:00:00. > :00:00.of Parliament at 11 o'clock tonight, but first questions to the Health
:00:00. > :00:00.Secretary, Jeremy Hunt, and his team of ministers. We are finding 1500
:00:07. > :00:13.additional school places each year to ensure the NHS delivers safe and
:00:14. > :00:21.effective care well into the future and 500 places will be made
:00:22. > :00:28.available and the remaining thing -- thousand places by 2018. In Taunton
:00:29. > :00:30.Deane we are short of trained health professionals from dermatologist and
:00:31. > :00:37.nurses. One of the worse shortages is GPs with some practices not able
:00:38. > :00:41.to get locums. Could my right honourable friend update me on what
:00:42. > :00:45.the department is doing to encourage more medical students to become GPs?
:00:46. > :00:50.It is hard to believe they don't want to come at a Somerset but what
:00:51. > :00:55.are we doing to encourage them? There is no greater champion in
:00:56. > :00:59.Somerset by honourable friend. What I would say is what I would say to
:01:00. > :01:03.all medical students which is general practices going to be the
:01:04. > :01:08.biggest area of expansion in the NHS over the coming years and we are
:01:09. > :01:13.planning to have the biggest increase in GPs in the history of
:01:14. > :01:20.the NHS. It will take many years for those doctors to come on stream and
:01:21. > :01:24.we have a workforce crisis in the NHS now. Partly because of the cuts
:01:25. > :01:29.the Government made but also because of their irrational pursuit of the
:01:30. > :01:35.hardest of Brexit will stop can he do something simple in terms of
:01:36. > :01:39.addressing the crisis and announce all EU nationals who do vital work
:01:40. > :01:44.in our NHS will be able to stay when we leave the European Union? The one
:01:45. > :01:48.thing we will not do is refuse to listen to what the British people
:01:49. > :01:58.said when they voted on June 23. We will do what they said. He is right
:01:59. > :02:03.to highlight the vital role that EU doctors in the NHS do in this
:02:04. > :02:08.country. I can reassure him that the number of doctors joining the NHS
:02:09. > :02:12.from the EU was higher in the four months following the referendum
:02:13. > :02:19.results than the same for months the previous year. Does my right
:02:20. > :02:22.honourable friend agree that Kent, with its excellent academic
:02:23. > :02:27.institutions and strong life sciences sector would be an ideal
:02:28. > :02:34.location for a new medical school? Will he support a merging plan to
:02:35. > :02:39.establish them? I can confirm the Garden of England would be an ideal
:02:40. > :02:44.place for a new medical school alongside many other parts of the
:02:45. > :02:48.country which actively competing for the potential to start Mozilla --
:02:49. > :02:54.medical schools and it is an independent process run by the GMC
:02:55. > :03:00.and we will await what they say with great interest. Will the Secretary
:03:01. > :03:07.of State think about the training of GPs? We want them highly trained and
:03:08. > :03:13.we want them knowing when someone suffers, that they shouldn't be
:03:14. > :03:22.neglected and port on aspirin or warfarin and given the new
:03:23. > :03:25.anticoagulants. He speaks very wisely about this and he is one of a
:03:26. > :03:31.number of people that says we need to look at the training we give GPs
:03:32. > :03:35.on matters of patient safety, in areas like mental health which are
:03:36. > :03:38.growing new areas and the identification of cancers and this
:03:39. > :03:43.is something we are having an ongoing discussion with the cheese
:03:44. > :03:48.about -- with the GPs about. One given importance of training of new
:03:49. > :03:51.doctors and nurses for the future of the health service, would you
:03:52. > :03:57.welcome the building that will commence later this summer in
:03:58. > :04:01.Chelmsford at the Anglia Ruskin University of any medicine or that
:04:02. > :04:08.is there to train up doctors and meet the needs of Essex and beyond
:04:09. > :04:13.its borders? I absolutely welcome mat and it is something he has
:04:14. > :04:18.championed as a local MP. The historic mistake they're both sides
:04:19. > :04:21.of the House have made is not to do long-term workforce planning for the
:04:22. > :04:30.NHS and that is something we want to put right. Plans to train more UK
:04:31. > :04:33.doctors are absolutely welcome. The Secretary of State knows it will
:04:34. > :04:50.take ten years to train a doctor. What is his response to the surveys
:04:51. > :04:53.by the BMA and GMC? My responses the response I get many times which is
:04:54. > :05:00.too stressed to all of them how valued they are as critical parts of
:05:01. > :05:05.the NHS and to tell her that we don't see any evidence of the number
:05:06. > :05:09.of doctors joining from the EU going down. The NHS is one of the best
:05:10. > :05:14.health services in the world and it is a great place for people from
:05:15. > :05:19.other countries to work and train. Workforce is one of the biggest
:05:20. > :05:27.challenges and particularly in rural areas as we heard earlier. With 92%
:05:28. > :05:32.drop in EU nurses come to the UK and 60% increase in the number that left
:05:33. > :05:38.last year, how does the Secretary of State to avoid an NHS staffing
:05:39. > :05:42.crisis immediately post-Brexit before there is time to train
:05:43. > :05:47.anybody else? She needs to be very careful in her use of statistics
:05:48. > :05:52.because she will know that one of the reasons why there has been a
:05:53. > :05:57.drop in the number of nurses coming from the EU is because prior to the
:05:58. > :06:01.Brexit vote, we introduced stricter language tests which is because that
:06:02. > :06:06.is better for the safety of patients and the important thing we need to
:06:07. > :06:09.get right, but we are confident nurses will continue to want to work
:06:10. > :06:23.in the NHS because it is a great place to work. I will take questions
:06:24. > :06:31.to six together. Between February 2016 and January 2017, there were
:06:32. > :06:35.3500 weights of two hours -- of 12 hours and this is unacceptable and
:06:36. > :06:41.why the Government took urgent steps to free up NHS bed capacity in this
:06:42. > :06:45.month's budget. Earlier this month the chair of the Royal College of
:06:46. > :06:49.General practitioners said the best place the GPs is working within
:06:50. > :06:55.their communities to provide the highest possible general practice
:06:56. > :06:58.quality. What forecast as the Secretary of State made on the
:06:59. > :07:05.reduction of A waiting times next winter with the new triage unit
:07:06. > :07:23.being in A This is a small sticking plaster. In her own
:07:24. > :07:28.hospital, St George's Park we have got 36... Order, the lady had a
:07:29. > :07:31.question and the least courtesy she can do the House is to listen
:07:32. > :07:41.quietly and with good manners to the reply. Thank you, Mr Speaker. In
:07:42. > :07:46.this drastically underfunded NHS in her own hospital at Saint Georges,
:07:47. > :07:53.there are 36 more doctors working in A compared with 2010 but we also
:07:54. > :07:56.think, because a lot of people go to A departments with minor injuries
:07:57. > :08:00.and things that can be dealt with by GPs, that we need to have GPs on
:08:01. > :08:08.site and this Parliament, we're planning to have 5000 more doctors
:08:09. > :08:16.working in general practice. In January, over 1000 patients had to
:08:17. > :08:21.wait more than four hours. 81% of patients had to wait under four
:08:22. > :08:25.hours. Now they have abandoned the 95% target until midway of next
:08:26. > :08:31.year, what can he guarantee to my constituents that we won't get a
:08:32. > :08:35.repeat next winter? We haven't abandoned the 95% target. We have
:08:36. > :08:41.reiterated its importance. There is one part of the UK that has said
:08:42. > :08:46.they want to move away from the 95% target and that is Wales. The Welsh
:08:47. > :08:52.Health Minister said last week that you can go to A and be there five
:08:53. > :08:58.hours and have a good experience. That is not looking after patients,
:08:59. > :09:01.is giving up on them. On this important question of A
:09:02. > :09:09.putts-macro, does he agree it makes no sense for my local CCG to be
:09:10. > :09:13.bringing forward a business case to spend an extra ?300 million on
:09:14. > :09:22.bulldozing Huddersfield Royal Infirmary and downgrading our A? I
:09:23. > :09:25.do recognise the very strong arguments my honourable friend makes
:09:26. > :09:29.and the campaigning he does on behalf of his own constituents and
:09:30. > :09:35.we are waiting for the final recommendations to come from his
:09:36. > :09:39.local CCG. I agree that too often we have closed beds in the NHS when we
:09:40. > :09:43.don't have alternative capacity in the community and we need to be
:09:44. > :09:52.careful not to repeat that mistake. It costs 10% of A element
:09:53. > :09:56.presentation for the cost within the pharmacy sector. What more can be
:09:57. > :10:00.done to help persuade those that present themselves to A, that the
:10:01. > :10:09.pharmacy sector could be a better use of their time? I agree with him
:10:10. > :10:14.and I think the pharmacy sector, despite the current debate, has a
:10:15. > :10:17.very bright future and we have set up a ?40 million integration fund
:10:18. > :10:25.precisely to help pharmacists play more of a role in the NHS and to
:10:26. > :10:30.reduce pressure on A's. This year the winter crisis has been the worst
:10:31. > :10:35.ever. Things have got so bad that rather than broke waiting A,
:10:36. > :10:39.record numbers are giving up. There are many who wish the secretary of
:10:40. > :10:43.state would do likewise. In January there were 1000 people stuck on
:10:44. > :10:47.trolleys waiting more than 12 hours to be admitted to A We fully
:10:48. > :10:50.accept this is far more than a small number of isolated incidents after
:10:51. > :10:52.five years in the job come he has two except responsible deeper the
:10:53. > :11:00.crisis he has created? I accept responsibility for
:11:01. > :11:05.everything that happens in the NHS, including the fact that in 2010,
:11:06. > :11:12.within four powers, we are seeing 2500 more patients every day. What
:11:13. > :11:15.we are also seeing is a big increase in demand, that is why there were
:11:16. > :11:19.particular measures in the Budget to make sure we return to the 95%
:11:20. > :11:23.target, including ?2 billion for social care, ?2 billion more than
:11:24. > :11:28.his party was promising at the election. The urgent care centre at
:11:29. > :11:35.Corby has done much to relieve pressure on Kettering A and is a
:11:36. > :11:38.class leader. With the ?100 million for new triage projects, would he
:11:39. > :11:50.like to visit the care centre to see this beacon of best practice first
:11:51. > :11:59.hand? That is a generous offer. I would love to take him up if I can.
:12:00. > :12:15.Mr Speaker, these machines are one of a variety of respiratory
:12:16. > :12:21.assistance machines, which is... there are good practices that can be
:12:22. > :12:28.followed by health boards and CCG 's. Given the work being done to
:12:29. > :12:32.extend the lives of those suffering from muscular dystrophy, what
:12:33. > :12:37.assistance can be Department revived to ensure this policy is more likely
:12:38. > :12:42.to be adopted than at present? It is not for the Government to direct
:12:43. > :12:47.clinicians regarding the efficacy of addictive treatments. It is for
:12:48. > :12:55.clinicians to decide based on decisions while others. And a recent
:12:56. > :13:02.guidance, the evidence for routine use for cough assist machines was
:13:03. > :13:09.weak. That may change. Number four, Mr Speaker. Many NHS bodies work
:13:10. > :13:20.with international peers and each make their own determination at the
:13:21. > :13:25.local level rather than at the national level. It does not impair
:13:26. > :13:30.their ability to deliver services. 18 of clinicians from Southmead
:13:31. > :13:36.hospital, led by Riverside Tim Draycott have exported a system of
:13:37. > :13:40.paternity health care which is transforming maternity safety and
:13:41. > :13:44.childbirth. What is his Department doing to support and ensure that the
:13:45. > :13:53.evidence base that this team have developed is embedded in and
:13:54. > :13:56.incorporated...? My audible friend will be aware that the professor she
:13:57. > :14:01.refers to has been to present his findings to the Secretary of State
:14:02. > :14:07.and partly in response to that, we set up an ?8 million innovation fund
:14:08. > :14:11.to take such initiatives forward and spread best practice across the
:14:12. > :14:16.country. Can I endorse what the woman before Bristol said. In the
:14:17. > :14:29.area of diabetes, we have the best clinicians in the wild in our
:14:30. > :14:36.country. -- in the world. Can we show what can be done to the rest of
:14:37. > :14:48.the world? He is an expert in South and diabetes. I have visited
:14:49. > :14:53.facilities around the world. The UK is unacknowledged expat. We are
:14:54. > :15:02.launching -- expert -- and hacked knowledge to expert.
:15:03. > :15:08.I will encourage the Prime Minister to consider his proposal that we
:15:09. > :15:15.should expand this on other trade visits, certainly for health, around
:15:16. > :15:20.the world. Question above five, Mr Speaker. This government was the
:15:21. > :15:35.first to promise that no children will be
:15:36. > :15:43.sent away from the area to be treated for mental health issues.
:15:44. > :15:47.One of my constituency sent to Colchester, the nearest bed
:15:48. > :15:54.available. She was able to come home on some weekends, but it meant an
:15:55. > :15:57.800 mile trip for her mum. The Secretary of State tells us he's
:15:58. > :16:00.working on this and I believe that he does want to improve things. Can
:16:01. > :16:06.he tell us what progress is actually being made? This really is not good
:16:07. > :16:11.enough. I agree with her. She makes the case very powerfully. What I
:16:12. > :16:14.would say is we need to make progress, we need to make it fast.
:16:15. > :16:21.We particularly need to make it for young people. Their recovery can be
:16:22. > :16:24.closely linked to the potential for parents to come and visit them.
:16:25. > :16:29.There are places not serving her constituents, but nearby, the
:16:30. > :16:32.Sheffield health and social care foundation trust has actually
:16:33. > :16:37.eliminated out of area placements. They saved ?2 million in the
:16:38. > :16:42.process. It is about spreading that best practice. Schools are often the
:16:43. > :16:47.first contact for young people who have mental health problems. Does he
:16:48. > :16:51.share my view that we must ensure that school age children have access
:16:52. > :16:58.to mental health services where they are? I think he speaks very wisely
:16:59. > :17:04.about this. In the end, schools are Bible place where we can spot mental
:17:05. > :17:07.health conditions. We know around half of mental health conditions
:17:08. > :17:10.become established before the age of 14. This will be a big part of the
:17:11. > :17:17.green paper we publish later this year. Does the Secretary of State
:17:18. > :17:21.recognise the way in which poverty and financial strain and deprivation
:17:22. > :17:25.intersect with mental health, and the need for him to work with the
:17:26. > :17:30.Secretary of State for Work and Pensions to ensure that mental
:17:31. > :17:37.health is properly recognised in PIP assessments and could be more
:17:38. > :17:40.effective if people out of their area residents? I have a number of
:17:41. > :17:49.discussions with him and we're doing a joint green paper on health and
:17:50. > :17:57.work, precisely to make sure we do address those issues. On health
:17:58. > :18:02.trust is working alongside voluntary organisations and charitable
:18:03. > :18:06.organisations, which are delivering improved support for mental health
:18:07. > :18:09.patients. With the Secretary of State congratulate the work they are
:18:10. > :18:13.doing in Bradford on this, and would he like to visit so we can share the
:18:14. > :18:20.best practice to other parts of the UK? I'm happy to congratulate the
:18:21. > :18:25.trust at more than happy to come and visit if I can find the time to do
:18:26. > :18:30.so. I do think he is right to say that voluntary organisations have a
:18:31. > :18:34.vital role. Often, they can see the whole picture and they treat the
:18:35. > :18:41.whole person, not just the specific housing issue or whatever. He is
:18:42. > :18:45.right to commend their work. Thank you, Mr Speaker. Recent figures show
:18:46. > :18:49.that 18 mental health patients were placed more than 185 miles away from
:18:50. > :18:54.home for treatment, including five from the Northern region. As we have
:18:55. > :19:01.heard. Their families will have to travel the Government of Manchester
:19:02. > :19:08.to London or further to visit. Money was being taken out of CCG budgets
:19:09. > :19:13.to help NHS England balance the books was the Temasek to your state
:19:14. > :19:17.tell both armies and patients why they should be treated so far from
:19:18. > :19:22.home when the local CCG should be able to fund the inpatient beds?
:19:23. > :19:26.With great respect, we are the first government to count out of area
:19:27. > :19:31.placements and to commit to eradicating them. What she doesn't
:19:32. > :19:35.tell the House is the context of this, which is the biggest expansion
:19:36. > :19:41.in mental health provision anywhere in Europe, with 1400 more people
:19:42. > :19:46.being treated every day. This year, an extra 342 million being spent on
:19:47. > :19:55.mental health impact of last year. Number seven, Mrs big. -- Mr
:19:56. > :19:58.Speaker. As part of our plan to improve access to general practice,
:19:59. > :20:02.we are taking steps to ensure there will be an extra 5000 doctors
:20:03. > :20:05.working in general practice by 2020. We are increasing the number of
:20:06. > :20:11.training places for GPs, recruiting up to 500 from overseas and
:20:12. > :20:16.encouraging doctors who have retired to return to practice. I'm aware of
:20:17. > :20:21.a number of issues with the recruitment of GPs in my
:20:22. > :20:29.constituency. Can my other friend meet with me to discuss the issues?
:20:30. > :20:34.I'm happy to meet with him. He will know that the surgery got an ?80,000
:20:35. > :20:39.grant this year through the NHS practice resilience scheme, but I'm
:20:40. > :20:45.aware of a lot of pressures in surgeries. I'm happy to talk
:20:46. > :20:50.further. I'm delighted to hear the Secretary of State issue some
:20:51. > :20:55.information about the additional GPs that will be coming on stream. How
:20:56. > :20:59.many of those will be coming to North East and, and when will they
:21:00. > :21:03.be there? We have got a critical shortage of GPs and people are
:21:04. > :21:11.struggling to get appointments. She is absolutely right that areas like
:21:12. > :21:15.Lincolnshire find it difficult to attract GPs, that is why we have set
:21:16. > :21:20.up a fund which gives a financial incentive to new GP trainees to move
:21:21. > :21:27.to some Laura Bunt parts of the country. -- more remote parts of the
:21:28. > :21:31.country. I welcome its efforts to recruit more GPs. I know he wants
:21:32. > :21:37.all GPs and doctors have high levels job satisfaction. Is he aware of the
:21:38. > :21:42.fact that reasonable mothers of doctors are leaving the UK to go and
:21:43. > :21:48.work overseas, and is this an issue he will look at in terms of the cost
:21:49. > :21:53.of medical training, requiring a certain commitment to the NHS as a
:21:54. > :21:59.result of the money that taxpayers have put into their education? I
:22:00. > :22:03.think you raise is an important point. At the moment, there is no
:22:04. > :22:09.evidence of an increase in doctors going to work abroad. There is an
:22:10. > :22:13.issue of fairness, because it costs about ?230,000 to train a doctor
:22:14. > :22:17.over five years. In return for that, we should have some commitment to
:22:18. > :22:23.spend time working in the NHS. That is what we are consulting on at the
:22:24. > :22:26.moment. GPs around the country are facing unprecedented pressures as
:22:27. > :22:31.they work to deliver the highest standards of care, despite
:22:32. > :22:36.underinvestment and increasing patient demand. In 2016, we saw a
:22:37. > :22:42.record number of GP practices close. Is the Government serious about
:22:43. > :22:47.addressing this problem for the sake of GPs and their patient? If so, why
:22:48. > :22:51.has the resilience fund not been delivered in full when this has
:22:52. > :22:55.promised by October 2016? To date, there is little evidence of the
:22:56. > :23:00.Government delivering on any of the promises in the board view, nor a
:23:01. > :23:12.sign of the extra 2.4 billion, nor a sign of... We got the general dress.
:23:13. > :23:18.Can I gently say, the longer the front bench takes, the less time is
:23:19. > :23:25.available for the backbenches. It really must stop. It is not fair to
:23:26. > :23:30.quench members will stop during my time as Health Secretary, the Bill
:23:31. > :23:36.to investment has gone up by ?700 million, or 8%. We are planning to
:23:37. > :23:42.increase it by 14%, ?2.4 billion. There is a lot of extra money going
:23:43. > :23:47.in, but I recognise there are issues will stop the x-ray best bit is
:23:48. > :23:58.welcoming Lincolnshire, but should he not be making greater use of
:23:59. > :24:03.existing practitioners? His ingenuity in bringing these issues
:24:04. > :24:09.up in question after question never ceases to amaze me. I think, as he
:24:10. > :24:12.knows, recognise that the pressure in primary care cannot just be borne
:24:13. > :24:17.by general practice, but we must always follow the science as to
:24:18. > :24:24.where we get our help from. I will say to the Secretary of State,
:24:25. > :24:31.recently, a surgery has been closed down in my constituency. How will
:24:32. > :24:36.merging clinical commissioning groups help? Can he ruled out any
:24:37. > :24:42.merger between Warrington and Bolton? This is where we take
:24:43. > :24:46.guidance from what local CCG 's say. There are times when the CCG 's feel
:24:47. > :24:52.their scale is not big enough to have the impact they want. If they
:24:53. > :24:56.make a good case... He says from a sedentary position that we set up
:24:57. > :25:00.the commission or clinic -- clinical commissioning groups. They came
:25:01. > :25:11.together that central perception as to what their size should be. We
:25:12. > :25:21.will always listen to advice. The premise herself and out -- announced
:25:22. > :25:31.our commitment to helping support mental health.
:25:32. > :25:36.The Minister will know that for people with mental health, attending
:25:37. > :25:43.A or seeing the GP is not the best point of intervention. I welcome
:25:44. > :25:50.measures to improve access ability. One service provides a range of
:25:51. > :25:54.services and self help courses. What support is her Department giving to
:25:55. > :25:57.provide projects like healthy minds, with the support and accessibility
:25:58. > :26:11.they need? In addition to the funding we are
:26:12. > :26:15.providing, we are also providing ?500,000 in development of six
:26:16. > :26:19.digital tools with a focus on children and young people's mental
:26:20. > :26:27.health. I want to pay tribute to the work in her constituency and the
:26:28. > :26:35.champion -- championing of the honourable lady herself. Sun-macro
:26:36. > :26:46.it is an idea to Bob consistency -- to Bob consistently. I am not
:26:47. > :26:53.psychic. I am very grateful for you asking me to ask a question. Mental
:26:54. > :26:57.health is a serious problem. It is a growing problem and I have been out
:26:58. > :27:01.with my local police force and appreciate the emphasis on the
:27:02. > :27:06.digital technology. What we are doing on the front line, we can just
:27:07. > :27:11.have digital operations. Because of the Government's cuts, we are
:27:12. > :27:16.removing the mental health work from the front line force. Whilst we are
:27:17. > :27:20.doing something around digital, we are removing mental health services
:27:21. > :27:24.in that post goes on the 31st of March. Hasn't the Government not got
:27:25. > :27:31.a coherent policy towards mental health? I was tough on the
:27:32. > :27:39.honourable lady. The honourable gentleman took his time. The
:27:40. > :27:43.honourable gentleman misrepresents this it duration and not only will
:27:44. > :27:47.we be investing an extra 1 billion a year into mental health services and
:27:48. > :27:51.expanding mental health services at a faster rate than anywhere else in
:27:52. > :27:58.Europe, we have also invested 15 million extra places of safety for
:27:59. > :28:03.those in crisis and are expanding triage services to address the
:28:04. > :28:07.problem which he has raised of those in mental health crisis that come
:28:08. > :28:13.into contact with the criminal justice service. While digital
:28:14. > :28:18.platforms can be useful in guiding patients to the right service, does
:28:19. > :28:22.the Minister accept that there are still huge shortages of people who
:28:23. > :28:30.can carry out talking therapies and long waits for other services? When
:28:31. > :28:36.will he stop about improving mental health services and ensure the money
:28:37. > :28:42.is going to recruit staff? We are working extremely hard on increasing
:28:43. > :28:46.staff. We are introducing our new mental health workforce strategy
:28:47. > :28:50.which we will be publishing shortly but we are also increasing the
:28:51. > :28:56.number of people who are actually seeing its services. We have seen 4
:28:57. > :29:00.million extra people seeing psychiatry services and we are
:29:01. > :29:04.seeing 90% of those patients meeting the waiting time target of six weeks
:29:05. > :29:15.which is exceeding our waiting time targets. We have engaged fully with
:29:16. > :29:19.the health and research community to ensure there would be a positive
:29:20. > :29:24.application of the GDP are in the UK. Data is vital to the delivery of
:29:25. > :29:27.safe and high-quality care but we do need to ensure there is a trusted
:29:28. > :29:30.system in place and people understand their information is
:29:31. > :29:38.secure and they have confidence in its use. I have to share with her
:29:39. > :29:41.that the EU's general data protection regulation becomes
:29:42. > :29:46.enforceable next year and will make it more difficult to share data.
:29:47. > :29:51.Cancer charities are concerned including Cancer Research UK because
:29:52. > :29:56.the life-saving research, especially into rare and children's cancers,
:29:57. > :30:00.would not have been possible were it not for data sharing. Will the
:30:01. > :30:04.Minister do what she can to shield the UK from this harmful regulation
:30:05. > :30:09.given it disproportionately affects us given the wealth of our data? We
:30:10. > :30:16.will introduce the data regulation and we will work in a balanced way
:30:17. > :30:20.that encourages data sharing. We have set up a subgroup to examine
:30:21. > :30:25.the impact of the GDP are on research and it is hosted by the
:30:26. > :30:32.trust and includes members of the Cogdell Ishii -- confidentiality
:30:33. > :30:36.advisory group and BH jeep foundation. We will ensure this
:30:37. > :30:45.works in an effective way to address the concerns. My right honourable
:30:46. > :30:50.friend will be aware that Public Health England published a paper in
:30:51. > :30:56.June 2015 on this subject. It concluded that within the accepted
:30:57. > :31:02.guidelines, there are no clinical indicators protesting women using
:31:03. > :31:08.enriched methods. This is not recommended for routine use at
:31:09. > :31:14.present. He will be aware from my reading of the British Paediatric
:31:15. > :31:19.surveillance unit report that the incidence of group B Streptococcus
:31:20. > :31:23.has increased. When he agreed that this matter has now gone on far too
:31:24. > :31:24.long and the Government must come to the conclusion to prevent further
:31:25. > :31:43.tragedies? There is a public consultation and
:31:44. > :31:47.their recommendation will be published very soon and I can assure
:31:48. > :31:51.my right honourable friend that I would consider this recommendation
:31:52. > :32:02.very carefully and write him with my view. The GP for Woodview announced
:32:03. > :32:06.investment in general practice will increase from 9.6 billion
:32:07. > :32:11.6,000,000,020 15/16 to over 12,000,000,020 21. This represents
:32:12. > :32:19.14% in real terms, almost double the increase in the rest of the NHS. Two
:32:20. > :32:26.years into the forward view, we have remained on track to deliver this.
:32:27. > :32:32.The reality on the ground in areas like Redcar and Teessiders were
:32:33. > :32:37.facing a deficit of ?291 million by 2020. How can he reassure my
:32:38. > :32:42.constituents who are finding it hard that scarce services are not going
:32:43. > :32:48.to be even more so? We do recognise parts of the country had shortages
:32:49. > :32:53.of GPs. We are planning to have 5000 more doctors working in general
:32:54. > :33:00.practice by 2020 and a proportion will be in Teesside. It is important
:33:01. > :33:06.that we meet that. GPs in Whickham site long hours, bureaucracy and the
:33:07. > :33:10.decline of the partnership models as reasons why people don't want to be
:33:11. > :33:17.in general practice. It should be directed to deal with those key
:33:18. > :33:20.problems. The contract discussions we have competed with the BMA
:33:21. > :33:25.addressed a number of the types of issues he is talking about in terms
:33:26. > :33:29.of the pressures on doctors working in general practice. We acknowledge
:33:30. > :33:32.the workload pressures of enormous and we need to work through the
:33:33. > :33:41.contract to do what we can to mitigate that. Over 80% of clinical
:33:42. > :33:45.appointments are carried out by GPs but they receive lower levels of
:33:46. > :33:54.funding is. What steps is the Department of Health going to ensure
:33:55. > :34:01.to make sure... One of the criteria by which STP's been dredged --
:34:02. > :34:05.judged is the tilt from secondary into primary care in the way she
:34:06. > :34:11.suggests. It is why the extra funding for primary care is so
:34:12. > :34:17.important and is happening. The GP for Woodview talks of supporting
:34:18. > :34:20.general practices in improving digital technology that patients.
:34:21. > :34:23.Given the recent data challenges, would he agree that putting a
:34:24. > :34:28.national data Guardian on a statutory footing to protect
:34:29. > :34:35.patients and professionals is now becoming an imperative? I know the
:34:36. > :34:41.honourable member has to build this area and is intent to support it.
:34:42. > :34:46.Support provided to GP practices in relation to IT is crucial to their
:34:47. > :34:53.effective operations but problems continue when my constituency with
:34:54. > :34:55.the service provided by Capita. They can't get certificates for local
:34:56. > :35:02.GPs. When will the Government get a grip on this failing contract and
:35:03. > :35:06.get someone else to deal with it? There has been issues with the
:35:07. > :35:13.Capita contract and we are working hard to get that sorted. The
:35:14. > :35:17.undersecretary meets weekly with Capita to get this fixed and we are
:35:18. > :35:24.making process. We believe the issues will be fixed in the
:35:25. > :35:28.foreseeable future. A shortage of GPs and in Kettering and the age
:35:29. > :35:32.profile of local GPs means a large number are about to come to
:35:33. > :35:36.retirement making the problem worse. What can we done to encourage
:35:37. > :35:42.experienced GPs to stay longer and to encourage those who have retired
:35:43. > :35:47.to come back? He is right that one of the things we need to achieve is
:35:48. > :35:51.to encourage older GPs either to work part-time or to make it easier
:35:52. > :35:56.for them to step down into more of a mentoring role. We have brought
:35:57. > :36:02.forward working with the Royal College of GPs, a scheme called
:36:03. > :36:04.career plus which enables AGP's in pilot areas, to work as mentors
:36:05. > :36:28.across practice areas. Congenital heart disease services
:36:29. > :36:32.are not met by many hospitals. NHS England is consulting on proposals
:36:33. > :36:37.to seize commissioning level one surgical services from the Royal
:36:38. > :36:40.Brompton and Leicester. No final decisions had been made and public
:36:41. > :36:45.consultation continues until the 5th of June and I encourage my
:36:46. > :36:49.honourable friend to participate in that consultation. I doubt the
:36:50. > :36:55.honourable lady will require any encroachment. You are correct in
:36:56. > :36:59.that last comment. Does the Minister agree the standards review found not
:37:00. > :37:03.all clinicians of an agreement as to how essential co-location up
:37:04. > :37:09.services are stop at Cheadle -- a child being treated when I would
:37:10. > :37:15.have 24 accessed and medical specialties. Can a minister tell us
:37:16. > :37:22.what improvements co-location at the world-class Royal Brompton Hospital
:37:23. > :37:27.would achieve? The honourable lady has considerable expertise and I am
:37:28. > :37:30.advised that having all relevant children's specialties on the same
:37:31. > :37:36.site is the ultimate model of care the most critical ill children. It
:37:37. > :37:39.has integrated ways of working between specialist teams and ensures
:37:40. > :37:44.rapid access to key services such as paediatric surgery at the most
:37:45. > :37:54.critical times when they are needed. Mortality rates fell from 14% in
:37:55. > :37:58.1991 to 2% last year. Royal Brompton does better than this. What evidence
:37:59. > :38:02.is there that the programme will produce any further improvement and
:38:03. > :38:10.if there is none, why is it being pursued? He is right to point out we
:38:11. > :38:12.have some of the world's leading patient outcomes for congenital
:38:13. > :38:24.heart disease and he read the statistics out which I recognise.
:38:25. > :38:27.This is being driven by patient outcomes across the country. In some
:38:28. > :38:33.areas to ensure greater resilience of service where they are being
:38:34. > :38:36.provided with relatively low volumes and over reliance on locums. That is
:38:37. > :38:44.not the case in Royal Brompton but it is in some of the others. Leads
:38:45. > :38:49.heart unit is performing very well. Three from the threat of closer that
:38:50. > :38:53.it was facing a few years ago. Can lessons be learned from the
:38:54. > :38:59.disastrous safe and sustainable review process which pitted his --
:39:00. > :39:06.pitted hospital against hospital and clinician against clinician? Can we
:39:07. > :39:12.find a better day -- wait to respect -- can we find a better way to
:39:13. > :39:18.reconfigure services? It led to a process that we felt was wrong and
:39:19. > :39:22.we therefore stopped it. This process is being conducted in a more
:39:23. > :39:34.rigorous way and a fairer way and will lead outcomes driven by
:39:35. > :39:41.improving patient experience. Labour's legacy cost from 103
:39:42. > :39:48.Hospital PFI schemes entered into between 1997 and 2010, was a public
:39:49. > :39:51.sector liability of ?77 billion. The estimated total NHS PFI payments for
:39:52. > :39:57.the financial year ending the end of this month 1.9 seven billion and for
:39:58. > :40:06.the next three subsequent financial years, two point 04 billion, 2.11
:40:07. > :40:09.billion and 2.16 billion. Those are alarming figures and I want what the
:40:10. > :40:15.Government is doing to support trusts affected by those in flexible
:40:16. > :40:18.PFI and other deals and what assessment he has made of what the
:40:19. > :40:25.funds could be buying in the NHS now, if not saddled by this Labour
:40:26. > :40:31.debt legacy. He is right to point out the party opposite complaint
:40:32. > :40:34.about the cost of the PFI programmes which they themselves initiated. The
:40:35. > :40:39.Government is making large efforts to support trusts in dealing with
:40:40. > :40:44.the PFI legacy. We are providing the seven worst affected trusts with PFI
:40:45. > :40:50.schemes, access to ?1.5 billion support fund over a 25 year period
:40:51. > :40:52.and in 2014 alone, trusts negotiated savings worth over ?250 million on
:40:53. > :41:10.their contracts. What assessment has he made and the
:41:11. > :41:18.changes...? We' undertaking work to work out what the airbag will be the
:41:19. > :41:23.NHS. The Government will adjust the NHS Budget to meet the cost
:41:24. > :41:32.associated with the change in the discount rate. He should --
:41:33. > :41:37.shoehorned in question 21 into a question we did get to. He did it so
:41:38. > :41:44.quickly that it took this a while to notice. A very naughty boy! There is
:41:45. > :41:47.a huge financial hangover. Can the Minister have a word with his
:41:48. > :41:52.colleagues in Treasury, because Treasury figures on hospital
:41:53. > :41:55.liabilities are different from the figures that some of the hospitals
:41:56. > :42:00.themselves produce. There is a discrepancy there, so we don't do
:42:01. > :42:08.what the liabilities are. He has been assiduous in trying to get to
:42:09. > :42:13.the bottom of the costs of the costs of PFI in this area. It would be
:42:14. > :42:25.helpful if he could point that out me and I will get back to him.
:42:26. > :42:32.Question 14. Mr Speaker, social care can do to be a key point for
:42:33. > :42:36.government. There will be an uplifting the amount of money
:42:37. > :42:56.available for social care and the level of 17%. That is just half what
:42:57. > :42:59.is needed to recognise the shortfall in social care. Will he tell the
:43:00. > :43:03.House what he's doing to make sure the sector gets the additional money
:43:04. > :43:11.and stocks councils being bankrupted by their social care requirements?
:43:12. > :43:15.Mr Speaker, the figure of 17%, in terms of a cache of blood over the
:43:16. > :43:18.next three years, is in excess of what we have been asked for by a
:43:19. > :43:23.number of stakeholders in this sector. I have conceded many times
:43:24. > :43:28.that the sector is under pressure. The additional money that we have
:43:29. > :43:33.come forward with will alleviate that and will make a big difference.
:43:34. > :43:41.In Lancashire, the figure is not 17%, it is 18% over three years.
:43:42. > :43:46.Central garment are providing extra money for social care and ensuring
:43:47. > :43:50.local councils to raise a preset and the tax for social care. How will
:43:51. > :44:00.the governor to make sure this is spent by councils and social care?
:44:01. > :44:05.Much of the money will go figure -- will go through the better care
:44:06. > :44:07.fund. We will expect councils to spend that money and social care,
:44:08. > :44:16.and we believe that will be the case. We understand the pressures
:44:17. > :44:21.and we have acted. 1.2 million older people are living with and that care
:44:22. > :44:23.needs. ?1 billion announced in the Budget this year is not enough to
:44:24. > :44:30.prop up the failing care sector, where many councils are suffering
:44:31. > :44:34.contracts being handed back. 1 million people over the age six to
:44:35. > :44:37.do not have adult children, so can the minister explain how all those
:44:38. > :44:46.people living with unmet care needs are meant to manage? The figure on
:44:47. > :44:53.unmet care needs comes from a Age UK analysis. We do not accept that
:44:54. > :45:00.analysis because the care act, which came with cross-party support in
:45:01. > :45:04.2014 set statutory consistent definitions of what care councils
:45:05. > :45:08.have to provide. It is illegal for that not be met. Our follow-up work
:45:09. > :45:14.is indicated with the LGA that it is being met. Furthermore, we have put
:45:15. > :45:29.in 17% increases over the next three years. Number 15. Our childhood
:45:30. > :45:32.obesity plans includes school based interventions which will help all
:45:33. > :45:36.children, including those from inner-city communities. We will be
:45:37. > :45:41.monitoring levels carefully and we will routinely publish developments
:45:42. > :45:45.on all the key measurements for the programme. It stands to reason that
:45:46. > :45:52.those who are most in need will benefit most. I thank her for her
:45:53. > :45:57.answer. It remains the case that childhood obesity is twice as high
:45:58. > :46:01.in deprived areas about or how broad areas. In Tower Hamlets, 20% of
:46:02. > :46:09.children are obese, and a third are overweight. What will the Government
:46:10. > :46:15.do to equalise so that no child is obese and when will the plan be
:46:16. > :46:19.published? The childhood obesity plan has been published. She may be
:46:20. > :46:24.talking about the reformulation targets, add the baseline data,
:46:25. > :46:27.which is coming out imminently. The experts are working feverishly to
:46:28. > :46:31.make sure that data is as it should be. Some measures she will be
:46:32. > :46:35.particularly keen to see the investment in schools, which was
:46:36. > :46:41.committed to by the Chancellor in the Budget, including the voluntary
:46:42. > :46:48.healthy rating scheme, which will be published in June. What measure is
:46:49. > :46:53.being used to ascertain the success or otherwise of this strategy? When
:46:54. > :46:58.will we know whether it has worked or not? As I mentioned, we will be
:46:59. > :47:03.publishing Debbie formulation baselines against which all future
:47:04. > :47:08.success will be measured, and this will include measurements across all
:47:09. > :47:14.industry targets. In addition to that, we will at the voluntary
:47:15. > :47:17.healthy rating scheme for primary schools to recognise and encourage
:47:18. > :47:27.their contribution to preventing obesity. Topical questions. Number
:47:28. > :47:31.one, Mr Speaker. It is part of our ambition to make the NHS the safest
:47:32. > :47:33.health care system in the world. I'll be speaking at the largest ever
:47:34. > :47:38.conference on learning from avoidable deaths and what we can do
:47:39. > :47:45.to improve care in the future. As part of that, I can inform the House
:47:46. > :47:49.that there will be a change in focus from defending NHS litigation claims
:47:50. > :47:53.to the early settlement of cases, learning from what goes wrong and
:47:54. > :48:00.the prevention of errors. As part of those changes, it will change its
:48:01. > :48:04.name to NHS Resolution. My constituents, Pauline E, was cleared
:48:05. > :48:09.of misconduct last September following a public case surrounding
:48:10. > :48:17.her return from Sierra Leone and contraction of Ebola. Will she be
:48:18. > :48:23.receiving an apology, and will it be reimbursing her legal costs? With
:48:24. > :48:30.respect to Pauline Cafferty, who is a brave lady who gave a good service
:48:31. > :48:33.to the study and the people are serially on with their work during
:48:34. > :48:37.the Ebola crisis, she will understand that disciplinary
:48:38. > :48:41.procedures are not dealt with by government, it has to be done at
:48:42. > :48:54.arms length, and we have to respect what is said. I was police to see
:48:55. > :48:59.emergency funding in the Budget. I'm concerned to see the rest but three
:49:00. > :49:02.admissions to A twice the rate of general admissions in the last five
:49:03. > :49:08.years. What steps is the Department making to address this issue? We are
:49:09. > :49:16.firmly committed to improving the quality and cutting harmful
:49:17. > :49:22.admissions. We have increased the uptake of low emissions cars and the
:49:23. > :49:26.production of clean air zones. We also announced a further 290 billion
:49:27. > :49:37.to support a vehicles, low emission buses, taxis and green fuels.
:49:38. > :49:43.The Government has met the target for A The mandate finally
:49:44. > :49:48.published yesterday, the Secretary of State is telling hospitals that
:49:49. > :49:55.they don't need immediate in 2017, but in aggregate within the course
:49:56. > :49:58.of 2018. Is that not the clearest admission that these targets will
:49:59. > :50:03.not be met next year because in the next two months, the NHS is being
:50:04. > :50:09.denied the funding it needs and, as a consequence, patients will suffer?
:50:10. > :50:12.Let me just, apart from observing the fact that if the honourable
:50:13. > :50:16.gentleman cares so much about the 95% target, he might want to ask his
:50:17. > :50:23.colleagues in Wales while the are looking at scrapping it will. Let me
:50:24. > :50:29.be clear, in the next year, the NHS will be getting around ?1.5 billion
:50:30. > :50:32.than his party were promising at the last election. The social care
:50:33. > :50:37.system will be getting 1.5 billion more than they were promising at the
:50:38. > :50:47.last election. We doing our job. He says he is doing his job. Because of
:50:48. > :50:50.the underfunding, it will be it possible to deliver those standards
:50:51. > :50:55.of care. Did you notice that in the mandate, there is no mention
:50:56. > :51:01.whatsoever of Brexit. Even though the NHS relies on 140,000 NHS and
:51:02. > :51:04.care workers, and no mention... I know the Secretary of State is not a
:51:05. > :51:09.member of the Cabinet Brexit committee. Can he uses influence
:51:10. > :51:14.with the Prime Minister to ensure that when she triggers Article 50
:51:15. > :51:18.next week, she finally gives an absolute guarantee to guarantee the
:51:19. > :51:25.rights of all those EU workers in the NHS? First of all, Mr Speaker, I
:51:26. > :51:29.will reassure you that I will be attending the Brexit committee when
:51:30. > :51:33.it is relevant to the NHS. In fact, I will be attending this week
:51:34. > :51:37.because there are issues relating to the NHS that will be coming up. What
:51:38. > :51:42.we will not do in that committee is take steps that would risk the
:51:43. > :51:47.welfare of British citizens living in countries like Spain and Ireland
:51:48. > :51:52.and France, and that is why, whilst it is a top priority to negotiate
:51:53. > :51:56.the rights of EU citizens living in Britain, including those working in
:51:57. > :52:03.the NHS, it has to be part of an agreement which protects the rights
:52:04. > :52:09.of British citizens abroad. Last Friday, a surgery in my constituency
:52:10. > :52:12.attended a careers fair at a high school. Does the Secretary of State
:52:13. > :52:16.agree that that kind of outreach work by GPs amongst young people
:52:17. > :52:23.encourages them to study medicine and work in our great NHS? I agree
:52:24. > :52:26.with that. I think what she should be telling her constituents, and I'm
:52:27. > :52:30.sure she will, is that general practice will be the most exciting,
:52:31. > :52:34.fastest-growing part of the NHS, where care will be absolutely
:52:35. > :52:40.transformed. So it is the right thing to do. Is the Secretary of
:52:41. > :52:45.State aware that my constituents are deeply disappointed with what he got
:52:46. > :52:52.out of the Budget. What that means is they will face the closure of an
:52:53. > :52:55.A in Huddersfield, the hospital there, and we will know love you
:52:56. > :53:01.have any dentists that will take an NHS person in the whole of the
:53:02. > :53:05.constituency. With great respect, what was secured in the Budget was
:53:06. > :53:13.?2 billion for social care. That is ?2 billion more than his party was
:53:14. > :53:21.promising at the last election. Following the publishing of the
:53:22. > :53:27.report and read diseases, what strategy is therefore NHS England?
:53:28. > :53:37.Firstly, may I pay tribute to my honourable friend on his leadership
:53:38. > :53:45.on that report. The UK is recognised as being at the forefront of the
:53:46. > :53:51.genomics industry. This is a personal commitment of mine. With
:53:52. > :53:57.in-built health inequalities and poorer health outcomes in my area,
:53:58. > :54:02.Kathy Secretary of State explain to me why my area in Hull is getting
:54:03. > :54:06.just ?30 million out of the additional money for social care set
:54:07. > :54:10.out in the Budget, while the local authority area that the Secretary of
:54:11. > :54:17.State represented in Surrey is getting ?21 million of additional
:54:18. > :54:23.support. The formula that is being used is based on the better care
:54:24. > :54:26.fund formula, which is based on the spending power of local authorities.
:54:27. > :54:33.I will tell her that over the next year, that improved better care fund
:54:34. > :54:40.is going up by 35%. Surrey's allocation is only going up by 5%.
:54:41. > :54:43.As my right or more threads knows, I have the vice-chairman the all-party
:54:44. > :54:50.group on pharmacy. Goody update the House and the progress for the
:54:51. > :54:55.decriminalisation of dispensing errors of pharmacists, and what is
:54:56. > :55:01.the hitch? There is no hitch. The Government remains committed at
:55:02. > :55:08.putting this into place. The legislation will be brought forward
:55:09. > :55:12.shortly. Last week, a leading trauma surgeon said his surgical team have
:55:13. > :55:18.seen more young patients with serious stab injuries than people
:55:19. > :55:23.with appendicitis. This is a societal problem, so can the
:55:24. > :55:24.Minister inform us of his Department's public health approach
:55:25. > :55:36.to tackling this issue? She is right to point out this is a
:55:37. > :55:39.serious issue. I would like to commend the brilliant work done by
:55:40. > :55:45.NHS trauma centres which are world beating. We have set up closer
:55:46. > :55:50.cooperation with local police forces so we can work out where the crime
:55:51. > :56:01.hotspots are and help them prevent things happening. We have a crisis
:56:02. > :56:04.in GP recruitment in rural North Lincolnshire. Does the Secretary of
:56:05. > :56:09.State agree that the best way to get doctors to come and now our Boreas
:56:10. > :56:15.County is to have a medical school establish attic Lincoln University?
:56:16. > :56:25.Will she join our campaign to make that a real possibility come true?
:56:26. > :56:29.There are a number of areas that are competing to secure a new medical
:56:30. > :56:35.facility. It is one of our criteria on how we encourage doctors to be
:56:36. > :56:41.trained in areas where there are shortages of doctors. That, I'm
:56:42. > :56:45.sure, will be a factor that Lincoln Hospital will put in. The BMA
:56:46. > :56:50.recently highlighted funding announced in the budget is
:56:51. > :56:54.inadequate for the task and we know that health trusts across the
:56:55. > :56:58.country are being forced to look at rationing of treatment, and in
:56:59. > :57:03.downgrading local services like A which will result in longer waits
:57:04. > :57:09.and journey times to access care. Why doesn't the Government call
:57:10. > :57:16.STP's what they are, secret Tory plans to decimate the National
:57:17. > :57:20.Health Service? Really this is a year when funding for the NHS has
:57:21. > :57:24.gone up by ?3.8 billion in real terms. I don't really know how he
:57:25. > :57:30.can say that when he stood on the platform in 2015 to give the NHS 1.3
:57:31. > :57:37.billion less this year than they are getting under the Conservatives. As
:57:38. > :57:44.the House heard early in the session from my honourable friend the corgi,
:57:45. > :57:48.there is an excellent care centre. There is a plan to have a reckless
:57:49. > :57:54.-- in Wellingborough. Replica I understand he might be visiting the
:57:55. > :57:59.centre in Corby. Could he drive half an hour down the road and visit the
:58:00. > :58:04.site in Wellingborough where this proposed excellent urgent care
:58:05. > :58:08.centre will be? I feel the onset of happy visit to Northamptonshire
:58:09. > :58:12.coming on. What might clinch it is if I had the promise of potentially
:58:13. > :58:29.meeting the famous Mrs Bowden on such a visit. -- -- Mrs Bone. To the
:58:30. > :58:34.distress of its vulnerable residents, or doing house became the
:58:35. > :58:38.latest care home to close last week. Does the Government accept that the
:58:39. > :58:45.care home industry is at breaking point and what are they doing about
:58:46. > :58:50.it? The number of care home beds across the country has remained
:58:51. > :58:56.broadly constant out half a million over the last ten years. There is a
:58:57. > :59:00.variation and churn between areas. I do believe the 17% increase in cash
:59:01. > :59:07.terms we have injected into the social care market in the budget and
:59:08. > :59:14.better care fund to come will make a difference. I welcome the new
:59:15. > :59:17.nursing assistant role. Could the Minister confirm areas such as
:59:18. > :59:22.Portsmouth can be offered the same opportunities in the future and will
:59:23. > :59:28.they be open to older women -- order people wanting to return to the
:59:29. > :59:33.workplace? We are launching a second wave of nursing associates from the
:59:34. > :59:37.beginning of April and I'm pleased to confirm that Southern health,
:59:38. > :59:42.which manages Portsmouth Hospital, will be one of the trusts will be
:59:43. > :59:46.receiving nursing associates and is designed to provide opportunities
:59:47. > :59:54.for those social care workers to upscale. The Secretary of State will
:59:55. > :59:59.be aware of a recent High Court case regarding surrogacy leading to legal
:00:00. > :00:09.limbo. The existing legislation has let children down and urgent reform
:00:10. > :00:12.is needed. I can confirm that we are making a judgment and the current
:00:13. > :00:17.provisions are discriminatory and the Government is acting with
:00:18. > :00:21.reasonable timescales. We are intending to lay an order before the
:00:22. > :00:26.summer recess to address some of these challenges. One of my
:00:27. > :00:36.constituents has been diagnosed with a chewy map... Her consultants say a
:00:37. > :00:40.drug will not only transform her life but save her life. Well my
:00:41. > :00:45.right honourable friend the with me how we can get the best treatment
:00:46. > :00:51.for Harriet and how it is possible for NHS England to review this
:00:52. > :00:55.decision? My honourable friend has raised this case with the Department
:00:56. > :01:00.and has been making a number of pleas on behalf of his constituent.
:01:01. > :01:06.I would like to pass on my sympathies to his constituents.
:01:07. > :01:10.Nice's is independent and this drug is not recommended. I don't know the
:01:11. > :01:15.details of the case because it is confidential but I would be happy to
:01:16. > :01:19.be with my honourable friend and his constituency -- constituent to see
:01:20. > :01:26.if anything can be done. I don't know if he spotted the topical news
:01:27. > :01:32.story about children's dentistry. 1464 hospital admissions for
:01:33. > :01:37.children 14 extractions across one commended -- clinical commission
:01:38. > :01:40.area of Birmingham, the highest figure since 2010/ 11. How does the
:01:41. > :01:47.Minister account for this and what is he going to do about this? The
:01:48. > :01:49.figures the child extractions are disappointing and there are two key
:01:50. > :01:57.actions that need to take place. Less sugar and we expect the soft
:01:58. > :02:01.drinks levy and also getting more fluoride onto teeth, particularly
:02:02. > :02:05.through fluoride varnishing. That has increased across the NHS over
:02:06. > :02:11.the last year and has increased by 12% in Birmingham. We hope that will
:02:12. > :02:15.make a difference. The NHS mandate was published yesterday, days before
:02:16. > :02:19.coming into force. I wanted the Secretary of State can set the
:02:20. > :02:23.reason for the delay because it allows very full-time the scrutiny
:02:24. > :02:28.of this important document that would out how he will prevent money
:02:29. > :02:37.being leached from mental health services and primary care to prop up
:02:38. > :02:42.deficits so we can meet objectives around community services? The
:02:43. > :02:46.reason for the delay was because we had wind a month ago that we might
:02:47. > :02:50.be successful in securing extra money for social care in the budget
:02:51. > :02:52.and we needed to wait until the budget was completed before we
:02:53. > :02:59.completed discussions on the mandate. Our confidence as a result
:03:00. > :03:02.of that has enabled us to make the commitments we have made in the
:03:03. > :03:09.mandate. Part of that is to make sure we continue to invest in the
:03:10. > :03:13.class the motion out of hospital. The Secretary of State will be aware
:03:14. > :03:18.that very many migrants in the UK are not registered with GPs and yet
:03:19. > :03:24.now when they come to Britain, they have to pay an NHS fine. What is he
:03:25. > :03:28.doing with the Home Office to ensure that migrants are registered with
:03:29. > :03:35.the GP and are aware of community health facilities? I am not quite
:03:36. > :03:41.sure I understand her question but there isn't a filing system for
:03:42. > :03:45.migrants. People who come to the UK as a visitor should pay for their
:03:46. > :03:51.health care or they should pay the Visa surcharge if they are coming
:03:52. > :03:53.here for a while. When it comes to public health, there is an exemption
:03:54. > :03:59.because it's important that everyone that we make sure we treat people
:04:00. > :04:04.for things like TB will stop the Secretary of State is aware of the
:04:05. > :04:09.concern that I have for the future of Deer Park medical Centre. I'm
:04:10. > :04:15.grateful for him to meeting with me. Please could he confirm he will
:04:16. > :04:19.press the IR P for a response at the earliest opportunity given the CCG
:04:20. > :04:23.are determined to close this vital practice in three days' time and he
:04:24. > :04:33.will consider the views of the patients of very carefully indeed? I
:04:34. > :04:47.am very happy to relay that concern to the IRp. -- IRP. We must move on.
:04:48. > :04:50.Urgent question. John McDonald. To ask the Chancellor of the Exchequer
:04:51. > :05:03.if he will make a statement on allegations of money-laundering
:05:04. > :05:07.against British banks. Mr Speaker, we want our financial institutions
:05:08. > :05:14.to lead the way in the global fight against money-laundering. This is
:05:15. > :05:19.not only a question of financial crime, as well as terrorist
:05:20. > :05:25.organisations, this is about keeping our citizens safe. That is where the
:05:26. > :05:30.Government is doing what it takes to prevent and pursuing anyone who
:05:31. > :05:31.might seek to abuse our financial