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Good morning. Welcome to live coverage of the Commons. Today's | :00:12. | :00:20. | |
debate is reaction to last week's budget. At the start of the debate | :00:21. | :00:24. | |
the Chancellor of the Exchequer George Osborne will be making a | :00:25. | :00:27. | |
resolute offence of his budget, following the turmoil that followed, | :00:28. | :00:34. | |
the resignation of Iain Duncan Smith, and the resulting drop in | :00:35. | :00:38. | |
changes to disability benefits. Join me for a round-up of the day in both | :00:39. | :00:44. | |
Houses of Parliament at 11pm tonight. First, questions to the | :00:45. | :00:47. | |
Secretary of State for health, Jeremy Hunt, and his ministerial | :00:48. | :00:55. | |
team. The first question is from the Conservative Andrew Stevenson, | :00:56. | :00:59. | |
concerning cancer survival rates. Order. Questions to the Secretary of | :01:00. | :01:10. | |
State for health. Ministers Jane Ellison. Before I answer the | :01:11. | :01:18. | |
question, may I start by saying that the thoughts of the houses are with | :01:19. | :01:22. | |
the people in Brussels today. Shocking events. We will do all we | :01:23. | :01:26. | |
can to support. With your permission I will take questions one and 11 | :01:27. | :01:33. | |
together. Cancer survival rates are at a record high, and we are on | :01:34. | :01:37. | |
track to save more lives. But we know we need to strive to be better. | :01:38. | :01:48. | |
Independent cancer task force report was published last summer, | :01:49. | :01:51. | |
recommending improvements across the pathway, setting out recommendations | :01:52. | :01:57. | |
which will be further survival rates. Can I associate myself with | :01:58. | :02:04. | |
her comments about the terrorist outrage in Brussels. As she may be | :02:05. | :02:08. | |
aware, a Cancer foundation has been fundraising for chemotherapy unit in | :02:09. | :02:16. | |
my constituency. Due to the huge generosity of residents, they have | :02:17. | :02:24. | |
raised 90,000 of their target of 100,000. Would she join me in | :02:25. | :02:29. | |
congratulating them and encouraging the residents to meet their full | :02:30. | :02:36. | |
target? It is a delight to associate myself with the support for this | :02:37. | :02:40. | |
group. Those near Cancer foundation support world-class cancer treatment | :02:41. | :02:46. | |
throughout Lancashire and Cumbria, and 4000 treatments are delivered | :02:47. | :02:50. | |
every year at Burnley Cosby to, and the new unit will be a benefit to | :02:51. | :02:55. | |
cancer patients. -- Burnley hospital. Is there anything further | :02:56. | :03:06. | |
my honourable friend can do to incentivise NHS trusts to replace | :03:07. | :03:10. | |
linear accelerators over ten years old, which would allow more patients | :03:11. | :03:13. | |
to access cutting-edge radiotherapy techniques? This is one of the areas | :03:14. | :03:21. | |
covered by the cancer task force. It is an important matter. The national | :03:22. | :03:28. | |
cancer director is leading on task force implementation, and that | :03:29. | :03:37. | |
replacement is based on improvements across the pathway, and that can | :03:38. | :03:40. | |
only be done because we are putting the money into the NHS that we need | :03:41. | :03:44. | |
to achieve those world-class outcomes. 38,000 people are | :03:45. | :03:52. | |
diagnosed with a blood cancer every year then the UK but very few people | :03:53. | :03:58. | |
are familiar with the term blood cancer. Patients have expressed | :03:59. | :04:02. | |
concern that a lack of awareness has an impact throughout the patient | :04:03. | :04:06. | |
journey, from confusion and uncertainty at diagnosis, to being | :04:07. | :04:10. | |
unaware of the organisations that provide support and care that they | :04:11. | :04:15. | |
need. Can the Minister say what more the government can do to tackle this | :04:16. | :04:20. | |
lack of awareness to improve outcomes and survival rates are all | :04:21. | :04:24. | |
patients affected ID 137 types of blood cancer? -- by the 137 types. | :04:25. | :04:34. | |
She is right to bring this to the House. Joining up these cancers is | :04:35. | :04:41. | |
the approach that the implementation team are looking at. I had a recent | :04:42. | :04:47. | |
conversation with the director, and NHS representatives, discussing how | :04:48. | :04:52. | |
we can get the joined up approach. That is that the heart of the | :04:53. | :04:56. | |
recommendation. We will be taking this forward for all those reasons. | :04:57. | :05:04. | |
Cancer Research UK has said that cancer waiting times have now been | :05:05. | :05:09. | |
missed so many times that failure has become the norm. Does the | :05:10. | :05:12. | |
Minister agree that failure to tackle this is undoing the good work | :05:13. | :05:17. | |
of the last 15 years in terms of survival rates? We are dealing with | :05:18. | :05:28. | |
a greater number of people. More people are being diagnosed these | :05:29. | :05:33. | |
days. For example last year, GPs referred nearly half a million more | :05:34. | :05:38. | |
patients to see a cancer specialist, an increase of 51%. When it comes to | :05:39. | :05:43. | |
waiting lists we want to make sure everyone is seen. Government have | :05:44. | :05:47. | |
committed more money on diagnostics, for example. We expect the NHS to | :05:48. | :05:53. | |
look urgently act dips and local performance to make sure nations get | :05:54. | :05:57. | |
access to treatment as soon as possible. Will the Minister join me | :05:58. | :06:01. | |
in welcoming the government announcement of funding for a new | :06:02. | :06:07. | |
radiotherapy machine which will improve cancer survival rates for | :06:08. | :06:15. | |
patients of my constituency? Absolutely. My honourable friend | :06:16. | :06:19. | |
highlights again where we are investing, upgrading machines, where | :06:20. | :06:24. | |
we are and the effort and the people and resources in, to make sure we | :06:25. | :06:30. | |
can achieve those world-class cancer outcomes. We are on course for a | :06:31. | :06:36. | |
record outcomes in terms of patients surviving ten years beyond | :06:37. | :06:40. | |
diagnosis, but we always want to do better, so I do applaud local | :06:41. | :06:46. | |
efforts, as she highlighted. I would like to reiterate what the Minister | :06:47. | :06:49. | |
said. I am sure my honourable friends would agree that our | :06:50. | :06:52. | |
thoughts quite to everyone in Brussels. Can the Minister informed | :06:53. | :06:56. | |
the House what consideration has been given to bringing Powell cancer | :06:57. | :07:05. | |
screening age into line of that of Scotland, 50 rather than 60, | :07:06. | :07:08. | |
following the debate on this subject? -- bowel. We had a | :07:09. | :07:16. | |
tremendous debate, which demonstrated how many people were | :07:17. | :07:21. | |
interested in the subject. In response, in England we have the | :07:22. | :07:26. | |
bowel Scope screening programme and the bowel cancer programme, which | :07:27. | :07:30. | |
complemented each other, and the impact of that is that we can really | :07:31. | :07:39. | |
make a huge impact. I went into more detail on my response to the debate, | :07:40. | :07:45. | |
but I think that is the key to identifying more people and | :07:46. | :07:50. | |
preventing them dying from this disease. I have received many | :07:51. | :07:58. | |
representations on the effect of liberties safeguards, including the | :07:59. | :08:01. | |
impact on health and care budgets. The honourable lady is a respected | :08:02. | :08:06. | |
choice on the safeguards, and there is ongoing work to address it. It is | :08:07. | :08:15. | |
costing Stockport Council 1.2 million this year for deprivation of | :08:16. | :08:18. | |
liberty assessments as a result of the Cheshire West judgment. Not 1p | :08:19. | :08:24. | |
provides social care. This is unsustainable at a time when budgets | :08:25. | :08:29. | |
are under pressure and something needs to be done now. We cannot wait | :08:30. | :08:32. | |
for the Law Commission. With the Minister consider scrapping costly | :08:33. | :08:43. | |
automatic annual assessments? I will happily look at anything that might | :08:44. | :08:50. | |
help. We are caught in this process of trying to deal with a court | :08:51. | :08:55. | |
judgment and the issues surrounding mental capacity issues, which are | :08:56. | :09:01. | |
serious and cannot be changed quickly. We are now close to hearing | :09:02. | :09:07. | |
the Law Commission's post-consultation proposals. Inmate, | :09:08. | :09:13. | |
they will oblige the analysis. I would look at any suggestion that | :09:14. | :09:20. | |
could help this practically. When the new legislation is introduced, | :09:21. | :09:25. | |
can he confirm it will be simpler to understand, resulting in fewer | :09:26. | :09:26. | |
bereaved relative spacing delays when a loved one dies in care? He is | :09:27. | :09:33. | |
absolutely right. What has caused the confusion has been a definition | :09:34. | :09:44. | |
of loss of liberty and dying in state detention. Whatever the new | :09:45. | :09:50. | |
legislation proposed, it has got to meet a much simpler test, and has | :09:51. | :09:55. | |
the meat what it says, so it does not get disrupt did in the courts | :09:56. | :10:05. | |
again. -- disrupted. Apologies. UK Government takes the issue of | :10:06. | :10:13. | |
prevention and I notice that diagnosis of hepatitis seriously. | :10:14. | :10:22. | |
Key stakeholders are looking to develop operational delivery | :10:23. | :10:27. | |
networks. The Scottish Government provides treatment for all those | :10:28. | :10:35. | |
with sensitive hepatitis C, including those infected with | :10:36. | :10:38. | |
contaminated blood. This transforms the lives of patients and reduces | :10:39. | :10:42. | |
the risk of further infection in the population. Will the Minister | :10:43. | :10:46. | |
provide similar access to treatment in England? Well, obviously Nice | :10:47. | :10:57. | |
have given guidance on the docks, so the treatment are effective compared | :10:58. | :11:04. | |
to what was previously available. The NHS is rolling out its response, | :11:05. | :11:09. | |
it has already treated hundreds of people, and there is a commitment to | :11:10. | :11:15. | |
treat thousands next year. Look more widely how we can tackle these | :11:16. | :11:19. | |
issues, not least in the context of the tragedy of infected blood. What | :11:20. | :11:27. | |
discussions has she had with her counterparts in Northern Ireland | :11:28. | :11:33. | |
regarding the deduction and eradication of hepatitis C, and does | :11:34. | :11:37. | |
she agree it is important we have a strategy that encompasses all of | :11:38. | :11:42. | |
Great Britain and Northern Ireland? Absolutely. Looking at all aspects | :11:43. | :11:47. | |
of how we eliminate hepatitis C is important, but it should not be | :11:48. | :11:51. | |
underestimated what a difficult job this is, largely because a lot of | :11:52. | :11:55. | |
people are not aware that they have no symptoms -- they are not aware, | :11:56. | :12:01. | |
as they have no symptoms. There is always more we can do. | :12:02. | :12:09. | |
Can I start by echoing my honourable friend's thoughts for the people of | :12:10. | :12:15. | |
rustles with whom we stand shoulder to shoulder? Turning to question | :12:16. | :12:19. | |
number four. In my statement of the house on the 11th of debris I gave | :12:20. | :12:26. | |
abroad like -- out line on the new training for doctors and dentists. | :12:27. | :12:29. | |
I'm still reviewing the exact terms along with the equality impact | :12:30. | :12:38. | |
assessment. When the Secretary of State declared he was imposing the | :12:39. | :12:41. | |
contracts and junior doctors last month, he claimed that the support | :12:42. | :12:48. | |
of senior NHS leaders was his. As foundation trusts offer their own | :12:49. | :12:52. | |
terms how does he envisage enforcing this contract? The fact is that we | :12:53. | :13:02. | |
consulted widely with NHS leaders about the terms of the new contract | :13:03. | :13:07. | |
and they confirmed that it was fair and reasonable. Any decision to | :13:08. | :13:11. | |
proceed with the new contract when it is not possible to have a | :13:12. | :13:15. | |
negotiated settlement is inevitably controversial, but what we wanted to | :13:16. | :13:18. | |
do was make sure that the terms of the contract, things that | :13:19. | :13:23. | |
independent people put there. I think we have done that. And junior | :13:24. | :13:27. | |
doctors seek their new contracts, which they will do shortly, they | :13:28. | :13:32. | |
will think that we were right to say so. Underlying the dispute about the | :13:33. | :13:38. | |
junior doctors is the long-standing problem of morale and the failure to | :13:39. | :13:41. | |
pay attention to the experience of junior doctors in training. Can I | :13:42. | :13:46. | |
welcome the government decision to launch an independent review and can | :13:47. | :13:49. | |
they ask my right honourable friend to give an update on the timing of | :13:50. | :13:57. | |
that review? As she speaks with great knowledge about NHS matters, | :13:58. | :14:01. | |
she is right that some of the underlying issues are nothing to do | :14:02. | :14:05. | |
with contractual terms but to do with the big changes in the way | :14:06. | :14:08. | |
training has happened over recent years, in particular the loss of | :14:09. | :14:14. | |
camaraderie that was part of the deal for junior doctors in training. | :14:15. | :14:17. | |
We would like to see if we could restore some of the things that have | :14:18. | :14:23. | |
gone on the wrong direction. We have not yet have the cooperation of the | :14:24. | :14:29. | |
BMA in this independent review, led by Doctor Sue Bailey. I hope the | :14:30. | :14:32. | |
local operate with this because I think there is a big opportunity to | :14:33. | :14:37. | |
sort out long-standing problems. There are currently 4500 trainees in | :14:38. | :14:44. | |
the NHS and junior doctors are having to cover these, often having | :14:45. | :14:50. | |
to do extensive extra shifts and even having to cover two jobs at the | :14:51. | :14:54. | |
same time. It looks as though this will get worse as fewer than half of | :14:55. | :14:58. | |
the most junior trainees have applied for ongoing training this | :14:59. | :15:02. | |
year. Does the Secretary of State except that this represents a | :15:03. | :15:08. | |
serious threat to patient safety? The purpose of these changes is to | :15:09. | :15:13. | |
improve patient safety, in particular to deal with the issue | :15:14. | :15:17. | |
that we have higher mortality rates for people admitted at weekends than | :15:18. | :15:21. | |
we do in the week. Because of the very confrontational approach taken | :15:22. | :15:26. | |
by the BMA it has been difficult to negotiate an agreement that we are | :15:27. | :15:30. | |
committed to doing the right things. What is right for patients is also | :15:31. | :15:34. | |
right for doctors. We have been talking about morale and the biggest | :15:35. | :15:38. | |
way to dent the morale of doctors is to prevent them getting the care | :15:39. | :15:44. | |
that they want to give to patients. Can I suggest that what is also good | :15:45. | :15:48. | |
for doctors is also good for patients and the people who are | :15:49. | :15:51. | |
being text that four or five times a day to be asked to do a second shift | :15:52. | :15:56. | |
to cover for a junior and a senior post at the same time is not good | :15:57. | :16:01. | |
for either. The Secretary of State on the 11th of February said he was | :16:02. | :16:05. | |
imposing the contract to bring stability to the NHS. That is not | :16:06. | :16:11. | |
exactly gone well. Can I ask what it is but I'm going forward to | :16:12. | :16:15. | |
re-establish his relationship with junior doctors and get us back to | :16:16. | :16:21. | |
where we are now? With the greatest respect, we are trying to solve a | :16:22. | :16:25. | |
problem that in Scotland is being done it. The seven-day NHS with | :16:26. | :16:31. | |
mortality rates that are no higher at weekends. There is no plan in | :16:32. | :16:35. | |
Scotland to deliver that across the whole NHS and I think than rather | :16:36. | :16:40. | |
than sniping she should recognise that in the interests of patient | :16:41. | :16:43. | |
safety we do need to take difficult decisions and in the end doctors | :16:44. | :16:47. | |
will see this was the right thing for them, as well. Can I say on | :16:48. | :16:56. | |
behalf of the opposition, I would like to associate ourselves with the | :16:57. | :17:00. | |
comments made by ministers about the tragic events in Brussels and offer | :17:01. | :17:04. | |
our condolences and solidarity to the people over there. Yesterday in | :17:05. | :17:08. | |
Westminster Hall there was a debate calling on the Health Secretary to | :17:09. | :17:13. | |
resume meaningful contract negotiations with the BMA. The | :17:14. | :17:17. | |
Health Secretary was not there. If he had been there he would have | :17:18. | :17:20. | |
heard his junior minister confirm that since they announced the | :17:21. | :17:24. | |
position the government has made no temp two attempt further industrial | :17:25. | :17:29. | |
action. They know there is more industrial action coming Dave Ward | :17:30. | :17:33. | |
to patients to get off their backsides and do something to | :17:34. | :17:39. | |
prevent it? Let me say to the honourable gentleman, the reason | :17:40. | :17:42. | |
that we made the decision to proceed with the new contract is because we | :17:43. | :17:47. | |
had independent advice that a negotiated settlement was not | :17:48. | :17:50. | |
possible and on that basis we decided it was important to have | :17:51. | :17:53. | |
certainty for the service by making clear what the new contract is. The | :17:54. | :17:57. | |
contract we have decided to do his contract that strikes at the | :17:58. | :18:01. | |
midpoint between what the government wanted and what the BMA were asking | :18:02. | :18:06. | |
for. It is a better contract for patients and I think the Labour | :18:07. | :18:09. | |
Party should support it if there were really on the side of patients. | :18:10. | :18:18. | |
The government is committed to delivering the vision set out in | :18:19. | :18:22. | |
future in mind and the striving for the major systemwide transformation | :18:23. | :18:26. | |
programme working alongside partners in government to improve access to | :18:27. | :18:29. | |
high-quality support across the country. Will he join me in | :18:30. | :18:37. | |
congratulating the charity Young minds for the important but it does | :18:38. | :18:41. | |
in highlighting the challenges young people facing mental health, not | :18:42. | :18:45. | |
least from this so far -- so-called dark net and social media? We must | :18:46. | :18:52. | |
make sure that the Internet is a positive not negative force in | :18:53. | :18:57. | |
tackling mental health challenges for young people? Young minds and a | :18:58. | :19:01. | |
range of other partners, the work that they do to ensure that young | :19:02. | :19:07. | |
people can information safely is commendable. Children and young | :19:08. | :19:10. | |
people and their parents have expressed the need to be able to | :19:11. | :19:13. | |
access both high quality and reliable information and support | :19:14. | :19:16. | |
online and this was reflected in the future in mind report. We are | :19:17. | :19:24. | |
investing with a number of different groups and organisations working on | :19:25. | :19:27. | |
applications for young people and it is important that they have access | :19:28. | :19:34. | |
to safe material in order to exclude those places rather darker. Walk-in | :19:35. | :19:39. | |
centres run by experienced GPs can offer important support of those | :19:40. | :19:43. | |
children with mental health problems, yet popular walk-in | :19:44. | :19:46. | |
centres that were established by local GPs in my constituency are now | :19:47. | :19:50. | |
being put out to tender, putting at risk the leadership and involvement | :19:51. | :19:54. | |
by those experienced GPs of the centres. Will the Minister give | :19:55. | :19:59. | |
guidance to the NHS procurement authority that walk-in centres | :20:00. | :20:02. | |
should be led by local GPs with experience of that area? I look at | :20:03. | :20:08. | |
what the red envelopes -- Right Honourable gentleman says. I am not | :20:09. | :20:13. | |
responsible for individual commissioning decisions and the | :20:14. | :20:15. | |
commissioners will have full regard to the needs of the local population | :20:16. | :20:18. | |
when they are putting these services are out. It is important that access | :20:19. | :20:23. | |
is increasingly available or that GPM primary level as well as other | :20:24. | :20:27. | |
areas with the government is investing further money. I will have | :20:28. | :20:31. | |
a look at what he says. Can the Minister informed the house as to | :20:32. | :20:35. | |
what dialogue is maintained between his department and the Department | :20:36. | :20:38. | |
for Education to make sure that these issues are signposted as early | :20:39. | :20:44. | |
as possible? There is a growing relationship with the Department for | :20:45. | :20:47. | |
Education knife. For the first time we have the Minister responsible for | :20:48. | :20:53. | |
mental health in the department. There is a schools champion for | :20:54. | :20:57. | |
mental health limit the other day. We worked very closely together to | :20:58. | :21:01. | |
deliver that vision set out in future in mind and we work with the | :21:02. | :21:06. | |
Department for Education, there is a ?1 million pilot project to find the | :21:07. | :21:10. | |
right people in schools in order to deal with mental health issues. That | :21:11. | :21:16. | |
is working across 22 schools. There is much greater recognition now that | :21:17. | :21:19. | |
the earlier you can pick up these things the better it is for | :21:20. | :21:22. | |
youngsters and their future mental health. Eating disorders in children | :21:23. | :21:31. | |
and teenagers cause is life that -- life-threatening health problems and | :21:32. | :21:35. | |
even death. What steps of the Minister taking to enable early | :21:36. | :21:39. | |
intervention which result in better prognosis and support closer to | :21:40. | :21:43. | |
home? Two things can help the honourable lady. The commitment to | :21:44. | :21:46. | |
?30 million a year built in the budgets over the next five years to | :21:47. | :21:51. | |
support those with eating disorders in a conference on this last week. | :21:52. | :21:57. | |
Also earlier detection on eating disorders. By 2020 we will reckon | :21:58. | :22:06. | |
95% of urgent cases will be seen within a week and routine cases for | :22:07. | :22:09. | |
weeks. There is a recognition of the real dangers -- real danger posed by | :22:10. | :22:16. | |
eating disorders and it is important to recognise that. Earlier this | :22:17. | :22:19. | |
month school and College leaders reported a large rise in student | :22:20. | :22:23. | |
suffering from anxiety. Two thirds said that they struggled to get | :22:24. | :22:27. | |
mental health services for their pupils and of those that have | :22:28. | :22:31. | |
preferred a student the majority rated them for very poor. Despite | :22:32. | :22:35. | |
the Minister was not warm words things are getting worse, not | :22:36. | :22:38. | |
better. Can confirmed today that single penny promised the children's | :22:39. | :22:43. | |
mental health will reach those services and that none of this money | :22:44. | :22:46. | |
will be used to plug the gap in hospital budgets? Following long | :22:47. | :22:55. | |
conversation between myself, the NHS and the treachery I can indeed give | :22:56. | :23:01. | |
the honourable lady that insurance -- Ashya rents. Every penny pledged | :23:02. | :23:07. | |
in the budget for cans and eating disorders will be spent on | :23:08. | :23:10. | |
children's mental health at the end of this Parliament. It is not fair | :23:11. | :23:13. | |
for her to constantly say that nothing is happening. The first lot | :23:14. | :23:20. | |
of that money is being spent nine. ?75 million the CCG is, ?75 million | :23:21. | :23:29. | |
for eating disorders, ?15 million for perinatal, ?25 million were | :23:30. | :23:32. | |
other issues involving training. That is money already committed in | :23:33. | :23:36. | |
being spent night. The problem that she relates to our high priority and | :23:37. | :23:42. | |
are being plugged it. By his own admission in response to | :23:43. | :23:46. | |
parliamentary questions he is going to understand this year by ?77 | :23:47. | :23:50. | |
million on his pledge to spend ?250 million and will underspend by ?11 | :23:51. | :23:55. | |
million on his 15 million plug -- pledged that perinatal mental | :23:56. | :24:04. | |
health. Does he agree with Labour today that every child should | :24:05. | :24:08. | |
receive personal social and health education so that young people are | :24:09. | :24:10. | |
equipped with the resilience to better support their mental health? | :24:11. | :24:16. | |
You can't have it both ways, it would seem. I have given a pledge | :24:17. | :24:21. | |
which he asked for in her first question, the ?1.4 billion committed | :24:22. | :24:28. | |
to mental health. It is no wonder that first tranche has not been | :24:29. | :24:34. | |
fully committed. Some money has the rollover. I have made absolutely | :24:35. | :24:38. | |
sure that that money will be spent including on perinatal services | :24:39. | :24:42. | |
which will reach a much better pitch them in Whee Kim in the office. That | :24:43. | :24:48. | |
work will be done. In relation... It is not a matter for this department. | :24:49. | :24:52. | |
I fully agree that it is very important that children have this | :24:53. | :24:56. | |
information. The pressure caused by social media requires that the | :24:57. | :25:03. | |
children have a very modern understanding of personal health and | :25:04. | :25:05. | |
social education and Italy supported. Can I gently point out to | :25:06. | :25:12. | |
colleagues that as usual at this stage we have got a lot to get | :25:13. | :25:16. | |
through. We do need to speed up a bit. Question number six. There is a | :25:17. | :25:25. | |
long waiting list of colleagues. Our ground-breaking 100,000 June object | :25:26. | :25:30. | |
and notes by the Prime Minister represents the moonshot of medicine | :25:31. | :25:35. | |
in making the UK's diverse nation on earth this ignores the entire | :25:36. | :25:40. | |
genetic sequence of 100,000 genomes from NHS patients. We are winning | :25:41. | :25:52. | |
international plaudits, and attract ten inward investment. I recently | :25:53. | :25:59. | |
visited a school in Nottingham and saw the great work being carried out | :26:00. | :26:05. | |
there including ground-breaking genomics work. Will the Minister | :26:06. | :26:09. | |
outlined the support his department is providing to ensure workers fully | :26:10. | :26:13. | |
funded and expanded to make sure that the East Midlands and the UK | :26:14. | :26:18. | |
continue to be world leaders in the search for treatment and ultimately | :26:19. | :26:20. | |
a cure for Alzheimer's based on our research? Can I started paying | :26:21. | :26:25. | |
tribute to my honourable friend. She had a distinguished scientific | :26:26. | :26:30. | |
career, including setting up in business. She is right to highlight | :26:31. | :26:34. | |
the work at Nottingham University which represents something of an | :26:35. | :26:39. | |
East Midlands powerhouse. The Nottingham University Hospital NHS | :26:40. | :26:43. | |
Trust as part of the East of England genomic medicine centres, which is | :26:44. | :26:50. | |
becoming one of our hubs. We are actively supporting research into | :26:51. | :26:52. | |
Alzheimer's in addition to our billion pound a year research | :26:53. | :26:58. | |
project the 100 and 50p -- ?150 million dementia Institute. | :26:59. | :27:08. | |
We remain committed to achieving parity of esteem in mental health. | :27:09. | :27:23. | |
We will work to in the recommendations in | :27:24. | :27:40. | |
the policy. Bidders are concerned that services are ... In my | :27:41. | :27:49. | |
honourable friend's area, an analysis of the impact of the new | :27:50. | :27:55. | |
beds shows that the average distance travelled has improved from 114 | :27:56. | :28:03. | |
miles in 2014, 239.9 miles in 2016. But it is not enough to simply | :28:04. | :28:06. | |
provide more beds. We have to provide more community-based | :28:07. | :28:16. | |
treatment. I was delighted that the report endorsed the plan was put | :28:17. | :28:26. | |
forward by myself Under-Secretary of State, so people with mentally ill | :28:27. | :28:30. | |
health have the same rights to treatment in time as others. I was | :28:31. | :28:36. | |
glad the government endorsed the plan, but dismayed that Simon | :28:37. | :28:41. | |
Stevens then confirmed there was no money to implement this. How will he | :28:42. | :28:44. | |
ensure that the comprehensive waiting times standards and | :28:45. | :28:51. | |
implemented? If anything, the questions are getting longer! The | :28:52. | :28:58. | |
question was far too long. Firstly, the first set of waiting times | :28:59. | :29:03. | |
standards, the first ever by a government, are already in place. | :29:04. | :29:08. | |
50% of people experiencing an episode of psychosis will be treated | :29:09. | :29:14. | |
within two weeks. We have to get the database right. The right honourable | :29:15. | :29:18. | |
gentleman will know that we are doing a much greater data trawl, to | :29:19. | :29:24. | |
find clear these waiting times can be set. Progress has been made on | :29:25. | :29:45. | |
many of the key ambitions set out. Transformation plans that cover | :29:46. | :29:52. | |
young people and adults mental health issues,... This month the | :29:53. | :29:59. | |
mental health network representing NHS providers said very little if | :30:00. | :30:05. | |
any of the money promised for child and adolescent mental health has | :30:06. | :30:09. | |
materialised, in some areas are experiencing a cut. He much accept | :30:10. | :30:12. | |
that the efforts in this department in getting the money out the door | :30:13. | :30:24. | |
has been woeful. I did give a list we're the money is currently being | :30:25. | :30:30. | |
spent. I think I can help the honourable lady and gentleman. More | :30:31. | :30:35. | |
has been done to make sure that CCGs deliver what they can in relation to | :30:36. | :30:39. | |
mental health. The figures show that there has been a 3.7 uplifting | :30:40. | :30:47. | |
CCG's, so more transparency and determination to make sure that what | :30:48. | :30:52. | |
they are currently seeing and feeling will become less and less in | :30:53. | :31:00. | |
the future. In 2010 the country faced a deficit that constituted 11% | :31:01. | :31:04. | |
of GDP, so all major political parties committed to plans reducing | :31:05. | :31:09. | |
government spending including on health, as a proportion of GDP. | :31:10. | :31:16. | |
Because of this government's commitment, spending on this will | :31:17. | :31:24. | |
increase over the decade. Former Coalition Minister has written that | :31:25. | :31:30. | |
during the previous government... The health service required an | :31:31. | :31:37. | |
additional ?30 billion. He was allocated only 8 billion by the | :31:38. | :31:41. | |
tragedy. The savage cut, isn't that the root cause of all the problems, | :31:42. | :31:50. | |
and does it not make sense the government should not be cutting | :31:51. | :31:55. | |
this? What he describes as a savage cut was a real terms increase of ?10 | :31:56. | :32:01. | |
billion a year. ?5.5 billion more than his party was proposing. Does | :32:02. | :32:08. | |
my right honourable friend agree that as well as focusing on health | :32:09. | :32:14. | |
input and how much we spend on the NHS, it is also important we focus | :32:15. | :32:20. | |
on health outcomes. He is right, which is why I am so proud that | :32:21. | :32:24. | |
under this Conservative Government we have that 27 hospitals into | :32:25. | :32:30. | |
special measures, 11 have come out of special measures, and we are | :32:31. | :32:35. | |
improving standards and quality of care, the number of people being | :32:36. | :32:39. | |
treated across the board, so I put matters, which is what the | :32:40. | :32:47. | |
government will deliver. The Health Secretary may talk a good game when | :32:48. | :32:51. | |
it comes to funding, but the reality in accident and emergency | :32:52. | :32:55. | |
departments and GP surgeries tells a very different story. The whole | :32:56. | :33:01. | |
system is on its knees and the revelations of the former Chief | :33:02. | :33:03. | |
Secretary to the Treasury this weekend confirmed what everyone in | :33:04. | :33:08. | |
the NHS already knew, ?22 billion worth of efficiency savings over the | :33:09. | :33:17. | |
next four years is pure fantasy. So in the interests of transparency, | :33:18. | :33:20. | |
will the Health Secretary now publish the full analysis explaining | :33:21. | :33:25. | |
how NHS England arrived at the figure of 22 billion? Let us look at | :33:26. | :33:32. | |
what the chief of NHS England actually said, not what he is | :33:33. | :33:38. | |
alleged to have done, which he denies. He said that when it came to | :33:39. | :33:42. | |
the Spending Review, the government listened to and actively supported | :33:43. | :33:46. | |
the case for spending, and he could kick-start his plan for the NHS. But | :33:47. | :33:52. | |
it is rather academic because Labour refused to fund his plan at all, | :33:53. | :33:55. | |
which goes to show that when it comes to the NHS, Labour right the | :33:56. | :34:01. | |
speeches, but conservative right the checks. I did not ask the Health | :34:02. | :34:08. | |
Secretary what the chief executive of the NHS said. I asked him to | :34:09. | :34:12. | |
publish the analysis, which lays behind the 22 billion figure. He | :34:13. | :34:17. | |
will not publish that because he knows that the only way to achieve | :34:18. | :34:20. | |
these politically motivated efficiencies is to make cuts to | :34:21. | :34:28. | |
staff and cuts to pay. Truth is, the NHS survives on the goodwill of its | :34:29. | :34:32. | |
staff. And yet this Health Secretary has pushed the goodwill to breaking | :34:33. | :34:38. | |
point. Let me ask him this. How does he expect to improve current | :34:39. | :34:44. | |
services, let alone deliver a seven day NHS with fewer staff and a | :34:45. | :34:52. | |
demoralised workforce? Under this government staff have gone up. | :34:53. | :34:56. | |
11,000 more doctors, 12,000 more nurses, and if she is worried about | :34:57. | :35:02. | |
NHS funding, perhaps she might look in the mirror because in 2010 her | :35:03. | :35:07. | |
party wanted to cut funding to the NHS, in Wales they did cut funding | :35:08. | :35:17. | |
for the NHS, in 2015 and they put in a lot less. The NHS needs more | :35:18. | :35:23. | |
doctors, more nurses, and only the Conservatives can deliver that. | :35:24. | :35:32. | |
Number ten. Mr Speaker, in the Department we assessed staff morale | :35:33. | :35:39. | |
in the NHS using engagement scores from the staff survey, I am | :35:40. | :35:41. | |
delighted to say that the score currently runs at 3.78 out of five, | :35:42. | :35:47. | |
a rise from the 2010 figures when the survey began, when it was at | :35:48. | :35:55. | |
3.68. In the same staff survey it shows that midwives are stressed. | :35:56. | :36:01. | |
90% of them are working extra shifts unnecessarily. There is also the | :36:02. | :36:09. | |
case I have raised of the radiographer who was sacked for | :36:10. | :36:16. | |
exposing bribes at Ealing Hospital. She is yet to have a response, apart | :36:17. | :36:21. | |
from the Francis review, which has yet to be commented anyway. -- to be | :36:22. | :36:36. | |
implemented. She is wrong about the recommendations which are being | :36:37. | :36:41. | |
implemented in full. She should look at the results of the staff survey. | :36:42. | :36:47. | |
The number recommending the trust is a place to receive treatment has | :36:48. | :36:52. | |
gone up. We would like to address the staff survey. This is a balanced | :36:53. | :37:02. | |
and overall positive return from the survey. Can he confirmed that as | :37:03. | :37:14. | |
important as staff morale, in NHS hospitals, patient morale is | :37:15. | :37:21. | |
improving considerably as well? He is right. The returns from the test | :37:22. | :37:26. | |
shall increasing satisfaction from patients of the NHS. How does the | :37:27. | :37:32. | |
Minister think it affects staff morale the year the government's | :37:33. | :37:35. | |
constant refrain of implementing seven-day working, such as the ball | :37:36. | :37:43. | |
-- pathology staff who have offered this for many years? Staff morale | :37:44. | :37:51. | |
has gone up over the past few years. It is not helped when the nature of | :37:52. | :37:56. | |
the junior doctors contract has been misrepresented. If they were to look | :37:57. | :38:03. | |
at this, they would see further improvements in staff morale. Staff | :38:04. | :38:08. | |
morale at upfield Community Hospital is exceptionally high partly due to | :38:09. | :38:14. | |
receiving 100% in recent friends family survey. With he joined me in | :38:15. | :38:22. | |
congratulations and nurses, volunteers and front staff in the | :38:23. | :38:29. | |
hospital? I will happily congratulate the staff. It shows | :38:30. | :38:32. | |
we're good constituency representation reinforces efforts of | :38:33. | :38:39. | |
people in hospitals can improve staff morale. In a recent survey 17% | :38:40. | :38:54. | |
of GPs said the quality of service was becoming unmanageable. Too many | :38:55. | :39:00. | |
patients needing treatment. We now have a decrease in the applications | :39:01. | :39:04. | |
for GP training places, which is one of the last cohorts to be trained by | :39:05. | :39:09. | |
2020. Unless the Minister takes drastic actions to address GP | :39:10. | :39:14. | |
morale, workload and recruitment, patient care will just get worse. | :39:15. | :39:23. | |
What is he going to do? There will be 5000 additional GPs by the end of | :39:24. | :39:26. | |
this Parliament, and that is what she is raising. I am not sure why | :39:27. | :39:34. | |
she is shaking her head. We're also putting a greater proportion of | :39:35. | :39:43. | |
funding into the NHS. And weird increasing the number of GP training | :39:44. | :39:47. | |
places, and we are doing well in ensuring more people are choosing to | :39:48. | :39:56. | |
become general practitioners. Trust split into special members have | :39:57. | :40:03. | |
recruited 4190 more nurses, with one estimate saying this has reduced | :40:04. | :40:09. | |
mortality rates by up to 450 year. In the last six years the north | :40:10. | :40:14. | |
Cumbria trust has had four Chief Executive is, and acquisition going | :40:15. | :40:18. | |
nowhere, a so-called success regime, reporting later than intended. There | :40:19. | :40:24. | |
are clearly tough decisions to be made, and the sooner they are made, | :40:25. | :40:28. | |
the better. Can he undertake to ensure the recommendations of this | :40:29. | :40:32. | |
implemented in full and in a timely manner? I would like to thank him | :40:33. | :40:38. | |
for his consistent campaigning on behalf of his local trust. He is | :40:39. | :40:43. | |
right, there are big issues. He is also right that generally the NHS | :40:44. | :40:47. | |
has two quick turnover of Chief Executive is. They have a new one, | :40:48. | :40:53. | |
who is one of the top-rated health chief executives. Mortality rates | :40:54. | :40:58. | |
are going down. So I will support him and of the way I can to resolve | :40:59. | :41:01. | |
the situation as quickly as possible. Because the Manor Hospital | :41:02. | :41:06. | |
is in special measures, all mothers to be being denied the right of the | :41:07. | :41:13. | |
choice to have their babies here. And the Secretary of State confirmed | :41:14. | :41:14. | |
they are safe staffing levels We have 83 more doctors and 426 more | :41:15. | :41:31. | |
nurses there since 2010. There is a quality improvement plan in place. | :41:32. | :41:38. | |
Can I thank the honourable member for raising this. Mess Ophelia is a | :41:39. | :41:46. | |
terrible disease. The government is completely committed to supporting | :41:47. | :41:49. | |
treatment, prevention and compensation. In the last three | :41:50. | :41:52. | |
months my noble friend has had discussions with interested parties | :41:53. | :41:57. | |
and the Chancellor was able to announce ?5 million of funding for a | :41:58. | :42:05. | |
new research centre. The British Lung foundation has welcomed the ?5 | :42:06. | :42:10. | |
million announced. Can the Minister confirm when the funds will be -- be | :42:11. | :42:16. | |
released for the centre and hide the funding will be going forward? We | :42:17. | :42:22. | |
are in active discussions with the various parties and we have received | :42:23. | :42:27. | |
some interesting submissions from the research institutes. We will be | :42:28. | :42:32. | |
looking in the coming weeks of how best to use than ?5 million to build | :42:33. | :42:38. | |
UK leadership in this field. Number 14, please. NHS England is working | :42:39. | :42:45. | |
with muscular dystrophy UK to the bridging the Gap project looking at | :42:46. | :42:48. | |
issues such as the provision of cough assist machines. The number of | :42:49. | :42:55. | |
CCG is have no commission policies for these devices based on a policy | :42:56. | :43:06. | |
developed by Walsall. 21-year-old Freddie Kemp, he had muscular | :43:07. | :43:13. | |
dystrophy, sadly died of cardiac complications. He had been refused | :43:14. | :43:19. | |
permission by his CCG. While the Minister said he is working with UK | :43:20. | :43:24. | |
muscular dystrophy, will he meet with representatives from that | :43:25. | :43:28. | |
organisation to discuss what be done to get CCG is to prioritise these | :43:29. | :43:36. | |
important machines? Of course I will meet any groups concerned with this. | :43:37. | :43:42. | |
The clinical evidence has divided about the efficacy of cough assist | :43:43. | :43:46. | |
machines over manual massage, but this is something that Walsall CCG | :43:47. | :43:51. | |
has sought to resolve. There it is a template that others might wish to | :43:52. | :44:02. | |
follow. Question number 15. NHS England will invest ?2 million over | :44:03. | :44:08. | |
the next two years to run together with Public Health England Hurley | :44:09. | :44:11. | |
implemented test sites which will seek to answer and meaning questions | :44:12. | :44:14. | |
about how clap could be commissioned in the most cost-effective way to | :44:15. | :44:18. | |
reduce HIV and sexually transmitted infections for those at highest | :44:19. | :44:25. | |
risk. Yesterday NHS England scrapped plans for brand trap. Can the | :44:26. | :44:30. | |
Minister Teller said there is anything she can do to put an end to | :44:31. | :44:34. | |
this inconsistent decision-making? That she agree with me that the | :44:35. | :44:39. | |
decision yesterday to stop the roll-out of this drug contradicts | :44:40. | :44:46. | |
the desire to stop HIV? The management team had NHS England did | :44:47. | :44:51. | |
make that decision and I think NHS England recognises that the decision | :44:52. | :44:56. | |
could been taken earlier. There is also recognition the valuable work | :44:57. | :45:01. | |
has taken place. NHS England has undertaken that valuable work. There | :45:02. | :45:05. | |
are important lesson that have been learnt and we don't want to lose | :45:06. | :45:09. | |
that. Neither is a case of working with NHS England and Ph.D. To | :45:10. | :45:14. | |
understand how we can take things forward including learning from the | :45:15. | :45:21. | |
test sites. I share some of the concerns with the honourable member | :45:22. | :45:27. | |
on the roll-out of clap. It is only one tool in HIV prevention. Did the | :45:28. | :45:31. | |
Minister update the house in progress on the HIV prevention | :45:32. | :45:38. | |
innovation fund? He is right to draw the attention of the house to the | :45:39. | :45:44. | |
fact that it is only one part of it, albeit we understand the importance. | :45:45. | :45:47. | |
He is right to mention the innovation fund, which he champions. | :45:48. | :45:53. | |
We have invested up to ?500,000 in new and innovative ways to tackle | :45:54. | :45:57. | |
HIV and some excellent organisations came forward with innovative | :45:58. | :46:03. | |
approaches. We have also established the first national HIV home sampling | :46:04. | :46:11. | |
service. Topical questions. Topical number one, Mr Speaker. The latest | :46:12. | :46:13. | |
performance figures show that challenges the NHS racism problem | :46:14. | :46:17. | |
with extraordinary levels of a man but despite these pressures the | :46:18. | :46:23. | |
government is making good progress in our ambition that NHS care should | :46:24. | :46:26. | |
be the best in the world. Figures from the health foundation showed | :46:27. | :46:30. | |
that the portion of patients being harmed has fallen by over a third in | :46:31. | :46:36. | |
the last three years. MRSA infections have been hath antsy but | :46:37. | :46:38. | |
the sale infections have rocked by a third. The five-year forward | :46:39. | :46:46. | |
Giuseppe NHS would need between eight and ?21 billion from the | :46:47. | :46:50. | |
Treasury extra bite 2021. It got the commitment of eight billion pounds. | :46:51. | :46:55. | |
Can the Secretary of State say when the Stevens plan will be formally | :46:56. | :47:00. | |
reviewed and where in the range of eight up to 21 billion is the real | :47:01. | :47:05. | |
requirement will be fine to lie? We are putting in ?10 billion of | :47:06. | :47:11. | |
additional public money to support the NHS over the next few years. | :47:12. | :47:17. | |
That does mean that we need to find between ?20 billion and ?22 billion | :47:18. | :47:22. | |
of efficiency savings. We will be reviewing the progress of the plan | :47:23. | :47:25. | |
as we go through it. I want to reassure him that they meet the | :47:26. | :47:31. | |
chief executive of NHS England to review the plan every week and we | :47:32. | :47:34. | |
are determined to rule it out as quickly as possible. I would like to | :47:35. | :47:39. | |
express my sadness at the news that two people in my constituency lost | :47:40. | :47:42. | |
their lives in a house fire yesterday. My thoughts are with | :47:43. | :47:48. | |
their family and friends. The Coalition Government legislated for | :47:49. | :47:52. | |
NHS hospitals earn up to 49% of the money from private patients. | :47:53. | :47:55. | |
Hospital and might constituency is highly valued. With the ministers | :47:56. | :48:03. | |
see an increase in the number of NHS veggies for private patients and a | :48:04. | :48:07. | |
decrease used for NHS patients as a sign of success or a sign of | :48:08. | :48:13. | |
failure? The matter of beds is entirely for the trust to decide. | :48:14. | :48:17. | |
NHS patient should always come first. Last decade Crawley Hospital | :48:18. | :48:26. | |
under the Labour government saw its accident and emergency and maternity | :48:27. | :48:31. | |
units ) who's to say that in recent years we have seen the casualties | :48:32. | :48:35. | |
services returning as well as a GP out-of-hours services and greater | :48:36. | :48:41. | |
numbers of beds. Would he join me in congratulating the NHS that in my | :48:42. | :48:44. | |
constituency who worked so hard to deliver these new services? I am | :48:45. | :48:50. | |
delighted to do that and join him in congratulating staff at his | :48:51. | :48:59. | |
constituency. They are seeing 36,509 more people less -- in less than | :49:00. | :49:05. | |
four hours compared to six years ago. They are meeting their targets, | :49:06. | :49:15. | |
so it is a very good performance. Scotland has consistently | :49:16. | :49:18. | |
outperformed all other nations in the UK on a anti-performance over | :49:19. | :49:22. | |
the last year. I think the's performance dropping in every single | :49:23. | :49:28. | |
month since weekly publication was abandoned last July, does the | :49:29. | :49:30. | |
Secretary of State think it is time to return to more frequent analysis | :49:31. | :49:35. | |
and eliminate the obfuscation of the six-week delay in publication? I am | :49:36. | :49:41. | |
somewhat surprised that the complacency in the honourable | :49:42. | :49:45. | |
gentleman's questions after audit Scotland identified in the autumn | :49:46. | :49:48. | |
that performance in seven out of the nine key targets for the Scottish | :49:49. | :49:53. | |
NHS have deteriorated in the last three years. Spending since 2009 has | :49:54. | :49:58. | |
fallen in Scotland as opposed to increasing in England. Spending on | :49:59. | :50:03. | |
private sector dividers is increasing so they should think | :50:04. | :50:05. | |
about that before they criticise what is happening in England. Often | :50:06. | :50:13. | |
successful cardiopulmonary resuscitation involves knowing where | :50:14. | :50:16. | |
the nearest public access to favourite nature is located. In my | :50:17. | :50:22. | |
constituency of Twickenham it is hard to find out exactly where all | :50:23. | :50:27. | |
of these fibril agers are located. Will the Minister as the Department | :50:28. | :50:31. | |
of Health to do a live mapping of public access the fibril agers, and | :50:32. | :50:38. | |
also as that every work face with a first aid point has a clear sign | :50:39. | :50:42. | |
where the nearest the fibril agers is located? This work is already in | :50:43. | :50:49. | |
hand to the British Heart Foundation. I would like to have | :50:50. | :50:52. | |
that last week the Chancellor announced another ?1 million to make | :50:53. | :50:55. | |
public access the fibril agers and CPR training more widely available. | :50:56. | :51:01. | |
Coupled with last year's funding of a million there is over 690 more the | :51:02. | :51:08. | |
fibril agers across England. That mapping work is very important and | :51:09. | :51:16. | |
you are right to raise it. I believe the publication today of the | :51:17. | :51:18. | |
governance review will show that serious harm was caused to patients | :51:19. | :51:24. | |
and staff, that there was such a culture of bullying and harassment | :51:25. | :51:28. | |
even after the Francis Report that the Liverpool community trust is the | :51:29. | :51:31. | |
community equivalent of mid Staffordshire. In the spirit of | :51:32. | :51:38. | |
openness and transparency, will he instigate a public enquiry to | :51:39. | :51:42. | |
establish the full extent of the harm that has been caused to | :51:43. | :51:53. | |
patients and staff? May I commend the honourable member for the brave | :51:54. | :51:54. | |
stand that she has taken on this difficult issue? I will take her | :51:55. | :51:56. | |
concerns very seriously. I want to read the report that has been | :51:57. | :52:01. | |
delivered and I will speak to her as early as possible to establish a | :52:02. | :52:04. | |
local governments and commissioners can take this forward. It is | :52:05. | :52:09. | |
imperative that the NHS has the best possible culture. People should have | :52:10. | :52:16. | |
the freedom to speak up and the whistle. Colchester Hospital, | :52:17. | :52:24. | |
insurance premiums under the clinical negligence scheme at more | :52:25. | :52:27. | |
than double the 11.2 point 2,000,004 years. What steps is the department | :52:28. | :52:34. | |
taking to reduce this figure? The honourable gentleman points the | :52:35. | :52:37. | |
variations across the service, sometimes premiums go up or down in | :52:38. | :52:42. | |
different trusts. I would be happy to speak to him further about what | :52:43. | :52:48. | |
we are doing. Does the Secretary of State agree that this week's public | :52:49. | :52:51. | |
debate around best feeling has been both destructive and condemning for | :52:52. | :52:58. | |
those women who suffer from postnatal depression and struggle to | :52:59. | :53:02. | |
bond emotionally with their children? Do we need to reframe the | :53:03. | :53:06. | |
public debate and reduce rather than reinforce this stigma? As the | :53:07. | :53:16. | |
Minister for mental health services takes forward the increase in | :53:17. | :53:19. | |
funding in perinatal mental health he will be wanting to work with me | :53:20. | :53:23. | |
around breast-feeding rates and the relationship between breast-feeding | :53:24. | :53:32. | |
and mental health. If my honourable friend aware of the agreement struck | :53:33. | :53:35. | |
by President Obama and president Moody of India to collaborate on | :53:36. | :53:40. | |
research and development for traditional medicines for palliative | :53:41. | :53:46. | |
and preventative cancer care? Shouldn't we be aiming for a similar | :53:47. | :53:51. | |
agreement, bearing in mind antimicrobial resistance? It is | :53:52. | :53:58. | |
worth saying that NICE does not recommend homoeopathy for any | :53:59. | :54:05. | |
condition. Antimicrobial resistance, we see increasing studies showing | :54:06. | :54:09. | |
that resistance to common problems is growing and that serves to | :54:10. | :54:14. | |
underline the importance of the responsible stewardship of all drugs | :54:15. | :54:17. | |
and medicines and by the international efforts are so | :54:18. | :54:26. | |
important. Given the latest very worrying reports about goings-on at | :54:27. | :54:32. | |
the office of the health service ombudsman, does the Secretary of | :54:33. | :54:34. | |
State still have confidence in the leadership of this vital regulator? | :54:35. | :54:41. | |
I have expressed my concerns on behalf of patients about some of the | :54:42. | :54:44. | |
things that have been happening there but I respect the fact that it | :54:45. | :54:48. | |
is a matter for this house and not for the government, and in | :54:49. | :54:52. | |
particular for the relevant committee of this house to deal | :54:53. | :54:56. | |
with. I do have concerns and I think it is very important that patients | :54:57. | :55:01. | |
have confidence in the ombudsman because that is the vital | :55:02. | :55:04. | |
independent avenue that they have the challenge NHS trusts when things | :55:05. | :55:11. | |
go wrong. Would my right honourable friend joined me in congratulating | :55:12. | :55:15. | |
the Chief Executive Glenn Burley and the whole team at Warwick Hospital | :55:16. | :55:18. | |
for delivering the new excellent orthopaedic ward? Would he tell the | :55:19. | :55:25. | |
house will support the NHS is being given for similar state-of-the-art | :55:26. | :55:31. | |
facilities across the country? I am delighted to join my honourable | :55:32. | :55:34. | |
friend and congratulation and confirm the announcement in the | :55:35. | :55:37. | |
Autumn Statement that we are committed to ?4.8 billion extra | :55:38. | :55:44. | |
capital neurons year to the 2021, that will include funding for proton | :55:45. | :55:48. | |
beam therapy and major new hospitals, in addition to arm | :55:49. | :55:54. | |
billion pound a year for NHS research and more funds for medical | :55:55. | :56:00. | |
research. The financial year ends next week so can I ask the Secretary | :56:01. | :56:04. | |
of State by then what does he expect the NHS provider budget deficit to | :56:05. | :56:12. | |
be? We know that the deficit is going to be bigger this year and we | :56:13. | :56:16. | |
know there is extreme pressure. Part of the reason for that is because | :56:17. | :56:20. | |
NHS trusts have rightly said that they want to make sure that their | :56:21. | :56:23. | |
water properly staffed in the wake of what happened that mid | :56:24. | :56:28. | |
Staffordshire, but they have done so by using unsustainable agency staff | :56:29. | :56:31. | |
so the most important thing that we need to do is to move the permanent | :56:32. | :56:35. | |
full-time staff rather than agency staff, which are too expensive and | :56:36. | :56:40. | |
not good for care. A number of my constituents are unable to access an | :56:41. | :56:45. | |
NHS dentist. Can I have the Minister to look at the availability of NHS | :56:46. | :56:50. | |
dentists in my constituency and use his good offices to ensure that | :56:51. | :56:54. | |
there is enough capacity for all of my constituents who want to use an | :56:55. | :56:58. | |
NHS dentist to be able to use a good local NHS dentist? | :56:59. | :57:02. | |
overall access to NHS dentistry is good, but it | :57:03. | :57:07. | |
varies from area to area. It is one of the areas that worries us, and we | :57:08. | :57:15. | |
are trying to do more about it. Work is being undertaken to look at | :57:16. | :57:18. | |
issues around NHS dentistry. I have met with a number of honourable | :57:19. | :57:23. | |
members about this. I will monitor the issue closely. Analysis revealed | :57:24. | :57:32. | |
that is not 10 billion that is going to be the increase in real terms to | :57:33. | :57:37. | |
the NHS, but 4.5 and Ian. Will the Health Secretary apologise for | :57:38. | :57:43. | |
misleading not just this House but the public as a whole. The | :57:44. | :57:51. | |
honourable lady mustn't accuse a member of the House of misleading | :57:52. | :57:56. | |
it. If she wishes to insert the word inadvertently, she would spring back | :57:57. | :58:01. | |
into order, which I am sure she would wish to be. Do I take it that | :58:02. | :58:07. | |
the word inadvertently has been inserted? I am happy to insert | :58:08. | :58:14. | |
inadvertently. She may have inadvertently not been listening to | :58:15. | :58:20. | |
previous answers I gave! Let us look at what Simon Stevens, the Chief | :58:21. | :58:24. | |
Executive of the NHS, said about the spending settlement. He said the | :58:25. | :58:27. | |
government listened to two and actively supported the NHS case for | :58:28. | :58:34. | |
public spending. The chair of the health select committee. Following | :58:35. | :58:40. | |
the welcome announcement of a graduated levy on a sugar | :58:41. | :58:47. | |
unsweetened -- sugar unsweetened drinks manufacturers, could she tell | :58:48. | :58:52. | |
us what discussions she is having to speed up the reformulation process, | :58:53. | :59:00. | |
and given the importance of child obesity, with the Department welcome | :59:01. | :59:03. | |
the opportunity to take over leading on this strategy, in order for us to | :59:04. | :59:13. | |
make progress on this vital issue? A number of invitations, some of which | :59:14. | :59:19. | |
I will resist. My honourable friend is right to highlight the importance | :59:20. | :59:22. | |
of this announcement, and obviously it will be a first step into the | :59:23. | :59:32. | |
government's strategy. The Chancellor was right to go ahead | :59:33. | :59:35. | |
with this, to move forward. The burden of childhood obesity falls | :59:36. | :59:41. | |
very heavily on broader communities, and my right honourable friend the | :59:42. | :59:43. | |
Chancellor was right to champion this measure | :59:44. | :59:49. | |
because it will make the most difference in the poor list areas. | :59:50. | :59:59. | |
Families of young boys with muscular dystrophy awaiting for a report. | :00:00. | :00:06. | |
Will be NHS bring funding forward very which we! To recommend is it? | :00:07. | :00:16. | |
We're just going to have to await the decisions I am pleased that my | :00:17. | :00:30. | |
office team based on market shriek in Hednesford will receive dementia | :00:31. | :00:35. | |
friendly training next month. Does the Minister agree we should be | :00:36. | :00:38. | |
encouraging more times to become dementia friendly? We absolutely | :00:39. | :00:44. | |
recognise the work being done in South Staffordshire fantastic work | :00:45. | :00:54. | |
is being done, and I thank her for her support. When will we have a | :00:55. | :01:01. | |
decision on the future of the vaccination programme, will it be | :01:02. | :01:06. | |
clear, and will there be meetings with devolved counterparts? They are | :01:07. | :01:15. | |
two, as he knows, programmes going on. | :01:16. | :01:19. | |
The work will look to report in 2017. We have already got guidance | :01:20. | :01:32. | |
on HPV, and we're looking at it in detail to see how we take it | :01:33. | :01:42. | |
forward. We must now move on. Point of order, Mr Pat McFadden. | :01:43. | :01:49. | |
I wonder if I could ask you if there have in any discussions on the | :01:50. | :02:01. | |
terrible unfolding event in Brussels. We do not know the facts, | :02:02. | :02:05. | |
but a number of innocent people have been killed. We do not yet know if | :02:06. | :02:10. | |
there are any British victims, but there will be many families and just | :02:11. | :02:16. | |
to find news of relatives, and I'm sure all sides of the House | :02:17. | :02:17. |