Andrew Gwynne MP: speeches 2024

82 published records · newest first.

Speeches

20 Nov 2024 · Healthcare: Hampshire · Hansard source
More
I congratulate the hon. Member for Winchester (Dr Chambers) on securing the debate, and echo his thanks to all health and social care staff who do incredible work in very difficult circumstances. We know that our NHS is broken. Whenever MPs from across the House come to me with issues affecting their constituencies, I repeat the same mantra: this Government will be honest about the issues facing our NHS, and serious about tackling them. Lord Darzi has already completed his review of the current state of the NHS, and his report laid bare the true scale of the challenges facing our health service. We will not sugarcoat the problems faced by the health service in each and every part of the country, because colleagues from across the House are right to raise issues with me, and we will fix them together. We have already launched our national conversation on the future of the NHS, and we want patients, families and staff to join that conversation and make their voices heard. If Members have not already been to the website, the address is change.nhs.uk. Please let us have some sensible suggestions—not firing the Secretary of State out of a cannon. In her spring Budget, the Chancellor of the Exchequer announced an extra £22.6 billion to protect NHS day-to-day spending. Every penny of that investment will come alongside vital health reforms; they are two sides of the same coin. As the Secretary of State outlined last week, this Government intend to publish a league table of providers, allocating the best talent to the most challenging areas and ensuring that there are no rewards for failure. Where necessary, we will remove failing managers, and we will reward senior leaders who successfully improve performance.
20 Nov 2024 · Healthcare: Hampshire · Hansard source
More
The hon. Gentleman raises an important point. No part of the United Kingdom holds a monopoly on wisdom, and if we are doing something good or if there is innovation in one part of the United Kingdom, it is incumbent on Health Ministers across the devolved Administrations and here in Whitehall to share best practice—to work together and, where possible, take a four-nation approach. I hope I can reassure the hon. Gentleman that since this new Labour Government came into power, we have really tried to reset our relationships with the devolved Administrations and with the various Ministers. I have had several meetings with Mike Nesbitt on a range of health issues that appertain to the whole United Kingdom on which we want to ensure there is consistency of approach. I am more than happy to communicate further with Mike Nesbitt and colleagues in the Northern Ireland Executive on how we reform our health and social care services in England to see whether things can be taken by them in Northern Ireland. Vice versa, if there are good ideas from Northern Ireland, I am more than happy to consider them in how we transform NHS services in England. The hon. Member for Winchester mentioned social care, and he is right to raise winter resilience. I have spoken about fixing the front door to the NHS through primary care reforms. We also have a serious job to do to fix the back door and ensure that patient flows through the system are not held up because of a lack of social care. On winter resilience, I hope he will understand that we are working to ensure that there are no crises and that we tackle the issues of social care. Getting beds in appropriate places is a key part of our plan. In the long term, there are no quick fixes. The Dilnot reforms were announced by the previous Government, but it is fair to say that, when we came into office, we found that the money apparently set aside for the Dilnot reforms had already been spent on other NHS pressures. Laudable though it may have been to spend that money to try to get waiting times and waiting lists down and to fix some of the problems that that Government had created, it left us with a bit of a social care issue, given that the reform money had gone, had disappeared and was no longer there to be spent. Over the next decade, this Government are committed to building consensus on the long-term reform needed to create a national care service based on consistent national standards, including engaging across the parties. It is good to see the shadow Secretary of State, the right hon. Member for Melton and Syston (Edward Argar), in his place, and I am sure he will be very willing to work with us, as indeed will the Liberal Democrats. We genuinely want to make sure that we get cross-party consensus on the future of our adult social care, so that we can finally grasp this nettle once and for all, and to fix it without it becoming such a contentious issue, as it became, sadly, in 2010 and 2017. Neither of the two main parties has a good story to tell on this, because we have both shamefully used it as a political football from time to time. It is now appropriate that we set aside those politics and get on with fixing social care. I hope that, in due course, we will be able to move forward on that agenda. I assure the hon. Member for Winchester that we are acutely aware of the problems with mental health services. We both agree that waiting lists are unacceptably high. Indeed, the people of Hampshire and most of England are not getting the mental health care they deserve. He has spoken previously about Lord Darzi’s report, which has shone a searing spotlight on the waiting lists that young people face, in particular. I am immensely proud that this Government are intent on tackling the issue head on, with specialist mental health professionals in every school in England. That is our aim. These NHS-funded mental health support teams in schools and colleges will work with young people and parents to manage mental health difficulties and to develop a whole-school approach to positive mental health and wellbeing.
20 Nov 2024 · Healthcare: Hampshire · Hansard source
More
I am sure the officials in the Box will have noted the concerns the hon. Gentleman rightly raised about his ICB. I will ensure that that is communicated back to the Minister for Secondary Care, my hon. Friend the Member for Bristol South (Karin Smyth), so she can look in more detail at those concerns and communicate with the Hampshire MPs. If a meeting is necessary at the end of that, I am sure she will be more than willing to meet him and his colleagues. We want to ensure that every part of our NHS is working as well as it can and, as I say, good performance will be rewarded as part of our reforms. Alongside a college of executive and clinical leadership, that will ensure the NHS continues to develop and attract the best talent to top positions, bringing the best outcomes for patients and taxpayers alike. Let me turn to some of the specific issues that the hon. Member for Winchester raised. On local hospital provision, patients deserve to have safe, compassionate and personalised care in a fit-for-purpose environment. That is why this Government have committed to building and refurbishing hospitals across the country. The new hospital programme includes a new hospital for north and mid Hampshire and a major refurbishment at Winchester to provide specialist and emergency care. As part of the proposal, I am aware that the local trust explored changes to the current obstetrician-led maternity services at the Winchester site. I know the hon. Member has been a strong champion of that, having raised it with the Prime Minister in October. As announced in the Chancellor’s autumn Budget, my right hon. Friend the Secretary of State will set out further details of the review of the new hospital programme in the coming months, alongside a new and realistic schedule for delivery. The Hampshire hospitals scheme is in scope of the review, and I acknowledge the local concern over the proposal and the impact on the Winchester site and on maternity services.
20 Nov 2024 · Healthcare: Hampshire · Hansard source
More
As I said before the hon. Gentleman’s intervention, ultimately these are local decisions, and they must be clinically led. If the trust has decided that certain outcomes that he would like to see are out of scope of the consultation, we must take it as read that there are sound clinical reasons for that. If he thinks otherwise, I am sure that he can bring that up with my hon. Friend the Minister for Secondary Care, but ultimately we must be guided by the clinicians. They know, more than we Ministers in Whitehall will ever know, what the better outcomes for their areas are. The hon. Gentleman mentioned primary and community care. We know that patients nationally and in Hampshire find it increasingly difficult to see a GP. We are committed as a Government to fixing the front door to the NHS, to ensure that patients receive the care that they deserve. If patients cannot get a GP appointment, they end up at accident and emergency, which is worse for them and more expensive for the taxpayer. That is why we will shift the focus of the NHS out of hospitals and into community. One of our three big shifts is from hospital to community; the others are from analogue to digital, and from sickness to prevention. Those three things, taken as a whole, could be quite transformative in how we deliver primary care.
19 Nov 2024 · Mental Health Support · Hansard source
More
I will be pleased to meet my hon. Friend. This Government think it is unacceptable that too many people are not receiving the care that they deserve, and we know that waits for mental health services are far too long. We are determined to change that with the measures I set out in my opening. The Government have also introduced NHS 111 for mental health so that people who are in crisis or are concerned about a family member or loved one can now call 111 and speak to a trained mental health professional.
19 Nov 2024 · Mental Health Support · Hansard source
More
I am grateful to the hon. Member for his question. We are a mission-led Government and, of course, tackling health inequalities is a job not just for the Department of Health and Social Care, but for all Government Departments. I will be very happy to raise the role that Ministers can play in improving mental health and wellbeing in my bilaterals with the Ministry of Housing, Communities and Local Government.
19 Nov 2024 · Mental Health Support · Hansard source
More
Lord Darzi found that mental health waiting lists have surged, with more than 100,000 children waiting a year for their first appointment. That is why we will recruit 8,500 more mental health workers, provide access to mental health support in every school and roll out young futures hubs in every community. I am delighted to tell my hon. Friend that a Bill to modernise the Mental Health Act 1983 was introduced in the other place on 6 November. That was a promise that we made before the election—a promise that we kept.
19 Nov 2024 · Topical Questions · Hansard source
More
As somebody who still suffers from long covid, I know how debilitating and complex it can be, and I am committed to improving support for people affected by it. There are now more than 100 long covid services across England, and £57 million is being invested in long covid research. I recently co-chaired a roundtable on strategies to stimulate further research into treatments. I am more than happy to meet my hon. Friend and Ollie for further discussion.
19 Nov 2024 · Topical Questions · Hansard source
More
The UK rare diseases framework aims to improve the lives of people living with all rare diseases. I am more than prepared to meet my hon. Friend to look at the adequacy of support available to people with Usher syndrome.
19 Nov 2024 · Topical Questions · Hansard source
More
NICE is reviewing its guidelines for the diagnosis, monitoring and management of chronic asthma, and an updated version is due to be published in late November 2024. I am happy to meet the hon. Lady to discuss it further.
19 Nov 2024 · Topical Questions · Hansard source
More
My hon. Friend raises a real issue about how we join up the whole of the patient journey. Once diagnosed, patients need appropriate treatment and wraparound care. I am more than happy to meet him and his constituent.
19 Nov 2024 · Topical Questions · Hansard source
More
We will confirm the 2025-26 local authority public health grant allocations in due course. Local government plays a critical role in delivering the Government’s health mission and driving action on the prevention of ill health. We are committed to working in partnership with local government to tackle the wider determinants of ill health.
19 Nov 2024 · Infected Blood Inquiry · Hansard source
More
I stand here as the Minister for Public Health and Prevention, humbled and with a large degree of humility. The Department of Health and Social Care is rightly hated and despised by the infected blood community. We let them down. For that, I am personally sorry and my Department collectively is sorry. I say that in a heartfelt way because for the past decade and a half, both as shadow Public Health Minister and as a Back Bencher, I have raised the issue of the infected blood scandal on behalf of the campaigns and of my constituents who were infected and affected. Now that I stand here as a Minister in the Department responsible, I feel it is incumbent on me to give that heartfelt apology. It is too late coming for so many, but I hope that those who are still here and their families and loved ones will accept it in the spirit in which I give it: I am sorry. We let you down and we must make sure it never ever happens again. I welcome the two new Opposition spokespeople, the right hon. Member for Basildon and Billericay (Mr Holden) and the hon. Member for Kingswinford and South Staffordshire (Mike Wood). I want to start in the way the right hon. Member for Basildon and Billericay finished, by assuring him that the Government will work collectively and constructively with Members from across the House, from whichever party they come and whichever part of the United Kingdom they represent. This is an issue that has stained the body politic of our country for too long, and it is incumbent on us to work together across parties and across artificial divisions to make sure that we get the best deal for our constituents and their families. I also thank all right hon. and hon. Members who have contributed to the debate. I thank my hon. Friend the Member for Blyth and Ashington (Ian Lavery) and my hon. Friend the Member for Gedling (Michael Payne), who made an incredibly powerful maiden speech, setting out how he will be a champion for the people of Gedling in the years to come. The people of Arnold, John and Joan, and his husband Kyle are all rightly proud of him today, from wherever they were viewing the speech. I also thank my hon. Friend the Member for Eltham and Chislehurst (Clive Efford), who has played such a pivotal role in this campaign over a large number of years, as well as my hon. Friends the Members for Swindon North (Will Stone) and for Portsmouth North (Amanda Martin). On the Opposition Benches, I thank the right hon. Member for Salisbury (John Glen), who led on this matter in his former ministerial position. We thank him for his work. I know that sometimes I was frustrated with him, from just behind where he is sitting, but I appreciate the work he put in behind the scenes as well as at the Dispatch Box. The hon. Member for Perth and Kinross-shire (Pete Wishart) has similarly been a tireless campaigner, as has the right hon. Member for East Hampshire (Damian Hinds). The infected blood scandal is one of the most appalling in our nation’s history. It was an institutional failure of the highest order, spanning decades. From the national health service to the civil service to Ministers across successive Governments, at every level, those the public trusted to protect them fell short in ways that were both tragic and catastrophic. They let down victims, their families and our country. In the course of this debate, we have heard the names: Sean, Gary, Thomas, Jean, Ade and Joe. They remind us of the real people—those who are deceased, those who were infected, and those who are affected. They are real people, not statistics, and it is important that we never forget that. Victims were denied the truth; many passed away before they saw justice. The state worked to protect itself, and those people paid the price. I must echo the tributes that have been made to Sir Brian Langstaff and his team by Members from across the House. Their steadfast pursuit of the truth finally brought this decades-long scandal to light. Sir Brian and his team have set us on a path towards beginning to right the terrible wrongs that were committed. They uncovered a litany of collective and personal failures, as many hon. Members have highlighted by sharing stories from their communities and constituencies. Each one is significant in its own right and together they add up to a complete disaster. Sir Brian found that this national scandal could have been prevented. It was already known that these treatments were contaminated, yet the warnings were disregarded time and again. People in positions of power and responsibility had multiple opportunities to halt the transmission of these infections, but, on each occasion, they chose not to act. Many in this House have campaigned for justice for a long time, giving voice to those who had been repeatedly silenced. In particular, I wish to pay tribute to my right hon. Friends the Minister for Policing, Fire and Crime Prevention and the Secretary of State for Wales. I thank my hon. Friends the Members for Gower (Tonia Antoniazzi), for Hornsey and Friern Barnet (Catherine West), and for Newport East (Jessica Morden), and the hon. Member for Thirsk and Malton (Kevin Hollinrake). I also thank the former Member for Worthing West, Peter Bottomley, and the now Mayor of Manchester, Andy Burnham. In this debate today, we have again heard from my hon. Friends the Members for Eltham and Chislehurst and for Blyth and Ashington, the hon. Member for Perth and Kinross-shire, and the former Paymaster General, the right hon. Member for Salisbury. As a Government, we will do our utmost not to repeat the mistakes of the past. We were elected on a manifesto that committed to act on the inquiry’s findings and to put right historical injustices. The public rightly expect nothing less of this Government than fulfilling our moral obligation to compensate victims, and we aim to do so without delay. In October 2022, the previous Government spent £440 million on initial interim payments of £100,000 to the living infected. Following the publication of the inquiry’s final report in May, a further £728 million was paid as a second interim payment of £210,000 to all UK-registered living infected victims. The Government have also committed, in legislation, to paying £100,000 to the estates of the deceased infected to recognise those who have not yet received a payment and to ensure that some of those affected—such as parents, children and siblings—are supported. That scheme opened on 24 October. We recognise that money can never make up for the heartbreak that victims and their families have experienced, and much of the inquiry’s criticisms apply to the way that my Department—the Department of Health and Social Care—and its predecessors operated.
19 Nov 2024 · Infected Blood Inquiry · Hansard source
More
The right hon. Gentleman raises an important point. Indeed, it was acknowledged by my right hon. Friend the Paymaster General and Minister for the Cabinet Office in his opening speech that this is just one of a number of scandals that follow a similar pattern—when the scandal has been uncovered, rather than trying to protect the victim, the state has tried to protect itself. It is absolutely crucial that the state learns not just from each individual scandal, but collectively; that it is the same mindset that has led us to all these different scandals with similar outcomes for victims. That level of learning has to be genuinely across Government, and I know my right hon. Friend will lead on that in the Cabinet Office. The Government will set out our formal response before the end of the year, but given that there is absolutely no time to waste, I want to take this opportunity to update the House on the work already under way to address some of the inquiry’s recommendations. To prevent future harm, the Department continues to explore options to enhance candour and openness across the national health service. To empower patient voices, the NHS is reviewing clinical audits related to haemophilia services to identify any gaps in patient involvement, alongside work on a new clinical service specification, which will set standards for services across England. To protect haemophiliacs, the NHS has convened an expert group to hear advice from the specialised blood disorders clinical reference group. A dedicated taskforce has been set up to consider its recommendations. The General Medical Council is working with NHS England and others to look at ways to ensure that lessons learned are reflected in training for doctors, nurses and other healthcare professionals. Let me be clear to the House: the Government do not see this scandal in isolation. Sadly, repeated patient safety failings have eroded public confidence in our health and social care system, so we are taking steps to fix the culture of the national health service. My right hon. Friend the Secretary of State for Health and Social Care has been clear that we will not tolerate NHS managers who silence whistleblowers. Openness and honesty are vital to ensuring patient safety. NHS staff must have the confidence to speak out and come forward if they have concerns. There will be no more turning a blind eye to failure. Our wider reforms to NHS performance will provide greater transparency for the public who pay for it. Measures will ensure that top talent is attracted to the most challenged areas, and persistently failing managers will be sacked. That is about ensuring that the right people are in post to lead our NHS with the resources they need to do their job. If we get that right, we will be able to look back on this moment as a turning point for patient safety and for leadership.
19 Nov 2024 · Infected Blood Inquiry · Hansard source
More
I thank the right hon. Gentleman for that intervention. I hope that Members across the House can see why we have set IBCA up in the way we have. It is for precisely that reason: we have to have that operational separation from Ministers and the Executive, but there also has to be political oversight from all quarters of this Chamber, because this is a public body spending public money—and a great deal of public money at that. As I have said, we are aiming for the second set of regulations to be in place by 31 March 2025. That will support our intention that payments to the affected begin next year. There are important details, especially in relation to Sir Robert Francis’s recommendations, the majority of which the Government have accepted, that must be worked through ahead of the second set of regulations. This includes details such as the eligibility criteria for people who are affected, and how the Government should define the parameters of the definition of unethical testing. Turning to payments, the selection of those who have been contacted for first payments was a decision for the Infected Blood Compensation Authority. The first group of people who are receiving invites to claim are: first, those who are known to be already eligible for compensation; secondly, those registered with support schemes, which means we are likely to have much of the necessary information for these people already; thirdly, those from areas across the UK; and fourthly, those who represent a range of infection types and of severity within those infections. Let me turn to some of the questions raised about this area. The hon. Member for Eastleigh mentioned people dying before compensation is awarded. I hope I can reassure her that when a person with an eligible infection has, tragically, died before receiving compensation, we will ensure that their personal representatives can claim compensation on behalf of the deceased’s estate. I hope that clarifies the point for her. My hon. Friend the Member for Swindon North talked about the exclusion of victims with hepatitis B from the compensation scheme. People with chronic hepatitis B and those who die in the acute period are eligible for compensation, as are their loved ones as affected. I suggest that my hon. Friend writes to the Minister for the Cabinet Office with his constituent’s details, so that we can look more closely at his case. My hon. Friend the Member for Eltham and Chislehurst asked whether there will be payments by the end of the year. The answer is yes, and as I have said, there will be payments to the affected from next year, when we have the new regulations in place. The right hon. Member for East Hampshire asked about the steps taken to provide accessible information on compensation. I want to spell out to him that Sir Robert recommended that there should be a higher award of £15,000 for children subject to unethical research at the school in his constituency. That is why there is a difference, which I hope clarifies that point for him. As I have said, at the start of November the Infected Blood Compensation Authority invited the first cohort of people to make compensation claims. Candour in the civil service and in Government was raised by my hon. Friend the Member for Eltham and Chislehurst and the hon. Member for Perth and Kinross-shire in their contributions. The King’s Speech set out the commitment to bring forward legislation to introduce a duty of candour for public authorities and public servants. This legislation will be the catalyst for a changed culture in the public sector. The Prime Minister confirmed at the Labour party conference that legislation on the duty of candour would be delivered by this Government. He confirmed that the duty will apply to public authorities and public servants, and it will include criminal sanctions. The Bill will be introduced to Parliament before the next anniversary of the Hillsborough disaster in April 2025. In closing, today I hope the House has heard how we are starting to deliver compensation and how we are starting to respond to the inquiry recommendations. Admittedly, they are still small steps, but they are steps in the right direction. This work is far from over. We owe it to the victims and their families to see it through, and we will of course regularly update the House as this progresses. I reiterate on behalf of the Government and the Department of Health and Social Care, and as a mere ordinary Member of Parliament for Gorton and Denton, representing some of the infected and affected, that we are truly sorry. We let you down. We will learn from these lessons, and we must never ever let anything like this happen again. Question put and agreed to. Resolved, That this House has considered the Infected Blood Inquiry.
19 Nov 2024 · Infected Blood Inquiry · Hansard source
More
I should clarify for my hon. Friend that IBCA is operationally independent—that is important —but it is absolutely right that Members of this House are able to scrutinise its operations, its working and, indeed, its use of public money. We are talking about a great deal of public money, and IBCA has to be democratically accountable to this House, albeit operationally independent of Government Ministers in its day-to-day business.
19 Nov 2024 · Infected Blood Inquiry · Hansard source
More
I agree with the hon. Gentleman, which is why IBCA is operationally independent—that is the crucial thing here. It does not have the fingerprints of Ministers all over it, because that is where the distrust comes from. It operates independently, but as a public body it is accountable to this House for how it spends that money and how it operates as an organisation. While IBCA is operationally independent to ensure a separation between Executive Ministers and the functioning of that body, it is accountable to this House. I think that is absolutely the right balance.
19 Nov 2024 · Infected Blood Inquiry · Hansard source
More
I can assure the hon. Gentleman that the Minister for the Cabinet Office is carefully considering this matter. If the hon. Gentleman would like, the Minister for the Cabinet Office will write to him, but he is considering it. We expect the Infected Blood Compensation Authority to begin making payments to people who are infected under the infected blood compensation scheme by the end of this year. Payments to the affected are expected to begin in 2025, following a second set of regulations. Turning to a question raised by the hon. Member for Perth and Kinross-shire about the independence of IBCA, it is rightly operationally independent. Parliament would clearly expect the Government to have oversight of a scheme of this size and for there to be proper management, given the amount of public money going into the scheme. It is true that there are only two non-departmental public bodies that are independent of the Government: one is IBCA and the other is the National Audit Office. It is absolutely right for IBCA to have that independence. [ Official Report , 21 November 2024; Vol. 757, c. 5WC.] (Correction)
19 Nov 2024 · Infected Blood Inquiry · Hansard source
More
I hope that I can reassure the hon. Lady that although health is devolved across the four nations, and I can speak only on behalf of the NHS in England on a number of the recommendations, both the Department of Health and Social Care and the Cabinet Office are working closely and collaboratively with Ministers in the devolved Administrations. Indeed, I and my right hon. Friend the Paymaster General recently had a meeting with Ministers from Scotland, Northern Ireland and Wales to talk about how to take forward the recommendations, on a four-nation basis where possible, and with mutual support across the four nations where there are individual recommendations pertinent to the devolved parts of the United Kingdom. I hope that that reassures her that we are working together. Although I cannot comment on the changes that will be needed for health services in Northern Ireland, which are a matter for the Minister of Health in Northern Ireland, Mike Nesbitt, I am quite certain that those services will carefully and closely consider our work here in England, and the work in other parts of the United Kingdom. We have waited too long for these actions. People have waited too long for compensation. Indeed, right hon. and hon. Members have waited too long for this debate. More than 3,000 people died before they saw justice; families and our country were let down. There was a level of suffering that is so difficult to comprehend, because questions were not asked at the time, institutions did not face up to the failings, and facts were covered up. Now we know the truth. As we reflect, we are making a concerted effort to improve, because that loss need not be in vain. I will respond to some of the questions raised throughout the debate, and will refer to other questions directly in the relevant part of my contribution. Should I miss anything because of time constraints, I will write to Members. In opening for the official Opposition, the hon. Member for Kingswinford and South Staffordshire talked about destigmatisation of HIV and hepatitis C. I hope that he understands that the Labour party made a clear manifesto commitment to ending HIV transmission in England by 2030. Officials at the Department of Health and Social Care, the UK Health Security Agency, NHS England and a broad range of system partners are now working together to develop a new HIV action plan, which we aim to publish by summer next year, and destigmatisation will be a key part of that plan. My hon. Friend the Member for Blyth and Ashington asked about psychological support for family and friends. I reassure him that NHS England has established the infected blood psychological support service in England, which supported its first patients in late August. That includes supporting not just the infected, but the families and friends affected. I want to turn to departmental failings. The report outlines a comprehensive condemnation of the organisation of blood services, licensing decisions, blood safety and patient safety, with harm compounded by the reaction and handling of Government. I again recognise humbly the criticism of the Department that I stand at this Dispatch Box to represent and its predecessors, and I am committed to ensuring that a tragedy such as the infected blood scandal can never happen again. This Government will prioritise patient safety to ensure that the NHS treats people with the high-quality, safe care they deserve. Repeated inquiries and investigations have highlighted significant issues with patient safety, which has caused a deterioration in public confidence, as we heard from my hon. Friend the Member for Aldershot (Alex Baker) in an earlier intervention. We must absolutely fix that. The Health Secretary has been clear that we will not tolerate NHS managers who silence whistleblowers. A culture of openness and honesty is vital to ensure patient safety. We want NHS staff to have the confidence to speak out, and we will give them that. The hon. Member for Eastleigh (Liz Jarvis) raised the question of the safety of blood products. While no medical treatment can be completely risk-free, current safety standards for blood donation and transfusion are rigorous, and England’s blood supply is one of the safest in the world. Processes are in place throughout the blood donation journey to ensure the safety of blood and blood products, including the donation safety check form, testing for specific infections, donor deferrals, regulations and informed consent. According to Serious Hazards of Transfusion, the risk of serious harm because of blood transfusion in the United Kingdom is low, at one in 11,000 blood components issued. Turning to timelines, so far more than £1 billion has been paid in interim compensation payments to victims of the infected blood scandal. As we heard earlier, applications opened on 24 October for interim payments of £100,000 to the estates of deceased people whose deaths have not been recognised. Parliament has now approved regulations that give the Infected Blood Compensation Authority the powers necessary to pay compensation through the core route to the infected, both living and deceased. The Infected Blood Compensation Authority has begun to process its first claimants under the infected blood compensation scheme.
19 Nov 2024 · Infected Blood Inquiry · Hansard source
More
I can give my hon. Friend and Brendan the commitment that we will do just that, to reassure those who rightly have lost all trust in public authorities, and particularly in my Department, because of the dreadful actions that led to their infection. She has my assurance that we will do what we can to reassure Brendan and many others like him who rightly have no trust left in us that we will rebuild that trust.
5 Nov 2024 · Women and Equality: North of England · Hansard source
More
It is a pleasure to serve under your chairmanship, Sir Christopher. I am grateful to be responding for the Government to this vital discussion brought to the House today by my hon. Friend the Member for City of Durham (Mary Kelly Foy) about the issues raised by the “Woman of the North” report. The report highlights the challenges facing women across the northern regions of England and I am pleased that the Government’s women’s health ambassador, Professor Dame Lesley Regan, delivered a keynote speech at the report’s launch in September, in which she spoke about the importance of addressing the health inequalities faced by women living in the north of England. While the report brings into focus the striking health inequalities that women in the north contend with, our Government are committed to addressing those regional inequalities head on. I will be clear, up front, that the conditions outlined in the report are unacceptable in a country as resourceful as ours. Women in the north face stark inequalities, not just in health but, as we heard from my hon. Friend, in economic security and social support. Our response must be to tackle those on multiple fronts, and that work has already begun. We are committed to working across Government to tackle wider inequalities that lead to poor health, focusing our health and care system on preventing ill health, shifting more care into the community and intervening earlier in life to raise the healthiest generation of children in our country’s history. We will improve healthy life expectancy for all and halve the gap in healthy life expectancy between different regions of England. The Government are committed to prioritising women’s health as we build an NHS that is fit for the future, and women’s equality will be at the heart of our missions. We are considering how to take forward the women’s health strategy developed by the last Administration, but we want to align it with the Government’s missions and the forthcoming 10-year health plan. The report is therefore timely. As my hon. Friend set out so powerfully, reducing inequalities must be a central focus in our strategy going forward. We will carefully consider each of the report’s recommendations as we do that, and I will ensure that Ministers across Government have sight of the report and consider those recommendations that relate to their policy areas. My hon. Friend mentioned women’s health hubs, which will be key to improving access to women’s health services and reducing the inequalities we care so passionately about tackling. They will do that by providing a set of integrated women’s health services in the community, centred on meeting women’s needs across their life. The Department has invested £25 million over the past year and over 2024-25 to support the establishment of at least one pilot women’s health hub in every integrated care system. I am pleased to say that integrated care systems in the north of England are making good progress on setting up their pilot hubs. For example, the funding is being used to set up three pilot hubs—two in Sunderland and Gateshead in the north-east and one in north Cumbria—with a strong focus on tackling inequalities and community outreach. My hon. Friend also mentioned smoking, which is a huge driver of inequalities in too many communities, particularly, but not exclusively, in the north of England. She is right, and I can confirm—on the day the tobacco and vapes Bill receives its First Reading—that good-quality smoking cessation services remain a big part of the jigsaw in achieving a smoke-free UK. I can report that financial incentives are working well. I mentioned some of the wider social inequalities that underpin poorer health chances, as did the hon. Member for Strangford (Jim Shannon). It is shocking that a woman in the north, working full time, may earn £56 less per week than the national average, and £188 less than a woman in London. Every part of the country has a vital contribution to make to our economy, but too many areas have been held back because decisions are often taken here in Westminster and not by local leaders who understand the ambitions, strengths and opportunities—and the weaknesses and threats—of the local population. That is why the new Labour Government are committed to empowering local government, enabling it to pursue growth, create jobs and improve living standards, with support from central resources. Providing central support where needed, we will ensure that the places we are talking about have the strong governance arrangements, capacity and capability to deliver. In addition, as my right hon. Friend the Chancellor of the Exchequer set out in our first Budget last week, the national living wage will increase from £11.44 to £12.21 next April. That boost—one of the largest since the creation of the national minimum wage in 1998—benefits women, who make up a significant proportion of minimum wage earners. Turning to mental health and domestic violence, the “Woman of the North” report revealed stark challenges facing northern women, with rising rates of mental illness and domestic violence. We have committed to taking a number of important measures to improve support for women, which we are already introducing those across Government. We are committed to an NHS that is responsive and accessible, with 8,500 new mental health workers to reduce waiting times, and a specialist mental health professional in every school. Young Futures hubs in every community will also offer open-access mental health support for young people, including girls. Recognising healthcare’s role as a frontline for survivors, all NHS staff undertake mandatory safeguarding training, which includes a focus on domestic abuse. Furthermore, my Department has published and disseminated a working definition of trauma-informed practice for the health and care sector. NHS integrated care boards enable provision of more integrated services for victims and survivors. The Victims and Prisoners Act 2024 also places a new legal duty on integrated care boards to work with local authorities and with police and crime commissioners to join up the commissioning of victim support services. One of the most striking points raised in the report is the extraordinary burden of unpaid care on northern women. Women who give over 50 hours a week in care duties deserve our utmost respect, as well as the support of this Government, and we are working to ensure that they have it. Our recent increase in the earnings threshold for carer’s allowance will help 60,000 more carers to maintain work while receiving financial support. For the first time, carers can now earn more without reducing hours, due to minimum wage rises. That will bring much-needed financial stability to carers and allow them to retain their links to the labour market, which is crucial. We will continue to monitor and respond to the needs of carers, ensuring that they have the resources to support their families and wider communities. Moving forward, we will continue to assess the needs of carers, in the north and beyond, to ensure that we are offering tangible, effective assistance to those unsung heroes. I put on record that the Government’s commitment to our northern communities, and to the women who drive them forward, is unwavering. We recognise that the strength of our nation rests on the health, security and potential of all women, regardless of where they live. But we know, as northern MPs, the stark inequalities that are far too prevalent in far too many parts of the regions that make up the north of England. For women in the north of England, we will ensure that we rebalance not only their health outcomes but the economic opportunities offered to them. It is not a matter only of justice, but of building a society that values every woman’s contribution equally and that provides her with the means to thrive. Let me affirm that this Government, and I as the Minister responsible for public health and prevention—albeit a man—stand ready to support the women of the north, and every woman in this country, by addressing the entrenched inequalities that hold too many women back. Through our co-ordinated efforts across health, economic policy and social care, we will see the real benefits of a mission-led Government who do not work in silos but across the whole of Government to tackle the needs of the citizen—in this case women, including women in the north—as we march towards the decade of national renewal that the country voted for on 4 July. That co-ordinated effort will be across health, economic policy, social care, housing, planning, transport, the environment and all public policy, such as education, skills and training. We will work towards a future where all women, wherever they are in this country—although I and my hon. Friend the Member for City of Durham are northerners, and this debate is about the north of England—can look forward to lives filled with good health, economic security and the opportunity to achieve their potential. I will leave the House with just one thought. On my first day as public health Minister, I had lots of presentations to bring me up to speed on a range of policy areas, and the first was on life expectancy. There was a simple bar chart that showed two women: one who has the privilege of living in a less deprived part of England and one who has the misfortune of living in a more deprived part of England. The life expectancy of the woman in the less deprived part was just shy of 80—79.9 on average. For the other woman, it was 70—10 years were shorn off her life. But that was not the most shocking part of the chart. The two bars were shaded in part in orange, which signified the healthy life expectancy of the two women. The woman who lives to nearly 80 in the less deprived part of England falls into ill health at 75. All of her working adult life is spent in good health, and she falls into ill health only in the final five years of her life. The other woman, who lives to 70, falls into ill health at 52. That shocked me to the core. Those are not statistics; they are people—people I and my hon. Friend represent. Indeed, there are inequalities across the country, and they are people you too represent, Sir Christopher. Each person falling into ill health with another 15 or 16 years of adult working life to go is a tragedy on a personal level. It is the economics of the madhouse, because those people have potential—they have economic ability and hopes and dreams that are whipped away because of inequalities. It is the duty of Government to push that orange bar as close to retirement age as possible for those women, and preferably into retirement age. Look, let’s be ambitious: let’s put sickness beyond death. It is the duty of Government to tackle those health inequalities. I hope I have assured the House, and my hon. Friend the Member for City of Durham, that while I am in this ministerial post, it will be my No. 1 aim to make sure that we live healthier, happier, longer lives. Here’s to the women of the north. Question put and agreed to.
22 Oct 2024 · Draft Human Fertilisation and Embryology (Amendment) Regulations 2024 · Hansard source
More
I beg to move, That the Committee has considered the draft Human Fertilisation and Embryology (Amendment) Regulations 2024. It is a pleasure to serve under your chairmanship, Mr Mundell. This is important secondary legislation, and before I begin to unpack its content, I would like to pay tribute to the campaigners that have pushed for these reforms, including the National AIDS Trust, Stonewall and the Elton John AIDS Foundation, to name just a few. The Human Fertilisation and Embryology Act 1990 provides the legislative framework for regulating fertility treatments and the use of gametes and embryos in the UK. The draft regulations seek to amend two aspects of schedule 3A to that Act. Thank God, HIV is no longer the death sentence it once was. What is more, advances in retroviral treatment mean that people living with HIV can achieve a viral load that is undetectable and therefore untransmissible. In our constituency work, many of us have come across male same-sex couples who wish to start a family through surrogacy, where one or both have HIV. There are hundreds of such cases across the United Kingdom. The first aspect of the regulations we propose to change would help people seeking donation from a friend or relative with HIV, and it would allow people living with HIV to donate their gametes to known recipients, where certain conditions are met. Those conditions are the following: first, that they have an undetectable HIV viral load of less than 200 copies per millilitre, shown by two tests prior to donation; secondly, that they have been receiving antiretroviral treatment for at least six months prior to donation; and thirdly, that the recipient knows of the donor’s HIV diagnosis and provides informed consent. To be clear, opposite-sex couples where one or both partners have HIV can have fertility treatment using their own gametes under the current legislation, but they cannot donate to others, and no other people with HIV can donate. The policy change is based on crystal-clear scientific evidence that shows that advances in the treatment of HIV have meant the risk of transmission is now regarded as “negligible”, whether that is through unprotected sexual intercourse or gamete donation. The Government have adopted this new approach following advice from the independent Advisory Committee on the Safety of Blood, Tissues and Organs. In short, the world has moved on, and our legislation must move with it. The statutory instrument would also enable female same-sex couples to donate eggs to one another in reciprocal IVF—in vitro fertilisation—or shared motherhood arrangements. Donations within same-sex female couples would undergo the same testing requirements as opposite-sex couples, by modifying the definition of “partner donation”, currently defined as exclusively being between a man and a woman who are in an intimate physical relationship. Following advancements in assisted reproduction technologies, it is now possible for women in same-sex couples to undergo reciprocal IVF where one partner donates an egg to the other partner, who then carries and gives birth to the child. That allows couples to both play a part in that child’s conception. Under the current definition, female same-sex couples who have reciprocal IVF must go through additional screening for either infectious or genetic diseases. That can cost more than £1,000 compared with heterosexual couples undergoing IVF using their own gametes. SaBTO, the independent committee that I referred to earlier, has advised that there is no longer any clinical reason for these tests, and this Government agree. The subject matter of the 1990 Act is reserved, so the regulations will apply across the UK. The instrument is made in exercise of different powers in respect of Great Britain and Northern Ireland. For Great Britain, it is made under the 1990 Act, which provides that regulations may specify technical requirements in relation to the election of donors and laboratory tests for donors of gametes and embryos. For Northern Ireland, the instrument is made under the powers in section 8C of the European Union (Withdrawal) Act 2018. This Government are committed to resetting our relationship with the LGBT community. I am proud to say that we have engaged extensively with LGBT and HIV organisations to get their thoughts on the proposed regulations, which have been received very positively. We have not prepared a full impact assessment for the instrument because the costs for business fall below the threshold. However, a de minimis assessment has been completed, and the changes should cost the fertility sector within the range of £46,000 to just over £92,000. The costs are expected to be passed on to patients accessing private IVF provision. In summary, the regulations will unlock the ability for people living with HIV to have a family using their own gametes. The measures would benefit men in same-sex relationships where one or both have HIV and people seeking a donation from a friend or relative with HIV, and they will bring much needed parity between women in same-sex relationships undergoing reciprocal IVF and opposite-sex couples. The draft amendments may seem technical, but they mark another few steps on the long road towards equality. We should not hesitate to take them, and I commend the regulations to the Committee.
22 Oct 2024 · Draft Human Fertilisation and Embryology (Amendment) Regulations 2024 · Hansard source
More
I thank hon. Members from across the House for their clear indication of support for these landmark measures. I jest with my hon. Friend the Opposition spokesperson—I call her my hon. Friend, because we have known each other for a number of years—and often remind her that she was once in this ministerial position for a very short period. I hope that she gets to shadow me longer than I shadowed her—I think she has already broken the record. I always enjoy the fact that she comes to these proceedings with a really open mind. As I hope I was supportive to the previous Government on these measures, she has proven the cross-party worth of being supportive to the new Government on measures that we both want to see put in place. I thank her sincerely for the official Opposition’s support. We want to ensure that people who want to start a family do not face barriers without good reason. I thank the LGBT and HIV charities that have pushed for and supported these reforms, and the Human Fertilisation and Embryology Authority for its constructive work. I am also pleased to welcome Adam Freedman from the National AIDS Trust to the House today to see the SI debated. He has patiently encouraged Governments of both stripes to move in the right direction. I note that safety about receiving donations from those with HIV will be a concern to some. Let me offer further reassurance that the Advisory Committee on the Safety of Blood, Tissues and Organs has given these issues intense scrutiny, reviewing the most up-to-date clinical evidence, to ensure that such donation by people with an undetectable viral load is safe. The evidence is published on its webpage on gov.uk. The changes will help to benefit hundreds of couples. That includes same-sex male couples where one or both have HIV in a surrogacy arrangement, female same-sex couples planning shared motherhood, and those seeking known donation from a friend or relative with HIV. The SI also clearly demonstrates this Government’s intentions to address equalities and opportunities for all, regardless of gender, race, sexual orientation or how they wish to form a family. I will take the points made by the Opposition spokesperson in reverse order. On the Windsor framework, it is not for me to decide whether that is a bonus of Brexit. We operate under that different legal framework in this brave new world—having left the European Union and respecting the Good Friday agreement—when we legislate on certain areas relating to Northern Ireland, as opposed to the conventional legislative processes that cover the rest of Great Britain. I will leave it to others to judge whether that is a bonus or otherwise, but that is the system that we are in. On NHS screening, the implications for the NHS, and the family issues that she raises, I will write to the Opposition spokesperson and the Committee to give assurances about those areas, as the powers that be from God have not reached mortal man in time. But I will ensure that all Committee members get that divine guidance when it comes— [ Interruption. ] If you will forgive me, Mr Mundell, I have just been passed a tablet of stone from Mount Sinai. It tells me that the HFEA code of practice prevents incestuous donations and provides guidance on donations to achieve that end—somebody could obviously write a prescription with the note I am reading as well. On anything else that is left outstanding, the offer of writing to Committee members still stands.
15 Oct 2024 · Post-sepsis Syndrome · Hansard source
More
Given the national standards and framework that have been put in place in this regard, I hope very much that the NHS will be able to do precisely what the hon. Gentleman wants it to do.
15 Oct 2024 · Post-sepsis Syndrome · Hansard source
More
I pay tribute to John Snow and, indeed, my hon. Friend’s constituents, who have rallied around him at his time of need. This matter highlights the need to have better joined-up care to ensure that people who have sepsis receive the best care possible, that those who tragically lose limbs as a consequence of sepsis are able to have good-quality aftercare, and that we continue to raise awareness of sepsis and the risks it poses.

Published records only — not a full account of an MP’s work. How we work →