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Parliamentary Debates (Hansard) Tuesday Volume 582 10 June 2014 No. 4 HOUSE OF COMMONS OFFICIAL REPORT PARLIAMENTARY DEBATES (HANSARD) Tuesday 10 June 2014 £5·00 © Parliamentary Copyright House of Commons 2014 This publication may be reproduced under the terms of the Open Parliament licence, which is published at www.parliament.uk/site-information/copyright/. 389 10 JUNE 2014 390 Mr Hunt: My hon. Friend is right to say that some House of Commons bad changes were made. What will most benefit his constituents, whether or not they are part of the initial Tuesday 10 June 2014 tranche of the Prime Minister’s challenge fund, is the reintroduction of named GPs for the over-75s. For people with complex long-term conditions, continuity The House met at half-past Eleven o’clock of care is extremely important, and every single one of his constituents aged 75 or over will now get a PRAYERS named GP. [MR SPEAKER in the Chair] Kate Green (Stretford and Urmston) (Lab): We are very pleased in Old Trafford to have secured funding for Speaker’s Statement 80 extra care beds for one of the most deprived parts of my community. We also hope to be able to bring health Mr Speaker: I must draw Members’ attention to the care services, including GP surgeries, on to the same fact that the book for entering the private Members’ Bill sites, but we are experiencing difficulty in unblocking ballot is now open for Members to sign in the No funding via the NHS area team. Will the Secretary of Lobby. It will be open until the House rises today, State meet me to discuss this issue and how we might be and while the House is sitting on Wednesday 11 June. able to move forward? The ballot will be drawn on Thursday 12 June. An announcement setting out these arrangements, and the Mr Hunt: Yes, I would be more than happy to meet dates when ten-minute rule motions can be made and the hon. Lady and see what I can do to help her to presentation Bills introduced, is published on the Order improve health care in her area. Paper. Jessica Lee (Erewash) (Con): I thank my right hon. Friend the Secretary of State for his recent visit to BUSINESS BEFORE QUESTIONS Erewash. He has kindly offered to come back another time. We welcome the Prime Minister’s challenge fund SPOLIATION ADVISORY PANEL being allocated to Erewash. May I reassure my right Resolved, hon. Friend that our excellent GPs are working very That an humble Address be presented to Her Majesty, That hard to make sure that services and support are she will be graciously pleased to give directions that there be laid appropriately allocated in our community? before this House a Return of the Report from Sir Donnell Deeny, Chairman of the Spoliation Advisory Panel, dated 10 June Mr Hunt: I thank my hon. Friend for her work to 2014, in respect of three Meissen Figures, now in the possession of the Victoria and Albert Museum.—(John Penrose.) promote good health care in her area. I very much enjoyed meeting her local GPs. I was disappointed that it was only for about five minutes. I very much hope to go back and have a proper discussion. They were very Oral Answers to Questions enthusiastic about the Prime Minister’s challenge fund, and are making some very innovative changes. HEALTH Mr Barry Sheerman (Huddersfield) (Lab/Co-op): May I push the Secretary of State on this matter? What my constituents want is to be able to get to see a GP when The Secretary of State was asked— they really need one; they do not want to turn up in Challenge Fund A and E just because they cannot get an appointment for a week. Is not poor management of GP surgeries—poor 1. Mr Robin Walker (Worcester) (Con): What recent management from top to bottom—at the heart of this assessment he has made of the role of the Prime problem? Minister’s challenge fund in improving access to GP services. [904103] Mr Hunt: Actually, I agree with the hon. Gentleman. I think that we do have a problem. We have some The Secretary of State for Health (Mr Jeremy Hunt): fantastically good GP surgeries and some brilliant GPs, Mr Speaker, it is a pleasure to see you again so soon. but we have not in the past had structures in place to The Prime Minister’s challenge fund will be rolled make sure that we deal quickly with underperforming out over 1,100 of the 8,300 GP surgeries in the country. GP surgeries and, indeed, underperforming GPs. We It will improve access out of hours, at weekends and need to have much more transparency of data so that electronically, and it will benefit up to 7.5 million people. we can see where the problems are. We have introduced a rigorous new inspection regime, with a new chief Mr Walker: I am glad that this Government, unlike inspector of general practice, and I hope that that will the previous one, whose disastrous contract negotiations go some way to addressing the issues he raises. led to a decline in GP access, is making sure that out-of-hours care is as widely available as possible. Will Andy Burnham (Leigh) (Lab): People ringing their the Secretary of State assure me that he will do whatever surgery this morning only to be told that no appointments he can to ensure that places, such as Worcester, that are available for days will be listening to the Secretary have not yet been reached by the challenge fund will of State’s answers today and thinking that he is living in also see the benefits of this approach? a different world. People’s real experience is that it is 391 Oral Answers10 JUNE 2014 Oral Answers 392 getting harder and harder to get a GP appointment The Minister of State, Department of Health (Norman under this Government, but for some it could get much Lamb): Everyone will be protected against catastrophic worse. I recently visited a practice in east London that costs by the insurance the cap provides from April 2016, faces closure in October because of this Health Secretary’s in line with the Dilnot commission’s recommendations. changes to GP funding. NHS England says that 97 other We are working through the detail of how it will operate practices are in the same position, affecting thousands in partnership with stakeholders. We will publish draft of patients. Will he today give a guarantee that no regulations and guidance for consultation towards the practice will have to close? end of the year. Mr Hunt: Let us address this issue head on. The right Andrew Bridgen: I thank the Minister for that statement. hon. Gentleman knows perfectly well that it is totally I have constituents who are very concerned about how wrong to have a system in which two neighbouring GP they will continue to fund ongoing care costs in the practices can be paid different sums of money for doing interim period, when the proceeds of an asset or house the same amount of work. We must have an equitable sale have dissipated. What reassurance can my hon. funding formula for GP practices, which is why we are Friend give my constituents? phasing out the minimum practice income guarantee. That is a sensible decision. We are also taking measures Norman Lamb: I thank my hon. Friend for that to ensure that we do not affect patient care in the question. Another reform that we are introducing is process. Of course we are looking at the individual universal access to a deferred payment agreement for cases carefully, but I am sure that he would agree that everyone who would otherwise be forced to sell their we have to fund GP practices equitably. home to pay for care—something of which we should be very proud. That will be introduced in April 2015 Polypropylene Transvaginal Mesh Implants and it will mean that no one has to sell their home during their lifetime to pay for their care. 2. Graeme Morrice (Livingston) (Lab): If he will commission a review of the safety of polypropylene Meg Munn (Sheffield, Heeley) (Lab/Co-op): For the transvaginal mesh implants. [904104] avoidance of doubt, will the Minister list the care costs that will not be included? The Parliamentary Under-Secretary of State for Health (Dr Daniel Poulter): The Department of Health, NHS Norman Lamb: The amount that will count towards England and the Medicines and Healthcare Products the clock running to reach the cap will be based on what Regulatory Agency—the MHRA—have been working the local authority determines will be the cost of meeting collaboratively with the clinical community to address a person’s eligible care needs. That is exactly the model the serious concerns that have been raised about transvaginal that Andrew Dilnot recommended, and we are mesh implants. A working group, chaired by NHS implementing it as he recommended. England, has been set up to identify ways to address them. The group will also have patient representation. Keith Vaz (Leicester East) (Lab): Last Thursday, the first ever care home diabetes audit was published. It Graeme Morrice: Last week, I attended the Scottish showed a significant lack of support for the 37,000 people Parliament’s Public Petitions Committee to hear from with diabetes who live in care homes. Will the Minister and support women who have suffered from the horrific confirm that when a person in a care home has diabetes, adverse effects of mesh implants.
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