Oral Answers to Questions

Stephen Kinnock Excerpts

Tuesday 23rd July 2024 Commons Chamber

[Steff Aquarone (North Norfolk) (LD)]

2. What steps his Department plans to take to improve access to NHS dentists.

[The Minister for Care (Stephen Kinnock)]

I thank the hon. Gentleman for his question and welcome him to his place. Thanks to what the Conservative party has done to NHS dentistry over the past 14 years, a staggering 13 million people are unable to see a dentist. I know that the hon. Gentleman represents the constituency that has the lowest number of dentists per head in the entire country. Our rescue plan will provide 700,000 more urgent dental appointments and recruit dentists to areas that need them. We will rebuild the service for the longer term by reforming the dental contract.

[Steff Aquarone]

As the Minister has alluded to, we in North Norfolk have suffered in particular from unallocated units of dental treatment being moved to other parts of the country. The integrated care board has been told that it will have to return this year’s unused money to the Treasury. Will the Minister commit to protecting unallocated dental funds in my constituency?

[Stephen Kinnock]

As my right hon. Friend the Health Secretary stated, on the Monday after the general election, he met the British Dental Association to look at a range of issues around the long-term NHS contract. That is an ongoing dialogue—it includes units of dental activity, of course—and we need to ensure that we have the negotiations rapidly. We will work at pace to address some of those long-term issues, but let us not forget that the Conservative party allowed the NHS contract to atrophy and took NHS dentistry to the brink of collapse in our country.

[Claire Hazelgrove (Filton and Bradley Stoke) (Lab)]

I congratulate my right hon. Friend the Secretary of State for Health and Social Care and his fantastic team on taking their new place on the Government Front Bench. I also thank my right hon. Friend for his advocacy in the last Parliament for people across my constituency who lack dental access.

What assurances can the Minister provide that the important issues of infrastructure and housing will be linked together? As we look to build those much-needed 1.5 million homes across the country, it is vital to make sure that we do not have more dental deserts and that we have the infrastructure we need. How will he work in a cross-departmental way to ensure we achieve that?

[Stephen Kinnock]

I thank my hon. Friend for her question, and warmly welcome her to her place and congratulate her on her election. The key aspects of our dental rescue plan include 700,000 more appointments through extra funding that we will generate by cracking down on tax dodgers and closing other loopholes. We will incentivise new graduate dentists to come to areas that are underserved to ensure that we plug the gaps—there will be golden hellos to make that happen. We are also working hard on things like supervised toothbrushing for three to five-year-olds, because prevention is always better than cure.

[Bill Esterson (Sefton Central) (Lab)]

3. Whether his Department plans to provide capital funding for a new health centre at Maghull in Sefton Central constituency.

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[George Freeman (Mid Norfolk) (Con)]

8. If he will make an assessment of the potential merits of requiring newly-qualified dentists to work for the NHS for a set period of time.

[The Minister for Care (Stephen Kinnock)]

I thank the hon. Gentleman and congratulate him on his survival instincts in getting re-elected to this place.

NHS dentistry needs urgent action thanks to 14 years of chaos, failure and neglect. Our rescue plan will get NHS dentistry back on its feet, followed by contract reform to make NHS dentistry more attractive. A consultation for a tie-in to NHS dentistry for graduate dentists closed on 18 July and we are now considering the responses. The Government position on this proposal will be set out in due course and I will keep the House updated on this matter.

[George Freeman]

I thank the hon. Gentleman for that answer and congratulate him and his colleague the Secretary of State on their appointments. All of us who are serious about the health service and the need for reform, about which the Secretary of State has spoken, have their back in pushing for reform. The hon. Gentleman has his moment of triumph, but may I gently encourage him to reach out and build a cross-party coalition of support for serious reform? The NHS is broken not by Tory cuts but by years—[Interruption.] For years we have been pouring money in; it needs to modernise for the 21st-century.

In the spirit of which, on dentistry, may I encourage the Front-Bench team to reach out and have a meeting—a rainbow coalition meeting including the new hon. Members for Norwich North (Alice Macdonald) and for North Norfolk (Steff Aquarone)—of all MPs in Norfolk, which has suffered more than most counties? We desperately need that University of East Anglia dental school.

[Stephen Kinnock]

The hon. Gentleman was doing so well at the start, and then he kind of blew it a bit towards the end. It is absolutely right that we put country before party, and we will work with whoever has the best interests of rebuilding our public services at heart. The issue that he raises specifically sounds interesting. What I would say is that unless we get the bigger picture sorted, and unless we make NHS work pay for dentists, we will not be able to rebuild the NHS dentistry system that we should be cherishing and seeking to reform. I am of course always open to conversations with him.

[Rachael Maskell (York Central) (Lab/Co-op)]

Just 39.2% of my constituents were able to access an NHS dentist over the past two years. That is an absolute disgrace, but the Health and Social Care Committee put together a report into NHS dentistry, setting out a blueprint for how to resolve the challenges, including access, looking at tie-ins and ensuring that we get more dentists registered. Will the Minister look at that report and follow its recommendations?

[Stephen Kinnock]

I congratulate my hon. Friend on her re-election; it is wonderful to see her back in her place. She is absolutely right that the tie-in consultation deadline was 18 July. We are considering those responses with an open mind. On the broader issues that she mentions, our rescue plan is 700,000 more appointments, incentives for new graduates to go to under-served areas, reform of the dental contract and making work pay for dentists. That plan is at the heart of the reforms that she mentioned and that is what we will be doing.

[Mohammad Yasin (Bedford) (Lab)]

9. What assessment he has made of the adequacy of access to NHS mental health services.

[Tim Roca (Macclesfield) (Lab)]

20. What assessment he has made of the adequacy of access to NHS mental health services.

[The Minister for Care (Stephen Kinnock)]

I congratulate my hon. Friend the Member for Bedford (Mohammad Yasin) on his re-election and my hon. Friend the Member for Macclesfield (Tim Roca) on his election. More than a million people with mental health issues are not getting the support they need. This Government will fix our broken NHS. That will include recruiting 8,500 mental health workers, including specialist mental health professionals in every school and rolling out young futures hubs in every community. As announced in the Gracious Speech, we are bringing forward legislation to modernise the Mental Health Act 1983, which is a hugely significant step that has been warmly welcomed by service users, campaigners and, indeed, the former Conservative Prime Minister Theresa May.

[Mohammad Yasin]

I welcome the Minister to his place. Funding to bring desperately needed in-patient mental health services back to Bedford has been sitting in the accounts of our local mental health trust for years, but it cannot be used because of the previous Government’s capital expenditure limits. Will the Minister therefore meet me to discuss a way forward to get this urgently needed mental health facility back in Bedford, so that my constituents do not have to travel miles to access this vital service?

[Stephen Kinnock]

I know that my hon. Friend has been campaigning with great passion and conviction on this issue for some time, and I am in no doubt that his integrated care board will have listened carefully to every word that he has said today. I would be pleased to meet him so that we can discuss this matter in greater detail.

[Tim Roca]

The Prime Minister has been clear that the Government will make, unlike their predecessor, evidence-based policy. While the NHS has made some high-level progress, the figures for those waiting for mental health elective care remains unacceptably high, but the data is incomplete. Does the Minister agree that comprehensive data is crucial if we are to serve the patients we care about?

[Stephen Kinnock]

I welcome my hon. Friend warmly to his place. I hope he will not mind if I use this analogy, which is that you cannot make a prescription unless you have the diagnosis, and you cannot make policy on the hoof. We cannot have the chaos, neglect and failure that we have seen from the Conservatives for the past 14 years because they have not made policy based on evidence and data. I am absolutely on board with what my hon. Friend says, and I would be more than happy to discuss it with him further at his convenience.

[Mr Richard Holden (Basildon and Billericay) (Con)]

I welcome those on the Opposition Front Bench to their roles and those on the Government Front Bench to their new roles. One of the things that we did very well over the past few years on a cross-party basis was tackling the disparity between mental and physical health. Since 2018, £4.7 billion extra has gone into NHS mental health services. Will the Government commit to that going forward and ensure that the proportion of funding towards mental health services will increase in the coming years?

[Stephen Kinnock]

I thank the right hon. Gentleman for his question, but he appears to be living in a parallel universe. We are in the midst of a mental health crisis as a result of 14 years of Tory chaos, neglect and failure. We have a plan, with 8,500 more mental health workers, young futures walk-in hubs, specialist mental health support for young people and mental health specialists dealing with talking therapies. Of course, we will also introduce legislation following the Gracious Speech to deal with helping people who have more severe conditions. That is a plan of action with which I hope we can once again make our country proud of how we deal with this extremely serious issue.

[Sarah Dyke (Glastonbury and Somerton) (LD)]

Mental health pressures in the farming community are rising, with the Farm Safety Foundation survey finding that 95% of farmers under 40 agree that poor mental health is the biggest hidden problem facing the industry. Will the Minister work with colleagues in the Department for Environment, Food and Rural Affairs to improve access to NHS mental health services in rural areas and support the continued roll-out of rural health hubs?

[Stephen Kinnock]

I thank the hon. Lady for raising that extremely important question. We are indeed looking at that issue through our 10-year plan for the future vision of our health service. Issues around isolation and the huge pressure on what are often family businesses are creating tremendous strains for that community. We take that seriously and will of course work with our colleagues in DEFRA to address it.

[Dr Ben Spencer (Runnymede and Weybridge) (Con)]

May I congratulate those on the Government Front Bench on their appointments? I should declare that I am a former NHS consultant psychiatrist, my wife is an NHS doctor and I participated in the Wessely Mental Health Act review. While I no longer have a licence to practise, I may gently correct the Minister in that it is possible to provide a prescription without a diagnosis. [Laughter.]

The Opposition are pleased that the Government intend to build on the work of Conservative Governments, kick-started by the former Member for Maidenhead, to reform the Mental Health Act 1983. We will work constructively with them to make such legislation as effective, fair and compassionate as possible. With that in mind, does the Minister intend to make changes to the code of practice to the Mental Health Act now so that non-statutory changes and protections can be enacted while the Bill works its way through Parliament?

[Stephen Kinnock]

I welcome the shadow Minister to his place and congratulate him on his appointment. It is a little bit rich to receive a question like that, given that the Conservatives had 14 years to address the issue; I have been in this position for 16 days. If he looks at the plan that we are bringing forward, he will see that we have more ambition and more boldness in our plans than what we have seen in the last 14 years. We will introduce legislation that will address those extremely important issues for people who have some of the more severe conditions.

To the shadow Minister’s specific point on a code of practice, the first step will be to see the legislative process moving forward. But, of course, we remain open to looking at any solution or reform that will help to address this extremely important issue.

[Cat Smith (Lancaster and Wyre) (Lab)]

10. What recent progress his Department has made on the new hospital programme.

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[Matt Western (Warwick and Leamington) (Lab)]

T5. I congratulate the Secretary of State on his position. Yesterday’s NHS data showed that we have among the highest incidences of dementia in the world, with something like 500,000 cases just in England. I appreciate that this is early days, 16 days in, but does the Minister have any idea why that may be, and what can be done about it?

[The Minister for Care (Stephen Kinnock)]

I thank my hon. Friend for that question and welcome him to his place. This issue is personal for me, and I am sure it is for many others across this House. A number of potential new disease-modifying drugs for Alzheimer’s are in the pipeline, including lecanemab and donanemab. We are committed to ensuring that clinically effective and cost-effective medicines reach patients in a timely and safe way. The National Institute for Health and Care Excellence is appraising lecanemab and donanemab to determine whether they will be made available in the NHS.

[Simon Hoare (North Dorset) (Con)]

Nearly 10 children a month die from brain tumours, and I know that the public health Minister takes this issue seriously. He was familiar with the work of the Brain Tumour Charity’s HeadSmart campaign. Will he agree to meet me and my fierce campaigner constituent Sacha Langton-Gilks, who lost her son to a brain tumour, to discuss how NHS England could be persuaded to do more to inform and educate parents to identify the symptoms, so that collectively we can reduce the number of deaths?

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[Wendy Chamberlain (North East Fife) (LD)]

My constituents have struggled to get pre-diagnosis ADHD and autism support for their young daughters. We cannot diagnose children at a very young age, but that does not mean that families do not need help. Can the Minister confirm what engagement he will have with support organisations such as the National Autistic Society to ensure that best practice means that families are not struggling for support?

[Stephen Kinnock]

I welcome the hon. Lady to her place. She raises a vital issue. We have a plan for improving mental health services, including 8,500 more mental health workers. Autism is, of course, a vital part of that, and I will be more than happy to meet her to discuss further how we might be able to take it forward.