Health and Social Care Questions House of Commons

main business today this afternoon

will be the Northern Ireland budget

bill that will offer a spending

normal decided by the Northern

Ireland Assembly, but is currently

suspended. Please join me for a

round-up of the day in both Houses

of Parliament at 11 o'clock tonight.

But first questions to the Health

Secretary, Jeremy Hunt.

A further £210 million is being

invested in research and £162

million in medical manufacturing.

Like sharing a big data sets and

integrating new technologies such as

AI across the NHS, outcomes can be

improved. Can my right honourable

friend update the host and what

plans the NHS has plans with regards

to digitisation? Leave I am very

much looking forward to right

honourable friend's report on this.

We have five of the world's top ten

medical research universities and

more than double the number of Nobel

prizes than France so we do very

well in research but some hospitals

are still running on paper which is

inappropriate and that's why we are

determined to implement the review.

Corporation in medical research

science and innovation with our

European partners must not be

hindered by a bad Brexit deal. What

steps is the Secretary of State

taking to ensure British patients

are not left behind during

negotiations?

Let me reassure the

honourable gentleman, who I know is

a doctor and a very conscious of

these issues. Let me reassure him

the house and interrupted supply of

critical drugs, that is at the

forefront of our minds and confident

we can achieve that. We also want to

have a great collaboration with

European universities that is why we

said we will be happy to be an

associate member of the European

medicines agency.

Part of the life

science strategy is making sure we

have skills for the future. May I

thank the Secretary of State for the

fantastic news of the five new

medical schools opening in the

country, including one in

Chelmsford. Thank you.

Well I'm most grateful for that

thanks. Let me say I'm looking

forward to many more doctors from

Chelmsford.

The Secretary of State

will be aware one of the fact of

stifling innovation is difficulty of

rapid growth companies in crossing

the so-called Valley of death. Since

the establishment in the coalition

's years of the business growth

form, the business bank, how far is

the sector now to crossing the

Valley of death?

I hope we are

crossing the Valley into eternal

life because we have a fantastic

life science industry was £61

billion and employing 250,000

people. But he is right and this was

something he was very involved in

what he was Business Secretary, part

of that is having a very close links

with key decision makers about where

to invest their resources.

With

companies raving about the ability

of Belfast to provide technology,

support and skills from universities

can the Secretary of State from

what's that he is taking to invest

money is in the universities to set

up a life science skill centres?

Let

me reassure the honourable gentleman

we are very conscious of the

critical importance of good outcomes

to the Brexit box for universities,

including Wing

# -- queen's Belfast. Those research

links, that are excellent with

universities all over the world and

it's particularly important we on

with European universities.

Number

two, Mr Speaker.

Since 2016 the Government has

invested £750,000 to fund the

provision of sports and activities

for children and young people on the

NHS and also invested £750,000 in a

new national Institute for health

research and to provide research and

technology. I can confirm that

funding will continue and we will

announce more details shortly.

I

thank the Minister for her reply.

The Centre at Headley Court provides

world-class support for our service

men who unfortunately have lost

limbs in Iraq and Afghanistan. They

do incredible work. What lessons we

learn is from Headley Court that we

are able to transfer into the NHS?

My honourable friend speaks about

this with great knowledge, I know he

was an outstanding defence minister.

I am sure he will be pleased to know

the incredible progress we have seen

with adult prostheses through places

like Headley Court and others

include the same technology we are

now seeing an development of

children sports and activity

prostheses. This research and

collaboration enables us to invest

in future studies, including the

development of exciting technologies

such as electrical bionic upper limb

prostheses for children.

By 2020 investment in general

practice will have risen by 2.4

building, 14% in real terms.

Including an additional 680 million

in infrastructure and premises in

the past two years.

The Health

Secretary knows how our staffers

worked at the Gloucestershire Royal

hospital to ensure this year they

were rated 15 out of 137 hospitals

for the A&E performance. My right

honourable friend knows from his

recent visit all staff and the

corporation with health services as

well as within A&E has led to this.

Well he also recognised and do all

he can to let health in England know

how important it is new capital

expenditure is available in order to

increase beds and serve the

demographics of an ageing

population?

I was pleased and

privileged to see the brilliant work

they are doing in Gloucester when I

visited and Deborah Lee and her team

deserve enormous credit for getting

a 10% improvement in performance on

year. That is a capital bid to end

by his STP and it is a promising bed

and I hope to give him news soon and

if it is successful it will be in no

small part thanks to lobbying from

home and the honourable member for

Cheltenham.

Research shows access to GPs is a

more difficult than five years ago

and then Warrington we have fewer

GPs than the population merits. What

is the Secretary of State doing to

attract more GPs to areas like this

and reduce the burden is on those

already in the profession so they do

not take early retirement, as many

are planning to do?

She is

absolutely right how critically

important it is to increase the

number of GPs. The most significant

thing is that we announced this

morning, five new medical colleges,

which are in part of the country

where it is particularly hard to

recruit doctors and our intention is

half the medical school graduates

going forward should move into

general practice.

Planet enjoys an ageing population

and I am pleased to be a part of it

-- Thanet. We would be delighted to

know one of the five new medical

schools will be based upon the

University of Kent and Christchurch

College. It will not escape my right

honourable friend's noticed the

Christchurch campus is in close

proximity to an A&E Hospital in

market and we very much hope to see

all of the benefits are very soon.

-- in Margate.

If memory serves me

correctly he was born on the 20th of

August 1943 and therefore is really

not very old at all.

Can I congratulate my right

honourable friend on being born five

years before the NHS was founded. A

very short while ago. And can I say

to him Ken is an area, the Garden of

England but some profound challenges

in health economy and one of those

is attracting doctors to work in

Kent and other more geographically

remote areas and I am hopeful this

big new announcement will be a big

help.

The GP to patient ratio in my

constituency is unacceptably high

and many people cannot get an

appointment when they need one and

turn up at A&E costing more money

and treating additional pressure.

What will he do to make sure outer

London boroughs like my get the GP

support they need because, frankly,

the assurance that you have already

given are not manifesting on the

ground in terms of practical results

for patients.

I appreciate there are

pressures in his constituency. I

would say most members would say

there are pressures with general

practice and so far what have we

done? This year, 3157 medical school

graduates will go on to specialise

in general practice, the highest

ever. We have still got to do more.

Do more to improve the retention of

a GPs approaching retirement.

Forgive me, Mr Speaker if I first of

all congratulate you on a marvellous

event this morning celebrate ten

years on from your claims report on

young children's speech and

language. And for a -- calling for a

national strategy on that. It was an

excellent event. On to Taunton

Deane. To model I shall be very

proud -- tomorrow I shall be very

proud to present my petition in this

chamber that over 6000 people from

Taunton Deane have signed calling

for a new surgical centre at

Musgrove Park hospital. They are not

querying the quality of health care

but they are querying the facilities

and I wonder if my right honourable

friend would agree this is a very

deserving case for funding and for a

new centre?

If these cases were decided on the

strength of lobbying by members,

that the very top of the list

because I've been to the hospital,

I've heard about issues from staff

mother was a very good visit and she

has campaigned persistently on this.

I very much hope we can give her

good news because I'm aware of how

urgent the need is.

The lady is

present in the Speaker's house this

morning but Rosalyn Powell was

present as well so we had two doses

of how well in the course of a

breakfast meeting and it was an

unforgettable meeting for all those

concerned.

I cannot compete with

that. Back in November, I wrote to

the Secretary of State on the issue

of service charges on GP practices

and at the surgery which serves an

increasingly ageing population faces

a huge increase of more than double.

There is a fear they may not be able

to keep the surgery going long-term

with that kind of increase. The

minister's written response did not

mention that once in November but

Lily can now do intervene in

directly that Ambleside health

centre will not have to pay this

unjustified additional £25,000 per

year.

I will reboot at the issue and

will at the response he gave. The

response seems to have brought

unevenness and unfairness in the

rates charged to GPs surgeries

belong to NHS property services and

we are trying to make this fair

across the country but we do want to

make sure that no GP surgeries

close.

Thank you. With an ageing

population, I, too, welcome the age

of integrating health and social

care and also developing

consultation -based planning with

health and social care as we have in

Scotland. The outsourcing of health

service contracts to provide as an

NHS England has led to a

fragmentation rather than

integration. With the Secretary of

State to groovy that there is a need

to repeal section 75 of the health

and social care act so local

commissioners can develop agents

centred services and not fear

litigation if they don't beat them

out to tender.

-- if they don't put

them out to tender. We do want more

integrated services. A part of that

is contractual structures but

another part is funding and I would

gently point out that 80% of the NHS

budget in England go to general

practice and only 6.6% in Scotland.

That's why there was an even bigger

problem of GP surgeries closing in

Scotland.

The new care structure is

developing in NHS England however

have no statutory basis and yet in

the future will control the entire

health budget foreign population.

Does the Secretary of State not

accept that, with another major NHS

reorganisation, we need debate and

legislation in this place to get the

structure and governance right.

If I

could say to the honourable lady, my

first two years as secretary, the

message I heard loud and clear from

the NHS was they did not want a huge

structural reorganisation and so we

are very cautious about changing

statutory structures. What they want

to do is encourage integration but

in the course of time, the NHS said

they would be statutory structures

change, we will listen.

Number five.

NHS improvement has informed the

Department that trusts have reported

consolidation subsidiaries but the

reggae be a small number of

instances where our subsidiaries to

small to be consolidated.

One

assessment that the Minister has

made a the staff morale, tension,

recruitment may just have set up

these poorly subsidiary companies

and introduced a two tier system

where new staff, terms and

conditions are not part the NHS and

they don't change as well as the NHS

pension scheme. Is this an open back

door to the privatisation?

If the

honourable lady could have joined US

means that the state we had on this

issue recently, she would have heard

that was under discussion, the staff

survey showed an improvement in

responses as a result of the

subsidiary because many staff survey

showed an improvement in responses

as a result of the subsidiary

because many star values like

abilities that are offered as a

result of the new contract at the

subsidiary can offer.

Thank you. The

Minister has been in denial about

privatisation but the question from

Harvard Law organisation trust has

said the subsidiary organisation to

be taken over by a subsidiary in the

future. -- the Hertfordshire trust.

The party in denial was the one that

cast the legislation. The party that

passed the legislation through the

subsidiaries is the one and that is

the Labour Party that passed

legislation that allows a subsidiary

to be offered but if he doesn't

believe me, perhaps he should listen

to NHS providers we say, and I

quote, it is misleading to say that

the establishment of holy

subsidiaries is a new phenomenon are

being pursued to avoid VAG,

privatise the NHS or material aid

conditions for staff. They should

stop scaremongering over the party

actually passed. Muller we don't

believe! We didn't then!

Thank you,

for the last few for the last three

years, the majority have been happy

with your support in England and

adults supporter is rated as good as

well.

Thank you for the Liverpool

City Council has faced 74% and, in

real terms, cuts from central

governments in 2010. Our ability to

raise money locally through council

tax with 90% of properties in band

a- C is at the bottom end of the UK

average of the weenies integrated

health and social care budget

departmental name change since we

won't do it and we need the money

locally. When we see proper reform

and proper funding to plug the gap

for the most deprived areas?

Thank

you. The honourable gentleman is

very correct to point out how the

integration between adult health and

social care is so absolutely vital

and I think they are renaming that

as very much a symbol of how

seriously the governor takes our

commitment in this area but actually

I'm very keen to talk about finding

with him because, for example,

figures show that Liverpool are

raising £7.4 million from the social

care precept and have received

approximately £21 million in funding

from the governments.

I agree that

these social gases that needs more

funding which is why, at recent

budget, the Chancellor of the

Exchequer has found that funding and

put it into the system but can I

urge my honourable friend, as she

looks at the Government's proposals

in the green paper, can she make

sure she includes implementing the

proposals we have already legislated

for because they give the best

chance for a sustained losses than

Parliament?

I think my honourable

friend -- I thank my honourable

friend for his question. I think it

is something we're looking at very

closely as of yesterday. He is very

right to say that alone 81% of adult

social care providers are as good or

outstanding, it is unacceptable when

levels of careful below the

standards we would expect which is

why it is green paper is coming and

will be very closely at how we can

improve the system.

Thank you.

According to the recent polling by

the Alzheimer's Society, public

concern about the social care system

is growing. It is clear that action

is needed now to fix the crisis so

why will be Government not heed the

will of Parliament and commit to

needy social care funding gap as

agreed on the opposition day motion

last year. -- commit to meet the

gap.

I don't agree with the

substance of what he's saying. We

have given an eight £2 billion of

additional funding in the budget

last year. This is to help councils

commission can services that are

sustainable, high-quality and

diverse of the Green paper is coming

this summer and knowledge about the

future proof the moving forward.

The

Government inspector into

Northamptonshire County Council has

recommended that, due to his

governance of the last five years,

the county council be abolished.

Wilshire colleagues in the

Department of Health work with the

news excessive authority to ensure

we have a successful social gases

than established in the county?

I

thank my honourable friend,

question. I think we have already

had conversations with local

councillors in this matter was that

he is absolutely right to raise

this, the care act place a duty on

organisations in England to deliver

high-quality care and it is

important that is what they continue

to do.

Thank you. We have a care

system which the National Audit

Office has said is not sustainable

funded where the CDC says that one

quarter of care facilities is not

safe enough and care providers Jerry

picked as to who they will give care

places and even if its people with

advanced dementia on the grounds of

cost. Can the care Minister tells

what you think address these issues

and the sharp decline in which there

has been in public satisfaction with

the social care services?

Reno the

sector is under pressure because of

the ageing population but the

Government has given councils access

to £9.4 billion of more dedicated

funding over the years. She is right

to emphasise the importance of

putting power back in the hands of

residents and their families. That

is why we published a package of

measures to ensure and protect

against consumer protections in the

social care sector and that is

something we will continue to look

at looking forward.

Number six. Mr

Speaker, this afternoon, I make a

speech setting out the principles of

which we will approach the social to

green paper including a focus on the

highest standards of care,

integration of the health and social

care system and developing a

long-term is obtainable funding

solution.

Thank you. Given that the

arithmetic of this place is so

tight, it is quite clear that they

will need to be some sort of

cross-party consensus for any

meaningful re-form. Given that the

opposition appeared to favour a

health packs and our own side have

mooted the idea of individuals

paying more for their own care,

surely cross-party consensus is that

in breach. Can I have the Secretary

of State his view on cross-party

consensus?

I think it is very

important and they always speaks

very thoughtfully on this matter but

it is important because the social

care issues are something that going

to continue for decades head unless

we find a solution and both parties

are going to have to deal with this

issue and governments. In truth, the

parties have made things worse by

politicking in the past, whether it

was discussion about a death tax in

2009 or a dementia tax in 2017.

I

have received a document my local

authority sent out by Cheshire and

Merseyside NHS which says they are

looking at a minimum of choice for a

-- one choice looking for someone

coming out of hospital into a care

home. We are asking the elderly to

go into traditional placements which

costs more money. How can people

cope with this? The problem is

simply this, there is not enough

money, there was not enough money to

pay good qualities that and not

enough places. The Government should

be ashamed of themselves.

It is his

party that should be ashamed of

itself for leaving is that the

financial crisis ten years ago but

has created such huge pressure in

both the health and social care

systems. Let me say to him that,

yes, in 2010, there were some cuts

in the social gases than but those

have changed now and come over this

Parliament, the budget is going up

by £9.4 billion of additional

resources which has an 8.6% increase

in real terms. I think we need to go

further which is why we have a green

paper.

Can I add my gratitude to

those of my honourable friend 's

that of one the new medical school

in Kent will be placed. That is

great for the health economy. On

social care, the Secretary of State

will be aware that the funding issue

is clearly one of the big long-term

questions that need to be answered.

He surely have that, the same time

as the Green paper addresses that,

it will place equal emphasis on the

need for releasing quality and

social care across the board because

that, in a short run, is what many

families feel most anxious about.

I

thank my honourable friend because

he did some incredibly important

work when he was responsible for

this area and lay some really

important foundations. He is

absolutely right. Earlier, my

honourable friends spoke about how

81% of adult social care providers

are good or outstanding. That means

one in five are not and that is too

many people who are not getting

adequate social care provisions so

we need to put quality at the heart

of this and of course that was

linked to funding.

I hope the

Secretary of State saw last night's

Panorama programme which highlighted

the link between the low pay of

co-workers and the gender pay gap.

We all know the amazing work care

workers do is particularly difficult

circumstances, whether it is severe

weather or 15 minute appointments so

what will he do to ensure they are

properly rewarded?

I am pleased she

mentioned that because today is

actually worked social worker day

and it is a day to celebrate the

brilliant work done by people done

any social care system -- World

Social Worker Day. We should also

celebrate the fact that, thanks to

the living wage, 9000 workers have

benefited including a rate of up to

£2000 per year for the lowest paid

workers.

Children's oral health is better

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

England and no decay free. But that

means 28% and not and that is why

our Starting Well programme aims to

improve this.

In Kirklees, 29% of under

five-year-olds have experienced

tooth decay. Nationally among 5-9

-year-old tooth decay is the most

common cause of hospital admission.

Does the Minister agree the system

of penalising dentists for not

hitting targets while not paying

them when they exceed target led to

a situation where there is virtually

no NHS dentist available to my young

constituents? What steps will he

take to make more places available?

We are testing this new prevention

focus of dental contract what she

knows about to improve access and

outcomes for NHS dental treatment.

We have made great progress and

children's oral health. NHS England

is currently finalising arrangements

for extra funding to support

dentists and offer additional access

and places and that will be

available from the 1st of April. So

members should stand by their

phones.

The honourable lady for

Backley and Spain is right about

this particular issue, the

Government long acknowledged a

shortage of dentists in North

Yorkshire and Bradford in particular

so can he set out what the

Government is doing to ensure there

are unacceptable -- do is accept all

levels of dentists in Bradford?

I

will not pre-empt what the right

honourable lady will say but the

areas were selected nationally on

overall lead using data including

access to NHS dental services. The

that seems the Minister is in denial

that British dental Association

reported almost half of all NHS

dentists are not accepting new

patients. No adult and no children.

In several regions across the

country, patients are having to rely

on the third World charity with his

now famous wheelie bin dental

surgeries. Does the Minister think

this is acceptable and will he

outlined what steps he intends to

take to improve access to NHS

dentists?

One of the things we may

be discussing shortly but that

introspection she raises that

because to one survey, results

published last year 59% of adults

that tried to get an NHS dental

appointment, 95% were successful.

That is not bad figures.

Number

eight, Mr Speaker.

All posted teams

in my department have conducted

assessments of the implications of

Brexit and continue to plan for all

scenarios.

I hope to hear some good

news then. In my own constituency

Dundee University and the hospital

are recognised biomedical and

clinical research centres and work

closely with other European

colleagues and institutions and work

is threatened if we are outside

network and the clinical trial

system. How does the Secretary of

State plan to specifically protect

the academic and clinical research

excellence of Scottish and UK

institutions post-Brexit?

We have

made it clear we want to integrate

closely with European structures

when it comes to medicines research.

I would gently say great

universities like Dundee also

collaborate with universities all

over the world. I think this is a

good opportunity for us to make sure

we strengthen our research networks

internationally as well as the tried

and tested ones with the EU.

Does he agree when we leave the EU

it would be a good opportunity to

build links with other countries'

medical systems, particularly

Chinese and integrated Chinese and

Western medicines.

He is right to draw attention to

antimicrobial resistance because

China is one of the big countries

that can make a difference on that

and we have had lots of discussion

with Chinese health ministers as to

how to work together on that.

Number nine.

Patient safety and infection

perception are a key priority and

Public-health England carried out

initial analysis however the data is

currently incomplete and would not

truly reflect the usage of hand gel

so we're working on how we can

improve that data.

I'm sure the Minister would agree on

the bill importance of making sure

all NHS staff are washing their

hands

would she agree it's disappointing

we have not quite got that paper

published yet and will she set a

date for when we can actually see

that data?

We will continue to look

at that but the department has a

very strong track record at tackling

infection. Incidents of MRSA are

down 54% on 2010 and we published a

revised code of practice and hand

hygiene and we're working with

partners to make sure this remains

the focus.

There has been excellent work on

extending this to the NHS and the

decline of MRSA is indicative of

this but there is a prejudice by

some on people who think these gels

can take alcohol and therefore will

not use them. Is it possible to

instigate some kind of marketing to

ensure there is no alcohol within

these gels? The honourable gentleman

makes an excellent point and it's

certainly something we can close it

would that.

Will the minister explain the work

the Government is doing with

Public-health England to raise

awareness of sepsis infections and

raising awareness of this potential

killer?

This is a matter priority.

We -- this is a matter priority and

we are about to start a public

information campaign. This deserves

to be given our fullest importance

and one we will seek to tackle in

every way possible.

Number ten.

With

your permission I will answer this

along with question number 22. The

estimates of the approximate 460,000

referrals made the children and

young people's NHS mental health

services every year, 200,000

children receive treatment and many

are properly signposted to other

help. Treatment is determined by

clinical need and it's vital for all

to remember special services are not

always appropriate for those

referred. We are committed to

treating 70,000 more children and

young people each year by 2021.

About one in ten children and young

people in my constituency have

mental health disorder, higher than

the average. Local services are

becoming overwhelmed. A local mental

health charity for children so a an

increase of 40% last year and have a

waiting list of over 140 children.

The charity is still having to make

redundancies and staff have had

their hours cut due to the funding

crisis. Will she commit to ring

fencing and increasing funding for

child and adolescent mental health

and will she ensure the role of the

third sector charities in delivering

this is preserved?

Having looked at the performance of

her local trust I can say they have

managed to challenge extremely well

but that of course bring its own

challenges. We are increasing the

amount of funding available for

these services and are relying on

local clinical commissioning groups

to purchase or services but I can

tell her NHS England will be keeping

this area under scrutiny to ensure

we deliver the help to the front

line.

Does the Minister accept cuts

the mental health services mean too

many young people who have suffered

trauma are not getting the support

of a desperately needs and how she

measured the impact of this on young

people and in particular any links

to the tragic incidents of youth

violence we are now seeing on a

daily basis?

I do not accept the allegation that

has been cuts, we have increased

expenditure by 20%. What I would say

is we recognise we need to

significantly invest more in

improving children and young

people's mental health and that

exactly is what will be doing.

Mental health problems have a wider

societal costs and does the Minister

agree treating children's mental

health issues benefits our society

as a whole.

I don't think I could

have put that better myself and

that's exactly why we brought

forward the proposals in the Green

paper. We recognised early

intervention is the best way of

protecting people's mental health

and will encourage all schools to

appoint a designated mental health

leads and will roll of mental health

support teams to support schools and

trial a four-week Whittington

standard which will lead to material

improvement in children's mental

health -- this will leads.

BC QC reported young people are

waiting up to 18 months to receive

vital treatment. The Royal College

of psychiatrists say that some

health trusts are spending less than

£10 per child on mental health

services and spending today is less

than in 2012. Will the Minister tell

us exactly what she's doing to fix

what many health professionals say

is a broken system?

Firstly I would like to welcome the

lady to her place on the front

bench, I think it is the first time

we have had exchanges. We have

invested an additional £100 million

last year. We know over half of

providers have an average waiting

time of less than 12 weeks and 4% of

providers are waiting time of less

than four weeks. There are six

trusts that are outliers and they

are receiving significant attention

from NHS England, we have targeted

work with them to address possible

issues. As I said, part of the Green

paper we will be trialling a

four-week Whittington standards as

we are determined to achieve

improvement in this area.

Number 11.

I fully support the role youth

workers play in supporting

vulnerable young people. We are

working with the Home Office to

support the charity Red Thread to

help embed youth workers in hospital

emergency departments. They

currently operate in London's four

major trauma centres and will launch

in Nottingham and Birmingham this

year. They also work with academics

to assess the efficiency of the use

of violence intervention programme.

Use of violence and Mason Crane

continues to soar. Youth workers in

hospital A&E is proven to work and

it would cost as little as £6

million each year to put youth

workers into every A&E. Well the

honourable lady finally finding?

I commend the work that I will be a

honourable lady find the funding?

I would say the work with Red Thread

is being done with the Home Office

and I would not want to allocate

their expenditure any more than they

should allocate mind.

Dementia

awareness week runs from the 21st

two the 27th of May and the

Department of Health and social care

expects to fully participate that

week, working with partner

organisations and the voluntary

sector.

Alongside the work of governments of

both parties to improve dementia

research and care, dementia

awareness week is key. The role of

voluntary organisations and

dedicated volunteers is vital. Will

my right honourable friend join me

in paying tribute to the fantastic

work or specialist dementia care

nurses and join me in backing

Leicestershire dimension UK

volunteers in their campaign that is

well on track to raise the £50,000

needed for a nurse for the county.

First of all I would like to pay

tribute to my right honourable

friend and his sterling work as the

culture of the all-party

parliamentary group on dementia. He

is right to see Admiral nurses do

fantastic work all of the country,

helping people with dementia

maintain their independence and

improve the quality of life and that

of their families and overly much

support all the fundraising

activities.

Number 13, Mr Speaker.

NHS England is working with the East

and north Hertfordshire hospitals

NHS Trust to determine the best way

to deliver radiotherapy services for

patients in Stevenage, part of a

systemwide NHS England review of the

way in which the developing services

are delivered.

Thank you, Mr

Speaker, Hertfordshire has over 1

million people was no rid provision.

My constituents travel over 80 miles

for every treatment racking up

thousands of miles. Myself and the

member for North East Hertfordshire

who run this campaign and we have

all the agreements from every single

part of the NHS, we are meeting the

board of the trust on Friday and

will the Minister given direction to

get on with building the facility?

They'll have a direction to get on

with building and that includes a

strategic plan is working with the

councils. This is including

radiotherapy services and recognise

that a more radical approach and law

review for radiotherapy may be

required in the future. As he says,

Indian parliament in parliamentary

neighbour at that meeting later this

week and I hope they did gush and

productive. That discussions are

productive.

Will my honourable

friend Beaverbrook to highlight to

the review team just how dreadful it

is for someone to have to travel day

after day, 1.5 hours in each

direction to London for their

radiotherapy when they are already

ill and I just hope it may be

possible for some action to be taken

to resolve this in our area.

Girl-mac my honourable friend is

right is right is the doctor

services in his area and the review

is not about cutting those but I

would say sometimes the services

have to be centralised to be in the

right place and deliver the right

outcomes for cancer patients. We

have too mindful of that as well.

I

take the next question on the

condition that members are

exceptionally brief as time is a

constraint.

Thank you. I will answer

this as quickly as I can with 16 and

21 with your permission. We

recognise of course the shortages in

general practice which is widening

committed to delivering extra

doctors in... Composer 2015.

A

fountain, like many other places

around the country, are struggling

to recruit and retain GPs. --

Southampton are struggling. One

reason is perhaps the discouraging

of medical students into general

practice while encouraging them into

becoming specialist consultants. Is

my honourable friend aware of this

practice and how widespread is it?

What is he doing to encourage more

people into general practice?

The

Secretary of State has already

outlined about the medical schools

and the GB training places that

fulfilled, that is a record number.

I am aware of what he mentions. That

is why we are working together with

the profession on a range of

measures to boost recruitment. The

existing profession as a role to

play as well and I would say current

super chair, Helen Stokes Lampard,

is leading from the front initial

state.

But even as I agree with me

that the answer of addressing some

of the pressures is enhancing the

role of community pharmacies? Will

you provide an update on what steps

they are taking to support

pharmacies and further integrate

them with general practice?

We know

that there are benefits to be had

from better integrating amenity

pharmacies with in STPs. We are

doing this by integrating them

further into the community and we

will have 2000 of them integrate the

general practice by 2020. Trinity

pharmacy themselves should be

integrated through STPs because it

is one NHS. -- community pharmacies.

It is great is see record numbers of

medical student going into general

practice but far too many GPs are

choosing to retire and leave the NHS

and 50s because of tax their pension

scheme. We have to address this,

does the Minister agree that we

should not be penalising them for

staying in the NHS? Tier along with

concerns about workload, pensions

are the issue. You'll make GPs often

find that with me. It is a matter

for her magazine's Treasury but the

issue was also raised the Prime

Minister's Question Time last week.

I'm sure that will be raised here as

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

have fabulous GPs. Too many GPs

present to AMD because their primary

not up to dealing with the workload.

Then the a and E get overloaded and

it makes the pressure on the

hospital so much worse. What do you

do to combat this?

What we will do

is properly integrate primary care

and secondary care 3-D models of

care so the extended access, for

instance, is reimported in that.

That is what we're talking about

disciplinary teams and pharmacy

care. They are not about providing

the plaster when the cost happens,

they are about preventing the cut in

the first place.

Do we need more

salary GPs?

We need more GPs.

If

there will be more of them, they

have to be paid.

Patients at

Hightown GP were promised surgery

would stay open then there are

written to that it would close on

June eight. The governor is

belligerently taking action on the

shortage of GPs but will they

promised they get to patients and

GPs will stay "Mac girl-mac I will

get Hightown surgery and if you want

to talk to me about it coming he is

welcome to do so.

It is important to

look at his area to provide care for

the patients that his constituents

need and what I am happy to look at

it and talk about it.

Topical

questions.

One.

Commitment to expand

medical places by 25%, one of the

biggest this pageant in history of

the NHS. I'm pleased to announce to

the house the results become

addition to set up five new medical

schools, they were chosen following

a rigorous independent bidding

process which prioritised attracting

doctors to harder to recruit areas

and increasing the number of GPs and

psychiatristss. Many congratulations

to the winner who are the University

of Sunderland, edge Hill University

in Lancashire, Anglia Ruskin

University in Chelmsford, the

University of Lincoln and working in

collaboration with Nottingham

University and Canterbury

Christchurch University.

With the

death of Professor Stephen Hawking

and all of our thoughts, can the

Minister tell us which steps his

department will take to support

research and develop a cure for

motor neurone disease?

Of course

Professor Hawking was an inspiration

is not just because of his

scientific thinking but because, to

many people with motor neurone

disease, he was an absolute exempla

because he was given two years to

live at the age of 21 and ended up

living to the age of 76. This is a

big area priority for us to any last

year, that we have figures, £2

million was invested in it and they

are investing for clinical trials.

Can I say, you have to reboot

because there was a lot of pressure

on time and the would not want a

situation where the front bench

dominate at the expense of the back

because that would be absolutely

wrong. The honourable gentleman is

always opposed to that which is

wrong.

Thank you thank you for your

instructions. We have heard to say

more warnings that the winter crisis

will stretch beyond Easter. We have

seen the worst winter crisis for

years. He will blame the flu, he

will blame the weather but patients

are waning years of underfunding,

years of social care cots and years

of cuts to acute beds so will he now

apologise for telling us that the

NHS was better prepared than ever

before this winter?

Say sorry!

They

did prepared to relieve this winter

but he is right to talk about

finding the cause he will be

interested in these figures which is

the last five year period we can get

all the numbers fall. In Wales,

funding went up 7.2%. In Scotland,

11.5%. In England, 17.3%. Yafan Wang

this is a Government moving into its

eighth year, not its fifth year. At

eight years, life expectancy is

going backwards in the poorest part

of the country.

-- this is a

Government moving into its eighth

year. New research shows that in the

first 49 days of 2018, an additional

person dies every seven minutes.

Shameful. Isn't it time we had a

full national enquiry into widening

health inequalities and, in the 70th

year of the NHS, Willie Government

now bring an end to the

underfunding, cuts, austerity and

privatisation of our health service?

Mr Speaker, really, you can do

better than that, the truth is that

the NHS has had its most difficult

winter in living memory and that is

why last year, in preparation, we

invested £1 billion in the social

care assistant, £109 in accident and

emergency capital and more people

got the flu jab but he still has not

explained why, for every additional

£1 we present operation to the NHS

in England, the Labour Government in

Wales only put in £57. That is

underfunding.

Thank you. Now my

younger daughter, being at the

particularly discerning age of

one-year-old, is a fussy eater,

childhood obesity is becoming one of

the most quickly rising and

important issues of our time so does

my honourable friend recognise that

it is something we really need to

tackle and tackle quickly?

We are

all trying to deliver on a really

ambitious childhood obesity plan. We

want people to exercise more but I

think we do need to keep a close

watch on this. We are one of the

first few steps in a long race and

are always looking to learn from

successful initiatives elsewhere.

Last week, I was in Amsterdam

looking at the systemwide approach

to tackling obesity. We should be

listening and we are.

In my

constituency, head teachers tell me

that they are asked by the men loyal

service to prove that children have

tried to commit suicide before they

are prepared to accept a referral.

The Minister has just accepted that

less than half of children who are

referred are treated and that under

the plans, less than two thirds will

get treatment. There is so much

rationing going on, will the

Secretary of State please connect to

committing now the amount of ring

fenced funding?

That is totally

unacceptable and that is why we

announced a £300 million expansion

of cams in the autumn and they went

by 20%. That is what you're trying

to end, what she is speaking about,

which is a terrible situation we

were told that you are not ill

enough yet to get treatment and we

have to resist not do that.

Will the

Secretary of State joined the paying

tribute to all the staff of my local

hospital which he knows very well,

and they have done a superb job, and

indeed my neighbour, they have done

well also because it services

constituency. Logically they have

done a great job this winter and

assurances and clarity of the

current nurses' pay negotiations

will help with both recruitment and

retention in the future?

My

neighbour... I know because I know

someone who was born at that

hospital, he is right to highlight

the importance of the work done at

King 's Lynn and all the work done

there. That is why in the budget the

Chancellor signalled, his additional

agenda for change that and those

discussions are ongoing.

Thank you.

My constituent Rebecca is a good and

lastly she told me that because a of

insufficient funding and staff

shortages, that she is having to

rationally Jackie gives. Bat a

podiatrist. What can be said on the

impact of the cut off funding to

poor dieterss?

The reality is the

number of places is increasing even

if the income of applications is

lower than what it was not the

reality is that the Government has

signalled its commitment on pay and

we have more clinicians, doctors,

nurses and they treating more

people. That is part of the success

of the NHS under this Government.

Can I thank the Secretary of State

for visiting Kettering General

Hospital recently? In his opinion,

what are the main issue they will

need to concentrate in order to get

itself out of special measures?

First of all, I have to say I was

very inspired by how hard the staff

are working and he always championed

them in this house but it was a

great privilege to see this by

myself. They have great leadership

coming in at that hospital and I'm

very confident the new leadership

will put in place several changes

that will enable that hospital to

get out of special measures,

hopefully quickly.

This morning, I

met with the family of a constituent

out of the longer the case of many,

many more highlighting the case for

medical cannabis. What will the

Secretary of State do to integrate

medical cannabis for the thousands

people who would benefit but then

might be branded as criminals?

Obviously everybody in the houses

are aware of this case and thoughts

are with Alfie and his family. My

honourable friend, the Policing

Minister, Alfie's family and discuss

options which may assist him. Any

proposal would have to be led by his

clinicians using sufficient and

rigorous evidence. Yellow necklace

by Nottingham from the is that sure

we welcome the announcement of five

new medical schools announced to

date. With the Minister also welcome

the extra medical school places in

Brighton and Sussex University is

supporting my constituent and launch

last week of the new nursing

apprenticeship scheme by Brighton

University wringing more nurses into

the profession.

My honourable friend

always quite rightly championed the

work of nurses and she is quite

right to signal the importance of

the nursing apprenticeship route

which offers, for many health care

assistant, a new way to progress

within the NHS and it is right that

we increase the number of pathways

what this is in order to deliver.

During the first seven weeks of

2018, 10,000 younger than 75 people

more ran in those weeks in the

previous years. One extra death

every seven minutes. It was not

colder than usual and deaths from

flu were not up but our hospitals

were under unprecedented pressure.

Why did all these extra death

occurred?

As he will know, these are

figures that cover England and

Wales, and he will also know that

they do not take account of changes

in population or changes so that it

is the age standardised note. That

remain stable over the next years.

My honourable friend has been an

assiduous MP for lobbying for Luton

and Dunstable Bedford and he will be

aware the ongoing business case is

being reviewed. Ultimately this is

about the additional money the

government has funded, the £3.9

billion worth of investment, which

is why those cases are being

reviewed.

Over a third of children

in the UK are either overweight or

OBEs. An influx of junk food, junk

food and sort is not help. Will the

Health Secretary make sure that

health is put over trade going

forward?

As I've already said, we

are concerned about child obesity.

It is probably the big public health

challenge, not least the impact it

can have on diabetes, heart disease

and cancer, which is why I welcome

Cancer Research UK moving into this

space. We have one of the most

ambushers plans in the world, it is

the start of a conversation, not the

end and if we need to go further, we

will.

Can I welcome today's

announcement on a new medical school

for Kent was making an area that

struggles to attract doctors, this

will make a huge difference. It is

genuinely a game changer and can I

asked my honourable friend to

congratulate the University of Kent

and Christchurch University on their

successful bid?

I congratulate them

and I'd like to congratulate her

because I know she worked hard on

this bid and I'm sure thanks to that

they are one of the successful

bidders today.

The Independent

reconfiguration panel's report on

the downgrading of Huddersfield

Royal Infirmary is sitting on the

Secretary of State's desk and I've

been told it will be made public in

due course. Can we now have the

exact date it will be published?

I

am aware that the issues raised by

the council, and I understand local

campaigners have referred it to

judicial review. It would not be

appropriate to comment further at

this stage. A decision on the

referral to me by the local council

will be made in due course.

Chop in

general is a wonderful hospital but

needs investment in theatres and

wards. Can I take this opportunity

to commend the application for over

£30 million of capital funding which

would make a huge difference to my

constituents?

I've met the

management team for his trust and he

has talked to me on many occasions

about that. I am hoping he will have

a positive answer and it is in no

small part to his campaign.

Our

cancer is a major killer in the UK.

NICE recognises the new screening

test to be far more effective in

screening but there remains a lack

of clarity about when it will be

rolled out nationally. Will the

Minister provide that clarity today

so that people can be saved down the

line?

The UK National screening

committee has recommended it be the

primary screening test in the UK and

we want to implemented in 2018-19,

we will give a statement shortly.

Thank you for our new medical school

in Lincoln.

Gratefully accepted.

Very wise. Mr Frank Field.

Can I

thank the Minister for health, he's

concerned about what is happening in

our area. Might he meet the members

shortly so that we can ensure

existing government is short-term

and that the issue of bullying and

the way the hospital cripples

primary care is dealt with

effectively?

The Right Honourable

gentleman is absolutely right to

raise this issue, it is a serious

issue and there does need to be

culture change in Wirral. I will

continue to meet with him and the

other members to discuss this. He

will be aware of the NHS improvement

report into the issue coming out in

March.

According to Lord O'Neill,

diagnostics and prescription of

antibiotics is the most important of

the Ten Commandments of the review.

Will the Minister update the house

towards progress of this goal?

He is

absolutely right and we are totally

committed to the O'Neill

recommendations and working

internationally to bring them about.

My local paper the Bradford

Telegraph has loved disease-mac

launched the stop the rot campaign

as children in Bradford have the

worst dental outcomes than anywhere

in the country. Does the Minister

agree prevention is the key to

improving children's dental health

and what states is the government

taking to make sure prevention is

key in any new dental contract?

That

would be the William Bradford

Telegraph. 75 dental practices are

continuing to test the clinical

approach alongside Newman systems

which tried to increase prevention.

It is taking time but we are trying

to get it right.

We know early

diagnosis of cancer is crucial for

successful treatment outcomes but

for many cancers, such as ovarian

and pancreatic, early symptoms can

be fake and the chance to diagnose

early mist. What is the government

doing to make sure hard to detect

cancers are diagnosed early?

An

excellent question. We are testing

the new programme which I visited

recently in Oxford. Patients with

vague symptoms can be referred for

multiple tests. I don't get excited

very easily but this promises great

excitement.

Well, it is a delight to

see the Minister in high excitement.

70 MPs from across the house in the

Westminster Hall debate agreed we

need more for the NHS now so what

will the Minister do differently for

sufferers of cystic fibrosis and

when will the news of a breakthrough

come through? They are slowly

drowning in their disease without

access to Orkambi.

The honourable

gentleman spread very well in the

debate on behalf of his

constituents. We have made a counter

offer to the company and I call on

them to be reasonable, and to get

back in the room and a round table

and get this sorted.

The health

service, demand exceeds supply, as

with these questions. I'm creating

more time.

I'd like to thank the

honourable member for Winchester,

the Minister, for his response to

the APPG. Will he make sure that

cancer alliances and GPs are

diagnosing early?

It is an easy one,

Mr Speaker.

Absolutely, yes. The

significant amounts of public money

at stake... Should subsidiary

companies publish their full cases?

They are 100% owned by the NHS so

any benefit that accrues from