Oral Answers to Questions Debate
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(1 day, 7 hours ago)
Commons Chamber
Torcuil Crichton (Na h-Eileanan an Iar) (Lab)
Mr Speaker, on behalf of the Government and Labour Members, may I associate myself with your remarks? Members from right across this House will share those sentiments. As the Prime Minister made clear at Cabinet this morning, and as the Foreign Secretary is making clear in Kyiv, we will stand with Ukraine, whatever is thrown at it, until it has the freedom and security that it deserves.
This Government are restoring the founding promise of the national health service: to bring quality healthcare to all, regardless of how much they earn or where they live. New funding for GPs is being prioritised for areas where the need is greatest, and we are sending more cancer specialists to rural hospitals. As we modernise the health service, the NHS app and NHS Online will bring world-class healthcare to the most remote corners of our country at the touch of a button—lots done, and lots more to do.
Torcuil Crichton
In places like Na h-Eileanan an Iar, going the extra mile to provide care is part of the job, and I pay tribute to the carers in my constituency who travel miles in darkness and bad weather to deliver support for the elderly. In some parts of the Western Isles, and indeed across rural Scotland, there simply is not the working-age population to provide that care, and immigration cannot solve that problem entirely. Does the Minister agree that it is only by increasing wages and paying social care staff properly—something for which Scottish Labour has been calling for some time—that we will increase the number of carers in rural areas, and provide a proper care service?
I wholeheartedly agree with my hon. Friend. This Labour Government are introducing the first ever fair pay agreement for care workers. That is better pay and conditions for care workers, and more people recruited into the profession. It is backed by £500 million, and Scotland will receive extra funding through the Barnett formula. The question for the SNP is: where is the money going, and why is it not going into the pockets of Scottish care workers, as Jackie Baillie has demanded?
On Friday, I visited Young Devon, an early support centre in the heart of rural North Devon, where I met young people who told me heartbreaking stories of how they felt left out and let down by the system. Young Devon was quite literally a lifeline for them. It has an open-door, person-centred approach. I am delighted that its funding has been continued for one more year, but it is only one year, and those who run the centre told me that this makes it incredibly difficult for them to plan. Can the Secretary of State clarify what the longer-term plan is for these early support hubs, how they sit alongside Young Futures hubs, and how he can help organisations like Young Devon thrive into the future?
I join the Chair of the Health and Social Care Committee in paying tribute to Young Devon and the work it is doing. As she will know, I have enormous sympathy for the challenge she raises about medium-term certainty on funding. As was demonstrated on the Floor of the House yesterday by the Education Secretary, my Department and the Department for Education are working closely together to make sure we are better joining up education, health provision and support for young people. There is more to do. I accept the challenge that she sets down around medium-term certainty on funding; that is why we are doing more through, for example, the medium-term planning framework. I accept, in the spirit of this exchange, that there is lots done, but lots more to do.
Last year in Shropshire, which is a fairly typical rural area, 158,000 patients waited more than a month for a GP appointment. That is not surprising, given that, like many other rural areas, we have 50 fewer qualified GPs than we did a decade ago. Meanwhile, already busy GPs are trying to develop integrated neighbourhood teams, but they report that they have not received any dedicated Government funding, and still do not have the model neighbourhood framework. Will the Secretary of State act to ensure that GPs have the resources and guidance that they need to develop those neighbourhood health teams, and ensure that everyone can access an appointment within seven days, or 24 hours if it is urgent, particularly in rural areas, where provision is poor?
We have 2,000 more GPs now than when Labour came into office, but the hon. Lady is right to say that we need to ensure that that provision and increased capacity are reflected throughout the country. Because general practices serving more deprived areas receive 10% less funding per needs-adjusted patient than those in wealthier parts of the country, we are reviewing and reforming the Carr-Hill formula to ensure that we can direct the right funding to the areas in greatest need, recognising that amid our rural communities, there is obviously not just plenty of affluence, but enormous pockets of disadvantage and deprivation. Whoever people are and whatever their background, the support and care that they need must be received in the right place and at the right time.
Douglas McAllister (West Dunbartonshire) (Lab)
Cancer is the canary in the coalmine for the NHS. For far too many cancer patients, under the Tories, the NHS was not there when they needed it. Under Labour, an extra 213,000 patients have been diagnosed, or have received the all-clear on time. Much has been done, but there is much more to do. I pay tribute to the leadership of the Minister for primary care and prevention, my hon. Friend the Member for West Lancashire (Ashley Dalton), and to her national cancer plan. She has poured her heart and soul into that plan, all while living with and being treated for cancer. We are investing an extra £2.3 billion in diagnostic capacity to deliver 9.5 million more tests by the end of this Parliament. Catching cancer earlier, treating it faster and preventing it is how we will save more lives.
Douglas McAllister
I welcome the focus of the national cancer plan on diagnosing cancer faster. That is needed across all cancers, but particularly for leukaemia. Research by Leukaemia UK has found that one in four patients face an avoidable delay in their diagnosis, and that 37% of patients are diagnosed in an emergency setting. How will the implementation of the plan address delays in leukaemia diagnosis, and what steps will the Department take to reduce the proportion of patients who are diagnosed through an emergency route?
My hon. Friend is right that leukaemia patients are disproportionately diagnosed too late. We are working with GPs to ensure that they are better prepared to spot symptoms or concerning blood test results, so that we can cut out avoidable delays. The real difference, however, will come with the introduction of genomic testing at birth. That will allow the NHS to leapfrog rare cancers such as leukaemia, so that they can be caught early, or even prevented. Lots done, certainly lots more to do.
When I met Big C in King’s Lynn recently, I heard about the anxiety caused; only 52% of local patients are treated within two months, whereas the national average is 71.9%. What action is the Department taking to support the Queen Elizabeth hospital trust in improving its performance for patients?
The hon. Gentleman is absolutely right; this is about not just diagnosis but faster access to treatment. We are meeting the faster diagnosis standard; performance was at 77.4% in December 2025, and we aim to improve that to 80% by the end of March this year. We have to go a lot further, a lot faster, on the commencement of treatment. Although I will be forthcoming about, and proud of, the progress that we are making and the targets that we are hitting, where we fall short—we are still falling far too short, when it comes to access to cancer treatment—we will acknowledge that, address it and make sure that we make more progress, more quickly.
Calum Miller (Bicester and Woodstock) (LD)
The Prime Minister has made tackling violence against women and girls a priority across the Government and every public service must play its part. In the NHS, we will be supporting GPs to identify, support and refer victims and survivors to specialist services. That will include a specialist support worker for every GP practice to draw on and training GPs to spot the signs of domestic abuse and sexual violence. As part of the Government’s VAWG strategy, the Department will provide an additional £5 million for victim support services and up to £50 million to roll out specialist services for child sexual abuse victims.
Calum Miller
I recently had the opportunity to visit the dedicated staff at Survivor Space, a centre for victims of sexual violence in Oxford that serves my constituents. I was shocked to learn that victims and survivors of sexual violence may wait up to two years for a counselling session. I was further appalled to learn that at least one survivor had been advised that they could not access NHS mental health services until they had first had counselling from Survivor Space. Does the Secretary of State agree that no survivor should have to wait two years for treatment, and would he or one of his Ministers meet me and representatives of Survivor Space to discuss how to get dedicated healthcare funding to the frontline in order to support such services?
I wholeheartedly agree with the hon. Member. The voluntary and community sector provides, and should continue to provide, support for victims. The voluntary sector does a brilliant job, in an environment that often feels safer and more inclusive, and we should welcome that. However, the existence of voluntary sector provision does not excuse the NHS from performing its duties. One change that I have led in the leadership culture of my Department is the recognition that investment in services for victims and survivors is a responsibility of the NHS and the DHSC, not of the Home Office, Ministry of Justice or others. We must take responsibility for meeting the needs of everyone. There is of course more to do on waiting times. I would be delighted to ensure that the hon. Gentleman gets the meeting that he asks for.
Dr Beccy Cooper (Worthing West) (Lab)
Harriet Cross (Gordon and Buchan) (Con)
Today we are publishing a new GP contract. Backed by new funding, it will recruit more GPs and cut waiting times for appointments. The changes and modernisation will diagnose thousands more cases of lung cancer, protect children by boosting vaccination rates, and provide more people with weight-loss jabs on the NHS. That follows an extra £1.1 billion that we have invested in general practice this year, and builds on the 2,000 more GPs that we have recruited since the general election. After 14 years of decline, the Government are fixing the front door to the NHS, bringing back the family doctor, and ending the 8am scramble. Lots done, lots more to do.
Harriet Cross
Inverurie medical practice in my constituency saw its national insurance bill rise by £75,000 thanks to this Government. That has put huge pressure on the practice, which was already operating with one GP for 3,000 patients, which is three times higher than the British Medical Association recommends. When did the Secretary of State last meet the Chancellor to discuss the impact of the NICs rise on GP practices, and what are he and his Department doing about the pressure—
I see the Chancellor most weeks. That is why record investment is going into our NHS, which is improving patient satisfaction with access to general practice, cutting waiting lists, and improving ambulance response times—all to fix the mess that the Conservatives left behind. And people should be in no doubt: given the chance, they would do it again. They opposed the investment, they opposed the reform, and they can never be trusted with our NHS.
Alex Ballinger (Halesowen) (Lab)
In the plan for change, the Government committed to meet the 18-week standard for routine operations, but the latest data suggests that the Government are not on track to meet that commitment by the end of the Parliament. In December, fewer people were treated within 18 weeks than in the previous month. Will the Secretary of State now accept the reality that patients are experiencing and, as the Institute for Fiscal Studies has warned, that the Government will not deliver their commitment on their key milestone to deliver the 18-week standard?
I will never surrender to the tyranny of the low expectations of the Conservative party. We have cut waiting lists by 330,000 since we came to office; they are now at their lowest level in three years. We made progress despite strikes, we made progress despite winter pressures, and we have made progress despite every bit of investment and modernisation being opposed by the Conservatives. Instead of criticising our record, the shadow Secretary of State should apologise for his.
Another leadership ambition, I see.
On 29 September, I wrote to the Secretary of State regarding the late Dr Susan Michaelis’s campaign for better research into lobular breast cancer, but sadly I still have not had a reply. She established the Lobular Moon Shot Project and the last Government committed to support its aims. However, despite meeting the Secretary of State, representatives from the project say that they still have no clarity on how the project and research will be expedited. Will the Secretary of State confirm now Government approval for the funding required for this research, which is critical for so many women in this country?
I apologise to the shadow Secretary of State for not having replied to his letter—let me make sure that I do that. There is no disagreement across the House on the substance of the issue. I am absolutely supportive of the project and I want to fund the research, but we have to make sure that the research proposal meets the standards and has the confidence of our funders. We are working with the team to try to get the proposal over the line, but that is the only obstacle here—it is certainly not a political decision.
Euan Stainbank (Falkirk) (Lab)
The hon. Member highlights a real challenge that we have inherited: the disconnection between undergraduate education and training, and the jobs that are available. We are addressing that through our workforce plan. I want to place on the record my thanks to South Western Ambulance Service, which in December improved ambulance response times by just under 30 minutes for category 2 calls. There are still big challenges in the south-west, but the team deserve real credit for the improvement they have led.
Bradley Thomas (Bromsgrove) (Con)
Several weeks ago, I received a jaw-dropping email from a local Bromsgrove GP, who told me that a 10-month-old child nearly died after ambulance delays. Worse, the same day, another patient—a 66-year-old driving instructor—suffered a cardiac arrest during a driving lesson and died while being driven to the hospital by his wife. My constituents demand a better service and better response times. What are the Government going to do about this, and will the Secretary of State meet me and the concerned GP who wrote to me to address this issue?
Nothing is more sobering than hearing experiences of the life-and-death difference between the NHS being there for people when they need it and it not being there when they need it. People will be aware of a tragic case over the weekend involving a woman in her 90s in the Isle of Wight, which we are looking into. Ambulance response times are improving, but I do not pretend that they are good enough; we have done a lot, but there is a lot more to do, and the hon. Gentleman has painfully and powerfully underscored what happens when the NHS is not there for people when they need it. That is the NHS we inherited, and it is the NHS I am determined to change.
Peter Lamb (Crawley) (Lab)
Crawley A&E’s closure was accompanied by a commitment to a 24-hour urgent treatment centre, a commitment that the trust is now breaking. Can the Minister meet me to discuss how local services can be preserved and improved?
Paul Waugh (Rochdale) (Lab/Co-op)
In Rochdale, we need more midwives to provide the safe staffing levels that our mums-to-be rightly expect, but newly qualified student midwives often find it difficult to find jobs when they qualify. Can the Minister explain exactly when the NHS workforce plan is due so that they can give reassurance to those newly qualified midwives that they will have a career in the NHS?
I am grateful to my hon. Friend for raising this issue. The NHS workforce plan will be published in the spring. I recognise the challenge he has set out, and we are determined to address it—we desperately need more midwives, and we certainly need good clinical leadership in this area. That is what the Government are working towards.
Andrew George (St Ives) (LD)
Minor injuries units are being phased out in urgent treatment centres such as the brilliant one at West Cornwall hospital in my constituency—its hours were cut under the Conservatives, and have not been restored. Those units clearly help to take the pressure off ambulance and emergency services, so what will Ministers do to ensure that those services are reinforced rather than reduced?
One rationale for both the 10-year plan and the medium-term planning we are doing across the NHS is to ensure better integration, with the principle of people receiving the right care in the right place at the right time. Decisions about local configurations are matters for local leaders, but we keep these things under review, and if the hon. Gentleman has concerns, he should certainly write to us.
Lola McEvoy (Darlington) (Lab)
As the Secretary of State knows, Darlington Memorial hospital is part of the County Durham and Darlington NHS foundation trust, which has recently been marred by the scandal of over-operation in breast services. We know that many women came to harm as a result of those failures, but we are yet to find out how many and the full extent of the harm because the trust has not completed the comprehensive look-back. Will the Minister meet me to ensure that our trust has all the resources it needs to learn the lessons necessary to ensure that no women—whether in my area or across the country—have invasive and painful clinical procedures that they do not need?