Speeches by Dixon.

“Charlotte and Paul, on the market, do you have confidence that you will be able to deliver the RAAC hospitals, given the constraints in terms of construction skills and construction companies that have the capabilities to deliver these large and complex new hospitals?”

“Good afternoon. My constituents in Shipley are served by Airedale hospital, which is one of the RAAC hospitals. I was fortunate enough to visit it on Friday. I met Leighton, a construction T-level student, and looked at the refurbishment that is happening to deal with the RAAC, ward by ward, on that site. This is perha…”

“That is fine. We sometimes like short answers, don’t we, Chair?”

“It underlines that the whole point of it was to target this population. Generally, obviously, that money has been diverted into providing core adult social care due to the financial straits that local authorities are in. Clearly, how that gets targeted better at this cohort will be very important.”

“We have been hearing about the reform of the Better Care Fund—you mentioned it again: a “refresh”, a reset. When can we expect to see the details of what you are proposing? Or have I missed it?”

“Thank you. Hopefully colleagues may pick up the point about care homes, which I did not get a chance to come back on.”

“That is the modern service framework.”

“And they have the tools, with the electronic frailty index. Declaration of conflict: some academics in Bradford were part of the team that developed the electronic frailty index, and they are always very keen for me to publicise that.”

“I can see Chris and Sir Jim indicating that they want to come in on this. If you are happy, Chair, I will let them do so.”

“I did not mean, by any means, to criticise GPs, including those in my area, who do a fantastic job. The point I was making is that they were doing a pretty good job of supporting the older, frailer patients, and sometimes, inadvertently, changes that are made can go in the wrong direction, and that this isn’t all for G…”

“Okay. Proactive care is three things: medication review, falls risk assessment and an enriched summary care record. The percentages are in the NAO Report: 16%, 18% and 29%. That seems pretty low, so there are pretty poor levels of performance. Clearly, these are not just tasks for GPs. Potentially, pharmacists can do m…”

“You may like to come back, but maybe this is one for Jim. I have a local GP who said that their practice was doing really well with same-day urgent appointments, with only one or two-week waits for routine appointments. Since digital access was given greater emphasis, the wait for routine appointments is now about thre…”

“Do you think that is a reason why GPs are not doing it, because they are not getting any payment relative to other prospects?”

“So is this no longer incentivised positively?”

“We might come back to care homes in a minute. Sticking with the core role of the GP in identification and proactive care—and the lack of that—it sounds like you put the responsibility with ICBs to do the contract management and oversight of GPs. Do they have the data to know who is doing it and who is not? What are the…”

“I want to focus on the role of the GP in supporting people with frailty. Since the contract in 2017-18, it has been a contractual requirement for GPs to identify registered patients over the age of 65 who are living with moderate to severe frailty, and then to put in place a more proactive care plan and make sure that …”

“I agree that it is important that we consult the public on looking to reduce the drink-driving limit to the lowest possible level, and the Minister has heard the hon. Member’s remarks about a possible zero tolerance to drinking alcohol while driving. I hope that on this measure and others the Minister will agree to mee…”

“I beg to move, That this House has considered road safety. Road safety is a personal issue for me. My grandfather Herbert Bilsby moved to Ilkley in 1952 to take up a post as a geography teacher at Ilkley grammar school. Aged 62, he was looking forward to retirement: more time to enjoy his passion for hiking; more time …”

“My hon. Friend the Minister saw yesterday at first hand the amazing care and support that Maggie’s centres provide to not only patients and survivors but their families. What role will charities and voluntary organisations such as Maggie’s play alongside the NHS in delivering improved care for cancer patients and their…”

“It is a pleasure to serve under your chairship, Ms Lewell. I thank my hon. Friend the Member for Blackpool North and Fleetwood (Lorraine Beavers) not only for securing this important debate, but for her excellent opening speech, which set out comprehensively and with passion the impact that this issue is having on our …”