Oral Answers to Questions
Stephen Hammond Excerpts(5 years, 5 months ago)
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Gill Furniss (Sheffield, Brightside and Hillsborough) (Lab)
Stephen Hammond
Thank you very much.
The Government’s mandate to NHS England for 2018-19 clearly sets out A&E performance, and it will see performance improve. So far this year 18 million more attendances have been seen within the standard, and the NHS is introducing more options for urgent patient care. Of course, as the hon. Lady will know, the extra £20 billion a year that is going into the health service will ensure that more patients are seen in A&E.
Gill Furniss
According to a recent poll of doctors by the Royal College of Physicians, almost six in 10 doctors report feeling very worried or worried about the ability of their hospital to deliver safe patient care over the winter period. What is the Secretary of State or the Minister doing to help our hard-working NHS staff provide the best possible care for patients?
Stephen Hammond
The NHS faces a challenging winter, but it has been planning throughout the year for this winter. It has been supported by an extra £420 million to redevelop A&Es, improve emergency care and help patients get home quicker. Those plans, more directly, include reducing the extended hospital stays we saw last year, increasing access to GP appointments and increasing the volume of cases that can be treated by emergency dentists.
Jeremy Lefroy (Stafford) (Con)
Last week I visited the A&E at County Hospital, Stafford, which achieved 95.8% on the four-hour target in the week beginning 22 October and has consistently achieved over 95% for the past few months. Will the Minister come to Stafford to see what a great job it is doing, and to see how we can use County Hospital more and bring more services into it?
Stephen Hammond
My hon. Friend has always been an assiduous advocate for his constituents and their concerns. He is right to make that case today. He is also right that, thanks to the hard-working staff in his hospital and across the country, the four-hour target continues to be met for nearly nine out of 10 patients. I will be delighted to come to Stafford.
Mr Gregory Campbell (East Londonderry) (DUP)
Does the Minister agree that what considerably exacerbates A&E waiting times at the weekend is when, on occasion, our highly valued NHS staff come under attack? We should have a zero-tolerance approach to any attacks on those highly valued members of staff.
Stephen Hammond
The hon. Gentleman is absolutely right. There can be no statement other than complete condemnation of attacks. We have changed the law, and it came into force earlier this month.
Justin Madders (Ellesmere Port and Neston) (Lab)
I welcome the Minister to his place. Although he is new, he will know that the A&E waiting target is not a recent initiative. It is a key part of the NHS constitution, but it has not been met for over three years. If he cannot make a commitment today on when the target will be met, will he accept that, at least for this winter under this Government, the NHS will once again be underfunded?
Stephen Hammond
As I said in my earlier answer, we recognise that this winter will be challenging. We recognise that the A&E performance standard is not currently being met, but, as the hon. Gentleman knows, we are investing an extra £20 billion in the NHS to ensure that the standards are met. The NHS will use that investment to treat 250,000 more patients and to improve A&E performance across the country.
Mr Laurence Robertson (Tewkesbury) (Con)
The Minister for Health (Stephen Hammond)
The latest UCAS data from October 2018 show that demand for nursing courses remains strong, with applications exceeding the number of places available this year. The number of acceptances to nursing and midwifery courses in 2018 is consistent with earlier years at approximately 22,000. The final data will be published in December 2018.
Mr Robertson
Does the Minister accept that student nurses face pressures from the long hours they have to study and the long hours they spend on placements, which makes it very difficult for them also to carry out paid work? Is there any more the Government can do to support student nurses financially as they go through college?
Stephen Hammond
As my right hon. Friend the Secretary of State said earlier, we recognise the vital role that nurses play, and we are determined to support them. We are determined to have more nurses in training and more nurses treating patients. At the moment, a student on the loan system typically achieves 25% more in their pocket than they would have had on the bursary, but the Government recognise that there are still pressures, which is why we have the learning support fund, the exceptional hardship fund and support for mature students.
Karin Smyth (Bristol South) (Lab)
I talk to local employers who desperately want to support nursing apprenticeships as an alternative to the higher education route, but the uptake of apprenticeships is very disappointing. The levy can be used only for training costs, and trusts have been asked to plug the shortfall in funding for wider capacity building and to cover the 20% of time for which apprentices have to go to off-the-job training. Does the Department recognise this problem? What is being done to address it?
Stephen Hammond
The hon. Lady is right that the number of trusts that currently use the levy is not as high as it should be. We hope that all will do so. It continues to be a priority for us to broaden the routes into nursing. We will address in the long-term plan the specific matter about which the hon. Lady talks.
Sandy Martin (Ipswich) (Lab)
The Minister for Health (Stephen Hammond)
The NHS employs more staff now than at any other time in its 70-year history. It has recruited 18,200 more doctors and 11,000 more nurses are in our wards since 2010. NHS Improvement publishes vacancy rates using provider information. As the hon. Gentleman will know, the record investment that the Government are providing will ensure that the number of vacancies reduces.
Sandy Martin
With Suffolk’s only psychiatric intensive care unit having been closed down from April to October this year because of lack of staff, and with a two-to-three-month waiting list for counselling, does the Minister not understand that his reassurances do not bear much relationship to people’s lived experience?
Stephen Hammond
I am aware that the local trust has had a number of problems and that there were a number of bed closures—both temporary and permanent —earlier this year. The trust is closely monitoring how those closures are affecting services and patients. The hon. Gentleman will know that beds are being reopened—five beds have been reopened recently—and that there is a plan to put in place the staffing so that the whole ward can reopen in the near future.
Jeff Smith (Manchester, Withington) (Lab)
Stephen Hammond
The hon. Gentleman will know that the Government are committed to having more nurses and more staff in training, that we are putting in place extra measures to ensure that specialities are supported through that training process and that the extra £20 billion in the long-term plan will ensure that there are the staff and nurses needed to fill those vacancies.
Mr Speaker
We are running over time, so very briefly, please, Dr Philippa Whitford.
Dr Philippa Whitford (Central Ayrshire) (SNP)
Last week, the Secretary of State claimed that the number of GPs in England had increased by more than 1,000 from June to September, when the data actually showed a drop of 10 full-time equivalent doctors. In 2015, his predecessor promised an extra 5,000 GPs by 2020, but so far there are 1,000 fewer, so how does the Secretary of State plan to meet that target in just the next year?
Stephen Hammond
As the hon. Lady knows from a previous answer, we are committed to making sure that 5,000 extra GP places are available. There are more GPs in training than before, and 52,000 nurses are now in training. We will ensure that the number of GPs in training meets the target.
Dr Whitford
I find that hard to believe when there is only a year left of the five-year promise.
Scotland has 30% more GPs per head of population, but last year we lost 14% of our EU doctors, and England lost 19%. Does the Secretary of State recognise that the hostile language of the Brexit debate is making the UK seem unwelcoming and making it harder for all four UK health services to recruit?
Stephen Hammond
There are currently more doctors from the EU treating patients in the national health service than on referendum day. We are committed to the 5,000 target.
Mr Philip Dunne (Ludlow) (Con)
The Minister for Health (Stephen Hammond)
My hon. Friend is right. I welcome the trust’s recent announcement that it now has enough middle-grade doctors and nurses to keep the Prince Royal Hospital’s A&E open 24/7. It has been receiving some excellent support from NHS Improvement, and I hope that it will achieve similar success in improving the quality of care as that support continues.
Lisa Nandy (Wigan) (Lab)
John Woodcock (Barrow and Furness) (Ind)
Is not the Secretary of State alarmed that fake psychiatrist Zholia Alemi was revalidated in 2013 under the supposedly strengthened revalidation process? Why did the Government not act on the findings of the Sir Keith Pearson report in January last year, which pointed out this exact weakness in the system?
Stephen Hammond
The hon. Gentleman raised that matter with me last week. He knows that the Government take it very seriously and that we are asking the General Medical Council for an immediate review of that case, but I am happy to meet him to discuss it further.
Robert Courts (Witney) (Con)
I welcome the new early diagnosis ambition for cancer, but does the Minister agree that for the people of West Oxfordshire, this is about delivery and having the people available to implement the strategy that he has worked so hard to produce?
Kevin Foster (Torbay) (Con)
My constituent Alice Sloman died during what should have been a routine MRI scan, following complications with the general anaesthetic that had been administered to her. Will the Minister agree to meet me and Alice’s parents to discuss the possibility of people, particularly those with existing conditions, having routine heart checks before such procedures?
Stephen Hammond
The Government express sincere condolences to my hon. Friend’s constituents. I would of course be happy to meet him and his constituents.
Blood Cancer
Stephen Hammond Excerpts(5 years, 5 months ago)
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The Minister for Health (Stephen Hammond)
It is a great pleasure to be here.
Blood cancer is the third biggest cancer killer in the UK and nearly 250,000 people are living with it today. Although cancer is relatively rare in younger people, blood cancers are the most common cancer in under-30s, so this is an important debate, despite the fact that the Chamber is not packed.
I congratulate my hon. Friend the Member for Crawley (Henry Smith) on securing the debate and thank him for his contribution as chair of the all-party parliamentary group. As he rightly said, this is cross-party, so I also congratulate the hon. Member for Alyn and Deeside (Mark Tami), who I understand is the deputy chairman and had an Adjournment debate yesterday.
Cancer is a Government priority. Survival rates have improved since 2010. About 7,000 people are today alive who would not be if mortality rates had remained at those levels. This must continue. We are transforming cancer services across England and taking an “all cancer” approach to improvements. We want our cancer services to be the best in the world. We want all cancer patients to have access to the treatment and the care that will allow for the best possible chance of a successful clinical outcome.
This is really important. That is why the Prime Minister last month announced a package of measures that would see 75% of all cancers detected at an early stage by 2028. Currently, just half of all cases are detected at an early stage. The new 75% target applies to all cancers, not just the 10 currently in the public health outcomes framework early diagnosis metric. We are keen to work with charities representing sufferers of cancers not currently included in that metric on how best to measure progress towards the 75% target.
We are reforming screening, and investing in technology and research to improve diagnosis and care. That will form part of the long-term plan for the NHS and forms part of how we will achieve our ambition of seeing 55,000 more people surviving cancer for five years in England after 2028.
In December 2016, the Government invested £200 million to encourage earlier diagnosis, improve the care for those living with cancer and ensure that cancer patients get the right care for them. Early diagnosis of blood cancers can sometimes be difficult, as my hon. Friend said. Symptoms can be vague and often misdiagnosed, delaying treatment.
Stephen Hammond
The hon. Gentleman makes an important point. That is essentially why the Government put that money in—to ensure that earlier diagnosis could be enabled. He makes a valid point. It is clear that sometimes patients see GPs multiple times before getting that referral. The money put in to ensure that earlier diagnosis will hopefully ensure that that referral happens more quickly.
In addition to helpful earlier National Institute for Health and Care Excellence guidelines, NHS England has been testing innovative ways of diagnosing cancer earlier, with sites piloting multidisciplinary diagnostic centres for patients with vague or non-specific symptoms, such as those common in blood cancers. In her announcement, the Prime Minister pledged to roll out these rapid diagnosis centres nationally to offer all patients a range of tests on the same day with rapid access to results.
My hon. Friend the Member for Crawley mentioned CAR-T cell therapy. He will know that earlier diagnosis must mean earlier treatment and there have been some exciting developments in that area for people under 25 with leukaemia. Last week, NICE recommended the pioneering cancer treatment CAR-T cell therapy for young people with relapsed or refractory B-cell acute lymphoblastic leukaemia.
My hon. Friend asked about what is happening and timescales. Through the Cancer Drugs Fund, Kymriah will now be offered to people under the age of 25 who have not responded to current treatment or who have relapsed from stem cell transplants. That marks a new generation of personalised medicine with the potential to transform cancer patient care worldwide. As he knows, the work is in its early stages. We know that more personalised treatments will be game changers in cancer treatment.
My hon. Friend also talked about people who have to live with and beyond cancer. More than 300,000 people are diagnosed every year. Innovations in treatment mean that more people look forward to a life after cancer and, as survival improves, we must ensure that patients enjoy as good a quality of life as possible after treatment. We are rolling out the recovery package to every cancer patient by 2020, including of course those with blood cancer. This is a set of interventions designed to help patients and clinicians to assess a patient’s physical and emotional needs at appropriate points on the journey of recovery. It goes from diagnosis at the beginning to recovery at the end. For blood cancer patients, the recovery plan will be personalised to take account of the unique characteristics of blood cancer, which can be very different from those caused by a solid tumour, as my hon. Friend, the chair of the all-party parliamentary group, rightly recognised.
My hon. Friend asked for some comments on psychological support, which was the basis of the Adjournment debate yesterday. Many patients with a chronic blood cancer diagnosis will sadly never be cured. They will be on a regime of watch and wait, often over many years, to see if the cancer has progressed to a point where treatment needs to take place. This takes a huge psychological toll on the patient and their family. The recovery package therefore takes a holistic approach and also considers mental health needs. When patients require additional psychological support, they must have access to appropriate mental health services. Mental health is a priority for the Government, and last year we announced an additional £1.3 billion to expand the NHS mental health workforce, which will allow an extra 1 million patients to be treated by 2020-21. That will help to ensure that cancer patients can be referred promptly to any psychological support they need as part of their recovery package.
My hon. Friend mentioned including blood cancer in the cancer dashboard. Public Health England is working with NHS England on the next phase of the dashboard development, and this will be informed by the needs of key stakeholders and cancer charities. I know that the Under-Secretary of State for Health and Social Care, my hon. Friend the Member for Winchester (Steve Brine), has expressed his frustration that the dashboard is limited to the top four cancers and wants to see it expanded. NHS England and Public Health England have had clear direction from him on this, and he and the Department will be watching this with interest. I know that he will want to speak to my hon. Friend and to the all-party parliamentary group on that matter.
I hope that my hon. Friend the Member for Crawley will be reassured to hear that the Government are absolutely committed to transforming services for all cancer patients, including blood cancer patients. More people are being referred and diagnosed than ever before, and thanks to innovative treatments, more of them will survive their cancers. The cancer strategy and the progress that the Government have made in implementing its 96 recommendations provide the ideal launch pad for the long-term plan. With cancer as one of its key components over the next decade, it will enable the NHS to ensure that every cancer patient gets the emotional, psychological and physical support that they need to live well with, and beyond, cancer.
Question put and agreed to.
Nursing: Higher Education Investment
Stephen Hammond Excerpts(5 years, 5 months ago)
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The Minister for Health (Stephen Hammond)
It is a great pleasure to serve under your chairmanship, Mr Davies, as I make my first speech in what I regard as one of the most important ministerial roles in the Government. I thank the hon. Member for Wolverhampton South West (Eleanor Smith) for securing the debate. It has been a passionate debate that has reflected the importance that so many people—including, clearly, everybody in this Chamber—place on NHS professionals. It has recognised that high-quality education and training for nurses is fundamental to ensuring that the highest level of nursing care is given to patients. I obviously recognise that the hon. Lady, having served in the NHS for more than 40 years, has first-hand knowledge of the difference that nurses can make to individuals and families.
The hon. Lady raised several points in her speech, many of which I will address. However, she quite rightly opened by saying that we need and must have staffing that is safe for effective care. No one in the House would move from that. She asked several questions, including on bursaries, mature students and the number of people in training, which I will come to, but also made several points about the long-term plan, which it is important to talk about at the beginning.
The long-term plan will contain a chapter on NHS professionals and workforce planning, which I recognise will be the most important chapter. The hon. Lady will know that Health Education England undertook a consultation on the strategy for the workforce, which was published in draft last year. HEE also undertook a full consultation on the priorities for the health and care workforce, which concluded in the summer. The “Talk Health and Care” platform has been introduced, which the Government particularly expect to inform the work that NHS England is leading on the long-term plan.
It is also particularly important—it is potentially by accident—that the debate takes place on the day that the RCN produced a document, to which the Secretary of State and I have committed to respond. The shadow Minister is right: I deliberately took the time before the debate to meet a number of the students. I heard at first hand a number of their concerns, and I said to them—the hon. Gentleman will perhaps understand this, given his remarks about retention at the start of his speech—how important I think retention is, not only of nurses but of Ministers as well.
Vicky Ford
I am delighted that the Minister met the RCN and nursing students this morning. Will he confirm that hearing the voices of students themselves is absolutely vital in making decisions on the future?
Stephen Hammond
Of course it is important. As my hon. Friend will know, as Members, and particularly as Ministers, we get all sorts of briefings, which are very helpful and contain lots of numbers, but not real-life experience.
My hon. Friend the Member for Henley (John Howell) talked about the experience of nurses at his hospital. He made the point quite powerfully that there are several common issues that we need to address, but several other issues that are not necessarily common to every experience. It is right that we consider the issues they raise.
Janet Daby
One of my constituents who is a student nurse has been to see me. She is struggling with her student nursing loans. She has two children, and she was literally in tears while telling me her stories about how difficult it is for her—the Student Loans Company is demanding the money back. She is working and has children, and cannot afford to pay back those loans. Does the Minister think that situation is tenable?
Stephen Hammond
I will talk about that issue in more depth later, but if the hon. Lady wishes to write to me, I will look at her constituent’s case. I will point out that the learning support fund already offers a number of opportunities, including child dependants allowance, travel costs and an exceptional hardship allowance. I hope her constituent knows about and is taking advantage of those opportunities.
The hon. Member for Ellesmere Port and Neston (Justin Madders) asked whether the Government will publish an update on the impact of the reforms. That is currently being worked on with education and health organisations and stakeholders. We will look at the most appropriate way of making sure that, following receipt of the proposals by the RCN, and in the context of the long-term plan and the chapter on workforce planning, the higher education funding review takes place and feeds into that update. We will set that position out in due course—I dare say that the hon. Gentleman and I will debate it in due course as well.
My hon. Friend the Member for Sleaford and North Hykeham (Dr Johnson) described what an excellent training scheme should look like, which was very helpful and powerful. My hon. Friend’s experience as a clinician is invaluable, and hopefully my speech will address a number of the points that she raised. I listened carefully to the asks of my hon. Friend the Member for Chelmsford (Vicky Ford). Some are in my power and some are not, but she made a point about mature students, and the Government recognise that the number of mature student applications has dropped across the wider higher education sector as well as in nursing. We are working with organisations in the sector to see how we can attract more mature students and whether specific funding can be targeted more effectively towards those students via the learning support fund.
It does not really need saying that, at the national level, the Government understand how important nurses are. We are committed to making sure that the nursing workforce are properly supported and funded. In her contribution, the hon. Member for Wolverhampton South West made the point that funding to the NHS is increasing: by 2023-24, it will receive £20.5 billion a year more than it currently does, and the Government expect the long-term plan to set out a strategy for the NHS to ensure a sustainable supply of nurses, rolling that supply across the whole range of pathways. We expect NHS England to clearly set out its commitment to the nursing workforce in the long-term plan, and ensure that there is a clear way for that plan to be implemented. A number of significant interventions are already in place to boost the supply of nurses, including training more nurses, offering new routes and enhancing reward packages. As my hon. Friend the Member for Sleaford and North Hykeham pointed out, there are over 11,900 more nurses on our wards than there were in May 2010.
However, the Government, and I as the new Minister for Health, should never be complacent, so I will set out a few other things that I regard as priorities. Our priority is to get more nurses on to our wards. As has been referred to, the education funding reforms, which moved student nurse funding into the student loans system, were introduced to unlock the cap that constrained the number of pre-registration nursing training places. Those reforms allow more students to gain access to nurse degree training courses. We have announced funding for 5,000 more clinical training places to make sure that those placements can be put in place. We have also increased midwifery training places by more than 3,000 over the next four years, and in 2017, there were 22,575 acceptances—the second-largest number since nursing became a degree-only profession.
It is also important to note that the loans system gives more cash when compared with the bursary system—effectively, up to 25% more. A mature student with two children will receive up to an extra £7,500 a year. I recognise that a number of other things need to be, and should be, put in place and known about more widely. The Government have also targeted support for healthcare students on courses through the learning support fund, which provides additional non-repayable grants. Up to £1,000 is available for eligible students in childcare allowances and hardship funding provisions. None of that, of course, was available under the bursary scheme. More nurses are in training, and the Government are working with Health Education England and the university sector to ensure that students continue to apply for nursing courses up to the end of clearing this year. I am pleased to say that, this year, we have seen a 6% increase in the number of 18-year-olds applying for courses and being accepted.
As an hon. Friend pointed out, there continues to be strong demand, specifically for younger people. I have made the point that we need to address the issues faced by more mature students who wish to enter, or re-enter, the profession. That should be a key priority in the long-term plan. The Government, and I as the new Minister, recognise that we need to do much more to continue to encourage people to apply for nursing courses, particularly more mature students. Therefore, my officials are actively engaging with the Royal College of Nursing, the Council of Deans of Health, and Universities UK—all of those organisations have a role to play. The Government will be consulting on the detailed proposals on future funding for higher education that the RCN has put forward today. I said this earlier, but I want to recommit and make it clear that we regard those as serious proposals, and will be writing to the RCN to engage on those proposals. We will start that work straightaway.
Paul Blomfield
I appreciate that the Minister is new to his post, and that it may be more appropriate for him to write to me in response to this point. I wonder whether he will address the attrition rates question asked by my hon. Friend the Member for Ellesmere Port and Neston (Justin Madders). There is a relationship between the falling number of applications, the funding regime, and the higher attrition rates. Does the Minister have numbers on that, and what consideration are the Government giving to it?
Stephen Hammond
Inspiration has just reached me. As the hon. Gentleman will know, Health Education England recently published a report on attrition rates on nursing courses—I made the point earlier that the rate of attrition among all people applying for university places has gone down. However, I will write to the hon. Gentleman. The report published by Health Education England describes how attrition rates on those courses have fallen considerably over the past few years, but I will write to him to be absolutely clear. He may then choose to make that letter available.
Dr Caroline Johnson
“The nursing workforce” report, which was published by the Select Committee on Health in January, identified that 30% of students due to complete in 2015-16 or 2016-17 did not complete within that period. Significant variability between different training institutions was also identified. Will the Minister commit to looking at why some institutions have such high attrition rates compared with others?
Stephen Hammond
That is an extremely important point. There is not necessarily a universal reason why particular institutions have worse attrition rates than others, and that may well be key to retaining people who wish to stay in the profession.
In my last minute, I will finish on this point: NHS England, NHS Improvement and Health Education England are all working with trusts on a range of recruitment, retention and return-to-practice programmes. Some of those have met with some success: NHS Improvement’s retention programme works directly with trusts to support improvements in retention. However, I want to make clear that, as the newest member of the Government and of the Department, I regard the retention of our NHS professionals as a priority, and I am looking forward to making a contribution not only to things like the “Talk Health and Care” platform, through which there has already been positive engagement, but on this matter more generally. Retention is key, and we want to make sure nurses understand that we recognise how important they are. The long-term plan will set out a strategy to ensure a more sustainable future supply of nurses. They work incredibly hard, and it is absolutely right that this Government will commit to ensure that funding is dedicated to the supply—
Motion lapsed (Standing Order No. 10(6)).
King’s College Hospital Foundation Trust
Stephen Hammond Excerpts(6 years, 4 months ago)
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Mr Dunne
I think the hon. Gentleman’s critique would have a shade more credibility if he acknowledged that, before the 2015 election, the then shadow Health Secretary indicated that he wanted £5.5 billion less for the NHS than my party was offering. If we had followed that prescription, the financial position of the NHS would be far worse.
The hon. Gentleman asked about delayed transfers of care. In March, the Chancellor gave an additional £2 billion to the adult social care system, precisely targeted on reducing DTOC, and significant progress is being made in freeing up beds across the system. He also asked about NHS funding in the most recent Budget. The Chancellor awarded an additional £2.8 billion in revenue support for this year, next year and the following year, and a further £3.5 billion of capital to support programmes.
Stephen Hammond (Wimbledon) (Con)
As a London MP, I know that other hospitals that have faced challenging situations have put in place improvement plans and met the targets set by NHSI. If the regulator had not acted yesterday, would it not have been letting down other London hospitals and my constituents?
Mr Dunne
My hon. Friend is quite right. There has to be a sense of responsibility and accountability for delivering on budget deficits—if they are deficits—that have been agreed between the regulator and the trust. That is happening up and down the country, and it would be unfair on other trusts and other areas of the country if one trust was allowed to get away with its performance unchecked.
Junior Doctors Contract
Stephen Hammond Excerpts(7 years, 11 months ago)
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Mr Hunt
With the greatest of respect to the hon. Lady, it was not my decision to take industrial action—to ballot for industrial action without even being prepared to sit around the table and talk to the Government. We are seeing dramatic improvements in patient safety under this Government, as we face up to the many problems in care that we inherited, not just at Mid Staffs, but at many other places. I know that she cares about patient safety, so she should welcome the difficult changes we have made, one of which is to have a seven-day NHS.
Stephen Hammond (Wimbledon) (Con)
Like many colleagues in the House, I wrote to the Secretary of State on numerous occasions over the past six months to express the concerns of local junior doctors. May I therefore congratulate him and the BMA on reaching this deal? I hope that junior doctors in Wimbledon will wholeheartedly support it. He spoke in his statement about the role of the guardian and the ability to ensure safe working hours, on behalf of both patients and doctors. Will he give a few more details about how he expects that to work?
Mr Hunt
Yes, I am happy to do that, and I thank my hon. Friend for a lot of his correspondence. The principle here is that junior doctors want to know that there is someone independent they can appeal to if they think they are being asked to work hours that are unsafe and which mean that they cannot look after patients in the way that they would want to because they are physically or mentally too exhausted. We would all want to make that possible, but it means that they need to have someone who is not their line manager. They will go to their line manager in the first instance, but they need to have someone independent and separate. One area where we have made the most progress during the past few months, even before the past 10 days of talks, is on establishing how these guardians can work in a way that has the trust of both the hospitals and the doctors working in them.
NHS in London
Stephen Hammond Excerpts(8 years, 1 month ago)
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Paul Scully
Obviously he did not, which is why I won the election against him—[Interruption.] It is funny. I think the tale was that he resigned, but I do not know a lot of Ministers who would resign to save a hospital when they were one of the Ministers in charge. Others have reported that he was sacked. I do not know the truth, and I am not sure we will ever know.
Stephen Hammond (Wimbledon) (Con)
For the sake of clarity, I am in the next-door seat to my hon. Friend and many of my constituents look to St Helier hospital. An outrageous campaign was run by the Labour party in 2014, completely without foundation, about the hospital closing. It was at the time of the local government elections, when the Government, all the management of St Helier and all the board papers showed that there was no plan to close the hospital. It was exactly as my hon. Friend says: a scare story.
Paul Scully
I am grateful to my hon. Friend for making that point, and he is absolutely correct. It is why we need some degree of certainty. For many years now, we have had such things as “Better Healthcare Closer to Home” and “Better Services Better Value”—an alphabet soup of NHS changes, with no degree of certainty for residents or staff in that hospital. A lot of the BSBV review was clinician-led, but it was based on the premise that they wanted to concentrate consultants in certain places—in my case, at St George’s hospital in Tooting—because they did not have enough consultants in each of the different hospitals seeing enough of the more unusual cases; they wanted to concentrate expertise.
Imagine a whole load of politicians in Sutton telling residents time and again that the hospital is about to close, as my hon. Friend just said. Where would a newly qualified consultant want to go and practise? Would they want to go to a hospital that they are being told is about to close down, or would they go just up the road to one that receives all the plaudits and which has all the concentration of expertise? I know what I would do. If people talk down their local hospital and healthcare, it may become a self-fulfilling prophecy. They may be in danger of getting a result that is exactly the opposite of what they seek.
Conception to Age 2: The First 1001 Days
Stephen Hammond Excerpts(8 years, 4 months ago)
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Mr Allen
I hope that my own journey has exemplified that approach. The two reports the Prime Minister asked me to do in 2010 and 2011 were signed off, as it were, with very nice pictures of the then leaders of all the main political parties. The reports are still valid and they are still available, albeit not at all good bookshops, but if anybody who is viewing wishes to contact me, I would be very happy to share them. I hope they have been of some help and influence to the excellent “The 1001 Critical Days” campaign.
Whenever I dig out such reports, having not looked at them for a couple years, I look to see whether they are still relevant. In an opening paragraph, I use the term “early intervention” to refer to
“the general approaches, and the specific policies and programmes, which help to give children aged 0–3 the social and emotional bedrock they need to reach their full potential; and to those which help older children become the good parents of tomorrow.”
I hope that is in line with the superb work of my hon. Friend, the influential former Chair of the Children, Schools and Families Committee.
For me, early intervention is a philosophy, not a set of programmes. It is about changing the way we do business, whether as a political party, a family, a community or an individual. That philosophy is essentially about giving the nought-to-threes the social and emotional bedrock to become great people in their own right, and to be able to grow and flourish. It is about applying what we wanted for our own children to as many children as possible, not least those throughout the United Kingdom.
Stephen Hammond
I will be extremely brief. The hon. Gentleman is absolutely right about ensuring that the nought-to-threes become great people in their own right. One of the things that can help is recognition of when in the school year they were born. Does he agree that the Summer Born campaign, which wants local education authorities to properly assess children born in July and August, and the anticipated change to the code of practice, which is welcome, will help those children?
World Prematurity Day
Stephen Hammond Excerpts(8 years, 5 months ago)
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Victoria Prentis (Banbury) (Con)
It is a pleasure to serve under your chairmanship, Mr Hollobone, although it is not a great pleasure to listen to the debate. The quality, of course, is excellent, but the subject matter is so sad. I am very grateful to my hon. Friend the Member for Daventry (Chris Heaton-Harris) for organising the debate.
It is fair to say that when our son died because he was born prematurely 15 years ago, the focus was, rightly, on the medical situation. I was extremely unwell with pre-eclampsia and HELLP syndrome, which is a leading cause of maternal death worldwide; I am now the patron of the charity in this country. Bliss has reported, and others will speak, about funding and skills shortages in neonatal units. My own experience is that skilled staff worked hard and did all they could for us medically. More could and probably should have been done to create memories. I have spoken and corresponded with my hon. Friend the Minister about that and hope that his excellent work on it will bear fruit. The Minister for family justice is also doing great work for the families of babies who die to ensure best practice during the cremation and burial process.
Today, I want to focus on the other medical services that can make such a difference to premature babies and their families in the long term. This is an issue of growing importance. Just as the elderly are living longer, the very young are surviving in cases where even a few years ago, they would not have done. That is, obviously, good news but, just as with the very old, prematurity presents its own challenges.
First, I turn to mental health, which my friend the hon. Member for Croydon North (Mr Reed) has mentioned. According to Bliss, 40% of mothers of premature babies are affected by postnatal depression soon after birth, compared with 5% to 10% of mothers generally. For those whose babies die, I suggest that 100% need access to counselling, for both the father and the mother, and possibly for siblings and grandparents as well. It is not acceptable that on 41% of neonatal units, parents have no access to a trained mental health worker and on 30% of neonatal units, parents have no access to any psychological support at all. Not only is allowing mental health problems to go untreated needlessly cruel, but it has wider implications.
The Prime Minister made it clear how important family is to him in a speech last year, when he said that
“for those of us who want to strengthen and improve society, there is no better way than strengthening families and strengthening the relationships on which families are built.”
Sadly, however, a very large number—so large a number I am not even going to mention it—of marriages and relationships break up under the strain of a bereavement or the birth of a very sick baby, and more must be done to face that problem head-on.
Stephen Hammond (Wimbledon) (Con)
I am on a Bill Committee upstairs, but I wanted to come down to this important debate. I raised some issues about summer-born children in a debate recently. Does my hon. Friend agree that in the long term, unless a family’s wishes about delaying the start of education are recognised, and unless that is embedded in the code by the Department for Education, significant problems will be experienced not only by the premature child but by the family?
Victoria Prentis
I agree, not least because I am the mother of a daughter who was born on 28 August. Although she was not premature, I am very aware of the difficulties that prematurity carries with it throughout the lives of children who are born too early.
Oral Answers to Questions
Stephen Hammond Excerpts(9 years, 6 months ago)
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George Freeman
I will happily meet the BMA, but such a request is a bit rich coming from a Labour party that legislated to introduce competition in the health service and to pay private sector providers 11% more, which is now illegal under the Health and Social Care Act 2012. Let me be clear about this, and I can be no clearer than the Labour member of the all-party group for TTIP, who said that
“my direct discussions with the EU’s chief negotiator have helped produce an EU promise to fully protect our health service…TTIP could have no impact on the UK’s sovereign right to make changes to the NHS.”
Stephen Hammond (Wimbledon) (Con)
I am grateful to the Minister for confirming that these negotiations will have no effect on NHS services and how they are provided. With his life sciences hat on, will the Minister also confirm that this treaty gives us a real advantage as UK companies will be able to compete in the American market?
George Freeman
My hon. Friend makes an excellent point. As well as providing a £10 billion boost to the economy, which I am surprised to see that the left is not in favour of, and securing 13 million jobs in the EU, this treaty also helps our NHS pioneers and innovators and our UK life science companies generate revenue for this country from our innovations in health care in the world’s biggest health care market.
Oral Answers to Questions
Stephen Hammond Excerpts(12 years, 11 months ago)
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Andrew Stephenson (Pendle) (Con)
11. What recent representations he has received on the operation of the cancer drugs fund.
Stephen Hammond (Wimbledon) (Con)
16. What recent assessment he has made of the operation of the cancer drugs fund; and if he will make a statement.
The Secretary of State for Health (Mr Andrew Lansley)
I have received representations from hon. Members, noble Lords and members of the public on how the fund has operated. A number have welcomed the additional support that we are giving to cancer patients in need. More than 2,500 patients have already benefited from the additional funding provided up to the start of April 2011, and the further £600 million that we have committed for next three years will improve the lives of thousands more cancer sufferers.
Mr Lansley
Yes, I can reassure my hon. Friend on that point. Indeed, I cannot do better than to quote Mike Hobday, head of policy at Macmillan Cancer Support, who said:
“The £200 million Cancer Drugs Fund will make sure every cancer patient has a better chance to get the drugs their doctor prescribes for them. This is particularly important for those with a rarer cancer, who have historically lost out on getting drugs on the NHS.”
Stephen Hammond
I am sure the whole House will welcome my right hon. Friend’s announcement today that 2,500 people have already benefited from the interim cancer drugs fund. Can he give the House some indication of whether people with the more difficult types of cancer will benefit from it?