:00:12. > :00:20.Good morning. Welcome to live coverage of the Commons. Today's
:00:21. > :00:24.debate is reaction to last week's budget. At the start of the debate
:00:25. > :00:27.the Chancellor of the Exchequer George Osborne will be making a
:00:28. > :00:34.resolute offence of his budget, following the turmoil that followed,
:00:35. > :00:38.the resignation of Iain Duncan Smith, and the resulting drop in
:00:39. > :00:44.changes to disability benefits. Join me for a round-up of the day in both
:00:45. > :00:47.Houses of Parliament at 11pm tonight. First, questions to the
:00:48. > :00:55.Secretary of State for health, Jeremy Hunt, and his ministerial
:00:56. > :00:59.team. The first question is from the Conservative Andrew Stevenson,
:01:00. > :01:10.concerning cancer survival rates. Order. Questions to the Secretary of
:01:11. > :01:18.State for health. Ministers Jane Ellison. Before I answer the
:01:19. > :01:22.question, may I start by saying that the thoughts of the houses are with
:01:23. > :01:26.the people in Brussels today. Shocking events. We will do all we
:01:27. > :01:33.can to support. With your permission I will take questions one and 11
:01:34. > :01:37.together. Cancer survival rates are at a record high, and we are on
:01:38. > :01:48.track to save more lives. But we know we need to strive to be better.
:01:49. > :01:51.Independent cancer task force report was published last summer,
:01:52. > :01:57.recommending improvements across the pathway, setting out recommendations
:01:58. > :02:04.which will be further survival rates. Can I associate myself with
:02:05. > :02:08.her comments about the terrorist outrage in Brussels. As she may be
:02:09. > :02:16.aware, a Cancer foundation has been fundraising for chemotherapy unit in
:02:17. > :02:24.my constituency. Due to the huge generosity of residents, they have
:02:25. > :02:29.raised 90,000 of their target of 100,000. Would she join me in
:02:30. > :02:36.congratulating them and encouraging the residents to meet their full
:02:37. > :02:40.target? It is a delight to associate myself with the support for this
:02:41. > :02:46.group. Those near Cancer foundation support world-class cancer treatment
:02:47. > :02:50.throughout Lancashire and Cumbria, and 4000 treatments are delivered
:02:51. > :02:55.every year at Burnley Cosby to, and the new unit will be a benefit to
:02:56. > :03:06.cancer patients. -- Burnley hospital. Is there anything further
:03:07. > :03:10.my honourable friend can do to incentivise NHS trusts to replace
:03:11. > :03:13.linear accelerators over ten years old, which would allow more patients
:03:14. > :03:21.to access cutting-edge radiotherapy techniques? This is one of the areas
:03:22. > :03:28.covered by the cancer task force. It is an important matter. The national
:03:29. > :03:37.cancer director is leading on task force implementation, and that
:03:38. > :03:40.replacement is based on improvements across the pathway, and that can
:03:41. > :03:44.only be done because we are putting the money into the NHS that we need
:03:45. > :03:52.to achieve those world-class outcomes. 38,000 people are
:03:53. > :03:58.diagnosed with a blood cancer every year then the UK but very few people
:03:59. > :04:02.are familiar with the term blood cancer. Patients have expressed
:04:03. > :04:06.concern that a lack of awareness has an impact throughout the patient
:04:07. > :04:10.journey, from confusion and uncertainty at diagnosis, to being
:04:11. > :04:15.unaware of the organisations that provide support and care that they
:04:16. > :04:20.need. Can the Minister say what more the government can do to tackle this
:04:21. > :04:24.lack of awareness to improve outcomes and survival rates are all
:04:25. > :04:34.patients affected ID 137 types of blood cancer? -- by the 137 types.
:04:35. > :04:41.She is right to bring this to the House. Joining up these cancers is
:04:42. > :04:47.the approach that the implementation team are looking at. I had a recent
:04:48. > :04:52.conversation with the director, and NHS representatives, discussing how
:04:53. > :04:56.we can get the joined up approach. That is that the heart of the
:04:57. > :05:04.recommendation. We will be taking this forward for all those reasons.
:05:05. > :05:09.Cancer Research UK has said that cancer waiting times have now been
:05:10. > :05:12.missed so many times that failure has become the norm. Does the
:05:13. > :05:17.Minister agree that failure to tackle this is undoing the good work
:05:18. > :05:28.of the last 15 years in terms of survival rates? We are dealing with
:05:29. > :05:33.a greater number of people. More people are being diagnosed these
:05:34. > :05:38.days. For example last year, GPs referred nearly half a million more
:05:39. > :05:43.patients to see a cancer specialist, an increase of 51%. When it comes to
:05:44. > :05:47.waiting lists we want to make sure everyone is seen. Government have
:05:48. > :05:53.committed more money on diagnostics, for example. We expect the NHS to
:05:54. > :05:57.look urgently act dips and local performance to make sure nations get
:05:58. > :06:01.access to treatment as soon as possible. Will the Minister join me
:06:02. > :06:07.in welcoming the government announcement of funding for a new
:06:08. > :06:15.radiotherapy machine which will improve cancer survival rates for
:06:16. > :06:19.patients of my constituency? Absolutely. My honourable friend
:06:20. > :06:24.highlights again where we are investing, upgrading machines, where
:06:25. > :06:30.we are and the effort and the people and resources in, to make sure we
:06:31. > :06:36.can achieve those world-class cancer outcomes. We are on course for a
:06:37. > :06:40.record outcomes in terms of patients surviving ten years beyond
:06:41. > :06:46.diagnosis, but we always want to do better, so I do applaud local
:06:47. > :06:49.efforts, as she highlighted. I would like to reiterate what the Minister
:06:50. > :06:52.said. I am sure my honourable friends would agree that our
:06:53. > :06:56.thoughts quite to everyone in Brussels. Can the Minister informed
:06:57. > :07:05.the House what consideration has been given to bringing Powell cancer
:07:06. > :07:08.screening age into line of that of Scotland, 50 rather than 60,
:07:09. > :07:16.following the debate on this subject? -- bowel. We had a
:07:17. > :07:21.tremendous debate, which demonstrated how many people were
:07:22. > :07:26.interested in the subject. In response, in England we have the
:07:27. > :07:30.bowel Scope screening programme and the bowel cancer programme, which
:07:31. > :07:39.complemented each other, and the impact of that is that we can really
:07:40. > :07:45.make a huge impact. I went into more detail on my response to the debate,
:07:46. > :07:50.but I think that is the key to identifying more people and
:07:51. > :07:58.preventing them dying from this disease. I have received many
:07:59. > :08:01.representations on the effect of liberties safeguards, including the
:08:02. > :08:06.impact on health and care budgets. The honourable lady is a respected
:08:07. > :08:15.choice on the safeguards, and there is ongoing work to address it. It is
:08:16. > :08:18.costing Stockport Council 1.2 million this year for deprivation of
:08:19. > :08:24.liberty assessments as a result of the Cheshire West judgment. Not 1p
:08:25. > :08:29.provides social care. This is unsustainable at a time when budgets
:08:30. > :08:32.are under pressure and something needs to be done now. We cannot wait
:08:33. > :08:43.for the Law Commission. With the Minister consider scrapping costly
:08:44. > :08:50.automatic annual assessments? I will happily look at anything that might
:08:51. > :08:55.help. We are caught in this process of trying to deal with a court
:08:56. > :09:01.judgment and the issues surrounding mental capacity issues, which are
:09:02. > :09:07.serious and cannot be changed quickly. We are now close to hearing
:09:08. > :09:13.the Law Commission's post-consultation proposals. Inmate,
:09:14. > :09:20.they will oblige the analysis. I would look at any suggestion that
:09:21. > :09:25.could help this practically. When the new legislation is introduced,
:09:26. > :09:26.can he confirm it will be simpler to understand, resulting in fewer
:09:27. > :09:33.bereaved relative spacing delays when a loved one dies in care? He is
:09:34. > :09:44.absolutely right. What has caused the confusion has been a definition
:09:45. > :09:50.of loss of liberty and dying in state detention. Whatever the new
:09:51. > :09:55.legislation proposed, it has got to meet a much simpler test, and has
:09:56. > :10:05.the meat what it says, so it does not get disrupt did in the courts
:10:06. > :10:13.again. -- disrupted. Apologies. UK Government takes the issue of
:10:14. > :10:22.prevention and I notice that diagnosis of hepatitis seriously.
:10:23. > :10:27.Key stakeholders are looking to develop operational delivery
:10:28. > :10:35.networks. The Scottish Government provides treatment for all those
:10:36. > :10:38.with sensitive hepatitis C, including those infected with
:10:39. > :10:42.contaminated blood. This transforms the lives of patients and reduces
:10:43. > :10:46.the risk of further infection in the population. Will the Minister
:10:47. > :10:57.provide similar access to treatment in England? Well, obviously Nice
:10:58. > :11:04.have given guidance on the docks, so the treatment are effective compared
:11:05. > :11:09.to what was previously available. The NHS is rolling out its response,
:11:10. > :11:15.it has already treated hundreds of people, and there is a commitment to
:11:16. > :11:19.treat thousands next year. Look more widely how we can tackle these
:11:20. > :11:27.issues, not least in the context of the tragedy of infected blood. What
:11:28. > :11:33.discussions has she had with her counterparts in Northern Ireland
:11:34. > :11:37.regarding the deduction and eradication of hepatitis C, and does
:11:38. > :11:42.she agree it is important we have a strategy that encompasses all of
:11:43. > :11:47.Great Britain and Northern Ireland? Absolutely. Looking at all aspects
:11:48. > :11:51.of how we eliminate hepatitis C is important, but it should not be
:11:52. > :11:55.underestimated what a difficult job this is, largely because a lot of
:11:56. > :12:01.people are not aware that they have no symptoms -- they are not aware,
:12:02. > :12:09.as they have no symptoms. There is always more we can do.
:12:10. > :12:15.Can I start by echoing my honourable friend's thoughts for the people of
:12:16. > :12:19.rustles with whom we stand shoulder to shoulder? Turning to question
:12:20. > :12:26.number four. In my statement of the house on the 11th of debris I gave
:12:27. > :12:29.abroad like -- out line on the new training for doctors and dentists.
:12:30. > :12:38.I'm still reviewing the exact terms along with the equality impact
:12:39. > :12:41.assessment. When the Secretary of State declared he was imposing the
:12:42. > :12:48.contracts and junior doctors last month, he claimed that the support
:12:49. > :12:52.of senior NHS leaders was his. As foundation trusts offer their own
:12:53. > :13:02.terms how does he envisage enforcing this contract? The fact is that we
:13:03. > :13:07.consulted widely with NHS leaders about the terms of the new contract
:13:08. > :13:11.and they confirmed that it was fair and reasonable. Any decision to
:13:12. > :13:15.proceed with the new contract when it is not possible to have a
:13:16. > :13:18.negotiated settlement is inevitably controversial, but what we wanted to
:13:19. > :13:23.do was make sure that the terms of the contract, things that
:13:24. > :13:27.independent people put there. I think we have done that. And junior
:13:28. > :13:32.doctors seek their new contracts, which they will do shortly, they
:13:33. > :13:38.will think that we were right to say so. Underlying the dispute about the
:13:39. > :13:41.junior doctors is the long-standing problem of morale and the failure to
:13:42. > :13:46.pay attention to the experience of junior doctors in training. Can I
:13:47. > :13:49.welcome the government decision to launch an independent review and can
:13:50. > :13:57.they ask my right honourable friend to give an update on the timing of
:13:58. > :14:01.that review? As she speaks with great knowledge about NHS matters,
:14:02. > :14:05.she is right that some of the underlying issues are nothing to do
:14:06. > :14:08.with contractual terms but to do with the big changes in the way
:14:09. > :14:14.training has happened over recent years, in particular the loss of
:14:15. > :14:17.camaraderie that was part of the deal for junior doctors in training.
:14:18. > :14:23.We would like to see if we could restore some of the things that have
:14:24. > :14:29.gone on the wrong direction. We have not yet have the cooperation of the
:14:30. > :14:32.BMA in this independent review, led by Doctor Sue Bailey. I hope the
:14:33. > :14:37.local operate with this because I think there is a big opportunity to
:14:38. > :14:44.sort out long-standing problems. There are currently 4500 trainees in
:14:45. > :14:50.the NHS and junior doctors are having to cover these, often having
:14:51. > :14:54.to do extensive extra shifts and even having to cover two jobs at the
:14:55. > :14:58.same time. It looks as though this will get worse as fewer than half of
:14:59. > :15:02.the most junior trainees have applied for ongoing training this
:15:03. > :15:08.year. Does the Secretary of State except that this represents a
:15:09. > :15:13.serious threat to patient safety? The purpose of these changes is to
:15:14. > :15:17.improve patient safety, in particular to deal with the issue
:15:18. > :15:21.that we have higher mortality rates for people admitted at weekends than
:15:22. > :15:26.we do in the week. Because of the very confrontational approach taken
:15:27. > :15:30.by the BMA it has been difficult to negotiate an agreement that we are
:15:31. > :15:34.committed to doing the right things. What is right for patients is also
:15:35. > :15:38.right for doctors. We have been talking about morale and the biggest
:15:39. > :15:44.way to dent the morale of doctors is to prevent them getting the care
:15:45. > :15:48.that they want to give to patients. Can I suggest that what is also good
:15:49. > :15:51.for doctors is also good for patients and the people who are
:15:52. > :15:56.being text that four or five times a day to be asked to do a second shift
:15:57. > :16:01.to cover for a junior and a senior post at the same time is not good
:16:02. > :16:05.for either. The Secretary of State on the 11th of February said he was
:16:06. > :16:11.imposing the contract to bring stability to the NHS. That is not
:16:12. > :16:15.exactly gone well. Can I ask what it is but I'm going forward to
:16:16. > :16:21.re-establish his relationship with junior doctors and get us back to
:16:22. > :16:25.where we are now? With the greatest respect, we are trying to solve a
:16:26. > :16:31.problem that in Scotland is being done it. The seven-day NHS with
:16:32. > :16:35.mortality rates that are no higher at weekends. There is no plan in
:16:36. > :16:40.Scotland to deliver that across the whole NHS and I think than rather
:16:41. > :16:43.than sniping she should recognise that in the interests of patient
:16:44. > :16:47.safety we do need to take difficult decisions and in the end doctors
:16:48. > :16:56.will see this was the right thing for them, as well. Can I say on
:16:57. > :17:00.behalf of the opposition, I would like to associate ourselves with the
:17:01. > :17:04.comments made by ministers about the tragic events in Brussels and offer
:17:05. > :17:08.our condolences and solidarity to the people over there. Yesterday in
:17:09. > :17:13.Westminster Hall there was a debate calling on the Health Secretary to
:17:14. > :17:17.resume meaningful contract negotiations with the BMA. The
:17:18. > :17:20.Health Secretary was not there. If he had been there he would have
:17:21. > :17:24.heard his junior minister confirm that since they announced the
:17:25. > :17:29.position the government has made no temp two attempt further industrial
:17:30. > :17:33.action. They know there is more industrial action coming Dave Ward
:17:34. > :17:39.to patients to get off their backsides and do something to
:17:40. > :17:42.prevent it? Let me say to the honourable gentleman, the reason
:17:43. > :17:47.that we made the decision to proceed with the new contract is because we
:17:48. > :17:50.had independent advice that a negotiated settlement was not
:17:51. > :17:53.possible and on that basis we decided it was important to have
:17:54. > :17:57.certainty for the service by making clear what the new contract is. The
:17:58. > :18:01.contract we have decided to do his contract that strikes at the
:18:02. > :18:06.midpoint between what the government wanted and what the BMA were asking
:18:07. > :18:09.for. It is a better contract for patients and I think the Labour
:18:10. > :18:18.Party should support it if there were really on the side of patients.
:18:19. > :18:22.The government is committed to delivering the vision set out in
:18:23. > :18:26.future in mind and the striving for the major systemwide transformation
:18:27. > :18:29.programme working alongside partners in government to improve access to
:18:30. > :18:37.high-quality support across the country. Will he join me in
:18:38. > :18:41.congratulating the charity Young minds for the important but it does
:18:42. > :18:45.in highlighting the challenges young people facing mental health, not
:18:46. > :18:52.least from this so far -- so-called dark net and social media? We must
:18:53. > :18:57.make sure that the Internet is a positive not negative force in
:18:58. > :19:01.tackling mental health challenges for young people? Young minds and a
:19:02. > :19:07.range of other partners, the work that they do to ensure that young
:19:08. > :19:10.people can information safely is commendable. Children and young
:19:11. > :19:13.people and their parents have expressed the need to be able to
:19:14. > :19:16.access both high quality and reliable information and support
:19:17. > :19:24.online and this was reflected in the future in mind report. We are
:19:25. > :19:27.investing with a number of different groups and organisations working on
:19:28. > :19:34.applications for young people and it is important that they have access
:19:35. > :19:39.to safe material in order to exclude those places rather darker. Walk-in
:19:40. > :19:43.centres run by experienced GPs can offer important support of those
:19:44. > :19:46.children with mental health problems, yet popular walk-in
:19:47. > :19:50.centres that were established by local GPs in my constituency are now
:19:51. > :19:54.being put out to tender, putting at risk the leadership and involvement
:19:55. > :19:59.by those experienced GPs of the centres. Will the Minister give
:20:00. > :20:02.guidance to the NHS procurement authority that walk-in centres
:20:03. > :20:08.should be led by local GPs with experience of that area? I look at
:20:09. > :20:13.what the red envelopes -- Right Honourable gentleman says. I am not
:20:14. > :20:15.responsible for individual commissioning decisions and the
:20:16. > :20:18.commissioners will have full regard to the needs of the local population
:20:19. > :20:23.when they are putting these services are out. It is important that access
:20:24. > :20:27.is increasingly available or that GPM primary level as well as other
:20:28. > :20:31.areas with the government is investing further money. I will have
:20:32. > :20:35.a look at what he says. Can the Minister informed the house as to
:20:36. > :20:38.what dialogue is maintained between his department and the Department
:20:39. > :20:44.for Education to make sure that these issues are signposted as early
:20:45. > :20:47.as possible? There is a growing relationship with the Department for
:20:48. > :20:53.Education knife. For the first time we have the Minister responsible for
:20:54. > :20:57.mental health in the department. There is a schools champion for
:20:58. > :21:01.mental health limit the other day. We worked very closely together to
:21:02. > :21:06.deliver that vision set out in future in mind and we work with the
:21:07. > :21:10.Department for Education, there is a ?1 million pilot project to find the
:21:11. > :21:16.right people in schools in order to deal with mental health issues. That
:21:17. > :21:19.is working across 22 schools. There is much greater recognition now that
:21:20. > :21:22.the earlier you can pick up these things the better it is for
:21:23. > :21:31.youngsters and their future mental health. Eating disorders in children
:21:32. > :21:35.and teenagers cause is life that -- life-threatening health problems and
:21:36. > :21:39.even death. What steps of the Minister taking to enable early
:21:40. > :21:43.intervention which result in better prognosis and support closer to
:21:44. > :21:46.home? Two things can help the honourable lady. The commitment to
:21:47. > :21:51.?30 million a year built in the budgets over the next five years to
:21:52. > :21:57.support those with eating disorders in a conference on this last week.
:21:58. > :22:06.Also earlier detection on eating disorders. By 2020 we will reckon
:22:07. > :22:09.95% of urgent cases will be seen within a week and routine cases for
:22:10. > :22:16.weeks. There is a recognition of the real dangers -- real danger posed by
:22:17. > :22:19.eating disorders and it is important to recognise that. Earlier this
:22:20. > :22:23.month school and College leaders reported a large rise in student
:22:24. > :22:27.suffering from anxiety. Two thirds said that they struggled to get
:22:28. > :22:31.mental health services for their pupils and of those that have
:22:32. > :22:35.preferred a student the majority rated them for very poor. Despite
:22:36. > :22:38.the Minister was not warm words things are getting worse, not
:22:39. > :22:43.better. Can confirmed today that single penny promised the children's
:22:44. > :22:46.mental health will reach those services and that none of this money
:22:47. > :22:55.will be used to plug the gap in hospital budgets? Following long
:22:56. > :23:01.conversation between myself, the NHS and the treachery I can indeed give
:23:02. > :23:07.the honourable lady that insurance -- Ashya rents. Every penny pledged
:23:08. > :23:10.in the budget for cans and eating disorders will be spent on
:23:11. > :23:13.children's mental health at the end of this Parliament. It is not fair
:23:14. > :23:20.for her to constantly say that nothing is happening. The first lot
:23:21. > :23:29.of that money is being spent nine. ?75 million the CCG is, ?75 million
:23:30. > :23:32.for eating disorders, ?15 million for perinatal, ?25 million were
:23:33. > :23:36.other issues involving training. That is money already committed in
:23:37. > :23:42.being spent night. The problem that she relates to our high priority and
:23:43. > :23:46.are being plugged it. By his own admission in response to
:23:47. > :23:50.parliamentary questions he is going to understand this year by ?77
:23:51. > :23:55.million on his pledge to spend ?250 million and will underspend by ?11
:23:56. > :24:04.million on his 15 million plug -- pledged that perinatal mental
:24:05. > :24:08.health. Does he agree with Labour today that every child should
:24:09. > :24:10.receive personal social and health education so that young people are
:24:11. > :24:16.equipped with the resilience to better support their mental health?
:24:17. > :24:21.You can't have it both ways, it would seem. I have given a pledge
:24:22. > :24:28.which he asked for in her first question, the ?1.4 billion committed
:24:29. > :24:34.to mental health. It is no wonder that first tranche has not been
:24:35. > :24:38.fully committed. Some money has the rollover. I have made absolutely
:24:39. > :24:42.sure that that money will be spent including on perinatal services
:24:43. > :24:48.which will reach a much better pitch them in Whee Kim in the office. That
:24:49. > :24:52.work will be done. In relation... It is not a matter for this department.
:24:53. > :24:56.I fully agree that it is very important that children have this
:24:57. > :25:03.information. The pressure caused by social media requires that the
:25:04. > :25:05.children have a very modern understanding of personal health and
:25:06. > :25:12.social education and Italy supported. Can I gently point out to
:25:13. > :25:16.colleagues that as usual at this stage we have got a lot to get
:25:17. > :25:25.through. We do need to speed up a bit. Question number six. There is a
:25:26. > :25:30.long waiting list of colleagues. Our ground-breaking 100,000 June object
:25:31. > :25:35.and notes by the Prime Minister represents the moonshot of medicine
:25:36. > :25:40.in making the UK's diverse nation on earth this ignores the entire
:25:41. > :25:52.genetic sequence of 100,000 genomes from NHS patients. We are winning
:25:53. > :25:59.international plaudits, and attract ten inward investment. I recently
:26:00. > :26:05.visited a school in Nottingham and saw the great work being carried out
:26:06. > :26:09.there including ground-breaking genomics work. Will the Minister
:26:10. > :26:13.outlined the support his department is providing to ensure workers fully
:26:14. > :26:18.funded and expanded to make sure that the East Midlands and the UK
:26:19. > :26:20.continue to be world leaders in the search for treatment and ultimately
:26:21. > :26:25.a cure for Alzheimer's based on our research? Can I started paying
:26:26. > :26:30.tribute to my honourable friend. She had a distinguished scientific
:26:31. > :26:34.career, including setting up in business. She is right to highlight
:26:35. > :26:39.the work at Nottingham University which represents something of an
:26:40. > :26:43.East Midlands powerhouse. The Nottingham University Hospital NHS
:26:44. > :26:50.Trust as part of the East of England genomic medicine centres, which is
:26:51. > :26:52.becoming one of our hubs. We are actively supporting research into
:26:53. > :26:58.Alzheimer's in addition to our billion pound a year research
:26:59. > :27:08.project the 100 and 50p -- ?150 million dementia Institute.
:27:09. > :27:23.We remain committed to achieving parity of esteem in mental health.
:27:24. > :27:40.We will work to in the recommendations in
:27:41. > :27:49.the policy. Bidders are concerned that services are ... In my
:27:50. > :27:55.honourable friend's area, an analysis of the impact of the new
:27:56. > :28:03.beds shows that the average distance travelled has improved from 114
:28:04. > :28:06.miles in 2014, 239.9 miles in 2016. But it is not enough to simply
:28:07. > :28:16.provide more beds. We have to provide more community-based
:28:17. > :28:26.treatment. I was delighted that the report endorsed the plan was put
:28:27. > :28:30.forward by myself Under-Secretary of State, so people with mentally ill
:28:31. > :28:36.health have the same rights to treatment in time as others. I was
:28:37. > :28:41.glad the government endorsed the plan, but dismayed that Simon
:28:42. > :28:44.Stevens then confirmed there was no money to implement this. How will he
:28:45. > :28:51.ensure that the comprehensive waiting times standards and
:28:52. > :28:58.implemented? If anything, the questions are getting longer! The
:28:59. > :29:03.question was far too long. Firstly, the first set of waiting times
:29:04. > :29:08.standards, the first ever by a government, are already in place.
:29:09. > :29:14.50% of people experiencing an episode of psychosis will be treated
:29:15. > :29:18.within two weeks. We have to get the database right. The right honourable
:29:19. > :29:24.gentleman will know that we are doing a much greater data trawl, to
:29:25. > :29:45.find clear these waiting times can be set. Progress has been made on
:29:46. > :29:52.many of the key ambitions set out. Transformation plans that cover
:29:53. > :29:59.young people and adults mental health issues,... This month the
:30:00. > :30:05.mental health network representing NHS providers said very little if
:30:06. > :30:09.any of the money promised for child and adolescent mental health has
:30:10. > :30:12.materialised, in some areas are experiencing a cut. He much accept
:30:13. > :30:24.that the efforts in this department in getting the money out the door
:30:25. > :30:30.has been woeful. I did give a list we're the money is currently being
:30:31. > :30:35.spent. I think I can help the honourable lady and gentleman. More
:30:36. > :30:39.has been done to make sure that CCGs deliver what they can in relation to
:30:40. > :30:47.mental health. The figures show that there has been a 3.7 uplifting
:30:48. > :30:52.CCG's, so more transparency and determination to make sure that what
:30:53. > :31:00.they are currently seeing and feeling will become less and less in
:31:01. > :31:04.the future. In 2010 the country faced a deficit that constituted 11%
:31:05. > :31:09.of GDP, so all major political parties committed to plans reducing
:31:10. > :31:16.government spending including on health, as a proportion of GDP.
:31:17. > :31:24.Because of this government's commitment, spending on this will
:31:25. > :31:30.increase over the decade. Former Coalition Minister has written that
:31:31. > :31:37.during the previous government... The health service required an
:31:38. > :31:41.additional ?30 billion. He was allocated only 8 billion by the
:31:42. > :31:50.tragedy. The savage cut, isn't that the root cause of all the problems,
:31:51. > :31:55.and does it not make sense the government should not be cutting
:31:56. > :32:01.this? What he describes as a savage cut was a real terms increase of ?10
:32:02. > :32:08.billion a year. ?5.5 billion more than his party was proposing. Does
:32:09. > :32:14.my right honourable friend agree that as well as focusing on health
:32:15. > :32:20.input and how much we spend on the NHS, it is also important we focus
:32:21. > :32:24.on health outcomes. He is right, which is why I am so proud that
:32:25. > :32:30.under this Conservative Government we have that 27 hospitals into
:32:31. > :32:35.special measures, 11 have come out of special measures, and we are
:32:36. > :32:39.improving standards and quality of care, the number of people being
:32:40. > :32:47.treated across the board, so I put matters, which is what the
:32:48. > :32:51.government will deliver. The Health Secretary may talk a good game when
:32:52. > :32:55.it comes to funding, but the reality in accident and emergency
:32:56. > :33:01.departments and GP surgeries tells a very different story. The whole
:33:02. > :33:03.system is on its knees and the revelations of the former Chief
:33:04. > :33:08.Secretary to the Treasury this weekend confirmed what everyone in
:33:09. > :33:17.the NHS already knew, ?22 billion worth of efficiency savings over the
:33:18. > :33:20.next four years is pure fantasy. So in the interests of transparency,
:33:21. > :33:25.will the Health Secretary now publish the full analysis explaining
:33:26. > :33:32.how NHS England arrived at the figure of 22 billion? Let us look at
:33:33. > :33:38.what the chief of NHS England actually said, not what he is
:33:39. > :33:42.alleged to have done, which he denies. He said that when it came to
:33:43. > :33:46.the Spending Review, the government listened to and actively supported
:33:47. > :33:52.the case for spending, and he could kick-start his plan for the NHS. But
:33:53. > :33:55.it is rather academic because Labour refused to fund his plan at all,
:33:56. > :34:01.which goes to show that when it comes to the NHS, Labour right the
:34:02. > :34:08.speeches, but conservative right the checks. I did not ask the Health
:34:09. > :34:12.Secretary what the chief executive of the NHS said. I asked him to
:34:13. > :34:17.publish the analysis, which lays behind the 22 billion figure. He
:34:18. > :34:20.will not publish that because he knows that the only way to achieve
:34:21. > :34:28.these politically motivated efficiencies is to make cuts to
:34:29. > :34:32.staff and cuts to pay. Truth is, the NHS survives on the goodwill of its
:34:33. > :34:38.staff. And yet this Health Secretary has pushed the goodwill to breaking
:34:39. > :34:44.point. Let me ask him this. How does he expect to improve current
:34:45. > :34:52.services, let alone deliver a seven day NHS with fewer staff and a
:34:53. > :34:56.demoralised workforce? Under this government staff have gone up.
:34:57. > :35:02.11,000 more doctors, 12,000 more nurses, and if she is worried about
:35:03. > :35:07.NHS funding, perhaps she might look in the mirror because in 2010 her
:35:08. > :35:17.party wanted to cut funding to the NHS, in Wales they did cut funding
:35:18. > :35:23.for the NHS, in 2015 and they put in a lot less. The NHS needs more
:35:24. > :35:32.doctors, more nurses, and only the Conservatives can deliver that.
:35:33. > :35:39.Number ten. Mr Speaker, in the Department we assessed staff morale
:35:40. > :35:41.in the NHS using engagement scores from the staff survey, I am
:35:42. > :35:47.delighted to say that the score currently runs at 3.78 out of five,
:35:48. > :35:55.a rise from the 2010 figures when the survey began, when it was at
:35:56. > :36:01.3.68. In the same staff survey it shows that midwives are stressed.
:36:02. > :36:09.90% of them are working extra shifts unnecessarily. There is also the
:36:10. > :36:16.case I have raised of the radiographer who was sacked for
:36:17. > :36:21.exposing bribes at Ealing Hospital. She is yet to have a response, apart
:36:22. > :36:36.from the Francis review, which has yet to be commented anyway. -- to be
:36:37. > :36:41.implemented. She is wrong about the recommendations which are being
:36:42. > :36:47.implemented in full. She should look at the results of the staff survey.
:36:48. > :36:52.The number recommending the trust is a place to receive treatment has
:36:53. > :37:02.gone up. We would like to address the staff survey. This is a balanced
:37:03. > :37:14.and overall positive return from the survey. Can he confirmed that as
:37:15. > :37:21.important as staff morale, in NHS hospitals, patient morale is
:37:22. > :37:26.improving considerably as well? He is right. The returns from the test
:37:27. > :37:32.shall increasing satisfaction from patients of the NHS. How does the
:37:33. > :37:35.Minister think it affects staff morale the year the government's
:37:36. > :37:43.constant refrain of implementing seven-day working, such as the ball
:37:44. > :37:51.-- pathology staff who have offered this for many years? Staff morale
:37:52. > :37:56.has gone up over the past few years. It is not helped when the nature of
:37:57. > :38:03.the junior doctors contract has been misrepresented. If they were to look
:38:04. > :38:08.at this, they would see further improvements in staff morale. Staff
:38:09. > :38:14.morale at upfield Community Hospital is exceptionally high partly due to
:38:15. > :38:22.receiving 100% in recent friends family survey. With he joined me in
:38:23. > :38:29.congratulations and nurses, volunteers and front staff in the
:38:30. > :38:32.hospital? I will happily congratulate the staff. It shows
:38:33. > :38:39.we're good constituency representation reinforces efforts of
:38:40. > :38:54.people in hospitals can improve staff morale. In a recent survey 17%
:38:55. > :39:00.of GPs said the quality of service was becoming unmanageable. Too many
:39:01. > :39:04.patients needing treatment. We now have a decrease in the applications
:39:05. > :39:09.for GP training places, which is one of the last cohorts to be trained by
:39:10. > :39:14.2020. Unless the Minister takes drastic actions to address GP
:39:15. > :39:23.morale, workload and recruitment, patient care will just get worse.
:39:24. > :39:26.What is he going to do? There will be 5000 additional GPs by the end of
:39:27. > :39:34.this Parliament, and that is what she is raising. I am not sure why
:39:35. > :39:43.she is shaking her head. We're also putting a greater proportion of
:39:44. > :39:47.funding into the NHS. And weird increasing the number of GP training
:39:48. > :39:56.places, and we are doing well in ensuring more people are choosing to
:39:57. > :40:03.become general practitioners. Trust split into special members have
:40:04. > :40:09.recruited 4190 more nurses, with one estimate saying this has reduced
:40:10. > :40:14.mortality rates by up to 450 year. In the last six years the north
:40:15. > :40:18.Cumbria trust has had four Chief Executive is, and acquisition going
:40:19. > :40:24.nowhere, a so-called success regime, reporting later than intended. There
:40:25. > :40:28.are clearly tough decisions to be made, and the sooner they are made,
:40:29. > :40:32.the better. Can he undertake to ensure the recommendations of this
:40:33. > :40:38.implemented in full and in a timely manner? I would like to thank him
:40:39. > :40:43.for his consistent campaigning on behalf of his local trust. He is
:40:44. > :40:47.right, there are big issues. He is also right that generally the NHS
:40:48. > :40:53.has two quick turnover of Chief Executive is. They have a new one,
:40:54. > :40:58.who is one of the top-rated health chief executives. Mortality rates
:40:59. > :41:01.are going down. So I will support him and of the way I can to resolve
:41:02. > :41:06.the situation as quickly as possible. Because the Manor Hospital
:41:07. > :41:13.is in special measures, all mothers to be being denied the right of the
:41:14. > :41:14.choice to have their babies here. And the Secretary of State confirmed
:41:15. > :41:31.they are safe staffing levels We have 83 more doctors and 426 more
:41:32. > :41:38.nurses there since 2010. There is a quality improvement plan in place.
:41:39. > :41:46.Can I thank the honourable member for raising this. Mess Ophelia is a
:41:47. > :41:49.terrible disease. The government is completely committed to supporting
:41:50. > :41:52.treatment, prevention and compensation. In the last three
:41:53. > :41:57.months my noble friend has had discussions with interested parties
:41:58. > :42:05.and the Chancellor was able to announce ?5 million of funding for a
:42:06. > :42:10.new research centre. The British Lung foundation has welcomed the ?5
:42:11. > :42:16.million announced. Can the Minister confirm when the funds will be -- be
:42:17. > :42:22.released for the centre and hide the funding will be going forward? We
:42:23. > :42:27.are in active discussions with the various parties and we have received
:42:28. > :42:32.some interesting submissions from the research institutes. We will be
:42:33. > :42:38.looking in the coming weeks of how best to use than ?5 million to build
:42:39. > :42:45.UK leadership in this field. Number 14, please. NHS England is working
:42:46. > :42:48.with muscular dystrophy UK to the bridging the Gap project looking at
:42:49. > :42:55.issues such as the provision of cough assist machines. The number of
:42:56. > :43:06.CCG is have no commission policies for these devices based on a policy
:43:07. > :43:13.developed by Walsall. 21-year-old Freddie Kemp, he had muscular
:43:14. > :43:19.dystrophy, sadly died of cardiac complications. He had been refused
:43:20. > :43:24.permission by his CCG. While the Minister said he is working with UK
:43:25. > :43:28.muscular dystrophy, will he meet with representatives from that
:43:29. > :43:36.organisation to discuss what be done to get CCG is to prioritise these
:43:37. > :43:42.important machines? Of course I will meet any groups concerned with this.
:43:43. > :43:46.The clinical evidence has divided about the efficacy of cough assist
:43:47. > :43:51.machines over manual massage, but this is something that Walsall CCG
:43:52. > :44:02.has sought to resolve. There it is a template that others might wish to
:44:03. > :44:08.follow. Question number 15. NHS England will invest ?2 million over
:44:09. > :44:11.the next two years to run together with Public Health England Hurley
:44:12. > :44:14.implemented test sites which will seek to answer and meaning questions
:44:15. > :44:18.about how clap could be commissioned in the most cost-effective way to
:44:19. > :44:25.reduce HIV and sexually transmitted infections for those at highest
:44:26. > :44:30.risk. Yesterday NHS England scrapped plans for brand trap. Can the
:44:31. > :44:34.Minister Teller said there is anything she can do to put an end to
:44:35. > :44:39.this inconsistent decision-making? That she agree with me that the
:44:40. > :44:46.decision yesterday to stop the roll-out of this drug contradicts
:44:47. > :44:51.the desire to stop HIV? The management team had NHS England did
:44:52. > :44:56.make that decision and I think NHS England recognises that the decision
:44:57. > :45:01.could been taken earlier. There is also recognition the valuable work
:45:02. > :45:05.has taken place. NHS England has undertaken that valuable work. There
:45:06. > :45:09.are important lesson that have been learnt and we don't want to lose
:45:10. > :45:14.that. Neither is a case of working with NHS England and Ph.D. To
:45:15. > :45:21.understand how we can take things forward including learning from the
:45:22. > :45:27.test sites. I share some of the concerns with the honourable member
:45:28. > :45:31.on the roll-out of clap. It is only one tool in HIV prevention. Did the
:45:32. > :45:38.Minister update the house in progress on the HIV prevention
:45:39. > :45:44.innovation fund? He is right to draw the attention of the house to the
:45:45. > :45:47.fact that it is only one part of it, albeit we understand the importance.
:45:48. > :45:53.He is right to mention the innovation fund, which he champions.
:45:54. > :45:57.We have invested up to ?500,000 in new and innovative ways to tackle
:45:58. > :46:03.HIV and some excellent organisations came forward with innovative
:46:04. > :46:11.approaches. We have also established the first national HIV home sampling
:46:12. > :46:13.service. Topical questions. Topical number one, Mr Speaker. The latest
:46:14. > :46:17.performance figures show that challenges the NHS racism problem
:46:18. > :46:23.with extraordinary levels of a man but despite these pressures the
:46:24. > :46:26.government is making good progress in our ambition that NHS care should
:46:27. > :46:30.be the best in the world. Figures from the health foundation showed
:46:31. > :46:36.that the portion of patients being harmed has fallen by over a third in
:46:37. > :46:38.the last three years. MRSA infections have been hath antsy but
:46:39. > :46:46.the sale infections have rocked by a third. The five-year forward
:46:47. > :46:50.Giuseppe NHS would need between eight and ?21 billion from the
:46:51. > :46:55.Treasury extra bite 2021. It got the commitment of eight billion pounds.
:46:56. > :47:00.Can the Secretary of State say when the Stevens plan will be formally
:47:01. > :47:05.reviewed and where in the range of eight up to 21 billion is the real
:47:06. > :47:11.requirement will be fine to lie? We are putting in ?10 billion of
:47:12. > :47:17.additional public money to support the NHS over the next few years.
:47:18. > :47:22.That does mean that we need to find between ?20 billion and ?22 billion
:47:23. > :47:25.of efficiency savings. We will be reviewing the progress of the plan
:47:26. > :47:31.as we go through it. I want to reassure him that they meet the
:47:32. > :47:34.chief executive of NHS England to review the plan every week and we
:47:35. > :47:39.are determined to rule it out as quickly as possible. I would like to
:47:40. > :47:42.express my sadness at the news that two people in my constituency lost
:47:43. > :47:48.their lives in a house fire yesterday. My thoughts are with
:47:49. > :47:52.their family and friends. The Coalition Government legislated for
:47:53. > :47:55.NHS hospitals earn up to 49% of the money from private patients.
:47:56. > :48:03.Hospital and might constituency is highly valued. With the ministers
:48:04. > :48:07.see an increase in the number of NHS veggies for private patients and a
:48:08. > :48:13.decrease used for NHS patients as a sign of success or a sign of
:48:14. > :48:17.failure? The matter of beds is entirely for the trust to decide.
:48:18. > :48:26.NHS patient should always come first. Last decade Crawley Hospital
:48:27. > :48:31.under the Labour government saw its accident and emergency and maternity
:48:32. > :48:35.units ) who's to say that in recent years we have seen the casualties
:48:36. > :48:41.services returning as well as a GP out-of-hours services and greater
:48:42. > :48:44.numbers of beds. Would he join me in congratulating the NHS that in my
:48:45. > :48:50.constituency who worked so hard to deliver these new services? I am
:48:51. > :48:59.delighted to do that and join him in congratulating staff at his
:49:00. > :49:05.constituency. They are seeing 36,509 more people less -- in less than
:49:06. > :49:15.four hours compared to six years ago. They are meeting their targets,
:49:16. > :49:18.so it is a very good performance. Scotland has consistently
:49:19. > :49:22.outperformed all other nations in the UK on a anti-performance over
:49:23. > :49:28.the last year. I think the's performance dropping in every single
:49:29. > :49:30.month since weekly publication was abandoned last July, does the
:49:31. > :49:35.Secretary of State think it is time to return to more frequent analysis
:49:36. > :49:41.and eliminate the obfuscation of the six-week delay in publication? I am
:49:42. > :49:45.somewhat surprised that the complacency in the honourable
:49:46. > :49:48.gentleman's questions after audit Scotland identified in the autumn
:49:49. > :49:53.that performance in seven out of the nine key targets for the Scottish
:49:54. > :49:58.NHS have deteriorated in the last three years. Spending since 2009 has
:49:59. > :50:03.fallen in Scotland as opposed to increasing in England. Spending on
:50:04. > :50:05.private sector dividers is increasing so they should think
:50:06. > :50:13.about that before they criticise what is happening in England. Often
:50:14. > :50:16.successful cardiopulmonary resuscitation involves knowing where
:50:17. > :50:22.the nearest public access to favourite nature is located. In my
:50:23. > :50:27.constituency of Twickenham it is hard to find out exactly where all
:50:28. > :50:31.of these fibril agers are located. Will the Minister as the Department
:50:32. > :50:38.of Health to do a live mapping of public access the fibril agers, and
:50:39. > :50:42.also as that every work face with a first aid point has a clear sign
:50:43. > :50:49.where the nearest the fibril agers is located? This work is already in
:50:50. > :50:52.hand to the British Heart Foundation. I would like to have
:50:53. > :50:55.that last week the Chancellor announced another ?1 million to make
:50:56. > :51:01.public access the fibril agers and CPR training more widely available.
:51:02. > :51:08.Coupled with last year's funding of a million there is over 690 more the
:51:09. > :51:16.fibril agers across England. That mapping work is very important and
:51:17. > :51:18.you are right to raise it. I believe the publication today of the
:51:19. > :51:24.governance review will show that serious harm was caused to patients
:51:25. > :51:28.and staff, that there was such a culture of bullying and harassment
:51:29. > :51:31.even after the Francis Report that the Liverpool community trust is the
:51:32. > :51:38.community equivalent of mid Staffordshire. In the spirit of
:51:39. > :51:42.openness and transparency, will he instigate a public enquiry to
:51:43. > :51:53.establish the full extent of the harm that has been caused to
:51:54. > :51:54.patients and staff? May I commend the honourable member for the brave
:51:55. > :51:56.stand that she has taken on this difficult issue? I will take her
:51:57. > :52:01.concerns very seriously. I want to read the report that has been
:52:02. > :52:04.delivered and I will speak to her as early as possible to establish a
:52:05. > :52:09.local governments and commissioners can take this forward. It is
:52:10. > :52:16.imperative that the NHS has the best possible culture. People should have
:52:17. > :52:24.the freedom to speak up and the whistle. Colchester Hospital,
:52:25. > :52:27.insurance premiums under the clinical negligence scheme at more
:52:28. > :52:34.than double the 11.2 point 2,000,004 years. What steps is the department
:52:35. > :52:37.taking to reduce this figure? The honourable gentleman points the
:52:38. > :52:42.variations across the service, sometimes premiums go up or down in
:52:43. > :52:48.different trusts. I would be happy to speak to him further about what
:52:49. > :52:51.we are doing. Does the Secretary of State agree that this week's public
:52:52. > :52:58.debate around best feeling has been both destructive and condemning for
:52:59. > :53:02.those women who suffer from postnatal depression and struggle to
:53:03. > :53:06.bond emotionally with their children? Do we need to reframe the
:53:07. > :53:16.public debate and reduce rather than reinforce this stigma? As the
:53:17. > :53:19.Minister for mental health services takes forward the increase in
:53:20. > :53:23.funding in perinatal mental health he will be wanting to work with me
:53:24. > :53:32.around breast-feeding rates and the relationship between breast-feeding
:53:33. > :53:35.and mental health. If my honourable friend aware of the agreement struck
:53:36. > :53:40.by President Obama and president Moody of India to collaborate on
:53:41. > :53:46.research and development for traditional medicines for palliative
:53:47. > :53:51.and preventative cancer care? Shouldn't we be aiming for a similar
:53:52. > :53:58.agreement, bearing in mind antimicrobial resistance? It is
:53:59. > :54:05.worth saying that NICE does not recommend homoeopathy for any
:54:06. > :54:09.condition. Antimicrobial resistance, we see increasing studies showing
:54:10. > :54:14.that resistance to common problems is growing and that serves to
:54:15. > :54:17.underline the importance of the responsible stewardship of all drugs
:54:18. > :54:26.and medicines and by the international efforts are so
:54:27. > :54:32.important. Given the latest very worrying reports about goings-on at
:54:33. > :54:34.the office of the health service ombudsman, does the Secretary of
:54:35. > :54:41.State still have confidence in the leadership of this vital regulator?
:54:42. > :54:44.I have expressed my concerns on behalf of patients about some of the
:54:45. > :54:48.things that have been happening there but I respect the fact that it
:54:49. > :54:52.is a matter for this house and not for the government, and in
:54:53. > :54:56.particular for the relevant committee of this house to deal
:54:57. > :55:01.with. I do have concerns and I think it is very important that patients
:55:02. > :55:04.have confidence in the ombudsman because that is the vital
:55:05. > :55:11.independent avenue that they have the challenge NHS trusts when things
:55:12. > :55:15.go wrong. Would my right honourable friend joined me in congratulating
:55:16. > :55:18.the Chief Executive Glenn Burley and the whole team at Warwick Hospital
:55:19. > :55:25.for delivering the new excellent orthopaedic ward? Would he tell the
:55:26. > :55:31.house will support the NHS is being given for similar state-of-the-art
:55:32. > :55:34.facilities across the country? I am delighted to join my honourable
:55:35. > :55:37.friend and congratulation and confirm the announcement in the
:55:38. > :55:44.Autumn Statement that we are committed to ?4.8 billion extra
:55:45. > :55:48.capital neurons year to the 2021, that will include funding for proton
:55:49. > :55:54.beam therapy and major new hospitals, in addition to arm
:55:55. > :56:00.billion pound a year for NHS research and more funds for medical
:56:01. > :56:04.research. The financial year ends next week so can I ask the Secretary
:56:05. > :56:12.of State by then what does he expect the NHS provider budget deficit to
:56:13. > :56:16.be? We know that the deficit is going to be bigger this year and we
:56:17. > :56:20.know there is extreme pressure. Part of the reason for that is because
:56:21. > :56:23.NHS trusts have rightly said that they want to make sure that their
:56:24. > :56:28.water properly staffed in the wake of what happened that mid
:56:29. > :56:31.Staffordshire, but they have done so by using unsustainable agency staff
:56:32. > :56:35.so the most important thing that we need to do is to move the permanent
:56:36. > :56:40.full-time staff rather than agency staff, which are too expensive and
:56:41. > :56:45.not good for care. A number of my constituents are unable to access an
:56:46. > :56:50.NHS dentist. Can I have the Minister to look at the availability of NHS
:56:51. > :56:54.dentists in my constituency and use his good offices to ensure that
:56:55. > :56:58.there is enough capacity for all of my constituents who want to use an
:56:59. > :57:02.NHS dentist to be able to use a good local NHS dentist?
:57:03. > :57:07.overall access to NHS dentistry is good, but it
:57:08. > :57:15.varies from area to area. It is one of the areas that worries us, and we
:57:16. > :57:18.are trying to do more about it. Work is being undertaken to look at
:57:19. > :57:23.issues around NHS dentistry. I have met with a number of honourable
:57:24. > :57:32.members about this. I will monitor the issue closely. Analysis revealed
:57:33. > :57:37.that is not 10 billion that is going to be the increase in real terms to
:57:38. > :57:43.the NHS, but 4.5 and Ian. Will the Health Secretary apologise for
:57:44. > :57:51.misleading not just this House but the public as a whole. The
:57:52. > :57:56.honourable lady mustn't accuse a member of the House of misleading
:57:57. > :58:01.it. If she wishes to insert the word inadvertently, she would spring back
:58:02. > :58:07.into order, which I am sure she would wish to be. Do I take it that
:58:08. > :58:14.the word inadvertently has been inserted? I am happy to insert
:58:15. > :58:20.inadvertently. She may have inadvertently not been listening to
:58:21. > :58:24.previous answers I gave! Let us look at what Simon Stevens, the Chief
:58:25. > :58:27.Executive of the NHS, said about the spending settlement. He said the
:58:28. > :58:34.government listened to two and actively supported the NHS case for
:58:35. > :58:40.public spending. The chair of the health select committee. Following
:58:41. > :58:47.the welcome announcement of a graduated levy on a sugar
:58:48. > :58:52.unsweetened -- sugar unsweetened drinks manufacturers, could she tell
:58:53. > :59:00.us what discussions she is having to speed up the reformulation process,
:59:01. > :59:03.and given the importance of child obesity, with the Department welcome
:59:04. > :59:13.the opportunity to take over leading on this strategy, in order for us to
:59:14. > :59:19.make progress on this vital issue? A number of invitations, some of which
:59:20. > :59:22.I will resist. My honourable friend is right to highlight the importance
:59:23. > :59:32.of this announcement, and obviously it will be a first step into the
:59:33. > :59:35.government's strategy. The Chancellor was right to go ahead
:59:36. > :59:41.with this, to move forward. The burden of childhood obesity falls
:59:42. > :59:43.very heavily on broader communities, and my right honourable friend the
:59:44. > :59:49.Chancellor was right to champion this measure
:59:50. > :59:59.because it will make the most difference in the poor list areas.
:00:00. > :00:06.Families of young boys with muscular dystrophy awaiting for a report.
:00:07. > :00:16.Will be NHS bring funding forward very which we! To recommend is it?
:00:17. > :00:30.We're just going to have to await the decisions I am pleased that my
:00:31. > :00:35.office team based on market shriek in Hednesford will receive dementia
:00:36. > :00:38.friendly training next month. Does the Minister agree we should be
:00:39. > :00:44.encouraging more times to become dementia friendly? We absolutely
:00:45. > :00:54.recognise the work being done in South Staffordshire fantastic work
:00:55. > :01:01.is being done, and I thank her for her support. When will we have a
:01:02. > :01:06.decision on the future of the vaccination programme, will it be
:01:07. > :01:15.clear, and will there be meetings with devolved counterparts? They are
:01:16. > :01:19.two, as he knows, programmes going on.
:01:20. > :01:32.The work will look to report in 2017. We have already got guidance
:01:33. > :01:42.on HPV, and we're looking at it in detail to see how we take it
:01:43. > :01:49.forward. We must now move on. Point of order, Mr Pat McFadden.
:01:50. > :02:01.I wonder if I could ask you if there have in any discussions on the
:02:02. > :02:05.terrible unfolding event in Brussels. We do not know the facts,
:02:06. > :02:10.but a number of innocent people have been killed. We do not yet know if
:02:11. > :02:16.there are any British victims, but there will be many families and just
:02:17. > :02:17.to find news of relatives, and I'm sure all sides of the House