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being read for the third time. Objection taken. What today? | :00:00. | :00:00. | |
Tuesday, 21st of February. Thank you. Order! Order! Under this | :00:07. | :00:24. | |
Government, yesterday I announced that we are going further with | :00:25. | :00:38. | |
upfront ID checks for elective care. We wish to recharge the cost of | :00:39. | :00:46. | |
their home country. We welcome this crackdown on the abuse of our | :00:47. | :00:50. | |
National Health Service, but at this time we are struggling to find money | :00:51. | :00:57. | |
for care elderly people. We cannot afford to provide a free national | :00:58. | :01:05. | |
health service. It's a national not an international health service and | :01:06. | :01:11. | |
I was this appointed as the comments from the opposition, saying that the | :01:12. | :01:17. | |
money this would raise is a drop in the ocean. 500 million pounds, | :01:18. | :01:24. | |
enough to finance 5000 GPs enough for everyone's constituents in this | :01:25. | :01:31. | |
House. Whenever there are disastrous figures, isn't it a coincidence when | :01:32. | :01:42. | |
the Government renounces away as cracking down on health tourism. It | :01:43. | :01:46. | |
is chronically underfunded and this Government is doing nothing about | :01:47. | :01:51. | |
it. I'll tell you what we're doing about underfunding. We are raising | :01:52. | :01:58. | |
three times more than he was a health Minister of through | :01:59. | :02:04. | |
international visitors. Mr Speaker, given the Government's stated | :02:05. | :02:11. | |
objectives, could be Secretary of State set out for those who have | :02:12. | :02:18. | |
severe injury mental illness and who are homeless, who are unlikely to | :02:19. | :02:21. | |
have the required documentation, how is the Secretary of states going to | :02:22. | :02:31. | |
implement this to them? We have good evidence from hospitals like the one | :02:32. | :02:36. | |
in Peterborough where they introduced ID checks for elective | :02:37. | :02:40. | |
care and they have seen no evidence that people who need care are being | :02:41. | :02:49. | |
denied it. It's making sure that we abide with the fundamental principle | :02:50. | :02:55. | |
of fairness that people who don't have a NHS through their taxes | :02:56. | :03:09. | |
should be providing. We've just heard that the CC G is changing its | :03:10. | :03:16. | |
constitution, excluding GPs, changing the nature of it. This is | :03:17. | :03:24. | |
under resourced, and are stressed and asking to do something else like | :03:25. | :03:44. | |
this, it won't cope. I had the extra money we raise from international | :03:45. | :03:55. | |
visitors -- I hope that. We'll continue to fund the NHS. See if you | :03:56. | :04:02. | |
travel to America, you have to have medical insurance, won't that be one | :04:03. | :04:06. | |
of the requirements for people coming into the country to have | :04:07. | :04:12. | |
medical insurance? We did look at this extremely carefully and what we | :04:13. | :04:20. | |
concluded was that you don't have to have medical insurance if you go to | :04:21. | :04:24. | |
countries like America, and we don't insist on it because of our tourist | :04:25. | :04:30. | |
industry head. We decided it would be better for people who are getting | :04:31. | :04:36. | |
visas here to pay a surcharge. It's raising several hundred million | :04:37. | :04:43. | |
pounds for our NHS. I have always supported a view that we aren't | :04:44. | :04:47. | |
running an international health service, but could be Secretary of | :04:48. | :04:53. | |
State direct his energies stopping the wastage going on elsewhere in | :04:54. | :05:01. | |
the NHS when highly skilled surgeons and teams have to wait to operate | :05:02. | :05:04. | |
because there isn't a bed for their patients. How much is that wasting | :05:05. | :05:09. | |
because of the chronic underfunding this Government has produced? These | :05:10. | :05:19. | |
accusations would have a little bit more credibility if Labour were | :05:20. | :05:24. | |
promising any extra money for an NHS, however they were committing to | :05:25. | :05:37. | |
?5.5 billion less. My Hons friends will be when polio was eradicated in | :05:38. | :05:46. | |
the 1980s, however 85% of sufferers can develop post polio syndrome. | :05:47. | :06:05. | |
This involves increased referrals. 93% of people are unaware of PPS. A | :06:06. | :06:14. | |
low awareness in the NHS and among GPs leaves patients waiting up to | :06:15. | :06:20. | |
six years for a diagnosis. Will the Government agreed to fund a campaign | :06:21. | :06:26. | |
for this? I congratulate him for the work he does for the British Polio | :06:27. | :06:33. | |
Charity and I agree it's difficult to diagnose as there is no | :06:34. | :06:36. | |
definitive test and symptoms are vague. There are guidelines from the | :06:37. | :06:44. | |
Fellowship to make is aware of these conditions. Having noted there is no | :06:45. | :06:55. | |
tests, can the Minister outline what information is available to medical | :06:56. | :07:00. | |
professionals to make sure that the symptoms are collectively collated? | :07:01. | :07:08. | |
As I said, the symptoms are vague and the fact is there is no | :07:09. | :07:12. | |
definitive test but as my honourable friend pointed out, the awareness | :07:13. | :07:16. | |
amongst GPs isn't as high as it might be. We need is guidelines plus | :07:17. | :07:25. | |
the help of the British Polio Fellowship for better education. I | :07:26. | :07:33. | |
will answer three and ten together. In the last four years, 31 trusts | :07:34. | :07:39. | |
have been put into special measures, one in ten are NHS Trust. Out of | :07:40. | :07:45. | |
those, 16 have come out and I bank those from Addenbrooke's hospital | :07:46. | :07:49. | |
which came out last month. A safer and more caring NHS for the | :07:50. | :08:05. | |
3 million patients and the staff there can be streamed it proud of | :08:06. | :08:13. | |
what they have achieved. Bolton hospital has also come out after | :08:14. | :08:18. | |
extreme hard work, so there is now a surplus which is being reinvested | :08:19. | :08:23. | |
into patients, so will my right honourable friend joining in when I | :08:24. | :08:30. | |
thank staff for their hard work. It's a fantastic example of what is | :08:31. | :08:36. | |
possible in very challenging circumstances, and I feel that staff | :08:37. | :08:43. | |
should be proud. On average, staff go on to recruit new doctors and | :08:44. | :08:51. | |
nurses and see improvement. The Secretary of State is right to | :08:52. | :08:58. | |
congratulate those hospitals, but we still need to reduce the pressure is | :08:59. | :09:05. | |
on A E. That could be through increasing care in rural hubs. The | :09:06. | :09:14. | |
money spent in Ely, minor injuries unit is money well spent, will he | :09:15. | :09:22. | |
agreed? I know that my honourable friend campaigns and cares for her | :09:23. | :09:27. | |
local health services. We know how important that is at Ely, and they | :09:28. | :09:33. | |
are setting up some public engagement meetings. I want to | :09:34. | :09:38. | |
reassure her that there will be a formal consultation if there are any | :09:39. | :09:45. | |
changes. The self congratulatory tone of the Health Secretary is | :09:46. | :09:49. | |
astonishing. In the last year, the numbers of people waiting longer | :09:50. | :09:54. | |
than four hours in A E has gone up by 63%. The numbers waiting on | :09:55. | :10:01. | |
trolleys have gone up by percent, and the number of discharges has | :10:02. | :10:06. | |
gone up. While we won hospitals in special measures to be improving, | :10:07. | :10:12. | |
what are the answers to these urgent problems affecting the NHS across | :10:13. | :10:21. | |
the board? I will tell her. 130 more people starting cancer treatment | :10:22. | :10:29. | |
every single day. 2.5 thousand being seen in accident and emergency | :10:30. | :10:33. | |
within four hours. 5000 more operations every single day. None of | :10:34. | :10:38. | |
which would be possible if we cut the | :10:39. | :10:44. | |
The trust has been taken out of special measures in spite of the | :10:45. | :10:50. | |
growth of people with mental health problems dying from things like | :10:51. | :10:54. | |
suicide, avoidable deaths. Panorama has shown in 33 trusts, the number | :10:55. | :11:00. | |
of avoidable deaths has doubled in the last three years, with a real | :11:01. | :11:05. | |
terms cut of ?150 million. What specific measures is he taking to | :11:06. | :11:10. | |
tackle the problem of avoidable deaths? We have committed, the Prime | :11:11. | :11:19. | |
Minister affirmed this commitment last month, to spend ?1 billion more | :11:20. | :11:25. | |
every year on mental health services but we recognise it is not just | :11:26. | :11:29. | |
about money, it is about having proper suicide prevention plans and | :11:30. | :11:33. | |
we have updated that and making sure we properly across the NHS | :11:34. | :11:37. | |
investigate avoidable deaths and learn from them and that is why | :11:38. | :11:40. | |
following the tragedy of what happened with Southern health we | :11:41. | :11:44. | |
have started a new programme, the first of its kind, whereby every | :11:45. | :11:48. | |
trust will publish on a quarterly basis its number of deaths. A year | :11:49. | :11:54. | |
ago in East Sussex the trust was rated inadequate. Thanks to the hard | :11:55. | :11:58. | |
work of the staff, the hospitals are now good in many measures albeit | :11:59. | :12:04. | |
further improvements are needed. Can he thank the staff and would he | :12:05. | :12:09. | |
agree we need to talk up our successes as well as recognising | :12:10. | :12:13. | |
challenges? I absolutely will join him in doing that and I think it is | :12:14. | :12:18. | |
really important, contrary to what the former Shadow Health Secretary | :12:19. | :12:21. | |
says, that we praise NHS staff. There is a lot of pressure | :12:22. | :12:27. | |
everywhere in the NHS and praising NHS staff is not being self | :12:28. | :12:31. | |
congratulatory, it is recognising when a good job is being done. | :12:32. | :12:38. | |
Further to the very important questions, members might have seen | :12:39. | :12:42. | |
that Panorama programme and it was shocking and disgusting and I'm | :12:43. | :12:45. | |
ashamed to live in a country where in past year there has been 1000 | :12:46. | :12:51. | |
more unexpected deaths. That is not a reflection of a country that cares | :12:52. | :12:56. | |
equally about mental health as physical health. In spite of what he | :12:57. | :12:59. | |
just told us, the money he talks about is not getting to where it is | :13:00. | :13:04. | |
needed. What will you do to insure that no person in our country should | :13:05. | :13:11. | |
lose their life because they have a mental health condition which is not | :13:12. | :13:15. | |
treated properly? I agree, there is a huge amount we need to do to | :13:16. | :13:18. | |
improve mental health provision. Let me also say a huge amount has been | :13:19. | :13:26. | |
done and is being done. We are now seeing 1400 more people every day | :13:27. | :13:29. | |
with mental health conditions, we are committing huge amounts of extra | :13:30. | :13:32. | |
money into mental health provision and we are becoming a global leader. | :13:33. | :13:39. | |
Certainly according to the person who is in charge of the Royal | :13:40. | :13:43. | |
College of psychiatrists. We have to support the efforts happening in the | :13:44. | :13:46. | |
NHS because we are one of the best in the world. Last month the Prime | :13:47. | :13:56. | |
Minister made a major speech in which she made it clear in proving | :13:57. | :14:01. | |
children and young people's mental health is a major priority for this | :14:02. | :14:05. | |
government. My department will work with the Department for Education to | :14:06. | :14:08. | |
publish an ambitious green paper outlining the plans before the end | :14:09. | :14:18. | |
of the year. I am grateful. Would my right honourable friend agree that | :14:19. | :14:22. | |
as well as providing mental health support in schools and colleges, | :14:23. | :14:27. | |
community hospitals because of their locality, status and scale could | :14:28. | :14:30. | |
often provide a very useful forum for providing these vital services? | :14:31. | :14:37. | |
I am pleased he raises that point because when we discuss mental | :14:38. | :14:41. | |
health, we talk about the services provided by mental health trusts and | :14:42. | :14:45. | |
we do not give enough credit to the work done in primary care in | :14:46. | :14:48. | |
community hospitals and by GPs who have a very important role as the | :14:49. | :14:53. | |
first point of contact. He is absolutely right to make that point. | :14:54. | :14:59. | |
Will the green paper look at the role educational psychologists could | :15:00. | :15:05. | |
play, not only in providing support and assistance to young people with | :15:06. | :15:10. | |
mental health problems, but also looking at preventative work? Cuts | :15:11. | :15:14. | |
in local authority budgets have meant the service has become quite | :15:15. | :15:18. | |
fragmented but it should be practical ways in which it could be | :15:19. | :15:23. | |
improved to help young people with mental health problems. She is | :15:24. | :15:27. | |
absolutely right. As we have looked into this issue, we have realised | :15:28. | :15:33. | |
that there are two issues when it comes to improving children and | :15:34. | :15:37. | |
young people's mental health, improving access to specialist care | :15:38. | :15:40. | |
for people who need it and prevention. It is the work that can | :15:41. | :15:44. | |
be done by teachers within schools, training people in mental health | :15:45. | :15:48. | |
first aid, making a huge difference and we want to make sure we do them | :15:49. | :15:54. | |
both. I welcome the Secretary of State's focus on child and | :15:55. | :15:57. | |
adolescent mental health gap but what is he going to do about out of | :15:58. | :16:03. | |
area transfers which too often sees children in beds due and red, 300 | :16:04. | :16:08. | |
miles away from their home? -- mental health care. I thank him for | :16:09. | :16:19. | |
his continuing campaigning on mental health issues and he is right it is | :16:20. | :16:23. | |
completely unacceptable, not least because if we want a child to get | :16:24. | :16:27. | |
better quickly, the more visits from friends and family they can have, | :16:28. | :16:30. | |
the better. The faster they will recuperate. We have commissioned 56 | :16:31. | :16:38. | |
more beds. The total number is a record 1142. We are determined to | :16:39. | :16:44. | |
end out of area treatments by the end of the parliament. No one will | :16:45. | :16:47. | |
disagree with what he has said but it is not going to help people in | :16:48. | :16:54. | |
Dudley at a house which faces closure this year for the want of | :16:55. | :16:59. | |
what is quite a small amount of money. Will he look at this | :17:00. | :17:04. | |
personally and do everything he can to help this really valuable | :17:05. | :17:06. | |
facility open? It is closing because... Dudley is losing 20% of | :17:07. | :17:17. | |
its funding compared with just 1% in Surrey which he represents. Dudley | :17:18. | :17:23. | |
CCG has seen its funding go up and on top of that we are asking all | :17:24. | :17:27. | |
CCGs to increase the proportion they spend on mental health. I'm happy | :17:28. | :17:33. | |
look into the situation. I would be very disappointed if within Dudley | :17:34. | :17:36. | |
we're not seeing increasing resources going into mental health | :17:37. | :17:41. | |
provision. Could he say a little more about how children's mental | :17:42. | :17:45. | |
health services can work more closely with schools and the | :17:46. | :17:48. | |
education system war broadly? Absolutely, very happy to do that -- | :17:49. | :17:55. | |
more broadly. Very interesting innovation going on in many parts of | :17:56. | :17:59. | |
the country. I visited a school where there is a worker based | :18:00. | :18:06. | |
full-time in the school and it had a transformational effect, the | :18:07. | :18:08. | |
teachers always had someone they knew they could talk to, their | :18:09. | :18:11. | |
understanding of mental health improved, this is what we want to | :18:12. | :18:19. | |
encourage. Further to that, what persuasiveness is the Minister | :18:20. | :18:21. | |
bringing to bear in the education system, particularly in primary | :18:22. | :18:25. | |
schools, where on occasions very young people have had such a | :18:26. | :18:30. | |
diagnosis and problems have been created within the school | :18:31. | :18:35. | |
environment? This is a very important issue because as he knows, | :18:36. | :18:39. | |
half of all mental health conditions are diagnosed before or become | :18:40. | :18:45. | |
established before people of 14 and the sooner we catch them, the better | :18:46. | :18:49. | |
the chance of giving someone a full cure. We need to find a way whereby | :18:50. | :18:54. | |
there is some mental health expertise in every primary school so | :18:55. | :18:57. | |
that we can head off some of these terrible problems. Last night the | :18:58. | :19:10. | |
Panorama programme showed mental health is not funded properly. Cuts | :19:11. | :19:15. | |
led to amenity teams being disbanded, loss of staff and loss of | :19:16. | :19:19. | |
inpatient psychiatry beds. Most disturbing of all, parents talking | :19:20. | :19:23. | |
of what happens to their children when they are denied support in a | :19:24. | :19:28. | |
crisis, self harming or suicidal, no inpatient beds. One parent called it | :19:29. | :19:33. | |
a living nightmare. We do not need warm words, we need action to make | :19:34. | :19:39. | |
sure mental health services are properly funded and staffed. Let me | :19:40. | :19:44. | |
tell her what action is happening this year. The proportion of CCG | :19:45. | :19:50. | |
budgets being assigned to mental health is increasing from 12.5% up | :19:51. | :19:58. | |
to 13.1% which is an increase of ?342 million. It is action happening | :19:59. | :20:03. | |
today because this covenant is funding our NHS. Number five, Mr | :20:04. | :20:12. | |
Speaker. The Government recognises the value of surrogacy in helping | :20:13. | :20:15. | |
people who cannot have children create a family. Legislation is now | :20:16. | :20:19. | |
over 30 years old and in view of changes in society it is time for an | :20:20. | :20:24. | |
independent review. We have asked the Law Commission to include a | :20:25. | :20:28. | |
project on surrogacy for 2017 to 2019. The Minister will be aware of | :20:29. | :20:36. | |
the work by my constituent who I pay tribute to today. I welcome the | :20:37. | :20:39. | |
Minister's answer but I wonder whether I could ask very | :20:40. | :20:43. | |
specifically about the remedial order for the situation on single | :20:44. | :20:46. | |
parents which my constituent is waiting for? My honourable friend | :20:47. | :20:52. | |
has raised this very difficult case with me and my sympathies go to his | :20:53. | :20:56. | |
constituent. He is right that High Court has made a judgment about the | :20:57. | :21:01. | |
current provisions and the Government is obliged to act within | :21:02. | :21:05. | |
a reasonable timescale so we will be bringing forward irremediable order | :21:06. | :21:08. | |
this spring. I am pressing for this to happen but I'm in the hands of | :21:09. | :21:11. | |
the business managers and I will keep the House updated. And my | :21:12. | :21:22. | |
honourable friend. Number six. The Robert Naylor's report on the NHS | :21:23. | :21:27. | |
will be published shortly. In developing his recommendations, he | :21:28. | :21:30. | |
has worked with leaders across the NHS and this will ensure his | :21:31. | :21:34. | |
recommendations are informed by the salability and transformational | :21:35. | :21:40. | |
plans and will help support successful delivery -- | :21:41. | :21:43. | |
sustainability. I look forward to the report. It has been shortly for | :21:44. | :21:47. | |
a while. My constituency is exactly the sort of community-based model we | :21:48. | :21:54. | |
should promote. Promoting good health and assisting recovery after | :21:55. | :21:58. | |
medical treatment. NHS property services mean it has a threefold | :21:59. | :22:04. | |
increase in its bill, what assurances can the Government give | :22:05. | :22:08. | |
that the report will ensure cooperation on estates planning so | :22:09. | :22:11. | |
that my constituents who rely on the health part's contribution can face | :22:12. | :22:17. | |
the future with confidence? We have accepted one of the recommendations | :22:18. | :22:22. | |
from Robert Naylor ahead of the report publication which is looking | :22:23. | :22:26. | |
to bring together NHS property services with other estate services | :22:27. | :22:30. | |
and with regard to allocations being given to the CCG, I can tell the | :22:31. | :22:35. | |
honourable lady the Department of Health has provided ?127 million of | :22:36. | :22:46. | |
funding to CCGs. In looking at the estate plan and the transformation | :22:47. | :22:49. | |
plan, will the Minister in short travel arrangements between | :22:50. | :22:52. | |
different sites are taken into account? -- ensure. For health care | :22:53. | :22:57. | |
professionals, patients and visitors. I am grateful to my | :22:58. | :23:05. | |
honourable friend who has consistently shown concern about | :23:06. | :23:09. | |
arrangements in Essex went as we look at potential reconfiguration of | :23:10. | :23:14. | |
urgent and emergency care arrangements and ensuring good | :23:15. | :23:20. | |
access to AMD macro is vital as it is everywhere of -- AMD macro. In | :23:21. | :23:26. | |
Leicester the CCG is proposing to close a walk-in centre and moving it | :23:27. | :23:31. | |
to another part in Leicester. It then becomes a drive-in centre. Does | :23:32. | :23:37. | |
he agree it is important local people are consulted fully on these | :23:38. | :23:46. | |
proposals? Of course as he knows, service reconfiguration requires | :23:47. | :23:49. | |
public consultation. I'm not sure whether the walk-in centre qualifies | :23:50. | :23:53. | |
but I am happy to look at it. A number were established under the | :23:54. | :23:56. | |
previous government in a random way and they need to be located more | :23:57. | :24:01. | |
appropriately for the local people. Would my noble friend agree with me | :24:02. | :24:08. | |
that the driving force of SDPs is to improve and enhance patient care for | :24:09. | :24:13. | |
our constituents? -- my honourable friend. With regard to the mid-Essex | :24:14. | :24:23. | |
SDP, no proposal put forward involves any closure of accident and | :24:24. | :24:29. | |
emergency and far from downgrading the existing AMD macro it is about | :24:30. | :24:38. | |
upgrading the quality of care for my constituents? -- accident and | :24:39. | :24:44. | |
emergency departments. The success regime for mid-Essex is looking at | :24:45. | :24:48. | |
the configurations of the three existing accident and emergencys | :24:49. | :24:54. | |
each of whom may develop their own speciality and none will close. | :24:55. | :25:01. | |
Analysis of the SDPs this week found that a substantial number of | :25:02. | :25:04. | |
departments across the country could be closed or downgraded over the | :25:05. | :25:11. | |
next four years, and approached the royal college described as alarming. | :25:12. | :25:14. | |
We have seen the images over the last month of departments | :25:15. | :25:16. | |
overflowing and stretched to the limits so surely now is not the time | :25:17. | :25:20. | |
to get rid of them. Can he pledged today that the numbers of accident | :25:21. | :25:24. | |
and emergency beds will not reduce below the current level? He is right | :25:25. | :25:32. | |
to point out that the SDPs are looking at providing more integrated | :25:33. | :25:35. | |
care across localities. And there are a number of indicative proposals | :25:36. | :25:40. | |
which will have to be worked through. NHS England at the moment | :25:41. | :25:45. | |
are reviewing each of the SDPs and they will be presented to the | :25:46. | :25:49. | |
department for their consideration in the coming weeks and months. | :25:50. | :25:54. | |
Regarding bed closures, I gently remind the honourable gentleman that | :25:55. | :25:57. | |
in the last six years of the previous Labour government, over | :25:58. | :26:01. | |
25,000 beds were closed across the NHS in the first six years since | :26:02. | :26:06. | |
2010, fewer than were closed by discovered than its predecessor. | :26:07. | :26:14. | |
Minister moment. With permission, I will answer questions seven and 15 | :26:15. | :26:25. | |
together. The relationship between health and social care budget is | :26:26. | :26:29. | |
complex. Recent study by the University of Kent shows that for | :26:30. | :26:34. | |
every pound spent, hospital closure falls by 30 to 35%. We will be aware | :26:35. | :26:40. | |
that there is an increasing delays over transfers of care over the last | :26:41. | :26:45. | |
two years. This has meant more hospital beds are unavailable. Our | :26:46. | :26:51. | |
best estimate is around 0.7% of total NHS bed capacity due to the | :26:52. | :27:00. | |
increase in social care delays. It's quite amazing that the Minister | :27:01. | :27:04. | |
stands up and accept that there is a crisis in the NHS caused by social | :27:05. | :27:16. | |
care. It has been reduced to washing, feeding and toileting our | :27:17. | :27:21. | |
elderly people. Crisis in social care, where people are being left | :27:22. | :27:28. | |
with the most complex care because of staffing levels... Order! We must | :27:29. | :27:43. | |
have one question. No comfort for our elderly people. I say to them | :27:44. | :27:58. | |
it's not too late. Can you bring forward the ?700 million... Order! | :27:59. | :28:21. | |
Order!. I say to the lady we have a lot to get through. Leadership Grid | :28:22. | :28:35. | |
and best practice are important. Social care delays occurred in 24 | :28:36. | :28:42. | |
local authorities. Many others have burst virtually none. I visited | :28:43. | :28:50. | |
Saint Helens, the honourable lady's own constituencies. They have | :28:51. | :28:54. | |
achieved some of the best outcomes in the country. I'm sure she will | :28:55. | :29:03. | |
agree with me in congratulating those in charge. There had been cuts | :29:04. | :29:10. | |
in Rochdale, piling the pressure onto our social budget. The 2% | :29:11. | :29:16. | |
preset loanee raise 4.2 million which is a drop in the ocean of the | :29:17. | :29:24. | |
deficit of ?80 million. There's a increase in delayed discharges. I | :29:25. | :29:31. | |
call upon the Minister to bring in the better care of so that our | :29:32. | :29:38. | |
social care services can cope now. As a direct answer, it will be | :29:39. | :29:48. | |
allocated in a way so that it will address real need which is what we | :29:49. | :29:53. | |
will be doing for the remainder of this Parliament, starting from | :29:54. | :29:57. | |
April. What I would say is that we spend in this country more on adult | :29:58. | :30:03. | |
social care and Germany, Canada and Italy. It's very important that we | :30:04. | :30:09. | |
also spend it well. It's very good to hear my honourable friend's | :30:10. | :30:18. | |
research from Kent earlier. NHS and Social Services are working closer | :30:19. | :30:24. | |
together than ever before but there is still further to go. Does my | :30:25. | :30:29. | |
honourable friend agree with me that's important to overcome the | :30:30. | :30:33. | |
barriers between Social Services and NHS so that they function more as | :30:34. | :30:37. | |
one system so that patients get the sort of they need in the right | :30:38. | :30:46. | |
place. Minister. She raises a good point about the vanguard in Kent, | :30:47. | :30:50. | |
and I visited that care home vanguard in Sutton where they've | :30:51. | :30:56. | |
achieved a 20% reduction in A E admissions, with better integration. | :30:57. | :31:06. | |
If the Minister sought BBC News last night he may have seen the pressure | :31:07. | :31:12. | |
in the Blackburn emergency department. It's down to Burnley's | :31:13. | :31:20. | |
other hospital being closed down. What else can we do to reduce the | :31:21. | :31:30. | |
pressure? Two thirds of all delayed transfers of care are as a | :31:31. | :31:38. | |
consequence of internal NHS issues, and not that and councils. I think | :31:39. | :31:44. | |
the relationship with Blackburn and Burnley is part of that. Recent | :31:45. | :31:55. | |
figures in South words has 150 out of 184 delayed discharges. Sir David | :31:56. | :32:01. | |
Alton has said hospital overcrowding at Salford Royal is a cousin the | :32:02. | :32:06. | |
hospital's inability to transfer patients to and alternative care | :32:07. | :32:11. | |
setting and changes to social care are urgently required. We've had | :32:12. | :32:17. | |
cuts of 40% to our budget in local council since 2010, but Salford | :32:18. | :32:23. | |
Royal is now providing social care rather than the council. I know that | :32:24. | :32:30. | |
the help secretary respects Sir David, does he accept his view about | :32:31. | :32:37. | |
funding changes will he continue to find reasons to blame for his | :32:38. | :32:45. | |
Government's cuts? We respect Sir David Dalton and might I remind the | :32:46. | :32:52. | |
honourable lady that she stood for Parliament under the slogan Not A | :32:53. | :32:59. | |
Penny More. What I will say is in Manchester that there is an | :33:00. | :33:02. | |
opportunity through the devolution deal to integrate social care and | :33:03. | :33:12. | |
the NHS and I expect them to do so. Best trend data comes from the GP - | :33:13. | :33:29. | |
patient survey which collates feedback of over 2 million patients | :33:30. | :33:37. | |
I annually. 92% of patients found their appointments to be convenient, | :33:38. | :33:40. | |
a slight increase from previous results. 86% rated their experience | :33:41. | :33:51. | |
with a GP surgery as good. There was a 30% rise in waiting times in 2016. | :33:52. | :33:57. | |
One of the key concerns raised by constituents, when I speak to local | :33:58. | :34:03. | |
GPs, one of the key pressures they are facing is the failing social | :34:04. | :34:07. | |
care system. So he knows those answers he gave a minute ago don't | :34:08. | :34:14. | |
address them. Will he commit to something meaningful? Those answers | :34:15. | :34:22. | |
are from a GP patient survey, but I do accept, and the Government | :34:23. | :34:26. | |
accepts that we need more GPs in this country. They are important in | :34:27. | :34:33. | |
the NHS and by 2020 we have plans to have a further 5000 doctors working | :34:34. | :34:38. | |
in primary care. We also intend to add to that pharmacist, clinical | :34:39. | :34:43. | |
pharmacists and mental health therapist and that will be part of | :34:44. | :34:49. | |
the solution. It's not just the need for GPs, but surely what is required | :34:50. | :34:55. | |
is for GPs should work at weekends and they should be included in their | :34:56. | :34:59. | |
assessments for demand, working together in groups. The Government | :35:00. | :35:08. | |
is committed to having seven-day appointments with GPs eight AM- 8pm. | :35:09. | :35:18. | |
We want to roll that out in London. The other plan is to have GPs | :35:19. | :35:24. | |
working smarter in hubs which labels them to spread and include services | :35:25. | :35:30. | |
such as pharmacy, physios and social care in that integrated hub. In a | :35:31. | :35:38. | |
survey I conducted in Enfield North, 58% agree it is difficult to get an | :35:39. | :35:43. | |
appointment. Now the Royal College of GPs has calculated that Enfield | :35:44. | :35:52. | |
need 84 more GPs by 2020, but in fact, between now and 2014, we've | :35:53. | :36:02. | |
lost for GPs. What is he going to do that if these 5000 GPs appear by | :36:03. | :36:11. | |
2020 that Enfield will get those GPs that it needs? As I said earlier, we | :36:12. | :36:17. | |
will have 5000 doctors working in 2020, a chunk of those will be able | :36:18. | :36:25. | |
to work across the country, and Enfield will see its share. The | :36:26. | :36:30. | |
point is that the Honourable Lady makes our correct. Collaboration is | :36:31. | :36:40. | |
also important. How far have we got spending the billion pounds | :36:41. | :36:44. | |
earmarked by the Chancellor for this surgery is and does he share our | :36:45. | :36:58. | |
vision of more polyclinics. There is more spend in the community and as a | :36:59. | :37:02. | |
proportion, an increase in the amount of money the NHS has going | :37:03. | :37:09. | |
into primary care. Part of that will be polyclinics and state clinics | :37:10. | :37:15. | |
generally. What you find with the vanguard is when you put together | :37:16. | :37:21. | |
groups of 50,000 patients in a GP hubs, the quality of care increases | :37:22. | :37:26. | |
dramatically and we are going to excel rate that. The challenges | :37:27. | :37:36. | |
facing our health system are grave so we need to uptake technologies | :37:37. | :37:42. | |
for patient outcomes that meets those challenges, so by capitalising | :37:43. | :37:47. | |
on advances in genomic, data, digital health and Informatics, | :37:48. | :37:53. | |
there should be access to cost-effective, new products. It's | :37:54. | :38:01. | |
vital that we endeavour to ensure the NHS gets better value for money | :38:02. | :38:05. | |
for the drugs bill so we can get more innovative products to patients | :38:06. | :38:11. | |
more quickly. De she also agree that there is much more work to be done | :38:12. | :38:18. | |
alongside the accelerated access review and the forthcoming life | :38:19. | :38:21. | |
sciences strategy to achieve this objective? I completely agree with | :38:22. | :38:29. | |
my friends. Medicines is one of the highest spendings, and it's | :38:30. | :38:34. | |
important that NHS gets best value. I was glad to have supported our | :38:35. | :38:39. | |
recent ill on medicine and medicine supplies. This means we can prevent | :38:40. | :38:45. | |
unjustified price rises from brand medicines. Ensuring cost effective | :38:46. | :38:54. | |
prescribing behaviour. When will this be published and will it | :38:55. | :39:01. | |
include how to improve patient access to molecular diagnostics? We | :39:02. | :39:04. | |
are working hard on that exact point. As the Health Secretary is | :39:05. | :39:16. | |
aware, my constituents Abby Longfellow is suffering from a rare | :39:17. | :39:21. | |
disease. What was Government do to ensure access for people with | :39:22. | :39:32. | |
ultra-rare diseases such as Abbey? We are trying to do with | :39:33. | :39:38. | |
technologies for rare diseases, and the implementations which has 51 | :39:39. | :39:42. | |
commitments to be implemented by 2024 improving the lives of | :39:43. | :39:47. | |
constituents exactly like my honourable friend's. Cheap | :39:48. | :40:16. | |
it is cheap feeding awareness week. -- tube. | :40:17. | :40:32. | |
Scientists are warning for the first time that resistance to malaria may | :40:33. | :40:38. | |
be increasing, can the Minister outlined what further steps have | :40:39. | :40:45. | |
been taken to deal with and he microbe I'll resistance in the next | :40:46. | :40:57. | |
few years. We are trying to work with international partners to deal | :40:58. | :40:58. | |
with a range of Question 11, Mr Speaker. We are | :40:59. | :41:14. | |
determined we will improve access to cost-effective innovative medicines | :41:15. | :41:20. | |
including breast cancer drugs which is why we introduced the Cancer | :41:21. | :41:26. | |
Drugs Fund. She will know that cost-effective is not an easy thing | :41:27. | :41:34. | |
to decide and many women will not get access to the breast cancer | :41:35. | :41:38. | |
drugs they need unless there is a review of how we assess cost | :41:39. | :41:44. | |
effectiveness or how Nice assess it. Will she support an independent | :41:45. | :41:47. | |
review of those processors and will she have something to say about | :41:48. | :41:54. | |
off-take and cancer drugs? -- off patent. We have debated this in the | :41:55. | :41:58. | |
House and it is worth looking at our record. The Cancer Drugs Fund has | :41:59. | :42:03. | |
helped 95,000 people access drugs and Nice has approved three breast | :42:04. | :42:09. | |
cancer drugs, while there are others it has not yet. It is important | :42:10. | :42:14. | |
politicians do not intervene in this debate as these are very difficult | :42:15. | :42:21. | |
decisions which will always find challenging issues in the situation | :42:22. | :42:27. | |
where the NHS has a finite budget. If the member was standing, I would | :42:28. | :42:37. | |
call him, but if he isn't, I went. He is, so I will. I'm delighted to | :42:38. | :42:43. | |
stand. Thank you. Even there is no General Hospital in my constituency | :42:44. | :42:46. | |
and a large number of my constituents have to travel many | :42:47. | :42:51. | |
miles for cancer treatment, what discussions has my right honourable | :42:52. | :42:53. | |
friend had with the Welsh Government to persuade them to fund mobile | :42:54. | :42:58. | |
cancer treatments? We have continual discussions with the Welsh | :42:59. | :43:02. | |
Government to make sure these issues are under review and I will | :43:03. | :43:05. | |
definitely write to the honourable gentleman about this issue and I | :43:06. | :43:08. | |
will also be happy to meet with him about this, if you would like to | :43:09. | :43:14. | |
discuss it further. Would the Minister agree that there is no one | :43:15. | :43:19. | |
subject we have discussed here today that would not be improved by the | :43:20. | :43:23. | |
better transfer of patient data and could she tell me how the department | :43:24. | :43:26. | |
is working towards linking social care with the GPs, mental health, | :43:27. | :43:34. | |
innovation, cancer drugs in order to understand where we can best target | :43:35. | :43:37. | |
patient outcomes and spend our resources? My honourable friend is | :43:38. | :43:43. | |
very well aware because of her leading role with the Private | :43:44. | :43:48. | |
Members' Bill which she is bringing forward that we are working very | :43:49. | :43:51. | |
hard to improve the connection of patient data and in particular | :43:52. | :43:57. | |
through the role of the national data guardian and the safeguarding | :43:58. | :44:00. | |
rules which will make sure we not only protect patient data more | :44:01. | :44:05. | |
effectively but we are able going forward to share it in an effective | :44:06. | :44:09. | |
way which improves patient care. I would like to make further progress | :44:10. | :44:14. | |
with questions from backbenchers. Question number 12. Developing a | :44:15. | :44:21. | |
variety of routes into nursing is a priority to reflect the local | :44:22. | :44:24. | |
population served by nurses. That is why we have developed the new | :44:25. | :44:30. | |
nursing associate role and nursing degree apprenticeships which are | :44:31. | :44:34. | |
opening up routes into the profession for thousands of people | :44:35. | :44:37. | |
from all backgrounds and allowing employers to grow their own | :44:38. | :44:41. | |
workforce locally. Will the Minister inform the House if there are plans | :44:42. | :44:45. | |
to roll out the associate role to include Wiltshire and enable new | :44:46. | :44:50. | |
nursing degree apprentice schemes to be offered in larger further | :44:51. | :44:52. | |
education colleges so that counties like Wiltshire which have no | :44:53. | :44:57. | |
university can provide them? We have announced the first 1000 nursing | :44:58. | :45:06. | |
associates. I visited in Romford the hospital with the first very | :45:07. | :45:09. | |
enthusiastic group of nursing associates. We have announced a | :45:10. | :45:14. | |
second wave of 2000 associate roles. I regret Wiltshire I do believe has | :45:15. | :45:19. | |
any of those. They can bid for more in the future. When the Secretary of | :45:20. | :45:27. | |
State scrapped the nursing bursary, he claimed his reforms would lead to | :45:28. | :45:30. | |
an increase in nursing applications will stop last week figures from | :45:31. | :45:34. | |
Ucas showed there has been a drop in nursing applications of 23%. A | :45:35. | :45:38. | |
worrying trend when the demands of Brexit will need we need more | :45:39. | :45:44. | |
home-grown nurses. Will he scrapped this disastrous policy or give | :45:45. | :45:49. | |
Greater Manchester ability to opt out and reinstate the nursing | :45:50. | :45:53. | |
bursary? I would urge the right honourable member not to indulge in | :45:54. | :46:00. | |
scaremongering about the number of nurses... There are people applying | :46:01. | :46:05. | |
to become nurses. That on more than two applications from individuals | :46:06. | :46:09. | |
for the nursing places on offer to start next August. The number of | :46:10. | :46:14. | |
applications from EU nationals which has gone down significantly, he | :46:15. | :46:18. | |
needs to be careful in interpreting these figures this early, it | :46:19. | :46:21. | |
coincided with the introduction of the language tests for EU nationals. | :46:22. | :46:29. | |
Surely with the reduction of 23% in applications are English and nursing | :46:30. | :46:32. | |
schools, the minister might want to actually look again at the policy. | :46:33. | :46:38. | |
There has been a significant drop, 90% drop, in EU nationals. With one | :46:39. | :46:44. | |
in ten nursing vacancies in NHS England and a cap on agency, who | :46:45. | :46:47. | |
exactly does the Minister think should staff the NHS? I gently say | :46:48. | :46:53. | |
to the honourable lady there are 51,000 nurses in training at present | :46:54. | :46:57. | |
and the number of applications through Ucas bus far suggests there | :46:58. | :47:03. | |
will be more than two applicants for each place and as I have just said, | :47:04. | :47:08. | |
the reduction in application forms requested by EU nationals has come | :47:09. | :47:12. | |
down coinciding with the introduction of a language test. | :47:13. | :47:20. | |
Language test applications was over 3500 last January, so the reduction | :47:21. | :47:24. | |
after language tests was from that to 1300. In December, there were | :47:25. | :47:29. | |
only 101 applications. This cannot all be blamed on the language test. | :47:30. | :47:33. | |
What is he going to do to protect nursing numbers? There are over | :47:34. | :47:42. | |
13,000 more nurses working in the NHS today than in May, 2010. The | :47:43. | :47:45. | |
introduction of the language test came into effect from July of last | :47:46. | :47:52. | |
year and since then, the applicants have been somewhat steady. It is | :47:53. | :47:56. | |
down very significantly but that is because frankly we have had | :47:57. | :47:59. | |
applications from nurses from EU countries that have not been able to | :48:00. | :48:05. | |
prosper language test. The national standard is to be expected 85% of | :48:06. | :48:10. | |
cancer referrals to receive initial treatment within two months of | :48:11. | :48:16. | |
urgent referrals. For cancer overall, most recent data indicates | :48:17. | :48:20. | |
we achieved 82%. For prostate cancer, 78%. The lower figure for | :48:21. | :48:26. | |
prostate cancer is because of the pathways being more complex than | :48:27. | :48:31. | |
average. I'm disappointed in the figures but at least they are | :48:32. | :48:34. | |
available. When I asked this last month, the information was not | :48:35. | :48:38. | |
available. Nor was it available about the number of vacancies for | :48:39. | :48:44. | |
prostate cancer surgeons, no information about training, | :48:45. | :48:47. | |
equipment used, because this information is not collected | :48:48. | :48:52. | |
centrally, I am told. When will the department collect adequate | :48:53. | :48:54. | |
information to run a health service properly? There is more information | :48:55. | :49:05. | |
published on cancer I CCG since the back end of last year than at any | :49:06. | :49:10. | |
time in the history of the NHS. He is right to say that prostate cancer | :49:11. | :49:15. | |
is grouped with other cancers in general and that is the type of | :49:16. | :49:22. | |
surgeons employed, the facts are this government is incredibly | :49:23. | :49:24. | |
transparent in terms of information published on cancer. Last Saturday | :49:25. | :49:31. | |
was world cancer day and the theme was unity and I am still wearing my | :49:32. | :49:36. | |
band with pride. We must do all we can to beat cancer yet the | :49:37. | :49:40. | |
Government is coming to the three-year anniversary of not | :49:41. | :49:46. | |
meeting the 62 day waiting target. Treatment quickly after diagnosis is | :49:47. | :49:50. | |
crucial for all cancers. Will the Minister outlined what he is doing | :49:51. | :49:54. | |
to ensure this target is once again met so that patients received timely | :49:55. | :50:00. | |
treatment? The volume has increased greatly, something like 2000 more | :50:01. | :50:04. | |
being diagnosed every day. She is right, of the eight cancer standards | :50:05. | :50:09. | |
we judge ourselves against, we meet seven under 62 day one has not been | :50:10. | :50:16. | |
met. The cancer strategy put out a pathway and we have invested in the | :50:17. | :50:19. | |
early diagnosis component of that and 200 million in terms of early | :50:20. | :50:27. | |
diagnosis and 31-day or clear or being referred for treatment. That | :50:28. | :50:30. | |
is the pathway to meeting the 62 days. It is an important indicator | :50:31. | :50:38. | |
and we need to do better. We know that a strong primary care system is | :50:39. | :50:42. | |
the bedrock of the NHS which is why I'm pleased to announce today NHS | :50:43. | :50:46. | |
England will publish the new GP contract agreed by the Government, | :50:47. | :50:51. | |
NHS England and the BMA which will see almost ?240 million extra | :50:52. | :50:57. | |
invested in GP services, require GPs to establish whether overseas | :50:58. | :51:02. | |
visitors are eligible for free care and improve access for patients by | :51:03. | :51:06. | |
removing extra funding if GPs readily close for afternoons in the | :51:07. | :51:11. | |
working week. Would the Secretary of State consider putting a GP in every | :51:12. | :51:19. | |
A department so that they could triage patients not so ill and | :51:20. | :51:22. | |
advise them to go home and see their own GP on another occasion? She is | :51:23. | :51:27. | |
right to say that it is the proxy that all A is space available | :51:28. | :51:34. | |
should do that -- the policy. The hospitals that do it are the most | :51:35. | :51:39. | |
successful results wise, not least the one that pioneered that model. | :51:40. | :51:47. | |
We have seen 4000 people with urgent operations cancelled, 18,000 people | :51:48. | :51:52. | |
a week in January waiting on trolleys in corridors, nine out of | :51:53. | :51:57. | |
ten hospitals overcrowded and unsafe levels. Even in the local paper, I | :51:58. | :52:03. | |
read his local hospital had to put patients in the gym overnight. Does | :52:04. | :52:07. | |
he agree with the Prime Minister that the crisis facing our NHS is to | :52:08. | :52:15. | |
a small number of incidents? The NHS is under pressure but we never get | :52:16. | :52:19. | |
from the honourable gentleman any solutions. Our solution is 600 more | :52:20. | :52:25. | |
A consultants since 2010, 2000 more paramedics, 2500 more people | :52:26. | :52:32. | |
being seen within four hours everyday. His solution at the last | :52:33. | :52:35. | |
election was to cut the NHS budget by 1.3 billion. His solution has | :52:36. | :52:41. | |
been to blame everybody else but never take responsibility himself. | :52:42. | :52:46. | |
Can I ask the Secretary of State what he is going to do about the | :52:47. | :52:50. | |
crisis we are facing in staffing? Last week we learned half of junior | :52:51. | :52:55. | |
doctors are abandoning specialist training, we have heard already | :52:56. | :52:58. | |
applications for nursing degrees are down by a quarter following the | :52:59. | :53:05. | |
axing of the student bursary, shortage of midwives. I know he has | :53:06. | :53:09. | |
been in US and he will try to give us alternative facts, but when will | :53:10. | :53:16. | |
he deal with the staffing crisis? Let us look at the reality instead | :53:17. | :53:21. | |
of his rhetoric. In his own trust in Leicester, there are 246 more nurses | :53:22. | :53:28. | |
than in 2010 and 330 more doctors. 185 more patients seen in A | :53:29. | :53:35. | |
everyday. Next year a new emergency floor will open at the Leicester | :53:36. | :53:38. | |
while infirmary because we are backing the NHS instead of cutting | :53:39. | :53:44. | |
its budget -- Royal Infirmary. The recently produced council survival | :53:45. | :53:52. | |
rate indicator is a beacon of light. What will come the Government do to | :53:53. | :53:58. | |
hold underperforming CCGs to account for this outcome indicator given | :53:59. | :54:02. | |
that we are still failing to catch up with international averages when | :54:03. | :54:08. | |
it comes to survival rates? He is right to say that we now published | :54:09. | :54:12. | |
one year survival rates for every CCG in the country and I agree with | :54:13. | :54:17. | |
him that it is a beacon of light and a transformative step. It shows | :54:18. | :54:22. | |
differences between the best and the worst of over 10% which is | :54:23. | :54:26. | |
unacceptable. The transparency itself will bring improvements but | :54:27. | :54:30. | |
we have also recently established 16 cancer alliances whose job it is to | :54:31. | :54:35. | |
roll out best practice and investigate poor performance. Can | :54:36. | :54:44. | |
the Minister update the House about NHS litigation costs which rocketed | :54:45. | :54:52. | |
last year? Are they under control? It is a very big concern and the | :54:53. | :54:57. | |
only way in the long run to reduce the litigation costs is to have | :54:58. | :55:01. | |
safer care and that is why this covenant has prioritised safety in | :55:02. | :55:04. | |
everything we do. -- this government. If a patient in the eyes | :55:05. | :55:11. | |
suffers a stroke, they have a far better chance of recovery if they | :55:12. | :55:19. | |
get quick treatment. -- in Cornwall. What is the Government doing to | :55:20. | :55:24. | |
ensure that there will be a national stroke strategy? The current stroke | :55:25. | :55:30. | |
strategy was produced in 2007 and our priority is to implement it | :55:31. | :55:40. | |
fully. I would prefer to have detailed implementation plans and | :55:41. | :55:43. | |
not more strategies. The issue he refers to is there are a great deal | :55:44. | :55:48. | |
of differences in performance across the country, in particular access to | :55:49. | :55:52. | |
speech and language therapy and we need to achieve better. My | :55:53. | :56:02. | |
constituents, they have been through lengthy processes for Beth Allen to | :56:03. | :56:11. | |
access treatment for muscular dystrophy and thankfully he is now | :56:12. | :56:15. | |
receiving the treatment. What action is the Government taking to increase | :56:16. | :56:20. | |
the capacity of the medicines and health care products as the result | :56:21. | :56:28. | |
of the UK leaving the EU and most importantly, will the Secretary of | :56:29. | :56:33. | |
State agreed to meet with muscular dystrophy UK? | :56:34. | :56:38. | |
I would like to pay tribute to the work of the charity the art | :56:39. | :56:45. | |
honourable gentleman mentioned. It does important work and I have | :56:46. | :56:51. | |
sympathy for the KC mentioned. The UK rare diseases strategy has 51 | :56:52. | :56:57. | |
recommendations which are being driven through the NHS and improving | :56:58. | :57:03. | |
life chances that patients with rare diseases, and our genomics | :57:04. | :57:13. | |
department is bringing improvements so that people with rare diseases | :57:14. | :57:19. | |
can receive treatment quicker. People in Lancashire will be pleased | :57:20. | :57:23. | |
that the emergency services in Shirley in Chorley had been | :57:24. | :57:35. | |
reopened. I recognise there's a lot that's gone in to reopening that in | :57:36. | :57:42. | |
Chorley and I'm delighted ID work done by the Deputy Speaker and the | :57:43. | :57:47. | |
honourable member for South Rebel. Last year, hospital trusts were | :57:48. | :57:52. | |
advised to raise bed budget to revive resources funding. Does he | :57:53. | :57:58. | |
think this is a good idea what advice is he giving officials | :57:59. | :58:03. | |
issued? It's not a sustainable position to have to do that. They | :58:04. | :58:09. | |
were pressures on the front line and that had to happen, but I recognise | :58:10. | :58:18. | |
that budget Capitals are important. Young people with anxiety can find | :58:19. | :58:20. | |
themselves out of school and sidelined. Are there any ways to | :58:21. | :58:28. | |
reach out to these young people's futures that we mustn't give up on? | :58:29. | :58:35. | |
3% of schoolchildren had severe anxiety, but we also know that if we | :58:36. | :58:40. | |
treat them quickly we can often cure the condition and it doesn't come | :58:41. | :58:44. | |
back, so he is right, we have to be as imagine it as possible. I have | :58:45. | :58:51. | |
two report back to a constituent awaiting treatment is that the | :58:52. | :58:58. | |
waiting time for his clinic is to use. People with mental ill-health | :58:59. | :59:10. | |
have the right to access to treatment. Why can't this be dealt | :59:11. | :59:21. | |
with by the honourable gentleman? We are spending at least ?1 billion | :59:22. | :59:29. | |
more per year then his Government. This year we will be implementing | :59:30. | :59:35. | |
maximum times for eating disorders, but we are also trying to put | :59:36. | :59:41. | |
pathways to all illnesses and I agree that that waiting time is | :59:42. | :59:51. | |
matched to long. Some GP practices across Lancashire have started | :59:52. | :59:54. | |
publishing benumbed bar of missed appointments. When will he look at | :59:55. | :00:04. | |
giving GPs the powers to charge those who missed their GP | :00:05. | :00:08. | |
appointments in Lancashire? I have sympathy for those who are | :00:09. | :00:12. | |
frustrated about that. I've said before my objection to that is not | :00:13. | :00:17. | |
one of principle but whether it's practical to do it. Perhaps it's | :00:18. | :00:21. | |
something that GPs can decide at a local level. The Health Secretary | :00:22. | :00:29. | |
there was a small number of NHS during this winter. I would like to | :00:30. | :00:35. | |
know what he calls small. There are a large number in my constituency | :00:36. | :00:40. | |
alone. I would like him to visit my local hospital and see for himself | :00:41. | :00:43. | |
as the Shadow Health Secretary will do later this week. I don't think | :00:44. | :00:55. | |
our debates helped by her taking my comments out of context. I was | :00:56. | :01:00. | |
talking about eight specific week when we talked about a small number | :01:01. | :01:05. | |
of incidents that the pressure is recognised across the NHS which is | :01:06. | :01:11. | |
why this Government is backing NHS with record funding. Slow payments | :01:12. | :01:18. | |
for relatively small sums by NHS providers has caused a health clinic | :01:19. | :01:25. | |
to close in my area. Will he impose strict guidelines for timely | :01:26. | :01:33. | |
Caymans? My honourable friend will be aware there is a 30 day advisory | :01:34. | :01:51. | |
strategy for NHS departments -- NHS providers to pay within 30 days. | :01:52. | :02:00. | |
Adolescent mental training -- health training positions are unfilled. How | :02:01. | :02:08. | |
does the Government plan on dealing with these recruitment issues? We | :02:09. | :02:16. | |
have said we will recruit the brightest and the best. I have a | :02:17. | :02:31. | |
constituent who has breast cancer and cannot access drugs. I will meet | :02:32. | :02:42. | |
with my friend on a difficult case. What's has been done about | :02:43. | :02:47. | |
increasing nurses' pay? Many of them have expertise and qualifications? | :02:48. | :02:57. | |
As the honourable lady will be aware, relevant bodies are due to | :02:58. | :03:00. | |
make their recommendations this week and we will look at those closely. | :03:01. | :03:17. | |
North Hampshire, what's reassuring scan the Minister give that GP | :03:18. | :03:22. | |
services will keep up with housing growth happening in the area? I can | :03:23. | :03:28. | |
reassure him we take that into account when we give out funding for | :03:29. | :03:34. | |
private care, but it depends on a strong economy and this is something | :03:35. | :03:37. | |
that the Government will always do the NHS. These secretary for state | :03:38. | :03:44. | |
of communities and | :03:45. | :03:45. |