(10 months, 1 week ago)
Commons ChamberLast month, we published a cross-Government five-year suicide prevention strategy. It sets out our pledge to reduce England’s suicide rates within two and a half years, with over 100 measures aimed at saving lives and providing early intervention for those at highest risk of suicide, including new mums and middle-aged men.
I thank my hon. Friend for his hard work in this area and for his mental health campaigning overall, and also his wife and all who selflessly give their time to volunteer with the invaluable mental health charities. We fully recognise that, and that is why when we launched the suicide prevention strategy we also launched our £10 million suicide prevention grant fund.
On my hon. Friend’s point about wider funding beyond 2024-25, that is subject to a future spending review, but our commitment and record in delivering record investment of £15.9 billion in mental health services just in this financial year, which is 28% more funding than in 2018, should give him confidence that this Conservative Government deliver on mental health services.
Is the Minister able to provide an update on the suicide prevention grant, and particularly on when the money is expected to reach the successful organisations?
We have had a huge response to the opening of the grant, with over 1,800 applications from voluntary groups and organisations. We are assessing those bids and hope to make an announcement before the end of the year.
(1 year, 1 month 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.
This information is provided by Parallel Parliament and does not comprise part of the offical record
I beg to move,
That this House has considered the HIV Action Plan annual update 2022-23.
It is a pleasure to serve under your chairmanship, Dr Huq. I was pleased to be successful in my application for this debate, and I thank colleagues from across the House for attending. I start by thanking the Government for fulfilling their commitment to update Parliament on the progress they have made on the HIV action plan—which I fully support—as it is crucial that Members are given the opportunity to scrutinise the progress that we are making on tackling HIV.
We are the generation that has the golden chance to end new cases of HIV by 2030. It is vital that we do all we can to ensure that that becomes a reality. Positive progress has been made to that end, as highlighted in the report. However, there remain further opportunities to stop new HIV transmissions in this country. That would certainly be a lasting legacy the Government could be proud of.
Two measures, in particular, will help to ensure that the Government fulfil their mission to turn the tide on HIV once and for all. First, opt-out testing is the hidden tool in our armoury that is waiting to be unleashed. Last December, I spoke in the House during the World AIDS Day debate about how effective opt-out testing was in those places that had already introduced it.
My hon. Friend will be aware of how health practitioners in Blackpool have led the way on opt-out testing to achieve great results. The focus on that in high-prevalence areas is of course particularly important, but does she agree that, although the NHS is making solid progress in this regard, it needs to up its game if it is to achieve its own targets by 2025?
I thank my hon. Friend for his intervention. I know that opt-out testing is already making improvements and that that will benefit his constituents in Blackpool. We have the blueprint for how to do this; we just need to roll it out further.
The numbers do not lie. The annual update revealed that more than 2,000 people have been diagnosed with HIV, hepatitis B and hepatitis C in 12 months alone. It is very likely that without opt-out testing many of these people would not have been diagnosed until a much later stage. That includes diagnoses in parts of London classed as having a “high” rather than a “very high” prevalence of HIV. Let us imagine what can be achieved if we now extend the roll-out to areas of high HIV prevalence, such as in my constituency of West Bromwich East.
The west midlands have several high-prevalence areas outside Sandwell, including Wolverhampton, Coventry and Birmingham. That is why, for World AIDS Day last year, West Midlands Mayor Andy Street joined the calls to fund this scheme in the west midlands. The way to end this virus is to find exactly these people—those who are unaware that they are carrying the disease but who are in fact passing it on to others—so that they can get the care they need and do not increase transmission further.
Opt-out testing in London, Blackpool, Brighton and Manchester has also revealed a quiet but growing crisis by identifying people who have previously been diagnosed with HIV but are not receiving the treatment they need. The UK Health Security Agency estimates the number of people who have fallen out of the HIV care system since 2015 to be an alarming 22,670. The Terrence Higgins Trust, which I take this opportunity to thank for all its excellent work, estimates the number of those who are alive and remain living in the UK as somewhere between 10,650 and 13,006. They are all at risk of becoming seriously ill and further transmitting the virus. In fact, hospitals in London are reporting that this has overtaken undiagnosed HIV as the primary cause of HIV-related hospital admissions.
This is totally preventable. Once someone living with HIV is on effective treatment, they can live a long, healthy life and do not pass on the virus. The annual update shows that more than a third of those found with HIV by opt-out testing were previously lost to care. That is another 473 people who can access treatment, prevent further serious illness and help to stop the spread of HIV. This is an important step forward, but we should not only be finding people when they need emergency care; we should be supporting them to stay in care in the first place. Without finding and providing treatment to those people, we cannot realise our ambition of ending new cases by 2030.
Opt-out testing is helping not only to save lives, but to save money in our health system. The initial investment to set up opt-out testing is dwarfed by the amount saved by providing treatment earlier and preventing serious illness. There is a huge saving to be made, and it is truly making a difference to health outcomes in the places in the country that already have opt-out testing.
[Dame Caroline Dinenage in the Chair]
Furthermore, the Elton John AIDS Foundation has done fantastic work with hospitals in south London on a pilot scheme that can inform a national programme to re-engage people who have been diagnosed with HIV but who are lost to care. Clearly, finding and restarting treatment for those lost to care is an urgent consideration and, at a cost of £3,000 per person, it would be significantly cheaper than providing emergency care if their condition worsened.
(1 year, 8 months ago)
Commons ChamberI visited that scheme over the summer. The right hon. Gentleman will know that the costs have inflated significantly since what was signed off by the Treasury in 2019. I think the point that has been missed by Opposition Members is that the way we deliver these schemes is to grip the cost better by using standardisation, and that is what I will be discussing with Leeds General. I agree with him that it is important that the scheme goes ahead, and we need to work together to make sure that it does so at a price that is affordable.
In July, we made some initial changes to the reformed system to support NHS dentistry. We have invested an extra £50 million, reformed the contract to create more UDA—unit of dental activity—bands to better reflect the fair cost of work, and introduced a minimum UDA to help practices where the levels are low, allowing dentists to deliver 110% of their UDAs to provide more treatment. The number of dentists doing NHS work last year was up 2.3% but we are working on plans to go further.
The changes made to the dental contract last week were a step in the right direction, but they fall some way short of the holistic reform required to help the estimated 25,000 of my constituents who do not yet have an NHS dentist. Will the Minister consider a change whereby the NHS funds subsidies to underprivileged areas such as Blackpool, thereby allowing NHS practice to offer a greater financial incentive to attract new dentists into those areas?
Absolutely; my hon. Friend and I have talked about this. We are looking urgently at payment models and measures to address areas that are struggling to attract the right workforce. The commissioning of dentistry will be coming down to a more accountable local level in April, and we need to build on that.
(1 year, 11 months ago)
Commons ChamberThe hon. Lady makes an important point about variation not just between regions but within regions. As a rural Member of Parliament, I get the point that there is often significant variation within a region. That has been a key area of focus. The federated data platform, which is due to come on stream in April, will give her local ICS much better data on what is happening and on what community capacity there is. Over the summer, we have worked with ambulance trusts to look at operational performance data on a much more granular level. That is why I have flagged to the House the issue that a small number of trusts are driving a large proportion of the handover delays. That is exactly the sort of variation that we are looking at.
My right hon. Friend will be aware of the £25 million Government investment in the new emergency village at Blackpool Victoria Hospital, with the new critical care unit opening only a few weeks ago. That will make a substantial difference by easing the pressures at the hospital, which are contributing to unacceptable ambulance waiting times. Will he join me in visiting the hospital to see the substantial difference it will make to my constituents?
As my hon. Friend knows, my parents live very near the hospital in question. I know he has been a huge champion of the additional funding. If the opportunity arises, I would be very happy to visit. I pay tribute to the work he has done to secure the additional facility, which will benefit his constituents and those across the Fylde coast.
(2 years, 1 month ago)
Commons ChamberI say to the hon. Lady that we have put additional investment this year—over £150 million of extra funding—into ambulance services to help them meet demand, because they do have significant demand. The rates we are seeing at this time of year are the sorts of rates we would normally see in winter, and we are doing exactly as we would then. We have our heatwave plan, which was published earlier this year, and we are confident that we are working with all NHS trusts, and all the ambulance trusts too, to make sure they have the support they need. Can I gently say to her that this is not just about funding? This is about bringing care together to ensure that hospital beds are freed up so that when ambulances arrive at A&E they can unload their patients. As I said to the shadow Secretary of State—I am not sure if he is going to take me up on this—I am happy to work with every single Member across this House to make sure that we support our emergency services.
I welcome the reassurance the Minister has provided regarding capacity and resilience planning over the coming weeks. A&E services at Blackpool Victoria Hospital have been under significant pressure of late, and the planned £15 million Government-funded improvements to increase capacity there frankly cannot come soon enough. Will the Minister meet me to discuss the progress of these plans to ensure that patients can see the benefits as soon as possible?
I thank my hon. Friend, who has been campaigning vigorously for better healthcare provision in his local area. I am very happy to meet him to discuss those plans, and I recognise that there is an urgency about that. I can reassure him that six areas of the country account for about a third of the handover delays, and we are specifically focusing our efforts on them. This is about relieving the pressures in the system, whether through more capacity at A&E so that patients can be seen more quickly once they arrive by ambulance, or support for the ambulance service itself. I am very happy to meet him to discuss the problems in his local area.
(2 years, 2 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.
This information is provided by Parallel Parliament and does not comprise part of the offical record
It is a pleasure to speak under your chairmanship, Mr Stringer. In the last few months, I have received dozens of letters and emails from constituents about their difficulties in securing NHS dentistry, and I thank my hon. Friend the Member for St Ives (Derek Thomas) for securing this important debate.
A key part of levelling up is ensuring that health inequalities are addressed and that people’s access to vital dental treatment is not based on a postcode lottery. Only yesterday, I received an email from a constituent, Kayleigh. She was told by her dentist that she and her family would no longer be able to access routine NHS appointments. Kayleigh did exactly the right thing and called up other dentists in Blackpool and all along the Fylde coast, but time after time, the response she received was the same: “We are not taking on NHS patients, there is no waiting list, and there is no intention whatsoever to change that in the near future.”
Kayleigh works part time to help to support her young family, but private dental appointments are completely unaffordable and totally out of the question. She is one of thousands of my constituents in Blackpool who do not or cannot access NHS dentistry. It is difficult to establish a figure for how many of my constituents do not have an NHS dentist, but it is likely to be in excess of 10,000, or at least one in five adults.
The problems that our constituents are reporting to us are not being caused just by a lack of trained dentists. The number of dentists registered to provide care with the General Dental Council is actually at a record high, having increased by 2,000 since the start of the pandemic. The problems are being caused by two main issues, the first of which is the massive impact of the pandemic on dentistry.
The BDA estimates that more than 43 million dental appointments—more than a year’s-worth of dentistry in pre-covid times—has been lost due to the pandemic. There are of course steps that the Government could take to relieve that backlog, such as training more dentists or making it easier to bring in accredited foreign dentists to work in this country. I know that the Government are investigating these possible solutions, and the Minister has stated that legislation may be brought forward at the end of this year to address those points.
The second major issue is dentists opting to carry out more private dental work than NHS care. Nine out of 10 dental practices with significant NHS commitments report problems recruiting staff. When I was on a recent visit to a dental practice in Blackpool, the owners stressed the difficulty they have in recruiting and retaining trained dentists. This is a particularly acute problem for many coastal communities, as my hon. Friend the Member for Totnes (Anthony Mangnall) just mentioned, and exacerbates the challenges we have in providing NHS appointments in particularly deprived coastal communities.
The number of registered dentists is increasing, but many are now taking on a higher proportion of work in the private sector, and around 3,000 dentists in England have stopped providing NHS treatment altogether. There is not a shortage of dentists, rather a shortage of dentists motivated to take on NHS work. One example is Ivory Dental Care in my constituency, which recently wrote to patients informing them that from July it will no longer be offering NHS dentistry. That will result in an additional 2,000 Blackpool residents no longer being registered with an NHS dentist.
I am pleased that the Minister recently stated that an announcement on reforming the NHS dental contractual framework will be made soon, with the aim of paying dentists more fairly for their work. This is a vital step to stop a steady stream of NHS dentists leaving for more profitable, private work. It should also address the issues with low morale among dentists and turn the tide, so that the NHS is a more attractive place for them to work.
I know that this Government are serious about tackling health inequalities. It is appalling that children from the most deprived areas are already three times more likely to have hospital extractions, and oral cancers are obviously less likely to be spotted among those who have fewer routine dental appointments. We simply cannot allow such health inequalities in dental care to persist. One of the reasons I was elected to this House was because of the Government’s pledge to increase spending on our NHS, with the help of the budget rising from £133 billion at the start of this Parliament to £177 billion by the end of it. To that end, I welcome the additional £50 million that the Government made available for providing dental services earlier this year, but the reality is that this is actually falling in comparison with the overall health budget. We cannot put at risk the Government’s plans to level up the nation’s health by letting this continue. Dental health should be considered on an equal footing to the rest of our healthcare, so that we can further improve on the solid progress being made in towns such as Blackpool to reduce health inequalities.
(2 years, 6 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.
This information is provided by Parallel Parliament and does not comprise part of the offical record
My hon. Friend is right on a number of counts: first, to pay tribute to the work of nurses up and down the country during this pandemic; and, to highlight the significant progress we have made on the trajectory to meeting our 50,000 nurses manifesto commitment. The reason we made that commitment is exactly as he says: we know we need more nurses in the NHS, and we are committed to recruiting them, which will have a positive impact on all those already in our NHS as they are joined by many newly qualified professionals to help share that load.
Blackpool was one of the first areas to receive additional funding to tackle the NHS covid backlog, and this funding is already making a difference on the ground for my constituents. When further moneys are allocated, will the Minister commit to prioritising those areas, such as Blackpool, that have some of the worst health outcomes in the entire country?
My hon. Friend is a strong champion and a strong local voice for Blackpool in this House. We are clear in this Government that in the investment decisions we make, we are committed to making sure that we level up across this country and that that money goes to where it can make the greatest difference in improving outcomes for all patients and all those who use our NHS.
(2 years, 8 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.
This information is provided by Parallel Parliament and does not comprise part of the offical record
Thank you, Mr Pritchard, it is an honour to serve under your chairmanship. I congratulate the hon. Member for Pontypridd (Alex Davies-Jones) on bringing the matter to the attention of the House. She is absolutely right that this is a narrow debate on a narrow set of issues. It is not, therefore, about women’s rights, despite the fact that what we have heard today has been padded out with a lot of comments about women’s rights.
It is not, unfortunately, about the rights of the unborn child, whom we should pause to consider, because no one ever speaks up for them. No one ever speaks up for that beating heart in a mother’s womb; no one ever gives voice to that. Today is not about that, unfortunately. Today is about the narrow confines of the rule of law, and where law should properly made.
I am aghast at the irony of today’s debate. We have had a lot of comment about this being the rightful place to make these laws, and how it is not a contradiction to stand as a Member from another devolved region and say that the devolved Assembly in Northern Ireland has no right to make those laws and regulations. When that region is currently in court on these very matters, trying to shape the laws of Northern Ireland, it is the most abhorrent contradiction for this place to try to grasp that power back, and the Assembly in Northern Ireland is on this very day debating some of the issues that pertain to this matter. The irony is not lost on anyone, except the unborn.
I thank my hon. Friend for giving way; he is a great champion for the life of the unborn child, as are all his DUP colleagues. Does he share my concern that the regulations violate the terms of the Northern Ireland Act 1998 and fundamentally dishonour the devolution settlement? That point is particularly appropriate now that Stormont has been restored.
That was a telling point and absolutely right and proper. Yes, this does dishonour and betray the devolution settlement. There are no two ways about; that is the only want it cuts. When powers are devolved to one region and then it is decided that it is not doing things the way we like, so the powers should be taken back, that is not lost on anyone.
We are not allowed to make up facts in this debate. The myth has been projected today that the majority of people in Northern Ireland agree to and with the most liberal abortion laws in any other part of the United Kingdom. Given that that has never been tested, that statement is erroneous and not factual. Any time the Assembly has voted on such matters over the years, it has taken the other view. Whenever this House has voted on it, the representatives from Northern Ireland who attend this place were divided, but the majority voted against the new regulations as outlined.
We cannot make up the facts and pretend that, because one or two Members support this, all Northern Ireland supports it. That is a myth and one that has to be challenged. Talk to any section of society in Northern Ireland, in the tribal way that Northern Ireland is often caricatured—talk to members of the Roman Catholic faith, members of the Protestant faith, members of no faith—and one will find that the weight of opinion is solidly for the rights of the unborn child. That is the socially conservative society that Northern Ireland actually is.
(2 years, 10 months ago)
Commons ChamberWe want to have a whole range of measures to tackle obesity. The important thing is that we know how much obesity costs the NHS—£6 billion is a huge amount. That money could provide for a lot of more operations. There are a lot of other ways to stop people becoming obese, or to help them to lose weight and become more active. That is better for the NHS and saves money for the NHS, but it also helps people’s lives as well.
As the Prime Minister pointed out at the Conservative party conference, life expectancy in Blackpool is 15 years lower than it is in some areas just a few miles away. This scheme will help to reduce those disparities. Does the Minister agree that Blackpool would be the ideal location for this pilot scheme?
(3 years, 2 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.
This information is provided by Parallel Parliament and does not comprise part of the offical record
Residents in Blackpool spend a higher percentage of their income on council tax than those anywhere else in the whole country. Although allowing councils to implement the social care precept has brought in much-needed revenue, it has in some cases placed a disproportionate burden upon ratepayers. While the case for reforming social care is clear, does the Minister agree that we require a national funding model to meet the costs, and that they cannot fall disproportionately on councils in deprived areas?
I thank my hon. Friend, and I recognise the situation right now. That is one reason why we are providing £3.8 billion in grants for adult and children’s social care this financial year, which has gone up from £3.5 billion in the previous financial year. Of course, looking ahead in our reforms, we do have to make sure that the way social care is paid for is fair across the country.