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To ask the Secretary of State for Health and Social Care, what assessment his Department has made of the correlation between reductions to public health funding and increases in rates of syphilis and gonorrhoea.
To ask the Secretary of State for Health and Social Care, what assessment his Department has made of the correlation between reductions to public health funding and increases in rates of syphilis and gonorrhoea.
We estimate that increases in rates of syphilis, gonorrhoea and chlamydia are due to a number of factors. These include increases in both the number of people attending sexual health services and the number of tests for sexually transmitted infections. Public Health England has advised that other factors include, better detection of infection and behavioural changes such as an increase in partner numbers and condomless sex, as well as, for some men who have sex with men, ‘chemsex’ and group sex facilitated by geosocial networking applications.
Local authorities will receive £3.1 billion in 2019/20, ring-fenced exclusively for use on public health, including sexual health. We are investing over £16 billion in local authority public health services over the five years of the 2015 Spending Review until 2020/21. It is for individual local authorities to decide their spending priorities based on an assessment of local need, including the need for sexual health services taking account of their statutory duties.
Local authorities are required by regulations to provide comprehensive open access sexual health services, including provision for sexually transmitted infection testing and treatment and contraception.
The latest statistics show that more people are now accessing sexual health services. Attendances have increased by 7% between 2017 and 2018 (from 3,337,677 to 3,561,548). This continues the trend of increases in attendances seen over the past five years. To help manage the overall increase in demand, local authorities are increasingly commissioning online services to manage lower risk and asymptomatic patients. These services have the potential to reach groups not currently engaged with clinic services.
The Secretary of State may remember that I brought a group of mental health reformers to see him, to make the case for culture change in mental health services to address clear human rights abuses such as locking people up when they do not need to be locked up, often...
The Secretary of State may remember that I brought a group of mental health reformers to see him, to make the case for culture change in mental health services to address clear human rights abuses such as locking people up when they do not need to be locked up, often...
Does the hon. Lady agree that it should have been a long-term health and social care plan if we actually believe in joined-up, integrated working and that the funding settlement for the NHS, very tight as it is, simply will not work without addressing the underfunding of social care?
Does the hon. Lady agree that it should have been a long-term health and social care plan if we actually believe in joined-up, integrated working and that the funding settlement for the NHS, very tight as it is, simply will not work without addressing the underfunding of social care?
To go back to trying to find solutions to the problem that we face, the hon. Gentleman mentioned the joint Select Committee report. Does he agree that we need a new funding stream, as the Select Committees suggest, and that the best way to achieve a sustainable solution is to...
To go back to trying to find solutions to the problem that we face, the hon. Gentleman mentioned the joint Select Committee report. Does he agree that we need a new funding stream, as the Select Committees suggest, and that the best way to achieve a sustainable solution is to...
I share the hon. Lady’s view of the excellent Select Committee on which we both serve. We had a fascinating visit. Does she agree that, from what we heard this morning, there is a case not only for increasing investment in dementia research based on transforming the lives of people...
I share the hon. Lady’s view of the excellent Select Committee on which we both serve. We had a fascinating visit. Does she agree that, from what we heard this morning, there is a case not only for increasing investment in dementia research based on transforming the lives of people...
I will address most of my remarks to the issue of social care and the challenge we face, but first I want to highlight a real concern that other hon. Members have also expressed. The funding constraints on local government have had a very big impact on preventive services that...
I will address most of my remarks to the issue of social care and the challenge we face, but first I want to highlight a real concern that other hon. Members have also expressed. The funding constraints on local government have had a very big impact on preventive services that...
If we are honest, every Government have some responsibility. The reductions started before 2010. I absolutely accept—[Interruption.] Let me address this point; I am trying to be straight with the hon. Gentleman. I think mistakes were made by the coalition Government in terms of the hit local government took during...
If we are honest, every Government have some responsibility. The reductions started before 2010. I absolutely accept—[Interruption.] Let me address this point; I am trying to be straight with the hon. Gentleman. I think mistakes were made by the coalition Government in terms of the hit local government took during...
I absolutely recognise and accept that point.
The hon. Member for Chesterfield (Toby Perkins) intervened to challenge the point about spending under the coalition Government. There was a crisis in public finances in 2010 which did have to be addressed, but I do accept that the balance between social care and...
I absolutely recognise and accept that point.
The hon. Member for Chesterfield (Toby Perkins) intervened to challenge the point about spending under the coalition Government. There was a crisis in public finances in 2010 which did have to be addressed, but I do accept that the balance between social care and...
The hon. Gentleman is absolutely right to highlight the issue of how we care for people of a younger age who have care needs, particularly those with learning disabilities and autism. What happens too often is that those people end up in institutions when they do not need to be...
The hon. Gentleman is absolutely right to highlight the issue of how we care for people of a younger age who have care needs, particularly those with learning disabilities and autism. What happens too often is that those people end up in institutions when they do not need to be...
I am deeply concerned about the future—or lack of a future—of the transforming care programme. One of the problems is that it is often NHS England that is funding care in an institution, and when
a local authority is under financial stress, there is not much of an incentive to...
I am deeply concerned about the future—or lack of a future—of the transforming care programme. One of the problems is that it is often NHS England that is funding care in an institution, and when
a local authority is under financial stress, there is not much of an incentive to...
I will briefly, but I am having glowers directed at me by you, Mr Deputy Speaker.
I will briefly, but I am having glowers directed at me by you, Mr Deputy Speaker.
I very much agree, and those organisations do incredibly important work.
I want to mention the Care Act 2014, which I was responsible for taking through Parliament. I think it was widely regarded as good legislation, but I fear that it has been undermined by a failure to commit sufficient resources...
I very much agree, and those organisations do incredibly important work.
I want to mention the Care Act 2014, which I was responsible for taking through Parliament. I think it was widely regarded as good legislation, but I fear that it has been undermined by a failure to commit sufficient resources...
The Minister has just mentioned the Green Paper. I realise that she cannot say when it will be published, but do the Government intend it to lead to reform in the current Parliament when it is published, or are we likely to have to wait until some time in the...
The Minister has just mentioned the Green Paper. I realise that she cannot say when it will be published, but do the Government intend it to lead to reform in the current Parliament when it is published, or are we likely to have to wait until some time in the...
The number of people attending sexual health clinics is up 13% over four years, and the number with gonorrhoea and syphilis is up 20% over the last year, yet the Health Foundation says that funding for sexual health is down 25%. Will the Secretary of State and the Minister be making a powerful case, as part of the spending review, for proper investment in public health, and particularly in sexual health, given their commitment to prevention?
The number of people attending sexual health clinics is up 13% over four years, and the number with gonorrhoea and syphilis is up 20% over the last year, yet the Health Foundation says that funding for sexual health is down 25%. Will the Secretary of State and the Minister be making a powerful case, as part of the spending review, for proper investment in public health, and particularly in sexual health, given their commitment to prevention?
Yes, of course. Matters for the spending review are just that, but one thing that the right hon. Gentleman, as a former Health Minister, will have noticed—and probably welcomed—in the long-term plan is that we are going to look at the commissioning of, and therefore the funding flow for, sexual health services as part of the long-term plan.
What assessment he has made of the effect of changes to local authority public health budgets in 2019-20 on his Department's ability to achieve its Prevention is better than cure vision.
What assessment he has made of the effect of changes to local authority public health budgets in 2019-20 on his Department's ability to achieve its Prevention is better than cure vision.
Local authorities will receive £3 billion in 2019-20, ring-fenced exclusively for use on public health, but our ambitions for prevention go far beyond any one pot of money. “Prevention is better than cure” was widely welcomed, and we will build on it with a comprehensive Green Paper later this year.
Will the Minister give way?
Will the Minister give way?
I share the concern of others about the horrifying death toll. I pay tribute to the work of the Youth Violence Commission in highlighting these issues. Given that we are considering a public health approach in this debate, is the Minister conscious of the clear correlation between people experiencing adversity,...
I share the concern of others about the horrifying death toll. I pay tribute to the work of the Youth Violence Commission in highlighting these issues. Given that we are considering a public health approach in this debate, is the Minister conscious of the clear correlation between people experiencing adversity,...