Commons Sense

House of Commons · Ministers' Questions

Topical Questions

Tuesday 13 July 2021 · 14 questions

Summarised by AI from the official record, so it can contain mistakes.

At a glance

Answered 3 Partly answered 10 Not answered 0

Key points

  • Sally-Ann Hart inquired about funding allocation for East Sussex Healthcare NHS Trust under the Government's NHS estate infrastructure improvement plan.
  • Sally-Ann Hart referenced statements made by the Minister for Patient Safety, Suicide Prevention and Mental Health regarding mental health services investment prior to 2017.
  • Rosena Allin-Khan welcomed the Secretary of State to his position and discussed the urgent need for a cancer institute at the Royal Surrey County Hospital.

Topics (select to filter)

Questions & Answers

Context

The East Sussex Healthcare NHS Trust requires significant investment as part of the Government's NHS estate infrastructure improvement plan.

Question

East Sussex Healthcare NHS Trust has the potential to get hundreds of millions in investment as part of the Government's NHS estate infrastructure improvement plan. Will funding be allocated on a two to three-year basis, so that the NHS can better plan its funding and estates plans? Where funding has been indicated for a longer term, what plans are there to ensure that providers have sufficient resource in the shorter term to address immediate issues, or to support covid or recovery?

Answer from Sajid Javid

We have put more and more capital into the NHS. There are always representations from hon. Members, including you, Mr Speaker, for even more capital. My hon. Friend is right to raise the issue of the importance of local healthcare systems, which will need more capital funding as we progress. She will know that we set out our capital plans for this financial year, 2021-22, but she is right to say that multi-year funding will mean that trusts can plan better, and that is a priority; we want the spending review to have more sight and better planning for capital.

Partly answered

Not addressed: Specific timeline or commitment on multi-year funding allocation was not provided

How: Under Consideration, Priority

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Context

The Minister for Patient Safety, Suicide Prevention and Mental Health claimed that no government before 2017 invested in or prioritised mental health services.

Question

Let us consider these words about mental health services: “prior to 2017, no government invested in or prioritised MH services.” Those are not my words but the words of the Minister for Patient Safety, Suicide Prevention and Mental Health, the hon. Member for Mid Bedfordshire (Ms Dorries). Indeed, the new Secretary of State was the architect of these cuts, during his time as a Treasury Minister. The unparalleled devastation he left behind has been simply staggering, so does he agree with his Minister? Can he explain to us why 140,000 children were turned away from mental health services last year? Can he explain why a quarter of mental health beds have been cut since 2010? Is he ashamed of his track record?

Answer from Sajid Javid

The hon. Lady will know that the NHS long-term plan that has been set out by this Government is committed to a transformation in mental health services and mental health spending; some £2.3 billion extra is being invested by 2023-24. In addition, she will be aware of the mental healthcare White Paper and the mental health recovery action plan.

Partly answered

Not addressed: Did not address cuts to services or number of beds cut since 2010

How: Under Review, Future Plans

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Context

The Health and Social Care Committee published a report highlighting inhumane treatment of individuals with learning disabilities and autism.

Question

May I welcome the Secretary of State to his place? I am sure he will do an excellent job. As he thinks about a 24-hour A&E for Chorley, I hope he will also think about the urgent need for a cancer institute at the Royal Surrey County Hospital as only second on his list. The Secretary of State will know that this morning the Health and Social Care Committee published a worrying report about the inhumane treatment given to 2,000 people with learning disabilities and autism in in-patient units, often because no community provision was available. When he brings forward his plans for social care, will he make sure that there is adequate funding for local authorities to give care to such people? Will he also make sure that care workers are always paid the minimum wage, including for the time taken to travel between appointments?

Answer from Sajid Javid

I welcome my right hon. Friend's comments and the work that he and other Members do through the Select Committee to scrutinise the work of the Department. He just referred to some of that work, especially in his comments about learning disability and autism, which will remain a huge priority for the Government and certainly for my Department.

Partly answered

Not addressed: Did not provide specific plans or commitments on funding and care worker pay

How: Under Review, Priority

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Q4 Jeremy Hunt Con Godalming and Ash
Context

There are 1.5 million older people, disabled people and carers with unmet needs who are waiting for care reform.

Question

I congratulate the Secretary of State on his new role. There are 1.5 million older people, disabled people and carers with unmet needs who are desperately waiting for care reform. What is the Secretary of State's estimated start date for the implementation of the care package that the Government claimed was ready in their manifesto more than 20 months ago?

Answer from Sajid Javid

As the Government have said, we want to make sure that every person in this country has the dignity that they deserve in old age. We have recognised that the current system needs substantial reform. The process of reform has already begun in, for example, the Health and Care Bill that will have its Second Reading tomorrow, but we do need a new, sustainable way to fund care and we will come forward with the plans later this year.

Partly answered

Not addressed: Did not provide specific start date or timeline for implementation

How: Under Review, Priority

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Q5 Neil Coyle Lab Bermondsey and Old Southwark
Context

From 16 August, fully vaccinated individuals no longer need to self-isolate after possible exposure to the virus.

Question

I know that many of my constituents will be pleased to hear that from 16 August we will end the requirement for people to self-isolate after possible exposure to the virus if they are fully vaccinated. I am sure we all agree that it is right to change the rules as the information changes; however, will my right hon. Friend explain to the House the rationale for making this change on 16 August rather than next Monday?

Answer from Sajid Javid

I agree with my hon. Friend that it is good news that we can move away from restrictions and towards guidance. On the rationale for the decision he referred to, it is about vaccine effectiveness: we know that for those with both doses, vaccination is estimated to be 78% to 80% effective against symptomatic covid-19.

Answered
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Q6 Kate Osborne Lab Jarrow and Gateshead East
NHS
Context

Macmillan Cancer Support calculates that since March 2020, 37,000 fewer people than expected have started their first cancer treatment. In Jarrow alone, an estimated 66 people have not begun their treatments.

Question

Macmillan estimates that the NHS will need to operate at 110% capacity for 14 months to address the backlog of undiagnosed and untreated cases. Will the Secretary of State confirm whether the NHS is on schedule to clear this cancer diagnosis, care, and treatment backlog by March 2022?

Answer from Sajid Javid

Cancer remains a huge priority. The Government has launched the 'Help Us, Help You' campaign to encourage people to come forward and additional funding for rapid diagnostic centres is provided.

Partly answered

Not addressed: Did not confirm whether NHS will meet March 2022 deadline

How: We Are Committed, Under Review

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Context

Constituents struggle to get GP face-to-face appointments, leading some to go to A&E.

Question

What measures are being taken to ensure that constituents can access GP services in person when they need it, especially for older individuals?

Answer from Sajid Javid

GP practices have done a magnificent job during the pandemic and we are prioritizing more face-to-face appointments, especially for older constituents as restrictions ease.

Partly answered

Not addressed: Did not specify any concrete steps or timelines

How: Priority, We Understand

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Q8 Taiwo Owatemi Lab Coventry North West
NHS
Context

Cancer Research UK estimates that nearly 45,000 fewer patients started cancer treatment in the UK due to pandemic-related NHS access limitations.

Question

What actions are being taken by the Government to reach out to those at risk of undiagnosed or untreated cancers over the past year and a half?

Answer from Sajid Javid

The Government is providing additional funding for diagnostics, urging people to come forward if concerned about undiagnosed cancer. More than £1 billion has been allocated towards this effort.

Partly answered

Not addressed: Did not specify outreach efforts or methods beyond funding

How: We Are Committed, Additional Support

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Q9 Caroline Johnson Con Sleaford and North Hykeham
NHS
Context

Sarah Barker, a constituent, is being denied IVF on the grounds that her partner has a child from another relationship.

Question

Does my hon. Friend agree that infertility treatment should be based solely on medical need and not influenced by whether a partner already has children?

Answer from Helen Whately

Clinical Commissioning Groups should provide fertility services in line with NICE guidelines and not use criteria outside these guidelines.

Answered
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Q10 Helen Hayes Lab Dulwich and West Norwood
NHS
Context

Clinically extremely vulnerable individuals are anxious about mandatory face masks being lifted on public transport from July.

Question

Given that more than two thirds of people do not fully understand the implications for those who remain immunocompromised, should masks be kept mandatory to protect such clinically at-risk residents?

Answer from Sajid Javid

There will be a move from regulations to guidance as restrictions are lifted, while clear mask guidance has been published for those concerned.

Partly answered

Not addressed: Did not confirm continuation of mandatory masks on public transport

How: Guidance, Measured Way

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Q11 Paul Holmes Con Hamble Valley
Context

Lifting lockdown measures may pose risks such as worsening mental health and domestic violence.

Question

Will the need to balance these hidden costs against the reduced threat from the virus be a key part of the Government's decision-making in easing restrictions?

Answer from Sajid Javid

Removing restrictions carries risk, but so does maintaining them. The hidden costs include increased domestic violence, child abuse, mental health issues, and undiagnosed cancer; lifting some measures allows better addressing non-covid health problems.

Answered
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Context

Constituents in Colne Valley have reported cancellations and postponements of medical procedures due to rising coronavirus cases. With over 5 million people on the waiting list, concerns about tackling the backlog are growing.

Question

I have been contacted by a number of my Colne Valley constituents who have had operations and medical procedures cancelled or postponed at short notice. With coronavirus cases still on the rise, what is the strategy to tackle the backlog in operations and medical procedures?

Answer from Edward Argar

My hon Friend rightly raises an issue that I know will be a concern for constituents of all Members of this House. The backlog of treatment—the waiting list—is over 5 million. However, we are making rapid progress with that and so is the NHS. We are looking at a variety of ways to do that—not just providing the funding needed to do it, but through innovation, accelerator hubs and diagnostic hubs, all designed to get the waiting list down and to get people the treatment they need when they need it.

Partly answered

Not addressed: Did not specify concrete actions or timelines for tackling the backlog specifically in Colne Valley

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Q13 Wendy Chamberlain Lib Dem North East Fife
Context

Mandating of face masks is likely to continue in Scotland, while the approach differs across regions. There's a need for consultation with the Home Office regarding guidance to British Transport Police.

Question

When I return to my constituency of North East Fife, I will cross into Scotland, where the mandating of face masks is likely to continue. Is it the Government's expectation that passengers will wear a mask only when they cross into Scotland—or, indeed, Wales? What consultation has happened with the Home Office in relation to guidance to the British Transport police? Do the Government accept that a lack of a four-nations approach to such measures is not helpful?

Answer from Sajid Javid

Throughout the pandemic, my predecessor and other Ministers have rightly been working with the devolved Administrations, and of course that work continues; it will remain a priority. I myself have already started weekly meetings with all my counterparts in the devolved Administrations. We discuss a number of issues and keep each other informed, but we also respect that in certain areas, in dealing with this pandemic, we may take a different course.

Not addressed: Did not address expectations for passengers or consultation details directly

How: We Discuss A Number Of Issues And Keep Each Other Informed

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Q14 Rushanara Ali Lab Bethnal Green and Stepney
NHS
Context

Cases of COVID rose by 30% last week, with over 35,000 new cases recorded. Hospitalisations could increase significantly by mid-August due to the rising case numbers.

Question

I congratulate the Secretary of State on his appointment. Cases of covid rose by 30% last week compared with the previous week, and on 10 July we saw over 35,000 new cases, the highest since 22 January. By mid-August we could see 1,000 people a day being hospitalised, and up to 200 people a day could die, despite the excellent vaccination programmes. Given that the Secretary of State now considers it irresponsible not to wear masks, is it not equally irresponsible for the Government not to require people to continue to wear masks rather than leaving it as an option?

Answer from Sajid Javid

The hon Lady understandably talks about the link between case numbers and hospitalisation. She will know that the last time we saw cases at 30,000 and above on a daily basis, we saw a lot more hospitalisations. The reason for the difference now is the vaccine wall of defence. Masks do have an important role to play, but we think that that role can be played by moving from regulation to guidance.

Partly answered

Not addressed: Did not specify whether leaving mask wearing as a choice is irresponsible or provide clear direction on this issue

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