Oral Answers to Questions

Stephen Kinnock Excerpts

Tuesday 15th October 2024 Commons Chamber

[Greg Smith (Mid Buckinghamshire) (Con)]

3. What steps he plans to take to reform adult social care.

[The Minister for Care (Stephen Kinnock)]

After 14 years of Tory neglect and incompetence, adult social care is on its knees. The number of people receiving long-term care decreased between 2015 and 2023, and there were a staggering 130,000 staff vacancies in the system. Last Thursday, recognising the central role of our amazing care workforce, we took a critical first step by introducing the groundbreaking legislation that will establish the first ever fair pay agreement for care professionals. I think it fair to say that this Government have done more for our adult social care workers in 14 weeks than the last lot did in 14 years.

[Greg Smith]

Given unfunded schemes such as the proposed national care service, given the new negotiating body’s aim of establishing a minimum pay floor, and given what clearly amounts to an expensive top-down reorganisation of the care system, can the Minister explain how he will maintain and enhance the role of local authorities, including Buckinghamshire Council, in targeting and delivering care, and how he plans to maintain day-to-day spending alongside this grand plan for reform, without raising taxes?

[Stephen Kinnock]

It beggars belief that Opposition Members should lecture us on fiscal discipline when there is a £22 billion in-year black hole. We are committed to consulting widely on the design of a fair pay agreement, and we will engage with all who may be affected. We are keen to ensure that all voices are heard so that the financial impacts on the adult social care market, local government and self-funders can be considered, but in a week in which this Government have attracted £63 billion of investment and just days after the publication of the Employment Rights Bill, we are seeing a Government who are pro-business, pro-worker and pro-growth.

[Jenny Riddell-Carpenter (Suffolk Coastal) (Lab)]

Adult social care is under extreme pressure. One in four hospital beds are occupied by patients with dementia. Will the Minister commit himself to the delivery of a dementia strategy in the current Parliament?

[Stephen Kinnock]

That is an extremely important question. I recognise that dementia is a huge issue that impacts on the entire country and, indeed, many Members on both sides of the House. We are absolutely committed to the research that is fundamental to addressing the problem, and our fair pay agreement is about not just pay but training and terms and conditions. We will be ramping up dementia training for our adult social care workforce.

[Mr Speaker]

I call the shadow Minister.

[Sir John Whittingdale (Maldon) (Con)]

The Labour manifesto spoke of the need for a consensus on social care, and the Secretary of State has said that he wants to reach out across the political divide—although the message does not seem quite to have reached the Minister yet. During Health and Social Care questions in July, the Minister said that there would be announcements in the near future, but since then we have heard nothing. We are ready to talk; when will the Government be ready?

[Stephen Kinnock]

I am not sure if the right hon. Gentleman was listening to my previous answer. We have just set out a groundbreaking piece of legislation to settle the issue of adult social care pay, which is more than the last lot did in 14 years. We are absolutely committed to building cross-party consensus. We know that we need a process that will be sustainable and fix adult social care for the long term. That absolutely includes engagement and dialogue across this House, because we want to build a consensus that works. We recognise that successive Governments have failed to get a grip on this issue, but we recognise the vital role that adult social care will play. It is going to be a hugely important part of our 10-year plan for the future of the NHS, and I look forward to engaging with all hon. Members on this issue.

[Lee Anderson (Ashfield) (Reform)]

4. What assessment he has made of the adequacy of treatment for post-sepsis syndrome.

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[Lee Pitcher (Doncaster East and the Isle of Axholme) (Lab)]

9. What assessment his Department has made of the effectiveness of the NHS dental contracting framework.

[The Minister for Care (Stephen Kinnock)]

I pay tribute to my hon. Friend for the excellent work he does for the people of Doncaster East and the Isle of Axholme. The scale of the problem that he points out is massive. One of the most shocking statistics I have discovered since taking up this position is that the most common reason for children aged five to nine being admitted to hospital is tooth decay. That is completely and utterly shocking—truly Dickensian. We cannot fix the matter overnight, but we are committed to reforming the dental contract and working with the British Dental Association to focus on prevention and on the retention of NHS dentists. We are also working at pace to ensure that patients can access an additional 700,000 urgent dental appointments.

[Lee Pitcher]

The horror stories I hear in my constituency are just awful: from the mum on the Isle of Axholme who could not find an NHS dentist after five years and who carries out her own treatment on her son, to a gentleman in Doncaster East whose teeth are crumbling due to illness, causing him horrendous pain, and who cannot get an appointment. The Government’s pledge to provide more emergency appointments is great, but I know that it will take time to rebuild dentistry. Can the Minister reassure me that people in my constituency will be given the priority they deserve?

[Stephen Kinnock]

My hon. Friend is right. South Yorkshire has the highest level of hospital tooth extractions in England, and I want to assure him that we will target interventions at the areas of greatest need. For example, integrated care boards have started to advertise roles through our “golden hello” scheme, which will drive recruitment of graduate dentists to areas of greatest need for three years. We have inherited a mess and we are working at pace to clear it up.

[Jim Shannon (Strangford) (DUP)]

The Minister is right to underline the issues for children, but can I remind him of the issues for those above the state pension age—which is increasing to 67, including for ladies—in particular when it comes to certain benefits, such as attendance allowance? Will he look at the contract for those who are elderly and in receipt of such benefits?

[Stephen Kinnock]

We are in a situation where a staggering 28% of the country—13 million people—have a need that is unmet by NHS dentistry. There are so many issues that we need to resolve. We are looking at the contract with the BDA and I am more than happy to look into the issue raised by the hon. Gentleman.

[Saqib Bhatti (Meriden and Solihull East) (Con)]

Last month, the Secretary of State for Wales told the Labour party conference that this Labour Government will “take inspiration” from Labour-run Wales on dentistry. That is the same health system in which less than 60% of dentistry courses are being completed in comparison with pre-pandemic figures—a rate that is far lower than in England. Does the Minister agree that the Secretary of State for Wales is right and that Wales is a blueprint for what a Labour Government will do in England, or will they drop the bluster, get serious and commit to the dental reforms set out in the dental recovery plan, including a tie-in to NHS dentistry for graduate dentists?

[Stephen Kinnock]

I find it extraordinary that yet again we see a total lack of humility and contrition from the Opposition. The key difference that we will see in how our United Kingdom works is that we now have some grown-ups in charge in Westminster, who will work with colleagues in Cardiff Bay to ensure that a rising tide lifts all boats and we improve the state of NHS dentistry across the United Kingdom.

[Luke Akehurst (North Durham) (Lab)]

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

[Chris Webb (Blackpool South) (Lab)]

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

[The Minister for Care (Stephen Kinnock)]

Our mental health service is on its knees, thanks to 14 years of Tory neglect and mismanagement. A staggering 1 million people are waiting to access mental health services, and vacancy rates are around 10%, the highest across the NHS. This Government are committed to fixing our broken NHS so that people can be confident of accessing high-quality mental health support when needed. That includes recruiting 8,500 more mental health workers, introducing specialist mental health professionals in every school, rolling out Young Futures hubs in every community and modernising the Mental Health Act.

[Luke Akehurst]

Patients tell me they cannot get access to community mental health nurses, putting huge pressure on GP practices and leading to people going to A&E in desperation. Can the Minister confirm whether the 8,500 extra mental health staff pledged in Labour’s manifesto will include much-needed nurses in the community?

[Stephen Kinnock]

I pay tribute to my hon. Friend, who is doing excellent work for the people of North Durham. I would also like to take the opportunity to thank our mental health nurses, who do such vital and valuable work. The Government are committed to shifting from hospital to community, and that of course includes the mental health sector. I can assure my hon. Friend that we are working with NHS England on how best to deploy those additional 8,500 mental health workers.

[Chris Webb]

I wish to pay my respects to the family of Jamie Pearson, the 27-year-old Blackpool man who sadly took his own life in a local hospital in August after waiting nearly 24 hours to see a mental health worker in A&E. Jamie was in a mental health crisis, but got himself to what should have been a place of safety. What steps is the Minister’s Department taking to ensure that no one is left to suffer in A&E because they cannot access mental health treatment in their community, and will he meet me to discuss that tragic issue, so that we can make sure that it never happens again?

[Stephen Kinnock]

I thank my hon. Friend for raising that deeply tragic case. Words cannot express the heartbreak caused to Jamie Pearson’s friends and family. I hope it might be some small comfort to them to know that all acute hospitals should now have a 24/7 mental health liaison service in A&E, and we are looking at how best to take forward the Government’s suicide prevention strategy for England. We will do everything in our power to ensure that the tragic circumstances of Jamie’s untimely death are addressed, and that lessons are learned. I am happy to meet my hon. Friend to discuss that further.

[Tim Farron (Westmorland and Lonsdale) (LD)]

Those providing child and adolescent mental health services in south Cumbria do an outstanding job, but they are without a dedicated crisis team, unlike the rest of Lancashire and South Cumbria NHS Foundation Trust. That is devastating and dangerous for my constituents. Will the Minister use his power to intervene with the integrated care board and Lancashire and South Cumbria to make sure that young people in our communities have access to a crisis team?

[Stephen Kinnock]

I thank the hon. Gentleman for that question and the passion with which he put it. We are committed to rolling out Young Futures hubs across the country and, of course, we need to prioritise areas of particular need. I would be happy to meet him to discuss that further.

[Munira Wilson (Twickenham) (LD)]

A recent review of children’s mental health services in my local authority, the London borough of Richmond, found that, staggeringly, children with mild to moderate needs in tier 2 waited on average 15 months before receiving treatment, and those with more severe needs waited on average nine months. The Minister does not need me to tell him that during that time, children’s conditions get worse; they need greater treatment and, sadly, too many present at A&E self-harming and attempting to take their own life. As well as committing to mental health professionals in every school, will he put some money into acute provision, so that children do not end up in A&E?

[Stephen Kinnock]

We are absolutely committed to the three shifts: from hospital to community, from sickness to prevention and from analogue to digital. The sickness to prevention aspect is important in the question that the hon. Member raises. Treatable mental health conditions such as anxiety and depression should be identified early to prevent them from developing into something more serious and into a crisis, so I absolutely share the sentiment behind her question. They will be at the heart of our 10-year strategy for the future of our health.

[Clive Jones (Wokingham) (LD)]

11. What steps his Department is taking to improve access to GP appointments.

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[Warinder Juss (Wolverhampton West) (Lab)]

20. What assessment his Department has made of the adequacy of patient access to primary care services.

[The Minister for Care (Stephen Kinnock)]

As identified in Lord Darzi’s review, primary care is broken. Satisfaction with GP services has fallen from a peak of 80% in 2009 to just 35% last year—a truly damning indictment of 14 years of Tory failure. We will rebuild general practice. We have invested £82 million to recruit 1,000 new GPs, we have launched our red tape challenge, and we are committed to improving continuity of care and ending the 8 am scramble. On primary care more broadly, we are committed to boosting the role of community pharmacies, enabling patients to be treated for certain conditions by their local pharmacists, without the need to see a GP.

[Clive Jones]

The Arborfield Green community in my Wokingham constituency has around 10,000 residents in new homes, with many more to come, but there is no local primary care provision. To see a GP, residents must travel to neighbouring villages, which are often inaccessible because of a lack of public transport. What steps will the Minister take to guarantee that there will be enough GPs in any major new developments that come down the line?

[Stephen Kinnock]

The hon. Member is absolutely right: there are seriously under-doctored areas of the country. Given the finite resources that we have, we must focus on areas with the greatest need. I would be more than happy to meet him to discuss how that might best be reflected in his constituency.

[Katrina Murray]

Access to GP appointments is consistently raised with me in Cumbernauld. A number of constituents have informed me that, having made complaints, they have been removed from the list of the general practice at which they have been patients for many years. Will the Minister raise the matter with the Scottish Government’s Cabinet Secretary for Health and Social Care, so that we can get some resolution for my constituents?

[Stephen Kinnock]

Patients have an absolute right to complain about NHS services, and they should not be removed from a practice’s list because of a complaint they have made. Health is of course devolved, but I have asked officials in the Department to engage with their Scottish Government counterparts on that matter to ensure that patients in my hon. Friend’s constituency are treated with the respect and compassion that they deserve.

[Catherine Atkinson]

Residents in Mickleover have been queuing from 7 am to get an appointment with their GP, and Healthwatch says that seven in 10 people in Derby find it very difficult to book appointments. That is the legacy of the previous Government. With new homes being built in and around Mickleover, we need even more additional capacity. Does the Minister agree that GP capacity must be a priority?

[Stephen Kinnock]

We are absolutely committed to the challenge of cutting red tape and reducing the administrative burden for staff to help patients get the care that they need. An important element of our plan will be streamlining access to registration in order to move it online, and we are working at pace to make online registration available in all practices. I am very happy to come back to my hon. Friend on the constituency issue that she raises.

[Warinder Juss]

Lord Darzi’s report on the NHS states that people are struggling to see their GPs. Prevention is better than cure, and interventions to protect health tend to be far less costly than dealing with the consequences of illness, both financially and in terms of outcomes. Early and quick access to primary care is therefore crucial. I accept that it is not always necessary to see a GP—an appointment with a nurse may suffice—but what steps are being taken to ensure that patients in my Wolverhampton West constituency have quick, easy and direct access to GP surgeries?

[Stephen Kinnock]

I note that Wolverhampton West has seen a decrease of 28 full-time equivalent GPs since 2018, which of course massively exacerbates the issues to which my hon. Friend refers. We will introduce a modern booking system to end the 8 am scramble and make it easier for patients to contact their GP. In particular, we are committed to increasing the use of the NHS app to view patient records and order repeat prescriptions. All of that will take pressure off the booking system.

[Patrick Spencer (Central Suffolk and North Ipswich) (Con)]

Last week, NHS Suffolk and North East Essex integrated care board announced plans to scrap the super-surgery in north Essex. To say that my constituents were incandescent would be an understatement; many of them have waited since 2021 for a replacement to closed surgeries in Bramford, Claydon and Great Blakenham. Many have to use Needham Market surgery, which is also awaiting plans to move to larger premises with increased capacity. Will the Secretary of State meet me to discuss how we can expedite plans to expand primary care in north Ipswich and the surrounding villages?

[Stephen Kinnock]

I thank the hon. Gentleman for setting out a list of all the failures of the past 14 years. He is dealing with that mess thanks to Members on the Benches he sits on. I strongly encourage his constituents to get actively involved in the 10-year plan that we will launch. There will be an important national engagement exercise on shifting from hospital to community, from sickness to prevention and from analogue to digital, because given the total and utter chaos that we inherited, we need systemic reform.

[Dr Kieran Mullan (Bexhill and Battle) (Con)]

I recently met representatives of Martins Oak and Oldwood surgeries in my constituency. Both surgeries have ambitious plans to move to bigger premises so that they can see more patients, but they face numerous challenges, including the gap between the lease lengths that the integrated care board will support and those that GP practices can get developers to sign up to. There are other challenges that I am sure the Minister can help unpick, so will he meet me to see whether we can help bring those ambitious plans for new surgeries to fruition?

[Stephen Kinnock]

The hon. Gentleman has considerable expertise in this area, given his background. I would be happy to discuss that issue with him, but I remind him that although there may well be specific issues, there is a generic problem: the total and utter failure to ensure investment, reform and strategic thinking about our system.

[Chris McDonald (Stockton North) (Lab)]

T1. If he will make a statement on his departmental responsibilities.

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[Lola McEvoy (Darlington) (Lab)]

T2. Will the Secretaryof State meet me to discuss a cross-departmental pilot in my constituency, bringing together the Department for Work and Pensions, the Department for Education and the Department of Health and Social Care, to tackle some of the immediate pressures that face child and adolescent mental health services in my area, and the impact on schooling, the local work force and family outcomes?

[The Minister for Care (Stephen Kinnock)]

By cutting mental health waiting lists and intervening earlier, we can get this country back to health and back to work. There are 2.9 million people who are economically inactive, a large proportion owing to mental health issues. Many people can be helped back into work through talking therapies. We will put a mental health professional in every school and roll out 8,500 specialists. I would be happy to meet my hon. Friend to discuss the matter further.

[Mr Speaker]

I call the Liberal Democrat Health spokesperson.

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[Ruth Jones (Newport West and Islwyn) (Lab)]

T5. Alan Petersen is a senior pharmacist in my constituency. He tells me that pharmacies have experienced high volatility in drugs pricing and big increases in bills in recent years. At the same time, they are expected to do far more in direct consultation with the public. Given the UK Government’s jurisdiction over funding dispensing services in England and Wales, when do they plan to review pharmacy funding?

[Stephen Kinnock]

Obviously, health is a devolved matter and funding for pharmacies in Wales is the responsibility of the Welsh Government. Nevertheless, I pay tribute to the Welsh Government for securing a deal with pharmacies in Wales in line with DDRB—the review body on doctors’ and dentists’ remuneration—pay recommendations. I know that arrangements in England affect matters in Wales and I am working as a matter of urgency to conclude the consultation on the community pharmacy contractual framework.

[Bob Blackman (Harrow East) (Con)]

T6. To correct the Secretary of State, the Tobacco and Vapes Bill went through its Committee stage in the previous Parliament, with several amendments proposed across the Chamber, which the then Minister, Andrea Leadsom, agreed to take away and bring back. Will he incorporate those amendments so that we strengthen the Bill?