Health and Social Care Questions House of Commons


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Health and Social Care Questions

Live coverage of questions in the House of Commons to health and social care secretary Jeremy Hunt and his team of ministers.


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main business today this afternoon

will be the Northern Ireland budget

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bill that will offer a spending

normal decided by the Northern

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Ireland Assembly, but is currently

suspended. Please join me for a

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round-up of the day in both Houses

of Parliament at 11 o'clock tonight.

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But first questions to the Health

Secretary, Jeremy Hunt.

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A further £210 million is being

invested in research and £162

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million in medical manufacturing.

Like sharing a big data sets and

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integrating new technologies such as

AI across the NHS, outcomes can be

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improved. Can my right honourable

friend update the host and what

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plans the NHS has plans with regards

to digitisation? Leave I am very

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much looking forward to right

honourable friend's report on this.

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We have five of the world's top ten

medical research universities and

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more than double the number of Nobel

prizes than France so we do very

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well in research but some hospitals

are still running on paper which is

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inappropriate and that's why we are

determined to implement the review.

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Corporation in medical research

science and innovation with our

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European partners must not be

hindered by a bad Brexit deal. What

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steps is the Secretary of State

taking to ensure British patients

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are not left behind during

negotiations?

Let me reassure the

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honourable gentleman, who I know is

a doctor and a very conscious of

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these issues. Let me reassure him

the house and interrupted supply of

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critical drugs, that is at the

forefront of our minds and confident

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we can achieve that. We also want to

have a great collaboration with

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European universities that is why we

said we will be happy to be an

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associate member of the European

medicines agency.

Part of the life

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science strategy is making sure we

have skills for the future. May I

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thank the Secretary of State for the

fantastic news of the five new

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medical schools opening in the

country, including one in

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Chelmsford. Thank you.

Well I'm most grateful for that

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thanks. Let me say I'm looking

forward to many more doctors from

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Chelmsford.

The Secretary of State

will be aware one of the fact of

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stifling innovation is difficulty of

rapid growth companies in crossing

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the so-called Valley of death. Since

the establishment in the coalition

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's years of the business growth

form, the business bank, how far is

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the sector now to crossing the

Valley of death?

I hope we are

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crossing the Valley into eternal

life because we have a fantastic

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life science industry was £61

billion and employing 250,000

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people. But he is right and this was

something he was very involved in

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what he was Business Secretary, part

of that is having a very close links

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with key decision makers about where

to invest their resources.

With

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companies raving about the ability

of Belfast to provide technology,

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support and skills from universities

can the Secretary of State from

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what's that he is taking to invest

money is in the universities to set

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up a life science skill centres?

Let

me reassure the honourable gentleman

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we are very conscious of the

critical importance of good outcomes

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to the Brexit box for universities,

including Wing

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# -- queen's Belfast. Those research

links, that are excellent with

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universities all over the world and

it's particularly important we on

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with European universities.

Number

two, Mr Speaker.

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Since 2016 the Government has

invested £750,000 to fund the

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provision of sports and activities

for children and young people on the

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NHS and also invested £750,000 in a

new national Institute for health

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research and to provide research and

technology. I can confirm that

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funding will continue and we will

announce more details shortly.

I

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thank the Minister for her reply.

The Centre at Headley Court provides

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world-class support for our service

men who unfortunately have lost

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limbs in Iraq and Afghanistan. They

do incredible work. What lessons we

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learn is from Headley Court that we

are able to transfer into the NHS?

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My honourable friend speaks about

this with great knowledge, I know he

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was an outstanding defence minister.

I am sure he will be pleased to know

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the incredible progress we have seen

with adult prostheses through places

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like Headley Court and others

include the same technology we are

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now seeing an development of

children sports and activity

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prostheses. This research and

collaboration enables us to invest

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in future studies, including the

development of exciting technologies

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such as electrical bionic upper limb

prostheses for children.

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By 2020 investment in general

practice will have risen by 2.4

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building, 14% in real terms.

Including an additional 680 million

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in infrastructure and premises in

the past two years.

The Health

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Secretary knows how our staffers

worked at the Gloucestershire Royal

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hospital to ensure this year they

were rated 15 out of 137 hospitals

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for the A&E performance. My right

honourable friend knows from his

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recent visit all staff and the

corporation with health services as

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well as within A&E has led to this.

Well he also recognised and do all

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he can to let health in England know

how important it is new capital

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expenditure is available in order to

increase beds and serve the

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demographics of an ageing

population?

I was pleased and

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privileged to see the brilliant work

they are doing in Gloucester when I

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visited and Deborah Lee and her team

deserve enormous credit for getting

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a 10% improvement in performance on

year. That is a capital bid to end

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by his STP and it is a promising bed

and I hope to give him news soon and

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if it is successful it will be in no

small part thanks to lobbying from

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home and the honourable member for

Cheltenham.

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Research shows access to GPs is a

more difficult than five years ago

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and then Warrington we have fewer

GPs than the population merits. What

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is the Secretary of State doing to

attract more GPs to areas like this

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and reduce the burden is on those

already in the profession so they do

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not take early retirement, as many

are planning to do?

She is

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absolutely right how critically

important it is to increase the

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number of GPs. The most significant

thing is that we announced this

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morning, five new medical colleges,

which are in part of the country

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where it is particularly hard to

recruit doctors and our intention is

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half the medical school graduates

going forward should move into

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general practice.

Planet enjoys an ageing population

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and I am pleased to be a part of it

-- Thanet. We would be delighted to

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know one of the five new medical

schools will be based upon the

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University of Kent and Christchurch

College. It will not escape my right

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honourable friend's noticed the

Christchurch campus is in close

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proximity to an A&E Hospital in

market and we very much hope to see

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all of the benefits are very soon.

-- in Margate.

If memory serves me

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correctly he was born on the 20th of

August 1943 and therefore is really

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not very old at all.

Can I congratulate my right

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honourable friend on being born five

years before the NHS was founded. A

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very short while ago. And can I say

to him Ken is an area, the Garden of

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England but some profound challenges

in health economy and one of those

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is attracting doctors to work in

Kent and other more geographically

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remote areas and I am hopeful this

big new announcement will be a big

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help.

The GP to patient ratio in my

constituency is unacceptably high

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and many people cannot get an

appointment when they need one and

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turn up at A&E costing more money

and treating additional pressure.

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What will he do to make sure outer

London boroughs like my get the GP

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support they need because, frankly,

the assurance that you have already

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given are not manifesting on the

ground in terms of practical results

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for patients.

I appreciate there are

pressures in his constituency. I

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would say most members would say

there are pressures with general

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practice and so far what have we

done? This year, 3157 medical school

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graduates will go on to specialise

in general practice, the highest

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ever. We have still got to do more.

Do more to improve the retention of

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a GPs approaching retirement.

Forgive me, Mr Speaker if I first of

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all congratulate you on a marvellous

event this morning celebrate ten

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years on from your claims report on

young children's speech and

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language. And for a -- calling for a

national strategy on that. It was an

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excellent event. On to Taunton

Deane. To model I shall be very

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proud -- tomorrow I shall be very

proud to present my petition in this

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chamber that over 6000 people from

Taunton Deane have signed calling

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for a new surgical centre at

Musgrove Park hospital. They are not

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querying the quality of health care

but they are querying the facilities

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and I wonder if my right honourable

friend would agree this is a very

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deserving case for funding and for a

new centre?

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If these cases were decided on the

strength of lobbying by members,

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that the very top of the list

because I've been to the hospital,

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I've heard about issues from staff

mother was a very good visit and she

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has campaigned persistently on this.

I very much hope we can give her

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good news because I'm aware of how

urgent the need is.

The lady is

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present in the Speaker's house this

morning but Rosalyn Powell was

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present as well so we had two doses

of how well in the course of a

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breakfast meeting and it was an

unforgettable meeting for all those

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concerned.

I cannot compete with

that. Back in November, I wrote to

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the Secretary of State on the issue

of service charges on GP practices

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and at the surgery which serves an

increasingly ageing population faces

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a huge increase of more than double.

There is a fear they may not be able

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to keep the surgery going long-term

with that kind of increase. The

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minister's written response did not

mention that once in November but

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Lily can now do intervene in

directly that Ambleside health

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centre will not have to pay this

unjustified additional £25,000 per

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year.

I will reboot at the issue and

will at the response he gave. The

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response seems to have brought

unevenness and unfairness in the

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rates charged to GPs surgeries

belong to NHS property services and

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we are trying to make this fair

across the country but we do want to

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make sure that no GP surgeries

close.

Thank you. With an ageing

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population, I, too, welcome the age

of integrating health and social

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care and also developing

consultation -based planning with

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health and social care as we have in

Scotland. The outsourcing of health

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service contracts to provide as an

NHS England has led to a

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fragmentation rather than

integration. With the Secretary of

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State to groovy that there is a need

to repeal section 75 of the health

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and social care act so local

commissioners can develop agents

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centred services and not fear

litigation if they don't beat them

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out to tender.

-- if they don't put

them out to tender. We do want more

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integrated services. A part of that

is contractual structures but

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another part is funding and I would

gently point out that 80% of the NHS

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budget in England go to general

practice and only 6.6% in Scotland.

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That's why there was an even bigger

problem of GP surgeries closing in

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Scotland.

The new care structure is

developing in NHS England however

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have no statutory basis and yet in

the future will control the entire

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health budget foreign population.

Does the Secretary of State not

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accept that, with another major NHS

reorganisation, we need debate and

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legislation in this place to get the

structure and governance right.

If I

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could say to the honourable lady, my

first two years as secretary, the

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message I heard loud and clear from

the NHS was they did not want a huge

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structural reorganisation and so we

are very cautious about changing

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statutory structures. What they want

to do is encourage integration but

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in the course of time, the NHS said

they would be statutory structures

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change, we will listen.

Number five.

NHS improvement has informed the

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Department that trusts have reported

consolidation subsidiaries but the

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reggae be a small number of

instances where our subsidiaries to

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small to be consolidated.

One

assessment that the Minister has

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made a the staff morale, tension,

recruitment may just have set up

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these poorly subsidiary companies

and introduced a two tier system

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where new staff, terms and

conditions are not part the NHS and

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they don't change as well as the NHS

pension scheme. Is this an open back

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door to the privatisation?

If the

honourable lady could have joined US

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means that the state we had on this

issue recently, she would have heard

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that was under discussion, the staff

survey showed an improvement in

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responses as a result of the

subsidiary because many staff survey

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showed an improvement in responses

as a result of the subsidiary

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because many star values like

abilities that are offered as a

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result of the new contract at the

subsidiary can offer.

Thank you. The

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Minister has been in denial about

privatisation but the question from

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Harvard Law organisation trust has

said the subsidiary organisation to

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be taken over by a subsidiary in the

future. -- the Hertfordshire trust.

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The party in denial was the one that

cast the legislation. The party that

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passed the legislation through the

subsidiaries is the one and that is

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the Labour Party that passed

legislation that allows a subsidiary

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to be offered but if he doesn't

believe me, perhaps he should listen

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to NHS providers we say, and I

quote, it is misleading to say that

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the establishment of holy

subsidiaries is a new phenomenon are

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being pursued to avoid VAG,

privatise the NHS or material aid

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conditions for staff. They should

stop scaremongering over the party

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actually passed. Muller we don't

believe! We didn't then!

Thank you,

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for the last few for the last three

years, the majority have been happy

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with your support in England and

adults supporter is rated as good as

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well.

Thank you for the Liverpool

City Council has faced 74% and, in

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real terms, cuts from central

governments in 2010. Our ability to

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raise money locally through council

tax with 90% of properties in band

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a- C is at the bottom end of the UK

average of the weenies integrated

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health and social care budget

departmental name change since we

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won't do it and we need the money

locally. When we see proper reform

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and proper funding to plug the gap

for the most deprived areas?

Thank

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you. The honourable gentleman is

very correct to point out how the

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integration between adult health and

social care is so absolutely vital

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and I think they are renaming that

as very much a symbol of how

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seriously the governor takes our

commitment in this area but actually

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I'm very keen to talk about finding

with him because, for example,

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figures show that Liverpool are

raising £7.4 million from the social

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care precept and have received

approximately £21 million in funding

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from the governments.

I agree that

these social gases that needs more

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funding which is why, at recent

budget, the Chancellor of the

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Exchequer has found that funding and

put it into the system but can I

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urge my honourable friend, as she

looks at the Government's proposals

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in the green paper, can she make

sure she includes implementing the

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proposals we have already legislated

for because they give the best

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chance for a sustained losses than

Parliament?

I think my honourable

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friend -- I thank my honourable

friend for his question. I think it

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is something we're looking at very

closely as of yesterday. He is very

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right to say that alone 81% of adult

social care providers are as good or

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outstanding, it is unacceptable when

levels of careful below the

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standards we would expect which is

why it is green paper is coming and

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will be very closely at how we can

improve the system.

Thank you.

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According to the recent polling by

the Alzheimer's Society, public

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concern about the social care system

is growing. It is clear that action

0:19:260:19:30

is needed now to fix the crisis so

why will be Government not heed the

0:19:300:19:34

will of Parliament and commit to

needy social care funding gap as

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agreed on the opposition day motion

last year. -- commit to meet the

0:19:390:19:46

gap.

I don't agree with the

substance of what he's saying. We

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have given an eight £2 billion of

additional funding in the budget

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last year. This is to help councils

commission can services that are

0:19:540:19:59

sustainable, high-quality and

diverse of the Green paper is coming

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this summer and knowledge about the

future proof the moving forward.

The

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Government inspector into

Northamptonshire County Council has

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recommended that, due to his

governance of the last five years,

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the county council be abolished.

Wilshire colleagues in the

0:20:140:20:17

Department of Health work with the

news excessive authority to ensure

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we have a successful social gases

than established in the county?

I

0:20:210:20:31

thank my honourable friend,

question. I think we have already

0:20:310:20:34

had conversations with local

councillors in this matter was that

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he is absolutely right to raise

this, the care act place a duty on

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organisations in England to deliver

high-quality care and it is

0:20:430:20:46

important that is what they continue

to do.

Thank you. We have a care

0:20:460:20:51

system which the National Audit

Office has said is not sustainable

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funded where the CDC says that one

quarter of care facilities is not

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safe enough and care providers Jerry

picked as to who they will give care

0:20:590:21:04

places and even if its people with

advanced dementia on the grounds of

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cost. Can the care Minister tells

what you think address these issues

0:21:070:21:13

and the sharp decline in which there

has been in public satisfaction with

0:21:130:21:15

the social care services?

Reno the

sector is under pressure because of

0:21:150:21:22

the ageing population but the

Government has given councils access

0:21:220:21:27

to £9.4 billion of more dedicated

funding over the years. She is right

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to emphasise the importance of

putting power back in the hands of

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residents and their families. That

is why we published a package of

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measures to ensure and protect

against consumer protections in the

0:21:420:21:46

social care sector and that is

something we will continue to look

0:21:460:21:53

at looking forward.

Number six. Mr

Speaker, this afternoon, I make a

0:21:530:21:59

speech setting out the principles of

which we will approach the social to

0:21:590:22:02

green paper including a focus on the

highest standards of care,

0:22:020:22:07

integration of the health and social

care system and developing a

0:22:070:22:11

long-term is obtainable funding

solution.

Thank you. Given that the

0:22:110:22:18

arithmetic of this place is so

tight, it is quite clear that they

0:22:180:22:21

will need to be some sort of

cross-party consensus for any

0:22:210:22:23

meaningful re-form. Given that the

opposition appeared to favour a

0:22:230:22:29

health packs and our own side have

mooted the idea of individuals

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paying more for their own care,

surely cross-party consensus is that

0:22:320:22:35

in breach. Can I have the Secretary

of State his view on cross-party

0:22:350:22:42

consensus?

I think it is very

important and they always speaks

0:22:420:22:46

very thoughtfully on this matter but

it is important because the social

0:22:460:22:48

care issues are something that going

to continue for decades head unless

0:22:480:22:54

we find a solution and both parties

are going to have to deal with this

0:22:540:22:58

issue and governments. In truth, the

parties have made things worse by

0:22:580:23:02

politicking in the past, whether it

was discussion about a death tax in

0:23:020:23:07

2009 or a dementia tax in 2017.

I

have received a document my local

0:23:070:23:17

authority sent out by Cheshire and

Merseyside NHS which says they are

0:23:170:23:20

looking at a minimum of choice for a

-- one choice looking for someone

0:23:200:23:30

coming out of hospital into a care

home. We are asking the elderly to

0:23:300:23:35

go into traditional placements which

costs more money. How can people

0:23:350:23:38

cope with this? The problem is

simply this, there is not enough

0:23:380:23:42

money, there was not enough money to

pay good qualities that and not

0:23:420:23:45

enough places. The Government should

be ashamed of themselves.

It is his

0:23:450:23:49

party that should be ashamed of

itself for leaving is that the

0:23:490:23:52

financial crisis ten years ago but

has created such huge pressure in

0:23:520:23:57

both the health and social care

systems. Let me say to him that,

0:23:570:24:02

yes, in 2010, there were some cuts

in the social gases than but those

0:24:020:24:07

have changed now and come over this

Parliament, the budget is going up

0:24:070:24:11

by £9.4 billion of additional

resources which has an 8.6% increase

0:24:110:24:15

in real terms. I think we need to go

further which is why we have a green

0:24:150:24:19

paper.

Can I add my gratitude to

those of my honourable friend 's

0:24:190:24:26

that of one the new medical school

in Kent will be placed. That is

0:24:260:24:31

great for the health economy. On

social care, the Secretary of State

0:24:310:24:34

will be aware that the funding issue

is clearly one of the big long-term

0:24:340:24:39

questions that need to be answered.

He surely have that, the same time

0:24:390:24:45

as the Green paper addresses that,

it will place equal emphasis on the

0:24:450:24:51

need for releasing quality and

social care across the board because

0:24:510:24:53

that, in a short run, is what many

families feel most anxious about.

I

0:24:530:25:01

thank my honourable friend because

he did some incredibly important

0:25:010:25:03

work when he was responsible for

this area and lay some really

0:25:030:25:07

important foundations. He is

absolutely right. Earlier, my

0:25:070:25:11

honourable friends spoke about how

81% of adult social care providers

0:25:110:25:17

are good or outstanding. That means

one in five are not and that is too

0:25:170:25:21

many people who are not getting

adequate social care provisions so

0:25:210:25:24

we need to put quality at the heart

of this and of course that was

0:25:240:25:27

linked to funding.

I hope the

Secretary of State saw last night's

0:25:270:25:34

Panorama programme which highlighted

the link between the low pay of

0:25:340:25:37

co-workers and the gender pay gap.

We all know the amazing work care

0:25:370:25:41

workers do is particularly difficult

circumstances, whether it is severe

0:25:410:25:45

weather or 15 minute appointments so

what will he do to ensure they are

0:25:450:25:49

properly rewarded?

I am pleased she

mentioned that because today is

0:25:490:25:54

actually worked social worker day

and it is a day to celebrate the

0:25:540:25:58

brilliant work done by people done

any social care system -- World

0:25:580:26:05

Social Worker Day. We should also

celebrate the fact that, thanks to

0:26:050:26:10

the living wage, 9000 workers have

benefited including a rate of up to

0:26:100:26:15

£2000 per year for the lowest paid

workers.

0:26:150:26:24

Children's oral health is better

than ever, 72% of five-year-olds in

0:26:240:26:30

England and no decay free. But that

means 28% and not and that is why

0:26:300:26:36

our Starting Well programme aims to

improve this.

0:26:360:26:47

In Kirklees, 29% of under

five-year-olds have experienced

0:26:470:26:51

tooth decay. Nationally among 5-9

-year-old tooth decay is the most

0:26:510:26:56

common cause of hospital admission.

Does the Minister agree the system

0:26:560:27:01

of penalising dentists for not

hitting targets while not paying

0:27:010:27:05

them when they exceed target led to

a situation where there is virtually

0:27:050:27:10

no NHS dentist available to my young

constituents? What steps will he

0:27:100:27:14

take to make more places available?

We are testing this new prevention

0:27:140:27:20

focus of dental contract what she

knows about to improve access and

0:27:200:27:25

outcomes for NHS dental treatment.

We have made great progress and

0:27:250:27:30

children's oral health. NHS England

is currently finalising arrangements

0:27:300:27:35

for extra funding to support

dentists and offer additional access

0:27:350:27:38

and places and that will be

available from the 1st of April. So

0:27:380:27:43

members should stand by their

phones.

The honourable lady for

0:27:430:27:47

Backley and Spain is right about

this particular issue, the

0:27:470:27:51

Government long acknowledged a

shortage of dentists in North

0:27:510:27:57

Yorkshire and Bradford in particular

so can he set out what the

0:27:570:28:00

Government is doing to ensure there

are unacceptable -- do is accept all

0:28:000:28:09

levels of dentists in Bradford?

I

will not pre-empt what the right

0:28:090:28:15

honourable lady will say but the

areas were selected nationally on

0:28:150:28:24

overall lead using data including

access to NHS dental services. The

0:28:240:28:29

that seems the Minister is in denial

that British dental Association

0:28:290:28:33

reported almost half of all NHS

dentists are not accepting new

0:28:330:28:38

patients. No adult and no children.

In several regions across the

0:28:380:28:43

country, patients are having to rely

on the third World charity with his

0:28:430:28:51

now famous wheelie bin dental

surgeries. Does the Minister think

0:28:510:28:55

this is acceptable and will he

outlined what steps he intends to

0:28:550:29:00

take to improve access to NHS

dentists?

One of the things we may

0:29:000:29:07

be discussing shortly but that

introspection she raises that

0:29:070:29:11

because to one survey, results

published last year 59% of adults

0:29:110:29:17

that tried to get an NHS dental

appointment, 95% were successful.

0:29:170:29:23

That is not bad figures.

Number

eight, Mr Speaker.

All posted teams

0:29:230:29:34

in my department have conducted

assessments of the implications of

0:29:340:29:37

Brexit and continue to plan for all

scenarios.

I hope to hear some good

0:29:370:29:42

news then. In my own constituency

Dundee University and the hospital

0:29:420:29:47

are recognised biomedical and

clinical research centres and work

0:29:470:29:51

closely with other European

colleagues and institutions and work

0:29:510:29:56

is threatened if we are outside

network and the clinical trial

0:29:560:30:01

system. How does the Secretary of

State plan to specifically protect

0:30:010:30:05

the academic and clinical research

excellence of Scottish and UK

0:30:050:30:10

institutions post-Brexit?

We have

made it clear we want to integrate

0:30:100:30:15

closely with European structures

when it comes to medicines research.

0:30:150:30:19

I would gently say great

universities like Dundee also

0:30:190:30:24

collaborate with universities all

over the world. I think this is a

0:30:240:30:28

good opportunity for us to make sure

we strengthen our research networks

0:30:280:30:32

internationally as well as the tried

and tested ones with the EU.

0:30:320:30:36

Does he agree when we leave the EU

it would be a good opportunity to

0:30:360:30:40

build links with other countries'

medical systems, particularly

0:30:400:30:45

Chinese and integrated Chinese and

Western medicines.

0:30:450:30:52

He is right to draw attention to

antimicrobial resistance because

0:30:520:30:56

China is one of the big countries

that can make a difference on that

0:30:560:30:59

and we have had lots of discussion

with Chinese health ministers as to

0:30:590:31:03

how to work together on that.

Number nine.

0:31:030:31:11

Patient safety and infection

perception are a key priority and

0:31:110:31:16

Public-health England carried out

initial analysis however the data is

0:31:160:31:20

currently incomplete and would not

truly reflect the usage of hand gel

0:31:200:31:25

so we're working on how we can

improve that data.

0:31:250:31:29

I'm sure the Minister would agree on

the bill importance of making sure

0:31:290:31:32

all NHS staff are washing their

hands

0:31:320:31:34

would she agree it's disappointing

we have not quite got that paper

0:31:380:31:43

published yet and will she set a

date for when we can actually see

0:31:430:31:47

that data?

We will continue to look

at that but the department has a

0:31:470:31:52

very strong track record at tackling

infection. Incidents of MRSA are

0:31:520:31:59

down 54% on 2010 and we published a

revised code of practice and hand

0:31:590:32:05

hygiene and we're working with

partners to make sure this remains

0:32:050:32:08

the focus.

There has been excellent work on

0:32:080:32:13

extending this to the NHS and the

decline of MRSA is indicative of

0:32:130:32:20

this but there is a prejudice by

some on people who think these gels

0:32:200:32:27

can take alcohol and therefore will

not use them. Is it possible to

0:32:270:32:31

instigate some kind of marketing to

ensure there is no alcohol within

0:32:310:32:36

these gels? The honourable gentleman

makes an excellent point and it's

0:32:360:32:44

certainly something we can close it

would that.

0:32:440:32:48

Will the minister explain the work

the Government is doing with

0:32:480:32:52

Public-health England to raise

awareness of sepsis infections and

0:32:520:32:57

raising awareness of this potential

killer?

This is a matter priority.

0:32:570:33:04

We -- this is a matter priority and

we are about to start a public

0:33:040:33:09

information campaign. This deserves

to be given our fullest importance

0:33:090:33:12

and one we will seek to tackle in

every way possible.

Number ten.

With

0:33:120:33:22

your permission I will answer this

along with question number 22. The

0:33:220:33:27

estimates of the approximate 460,000

referrals made the children and

0:33:270:33:31

young people's NHS mental health

services every year, 200,000

0:33:310:33:36

children receive treatment and many

are properly signposted to other

0:33:360:33:39

help. Treatment is determined by

clinical need and it's vital for all

0:33:390:33:44

to remember special services are not

always appropriate for those

0:33:440:33:47

referred. We are committed to

treating 70,000 more children and

0:33:470:33:50

young people each year by 2021.

About one in ten children and young

0:33:500:33:56

people in my constituency have

mental health disorder, higher than

0:33:560:34:01

the average. Local services are

becoming overwhelmed. A local mental

0:34:010:34:05

health charity for children so a an

increase of 40% last year and have a

0:34:050:34:10

waiting list of over 140 children.

The charity is still having to make

0:34:100:34:17

redundancies and staff have had

their hours cut due to the funding

0:34:170:34:20

crisis. Will she commit to ring

fencing and increasing funding for

0:34:200:34:25

child and adolescent mental health

and will she ensure the role of the

0:34:250:34:30

third sector charities in delivering

this is preserved?

0:34:300:34:34

Having looked at the performance of

her local trust I can say they have

0:34:340:34:40

managed to challenge extremely well

but that of course bring its own

0:34:400:34:44

challenges. We are increasing the

amount of funding available for

0:34:440:34:48

these services and are relying on

local clinical commissioning groups

0:34:480:34:53

to purchase or services but I can

tell her NHS England will be keeping

0:34:530:34:58

this area under scrutiny to ensure

we deliver the help to the front

0:34:580:35:01

line.

Does the Minister accept cuts

the mental health services mean too

0:35:010:35:06

many young people who have suffered

trauma are not getting the support

0:35:060:35:11

of a desperately needs and how she

measured the impact of this on young

0:35:110:35:15

people and in particular any links

to the tragic incidents of youth

0:35:150:35:21

violence we are now seeing on a

daily basis?

0:35:210:35:25

I do not accept the allegation that

has been cuts, we have increased

0:35:250:35:30

expenditure by 20%. What I would say

is we recognise we need to

0:35:300:35:35

significantly invest more in

improving children and young

0:35:350:35:37

people's mental health and that

exactly is what will be doing.

0:35:370:35:45

Mental health problems have a wider

societal costs and does the Minister

0:35:450:35:49

agree treating children's mental

health issues benefits our society

0:35:490:35:55

as a whole.

I don't think I could

have put that better myself and

0:35:550:35:59

that's exactly why we brought

forward the proposals in the Green

0:35:590:36:03

paper. We recognised early

intervention is the best way of

0:36:030:36:06

protecting people's mental health

and will encourage all schools to

0:36:060:36:11

appoint a designated mental health

leads and will roll of mental health

0:36:110:36:15

support teams to support schools and

trial a four-week Whittington

0:36:150:36:19

standard which will lead to material

improvement in children's mental

0:36:190:36:23

health -- this will leads.

BC QC reported young people are

0:36:230:36:29

waiting up to 18 months to receive

vital treatment. The Royal College

0:36:290:36:34

of psychiatrists say that some

health trusts are spending less than

0:36:340:36:37

£10 per child on mental health

services and spending today is less

0:36:370:36:42

than in 2012. Will the Minister tell

us exactly what she's doing to fix

0:36:420:36:46

what many health professionals say

is a broken system?

0:36:460:36:52

Firstly I would like to welcome the

lady to her place on the front

0:36:520:36:57

bench, I think it is the first time

we have had exchanges. We have

0:36:570:37:02

invested an additional £100 million

last year. We know over half of

0:37:020:37:07

providers have an average waiting

time of less than 12 weeks and 4% of

0:37:070:37:12

providers are waiting time of less

than four weeks. There are six

0:37:120:37:17

trusts that are outliers and they

are receiving significant attention

0:37:170:37:20

from NHS England, we have targeted

work with them to address possible

0:37:200:37:25

issues. As I said, part of the Green

paper we will be trialling a

0:37:250:37:31

four-week Whittington standards as

we are determined to achieve

0:37:310:37:34

improvement in this area.

Number 11.

I fully support the role youth

0:37:340:37:44

workers play in supporting

vulnerable young people. We are

0:37:440:37:47

working with the Home Office to

support the charity Red Thread to

0:37:470:37:53

help embed youth workers in hospital

emergency departments. They

0:37:530:37:57

currently operate in London's four

major trauma centres and will launch

0:37:570:38:03

in Nottingham and Birmingham this

year. They also work with academics

0:38:030:38:08

to assess the efficiency of the use

of violence intervention programme.

0:38:080:38:14

Use of violence and Mason Crane

continues to soar. Youth workers in

0:38:140:38:20

hospital A&E is proven to work and

it would cost as little as £6

0:38:200:38:27

million each year to put youth

workers into every A&E. Well the

0:38:270:38:31

honourable lady finally finding?

I commend the work that I will be a

0:38:310:38:38

honourable lady find the funding?

I would say the work with Red Thread

0:38:380:38:46

is being done with the Home Office

and I would not want to allocate

0:38:460:38:51

their expenditure any more than they

should allocate mind.

Dementia

0:38:510:38:56

awareness week runs from the 21st

two the 27th of May and the

0:38:560:39:01

Department of Health and social care

expects to fully participate that

0:39:010:39:05

week, working with partner

organisations and the voluntary

0:39:050:39:07

sector.

Alongside the work of governments of

0:39:070:39:11

both parties to improve dementia

research and care, dementia

0:39:110:39:16

awareness week is key. The role of

voluntary organisations and

0:39:160:39:20

dedicated volunteers is vital. Will

my right honourable friend join me

0:39:200:39:25

in paying tribute to the fantastic

work or specialist dementia care

0:39:250:39:29

nurses and join me in backing

Leicestershire dimension UK

0:39:290:39:33

volunteers in their campaign that is

well on track to raise the £50,000

0:39:330:39:38

needed for a nurse for the county.

First of all I would like to pay

0:39:380:39:44

tribute to my right honourable

friend and his sterling work as the

0:39:440:39:48

culture of the all-party

parliamentary group on dementia. He

0:39:480:39:52

is right to see Admiral nurses do

fantastic work all of the country,

0:39:520:39:56

helping people with dementia

maintain their independence and

0:39:560:39:59

improve the quality of life and that

of their families and overly much

0:39:590:40:02

support all the fundraising

activities.

Number 13, Mr Speaker.

0:40:020:40:10

NHS England is working with the East

and north Hertfordshire hospitals

0:40:100:40:15

NHS Trust to determine the best way

to deliver radiotherapy services for

0:40:150:40:19

patients in Stevenage, part of a

systemwide NHS England review of the

0:40:190:40:23

way in which the developing services

are delivered.

Thank you, Mr

0:40:230:40:29

Speaker, Hertfordshire has over 1

million people was no rid provision.

0:40:290:40:32

My constituents travel over 80 miles

for every treatment racking up

0:40:320:40:37

thousands of miles. Myself and the

member for North East Hertfordshire

0:40:370:40:43

who run this campaign and we have

all the agreements from every single

0:40:430:40:47

part of the NHS, we are meeting the

board of the trust on Friday and

0:40:470:40:51

will the Minister given direction to

get on with building the facility?

0:40:510:40:58

They'll have a direction to get on

with building and that includes a

0:40:580:41:03

strategic plan is working with the

councils. This is including

0:41:030:41:07

radiotherapy services and recognise

that a more radical approach and law

0:41:070:41:12

review for radiotherapy may be

required in the future. As he says,

0:41:120:41:15

Indian parliament in parliamentary

neighbour at that meeting later this

0:41:150:41:17

week and I hope they did gush and

productive. That discussions are

0:41:170:41:21

productive.

Will my honourable

friend Beaverbrook to highlight to

0:41:210:41:27

the review team just how dreadful it

is for someone to have to travel day

0:41:270:41:33

after day, 1.5 hours in each

direction to London for their

0:41:330:41:37

radiotherapy when they are already

ill and I just hope it may be

0:41:370:41:43

possible for some action to be taken

to resolve this in our area.

0:41:430:41:54

Girl-mac my honourable friend is

right is right is the doctor

0:41:540:41:56

services in his area and the review

is not about cutting those but I

0:41:560:42:00

would say sometimes the services

have to be centralised to be in the

0:42:000:42:04

right place and deliver the right

outcomes for cancer patients. We

0:42:040:42:07

have too mindful of that as well.

I

take the next question on the

0:42:070:42:13

condition that members are

exceptionally brief as time is a

0:42:130:42:16

constraint.

Thank you. I will answer

this as quickly as I can with 16 and

0:42:160:42:28

21 with your permission. We

recognise of course the shortages in

0:42:280:42:31

general practice which is widening

committed to delivering extra

0:42:310:42:40

doctors in... Composer 2015.

A

fountain, like many other places

0:42:400:42:45

around the country, are struggling

to recruit and retain GPs. --

0:42:450:42:49

Southampton are struggling. One

reason is perhaps the discouraging

0:42:490:42:56

of medical students into general

practice while encouraging them into

0:42:560:42:58

becoming specialist consultants. Is

my honourable friend aware of this

0:42:580:43:02

practice and how widespread is it?

What is he doing to encourage more

0:43:020:43:06

people into general practice?

The

Secretary of State has already

0:43:060:43:12

outlined about the medical schools

and the GB training places that

0:43:120:43:15

fulfilled, that is a record number.

I am aware of what he mentions. That

0:43:150:43:20

is why we are working together with

the profession on a range of

0:43:200:43:22

measures to boost recruitment. The

existing profession as a role to

0:43:220:43:27

play as well and I would say current

super chair, Helen Stokes Lampard,

0:43:270:43:32

is leading from the front initial

state.

But even as I agree with me

0:43:320:43:38

that the answer of addressing some

of the pressures is enhancing the

0:43:380:43:42

role of community pharmacies? Will

you provide an update on what steps

0:43:420:43:45

they are taking to support

pharmacies and further integrate

0:43:450:43:47

them with general practice?

We know

that there are benefits to be had

0:43:470:43:52

from better integrating amenity

pharmacies with in STPs. We are

0:43:520:43:59

doing this by integrating them

further into the community and we

0:43:590:44:03

will have 2000 of them integrate the

general practice by 2020. Trinity

0:44:030:44:07

pharmacy themselves should be

integrated through STPs because it

0:44:070:44:12

is one NHS. -- community pharmacies.

It is great is see record numbers of

0:44:120:44:18

medical student going into general

practice but far too many GPs are

0:44:180:44:21

choosing to retire and leave the NHS

and 50s because of tax their pension

0:44:210:44:25

scheme. We have to address this,

does the Minister agree that we

0:44:250:44:31

should not be penalising them for

staying in the NHS? Tier along with

0:44:310:44:36

concerns about workload, pensions

are the issue. You'll make GPs often

0:44:360:44:41

find that with me. It is a matter

for her magazine's Treasury but the

0:44:410:44:46

issue was also raised the Prime

Minister's Question Time last week.

0:44:460:44:50

I'm sure that will be raised here as

well. Girl-mac at Stoke-on-Trent, we

0:44:500:44:57

have fabulous GPs. Too many GPs

present to AMD because their primary

0:44:570:45:03

not up to dealing with the workload.

Then the a and E get overloaded and

0:45:030:45:08

it makes the pressure on the

hospital so much worse. What do you

0:45:080:45:13

do to combat this?

What we will do

is properly integrate primary care

0:45:130:45:19

and secondary care 3-D models of

care so the extended access, for

0:45:190:45:22

instance, is reimported in that.

That is what we're talking about

0:45:220:45:27

disciplinary teams and pharmacy

care. They are not about providing

0:45:270:45:30

the plaster when the cost happens,

they are about preventing the cut in

0:45:300:45:33

the first place.

Do we need more

salary GPs?

We need more GPs.

If

0:45:330:45:44

there will be more of them, they

have to be paid.

Patients at

0:45:440:45:53

Hightown GP were promised surgery

would stay open then there are

0:45:530:45:59

written to that it would close on

June eight. The governor is

0:45:590:46:02

belligerently taking action on the

shortage of GPs but will they

0:46:020:46:10

promised they get to patients and

GPs will stay "Mac girl-mac I will

0:46:100:46:15

get Hightown surgery and if you want

to talk to me about it coming he is

0:46:150:46:18

welcome to do so.

It is important to

look at his area to provide care for

0:46:180:46:24

the patients that his constituents

need and what I am happy to look at

0:46:240:46:29

it and talk about it.

Topical

questions.

One.

Commitment to expand

0:46:290:46:38

medical places by 25%, one of the

biggest this pageant in history of

0:46:380:46:41

the NHS. I'm pleased to announce to

the house the results become

0:46:410:46:44

addition to set up five new medical

schools, they were chosen following

0:46:440:46:48

a rigorous independent bidding

process which prioritised attracting

0:46:480:46:52

doctors to harder to recruit areas

and increasing the number of GPs and

0:46:520:46:58

psychiatristss. Many congratulations

to the winner who are the University

0:46:580:47:02

of Sunderland, edge Hill University

in Lancashire, Anglia Ruskin

0:47:020:47:06

University in Chelmsford, the

University of Lincoln and working in

0:47:060:47:09

collaboration with Nottingham

University and Canterbury

0:47:090:47:12

Christchurch University.

With the

death of Professor Stephen Hawking

0:47:120:47:18

and all of our thoughts, can the

Minister tell us which steps his

0:47:180:47:22

department will take to support

research and develop a cure for

0:47:220:47:25

motor neurone disease?

Of course

Professor Hawking was an inspiration

0:47:250:47:31

is not just because of his

scientific thinking but because, to

0:47:310:47:35

many people with motor neurone

disease, he was an absolute exempla

0:47:350:47:39

because he was given two years to

live at the age of 21 and ended up

0:47:390:47:43

living to the age of 76. This is a

big area priority for us to any last

0:47:430:47:50

year, that we have figures, £2

million was invested in it and they

0:47:500:47:56

are investing for clinical trials.

Can I say, you have to reboot

0:47:560:48:00

because there was a lot of pressure

on time and the would not want a

0:48:000:48:04

situation where the front bench

dominate at the expense of the back

0:48:040:48:07

because that would be absolutely

wrong. The honourable gentleman is

0:48:070:48:10

always opposed to that which is

wrong.

Thank you thank you for your

0:48:100:48:15

instructions. We have heard to say

more warnings that the winter crisis

0:48:150:48:20

will stretch beyond Easter. We have

seen the worst winter crisis for

0:48:200:48:23

years. He will blame the flu, he

will blame the weather but patients

0:48:230:48:29

are waning years of underfunding,

years of social care cots and years

0:48:290:48:34

of cuts to acute beds so will he now

apologise for telling us that the

0:48:340:48:39

NHS was better prepared than ever

before this winter?

Say sorry!

They

0:48:390:48:46

did prepared to relieve this winter

but he is right to talk about

0:48:460:48:49

finding the cause he will be

interested in these figures which is

0:48:490:48:54

the last five year period we can get

all the numbers fall. In Wales,

0:48:540:48:57

funding went up 7.2%. In Scotland,

11.5%. In England, 17.3%. Yafan Wang

0:48:570:49:08

this is a Government moving into its

eighth year, not its fifth year. At

0:49:080:49:13

eight years, life expectancy is

going backwards in the poorest part

0:49:130:49:16

of the country.

-- this is a

Government moving into its eighth

0:49:160:49:22

year. New research shows that in the

first 49 days of 2018, an additional

0:49:220:49:27

person dies every seven minutes.

Shameful. Isn't it time we had a

0:49:270:49:32

full national enquiry into widening

health inequalities and, in the 70th

0:49:320:49:39

year of the NHS, Willie Government

now bring an end to the

0:49:390:49:42

underfunding, cuts, austerity and

privatisation of our health service?

0:49:420:49:51

Mr Speaker, really, you can do

better than that, the truth is that

0:49:510:49:55

the NHS has had its most difficult

winter in living memory and that is

0:49:550:49:59

why last year, in preparation, we

invested £1 billion in the social

0:49:590:50:03

care assistant, £109 in accident and

emergency capital and more people

0:50:030:50:08

got the flu jab but he still has not

explained why, for every additional

0:50:080:50:11

£1 we present operation to the NHS

in England, the Labour Government in

0:50:110:50:16

Wales only put in £57. That is

underfunding.

Thank you. Now my

0:50:160:50:24

younger daughter, being at the

particularly discerning age of

0:50:240:50:29

one-year-old, is a fussy eater,

childhood obesity is becoming one of

0:50:290:50:33

the most quickly rising and

important issues of our time so does

0:50:330:50:38

my honourable friend recognise that

it is something we really need to

0:50:380:50:41

tackle and tackle quickly?

We are

all trying to deliver on a really

0:50:410:50:48

ambitious childhood obesity plan. We

want people to exercise more but I

0:50:480:50:53

think we do need to keep a close

watch on this. We are one of the

0:50:530:50:58

first few steps in a long race and

are always looking to learn from

0:50:580:51:01

successful initiatives elsewhere.

Last week, I was in Amsterdam

0:51:010:51:03

looking at the systemwide approach

to tackling obesity. We should be

0:51:030:51:10

listening and we are.

In my

constituency, head teachers tell me

0:51:100:51:16

that they are asked by the men loyal

service to prove that children have

0:51:160:51:21

tried to commit suicide before they

are prepared to accept a referral.

0:51:210:51:28

The Minister has just accepted that

less than half of children who are

0:51:280:51:32

referred are treated and that under

the plans, less than two thirds will

0:51:320:51:36

get treatment. There is so much

rationing going on, will the

0:51:360:51:41

Secretary of State please connect to

committing now the amount of ring

0:51:410:51:45

fenced funding?

That is totally

unacceptable and that is why we

0:51:450:51:52

announced a £300 million expansion

of cams in the autumn and they went

0:51:520:52:01

by 20%. That is what you're trying

to end, what she is speaking about,

0:52:010:52:05

which is a terrible situation we

were told that you are not ill

0:52:050:52:07

enough yet to get treatment and we

have to resist not do that.

Will the

0:52:070:52:15

Secretary of State joined the paying

tribute to all the staff of my local

0:52:150:52:18

hospital which he knows very well,

and they have done a superb job, and

0:52:180:52:23

indeed my neighbour, they have done

well also because it services

0:52:230:52:29

constituency. Logically they have

done a great job this winter and

0:52:290:52:32

assurances and clarity of the

current nurses' pay negotiations

0:52:320:52:37

will help with both recruitment and

retention in the future?

My

0:52:370:52:42

neighbour... I know because I know

someone who was born at that

0:52:420:52:46

hospital, he is right to highlight

the importance of the work done at

0:52:460:52:50

King 's Lynn and all the work done

there. That is why in the budget the

0:52:500:52:53

Chancellor signalled, his additional

agenda for change that and those

0:52:530:52:58

discussions are ongoing.

Thank you.

My constituent Rebecca is a good and

0:52:580:53:05

lastly she told me that because a of

insufficient funding and staff

0:53:050:53:09

shortages, that she is having to

rationally Jackie gives. Bat a

0:53:090:53:16

podiatrist. What can be said on the

impact of the cut off funding to

0:53:160:53:24

poor dieterss?

The reality is the

number of places is increasing even

0:53:240:53:31

if the income of applications is

lower than what it was not the

0:53:310:53:35

reality is that the Government has

signalled its commitment on pay and

0:53:350:53:38

we have more clinicians, doctors,

nurses and they treating more

0:53:380:53:42

people. That is part of the success

of the NHS under this Government.

0:53:420:53:50

Can I thank the Secretary of State

for visiting Kettering General

0:53:500:53:53

Hospital recently? In his opinion,

what are the main issue they will

0:53:530:53:56

need to concentrate in order to get

itself out of special measures?

0:53:560:54:02

First of all, I have to say I was

very inspired by how hard the staff

0:54:020:54:07

are working and he always championed

them in this house but it was a

0:54:070:54:10

great privilege to see this by

myself. They have great leadership

0:54:100:54:14

coming in at that hospital and I'm

very confident the new leadership

0:54:140:54:16

will put in place several changes

that will enable that hospital to

0:54:160:54:20

get out of special measures,

hopefully quickly.

This morning, I

0:54:200:54:24

met with the family of a constituent

out of the longer the case of many,

0:54:240:54:32

many more highlighting the case for

medical cannabis. What will the

0:54:320:54:39

Secretary of State do to integrate

medical cannabis for the thousands

0:54:390:54:43

people who would benefit but then

might be branded as criminals?

0:54:430:54:48

Obviously everybody in the houses

are aware of this case and thoughts

0:54:480:54:51

are with Alfie and his family. My

honourable friend, the Policing

0:54:510:54:54

Minister, Alfie's family and discuss

options which may assist him. Any

0:54:540:55:00

proposal would have to be led by his

clinicians using sufficient and

0:55:000:55:03

rigorous evidence. Yellow necklace

by Nottingham from the is that sure

0:55:030:55:09

we welcome the announcement of five

new medical schools announced to

0:55:090:55:12

date. With the Minister also welcome

the extra medical school places in

0:55:120:55:16

Brighton and Sussex University is

supporting my constituent and launch

0:55:160:55:21

last week of the new nursing

apprenticeship scheme by Brighton

0:55:210:55:24

University wringing more nurses into

the profession.

My honourable friend

0:55:240:55:29

always quite rightly championed the

work of nurses and she is quite

0:55:290:55:32

right to signal the importance of

the nursing apprenticeship route

0:55:320:55:34

which offers, for many health care

assistant, a new way to progress

0:55:340:55:41

within the NHS and it is right that

we increase the number of pathways

0:55:410:55:44

what this is in order to deliver.

During the first seven weeks of

0:55:440:55:52

2018, 10,000 younger than 75 people

more ran in those weeks in the

0:55:520:55:57

previous years. One extra death

every seven minutes. It was not

0:55:570:56:00

colder than usual and deaths from

flu were not up but our hospitals

0:56:000:56:05

were under unprecedented pressure.

Why did all these extra death

0:56:050:56:07

occurred?

As he will know, these are

figures that cover England and

0:56:070:56:14

Wales, and he will also know that

they do not take account of changes

0:56:140:56:17

in population or changes so that it

is the age standardised note. That

0:56:170:56:26

remain stable over the next years.

0:56:260:56:29

My honourable friend has been an

assiduous MP for lobbying for Luton

0:56:450:56:55

and Dunstable Bedford and he will be

aware the ongoing business case is

0:56:550:56:59

being reviewed. Ultimately this is

about the additional money the

0:56:590:57:03

government has funded, the £3.9

billion worth of investment, which

0:57:030:57:07

is why those cases are being

reviewed.

Over a third of children

0:57:070:57:12

in the UK are either overweight or

OBEs. An influx of junk food, junk

0:57:120:57:23

food and sort is not help. Will the

Health Secretary make sure that

0:57:230:57:28

health is put over trade going

forward?

As I've already said, we

0:57:280:57:36

are concerned about child obesity.

It is probably the big public health

0:57:360:57:40

challenge, not least the impact it

can have on diabetes, heart disease

0:57:400:57:43

and cancer, which is why I welcome

Cancer Research UK moving into this

0:57:430:57:49

space. We have one of the most

ambushers plans in the world, it is

0:57:490:57:52

the start of a conversation, not the

end and if we need to go further, we

0:57:520:57:57

will.

Can I welcome today's

announcement on a new medical school

0:57:570:58:01

for Kent was making an area that

struggles to attract doctors, this

0:58:010:58:05

will make a huge difference. It is

genuinely a game changer and can I

0:58:050:58:11

asked my honourable friend to

congratulate the University of Kent

0:58:110:58:13

and Christchurch University on their

successful bid?

I congratulate them

0:58:130:58:18

and I'd like to congratulate her

because I know she worked hard on

0:58:180:58:21

this bid and I'm sure thanks to that

they are one of the successful

0:58:210:58:25

bidders today.

The Independent

reconfiguration panel's report on

0:58:250:58:32

the downgrading of Huddersfield

Royal Infirmary is sitting on the

0:58:320:58:34

Secretary of State's desk and I've

been told it will be made public in

0:58:340:58:39

due course. Can we now have the

exact date it will be published?

I

0:58:390:58:45

am aware that the issues raised by

the council, and I understand local

0:58:450:58:53

campaigners have referred it to

judicial review. It would not be

0:58:530:58:57

appropriate to comment further at

this stage. A decision on the

0:58:570:59:00

referral to me by the local council

will be made in due course.

Chop in

0:59:000:59:07

general is a wonderful hospital but

needs investment in theatres and

0:59:070:59:10

wards. Can I take this opportunity

to commend the application for over

0:59:100:59:15

£30 million of capital funding which

would make a huge difference to my

0:59:150:59:20

constituents?

I've met the

management team for his trust and he

0:59:200:59:23

has talked to me on many occasions

about that. I am hoping he will have

0:59:230:59:27

a positive answer and it is in no

small part to his campaign.

Our

0:59:270:59:33

cancer is a major killer in the UK.

NICE recognises the new screening

0:59:330:59:39

test to be far more effective in

screening but there remains a lack

0:59:390:59:43

of clarity about when it will be

rolled out nationally. Will the

0:59:430:59:47

Minister provide that clarity today

so that people can be saved down the

0:59:470:59:52

line?

The UK National screening

committee has recommended it be the

0:59:520:59:56

primary screening test in the UK and

we want to implemented in 2018-19,

0:59:561:00:05

we will give a statement shortly.

Thank you for our new medical school

1:00:051:00:11

in Lincoln.

Gratefully accepted.

Very wise. Mr Frank Field.

Can I

1:00:111:00:20

thank the Minister for health, he's

concerned about what is happening in

1:00:201:00:27

our area. Might he meet the members

shortly so that we can ensure

1:00:271:00:32

existing government is short-term

and that the issue of bullying and

1:00:321:00:36

the way the hospital cripples

primary care is dealt with

1:00:361:00:40

effectively?

The Right Honourable

gentleman is absolutely right to

1:00:401:00:44

raise this issue, it is a serious

issue and there does need to be

1:00:441:00:48

culture change in Wirral. I will

continue to meet with him and the

1:00:481:00:51

other members to discuss this. He

will be aware of the NHS improvement

1:00:511:00:56

report into the issue coming out in

March.

According to Lord O'Neill,

1:00:561:01:03

diagnostics and prescription of

antibiotics is the most important of

1:01:031:01:06

the Ten Commandments of the review.

Will the Minister update the house

1:01:061:01:12

towards progress of this goal?

He is

absolutely right and we are totally

1:01:121:01:20

committed to the O'Neill

recommendations and working

1:01:201:01:22

internationally to bring them about.

My local paper the Bradford

1:01:221:01:26

Telegraph has loved disease-mac

launched the stop the rot campaign

1:01:261:01:32

as children in Bradford have the

worst dental outcomes than anywhere

1:01:321:01:35

in the country. Does the Minister

agree prevention is the key to

1:01:351:01:39

improving children's dental health

and what states is the government

1:01:391:01:41

taking to make sure prevention is

key in any new dental contract?

That

1:01:411:01:46

would be the William Bradford

Telegraph. 75 dental practices are

1:01:461:01:54

continuing to test the clinical

approach alongside Newman systems

1:01:541:01:59

which tried to increase prevention.

It is taking time but we are trying

1:01:591:02:04

to get it right.

We know early

diagnosis of cancer is crucial for

1:02:041:02:08

successful treatment outcomes but

for many cancers, such as ovarian

1:02:081:02:13

and pancreatic, early symptoms can

be fake and the chance to diagnose

1:02:131:02:17

early mist. What is the government

doing to make sure hard to detect

1:02:171:02:22

cancers are diagnosed early?

An

excellent question. We are testing

1:02:221:02:27

the new programme which I visited

recently in Oxford. Patients with

1:02:271:02:31

vague symptoms can be referred for

multiple tests. I don't get excited

1:02:311:02:39

very easily but this promises great

excitement.

Well, it is a delight to

1:02:391:02:44

see the Minister in high excitement.

70 MPs from across the house in the

1:02:441:02:51

Westminster Hall debate agreed we

need more for the NHS now so what

1:02:511:02:56

will the Minister do differently for

sufferers of cystic fibrosis and

1:02:561:03:00

when will the news of a breakthrough

come through? They are slowly

1:03:001:03:06

drowning in their disease without

access to Orkambi.

The honourable

1:03:061:03:11

gentleman spread very well in the

debate on behalf of his

1:03:111:03:14

constituents. We have made a counter

offer to the company and I call on

1:03:141:03:19

them to be reasonable, and to get

back in the room and a round table

1:03:191:03:23

and get this sorted.

The health

service, demand exceeds supply, as

1:03:231:03:32

with these questions. I'm creating

more time.

I'd like to thank the

1:03:321:03:39

honourable member for Winchester,

the Minister, for his response to

1:03:391:03:45

the APPG. Will he make sure that

cancer alliances and GPs are

1:03:451:03:49

diagnosing early?

It is an easy one,

Mr Speaker.

Absolutely, yes. The

1:03:491:03:56

significant amounts of public money

at stake... Should subsidiary

1:03:561:04:06

companies publish their full cases?

They are 100% owned by the NHS so

1:04:061:04:10

any benefit that accrues from

1:04:101:04:12