Exiting the European Union (Food and Agriculture)

Debate between Steve Brine and John Bercow

Tuesday 19th March 2019 Commons Chamber

[The Parliamentary Under-Secretary of State for Health and Social Care (Steve Brine)]

I beg to move,

That the draft Materials and Articles in Contact with Food (Amendment) (EU Exit) Regulations 2019, which were laid before this House on 5 February, be approved.

[Mr Speaker]

With this, we shall consider the following motions:

That the draft Genetically Modified Food and Feed (Amendment etc.) (EU Exit) Regulations 2019, which were laid before this House on 4 February, be approved.

That the draft Novel Food (Amendment) (EU Exit) Regulations 2019, which were laid before this House on 4 February, be approved.

That the draft Animal Feed (Amendment) (EU Exit) Regulations 2019, which were laid before this House on 5 February 2019, be approved.

[Steve Brine]

The instruments, which all concern food and feed safety, relate to those substances collectively known as “regulated products” and to animal feed hygiene and marketing. They are made under the powers in the European Union (Withdrawal) Act 2018 to carry out necessary amendments to the overarching food regulations so that those can continue to protect public health from risks that may arise in connection with the consumption of food. These are protections that our constituents would expect us to pass.

As the UK leaves the European Union, the Government remain committed to maintaining the high standards of food and feed safety and consumer protection that we enjoy in this country. As some hon. Members are aware, I have recently presented numerous instruments that will help to deliver a functioning body of food and feed law. I say “some hon. Members” because, by and large, they have been taken upstairs—so I like to think that today is a bit like me moving from BBC2 to the primetime slot on BBC1. The instruments will correct deficiencies in the regulations to ensure that the UK is prepared in the event we leave the EU without an agreement.

As with all the previous statutory instruments I have presented, I wish to make it clear that these instruments make no policy changes and that it is not our intention to make any at the present time. Similarly, they are crucial to maintaining the effective controls and standards that protect public health and consumer interests in relation to regulated products used in and on food and animal feed.

Oral Answers to Questions

Debate between Steve Brine and John Bercow

Tuesday 15th January 2019 Commons Chamber

[Steve Brine]

We commissioned the National Institute for Health and Care Excellence to produce further guidance that should be out by October. Doctors are right to be cautious when the evidence base remains limited and further research in this area is vital. The change to the law will facilitate that. The National Institute for Health Research has called for research proposals to enhance our knowledge in the area and I think that that is absolutely right.

[Mr Speaker]

I call Alistair Carmichael. Where is the fellow? I hope that he is not in Orkney and Shetland because that would be a pity. Never mind, I am sure that we will see him ere long.

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[Steve Brine]

Yes, I do. I was fortunate enough to visit Southend pier before Christmas to talk to Jamie and Jimmy about this. Nutrition training and the understanding of what is involved in achieving and maintaining a healthy weight varies between medical schools. Some courses have only eight hours over what can be a five or six-year degree. Together with the professional bodies and the universities, we will—as we said in the long-term plan—ensure that nutrition has a greater place in professional education training.

[Mr Speaker]

We are all very impressed by how well connected the Minister is. He is obviously on first-name terms with these illustrious individuals—[Interruption.] Indeed, I am sure they are thrilled to befriend the Minister—no reason to doubt it.

[Alison Thewliss (Glasgow Central) (SNP)]

Scotland’s childhood obesity plan recognises breastfeeding as the best start to life for babies. Will he look at that in his plans and ensure that the support is available to allow women to breastfeed for as long as they wish to?

Oral Answers to Questions

Debate between Steve Brine and John Bercow

Tuesday 27th November 2018 Commons Chamber

[Mr Speaker]

Indeed.

[Steve Brine]

I do not know whether my hon. Friend is familiar with wet combing his hair.

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[Mr Speaker]

Ah, the House is in a very jocular mood. Long may it last.

[Steve Brine]

It will soon be Christmas.

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[Steve Brine]

I know that Opposition Members like to pretend that the past eight and a half years did not have to happen, but there is a reason why they had to happen—the economy was crashed—and eight and a half years is not a long time to clear up the mess of the last Government. But we are very clear, as the hon. Gentleman should know, that a focus on prevention will be central to the long-term plan. He mentions child obesity—[Interruption.] Opposition Members may wish to listen. The public health grant remains ring-fenced and protected for use exclusively on improving health, but local government spending on health is not just about the public health grant. The Government spend money on many other things, including around the child obesity plan and vaccinations, and that is all around prevention and public health.

[Mr Speaker]

Far too long.

[Mr Philip Hollobone (Kettering) (Con)]

As local government is reorganised in Northamptonshire ahead of May 2020, will the Minister consider whether it may not be appropriate in all cases for local councils to manage public health budgets, and whether in some cases it might make sense for the NHS to regain control?

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[Robert Halfon]

CLIC Sargent, the charity for children with cancer, has shown that families in my constituency with children with cancer can face a 54-mile round trip to get to their nearest treatment location, which can cost them up to £161.58 a month. Families are incurring thousands of pounds of debt paying for parking and driving their children to their cancer treatment. Does my hon. Friend acknowledge that only 6% of parents of children with cancer are reported as having received financial help from the NHS healthcare travel costs assistance scheme? Does he recognise that the scheme is not designed to meet the needs of children and young people who need highly specialised treatment—

[Mr Speaker]

Order. Far too long.

[Steve Brine]

Yes, we do recognise that there is a challenge there. I gave evidence to the all-party parliamentary group on children, teenagers and young adults with cancer, and I have a copy of the “Listen Up” report here. CLIC Sargent is part of the secretariat for that group. We are looking at this issue through the long-term plan, and I look forward to meeting my right hon. Friend along with CLIC Sargent in the next few weeks as planned.

[Mr Speaker]

An exemplar of eloquent brevity: Helen Jones.

[Helen Jones (Warrington North) (Lab)]

Access to services is very important for those in the poorest areas of my constituency. Warrington Hospital has been losing services over time, but it has now sought to become a cancer hub for north Cheshire. Will the Minister ensure that, in the case of such applications, access to services for the poorest people is considered along with other factors?

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[The Parliamentary Under-Secretary of State for Health and Social Care (Steve Brine)]

The Prime Minister will set out our ambition that three quarters of all cancers will be diagnosed early, up from just half today. Our cancer survival figures are our best ever, but we do not have world-class outcomes yet, as we must and want to. That is why early diagnosis will be absolutely at the heart of the NHS long-term plan—for instance, in radically overhauling the screening programmes that the Secretary of State mentioned earlier.

[Mr Speaker]

I do slightly worry about the staying power of some colleagues. I will not say who, because it would be unkind, but there was a Member I was about to call who has beetled out of the Chamber. People have got to be a bit patient.

Oral Answers to Questions

Debate between Steve Brine and John Bercow

Tuesday 23rd October 2018 Commons Chamber

[Steve Brine]

It is good to see the hon. Gentleman in his place and looking so well—I am glad we looked after him well. He is absolutely right that access to advanced radiotherapy treatments is critical, as is getting them against the key standard. I would be very pleased to meet his all-party group and discuss its manifesto for radiotherapy.

[Mr Speaker]

I call Vicky Ford.

Oral Answers to Questions

Debate between Steve Brine and John Bercow

Tuesday 24th July 2018 Commons Chamber

[The Parliamentary Under-Secretary of State for Health and Social Care (Steve Brine)]

I, too, hope my hon. Friend the Member for Hitchin and Harpenden (Bim Afolami) is okay.

Saying that gave me a crucial few seconds. [Interruption.]

[Mr Speaker]

It is very good of the hon. Member for Hitchin and Harpenden to drop back in on us. Unfortunately, he beetled out of the Chamber at a most inopportune moment, just before his question was reached. If he sits there, and if he is a good boy, we might get to him in due course. We have moved on now, which is most unfortunate.

[Steve Brine]

We are very clear that achieving the 62-day standard is not a prerequisite for transformation funding, but the better the performance against the standard, the more funding alliances will receive. Most have now received 75% to 100% of the funding requested. This is taxpayers’ money, so we must ensure alliances are operationally strong and ready to achieve transformation.

Childhood Obesity Strategy: Chapter 2

Debate between Steve Brine and John Bercow

Monday 25th June 2018 Commons Chamber

[Rebecca Pow (Taunton Deane) (Con)]

I, too, want to welcome the Daily Mile initiative. We should not be arguing about who was first to introduce it; I know we are competitive, but this is competitive for the schools. Does the Minister agree that any sporting activity in schools should be encouraged? Does he also agree that the social prescribing of sporting activities could also play its part in tackling this obesity crisis?

[Mr Speaker]

Any sport, of course, but particularly tennis, I suggest to the Minister.

[Steve Brine]

Especially tennis, Mr Speaker. I know my hon. Friend is keen on social prescribing, as am I. I recently signed an accord between National Parks England and Public Health England to use the brilliant natural resource of our national parks. They are clearly part of the social prescribing mix that we increasingly see across our country, and I want to see more of it. She is right to raise that.

Oral Answers to Questions

Debate between Steve Brine and John Bercow

Tuesday 19th June 2018 Commons Chamber

[Steve Brine]

Having just dialled into the Secretary of State’s diary, I know that he is going right after these questions.

[Mr Speaker]

That is very impressive, up-to-the-minute information from the hon. Gentleman.

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[Steve Brine]

We keep all our arm’s length bodies, including the MHRA, under review to provide best value for taxpayers, and we are working closely with Lord O’Shaughnessy, who is the Minister responsible for this area.

[Mr Speaker]

We have been so brief that we must now include Mr Hollinrake.

[Kevin Hollinrake (Thirsk and Malton) (Con)]

Thank you, Mr Speaker. Probably the most important recommendation in the new O’Neill review into antimicrobial resistance was the requirement for diagnostics prior to the prescription of antibiotics by 2020. Will the Minister update the House on progress towards that goal, and will he agree to meet me and colleagues, including Lord O’Neill, to discuss the establishment of an antibiotic diagnostics fund?

Oral Answers to Questions

Debate between Steve Brine and John Bercow

Tuesday 8th May 2018 Commons Chamber

[Steve Brine]

That goes to the heart of why we are reforming the dental contracts. Our 73 high street dental practices are continuing to test the preventive focused clinical approach to a new remuneration practice. [Interruption.] Someone on the Opposition Front Bench has just said “when” from a sedentary position. It will be when we have got it right.

[Mr Speaker]

The hon. Member for Tonbridge and Malling (Tom Tugendhat) has beetled into the Chamber like a perspiring postman just in time. It is very good to see the fellow.

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[Steve Brine]

The pharmacy integration fund is a great success. It needed to be ramped up and it is being ramped up. Pharmacists, working within general practice, are making a great difference to the multidisciplinary team within primary care.

[Mr Speaker]

I feel sure that “ramped up” is the technical term.

Oral Answers to Questions

Debate between Steve Brine and John Bercow

Tuesday 20th March 2018 Commons Chamber

[Steve Brine]

All trusts have been directed to get on with the review. The NHS England specialised commissioning team is in discussions with my hon. Friend’s local trust as it develops its five-year strategic plan for the cancer pathways. It is working with his local cancer alliance, including radiotherapy services. It is recognised that a more radical approach and a broader review of the radiotherapy options may be required in future. As my hon. Friend says, he and my right hon. and learned Friend the Member for North East Hertfordshire (Sir Oliver Heald) have that meeting later this week, and I hope the discussions are productive. I feel sure that my hon. Friend will come back to me if they are not.

[Mr Speaker]

Let us hear from the neighbour. I call Sir Oliver Heald.

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[Steve Brine]

Obviously my right hon. and learned Friend is right to speak up for services in his area. The review is not about cutting those services, but about making sure that they are in the right places. We have to be mindful that sometimes the services have to be centralised to be in the right place to deliver the right outcomes for cancer patients.

[Mr Speaker]

I will take the next question on condition that Members are exceptionally brief, as time is constrained.

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[Steve Brine]

We need more GPs, which is why today’s announcement is very important. I am sure that the hon. Gentleman welcomes them.

[Mr Speaker]

Well, if there are to be more GPs, they will have to be paid.

[Bill Esterson (Sefton Central) (Lab)]

Patients at Hightown GP surgery were promised that their surgery would stay open, but, out of the blue, they were written to and told that the surgery would close on 8 June. The Government are belatedly taking action on the shortage of GPs, but will the Minister intervene to make sure that Hightown surgery is kept open and that a promise is kept to patients?

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[Steve Brine]

That is an excellent question. We are testing the new Accelerate, Co-ordinate, Evaluate programme—ACE—which I visited recently at the Churchill Hospital in Oxford. Patients with vague symptoms can be referred for multiple tests and often receive a diagnosis or an all-clear on the same day. I do not get excited very easily, but that promises great excitement.

[Mr Speaker]

It is a delight to see the Minister in a state of high excitement. We hope to see it repeated on innumerable occasions.

Oral Answers to Questions

Debate between Steve Brine and John Bercow

Tuesday 19th December 2017 Commons Chamber

[Steve Brine]

There is huge interest in this subject in the House. Over the past three years, there has been extensive work to communicate advice on the risks of valproate in pregnancy, through a huge number of channels, to help professionals and patients. It is evident from monitoring activities that providing health professionals with information, even when repeated constantly through multiple sources, is not changing prescribing behaviour sufficiently to minimise harm to children exposed to valproate in pregnancy. The expert working group of the Commission on Human Medicines is informing the UK position in European negotiations and advising on the national action required within the UK health system. [Interruption.] Sorry, Mr Speaker.

[Mr Speaker]

Forgive me. I did not mean to be unkind to the Minister who was attending closely to his answer. It is just that we want the whole House to get the benefit of it.

Hormone Pregnancy Tests

Debate between Steve Brine and John Bercow

Thursday 16th November 2017 Commons Chamber

[Mr Speaker]

Order. I beg the right hon. Lady’s pardon. First, let us hear the Minister respond to the statement made by the hon. Member for Bolton South East (Yasmin Qureshi). It was an important statement; it just did not contain a question.

[Steve Brine]

You are, indeed, a friend of the House, Mr Speaker.

I have the utmost respect for the hon. Member for Bolton South East (Yasmin Qureshi), with whom I have served on Select Committees, and I will try to help her out. I have seen some of her public criticisms in the past 24 hours. I know that she has been very consistent about this, but I am not just reading notes put before me; I am citing evidence from an expert working group. It really would come to something if Members suddenly started to second-guess expert, scientific and medical evidence. I am not just quoting what is before me. The review’s conclusions do not take away—I do not pretend for one minute that they do—from the very real suffering experienced by these families. This was a comprehensive, independent, scientific review of all the available evidence carried out by the best experts in a broad range of specialisms. Ministers are confident in the report and the review process, and the focus now must be on implementing the recommendations.

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[Steve Brine]

I could have sworn I heard the hon. Gentleman bring the word “party” into this. That is deeply unfortunate, and I do not think it is helpful to anybody. Last time I checked, there have been Governments of both colours since the 1950s.

As for bringing Stafford and patient safety into this, the Secretary of State for Health takes many criticisms but he has placed patient safety and getting to the bottom of the issues around Stafford at the heart of his agenda. It is because we do not bury our head in the sand and sweep these things under the carpet—as, I am sorry to say, happened in the past—that we are uncovering this and doing the best for the families with the report’s recommendations. Nothing can turn the clock back and nothing can undo the suffering of these families.

[Mr Speaker]

As has been said, this is absolutely not a party matter. Colleagues have expressed their interest in a debate on this matter, and I can simply say from the Chair that, one way or the other, through one vehicle or another, this matter will be debated if Members want it to be debated.

Oral Answers to Questions

Debate between Steve Brine and John Bercow

Tuesday 14th November 2017 Commons Chamber

[Steve Brine]

Absolutely. I have just returned from a meeting of G7 Health Ministers, and one of the subjects under discussion was environmental factors in climate change and its impact on human health. We had challenging discussions on many areas, but air quality and its impact on respiratory disease was not one of them.

[Mr Speaker]

I gather the meeting was in Rome. Is that correct?

[Steve Brine]

Milan.

[Mr Speaker]

It is always useful to have a bit of additional information, for which the House is grateful.

[Mrs Sharon Hodgson (Washington and Sunderland West) (Lab)]

Under this Government we have seen lung disease admissions to A&E rise at double the rate of general admissions. That is even more concerning when the bulk of lung disease admissions happen over the winter months, when A&E departments are already under significant pressure. Will the Minister commit today to introducing a lung disease strategy to ensure that we can reverse these worrying trends and this pressure on people’s lives and on our NHS?

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[Jamie Stone (Caithness, Sutherland and Easter Ross) (LD)]

21. I am a reformed smoker—it was quite a battle. What proposals do Her Majesty’s Government have to enlist people like me to help other people to kick the weed? We know how to do it.

[Mr Speaker]

What a fine role model the hon. Gentleman is.

[Steve Brine]

What an offer, Mr Speaker! Sustainability and transformation partnerships in all areas are to draw up local plans across one NHS area, including on the public health prevention agenda. I suggest that the hon. Gentleman volunteers his services to his local STP; I suspect it will take his hand off.

Oral Answers to Questions

Debate between Steve Brine and John Bercow

Tuesday 10th October 2017 Commons Chamber

[Steve Brine]

We are confident that we have some of the best STP leaders in place. I was looking last night at the figures for south-east London, and I saw that my hon. Friend’s local STP is highly rated, both on leadership and overall. I was thinking about him in the gym last night and I thought he might say what he did, so let me say that I am very happy to meet him and to broker a meeting between him and the NHS.

[Mr Speaker]

It is interesting to hear about the thoughts of the hon. Gentleman when he is on the treadmill or the exercise bike—it is always useful to have a bit of additional information.

Adult Social Care Funding

Debate between Steve Brine and John Bercow

Thursday 6th July 2017 Commons Chamber

[Mr Speaker]

I call Minister Steve Brine.

[The Parliamentary Under-Secretary of State for Health (Steve Brine)]

Thank you, Mr Speaker—take two.

There are few things more important to any of us than the way in which the oldest and most vulnerable are cared for in our society. First, let me pay tribute to the 1.4 million people who work in the country’s social care sector. They support many of the most vulnerable people in our communities, often in the most difficult of circumstances. I am proud that we have done more than any Government before to improve the quality of social care, introducing a tough system of CQC ratings, new qualifications for care workers, and new standards to ensure that everyone receives the highest-quality support. I am heartened that today’s CQC report shows that even in a time of acute fiscal pressure, 79% of adult social care services are now providing good or outstanding care.

However, it is impossible to ignore the pressure that our ageing population and advances in medicine are putting on the system. We have seen the number of over-65s increase by nearly 1.2 million, or about 14%, over the past five years. Today’s CQC report shows that in some areas, it is completely unacceptable that standards in some settings are below those rightly expected by care users and their families. This Government view social care as a priority, which is why in the spring Budget this year we announced an additional £2 billion over the next three years for councils in England to spend on adult social care services. That means that, in total, councils will have access to £9.25 billion more dedicated funding for social care over the next three years—enough to increase social care spending in real terms. We have also been clear that later this year we will be consulting widely on the future of social care in this country to put it on a stable footing.

My right hon. Friend the Health Secretary updated the House on Monday about action he is taking to address delayed discharges from hospital in advance of this winter. Last year there were 2.25 million delayed discharges, up by 24.5% from 1.81 million in the previous year. The Government are clear that no one should stay in a hospital bed longer than necessary—it removes people’s dignity, reduces their quality of life, leads to poorer health and care outcomes for people and is more expensive, ultimately, for the taxpayer. Since February, there have been significant improvements in the health and care system, with a record decrease in month-on-month delayed discharges in April of this year.

However, we must make much faster and more significant progress well in advance of next winter to help free up hospital beds for the sickest patients and reduce pressures on accident and emergency departments. That is why we have introduced a further package of measures to support the NHS and local government in reducing delays. That package includes guidance, a performance dashboard, plans for local government and the NHS to deliver an equal share of the expectation to free up 2,500 hospital beds, and of course CQC reviews. We have also been clear that we will consider a review in November of the 2018-19 allocations of the social care funding provided at spring Budget 2017 for poorly performing areas. We have been clear that the Budget funding will all remain with local government, to be used for adult social care.

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[Steve Brine]

No, I cannot go into the detail of why that is, as I suspect my right hon. Friend realises. There will be a one-NHS STP process in his area, and it will have to come up with proposals that meet the five criteria for any reconfiguration. As he will know, there were previously four criteria that had to be met, but there are now five; Simon Stevens, the chief executive of the NHS, has added a fifth on patient safety. My right hon. Friend mentioned St Leonard’s hospital, and any reconfiguration or change of service in relation to it will have to be considered in that context.

[Mr Speaker]

The Minister has just elevated the hon. Member for Christchurch (Mr Chope) to the Privy Council, of which he is not currently a member. Whether that was inadvertent on the part of the Minister or a gentle hint to the powers that be remains to be seen. It would be only a very modest elevation for somebody of the hon. Gentleman’s experience.

[Thelma Walker (Colne Valley) (Lab)]

Does the Minister agree that it is time we considered bringing the social care sector back into public ownership to remove the profit-making aspect of looking after the most vulnerable in our society?

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[Steve Brine]

Okay. The Prime Minister has been very clear about the importance of tackling this issue. As she said, we will look after 2 million more over-75s in the next 10 years and we have to find a sustainable way of caring for older people. As I have said, we will consult on detailed proposals, which will include a capital floor and an absolute limit on the amount people can be asked to pay. Our objective will be to get the widest possible consensus.

[Mr Speaker]

Whether the right hon. Gentleman regards that as a satisfactory answer is for him to decide, but it is the answer that he is getting.

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[Steve Brine]

I did not quite catch the question, but I do not think the hon. Lady is easily overlooked in any forum. If she would like to write to me or speak to me afterwards, we will be able pick up that point.

[Mr Speaker]

There is somebody after the hon. Lady and so she need not develop a complex about the matter. Somebody has to be last, and on this occasion, nevertheless with a cheery disposition, it is Mr Tom Pursglove.

[Tom Pursglove]

Thank you, Mr Speaker. Some local authority areas are undoubtedly better than others at joining up social care departments with the NHS. Does my hon. Friend therefore agree that we need to see a greater focus on sharing best practice where it exists?

Oral Answers to Questions

Debate between Steve Brine and John Bercow

Tuesday 29th January 2013 Commons Chamber

[Steve Brine (Winchester) (Con)]

T4. A number of my constituents—[Interruption.]

[Mr Speaker]

Order. This is a considerable discourtesy to the House. The hon. Gentleman must have his question heard.

[Steve Brine]

Thank you very much, Mr Speaker.

A number of my constituents have been caught out by the high interest rates charged on payday loans. At a time when many families are struggling with high levels of personal debt, what are the Government doing to ensure that consumers are protected against bad practices in that industry and the often extremely high interest rates that are charged on such loans?