0:00:00 > 0:00:00main business today this afternoon will be the Northern Ireland budget
0:00:00 > 0:00:09bill that will offer a spending normal decided by the Northern
0:00:09 > 0:00:11Ireland Assembly, but is currently suspended. Please join me for a
0:00:11 > 0:00:15round-up of the day in both Houses of Parliament at 11 o'clock tonight.
0:00:15 > 0:00:21But first questions to the Health Secretary, Jeremy Hunt.
0:00:21 > 0:00:27A further £210 million is being invested in research and £162
0:00:27 > 0:00:32million in medical manufacturing. Like sharing a big data sets and
0:00:32 > 0:00:37integrating new technologies such as AI across the NHS, outcomes can be
0:00:37 > 0:00:40improved. Can my right honourable friend update the host and what
0:00:40 > 0:00:47plans the NHS has plans with regards to digitisation? Leave I am very
0:00:47 > 0:00:51much looking forward to right honourable friend's report on this.
0:00:51 > 0:00:56We have five of the world's top ten medical research universities and
0:00:56 > 0:01:01more than double the number of Nobel prizes than France so we do very
0:01:01 > 0:01:05well in research but some hospitals are still running on paper which is
0:01:05 > 0:01:13inappropriate and that's why we are determined to implement the review.
0:01:13 > 0:01:16Corporation in medical research science and innovation with our
0:01:16 > 0:01:20European partners must not be hindered by a bad Brexit deal. What
0:01:20 > 0:01:25steps is the Secretary of State taking to ensure British patients
0:01:25 > 0:01:29are not left behind during negotiations?Let me reassure the
0:01:29 > 0:01:33honourable gentleman, who I know is a doctor and a very conscious of
0:01:33 > 0:01:38these issues. Let me reassure him the house and interrupted supply of
0:01:38 > 0:01:44critical drugs, that is at the forefront of our minds and confident
0:01:44 > 0:01:49we can achieve that. We also want to have a great collaboration with
0:01:49 > 0:01:53European universities that is why we said we will be happy to be an
0:01:53 > 0:01:58associate member of the European medicines agency.Part of the life
0:01:58 > 0:02:02science strategy is making sure we have skills for the future. May I
0:02:02 > 0:02:06thank the Secretary of State for the fantastic news of the five new
0:02:06 > 0:02:11medical schools opening in the country, including one in
0:02:11 > 0:02:18Chelmsford. Thank you. Well I'm most grateful for that
0:02:18 > 0:02:24thanks. Let me say I'm looking forward to many more doctors from
0:02:24 > 0:02:31Chelmsford.The Secretary of State will be aware one of the fact of
0:02:31 > 0:02:36stifling innovation is difficulty of rapid growth companies in crossing
0:02:36 > 0:02:40the so-called Valley of death. Since the establishment in the coalition
0:02:40 > 0:02:45's years of the business growth form, the business bank, how far is
0:02:45 > 0:02:52the sector now to crossing the Valley of death?I hope we are
0:02:52 > 0:02:56crossing the Valley into eternal life because we have a fantastic
0:02:56 > 0:03:03life science industry was £61 billion and employing 250,000
0:03:03 > 0:03:07people. But he is right and this was something he was very involved in
0:03:07 > 0:03:12what he was Business Secretary, part of that is having a very close links
0:03:12 > 0:03:18with key decision makers about where to invest their resources.With
0:03:18 > 0:03:23companies raving about the ability of Belfast to provide technology,
0:03:23 > 0:03:27support and skills from universities can the Secretary of State from
0:03:27 > 0:03:30what's that he is taking to invest money is in the universities to set
0:03:30 > 0:03:37up a life science skill centres?Let me reassure the honourable gentleman
0:03:37 > 0:03:42we are very conscious of the critical importance of good outcomes
0:03:42 > 0:03:48to the Brexit box for universities, including Wing
0:03:48 > 0:03:53# -- queen's Belfast. Those research links, that are excellent with
0:03:53 > 0:03:58universities all over the world and it's particularly important we on
0:03:58 > 0:04:05with European universities.Number two, Mr Speaker.
0:04:05 > 0:04:10Since 2016 the Government has invested £750,000 to fund the
0:04:10 > 0:04:13provision of sports and activities for children and young people on the
0:04:13 > 0:04:21NHS and also invested £750,000 in a new national Institute for health
0:04:21 > 0:04:25research and to provide research and technology. I can confirm that
0:04:25 > 0:04:31funding will continue and we will announce more details shortly.I
0:04:31 > 0:04:35thank the Minister for her reply. The Centre at Headley Court provides
0:04:35 > 0:04:42world-class support for our service men who unfortunately have lost
0:04:42 > 0:04:47limbs in Iraq and Afghanistan. They do incredible work. What lessons we
0:04:47 > 0:04:56learn is from Headley Court that we are able to transfer into the NHS?
0:04:56 > 0:05:00My honourable friend speaks about this with great knowledge, I know he
0:05:00 > 0:05:06was an outstanding defence minister. I am sure he will be pleased to know
0:05:06 > 0:05:12the incredible progress we have seen with adult prostheses through places
0:05:12 > 0:05:16like Headley Court and others include the same technology we are
0:05:16 > 0:05:22now seeing an development of children sports and activity
0:05:22 > 0:05:27prostheses. This research and collaboration enables us to invest
0:05:27 > 0:05:32in future studies, including the development of exciting technologies
0:05:32 > 0:05:41such as electrical bionic upper limb prostheses for children.
0:05:41 > 0:05:44By 2020 investment in general practice will have risen by 2.4
0:05:44 > 0:05:50building, 14% in real terms. Including an additional 680 million
0:05:50 > 0:05:56in infrastructure and premises in the past two years.The Health
0:05:56 > 0:05:59Secretary knows how our staffers worked at the Gloucestershire Royal
0:05:59 > 0:06:04hospital to ensure this year they were rated 15 out of 137 hospitals
0:06:04 > 0:06:10for the A&E performance. My right honourable friend knows from his
0:06:10 > 0:06:15recent visit all staff and the corporation with health services as
0:06:15 > 0:06:21well as within A&E has led to this. Well he also recognised and do all
0:06:21 > 0:06:26he can to let health in England know how important it is new capital
0:06:26 > 0:06:30expenditure is available in order to increase beds and serve the
0:06:30 > 0:06:34demographics of an ageing population?I was pleased and
0:06:34 > 0:06:39privileged to see the brilliant work they are doing in Gloucester when I
0:06:39 > 0:06:44visited and Deborah Lee and her team deserve enormous credit for getting
0:06:44 > 0:06:52a 10% improvement in performance on year. That is a capital bid to end
0:06:52 > 0:06:58by his STP and it is a promising bed and I hope to give him news soon and
0:06:58 > 0:07:03if it is successful it will be in no small part thanks to lobbying from
0:07:03 > 0:07:07home and the honourable member for Cheltenham.
0:07:07 > 0:07:11Research shows access to GPs is a more difficult than five years ago
0:07:11 > 0:07:16and then Warrington we have fewer GPs than the population merits. What
0:07:16 > 0:07:21is the Secretary of State doing to attract more GPs to areas like this
0:07:21 > 0:07:25and reduce the burden is on those already in the profession so they do
0:07:25 > 0:07:32not take early retirement, as many are planning to do?She is
0:07:32 > 0:07:34absolutely right how critically important it is to increase the
0:07:34 > 0:07:40number of GPs. The most significant thing is that we announced this
0:07:40 > 0:07:44morning, five new medical colleges, which are in part of the country
0:07:44 > 0:07:51where it is particularly hard to recruit doctors and our intention is
0:07:51 > 0:07:54half the medical school graduates going forward should move into
0:07:54 > 0:08:01general practice. Planet enjoys an ageing population
0:08:01 > 0:08:08and I am pleased to be a part of it -- Thanet. We would be delighted to
0:08:08 > 0:08:15know one of the five new medical schools will be based upon the
0:08:15 > 0:08:20University of Kent and Christchurch College. It will not escape my right
0:08:20 > 0:08:24honourable friend's noticed the Christchurch campus is in close
0:08:24 > 0:08:28proximity to an A&E Hospital in market and we very much hope to see
0:08:28 > 0:08:35all of the benefits are very soon. -- in Margate.If memory serves me
0:08:35 > 0:08:40correctly he was born on the 20th of August 1943 and therefore is really
0:08:40 > 0:08:45not very old at all. Can I congratulate my right
0:08:45 > 0:08:52honourable friend on being born five years before the NHS was founded. A
0:08:52 > 0:08:59very short while ago. And can I say to him Ken is an area, the Garden of
0:08:59 > 0:09:03England but some profound challenges in health economy and one of those
0:09:03 > 0:09:08is attracting doctors to work in Kent and other more geographically
0:09:08 > 0:09:11remote areas and I am hopeful this big new announcement will be a big
0:09:11 > 0:09:20help.The GP to patient ratio in my constituency is unacceptably high
0:09:20 > 0:09:24and many people cannot get an appointment when they need one and
0:09:24 > 0:09:28turn up at A&E costing more money and treating additional pressure.
0:09:28 > 0:09:33What will he do to make sure outer London boroughs like my get the GP
0:09:33 > 0:09:39support they need because, frankly, the assurance that you have already
0:09:39 > 0:09:43given are not manifesting on the ground in terms of practical results
0:09:43 > 0:09:48for patients.I appreciate there are pressures in his constituency. I
0:09:48 > 0:09:52would say most members would say there are pressures with general
0:09:52 > 0:09:59practice and so far what have we done? This year, 3157 medical school
0:09:59 > 0:10:03graduates will go on to specialise in general practice, the highest
0:10:03 > 0:10:09ever. We have still got to do more. Do more to improve the retention of
0:10:09 > 0:10:15a GPs approaching retirement. Forgive me, Mr Speaker if I first of
0:10:15 > 0:10:19all congratulate you on a marvellous event this morning celebrate ten
0:10:19 > 0:10:23years on from your claims report on young children's speech and
0:10:23 > 0:10:31language. And for a -- calling for a national strategy on that. It was an
0:10:31 > 0:10:39excellent event. On to Taunton Deane. To model I shall be very
0:10:39 > 0:10:44proud -- tomorrow I shall be very proud to present my petition in this
0:10:44 > 0:10:49chamber that over 6000 people from Taunton Deane have signed calling
0:10:49 > 0:10:53for a new surgical centre at Musgrove Park hospital. They are not
0:10:53 > 0:10:58querying the quality of health care but they are querying the facilities
0:10:58 > 0:11:02and I wonder if my right honourable friend would agree this is a very
0:11:02 > 0:11:08deserving case for funding and for a new centre?
0:11:08 > 0:11:12If these cases were decided on the strength of lobbying by members,
0:11:12 > 0:11:15that the very top of the list because I've been to the hospital,
0:11:15 > 0:11:20I've heard about issues from staff mother was a very good visit and she
0:11:20 > 0:11:25has campaigned persistently on this. I very much hope we can give her
0:11:25 > 0:11:31good news because I'm aware of how urgent the need is.The lady is
0:11:31 > 0:11:35present in the Speaker's house this morning but Rosalyn Powell was
0:11:35 > 0:11:40present as well so we had two doses of how well in the course of a
0:11:40 > 0:11:44breakfast meeting and it was an unforgettable meeting for all those
0:11:44 > 0:11:51concerned.I cannot compete with that. Back in November, I wrote to
0:11:51 > 0:11:56the Secretary of State on the issue of service charges on GP practices
0:11:56 > 0:12:02and at the surgery which serves an increasingly ageing population faces
0:12:02 > 0:12:07a huge increase of more than double. There is a fear they may not be able
0:12:07 > 0:12:12to keep the surgery going long-term with that kind of increase. The
0:12:12 > 0:12:17minister's written response did not mention that once in November but
0:12:17 > 0:12:19Lily can now do intervene in directly that Ambleside health
0:12:19 > 0:12:25centre will not have to pay this unjustified additional £25,000 per
0:12:25 > 0:12:32year.I will reboot at the issue and will at the response he gave. The
0:12:32 > 0:12:36response seems to have brought unevenness and unfairness in the
0:12:36 > 0:12:40rates charged to GPs surgeries belong to NHS property services and
0:12:40 > 0:12:43we are trying to make this fair across the country but we do want to
0:12:43 > 0:12:49make sure that no GP surgeries close.Thank you. With an ageing
0:12:49 > 0:12:53population, I, too, welcome the age of integrating health and social
0:12:53 > 0:12:57care and also developing consultation -based planning with
0:12:57 > 0:13:02health and social care as we have in Scotland. The outsourcing of health
0:13:02 > 0:13:07service contracts to provide as an NHS England has led to a
0:13:07 > 0:13:09fragmentation rather than integration. With the Secretary of
0:13:09 > 0:13:15State to groovy that there is a need to repeal section 75 of the health
0:13:15 > 0:13:18and social care act so local commissioners can develop agents
0:13:18 > 0:13:23centred services and not fear litigation if they don't beat them
0:13:23 > 0:13:32out to tender.-- if they don't put them out to tender. We do want more
0:13:32 > 0:13:36integrated services. A part of that is contractual structures but
0:13:36 > 0:13:41another part is funding and I would gently point out that 80% of the NHS
0:13:41 > 0:13:46budget in England go to general practice and only 6.6% in Scotland.
0:13:46 > 0:13:49That's why there was an even bigger problem of GP surgeries closing in
0:13:49 > 0:13:58Scotland.The new care structure is developing in NHS England however
0:13:58 > 0:14:02have no statutory basis and yet in the future will control the entire
0:14:02 > 0:14:06health budget foreign population. Does the Secretary of State not
0:14:06 > 0:14:10accept that, with another major NHS reorganisation, we need debate and
0:14:10 > 0:14:18legislation in this place to get the structure and governance right.If I
0:14:18 > 0:14:23could say to the honourable lady, my first two years as secretary, the
0:14:23 > 0:14:27message I heard loud and clear from the NHS was they did not want a huge
0:14:27 > 0:14:30structural reorganisation and so we are very cautious about changing
0:14:30 > 0:14:36statutory structures. What they want to do is encourage integration but
0:14:36 > 0:14:40in the course of time, the NHS said they would be statutory structures
0:14:40 > 0:14:50change, we will listen.Number five. NHS improvement has informed the
0:14:50 > 0:14:53Department that trusts have reported consolidation subsidiaries but the
0:14:53 > 0:14:56reggae be a small number of instances where our subsidiaries to
0:14:56 > 0:15:03small to be consolidated.One assessment that the Minister has
0:15:03 > 0:15:10made a the staff morale, tension, recruitment may just have set up
0:15:10 > 0:15:13these poorly subsidiary companies and introduced a two tier system
0:15:13 > 0:15:17where new staff, terms and conditions are not part the NHS and
0:15:17 > 0:15:25they don't change as well as the NHS pension scheme. Is this an open back
0:15:25 > 0:15:28door to the privatisation?If the honourable lady could have joined US
0:15:28 > 0:15:32means that the state we had on this issue recently, she would have heard
0:15:32 > 0:15:36that was under discussion, the staff survey showed an improvement in
0:15:36 > 0:15:39responses as a result of the subsidiary because many staff survey
0:15:39 > 0:15:41showed an improvement in responses as a result of the subsidiary
0:15:41 > 0:15:43because many star values like abilities that are offered as a
0:15:43 > 0:15:52result of the new contract at the subsidiary can offer.Thank you. The
0:15:52 > 0:15:59Minister has been in denial about privatisation but the question from
0:15:59 > 0:16:01Harvard Law organisation trust has said the subsidiary organisation to
0:16:01 > 0:16:15be taken over by a subsidiary in the future. -- the Hertfordshire trust.
0:16:15 > 0:16:19The party in denial was the one that cast the legislation. The party that
0:16:19 > 0:16:26passed the legislation through the subsidiaries is the one and that is
0:16:26 > 0:16:29the Labour Party that passed legislation that allows a subsidiary
0:16:29 > 0:16:32to be offered but if he doesn't believe me, perhaps he should listen
0:16:32 > 0:16:37to NHS providers we say, and I quote, it is misleading to say that
0:16:37 > 0:16:42the establishment of holy subsidiaries is a new phenomenon are
0:16:42 > 0:16:50being pursued to avoid VAG, privatise the NHS or material aid
0:16:50 > 0:16:54conditions for staff. They should stop scaremongering over the party
0:16:54 > 0:17:02actually passed. Muller we don't believe! We didn't then!Thank you,
0:17:02 > 0:17:12for the last few for the last three years, the majority have been happy
0:17:12 > 0:17:16with your support in England and adults supporter is rated as good as
0:17:16 > 0:17:24well.Thank you for the Liverpool City Council has faced 74% and, in
0:17:24 > 0:17:28real terms, cuts from central governments in 2010. Our ability to
0:17:28 > 0:17:32raise money locally through council tax with 90% of properties in band
0:17:32 > 0:17:38a- C is at the bottom end of the UK average of the weenies integrated
0:17:38 > 0:17:40health and social care budget departmental name change since we
0:17:40 > 0:17:46won't do it and we need the money locally. When we see proper reform
0:17:46 > 0:17:51and proper funding to plug the gap for the most deprived areas?Thank
0:17:51 > 0:17:57you. The honourable gentleman is very correct to point out how the
0:17:57 > 0:18:02integration between adult health and social care is so absolutely vital
0:18:02 > 0:18:08and I think they are renaming that as very much a symbol of how
0:18:08 > 0:18:13seriously the governor takes our commitment in this area but actually
0:18:13 > 0:18:18I'm very keen to talk about finding with him because, for example,
0:18:18 > 0:18:22figures show that Liverpool are raising £7.4 million from the social
0:18:22 > 0:18:26care precept and have received approximately £21 million in funding
0:18:26 > 0:18:32from the governments.I agree that these social gases that needs more
0:18:32 > 0:18:35funding which is why, at recent budget, the Chancellor of the
0:18:35 > 0:18:39Exchequer has found that funding and put it into the system but can I
0:18:39 > 0:18:41urge my honourable friend, as she looks at the Government's proposals
0:18:41 > 0:18:47in the green paper, can she make sure she includes implementing the
0:18:47 > 0:18:49proposals we have already legislated for because they give the best
0:18:49 > 0:18:58chance for a sustained losses than Parliament?I think my honourable
0:18:58 > 0:19:02friend -- I thank my honourable friend for his question. I think it
0:19:02 > 0:19:06is something we're looking at very closely as of yesterday. He is very
0:19:06 > 0:19:11right to say that alone 81% of adult social care providers are as good or
0:19:11 > 0:19:13outstanding, it is unacceptable when levels of careful below the
0:19:13 > 0:19:17standards we would expect which is why it is green paper is coming and
0:19:17 > 0:19:23will be very closely at how we can improve the system.Thank you.
0:19:23 > 0:19:26According to the recent polling by the Alzheimer's Society, public
0:19:26 > 0:19:30concern about the social care system is growing. It is clear that action
0:19:30 > 0:19:34is needed now to fix the crisis so why will be Government not heed the
0:19:34 > 0:19:39will of Parliament and commit to needy social care funding gap as
0:19:39 > 0:19:46agreed on the opposition day motion last year. -- commit to meet the
0:19:46 > 0:19:49gap.I don't agree with the substance of what he's saying. We
0:19:49 > 0:19:54have given an eight £2 billion of additional funding in the budget
0:19:54 > 0:19:59last year. This is to help councils commission can services that are
0:19:59 > 0:20:03sustainable, high-quality and diverse of the Green paper is coming
0:20:03 > 0:20:08this summer and knowledge about the future proof the moving forward.The
0:20:08 > 0:20:11Government inspector into Northamptonshire County Council has
0:20:11 > 0:20:14recommended that, due to his governance of the last five years,
0:20:14 > 0:20:17the county council be abolished. Wilshire colleagues in the
0:20:17 > 0:20:21Department of Health work with the news excessive authority to ensure
0:20:21 > 0:20:31we have a successful social gases than established in the county?I
0:20:31 > 0:20:34thank my honourable friend, question. I think we have already
0:20:34 > 0:20:36had conversations with local councillors in this matter was that
0:20:36 > 0:20:43he is absolutely right to raise this, the care act place a duty on
0:20:43 > 0:20:46organisations in England to deliver high-quality care and it is
0:20:46 > 0:20:51important that is what they continue to do.Thank you. We have a care
0:20:51 > 0:20:56system which the National Audit Office has said is not sustainable
0:20:56 > 0:20:59funded where the CDC says that one quarter of care facilities is not
0:20:59 > 0:21:04safe enough and care providers Jerry picked as to who they will give care
0:21:04 > 0:21:07places and even if its people with advanced dementia on the grounds of
0:21:07 > 0:21:13cost. Can the care Minister tells what you think address these issues
0:21:13 > 0:21:15and the sharp decline in which there has been in public satisfaction with
0:21:15 > 0:21:22the social care services?Reno the sector is under pressure because of
0:21:22 > 0:21:27the ageing population but the Government has given councils access
0:21:27 > 0:21:34to £9.4 billion of more dedicated funding over the years. She is right
0:21:34 > 0:21:37to emphasise the importance of putting power back in the hands of
0:21:37 > 0:21:42residents and their families. That is why we published a package of
0:21:42 > 0:21:46measures to ensure and protect against consumer protections in the
0:21:46 > 0:21:53social care sector and that is something we will continue to look
0:21:53 > 0:21:59at looking forward.Number six. Mr Speaker, this afternoon, I make a
0:21:59 > 0:22:02speech setting out the principles of which we will approach the social to
0:22:02 > 0:22:07green paper including a focus on the highest standards of care,
0:22:07 > 0:22:11integration of the health and social care system and developing a
0:22:11 > 0:22:18long-term is obtainable funding solution.Thank you. Given that the
0:22:18 > 0:22:21arithmetic of this place is so tight, it is quite clear that they
0:22:21 > 0:22:23will need to be some sort of cross-party consensus for any
0:22:23 > 0:22:29meaningful re-form. Given that the opposition appeared to favour a
0:22:29 > 0:22:32health packs and our own side have mooted the idea of individuals
0:22:32 > 0:22:35paying more for their own care, surely cross-party consensus is that
0:22:35 > 0:22:42in breach. Can I have the Secretary of State his view on cross-party
0:22:42 > 0:22:46consensus?I think it is very important and they always speaks
0:22:46 > 0:22:48very thoughtfully on this matter but it is important because the social
0:22:48 > 0:22:54care issues are something that going to continue for decades head unless
0:22:54 > 0:22:58we find a solution and both parties are going to have to deal with this
0:22:58 > 0:23:02issue and governments. In truth, the parties have made things worse by
0:23:02 > 0:23:07politicking in the past, whether it was discussion about a death tax in
0:23:07 > 0:23:172009 or a dementia tax in 2017.I have received a document my local
0:23:17 > 0:23:20authority sent out by Cheshire and Merseyside NHS which says they are
0:23:20 > 0:23:30looking at a minimum of choice for a -- one choice looking for someone
0:23:30 > 0:23:35coming out of hospital into a care home. We are asking the elderly to
0:23:35 > 0:23:38go into traditional placements which costs more money. How can people
0:23:38 > 0:23:42cope with this? The problem is simply this, there is not enough
0:23:42 > 0:23:45money, there was not enough money to pay good qualities that and not
0:23:45 > 0:23:49enough places. The Government should be ashamed of themselves.It is his
0:23:49 > 0:23:52party that should be ashamed of itself for leaving is that the
0:23:52 > 0:23:57financial crisis ten years ago but has created such huge pressure in
0:23:57 > 0:24:02both the health and social care systems. Let me say to him that,
0:24:02 > 0:24:07yes, in 2010, there were some cuts in the social gases than but those
0:24:07 > 0:24:11have changed now and come over this Parliament, the budget is going up
0:24:11 > 0:24:15by £9.4 billion of additional resources which has an 8.6% increase
0:24:15 > 0:24:19in real terms. I think we need to go further which is why we have a green
0:24:19 > 0:24:26paper.Can I add my gratitude to those of my honourable friend 's
0:24:26 > 0:24:31that of one the new medical school in Kent will be placed. That is
0:24:31 > 0:24:34great for the health economy. On social care, the Secretary of State
0:24:34 > 0:24:39will be aware that the funding issue is clearly one of the big long-term
0:24:39 > 0:24:45questions that need to be answered. He surely have that, the same time
0:24:45 > 0:24:51as the Green paper addresses that, it will place equal emphasis on the
0:24:51 > 0:24:53need for releasing quality and social care across the board because
0:24:53 > 0:25:01that, in a short run, is what many families feel most anxious about.I
0:25:01 > 0:25:03thank my honourable friend because he did some incredibly important
0:25:03 > 0:25:07work when he was responsible for this area and lay some really
0:25:07 > 0:25:11important foundations. He is absolutely right. Earlier, my
0:25:11 > 0:25:17honourable friends spoke about how 81% of adult social care providers
0:25:17 > 0:25:21are good or outstanding. That means one in five are not and that is too
0:25:21 > 0:25:24many people who are not getting adequate social care provisions so
0:25:24 > 0:25:27we need to put quality at the heart of this and of course that was
0:25:27 > 0:25:34linked to funding.I hope the Secretary of State saw last night's
0:25:34 > 0:25:37Panorama programme which highlighted the link between the low pay of
0:25:37 > 0:25:41co-workers and the gender pay gap. We all know the amazing work care
0:25:41 > 0:25:45workers do is particularly difficult circumstances, whether it is severe
0:25:45 > 0:25:49weather or 15 minute appointments so what will he do to ensure they are
0:25:49 > 0:25:54properly rewarded?I am pleased she mentioned that because today is
0:25:54 > 0:25:58actually worked social worker day and it is a day to celebrate the
0:25:58 > 0:26:05brilliant work done by people done any social care system -- World
0:26:05 > 0:26:10Social Worker Day. We should also celebrate the fact that, thanks to
0:26:10 > 0:26:15the living wage, 9000 workers have benefited including a rate of up to
0:26:15 > 0:26:24£2000 per year for the lowest paid workers.
0:26:24 > 0:26:30Children's oral health is better than ever, 72% of five-year-olds in
0:26:30 > 0:26:36England and no decay free. But that means 28% and not and that is why
0:26:36 > 0:26:47our Starting Well programme aims to improve this.
0:26:47 > 0:26:51In Kirklees, 29% of under five-year-olds have experienced
0:26:51 > 0:26:56tooth decay. Nationally among 5-9 -year-old tooth decay is the most
0:26:56 > 0:27:01common cause of hospital admission. Does the Minister agree the system
0:27:01 > 0:27:05of penalising dentists for not hitting targets while not paying
0:27:05 > 0:27:10them when they exceed target led to a situation where there is virtually
0:27:10 > 0:27:14no NHS dentist available to my young constituents? What steps will he
0:27:14 > 0:27:20take to make more places available? We are testing this new prevention
0:27:20 > 0:27:25focus of dental contract what she knows about to improve access and
0:27:25 > 0:27:30outcomes for NHS dental treatment. We have made great progress and
0:27:30 > 0:27:35children's oral health. NHS England is currently finalising arrangements
0:27:35 > 0:27:38for extra funding to support dentists and offer additional access
0:27:38 > 0:27:43and places and that will be available from the 1st of April. So
0:27:43 > 0:27:47members should stand by their phones.The honourable lady for
0:27:47 > 0:27:51Backley and Spain is right about this particular issue, the
0:27:51 > 0:27:57Government long acknowledged a shortage of dentists in North
0:27:57 > 0:28:00Yorkshire and Bradford in particular so can he set out what the
0:28:00 > 0:28:09Government is doing to ensure there are unacceptable -- do is accept all
0:28:09 > 0:28:15levels of dentists in Bradford?I will not pre-empt what the right
0:28:15 > 0:28:24honourable lady will say but the areas were selected nationally on
0:28:24 > 0:28:29overall lead using data including access to NHS dental services. The
0:28:29 > 0:28:33that seems the Minister is in denial that British dental Association
0:28:33 > 0:28:38reported almost half of all NHS dentists are not accepting new
0:28:38 > 0:28:43patients. No adult and no children. In several regions across the
0:28:43 > 0:28:51country, patients are having to rely on the third World charity with his
0:28:51 > 0:28:55now famous wheelie bin dental surgeries. Does the Minister think
0:28:55 > 0:29:00this is acceptable and will he outlined what steps he intends to
0:29:00 > 0:29:07take to improve access to NHS dentists?One of the things we may
0:29:07 > 0:29:11be discussing shortly but that introspection she raises that
0:29:11 > 0:29:17because to one survey, results published last year 59% of adults
0:29:17 > 0:29:23that tried to get an NHS dental appointment, 95% were successful.
0:29:23 > 0:29:34That is not bad figures.Number eight, Mr Speaker.All posted teams
0:29:34 > 0:29:37in my department have conducted assessments of the implications of
0:29:37 > 0:29:42Brexit and continue to plan for all scenarios.I hope to hear some good
0:29:42 > 0:29:47news then. In my own constituency Dundee University and the hospital
0:29:47 > 0:29:51are recognised biomedical and clinical research centres and work
0:29:51 > 0:29:56closely with other European colleagues and institutions and work
0:29:56 > 0:30:01is threatened if we are outside network and the clinical trial
0:30:01 > 0:30:05system. How does the Secretary of State plan to specifically protect
0:30:05 > 0:30:10the academic and clinical research excellence of Scottish and UK
0:30:10 > 0:30:15institutions post-Brexit?We have made it clear we want to integrate
0:30:15 > 0:30:19closely with European structures when it comes to medicines research.
0:30:19 > 0:30:24I would gently say great universities like Dundee also
0:30:24 > 0:30:28collaborate with universities all over the world. I think this is a
0:30:28 > 0:30:32good opportunity for us to make sure we strengthen our research networks
0:30:32 > 0:30:36internationally as well as the tried and tested ones with the EU.
0:30:36 > 0:30:40Does he agree when we leave the EU it would be a good opportunity to
0:30:40 > 0:30:45build links with other countries' medical systems, particularly
0:30:45 > 0:30:52Chinese and integrated Chinese and Western medicines.
0:30:52 > 0:30:56He is right to draw attention to antimicrobial resistance because
0:30:56 > 0:30:59China is one of the big countries that can make a difference on that
0:30:59 > 0:31:03and we have had lots of discussion with Chinese health ministers as to
0:31:03 > 0:31:11how to work together on that. Number nine.
0:31:11 > 0:31:16Patient safety and infection perception are a key priority and
0:31:16 > 0:31:20Public-health England carried out initial analysis however the data is
0:31:20 > 0:31:25currently incomplete and would not truly reflect the usage of hand gel
0:31:25 > 0:31:29so we're working on how we can improve that data.
0:31:29 > 0:31:32I'm sure the Minister would agree on the bill importance of making sure
0:31:32 > 0:31:34all NHS staff are washing their hands
0:31:38 > 0:31:43would she agree it's disappointing we have not quite got that paper
0:31:43 > 0:31:47published yet and will she set a date for when we can actually see
0:31:47 > 0:31:52that data?We will continue to look at that but the department has a
0:31:52 > 0:31:59very strong track record at tackling infection. Incidents of MRSA are
0:31:59 > 0:32:05down 54% on 2010 and we published a revised code of practice and hand
0:32:05 > 0:32:08hygiene and we're working with partners to make sure this remains
0:32:08 > 0:32:13the focus. There has been excellent work on
0:32:13 > 0:32:20extending this to the NHS and the decline of MRSA is indicative of
0:32:20 > 0:32:27this but there is a prejudice by some on people who think these gels
0:32:27 > 0:32:31can take alcohol and therefore will not use them. Is it possible to
0:32:31 > 0:32:36instigate some kind of marketing to ensure there is no alcohol within
0:32:36 > 0:32:44these gels? The honourable gentleman makes an excellent point and it's
0:32:44 > 0:32:48certainly something we can close it would that.
0:32:48 > 0:32:52Will the minister explain the work the Government is doing with
0:32:52 > 0:32:57Public-health England to raise awareness of sepsis infections and
0:32:57 > 0:33:04raising awareness of this potential killer?This is a matter priority.
0:33:04 > 0:33:09We -- this is a matter priority and we are about to start a public
0:33:09 > 0:33:12information campaign. This deserves to be given our fullest importance
0:33:12 > 0:33:22and one we will seek to tackle in every way possible.Number ten.With
0:33:22 > 0:33:27your permission I will answer this along with question number 22. The
0:33:27 > 0:33:31estimates of the approximate 460,000 referrals made the children and
0:33:31 > 0:33:36young people's NHS mental health services every year, 200,000
0:33:36 > 0:33:39children receive treatment and many are properly signposted to other
0:33:39 > 0:33:44help. Treatment is determined by clinical need and it's vital for all
0:33:44 > 0:33:47to remember special services are not always appropriate for those
0:33:47 > 0:33:50referred. We are committed to treating 70,000 more children and
0:33:50 > 0:33:56young people each year by 2021. About one in ten children and young
0:33:56 > 0:34:01people in my constituency have mental health disorder, higher than
0:34:01 > 0:34:05the average. Local services are becoming overwhelmed. A local mental
0:34:05 > 0:34:10health charity for children so a an increase of 40% last year and have a
0:34:10 > 0:34:17waiting list of over 140 children. The charity is still having to make
0:34:17 > 0:34:20redundancies and staff have had their hours cut due to the funding
0:34:20 > 0:34:25crisis. Will she commit to ring fencing and increasing funding for
0:34:25 > 0:34:30child and adolescent mental health and will she ensure the role of the
0:34:30 > 0:34:34third sector charities in delivering this is preserved?
0:34:34 > 0:34:40Having looked at the performance of her local trust I can say they have
0:34:40 > 0:34:44managed to challenge extremely well but that of course bring its own
0:34:44 > 0:34:48challenges. We are increasing the amount of funding available for
0:34:48 > 0:34:53these services and are relying on local clinical commissioning groups
0:34:53 > 0:34:58to purchase or services but I can tell her NHS England will be keeping
0:34:58 > 0:35:01this area under scrutiny to ensure we deliver the help to the front
0:35:01 > 0:35:06line.Does the Minister accept cuts the mental health services mean too
0:35:06 > 0:35:11many young people who have suffered trauma are not getting the support
0:35:11 > 0:35:15of a desperately needs and how she measured the impact of this on young
0:35:15 > 0:35:21people and in particular any links to the tragic incidents of youth
0:35:21 > 0:35:25violence we are now seeing on a daily basis?
0:35:25 > 0:35:30I do not accept the allegation that has been cuts, we have increased
0:35:30 > 0:35:35expenditure by 20%. What I would say is we recognise we need to
0:35:35 > 0:35:37significantly invest more in improving children and young
0:35:37 > 0:35:45people's mental health and that exactly is what will be doing.
0:35:45 > 0:35:49Mental health problems have a wider societal costs and does the Minister
0:35:49 > 0:35:55agree treating children's mental health issues benefits our society
0:35:55 > 0:35:59as a whole.I don't think I could have put that better myself and
0:35:59 > 0:36:03that's exactly why we brought forward the proposals in the Green
0:36:03 > 0:36:06paper. We recognised early intervention is the best way of
0:36:06 > 0:36:11protecting people's mental health and will encourage all schools to
0:36:11 > 0:36:15appoint a designated mental health leads and will roll of mental health
0:36:15 > 0:36:19support teams to support schools and trial a four-week Whittington
0:36:19 > 0:36:23standard which will lead to material improvement in children's mental
0:36:23 > 0:36:29health -- this will leads. BC QC reported young people are
0:36:29 > 0:36:34waiting up to 18 months to receive vital treatment. The Royal College
0:36:34 > 0:36:37of psychiatrists say that some health trusts are spending less than
0:36:37 > 0:36:42£10 per child on mental health services and spending today is less
0:36:42 > 0:36:46than in 2012. Will the Minister tell us exactly what she's doing to fix
0:36:46 > 0:36:52what many health professionals say is a broken system?
0:36:52 > 0:36:57Firstly I would like to welcome the lady to her place on the front
0:36:57 > 0:37:02bench, I think it is the first time we have had exchanges. We have
0:37:02 > 0:37:07invested an additional £100 million last year. We know over half of
0:37:07 > 0:37:12providers have an average waiting time of less than 12 weeks and 4% of
0:37:12 > 0:37:17providers are waiting time of less than four weeks. There are six
0:37:17 > 0:37:20trusts that are outliers and they are receiving significant attention
0:37:20 > 0:37:25from NHS England, we have targeted work with them to address possible
0:37:25 > 0:37:31issues. As I said, part of the Green paper we will be trialling a
0:37:31 > 0:37:34four-week Whittington standards as we are determined to achieve
0:37:34 > 0:37:44improvement in this area.Number 11. I fully support the role youth
0:37:44 > 0:37:47workers play in supporting vulnerable young people. We are
0:37:47 > 0:37:53working with the Home Office to support the charity Red Thread to
0:37:53 > 0:37:57help embed youth workers in hospital emergency departments. They
0:37:57 > 0:38:03currently operate in London's four major trauma centres and will launch
0:38:03 > 0:38:08in Nottingham and Birmingham this year. They also work with academics
0:38:08 > 0:38:14to assess the efficiency of the use of violence intervention programme.
0:38:14 > 0:38:20Use of violence and Mason Crane continues to soar. Youth workers in
0:38:20 > 0:38:27hospital A&E is proven to work and it would cost as little as £6
0:38:27 > 0:38:31million each year to put youth workers into every A&E. Well the
0:38:31 > 0:38:38honourable lady finally finding? I commend the work that I will be a
0:38:38 > 0:38:46honourable lady find the funding? I would say the work with Red Thread
0:38:46 > 0:38:51is being done with the Home Office and I would not want to allocate
0:38:51 > 0:38:56their expenditure any more than they should allocate mind.Dementia
0:38:56 > 0:39:01awareness week runs from the 21st two the 27th of May and the
0:39:01 > 0:39:05Department of Health and social care expects to fully participate that
0:39:05 > 0:39:07week, working with partner organisations and the voluntary
0:39:07 > 0:39:11sector. Alongside the work of governments of
0:39:11 > 0:39:16both parties to improve dementia research and care, dementia
0:39:16 > 0:39:20awareness week is key. The role of voluntary organisations and
0:39:20 > 0:39:25dedicated volunteers is vital. Will my right honourable friend join me
0:39:25 > 0:39:29in paying tribute to the fantastic work or specialist dementia care
0:39:29 > 0:39:33nurses and join me in backing Leicestershire dimension UK
0:39:33 > 0:39:38volunteers in their campaign that is well on track to raise the £50,000
0:39:38 > 0:39:44needed for a nurse for the county. First of all I would like to pay
0:39:44 > 0:39:48tribute to my right honourable friend and his sterling work as the
0:39:48 > 0:39:52culture of the all-party parliamentary group on dementia. He
0:39:52 > 0:39:56is right to see Admiral nurses do fantastic work all of the country,
0:39:56 > 0:39:59helping people with dementia maintain their independence and
0:39:59 > 0:40:02improve the quality of life and that of their families and overly much
0:40:02 > 0:40:10support all the fundraising activities.Number 13, Mr Speaker.
0:40:10 > 0:40:15NHS England is working with the East and north Hertfordshire hospitals
0:40:15 > 0:40:19NHS Trust to determine the best way to deliver radiotherapy services for
0:40:19 > 0:40:23patients in Stevenage, part of a systemwide NHS England review of the
0:40:23 > 0:40:29way in which the developing services are delivered.Thank you, Mr
0:40:29 > 0:40:32Speaker, Hertfordshire has over 1 million people was no rid provision.
0:40:32 > 0:40:37My constituents travel over 80 miles for every treatment racking up
0:40:37 > 0:40:43thousands of miles. Myself and the member for North East Hertfordshire
0:40:43 > 0:40:47who run this campaign and we have all the agreements from every single
0:40:47 > 0:40:51part of the NHS, we are meeting the board of the trust on Friday and
0:40:51 > 0:40:58will the Minister given direction to get on with building the facility?
0:40:58 > 0:41:03They'll have a direction to get on with building and that includes a
0:41:03 > 0:41:07strategic plan is working with the councils. This is including
0:41:07 > 0:41:12radiotherapy services and recognise that a more radical approach and law
0:41:12 > 0:41:15review for radiotherapy may be required in the future. As he says,
0:41:15 > 0:41:17Indian parliament in parliamentary neighbour at that meeting later this
0:41:17 > 0:41:21week and I hope they did gush and productive. That discussions are
0:41:21 > 0:41:27productive.Will my honourable friend Beaverbrook to highlight to
0:41:27 > 0:41:33the review team just how dreadful it is for someone to have to travel day
0:41:33 > 0:41:37after day, 1.5 hours in each direction to London for their
0:41:37 > 0:41:43radiotherapy when they are already ill and I just hope it may be
0:41:43 > 0:41:54possible for some action to be taken to resolve this in our area.
0:41:54 > 0:41:56Girl-mac my honourable friend is right is right is the doctor
0:41:56 > 0:42:00services in his area and the review is not about cutting those but I
0:42:00 > 0:42:04would say sometimes the services have to be centralised to be in the
0:42:04 > 0:42:07right place and deliver the right outcomes for cancer patients. We
0:42:07 > 0:42:13have too mindful of that as well.I take the next question on the
0:42:13 > 0:42:16condition that members are exceptionally brief as time is a
0:42:16 > 0:42:28constraint.Thank you. I will answer this as quickly as I can with 16 and
0:42:28 > 0:42:3121 with your permission. We recognise of course the shortages in
0:42:31 > 0:42:40general practice which is widening committed to delivering extra
0:42:40 > 0:42:45doctors in... Composer 2015.A fountain, like many other places
0:42:45 > 0:42:49around the country, are struggling to recruit and retain GPs. --
0:42:49 > 0:42:56Southampton are struggling. One reason is perhaps the discouraging
0:42:56 > 0:42:58of medical students into general practice while encouraging them into
0:42:58 > 0:43:02becoming specialist consultants. Is my honourable friend aware of this
0:43:02 > 0:43:06practice and how widespread is it? What is he doing to encourage more
0:43:06 > 0:43:12people into general practice?The Secretary of State has already
0:43:12 > 0:43:15outlined about the medical schools and the GB training places that
0:43:15 > 0:43:20fulfilled, that is a record number. I am aware of what he mentions. That
0:43:20 > 0:43:22is why we are working together with the profession on a range of
0:43:22 > 0:43:27measures to boost recruitment. The existing profession as a role to
0:43:27 > 0:43:32play as well and I would say current super chair, Helen Stokes Lampard,
0:43:32 > 0:43:38is leading from the front initial state.But even as I agree with me
0:43:38 > 0:43:42that the answer of addressing some of the pressures is enhancing the
0:43:42 > 0:43:45role of community pharmacies? Will you provide an update on what steps
0:43:45 > 0:43:47they are taking to support pharmacies and further integrate
0:43:47 > 0:43:52them with general practice?We know that there are benefits to be had
0:43:52 > 0:43:59from better integrating amenity pharmacies with in STPs. We are
0:43:59 > 0:44:03doing this by integrating them further into the community and we
0:44:03 > 0:44:07will have 2000 of them integrate the general practice by 2020. Trinity
0:44:07 > 0:44:12pharmacy themselves should be integrated through STPs because it
0:44:12 > 0:44:18is one NHS. -- community pharmacies. It is great is see record numbers of
0:44:18 > 0:44:21medical student going into general practice but far too many GPs are
0:44:21 > 0:44:25choosing to retire and leave the NHS and 50s because of tax their pension
0:44:25 > 0:44:31scheme. We have to address this, does the Minister agree that we
0:44:31 > 0:44:36should not be penalising them for staying in the NHS? Tier along with
0:44:36 > 0:44:41concerns about workload, pensions are the issue. You'll make GPs often
0:44:41 > 0:44:46find that with me. It is a matter for her magazine's Treasury but the
0:44:46 > 0:44:50issue was also raised the Prime Minister's Question Time last week.
0:44:50 > 0:44:57I'm sure that will be raised here as well. Girl-mac at Stoke-on-Trent, we
0:44:57 > 0:45:03have fabulous GPs. Too many GPs present to AMD because their primary
0:45:03 > 0:45:08not up to dealing with the workload. Then the a and E get overloaded and
0:45:08 > 0:45:13it makes the pressure on the hospital so much worse. What do you
0:45:13 > 0:45:19do to combat this?What we will do is properly integrate primary care
0:45:19 > 0:45:22and secondary care 3-D models of care so the extended access, for
0:45:22 > 0:45:27instance, is reimported in that. That is what we're talking about
0:45:27 > 0:45:30disciplinary teams and pharmacy care. They are not about providing
0:45:30 > 0:45:33the plaster when the cost happens, they are about preventing the cut in
0:45:33 > 0:45:44the first place.Do we need more salary GPs?We need more GPs.If
0:45:44 > 0:45:53there will be more of them, they have to be paid.Patients at
0:45:53 > 0:45:59Hightown GP were promised surgery would stay open then there are
0:45:59 > 0:46:02written to that it would close on June eight. The governor is
0:46:02 > 0:46:10belligerently taking action on the shortage of GPs but will they
0:46:10 > 0:46:15promised they get to patients and GPs will stay "Mac girl-mac I will
0:46:15 > 0:46:18get Hightown surgery and if you want to talk to me about it coming he is
0:46:18 > 0:46:24welcome to do so.It is important to look at his area to provide care for
0:46:24 > 0:46:29the patients that his constituents need and what I am happy to look at
0:46:29 > 0:46:38it and talk about it.Topical questions.One.Commitment to expand
0:46:38 > 0:46:41medical places by 25%, one of the biggest this pageant in history of
0:46:41 > 0:46:44the NHS. I'm pleased to announce to the house the results become
0:46:44 > 0:46:48addition to set up five new medical schools, they were chosen following
0:46:48 > 0:46:52a rigorous independent bidding process which prioritised attracting
0:46:52 > 0:46:58doctors to harder to recruit areas and increasing the number of GPs and
0:46:58 > 0:47:02psychiatristss. Many congratulations to the winner who are the University
0:47:02 > 0:47:06of Sunderland, edge Hill University in Lancashire, Anglia Ruskin
0:47:06 > 0:47:09University in Chelmsford, the University of Lincoln and working in
0:47:09 > 0:47:12collaboration with Nottingham University and Canterbury
0:47:12 > 0:47:18Christchurch University.With the death of Professor Stephen Hawking
0:47:18 > 0:47:22and all of our thoughts, can the Minister tell us which steps his
0:47:22 > 0:47:25department will take to support research and develop a cure for
0:47:25 > 0:47:31motor neurone disease?Of course Professor Hawking was an inspiration
0:47:31 > 0:47:35is not just because of his scientific thinking but because, to
0:47:35 > 0:47:39many people with motor neurone disease, he was an absolute exempla
0:47:39 > 0:47:43because he was given two years to live at the age of 21 and ended up
0:47:43 > 0:47:50living to the age of 76. This is a big area priority for us to any last
0:47:50 > 0:47:56year, that we have figures, £2 million was invested in it and they
0:47:56 > 0:48:00are investing for clinical trials. Can I say, you have to reboot
0:48:00 > 0:48:04because there was a lot of pressure on time and the would not want a
0:48:04 > 0:48:07situation where the front bench dominate at the expense of the back
0:48:07 > 0:48:10because that would be absolutely wrong. The honourable gentleman is
0:48:10 > 0:48:15always opposed to that which is wrong.Thank you thank you for your
0:48:15 > 0:48:20instructions. We have heard to say more warnings that the winter crisis
0:48:20 > 0:48:23will stretch beyond Easter. We have seen the worst winter crisis for
0:48:23 > 0:48:29years. He will blame the flu, he will blame the weather but patients
0:48:29 > 0:48:34are waning years of underfunding, years of social care cots and years
0:48:34 > 0:48:39of cuts to acute beds so will he now apologise for telling us that the
0:48:39 > 0:48:46NHS was better prepared than ever before this winter?Say sorry!They
0:48:46 > 0:48:49did prepared to relieve this winter but he is right to talk about
0:48:49 > 0:48:54finding the cause he will be interested in these figures which is
0:48:54 > 0:48:57the last five year period we can get all the numbers fall. In Wales,
0:48:57 > 0:49:08funding went up 7.2%. In Scotland, 11.5%. In England, 17.3%. Yafan Wang
0:49:08 > 0:49:13this is a Government moving into its eighth year, not its fifth year. At
0:49:13 > 0:49:16eight years, life expectancy is going backwards in the poorest part
0:49:16 > 0:49:22of the country.-- this is a Government moving into its eighth
0:49:22 > 0:49:27year. New research shows that in the first 49 days of 2018, an additional
0:49:27 > 0:49:32person dies every seven minutes. Shameful. Isn't it time we had a
0:49:32 > 0:49:39full national enquiry into widening health inequalities and, in the 70th
0:49:39 > 0:49:42year of the NHS, Willie Government now bring an end to the
0:49:42 > 0:49:51underfunding, cuts, austerity and privatisation of our health service?
0:49:51 > 0:49:55Mr Speaker, really, you can do better than that, the truth is that
0:49:55 > 0:49:59the NHS has had its most difficult winter in living memory and that is
0:49:59 > 0:50:03why last year, in preparation, we invested £1 billion in the social
0:50:03 > 0:50:08care assistant, £109 in accident and emergency capital and more people
0:50:08 > 0:50:11got the flu jab but he still has not explained why, for every additional
0:50:11 > 0:50:16£1 we present operation to the NHS in England, the Labour Government in
0:50:16 > 0:50:24Wales only put in £57. That is underfunding.Thank you. Now my
0:50:24 > 0:50:29younger daughter, being at the particularly discerning age of
0:50:29 > 0:50:33one-year-old, is a fussy eater, childhood obesity is becoming one of
0:50:33 > 0:50:38the most quickly rising and important issues of our time so does
0:50:38 > 0:50:41my honourable friend recognise that it is something we really need to
0:50:41 > 0:50:48tackle and tackle quickly?We are all trying to deliver on a really
0:50:48 > 0:50:53ambitious childhood obesity plan. We want people to exercise more but I
0:50:53 > 0:50:58think we do need to keep a close watch on this. We are one of the
0:50:58 > 0:51:01first few steps in a long race and are always looking to learn from
0:51:01 > 0:51:03successful initiatives elsewhere. Last week, I was in Amsterdam
0:51:03 > 0:51:10looking at the systemwide approach to tackling obesity. We should be
0:51:10 > 0:51:16listening and we are.In my constituency, head teachers tell me
0:51:16 > 0:51:21that they are asked by the men loyal service to prove that children have
0:51:21 > 0:51:28tried to commit suicide before they are prepared to accept a referral.
0:51:28 > 0:51:32The Minister has just accepted that less than half of children who are
0:51:32 > 0:51:36referred are treated and that under the plans, less than two thirds will
0:51:36 > 0:51:41get treatment. There is so much rationing going on, will the
0:51:41 > 0:51:45Secretary of State please connect to committing now the amount of ring
0:51:45 > 0:51:52fenced funding?That is totally unacceptable and that is why we
0:51:52 > 0:52:01announced a £300 million expansion of cams in the autumn and they went
0:52:01 > 0:52:05by 20%. That is what you're trying to end, what she is speaking about,
0:52:05 > 0:52:07which is a terrible situation we were told that you are not ill
0:52:07 > 0:52:15enough yet to get treatment and we have to resist not do that.Will the
0:52:15 > 0:52:18Secretary of State joined the paying tribute to all the staff of my local
0:52:18 > 0:52:23hospital which he knows very well, and they have done a superb job, and
0:52:23 > 0:52:29indeed my neighbour, they have done well also because it services
0:52:29 > 0:52:32constituency. Logically they have done a great job this winter and
0:52:32 > 0:52:37assurances and clarity of the current nurses' pay negotiations
0:52:37 > 0:52:42will help with both recruitment and retention in the future?My
0:52:42 > 0:52:46neighbour... I know because I know someone who was born at that
0:52:46 > 0:52:50hospital, he is right to highlight the importance of the work done at
0:52:50 > 0:52:53King 's Lynn and all the work done there. That is why in the budget the
0:52:53 > 0:52:58Chancellor signalled, his additional agenda for change that and those
0:52:58 > 0:53:05discussions are ongoing.Thank you. My constituent Rebecca is a good and
0:53:05 > 0:53:09lastly she told me that because a of insufficient funding and staff
0:53:09 > 0:53:16shortages, that she is having to rationally Jackie gives. Bat a
0:53:16 > 0:53:24podiatrist. What can be said on the impact of the cut off funding to
0:53:24 > 0:53:31poor dieterss?The reality is the number of places is increasing even
0:53:31 > 0:53:35if the income of applications is lower than what it was not the
0:53:35 > 0:53:38reality is that the Government has signalled its commitment on pay and
0:53:38 > 0:53:42we have more clinicians, doctors, nurses and they treating more
0:53:42 > 0:53:50people. That is part of the success of the NHS under this Government.
0:53:50 > 0:53:53Can I thank the Secretary of State for visiting Kettering General
0:53:53 > 0:53:56Hospital recently? In his opinion, what are the main issue they will
0:53:56 > 0:54:02need to concentrate in order to get itself out of special measures?
0:54:02 > 0:54:07First of all, I have to say I was very inspired by how hard the staff
0:54:07 > 0:54:10are working and he always championed them in this house but it was a
0:54:10 > 0:54:14great privilege to see this by myself. They have great leadership
0:54:14 > 0:54:16coming in at that hospital and I'm very confident the new leadership
0:54:16 > 0:54:20will put in place several changes that will enable that hospital to
0:54:20 > 0:54:24get out of special measures, hopefully quickly.This morning, I
0:54:24 > 0:54:32met with the family of a constituent out of the longer the case of many,
0:54:32 > 0:54:39many more highlighting the case for medical cannabis. What will the
0:54:39 > 0:54:43Secretary of State do to integrate medical cannabis for the thousands
0:54:43 > 0:54:48people who would benefit but then might be branded as criminals?
0:54:48 > 0:54:51Obviously everybody in the houses are aware of this case and thoughts
0:54:51 > 0:54:54are with Alfie and his family. My honourable friend, the Policing
0:54:54 > 0:55:00Minister, Alfie's family and discuss options which may assist him. Any
0:55:00 > 0:55:03proposal would have to be led by his clinicians using sufficient and
0:55:03 > 0:55:09rigorous evidence. Yellow necklace by Nottingham from the is that sure
0:55:09 > 0:55:12we welcome the announcement of five new medical schools announced to
0:55:12 > 0:55:16date. With the Minister also welcome the extra medical school places in
0:55:16 > 0:55:21Brighton and Sussex University is supporting my constituent and launch
0:55:21 > 0:55:24last week of the new nursing apprenticeship scheme by Brighton
0:55:24 > 0:55:29University wringing more nurses into the profession.My honourable friend
0:55:29 > 0:55:32always quite rightly championed the work of nurses and she is quite
0:55:32 > 0:55:34right to signal the importance of the nursing apprenticeship route
0:55:34 > 0:55:41which offers, for many health care assistant, a new way to progress
0:55:41 > 0:55:44within the NHS and it is right that we increase the number of pathways
0:55:44 > 0:55:52what this is in order to deliver. During the first seven weeks of
0:55:52 > 0:55:572018, 10,000 younger than 75 people more ran in those weeks in the
0:55:57 > 0:56:00previous years. One extra death every seven minutes. It was not
0:56:00 > 0:56:05colder than usual and deaths from flu were not up but our hospitals
0:56:05 > 0:56:07were under unprecedented pressure. Why did all these extra death
0:56:07 > 0:56:14occurred?As he will know, these are figures that cover England and
0:56:14 > 0:56:17Wales, and he will also know that they do not take account of changes
0:56:17 > 0:56:26in population or changes so that it is the age standardised note. That
0:56:26 > 0:56:29remain stable over the next years.
0:56:45 > 0:56:55My honourable friend has been an assiduous MP for lobbying for Luton
0:56:55 > 0:56:59and Dunstable Bedford and he will be aware the ongoing business case is
0:56:59 > 0:57:03being reviewed. Ultimately this is about the additional money the
0:57:03 > 0:57:07government has funded, the £3.9 billion worth of investment, which
0:57:07 > 0:57:12is why those cases are being reviewed.Over a third of children
0:57:12 > 0:57:23in the UK are either overweight or OBEs. An influx of junk food, junk
0:57:23 > 0:57:28food and sort is not help. Will the Health Secretary make sure that
0:57:28 > 0:57:36health is put over trade going forward?As I've already said, we
0:57:36 > 0:57:40are concerned about child obesity. It is probably the big public health
0:57:40 > 0:57:43challenge, not least the impact it can have on diabetes, heart disease
0:57:43 > 0:57:49and cancer, which is why I welcome Cancer Research UK moving into this
0:57:49 > 0:57:52space. We have one of the most ambushers plans in the world, it is
0:57:52 > 0:57:57the start of a conversation, not the end and if we need to go further, we
0:57:57 > 0:58:01will.Can I welcome today's announcement on a new medical school
0:58:01 > 0:58:05for Kent was making an area that struggles to attract doctors, this
0:58:05 > 0:58:11will make a huge difference. It is genuinely a game changer and can I
0:58:11 > 0:58:13asked my honourable friend to congratulate the University of Kent
0:58:13 > 0:58:18and Christchurch University on their successful bid?I congratulate them
0:58:18 > 0:58:21and I'd like to congratulate her because I know she worked hard on
0:58:21 > 0:58:25this bid and I'm sure thanks to that they are one of the successful
0:58:25 > 0:58:32bidders today.The Independent reconfiguration panel's report on
0:58:32 > 0:58:34the downgrading of Huddersfield Royal Infirmary is sitting on the
0:58:34 > 0:58:39Secretary of State's desk and I've been told it will be made public in
0:58:39 > 0:58:45due course. Can we now have the exact date it will be published?I
0:58:45 > 0:58:53am aware that the issues raised by the council, and I understand local
0:58:53 > 0:58:57campaigners have referred it to judicial review. It would not be
0:58:57 > 0:59:00appropriate to comment further at this stage. A decision on the
0:59:00 > 0:59:07referral to me by the local council will be made in due course.Chop in
0:59:07 > 0:59:10general is a wonderful hospital but needs investment in theatres and
0:59:10 > 0:59:15wards. Can I take this opportunity to commend the application for over
0:59:15 > 0:59:20£30 million of capital funding which would make a huge difference to my
0:59:20 > 0:59:23constituents?I've met the management team for his trust and he
0:59:23 > 0:59:27has talked to me on many occasions about that. I am hoping he will have
0:59:27 > 0:59:33a positive answer and it is in no small part to his campaign.Our
0:59:33 > 0:59:39cancer is a major killer in the UK. NICE recognises the new screening
0:59:39 > 0:59:43test to be far more effective in screening but there remains a lack
0:59:43 > 0:59:47of clarity about when it will be rolled out nationally. Will the
0:59:47 > 0:59:52Minister provide that clarity today so that people can be saved down the
0:59:52 > 0:59:56line?The UK National screening committee has recommended it be the
0:59:56 > 1:00:05primary screening test in the UK and we want to implemented in 2018-19,
1:00:05 > 1:00:11we will give a statement shortly. Thank you for our new medical school
1:00:11 > 1:00:20in Lincoln.Gratefully accepted. Very wise. Mr Frank Field.Can I
1:00:20 > 1:00:27thank the Minister for health, he's concerned about what is happening in
1:00:27 > 1:00:32our area. Might he meet the members shortly so that we can ensure
1:00:32 > 1:00:36existing government is short-term and that the issue of bullying and
1:00:36 > 1:00:40the way the hospital cripples primary care is dealt with
1:00:40 > 1:00:44effectively?The Right Honourable gentleman is absolutely right to
1:00:44 > 1:00:48raise this issue, it is a serious issue and there does need to be
1:00:48 > 1:00:51culture change in Wirral. I will continue to meet with him and the
1:00:51 > 1:00:56other members to discuss this. He will be aware of the NHS improvement
1:00:56 > 1:01:03report into the issue coming out in March.According to Lord O'Neill,
1:01:03 > 1:01:06diagnostics and prescription of antibiotics is the most important of
1:01:06 > 1:01:12the Ten Commandments of the review. Will the Minister update the house
1:01:12 > 1:01:20towards progress of this goal?He is absolutely right and we are totally
1:01:20 > 1:01:22committed to the O'Neill recommendations and working
1:01:22 > 1:01:26internationally to bring them about. My local paper the Bradford
1:01:26 > 1:01:32Telegraph has loved disease-mac launched the stop the rot campaign
1:01:32 > 1:01:35as children in Bradford have the worst dental outcomes than anywhere
1:01:35 > 1:01:39in the country. Does the Minister agree prevention is the key to
1:01:39 > 1:01:41improving children's dental health and what states is the government
1:01:41 > 1:01:46taking to make sure prevention is key in any new dental contract?That
1:01:46 > 1:01:54would be the William Bradford Telegraph. 75 dental practices are
1:01:54 > 1:01:59continuing to test the clinical approach alongside Newman systems
1:01:59 > 1:02:04which tried to increase prevention. It is taking time but we are trying
1:02:04 > 1:02:08to get it right.We know early diagnosis of cancer is crucial for
1:02:08 > 1:02:13successful treatment outcomes but for many cancers, such as ovarian
1:02:13 > 1:02:17and pancreatic, early symptoms can be fake and the chance to diagnose
1:02:17 > 1:02:22early mist. What is the government doing to make sure hard to detect
1:02:22 > 1:02:27cancers are diagnosed early?An excellent question. We are testing
1:02:27 > 1:02:31the new programme which I visited recently in Oxford. Patients with
1:02:31 > 1:02:39vague symptoms can be referred for multiple tests. I don't get excited
1:02:39 > 1:02:44very easily but this promises great excitement.Well, it is a delight to
1:02:44 > 1:02:51see the Minister in high excitement. 70 MPs from across the house in the
1:02:51 > 1:02:56Westminster Hall debate agreed we need more for the NHS now so what
1:02:56 > 1:03:00will the Minister do differently for sufferers of cystic fibrosis and
1:03:00 > 1:03:06when will the news of a breakthrough come through? They are slowly
1:03:06 > 1:03:11drowning in their disease without access to Orkambi.The honourable
1:03:11 > 1:03:14gentleman spread very well in the debate on behalf of his
1:03:14 > 1:03:19constituents. We have made a counter offer to the company and I call on
1:03:19 > 1:03:23them to be reasonable, and to get back in the room and a round table
1:03:23 > 1:03:32and get this sorted.The health service, demand exceeds supply, as
1:03:32 > 1:03:39with these questions. I'm creating more time.I'd like to thank the
1:03:39 > 1:03:45honourable member for Winchester, the Minister, for his response to
1:03:45 > 1:03:49the APPG. Will he make sure that cancer alliances and GPs are
1:03:49 > 1:03:56diagnosing early?It is an easy one, Mr Speaker.Absolutely, yes. The
1:03:56 > 1:04:06significant amounts of public money at stake... Should subsidiary
1:04:06 > 1:04:10companies publish their full cases? They are 100% owned by the NHS so
1:04:10 > 1:04:12any benefit that accrues from