1. What steps his Department is taking to ensure that patients with no (a) fixed address and (b) proof of identity can register at GP surgeries.
The Parliamentary Under-Secretary of State for Health and Social Care (Jackie Doyle-Price)
We are very clear that GP surgeries cannot refuse to register somebody who is of no fixed abode or has no proof of identification. Where a practice does not properly provide correct access to vulnerable groups, the commissioner will intervene to ensure that it corrects that. Ultimately, the commissioner can issue a remedial notice and can terminate a contract or practice that still does not abide by its obligations.
Has the Minister seen the report by a mystery shopper from Friends, Families and Travellers who attempted to register with 50 GP practices without ID or proof of address? Twenty-four refused to register her or would not register her; all but two of those were rated outstanding by the Care Quality Commission. The Minister says GPs must properly follow the guidance, but does she agree that the CQC needs to ensure that it uses the inspection regime to enforce that guidance?
Jackie Doyle-Price
I totally agree. I have seen the report, which I welcome; I will certainly take it up with the CQC. It is very important that we use all tools to ensure that everyone has access to the healthcare they deserve, because it is all too easy for some groups to remain discriminated against. I am grateful to the hon. Lady for shining a light on this important issue.
We have one of the very few free at point of need health services in the world. Does the Minister agree, however, that checks are important in cracking down on health tourism? Does she have the latest assessment of the cost of health tourism to our NHS?
Jackie Doyle-Price
My hon. Friend is absolutely right—health tourism is a major cost to the taxpayer, so it is important that we establish that people are entitled to care. However, it is important to ensure that people without proof of ID and of residence are still entitled to healthcare. Where someone is not entitled to it, we will, of course, pursue them for payment.
The NHS employs more staff than at any time in its 70-year history. Posts may be vacant for a variety of reasons, including maternity and career breaks. The latest data shows that as of December 2018 about 80% of nursing vacancies and 85% of medical vacancies are filled by a combination of bank and agency staff.
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Topical Questions
20 of 191 shown
Grahame Morris
LabourEasington
One in four people currently receive radiotherapy—a number that will increase if the Government achieve their early diagnosis targets. Ministers dispute that 20,000 people in England annually miss out on appropriate access to life-saving radiotherapy. What is the Secretary of State’s estimate? Will he commit to meeting representatives of the Radiotherapy4Life campaign to discuss how we can improve radiotherapy provision in England?
I am absolutely happy to meet the group. According to the latest figures, about four in 10 of all cancer patients are treated with radiotherapy; it is a critical treatment to tackle cancer. As I say, there has been an investment programme to replace and upgrade radiotherapy equipment, with 80 upgrades or replacements over the past three years, but there is clearly more to do to make sure that people with cancer get the best possible treatment.
Sir David Evennett (Bexleyheath and Crayford) (Con)
24. May I welcome the NHS long-term plan commitment to complete the £130 million upgrade of radiotherapy machines throughout England? I ask my right hon. Friend to confirm that more effective radiotherapy will mean patients experiencing fewer side effects and having shorter treatment.
Yes, that is exactly right. That is why we have put in place the new LINACs—linear accelerators, the equipment that is being rolled out across the country in a £130 million programme. We are always looking at what more we can do to help people to beat cancer.
Will the Secretary of State agree to look personally at the case for a new satellite radiotherapy unit at Westmorland General Hospital, tied to the Rosemere unit in Preston? I had the privilege last week of driving my constituent Kate Baron to her treatment at Royal Preston Hospital. Wonderful treatment though it is, it is a three-hour round trip that she has had to take on 15 separate occasions—I went with her only the once. Hundreds of people in the south Lakes have to make debilitating, lengthy round trips to get treatment day after day, which is damaging to their long-term health and to their ability to access radiotherapy at all.
I am grateful to the hon. Gentleman for raising that point. He did not raise the individual case with me in advance, but I can see the point he is making. The public health Minister, who is responsible for cancer policy, will be very happy to meet him.
Recent data from NHS Digital shows that there are 720 fewer GPs in the east midlands than just two years ago. According to NHS England, each month thousands of people wait more than four weeks for a face-to-face GP appointment in Nottingham. In January, 3,206 people had to wait more than 28 days between making the appointment and seeing their doctor. Ultimately, that is leaving the GPs we do have overwhelmed and overworked. I know myself that it is creating huge pressures on the emergency department at Queen’s Medical Centre. What is the Minister going to do to change that system?