Commons Sense

House of Commons · Ministers' Questions

Topical Questions

Tuesday 7 March 2023 · 21 questions

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

At a glance

Answered 0 Partly answered 17 Not answered 0

Key points

  • Tonia Antoniazzi raised concerns about the intolerable situation regarding medical cannabis for children with intractable epilepsy, highlighting issues with product supply and cost.
  • Sarah Atherton questioned the Welsh Government's management of the Betsi Cadwaladr University Health Board, noting that the health service is back in special measures after previously being taken out of it in 2020.
  • Wes Streeting criticized the Secretary of State for refusing to negotiate with nurses and paramedics during their strike action, leading to the cancellation of 144,000 operations and appointments.

Topics (select to filter)

Questions & Answers

Q1 Tonia Antoniazzi Lab Gower
NHS
Context

The situation of product supply and cost causing pain to families.

Question

The Secretary of State should know that I am the co-chair of the all-party parliamentary group for access to medical cannabis under prescription, for children with intractable epilepsy. The situation is as intolerable as ever. Both product supply and cost are causing families great pain, and their children are desperate. I urge the Secretary of State to meet me to discuss convening a roundtable to help identify solutions to the crisis of lack of access. I am still awaiting a response from his Minister from 18 January 2023.

Answer from Steve Barclay

I am very aware of the hon. Lady's work as chair of the APPG, so I am not surprised that she asks about that important issue, which she has been assiduous in raising. I will flag up the follow-up with my ministerial colleague. I draw the hon. Lady's attention to the fact that the National Institute for Health and Care Research remains open to research proposals in this area.

Partly answered

Not addressed: Specific commitment to convene a roundtable

How: Flag Up The Follow-Up With My Ministerial Colleague

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Context

The situation of Betsi Cadwaladr University Health Board returning to special measures.

Question

Betsi Cadwaladr University Health Board was taken out of special measures in 2020 without any tangible improvements. Last week, the board walked out en masse because it no longer had faith in the Welsh Labour Government. The health service is now back in special measures. The Welsh Government run the NHS in Wales, so if the First Minister of Wales were to ask, would the UK Government step in to support them?

Answer from Steve Barclay

We are always happy to assist colleagues across the United Kingdom as part of our commitment to the Union. My hon. Friend is right to highlight current performance in Wales. As I have said, patients are waiting twice as long for hospital treatment in Wales as in England, and more than 50,000 people in Wales are waiting for more than two years for their operation.

Partly answered

Not addressed: Specific commitment to support Welsh NHS

How: Highlighting Performance Issues

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Q3 Wes Streeting Lab Ilford North
NHS
Context

The refusal to negotiate after nurses and paramedics voted for strike action.

Question

When nurses and paramedics voted to take strike action, the Secretary of State refused to negotiate and said that the pay review body's decision was final. He has now U-turned, but not before 144,000 operations and appointments were cancelled through his incompetence. Will he now apologise to patients for this avoidable disruption?

Answer from Steve Barclay

What the hon. Gentleman omits to remind the House is that at the time the demand from trade unions was for a 19% consolidated pay rise, which is very different from the basis on which talks have been entered into. The point is that we are in discussions with trade union colleagues.

Partly answered

Not addressed: Specific apology to patients

How: Highlighting Differences In Demand

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Q4 Wes Streeting Lab Ilford North
NHS
Context

The lack of a mandate from the Prime Minister to negotiate with junior doctors.

Question

I think patients know who to trust, and it is nurses, not the Secretary of State. The Government have still learned nothing: despite a 98% vote in favour of strikes, the Secretary of State was sent to meet junior doctors without a mandate from the Prime Minister to negotiate. What is the point of this Health Secretary if he is in office but not in charge?

Answer from Steve Barclay

I have come to the House literally from a meeting with the trade unions: I met the NHS Staff Council this morning. Once again, hon. Members on the Opposition Front Bench are writing their questions before they see what is actually happening.

Not addressed: Role and authority of the Health Secretary

How: Highlighting Recent Meetings With Trade Unions

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Q5 Lee Anderson Reform Ashfield
Context

The case of Sean Lynk, who took his own life.

Question

Sean Lynk, aged 30, in Ashfield, took his own life just before Christmas. No one saw it coming. Male suicide takes the lives of 12 young men every day in this country. It is the biggest killer of young males under the age of 40. Sean's father Graham is coming next week to watch me speak in a Westminster Hall debate on male suicide, so could somebody from the Health team please meet Graham and me next Monday?

Answer from Maria Caulfield

I thank my hon. Friend for raising this important issue. We are launching a prevention of suicide strategy, and male suicide will be a particular focus, as it is a high-risk group. The debate next week will be answered by a Minister in the Department for Education, because it relates specifically to the national curriculum, but I am very happy to meet my hon. Friend and his constituent.

Partly answered

Not addressed: Specific meeting arrangement with the constituent's father

How: Highlighting Suicide Prevention Strategy

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Context

The issue of VAT on sunscreen and its impact.

Question

Unprotected sun exposure causes skin cancer, and some 16,000 cases are diagnosed each year. Affordable sunscreen is therefore essential for protection. Will the Secretary of State help to tackle the issue by supporting the Sun Protection Products (Value Added Tax) Bill, a ten-minute rule Bill promoted by my hon. Friend the Member for East Dunbartonshire (Amy Callaghan) that would remove VAT on sun protection products?

Answer from Helen Whately

Sun exposure is one of the most significant causes of cancer. That is one reason why we are working so hard with the NHS to reduce backlogs for people who are waiting for cancer diagnosis and treatment, including by rolling out teledermatology across the NHS to reduce diagnosis times. However, the hon. Gentleman's question about VAT and skin cancer is a matter for the Treasury.

Not addressed: Specific support on removing VAT on sun protection products

How: Redirecting To The Treasury

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Q7 John Penrose Con
NHS
Context

Health inequalities persist between less and more well-off British families, affecting life expectancy and quality of life. The long-awaited health inequalities White Paper is seen as crucial to addressing these issues.

Question

Finding and fixing the underlying causes of health inequalities has defeated Governments of all types for decades. Less well-off British families still live significantly shorter, sicker lives than richer families, cramping their life chances and making it harder to avoid or escape poverty. The long-expected health inequalities White Paper is essential to changing that. Does the Secretary of State expect it to be published this month? If not, will he meet me to discuss it?

Answer from Steve Barclay

As we heard earlier from the Parliamentary Under-Secretary of State, my hon. Friend the Member for Harborough (Neil O'Brien), the major conditions strategy report will deal with those issues. However, it is also important to consider the variation in performance between integrated care boards and how we can raise the bottom quartile to the level of the top quartile—there is far too much variation within the NHS—and to be data-driven, so that when it comes to genomics and screening we can target the outliers more precisely. That is what is behind the issue to which my hon. Friend has rightly drawn attention.

Partly answered

Not addressed: Publication of the health inequalities White Paper this month

How: Under Review, Consideration

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Q8 Gregory Campbell DUP East Londonderry
NHS
Context

The upcoming 10-year cancer plan is expected to cover various aspects of cancer management, including early detection.

Question

Will the 10-year cancer plan feature the distinctive approach that is required in relation to the early diagnosis of brain tumours?

Answer from Helen Whately

Cancer will be a substantial part of the major conditions strategy. We will be looking at the major causes of ill health in the country, of which cancer is, of course, one. Part of that will involve ensuring that we are good at diagnosing cancer, because the earlier it is diagnosed, the more treatable it is, and hence the better the outcomes for people with cancer will be.

Partly answered

Not addressed: Distinctive approach to early diagnosis of brain tumours

How: Under Review, Consideration

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Q9 Steve Brine Con
NHS
Context

The tobacco industry is a significant cause of cardiovascular disease, and there are ongoing discussions about introducing a 'smoke-free fund' funded by the tobacco industry.

Question

I welcome today's announcement of the appointment of Professor Deanfield as the Government's prevention champion with a focus on cardiovascular disease, one of the main causes of which is, of course, smoking. May I ask where we are with an updated tobacco control plan, and whether the Minister will look again at the introduction of a “smoke-free fund” paid for by the tobacco industry to boost those new public health budgets?

Answer from Neil O'Brien

We will be setting out our next steps on smoking shortly, but we already have the lowest smoking level on record: it has fallen to 13%, partly as a result of the doubling of duty on cigarettes and partly owing to the introduction of a minimum excise tax. We will be investing £35 million in the NHS this year to ensure that all smokers who are admitted to hospital are given NHS-funded tobacco treatment.

Partly answered

Not addressed: 'Smoke-free fund' from the tobacco industry

How: Under Review, Consideration

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Q10 Jim Shannon DUP Strangford
NHS
Context

Recent analysis from Macmillan Cancer Support shows that 2022 was the worst year on record for cancer waiting times.

Question

Recent analysis from Macmillan Cancer Support shows that 2022 was the worst year on record for cancer waiting times. Will the Minister consider the introduction of an urgent support package for UK cancer services in the upcoming Budget to support our hard-working staff and to ensure that there is additional capacity to deal with the current pressures on the system?

Answer from Helen Whately

It is indeed a worrying experience for people to be waiting to know whether they have cancer or, having received a diagnosis, to be waiting for treatment. However, I can assure the hon. Gentleman that more people are currently coming forward for cancer checks, more people are being treated for cancer, and the NHS is reducing some of the backlogs following the pandemic.

Not addressed: Urgent support package in the upcoming Budget

How: Under Review, Consideration

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Context

Obesity remains a growing health issue, requiring educational measures for both children and parents.

Question

I welcome the Government's actions to deal with obesity, but it remains an increasing health issue for our nation. Does my right hon. Friend agree that educating children and parents about healthy eating should be a top priority—

Answer from Steve Barclay

My right hon. Friend's question was so good that I was eager to answer it early. He is right to highlight this issue, which is being dealt with as part of a wider thrust within Government work on prevention, which is how we can empower the patient. That means getting more data to patients and using genomics and screening to ensure that they are better informed and can therefore opt to take decisions on healthy eating, rather than the state trying to impose those decisions on them in a top-down manner.

Partly answered

Not addressed: Top priority for educating children and parents about healthy eating

How: Under Review, Consideration

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Q12 Judith Cummins Lab Bradford South
NHS
Context

Investing in fracture liaison services could deliver significant savings for the NHS and improve patient outcomes.

Question

I chair the all-party parliamentary group on osteoporosis and bone health. Our recent report, supported by the Royal Osteoporosis Society, showed that an investment of just £27 million pounds a year in fracture liaison services would deliver more than £600 million pounds of savings for the NHS over five years. Will the Minister meet me and the ROS to discuss our report, and will he commit himself to ending the postcode lottery by providing 100% coverage for FLS for over-50s in England?

Answer from Steve Barclay

I am happy for a member of the ministerial team to meet the hon. Lady, who has made a compelling case about the return on investment. We will obviously need to scrutinise it in more detail, and I am sure that my colleagues will look forward to doing so.

Partly answered

Not addressed: Commitment to full national coverage of FLS for over-50s

How: Under Review, Consideration

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Context

Medway was one of the hardest-hit areas during the COVID-19 pandemic and has significant health inequalities.

Question

The Secretary of State is aware of Medway's case for being part of the Government's hospital building programme. It was the hardest-hit area during covid-19, and it has some of the greatest health inequalities in the country, and one of the busiest accident and emergency units in Kent. Will the Secretary of State visit Medway with me to witness our urgent need, so that we can be part of that hospital building programme for the future?

Answer from Steve Barclay

My hon. Friend is right to highlight the issues in Medway and those in Kent as a whole. When I met the chief executive of Maidstone Hospital yesterday, we discussed some of the innovation that it has introduced and the benefits of that innovation across the board. As for the new hospitals programme, I remind my hon. Friend of the comments made by my right hon. Friend the Prime Minister on 22 February, when he confirmed the Government's commitment to that programme.

Partly answered

Not addressed: Visit Medway to assess its case for inclusion in the hospital building programme

How: Under Review, Consideration

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Q14 Jeff Smith Lab Manchester Withington
NHS
Context

Families affected by the drug Primodos in the 1960s and '70s continue to seek redress for avoidable harm caused.

Question

Every day, the families of women who took the drug Primodos in the 1960s and '70s continue to suffer the consequences of a lifetime of disability. Baroness Cumberlege's review made it clear that Primodos caused avoidable harm and that the families should be given redress, so why have the Government recently refused three mediation requests on behalf of those families?

Answer from Maria Caulfield

The hon. Gentleman will know that we have huge sympathy for those affected by Primodos. He will also know that there is a legal case at the moment so I am unable comment at this time, but I am happy to discuss it with him further.

Not addressed: Refusal of mediation requests and provision of redress for Primodos-affected families

How: Under Review, Legal Case

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Q15 Richard Fuller Con North Bedfordshire
Context

Bedfordshire's fire service and ambulance service have been cooperating to reduce response times. The plan for deeper co-operation is in progress.

Question

Over the past year or so, Bedfordshire's fire service and ambulance service have taken innovative steps to cooperate to bring response times down. They are now working on a plan to deepen that cooperation. Will my right hon. Friend facilitate a meeting with the leaders of the fire service and ambulance service in due course when that plan is ready?

Answer from Steve Barclay

My hon. Friend is right to highlight the community services that we are doing as part of our urgent and emergency recovery plan, looking at how we deliver care quicker through innovative models. One of those involves better cooperation with the fire service.

Partly answered

Not addressed: Facilitating a specific meeting was not addressed

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Q16 Samantha Dixon Lab Chester North and Neston
NHS
Context

York and Chester have issues with the lack of dental services accessibility.

Question

York and Chester have many similarities, and it would appear that a complete absence of any access to dental services is another one. Can I impress on the Minister the urgency of improving access to NHS dentistry, because it is essential that my constituents do not have to travel for miles and worry for months?

Answer from Neil O'Brien

We will be setting out further steps shortly, but there are 6.5% more dentists doing work for the NHS than in 2010 and we have started the reforms with more units of dental activity bands and a minimum UDA.

Partly answered

Not addressed: Specific urgency and concrete steps to address access issues were not detailed

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Q17 Christopher Chope Con Christchurch
NHS
Context

One third of GP surgery activities could be transferred to pharmacies.

Question

Does my right hon. Friend accept that about one third of the activity that takes place in GP surgeries could be transferred to pharmacies? What is he doing to promote that policy and deal with the British Medical Association's reluctance to cooperate?

Answer from Steve Barclay

My hon. Friend is right to highlight the fact that a number of services that GPs currently offer could be performed by pharmacists, and we are looking at that in the context of the primary care recovery plan. This is also about looking at how we can relieve some of the workload pressure within primary care, and that is why we have recruited 25,000 additional staff to support GPs.

Partly answered

Not addressed: Specific actions to address BMA's concerns were not mentioned

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Q18 Ian Byrne Lab Liverpool West Derby
Context

Disabled individuals are cutting back on medical equipment usage due to high energy costs.

Question

Some 30% of disabled people, including many of my constituents, are having to cut back on using essential medical equipment at home due to rising energy bills. Some 70,000 people have signed the charity Sense's petition calling for long-term ongoing support for disabled people and their families. Will the Secretary of State deliver that support as a matter of urgency?

Answer from Neil O'Brien

That is exactly why we are spending £55 billion this winter to help households and businesses with their energy bills. That is one of the largest support packages in Europe.

Partly answered

Not addressed: Specific details on long-term ongoing support were not provided

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Context

Community-based drop-in mental health services are vital for rural communities.

Question

Does my right hon. Friend agree that community-based drop-in mental health services such as the Link centres in North Devon are vital to remote rural communities? Will he urge Devon County Council not only to continue those services but to improve and extend the model?

Answer from Steve Barclay

It is for schemes such as those that my hon. Friend highlights that we are investing a further £2.3 billion a year in mental health services, and that in turn is facilitating an extra 2 million patients accessing NHS-funded mental health support.

Partly answered

Not addressed: Specific urging of Devon County Council was not addressed

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Q20 Daisy Cooper Lib Dem St Albans
NHS
Context

More than £300 million of the NHS dentistry budget is set to be clawed back by NHS England.

Question

More than £300 million of the NHS dentistry budget is set to be clawed back by NHS England at the end of this month. That is not because of a lack of demand; it is because the Government's NHS dental contract is broken and dentists are walking away from NHS work. Will the Government ringfence these funds, rolled over to next year, so that people who desperately need dental treatment can get those appointments?

Answer from Neil O'Brien

That is exactly why we will continue to reform the contract as the hon. Lady suggests, and it is why we have started allowing dentists to do 110% of their UDAs, but she is right and we will go further.

Partly answered

Not addressed: Specific ringfencing commitment was not made

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Context

ICBs have a duty to commission palliative care.

Question

I refer the House to my entry in the Register of Members' Financial Interests, including my co-chairing of the all-party parliamentary group for hospice and end-of-life care. Now that integrated care boards have a duty to commission palliative care, what steps is my right hon. Friend taking to assess delivery? Will he join me in calling for the North East and North Cumbria ICB to listen to the hospices in the Tees Valley, which would save our hospices and save the NHS money?

Answer from Steve Barclay

My hon. Friend is right to draw the House's attention to the extremely important work of hospices and to the fact that commissioning decisions are devolved to the integrated care boards so that they can target funding in the way that best serves local communities.

Partly answered

Not addressed: Specific steps for assessment were not mentioned

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