Oral Answers to Questions

Simon Burns Excerpts

Tuesday 17th July 2012 Commons Chamber

[Andy Burnham (Leigh) (Lab)]

I shall give the Secretary of State one last chance on rationing.

[The Minister of State, Department of Health (Mr Simon Burns)]

Ooh!

[Andy Burnham]

The right hon. Gentleman needs to listen carefully to what I am about to say. Yesterday, he promised action to stop the restricting of cataract operations for financial reasons, if given evidence. How about this example? NHS Sussex has imposed severe restrictions that contradict the Department’s own guidance, “Action on Cataracts”, and this has seen the number of operations in Sussex fall from 5,646 in 2010 to 4,215 in 2011. Does the Secretary of State consider that fair to older people, and will he now take the action his Department has promised?

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[Tom Greatrex (Rutherglen and Hamilton West) (Lab/Co-op)]

5. What assessment he has made of the availability of insulin pumps for young diabetics.

[The Minister of State, Department of Health (Mr Simon Burns)]

We are currently undertaking a national audit to give us a clear picture of provision of pump services in England. This will be published shortly. The rapid response survey for 2010-11 suggests that half of all those eligible for a pump in England already have one, or have funding agreed—a significant improvement on the initial survey in 2010.

[Tom Greatrex]

I thank the Minister for that reply. I am sure he will be aware that Nicola Sturgeon, the Health Minister in the devolved Administration at Edinburgh, announced earlier this year that all the under-18s requiring an insulin pump would get one. My constituent 13-year-old Fiona Clark has been told by Yorkhill hospital in Glasgow that she will have to wait an unspecified time to receive the pump her doctors say she needs. Given that the National Institute for Health and Clinical Excellence estimates the standard benchmark rate for the uptake of insulin pump therapy for type 1 diabetes in England is 12.4%, will the Minister offer his Department’s assistance to help those in Scotland to get above the current paltry 3.1% uptake?

[Mr Burns]

I am extremely grateful to the hon. Gentleman, but as he will appreciate as a Scottish Member of Parliament, this is a devolved responsibility for the Scottish Government. On the specific issue—[Interruption.] If the right hon. Member for Leigh (Andy Burnham) would shut up, it would be helpful. It would probably be useful if the hon. Gentleman raised the specific issue with the Scottish Government, but on the general principle let me say that we are determined, certainly in England, to do all we can through education, the workings of the NHS and the operating framework to ensure that the number of people receiving pumps increases, as it already has in the last two years.

[Diana Johnson (Kingston upon Hull North) (Lab)]

6. How many children received milk through the nursery milk scheme in each of the last three years.

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[Paul Goggins (Wythenshawe and Sale East) (Lab)]

8. How many patients attended the accident and emergency department at Wythenshawe hospital in the last 12 months for which figures are available.

[The Minister of State, Department of Health (Mr Simon Burns)]

The Department does not collect data on accident and emergency attendances at hospital level. These data are only available at trust level. In the 12 months up to 8 July 2012, there were 108,393 accident and emergency attendances at University Hospital of South Manchester NHS Foundation Trust.

[Paul Goggins]

I am grateful to the Minister for that reply, and I am sure he will want to join me in thanking the staff at Wythenshawe A and E department, particularly given that that colossal number of 108,000 attendances has taken place in a unit originally designed for 70,000 patients. However, if the A and E department at Trafford general hospital is closed, as is currently proposed, that would lead to a still greater increase in the number of patients at Wythenshawe A and E. Given that, is it not essential that the £11.5 million that will be required for extra facilities at Wythenshawe should be made available?

[Mr Burns]

I hope the right hon. Gentleman is not disappointed, but I cannot add anything to the answer I gave in the debate we had last week when he asked that specific question. I can assure him, however, that local commissioners have assessed the impact of the proposed changes at the Trafford and other hospitals, including Wythenshawe. The plans are still at an early stage and are yet to go to public consultation, and I have been informed that local commissioners will continue to review the impact of these changes on the other hospitals, including Wythenshawe. I urge the right hon. Gentleman, other Members whose constituencies are in the area and their constituents to contribute fully to the consultation process.

[Kate Green (Stretford and Urmston) (Lab)]

The Minister knows that the proposal is, first, to reduce services at the Trafford to urgent care provision and then, within not less than two to three years, to a minor injuries unit. What processes will be put in place to ensure that the most stringent criteria are applied in respect of investment in Wythenshawe and the other hospitals, as well as in Trafford community services and improved services to patients, before any such further move is contemplated?

[Mr Burns]

As the hon. Lady will be aware from the debate we had last week, these proposals are subject to the consultation process and to consideration of the results. Commissioners fully recognise the need to minimise the impact the changes will have on neighbouring A and E departments and other services. The Trafford and South Manchester clinical commissioning groups are working on developing further integrated care services, and on developing community care services as an alternative to hospital care, as well as on ensuring that the final decisions meet the needs of the local health economy by providing first-class quality care for the people of that area.

[Mr Jamie Reed (Copeland) (Lab)]

Of course, it is not just Wythenshawe A and E that is facing difficulties. All Members throughout the House are grateful for the work our medical professionals do in extremely trying circumstances, but the truth is that the Government’s chaotic reorganisation has resulted in longer waits in accident and emergency. The Minister of State said last night that A and E departments were meeting the target, but figures published by his Department last week show that the Government have failed to meet the 95% target across major type 1 A and E units. If he cannot get his own figures right, he cannot expect to command the trust of patients or medical professionals. Will he now take this opportunity to show some respect for this House, for the public and for patients in general, and correct the record?

[Mr Burns]

I am most grateful for your protection, Mr Speaker.

[Mr Speaker]

I thought it might be helpful!

[Mr Burns]

I am most grateful.

Of course, the hon. Gentleman is playing with the figures. As he knows from previous discussions, he is talking about the SITREP—situation report—figures, which do not form the basis of the figures the Government use. [Interruption.] If he will keep quiet for a minute and listen, I will reiterate the point I made last night. Regarding A and E waits of under four hours and the percentile of 95, we are at 96%, which means we are within and above the level set down by the Government’s figures.

[David Mowat (Warrington South) (Con)]

11. What plans he has to review the health allocation formula.

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[Mr Virendra Sharma (Ealing, Southall) (Lab)]

13. What recent representations he has received on the reconfiguration of children's heart services.

[The Minister of State, Department of Health (Mr Simon Burns)]

I have received representations about the review of children’s heart services via letters, parliamentary questions and e-mails from hon. Members, via letters and e-mails from organisations and the public, and via meetings. My right hon. Friend the Secretary of State has received two overview scrutiny committee referrals, one from the Yorkshire and Humber joint health and overview scrutiny committee and one from the royal borough of Kensington and Chelsea.

[Mr Sharma]

Is the Secretary of State confident that the committee has properly balanced the clinical decisions with the practical transport issues faced by families of children with heart problems?

[Mr Burns]

The assurance I can give the hon. Gentleman is that we certainly believe so, but these are matters for the joint committee of primary care trusts, which carried out this review. As he will appreciate, it is totally independent from the Department of Health, and rightly so.

[Stuart Andrew (Pudsey) (Con)]

My right hon. Friend will be aware of the concerns in Yorkshire about the review. Can he confirm to us, for the sake of absolute clarity, with whom this decision will lie finally?

[Mr Burns]

I am very grateful to my hon. Friend; this is the hors d’oeuvre before the main meal later today. Ultimately, if any overview and scrutiny committees of relevant local authorities do not agree with the final decisions, they have a right to write to my right hon. Friend the Secretary of State asking him to refer the matter, with their concerns, to the Independent Reconfiguration Panel. If it is asked to look into the matter, it will then come to a conclusion, of which it will inform my right hon. Friend and he will then take a decision.

[Greg Mulholland (Leeds North West) (LD)]

The Scottish Government have decided that although the Yorkhill unit is currently unsafe, it can be made safe in the context of three surgeons doing 300 operations, whereas the “Safe and Sustainable” review, which is increasingly discredited, is demanding 400 to 500 operations. Why is it one rule for children in Scotland and another for children in Yorkshire?

[Mr Burns]

I have to tell the hon. Gentleman that the decisions that the Scottish Government and the Scottish Health Department might take with regard to Glasgow is a matter for them. The fact is that we recognise what is commonly accepted among the international community: that the safest way of providing that surgery is by carrying out about 400 operations a year.

[Stephen Phillips (Sleaford and North Hykeham) (Con)]

14. What steps his Department is taking to ensure that confidentiality agreements do not discourage NHS whistleblowers from coming forward.

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[Tom Brake (Carshalton and Wallington) (LD)]

T9. The clinician-led “Better Services Better Value” review has condemned the accident and emergency unit, and the maternity and children’s wards at St Helier hospital, because it expects out-of-hospital services to be expanded instead. Will the Secretary of State meet me to discuss local concerns that the £5 million allocated to provide the out-of-hospital services will be totally inadequate to the task?

[The Minister of State, Department of Health (Mr Simon Burns)]

I am grateful to the right hon. Gentleman for that question. As he knows, any proposals for service changes will be subject to the Secretary of State’s four tests and a full three-month public consultation across south-west London, which I am sure the right hon. Gentleman and his constituents will take part in. My right hon. Friend the Secretary of State will be more than happy to meet him to discuss the matter further.

[Mrs Mary Glindon (North Tyneside) (Lab)]

T8. In the north-east region, there is one neuromuscular care adviser providing dedicated specialist care and support for more than 3,000 people with muscular dystrophy and associated conditions. Will the Minister give assurances that care advisers will continue to be funded and commissioned at specialist NHS Commissioning Board level so that they can carry on supporting community teams across the country?

[Mr Burns]

I give the hon. Lady that assurance. Specialised commissioning will be carried out through the NHS Commissioning Board.

[Mary Macleod (Brentford and Isleworth) (Con)]

T10. I commend the Government for their plans to improve the care and support system, especially for an ageing population. How will the changes make a real difference to carers, particularly those supporting people with Alzheimer’s and dementia? Is there more we can do to support them?

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[Clive Efford (Eltham) (Lab)]

The chair of the South London Healthcare NHS Trust has written to the Secretary of State to correct inaccurate information given out by the Department of Health regarding the trust’s performance. [Interruption.] Instead of barracking me, would the Secretary of State—[Interruption.] Instead of shouting at me now, it is a shame that the Secretary of State did not meet the local MPs when he had the opportunity. Will he distance himself from the false information put out by unattributable sources in his Department, which will undermine the performance of the hospital and shows little respect for the health service workers who are working to improve services?

[Mr Burns]

If I can calm the situation down. [Interruption.] If the hon. Gentleman will just hush I will give him the answer.

[Mr Speaker]

Order. There is, frankly, too much noise on both sides of the House. It does not suit the Minister now for the hon. Member for Eltham (Clive Efford) to shout from a sedentary position, and I absolutely understand, similarly, that it does not suit Opposition Members when the right hon. Gentleman and his colleagues chunter from a sedentary position. Let us have a truce, and the right hon. Gentleman can be a statesman—we look forward to it.

[Mr Burns]

As ever. I do not share the hon. Gentleman’s analysis of the interpretation of what has happened with regard to the trust’s performance. There has been an historic problem with its performance, but I pay tribute to the staff, who have made tremendous efforts to improve performance, and have achieved some improvement. The trouble is that it is not sustainable not to put the trust on a sustainable financial footing. The hon. Gentleman said that he would like a meeting with me or my right hon. Friend the Secretary of State. [Interruption.] As he will know, if he keeps quiet for a minute, I have written to him offering a meeting with my right hon. Friend, on 24 July; I hope that the hon. Gentleman can attend.

[Zac Goldsmith (Richmond Park) (Con)]

Cases of blood poisoning from E. coli have increased by nearly 400% in the past 20 years, and E. coli resistance to antibiotics is almost certainly linked to record levels of antibiotic usage on factory farms. By over-using antibiotics we risk ruining for future generations one of the great discoveries of our species. Will the Department put pressure on the Department for Environment, Food and Rural Affairs finally to take that issue seriously?

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[Dr Julian Lewis (New Forest East) (Con)]

Ministers may recall the concern of patients and carers in the New Forest area about the decision to close a third of acute adult mental health beds in Hampshire. Are Ministers aware of a similar trend in other parts of the country, and if they are, as they should be, what do they think about it?

[Mr Burns]

My hon. Friend has raised that issue in different forms on many occasions, and feels strongly about it. The decision to reconfigure services in his constituency was made locally, and the Hampshire overview and scrutiny committee decided not to write to my right hon. Friend the Secretary of State asking him to refer it to the Independent Reconfiguration Panel, because it presumably believes that it is the right way forward to continue to provide first-class quality care for patients.

[John Woodcock (Barrow and Furness) (Lab/Co-op)]

Does the Secretary of State agree that commissioners in Cumbria must bear their share of responsibility for the deep-seated problems in the Morecambe Bay health trust, which have taken far too long to address. Will he join me in urging those commissioners to protect services such as Barrow’s maternity unit in their forthcoming review?