Oral Answers to Questions

Stephen Kinnock Excerpts

Tuesday 6th May 2025 Commons Chamber

[The Minister for Care (Stephen Kinnock)]

I am pleased to tell my hon. Friend that we have recruited over 1,500 additional GPs since October through an investment of £82 million, helping to fix the front door to the NHS. Today we have announced £100 million to unlock new capacity and more appointments in GP surgeries. We have also launched a red tape challenge and scrapped unnecessary targets in our new GP contract to cut down on bureaucracy and free up time to spend with patients.

[Alex Ballinger]

My constituents in Halesowen have written to me time and again complaining that they are calling their GP surgeries at 8 am, as instructed, but are still unable to get a same-day appointment. Can the Minister set out how the £100 million investment in GP surgeries, consulting rooms and other facilities will finally put an end to the frustrating 8 am scramble?

[Stephen Kinnock]

I absolutely share the frustrations of my hon. Friend and his constituents. The investment made today was in response to GPs telling us that they needed more space; the investment will lead to more capacity and better access and outcomes for his constituents. Today’s announcement was only possible thanks to the decisions made in the October Budget, which were opposed by every party opposite. The choice is clear: investment in our NHS with Labour, or cuts with the Tories and Reform.

[Rebecca Smith (South West Devon) (Con)]

My constituent Dr Toby Nelson, an NHS consultant dermatologist, has started a business that seeks to address the heavy demand on primary care for skin health screening. His business Map My Mole sends an image capture kit to patients to attach to their smartphones. The patients then send a high-resolution image remotely to be reviewed by a specialist consultant, bypassing the need for a GP appointment and freeing up time and resources for both doctor and patient. It has already resulted in a significant drop in skin cancer referrals in pilot GP surgeries. Will the Minister agree to meet Dr Nelson and me to discuss this revolutionary proposal?

[Stephen Kinnock]

The hon. Lady raises what sounds like an extremely interesting scheme. She will know that we have a strong commitment in our 10-year plan to shift from hospital to community, and indeed from analogue to digital. The digital aspects of that scheme sound very interesting, so I would be more than happy to take further representations from her.

[Marsha De Cordova (Battersea) (Lab)]

4. What steps he is taking to improve eye healthcare through the 10-year health plan.

[The Minister for Care (Stephen Kinnock)]

My hon. Friend is an outstanding campaigner on this issue, as I am sure everybody across the House is aware. She will know that the NHS England accelerator pilots have shown how improved IT connectivity and a single point of access can speed up eye care referrals and allow more patients to be managed in the community. That is a great example of the shift we want to make from analogue to digital. We are developing the 10-year health plan with input from the public, our partners and health staff, and that of course includes the eye care sector.

[Marsha De Cordova]

I thank the Minister for his response, and I welcome all the work that he and the Secretary of State are doing in rebuilding our NHS. However, we know that there is a capacity crisis within eye healthcare. NHS ophthalmology continues to be the busiest and largest outpatient service. That is essentially what is leading to many people not getting seen soon enough, which is resulting in many of them losing their sight unnecessarily. What we need is a joined-up healthcare plan. Will the Minister ensure that eye healthcare will be part of the Government’s wider 10-year health plan?

[Stephen Kinnock]

My hon. Friend is right that early intervention is crucial, and the interface between the high street and secondary care is a vital part of that. That means having a joined-up eye health strategy. The 10-year plan will have that joined-up strategy at its heart. She will be pleased to know that, since July, ophthalmology waiting lists have dropped by 24,000, so change has begun. There is still a long way to go to dig us out of the mess left by the Conservative party, but it is thanks to the decisions that the Government have made, opposed by Opposition parties, that we are beginning to see that change gaining traction.

[Sir James Cleverly (Braintree) (Con)]

Another part of the 10-year health plan is the use of digital technology. Auto-contouring with artificial intelligence reduces waiting times and frees up capacity for radiotherapists, which is why £15.5 million was allocated to it under the Conservative Government; money that has been cut under the Minister’s Government. Why?

[Stephen Kinnock]

I think that the right hon. Gentleman is referring to the single point of access digital technology, which is game changing in terms of improving the interface between high street and secondary care. It is probably worth reminding him that the question is about eye care. We are absolutely committed to single point of access technology, which we believe can be game-changing technology and is a vital part of our shift from analogue to digital.

[Peter Prinsley (Bury St Edmunds and Stowmarket) (Lab)]

The president of the Royal College of Ophthalmologists has stated that the widespread outsourcing of NHS cataract surgery to private, for-profit providers risks the integrity of hospital eye surgery departments meaning that there will be few services to treat patients with preventable blindness. How can we reassure the public that such services will be maintained?

[Stephen Kinnock]

Although the independent sector clearly has an important role to play in tackling waiting lists and backlogs, we will not tolerate any overpriced or sub-par care, and we will not tolerate any distortion of patient choice. The recently published partnership agreement between NHS England and the Independent Healthcare Provider Network commits to ending incentives that can lead to that, and to supporting equal access and genuine choice for all patients. We are working together to deliver on that.

[Jess Brown-Fuller (Chichester) (LD)]

NHS Sussex ICB is one of only five in England not to commission a minor eye conditions service—known as MECS—in community optometry settings. That means that patients in Chichester with urgent or minor eye issues have to either join the 8 am queue for a GP appointment or go to their hospital rather than being seen quickly on the high street. Given that 99.9% of MECS patients elsewhere in England are seen within 24 hours, will the Minister set out what action he is taking to ensure that those services are commissioned consistently across all ICBs within the 10-year health plan?

[Stephen Kinnock]

ICBs are responsible for the commissioning of these services, which are clearly extremely important, and the early intervention side of eye care is particularly important. I would be more than happy to look into that issue with the hon. Lady’s ICB if she wrote to me and made further representations.

[Blake Stephenson (Mid Bedfordshire) (Con)]

5. Whether he has had discussions with the Secretary of State for Housing, Communities and Local Government on the interaction between mayors and integrated care boards, in the context of the English devolution White Paper.

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[Manuela Perteghella (Stratford-on-Avon) (LD)]

7. What recent assessment he has made of the adequacy of access to emergency dentistry.

[The Minister for Care (Stephen Kinnock)]

We are already rolling out our manifesto commitment of 700,000 extra urgent dental appointments per year. These appointments are available across the country for those experiencing painful dental issues such as infections, abscesses or cracked or broken teeth. We are committed to reforming the dental contract and making NHS dentistry fit for the future.

[Manuela Perteghella]

The dental contract imposed in 2006 is widely recognised as a key factor driving dentists out of the NHS. In my constituency of Stratford-on-Avon, there are no NHS dentists currently taking on new patients, and existing NHS patients are being actively pressured to go private or seek care out of county. Will the Minister commit to urgent reform of NHS dentistry, and set out a timeline for negotiations, so that I can reassure my constituents?

[Stephen Kinnock]

The hon. Member is right to say that the dental contract is fundamentally flawed and needs reform. I met representatives of the British Dental Association on 8 April, and had a productive discussion with them about dental contract reform. Officials from the Department of Health and Social Care are working hard with the BDA and other stakeholders to develop a dental contract that works for patients, for dental professionals and for the public purse. I will of course keep her and the House updated. I know this issue is of huge importance to the country, and to every Member of this House.

[Chris Webb (Blackpool South) (Lab)]

It is a year today since I was sworn into this House, and every single week, someone has raised with me the issue of getting access to an NHS dentist in Blackpool. Nowhere is taking on adults, and nowhere is looking after pregnant women. This has to change, so can the Minister outline to my constituents when they will be able to get access to an NHS dentist under this Labour Government?

[Stephen Kinnock]

There is no perfect payment system. We have to look at the issue around units of dental activity, and at options around capitation and sessional payments, and come to a conclusion about what works and about how to ensure that everything that we commit to NHS dentistry is spent on NHS dentistry. We are in a mad situation in which, although demand for NHS dentistry is going through the roof, we have an underspend every year on the contract. We have to fix that. It will take some time to work that out with the British Dental Association and other key stakeholders. What is tragic about this situation is that the Conservatives had 14 years to fix the situation and left it in a terrible mess.

[Laura Kyrke-Smith (Aylesbury) (Lab)]

8. What steps he is taking to improve perinatal mental health provision.

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[Josh MacAlister (Whitehaven and Workington) (Lab)]

T6.   West Cumbria, like many parts of the UK, is a dental desert. In some communities, urgent dental access centres have proved to be a real success at building up dental services, so will the Minister support my campaign to introduce an urgent dental access centre in west Cumbria?

[The Minister for Care (Stephen Kinnock)]

The Government have launched a scheme to provide 700,000 urgent dental appointments. There are 57,500 allocated to my hon. Friend’s integrated care board. He will know that ICBs are responsible for commissioning primary care services based on the needs of the population, but I know that he is a strong campaigner for his constituents. I understand that his dialogue with his ICB on this matter has been positive and constructive, and I am sure that he will continue to fly the flag.

[Sir Jeremy Hunt (Godalming and Ash) (Con)]

T2. The chief executive of the Royal College of Midwives has said that the axing of the maternity safety ringfenced pot would be a “wrecking ball” to the efforts being made to improve maternity safety. Just a single or a small group of babies being spared lifelong disability would pay for the cost of that ringfenced pot many times over. I know that the Secretary of State cares about this matter deeply, so will he reconsider?

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[Stephen Kinnock]

My hon. Friend will know that we have hired 1,500 more GPs, which will help with access. We have also renegotiated the contract, so there will be online booking systems in every practice in the country, and we have changed the contract to incentivise continuity of care in order to bring back the family doctor. There is a suite of reforms coupled with investment, which I hope will deliver for my hon. Friend’s constituents.

[Bob Blackman (Harrow East) (Con)]

T4. One of the great frustrations for medical professionals and patients alike is when patients have appointments but do not turn up. What action will the Secretary of State take to ensure that the system penalises people who miss appointments, so that patients can get the treatment they need when they need it?

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[Tessa Munt (Wells and Mendip Hills) (LD)]

T8. I have a constituent who has broken and rotting teeth. His GP referred him to the local dental hospital, but he has been refused treatment because the hospital said that the surgeon would take a referral only from a dentist, which my constituent and many others in Somerset just do not have. What does the Minister suggest my constituent should do to stop the pain?

[Stephen Kinnock]

As the hon. Lady knows, we now have a commitment to providing 700,000 more urgent dental appointments. Those who do not have an NHS dentist can call 111 and will be prioritised. We are very clear that every integrated care board has a target within those 700,000 appointments, and if they are not hitting that target, we will want to know why.

[Olivia Blake (Sheffield Hallam) (Lab)]

As someone with ADHD, it is disappointing to hear from many of my constituents about difficulties in accessing diagnosis, medication and other therapeutic inputs for ADHD, and the impact on their lives and livelihoods as a result. Whether for children or adults, waits of two, five or seven years are becoming the norm. What steps are the Government taking to make sure that individuals can exercise their right to choose?

[Stephen Kinnock]

I pay tribute to my hon. Friend for improving support for ADHD and recognise the valuable perspective that she brings through her lived experience. This Government inherited a broken NHS, with too many people facing long waits for an assessment. NHS England’s ADHD taskforce is looking at how support for people with ADHD can be improved. I look forward to reading its report, and I recently had a very productive meeting with the director of that taskforce.

[Mr Peter Bedford (Mid Leicestershire) (Con)]

T10. The Government have committed to providing 700,000 extra emergency dental appointments, but in the midlands the units of dental activity rate is just 83% and there is no additional funding for the integrated care boards. Will the Minister therefore give assurance to my constituents that he will fully deliver on that promise?

[Stephen Kinnock]

I give the hon. Member that assurance. We have been clear that every ICB has a target, and that was transparently published, and we will be monitoring it. I am holding regular meetings with officials to check that every single ICB is on track to hit those targets. If ICBs are not on track to hit those targets, we will want to know why.

[Markus Campbell-Savours (Penrith and Solway) (Lab)]

Earlier this year, I met the Cockermouth and Maryport primary care network, which told me about the increasing challenge of supporting my constituents with their mental health. Has the Secretary of State considered relaxing the additional roles reimbursement scheme funding rules to allow mental health nurses to be employed wholly by a PCN, and not need to be under the employment of a local mental health trust? That flexibility could help GP practices to intervene earlier and reduce referrals to secondary care quickly.

[Stephen Kinnock]

We have, in fact, relaxed the rules on ARRS so that a mental health worker can be employed by the PCN. My hon. Friend is absolutely right that that is an important part of stepping from hospital to community, but there is more we can do on that. We continue to do whatever we can to ensure that mental health and GP surgeries are actively integrating.

[Robin Swann (South Antrim) (UUP)]

Getting It Right First Time is a clinician-led programme that leads on improvement and transformation. Can the Secretary State give reassurance that in any restructuring of NHS England, that programme will not just be continued, but expanded and still available to the devolved Administrations?

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[Catherine Atkinson (Derby North) (Lab)]

Last week, this Labour Government announced the freezing of prescription charges, putting pounds back in the pockets of people in Derby. I have visited pharmacies, including the Littleover pharmacy, which provide essential care and support for their communities. The Conservatives underfunded pharmacies and more than 750 closed across England between 2021 and 2024. What is the Minister doing to support community pharmacies so that we do not lose these vital local services?

[Stephen Kinnock]

After years of neglect, this Government have agreed with the sector a record uplift to £3.1 billion for 2025-26 for this vitally important front door to our NHS. We are also supporting pharmacies to operate more efficiently, including enabling hub and spoke dispensing between all pharmacies later this year. I am pleased to say that the legislation for that has been laid. What a contrast that is with the previous 14 years. I am also pleased to see that the National Pharmacy Association has withdrawn its view on taking collective action. We are moving in the right direction, but there is still a lot more to do.

[Calum Miller (Bicester and Woodstock) (LD)]

I welcome today’s announcement of new money for GPs’ surgeries, but GPs in my constituency tell me that they cannot get capital out of the integrated care board and that the Valuation Office Agency consistently undervalues the cost of rents, making future building impossible. Will the Secretary of State agree to meet me, and GPs from my constituency, in order to understand the problem better?

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[Stephen Kinnock]

I pay tribute to my hon. Friend, who is a qualified physiotherapist, and who is right to refer to the value of community care. I would be happy to meet her to discuss the important issue that she has raised.

[Jim Shannon (Strangford) (DUP)]

What steps will be taken to support more community pharmacies that can offer a broad range of services to people in rural areas, to ensure that those who are most isolated from busy towns still have access to those important services?

[Stephen Kinnock]

As I said earlier, we are giving pharmacies a record 19% uplift to £3.1 billion, and I am pleased to confirm that of all the sectors in the NHS they received the best uplift in the 2025-26 settlement. We have also maintained the pharmacy access scheme, which provides £19 million to support pharmacies in areas where there are fewer of them, including the rural areas that the hon. Gentleman mentioned.

[Jon Trickett (Normanton and Hemsworth) (Lab)]

Pharmacies play a key role in communities in rural areas such as mine, but it is deeply frustrating when the supply chain breaks down and a pharmacy cannot deliver its medicine. Can the Minister tell me where we are now with the supply chain? Will she also thank all the heroic workers up and down the country who are doing their very best to deliver medicines, and will she thank in particular the 400 Superdrug workers in my constituency who are trying to make the supply chain work?