Oral Answers to Questions

Stephen Kinnock Excerpts
Tuesday 9th June 2026

(1 day, 17 hours ago)

Commons Chamber
Read Full debate Read Hansard Text Read Debate Ministerial Extracts
Kieran Mullan Portrait Dr Kieran Mullan (Bexhill and Battle) (Con)
- Hansard - - - Excerpts

2. What steps he is taking to maintain non-digital access to primary care.

Stephen Kinnock Portrait The Minister for Care (Stephen Kinnock)
- Hansard - -

We know that some patients prefer not to use online services. Online tools complement rather than replace existing routes, such as telephone or walk-in access. The GP contract requires online access to be available during core hours, which eases pressure on phone lines and reception staff as non-digital routes to access care. Under this Government, patient satisfaction with GP access has risen from 61% to 75%.

Kieran Mullan Portrait Dr Mullan
- Hansard - - - Excerpts

I understand why making use of the NHS app and online appointments is sensible and works well for many patients, but I cannot be the only MP to have heard from constituents—you may even have heard from your constituents, Mr Speaker—who struggle with that. They may not have a smartphone. I have met many elderly patients who simply cannot make use of online forms and too often GP practices do not make it easy for them to make appointments by telephone or by walking in. It is important that the Government make it crystal clear to all our GP providers, who I know are doing their best, that no matter how far we go with digital innovation, our patients must always be able to access primary care through traditional routes, such as making an appointment by telephone or by walking in.

Stephen Kinnock Portrait Stephen Kinnock
- Hansard - -

I am in violent agreement with the hon. Gentleman, which is quite unusual. We are clear that patients should not be digitally excluded. The contract is clear that patients should always have the option of telephoning or visiting their practice in person. All online tools must always be provided in addition to, rather than as a replacement for, other channels for accessing a GP. In the past year, since April 2025, some 11.5 million more GP appointments have been delivered.

Chris Vince Portrait Chris Vince (Harlow) (Lab/Co-op)
- Hansard - - - Excerpts

I thank the staff at Princess Alexandra hospital in Harlow, particularly in the older persons assessment and liaison ward, where elderly patients are transferred from A&E and supported to either return home or transfer to different wards, another example of where Harlow is leading the way. How can we work together to support patients, like those on the OPAL ward, to access primary care if they are not confident in using some of the online tools that have been mentioned?

Stephen Kinnock Portrait Stephen Kinnock
- Hansard - -

Once again, my hon. Friend has done a great job promoting Harlow, as we are all familiar with him doing in the House. We are improving GP access across the board. We have over 2,000 more GPs since July 2024 and we are launching a £102 million fund to build more clinical space in over 1,000 GP practices across England. A lot has been achieved, but a lot more needs to be done.

Perran Moon Portrait Perran Moon (Camborne and Redruth) (Lab)
- Hansard - - - Excerpts

3. What steps his Department is taking to help tackle health inequalities.

--- Later in debate ---
Lloyd Hatton Portrait Lloyd Hatton (South Dorset) (Lab)
- Hansard - - - Excerpts

5. What steps he is taking to improve mental health facilities in Dorset.

Stephen Kinnock Portrait The Minister for Care (Stephen Kinnock)
- Hansard - -

For 2026-27, NHS mental health spending is forecast to reach a record £16.1 billion, representing a real-terms increase compared with the previous year. That is supported by £473 million in capital funding over the next four years, including investment in new mental health emergency departments and community-based mental health centres. Dorset is one of the places across England to benefit from an expanded urgent and emergency mental health offer, with new mental health emergency departments planned.

Lloyd Hatton Portrait Lloyd Hatton
- Hansard - - - Excerpts

This summer, two new state-of-the-art mental health facilities are opening in Dorset: Chaddesley House in Poole and Seastone in Bournemouth. That is thanks to continued investment from this Labour Government. However, the Forston clinic in the west of the county requires fresh investment to upgrade worn-out hospital buildings. Will the Minister meet local NHS bosses, the hon. Member for West Dorset (Edward Morello) and me to discuss securing the investment needed to finally upgrade the Forston clinic?

Stephen Kinnock Portrait Stephen Kinnock
- Hansard - -

My hon. Friend is right that his constituents will be able to access care at the new facilities in Poole and Bournemouth thanks to the Government’s investment in the new hospitals programme, but there is more to do. We are committed to addressing poor-quality NHS infrastructure and ensuring that facilities such as Forston clinic are safe, comfortable and capable of high-quality care. That is why we are investing £30 billion over five years for the maintenance and repair of the NHS estate. We would be delighted to meet the hon. Members and local NHS leaders to discuss the issue further.

Vikki Slade Portrait Vikki Slade (Mid Dorset and North Poole) (LD)
- Hansard - - - Excerpts

I thank the Minister for his comments about Forston, which some of my residents use. Evidence suggests that half of mental health conditions are established by age 14, and three quarters by age 24. In Dorset, our rates of hospitalisation for self-harm are almost twice the national average for 15 to 19-year-olds. I recently met Anya, a student at Lytchett school and deputy Member of Youth Parliament for Dorset. She has launched her “Health in Mind” campaign to ease young people back into school following periods of mental or physical health issues. It is so inspiring to see the work that she is doing, but will the Minister meet me and Anya to hear more about her campaign and to see how we can reintegrate children more successfully back into school after ill health, particularly mental ill health?

Stephen Kinnock Portrait Stephen Kinnock
- Hansard - -

I pay tribute to Anya for the outstanding work she is doing. We are providing early intervention for children’s mental health and wellbeing by rolling out mental health support teams to every school by 2029. We are also investing £13 million to pilot enhanced training for staff so that they can offer more support to young people with complex needs such as trauma, neurodivergence and disordered eating. If the hon. Lady writes to me with further details of Anya’s work, I am sure that we can continue that conversation.

Robbie Moore Portrait Robbie Moore (Keighley and Ilkley) (Con)
- Hansard - - - Excerpts

6. What steps he is taking to increase access to care in the community.

--- Later in debate ---
Lisa Smart Portrait Lisa Smart (Hazel Grove) (LD)
- Hansard - - - Excerpts

13. What assessment he has made of the adequacy of the dental recruitment incentive scheme.

Stephen Kinnock Portrait The Minister for Care (Stephen Kinnock)
- Hansard - -

This Government are rebuilding England’s broken NHS dentistry system. The dental recruitment incentive scheme encourages dentists to work in underserved areas. Data on the scheme’s effectiveness will be published later this year. We are taking steps to increase the supply of dentists. For example, last week I was very proud to announce the first sustained expansion of dental school places since 2007, backed by £11 million a year. A total of 50 dental school places a year have been allocated.

Lisa Smart Portrait Lisa Smart
- Hansard - - - Excerpts

My constituent John, who is from Bredbury, has been in touch because like so many others his local dentist is going private and for many families in my constituency, private dentistry simply is not an affordable option. Research by the British Dental Association found that 96% of practices are not accepting new NHS patients and the golden hello, worth £20,000 over three years, is not adequately compensating for a contract that loses them money every day. The scheme just is not working. It has recruited two dentists—two!—in the whole of Greater Manchester, neither of whom is in my constituency. What more can the Minister do to ensure that my constituents get the dentists they need, where they need them?

Stephen Kinnock Portrait Stephen Kinnock
- Hansard - -

I thank the hon. Lady for that question, and she is absolutely right to raise the issue of the contract. The fundamental problem is that the units of dental activity system is a contractual system that does not work for NHS dentistry. That is why we had the absurd situation when we came into office in July 2024 of a £392 million underspend on NHS dentistry, because dentists were not incentivised. We are changing that. I have got the underspend down to £36 million. There is still a very long way to go and we need to reform the long-term contract to incentivise dentists to do NHS dentistry.

Anna Gelderd Portrait Anna Gelderd (South East Cornwall) (Lab)
- Hansard - - - Excerpts

Access to NHS dentistry remains too difficult in rural and coastal communities such as South East Cornwall, where residents face long travel times and limited provision. Will the Minister meet me to discuss what next steps we can take to improve local access?

Stephen Kinnock Portrait Stephen Kinnock
- Hansard - -

My hon. Friend is absolutely right that, as we know, there are areas in the country that are known as dental deserts. We have to fix that. It comes back to the fundamental issue of how we incentivise dentists to do NHS dentistry regardless of where they are in the country. There are particularly acute pressures in constituencies such as the one she so brilliantly represents, and I would be happy to meet her to discuss them further.

Elsie Blundell Portrait Mrs Elsie Blundell (Heywood and Middleton North) (Lab)
- Hansard - - - Excerpts

14. What steps he is taking to improve men’s mental health care provision in the north-west.

--- Later in debate ---
Nadia Whittome Portrait Nadia Whittome (Nottingham East) (Lab)
- Hansard - - - Excerpts

T4. We all know that social care is in crisis, with huge staff shortages, unmet needs and councils’ finances being pushed to the brink, so it is disappointing that the King’s Speech did not contain anything on social care. Given that the full Casey review is not expected until 2028 and that implementation is estimated to take up to 2036, what steps is the Minister taking now to alleviate pressures in the system? Will the Government expedite social care reforms so that we can meet our manifesto commitment on a national care service?

Stephen Kinnock Portrait The Minister for Care (Stephen Kinnock)
- Hansard - -

I pay tribute to my hon. Friend for the work she did formerly as a care worker. The Government inherited a social care system in desperate need of reform. We are taking action, including by providing over £4.6 billion of extra funding for adult social care by 2028-29 and developing the first ever fair pay agreement for care workers. Baroness Casey will submit her first report this year with recommendations on the further action we should take to move towards a national care service.

Claire Young Portrait Claire Young (Thornbury and Yate) (LD)
- Hansard - - - Excerpts

T5. Despite numbers accessing NHS dentists rising nationally, in South Gloucestershire they are falling, where less than a third of adults and half the number of children have been seen by an NHS dentist in the past two years. With no NHS dentists taking on patients and more going private, how will the Government reverse that decline?

Stephen Kinnock Portrait Stephen Kinnock
- Hansard - -

As I said earlier to the hon. Member for Hazel Grove (Lisa Smart), the fundamental long-term reform of the dental contract is vital to incentivising dentists to do NHS dentistry. I am pleased by how we have really put downward pressure on the underspend. As a result of that, we are on track to deliver more than 2.5 million extra dental treatments than in the same period before the general election.

Lloyd Hatton Portrait Lloyd Hatton (South Dorset) (Lab)
- Hansard - - - Excerpts

T8. I recently held a health roundtable in Purbeck and heard volunteers from Parkinson’s UK make it clear that more needs to be done so that all those living with the illness receive the robust support they need. There was particular concern that a shift away from routine check-ups could mean that many will not regularly see an experienced practitioner. Will the Minister work with me to ensure that the voices of people living with Parkinson’s are listened to and their concerns acted upon when any changes are made to the care they receive?

Will Forster Portrait Mr Will Forster (Woking) (LD)
- Hansard - - - Excerpts

T6. Byfleet, in my constituency, lost its doctor’s surgery in 2005, leaving residents having to struggle via the A245 to access basic health facilities, which are set to get busier due to a likely housing development. Will the Minister agree to meet me to ensure that we can bring health facilities back to Byfleet?

Stephen Kinnock Portrait Stephen Kinnock
- Hansard - -

Importantly, we have the £102 million utilisation and modernisation fund to enable more GP primary care estate. We have also committed to delivering 120 more neighbourhood health centres by the end of this Parliament, so I hope that the hon. Gentleman’s integrated care board has put in an expression of interest for that scheme. I am, of course, prepared to discuss that with him further.

Debbie Abrahams Portrait Debbie Abrahams (Oldham East and Saddleworth) (Lab)
- Hansard - - - Excerpts

T9. There is overwhelming evidence that marketised health systems, as the NHS has become, increase health inequalities. Will the Health Secretary consider amendments to the Health Bill that will tackle the rising inequalities in existing health policies, including allowing local NHS organisations to determine if they need additional private sector capacity?

Alison Griffiths Portrait Alison Griffiths (Bognor Regis and Littlehampton) (Con)
- Hansard - - - Excerpts

T7. Thousands of people in West Sussex are unable to access an NHS dentist and many constituents in Bognor Regis and Littlehampton tell me that they have been unable to secure an appointment for years. What specific steps is the Secretary of State taking to increase NHS dental capacity in coastal communities, and when does he expect patients to see a measurable improvement?

Stephen Kinnock Portrait Stephen Kinnock
- Hansard - -

As I have said to hon. Members across the House today, there is a fundamental challenge around the dental contract. Units of dental activity do not work as a way of incentivising dentists to do NHS dentistry, so that, fundamentally, has to be fixed. I am proud that, thanks to the measures that we have put in place, 2.5 million additional courses of treatment have been delivered, compared with the same period before the general election.

Gill Furniss Portrait Gill Furniss (Sheffield Brightside and Hillsborough) (Lab)
- Hansard - - - Excerpts

Last year I had the opportunity to witness a transcatheter aortic valve implantation procedure, which is a groundbreaking procedure for people who require valve changes. What I saw was quite incredible, and I recommend that all hon. Members go and see the procedure in St Thomas’ hospital. The patient, who was 82, had been bedbound for weeks, but after that 20-minute surgery they were fit enough to be discharged later that day and to look after themselves. That has a massive impact, not just on the patient’s life but for our NHS and the wider economy, as illustrated by Heart Valve Voice’s optimal pathway report. What steps is the Department taking to ensure that NHS systems identify patients and treat them?

--- Later in debate ---
Joe Robertson Portrait Joe Robertson (Isle of Wight East) (Con)
- Hansard - - - Excerpts

The crisis in social care is particularly bad in my constituency on the Isle of Wight, partly because of our unique geography but also because the Government have reduced funding to our local authority. Our council is now looking at discharging patients to the mainland, away from family and friends, which is completely unacceptable. Will the Government recognise our unique challenges as an English island and help provide a social care solution that recognises the challenges that we face?

Stephen Kinnock Portrait Stephen Kinnock
- Hansard - -

The hon. Member and I have discussed this issue, and I absolutely recognise the need to ensure that social care is provided in the most convenient way possible to his constituents and as close as possible to home. Obviously we are fixing a broken system, but we have delivered £4.6 billion more in funding, we are delivering the fair pay agreement, and we are working hard to ensure that we get adult social care back on its feet and fit for the future.

Justin Madders Portrait Justin Madders (Ellesmere Port and Bromborough) (Lab)
- Hansard - - - Excerpts

My constituents were delighted to see the opening of the Great Sutton medical centre, but it has brought into sharp focus the need for an urgent upgrade of GP practices in Ellesmere Port town centre. I have submitted an expression of interest to the neighbourhood centre programme, and I wonder whether the Minister would agree to meet me to discuss that further.

Stephen Kinnock Portrait Stephen Kinnock
- Hansard - -

I am delighted that my hon. Friend has submitted that expression of interest. We are now assessing proposals against criteria that include: a fit with our national neighbourhood health strategy; sound estate planning; deliverability; sustainability; and, critically, local need. We will be prioritising areas where there is low life expectancy and higher deprivation. I would be delighted to meet him to talk about his expression of interest and about our programme for revolutionising care in our country through the shift from hospital to community.

Ellie Chowns Portrait Dr Ellie Chowns (North Herefordshire) (Green)
- Hansard - - - Excerpts

Unpaid carers play a crucial role in supporting so many people who need to draw on social care, thereby supporting our health service and our formal social care system, but they tell me that they are under immense strain and need more support. They are, of course, more likely to be women and to be older. Does the Minister recognise the urgent need for more respite care for unpaid carers, and will he take action to provide it now, rather than waiting a few years for the Casey commission?

Stephen Kinnock Portrait Stephen Kinnock
- Hansard - -

The hon. Lady is absolutely right that unpaid carers are the lifeblood of our care system, and we pay tribute to them for the compassion that they show. I was very pleased yesterday to accompany the Under-Secretary of State for Business and Trade, my hon. Friend the Member for Halifax (Kate Dearden), to the launch of the new paid carer’s leave consultation document. I am also pleased to chair the cross-ministerial group that will produce an action plan for unpaid carers, addressing exactly the issues that the hon. Lady mentioned about respite care.

Jen Craft Portrait Jen Craft (Thurrock) (Lab)
- Hansard - - - Excerpts

Last week the Supreme Court overturned the previous Cheshire West judgment on the Mental Capacity Act 2005, throwing the sector that cares for people with learning disabilities and/or autism into what it has called “chaos”. There is significant concern that, without further clarification as to whether someone who does not have mental capacity can consent to deprivation of liberty, vulnerable people will be put at significant risk. Will the Secretary of State listen to calls for—

--- Later in debate ---
Paul Holmes Portrait Paul Holmes (Hamble Valley) (Con)
- Hansard - - - Excerpts

Waiting times for cataract operations in my constituency are rising hugely because the local ICB and its AI system have stopped offering services through all the advertised providers, and the ICB has scrapped its contract with Specsavers, meaning that only GPs can diagnose the problem. Will the Minister have a look at the local problem and intervene so that we have the widest and best range of providers to reduce those waiting lists?

Stephen Kinnock Portrait Stephen Kinnock
- Hansard - -

The hon. Gentleman is absolutely right that getting the link between high street optometrists and secondary care working more effectively is vital. That is why I was pleased to announce the £20 million e-referral investment earlier this week. We are also working on a single point of access, to get the digital interface working far more effectively. He is right that we should be focusing on that more; there is a lot more to do.

Adam Thompson Portrait Adam Thompson (Erewash) (Lab)
- Hansard - - - Excerpts

Particularly for people with a very low body mass index or an eating disorder, the use of app-based fitness classes for hours of ultra-high-intensity exercise every day can lead to addiction. When I wrote to one brand to ask about implementing access limitation tools in its app, it was dismissive. Will the Secretary of State consider reviewing whether such tools could be mandated to support those with eating disorders?