NHS

Debate between Steve Brine and Victoria Atkins

Thursday 23rd May 2024 Commons Chamber

[Steve Brine (Winchester) (Con)]

Record funding, a long-term workforce plan finally in place and serious investment at last from the Chancellor on health tech in the spring Budget. That is really welcome and a record to be proud of, as the Secretary of State said, but she will be aware that if demand continues to exceed supply, we have a problem.

My right hon. Friend told us that she does indeed believe that prevention is the new cure, so throughout the general election campaign and from here on as she continues as Health Secretary, will she please bang on remorselessly about the big drivers of ill health—smoking, alcohol addiction, obesity, poor housing and bad diet—because, remember, we can only protect the NHS if we are a healthier society?

[Victoria Atkins]

I thank my hon. Friend not just for his question, which was excellent as always, but for his long record in the House, particularly in the world of healthcare. He was a superb Minister in the Department of Health and has chaired the Select Committee with great skill. He has scrutinised many a Minister, which I promise him is not a relaxing experience. I really pay credit to him.

May I also thank my hon. Friend for highlighting the importance of prevention? We want to bend the demand curve on the NHS. We know that demand has risen in recent years—we are seeing more people in A&E, we are seeing more cancer referrals and we are seeing more people accessing scans, checks and diagnostics—and we need to help people to understand that we can take responsibility for our own health. Through work such as that on using the NHS app as a gateway to prevention, I genuinely think that we will be helping not only our generations but, importantly, younger people, who sometimes get forgotten in our conversations about healthcare.

Oral Answers to Questions

Debate between Steve Brine and Victoria Atkins

Tuesday 23rd April 2024 Commons Chamber

[Steve Brine (Winchester) (Con)]

Ministers will be aware of a rather boastful claim last weekend by the makers of Elfbar and Lost Mary vapes. They have already launched rechargeable, refillable products, which, with a coil in each pod, are not by definition single-use or disposable according to the published regulations. Can the Minister reassure the House and parents that they are alive to that and will pivot as necessary now that the Tobacco and Vapes Bill is going into Committee?

[Victoria Atkins]

I thank my hon. Friend for raising that matter, which shows the cynicism with which the tobacco and vaping industry is approaching these landmark public health reforms. On vapes, we have committed to consulting on the powers that we are adopting in the Bill precisely because we want to ensure that the regulations, when they come to the fore, address the realities of the market and the cynicism of the companies behind it, and help to ensure that our children do not continue being plied with these horrible items to get them hooked on nicotine.

Oral Answers to Questions

Debate between Steve Brine and Victoria Atkins

Tuesday 5th March 2024 Commons Chamber

[Steve Brine (Winchester) (Con)]

While we are talking about the recovery of primary care and the Secretary of State is at the Dispatch Box, the recovering access plan released last May talked about high-quality online consultation, text messaging services and online booking tools. They were due in July, but that became August and then December, and I understand that it has now been delayed indefinitely due to a claim made against NHS England in what is a £300 million project. That delay is hitting access to primary care. Will the Secretary of State update the House?

[Victoria Atkins]

We are determined to bring not just primary care but the whole NHS up to speed with technology. We are firm advocates of the idea that technology can help free clinicians’ time and ensure that they are spending time looking at their patients rather than at computer screens. In primary care, we are working to ensure the digital telephony services that have played such a critical role in providing those 50 million additional appointments, as I described. I will take away my hon. Friend’s points, and look into them carefully.

NHS Dentistry: Recovery and Reform

Debate between Steve Brine and Victoria Atkins

Wednesday 7th February 2024 Commons Chamber

[Steve Brine (Winchester) (Con)]

I welcome the plan. Recovery and reform is right, and the Select Committee will study the plan carefully. The dental Minister, my right hon. Friend the Member for South Northamptonshire (Dame Andrea Leadsom), has already been invited to come before us, so that we can talk it through with her to see whether it reflects our aforementioned report on the subject. The golden hellos, the toothbrushing for pre-schoolers—as long as the workforce can handle it—and the mobile vans are good, but even a day longer of a contract focused on units of dental activity is a problem. Can the Secretary of State say how she plans to entice professionals into returning to NHS dentistry? So many have left, and that is key.

[Victoria Atkins]

Very much so, and that will be primarily through the patient premium, which will mean that from next month dentists will be able to turn their signs from “closed” to “open” for NHS patients. We wanted to use levers that could be deployed immediately in order to help our constituents.

Oral Answers to Questions

Debate between Steve Brine and Victoria Atkins

Tuesday 23rd January 2024 Commons Chamber

[Steve Brine (Winchester) (Con)]

The pressure on services is acute this winter, as it is every year. So far, we have heard very little mention in these 20 minutes of the biggest headache facing trusts, integrated care boards, patients and, of course, the Prime Minister’s pledge to cut the waiting lists further. Given that the British Medical Association ballot on consultants’ action closes today, and that the dispute among doctors in training continues, can the Secretary of State update the House on her message to those voting today, and on where we are in wider industrial disputes, which are a drag anchor on the NHS right now?

[Victoria Atkins]

My hon. Friend is right to point out that we are in the final few hours of the consultants’ ballot on the pay reform programme that we have offered the British Medical Association. I very much hope that consultants will feel able to support that programme, because it is about bringing together the frankly quite bureaucratic system that they have to deal with at the moment, so that they are assessed in a shorter time with less bother and paperwork, while respecting their need to train and keep up their education and supporting professional activities commitments. I hope that they will agree with us on that. As I have said to the junior doctors committee from this Dispatch Box, should they return with reasonable expectations, we will, of course, reopen negotiations.

NHS Winter Update

Debate between Steve Brine and Victoria Atkins

Monday 8th January 2024 Commons Chamber

[Steve Brine (Winchester) (Con)]

Happy new year. The Secretary of State will know that it is far from all doctors in training who have taken part in this strike. In my trust, Hampshire Hospitals, it was just over 60%, and the average across the south-east was little more than 50%. Many doctors were hard at work this past week caring for their patients. Does my right hon. Friend share the concern of many in the health service that the longer this dispute drags on, the more we lose the good will of the consultants who have been filling in and the more we do serious damage to the career pipeline that sees today’s doctors in training become tomorrow’s consultants?

[Victoria Atkins]

I thank my hon. Friend for asking that question and for noting the enormous efforts that clinicians across the NHS have gone to in order to cover these strikes. We are conscious of the personal impacts that has had for many, and clinicians have had a very tough few Christmases. We were all collectively hoping that this Christmas would be just a little bit easier for them, but sadly these strikes have a real impact on people who are working to pick up the slack from junior doctors not turning up. I am grateful to everyone who has gone into work, who has worked extra shifts and who has cancelled time off with their families. We must find a fair and reasonable solution to this industrial action, which is precisely why I was so very disappointed that the BMA junior doctors committee chose to walk away from these discussions.

Oral Answers to Questions

Debate between Steve Brine and Victoria Atkins

Tuesday 5th December 2023 Commons Chamber

[Steve Brine (Winchester) (Con)]

The Government previously committed to publishing a dental recovery plan, which the former dental Minister, my hon. Friend the Member for Harborough (Neil O’Brien), said that the Government would publish shortly. He also told my Committee:

“We do want everyone who needs one to be able to access an NHS dentist”.

We were surprised, but he said it. We were told that the plan would be published during the summer or before the summer recess. When will the plan be published, if that is still the intention? Presumably it will come alongside the response to our “Dental Services” report, which was due on 14 September.

[Victoria Atkins]

I thank my hon. Friend and I look forward to being grilled by him and his Committee in due course—at least, I think I do. Perhaps I can assist him, first, on the very important dental report that his Committee published. I am looking through it myself this afternoon and I will be publishing the response and sending it to the Committee imminently. In relation to the dental plan, both the Under-Secretary of State for Health and Social Care, my right hon. Friend the Member for South Northamptonshire (Dame Andrea Leadsom), and I are looking carefully into the needs of communities in rural and coastal areas, as well as in more urban areas, to understand not just the need but the answers that we can provide to help with urgent care and, importantly, preventive care, particularly for our children and vulnerable people in our society.

Prisons Strategy

Debate between Steve Brine and Victoria Atkins

Tuesday 7th December 2021 Commons Chamber

[Victoria Atkins]

I hope the hon. Gentleman will take the time to read the report, as he will see our emphasis on the vital contribution made by our staff day in, day out and night in, night out to keep our communities safe. I have agreed to meet the Prison Officers Association to discuss the pension age. Prison officers are part of the civil service pension scheme, and the long and short of it is that prison staff pay between two and three times less than colleagues in the fire and police services. However, I want to listen to officers on this point and I am very happy to be meeting my hon. Friend the Member for Sittingbourne and Sheppey (Gordon Henderson) and the Prison Officers Association to do so.

[Steve Brine (Winchester) (Con)]

HMP Winchester recently marked 10 successful years of Spurgeons helping prisoners keep contact with their families, and the Minister knows how important that is in breaking the cycle. The only problem is that Spurgeons has not had any family days in the facility for a very long time because of, you guessed it, the pandemic. Does she agree that learning to live with covid must also extend to the secure estate? To enable that, what is the Government’s plan to change the currently very low vaccine uptake in prisons such as mine?

[Victoria Atkins]

My hon. Friend is right to say that we must learn to live with covid within the prison estate, as we do outside prison walls. We are working with NHS local services to roll out the vaccine in custody, and clearly we encourage everyone to be vaccinated, not just inside but outside prison. That will be key to our consideration of further removing the national framework. Of course, we must be led by the evidence and the data.

Police, Crime, Sentencing and Courts Bill

Debate between Steve Brine and Victoria Atkins

3rd reading
Monday 5th July 2021 Commons Chamber

[Steve Brine]

There is much in this Bill that I welcome—I have spoken before about driving offences reform—but of course parts of it are controversial. That is what happens with legislation: some people do not agree with parts of it. However, on balance, it is a Bill worth backing, and that is why I did so on Second Reading.

New clause 90 seems entirely logical to me. I have been well lobbied on the subject, and I hope to hear something from the Minister. Being able to do their job without abuse is surely the least that our shop workers can expect.

On protest, we should be careful not to be misled about what is in the Bill and what is not. I actually agree with some of what my right hon. Friend the Member for Haltemprice and Howden (Mr Davis) said. The parts of the Bill on protest are not right just yet, and I predict that they will have a challenging time in the other place. I look forward to hearing what the Minister has to say on that. Surely new clause 85, in respect of a code for the policing of protest, is worth a look.

I think that new clause 55, in the name of the right hon. Member for Kingston upon Hull North (Dame Diana Johnson), is poorly drafted. I saw a tsunami of contacts this weekend from constituents who are against it. I wish it were going to a vote, if only so that I could vote against it and the House could show its will on the subject.

Finally, I oppose new clauses 51 and 52 in respect of illegal Traveller encampments. My constituents have an illegal encampment on the Cattle Market car park in the centre of Winchester just today, which is inconveniencing their lives. I oppose those two new clauses.

[Victoria Atkins]

This Bill delivers on our promise to the British people to keep them safe and to crack down on criminals. This Bill backs the police, recognising the unique and enormous sacrifices they and their families make to protect us all. This Bill imposes a legal duty on local councils, the police, health services, schools and prisons to work together to prevent serious violence in their neighbourhoods.

This Bill balances the rights of protestors to demonstrate with the rights of residents to access hospitals, to go to work, to let their children sleep at night. And, despite some of the claims from the Opposition, this Bill includes measures that will help to protect women and girls, but that go further than that and protect the whole of society from some of the most dangerous offenders that are sentenced. This includes managing sex offenders before and after conviction and, importantly, providing clarity on the extraction of data from victims’ phones, in line with the rape review that the Government published only a few weeks ago.

Let me briefly address the Government amendments in this group. In Committee, I undertook to consider further whether the reporting duty in respect of the police covenant should be extended to apply to the British Transport police, the Ministry of Defence police and the Civil Nuclear Constabulary. Having reflected further, we agree. We want the wider policing family to be included in the covenant, and amendment 34 does exactly that, covering not only these three forces but the National Crime Agency. They do essential work for us, and we want them and their families to be looked after.

Government amendments 35 to 45 standardise the traffic offences in clauses 4 and 5, and clauses in relation to serious violence reduction orders, for the British Transport police—again, consistency in how we deal with these important matters.

Let me turn to the non-Government amendments. I will not be able to deal with them all, but I will pick out the ones that have been talked about most frequently. First, I thank the right hon. and learned Member for Camberwell and Peckham (Ms Harman), my right hon. Friend the Member for Basingstoke (Mrs Miller) and many other Members across the House for raising the issue of sexual harassment, not just in the context of this Bill but in our wider work.

The murders that, sadly, we have heard so much about in this Chamber—the murders of Nicole Smallman, Bibaa Henry, Sarah Everard and PCSO Julia James—have caused millions of women and girls to share their own experiences and fears of walking in our towns and cities. We have also heard girls’ stories about their experiences at school through the social media platform Everyone’s Invited.

We are listening to women and girls. In March, we reopened the survey on violence against women and girls and received more than 180,000 responses in terms of the survey as a whole. Each of those responses is helping to shape our work developing this vital strategy. We therefore recognise the shocking extent of street harassment and the strength of feeling concerning the need for a new offence.

While it is the case that there are already offences available to address sexual harassment behaviour, the right hon. and learned Member for Camberwell and Peckham, whom I have met recently to discuss this, can rest assured that we remain open-minded on this issue and are continuing to examine the case for a bespoke offence. As part of the commitment, the new strategy on tackling violence against women and girls will focus on the need to educate and to change cultural attitudes. A new offence can do so much, but we need to go further than that, and that is our intention.

As I announced in Committee, I am pleased that as part of the cross-government work and work across agencies, the College of Policing intends to develop advice for police forces to assist them to use existing offences in the most effective way to address reports of sexual harassment, and the CPS will be updating its guidance to include specific material on sexual harassment.

Moving on, new clauses 26 and 27 have been tabled by the right hon. Member for Kingston upon Hull North (Dame Diana Johnson)—indeed my hon. Friend the Member for Wycombe (Mr Baker) has spoken to me about this—and they come out of the very tragic circumstances of the rape and murder of Libby Squire. As a constituency MP near the Humber, I very much join both the right hon. Lady and my hon. Friend in paying tribute to Libby and her family.