Results 141–160 of 1876 for (in the 'Commons debates' OR in the 'Westminster Hall debates' OR in the 'Lords debates' OR in the 'Northern Ireland Assembly debates') speaker:David Mowat

Social Care Funding (12 Dec 2016)

David Mowat: The hon. Gentleman is quite right. I congratulated Halton and Warrington Councils on being two councils that have particularly low rates of delayed transfers of care. The fact that they are achieving that in spite of the budget constraints that he mentions demonstrates that this is not just about money; it is about quality, it is about leadership and it is about best practice.

Social Care Funding (12 Dec 2016)

David Mowat: The number of beds available in the system right now is about the same as it was six years ago. There is an issue with managing the financial performance of significant care providers. One thing we brought in two years ago was a robust process, led by the CQC, to look at the financial performance of the biggest providers and to warn us of any issues that may arise. We are very keen on...

Social Care Funding (12 Dec 2016)

David Mowat: The hon. Lady paraphrases what I said rather inaccurately. I said that money would help with any system, but the issues are about quality, leadership and best practice as well. All those things are within the ambit of my job, and that is what I am pursuing.

Social Care Funding (12 Dec 2016)

David Mowat: I often discuss this and other issues with Ray James. It is true that the precept on its own would result in an uneven distribution of revenue, which is why the additional moneys coming from the better care fund will be allocated using a formula that corrects that.

Cancer Strategy (8 Dec 2016)

David Mowat: It is a pleasure to respond to this really important debate. I, too, would like to start by paying tribute to my hon. Friend the Member for Basildon and Billericay (Mr Baron). I wish him and his wife the best in the journey they are on. I have been in this job a few months now and he has been extremely diligent in coming to see me and talking to me to ensure that cancer is, as it should be,...

Cancer Strategy (8 Dec 2016)

David Mowat: I would be happy to speak to my hon. Friend about that. He made the point that there was no investment in a number of areas. I was briefed that we are putting in £5 million to the two Haven centres that are being put together. I would be happy to speak to my hon. Friend about the £200 million, although I did not agree with every point he made. At this point, I will sit down.

Business without Debate: Terminal Illness: Support (5 Dec 2016)

David Mowat: I congratulate the hon. Member for Newcastle upon Tyne North (Catherine McKinnell) on bringing this debate to the House. This is an important subject and it is good that we have the chance to talk about it. It is also good, as the hon. Lady said, that we are debating it on the UN’s International Volunteer Day. She reminded the House, if it needed reminding, how much of the palliative...

Business without Debate: Terminal Illness: Support (5 Dec 2016)

David Mowat: I thank the hon. Gentleman for that intervention. He is right. There are about a quarter of a million informal carers under the age of 25, half of whom are under the 16-18 age range. There are issues for education and future employment. The carers strategy is addressing that and I will have more to say about that. On the context, 480,000 people in England die every year. Thirty-six per cent....

Business without Debate: Terminal Illness: Support (5 Dec 2016)

David Mowat: That is a very reasonable request. That intervention was not quite what I was expecting, but it is entirely reasonable and I will commit to do that either in debates such as this or at Question Time, or whenever. I am unsure whether a statement would be appropriate, but it is a reasonable thing to request of a Minister and I am happy to do it. I will at least write to the hon. Lady on the...

Business without Debate: Terminal Illness: Support (5 Dec 2016)

David Mowat: I am getting towards the end of my speaking time, so I will finish by answering that as best I can. Of course money matters, and every process works better if there is plenty of money for it. The facts of the matter are that both adult social care and the NHS are under cost pressures. To be honest, that will always be the case in every system, and I just gently say to the hon. Lady that she...

Business without Debate: Terminal Illness: Support (5 Dec 2016)

David Mowat: This is not the autumn statement, and I cannot make commitments on funding other than to say that many Members on both sides of this Chamber would like to see, when the time is right, more funding for our vital public services. I just gently make the point to the hon. Lady that we spend considerably more on adult social care than countries such as France and Germany, those it would be...

Clinical Commissioning: North Durham (23 Nov 2016)

David Mowat: It is a pleasure to serve under your chairmanship today, Mr Davies. I, too, congratulate the hon. Member for City of Durham (Dr Blackman-Woods) on obtaining the debate, and I congratulate the other hon. Members who spoke too. It is good to have a chance to discuss the matter and weigh up the pros and cons of what is being done. The context is the CCG in the hon. Lady’s area, which...

Clinical Commissioning: North Durham (23 Nov 2016)

David Mowat: I was explaining the purpose of the policy and the fact that this referral mechanism was used widely in 2007. A King’s Fund report from 2010 sets out the pros and cons of using referral management—I suggest the hon. Lady reads it. These things are not new. They are a mechanism by which a consultant, or a GP with a specialist interest in the area of what is being...

Clinical Commissioning: North Durham (23 Nov 2016)

David Mowat: The point I was in the middle of making—which I will finish making—is that if the GPs in the CCG have difficulty with the scheme, they have the mechanism to replace the CCG chairman and therefore to not go ahead with the scheme, so the GPs in his area are presumably content with it.

Clinical Commissioning: North Durham (23 Nov 2016)

David Mowat: The fact is that the GPs vote for the head of the CCG who has put the scheme into place. On the patient issue, which is a fair one, if the patient expresses a preference to go to a secondary or an acute hospital and have an appointment, which could typically be six to eight weeks away, of course that is part of the process, and of course the referral management schemes will take that into account.

Clinical Commissioning: North Durham (23 Nov 2016)

David Mowat: We are moving around a little bit here, but I will come to the point about consultation. The GP that the hon. Gentleman refers to is a part of a CCG that has made the decision to extend the North Tyneside pilot to North Durham. All I am saying is that those GPs are part of the CCG and that presumably the CCG is doing this because it believes the clinical out-turns are right. We have a locally...

Clinical Commissioning: North Durham (23 Nov 2016)

David Mowat: I will make some progress; I have taken a lot of interventions. The benefits to patients are that a consultant will review their case within two or three days of a GP referral and a decision will be made on the appropriate pathway. That is why the King’s Fund recommended these sorts of systems in 2010—in terms of patient out-turns—and that is why it is of benefit to...

Clinical Commissioning: North Durham (23 Nov 2016)

David Mowat: I have given way a lot; I want to make some progress. That is also of benefit to GPs, because they can quickly validate decisions on the best pathway for those grey areas that may or may not require a referral with a consultant who knows more than them about that particular discipline. Of course, it is of benefit to the providers because it takes away something like 20% of unnecessary...

Clinical Commissioning: North Durham (23 Nov 2016)

David Mowat: I am going to talk about the About Health situation and the people who have been awarded the contract in North Durham. It is a one-year pilot that builds on the one-year scheme in North Tyneside. I think it started last month; it covers six disciplines and it does not cover urgent referrals, in particular cancer. All the national requirements for referral-to-treatment times still count in...

Clinical Commissioning: North Durham (23 Nov 2016)

David Mowat: The GP represents the patients in the health system; that is the fact of the matter. If there are out-turns that are detrimental to patients, as the hon. Member for City of Durham implied, that is a serious situation and should be investigated. About Health is CQC-regulated—with all that goes with that—in exactly the same way as a GP practice. It is staffed by NHS consultants and...


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