Commons Sense

House of Commons · Ministers' Questions

Topical Questions

Tuesday 24 January 2023 · 27 questions

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

At a glance

Answered 5 Partly answered 20 Not answered 0

Key points

  • Justin Madders (Ellesmere Port and Bromborough) (Labour) inquired about the Strikes (Minimum Service Levels) Bill, to which the Minister responded that the bill aims to balance the right to strike with minimum safe staffing levels, aligning with practices in Europe.
  • Sarah Atherton questioned the Prime Minister's stance on charging for GP appointments, receiving a clarification from the Secretary of State that the Prime Minister remains committed to treatment being free at the point of use.
  • Martyn Day inquired about updates on pension tax rule progress, to which the Secretary of State responded that discussions with the Chancellor are ongoing, noting that progress was made in the summer on certain areas related to pensions.

Topics (select to filter)

Questions & Answers

Context

The Health and Care Bill discussed safe staffing levels in the NHS.

Question

During the passage of the Health and Care Bill, it was stated that there is no single ratio or formula for calculating safe staffing. Is the Strikes (Minimum Service Levels) Bill not about preventing healthcare workers from exercising their right to strike due to a lack of confidence in the Government?

Answer from Steve Barclay

The legislation balances the right to strike with minimum safe staffing levels, similar to practices in European countries like France and Italy. The bill aligns the NHS with other health systems regarding these standards.

Partly answered

Not addressed: Did not address if the bill is aimed at preventing strikes due to lack of confidence in the government

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Q2 Justin Madders Lab Ellesmere Port and Bromborough
NHS
Context

Wrexham Maelor Hospital was built in 1934 and is no longer fit for purpose, lacking modern facilities.

Question

Given that the Welsh Labour Government has received significant funding since devolution began, will the Minister agree that they need to listen to the people of Wrexham and build a new hospital?

Answer from Steve Barclay

The Minister hopes that the Labour-run NHS in Wales will heed professional advice regarding investment in the healthcare estate.

Partly answered

Not addressed: Did not directly agree to build a new hospital in Wrexham

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Context

Prime Minister's advocacy for charging for GP appointments and one predecessor urged to charge for A&E visits.

Question

Given that the Prime Minister has advocated for charging for GP appointments, will he rule out any extension of user charges in the NHS?

Answer from Steve Barclay

The Secretary of State clarified that the Prime Minister remains committed to treatment being free at the point of use, contrary to misrepresentation.

Answered
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Q4 Wes Streeting Lab Ilford North
NHS
Context

Request for doubling medical school places, nursing and midwifery clinical training places, and district nurses qualifying.

Question

Given the need to expand NHS training, will he adopt Labour's workforce plan instead of having no plan?

Answer from Steve Barclay

The Secretary of State criticized the misrepresentation of government plans and noted that even BMA deputy chair contradicts Labour's claims.

Not addressed: Did not address adoption of Labour's workforce plan or admit lack of a plan

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Q5 Wes Streeting Lab Ilford North
NHS
Context

Lloyds has closed two branches in the constituency despite government investment.

Question

How will the additional £100 million funding cut NHS waiting times and reverse the trend of closures?

Answer from Neil O'Brien

The investment allows pharmacies to provide more clinical services, supports pharmacies in areas with fewer branches through the access scheme, increasing the number of community pharmacists by 18% since 2017.

Partly answered

Not addressed: Did not specifically address reducing waiting times or reversing closures

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Context

Discussions on pension tax rules were initiated in November, with the Secretary of State acknowledging their importance.

Question

When I brought up pension tax rules in November, the Secretary of State agreed that pensions were an important issue and said he would meet the Chancellor later that day. Can he give an update on the progress his Cabinet colleagues are making to provide a permanent solution that will help retain NHS staff?

Answer from Steve Barclay

Those discussions are ongoing with my right hon. Friend the Chancellor. The hon. Gentleman will know that we made progress in the summer on a couple of areas in relation to pensions, and my right hon. Friend is having further discussions with us in that context.

Partly answered

Not addressed: No concrete update or timeline provided for permanent pension tax rule solution.

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Q7 Luke Evans Con Hinckley and Bosworth
NHS
Context

The questioner is a GP, concerned about the GP partnership model in tough times.

Question

I declare an interest as a GP and the immediate family of a GP and doctors. GPs are working incredibly hard in tough times. It is true that supply has gone up, but so too has demand. Change needs to happen in primary care, but one of the bedrocks is the GP partnership model. Does this Government agree?

Answer from Neil O'Brien

Unlike the Opposition, we do not regard GPs' finances as murky and we do not want to go back to Labour's policy of 1934 by trying to finish off the business that even Nye Bevan thought was too left-wing. We do not believe in nationalising GPs; we believe in the current model.

Answered
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Context

Data from the Food Foundation shows that 9.7 million people in the UK lived in food insecurity in September 2022.

Question

The UK has the sixth largest and richest economy in the world, yet data from the Food Foundation shows that in September 2022, 9.7 million people on these islands lived in food insecurity. That kind of malnutrition does not have a good impact on the health service. When will Ministers pick up the phone or nip along the corridor to the Department for Work and Pensions and tell it to drop its punitive sanctions regime, which pushes so many people into poverty and so many problems onto the NHS?

Answer from Neil O'Brien

We are concerned about the exact same issues. The £900 cost of living payment for 8 million households is how we are trying to address this. It is also why we are bringing in the largest ever increase in the national living wage for 2 million workers.

Partly answered

Not addressed: Did not directly address dropping sanctions regime or tackling food insecurity specifically.

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Q9 Priti Patel Con Witham
Context

The Secretary of State is aware of the challenges facing Essex mental health care and an independent inquiry into patient deaths.

Question

The Secretary of State is well aware of the challenges facing Essex mental health care and the independent inquiry there into so many patients who have died. Can he tell the House and my constituents what steps he is taking to make this a statutory inquiry?

Answer from Steve Barclay

My right hon. Friend raises an extremely grave and serious issue that I know is of concern to a number of colleagues. Following representations from parliamentary colleagues, I had discussions with the chair of the inquiry, and I then with the chief executive and leadership team, in terms of the level of engagement with the inquiry.

Partly answered

Not addressed: Did not provide specific steps or timeline for making the inquiry statutory.

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Q10 Stephen Morgan Lab Portsmouth South
Context

The Government have slashed medical school places by a third, whereas Labour aims to double them.

Question

While the Government have slashed medical school places by a third, Labour is committed to doubling the number of places in order to train a new generation of NHS staff. Will the Minister support me in backing the University of Portsmouth's bid for a much-needed medical school for my city?

Answer from Steve Barclay

The hon. Gentleman is just factually wrong. We have increased medical undergraduate places by a quarter—I was in the Department at the time the decision was taken—so he is wrong on the facts. We also need to look at new ways of getting medics in and having more diverse recruitment in relation to social profile.

Not addressed: Did not address support for Portsmouth's medical school bid; instead corrected perceived factual inaccuracies.

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Q11 Steve Brine Con
NHS
Context

The Select Committee looks forward to engaging with the major conditions strategy and a national newspaper contacted 125 acute trusts about visiting rights.

Question

The Select Committee looks forward to hearing about the major conditions strategy and engaging with it, as I hope Ministers will engage with our major prevention inquiry, launched last week. One of our national newspapers has contacted 125 acute trusts and asked them about visiting rights. Some 70% of them still have some form of restrictions in place, most commonly limiting the time that people can spend with their loved ones and the number of people who can sit by the bedside.

Answer from Will Quince

I thank my hon. Friend for his question. National NHS guidance is absolutely clear: providers are expected to facilitate visiting for patients in hospital wherever possible and to do so in a risk-managed way. It is up to individual providers—they do have discretion—but I understand the benefit that this brings to patients.

Partly answered

Not addressed: Did not specify further action from NHS England beyond reiterating current guidance.

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Q12 Kim Johnson Lab Liverpool Riverside
Context

According to a recent Care Quality Commission report, black people experiencing mental health crisis are 11 times more likely to be sectioned and receive restrictive treatment orders.

Question

According to a recent Care Quality Commission report, black people experiencing mental health crisis are 11 times more likely to be sectioned and to receive restrictive and violent community treatment orders. How will the Minister tackle these inequalities and implement the recommendations in the report?

Answer from Maria Caulfield

I thank the hon. Lady for her question. She is right that black and ethnic minority groups are more likely to be detained under the Mental Health Act 1983. We are planning to reform the Mental Health Act. There has been pre-legislative scrutiny, and I hope that when we reform that Act there will be an improvement in those figures.

Partly answered

Not addressed: Did not provide a specific plan or timeline for addressing racial disparities.

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Context

The Kent and Medway integrated care board reported an increase of over 230,000 in the number of GP appointments offered to patients between September 2020 and September 2022.

Question

The Kent and Medway integrated care board reported that we had an increase of over 230,000 in the number of GP appointments offered to patients between September 2020 and September 2022. However, Medway has some of the lowest numbers of GPs per head in the country, and demand has increased. What support is the Department giving to the ICB to further increase access to GP appointments in Medway?

Answer from Steve Barclay

I welcome the increase in appointments and the numbers that my hon. Friend has drawn to the House's attention. There is targeted funding of up to £20,000 for areas that are having difficulty recruiting; I am happy to discuss with her how we ensure that Medway can adequately access that fund.

Answered
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Q14 Jessica Morden Lab Newport East
NHS
Context

The regulation of physician associates is under discussion to maximise their use in hospitals, relieving pressure on staff.

Question

Why are the Government continuing to delay their consultation on the regulation of physician associates? Constituents who are physician associates point out that they could be doing much more to perform vital duties and relieve pressure in our hospitals, which, I am sure the Secretary of State would agree, we desperately need.

Answer from Steve Barclay

I agree that that is an important issue and I am keen to expedite it; we are having urgent discussions about how we maximise the use of physician associates. The hon. Lady raises an important point that we are discussing with the devolved Administrations, because it applies across the United Kingdom. I am keen to move quickly on that important area.

Partly answered

How: Under Discussion, Keen To Move

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Context

The “Future of Pharmacy” report highlights funding pressures on the sector, including a £370 million loan burden from covid-19 loans.

Question

“The Future of Pharmacy” report was published yesterday and highlighted again the funding pressures on the sector, including for the brilliant Belfairs Pharmacy in Leigh-on-Sea, which asks whether the Minister will urgently consider writing off the £370 million of covid loans given to pharmacies during covid-19.

Answer from Neil O'Brien

We are working to increase the amount of funding going into pharmacies so that they can do more clinical services. I will look closely at the issue that my hon. Friend raises.

Partly answered

How: Looking Closely

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Q16 Matt Western Lab Warwick and Leamington
Context

The Government decided to mothball a £1 billion testing lab in Leamington, leaving up to 670 people without jobs.

Question

Last week, the Government decided to mothball the covid-19 testing facility in Leamington, which will leave up to 670 people without a job. The lab reputedly cost more than £1 billion—perhaps the Minister could confirm—and when the investment was made, I was promised that it would be used for other purposes, such as pathological testing and other diagnostics. Why is that not happening?

Answer from Maria Caulfield

As the hon. Gentleman knows—we discussed the issue over the telephone last week—the decision was taken to wind down the Rosalind Franklin Laboratory because the number of PCR tests has reduced significantly and NHS laboratories can take that capacity. There is a residual service and additional use of the laboratory is being considered.

Partly answered

How: Additional Use Being Considered

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Q17 Martin Vickers Con Brigg and Immingham
NHS
Context

The rate of units of dental activity varies from £25 to £36 across different practice groups, affecting dentist attraction in areas with shortages.

Question

I recently met a dentist in my constituency whose practice group operates over 19 sites where the rate for units of dental activity ranges from £25 to £36. He is convinced that there needs to be a uniform UDA rate to attract NHS dentists to areas such as Cleethorpes. Can the Minister consider that?

Answer from Neil O'Brien

Absolutely; we are looking at that issue. We have already brought in a new minimum UDA value, and we would like to deliver more. We will look at measures to encourage people to work in areas with the greatest shortages.

Partly answered

How: Looking At Issue

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Q18 Jim Shannon DUP Strangford
NHS
Context

The Government announced a 10-year cancer plan in 2022 to make the UK a world leader, but current cancer services are struggling.

Question

On World Cancer Day 2022, the then Secretary of State for Health and Social Care, the right hon. Member for Bromsgrove (Sajid Javid), announced a 10-year cancer plan to make us a world leader. Today, cancer services are buckling under immense pressure. Can the Minister confirm that the strategy will be fully resourced and will she commit to working with cancer charities to ensure that it is delivered?

Answer from Helen Whately

Right now, we are seeing more people come forward for cancer diagnosis or to be given the all-clear. We are supporting services with an extra £8 billion for elective recovery. Cancer is an important part of our major conditions strategy, which the Secretary of State just announced, because we are determined to include patients' cancer outcomes.

Partly answered

How: Extra Funding, Strategy In Place

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Q19 Lucy Allan Con
NHS
Context

Healthcare services are described as being in a 'war zone', with Shropshire facing significant challenges.

Question

In today's Shropshire Star, my local paper, there is an eight-page spread on what is happening to healthcare in Shropshire, which is described as a war zone. Will the Secretary of State meet me and other Shropshire MPs to discuss the challenges we face?

Answer from Steve Barclay

I am happy to meet my hon. Friend to discuss the issues in Shropshire. I draw her attention to the fact that we have more doctors, more nurses and more funding going into the NHS, and more people are being treated.

Answered
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Q20 Rupa Huq Lab Ealing Central and Acton
Context

West London NHS Trust has decided to make the covid closure of the Wolsey wing permanent, leaving Ealing with no acute mental health beds for under-65s.

Question

In the light of the Government's welcome announcement of the Strathdee rapid review of in-patient mental health services, can we revisit West London NHS Trust's decision to make the covid closure of the Wolsey wing permanent, which leaves Ealing, the third biggest borough in London, with no acute mental health beds for under-65s?

Answer from Maria Caulfield

Local healthcare decisions are made by local commissioning groups, but I am happy to raise that on behalf of the hon. Lady. We are putting an additional £2.3 billion a year into expanding and transforming mental health services in the community and patient services.

Partly answered

How: Additional Funding, Raising Issue

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Context

The Government announced new investment in emergency mental health services, but a long-term strategy is needed to achieve parity of esteem.

Question

Although I welcome the new investment in emergency mental health services that was announced this week, does the Secretary of State agree that we must not lose sight of the fact that we need a long-term plan for the transformation of mental health services so that we achieve parity of esteem between mental and physical health in the NHS?

Answer from Steve Barclay

I do agree. That is why the long-term plan signalled the importance of mental health and the parity of which my hon. Friend speaks. It is also why, as the Under-Secretary of State for Health and Social Care, my hon. Friend the Member for Lewes (Maria Caulfield), has said, additional funding is being targeted at mental health—the extra £2.3 billion a year from 2024—signalling this Government's commitment to mental health, as he will have seen with the announcement on mental health ambulances this week.

Partly answered

How: Agreement, Long-Term Plan

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Q22 Liz Twist Lab Blaydon and Consett
Context

Suicide rates in England remain high, despite a promised new suicide prevention strategy.

Question

Suicide rates in England are as high now as they were 20 years ago, yet the written ministerial statement today simply says that a strategy will be published later this year. Saving deaths by suicide cannot wait. When exactly will the suicide prevention strategy be produced?

Answer from Steve Barclay

What we have signalled, and I agree with the hon. Member on this, is the importance of the suicide prevention plan. It is something my predecessor, my right hon. Friend the Member for Bromsgrove (Sajid Javid), highlighted. I am keen to work with him and Members across the House on that. I set out in the written ministerial statement today not a specific date, but our commitment to a bespoke plan, and I am very happy to work with her and other Members on that.

Partly answered

How: No Specific Date, Keen To Work

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Q23 Jack Brereton Con
NHS
Context

A single community diagnostic hub planned for North Staffordshire is insufficient to serve over half a million people, as per Jack Brereton.

Question

Current plans for community diagnostic hubs in North Staffordshire would see only a single facility, which is meant to serve over half a million people. That is totally insufficient, so will the Secretary of State look at my suggestion that there should be two of these facilities in North Staffordshire?

Answer from Will Quince

I am very happy to meet my hon. Friend to discuss that further.

Partly answered

Not addressed: Specific commitment or timeline was not provided

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Q24 Richard Burgon Lab Leeds East
NHS
Context

A previous government call to impose charges on visits to the GP or A&E is being questioned for its fairness.

Question

Will the Secretary of State for Health—today, on the record—condemn the call from his predecessor to impose charges on visits to the GP or to A&E?

Answer from Steve Barclay

I am not sure how many times one needs to say the same point. The Government's position on this is clear: we are committed to treatment free at the point of use. That is the Government's position, and it has been throughout the NHS's history, the majority of which has been under Conservative Governments.

Partly answered

Not addressed: Specific condemnation not provided; commitment without specifics

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Context

Strikes in the NHS are affecting operations.

Question

How many operations have been lost to strike action in the NHS so far?

Answer from Will Quince

On an average strike day, I believe it is about 2,500.

Answered
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Q26 Charlotte Nichols Lab Warrington North
NHS
Context

Syphilis cases in the UK have reached alarming levels, prompting calls for a sexual and reproductive health action plan.

Question

The most recent figures published by the UK Health Security Agency show that, last year, the rate of syphilis cases reached its highest since 1991 and the total number of cases hit its highest since 1948. That shocking increase in syphilis transmission is just one reason why we need the Government to set out their vision for sexual and reproductive health in their long-overdue sexual and reproductive health action plan. Can I therefore ask the Minister to set out when the plan will be published and what she is doing to stop the spread of syphilis?

Answer from Maria Caulfield

Can I just reassure the hon. Lady that we take sexual health services very seriously? Local authorities in England have received more than £3 billion from Government to support those services. We have produced a number of plans to improve sexual and reproductive health, from the HIV action plan in 2021 to the women's health strategy, which focuses on sexual health as well.

Partly answered

Not addressed: Publication date not specified; specific measures for syphilis not detailed

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Q27 Maggie Throup Con
NHS
Context

The all-party group for diagnostics is planning an inquiry into community diagnostic centres.

Question

The all-party group for diagnostics will hold its inaugural meeting on 8 February, and plans to conduct a short inquiry with the aim of providing a blueprint for how community diagnostic centres should operate in the longer term. As part of the inquiry, will my right hon. Friend commit to meeting members of the group to discuss what more the Government can do to maximise the role of diagnostics in addressing the pressures on the NHS?

Answer from Steve Barclay

I am very happy to give my hon. Friend that commitment. She is absolutely right to highlight the centrality of diagnostics and its importance in our overall plan to get elective numbers down.

Partly answered

Not addressed: Specific actions or timeline not committed

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