Today we are publishing a new GP contract. Backed by new funding, it will recruit more GPs and cut waiting times for appointments. The changes and modernisation will diagnose thousands more cases of lung cancer, protect children by boosting vaccination rates, and provide more people with weight-loss jabs on the NHS. That follows an extra £1.1 billion that we have invested in general practice this year, and builds on the 2,000 more GPs that we have recruited since the general election. After 14 years of decline, the Government are fixing the front door to the NHS, bringing back the family doctor, and ending the 8am scramble. Lots done, lots more to do.
Inverurie medical practice in my constituency saw its national insurance bill rise by £75,000 thanks to this Government. That has put huge pressure on the practice, which was already operating with one GP for 3,000 patients, which is three times higher than the British Medical Association recommends. When did the Secretary of State last meet the Chancellor to discuss the impact of the NICs rise on GP practices, and what are he and his Department doing about the pressure—
I see the Chancellor most weeks. That is why record investment is going into our NHS, which is improving patient satisfaction with access to general practice, cutting waiting lists, and improving ambulance response times—all to fix the mess that the Conservatives left behind. And people should be in no doubt: given the chance, they would do it again. They opposed the investment, they opposed the reform, and they can never be trusted with our NHS.
T3. I welcome the changes set out in the gambling White Paper about the responsibilities of the Department in relation to the treatment and prevention of gambling harms. As part of the new responsibilities, will the Secretary of State commit to undertake a review of the impact of gambling advertising, marketing and sponsorship on public health, including on the health and wellbeing of children and young people?
We acknowledge the important issue of the potential negative impact that gambling advertising may have on children and young people’s health. My officials continue to work closely with officials at the Department for Culture, Media and Sport, and I will be discussing the issue with the Minister for Gambling, who is responsible for gambling advertising policy. We continue to keep the public health evidence under review, and to consider suitable action to protect individuals and communities from gambling harms.
In the plan for change, the Government committed to meet the 18-week standard for routine operations, but the latest data suggests that the Government are not on track to meet that commitment by the end of the Parliament. In December, fewer people were treated within 18 weeks than in the previous month. Will the Secretary of State now accept the reality that patients are experiencing and, as the Institute for Fiscal Studies has warned, that the Government will not deliver their commitment on their key milestone to deliver the 18-week standard?
I will never surrender to the tyranny of the low expectations of the Conservative party. We have cut waiting lists by 330,000 since we came to office; they are now at their lowest level in three years. We made progress despite strikes, we made progress despite winter pressures, and we have made progress despite every bit of investment and modernisation being opposed by the Conservatives. Instead of criticising our record, the shadow Secretary of State should apologise for his.
On 29 September, I wrote to the Secretary of State regarding the late Dr Susan Michaelis’s campaign for better research into lobular breast cancer, but sadly I still have not had a reply. She established the Lobular Moon Shot Project and the last Government committed to support its aims. However, despite meeting the Secretary of State, representatives from the project say that they still have no clarity on how the project and research will be expedited. Will the Secretary of State confirm now Government approval for the funding required for this research, which is critical for so many women in this country?
I apologise to the shadow Secretary of State for not having replied to his letter—let me make sure that I do that. There is no disagreement across the House on the substance of the issue. I am absolutely supportive of the project and I want to fund the research, but we have to make sure that the research proposal meets the standards and has the confidence of our funders. We are working with the team to try to get the proposal over the line, but that is the only obstacle here—it is certainly not a political decision.
T4. Many people in Falkirk face barriers to accessing treatment because they are juggling often contradictory bits of paper regarding appointments across different health boards. What assessment has the Minister made of this Government’s NHS digital transformation strategy for improving treatment, compared with the strategy being pursued by the Scottish Government for the healthcare that is available to my constituents?
This UK Labour Government, at least, are spending billions of pounds upgrading the digital architecture of the NHS in England. That means that over 90% of GPs now offer appointments online, and by 2029 we will have a single patient record for patients and their clinicians to access all their information. That is in contrast with the digital desert that exists in Scotland, which is why it is time for Analogue John to move over and make way for Anas Sarwar as First Minster to save Scotland’s NHS.
T2. Earlier this month, I joined South Western Ambulance Service for a shift, which was an incredibly humbling experience. At the hospital, I met paramedic science students who told me that it is almost impossible for them to get a job: only eight of last year’s 120 paramedic science students got a job. The university has assured students that they can definitely get employment as a graduate, but the ambulance services have a massive pool—of 200, in my local area—to draw from and it has not advertised a single job in the past six months. What is the Minister going to do about that?
The hon. Member highlights a real challenge that we have inherited: the disconnection between undergraduate education and training, and the jobs that are available. We are addressing that through our workforce plan. I want to place on the record my thanks to South Western Ambulance Service, which in December improved ambulance response times by just under 30 minutes for category 2 calls. There are still big challenges in the south-west, but the team deserve real credit for the improvement they have led.
T5. My constituents are forced to travel to Burton, Derby and Sutton Coldfield for their NHS treatment, which cannot be provided at the local community diagnostic centre. Some travel up to 30 miles for chemotherapy, with little or no public transport. What is the Minister doing to deliver healthcare investment locally and to improve the transport links between NHS sites so that those who need to use them can get to their treatment?
My hon. Friend highlights an important point about the need to have further roll-outs of CDCs, particularly for communities such as hers. We are expanding those and expanding the time available for them. We are also expanding access through the front door through the NHS app and digital. Our new online hospital service will improve the sorts of issues that she mentions so that we bring services closer to her patients and do not expect them to have to travel.
T8. Last Friday, a doctor came to my surgery and produced a letter that he and around 100 other doctors and consultants from the hospital in Grimsby had sent to the then interim chair. They were concerned about a rundown of services at Grimsby and Scunthorpe hospitals and a further concentration on Hull. That has been made worse by a series of interim chief execs and chairs. Will the Minister give an assurance that Grimsby and Scunthorpe hospitals will not see any rundown in their services?