0:00:00 > 0:00:01streptococcus. Then GP services. Let's go and have a look.
0:00:08 > 0:00:14Order, order. Questions to the Secretary of State for Health. Glyn
0:00:14 > 0:00:24Davies.Vecchi, Mr Speaker. Question one. -- thank you.Thank you, Mr
0:00:24 > 0:00:27Speaker. I advise my honourable friend that an impact assessment has
0:00:27 > 0:00:32been published as part of the... 'S public consultation. This suggests
0:00:32 > 0:00:36that in moving towards an opt out system for organ donation as part of
0:00:36 > 0:00:40a wider communication and logistical package, it can be associated with
0:00:40 > 0:00:44higher donation rates. We have invited further evidence to be
0:00:44 > 0:00:47submitted and we will carefully consider this before the...
0:00:47 > 0:00:51Response. I can advise the House that since the consultation was
0:00:51 > 0:00:57published last week, we have already had in excess of 2000 responses.
0:00:57 > 0:01:04Thank you. As someone with a long-standing passion in wanting to
0:01:04 > 0:01:07increase the number of organs available for donation, I am
0:01:07 > 0:01:12encouraged by that response. Can I just ask whether the Minister thinks
0:01:12 > 0:01:19the shift from voluntary donation, which is the current system, to one
0:01:19 > 0:01:23of the state taking a decision through presumed consent, is having
0:01:23 > 0:01:26an impact on the reduction in the number of live donors we have seen
0:01:26 > 0:01:34over the last three years?The first thing I would say is, I part company
0:01:34 > 0:01:38with his discussion that we are moving towards the state taking
0:01:38 > 0:01:43control. We are talking about having a register where people physically
0:01:43 > 0:01:51opt out rather than opt in. The next of kin would be the tool consulted.
0:01:51 > 0:01:57As regards live donation, the issues surrounding that are very complex.
0:01:57 > 0:02:00One of the reasons why we are seeing a decline in live donation is
0:02:00 > 0:02:05because the waiting lists for receiving an organ are coming down,
0:02:05 > 0:02:12which is reducing the need for live donors. I think we should keep
0:02:12 > 0:02:14watching that.The evidence relates to the fact that hundreds of people
0:02:14 > 0:02:18die because we don't have enough donors. Can I thank the Minister for
0:02:18 > 0:02:21the work she is doing in bringing for this consultation and ask her
0:02:21 > 0:02:28what more can be done to widen public participation?I thank him
0:02:28 > 0:02:33for his support and for the very hard work he has done in this space.
0:02:33 > 0:02:36Perhaps I could thank the daily Mirror for their very public
0:02:36 > 0:02:41displays of education they did to their campaign. I think this is
0:02:41 > 0:02:44something that we all need to make an effort to do. There is no doubt
0:02:44 > 0:02:48that the public are hugely in favour of the nation. They want to be able
0:02:48 > 0:02:52to support it as best they can. But it has fallen from public
0:02:52 > 0:02:56consciousness and I think everyone of us has the to raise awareness
0:02:56 > 0:02:59amongst the public, get involved in the consultation. Have a real
0:02:59 > 0:03:04debate. What we need to do is ensure that people are willing to donate
0:03:04 > 0:03:14their organs so we can save more lives.There are a significant
0:03:14 > 0:03:20number of people who are on the register. Many people die a day
0:03:20 > 0:03:25because "Correct organs. Is she aware of a particularly where were
0:03:25 > 0:03:30the difficulty of Latin ethic minority people who are less likely
0:03:30 > 0:03:34to join the register than others? Is anywhere they could be encouraged to
0:03:34 > 0:03:37take part in the scheme?I think he has highlighted one of the biggest
0:03:37 > 0:03:44challenges we face. There is no doubt that we have a much lower rate
0:03:44 > 0:03:51of organ donation among the black and ethnic populations, yet they
0:03:51 > 0:03:53suffer from more diseases that require an organ so it is something
0:03:53 > 0:04:00we are keen to do. Only this week, I met with organisations connected
0:04:00 > 0:04:03with the black and Asian communities to discuss how we can communicate to
0:04:03 > 0:04:08get the right messages through the right messages to encourages people
0:04:08 > 0:04:12to join the register.I thank her for her response. I fully support
0:04:12 > 0:04:19the opt out organ donation, as I believe it will increase the
0:04:19 > 0:04:22donation pool. But could the Minister outlined further the most
0:04:22 > 0:04:25recent statistics on the Welsh Department of Health should increase
0:04:25 > 0:04:29in provision of organs due to presumed consent? As it's been a
0:04:29 > 0:04:37success so far?I thank him for his support. I agree with him that the
0:04:37 > 0:04:41figures from Wales are actually a very early stage but I think we are
0:04:41 > 0:04:45looking at the system we're planning on introducing, it is very common
0:04:45 > 0:04:48with the one that currently exists in Spain, it is the issue not so
0:04:48 > 0:04:52much whether the register is moving forward to opt out, it is all the
0:04:52 > 0:04:55wraparound care that goes with that, the specialist nurses that speak
0:04:55 > 0:05:00with relatives when they are going through the com of losing a loved
0:05:00 > 0:05:05one, plus the public debate that raises awareness. -- going through
0:05:05 > 0:05:13the trauma. That is what will lead to more organs.Number two. The oh
0:05:13 > 0:05:17is the Secretary of State has said that our ambition is for the NHS to
0:05:17 > 0:05:22be the safest place in the world to give birth. Information on the good
0:05:22 > 0:05:27beast of the coppice infection are available on the NHS website and to
0:05:27 > 0:05:31the Royal College of obstetricians and gynaecologists published a new
0:05:31 > 0:05:34leaflet which will be given to all pregnant women for the first time in
0:05:34 > 0:05:37the New Year. Because it is Christmas I have a copy here for the
0:05:37 > 0:05:42honourable lady and she has one as well.He has anticipated my
0:05:42 > 0:05:48question! Just to reassert that two babies on average die each month
0:05:48 > 0:05:51from competition is related to group B streptococcus and I think
0:05:51 > 0:05:54awareness of that infection is incredibly low and I wonder if he
0:05:54 > 0:06:05would meet with me and GPS test to discuss how get this to the earliest
0:06:05 > 0:06:08possible stage.I know this is a subject she cares about quickly. I
0:06:08 > 0:06:11would be happy to meet with her and bring together the people I work
0:06:11 > 0:06:15with so we can see how we can make the best of this leaflet and make
0:06:15 > 0:06:17sure it is the best Christmas present and the most important one
0:06:17 > 0:06:23as well.Thank you. I welcome the Government's focus on reducing
0:06:23 > 0:06:29stillbirths and the maternity safety strategy, and absolutely this
0:06:29 > 0:06:31particular focus on group streptococcus beat. Can the Minister
0:06:31 > 0:06:35outlined how he is working locally with hospitals like surfactant to
0:06:35 > 0:06:43make sure they are aware of this new focus? -- like Southampton.
0:06:43 > 0:06:47Public-health health England, which is one of the most effective bodies
0:06:47 > 0:06:49who work within government, will be working with Commissioners and
0:06:49 > 0:06:52trusts across our country to make sure that this new information is
0:06:52 > 0:06:57out there with the -- ragged mothers and the numbers of Parliament have
0:06:57 > 0:07:02an important role to play in that bottle -- pregnant. I know she will
0:07:02 > 0:07:09play her part in that as well. Number three.General practice
0:07:09 > 0:07:11remains under sustained pressure, which is why we remain committed to
0:07:11 > 0:07:15increasing the number of doctors working in general practice by 5000.
0:07:15 > 0:07:21However challenging that might be. Does he not think it is unfortunate
0:07:21 > 0:07:26that at a time when GP services are being sustained, local hospital
0:07:26 > 0:07:30services in some areas are being reduced? Does he share my concern
0:07:30 > 0:07:35that some NHS Trust managers and clinical commissioning groups seem
0:07:35 > 0:07:40hell-bent on removing valued local services from our smaller hospitals,
0:07:40 > 0:07:47such as at Driffield and Bridlington?He has talked
0:07:47 > 0:07:50extensively about this in private and I fully understand his concerns.
0:07:50 > 0:07:55I would say that the Government is increasing funding to the NHS, and
0:07:55 > 0:08:00that involves extra money going both for out of hospital services like
0:08:00 > 0:08:04general practice and for hospital services, and we expect all areas of
0:08:04 > 0:08:10the country to find sensible ways for those sectors to work together.
0:08:10 > 0:08:14I refer members to my register of interest. As the Secretary of State
0:08:14 > 0:08:20has seen the recent Royal College of GPs report, looking at how to
0:08:20 > 0:08:23inspire a career career in general practice whiz-mac will he consider
0:08:23 > 0:08:29the recommendations to help better support GP and medical student
0:08:29 > 0:08:35placements in general practice?I will absolutely consider the very
0:08:35 > 0:08:39sensible recommendations in the report. People like him and indeed
0:08:39 > 0:08:45on our side of the House, people who have been GPs do a fantastic job in
0:08:45 > 0:08:47flying the flag for general practice. I think we are making some
0:08:47 > 0:08:53progress. 3157 medical school students have gone into general
0:08:53 > 0:08:56practice as a specialty, which is the highest ever, but there is lots
0:08:56 > 0:09:02more work to do.I would very much welcome the additional funding that
0:09:02 > 0:09:07this Government has put into the NHS, but constituents tell me that
0:09:07 > 0:09:11they can better manage chronic conditions and illnesses if they
0:09:11 > 0:09:16have consistent care from general practitioners, something they find
0:09:16 > 0:09:20very difficult to access in some surgeries in my constituency.
0:09:20 > 0:09:24Because of problems with recruitment and retention. What is he doing with
0:09:24 > 0:09:30his team to make sure we can lessen that problem?I totally agree, I
0:09:30 > 0:09:34think one of the best things about the NHS is having a GP who knows you
0:09:34 > 0:09:38and your family, and I think there is a lot of evidence that it is the
0:09:38 > 0:09:42best way to manage people with long-term conditions, as she rightly
0:09:42 > 0:09:47says. The truth is that for a very long time, governments on both sides
0:09:47 > 0:09:51have not invested as much as we should in general practice. We are
0:09:51 > 0:09:56trying to put that right. Part of that is actually flying the flag for
0:09:56 > 0:10:00what an exciting career it is. It is the one part of medicine where you
0:10:00 > 0:10:03have an ongoing relationship with patients and their families over
0:10:03 > 0:10:07their whole lives, and that is something that is very motivating.
0:10:07 > 0:10:12Thank you. The capacity and availability of at least one of the
0:10:12 > 0:10:16GP surgeries in my constituency are both profoundly affected by their
0:10:16 > 0:10:19relationships with NHS property services, with incomplete
0:10:19 > 0:10:23maintenance jobs and vastly increased rent being a problem. Will
0:10:23 > 0:10:26the Secretary of State meet with me and that practice manager to discuss
0:10:26 > 0:10:31this?
0:10:31 > 0:10:34The idea understand the concerns that she raises and who have been
0:10:34 > 0:10:42raised by a number of members. There are historic issues about the
0:10:42 > 0:10:46numbers of rent charges which are not fear when you look at the
0:10:46 > 0:10:50variation of what is charged to GP practices across the country. I will
0:10:50 > 0:11:00look into those issues.The NHS has lost 1300 full-time GP equivalents
0:11:00 > 0:11:04in the last three years and 200 partners in the same period. Given
0:11:04 > 0:11:10that 20% of the GP workforce is aged over 60, it is clear there is a
0:11:10 > 0:11:15retirement time looming. What steps does the Secretary of State intend
0:11:15 > 0:11:21to take to address the looming crisis. Patients are waiting longer
0:11:21 > 0:11:26than ever free surgery appointment. I would respectfully say I think the
0:11:26 > 0:11:30figures she has pointed out that would actually take account of local
0:11:30 > 0:11:34doctors, but there is nonetheless a very big problem, and she is right
0:11:34 > 0:11:39to draw that to the attention of the house. First of all, we need to
0:11:39 > 0:11:44encourage more medical school graduates to go into that as a
0:11:44 > 0:11:48specialty and our objective is that half of all medical school graduates
0:11:48 > 0:11:53should choose general practice as their specialty. We are making good
0:11:53 > 0:11:56progress, but retention is also extremely important, and that's why
0:11:56 > 0:12:00we are putting in place a number of programmes that will make it easier
0:12:00 > 0:12:04for GPs who want to work a limited period of time to work flexibly and
0:12:04 > 0:12:08make it easier for people who have family responsibilities to
0:12:08 > 0:12:18potentially work from home.
0:12:19 > 0:12:22We had productive discussions with the Chancellor of the Exchequer head
0:12:22 > 0:12:27of the Budget which led to a £2.8 billion increase in NHS revenue
0:12:27 > 0:12:31funding and a three Eddie Howe billion pounds increase in capital
0:12:31 > 0:12:38funding.Given that the NHS trusts in England are facing an
0:12:38 > 0:12:43accumulative shortfall of over £1 billion and still one in six
0:12:43 > 0:12:46patients attending A & E will wait for over 4-mac Iris to be treated,
0:12:46 > 0:12:52what will be Secretary of State be telling managers to focus on this
0:12:52 > 0:12:58winter?I am bemused to hear that question from the honourable
0:12:58 > 0:13:04gentleman given that over the last 4-mac years, NHS funding in England
0:13:04 > 0:13:09has increased by 10%. In Scotland, it has only increased by 5%.
0:13:09 > 0:13:14Scotland has now got the longest waiting times on record for elective
0:13:14 > 0:13:18surgery. What are we saying to NHS managers? We are seeing we
0:13:18 > 0:13:22understand how tough it is. You and your team's are doing a brilliant
0:13:22 > 0:13:27job and we want to do everything we can to support you through what will
0:13:27 > 0:13:31be a challenging winter.Can I congratulate my Right Honourable
0:13:31 > 0:13:35Friend on securing the extra funding and making sure that it spent
0:13:35 > 0:13:40effectively in his Department, and does he agree with me that one
0:13:40 > 0:13:44important thing to think about at this time of year is winter
0:13:44 > 0:13:49pressures? In an area like mine, it is important that there should be
0:13:49 > 0:13:52some extra funding at the hospital at this time of year, and is he able
0:13:52 > 0:13:58to say anything about that today in respect of the Lister Hospital in
0:13:58 > 0:14:02Hertfordshire?In the spirit of Christmas, I am a happy to tell my
0:14:02 > 0:14:06Right Honourable Friend that the Lister Hospital received an extra
0:14:06 > 0:14:11£2.5 billion to help with the winter pressures as the result of the
0:14:11 > 0:14:21Chancellor 's budget announcement. -- £2.5 million.The patient in
0:14:21 > 0:14:28Exeter waiting over a year for vital surgery, can he explain the
0:14:28 > 0:14:30contradictory statements of the traveller who said at the time of
0:14:30 > 0:14:35the Budget that he expected significant inroads to be made into
0:14:35 > 0:14:38growing waiting time lists and the secret of the NHS boards who met the
0:14:38 > 0:14:41following week when they said NHS waiting times centres will not be
0:14:41 > 0:14:48fully funded or met next year?I've been waiting for him to issue that
0:14:48 > 0:14:55press release welcoming the £1.4 million of extra funding that you
0:14:55 > 0:14:58Royal Devon of Exeter got in the Chancellor APPLAUSE
0:14:58 > 0:15:01Budget, but for some extraordinary reason it hasn't been forthcoming.
0:15:01 > 0:15:07Let me tell right honourable gentleman that the NHS... This was
0:15:07 > 0:15:11something many people commented on, got a lot more money than it was
0:15:11 > 0:15:15expecting in the winter announcement and money that will, to answer his
0:15:15 > 0:15:19question, make a big difference in helping the NHS get back to meeting
0:15:19 > 0:15:28its constitutional waiting time targets.First of all, can I welcome
0:15:28 > 0:15:31the winter allocation for the hospitals in my area, which was very
0:15:31 > 0:15:40welcome. Given the improvements in my hospital area theory, which the
0:15:40 > 0:15:46Minister agree that leadership is as important as funding?He is
0:15:46 > 0:15:51absolutely right to say that. Both matter. You need to have the right
0:15:51 > 0:15:56level of funding, but one of the highlights for me this year was
0:15:56 > 0:15:59visiting his local trust in Carlisle and the new tours will
0:15:59 > 0:16:02transformation in readership. This was one of the most troubled trusts
0:16:02 > 0:16:08in the NHS. Thanks to the dedication of everyone working there, they have
0:16:08 > 0:16:15turned things around.The Scottish Government already pays nurses and
0:16:15 > 0:16:19the resistance the highest rates in the UK, has maintained the nursing
0:16:19 > 0:16:24bursary and has now committed to a 3% pay rise for those earning
0:16:24 > 0:16:27£30,000 or less. Does the Secretary of State recognised that his failure
0:16:27 > 0:16:31to similarly value NHS staff in England is one of the reasons
0:16:31 > 0:16:35nursing vacancy rates is more than double that of Scotland?What I
0:16:35 > 0:16:40recognise is that life expectancy continues to rise in England, but
0:16:40 > 0:16:45has ground to a halt in Scotland. One of the reasons for that is
0:16:45 > 0:16:47because his party has consistently not taking the extra resources it
0:16:47 > 0:16:55could and put them into the NHS and Member other priorities.At the last
0:16:55 > 0:16:58health questions, the Health Secretary said that funding the new
0:16:58 > 0:17:00Chancellor to remove the pay gap would be based on productivity
0:17:00 > 0:17:06improvements. Could he therefore it collaborate on what productivity
0:17:06 > 0:17:09improvements are expected and when will NHS England staff get a pay
0:17:09 > 0:17:19rise they deserve? Deserve?We are having discussions about
0:17:19 > 0:17:25productivity. We are looking at allsorts of things including the
0:17:25 > 0:17:30weight increments are some works and I am very hopeful that we'll have a
0:17:30 > 0:17:35modern contract fit for the future for gender for a change staff and
0:17:35 > 0:17:39something that allows us to go beyond the 1% as the Chancellor has
0:17:39 > 0:17:45authorised me to do.It is not just don't funding. These editors state
0:17:45 > 0:17:49recently wrote to East Sussex health trust to recognise the fact that the
0:17:49 > 0:17:53A & E Department of the most improved the last six months. When I
0:17:53 > 0:17:57spoke to be chief executive, his point was that management focus
0:17:57 > 0:18:00around target and delivery was the reason why that can read have
0:18:00 > 0:18:10occurred.-- was the reason why that change occurred. I met with him last
0:18:10 > 0:18:14week and was able to congratulate him on a number of changes. He will
0:18:14 > 0:18:20be pleased that we have been able to find 1.9 million more. He is right.
0:18:20 > 0:18:27It's not just about money. They say it is all about money, we know the
0:18:27 > 0:18:32quality of leadership makes a critical difference in turning round
0:18:32 > 0:18:38hospitals and making them the best in the world.In the last few weeks,
0:18:38 > 0:18:46Simon Stephens and another number of others told the Government the NHS
0:18:46 > 0:18:52does not have the funding it needs. It is blatantly obvious that with
0:18:52 > 0:18:55performance, treatment is rationed and staff demoralised after seven
0:18:55 > 0:19:02years are paid restriction that funding is not sufficient. Even
0:19:02 > 0:19:06though the Secretary of State has a new-found enthusiasm for 280
0:19:06 > 0:19:10character statements, I am asking for him today is one word. If the
0:19:10 > 0:19:15NHS getting the funding it says it needs, yes or no?
0:19:15 > 0:19:23CHEERING Is the happy with...Order, order.
0:19:23 > 0:19:30We must observe the terms of the debate. Don't play games with the
0:19:30 > 0:19:34traditional and established procedures of this House. Please,
0:19:34 > 0:19:38Secretary of State, you can do better than that.Mr Speaker, yes, I
0:19:38 > 0:19:44am delighted that his local hospital got £2.8 million in the Budget and I
0:19:44 > 0:19:49am disappointed he didn't feel able to issue a press release to his
0:19:49 > 0:19:53local press. The difference between me and him, and I much enjoyed
0:19:53 > 0:19:58debating with him over the years, is that we both want to find extra
0:19:58 > 0:20:03money for the NHS. He would do it by hiking corporation tax that would
0:20:03 > 0:20:07destroy jobs on this side of the house. We want to create jobs and
0:20:07 > 0:20:15that's what wording. -- that is what we are doing.With your permission,
0:20:15 > 0:20:19Mr Speaker, I will also answer questions than. Councils in England
0:20:19 > 0:20:24will receive an additional £2 billion for social care of the next
0:20:24 > 0:20:28three years as announced in March 2000 and 17. The Government have
0:20:28 > 0:20:33given councils access to up to a lot more money for social care over the
0:20:33 > 0:20:37next two years as a result of measures introduced. Overall
0:20:37 > 0:20:40councils are able to increase spending on adult social care in
0:20:40 > 0:20:48real terms in each of the next three years.Last week's health survey for
0:20:48 > 0:20:52England, prove that all the people in deprived areas like my own
0:20:52 > 0:20:56constituency are twice as likely to have unmet social care needs and the
0:20:56 > 0:20:59NHS is left picking up the pieces. When will this Government stop
0:20:59 > 0:21:05passing the buck and bring forward concrete plans on proper investment
0:21:05 > 0:21:12and reform to end the national scandal that is our care system?IC
0:21:12 > 0:21:17to the honourable gentleman, the entitlement to care is completely on
0:21:17 > 0:21:21the carer. If needs are not being met, there is a statutory obligation
0:21:21 > 0:21:29that can be enforced. With regards to long-term solutions, we have put
0:21:29 > 0:21:33additional money aside to sort out short term pressures, but we need to
0:21:33 > 0:21:37have a long-term and most sustainable deal and that is why we
0:21:37 > 0:21:40are bringing forward a paper next year and I hope you will participate
0:21:40 > 0:21:49in that debate.Following the four seasons temporary reprieve from
0:21:49 > 0:21:53Administration, what plans are in place to help councils deliver their
0:21:53 > 0:22:00statutory care duties in the event of this major providers feel the?I
0:22:00 > 0:22:04am grateful to the honourable gentleman for raising the best with
0:22:04 > 0:22:11me today, because I hope to reassure the house and there is no immediate
0:22:11 > 0:22:15threat to the continuity of care. Myself and my officials are keeping
0:22:15 > 0:22:20a close eye on this to keep sure that would be the speakeasy we
0:22:20 > 0:22:26ensure there is a stable transition hand the commercial issues are dealt
0:22:26 > 0:22:30with in an appropriate way. It is going to bring challenging
0:22:30 > 0:22:37conversations, but I assure him that myself and my officials are on it.
0:22:37 > 0:22:40Given that health and social care are intrinsically linked, does the
0:22:40 > 0:22:44Minister agree with me that now is the time to put health and social
0:22:44 > 0:22:53care under one roof in a combined Department?I say to my honourable
0:22:53 > 0:23:00friend, I have always thought that that was the enemy of good public
0:23:00 > 0:23:05policy, is of the more that we can integrate policy-making across
0:23:05 > 0:23:10Government tends to lead to better outcomes. I can assure her that I
0:23:10 > 0:23:14have regular conversations with the local government and departments as
0:23:14 > 0:23:16we approach the long-term funding pressures and we will be very much
0:23:16 > 0:23:25working in tandem.Thank you, Mr Speaker. Not only did the recent
0:23:25 > 0:23:30health survey show that needs, unmet needs were most concentrated amongst
0:23:30 > 0:23:35people who were the most deprived, it also showed that 2.3 million
0:23:35 > 0:23:42older people aged 65 and over now have unmet Kearney 's. 2.3 million.
0:23:42 > 0:23:48-- unmet carer needs. Nobody has said anything about closing the
0:23:48 > 0:23:51funding gap for social care. Given that the green paper is only
0:23:51 > 0:23:57scheduled for next summer, what is the Health Secretary doing about the
0:23:57 > 0:24:00crisis in funding social care and meeting staggering levels of unmet
0:24:00 > 0:24:07need?The honourable lady will be aware that immediately following
0:24:07 > 0:24:12these questions, we will be having a statement from the Secretary of
0:24:12 > 0:24:19State on funding. Remind her again, we have made a additional 9.5
0:24:19 > 0:24:23million available over the last three years. The long term
0:24:23 > 0:24:26sustainability will be addressed by reform and that is why we are
0:24:26 > 0:24:30bringing forward the green paper. As to the figures regarding unmet
0:24:30 > 0:24:35needs, I do not recognise them. The entitlement to care is enshrined in
0:24:35 > 0:24:42the care Act and those rights are protected.Number six.The Minister
0:24:42 > 0:24:49of State.With your permission, I will take the questions together.
0:24:49 > 0:24:57The autumn budget committed backing the NHS about 2019 2020 it would
0:24:57 > 0:25:04have received funding including the £237 million and 3.5 billion of new
0:25:04 > 0:25:14capital investment by 2022.Can I welcome the recent budget
0:25:14 > 0:25:16announcement for the NHS, in particular extra support preparing
0:25:16 > 0:25:24for this winter. Can he say what she funding my local hospital will
0:25:24 > 0:25:35attain?
0:25:35 > 0:25:38Initially congratulated on the more convey trust, which has gone through
0:25:38 > 0:25:41some difficulty and he has stuck with it and supported the trust and
0:25:41 > 0:25:46I can confirm that up to £2 million of funding was allocated to more
0:25:46 > 0:25:49convey trust last Friday. I congratulate them on that and I'm
0:25:49 > 0:25:54sure he will join me in congratulating the trust on becoming
0:25:54 > 0:26:00the eighth most inclusive employer in the UK.Does my honourable friend
0:26:00 > 0:26:07share my delight at the four £2 million capital allocation that was
0:26:07 > 0:26:09announced in the recent Budget, and would my honourable friend agree
0:26:09 > 0:26:13with me that huge sum of money will not only enable us to maintain the
0:26:13 > 0:26:18present excellent services at Southend Hospital, but we will be
0:26:18 > 0:26:21able to enhance and develop them further for all the benefit of all
0:26:21 > 0:26:27local residents?He has worked tirelessly with his neighbouring
0:26:27 > 0:26:34colleagues in Essex to secure not just the £41 million he refers to,
0:26:34 > 0:26:40but it is a component in the £180 million capital allocation made to
0:26:40 > 0:26:46the mid and South Essex area in the budget. This will provide
0:26:46 > 0:26:51significant investment, not only in his hospital in Southend, but also
0:26:51 > 0:26:54in Basildon and the Broomfield in Chelmsford, which I'm sure he and
0:26:54 > 0:27:01his colleagues in Essex will welcome.Thank you. When my local
0:27:01 > 0:27:05CCG in North Derbyshire has been placed in Special Measures by NHS
0:27:05 > 0:27:09England are forced to cut £60 million over just six months, and to
0:27:09 > 0:27:15bring forward the closure of our Spencer ward in Buxton due to lack
0:27:15 > 0:27:20of funding before any proper alternative is in place, with the
0:27:20 > 0:27:22Secretary of State not agree that the Budget fund is too little, too
0:27:22 > 0:27:31late?Well, the honourable lady will be aware that Special Measures was
0:27:31 > 0:27:36brought in to help trusts that are having difficulty in meeting quality
0:27:36 > 0:27:39performance standards, to improve their quality, and they receive
0:27:39 > 0:27:44support from NHS improvement in order to do that. Our trust, if she
0:27:44 > 0:27:48would like to to me about specific would be happy to take them up, but
0:27:48 > 0:27:55as far as I'm concerned, her trust is on an improvement journey.Sense
0:27:55 > 0:27:59about a quarter of the additional funding goes to patients with
0:27:59 > 0:28:04neurological conditions from strokes to Parkinson's, what steps is he
0:28:04 > 0:28:09taking to reduce the often appalling delays between the onset of disease
0:28:09 > 0:28:13and access to occupational and physical therapy? Will he agreed to
0:28:13 > 0:28:17meet a charity from my constituency, the integrated neurological
0:28:17 > 0:28:22services, which is saving lives and money by vastly reducing that time
0:28:22 > 0:28:29delay?He will be aware that I was -- by specialising cardiac services
0:28:29 > 0:28:32in particular into acute cardiac hospitals is having a significant
0:28:32 > 0:28:36impact in improving both access to treatment by reducing the time it
0:28:36 > 0:28:42takes to meet, to give the diagnostic tests and the initial
0:28:42 > 0:28:46treatment, and is therefore saving lives, so specialisation is working
0:28:46 > 0:28:49in London and other parts of the country where it is about. I'm sure
0:28:49 > 0:28:58he would welcome the recent Halit -- allocation to Cookson hospital.I
0:28:58 > 0:29:01visited a hospital earlier this year and it was enough to recognise their
0:29:01 > 0:29:05patients are being treated with increasingly world-class treatments.
0:29:05 > 0:29:09Can he can run the hospital will get £2.6 million to cope with winter
0:29:09 > 0:29:17pressures this year? Villa my honourable friend never fails the
0:29:17 > 0:29:22highlight the success of Kettering Hospital.I am delighted to confirm
0:29:22 > 0:29:26that £2.6 million will be available for him in that hospital this
0:29:26 > 0:29:30winter, and we're working hard but the hospital management through the
0:29:30 > 0:29:33Special Measures regime to improve performance in that trust.Thank
0:29:33 > 0:29:38you, Mr Speaker. Bed occupancy rates across London last winter were
0:29:38 > 0:29:43running about 100% or very near, including at went across. With the
0:29:43 > 0:29:48much vaunted extra funding at the end of this winter, what will the
0:29:48 > 0:29:53occupancy rate have been? -- including at winter cross.Occupancy
0:29:53 > 0:29:59rates are high at this time, not least following the recent cold
0:29:59 > 0:30:02snap, which has put additional pressure on hospital trusts, but we
0:30:02 > 0:30:06have used some of the funding provided in the March Budget to
0:30:06 > 0:30:11increase the rates of delayed transfers of care, to improve
0:30:11 > 0:30:14patient flow throughout all hospitals, and that has led to
0:30:14 > 0:30:23slight reduction in bed occupancy, running up to winter.Number eight,
0:30:23 > 0:30:26Mr Speaker.In order to increase the number of mental health patients we
0:30:26 > 0:30:31treat by 1 million every year by 2020-21, we are increasing the
0:30:31 > 0:30:39number of mental health posts in the NHS by 20 1000. I certainly welcome
0:30:39 > 0:30:44that increase. -- 20 1000. Would he agree that there is a particular
0:30:44 > 0:30:48need to address mental-health issues in schools, and could he set out
0:30:48 > 0:30:54what plans he has to give extra support there?Well, he is
0:30:54 > 0:30:56absolutely right, for the very simple reason that prevention is
0:30:56 > 0:31:01better than cure, and half of all mental health conditions become
0:31:01 > 0:31:04established before the age of 14, which is why it was so significant
0:31:04 > 0:31:09that following the Budget and what we allowed an extra £300 million
0:31:09 > 0:31:13being allocated to the mental-health green paper, precisely to improve
0:31:13 > 0:31:19the service we offer students in schools.Thank you, Mrs Pickard. The
0:31:19 > 0:31:22Secretary of State has on numerous occasions spoken to the media and
0:31:22 > 0:31:26this House, referring to an increase of 4300 staff working in mental
0:31:26 > 0:31:32health trusts since 2010. In a response to my written question, he
0:31:32 > 0:31:39was unable to clarify whether this 1300 figure includes the 1478 people
0:31:39 > 0:31:43who were rebadged as Mental Health Trust staff following a merger in
0:31:43 > 0:31:46Manchester last year. Nor would he confirm that this figure includes
0:31:46 > 0:31:52850 people from NHS digital who were already working in the sector and
0:31:52 > 0:31:56transferred to Mental Health Trust when priority care trusts closed in
0:31:56 > 0:32:002013. With the Secretary of State for the House some festive cheer and
0:32:00 > 0:32:05take the opportunity to set the record straight?I am very happy to
0:32:05 > 0:32:10offer her festive cheer, and expecting her that even if her
0:32:10 > 0:32:14suspicion is right, and I do not believe it is, but even if it is
0:32:14 > 0:32:17right, there has still been a significant increase in the number
0:32:17 > 0:32:20of staff employed in mental health trusts. The other suspicion that she
0:32:20 > 0:32:24is constantly raising in the media is that mental health funding is
0:32:24 > 0:32:28being cut, she will know the best news of this year is defined at last
0:32:28 > 0:32:34year funding went up by £575 million.Given the NHS and is a
0:32:34 > 0:32:38great deal of land and buildings and mental health workers face I
0:32:38 > 0:32:42accommodation costs, while the Secretary meet with me so I
0:32:42 > 0:32:47reconnect them how the house-building can be used as a
0:32:47 > 0:32:54powerful recruitment to four mental health workers
0:32:54 > 0:32:57powerful recruitment to four mental health workers? Ithank him for his
0:32:57 > 0:33:01work on this and he is right, we are more than happy to talk about it but
0:33:01 > 0:33:08we have is a priority to make sure that when NHS land is disposed of,
0:33:08 > 0:33:12NHS workers get the first opportunity to buy or rent the
0:33:12 > 0:33:18houses that are built.Thank you Matt, Mr Speaker. There are still
0:33:18 > 0:33:23not enough staff trained in autism diagnosis across the NHS. With the
0:33:23 > 0:33:28Secretary of State consider training a specialist in each community
0:33:28 > 0:33:30adolescent and child mental Health Service might across the country,
0:33:30 > 0:33:35and to ensure there is no longer a postcode lottery?I would always
0:33:35 > 0:33:40listen to her on these matters because I know she has professional
0:33:40 > 0:33:43experience, and I do not think we do well enough for families with
0:33:43 > 0:33:47autism, and we are looking at what they can do better, but I have a lot
0:33:47 > 0:33:59of sympathy for the case she is making.Thank you. Number nine.
0:33:59 > 0:34:01Ensuring all our constituents, particularly the vulnerable and
0:34:01 > 0:34:05elderly, getting an adequate diet, is critically important. That is
0:34:05 > 0:34:10why, for instance, we have given half £1 million of funding to
0:34:10 > 0:34:13special task force to reduce my nutrition among older people and we
0:34:13 > 0:34:19will continue to train staff in early action can be taken.Thank
0:34:19 > 0:34:22you, Mr Speaker. And America's most to you and the ministers on the
0:34:22 > 0:34:30bench. -- a Merry Christmas. In the world's sixth largest economy, it is
0:34:30 > 0:34:36damning that under this Government we have seen 122% increase in the
0:34:36 > 0:34:39overall numbers admitted to hospital with malnutrition. It is clear that
0:34:39 > 0:34:43more action is needed to ensure we eradicate malnutrition in our
0:34:43 > 0:34:49society. The DWP and health Departments must work together so
0:34:49 > 0:34:53that rather than introducing measures such as Universal Credit
0:34:53 > 0:34:58eligibility criteria, which will see at least a million children lose
0:34:58 > 0:35:03free school meals, we commit as a country to tackling this issue
0:35:03 > 0:35:07head-on. Will the Minister use his power and influence to ensure this
0:35:07 > 0:35:13issue is addressed immediately, and we see an end to this failure to act
0:35:13 > 0:35:18against malnutrition in the 21st century?And a happy Christmas to St
0:35:18 > 0:35:24Helens as well, Mr Speaker. I agree, but the healthy start programme also
0:35:24 > 0:35:28provides nutritional safety net is the hundreds of thousands of
0:35:28 > 0:35:30pregnant women, families and children. There was a slight
0:35:30 > 0:35:34increase in cases being reported, that is partly due to much better
0:35:34 > 0:35:38diagnosis, but I would say some 1.1 million children get free school
0:35:38 > 0:35:42meals in England and the Government is investing £26 million in
0:35:42 > 0:35:45breakfast cups. Last week, telex or hear with their breakfast club
0:35:45 > 0:35:51award, an excellent innovation. -- Kellogg's were here.Thank you very
0:35:51 > 0:35:56much, Mr Speaker. That being said, it is disgraceful that under this
0:35:56 > 0:36:02Government's watch, we have seen a 54% increase in children admitted to
0:36:02 > 0:36:07hospital with malnutrition. Instead of seeing malnutrition rising, we
0:36:07 > 0:36:12really should be eradicating it. As the festive period is upon us and it
0:36:12 > 0:36:15is the season for goodwill and giving, will the Minister give this
0:36:15 > 0:36:20House and assurance that he will seriously address this matter to
0:36:20 > 0:36:25ensure that no child in this country ever experiences malnutrition?Of
0:36:25 > 0:36:31course we want no child in England, in our country to expense
0:36:31 > 0:36:35malnutrition. I mentioned the breakfast clubs and the nutrition
0:36:35 > 0:36:38scheme, healthy start is an excellent programme, which
0:36:38 > 0:36:41encourages a healthy diet to hundreds of thousands of families
0:36:41 > 0:36:45and children. It is exactly that which is helping us tackle this
0:36:45 > 0:36:58issue.The recently announced life sciences sector deal draws in
0:36:58 > 0:37:01significant investment into the sector from across the world,
0:37:01 > 0:37:04ensuring the next wave of breakthrough treatments, innovative
0:37:04 > 0:37:07research and the technologies and highly skilled jobs are created
0:37:07 > 0:37:13right here in Great Britain.I thank the Minister for that answer but in
0:37:13 > 0:37:16Scotland today there are over 600 life sciences organisations employ
0:37:16 > 0:37:21more than 30,000 people, which makes Scotland one of the largest life
0:37:21 > 0:37:25sciences clusters in Europe. But could the Minister give the House
0:37:25 > 0:37:29some more detail on the sector and industry investments, which could
0:37:29 > 0:37:32give even more strength to this world leading industry across the
0:37:32 > 0:37:38UK?The sector's commercial activity, it is very broadly spread
0:37:38 > 0:37:43across the whole of the UK, which I know is his concern. There are a
0:37:43 > 0:37:49number of strong emerging life sciences clusters. Manchester,
0:37:49 > 0:37:53Leeds, Sheffield, Glasgow, south Wales and the South East. A very
0:37:53 > 0:37:57broad spread.Medical research charities play a key role in
0:37:57 > 0:38:02developing new medical treatment. The charity research support fund,
0:38:02 > 0:38:05which enables university to unlock investment, has been frozen since
0:38:05 > 0:38:122010. Will the Secretary of State heed the call from the charities to
0:38:12 > 0:38:15about it in real terms in line with inflation and the charity
0:38:15 > 0:38:21investment?I can come back to him in more detail on that. But as part
0:38:21 > 0:38:26of the life sciences sector deal with imagine, just over £210 million
0:38:26 > 0:38:32of industrial strategy funding for early diagnosis, including building
0:38:32 > 0:38:36on new case leadership in genomics, and establish programmes in digital
0:38:36 > 0:38:43diagnostics and AI in health care. Thank you, Mr Speaker. We cannot
0:38:43 > 0:38:50meaningfully compare it to 2010 today, the number of NHS staff
0:38:50 > 0:38:54working in mental health and learning disability cost was 100 --
0:38:54 > 0:39:03over 100 and safety 2000 in July 2013, and 166,900 in July 20 17. An
0:39:03 > 0:39:10increase of 4334.That is absolutely answered my question! Earlier, my
0:39:10 > 0:39:15honourable friend read out a long list of concerned professionals, so
0:39:15 > 0:39:20let me add one more. Professor Wendy Byrne, President of the Royal
0:39:20 > 0:39:24College of psychiatry, said the mother is a real and imminent danger
0:39:24 > 0:39:27that promises made to improve mental health services for the millions of
0:39:27 > 0:39:31people who need them are about to be betrayed. Is she wrong, and isn't it
0:39:31 > 0:39:34true that without proper funding staff, the Prime Minister bold-mac
0:39:34 > 0:39:40pledge to transform mental health services will not be met? Well, does
0:39:40 > 0:39:44-- as he knows, we have published a strategy to deliver exactly the
0:39:44 > 0:39:48commitment the Prime Minister has made. I can report we have had a
0:39:48 > 0:39:56significant increase in the workforce. There has been a 47%
0:39:56 > 0:40:04increase. If I talk about psychiatry consultants, we are up from 4026,
0:40:04 > 0:40:12two 4292. Community psychiatric nurses are up from 50,500, to 16,600
0:40:12 > 0:40:1858. So, we are delivering the workforce to deliver on diagnosis
0:40:18 > 0:40:22commitments and I think the most important thing is rather than trade
0:40:22 > 0:40:31numbers, let us look at improving patient care.In psychiatric
0:40:31 > 0:40:35conditions, they are unlikely to routinely encounter that. How can we
0:40:35 > 0:40:43make better use of GPs in mental health?As he identifies, the key to
0:40:43 > 0:40:49this is training, but it is also essential, the ability for GPs to
0:40:49 > 0:40:52signpost people to appropriate other treatments and therapies, and that
0:40:52 > 0:40:57is exactly why we are investing in specialist care.
0:40:57 > 0:41:01If if we are talking about concerned professionals and outcomes, can we
0:41:01 > 0:41:08add headteachers and teachers? In my area, one has written to me about a
0:41:08 > 0:41:13child that she referred to comes to be told they were 63rd list and
0:41:13 > 0:41:17facing a 14 month wait for health. That is much longer than the month
0:41:17 > 0:41:19wait for health. That is much longer than the month-long waiting target
0:41:19 > 0:41:28the Government set. How kids in my constituency safe?The honourable
0:41:28 > 0:41:34lady raises the question that we are trying to raise in the green paper.
0:41:34 > 0:41:38We are making sure we will be treated more than 70,000 more
0:41:38 > 0:41:42children with mental health issues that need to be addressed, but I
0:41:42 > 0:41:45will be quite honest, this is not where I want to be, which is that
0:41:45 > 0:41:48the way this Government has made it a priority and we will deliver by
0:41:48 > 0:41:592020.The Budget announced an extra £237 million to help NHS Trust deal
0:41:59 > 0:42:05with the pressures of winter.I am very grateful to be secretary of
0:42:05 > 0:42:11state for that answer and I welcome the additional 2.6 million for my
0:42:11 > 0:42:16hospital. The care centre is a vital service that helps to relieve
0:42:16 > 0:42:19pressure on Kettering General A & E always around. What role in
0:42:19 > 0:42:23particular does he see these sort of facilities playing in relieving
0:42:23 > 0:42:32pressure is particularly during the winter period?I thank him for his
0:42:32 > 0:42:36campaigning. He is absolutely right. Urgent care centres have a vital
0:42:36 > 0:42:41role to play in keeping people away from busy A & E departments. We need
0:42:41 > 0:42:45to be better at signposting the public so that they know when to go
0:42:45 > 0:42:49to a GP surgery and when to go to an urgent care centre and when to go to
0:42:49 > 0:42:55a hospital.One of the causes of pressure in my part of London is the
0:42:55 > 0:43:01impending closure threat which is still Bert to King George Hospital A
0:43:01 > 0:43:07& E. -- which is still there. Canny Secretary of State confirm that the
0:43:07 > 0:43:12consultation which is now being engaged in result in the A & E at
0:43:12 > 0:43:18Kings George being saved?I am afraid he will have to wait until
0:43:18 > 0:43:23the result of that consultation is published. I did go and visit that
0:43:23 > 0:43:26trust last week, although I went to the Romford end of it. I have to
0:43:26 > 0:43:31say, I think they are making great strides in improving the quality of
0:43:31 > 0:43:35care and through him I would like to congratulate all the staff at with
0:43:35 > 0:43:41what they are achieving.We remain committed to reducing the national
0:43:41 > 0:43:45suicide rates by 10% by 2020 and a record investment in mental health
0:43:45 > 0:43:50will ensure we can achieve this ambition. I can also advise that the
0:43:50 > 0:43:53local suicide prevention plans no cover 98% of the country and we
0:43:53 > 0:43:57updated the cross Government suicide prevention strategy in January to
0:43:57 > 0:44:02strengthen key areas, including focusing on self harm is an area in
0:44:02 > 0:44:09its own right.My constituent Justin Bartholomew, just a young man of 25
0:44:09 > 0:44:14recently omitted suicide by hanging himself. His family are convinced
0:44:14 > 0:44:20that the high energy drinks he was taking, over £25 a day, increased
0:44:20 > 0:44:29his anxiety. What assessment is the Department taking to look at the
0:44:29 > 0:44:32safety of these drinks?I thank my honourable friend for sharing this
0:44:32 > 0:44:37very moving case. We have no evidence that such drinks cause that
0:44:37 > 0:44:44at this stage, but we do know that stimulants whether it is alcohol or
0:44:44 > 0:44:46caffeine do have consequences which can affect pupils mental-health.
0:44:46 > 0:44:55This is something I think does bear. --
0:44:55 > 0:45:00This is something I think does bear. --. What if the Government doing
0:45:00 > 0:45:02across the United Kingdom ensuring that best practice with suicide
0:45:02 > 0:45:08rates can be recommended it was
0:45:08 > 0:45:10that best practice with suicide rates can be recommended it was? --
0:45:10 > 0:45:18can be replicated.As he will be aware, hours suicide prevention
0:45:18 > 0:45:22strategy is rooted in local prevention plans. What I can say is
0:45:22 > 0:45:26that although we covered 98% of the country, we really want to do a
0:45:26 > 0:45:30proper audit as to how good they are and that will enable us to share
0:45:30 > 0:45:36best practice.Let's take one last gripping. We are out of time, but I
0:45:36 > 0:45:49want to accommodate a question on mental health service.We have
0:45:49 > 0:45:53assessed children and young people's mental-health as part of our ongoing
0:45:53 > 0:45:58work to improve services. The result has led to £1.4 billion extra
0:45:58 > 0:46:01funding, supporting local transformations and the recent
0:46:01 > 0:46:05improved provision of service in schools, bolstering the link between
0:46:05 > 0:46:13schools and the NHS and piloting a four-week waiting time. But crack
0:46:13 > 0:46:16many young people with mental ill health report that crisis care isn't
0:46:16 > 0:46:20good enough and of course the pressures can get even worse on them
0:46:20 > 0:46:25over Christmas. We'll be Government back the call by the charity of
0:46:25 > 0:46:28young minds to set up a crisis hotline for children and young
0:46:28 > 0:46:34people available through the existing 111 service?The honourable
0:46:34 > 0:46:37gentleman is quite right to highlight the fact that as we
0:46:37 > 0:46:42approach Christmas that can often be the moment of most crisis for people
0:46:42 > 0:46:45with mental health issues. I was of course with these Americans
0:46:45 > 0:46:52yesterday to commend them for all the work that they do and they are a
0:46:52 > 0:47:02good passage to help. -- with the Samaritans.Highlighting the daily
0:47:02 > 0:47:08challenges of families living with autism supported by self-sustaining
0:47:08 > 0:47:13groups, Kenny Minister please explain how the recent announcement
0:47:13 > 0:47:17that Westminster Hospital and a multi-million pound development will
0:47:17 > 0:47:21help these families?My honourable friend highlights the great
0:47:21 > 0:47:25synergies between the provision of health services that we in
0:47:25 > 0:47:29Government can give, which obviously people rely on, but also the very
0:47:29 > 0:47:34important issues regarding self-help which can be done and the support
0:47:34 > 0:47:37people can give each other when they share their experiences. Through her
0:47:37 > 0:47:45I would like to commend the work of the otters adventures blog which you
0:47:45 > 0:47:50think is an extremely positive and educational view. -- Artis
0:47:50 > 0:47:59adventures.We follow up and 99% of all vulnerable people within a week
0:47:59 > 0:48:04of their first appointment. It does all that and more at significantly
0:48:04 > 0:48:07less than the national average budget. Will my honourable friend
0:48:07 > 0:48:15agreed to look at south east of the case study for delivering good
0:48:15 > 0:48:19services and value for money?How could I say no to such a
0:48:19 > 0:48:23proposition? What my honourable friend illustrated the importance of
0:48:23 > 0:48:28good leadership and we are good leaders make something a priority,
0:48:28 > 0:48:33then they will deliver good outcomes at reasonable value for money.
0:48:33 > 0:48:42Topical questions.Many NHS and social care staff next week will
0:48:42 > 0:48:46give up their family Christmas to keep NHS patients safe and I know
0:48:46 > 0:48:50the whole house would like to thank them for their dedication and
0:48:50 > 0:48:55commitment over the festive period. Is my red honourable friend aware
0:48:55 > 0:48:58that due to the difficulties in recruiting GPs, neither of the two
0:48:58 > 0:49:09GP surgeries in my area are taking on any new patients despite new
0:49:09 > 0:49:13developments in the area. Can I welcome the training places that the
0:49:13 > 0:49:16Government has funded and ask for his support that some of those
0:49:16 > 0:49:21should go to the excellent Anglia Ruskin medical School in Chelmsford?
0:49:21 > 0:49:26I have a great deal of sympathy for what he's saying. There is a big
0:49:26 > 0:49:29issue in terms of recruitment and retention of GPs. I have a
0:49:29 > 0:49:34constituency interest in it have a University also keen to host more
0:49:34 > 0:49:37medical school places. I am refusing myself from that decision, but can
0:49:37 > 0:49:44as they I wish all universities good luck, this is a his local expansion.
0:49:44 > 0:49:50Let's be brief in the recognition of the enormity of the demand
0:49:50 > 0:49:58recognised in this session. But like I would like to also join secretary
0:49:58 > 0:50:04in thanking the NHS staff with commitment this winter. Bridging
0:50:04 > 0:50:09carer recently won a contract for children's health services.In the
0:50:09 > 0:50:17Secretary of State's own backyard of Surrey, virgin carer recently took
0:50:17 > 0:50:22control. There should be going to patient care, not of virgin carer.
0:50:22 > 0:50:27Why will he not stepped in, fix the scandal, so that three constituents
0:50:27 > 0:50:36and the NHS do not out? Book-mac I am very upset with the action taken.
0:50:36 > 0:50:40Contrary to the narrative you and your colleagues took out, was
0:50:40 > 0:50:43because the NHS stripped them of their contract and give it that the
0:50:43 > 0:50:48NHS sector, hardly the private occasion that he is always talking
0:50:48 > 0:50:57about.He will not be taking action against Virgin Carer in Surrey. Our
0:50:57 > 0:51:00research has shown there are vacancies for 100,000 members of
0:51:00 > 0:51:09staff in the NHS. There is the national crisis. With bed occupancy
0:51:09 > 0:51:15at Royal Surrey hitting a peak of 98.7% this winter already and across
0:51:15 > 0:51:20the NHS bed occupancy already at an average of 94.5%, can he tell us how
0:51:20 > 0:51:25he expects the NHS to cope this winter when it's understaffed,
0:51:25 > 0:51:31overstretched and underfunded?Mr Speaker, if he decides he wants more
0:51:31 > 0:51:35nurses, that creates vacancies. If you want to transform mental health
0:51:35 > 0:51:38provision, that creates vacancies. That is why we announce the
0:51:38 > 0:51:42workforce plan which the Government in Wiltord not had time to do yet,
0:51:42 > 0:51:47but I would like to finish by wishing you a Merry Christmas and if
0:51:47 > 0:51:50he wants to take a bit longer off and stay away for January, we are
0:51:50 > 0:52:00happy to all before it. -- happy to hold the fort.Breast density is a
0:52:00 > 0:52:05strong predictor of developing breast cancer, yet many women are
0:52:05 > 0:52:09unaware of this. What steps are being taken to educate women on this
0:52:09 > 0:52:12potentially life-saving bit of information? McPike important
0:52:12 > 0:52:16question. We have just commissioned war against our city to investigate
0:52:16 > 0:52:21this.If the findings suggest should be any changes to the national
0:52:21 > 0:52:26breast screening programme, the commission will consider any changes
0:52:26 > 0:52:30to make women aware of any increased risk of breast cancer. I will be
0:52:30 > 0:52:40watching a deadlock.What assessment has he made of NHS funding for 2018,
0:52:40 > 0:52:482019? Is it sufficient to deliver a standard to the NHS Constitution?
0:52:48 > 0:52:52The NHS mandate is very clear that we expect the NHS to move towards
0:52:52 > 0:52:57hitting those standards that we consider to be vital for patients.
0:52:57 > 0:53:02The Secretary of State will be aware of the decision by my area to close
0:53:02 > 0:53:07inpatient beds last year at the hospital on the premise of underuse,
0:53:07 > 0:53:16but which local people said was due to a shortage of nurses. Following a
0:53:16 > 0:53:18passionate campaign, Northumberland county council has referred the
0:53:18 > 0:53:21decision to be Secretary of State for review and I would be grateful
0:53:21 > 0:53:26if you could update the house on a timescale for that decision?I can
0:53:26 > 0:53:31confirm that the health and well-being has submitted a request
0:53:31 > 0:53:35for a review by the Independent reconfiguration panel and I
0:53:35 > 0:53:37understand that officials have reverted to them to clarify the
0:53:37 > 0:53:41terms of the referral and one that has come the Department, I am sure
0:53:41 > 0:53:47the review will take place.Last week the Brexit secretary stated
0:53:47 > 0:53:52that UK membership of EU agencies is unlikely to continue beyond March
0:53:52 > 0:53:562019, is what provision has the Secretary of State made to replace
0:53:56 > 0:53:59the European chemicals agency that regulates raw chemicals for
0:53:59 > 0:54:06pharmaceutical industry to produce drugs in the UK?This is an area
0:54:06 > 0:54:11which is obviously going to be very important any negotiations. We have
0:54:11 > 0:54:16made our clear which is for a special partnership with the EU
0:54:16 > 0:54:19where the benefits of the Corporation that we have are able to
0:54:19 > 0:54:28continue.E-cigarettes release 95% safer than tobacco products and are
0:54:28 > 0:54:32now the most popular way to stop smoking. Canny minister tell us what
0:54:32 > 0:54:36is being done to encourage smokers to quit using this method and what
0:54:36 > 0:54:42steps are being taken so that users of these are not forced to show
0:54:42 > 0:54:45their space with people who continue to smoke? That magnitude is, we do
0:54:45 > 0:54:51not know enough about them. We have asked Public Health England to
0:54:51 > 0:54:58include messages about the variety of safety.It is for local
0:54:58 > 0:55:01organisations to increment their own policies on e-cigarette used in the
0:55:01 > 0:55:10workplace.Seriously unwelcome individuals continue to be placed in
0:55:10 > 0:55:12immigration detention despite the adults at risk policy that says this
0:55:12 > 0:55:15should not happen. Canny Secretary of State baby has on what
0:55:15 > 0:55:19discussions are taking place at the Home Office colleagues to ensure
0:55:19 > 0:55:23that assessment, treatment, screening and application of the
0:55:23 > 0:55:26rule 35 processes being properly followed saw that vulnerable
0:55:26 > 0:55:30individuals are not held in detention in this way? Book-mac I
0:55:30 > 0:55:32will always listen to what the honourable lady says about any of
0:55:32 > 0:55:38these issues.I have had discussions with the Immigration Minister, but
0:55:38 > 0:55:45if she wants to read me indeed, I will these things up with her.Can I
0:55:45 > 0:55:50particularly ask what more can be done to improve oral cancers, the
0:55:50 > 0:55:58main causes are smoking, drinking and HPV and men are twice as likely
0:55:58 > 0:56:04as women to suffer from these. What steps are the Government taking to
0:56:04 > 0:56:08address this issue?As the house knows, cancer is a huge priority for
0:56:08 > 0:56:12me and this Government. Survival rates are at a record high. We know
0:56:12 > 0:56:16there is much more work to do. Early diagnosis is key and that has never
0:56:16 > 0:56:20been more true. We are supporting dentists in playing a vital role in
0:56:20 > 0:56:25spotting most cancers early. I was discussing this point last week with
0:56:25 > 0:56:27the British dental Association who share our passion
0:56:31 > 0:56:35One of my local hospitals has a problem with a high number of nurses
0:56:35 > 0:56:40leaving the profession. It is not confined to that era, it was across
0:56:40 > 0:56:43the NHS. What analysis has the Minister dan for the reasons were
0:56:43 > 0:56:50nurses leaving, and what is he going to do to address it?FAB issue we
0:56:50 > 0:56:54have is that we haven't been very good at making it easy for people to
0:56:54 > 0:56:59work flexibly in the NHS. I think the contracts are too rigid. We are
0:56:59 > 0:57:03looking to change those and recognise that for many nurses, the
0:57:03 > 0:57:06commitment to the NHS runs very deep, but they also had to juggle
0:57:06 > 0:57:15family responsibilities with that commitment, so we want to do better.
0:57:15 > 0:57:17Many very committed individuals working in the health and social
0:57:17 > 0:57:23care services in Somerset, were one of the challenges is getting enough
0:57:23 > 0:57:26registered nurses to allow them to integrate. What can he do to help
0:57:26 > 0:57:32get more registered nurses?My honourable friend will be aware that
0:57:32 > 0:57:38last week we published a workforce strategy, and a major focus of it
0:57:38 > 0:57:41was on meeting the Secretary of State's commitment to increase the
0:57:41 > 0:57:45number of registered nurses by 25% but also to broaden the routes into
0:57:45 > 0:57:49nursing so there is a commitment to expand the nursing associate role,
0:57:49 > 0:57:53which is helping provide opportunities for health care
0:57:53 > 0:57:58support workers to become registered nurses through an alternative route.
0:57:58 > 0:58:02There have been possibly as many as 20,000 babies born with birth
0:58:02 > 0:58:08defects as a consequence of the mothers having used sodium valproate
0:58:08 > 0:58:12during pregnancy. When will we see mandatory warnings given to pregnant
0:58:12 > 0:58:17women have the risks associated with that, and when will we see some sort
0:58:17 > 0:58:22of independent analysis of how we got to this dreadful situation?I
0:58:22 > 0:58:26know this is a subject of huge interest in the House, over the last
0:58:26 > 0:58:29three years there has been extensive work to communicate advice of this
0:58:29 > 0:58:38in pregnancy to health professionals and patients. It is evident from
0:58:38 > 0:58:40monitoring and from health professionals, even when repeated
0:58:40 > 0:58:46through multiple sources, it is not changing behaviour sufficiently to
0:58:46 > 0:58:48minimise harm associated with exposing children to valproate
0:58:48 > 0:58:55through pregnancy. Advising a national action requiring under the
0:58:55 > 0:59:01UK health system.I don't mean to be unkind to the Mr who was attending
0:59:01 > 0:59:05to his answers. We just want the whole House to get the benefit of
0:59:05 > 0:59:09it. -- the Minister.And the Minister provide updates on the
0:59:09 > 0:59:15Thames to move Wes Durston -- Worcestershire trust at a Special
0:59:15 > 0:59:21Measures?As he is aware I visited all three hospitals within the
0:59:21 > 0:59:26Worcestershire trust and I'm pleased to be able to announce to him today
0:59:26 > 0:59:30that the Department of Health has concluded its analysis of the
0:59:30 > 0:59:34outline business case for the £29 million allocated in July, that has
0:59:34 > 0:59:41been approved.On admissions to hospital for malnutrition, could the
0:59:41 > 0:59:45Minister tell me what has been happening in the Wirral University
0:59:45 > 0:59:51teaching Hospital, which went up from 21 in the year 2090 2010, to
0:59:51 > 0:59:59send -- 700 admissions and 2014 to 15? It seems very high. Can anyone
0:59:59 > 1:00:06tell me what is going on? If not, will they write to me to explain
1:00:06 > 1:00:10this and these huge figures?2.8 million in extra with the funding
1:00:10 > 1:00:16that I will write to her with the details on the questions she asks.I
1:00:16 > 1:00:20would like to thank the Minister of State for listening very sensitively
1:00:20 > 1:00:25to the victims of the rogue surgeon Patterson, many of whom are
1:00:25 > 1:00:30constituents of mine. Would he agree with me that the evidence of the
1:00:30 > 1:00:34health brief enquiry can indeed get justice and closure for the victims,
1:00:34 > 1:00:39and would he join you in wishing the Bishop of Norwich great success in
1:00:39 > 1:00:45getting a good outcome from this enquiry?I would like to pay tribute
1:00:45 > 1:00:49to the right honourable lady for the role she has done in helping to
1:00:49 > 1:00:53support the victims, as she said, many of whom were her constituents.
1:00:53 > 1:00:56We are pleased that Bishop Jones has agreed to take on this enquiry. I
1:00:56 > 1:01:00think the ships to provide the ability to empathise with the
1:01:00 > 1:01:03victims and their families, which may not always be the case with
1:01:03 > 1:01:08judge-led inquiry is. As she rightly points out, not only was his -- Hill
1:01:08 > 1:01:13Spring Quarry led by Bishop, so is the current enquiry in Gosport and
1:01:13 > 1:01:19the more can they enquiry was led by Bill Curragh Cup, rather than a
1:01:19 > 1:01:31judge.Trials for drugs have proved vital for constituents, who consider
1:01:31 > 1:01:36children to school and on holiday. The decision to make the Seville on
1:01:36 > 1:01:45the NHS will be taken soon, could the of aquatic?It is a devastating
1:01:45 > 1:01:49impact on a person's health and quality of life and I is something
1:01:49 > 1:01:52she has discussed with me. We will take its ears, and happy to talk to
1:01:52 > 1:01:58her more about it.My own brother's funeral will be held later today,
1:01:58 > 1:02:01can I ask the Secretary of State what help and support he has given
1:02:01 > 1:02:06to the families of drug and alcohol abusers?I think the whole House
1:02:06 > 1:02:10will want to express our condolences to my honourable friend on what is
1:02:10 > 1:02:14happening this afternoon. He alongside many people on all sides
1:02:14 > 1:02:19of the House have raised this issue. We are looking closely at what more
1:02:19 > 1:02:25support we can give to children in one of the most vulnerable
1:02:25 > 1:02:30situations you can imagine. I thank him for raising the matter.The NHS
1:02:30 > 1:02:36patient declaration form for free dental care and prescriptions
1:02:36 > 1:02:38requires patients to determine the difference between contribution and
1:02:38 > 1:02:45income related ES A. Getting this wrong attracts a hefty fine. We'll
1:02:45 > 1:02:48Minister ensure that first patients get the opportunity to make the
1:02:48 > 1:02:56right choice before fines are applied?Yes, of course, the NHS is
1:02:56 > 1:03:04there were issues the charges were incorrect claims for exemption. We
1:03:04 > 1:03:08have recently increased the number of checks because ultimately this is
1:03:08 > 1:03:11the money of taxpayers you must ensure to spend properly and
1:03:11 > 1:03:18legally.Can I welcome the extra £1.1 million to help with winter
1:03:18 > 1:03:21pressures at the Luton and Dunstable Hospital and tell the Minister that
1:03:21 > 1:03:26the merger is proceeding well. But they do need £150 million of
1:03:26 > 1:03:32capital, and if I could ask a favourable consideration for that
1:03:32 > 1:03:40from the Budget.Well, he is aware that the Chancellor has provided a
1:03:40 > 1:03:44package of £10 billion in the Budget to be invested in the NHS, of which
1:03:44 > 1:03:503.9 billion will come from the Treasury. All bids for capital are
1:03:50 > 1:03:56being assessed through the STP prism, of which his area will be
1:03:56 > 1:04:00making a proposal, and it will be assessed with three others and as
1:04:00 > 1:04:04far as I'm aware there is no such proposal as yet being made to
1:04:04 > 1:04:12energising them. But it will be looked at in due course.Try to get
1:04:12 > 1:04:15a single sentence questions and answers.There is a private mental
1:04:15 > 1:04:19health hospital in agency where a woman was inviting staff and
1:04:19 > 1:04:24patients with MRSA. Since then there have been numerous inspections about
1:04:24 > 1:04:27children having access to ligatures and medicines in order to overdose.
1:04:27 > 1:04:32Will he commit to a policy to make sure that no child or young person
1:04:32 > 1:04:38placed in a mental health facility deemed unsafe?I thank her for
1:04:38 > 1:04:41raising this issue, she and I have met to discuss this before and she
1:04:41 > 1:04:45is right to highlight the ongoing inspections and issues and I have
1:04:45 > 1:04:49written to her to offer to discuss this with her again. It is
1:04:49 > 1:04:52unacceptable that anybody is placed in a facility which is deemed
1:04:52 > 1:05:00unsafe.I think M on behalf of my constituent for Alinghi remedial
1:05:00 > 1:05:03order for single parents agates, Cathy assure me they will do
1:05:03 > 1:05:07everything they get this through Parliament as quickly as possible?I
1:05:07 > 1:05:14would like to say that an all-party Parliamentary group has been
1:05:14 > 1:05:17established, I believe this week, to take the issue for another look
1:05:17 > 1:05:21forward to speaking to that group if invited next month. The intention is
1:05:21 > 1:05:24that this order will follow due Parliamentary process, which
1:05:24 > 1:05:32involves being laid for 60 days, and a double and a further 60 days.With
1:05:32 > 1:05:3615,000 violent assaults on mental health workers across the West
1:05:36 > 1:05:39Midlands in the last five years, what is the Government's response to
1:05:39 > 1:05:45the Care Quality Commission's opposition to routine searches for
1:05:45 > 1:05:50weapons of all mental Health Service users, on admission or return to
1:05:50 > 1:05:57acute inpatient units?I have a lot of sympathy for what he says. We are
1:05:57 > 1:06:01putting a lot of effort now into patient safety and staff safety in
1:06:01 > 1:06:06mental health trusts. We are discovering there is a wide
1:06:06 > 1:06:09variation in practices. He makes a very important point and if I may I
1:06:09 > 1:06:15will write to him with the progress. The patient transport service in
1:06:15 > 1:06:19Northern Lincolnshire is provided, contracted deterrence and blood
1:06:19 > 1:06:22service, who are failing miserably to meet an adequate standard. Will
1:06:22 > 1:06:27he meet with me and other neighbouring MPs to discuss what
1:06:27 > 1:06:30influence the department can bring to bear on the situation?I am happy
1:06:30 > 1:06:36to do so.I appreciate the commitment of colleagues.This has
1:06:36 > 1:06:42overrun but I feel colleagues will go ahead only if they ask the
1:06:42 > 1:06:45questions may have been answers. I miss Jimmy grateful to the teams on
1:06:45 > 1:06:51both sides. Dennis Skinner.Is the Secretary of State aware that the
1:06:51 > 1:06:58course of hour, there have been more questions about hospital closures
1:06:58 > 1:07:05than almost anything else? Stretching from East Yorkshire,
1:07:05 > 1:07:14Berwick on this site, Warwickshire on the other side, they call in
1:07:14 > 1:07:17Derbyshire, there is a growing suspicion that what this Secretary
1:07:17 > 1:07:24of State is up to is to leave them to lose all those bed in the
1:07:24 > 1:07:31hospitals for so that the private sector can move in and take the lot.
1:07:31 > 1:07:38That is what is going to happen!I do thank the honourable gentleman
1:07:38 > 1:07:43for his Christmas cheer. Let me say to him that if that was the
1:07:43 > 1:07:47intention of the Government we have not have found an extra £2.8 billion
1:07:47 > 1:07:53for the NHS in the Budget. Including £1.95 million for Chesterfield
1:07:53 > 1:08:00hospital, which will benefit his own constituents.Thank you, Mr Speaker.
1:08:00 > 1:08:04Half of young people do not use a condom with a new partner. One in
1:08:04 > 1:08:10ten young adults never use a condom. Giving a chance of an unwanted
1:08:10 > 1:08:15pregnancy or indeed an STD. Please can the Department do something
1:08:15 > 1:08:26about making sure people are aware of the benefits?Men may not be very
1:08:26 > 1:08:30good at wrapping this, but they need to get it right. There was a
1:08:30 > 1:08:33campaign launched last week to help reduce rates among 16 to
1:08:33 > 1:08:3824-year-olds. Can I encourage young people while they are having fun
1:08:38 > 1:08:42this Christmas to do so sensibly? There is an increasing trend for
1:08:42 > 1:08:48women sharing breastmilk over the internet. Without any recourse to
1:08:48 > 1:08:52guidelines used for milk banking. Will the Minister meet with me and
1:08:52 > 1:08:57other members to discuss this matter further to ensure breastmilk can be
1:08:57 > 1:09:02assured safely? -- share.As she says, it is important we ensure that
1:09:02 > 1:09:06anything that happens in this space is indeed safe. I would be pleased
1:09:06 > 1:09:10to meet with her and the all-party group.Members can have a question
1:09:10 > 1:09:15of one sentence each, no more.What funding is being made available to
1:09:15 > 1:09:19our mental health services to make the emotional demands placed upon it
1:09:19 > 1:09:23by changes to the Mental Health Act, which came into force on December
1:09:23 > 1:09:31the 11th this year?I can reassure her that we are putting a lot of
1:09:31 > 1:09:36extra funding into mental health, £575 million last year alone to meet
1:09:36 > 1:09:41those and other obligations was the NHS property services exist on a
1:09:41 > 1:09:45merry-go-round of taxpayers's demonic, will he give a solid
1:09:45 > 1:09:49Christmas present, close them down and return control of the property
1:09:49 > 1:09:54to local health communities?I understand why she says that and I
1:09:54 > 1:09:57think that it is very to say that it has been on a journey and if it
1:09:57 > 1:10:03needs to do even better, but we also want to make sure that NHS land is
1:10:03 > 1:10:09made available for housing for NHS staff.Will the Minister consider
1:10:09 > 1:10:15the NHS as a fund of last resort for hospices like Barry hospice, silicon
1:10:15 > 1:10:21operate at full capacity and played a part in the delivery of social
1:10:21 > 1:10:25care?We often are a fund of last resort for the hospice movement, and
1:10:25 > 1:10:27perhaps this is the right note to end, by