Topical Questions 2022-04-19

2022-04-19

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Response quality

Questions & Answers

Q1 Partial Answer
Context
The question arises from the crossroads healthcare system is facing in terms of either continuous reliance on taxpayer funds or initiating reforms.
Our healthcare system is standing at a crossroads, and sooner or later we will have to make a choice between endlessly going back to the taxpayer to ask for more money and reforming the way in which we do healthcare in our country. Last month, I unveiled an ambitious new programme of reform, setting out how we are going to prioritise prevention, offer more personalised care, deliver improvements in performance and back the people making the difference in the NHS.
Our healthcare system is standing at a crossroads, and sooner or later we will have to make a choice between endlessly going back to the taxpayer to ask for more money and reforming the way in which we do healthcare in our country. Last month, I unveiled an ambitious new programme of reform, setting out how we are going to prioritise prevention, offer more personalised care, deliver improvements in performance and back the people making the difference in the NHS.
Assessment & feedback
Response accuracy
Q2 Partial Answer
Context
In Gloucestershire, 30% of patients do not medically need to be in hospital but are waiting for discharge. This is twice the national average and poses a risk to patient health.
In Gloucestershire Hospitals NHS Foundation Trust, 30% of patients do not medically need to be in hospital; they are waiting for discharge. That figure is twice the national average. Will one of the Ministers contact the relevant people in the health service in Gloucestershire to ask them for ways in which the Government could help them to reduce that figure, because as it stands lives are being put at risk?
My hon. Friend is right to raise this. We are already in contact with the acute trust in Gloucestershire and some of the other trusts that are finding delayed discharge a particular challenge. My hon. Friend will know that, because of the pandemic, what has been a long-term challenge has become much more acute, not least because of the lost beds due to infection protection control and staff absences both in healthcare and in social care. Our delayed discharge taskforce is making a difference—the numbers are coming down overall—but we will be working with Gloucestershire.
Assessment & feedback
Under Review Working With Partners
Response accuracy
Q3 Partial Answer
Wes Streeting Lab
Ilford North
Context
The Health Secretary is criticised for his past avoidance of taxes while lecturing the public on their moral duty to pay.
Why does the Health Secretary think he has any licence to lecture the British people on their moral duty to pay taxes when he spent so many years avoiding his own?
I am very happy to answer if you will allow me, Mr Speaker. The hon. Gentleman could have asked me a question on anything to do with health and care—anything he wanted—but instead he chooses to talk about my personal affairs before public life. That was his choice. He could have asked me about the covid backlogs that he pretends he cares so much about.
Assessment & feedback
Personal Affairs Not Addressing Tax History
Response accuracy
Q4 Partial Answer
Wes Streeting Lab
Ilford North
Context
The NHS entered the pandemic with long waiting lists, staff shortages in healthcare and social care.
We went into the pandemic with NHS waiting lists already at 4.5 million. We went into the pandemic with NHS staff shortages of 100,000. We went into the pandemic with social care staffing vacancies of 112,000. So it is not just the case that the Tories did not fix the roof while the sun was shining; they dismantled the roof, removed the floorboards and now they have no plan to fix it. Where is the Secretary of State's plan to fix the NHS crisis?
Mr Speaker, you have been very generous to the hon. Gentleman: you gave him another try, but that was another failure to ask a question. Again, the hon. Gentleman is not asking about the serious issues, which again shows that he will play petty party politics and that Labour has no plan for the challenges this country faces.
Assessment & feedback
Petty Party Politics
Response accuracy
Q5 Partial Answer
Context
Recent events in Shanghai highlight the dangers of a zero-covid strategy.
We have all seen the disturbing scenes in Shanghai recently. Does my right hon. Friend agree that this shows how dangerous a zero covid strategy is and that we were right to open up this country and to rely on our vaccines as the safest way out of the covid situation?
Like many across the House I have been deeply disturbed by the reports we have all seen from Shanghai and my thoughts are with the people affected. It shows what a dangerous fallacy this whole idea of zero covid was, and it also shows that we are the most open country in Europe and that we have got the big decisions right. We did not listen to the Opposition when they said we should not open up in the summer, and we did not listen to them when they again called for restrictions in the winter. We are showing the world how to live with covid.
Assessment & feedback
Response accuracy
Q6 Partial Answer
Rachael Maskell Lab Co-op
York Central
Context
Residents of York Central are facing unaffordable dental plans or long wait times for an NHS dentist.
My constituents have been forced on to private and unaffordable dental plans or they have to wait up to five years to see an NHS dentist. The situation is getting worse and worse, so I met with the groundbreaking Hull York Medical School to see if it can assist in training a future generation of dentists and it is keen to help; what is the Minister doing to work with medical schools?
I thank the hon. Lady for her question, and we have met to discuss this previously. I am happy to discuss with Health Education England whether one of its centres for dentist development could be suitable for her constituency.
Assessment & feedback
Under Review
Response accuracy
Q7 Partial Answer
Context
Kettering General Hospital was promised £46 million for a major upgrade in 2019 but has not received the money.
In 2019 Kettering General Hospital, which serves my constituency, was promised £46 million for a major upgrade. Three years later the hospital still has not got the money. Secretary of State, will you go out and buy a very big pair of scissors, cut through the red tape and get it sorted?
No one, with the possible exception of my hon. Friend the Member for Kettering (Mr Hollobone), is more passionate than my hon. Friend the Member for Wellingborough (Mr Bone) about seeing improvements delivered in their local hospital, and I had the pleasure of visiting. As my hon. Friend will know, the £46 million was allocated originally for an urgent treatment centre; the hospital asked that that be changed and it folded in with the overall programme. It has yet to submit a business case for the enabling works; when it does, I will make sure that it is expedited.
Assessment & feedback
Under Review
Response accuracy
Q8 Partial Answer
Context
Life expectancy gap between richest and poorest areas is growing, impacting Rochdale constituents.
The gap in life expectancy between people living in the richest and poorest areas is once again growing. That affects my constituents directly. I have heard nothing to date that tells me what the Secretary of State is going to do to narrow the gap; Secretary of State, what will you do to protect my constituents?
As the hon. Gentleman is aware, I know his constituency well; it is my birthplace. He might also know that just a couple of months ago I visited his constituency and met members of the local community at the Deeplish community centre to talk about exactly what he has rightly raised today: the importance of tackling inequalities in Rochdale and beyond. We will set out our plans in our upcoming health disparities White Paper.
Assessment & feedback
Under Review Upcoming
Response accuracy
Q9 Partial Answer
Context
Cass review interim report found profound lack of evidence on best approach to treat gender dysphoria in children.
The Cass review interim report found that to date there is a profound lack of evidence on the best approach to treat gender dysphoria in children. Does my right hon. Friend share my concern that in spite of this the NHS insists on making a child's expressed gender identity the start-point for treatment, and my surprise that the NHS has chosen so far not to track patient outcomes, particularly for under-18s?
I share my hon. Friend's concerns, which is why the NHS commissioned this review from one of our top paediatricians. It is already clear to me from her interim findings and the other evidence I have seen that NHS services in this area are too narrow; they are overly affirmative and in fact are bordering on ideological. That is why in this emerging area, of course we need to be absolutely sensitive, but we also need to make sure that holistic care is provided, that there is not a one-way street and that all medical interventions are based on the best clinical evidence.
Assessment & feedback
Commissioned Review
Response accuracy
Q10 Partial Answer
Bell Ribeiro-Addy Lab
Clapham and Brixton Hill
Context
Lambeth borough has seen a 14% drop in dementia diagnoses since February 2020, with no of the £8 billion backlog funding dedicated to diagnosis.
Since February 2020 my local borough of Lambeth has seen a 14% drop in dementia diagnosis. That means people are not getting the support that comes from diagnosis. We also know that so far none of the announced £8 billion backlog funding has been dedicated to addressing the stagnation of diagnosis rates. Can the Secretary of State explain what exactly he is going to do to make sure that people get diagnosed on time?
The hon. Lady raises a very important question. We want a society in which every person with dementia and their families and carers receive high-quality, compassionate care from diagnosis through to end of life. We have provided £17 million this financial year to NHS England and NHS Improvement to increase the number of diagnoses. That funding was spent in a range of ways, including investing in the workforce to increase capacity in memory assessment services.
Assessment & feedback
Provided £17 Million
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Q11 Partial Answer
Jeremy Hunt Con
Godalming and Ash
Context
The Sunday Times exposed that six babies are born every month after being exposed to sodium valproate, which causes disabilities.
The Secretary of State will have read the scandal exposed in The Sunday Times this weekend that six babies are born every month after being exposed to sodium valproate, which has been known for many years to cause disabilities. Last year the Government consulted on putting warning labels on valproate. Is it not time to go much further and ban the prescription of sodium valproate to epileptic pregnant mothers?
My right hon. Friend is right to raise this, and many of us will have seen the recent reports, especially from the families affected. It is right that we reconsider this and make sure that sodium valproate, and any other medicine, is given only in the clinically appropriate setting.
Assessment & feedback
Reconsider
Response accuracy
Q12 Partial Answer
Context
Many constituents face long drives to A&E, impacting treatment for conditions such as strokes and heart attacks.
Thank you, Mr Speaker. I will try not to make this one a waste. I was grateful to the Minister for meeting me to discuss my ongoing campaign to restore the A&E to Bishop Auckland Hospital. Many of my constituents face a long drive to get to Darlington or Durham, and given that swift treatment can be a significant factor in outcomes for conditions such as strokes and heart attacks, does he agree that having A&E services spread geographically rather than just in strong population centres is an essential part of keeping our community safe?
I did indeed have a positive and constructive meeting with my hon. Friend. It is right that we have access geographically spread to A&E services, but the decisions are rightly taken by clinical commissioners on the basis of clinical evidence. I know that she will continue fighting the corner for the reopening of her local A&E with tenacity and passion.
Assessment & feedback
Decisions Are Rightly Taken
Response accuracy
Q13 Partial Answer
Sharon Hodgson Lab
Washington and Gateshead South
Context
The Secretary of State has announced a 10-year cancer plan, key opportunity to ensure patient-centric services.
The 10-year cancer plan that the Secretary of State has announced is a key opportunity to ensure that future services are designed with the patient at their core, especially for those living with cancer. What steps is his Department taking to engage with under-represented groups in the development of the 10-year cancer plan, and will he agree to meet with Macmillan Cancer Support to discuss how it can provide support in this key area?
I would be pleased to have the meeting that the hon. Lady has suggested. She should know that we just closed the consultation on the 10-year cancer plan. There has been a fantastic response. She may also have seen the announcement that we made today about lung cancer health checks. With improvements like that, we intend to do a lot more.
Assessment & feedback
Closed Consultation
Response accuracy
Q14 Partial Answer
Context
Increasing access to GP services maximizes NHS capacity.
One of the best ways to maximise NHS capacity is to increase people's access to GP appointments and treatments such as mental health services and physiotherapy in their own communities. Will the Minister join me in backing our bid for a new health centre in East Leake and in calling on Nottinghamshire's clinical commissioning group to prioritise funds for this vital service?
I thank my hon. Friend for her question. I had an excellent visit to the surgery in East Leake, and I look forward to the submission of the business case so that we can look at it further. She is right that investing in primary care does a huge amount to support the health of the local community.
Assessment & feedback
Looking Forward
Response accuracy
Q15 Partial Answer
Helen Hayes Lab
Dulwich and West Norwood
Context
A survey by stem4 found that GPs believe children's mental health services are in crisis, with long wait times for treatment. This issue affects a significant number of young people.
95% of GPs believe that children and adolescent mental health services are in crisis, with children waiting up to two years for treatment after referral. Will the Secretary of State act to provide open access mental health hubs for young people, ending these long waits?
The hon. Lady raises an important point about the demand for children's mental health services quadrupling since the pandemic. The government invested £79 million in these services, ensuring that 345,000 more young people will access support by 2023-24. A call for evidence is ongoing to develop a 10-year plan and introduce mental health support teams in schools, along with community hubs.
Assessment & feedback
Did not commit to open access mental health hubs specifically asked about.
Response accuracy
Q16 Direct Answer
Context
Needle phobias are a real concern for many people, leading to lower vaccination rates. There is support needed for intranasal vaccine delivery systems.
Will the Government provide support for intranasal vaccine delivery systems to ensure that more people take up vaccines?
The Department of Health and Social Care commissioned a study worth £580,000 through the National Institute for Health and Care Research to assess the safety and effectiveness of two covid-19 vaccines administered by respiratory tract. The phase one clinical trial is in its later stages.
Assessment & feedback
Response accuracy
Q17 Partial Answer
Context
Care workers often work long hours and are crucial for vulnerable individuals. Citizens UK is campaigning to ensure they receive a real living wage.
Will the Minister act to ensure that those in social care are paid properly with a real living wage?
According to Skills for Care data, most care workers were paid above the national living wage in 2020-21. The government committed £1.36 billion to the market sustainability and fair cost fund to support local authorities in paying providers a fair cost of care.
Assessment & feedback
Did not commit to ensuring social care workers receive a real living wage.
Response accuracy
Q18 Partial Answer
Context
A local campaign is pushing for a specialist menopause clinic in Devon to improve services.
Will my hon. Friend encourage local NHS leaders to fund specialist menopause centres?
The Government recognise that menopause services need improvement and are a priority in the women's health strategy, with an emphasis on primary care but also considering specialist services for some women. The taskforce is looking into this matter.
Assessment & feedback
Did not commit to encouraging funding of specialist menopause centres.
Response accuracy
Q19 Direct Answer
Kate Osborne Lab
Jarrow and Gateshead East
Context
The Department promised three urgent actions to tackle the gender health gap, but there is no update on these commitments.
When will the vital actions—appointment of a women's health ambassador; legislation against hymenoplasty; and publication of the women's health strategy—actually happen?
Interviews have taken place for a women's health ambassador, expecting an announcement soon. The women's health strategy will be published in coming weeks.
Assessment & feedback
Response accuracy
Q20 Partial Answer
Context
The borough of Bexley feels underfunded compared to similar London boroughs, affecting public health services.
Could the Minister look carefully at public health funding for my borough of Bexley?
I would be pleased to meet my right hon. Friend to discuss this issue further, and he will welcome the publication of the upcoming health disparities White Paper.
Assessment & feedback
Asked to examine public funding for Bexley but changed subject to meeting and White Paper instead.
Response accuracy
Q21 Direct Answer
Kim Leadbeater Lab
Spen Valley
Context
Unpaid carers face significant challenges managing monthly bills and expenses, affecting their own health as well as that of the person they care for.
What steps are being taken to support hard-working unpaid carers with the cost of living?
Around 360,000 carer households on universal credit can receive an additional £2,000 a year through the carer element. The weekly rate of carer's allowance increased to £69.70 in April 2022, and real-terms expenditure on carer's allowance is forecast to increase by around £1.3 billion.
Assessment & feedback
Response accuracy