Oral Answers to Questions

Victoria Atkins Excerpts
Tuesday 5th December 2023

(5 months, 1 week ago)

Commons Chamber
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Layla Moran Portrait Layla Moran (Oxford West and Abingdon) (LD)
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16. What recent assessment she has made of the potential impact of levels of availability of dentistry appointments on other NHS services.

Victoria Atkins Portrait The Secretary of State for Health and Social Care (Victoria Atkins)
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May I, through you, Madam Deputy Speaker, wish Mr Speaker a very speedy recovery?

As Secretary of State for Health and Social Care, I want to reform our NHS and social care system to make it faster, simpler and fairer. Dentistry is a critical part of that. Integrated care boards are responsible for identifying areas of local need and determining the priorities for investment. NHS England published guidance in October this year to help ICBs use their commissioning flexibilities within the national dental contractual framework, and I will be looking carefully at how the boards are identifying need and investment across England, including for vulnerable people.

Kim Johnson Portrait Kim Johnson
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I am glad that the Minister mentioned ICBs. Liverpool has a very high percentage of children with dental decay, and tooth extraction is the most common hospital procedure for five to nine-year-olds at Alder Hey Children’s Hospital, yet there was a £10 million underspend for primary care dentistry, and instead of investing it in preventive care, NHS England gave permission to all ICBs, including NHS Cheshire and Merseyside, to use the balance to balance their budgets. Will the Minister agree, here and now, to reinstate the ringfenced funding to commission extra capacity for the most vulnerable patients?

Victoria Atkins Portrait Victoria Atkins
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I am delighted to be able to inform the hon. Member that NHS England has provided guidance for ICBs that requires dental funding to be ringfenced, with any unused resources redirected to improve NHS dental access in the first instance. Interestingly, ICBs will report their expenditure against the dental ringfence to NHS England as part of their in-year financial planning, which will happen at the end of this financial year.

Kim Johnson Portrait Kim Johnson
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But the underspend is not being used on dentistry—

Steve Brine Portrait Steve Brine (Winchester) (Con)
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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 Portrait Victoria Atkins
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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.

Justin Madders Portrait Justin Madders (Ellesmere Port and Neston) (Lab)
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Last week another dentist in my constituency told my constituents that they were no longer able to provide NHS services. These people have literally nowhere else to go nearby. I want to come back to what my hon. Friend the Member for Liverpool, Riverside (Kim Johnson) asked about the underspend, because we had a meeting with the ICB and it was specifically told that the ringfence was being disapplied. Does the Secretary of State agree that that money should be spent on dental services and that that instruction should be given by her today?

Victoria Atkins Portrait Victoria Atkins
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I agree, and that is why NHS England has provided guidance, as I set out earlier.

Derek Thomas Portrait Derek Thomas (St Ives) (Con)
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I welcome the guidance that ICBs have received. Cornwall ICB has committed to ringfencing money for dentistry next year, but the truth is that, before it took on that commitment, £4.5 million for unmet units of dental activity was returned to NHS England. What can the Secretary of State do to ensure that Cornwall gets the money that was intended for Cornwall to deliver NHS dentistry?

Victoria Atkins Portrait Victoria Atkins
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A theme is emerging of underspend in dental work, which is one of the things that the ministerial team and I are looking at. NHS England emphasised in its guidance to ICBs that the funding should be ringfenced. I very much understand the pressures that my hon. Friend and other south-west Members have been raising over many months on the care that their constituents are getting. To ease pressures in the south-west, NHS England has commissioned additional urgent dental care appointments that people can access through NHS 111.

Abena Oppong-Asare Portrait Abena Oppong-Asare (Erith and Thamesmead) (Lab)
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I begin by welcoming the Secretary of State and her Ministers to their posts.

Last year, the Prime Minister pledged to restore NHS dentistry, including a specific promise to protect its budget, yet last month we learned that he will break that promise and allow ICBs to raid dentistry budgets to fill the gaps. Labour has a plan for 700,000 extra appointments, supervised toothbrushing in schools and a targeted dentistry recruitment scheme in left-behind areas. It is all fully funded by abolishing non-dom tax status. We have a plan, but the Government’s plan is four months overdue. Where is it?

Victoria Atkins Portrait Victoria Atkins
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I thank the hon. Lady for her warm welcome. I look forward to discussing these matters with her over the Dispatch Box.

Over the weekend, I was rather pleased to see the Leader of the Opposition’s damascene conversion to the Conservative cause. As the shadow Secretary of State is on his world tour investigating what other health systems are doing, the Labour party may wish to bear in mind the words of wisdom from the great lady herself: “The problem with socialism is that at some point you run out of other people’s money.”

Michael Fabricant Portrait Michael Fabricant (Lichfield) (Con)
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2. What recent steps she has taken to help prepare for a future pandemic.

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Debbie Abrahams Portrait Debbie Abrahams (Oldham East and Saddleworth) (Lab)
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9. What steps she is taking to help reduce health inequalities.

Victoria Atkins Portrait The Secretary of State for Health and Social Care (Victoria Atkins)
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I am pleased to reiterate to my right hon. Friend the Member for Witham (Priti Patel) that Essex is receiving funding from the National Institute for Health and Care Research, which is funded by the Department of Health and Social Care, to promote research into health inequalities and support better health outcomes for her constituents and all residents in Essex.

Priti Patel Portrait Priti Patel
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I thank the Secretary of State for her response and welcome her to her new role; it is a real pleasure to see her in her position today. My Witham constituents have one of the highest patient-GP ratios in the country. That brings many challenges in accessing the NHS, from primary care to dentistry, social care and hospital appointments, some of which have been exacerbated by industrial action. Will she give an update on the work she is leading to address some of those issues and will she support my work and campaign locally to get a new primary health centre in Witham town?

Victoria Atkins Portrait Victoria Atkins
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I thank my right hon. Friend very much for her kind words. She will remember how much I enjoyed sitting on the Front Bench alongside her when we were in the Home Office. In terms of her work in Essex, she is a formidable campaigner and she will know that the decision on such a healthcare centre lies with her integrated care board, to which the Government have given some £183 million of capital funding between 2022 and 2025. I am sure she will make a compelling case to the ICB for such a centre in her constituency. Interestingly, the Mid and South Essex integrated care board is one of seven sites receiving additional support and funding from NHS England to address health inequalities, and I know she will pay close attention to how that is spent.

Debbie Abrahams Portrait Debbie Abrahams
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There were multiple warnings from experts such as Professor Sir Michael Marmot of the widening health inequalities that started in 2015. Covid just exposed and amplified those inequalities, so that in the north there were 17% more deaths, or more than 2,500 avoidable deaths. While I welcome the new Health Secretary to her post and I welcome her announcement this morning, what else is she going to do to address in particular the socioeconomic inequalities that drive those health inequalities?

Victoria Atkins Portrait Victoria Atkins
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I thank the hon. Lady for her welcome. Having grown up in Lancashire myself, I very much understand why she is speaking up on behalf of her constituents. There are many different ways that we deal with this, but let me use a couple of headline points. First, we are increasing the public health grant to local authorities, providing more than £3.5 billion this year, so per capita public health grant allocations for the most deprived local authorities are nearly two and a half times greater than for the least deprived.

There is also interesting work going on with family hubs. Indeed, the Under-Secretary of State for Health and Social Care, my right hon. Friend for South Northamptonshire (Dame Andrea Leadsom), who has responsibility for start for life, is leading on that. The family hubs and start for life programme will deliver a step change in outcomes for babies, children and parents in 75 local authorities in England with high deprivation. We believe strongly that if we can give the best start in life to our babies and children, it will bode extremely well for their future years.

Maggie Throup Portrait Maggie Throup (Erewash) (Con)
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A report that is to be published shortly by the all-party parliamentary group for diagnostics, which I chair, has highlighted that community diagnostic centres are essential for tackling health inequalities. I welcome my right hon. Friend to her new role. Will she honour her predecessor’s commitment to meet the all-party group to discuss the benefits of diagnostics in general and the preventive role that they can play in reducing health inequalities across the country?

Victoria Atkins Portrait Victoria Atkins
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Not only am I delighted to accept my hon. Friend’s kind invitation, but I am also extremely grateful for her work in that area. Of course, we think that community diagnostic centres are an important and exciting part of healthcare in this country. We have 136 centres operational at the moment, and we know that they have provided 5 million additional tests since July 2021. That is the future and we very much support it.

Kirsten Oswald Portrait Kirsten Oswald (East Renfrewshire) (SNP)
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We know that socioeconomic inequalities drive health inequalities and that poverty increases adverse health effects. Research by the Trussell Trust shows that one in seven people faces hunger across the UK because they simply do not have enough money. Will the Secretary of State raise with her Cabinet colleagues the Trussell Trust joint campaign with the Joseph Rowntree Foundation calling for an essentials guarantee in universal credit to ensure that the basic rate at least covers life’s essentials so as to ensure that people can afford essentials such as food and heating and to mitigate against health inequalities?

Victoria Atkins Portrait Victoria Atkins
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Of course, conversations continue between Ministers across Government in terms of helping not just with health inequalities but with inequality of opportunity. That is why I very much hope that the hon. Lady and her colleagues will welcome the thoughtful focus that both the Chancellor and the Secretary of State for Work and Pensions have put into the back to work plan. We know that getting people into work can have enormous benefits, not just financially but, importantly, for their wellbeing. The idea behind the back to work plan is that we do it by working with people to draw out their full potential and help them to lead healthy lives.

Barry Sheerman Portrait Mr Barry Sheerman (Huddersfield) (Lab/Co-op)
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8. If she will review the provision of health services for people living with (a) Ehlers-Danlos syndromes and (b) hypermobility spectrum disorder.

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Marion Fellows Portrait Marion Fellows (Motherwell and Wishaw) (SNP)
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T1. If she will make a statement on her departmental responsibilities.

Victoria Atkins Portrait The Secretary of State for Health and Social Care (Victoria Atkins)
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My priority as Secretary of State is to reform our NHS and social care system to make it faster, simpler and fairer. Since my appointment, we are making progress. To make our system faster, we have hit our manifesto target to recruit and retain 50,000 more nurses for our NHS, and to deliver 50 million more GP appointments, achieving both commitments months ahead of time. We have made an offer to health unions that I hope will end the consultants’ strike, which has disrupted care for the public and put a strain on staff. To make our system simpler, we have announced Pharmacy First, which will make it quicker and easier for millions of people to access healthcare on the high street. To make our system fairer, we have agreed a deal with pharmaceutical companies that will save the NHS £14 billion in medicine costs and give patients access to more life-saving treatment. The NHS is one of the reasons I came into politics—[Interruption.] I know Labour Members do not like to hear that, but I look forward to working with patients and staff across the country—[Interruption.]

Eleanor Laing Portrait Madam Deputy Speaker
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Order. I do not need any help, thank you. The Secretary of State has answered the first question at length. I am sure that means she will answer the other questions much more briefly.

Marion Fellows Portrait Marion Fellows
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People with disabilities and serious health conditions already have higher living costs, and the proposals in the work capability assessment activities and descriptors consultation will mean that if they are reassessed they will lose £390 a month. I appreciate that the Secretary of State is new to her role, but will she commit as a priority to taking this up and consulting Cabinet colleagues, to ensure that people who are disabled and have serious health conditions are not pushed even further into dire poverty?

Victoria Atkins Portrait Victoria Atkins
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As I said earlier, careful thought has gone into the announcements that were made in the autumn statement, and of course I will work with the Secretary of State and the Chancellor to ensure that the commitments we already have to people living with disabilities are maintained, and that we have their wellbeing at the heart of all our policy making.

Priti Patel Portrait Priti Patel (Witham) (Con)
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T4. The Secretary of State’s predecessor took a strong interest in the deaths that took place in the Essex mental health trusts, and a statutory inquiry is now taking place. Will she meet me and our Essex colleagues, and the families, to discuss that important inquiry, so that they can have justice for the loved ones they have lost?

Victoria Atkins Portrait Victoria Atkins
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I would be very pleased to meet my right hon. Friend, the families and other Essex MPs to discuss that important inquiry.

Ashley Dalton Portrait Ashley Dalton (West Lancashire) (Lab)
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With your indulgence, Madam Deputy Speaker, I welcome the Secretary of State and the new members of her Front-Bench team to their roles. I am honoured myself to stand at the Dispatch Box today for the first time on behalf of the shadow Secretary of State for Health, my hon. Friend the Member for Ilford North (Wes Streeting), who is currently in Australia exploring international best practice in healthcare.

Talking of best practice, on this Government’s watch, people with suspected breast cancer are not getting it. The two-week target from GP referral to a first consultant appointment for breast cancer has not been met since March 2020. I know from my own experience of breast cancer that the waiting is terrifying, wondering whether it has been left too late and the cancer has become incurable. How much longer will patients have to wait before the Government can meet their own targets and deliver the timely care that patients need and deserve?

Victoria Atkins Portrait Victoria Atkins
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I genuinely thank the hon. Lady for her warm welcome, and indeed I welcome her to her first outing at the Dispatch Box. As she was describing where the hon. Member for Ilford North (Wes Streeting) is, I had images of “I’m a Celebrity… Get Me Out of Here!” Sadly for citizens in Wales, they are experiencing what it is like to live under a healthcare system run by Labour, and they might fully agree with that sentiment.

The hon. Lady raises the important issue of breast cancer, and the NHS has an ambition to diagnose 75% of cancers as stages 1 or 2 by 2028. In January last year we provided £10 million of funding for 28 new breast screening units and nearly 60 life-saving upgrades to services in the areas where they are most needed, because we understand our constituents’ concerns and also their determination that we continue to improve cancer survival rates.

Ashley Dalton Portrait Ashley Dalton
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Unfortunately, the reality is that cancer referrals have only got worse with the Conservatives in government. In September 2023, only 74% of urgent cancer referrals to a consultant met that two-week target. That is the second-lowest rate for two-week referrals since 2009. When can the public expect this performance to improve?

Victoria Atkins Portrait Victoria Atkins
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We have in fact made progress by delivering record numbers of urgent cancer checks, and levels of first treatments following an urgent cancer referral have been consistently above pre-pandemic levels, with activity in September standing at 108% of pre-pandemic levels on a per working day basis.

Peter Gibson Portrait Peter Gibson (Darlington) (Con)
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T6. Some six months ago, the dentist based at Firthmoor community centre, serving 8,000 of my constituents, handed back its contract to the integrated care board. I was shocked last week to learn that the ICB has still not commenced the tender process to replace that provision. What advice can the Minister give me to ensure that our ICB is doing what it needs to do?

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Luke Evans Portrait Dr Luke Evans (Bosworth) (Con)
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T9. My local practice, on Heath Lane in Earl Shilton, released its “did not attend” figures. Between 20 November and 24 November, 69 appointments—including 36 GP appointments and 28 nursing appointments—were missed. That was 12 hours lost in five days. If that is happening up and down Hinckley and Bosworth and across the country, that is thousands of hours being missed. I know that the Government are keen to see more on data, so will they consider statementing patients on how much missed appointments cost, because clinically that would make a big difference to the awareness of what people are cashing out on?

Victoria Atkins Portrait Victoria Atkins
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May I thank my hon. Friend for bringing his professional expertise to the Chamber? Of course, minimising “did not attends” is a critical part of ensuring that clinical time is optimised, and I will take his suggestion away and mull it over.

Kate Hollern Portrait Kate Hollern (Blackburn) (Lab)
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T2. I understand that pathology staffing levels at Royal Blackburn Hospital have not been reviewed for 15 years and the workload is up 300%. The national deficit in pathology is a ticking time bomb, as hospitals are unable to offer surgical and emergency services. What steps is the Minister taking to address recruitment and ensure that staff and patients are safe?

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Imran Hussain Portrait Imran Hussain (Bradford East) (Lab)
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T5. The Health Secretary declared at the weekend that the Government will miss their target to cut NHS waiting times if doctors strike to defend their pay and conditions, but she seems to forget that since the Tories took power in 2010, waiting lists for hospital treatments are up, A&E waiting times are up, cancer referral times are up and ambulance response times are up. The only thing that has fallen is not waiting times; it is public confidence in the Government. Will the Minister finally admit that the threat to waiting time targets is not striking doctors, but her party being in government?

Victoria Atkins Portrait Victoria Atkins
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I assume from the hon. Gentleman’s question that he fully supports our efforts to get consultants back into hospitals as well as junior doctors and doctors in training. It is all very well to sit there commenting, but we on the Government side of the House are working with doctors to try to help them look after the NHS for us all.

Selaine Saxby Portrait Selaine Saxby (North Devon) (Con)
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While I recognise that money does not grow on trees, neither do teeth. Can my right hon. Friend advise me of how quickly my North Devon constituents will be able to see the NHS dentists they so desperately need?

Patricia Gibson Portrait Patricia Gibson (North Ayrshire and Arran) (SNP)
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T7. Last week, the former Health Secretary admitted at the covid inquiry that sick pay across the UK is “far too low”. It is far lower than the European average and encourages people to go to work when they should be getting better. Does the Secretary of State agree with her predecessor? What discussions will she have with her Cabinet colleagues to improve the inadequate sick pay system?

Victoria Atkins Portrait Victoria Atkins
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I will not comment on evidence from the covid inquiry, given that it is an independent inquiry. However, on the general principle of encouraging people back into work, we have the plans set out by the Secretary of State for Work and Pensions and the Chancellor at the autumn statement. We want to encourage people back into work and to support them when they fall ill and need help from the state.

Anna Firth Portrait Anna Firth (Southend West) (Con)
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Last year, I asked the Government to show me the money with respect to £118 million of long-awaited capital funding for south Essex hospitals. With £8 million now delivered and the other £110 million now confirmed to be on its way, will the Secretary of State please come with me to Southend Hospital and see how that vital money will transform care in Southend and Leigh-on-Sea?

Victoria Atkins Portrait Victoria Atkins
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I will be delighted to visit that hospital with my hon. Friend—I suspect that I will be visiting a lot of hospitals.

Paul Blomfield Portrait Paul Blomfield (Sheffield Central) (Lab)
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T8. Was the Secretary of State consulted about yesterday’s announcement by the Home Secretary? If she was, did she agree with him that it will have no impact on overseas recruitment, or does she hear the fear of care providers about its consequences?

Victoria Atkins Portrait Victoria Atkins
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Yes, I was. What is more, we looked carefully at the figures in relation to overseas care workers. We are grateful to all international people who work in our NHS and our care system, but we need to tackle the migration rate, which is too high. The package presented yesterday by the Government is a thoughtful and careful one to tackle legal migration.

Siobhan Baillie Portrait Siobhan Baillie (Stroud) (Con)
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Stroud Maternity Hospital is doing a great job, but the post-natal beds are still not open. We have been chasing a ministerial meeting about that for some time. Will my hon. Friend meet me and the Gloucestershire NHS scrutiny chair, Andrew Gravells, to discuss the issue? We think that we need some help with the Care Quality Commission.

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James Sunderland Portrait James Sunderland (Bracknell) (Con)
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Would the Health Secretary please agree to meet me to discuss improved access to GPs and dentists in Bracknell Forest and Wokingham boroughs?

Victoria Atkins Portrait Victoria Atkins
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I will; it would be a pleasure.

Pete Wishart Portrait Pete Wishart (Perth and North Perthshire) (SNP)
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My constituent Air Marshal Dr David Walker, an inspirational leader and academic, sadly died of glioblastoma in June. When diagnosed, he and his wife Catherine were shocked to learn of the woefully low funding for brain and other less survivable cancers and established the charity the Right to Hope with Cancer. Will the Minister show the courage and leadership so epitomised by the life of Air Marshal Walker, and properly resource and fund less survivable cancers, so that everyone living with cancer has some sort of hope?

Public Health: Opt-out HIV Testing

Victoria Atkins Excerpts
Wednesday 29th November 2023

(5 months, 1 week ago)

Written Statements
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Victoria Atkins Portrait The Secretary of State for Health and Social Care (Victoria Atkins)
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The Government remain committed to ending new HIV transmissions within England by 2030. In order to do this successfully, we must identify and treat more of those who are unknowingly living with HIV.

As part of our HIV action plan, NHS England is currently operating a bloodborne virus emergency department opt-out testing programme for HIV and for hepatitis B and C for 34 emergency departments across London, Manchester, Salford, Brighton and Blackpool, focusing on areas with extremely high HIV prevalence (five or more HIV cases per 1,000 residents aged 15 to 59), in line with National Institute for Health and Care Excellence HIV testing guidance.

This means that anyone aged 16 years and over attending an emergency department in these areas and having a routine blood test will automatically be tested for HIV and for hepatitis B and C, unless they opt-out. Accessible public-facing information about testing, its benefits and how they can opt out allows individuals to make informed choices.

Through their recently published evaluation report, the data from NHS England and the UK Health Security Agency (UKHSA) indicate that the existing opt-out testing programme has been highly successful in areas of extremely high HIV prevalence, helping identify over 2,000 cases of bloodborne viruses, including 550 cases of people living with undiagnosed or untreated HIV.

After careful consideration of the available evidence, I am pleased to announce that the Government are committing to new research, commissioned through the National Institute for Health and Care Research, to evaluate the expansion of HIV opt-out testing to a further 46 emergency departments, in areas across England where there is high HIV prevalence (two or more HIV cases per 1,000 residents). Funding will support 12 months of testing for each emergency department, to begin during the next financial year.

We anticipate that this will be an effective way to reach a substantial proportion of the estimated 4,500 people England who are living with HIV but unaware of their status.

We will continue to keep Parliament updated on our progress to meet our 2030 ambitions as set out in our HIV action plan. We also want to thank our partners across the NHS, in NHS England, UKHSA, local government, and the community and voluntary sector, for their work towards ending HIV transmission in England.

[HCWS79]

NHS Consultants: Pay Offer

Victoria Atkins Excerpts
Tuesday 28th November 2023

(5 months, 2 weeks ago)

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Victoria Atkins Portrait The Secretary of State for Health and Social Care (Victoria Atkins)
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After several weeks of constructive negotiation with the British Medical Association and Hospital Consultants and Specialists Association committees, I am pleased to inform the House that, on 27 November, I made a formal offer to both unions, which includes a package of reforms to be applied from January 2024. If accepted by their members, this would end damaging strike action, benefit patients and deliver for consultants by reforming outdated aspects of their contracts.

The Government’s position is that the headline pay uplift for 2023-24 was settled through the pay review body process. This offer builds on that and focuses on reform. All parties strived to find a fair deal for NHS consultants that acknowledges the wider economic pressures facing the UK and the need to continue to bring down inflation. We have heard the concerns consultants have raised about outdated pay scales that have poor equalities outcomes. This offer would invest in modernising the consultant pay scale to reduce the number of pay points and the time it takes to reach the top.

As part of this reform, we would also be introducing more consistent performance gateways so that there is a clearer link between pay progression and evidence of skills, competencies and experience. This would make it faster for consultants to progress and help mitigate the gender pay gap, which was expressly highlighted in the independent review into gender pay gaps in medicine in England. To enable these reforms, unions have agreed to end local clinical excellence awards—an employer-level bonus scheme that has been seen to contribute to pay inequalities.

In addition, the Government will work with the unions to review the operation of the Review Body on Doctors’ and Dentists’ Remuneration. This work will extend to looking at the process for the appointment of members to the DDRB, the timing of the round, the data provided to the DDRB, and changes to remit letters and the panel’s terms of reference.

The Government have listened carefully to the concerns of consultants, their representatives and employers, particularly around retention, motivation and morale. This offer has been carefully balanced to meet those concerns while also ensuring value for the taxpayer. Together, this represents the biggest transformation in the consultant contract in 20 years. This offer, should it be accepted, will improve the working lives of consultants while ending damaging strike action that has had a detrimental impact on patients and the NHS.

The BMA and HCSA will put this offer to their members for a vote in the coming weeks. No further industrial action will be called while this happens.

[HCWS75]

NHS Federated Data Platform: Contract Award

Victoria Atkins Excerpts
Tuesday 21st November 2023

(5 months, 3 weeks ago)

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Victoria Atkins Portrait The Secretary of State for Health and Social Care (Victoria Atkins)
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Today, NHS England announced that, following an open and competitive procurement, it has awarded a group led by Palantir Technologies UK, with support from Accenture, PwC, NECS and Carnall Farrar, the contract to provide the new NHS Federated Data Platform (FDP).

The NHS manages data in different systems that do not connect effectively or efficiently. Every day, clinicians and other hospital staff spend time on the phone and in meetings, trying to join this information up themselves—to manage their theatre lists, waiting lists and information on patients ready to be discharged. This time could be better spent caring for patients.

The FDP is software that will sit across NHS trusts and integrated care systems (ICSs), allowing them to connect data they already hold, such as health records, waiting lists, and theatre and staff rosters, in a safe and secure environment, to better manage patient care. The FDP will support key priorities of the NHS, including recovery of elective care and the improvement of discharge processes to get medically fit patients treated and home quicker.

The safety and security of patient data is front and centre of this new system. As happens currently, there will be clear rules and auditability covering who can access this data, what they can see, and what they can do. Only authorised users will be granted access to data for approved purposes—for example, NHS staff and those supporting them, such as administrators, bed managers or care co-ordinators, and staff in social care supporting the move from hospital care. The provider of the software will not hold or have access to NHS data for any purpose, other than as directed by the NHS; they will not control the data in the platform, nor will they be permitted to access, use or share it for their own purposes. The contract makes strict stipulations about confidentiality. No new data will be collected, and GP data will not be part of the national platform.

In addition, NHS England has awarded a contract to a separate provider, IQVIA, for privacy enhancing technology, as an additional safeguard to enhance the security of data used in the FDP. The FDP will not go live at trusts or ICSs until this privacy enhancing technology is in place.

Across England, 26 trusts have been piloting what the FDP will provide. Clinicians have described the results as “game-changing”. It has helped them to better organise their clinics and waiting lists by integrating and consolidating data from different hospital systems or by creating a single list of information used by everyone working in health and care on discharge of patients from hospital. Patients in these vanguard trusts have seen falls in waiting times, discharge delays reduce, and diagnoses speed up. Theatre utilisation has increased by more than 6%, meaning an average of 120 additional patients per month are being treated at each trust. A new discharge tool has allowed one trust to reduce unnecessary days in hospital for long-stayers by 36% and halve the number of patients occupying a hospital bed for 21 days or more, compared with the England average.

It is these real benefits that an FDP will bring for patients and clinicians that have seen the chief executives of all 42 integrated care boards sign up to an open statement of support for the procurement.

Every hospital and integrated care board will have its own version of the platform which can connect and collaborate with other data platforms as a “federation”. In the first contract year, investment is expected to be at least £25.6 million and over the total contractual period of seven years, there will be up to £330 million investment in the Federated Data Platform and associated services. Learning about how to make the roll-out to trusts as efficient as possible will be built in overtime to reduce costs.

Additional funding has been set aside for other organisations to bid in separate, future procurements to build new products on to the platform that are interoperable and provide the opportunity for the NHS to benefit from new innovations from a range of suppliers. This makes it easier for health and care organisations to work together, compare data, analyse it at different geographic, demographic and organisational levels, and share and spread new effective digital solutions.

The contract will not only benefit users of the NHS; it will see investment in the UK-based data industry: the contract includes the creation by the supplier of a hub in the north-west. Data will not leave the UK.

Contract award for the FDP is the first stage of the process. An advisory group made up of expert health and care stakeholders, as well as patients and regional system representatives, will help to shape how the FDP is implemented. NHS England has already carried out engagement on the FDP requirements, including with patient and professional representative bodies. Ongoing public engagement is planned throughout the period of the contract, including as part of a recently announced circa £2 million national programme of engagement on the use of health data.

Further information on the FDP can be found on NHS England’s webpages at:

https://www.england.nhs.uk/digitaltechnology/digitising-connecting-and-transforming-health-and-care/fdp-faqs.

[HCWS57]

Voluntary Scheme for Branded Medicines Pricing, Access and Growth

Victoria Atkins Excerpts
Monday 20th November 2023

(5 months, 3 weeks ago)

Written Statements
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Victoria Atkins Portrait The Secretary of State for Health and Social Care (Victoria Atkins)
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I am pleased to inform Parliament that agreement has been reached on a Heads of Agreement for the 2024 Voluntary Scheme for Branded Medicines Pricing, Access, and Growth (VPAG). This is an agreement between the Department of Health and Social Care—representing the UK Government, the Governments of Scotland and Wales and the Northern Ireland Department of Health—NHS England and the pharmaceutical industry, represented by the Association of the British Pharmaceutical Industry (ABPI).

This is an important milestone in the agreement of a new scheme. Once the Heads of Agreement has been formalised in a full scheme document, the 2024 VPAG will operate for five years starting from 1 January 2024, when the current scheme ends.

The 2024 VPAG stands to deliver savings to the NHS across the next five years, rapid patient access to new clinically and cost-effective medicines, and a sustainable approach to medicines provision.

The proposals also demonstrate the Government’s commitment to supporting a strong UK life sciences industry to drive economic growth, including through the establishment of a £400 million fund to support investment in the UK life sciences ecosystem, including improved clinical trial capacity.

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