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Stephen Hammond: My hon. Friend will have noted, as I said in my opening remarks, that this is an accountability framework because it brings together both the mandate for NHS England and the remit letter to NHS Improvement. It is a sign of more collaborative working which, as he says, almost everybody in the NHS and the healthcare arena would welcome.
Stephen Hammond: The hon. Lady will know that the Government have committed £33.9 billion up to 2023-24, and the first element of that has arrived this year. There will be, as I said earlier, publication of a Green Paper on social care and, combined with the comprehensive spending review, that will ensure that the Government will provide for the social care funding that is necessary.
Stephen Hammond: My hon. Friend is right. At the heart of the long-term plan is the emphasis on primary care and prevention. Providing care for people in their own homes undoubtedly achieves better outcomes for patients and he is right to welcome it.
Stephen Hammond: The hon. Gentleman is right to point out that a consultation is being undertaken on various aspects of the long-term plan and the legal framework that needs to be put in place. It is entirely up to local CCGs to make decisions on their procurement policy.
Stephen Hammond: My hon. Friend and I have sometimes disagreed on certain things, but one thing we agree on is his advocacy for his constituents, and he is right that I have been to see for myself the issues in Kettering in terms of the current configuration of the accident and emergency department. He is right to press for that urgent care centre, and he knows that he has impressed the case on my mind.
Stephen Hammond: The hon. Lady knows that the House and her Committee will have the fullest opportunity to scrutinise the document as and when it is published. She also knows that there is a commitment to publish it soon. She also rightly points out that it will deliver on the need to ensure that health and social care are integrated.
Stephen Hammond: The Government are not trying to hide anything. The hon. Lady is right that it is an important document, and it is important therefore that we get it absolutely correct. I refer her to what the chief executive of NHS England said yesterday. He said: “We have an agreed direction in the long-term plan…We have the budget set for the next year, and we have the NHS annual planning...
Stephen Hammond: The hon. Lady does a great injustice to my right hon. Friend. He is today—
Stephen Hammond: In the hon. Lady’s fantasy world, that may be true, but my right hon. Friend is in fact addressing a conference in Manchester, talking about the gender pay gap and how this side will close it in the NHS. I would have thought she would welcome that, rather than shouting at me.
Stephen Hammond: Preventing health problems is the best way to improve life expectancy. We are taking action on childhood obesity, diabetes and cardiovascular disease and action to reduce smoking rates. Later this year, my Department will produce a prevention Green Paper, which will set out cross-Government plans for prevention in greater detail.
Stephen Hammond: The hon. Lady raises an important point. We know that we need to make it easier to book appointments and more convenient for women to attend them. That is why Sir Mike Richards is undertaking a comprehensive review of screening programmes. It will look at how we can improve the uptake and set out clear recommendations on how we can make those screening programmes more accessible.
Stephen Hammond: The conclusion I draw is to look at Public Health England’s recent review, which made it clear that it is not possible to attribute the slowdown in the improvement of life expectancy to any single cause. That is why we are not complacent, as I said in answer to the hon. Member for Newcastle upon Tyne Central (Chi Onwurah). The Budget saw us fully fund the situation with a big cash boost,...
Stephen Hammond: As I said in response to the hon. Member for Newcastle upon Tyne Central (Chi Onwurah), the Government have already put in place prevention programmes to ensure a reduction in smoking rates. The prevention vision and the prevention Green Paper will set out the means by which smoking can be reduced further to support people, pregnant or otherwise.
Stephen Hammond: I answered that question just a moment ago. As I said, Public Health England’s recent review made it clear that it is not possible to attribute the slowdown to any one cause. It is therefore important to tackle all the causes of the deterioration in life expectancy, which is why the Government will publish a prevention Green Paper later this year.
Stephen Hammond: Tackling domestic abuse is a key priority for this Government. That is why we have put £2 million into expanding the pilot programme, which will create a model health response for survivors of domestic violence and abuse. Training for frontline medical staff to help identify domestic abuse is included in a wide range of training and education curriculums for health staff.
Stephen Hammond: I commend the hon. Lady’s work on the all-party parliamentary group on domestic violence and abuse. She will know that the Department produced a domestic abuse resource for health professionals that advises them on how best to support adults and young people over 16 who are experiencing domestic abuse, and that training is available now.
Stephen Hammond: My hon. Friend is right. The definition, which also includes factors such as mental health and economic issues, will make things much clearer for frontline staff and help them to understand and look for incidents of domestic violence and abuse.
Stephen Hammond: The hon. Gentleman raises an important point, and he will know that the Government have committed extra money to ensure women prisoners get the support they need for neuro problems when they enter prison.
Stephen Hammond: My hon. Friend raises an important point, because domestic violence clearly impacts the whole of family life, and there is evidence that children are also affected. We need to ensure that there are no legal barriers to sharing data to protect children or vulnerable adults, and we need to ensure that the £8 million we are spending will help those children recover from domestic violence.
Stephen Hammond: The hon. Lady raises an important point. We need to ensure that people are properly triaged for all sorts of diseases when they turn up at A&E, including domestic violence. I will reflect on her point and talk to NHS England about it.