Radiotherapy: Accessibility

Debate between Will Quince and Selaine Saxby

Tuesday 18th July 2023 Westminster Hall

[Will Quince]

I will come on to the hon. Gentleman’s specific point, but he is absolutely right. On remaining in post and Government reshuffles, the Prime Minister giveth and the Prime Minister taketh away, but I thank the hon. Gentleman for his best wishes ahead of any future reshuffle. Having been in the Departments of Health and Social Care, for Education and for Work and Pensions, I know that any Minister understandably ends up taking a considerable interest in their work. I assure the hon. Gentleman that whether or not I maintain my position in the Government, I will maintain my interest in all the areas I have worked on as a Minister. I certainly commit to continuing that work from the Back Benches when one day the Prime Minister chooses to dispense with my services.

[Selaine Saxby]

I thank the Minister for all his time and commitment and for meeting me so regularly. When he takes things away and reflects on them, will he bear in mind that although community diagnostic hubs are fantastic, it is still a 120 mile round trip from my constituency to get to one, so there are issues in respect of rurality. In Ilfracombe in my constituency, the healthy life expectancy is 59. Remote coastal communities need to be able to access services, and we are underdiagnosing because it is so hard to access even a diagnosis, let alone the treatment.

[Will Quince]

I will come on to this point in greater depth, but many of the conversations that my hon. Friend and I have had on health issues, and previously on education issues as well, were about rurality and the challenges of rural and coastal communities. Her points are well made—I certainly understand them—and she makes a compelling case. I will address them in greater detail later in my speech.

Not only are we building the community diagnostic centres and surgical hubs—and notwithstanding my hon. Friend’s point about the distance that some have to travel to get to them—but we are creating them deliberately closer to communities; they are not just based in district and general hospitals. In each of the next two years they will be supported by an additional £3.3 billion of funding, which was announced in the autumn statement, and that will enable rapid action to improve emergency, elective and primary care performance towards the pre-pandemic levels.

On cancer specifically, NHS England recently set out the progress made on reducing the number of patients with urgent suspected cancer who wait for longer than 62 days, and announced that the faster diagnosis standard was met for the first time in February this year. It also confirmed the ongoing priorities to improve performance and long waits, prioritise diagnostic capacity for cancer and, of course, focus on the cancer pathway redesign.

The Government and NHS England have pushed to improve the early diagnosis of cancer, which is so important to give patients the best chance of receiving successful treatment and in turn see more people living longer following a cancer diagnosis. However, as my hon. Friend the Member for North Devon eloquently and articulately pointed out—the hon. Member for Easington also made this point—we know that early diagnosis needs to be backed up by high-quality treatment options such as radiotherapy, with its remarkable ability to shrink tumours, as has been set out, and often with minimal side effects.

The hon. Members for Easington and for Denton and Reddish referred to the 62-day cancer target and the changes required to improve cancer outcomes. I hear the strong and compelling arguments that have been made, and I am happy, as I set out at the beginning of my speech, to meet hon. Members to discuss the steps that we are already taking and the further steps that can be taken, alongside NHS England, to improve cancer outcomes.

The hon. Member for Denton and Reddish asked specifically about steps to meet the 62-day target. To target support towards the most challenged trusts in the country, NHS England has developed an intervention model that is designed both to maximise and expand capacity. Challenged trusts have been placed into tiers 1 and 2, and all tiered trusts have weekly or fortnightly oversight calls, and they also have visits with the regional and national teams from NHS England. They receive support on things like the development of a co-ordinated support plan, which is monitored by fortnightly progress meetings. The plans have focused on areas such as pathway improvements, workforce support and targeted capacity increases. That supports the trusts that do not have the resource or bandwidth internally to turn around services.

When my hon. Friend the Member for North Devon made the case for a satellite centre in her constituency, she raised specific challenges in relation to North Devon that are translatable to other parts of the country that have rural and coastal characteristics. I will outline the basis on which provision is reviewed, but before I do let me acknowledge the local efforts that she mentioned. She is rightly proud of her constituents’ initiative in terms of support with travel and other things.

The network oversight group, in conjunction with the relevant specialised commissioning team and cancer alliances, is required to review service provision on a regular basis to ensure that optimal access arrangements are in place. That applies to proposals that relate to the expansion or re-provision of existing services, or to the development of any satellite facilities. The development of any new service location requires the development of a business case, as my hon. Friend pointed out, and business cases must demonstrate, among other criteria, the consideration of the effect on the provision of existing cancer pathways, both within and outside the network geography.

As I have mentioned, that responsibility sits not with the Government but with the integrated care boards, cancer alliances and local specialised commissioning teams. I am happy to meet my hon. Friend, alongside the ICB, to understand the challenges and what can be done in this space. I understand from NHS England that around 450 patients a year travel from my hon. Friend’s constituency to Exeter for treatment, but I am cognisant of the point made by the hon. Member for Westmorland and Lonsdale that many more patients might want to access those services but do not because of the travelling and distances involved. That is why a meeting between me, my hon. Friend and the ICB might be a good starting point.

Universal Credit: Court of Appeal Judgment

Debate between Will Quince and Selaine Saxby

Thursday 25th June 2020 Commons Chamber

[Will Quince]

I am certainly happy to look at the cases raised by the hon. Lady. I have said clearly that I am determined to find a fix. That will involve looking at numerous solutions, identifying the cohort of people and the fix, and putting it into action. That may take a little time but, as I say, I am determined to find that solution. I am happy to meet her when we are able to do so to look at those individual cases she raises in more detail.

[Selaine Saxby (North Devon) (Con)]

Three million people have claimed universal credit since the beginning of the coronavirus pandemic, which is a huge success. I thank the Department for Work and Pensions team who enabled that. Indeed, the robustness of the computer system behind universal credit has facilitated rapid and easy access to welfare support for so many additional claimants. However, does the Minister agree that, on occasion, human intervention when the computer does indeed say no might help prevent cases like those falling through the cracks?

[Will Quince]

I thank my hon. Friend for her helpful question. The system is largely automated, and that brings huge benefits—that is why we have been able to deal with those claims—but, inevitably, that also means that issues come up that we need to address. This is one of those issues and, yes, in some cases, they require a manual intervention. My first instinct is to look at whether we can find an automated fix, but we will of course look at manual fixes, if that is necessary. I know that my hon. Friend is on the Select Committee and, if she has any particular ideas in that regard, I am happy to meet her to discuss them.

Oral Answers to Questions

Debate between Will Quince and Selaine Saxby

Monday 9th March 2020 Commons Chamber

[Selaine Saxby (North Devon) (Con)]

T9. Many of my constituents are taking advantage of the online application for advance payments of universal credit. I recognise that it is a useful facility, but no bank would lend to people in this manner. Will the Minister work to ensure that claimants receive proper debt advice before requesting an advance and look to significantly extend the repayment period?

[The Parliamentary Under-Secretary of State for Work and Pensions (Will Quince)]

Advances are an important tool to help the most vulnerable claimants receive the money they need to live on. As part of the application process, proposed repayments and advance payment are explained. All claimants are advised to request a level of advance that is manageable when considering the repayments required.

We have announced that from October 2021 the repayment period will extend to 16 months, but I am very sympathetic to extending it further and am looking at that in detail.