Topical Questions 2024-11-19

2024-11-19

TAGS
Response quality

Questions & Answers

Q1 Partial Answer
Dan Tomlinson Lab
Chipping Barnet
Context
The MP visited Barnet Hospital and saw improvements in emergency care.
Earlier this month, I visited Barnet hospital to see the way in which it is changing the emergency care department so that more patients can be seen more quickly, freeing up capacity in accident and emergency. What steps are the Government taking to ensure that trusts such as the Royal Free and others across the country get the support they need, through investment and reform, to improve patient care?
I am grateful to my hon. Friend for his question. The Royal Free hospital saved my life when I went through kidney cancer, so it holds a special place in my heart. Thanks to the Chancellor's decision and the investment she put into the NHS at the Budget, and the reform my Department is delivering, we will deliver the change and improvement that his constituents and mine, and the rest of the country, deserve.
Assessment & feedback
The response mentioned general support for hospitals but did not provide specific steps or reforms being taken to ensure trusts receive necessary investment and support.
Personal Anecdotes
Response accuracy
Q2 Partial Answer
Edward Argar Con
Melton and Syston
Context
Every year, winter presents challenges to the NHS.
The Secretary of State knows that every year, irrespective of which party is in government, winter is challenging for the NHS. Possibly, it will be all the more so this year with the potential impact on older people's health of the loss of the winter fuel allowance by many. What winter preparedness steps has he taken, like previous Governments, to increase A&E capacity and to increase the number of beds this winter, and can he say by how many?
It is thanks to this Government and the action we have taken that, for the first time in three years, we go into winter without the spectre of national strikes looming over the NHS, and with NHS staff on the frontline not the picket line. It is thanks to the priority this Government have given to prevention that we have already delivered almost 15 million covid-19 and flu vaccinations, alongside the new RSV—respiratory syncytial virus—vaccination to help vulnerable groups for the first time.
Assessment & feedback
The response did not provide specific steps taken or number of beds increased but focused on preventive measures and lack of strikes.
Mentioning Preventive Measures
Response accuracy
Q3 Partial Answer
Edward Argar Con
Melton and Syston
Context
The government's lack of answers on the impacts of NICs increases has raised concerns.
I am grateful for that response but, just as my hon. Friends have highlighted in respect of the damaging impact of increases in employer national insurance contributions on GPs, hospices and care providers, I fear it was another example of the Government simply not answering the question and not having a plan yet. Either the Government have not done their homework and, as with the impact of NICs increases, they have not thought this through and do not know, or worse, they do not care—which is it?
This Government are prepared for winter and we are already standing up the operational response to winter pressures. On funding, the right hon. Gentleman was in government just before the general election. Is he saying that his Government did not provide enough funding for the NHS this winter? If not, why not? If he does accept that it is enough money, he will surely welcome the extra investment that the Chancellor is putting into the NHS from next year.
Assessment & feedback
The response avoided answering whether the government had a plan for addressing winter challenges and instead questioned the opposition's past performance.
Questioning The Opposition
Response accuracy
Q4 Direct Answer
Lauren Sullivan Lab
Gravesham
Context
There have been ongoing shortages of medications for attention deficit hyperactivity disorder.
What steps are Ministers taking to address the ongoing shortages of medications for attention deficit hyperactivity disorder, which have been going on for 18 months?
The Department has been working with suppliers of medicines used to treat ADHD to seek commitments from them to address the issues, expedite deliveries and boost supplies. We are working with NHS England to approve the modelling for industry and communications regarding ADHD medicine supply issues. We will continue to engage with industry to address the remaining issues as quickly as possible.
Assessment & feedback
Response accuracy
Q5 Partial Answer
Helen Morgan Lib Dem
North Shropshire
Context
There is a decline in dental coverage for children, and dentists are handing back contracts.
The Conservatives' disastrous legacy on dentistry means that more than 4.4 million children have not seen a dentist in the past year. In Shropshire, dentists continue to hand back their contracts, including one in Wem in recent weeks. Will the Minister outline his plan to reverse that terrible decline and ensure that the issue is addressed in rural areas where there are dental deserts?
There will be 700,000 extra urgent appointments, golden hellos, and a prevention and supervised toothbrushing scheme for three to five-year-olds.
Assessment & feedback
The response did not provide a detailed plan but mentioned some initiatives without specifics.
Response accuracy
Q6 Partial Answer
Paulette Hamilton Lab
Birmingham Erdington
Context
There are concerns that online GP appointments may be used as substitutes for face-to-face consultations.
Many of my constituents are worried that online GP appointments are too often used as a substitute for face-to-face consultation, which risks adding pressures to NHS waiting lists further down the line. Will the Secretary of State reassure my constituents that they will receive timely, in-person GP access and the quality of care that they deserve?
We all know that general practice is under enormous pressure, and that will be a big part of this Government's agenda. I reassure my hon. Friend that our view is that there should be patient choice, patient control and different courses for different horses. I value online and over-the-phone appointments, but they will not be right for everyone on every occasion. Patients should have a voice and a say.
Assessment & feedback
The response did not provide reassurance about in-person access or specific measures to ensure quality of care.
Response accuracy
Q7 Partial Answer
Lincoln Jopp Con
Spelthorne
Context
A local GP is concerned about the impact of increased national insurance contributions on their ability to hire a new seven to eight session GP.
I recently met a GP who was in the market to hire a new seven to eight session GP to meet demand. Following the Budget and the increase in national insurance contributions for employers, he can now only afford a three to four session GP. What advice does the Secretary of State have for my friend the GP?
I would say to GPs who are thinking about staffing for the next financial year that they should hold tight and wait for funding allocations shortly, so that they can make informed decisions about staffing and care for patients.
Assessment & feedback
The response did not provide specific advice on hiring but suggested waiting for further information.
Response accuracy
Q8 Partial Answer
Damien Egan Lab
Bristol North East
Context
Residents of Bristol North East have raised concerns about difficulties in obtaining GP appointments.
On the doorstep in Bristol North East, people regularly talk to me about the difficulties they have getting a GP appointment. Will the Minister assure primary care services in my constituency, such as Kingswood health centre, that the Budget will help them and marks the first steps in transforming our NHS?
We have pledged to bring back the family doctor, and we have already invested an additional £82 million in the additional roles reimbursement scheme to recruit 1,000 more newly qualified GPs in 2024-25. We are also committed to fixing the front door of the NHS, for example through £100 million of capital funding that was announced in the Budget.
Assessment & feedback
Did not directly address whether Kingswood health centre will be specifically assisted by the budget.
Response accuracy
Q9 Partial Answer
Charlie Maynard Lib Dem
Witney
Context
Dr Steve Bright at Windrush health centre in Witney highlighted the need for QR codes to be incorporated into the NHS app.
Will the Secretary of State give a clear date by which QR codes will be incorporated into the NHS app at the point of care, thereby making the process faster and safer?
I might resist the invitation to give a specific date today, but the hon. Gentleman makes a valuable point about the ease of use of the NHS app, and I will write to him further on that point.
Assessment & feedback
Did not provide a clear date or any commitment regarding QR codes in the NHS app.
I Might Resist Write To Him
Response accuracy
Q10 Partial Answer
Sarah Olney Lib Dem
Richmond Park
Context
GPs at the Fairhill medical practice in north Kingston reported a £50,000 increase in costs due to increased national insurance contributions.
Last Friday, I met GPs at the Fairhill medical practice in north Kingston in my constituency. They have told me that the increase in national insurance contributions will add £50,000 a year to their costs. Can the Secretary of State tell me whether GPs can expect to see an across-the-board cut in the NICs payable by GPs to help them manage to continue delivering services for families in the area?
We have not yet announced allocations for general practice for the year ahead, and we are taking into account all the pressures that general practice is under.
Assessment & feedback
Did not provide any specific commitment regarding NICs reduction for GPs.
Response accuracy
Q11 Partial Answer
Beccy Cooper Lab
Worthing West
Context
Under the previous government, public health grants were cut by 28%, affecting prevention efforts.
The renewed focus on prevention in our health system is welcome, but under the previous Government, the public health grant that facilitates much of that work was cut by 28%. Has the Minister, in partnership with the Treasury, considered when we might be able to address that public health funding issue, which is essential to enabling progress in prevention?
We will confirm the 2025-26 local authority public health grant allocations in due course. Local government plays a critical role in delivering the Government's health mission and driving action on the prevention of ill health.
Assessment & feedback
Did not provide a specific timeline for addressing the public health funding issue.
In Due Course
Response accuracy
Q12 Partial Answer
Martin Wrigley Lib Dem
Newton Abbot
Context
Major GP groups in the constituency are facing financial difficulties and considering drastic measures.
I have been shocked this week by all the major GP groups in my constituency detailing their financial situations. They are all close to the edge and are considering the options of bankruptcy, redundancies or handing in their contracts. What urgent respite can the Secretary of State give them?
I am in no doubt about the state that general practice was left in by our Conservative predecessors. That is why, in making decisions about funding allocations for the year ahead, we are taking into account all the pressures that general practice is under, as we clean up the mess left by the Conservatives.
Assessment & feedback
Did not provide any specific immediate support or respite for GP groups.
Cleaning Up Taking Into Account
Response accuracy
Q13 Partial Answer
Alice Macdonald Lab Co-op
Norwich North
Context
A patient named Rachel was told she might have to wait up to 18 months for urgent surgery due to endometriosis.
In summer 2023, I spoke to Rachel, who suffers from endometriosis. She was told that she might have to wait 18 months for urgent surgery. She is still waiting. In fact, she has had the menopause induced to help tackle her symptoms. Can the Minister tell me what the Government are doing to improve the diagnosis and treatment of women, including Rachel, who have had to wait far too long?
My hon. Friend makes an excellent point on behalf of Rachel and many other women suffering from this disease. We are looking urgently at gynaecological waiting lists.
Assessment & feedback
Did not provide specifics on actions to improve diagnosis or treatment for endometriosis patients.
Looking Urgently
Response accuracy
Q14 Partial Answer
Wera Hobhouse Lib Dem
Bath
Context
Only 32% of asthma sufferers in Bath and across the country can access basic levels of care.
Respiratory health conditions are one of the main drivers of NHS winter pressures, yet only 32% of asthma sufferers in Bath and across the country can access the most basic level of care. What will the Government do to improve access to basic levels of care for the 68% of asthma sufferers who are currently missing out?
NICE is reviewing its guidelines for the diagnosis, monitoring and management of chronic asthma, and an updated version is due to be published in late November 2024.
Assessment & feedback
Did not specify measures to improve access to basic care for asthma sufferers.
Response accuracy
Q15 Partial Answer
Andy McDonald Lab
Middlesbrough and Thornaby East
Context
Women with spinal cord injuries face significant challenges in accessing core health services, including breast screening.
Women with spinal cord injuries face significant challenges in accessing core health services, including breast screening, cervical screening and gynaecological care. Research shows that women with disabilities, including spinal cord issues, are 30% less likely to attend routine breast screening appointments, in significant part due to the physical inaccessibility of the screening equipment. Will the Minister meet me and representatives of the all-party parliamentary group on spinal cord injury to discuss these unacceptable disparities and ensure that women receive the equitable and accessible care they deserve?
My hon. Friend highlights a shocking example of inaccessibility in these important services. I will make sure that the Department responds to him and that either me or a ministerial colleague meets him.
Assessment & feedback
Did not provide specifics on ensuring equitable care for women with spinal cord injuries.
Response accuracy
Q16 Partial Answer
Stuart Anderson Con
South Shropshire
Context
There is a business model that would be more cost-effective in the long term for Ludlow community hospital, involving moving to an eco park.
Ludlow community hospital in my constituency provides a great service for the local community, but it is restricted by its location and its building. There is a business model that would be more cost-effective in the long term that involves moving the facility to the eco park. Will the Secretary of State meet me, healthcare stakeholders and the league of friends in Ludlow to take that forward?
The hon. Member is welcome to make representations to the Department for the capital investment that he is calling for, but he should welcome the means of providing it, which was the Chancellor's decision in the Budget.
Assessment & feedback
Did not address meeting request directly, instead referred to budget decisions.
Welcome Capital Investment
Response accuracy
Q17 Partial Answer
Neil Coyle Lab
Bermondsey and Old Southwark
Context
The question addresses the efforts of Guy's and St Thomas' NHS trust to reduce delays in ear, nose and throat as well as paediatric spinal surgery. The MP also mentions that cyber security issues affect patients in Southwark.
I welcome Ministers' leadership in attacking the record waiting times inherited from the Tories. Will they recognise Guy's and St Thomas' efforts to reduce delays, especially in the ear, nose and throat and paediatric spinal surgery teams? Will the Secretary of State outline measures to protect our NHS from cyber-attacks?
I am grateful to my hon. Friend for the question and pay tribute to the work being done by Guy's and St Thomas'. He is right to raise cyber-security. That is why the capital investment announced by the Chancellor is welcome and necessary, and joint working across Government, including with security colleagues and my right hon. Friend the Secretary of State for Science, Innovation and Technology, is vital to keep patients' data and information safe and to keep critical systems running.
Assessment & feedback
Did not specify concrete measures to protect NHS from cyber-attacks beyond general joint working across Government
Response accuracy
Q18 Partial Answer
Lee Dillon Lib Dem
Newbury
Context
The question highlights the financial burden on GP practices due to lease obligations for their surgeries, questioning whether ICBs could play a role in holding these leases.
When reviewing GP funding, will he consider the burden that sits on GP practices when they have to hold the lease for their surgeries and what role integrated care boards could have in holding that risk?
NHS England currently accepts ICBs holding leases only as a last resort or by exception due to the significant capital required. While we know that is not the most effective use of ICB resources, it is an important safeguard. We are committed to fixing the front door of the NHS by supporting GPs and ICBs through, for example, the £100 million of capital funding announced at the Budget for GP estate upgrades.
Assessment & feedback
Did not specifically address how ICBs can assist with lease burdens but mentioned general support measures for GPs
Response accuracy
Q19 Direct Answer
Jacob Collier Lab
Burton and Uttoxeter
Context
The MP mentions a constituent who has been severely impacted by long COVID, highlighting the need for more research into causes, treatments, and long-term impacts.
My constituent Ollie Horobin's life has been completely transformed after contracting covid, leaving him wheelchair-bound with a feeding tube and battling debilitating symptoms every single day. Will the Minister commit to meeting Ollie and me to hear about his experience at first hand, and prioritise further research into the causes, treatments and long-term impacts of extreme long covid?
As somebody who still suffers from long covid, I know how debilitating and complex it can be, and I am committed to improving support for people affected by it. There are now more than 100 long covid services across England, and £57 million is being invested in long covid research. I recently co-chaired a roundtable on strategies to stimulate further research into treatments. I am more than happy to meet my hon. Friend and Ollie for further discussion.
Assessment & feedback
null
Response accuracy
Q20 Partial Answer
David Mundell Con
Dumfriesshire, Clydesdale and Tweeddale
Context
The question highlights the success of opt-out HIV testing in A&E since it was announced last year.
Opt-out testing for HIV at A&E has been a great success since it was announced last year, particularly in identifying those who were not aware they had the disease and among difficult-to-reach communities. Can the Health Secretary confirm whether the programme will continue?
Opt-out HIV testing has been a great success so far. Of course, we will make further announcements on its future in due course.
Assessment & feedback
Did not provide a clear commitment to continue the programme but mentioned upcoming announcements
Response accuracy
Q21 Partial Answer
Peter Prinsley Lab
Bury St Edmunds and Stowmarket
Context
The question addresses concerns about the scope of practice for anaesthetic associates and physician associates.
Will the Secretary of State explain what plans he has—if any—to limit the scope of practice of anaesthetic associates and physician associates, about whom there has been such publicity lately?
Indeed there has. Medical associate roles can and do play a valuable role in freeing up other clinicians' time to do the things that only they can do, but there are legitimate concerns within the professions about scope of practice, doctor substitution and transparency for patients. We need to grip that and address it. We will have a further announcement to make about that shortly.
Assessment & feedback
Did not provide specific plans or timelines for addressing concerns but mentioned upcoming announcements
Response accuracy
Q22 Partial Answer
Richard Holden Con
Basildon and Billericay
Context
The MP's constituency surgery has been given notice to move by the end of March next year.
South Green surgery in my constituency has been given notice by its landlord that it has to move by the end of March next year. Will the Secretary of State meet me to see what we can do to ensure that other facilities can be provided if available, or to do the best for those local patients?
That would be a matter for the right hon. Gentleman's ICB. I know that he is new to the area, so I am happy to make some introductions.
Assessment & feedback
Redirected responsibility to local integrated care board without offering direct assistance
Response accuracy
Q23 Direct Answer
Karl Turner Lab
Kingston upon Hull East
Context
The MP raises concerns about the lack of co-ordination in motor neurone disease care.
My constituent Craig Eskrett was diagnosed with motor neurone disease 12 months ago. He says that the services are there in the local NHS trust, but there is a distinct lack of co-ordination. Will the Minister meet me to discuss what improvements can be made to co-ordinate those services for sufferers of MND?
My hon. Friend raises a real issue about how we join up the whole of the patient journey. Once diagnosed, patients need appropriate treatment and wraparound care. I am more than happy to meet him and his constituent.
Assessment & feedback
null
Response accuracy
Q24 Partial Answer
Richard Foord Lib Dem
Honiton and Sidmouth
Context
The question addresses the issue of psychiatric nurses waiting months for routine checks before starting work, affecting mental health services.
At the weekend in Devon, I met a psychiatric nurse who previously worked in London and has been recruited to the south-west. She does not have a start date, and is still subject to routine checks after waiting months. Can the Secretary of State expedite these routine checks, given waiting lists for mental health?
Absolutely. That is a good example of why investment needs to be matched with reform to speed things up, improve productivity and get staff to the frontline, where they want to be.
Assessment & feedback
Did not provide specific commitments for expediting checks but acknowledged the issue and need for reforms
Response accuracy
Q25 Partial Answer
Harpreet Uppal Lab
Huddersfield
Context
The MP mentions a local children's hospice at risk due to lack of sustainable funding.
Last week, the chief executive of Forget Me Not children's hospice visited Parliament with local dad Steve, whose son is supported by the hospice. The hospice provides vital services to families such as Steve's, but its services are at risk in the longer term without sustainable funding, including the NHS England children's hospice grant. Can the Health Secretary take urgent steps to improve funding for hospices?
I am grateful for the steps that my hon. Friend is taking to make representations on behalf of her local children's hospice, both on the Floor of the House and outside the Chamber. I recognise the pressure she describes. We are determined to help hospices to overcome them.
Assessment & feedback
Did not provide specific steps for funding improvement but acknowledged the issue and described determination to support
Response accuracy
Q26 Partial Answer
Jim Shannon DUP
Strangford
Context
The question concerns the long wait times for endometriosis surgery and its impact on women across the UK. The MP is seeking to understand the government's assessment of this issue.
Can the Secretary of State confirm what assessment has been made of the number of women waiting for endometriosis surgery across the United Kingdom? What has been done to reduce waiting lists?
As my hon. Friend the Minister for Secondary Care said, the wait for women with common conditions such as endometriosis is far too long. That is why we are taking steps to cut waiting times and stop the merry-go-round of repeat visits to the same clinician to get the same answer, until someone finally listens to what a woman has to say.
Assessment & feedback
The number of women waiting for endometriosis surgery and specific actions taken to reduce these waiting times were not quantified or detailed.
That Is Why We Are Taking Steps
Response accuracy