NHS Dentistry

Debate between Wera Hobhouse and Victoria Atkins

Tuesday 9th January 2024 Commons Chamber

[Victoria Atkins]

I am extremely grateful to my hon. Friend. His intervention shows the level of detail that colleagues on the Conservative Benches have gone into in trying to address the understandable concerns that local NHS providers are voicing. I will look into that. I am very keen on my three words: faster, simpler, fairer. I want to make it as simple as possible for dentists to rejoin and join the NHS. I will say more on that later.

The choice of whether patients are offered NHS exams and treatment lies with the dentists, who are independent contractors to the NHS. As well as making simple, common-sense changes, in July 2022 we announced a package of far-reaching reforms to make NHS work more attractive to dentists. We have created more bands for units of dental activity, so that dentists are properly rewarded for taking on more complex care, and the best-performing practices can see more NHS patients.

Previously, regardless of the amount of time the dentist took on each patient, they received the same payment for every individual treatment package in band 2, which covers fillings and tooth extraction. Perversely, that meant they received the same payment for doing one filling as for three. That left many dentists unable to afford to take on patients who had not seen a dentist for some time and therefore needed extensive treatment. That needed to be put right for the sake of both patients and dentists. Thanks to our reforms, dentists now receive five units of dental activity when they treat three or more teeth, which is a significant increase from the old maximum of three. Root canal treatment on molar teeth is now rewarded with seven units of dental activity, as opposed to three, meeting one of the British Dental Association’s key demands.

We also recognise the barriers that too many communities have faced when accessing NHS dentistry, with people left phoning around practices to see who was taking on NHS patients. That is why we have made it a contractual requirement for dentists to update the NHS website regularly, making it clear whether their practices are taking on new patients, as well as explaining the services that they offer, thus making it easier for patients to find a dentist that can deliver the care they need. These reforms have improved access to dentistry and ensured that the system better supports dentists and their teams, so they were well received by dentists, their representatives and patient groups across England, with Healthwatch’s national director recognising that these reforms show that the Government are listening to patients and taking action, and these reforms can help ensure that dental care is accessible and affordable to everyone who needs it.

[Wera Hobhouse]

I am pleased to hear about some of the reforms that we have raised in this Chamber many times, particularly on changing the dental contracts and units of dental activity, but may I raise another point? In official workplace data, dentists who do just one NHS check-up a year are counted the same as an NHS full-timer. Does the Secretary of State recognise that that is a problem, because that workplace data hides the scale of the problem?

[Victoria Atkins]

I am extremely grateful to the hon. Lady, who makes a fair point about measuring within the system how much work NHS dentists are doing. As I say, we are looking at all of this in the work that we are doing on the dentistry recovery plan. I repeat that I want to make it as simple as possible for dentists to register with the NHS, to continue offering the care that we all want them to, so I am grateful to the hon. Lady for her intervention.

Tackling Violence Against Women and Girls

Debate between Wera Hobhouse and Victoria Atkins

Wednesday 2nd March 2022 Commons Chamber

[Victoria Atkins]

If I may, I will develop that point in my speech. As the right hon. Lady knows, an enormous amount of work is going on, particularly in the rape review, and I want to take the House through it in detail. She is absolutely right that there is action now, this day, to tackle these crimes and behaviours, but we must acknowledge—as, in fairness, colleagues across the House have acknowledged throughout our domestic abuse debates and so on—that there are real, fundamental problems that we have to tackle at a societal level so that women and girls know we agree that this behaviour is not their fault, is not their responsibility and must be tackled.

[Wera Hobhouse (Bath) (LD)]

We talk about wider societal change and bringing young people up with proper relationship training. I was a secondary school teacher; that sort of relationship training is done at the end of the day by maths teachers or foreign language teachers. Does the Minister believe that we need professionals to lead it? We cannot leave it to schools to pick up the pieces any more.

[Victoria Atkins]

May I say that there has been progress since the hon. Lady has been in her place? I very much hope that she welcomes the progress that we have made. Importantly, there is now a statutory requirement and, what is more, there is specific training to help to roll it out. We take her point that it has to be done in a way that is appropriate and sensitive but also effective, so we get the messages through to children at the right stage and the right time in their lives.

There is one way in which every single person in this Chamber can help and do something today. When hon. Members leave the Chamber, will they please share the “Enough” campaign across their many social media networks? Not only are we bombarding social media, but over the weeks to come we will have adverts cropping up across our towns and cities on buses, billboards, television and so on. This is how, individually, we can make a real difference today.

Racist Abuse on Social Media

Debate between Wera Hobhouse and Victoria Atkins

Wednesday 14th July 2021 Commons Chamber

[Victoria Atkins]

Very much so. My challenge to these tech companies is, “Look: you have some of the brightest brains in the world. You recruit from the top universities. You pay—I imagine—handsomely. Use those brilliant brains to do some good and to stop this abuse on your platforms.”

[Wera Hobhouse (Bath) (LD)]

The whole England team have been remarkable in opposing racism and championing justice and equality for all. Sadly, they have not had the full support of this Government. It is up to all of us with a public platform, including the Home Secretary, to personally confront racism in all its forms and give our full support to those who are working against it. The Home Secretary is not here today, so I cannot ask her personally, but will the Minister add her support to the petition to ban racists for life from all football matches in England, which now has more than 1 million signatories?

[Victoria Atkins]

I do not know whether the hon. Lady was in the Chamber at the beginning of this urgent question when I explained that the Home Secretary is hosting a meeting—a long-standing meeting—with charities that work with survivors of violence against women and girls. I hope that the House will understand.

On the hon. Lady’s general allegations, I am minded to point out that the Home Secretary herself receives extraordinary levels of online hatred. Some of the things that she—and, in fairness, others across this House—have to deal with are eye-watering. I urge hon. Members to join together with us in tackling this racism.

On the petition, the hon. Lady may have missed the Prime Minister’s answer at Prime Minister’s questions. We are going even better than the petition, because we are looking urgently at football banning orders to ensure that people who express these racist views are stopped from going to our matches entirely.

Domestic Abuse and Hidden Harms during Lockdown

Debate between Wera Hobhouse and Victoria Atkins

Thursday 14th January 2021 Commons Chamber

[Victoria Atkins]

I thank my hon. Friend for raising that really important point. The Joint Committee on Vaccination and Immunisation, which is advising the Government on the ways in which the vaccination programme should be rolled out, has focused on the highest clinical need priority groups, which include residents in care homes and healthcare workers. Once that phase is completed—we hope and expect by mid-February—we will look at the next roll-out phase.

My hon. Friend will know that there are many categories of profession, including those who work in refuge charities but also police officers, teachers and others, where great arguments will be made as to their exposure to the public and the risk of infection. I very much take her urging on board, and we will, I am sure, in due course consider her points and others in this regard.

[Wera Hobhouse (Bath) (LD) [V]]

As the chair of the all-party parliamentary group for the prevention of adverse childhood experiences, I am incredibly worried about the long-term consequences of covid and the increase in domestic abuse for a large number of children. There will be no short-term fixes. Will the Minister work with the APPG to embed widespread trauma-informed services across the country?

[Victoria Atkins]

Yes, I most certainly will. Again, I refer to the contribution made by my right hon. Friend the Member for South Northamptonshire (Andrea Leadsom), who is already preparing work on the effects of adverse experiences in the early years of a child’s life. Our understanding is improving as to, for example, the effect that living in an abusive household can have on a child’s life chances.

In my work on tackling serious violence, we are very clear about the theme of violence in the home being very common for those who commit violence outside the home. There are many reasons why this work is invaluable, and I look forward to working with the hon. Lady and the APPG on this.

Domestic Abuse

Debate between Wera Hobhouse and Victoria Atkins

Tuesday 16th July 2019 Commons Chamber

[Victoria Atkins]

I thank my hon. Friend for his question. He brings his expertise as a criminal practitioner into this Chamber. I know that he has great experience of making those applications for special measures where it is painfully obvious to everyone concerned that, of course, special measures should be granted. I am extremely grateful to the Under-Secretary of State for Justice, my hon. Friend the Member for Charnwood (Edward Argar), for pressing very hard on this, and, yes, that is the expectation. We want victims of domestic abuse to be able to give their best evidence in court, and if that means through a video link or whatever, then that is what we must do.

[Wera Hobhouse (Bath) (LD)]

The Liberal Democrats also warmly welcome this Bill. I thank the Minister for her statement. May I reinforce the call on the Government to urgently ratify the Istanbul convention, because any delay means a delay for victims of rape getting support? I would like to mention children who witness domestic violence. I welcome the fact that the Government recognise that witnessing domestic violence is a trauma and an adverse childhood experience. Will she clarify whether the Government went along with the recommendation of the statutory definition of children as victims who witness domestic abuse? If so, what does that mean for children in the future?

[Victoria Atkins]

I thank the hon. Lady and make the point that this Bill is critical to our being able to ratify the Istanbul convention. I very much hope that colleagues across the House will have that in mind as well as many other factors when it comes to the progress of this Bill. She mentions children. This has been one of the thorniest issues that we in the Home Office and the Ministry of Justice have grappled with, because we have wanted to reflect the impact that domestic abuse has on children living in an abusive household. We have also been mindful of the fact that the age of 16 is a significant time when it comes to how children are treated in law and the welfare of children. Traditionally, offences committed against children below the age of 16 are seen in terms of child abuse, and above 16, we move into the parameters of adulthood. We have very much taken advice from the consultation. Most responses suggested that we stick at the age of 16 with the statutory definition, so it has been a balancing act. I am grateful to the Joint Committee because it has reiterated the need for children to be at the heart of our response. The impact of having children in the statutory guidance will be very significant when it comes to the commissioning of local services, and that will make such a difference to children’s day-to-day lives.

Violent Crime

Debate between Wera Hobhouse and Victoria Atkins

Monday 17th June 2019 Commons Chamber

[Victoria Atkins]

I thank the hon. Lady for her question. I know that constituency colleagues—constituency MPs—will be at the forefront of having to deal with the effects not just of the immediate family of those affected, but of the wider community. I do understand that. It is why I always say that the most important part of my role is meeting the families of victims. It seems to me that every time we meet across the House and every time we meet the victims, we learn more about the complexity of the causes and what we can do to help. I personally have benefited from the meetings that I have had in informing our work.

Resourcing is an issue that Opposition Members raise continuously, and I understand why, but we cannot escape the fact that the key driver of serious violence is the drugs market, and it is the serious organised crime gangs that are driving this. That is why our national efforts through the National Crime Agency are so critical.

The hon. Lady will also welcome the fact that the Mayor of London has set up the serious violence taskforce with the 300 dedicated officers who will go to hotspot areas. If there are issues with operational matters on the ground, I please ask her to raise them with him, because just as I benefit from hearing from colleagues across the House, I am sure that he too benefits from hearing from constituency MPs.

[Wera Hobhouse (Bath) (LD)]

Here we are again after a weekend of shocking violence. My heart goes out to the families, friends and communities affected by these tragedies. Clearly, we must do better. What has clearly echoed across the Chamber is that this is about prevention. In her statement, the Minister mentioned the public health approach. Does she agree that we need a lot more training for the trauma-informed intervention in education, in healthcare, in prisons, in the police and in youth services?

[Victoria Atkins]

I think that that is right. Let me give an example of some of the actions that have not been mentioned today already. We are acting ahead of the response to the public health consultation with a rolling programme of engagement events for all relevant agencies and bodies, the police and so on across the country to help them understand how they can share data better. The hon. Member for Ealing North (Stephen Pound) mentioned speaking to an A&E consultant. Sharing that data on an anonymised basis can help the police to target streets, areas and wards that may have a particular problem or be a hotspot. We are very much acting on the basis of spreading advice and best practice across the country, before looking at what further steps we need to take regarding the public health duty that we have consulted on.

Knife Crime

Debate between Wera Hobhouse and Victoria Atkins

Thursday 7th March 2019 Commons Chamber

[Victoria Atkins]

We expect to publish the Timpson report shortly. There are lessons to be learned on youth engagement. When I talk to youth workers and former gang members, I find it is about listening to people with lived experience; it is about former gang leaders and former gang members explaining to young people who may be at risk or already ensnared in criminal gangs, listening to them and advising them about their life chances. That has huge benefit.

Yet again, I ask role models in the sporting world and the music world to help us to send out the message that carrying a knife is not right.

[Wera Hobhouse (Bath) (LD)]

The Home Secretary has tried to use the threat of prison to stop young people carrying knives, and it clearly has not worked. I passionately disagree with the right hon. Member for South Holland and The Deepings (Sir John Hayes): short-term prison sentences do not work, and I include six-month sentences in that. Why are the Government creating more mandatory short-term prison sentences in the Offensive Weapons Bill, including for breaches of the new knife crime prevention orders?

[Victoria Atkins]

I am grateful to the hon. Lady for raising knife crime prevention orders, because it gives me an opportunity to explain what they are. Some of her colleagues in the other place may have misunderstood, because this is not about criminalising young people. We have put these prevention orders in the Bill at the request of the police to help to provide wraparound support to a small cohort of young people who have not yet been convicted of a criminal offence, and who have not yet entered the youth justice system.

Where the police receive intelligence from teachers, families or friends that they think a young person is carrying a knife, and where one of these civil—not criminal—orders is obtained, we will have the structure to wrap services and support around that young person. That might include, if appropriate, banning them from entering a certain postcode—the hon. Lady will know of the sometimes competitive nature of postcode gangs—or from using social media to incite violence. All these requirements can be included in an order to make sure that that child does not continue down the path of criminality, blighting not only their life with the harm they may cause but their life chances by having a criminal record.

Oral Answers to Questions

Debate between Wera Hobhouse and Victoria Atkins

Thursday 13th September 2018 Commons Chamber

[Victoria Atkins]

I am grateful to my right hon. Friend for her question, and, obviously, for her work on this issue.

I asked for the written ministerial statement to be issued in advance so that Members would have an opportunity to question me about it today. Having looked at the evidence, we have discovered that 363 hospitals and clinics in the country offer abortion services, and that in 36 of those locations there have been demonstrations, or protests—however people wish to phrase it. On the basis of that evidence, we have concluded for the moment that we should continue the current scheme of enabling councils to apply for public space protection orders which target their localities, but we will of course keep this matter very much under review, because we want to ensure that people who need to access such services can do so safely.

[Wera Hobhouse (Bath) (LD)]

T2. LGBT youths are significantly over-represented among young people facing homelessness. Will the Government support a shift to mandatory monitoring of gender and sexual orientation by publicly commissioned homelessness services?

Hate Crime

Debate between Wera Hobhouse and Victoria Atkins

Monday 12th March 2018 Commons Chamber

[Victoria Atkins]

The hon. Lady has hit on a very important point. We must all do what we can to encourage victims of hate crime—whether it is to do with race, religion, disability or gender identity—to report it. Under-reporting is a real issue and I hope that the work of organisations such as Tell MAMA will help people find the wherewithal to report such incidents to the police so that they can be dealt with.

[Wera Hobhouse (Bath) (LD)]

I welcome the fact that we are all united in condemning this despicable attempt to divide our communities. Since 2016, national rhetoric and language have led to a big increase in hate crime. Will the Government lead by example and encourage everybody to tone down their national language and rhetoric?

[Victoria Atkins]

Yes.

Oral Answers to Questions

Debate between Wera Hobhouse and Victoria Atkins

Thursday 22nd February 2018 Commons Chamber

[Wera Hobhouse (Bath) (LD)]

T6. Will the Minister consider criminalising upskirting to end that degrading and humiliating practice?

[Victoria Atkins]

Upskirting is a modern phenomenon, and it is fair to say that the law has not quite kept up with modern habits. It is an issue of which I am aware, not least because my police and crime commissioner campaigns on it thoroughly. The Government are considering the issue, and perhaps in due course I could meet the hon. Lady to discuss it with her.