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Whole Day Download the Hansard Record of the Entire Day in PDF Format. PDF File, 1.15 Tuesday Volume 654 19 February 2019 No. 255 HOUSE OF COMMONS OFFICIAL REPORT PARLIAMENTARY DEBATES (HANSARD) Tuesday 19 February 2019 © Parliamentary Copyright House of Commons 2019 This publication may be reproduced under the terms of the Open Parliament licence, which is published at www.parliament.uk/site-information/copyright/. 1307 19 FEBRUARY 2019 1308 hon. Friend as well as with the hon. Member for Hove House of Commons (Peter Kyle) to try to make sure that it is as available as possible. Tuesday 19 February 2019 Andy Slaughter (Hammersmith) (Lab): Hammersmith is one of the sites that is now closed. When will PrEP be The House met at half-past Eleven o’clock made freely available? Here we have a drug that has almost 100% effectiveness and that will save money for the NHS through HIV protection. When will we see it PRAYERS available to anyone who needs it? Matt Hancock: As I have said, last month we doubled [MR SPEAKER in the Chair] the availability of PrEP, which is an important step in the right direction. Will Quince (Colchester) (Con): Colchester is one of Oral Answers to Questions the sites that is now closed to men who have sex with men who want to access the HIV prevention drug PrEP. When will the Government’s commitment, made almost three weeks ago, to double the number of places on the HEALTH AND SOCIAL CARE PrEP trial be implemented across all trial sites? Matt Hancock: It is being implemented as we speak. I The Secretary of State was asked— am very happy to talk to my hon. Friend about when it PrEP Impact Trial will be rolled out in Colchester. 1. Peter Kyle (Hove) (Lab): What discussions he has Mrs Sharon Hodgson (Washington and Sunderland had with (a) NHS England, (b) Public Health England West) (Lab): I welcome the Government’s commitment and (c) local authorities on ensuring that the Government’s to end the transmission of HIV in England by 2030. commitment to double the number of places on the However, HIV reduction was not mentioned in either PrEP impact trial can be implemented in all trial sites as the prevention plan or the long-term plan. How will the Government reach that ambitious goal without a concerted soon as possible. [909299] and fully costed strategy? The Secretary of State for Health and Social Care (Matt Hancock): On 30 January, we announced that we Matt Hancock: We do have a concerted and fully will increase access to PrEP, doubling the number of costed strategy. Indeed, I have given the commitment of people who can receive this potentially life-saving HIV ending new AIDS cases by 2030 with a plan around prevention drug. that. The long-term plan goes into detail about new ways of commissioning sexual health services. This is a Peter Kyle: Funding for HIV prevention has become very important area, and, as the hon. Lady says, it is an quite complex, with a complex mix of central funding important part of the prevention agenda, and we will and local authority funding. Cities such as Brighton make sure that we get it right. and Hove still have the highest contraction rates outside London. Will the Secretary of State meet me and the Several hon. Members rose— Terrence Higgins Trust to understand how that is impacting us on the frontline and tell us what more can be done? Mr Speaker: Order. Before we proceed further, I hope that colleagues on both sides of the House will want to Matt Hancock: Of course I would be delighted to join me in extending a very warm welcome to Democratic meet the hon. Gentleman to discuss this matter. In the New York State Assemblyman Sean Ryan, who is with long-term plan, we made it clear that we are looking at us today. Welcome to you, Sir: we are delighted to have commissioning arrangements for sexual health services. you. I am delighted that the number of new cases of HIV has been falling and that we have been able to declare that Future of the NHS by 2030 we want the UK to have zero AIDS. That is an achievable, but hard, goal, and I will work with anybody to make it happen. 2. Jeremy Lefroy (Stafford) (Con): What steps he is taking to secure the long-term future of the NHS. Dr Sarah Wollaston (Totnes) (Con): Does the Secretary [909300] of State share the widespread concern about the variation in availability of PrEP treatment, which is surely an The Secretary of State for Health and Social Care unacceptable situation? (Matt Hancock): We are increasing the NHS budget by £20 billion, or £33 billion in cash terms, over the next Matt Hancock: There is a variability in availability. five years. This major investment will support the NHS Of course the current model of delivery is a trial—we to continue to deliver world-class care. The long-term have doubled the size of that trial but it is still a trial plan set out a vision for the NHS, ensuring that every that runs until 2021. I am very happy to work with my penny will be well spent. 1309 Oral Answers 19 FEBRUARY 2019 Oral Answers 1310 Jeremy Lefroy: I thank the Secretary of State very Matt Hancock: We care about securing the future of much for his answer. Local accident and emergency the NHS. That is why we are putting £20 billion extra departments, such as at County Hospital in Stafford, into it over the next five years—£33 billion extra in cash are absolutely vital for the long-term plan of the NHS. terms. Yes, we will consider proposals being made for What can he do to ensure that funding is there for these legislative changes, but what we care about is making departments because they need an awful lot of block sure that the NHS gets all the support it needs, and not funding and not so much payment by procedure—or just political nonsense. payment as you go? Richard Drax (South Dorset) (Con): Does my right Matt Hancock: My hon. Friend, who is an advocate hon. Friend agree that one of the vital components to for Stafford beyond compare and an advocate for its ensure the long-term future of the NHS is community A&E—he has personally put much effort into saving it hospitals? Will he meet me to discuss what can be done and ensuring that it is in good shape—rightly makes the to recruit more qualified staff, so that beds at the point that paying per person who comes through the Portland Community Hospital can be reopened? door does not accurately reflect the costs of providing A&E, so we are moving to a much greater proportion of Matt Hancock: I would be very happy to meet my block funding for A&Es, with a smaller element that hon. Friend to discuss that, because community hospitals varies according to the costs of serving everybody, to have a vital role to play in the future of the NHS as ensure that the finances follow the need. more care is delivered close to home. Laura Smith (Crewe and Nantwich) (Lab): The latest Mr Dennis Skinner (Bolsover) (Lab): It was not figures show that more than one in five patients visiting insignificant, what happened between ’97 and 2010 Leighton Hospital A&E in Crewe has had to wait for under a Labour Government. They trebled the amount more than four hours, yet instead of receiving support, of money going to the national health service. It was a the trust has been financially penalised, unable to access system of hypothecation, whereby a 1% increase in capital support to fund improvements to its A&E, while national insurance went directly to the national health at the same time losing out on the performance element service, and nobody else fiddled with it. of the provider sustainability fund. Can the Minister explain how the Government are supporting Leighton Matt Hancock: It is unusual, but I am delighted Hospital? to be able to agree with the thrust of the hon. Gentleman’s question. As he knows, we both come Matt Hancock: We are supporting Leighton Hospital from Nottinghamshire mining stock, and it is surprising through the delivery of the long-term plan and the extra that we do not agree on more, but we do agree on the £20 billion—£33 billion in cash terms—the first £6 billion importance of having a properly funded NHS. That is of which comes on stream in April, in two months’ why we have put the largest ever, longest ever cash time. It is true that a record number of people are going injection into the NHS, because we care that it should to A&E. We have to make sure that the record numbers be fit for the future. being treated within the four-hour target are supported, but that we also support hospitals to do yet more. Toxic Air and Children’s Health Lucy Allan (Telford) (Con): In Telford, we have been 3. Christine Jardine (Edinburgh West) (LD): What waiting five years for the chance to ask the Secretary of assessment he has made of the effect of toxic air on State to call in for review a highly controversial plan children’s health. [909302] called Future Fit. We now have that chance, and the Secretary of State has been really generous with his The Parliamentary Under-Secretary of State for Health time in listening to MPs’ concerns. The local council, and Social Care (Jackie Doyle-Price): Poor air quality is however, has still not yet made any submission to the the largest environmental risk to public health in the Secretary of State.
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