(2 months, 2 weeks ago)
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It is a pleasure to see you in the Chair, Sir Christopher.
I congratulate my hon. Friend the Member for Norwich South (Clive Lewis) on securing this important debate. As we have heard from the contributions so far, the levels of disparity in healthcare in the east of England are significant; in my constituency of Luton North, they are very stark indeed. There are huge gaps in health and life expectancy across the town of Luton itself—I am not talking about the region, but just the town itself. Those gaps mean that someone in one area of Luton can expect to live up to 10 years longer than someone in another part of the town. I am sure that hon. Friends will agree that the fact the gaps in life expectancy within one town are so stark in 2024 is shocking.
We know that unfortunately there is a link between poverty and healthcare outcomes—and, indeed, healthy life expectancy. Those cannot be separated. Luton currently has the second lowest public spend figures in the NHS, local government, police and public health when compared to other towns in England with relative need, which comes after the 14 years of austerity that we in Luton have also suffered from.
Sadly, Luton has high levels of child poverty, with around 45% of children in the town living in poverty. There seems to be a misconception that when we talk about poverty and about child poverty in particular, we are talking about families where people are not in work. Actually, what I find when I see my constituents who are struggling and reliant on voluntary services, such as the food bank, the Curry Kitchen or the Breakfast Battery Boxes running out of Sundon Park, is that most of these people are in employment. They are working hard to try and support their families, but are unable to make ends meet.
There is one issue regarding child health that I will focus on, although I know that everyone who has spoken so far has already touched on it: access to dentistry. A report on children’s oral health published by Luton Borough Council in March 2023 found that Luton had some of the highest prevalence of tooth decay among five-year-olds in England.
I want to dive into some of the reality behind those stats. I have visited countless primary schools across Luton North and one of the key things that teachers always raise with me is oral hygiene. Sadly, I have seen children with brown nubs where white teeth should be. Many of those children have never owned a toothbrush or had access to one at home. Many schools in Luton North now provide children with toothbrushes to be kept at school, and take time out of lessons to ensure that children are brushing their teeth. Most of these children have never seen a dentist before, and many require painful tooth extractions, with tooth decay being the most common reason why children aged six to 10 are hospitalised. The situation has a knock-on effect on children’s vital early years of development: they are missing school and are unable to speak properly, learn phonics or eat a proper healthy and balanced diet.
There are organisations trying to fill the gap, such as the Dental Wellness Trust, which visited Waulud primary school in my constituency. It was lovely to see the trust working at the school to provide 250 children with free dental health screenings and fluoride varnishing. But despite these mechanisms to try to plug the gap and target the problem, it is clear we need a much more joined-up approach to dentistry in order to improve health and break the cycle of poverty, and to put children’s smiles back into our community. However, the issue does not affect just children—it is about adults as well. Every time I knock on someone’s door, I am asked where NHS dentists are available in Luton; shockingly, I have to point them outside of the constituency, into Harpenden.
That is why I am very proud of Labour’s dentistry rescue plan, which will fill the current gap with an extra 700,000 urgent dental appointments a year and reform the dental contract, which, as we have heard, is a problem, to rebuild NHS dentistry to ensure that everyone has access to dentistry appointments and to improve incentives for dentistry graduates to work in the areas most in need of NHS dentists, such as Luton.
It is key that we draw on the knowledge of local community leaders, stakeholders and organisations to inform our approach on improving health in our local areas. This is something I would say is uniquely well done in Luton, where Pastor Lloyd Denny, who has lived in our town and worked with the local communities through his faith for years, carried out an independent review of health inequalities. His review highlighted four key areas that needed urgent attention and improvement: communication, access, representation and cultural competency.
We had to lean on these four areas during the pandemic. We saw this with Imam Qazi Chishti, a friend of my hon. Friend the Member for Bedford (Mohammad Yasin) and myself, who was one of the first faith leaders to take the covid vaccination—that is representation, cultural competency, access and communication right there in action. We see this with Love Luton RunFest, where I am always pressured to try to do the half-marathon. Forget it, guys—that’s not happening. I will do 10k max.
We also see it with our primary care networks, such as the Equality PCN initiative that is working to target and work with our communities to ensure that people can live healthy lives. Dr Tahir Mehmood is doing fantastic work with our community. That is not to mention the fantastic representation in women’s sport that we have in Luton, with Hina Shafi, who is one of the most brilliant representatives for women and inclusion in sport, and Dionne Manning, who is another fantastic woman—a local hero—working in women’s football and to try to keep people like me in shape.
There is no doubt that brilliant work is being done at a local level, but there is undoubtedly still a devastating postcode lottery for people accessing cancer care, with major variation across England in terms of expectancies and outcomes. Something that is very close to my heart when it comes to cancer care is brain tumours. I have had a number of constituents impacted by this cruel disease, and I have been lucky enough to work closely with Khuram and Yasmin, the parents of Amani, who lost her battle with glioblastoma in April 2022, aged just 23.
Despite the significant leaps and bounds made in other forms of cancer treatment, which should be welcomed, outcomes for those diagnosed with brain tumours remain extremely poor, with no new treatments developed in the past 20 years. Patients with brain tumours today will receive exactly the same treatment as 20 years ago. Around 12,000 people are diagnosed with a brain tumour each year, and brain tumours remain the largest killer of those under 40. Fewer than 13% of those diagnosed with a brain tumour survive beyond five years, compared with an average of 54% across all cancers. I urge the Minister to continue working with MPs such as my hon. Friend the Member for Mitcham and Morden (Dame Siobhain McDonagh) and I, and campaigners on this issue.
Let me take a moment to touch on an area of medical injustice that is particularly painful for a constituent I met just last week. She is a Primodos baby, which means her mother was given an oral hormonal pregnancy test that around 1.5 million women took in the 1960s and ’70s. Although it was found to be harmful and was banned in other countries in 1970, the UK continued to circulate it until 1978. Tragically, the use of those pills resulted in many babies being born with disabilities such as missing limbs, heart defects and brain damage. Many babies did not survive beyond the womb.
Most patients were issued Primodos without prescription, which means there is no evidence that they ever took it. My constituent’s mother just had it handed to her from the GP’s desk drawer. For others, their medical records were destroyed or lost. We have heard similar stories in the infected blood inquiry of medical records suspiciously going missing. That is extremely harmful, physically and psychologically, for the patients involved.
My constituent has suffered from a rare brain tumour and continues to suffer from many other health issues, all due to Primodos. In spite of that, she is inspirational in her continuing campaign for recognition and a response from the Government for victims such as herself and others. Sadly, she and her peers are yet to receive any sort of compensation, despite being victims of a mass case of medical negligence that has resulted in the painful lives and premature deaths of so many. Will the Minister agree to meet me and my constituent to discuss a way forward for those affected by the Primodos scandal?
I have chosen some specific issues—health inequalities, life expectancy and how healthily we can live our lives—as well as some acute cases in dentistry and cancer. However, I know that our Labour Government are committed to shifting the focus of the health systems towards prevention, and that is where we need to see focus. I am hopeful that health schemes such as those we heard about during the election campaign can be rolled out across the east of England and the country, to improve issues such as cancer care and outcomes for all who are suffering from that cruel disease, and especially to close the deep-rooted health inequalities that we see across our town and our region.
(7 months ago)
Commons ChamberI am listening to my hon. Friend’s impassioned speech, and the experience that she brings to this House is valuable. The brilliant Keech Hospice serves so many in Luton North. It does amazing work, not just on end of life care, but on vital bereavement support for everyone, including children. In the past year alone, Keech’s energy costs have increased by a quarter of a million pounds. That, combined with the cost of living crisis, puts financial pressures on fundraising, which makes up two thirds of its total funding. Does my hon. Friend agree that we need sustainable funding models for hospice care? Failure to provide that puts much-needed services at risk.
I absolutely agree with what my hon. Friend says. We absolutely need those models. As I go through my speech, I will be agreeing with what she has just said.
John Taylor Hospice in my constituency, which is run by Birmingham Hospice, does unbelievably important work to support my constituents and their families in Erdington, Kingstanding and Castle Vale. The staff work day and night to make sure people are cared for while they are ill, and I could not be prouder to support them in this Chamber today. I must add that I have worked there in the past. Birmingham Hospice cares for almost 1,000 local people with a life-limiting illness every day. Last year, it cost more than £16 million to run its services, some 40% of which needs to be recovered through fundraising income. Over the past few years, the hospice has seen a significant increase in costs, including the price of energy, food and vital medicines, and a shortfall in funding for staff pay awards. At the same time, fundraising has declined across the hospice sector with the cost of living crisis hitting poorer areas like mine the hardest.
Birmingham Hospice is currently losing £200,000 a month. With inflationary costs and falling voluntary income, the only option to keep the hospice going is to reduce the services it provides. A reduced service will increase inequality across our city of Birmingham and the country. Sadly, more people will die in hospital or A&E as a result, when they could have had outstanding care at the hospice or at home with the support of the community team.
The hospice is dedicated to ensuring that outstanding care at the end of life is available to all, but it has recently been in the difficult position of having to make essential staff redundant to maintain financial security. That is not just happening in Birmingham; nationally, Hospice UK estimates that 100,000 people in the UK who could benefit from palliative care die without receiving it each year. Hospices play a huge role in alleviating pressure on our NHS, and they do not have the ability to reset their budgets on 1 April each year, as the NHS does. Instead, their deficits continue and the valuable care that they provide to local communities such as mine is at risk of being lost. I have worked in the health service all my adult life. When we speak about hospices, we rarely mention the vital role that they play in providing respite care and support to the family of someone who is ill.
(8 months, 3 weeks ago)
Commons ChamberI agree with the hon. Gentleman that we are grateful to all who work in social care, including those who have come here from other countries to care for our loved ones. We also agree that international migration is not a long-term answer to our care workforce needs. That is why we are reforming social care to work as a career, and we are backing that with extra funding—up to £8.6 billion extra for social care over two years.
I am afraid the Minister’s warm words about the social care workforce do not meet the reality check for most people. The Government’s own statistics show that there are at least 152,000 vacancies in social care in England alone, leaving my constituents waiting up to 10 weeks to be discharged from hospital. The Government have been using international recruitment to plug the gaps and as a result have filled over 11,000 vacancies in the past few years, so can the Minister confirm whether recruitment and retention in social care will be better or worse due to Government plans to prevent overseas social care workers bringing family members to the UK?
As I said a moment ago, vacancies have fallen and the care workforce grew by more than 20,000 last year. We are seeing better retention of care workers as well, but we need to go further. That is why we are reforming social care careers, introducing the first ever national career structure for the care workforce and new qualifications and training.
(1 year, 5 months ago)
Commons ChamberThis is the first Government to produce a women’s health strategy in England. We are making huge progress on the eight priorities in our first year, from introducing the hormone replacement therapy pre-payment certificate, which is reducing the cost of HRT for women, to the £25 million roll-out of women’s health hubs across the country. We will be announcing our second-year priorities in due course.
I thank the hon. Lady for her work in this space. She is campaigning hard on this issue. I reassure her that osteoporosis is in the women’s health strategy and is a priority area for us. We are already working to make sure that women’s vitamin D status is known, and to make sure that we fill gaps. NHS England is expanding fracture services for high-risk women with osteoporosis, and it is working to prevent falls. The women’s health ambassador is raising the profile of osteoporosis so that women who are at higher risk can take action to prevent fractures and falls in the first place.
Women too often struggle with needless pain through standard but invasive procedures, such as hysteroscopies and intrauterine device fittings, offered without any pain relief. Our pain is being misunderstood and ignored. How much unnecessary pain must Ministers see women endure before the Government finally deliver on the pain management promised in the women’s health strategy? And why is this a 10-year ambition instead of a more immediate one?
I thank the hon. Lady for her question, and let me also pay tribute to the hon. Member for West Ham (Ms Brown), who has campaigned hard in this space. I met a group of women to discuss painful hysteroscopies just a few weeks ago. This is a priority in the women’s health strategy, as the hon. Member for Luton North (Sarah Owen) said. We are working with the royal college to update its guidelines, because a lot of these issues are associated with women’s consent, the provision of information before these procedures, and women knowing that they can have them under a local or general anaesthetic and can also ask for pain control. This is not working in practice, which is why it is a priority in the women’s health strategy.
No, the technology programmes are national programmes that cover everyone, including North Tees. It is slightly odd to suggest that one place alone in the country would be exempt from a national programme; that is simply not the case. We are making record investment, including over £20 billion in the new hospital programme and 160 diagnostic centres and 43 new surgical hubs this year.
As Health Secretary, I have been clear that deploying the latest technology and innovation is essential in order to deliver our priorities: to cut waiting lists, improve access to GPs and improve A&E performance. The NHS app is at the heart of this, including the enhancement of patient choice set out in our recent announcement, which is not available to patients in Wales. The Patients Association estimates that by enabling people to select a different hospital in the same region on the app, we can cut their waiting times by as much as three months.
We have been making major improvements behind the scenes, which are already paying off. Today, I can tell the House that between March 2022 and March of this year, there have been 6 million new registrations for the app; repeat prescriptions via the app have increased from 1.6 million a month to 2.5 million a month; and primary care appointments made on the app have increased from 30,000 a month to 250,000, and secondary care appointment from 30,000 a month to 360,000. We continue to work to increase the app’s functionality, including opening more records and test results and enabling more appointments, as part of our commitment to technology.
Brain tumours are the biggest killer for people under 40, but we are still waiting for the full £40 million that the Government promised to fund brain tumour research. In March, I raised in the House the heartbreaking experience of my constituents Yasmin and Khuram, whose daughter Amani died from a brain tumour just before her 23rd birthday. Once again, I ask whether the Minister for Health and Secondary Care or the Secretary of State will meet with me and my constituents to hear their calls for the full funding allocation to be given to researchers. That funding would be transformational for the treatment of brain tumours.
The Minister of State has met with campaigners, and I know he stands ready to have further such meetings. As we touched on earlier, the £40 million is available; obviously, that needs to be allocated to research bids of the necessary quality, and the remaining money is open to researchers to bid for. I hope they will do so.
(1 year, 8 months ago)
Commons ChamberI thank the hon. Member for St Ives (Derek Thomas) for securing this important debate. It has truly been a privilege to sit here listening to the heartfelt, knowledgeable and personal speeches that we have heard today. I am sure that everyone will share my awe at the bravery of my hon. Friend the Member for Mitcham and Morden (Siobhain McDonagh). She spoke not only as a formidable MP, but as a formidable sister. I also pay tribute to the ongoing work of Brain Tumour Research and the APPG on brain tumours for their dedication to raising awareness of the issues facing the brain tumour community and their efforts to improve research, treatment, and care outcomes.
Last week, I met my constituents Khuram and Yasmin, who bravely shared their daughter Amani’s story with me, as I will share it in the House today, in an effort to bring about the change and progress that they and we all want to see. Amani was diagnosed with a grade 4 glioblastoma after collapsing on her 22nd birthday in April 2020. As we have heard, treatment options available in the UK for glioblastomas are very limited and the standard of care Amani received failed to stop the tumour growing.
After discussions with Amani’s medical team, the family decided the best and only way forward would be to access a new trial drug, ONC201. Thanks to the generosity of family, friends and strangers, more than £100,000 was quickly raised to help finance that, and her father Khuram took it upon himself to fly to Germany to purchase ONC201—a father who should have been by his daughter’s side, having to raise funds and travel to Germany to get the drug that she needed.
Amani was a strong advocate for brain tumour research and campaigned tirelessly against the lack of funding to tackle this cruel disease. Throughout her ongoing battle, she was a true inspiration, launching a podcast to discuss her diagnosis, organising fundraising events in support of Brain Tumour Research and even receiving a master’s degree at her bedside. Despite her continued strength and determination, Amani lost her fight in February last year and died at the age of just 23. Her family were and are completely devastated, but have continued to campaign ever since in her memory.
Amani’s story and her parents’ determination to honour her legacy cannot fail to move us. However, while the fundraising efforts of that family and every family like them are massive achievements individually, they are a drop in the ocean compared with what we know is needed to tackle brain tumours effectively. We are all aware of the Government funding promise made in May 2018—a total of £40 million made available by the National Institute for Health and Care Research—yet the recent report by the APPG on brain tumours found that, as of January 2023, just £15 million had been awarded from that pot, £6 million of which was not easily identifiable as relevant to brain tumours, as we have heard.
When I spoke to Khuram and Yasmin, their biggest concern was that the funding that is so desperately needed has not materialised, despite the promises. We know that investment in research drives survival rates. As Khuram and Yasmin pointed out, the development and deployment of the covid-19 vaccine is a clear example that breakthroughs can happen in a very short time when funding is available and the political will is there.
Importantly, why are patients and families told to be satisfied with a system where we see unequal levels of care depending on the disease or illness that a person has? When it comes to brain tumours, why do family, friends and the wider community have to dip generously into their own pockets to ensure that people such as Amani have access to medical treatment and newly developed medicines in the hope of fighting their diagnosis?
Tragically, as we have heard from many right hon. and hon. Members, the continued lack of funding for brain tumour research means that Amani’s story is not uncommon. We have heard that brain tumours remain the biggest cancer killer of children and adults under 40. Unlike most cancers, brain cancer incidences are rising, yet no new treatments have been brought forward and the five-year survival rate for patients is still just 12%.
Another Luton resident fighting stage 4 glioblastoma is Moshin, a young father of three and husband. His family are left praying in hope and fundraising at one of the most distressing times of their lives. Should any family dealing with cancer or any health issue be spending their precious time and energy on fundraising for treatment? Another of the main issues identified in the APPG’s report was that the current funding system is unfit for purpose, because it functions in an insular manner. As a result, researchers are moving away from the field of brain tumour research towards other disease areas with more readily available and secure funding.
I will move on to some specific questions to the Minister. Will the Government hear the calls that have been made today and focus on delivering a strategy for adequately resourced, targeted and funded discovery and clinical research, with a joined-up approach from basic science through to clinical trials? Will the Minister share with us where the remainder of the promised money is, and will there be some transparency about where and how the money has been allocated? My right hon. Friend the Member for Leeds Central (Hilary Benn) asked powerfully about where some of the successful bids have come from, why they have been successful and, importantly, why others have not been.
Finally—I hope that the Minister will say yes to this one, because it requires him to make not a spending commitment, only a commitment to spend time with Amani’s parents—will he meet me and my constituents, Khuram and Yasmin, to hear from them directly about the impact that brain tumours have had on their family and how the Government can deliver change to ensure that other families in their position do not have to suffer such a tragedy? I know that it will mean so much to them that the issue is being debated in the House, but I also know that empty words will not cut it. We need firm commitments and an explanation, because no family in Luton North or anywhere else should have to go through what they have.
Thank you very much. May I say what a privilege it has been to chair this debate?
Question put and agreed to.
Resolved,
That this House has considered brain tumour research funding.
On a point of order, Mr Deputy Speaker. We understand that the Government have just announced huge delays to High Speed 2 and other road and active travel projects via written ministerial statement at nearly 5 o’clock on Thursday afternoon. That is an outrageous attempt to avoid scrutiny for what is a very significant announcement that should have been made to this House first. Tens of thousands of jobs and billions of pounds of economic growth depend on that project. The Secretary of State should have had the decency to come to the House and explain to Members why the Government are doing that. Have you been notified of any ministerial statement on this important topic?
I thank the hon. Lady for her point of order and for giving forward notice of it. She is right that a written ministerial statement was laid not so long ago. There are two points here. The first is that Mr Speaker has made it absolutely clear that announcements of this type should be made to the House of Commons first—we understand that journalists were briefed this afternoon.
The next Transport questions is after Easter, and we are not sitting tomorrow or this weekend, clearly, so it will be at least three days before Members have an opportunity to question Ministers about what is a substantial statement. Although the Chair does not have the power to bring Ministers to the Dispatch Box, there has to be an expectation that Members will have the earliest opportunity to question Ministers on this statement. I hope that the Minister will take that back to the Department.
(1 year, 11 months ago)
Commons ChamberI suppose the facts will reveal themselves when the Minister shows us all the paperwork, leaves it in the Library and then we can go through the facts, the stats and the figures together. I look forward to that. We heard earlier today—[Interruption.] The Ministers are going through some figures now. I really think that, to resolve all of this, and to not even have this debate and conversation, they should put all the paperwork in the Library, we can all go through it together and that is what is needed.
My hon. Friend is making a powerful speech and she has spoken with incredible experience and heart on this subject throughout the last few years. Does she agree it is particularly galling that we are seeing the former Health Secretary write a book, the “Pandemic Diaries”, yet we are not able to scrutinise the facts and evidence of the decisions that were taken not just about the public’s money but about public safety?
My hon. Friend makes an extremely valid point. I spoke in Committee this morning. I am not going to read the book but I think we have to scrutinise it and cross-check the information that the Minister gave in Committee against what is in the book. The new Ministers who have come into post should be a little more humble, because what has happened is shocking. The cronyism and the corruption that has happened in the Government in plain sight is truly shocking. The Government are now spending £10 million burning PPE. It is like they are burning the evidence—we wonder why. [Interruption.] Sorry, the Minister said that I have just criticised the Minister for storing PPE. He is right. I would not want the Minister to spend nearly £1 million every day storing PPE. I also do not want him to burn PPE. He should be using the PPE—give it to people who are travelling on the tube. We are having a flu epidemic and it will help to resolve that, so don’t heckle me when this is your responsibility—[Interruption.] I mean the Minister. Sorry, Madam Deputy Speaker. The Government are incompetent as well as corrupt and it is not just cronyism. The situation is so ridiculous—[Interruption.] Am I not allowed to call it what it is, Madam Deputy Speaker? It smells like corruption to me.
(1 year, 12 months ago)
Commons ChamberUrgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.
Each Urgent Question requires a Government Minister to give a response on the debate topic.
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The hon. Gentleman always makes constructive suggestions, and today is no exception. He knows that we have an ongoing inquiry into the lessons that can be learned and a dialogue with the Health and Social Care Committee about many of these issues. Given its heritage, Northern Ireland was an important supplier of textiles and PPE equipment. Inevitably, given the global balance of production, a lot of items did come from China, as he says, but as part of the lessons learned, we should be thinking about domestic supply.
We have all seen the shameful Guardian front page this morning, but the front page that sticks in my mind is the one showing nurses in bin bags—not PPE on the frontline, but bin bags. This was at a time when Luton Borough Council was facing another cut of £11 million. People are struggling, so why are this Government not lifting a finger to get our money back? They could start by releasing the records after the mediation process.
The hon. Lady’s question takes us back to that extraordinary moment when we had a huge crisis of PPE, and we were desperate and doing every conceivable thing we could to get the PPE that those nurses needed; that is what I have been referring to in my answers this morning. It is just not true that the Government are not lifting a finger to get the money back. We have a process, and there is a substantial team in the Department working on it right now.
(2 years, 4 months ago)
Commons ChamberThat sounds like a very distressing constituency case. Obviously we are investing lots of money in research across the whole cancer spectrum, and I would be happy to meet my hon. Friend to discuss the issue he raises.
Unprotected exposure to the sun can leave someone vulnerable to skin cancer, but as my constituent Tina, who suffers with melanoma, knows, the sun is not the only risk factor for skin cancer—sunbeds continue to be used all year round at very high risk. Does the Minister agree that it is time we took the dangers of sunbeds seriously? Does he support Melanoma UK’s campaign to ban the use of sunbeds, and if not, why not?
(2 years, 5 months ago)
Commons ChamberFor many people living in Bradford, being unable to get an appointment with their GP for days or weeks, or being unable to see an NHS dentist at all, is one of the most depressing issues they face—if not the most depressing. Although such a scandal in our healthcare system is of course unacceptable anywhere, the harm that it is causing in Bradford, where we face especially stark health inequalities and where people are dying a decade earlier and facing a higher rate of preventable diseases, is particularly damaging.
It seems that the Government either do not understand or just do not care. Earlier, the Secretary of State opened for the Government. According to him, we have had record levels of investment, the Government are now planning many initiatives, and any concerns were entirely a result of the two years of covid. Of course, everybody in this Chamber would accept that the NHS, GPs, dentists and all the health services faced pressures during covid. I do not think anyone is denying that. The Secretary of State said to the shadow Minister, “You supported us during that period”. Of course we did. We were a responsible Opposition and of course we ensured that any pressures during a very difficult period could be alleviated. But to say that the issues have suddenly resulted from that period is simply untrue, and Ministers know that it is untrue.
The second assertion—those who were in the Chamber will recall that I pressed the Secretary of State about his record investment in the NHS—was that of course there was record investment, but let us look at that investment. Let me go to my district, to Bradford, and see the record investment that Ministers and the Secretary of State want to boast about. Frankly, they live in some parallel universe, because we do not see the effect that they come here and tell us about. In Bradford, one of the most deprived districts—more than 50% of the deprivation in my constituency is in all the top 10 deprivation indices—child poverty is now at a record high because of those on the Government Benches. Nearly 50% of children in my constituency today live in poverty because of the draconian, ideological cuts made by this Government over the past decade. I have said this in the Chamber many times: people who live in the inner cities are likely to live 10 years less than if they live in the leafy suburbs, which are far more affluent and, frankly, get more investment.
What does the record investment that the Secretary of State and Ministers tell us about equate to in Bradford terms? They tell us that, on average, we will get £4 per patient more than the rest of the country, even though we have the levels of deprivation, poverty and health inequalities that I have gone through. But actually the situation is worse, because even that £4 of investment that they tell us we are getting is fudged figures and smoke figures, because in real terms, if inflation was to be counted, we are getting £3 million less than we had before this Government came to power. On average, we have more than 2,800 patients per GP, whereas the national average is 2,100 patients per GP. If anywhere should be seeing this record investment, it should be in places such as Bradford, but are we seeing it? How does that equate? The hon. Member for St Albans (Daisy Cooper), who is no longer in her place, talked about the stark reality on the ground. This is why I say that Ministers are living in a parallel universe, because the stark reality on the ground is not as they see it. Most people simply cannot get GP appointments. People start ringing first thing in the morning and are on hold for hours on end. Many people will then have to wait until the next day. Getting through to a GP practice on the phone takes days on end.
When the Minister comes to her feet, I am sure she will say that X number of people have been able to access a GP, but have they been able to access their own GP? We have heard time and time again from health professionals how important continuity of care is. Does my hon. Friend agree that this is not just about seeing any old GP—it is about someone seeing their own GP?
I absolutely agree with my hon. Friend, who makes the point that I was coming on to raise. Her Luton constituency is not dissimilar to mine. With a single GP having 2,800 patients, it is obvious why those patients are not getting to see their GP. I could spend a long time in this Chamber going through constituency cases that I have recently dealt with. Indeed, I have done that in the past and those cases are on the record. Let me cite just one case today. An elderly lady in her 90s had to go to hospital and was then told to go to see her GP. Her son tried day after day to make a simple GP appointment for her. She had multiple health needs. My office had to intervene and even we were unable to secure a GP appointment for her. People are having to go through this ping-pong of not getting a GP appointment and then going to A&E as they have nowhere else to turn.
I am grateful because I did ask the Health Secretary about Bradford and urgent treatment centres, and he did favourably say that he would arrange a meeting with the Minister for Health, the hon. Member for Charnwood (Edward Argar), who joins us now, at precisely the right time. I look forward to that meeting because that is a way through and I am grateful for that offer. But the reality remains that the Government’s promise—or the points the Secretary of State made earlier today—is not apparent on the streets. People continue to suffer, they cannot get GP appointments and they have nowhere else to turn. That point has been made eloquently by a number of Members.
At least, after days and weeks of trying, people are able to get an appointment with a GP. Many Members have talking about issues with joining an NHS dentist. There is more chance of finding gold bricks on the street, or of finding the parallel universe that Government Ministers live in, than there is of getting on to the list of an NHS dentist. People simply cannot get NHS dentists, and we have heard accounts today of how they are being forced to carry out DIY operations at home, without anaesthetic or any medical care—I have come across such cases in my own constituency—because they have no other option. Frankly, as the fifth largest and richest economy in the world, it is shameful that people are having to resort to DIY treatment at home. Again, that is happening on this Government’s watch.
I have been in this place since 2015, and every time we have a debate about NHS dentists or GPs, Tory Members refer back to the Labour Government of 12 years ago. I remember that when I was growing up, under a Thatcher Government, GP practices were back-to-back houses on terraced rows without adequate facilities. The last Labour Government brought in record investment, gave us state-of-the-art health centres, and reduced health inequalities and child poverty. That was all under a Labour Government, but Tory Members cannot pretend that the Labour Government of 12 years ago are somehow responsible for the issues we face today. The Whips are not in their place, but I say to the Tory Whips, “Please do your Members justice and remove that line from the long-standing script you have for them”, because it is becoming embarrassing when Tory Members stand up and say, “12 years ago, there was a Labour Government, so it must be all their fault.” They can use that line for a year or two, but unfortunately, in nobody’s world can they use it for 12 years. Tory Members need to start understanding that.
Can we expect any more from this Government? This is a Government who believe people choose to be poor—they have said so in this very House and on TV. This is a Government who believe people should work extra hours and do more, and that those who are forced into poverty are not forced, but have chosen poverty. The reality is that this is a Government who could not care less about people in Bradford who continue to suffer. [Interruption.] The Minister chunters from the Front Bench; she will have time to address those points when she responds.
(2 years, 9 months ago)
Commons ChamberI hear your words loud and clear, Madam Deputy Speaker.
I am grateful to Opposition Members for providing the opportunity to debate the very important issue of children and young people’s mental health on the Floor of the House in Children’s Mental Health Week. As my hon. Friend the Member for Eddisbury (Edward Timpson) stated, this is such an important issue and I hope that we can use this debate to find common ground. I pay tribute to his work on this extremely important issue.
This year’s theme is “Growing Together” and I know that the past two years have been tough for many young people and their families. While some young people may have seen their mental wellbeing improve during lockdown, for many others, the disruption to their home lives and education has caused difficulties. We must support them to grow emotionally and find ways to help one another to grow.
We recognise that both the health and care and education sectors continue to face challenges caused by covid-related issues. I thank all staff across all sectors for their ongoing dedication to supporting children and young people in this vital period and for the support for their families, too.
Children and young people’s mental health and wellbeing are a priority, as is face-to-face education, so that children and young people feel supported in their education and on track with their learning and wider development. Around 12,000 schools and colleges across the country benefited from £17 million to improve mental health and wellbeing support in schools and colleges. I want to be clear that children and young people are not alone on this journey and that the onus is not on them to catch up; it is something that the whole school and whole education system is looking to achieve together, and it is our priority to support them to do so.
The Government are delivering record levels of investment in mental health services, but that was not always the case. Through the 2016 “The Five Year Forward View for Mental Health”, we now have a solid foundation on which we can build the necessary levels of care and support, but we know that we need to be more ambitious. That is why we published the Green Paper on transforming children and young people’s mental health provision in 2017 and the NHS long-term plan in 2019. Together, they set out a clear vision for ensuring that children and young people who need mental health support can get it when they need it.
The NHS long-term plan is backed by an additional £2.3 billion a year for mental health services by 2023-24. That will mean that an additional 345,000 children and young people will be able to access support.
I will make progress because we are short of time and I want to give plenty of time for Back Benchers to contribute.
More than 420,000 children and young people were treated through NHS-commissioned mental health community services in 2020-21, which was almost 100,000 more than three years ago. The NHS children and young people’s mental health workforce has seen growth of 40% from 11,000 whole-time equivalents in 2019 to 15,486 whole-time equivalents in 2021.
Early intervention and mental wellbeing support in schools and colleges can prevent poor mental wellbeing from developing into mental illness. We remain committed to the proposals set out in the Green Paper to roll out mental health support teams based in schools and colleges and staffed by mental health professionals. There are now more than 280 teams set up or in training, with 183 of those teams operational and ready to support young people in around 3,000 schools and colleges. I am really pleased that we have been able to accelerate that programme to meet our original target a year early and then reach around 35% of pupils through 399 mental health support teams by 2023.