Integration of Health and Social Care

Thank you to everyone who played their part in helping keep Cornwall warm, well and on the move during the recent very cold weather and storms.

Less noticeable but just as chilling as the recent weather is the further take over of our local Labour Party by the hard left. The resignation of the group leader on Cornwall Council follows others from across the country who describe bullying, intimidation, threats and anti-Semitism against themselves and colleagues who do not agree with the hard left Momentum, Corbyn’s support group within the Labour Party.

As Cornwall Council is led by Liberal Democrats, you may not think this matters too much to us locally. But it does. It is having a chilling effect on the decisions that the leadership of Cornwall Council need to take to improve our vitally important local public services.

Clear evidence of this is the press release snuck out by Cornwall Council last week while the Duchy was dealing with the impact of the severe weather.

The press release announced the decision of the Cabinet not to take significant action to improve our health and care system in Cornwall. They have chosen not to take the common sense step of joining up and integrating our health and care services. They will not support the development of a local Accountable Care System, despite the support of the leaders of our local NHS and care services and despite the success of this type of approach in other parts of the country such as Manchester.

Our whole health and care system in Cornwall is currently in “special measures” receiving additional help from NHS England to make the vital improvements we need to see. The past mistakes of Cornwall Council are well documented, poor social care commissioning, poor relationships with our local NHS and lack of integration of health and care services – all contributing to the current problems.

The Cabinet made one of the most important decisions that will effect every one of us – alone. Why did they not allow all our Councillors a say? Why no debate in public for us all to see? The Scrutiny Panel of the Council has been leading an Inquiry into a proposed Accountable Care System. The Councillors worked really hard with a wide range of health care professionals to inform their recommendations. Why is there work being ignored?

Why? Because the Corbyn led, Momentum controlled Labour Party is running a nation wide scare campaign against the creation of local Accountable Care Systems. They falsely claim this will lead to the privatisation and Americanisation of our NHS. The Inquiry into the Cornwall ACS investigated these claims and found that they were not true. However, our Lib Dem Council is running scared of making the changes that will improve services for local people because they are bowing to this pressure.

The leaders of Cornwall Council have put politics before people. Along with my Conservative Cornwall Councillors I urge them to rethink and enable the whole Council a say.

First published in the West Briton 08/03/18


Local Journalism

Last year, as part of the BBC charter renewal process, I campaigned for greater investment in high quality local journalism. BBC Radio Cornwall and Spotlight do a great job but I think we need additional news reporting. As more decisions, including about public expenditure is devolved across the UK, including Cornwall, it’s more important than ever that the media hold to account local politicians and public services.

I am pleased that the BBC set aside £8m a year to pay for 150 reporters, who will work for local news organisations rather than the BBC. The three Devon and Cornwall journalists cover council meetings and public services and share their stories with the BBC.

Getting to the heart of an issue should be straight forward. After all, we live in an age when it has never been easier to communicate and more data is published by independent and trustworthy sources like the Office for National Statistics than ever before. The Parliamentary website is a mine of free, impartial, expert and topical briefings.

Robust high quality journalism is important for public scrutiny and underpins democratic debate – but as print circulations decline and more readers move online, the press faces an uncertain future.

So I am pleased that the government has recently launched a review that will look at the sustainability of the national, regional and local press, how content creators are appropriately rewarded for their online creations, and ensure that the UK has a vibrant, independent and plural free press as one of the cornerstones of our public debate.

Transparency about MPs work in Parliament has helped improve public scrutiny. Given that there isn’t an equivalent to the Hansard Report of everything said and voted on in Parliament, we rely on journalists attending and reporting on local council meetings to shine a light on proceedings. Cornwall Council has large budgets and increasing influence about the future of local NHS services, house building and economic development, yet while some meetings are webcast and some papers published, it lacks transparency.

While the three additional BBC funded local journalists are a step in the right direction, I think more should be done and hope that the review will enable more high quality local journalism.

Finally, in response to a letter published in this newspaper last week, I thought you would appreciate this update on the facts. I had secured the commitment from NHS England to review the formula used to allocate funding not only to local NHS commissioning groups but also for treatments in hospital.

I have requested data from the leadership of the RCHT to make the case for how the formula needs to change for the benefit of patients in Cornwall.

Along with my Cornish MP colleagues we did secure a change in the formula that allocates funding to our local NHS Commissioners that sees Cornwall receiving more than the England average per person. I am determined to secure the further change necessary so the RCHT receives its fair share of funding.

First published in the West Briton 22/02/18

Funding for Cornwall’s NHS

Like most local families, I depend on our local NHS and will continue to work hard to ensure we have high quality local NHS services.

NHS staff provide invaluable support to us all in our time of greatest need and deserve our deepest gratitude for their tireless efforts, particularly during this challenging winter period with so many people suffering from flu.

In 2010, the Conservative-led coalition government faced perilous public finances. Many public services had to make significant savings to help reduce Labour’s deficit, which stood at record levels in 2009/10. The Department of Health’s budget has been consistently protected since 2010 and continues to rise.

It is absolutely false for Labour to claim that the Health budget was cut since 2010. The 2010 Spending Review included real terms increases in overall NHS funding; an additional £1 billion per year for social care; a new cancer drugs fund, expanding access to psychological therapies, and continued increases in staffing.

From 2015, the Conservative Government continued to increase investment in the NHS: from £101 billion in 2015 to £120 billion by 2020.

Far from lagging behind similar nations, new research from the Nuffield Trust shows that the UK spends above the EU and OECD averages on healthcare, as a percentage of GDP. It found that Britain spent 9.8 per cent of its GDP on healthcare, compared to the average for the EU-15 of 9.7 per cent.

This investment will ensure that everyone has access to NHS hospitals and GP services 7 days a week. There are now over 11,000 more doctors and 11,000 more nurses working in the NHS than in May 2010. The number of patients being treated is at record levels and public satisfaction amongst hospital inpatients is at its highest levels in more than two decades.

This Government has a proud record of investing in the NHS: in 2017, £435 million was provided to the NHS to prepare A&E departments for the winter and to support the NHS throughout the most challenging months of the year. An additional £2 billion is being invested in Adult Social Care, which will relieve pressure on the NHS, and the NHS is offering free flu jabs to 21 million to protect them this winter, the highest number ever.

Since being elected in 2010, I have worked hard to ensure that our local NHS is fairly funded. The totally impartial House of Commons Library has produced a briefing providing information about NHS funding in Cornwall. It shows we receive more per head than the England average. A copy is on my website or please call my office 01872 274760 and they will send you a copy in the post.

Please be assured that during this time of unprecedented demands on our NHS, I will continue to ensure that funding for health and care in Cornwall continues to increase. But it’s not just about more funding, it’s also about joining up health and care services for patients and families in Cornwall.

First published in the West Briton 01/02/18

Special Measures

Like my constituents, my family and I depend on our local NHS and care services. We all want Treliske to deliver good quality and safe healthcare with people not having to wait too long for treatment. I know that the staff at Treliske work hard to deliver high quality healthcare, often in challenging circumstances. The government is committed to enabling the staff at Treliske to deliver high quality and safe services at Treliske.

In the last few years, the regulators of our NHS and care services have been given more resources to undertake rigorous, independent reviews. The Care Quality Commission recently recommended “special measures” for Treliske. This means that NHS England will provide additional support to help Treliske make improvements. Other hospitals have undergone the same process and have come out stronger. It’s not an easy process but it can work.

As is well documented, one of the main problems at Treliske is the fact that people who should be treated at home or in a more appropriate care setting are not. The Care Quality Commission highlighted the issue of delayed transfers of care and the need for Cornwall Council to work more effectively with our local NHS. Cornwall Council has been given additional funding for social care and needs to spend this money on social care now.

There will be those that say it’s all about more funding. Of course our NHS needs to be well funded. Every year Cornwall’s NHS does receive more funding. Cornwall currently receives more than the English average funding per person. As important as the amount of money is how that money is spent. With support from NHS England, our health and care system leaders now have the opportunity to deliver improvements. I will continue to do everything that I can to support them.

First published in the West Briton

Mental Health Awareness

On Sunday, I joined World Suicide Prevention Day. It’s imperative that we all understand the importance of promoting good mental health. I have had the privilege of helping a number of local organisations secure funding for new and improved mental health services, many take advantage of our splendid natural maritime environment to promote good mental health.

As a member of the Conservative Environment Network I joined colleagues last week in launching our most recent report and a copy is on my website.

The report, which has been sent to Cabinet ministers, includes an essay from my colleague Rebecca Pow MP who is encouraging gardening to be adopted as a policy by a range of government departments including health, justice, defence, local government and education.

Gardening can help to cut childhood obesity, improve public spaces, provide purpose for prisoners in jails and help people deal with mental stress.

Gardens in Britain cover an area the size of Exmoor, Dartmoor, the Lake District and the Norfolk Broads National Parks combined.

The garden economy makes a significant contribution to the nations’ coffers, with £7.8billion being spent on this sector by tourists every year.

That figure does not include the way our parks and gardens are valuable habitats for wildlife and nature, capturing and storing carbon helping to combat climate change and reducing flooding.

Providing people with the opportunity to green their communities can be a way of tackling unemployment, lack of skills, loneliness and improve wellbeing.

There are many great, local projects from growing food in schools to Glen Carne enabling gardening for formerly homeless men and those suffering with Dementia in St Agnes to Incredible Edible Penryn at St Gluvius Church Hall. You don’t have to own a garden or know anything about gardening to benefit from these great community projects.

First published in the West Briton 13/09/17

Acid Attacks

We have seen a worrying increase in reports of attacks using acid or other similar substances as offensive weapons. Of course violence of any kind is unacceptable, but there is something particularly troubling about these kinds of attacks. Corrosive substances cause severe burns and serious tissue damage. All too frequently, victims’ lives are altered forever. Nobody should have to go through the kind of mental and physical trauma they suffer.

I have heard from victims and survivors, including from Truro, and they are at the heart of the new plan to tackle these appalling crimes that, as Home Office Minister, I announced in Parliament last week.

While mercifully there are relatively few attacks, I am acutely aware of this growing problem and I refuse to let those behind such attacks spread fear through our society. The law in this area is already strong, with acid attackers facing up to a life sentence. Meanwhile, by law, suspicious transactions involving sulphuric acid must be reported to police.

But there are ways we can and will improve. The plan I announced in Parliament is wide-ranging and a comprehensive cross-Government review of our response to this profoundly concerning phenomenon.

Earlier this month the Home Office, with the National Police Chiefs’ Council, hosted a conference which brought together a range of organisations and people united by a determination to make a difference, from law enforcement, from Government, from the medical sector, mental health experts and representatives of the retail industry. Because there is no one simple answer, this joined-up approach has informed this action plan.

And we need to make sure that when these attacks do take place, victims are given the care and support they need; from the initial medical response to giving evidence in court and throughout the recovery process.

Drugs Strategy

Drugs destroy countless lives. They lead to crime, violence and disorder on our streets. They are one of the creeping and corrosive threats to our society that we must do more to tackle. But I am also determined to do all I can to protect the most vulnerable, who too often become the victims. I am proud to have played my part in the development of the Government’s new drug strategy which sets out how we will tackle the deadly impact of drugs, including substances like spice or fentanyl.

Drugs are illegal because they devastate lives. They are illegal because traffickers target vulnerable people all over the world and exploit their misery. They are illegal because of the agony caused by those solely focused on their next fix.

Last year, the Psychoactive Substances Act introduced a blanket ban on so-called ‘legal highs’, meaning back-yard chemists can no longer dodge the law by making small changes to the make up of dangerous drugs.

Being tough on drugs is vital, but it cannot be all we do.

It is vital we protect the vulnerable – to prevent them falling into the cycle of drug abuse and to help them turn their lives around. Doing so will spare countless families the agony of seeing a loved one’s life destroyed. It could save lives. And it will reduce the burden placed on our public services, in particular the police and the NHS.

While drug use is falling we are not complacent and are redoubling our efforts to prevent children taking drugs.

The new post of Recovery Champion will travel up and down the country, meeting NHS staff, police officers, teachers, community groups and local authorities, who all have a vital role to play in enabling people to live their lives free of drugs.

First Published in the West Briton 18/07/17