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Order, order. Questions to the Secretary of State for Health. Julie | :00:09. | :00:17. | |
Elliott. Number one, Mr Spe`ker I call the Minister Nicola Bl`ckwood. | :00:18. | :00:29. | |
NICE recommends exercise schemes for those who are at risk of ill health. | :00:30. | :00:40. | |
Our GP physical activity ch`mpion programme has taught health care | :00:41. | :00:45. | |
professionals to provide advice on physical activity in the te`m | :00:46. | :00:52. | |
examinations. In the north-dast only 33% of adults participate in weekly | :00:53. | :00:57. | |
sports. 30% in London. This has a knock-on effect on people throughout | :00:58. | :01:04. | |
their lives. What is the government doing to address these geographic | :01:05. | :01:11. | |
health inequalities. The honourable lady is right to raise this | :01:12. | :01:16. | |
question. Inactivity costs Dngland ?7.4 billion a year and regtlar | :01:17. | :01:20. | |
physical activity reduces the risk of developing many health conditions | :01:21. | :01:30. | |
from between 20 and 40%. It can reduce the risk of cancer. Hn | :01:31. | :01:36. | |
addition to BGP programme, we have secured funding from sport Dngland | :01:37. | :01:46. | |
to highlight a module with lidwives, mental health practitioners and | :01:47. | :01:54. | |
there will be a pilot to embed this project in practising nurses, but it | :01:55. | :01:59. | |
will be up to local areas to make the best of these programmes. On the | :02:00. | :02:08. | |
behaviour part of the questhon, what can the Minister do to addrdss the | :02:09. | :02:16. | |
overconsumption of painkilldrs? The honourable gentleman has rahsed an | :02:17. | :02:19. | |
important issue about drug `nd Apple on this use which is why we have | :02:20. | :02:25. | |
prioritised this is one of the local statutory requirements. We have | :02:26. | :02:32. | |
given ?16 billion to local health authorities for Public health | :02:33. | :02:36. | |
delivery and we will expect them to prioritise this. Mrs Sharon Hodgson. | :02:37. | :02:46. | |
Lep of physical activity contributes to obesity and weight today's help | :02:47. | :02:52. | |
questions falling onto world obesity day, it is vital we commit our | :02:53. | :02:57. | |
efforts to reversing rising obesity levels in the UK. An opporttne | :02:58. | :03:03. | |
moment would have been the childhood obesity plan published over the | :03:04. | :03:07. | |
summer, but sadly it did not go far enough. Will the Minister ensured | :03:08. | :03:13. | |
this plan is realised as a preventative strategy to ch`nge | :03:14. | :03:19. | |
behaviours and help make thd next-generation healthier than the | :03:20. | :03:24. | |
last? Can I congratulate thd honourable lady on her role. We are | :03:25. | :03:32. | |
proud of the childhood obeshty plan. It is based on the best evidence | :03:33. | :03:37. | |
that is available and will lake a real difference to obesity rates in | :03:38. | :03:42. | |
this country. The government is consulting on the soft drinks levy. | :03:43. | :03:48. | |
We must now work hard to make sure we are delivering on that. We are | :03:49. | :03:56. | |
proud because this is a world leading plan. Johnny Mercer. Number | :03:57. | :04:08. | |
two Mr Speaker. Mr David Mowat. Limit has gone further and faster in | :04:09. | :04:11. | |
terms of help and social care integration. The integrated fun they | :04:12. | :04:17. | |
have set includes housing and leisure as well as housing ,- help | :04:18. | :04:25. | |
and care. I will be happy to visit to see how the fund is workhng in | :04:26. | :04:33. | |
practice. Innovative steps have been taken to look at the inequalities in | :04:34. | :04:45. | |
Devon. There is a shortfall. Will be MP work with the relevant agencies | :04:46. | :04:51. | |
to address these inequalitids? The honourable member refers to the | :04:52. | :04:58. | |
timing lion that can exist between target and funding. When I visit I | :04:59. | :05:03. | |
will be happy to meet with stakeholders and to congrattlate | :05:04. | :05:08. | |
health and social care leaddrship in the progress they have made with the | :05:09. | :05:13. | |
fund and the above average satisfactory ratings that h`ve been | :05:14. | :05:17. | |
achieved in Plymouth. When he is in Devon will he meet patients, grids | :05:18. | :05:21. | |
and NHS staff who are very worried about the proposals under the | :05:22. | :05:28. | |
government's successor regile which includes the closure of manx | :05:29. | :05:36. | |
hospitals? Does he accept that while it may make sense to integr`te and | :05:37. | :05:41. | |
move money from beds and buhldings to better care for people in their | :05:42. | :05:45. | |
homes, against a backdrop of massive cuts in social care budgets, that is | :05:46. | :05:51. | |
simply not going to be deliverable. To answer the question, yes, I would | :05:52. | :05:56. | |
be happy to meet in that context. In terms of the success regime, it is a | :05:57. | :06:01. | |
transfer of resources from community hospitals to care at home and | :06:02. | :06:05. | |
domiciliary care. That is not necessarily the wrong thing to do, | :06:06. | :06:09. | |
but it must be done right and I am happy to meet. I welcome grdater | :06:10. | :06:15. | |
integration, but there are grave concerns about the effects of cuts | :06:16. | :06:20. | |
to social care on the NHS. What we are seeing is more and more patient | :06:21. | :06:24. | |
spending greater time in more expensive settings in hospital when | :06:25. | :06:27. | |
they could be better looked after in their own homes or communitx, but it | :06:28. | :06:34. | |
is such to social -- cuts to social care that makes that imposshble Can | :06:35. | :06:39. | |
the minister explained the damage that the cuts has made? Sochal care | :06:40. | :06:47. | |
funding is tight, but it is true to say that those parts of the country | :06:48. | :06:56. | |
that do the best in this regard do it where they have integratdd health | :06:57. | :07:00. | |
and social care effectively. In terms of the budget there is some | :07:01. | :07:05. | |
disparity amongst different health authorities. Something like a | :07:06. | :07:10. | |
quarter of health authoritids this year have increased the budget this | :07:11. | :07:20. | |
year. The scientific evidence for the low risk alcohol guidelhnes are | :07:21. | :07:28. | |
available on the government website. There was public consultation to | :07:29. | :07:34. | |
make sure the advice was as clear and usable as possible. We received | :07:35. | :07:47. | |
1019 responses. Does the Minister not agree that the Chief Medical | :07:48. | :07:50. | |
Officer should highlight thdse benefits more? For many people | :07:51. | :07:58. | |
drinking alcohol is part of the normal social lives and we `re | :07:59. | :08:01. | |
perfectly clear that these guidelines are advisory. Thdy are in | :08:02. | :08:06. | |
place to help people make informed decisions about how they drhnk and | :08:07. | :08:10. | |
to decide whether they want to take less risks with the drinking. I | :08:11. | :08:22. | |
would like to point out that Rochdale has more than double the | :08:23. | :08:25. | |
number of admissions to hospital where alcohol is a factor than other | :08:26. | :08:34. | |
authorities in England. Can the Minister assure the house that | :08:35. | :08:36. | |
public health guidance regarding drinking is advisory? They `re | :08:37. | :08:58. | |
intended to give the best possible advice and put the evidence in one | :08:59. | :09:06. | |
place so that people can make the best decisions regarding drhnking. | :09:07. | :09:19. | |
Could she have a word with her colleagues in DC jee who prdside | :09:20. | :09:24. | |
over a system where profitable wanted pubs are being demolhshed and | :09:25. | :09:28. | |
supermarkets built on the shte against the wishes of the community? | :09:29. | :09:41. | |
We are very clear that soci`l drinking is not the target of these | :09:42. | :09:45. | |
low risk guidelines. I'm very happy to meet and discuss this with | :09:46. | :09:52. | |
colleagues. Sadly very few people are aware of the link betwedn our | :09:53. | :09:56. | |
coal consumption and obesitx and the long-term impacts of life lhmiting | :09:57. | :10:04. | |
diseases. To make sure obeshty is integral to the guidelines, will be | :10:05. | :10:14. | |
Minister put tackling adult and childhood obesity even highdr up the | :10:15. | :10:20. | |
agenda? The honourable lady is right to raise the hidden risks of alcohol | :10:21. | :10:25. | |
consumption which is exactlx why a widespread and analysis of the | :10:26. | :10:30. | |
evidence was conducted throtgh this guideline exercise and she hs right | :10:31. | :10:36. | |
to say that obesity should be a top priority for the government. We will | :10:37. | :10:41. | |
analyse her question and look into it. Thank you, Mr Speaker. 003 | :10:42. | :10:56. | |
hospital PFI schemes reach financial close between 1997 and 2010, | :10:57. | :11:03. | |
creating liabilities for thd NHS of ?77 billion. Three Legacy PF the -- | :11:04. | :11:10. | |
PFI schemes have been signed recently and one has been shgned | :11:11. | :11:15. | |
under the new model work ?243 million. Except for some of the | :11:16. | :11:21. | |
earlier schemes, ownership of the hospital reverts to the NHS at the | :11:22. | :11:26. | |
end of the contract, but at the end of this the NHS has the | :11:27. | :11:33. | |
Ever techively the figures will mean even more debt for the next | :11:34. | :11:39. | |
generation. Will the Governlent commit to abandon the PFI idiotic | :11:40. | :11:45. | |
scheme. No more PFI one or two, just abandon it, minister? I know the | :11:46. | :11:50. | |
honourable gentleman has a consistent track record in opposing | :11:51. | :11:55. | |
PFI, even when the vast majority of the schemes were put under contract | :11:56. | :11:58. | |
under the Government of which he was a member, so I'm not going to take | :11:59. | :12:01. | |
any lectures from the honourable gentleman about how to deal with | :12:02. | :12:06. | |
PFI. And we will continue to use the new stricter terms as and when | :12:07. | :12:12. | |
appropriate. Thank you, very much. I nothce no | :12:13. | :12:19. | |
indecision there. The National Audit Office concluded that the PFI | :12:20. | :12:23. | |
contract for the Norfolk Norwich Hospital was a bad deal for the | :12:24. | :12:32. | |
taxpayer and NHS, yet last xear Octagon Health Care sunk further | :12:33. | :12:37. | |
into the red. Would the minhster consider making an approach to | :12:38. | :12:43. | |
Octagon to help confront thd enormous financial black hole this | :12:44. | :12:50. | |
Trust faces? Well, we have provided access for seven of the worst | :12:51. | :12:55. | |
affected Trusts with obligations under PFI signed as I've indicated | :12:56. | :13:01. | |
earlier to some 1.5 billion of a support fund to help with this. I'm | :13:02. | :13:06. | |
not sure off the top of my head whether Norfolk is one of these I | :13:07. | :13:10. | |
suspect it's not. I would bd happy to talk to him about this. Rather | :13:11. | :13:15. | |
than hissing the honourable gentleman's hopes inapproprhately, | :13:16. | :13:20. | |
many of these schemes are too costly to divert resource to pay off in | :13:21. | :13:25. | |
their absence. Number five, Mr Speaker. | :13:26. | :13:32. | |
Mr Speaker, the five-year forward view will be delivered throtgh | :13:33. | :13:36. | |
sustainability and transforlation plans which are currently bding | :13:37. | :13:39. | |
developed by Clinical Commissioning Groups in collaboration with local | :13:40. | :13:44. | |
authorities and providers. NHS England expects that all SDPs will | :13:45. | :13:49. | |
be published, though in somd areas, discussions are already takhng | :13:50. | :13:53. | |
place. I'm most grateful. In Wycombe I'm led to understand we should | :13:54. | :13:57. | |
expect no dramatic changes `nd possibly no publication of ` | :13:58. | :14:00. | |
strategic plan. Would my right honourable friend agree with me that | :14:01. | :14:04. | |
public confidence would be luch enhanced by the clear artictlation | :14:05. | :14:09. | |
in public of a strategy for meeting the five-year forward view. I would | :14:10. | :14:13. | |
agree with the honourable mdmber and I'll drive and give a clear`nce -- | :14:14. | :14:19. | |
try and give a clear answer. NHS England have said all 44 pl`ns will | :14:20. | :14:24. | |
be published shortly. For those that have not done so, it will t`ke place | :14:25. | :14:27. | |
at the end of the formal chdckpoint we view at the end of Octobdr. Areas | :14:28. | :14:31. | |
are working to different tile scale bus they'll all be published by the | :14:32. | :14:35. | |
end of November. For the avoidance of doubt, this includes the SDP for | :14:36. | :14:42. | |
Bucks, Oxford and Berkshire West. Thank you, Mr Speaker. The NHS | :14:43. | :14:47. | |
five-year forward view calldd for radical upgrade in interevens and | :14:48. | :14:50. | |
public health. How does the minister square that with the Governlent s | :14:51. | :14:54. | |
subsequent cuts to public hdalth, including ?200 million in-ydar cuts | :14:55. | :14:58. | |
and further subsequent cuts expected by 2020? Mr Speaker, the SDP process | :14:59. | :15:06. | |
is trying to upgrade our provision in terms of public health, cancer | :15:07. | :15:11. | |
outcomes and mental health. Part of what every SDP will be expected to | :15:12. | :15:15. | |
provide will be an assessment of the local priorities in public health | :15:16. | :15:18. | |
and the timetable for progrdss towards that. | :15:19. | :15:24. | |
Mr Speaker, Wantage community Hospital has recently closed because | :15:25. | :15:27. | |
of a threat of Legionnaire's disease and it will not re-open unthl we | :15:28. | :15:33. | |
have finally concluded constltation on the sustainability consultation | :15:34. | :15:38. | |
plan, if it re-opens at all. This consultation has been delaydd, | :15:39. | :15:41. | |
naturally worrying my consthtuents. I hope you will join with md in | :15:42. | :15:44. | |
urging Oxfordshire to get on with this plan so we can have a | :15:45. | :15:47. | |
reasonable discussion. Mr Speaker, I will join with the | :15:48. | :15:51. | |
Right Honourable member in doing that. I'm not familiar with the | :15:52. | :15:56. | |
specifics of the Wantage case but it doesn't sound right that thhs is an | :15:57. | :16:01. | |
ongoing thing that's not fixed quickly. Could I congratulate the | :16:02. | :16:06. | |
minister on his appointment to the frontbench, as well as that of the | :16:07. | :16:10. | |
honourable lady from Abingdon. I'm sure they'll do a terrific job in | :16:11. | :16:14. | |
their post. As a type II di`betic I'm very concerned at the f`ct that | :16:15. | :16:20. | |
local CCGs are just not providing information on reventive work for | :16:21. | :16:24. | |
dyke knees. -- preventative work for diabetes. Will he confirm there ll | :16:25. | :16:30. | |
be reference to diabetes once these plans have been published? H will | :16:31. | :16:34. | |
confirm that. There is a national diabetic plan. He'll be aware of | :16:35. | :16:39. | |
that. Diabetes is one of a number of long-term conditions that the plans | :16:40. | :16:45. | |
are charged to actually delhver improvements in and it would not be | :16:46. | :16:49. | |
acceptable for a plan to be signed off or completed unless progress in | :16:50. | :16:54. | |
diabetes has been made. Looking at new treatment options and | :16:55. | :16:59. | |
the forward view, so will hd consider the example of the NHS | :17:00. | :17:03. | |
Trust in South Wales which treats 1.5 million cancer patients every | :17:04. | :17:10. | |
year and is now using reflexology, reiki healing, aromatherapy and | :17:11. | :17:14. | |
breathing relaxation technipues to alleviate anxiety, pain and side | :17:15. | :17:20. | |
effects and symptoms. If thhs was more widely spread, cost savings and | :17:21. | :17:25. | |
patient satisfaction would hncrease. Mr Speaker, the SDP process is | :17:26. | :17:29. | |
locally led, not led from the centre. I would expect though that a | :17:30. | :17:35. | |
clinical judgment of the type that were referred to would be m`de if | :17:36. | :17:40. | |
they can be confirmed on thd basis of scientific trial-based evidence. | :17:41. | :17:49. | |
Central to the aim of the fhve-year forward plan for the mace is a | :17:50. | :17:53. | |
sustainable Health Service hn which all patients receive the right care | :17:54. | :17:57. | |
at the right time in the right place. With that in mind, c`n the | :17:58. | :18:01. | |
minister tell me what action he s taken to address the problel of | :18:02. | :18:06. | |
delayed hospital discharges which have risen by 20% so far thhs year? | :18:07. | :18:13. | |
This amounts to an addition`l 9 6 people every day condemned to stay | :18:14. | :18:16. | |
in hospital longer than is ledically necessary. May I welcome her to her | :18:17. | :18:26. | |
post also and wish her luck in the new job. In terms of delayed | :18:27. | :18:31. | |
discharges, there has been `n increase in England over thd last | :18:32. | :18:34. | |
year. A part of that increase, only a part of it, is due to difficulties | :18:35. | :18:38. | |
in the integration between social care and the NHS, a large p`rt of it | :18:39. | :18:44. | |
is also within the NHS itself. But it's not uniform across loc`l | :18:45. | :18:48. | |
authorities and indeed many local authorities are improving in this | :18:49. | :18:53. | |
regard. What is very clear hs that those that are making the most | :18:54. | :18:56. | |
progress most quickly are those that have gone furthest in integrating | :18:57. | :19:07. | |
social care and health care. Thank you, Mr Speaker. | :19:08. | :19:13. | |
Mr Speaker, the Department of Health has commissioned three separate | :19:14. | :19:17. | |
reviews on the diagnosis, treatment and transmission of lime disease. | :19:18. | :19:21. | |
The work will be carried out by the epicentre of University College it | :19:22. | :19:26. | |
will be clinically driven evidence-based and the work will be | :19:27. | :19:31. | |
published late 2017. I'm delighted the Government is looking into this | :19:32. | :19:34. | |
serious important disease, but as the reviews progress, thous`nds of | :19:35. | :19:39. | |
people contract lime Des each year, particularly in areas like Wiltshire | :19:40. | :19:42. | |
and potentially receive inadequate treatment. Can the minister look | :19:43. | :19:51. | |
into speeding up a the revidws - Lyme disease. We need to go as fast | :19:52. | :19:55. | |
as possible but we are workhng with research teams. The work is to be | :19:56. | :20:00. | |
trial based and needs to be as definitive as possible. In the | :20:01. | :20:05. | |
meantime, early diagnosis is the key way to make progress, public health | :20:06. | :20:08. | |
England continues to work whth GPs and the public on this. | :20:09. | :20:17. | |
Thank you, Mr Speaker. My mother recently died of motor neurone | :20:18. | :20:21. | |
disease. There are 13 sufferers per 10,000 people. Will the minhster | :20:22. | :20:35. | |
PROBLEM WITH SOUND. I'll be happy to meet with the | :20:36. | :20:39. | |
member on that subject. THE SPEAKER: Extremely gratdful to | :20:40. | :20:42. | |
the Minister for His response to that matter. | :20:43. | :20:48. | |
Bearing in mind that the cases of lime disease have quadrupled in the | :20:49. | :20:52. | |
last 12 years, some in my own constituency, what has been done | :20:53. | :20:54. | |
with the devolved assemblies of Great Britain and Northern Hreland | :20:55. | :20:58. | |
to have a wide strategy in place, UK-wise, which addresses thhs trend | :20:59. | :21:02. | |
and provides effective diagnosis on the treatment? The principal thing | :21:03. | :21:14. | |
we need to do is to have an innovative approach to it. | :21:15. | :21:25. | |
I agree with my right honourable friend that this is an important | :21:26. | :21:33. | |
area where the Lord in his report identified potential annual savings | :21:34. | :21:38. | |
of ?700 million through redtcing procurement performance between | :21:39. | :21:42. | |
providers. We have announced a first tranche of 12 standardised products | :21:43. | :21:47. | |
for all NHS providers to usd in order to boost procurement volumes | :21:48. | :21:50. | |
and use economies of scale to secure lower prices. These initial | :21:51. | :21:54. | |
products, including commodity items like gloves and needles, cover 100 | :21:55. | :21:58. | |
million worth of Trust spending and we expect to achieve savings of up | :21:59. | :22:03. | |
to 25%. Innovative private sector stppliers | :22:04. | :22:07. | |
have successfully partnered with the NHS from its inception and ht's | :22:08. | :22:11. | |
quite right for that relationship to be sustainable, that they mtst make | :22:12. | :22:15. | |
a profit. But does the minister agree with me that rogue colpanies | :22:16. | :22:20. | |
who exploit the NHS's lack of commercial expertise could be named | :22:21. | :22:23. | |
and shamed because they are making a lot of money at the taxpayers' | :22:24. | :22:29. | |
expense. We believe the right approach to secure procuremdnt | :22:30. | :22:32. | |
savings is to take advantagd of the immense amount of data that's | :22:33. | :22:36. | |
available across the NHS and that's why we've set up the purchase price | :22:37. | :22:42. | |
benchmarking indebltion tool where to date more than ?8 billion of | :22:43. | :22:49. | |
expenditure covering over 30 million separate procurement transactions | :22:50. | :22:53. | |
has been collated, is going to be analysed, and we'll use that | :22:54. | :22:57. | |
information judiciously to save the taxpayer money. That's the right way | :22:58. | :23:00. | |
to start, rather than naming and shaming. | :23:01. | :23:04. | |
Can I urge the minister when thinking about national procurement, | :23:05. | :23:08. | |
national commissioning, to look at some of those national strategies | :23:09. | :23:12. | |
that can underpin them? For example, why we need to renew the national | :23:13. | :23:18. | |
stroke strategy, 100,000 people a year suffer from a stroke and we | :23:19. | :23:24. | |
have nearly a million peopld in this country living with having had a | :23:25. | :23:28. | |
stroke and yet they care very much about the rehabilitation services | :23:29. | :23:31. | |
and other services too. THE SPEAKER: The minister's | :23:32. | :23:34. | |
challenge is to relate that very important matter to tell qu`litily | :23:35. | :23:37. | |
important matter that happens to be the subject of the question which is | :23:38. | :23:42. | |
procurement. Minister? I'm grateful to you for drawing the attention of | :23:43. | :23:45. | |
the honourable gentleman to the fact that this topic is about | :23:46. | :23:49. | |
procurement. I think he is right to highlight the fact that we have | :23:50. | :23:55. | |
looked at an acute heart trdatment strategy and we are creating centres | :23:56. | :24:00. | |
of excellent across the country to ensure that if people suffer from an | :24:01. | :24:05. | |
acute heart incident, a stroke in particular, that they are treated by | :24:06. | :24:09. | |
the specialists who'll give them best prospects for recovery. | :24:10. | :24:16. | |
THE SPEAKER: Secretary of State In the last four years, 29 Trusts have | :24:17. | :24:21. | |
been put into special measures, more than one in ten of all NHS Trusts, | :24:22. | :24:27. | |
of those 12 have come out h`ving demonstrated improvements in safety | :24:28. | :24:31. | |
and quality and 1300 doctors and 4,200 more nurses are working in | :24:32. | :24:35. | |
Trusts that have been put into special measures. | :24:36. | :24:38. | |
The Secretary of State will be aware that the previous hospital hn my | :24:39. | :24:42. | |
constituency's now come out of special measures because he visited | :24:43. | :24:47. | |
last year. They made excelldnt progress, not least in bringing in | :24:48. | :24:52. | |
lists for in patients and also numerous measures to transform the | :24:53. | :24:55. | |
out-patients department. Will he join me in paying tribute to all the | :24:56. | :25:00. | |
staff at the hospital, parthcularly the Chief Executive and the chairman | :25:01. | :25:03. | |
for the excellent progress that s been made? I'm very happy to do that | :25:04. | :25:08. | |
and I very much enjoyed my visit to the QE with him a couple of years | :25:09. | :25:15. | |
ago. I think it's a good ex`mple of how Trusts can be transformdd when | :25:16. | :25:24. | |
they go into special measurds. They've opened a laporoscophc unit, | :25:25. | :25:28. | |
they have got 72 more nurses and this is a good example to m`ny other | :25:29. | :25:33. | |
Trusts that are currently in special measures that it can be a ttrning | :25:34. | :25:36. | |
point for the benefits of p`tients and staff. | :25:37. | :25:45. | |
So many trusts are still in a financial mess. To solve it we need | :25:46. | :25:53. | |
more funding and also funding for councils to occur as well. What is | :25:54. | :25:58. | |
the secretary of state doing to fight for more funding so wd can do | :25:59. | :26:03. | |
with these problems properlx? He will have noticed that last year in | :26:04. | :26:08. | |
the spending review the NHS got the biggest funding increase of any | :26:09. | :26:11. | |
government department. We committed to the NHS's open plan which asked | :26:12. | :26:22. | |
for ?10 billion more per and in real terms, but I don't disagree with him | :26:23. | :26:26. | |
that there are still very rdal financial problems in the NHS and | :26:27. | :26:31. | |
social care system. The trusts that are delivering the highest standards | :26:32. | :26:35. | |
of care or so have the lowest deficits. Delivering unsaid care is | :26:36. | :26:42. | |
one of the most expensive things you can do and that's why this hs so | :26:43. | :26:49. | |
important. We'll be Secretary of State joined me in congratulating | :26:50. | :26:57. | |
all staff at the auto contr`st just four years after it was deeled at | :26:58. | :27:02. | |
risk and it is now in the top percentage of trusts. I think the | :27:03. | :27:08. | |
staff at Orton have done a fantastic job. I congratulate them and thank | :27:09. | :27:15. | |
him for his work in supporthng them. In my own area of Calderdald and | :27:16. | :27:19. | |
Huddersfield there is a dre`dful situation caused because of the | :27:20. | :27:24. | |
clinical commissioning group and the way it procures. He has had a | :27:25. | :27:34. | |
petition about the closure of A E. Will he please intervene because the | :27:35. | :27:42. | |
competence of local CCG 's hs not up to the job. I would say to him that | :27:43. | :27:50. | |
there is a mechanism by which these issues do end up on my desk. It has | :27:51. | :27:55. | |
to be reviewed by overview `nd scrutiny committees from local | :27:56. | :28:00. | |
councils and then I get the recommendation, but I will look at | :28:01. | :28:03. | |
it closely if that process hs followed. Due to rapid incrdase in | :28:04. | :28:17. | |
population, there was a planned new health centre. Is he expecthng clear | :28:18. | :28:32. | |
and timely plans? Absolutelx. One of the main purpose of SDP is to make | :28:33. | :28:37. | |
sure we deliver our Cancer plan which will see us introducing a | :28:38. | :28:41. | |
four-week maximum waiting thme between GP referral and ulthmate | :28:42. | :28:48. | |
diagnosis. That will save up to 30,000 lives a year and will be a | :28:49. | :28:56. | |
big priority for each SDP. Lr Speaker, I joined the secretary of | :28:57. | :29:02. | |
state in praising all who work in the NHS. We are encouraging people | :29:03. | :29:08. | |
to become doctors, nurses and supports the. Last week there was a | :29:09. | :29:19. | |
commitment to encourage 25% more doctors into the NHS on top of the | :29:20. | :29:24. | |
6000 or the trend. Does the Minister agree that the | :29:25. | :29:42. | |
rising agency costs point to a recruitment crisis and will you make | :29:43. | :29:46. | |
a statement of a house outlhning his plans to address this crisis? We do | :29:47. | :29:51. | |
recognise absolutely that the bills for agency staff have becomd | :29:52. | :29:54. | |
unsustainable and that is why we have taken deliberate action, | :29:55. | :29:59. | |
including introducing price caps on hourly rates last November `nd that | :30:00. | :30:03. | |
is having a significant imp`ct in reducing agency costs. Year to date, | :30:04. | :30:10. | |
agency costs are some ?550 lillion less than they were last job. Can I | :30:11. | :30:18. | |
work the announcement about the increase in medical spaces `nd can I | :30:19. | :30:23. | |
ask what plans the department has to ensure there is sufficient clinical | :30:24. | :30:26. | |
training places for those mddical students? I can reassure my | :30:27. | :30:33. | |
honourable friend that therd is considerable excess demand to train | :30:34. | :30:40. | |
to become a coalition in thhs country from UK-based students. Only | :30:41. | :30:45. | |
some half of those who applhed to train in medical schools ard | :30:46. | :30:48. | |
accepted at present and therefore we are confident that there will be | :30:49. | :30:53. | |
plenty of take-up of these dxtra places and regarding clinic`l | :30:54. | :30:57. | |
placements, we are in discussions with the universities, colldges and | :30:58. | :31:00. | |
teaching hospitals to ensurd that they are made available. Mr Speaker, | :31:01. | :31:07. | |
I welcome the 25% expansion in medical student places, but reject | :31:08. | :31:11. | |
tying this to the elimination of 25% of overseas doctors who currently | :31:12. | :31:18. | |
work in our NHS. The secret`ry of State must know that with 10% of | :31:19. | :31:23. | |
posts unfilled and ever rishng patient demand, we will alw`ys need | :31:24. | :31:27. | |
international graduates in the future. Does he not recognise that | :31:28. | :31:31. | |
he is creating unrealistic expectations and conflict whth his | :31:32. | :31:36. | |
British only medical servicd ideal? I'm grateful to the honourable lady | :31:37. | :31:44. | |
for giving me the opportunity to stop this scaremongering whhch is | :31:45. | :31:48. | |
undoubtedly unsettling many of the very valuable doctors, nursds and | :31:49. | :31:52. | |
other foreign nationals providing vital services to the NHS. The | :31:53. | :31:56. | |
announcement last week was `bout adding more doctors to be trained | :31:57. | :32:02. | |
who are UK-based. We are not changing any of the present | :32:03. | :32:06. | |
arrangements regarding international students being trained here, or | :32:07. | :32:14. | |
doctors and nurses working here With one in ten posts unfilled right | :32:15. | :32:18. | |
now, how does the Minister dxpect with the rhetoric that was tsed last | :32:19. | :32:23. | |
week that we will even retahn let alone attract foreign doctors the | :32:24. | :32:30. | |
fill those posts? No, there was no rhetoric used regarding the valuable | :32:31. | :32:42. | |
contribution by a foreign n`tionals to our health service that remains | :32:43. | :32:53. | |
the case. Staff shortages c`use a temporary closure of Granth`m A E. | :32:54. | :33:05. | |
Will the state of -- will the Secretary of State meet with me and | :33:06. | :33:16. | |
Jody Clarke, a local coordinator? I understand that my right honourable | :33:17. | :33:20. | |
friend has already committed to me to enable me to say to the | :33:21. | :33:24. | |
honourable gentleman he does intend to meeting with campaigners in due | :33:25. | :33:32. | |
course. The minister says there was no rhetoric scaremongering last | :33:33. | :33:36. | |
week. How do you explain to the house what the Prime Ministdr said | :33:37. | :33:39. | |
when she said there will be staff here from overseas in that hnterim | :33:40. | :33:43. | |
period until the further nulber of British doctors can be trained and | :33:44. | :33:53. | |
come on our hospitals. What did she mean and what can we expect next? | :33:54. | :33:59. | |
Ambulances plastered with go home stickers? I hope he will usd more | :34:00. | :34:09. | |
measured language rather th`n spreading this kind of inappropriate | :34:10. | :34:15. | |
rumour. The interim period referred to was the period during whhch the | :34:16. | :34:19. | |
doctors will be trained. We won t get new doctors coming under this | :34:20. | :34:25. | |
increase allocation until 2023 and during that time clearly we will | :34:26. | :34:30. | |
need to use all measures to ensure we feel these spaces that I | :34:31. | :34:32. | |
acknowledge we have across our hospitals. I appreciate the | :34:33. | :34:39. | |
Minister's warm welcome and I am looking forward to shadowing the | :34:40. | :34:53. | |
secretary of State, but the remark about, it should be directed to the | :34:54. | :35:00. | |
Prime Minister. Post Brexit, given there are concerns that these powers | :35:01. | :35:03. | |
that go far enough, can you tell us what steps he will be taking to | :35:04. | :35:08. | |
ensure that no staff from the EU will lose their jobs? And whll the | :35:09. | :35:16. | |
NHS post Brexit still be able to recruit from the EU if necessary. | :35:17. | :35:28. | |
Minister. Health ministers `re insuring that the 53,000 people from | :35:29. | :35:36. | |
the EU working within the NHS have secure posts. Although we h`ve | :35:37. | :35:42. | |
vacancy rates, we have 7800 more consultants employed in the NHS than | :35:43. | :35:48. | |
there were in May 20 ten. Wd have 8500 more doctors than in M`y 2 10 | :35:49. | :35:54. | |
and over 10,500 more nurses working on our wards. We have gone through a | :35:55. | :35:59. | |
consistent policy of recruiting more people to work in the NHS under this | :36:00. | :36:09. | |
government. The independent cancer task force highlighted in a report | :36:10. | :36:15. | |
saving lives, averting costs that identified cost savings in darly | :36:16. | :36:29. | |
diagnosis, especially in:, rectal and ovarian cancer. In welcoming the | :36:30. | :36:38. | |
Minister to his post may I highlight evidence to show that early | :36:39. | :36:44. | |
diagnosis offers substantial savings. Colon cancer stage while | :36:45. | :36:56. | |
cost ?3000 to treat. Stage forecasts ?12,000 to treat. Can we colmission | :36:57. | :37:01. | |
a study to look at this bec`use it requires further detail on behalf of | :37:02. | :37:08. | |
the taxpayer. We agree that early diagnosis says lies and can lead to | :37:09. | :37:13. | |
cost savings and just as an example, we know now that GB revivals are up | :37:14. | :37:23. | |
by 91% since 2010. -- GP. Wd are beginning to see the results of | :37:24. | :37:29. | |
early diagnosis coming throtgh. In terms of a further study, both | :37:30. | :37:34. | |
Public Health England and McMillan have commissioned studies on | :37:35. | :37:39. | |
modelling, one element of which will be the costing of early diagnosis. | :37:40. | :37:48. | |
We look forward to the findhngs GPs play a role in the early di`gnosis | :37:49. | :37:57. | |
of cancer. In Sunderland we were the most underfunded. Can the Mhnister | :37:58. | :38:01. | |
set out how he make sure th`t we train more family doctors and that | :38:02. | :38:05. | |
they are encouraged to work in areas where there is an acute shortage? We | :38:06. | :38:14. | |
are training 3250 extra GPs every year. We have a target to h`ve 000 | :38:15. | :38:20. | |
additional doctors working hn general practice by 2020. Btt as | :38:21. | :38:27. | |
well as new GPs we need to do better with retention and that means | :38:28. | :38:31. | |
keeping the GP population wd have. There are a number of steps that are | :38:32. | :38:36. | |
being taken to do that. With reference to Sunderland, thdre is a | :38:37. | :38:41. | |
bursary scheme that is aimed at attracting GPs to areas which they | :38:42. | :38:54. | |
may not wish to necessarily work in. In 2010 target was set to m`ke 20 | :38:55. | :39:01. | |
billion worth of efficiency savings by 2015 to free up money to treat | :39:02. | :39:13. | |
patients and for new technology Under inspirational leadership, the | :39:14. | :39:19. | |
NHS broadly delivered on thhs challenge, recording savings of | :39:20. | :39:23. | |
?19.4 billion. Will of the savings have been reinvested into an NHS -- | :39:24. | :39:32. | |
into NHS front line services. Would he confirmed that the achievements | :39:33. | :39:37. | |
of those savings was done through greater efficiency and effectiveness | :39:38. | :39:41. | |
in the delivery of care and that also in cutting out waste whthin the | :39:42. | :39:49. | |
NHS between 2002 and 2007? @nd can you confirm that the benefit of this | :39:50. | :39:55. | |
achievement to the NHS is that not a single penny of those savings goes | :39:56. | :40:02. | |
back to the Treasury, but is reinvested in the NHS and front line | :40:03. | :40:08. | |
services? Well, my right honourable friend has managed to include | :40:09. | :40:14. | |
several questions in his impressive supplementary. I can confirl that | :40:15. | :40:17. | |
much of the ways that took place in the years he cited relate to | :40:18. | :40:23. | |
projects of the previous Labour government which they themsdlves | :40:24. | :40:27. | |
then cancelled, such as the IT project. I can also confirm that | :40:28. | :40:31. | |
savings generated within thd NHS are kept within the NHS and Lord Carter, | :40:32. | :40:38. | |
whose report I referred to darlier, has identified some ?5 billhon worth | :40:39. | :40:43. | |
of efficiency savings that we have two deliver within this Parliament. | :40:44. | :40:47. | |
That is a distinction to be drawn between realistic targets and | :40:48. | :40:54. | |
systematic underfunding. Silon Stephens said last month th`t for | :40:55. | :40:57. | |
three of the five years we did not get what we asked for. It w`s also | :40:58. | :41:01. | |
said that there is a huge g`p coming. Cheers and chief exdcutives | :41:02. | :41:07. | |
on the front line say they can't make things add up any longdr. The | :41:08. | :41:13. | |
government says the NHS gets all it asks for. Those running the NHS say | :41:14. | :41:16. | |
something different. The honourable gentleman stood on a | :41:17. | :41:23. | |
manifesto 18 months ago in which his party were not prepared to commit | :41:24. | :41:27. | |
the funding which this partx was prepared to do. They committed 5.5 | :41:28. | :41:33. | |
billion, we committed ?8 billion and have put in ?10 billion. | :41:34. | :41:41. | |
Tragically suicide is the bhggest single cause of death for mdn under | :41:42. | :41:45. | |
50. We have 13 suicide everx single day of which three quarters are men. | :41:46. | :41:49. | |
We are currently reviewing the strategy to make sure we le`ve no | :41:50. | :41:55. | |
stone unturned in trying to reduce the totally unacceptable levels of | :41:56. | :42:00. | |
these tragedies. Yesterday larked the launch of the mental he`lth | :42:01. | :42:08. | |
awareness and suicide intervention called, it takes balls to t`lk. It's | :42:09. | :42:12. | |
targeted at male dominated sporting venues aiming to direct men to | :42:13. | :42:17. | |
support when they need it in order to promote positive mental health | :42:18. | :42:20. | |
and reduce the incident of lale suicide. With suicide being the | :42:21. | :42:25. | |
single most common cause of death, in men under 45, would the linister | :42:26. | :42:30. | |
take the opportunity to welcome and support this important new campaign? | :42:31. | :42:34. | |
I'm happy to do just that and I would like to thank her for bringing | :42:35. | :42:38. | |
up this very, very important difficult issue. We are makhng | :42:39. | :42:42. | |
progress in reducing suicidd rates but we can do an awful lot better. | :42:43. | :42:47. | |
The thing that troubles me lost is that nearly three quarters of people | :42:48. | :42:51. | |
who kill themselves have had no contact with specialist NHS mental | :42:52. | :42:55. | |
Health Services in the prevhous year even though in many cases wd do know | :42:56. | :42:59. | |
who they are because sadly lost of them have tried before. I'm very | :43:00. | :43:04. | |
happy to commend the, it takes balls to talk, campaign and she m`y want | :43:05. | :43:10. | |
to put them in touch with the sports and mental health charter, `nother | :43:11. | :43:14. | |
scheme aimed to use sport to help boost the psychological well-being | :43:15. | :43:18. | |
of men. A recent survey showed one hn four | :43:19. | :43:22. | |
members of the emergency services experience mental health problems | :43:23. | :43:26. | |
and a number experience suicidal thoughts. What is he doing to | :43:27. | :43:33. | |
protect our vital paramedics and other ambulance staff and ensure | :43:34. | :43:38. | |
they get the support they nded in dealing with absolutely app`lling | :43:39. | :43:42. | |
situations? Well, again, I thank her for raising that and she'll be | :43:43. | :43:46. | |
pleased to know that the NHS has introduced a scheme backed with | :43:47. | :43:51. | |
funding to encourage NHS Trtsts to look after the mental well-being of | :43:52. | :43:55. | |
their own staff. I would particularly like to pay trhbute to | :43:56. | :43:59. | |
the courage of people who work in the Air Ambulance service bdcause | :44:00. | :44:03. | |
they see day in day out somd of the most difficult and distresshng | :44:04. | :44:05. | |
cases. They have to cope with that pressure when they take it home | :44:06. | :44:09. | |
every day and I think we all salute them. Mr Speaker, every pathent | :44:10. | :44:18. | |
discharged from hospital into a care home should have a care plan or | :44:19. | :44:22. | |
discharge assessment. This should include a clear assessment of the | :44:23. | :44:29. | |
needs covering transport, c`rers, GP notification, medication and, where | :44:30. | :44:37. | |
necessary, clothing requirelents. I think thank the Minister for His | :44:38. | :44:41. | |
response. There are cases of elderly and vulnerable people being | :44:42. | :44:44. | |
discharged from hospital straight into care homes, often without any | :44:45. | :44:49. | |
basic personal effects or clothing, whether that's because their family | :44:50. | :44:52. | |
can't or aren't willing to supply them. Does the minister recognise | :44:53. | :44:55. | |
this and what can the Government do to tackle it? | :44:56. | :45:00. | |
Mr Speaker, as I said earlidr, there is a national process or in terms of | :45:01. | :45:06. | |
this care plan where the falily is not able or won't provide stpport, | :45:07. | :45:10. | |
typically the voluntary sector is asked to. If that doesn't work, Mr | :45:11. | :45:16. | |
Speaker, local authorities `re able to increase the personal expense | :45:17. | :45:20. | |
allowance to provide clothing. I'm interested to hear the cases that | :45:21. | :45:23. | |
he's talking about in his constituency and I'll be very happy | :45:24. | :45:27. | |
to understand better and talk to him about why it's failed there. | :45:28. | :45:32. | |
THE SPEAKER: Have a cup of tea with the fella. Luke Hall, topic`l | :45:33. | :45:40. | |
questions. Secretary of State? Last week aannounced plans to make the | :45:41. | :45:46. | |
NHS sufficient with doctors. We recognise the brilliant work done by | :45:47. | :45:49. | |
the overseas doctors that work in the NHS and have made it cldar | :45:50. | :45:54. | |
whether or not they are frol the EU, we wish that work to continte | :45:55. | :45:58. | |
post-Brexit. As the fifth l`rgest economy, Britain should be training | :45:59. | :46:07. | |
all the doctors we need. Whhle there'll always be benefits for | :46:08. | :46:16. | |
overseas doctors, we need to collaborate and have both. Our local | :46:17. | :46:27. | |
health centre. Can we take ` coordinated approach to movd the | :46:28. | :46:30. | |
health centre forward? I think I can do better than that | :46:31. | :46:33. | |
because I think I've said I'm prepared to go to the health centre. | :46:34. | :46:38. | |
I remember visiting the thornibly community hospital during the | :46:39. | :46:41. | |
general election campaign and had a very good visit then. I unddrstand | :46:42. | :46:46. | |
what they are trying to to `t the health centre and they are right to | :46:47. | :46:51. | |
think we can improve better by thinking outside the hospit`l Health | :46:52. | :46:54. | |
Services? Can I ask the Secretary of State to look into the creation of a | :46:55. | :46:59. | |
sideways move for a Chief Executive of a Trust cricketised for ,- | :47:00. | :47:02. | |
criticised for failing to investigate patient deaths. Six | :47:03. | :47:07. | |
weeks after this special recruitment exercise by Southern health, cattery | :47:08. | :47:12. | |
that Percy has resigned with a substantial 12-month salary pay off, | :47:13. | :47:15. | |
signed off by the Department of Health and the Treasury. Thd | :47:16. | :47:21. | |
campaign group, justice for LB, has called this utterly disgracdful and | :47:22. | :47:24. | |
I agree. Will the Secretary of State investigate? | :47:25. | :47:28. | |
Well, can I agree with the honourable lady that the wax this | :47:29. | :47:33. | |
case was handled was by no leans satisfactory and I think thd truth | :47:34. | :47:39. | |
is that it did take some tile to establish precisely what had gone | :47:40. | :47:44. | |
wrong at Southern Health, as this House knows because we did `n urgent | :47:45. | :47:47. | |
question at the time I think it was. There was a real issue about the | :47:48. | :47:51. | |
failure to investigate unexplained deaths. I don't think the NHS | :47:52. | :47:54. | |
handled this as well as it should, but we do have much more | :47:55. | :47:58. | |
transparency and I think we do now not have a situation where people go | :47:59. | :48:02. | |
on and get other jobs in thd NHS which is what has happen sod off | :48:03. | :48:05. | |
none the past. Thank you, Mr Speaker. May H ask | :48:06. | :48:09. | |
what the Government will be doing to scrutinise and assist the London | :48:10. | :48:19. | |
ambulance service which has had an appalling, consistently bad call out | :48:20. | :48:25. | |
record for category A situations? London ambulance service is in | :48:26. | :48:28. | |
special measures and haar for some time. I visited this summer and am | :48:29. | :48:33. | |
pleased to be able to confirm that some ?63 million of additional | :48:34. | :48:36. | |
funding has been provided to the ambulance service since Aprhl 2 15 | :48:37. | :48:41. | |
and the service is starting to make significant inroads in incrdasing | :48:42. | :48:44. | |
the number of paramed I belheves available on call, some 250 more | :48:45. | :48:49. | |
have been added in the last couple of years. Last October, the then | :48:50. | :48:53. | |
Health Minister confirmed that in terms of NHS dental provision, my | :48:54. | :48:57. | |
constituency fell far below the national average. In fact this is | :48:58. | :49:01. | |
one of the worst in the country Nothing has changed since then, | :49:02. | :49:05. | |
unfortunately. Does the Secretary of State believe it's acceptable that | :49:06. | :49:08. | |
my constituents and many of whom are children, are unable to get an NHS | :49:09. | :49:11. | |
dentist? THE SPEAKER: Minister? Mr Speaker, | :49:12. | :49:16. | |
it's clearly unacceptable if the situation that the honourable lady | :49:17. | :49:19. | |
sets out is the case and I'll be happy to meet with her and work with | :49:20. | :49:23. | |
her to take the action that we need to to make things better. Thank you, | :49:24. | :49:28. | |
Mr Speaker. The Government's provided welcomed increased funding | :49:29. | :49:32. | |
for mental health support, xet this does not appear to be reachhng my | :49:33. | :49:35. | |
constituency effectively, particularly for children and there | :49:36. | :49:41. | |
are concerns that the Millb`nk unit near Macclesfield may close. Will | :49:42. | :49:44. | |
the minister look into thesd concerns? I'm very happy to do that | :49:45. | :49:47. | |
and she's absolutely right to highlight the fact that the | :49:48. | :49:51. | |
provision in mental Health Services to children is one of the bhggest | :49:52. | :49:54. | |
weak spots in NHS provision today and it's an area we are putting a | :49:55. | :49:58. | |
big focus on but I'm happy to talk to her about this. | :49:59. | :50:01. | |
Thank you very much, Mr Spe`ker I know this is a devolved matter but | :50:02. | :50:04. | |
look forward to the union all working together. In Northern | :50:05. | :50:08. | |
Ireland, the Health Service is in crisis and on cancer, just `n | :50:09. | :50:14. | |
example, 6.7 of those with breast cancer are being called in to be | :50:15. | :50:23. | |
checked within 14 days, not 100 , so 6.7%, yet we have 392,000 pdople on | :50:24. | :50:28. | |
the waiting list. Will the Secretary of State for Health meet with us to | :50:29. | :50:35. | |
find a better way forward? Lr Speaker, we'll be working together | :50:36. | :50:40. | |
to defeat cancer and the ond thing we know about defeating cancer is | :50:41. | :50:44. | |
that the best way of doing ht is early diagnosis. We have had a lot | :50:45. | :50:48. | |
of progress in that in Engl`nd, but there's a lot further to go. Of | :50:49. | :50:52. | |
course I would be willing to talk to the devolved administration about | :50:53. | :50:55. | |
what they can learn from us and perhaps vice versa. | :50:56. | :50:59. | |
Can I ask the Secretary of State to look again at the decision not to | :51:00. | :51:03. | |
fund second stem cell transplants for adults and children with blood | :51:04. | :51:07. | |
cancers given there's significant clinical evidence of their benefit | :51:08. | :51:10. | |
for those who relapse. Don't just take my word for it, take it from | :51:11. | :51:15. | |
the Ant any Nolan Trust and the 36 specialist who is've written to the | :51:16. | :51:18. | |
Secretary of State asking hhm to review this decision? This hs a very | :51:19. | :51:24. | |
difficult area, Mr Speaker. Decisions on priority are clinically | :51:25. | :51:27. | |
driven and must continue to be based on peer review day too. The most | :51:28. | :51:31. | |
recent review determined th`t less than one third of second tr`nsplants | :51:32. | :51:35. | |
would result in survival after five years. That is the reason that it | :51:36. | :51:40. | |
was not funded. There will however be a further review next April and | :51:41. | :51:44. | |
to the extent that the data is changed, there'll be a new | :51:45. | :51:50. | |
evaluation at that time. The Park medical centre in Whitney | :51:51. | :51:54. | |
faces closure. Patients will be dispersed a long way into other | :51:55. | :51:58. | |
practices in this area wherd already one in four wait over a week to see | :51:59. | :52:05. | |
their GP. Duncan Enright, L`bour's candidate in the by-election in | :52:06. | :52:12. | |
Witney is campaigning to save the medical centre. Will the Secretary | :52:13. | :52:17. | |
of State reward his campaign with a save your today? What the | :52:18. | :52:23. | |
Conservative candidate done, we ll be saying very clearly, is that | :52:24. | :52:26. | |
because of the extra funding by this Government, we are aiming to put | :52:27. | :52:30. | |
5,000 more doctors working hn general practice by the end of | :52:31. | :52:33. | |
Parliament, something that wouldn't have been possible with the increase | :52:34. | :52:36. | |
of less than half promised by Labour. | :52:37. | :52:40. | |
Thank you, Mr Speaker. As mhnisters will be aware, this week is baby | :52:41. | :52:46. | |
loss awareness week. Access to Ne-Yo natal cots and transport services | :52:47. | :52:50. | |
are a vital part of the card of premature and sick babies. What | :52:51. | :52:54. | |
reassurances and assurances can my right honourable friend givd me that | :52:55. | :52:57. | |
his department is continuing to review the findings of the Bliss | :52:58. | :53:01. | |
report and when can we expect to hear more? I'm grateful to ly right | :53:02. | :53:07. | |
honourable friend for raising Baby Loss awareness week. I'm sure she'll | :53:08. | :53:12. | |
participate with others in the debate in the backbench comlittee | :53:13. | :53:17. | |
later this week. The better births review of independent maternity | :53:18. | :53:21. | |
review mad a number of recommendations, including Ne-Yo | :53:22. | :53:24. | |
natal critical care. We are studying the recommendations and are due to | :53:25. | :53:27. | |
report initial findings frol work in December. | :53:28. | :53:30. | |
Thank you, Mr Speaker. I listened very closely to the Secretary of | :53:31. | :53:33. | |
State before and his comments on mental health. He stood at that | :53:34. | :53:37. | |
despatch box on 9th December and said that CCGs are are commhtted to | :53:38. | :53:41. | |
increasing the proportion of their funding that goes into ment`l | :53:42. | :53:48. | |
health. My research shows that 7% of CCGs are reducing. Yet another | :53:49. | :53:53. | |
broken promise, when can we have real equality from this Govdrnment | :53:54. | :53:57. | |
for mental health? I'll tell you what this Government's tone, we have | :53:58. | :54:02. | |
legislated for parity of esteem on mental health, we are treathng 400 | :54:03. | :54:08. | |
more people every day for mdntal health conditions than six xears ago | :54:09. | :54:11. | |
and we'll have a new plan that will see more people treated by 2020 | :54:12. | :54:15. | |
include ago transformation of CAMHS. That's possible because we `re | :54:16. | :54:18. | |
putting extra money into thd NHS which her party refused to do. | :54:19. | :54:21. | |
Does manufacture agree with me that the Government has a moral | :54:22. | :54:25. | |
obligation to end the raid on poorer countries for their skilled doctors | :54:26. | :54:29. | |
and nurses and make our NHS recruitment more self-sufficient? He | :54:30. | :54:33. | |
is absolutery right to say that and I find it extraordinary that the | :54:34. | :54:38. | |
party opposite said that our plan to train more doctors was nonsdnse We | :54:39. | :54:42. | |
currently have 80 doctors in the NHS from Sri Lanka, 600 from Nigeria, | :54:43. | :54:47. | |
400 from Sudan, 200 from My`nmar, they are doing a brilliant job, I | :54:48. | :54:50. | |
want them to continue doing that, but we have to ask ourselves whether | :54:51. | :54:55. | |
it's ethical for us to conthnue to recruit doctors from much poorer | :54:56. | :54:58. | |
countries that really need their skills. I was really alarmed to see | :54:59. | :55:03. | |
NHS chiefs warning that hospitals in England are on the brink of collapse | :55:04. | :55:08. | |
at the weekend. I read it at the weekend, I must clarify. Is the | :55:09. | :55:12. | |
Government's intention to ctt the public supply of health card in | :55:13. | :55:15. | |
order to create demand for private health care systems or will the | :55:16. | :55:19. | |
Government give it the inithal funds it needs? Let me remind the | :55:20. | :55:23. | |
honourable lady that the party that introduced the most outsourcing to | :55:24. | :55:27. | |
the private sector was her own Labour Government under the previous | :55:28. | :55:32. | |
health Secretary tear Alan Lilburn. Our view is we should be nettral as | :55:33. | :55:36. | |
to whether local doctors decide to commission their care from the | :55:37. | :55:39. | |
public or private sector. Wd want the best care for patients. I | :55:40. | :55:44. | |
welcome last week's NHS eye report that there are now sufficient staff | :55:45. | :55:47. | |
at Chorley and South Ribble hospitals and the A department can | :55:48. | :55:52. | |
open. I'm dismayed the Trust is delaying re-opening until J`nuary | :55:53. | :55:55. | |
next year. Can the minister reassure me that he'll work with me `nd | :55:56. | :55:58. | |
others to oblige the Trust to open as soon as possible? | :55:59. | :56:04. | |
The honourable lady has been a champion of Chorley, along with a | :56:05. | :56:12. | |
number member -- another melber of this house. I know them at local MPs | :56:13. | :56:19. | |
yesterday. I am happy to work with her was welcoming the reopening of | :56:20. | :56:34. | |
A and hope it can be brought forward. STDs are led locally - | :56:35. | :56:54. | |
STPs are led locally. My local hospital has been downgraded. What | :56:55. | :57:02. | |
has the Minister got to say to love loved ones of families who lay lose | :57:03. | :57:12. | |
people? The NHS will need freedom to collaborate integrate and mdrge | :57:13. | :57:16. | |
across divides. That came from the 2015 Labour manifesto. The SDP | :57:17. | :57:21. | |
process is designed to have better care, better health and productivity | :57:22. | :57:28. | |
as well. We should be critical friends to the process in that we | :57:29. | :57:36. | |
all want a better NHS service. Telford's brand-new women and | :57:37. | :57:42. | |
children's centre should be closed and moved to a more affluent area | :57:43. | :57:46. | |
where help is better than the national average. The confidence of | :57:47. | :57:52. | |
local people has been lost. We'll be secretary of State intervend and | :57:53. | :57:57. | |
make sure that health care practitioners fulfil their legal | :57:58. | :58:01. | |
duties? I would like to thank her for standing up for her | :58:02. | :58:04. | |
constituents. She will agred that this has to be a local mattdr led by | :58:05. | :58:08. | |
clinicians locally, but she can be reassured that we are always | :58:09. | :58:13. | |
watching what has happened to make sure people are following dte | :58:14. | :58:17. | |
process and the results of `ny changes that are proposed bdnefit | :58:18. | :58:22. | |
patients as they are intenddd to do. I will watch carefully what is | :58:23. | :58:26. | |
happening in Telford in Shropshire. About half a dozen times in the last | :58:27. | :58:31. | |
hour the Secretary of State has been bragging about the extra money | :58:32. | :58:36. | |
putting into the National Sdrvice. Why is it then that Bolsover | :58:37. | :58:42. | |
hospital is due to close, including many that have been referred to Why | :58:43. | :58:49. | |
is it that the neighbouring hospitals in countless | :58:50. | :58:51. | |
constituencies in Derbyshird will be closing? Why doesn't he use some of | :58:52. | :58:58. | |
that money to save the double shot hospitals? The extra money we are | :58:59. | :59:02. | |
putting into the NHS is going into better cancer care, GP provhsion, | :59:03. | :59:10. | |
mental health care. It means we can support our hospitals better. We | :59:11. | :59:15. | |
will continue to have with our ageing population great dem`nd for | :59:16. | :59:18. | |
hospital care, but the best way to relieve pressure is to invest in | :59:19. | :59:23. | |
better outer hospitals which has not been done familiars. General | :59:24. | :59:29. | |
hospitals are treating an increasing number of patients, but despite | :59:30. | :59:37. | |
being in an area of rapid growth, the funding for the local groups is | :59:38. | :59:45. | |
amongst the worst in the cotntry. What can Her Majesty's government do | :59:46. | :59:51. | |
to correct this? I'm happy to look at this funding issue. I know | :59:52. | :59:54. | |
Kettering Hospital is under a great deal of pressure. The one thing they | :59:55. | :59:58. | |
can perhaps do to relieve the financial pressures is to look at | :59:59. | :00:01. | |
the amount of agency and locum staff they employ. As with many hospitals, | :00:02. | :00:07. | |
there are savings to be madd in ways that improve rather than decrease | :00:08. | :00:13. | |
the quality of clinical card. The public 's accounts committed has | :00:14. | :00:16. | |
questioned the Department of Health and NHS England on the NHS `ccounts | :00:17. | :00:23. | |
this year, following the colments by the controller and auditor General. | :00:24. | :00:27. | |
It's clear that SDPs are thd only plans on the table. Will thd | :00:28. | :00:34. | |
secretary of state make it clear that he will deliver them and if he | :00:35. | :00:40. | |
can't, what is plan B? I don't recognise the picture she p`ints | :00:41. | :00:45. | |
about opposition to SDPs. What we need to do is make sure we have good | :00:46. | :00:50. | |
plans that will deliver better care for NHS parents by bringing together | :00:51. | :00:53. | |
and integrating the health `nd social care system and improving out | :00:54. | :01:00. | |
of hospital plans. Whilst wd are in a period where the planned | :01:01. | :01:04. | |
unpublished, there is a degree of uncertainty that we will do | :01:05. | :01:08. | |
everything to alleviate, but the plans are important for the future | :01:09. | :01:15. | |
of the NHS and has our full support. There is concern around Paignton | :01:16. | :01:35. | |
hospital. We need to know what will replace the provisions that will be | :01:36. | :01:45. | |
cut? I hosted a meeting for a number of colleagues who are concerned | :01:46. | :01:50. | |
about health in Devon and h`ppy to continue to engage with colleagues | :01:51. | :01:56. | |
across the country. Two years ago Nottingham University Hospital trust | :01:57. | :01:57. | |
privatised support services, including cleaning, handing them | :01:58. | :02:03. | |
over to a company in an effort to save money. Since then therd have | :02:04. | :02:08. | |
been shortages of equipment, staff and an appalling decline in | :02:09. | :02:13. | |
standards of cleanliness. Whll he condemned Karelian for putthng | :02:14. | :02:16. | |
patients at risk and one warmly ensure that hospital servicds in | :02:17. | :02:25. | |
Nottingham are properly funded? The decision about whether to ottsource | :02:26. | :02:31. | |
services must be a matter for local hospitals, but I know that hospital | :02:32. | :02:38. | |
has been struggling. If the contract is not working and the qualhty is | :02:39. | :02:42. | |
not right, I expect the hospital to change it, but it is their decision. | :02:43. | :02:51. | |
Demand has exceeded supply, we must now move on. I kept the honourable | :02:52. | :02:57. | |
lady waiting for a moment. Babies are due sense of anticipation. Point | :02:58. | :03:08. | |
of order. Thank you, Mr Spe`ker It is frustrating to hear ministers and | :03:09. | :03:11. | |
some backbenchers continually refer to this government investing or | :03:12. | :03:21. | |
intending to invest ?10 billion into the NHS. I sit on the house select | :03:22. | :03:26. | |
committee and I would just like to read you the following extr`ct from | :03:27. | :03:31. | |
a report. Last year's spendhng review announced the NHS wotld | :03:32. | :03:39. | |
receive an additional 8.4 bhllion by 2021, was previous spending review | :03:40. | :03:42. | |
is defined health spending `s the whole of the Department of Health | :03:43. | :03:46. | |
budget, the 2015 | :03:47. | :03:47. |