behavioural insights team to target those who are obese, smokers and people who drink to excess. He said he would “not rule out” using social media to target people to change their ways. Pregnant smokers would get emails to encourage them to stop smoking. This is my favourite; this is what he actually said—well, it is quoted in the article:
“Those in hospital with ailments related to alcohol abuse will be targeted for a ‘stern talking to’”.
That is what he said on prevention a year ago. What did we get instead? We got more cuts to smoking cessation services, more cuts to alcohol addiction services, and more cuts to drug misuse services. That is what we have had in the past 12 months, because budgets have been cut as part of the wider £870 million cut to the public health grants. The Secretary of State did not mention public health in his remarks. We still do not know what the public health allocations will be for this year. He is asking the House to legislate for a funding allocation that the previous Secretary of State outlined to the House 18 months ago. He cannot even tell us the public health allocations beyond the next three months. That just reveals what a ridiculous political stunt this Bill is.
Health and Social Care
Sarah Atherton Excerpts(4 years, 3 months ago)
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Matt Hancock
I look forward very much to speaking to and working with the new Health Minister in Northern Ireland. I am delighted that there is a ministerial team in Northern Ireland and I pay tribute to everybody who has worked so hard to make sure that that can happen. The right hon. Gentleman is right that the funding will increase. There are significant challenges in Northern Ireland, about which he knows all too well, and I look forward to trying to resolve them. The truth is that in Northern Ireland the number of people waiting more than a year for an operation is 10 times higher than in England, despite the much smaller population. It is four times higher in Wales, despite the fact that the Welsh population is smaller. We have to solve those problems and I look forward very much to working collaboratively across the Union to make sure that they are resolved.
Sarah Atherton (Wrexham) (Con)
Many patients from north-east Wales attend hospitals over the border in Oswestry, Chester and Liverpool for general and specialist care. Last year there was a disagreement between the Welsh Labour Government and the Countess of Chester Hospital over paying for that care, and subsequently care treatment was delayed or cancelled as a result. Can the Secretary of State reassure the House that he will speak to the Welsh Labour Government to avoid a recurrence of that situation?
Matt Hancock
Absolutely. I am glad that we resolved the problems with the Countess of Chester Hospital serving patients who live in north Wales. I know that part of the world well, not least because I was born in the Countess of Chester Hospital and, for the first 18 years of my life, lived but a mile from my hon. Friend’s beautiful Wrexham constituency—I travelled through it every day on my way to school—so I know these cross-border issues intimately. It is ridiculous that we reached a position where the Countess of Chester Hospital was unable to take patients from north Wales because the Welsh NHS was unwilling to pay the relevant costs. We reached a good compromise, and we must ensure that it keeps working so that the problem does not happen again.
I will turn briefly to the fifth and sixth measures, Mr Deputy Speaker, which are very important. The fifth measure is mental health reform. Throughout the entire history of healthcare, mental health has been seen, treated and organised on a different basis from physical health. That is wrong. Over my generation the attitude that society takes towards mental health has fundamentally shifted. We are not there yet, but our mental health and physical health must be seen on an equal footing, and mental health must be treated as seriously as physical health.
As Health Secretary, I have made mental health a priority. Within the £33.9 billion of additional funding, mental health funding is increasing the fastest. We have a plan to improve mental health services across the nation. Just this week we opened a new gambling addiction clinic in Sunderland, and we will have 13 more across the country, in recognition of the unmet demand in our society. I fully support Claire Murdoch, the NHS mental health director, in her call today for gambling firms to act responsibly and prevent the loss of life.
We are making progress in how we treat all forms of mental ill health, but the legislation for mental health was written for a previous generation and we must bring it into the 21st century. The Mental Health Act 1983 is nearly 40 years old, and some of our legislation is still shaped by 19th-century views of mental illness. It is badly in need of modernisation. It is paramount that we ensure that people have greater control over their treatment, and that everyone receives the dignity and respect they deserve. We must get the legislation right. I pay tribute to Sir Simon Wessely for the work that he has done to set the parameters. We will publish a White Paper within months and then bring forward a new mental health Bill.
I want to say a word about the law governing the care of people with autism and learning disabilities, which concerns some of the most vulnerable people in our society. Again, parts of the law are antiquated. We are looking at this alongside the work on the Mental Health Act to ensure that the systems are appropriate and co-ordinated.
These are the six health and social care measures in the Queen’s Speech. It is central to this Government’s priorities that we meet the public’s expectations and deliver on our commitments. This Conservative Government made clear and solemn commitments in our manifesto. People in their millions placed their trust in us, many for the first time. People have entrusted us with the future of the NHS, and we will deliver on that trust.