Topical Questions 2022-12-06
2022-12-06
TAGS
Response quality
Questions & Answers
Q1
Direct Answer
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Context
The Tommy's app is a new clinical decision tool for NHS maternity care.
If he will make a statement on his departmental responsibilities, mentioning the Tommy's app as a new clinical decision tool and its impact on personalized care in pregnancy.
We know that women can benefit from more personalised care, especially in pregnancy. The Tommy's app is a new clinical decision tool for the NHS and for women, another example of how we are using artificial intelligence to improve our maternity system. That will help to end some of the variation in maternity care from hospital to hospital. I am pleased to tell hon. Members, particularly my hon. Friend the Member for Rutland and Melton (Alicia Kearns), who is a great champion of improved mental health, that today my Department, through our National Institute for Health and Care Research, has agreed to provide the funding needed for the next stage of the app's development.
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Assessment & feedback
Response accuracy
Q2
Partial Answer
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Context
A dental practice in the constituency recently handed back its NHS contract. Local management stated there are sufficient practices, but constituents report difficulty finding new patients.
What is the Secretary of State doing to ensure that assessments of the sufficiency of NHS dental services reflect the real situation on the ground?
The hon. Lady raises an important issue that is of concern across the House, as we have already seen in the exchanges the Under-Secretary of State for Health and Social Care, my hon. Friend the Member for Harborough (Neil O'Brien) answered. That in part was why, during the pandemic, we used £1.7 billion of funding to protect dentistry and why we got a commitment through the £3 billion a year funding of dentistry, but we are looking at how we localise that commissioning to get better value out of the contract.
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Assessment & feedback
Specific timeline or solution not provided
Response accuracy
Q3
Direct Answer
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Context
Dr Bill Kirkup will speak at the all-party parliamentary group for whistleblowing following a 'Newsnight' programme highlighting an NHS trust with a culture of fear that stopped staff from speaking up on patient safety.
Does my hon. Friend agree that supporting whistleblowers in the NHS is crucial to patient safety?
My hon. Friend is so right. I praise her work with the APPG and I know many colleagues will want to attend. Whistleblowers can save lives and improve healthcare, as I have seen in my own constituency, and she is right to be pressing on this matter.
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Assessment & feedback
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Q4
Direct Answer
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Context
The chairman of the Conservative party claims that NHS strikes are exactly what Vladimir Putin wants, suggesting the Health Secretary should negotiate to prevent them.
Why is not the Health Secretary negotiating to prevent NHS strikes from going ahead?
I have seen the hon. Gentleman make that claim across the media a number of times. Just to reassure him, my door is open and I have been clear with the trade unions that I am available; I am available to them this afternoon or tomorrow.
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Assessment & feedback
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Q5
Partial Answer
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Context
A Government source claims that the Secretary of State's plan is to wait for public sentiment to turn against striking nurses.
Is it true that the Health Secretary's plan is to wait for public sentiment to turn against striking nurses?
First, it is a bit bizarre that, at departmental questions, the best the hon. Gentleman can manage is “a Government source”. Secondly, the revelation from that Government source is that this will affect “a lot of people”. I do not think that comes as any surprise. That is why we regret the action and are very open to having talks.
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Assessment & feedback
Specific agreement with 19% pay demand avoided
Response accuracy
Q6
Partial Answer
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Context
There have been several changes of Ministers, but officials have continued working. The long-promised tobacco control plan is overdue.
When will the long-promised and overdue tobacco control plan be published?
Whatever format our next steps forward are set out in, we will be pushing forward very quickly and aggressively on this. This year, we are putting £35 million into the NHS to support our services for everyone who goes in to stop smoking.
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Assessment & feedback
Specific date not provided
Response accuracy
Q7
Partial Answer
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Context
Intellectual property protections can impact the rights of individuals, limiting access to affordable medical products. The proposed free trade agreement with India may affect this.
What recent representations has the Secretary of State made to colleagues in the Department for International Trade regarding the free trade agreement and its potential impacts on NHS patients?
I can reassure the hon. Gentleman on that. I would have thought that he would also welcome the commitment to a £15 billion to £20 billion increase in R&D investment, the championing of life sciences that the Minister for Health, my hon. Friend the Member for Colchester (Will Quince), has been leading on, and the opportunity we have to address greater variation within the NHS by bringing forward the innovations from our life industry and applying them much more quickly.
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Assessment & feedback
Specific assurances regarding free trade agreement avoided
Response accuracy
Q8
Partial Answer
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Context
Several GP practices in Rother Valley have a policy of requiring early morning calls for appointments, resulting in long waits and unavailability.
Residents find themselves being placed 50th or 60th in the queue and are then told that no appointment is available and to call back the next day. This is clearly an unacceptable way to offer appointments. What steps are my hon. Friends taking to stop the current failed booking system and instead guarantee a system of pre-booked appointments at all GP surgeries?
That is something that we are working on very actively. As well as financially supporting GPs to roll out new and better ways of managing their appointments, we are looking at what criteria we expect from GPs.
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Assessment & feedback
The answer acknowledges the issue but does not provide specific steps or timeline for implementing pre-booked appointment systems.
Response accuracy
Q9
Partial Answer
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Context
The NHS had backlogs before the pandemic, which have been exacerbated by government policies.
Why do the Government not take up Labour's policy of scrapping non-dom status to use the £3.6 billion to train nurses, doctors and midwives, and get the NHS back on its feet? People in east Hull want nurses, not non-doms.
The data is very clear; in fact, it is very stark on the extent to which the backlog is driven predominantly by the pandemic. That is why we have a programme, through the extra investment in the autumn statement: the £6.6 billion over the next two years going into the NHS, but also the £2.8 billion next year and £4.7 billion the year after into social care, and £8 billion in 2024.
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Assessment & feedback
The answer discusses overall funding without addressing the specific ask about non-dom status or its impact on training healthcare professionals.
Response accuracy
Q10
Partial Answer
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Context
Local care providers raised concerns about energy costs and the impact of covid in care homes, suggesting staff and resident vaccinations at the same time.
I recognise that vaccinating nursing staff alongside residents happens in some places. Can we look at making it the norm throughout the country?
The NHS is strongly encouraging local vaccination teams to vaccinate staff, as well as residents when they visit care homes. That should be normal practice.
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Assessment & feedback
The answer acknowledges the request but does not commit to making it standard policy.
Response accuracy
Q11
Partial Answer
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Context
Parents are worried about the prevalence of strep A, the availability of antibiotics, and the need for government reassurance.
Does the Secretary of State believe that this is a moment where the Government need to make a statement and show clear leadership to calm people down and reassure them about the situation?
We held a cross-party briefing last night on strep A. We want to reassure parents, and if their children have symptoms and they are concerned, please seek help. GPs are ready and A&E departments are ready.
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Assessment & feedback
The answer provides reassurance but does not commit to a formal government statement.
Response accuracy
Q12
Partial Answer
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Context
The East Lancashire community diagnosis centre includes Burnley hospital, with plans for new endoscopy rooms and further development.
Will the Minister agree to meet me to discuss phase 9 of the hospital's development, which would bring a brand-new radiology suite?
My hon. Friend is a strong champion for Burnley, and I congratulate Burnley General Teaching Hospital on the incredible innovative work it is doing.
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Assessment & feedback
The answer acknowledges the hospital's efforts but does not commit to meeting to discuss specific development phases.
Response accuracy
Q13
Partial Answer
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Context
Wales is facing issues with pay awards and fair funding, which the trade unions believe need to be addressed.
When will this Government listen to the Welsh Government and the Welsh trade unions and provide the proper funded pay award that NHS staff deserve?
I simply direct the hon. Member to the Barnett consequentials.
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Assessment & feedback
The answer refers to funding mechanisms without addressing the specific ask about increasing pay awards for NHS staff in Wales.
Response accuracy
Q14
Partial Answer
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Context
An elderly patient's experience of long wait times and delayed care at A&E highlights systemic issues.
Can my right hon. Friend assure the House that he is doing everything possible to find a solution to this system-wide issue?
My hon. Friend raises an extremely important case.
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Assessment & feedback
The answer acknowledges the issue but does not provide specific assurances or commitments to solutions.
Response accuracy
Q15
Partial Answer
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Context
The shadow Minister for public health raised concerns about health inequalities exacerbated by the cost of living crisis. The Health Secretary did not recommit to publishing a White Paper as promised.
My hon. Friend touched on health inequalities earlier, but I did not hear the Health Secretary recommit to publishing the White Paper by the deadline. Does he understand that the cost of living crisis and poverty are leading to greater health inequalities? Can he recommit to that White Paper being published?
We are absolutely committed to addressing health inequalities. Rather than simply looking at 10 years' time, we are looking at the immediate actions we can take, because what matters is immediate delivery—what we can be doing now.
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Assessment & feedback
The commitment to publishing the White Paper was not addressed directly.
Focused On Immediate Action Rather Than Future Commitments
Response accuracy
Q16
Partial Answer
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Context
The previous Government committed to a new 10-year suicide prevention plan, but it has not been published yet.
We are seeing a sad increase in suicide rates across the country. In 2012, the then Government published a 10-year cross-Government suicide prevention plan. This year, the Government committed to a new 10-year plan that would be published before the start of 2023. There is no sign of that plan yet, but maybe I am wrong, and perhaps the Government are about to publish it. Can my right hon. Friend show that he takes suicide prevention seriously and publish this plan as soon as possible?
I thank my right hon. Friend and pay tribute to him for all his work in this area; he has driven this agenda forward. I want to reassure him that we are looking at that.
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Assessment & feedback
The commitment to publishing the plan was not addressed directly.
Reassurance Without Specific Timeline
Response accuracy
Q17
Partial Answer
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Context
A GP in Ealing had plans approved for expansion but NHS estates will not provide funding.
In a case that is sadly all too typical, a GP in Ealing, who has seen their patient list go up from 3,000 to 9,000 in the last decade, had plans approved for expansion, but NHS estates now will not cough up. What are the Government doing to support doctors in inadequate premises who cannot increase their patient lists to expand and modernise in the current climate?
The total activity done by GPs was about 7% up in October compared with the previous year. We are actively looking at the way that capital works and the contributions of section 106 and the local integrated care board, to ensure that, as well as having those 2,300 extra doctors and 21,000 extra staff, GPs also have good facilities to work in.
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Assessment & feedback
Specific support for inadequate premises not addressed directly.
Broad Statements About Gp Support
Response accuracy
Q18
Partial Answer
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Context
Access to dentistry is an acute issue for rural areas like West Oxfordshire.
Access to dentistry is an acute issue for West Oxfordshire. Can Ministers explain what they are doing to help rural areas such as mine, and can we meet to discuss it further?
I have mentioned the fact that the number of NHS dentists was up 2% to 2.3% last year, as well as the extra £50 million and the reforms we have made to the contract, but we will go further. We want to address those areas, and particularly rural areas, where more provision is urgently needed.
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Assessment & feedback
Specific measures for rural areas not detailed.
General Statements About Dental Provision
Response accuracy
Q19
Partial Answer
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Context
The Royal College of General Practitioners has expressed concerns about patients refusing sick notes due to inability to afford time off work.
The chair of the Royal College of General Practitioners has expressed concerns about patients with chronic conditions such as asthma, diabetes and even serious mental health conditions refusing sick notes because they cannot afford time off work. What discussions has the Secretary of State had with Cabinet colleagues about the adequacy of statutory sick pay during this cost of living crisis?
I refer the hon. Lady to the autumn statement, in which my right hon. Friend the Chancellor set out a wide range of support packages to help with the cost of living across the United Kingdom, including the cost of energy.
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Assessment & feedback
The adequacy of statutory sick pay was not addressed.
Directed To Autumn Statement
Response accuracy
Q20
Partial Answer
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Context
The pandemic has led to a significant increase in the number of people waiting for NHS treatment.
The pandemic has had a devastating effect on the number of people waiting for treatment. In 2019, there were 54 women waiting more than a year to see a gynaecologist. That number is now more than 40,000. What is my right hon. Friend doing to reduce this wait?
This is a good illustration of the challenge the country faces with backlogs that are very much driven by the pandemic. We are working with senior figures such as Jim Mackey and Professor Tim Briggs and the Getting It Right First Time programme to look at patient pathways, how we use our diagnostics and our surgical hubs and streamlining the way we get services to patients where backlogs have built up.
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Assessment & feedback
Specific measures for backlog reduction were not detailed.
Broad Statements About Addressing Pandemic-Driven Backlogs
Response accuracy
Q21
Partial Answer
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Context
A five-year-old girl died from strep A in Belfast, highlighting concerns about public health coordination.
This morning, we tragically learned that a five-year-old girl who was a P2 pupil at Black Mountain Primary School died yesterday in Belfast with strep A. I am grateful to the Minister for the answer she gave to the hon. Member for Eltham (Clive Efford) on strep A and her encouraging commitment that antibiotics including penicillin are available, but can she ensure that our public health agencies across this United Kingdom co-operate with one another and that if additional resource is required, it will be made available?
I am very sorry to hear about that tragic case in Northern Ireland. We want to reassure people that, while there is a slightly higher number of cases than usual for this time of year, the UK Health Security Agency is on top of this and is not concerned that there is a wider outbreak than would be expected.
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Assessment & feedback
Cooperation between agencies and resource availability were not addressed specifically.
Reassurance Without Specifics
Response accuracy
Q22
Partial Answer
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Context
A new care home in Leigh-on-Sea is struggling to recruit staff due to the requirement that all workers wear face masks.
On Saturday, I visited Chalkwell Grange, a brilliant new care home in picturesque Leigh-on-Sea which is struggling to recruit due to the guidance that all care workers should wear face masks. Will the Secretary of State give care homes the best Christmas present ever and change the word “should” to “can” or “may”, to put them in charge of their own infection control?
I thank my hon. Friend; it is good to hear that she has visited a local care home. I have also heard what she heard from staff. Although face masks are important for infection control, we know that they have downsides, such as making communication harder. I have asked for updated public health advice on the use of masks in care homes and I look forward to updating hon. Members and the social care sector on the guidance about that shortly.
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Assessment & feedback
Specific change in mask guidance not committed.
Reassurance Without Immediate Commitment
Response accuracy
Q23
Partial Answer
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Context
A constituent is a victim of sexual misconduct by a medical professional and cannot challenge the professional's fitness to practice due to the five-year rule. The General Medical Council wants this rule scrapped.
My constituent is a victim of sexual misconduct by a medical professional, but they cannot challenge that professional's fitness to practice because of the five-year rule. Can the Minister say whether it is the Government's intention to scrap it? Will she meet me to discuss how important it is that the GMC can explore whether a potentially dangerous medical professional who is still practising may be unfit to do so?
I thank the hon. Lady for her campaigning on this serious issue. I am happy to meet her and I suggest that we also meet the patient safety commissioner, Henrietta Hughes, to discuss it further.
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Assessment & feedback
Scrapping the five-year rule was not addressed directly
I Thank The Hon. Lady For Her Campaigning On This Serious Issue.
Response accuracy
Q24
Partial Answer
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Context
There is a concern that NHS or social care facilities might be used to house asylum seekers in Northamptonshire.
Can the Secretary of State give the House an undertaking that no NHS or social care facility will be decommissioned and used to house asylum seekers in Northamptonshire or the rest of the country?
I am not aware of any proposal on those lines. On my hon. Friend's earlier point, as I said, I am happy to meet him to discuss the issue of step-down care and I am sure that there will be an opportunity to discuss any other concerns that he has at the same time.
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Assessment & feedback
Undertaking not given; redirected to a meeting on step-down care
On My Hon. Friend'S Earlier Point, As I Said, I Am Happy To Meet Him To Discuss The Issue Of Step-Down Care
Response accuracy
Q25
Partial Answer
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A constituent was denied respite care during the pandemic and continues to face difficulties with testing and mask-wearing policies.
My constituent Margaret Cramman is a full-time carer for her daughter. Throughout the pandemic, she was denied respite care. Now the care setting insists on testing for visitors and mask wearing for staff, which causes distress to some of the young people being cared for, who rely on vital facial recognition. Nearly all the other covid guidance has been reviewed, but the guidance for respite care remains the same. Why are carers and those they care for always an afterthought for the Government?
I point the hon. Member to the answer that I gave to my hon. Friend the Member for Southend West (Anna Firth) a moment ago specifically about face masks. I have asked for updated guidance for the social care sector on the use of face masks. I recognise the difficulties they cause—for instance, in communication—and I am looking forward to being able to give an update to hon. Members and the sector on that shortly.
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Assessment & feedback
No response about respite care guidance; redirected to mask-wearing issues
I Point The Hon. Member To The Answer That I Gave To My Hon. Friend The Member For Southend West (Anna Firth) A Moment Ago Specifically About Face Masks.
Response accuracy
Q26
Partial Answer
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Context
There is geographic variation in access to innovative liver cancer treatments like selective internal radiation therapy.
What assessment has the Secretary of State made of geographic variation in access to innovative liver cancer treatments, such as selective internal radiation therapy?
It is a brilliant question on which to close, because one of the things that all hon. Members should be hugely interested in is how we are adopting innovation more quickly and industrialising that innovation across the NHS as a whole, as opposed to in silos. That is something that we are focused on in the Department and it is a key priority. I am happy to speak to the Scottish Government and others about how we can work together on that.
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Assessment & feedback
No assessment mentioned; redirected to broader innovation adoption
It Is A Brilliant Question On Which To Close, Because One Of The Things That All Hon. Members Should Be Hugely Interested In Is How We Are Adopting Innovation More Quickly And Industrialising That Innovation Across The Nhs As A Whole, As Opposed To In Silos.
Response accuracy