Speeches by Coleman.

“What is it about the services that makes them so intensive?”

“What you are saying about the role of GPs is very interesting. Being a GP is pretty challenging at the best of times, and you are being asked to do more things. We have heard, in the evidence we have received, that weight management systems can be resource intensive, clinically intensive. Do you recognise that descript…”

“So the MHRA should be going on the internet, looking at who is selling the drugs, identifying where they are not offering wraparound care, and stopping them?”

“So if companies are selling drugs privately and are not offering people wraparound care, are they breaking the law?”

“If you buy them privately, I mean.”

“Thank you. Professor Jebb, would you like to expand on your suggestion a minute ago? When you sell the drugs, should you be required to offer wraparound care, or at least indicate where people can get wraparound care, and an idea of the costs?”

“You might have a view, though.”

“I am talking about if you buy it privately online. Forgive me; I was not clear.”

“But should it be compulsory that you offer that?”

“But would you actually make it a requirement? Would it not undermine your financial interests if it were a requirement? The longer that people maintain the weight loss after having used one of your very effective drugs, the less good it is for you, financially, in the long term. So would you oppose or be in favour of r…”

“Do you think there is an argument—Professor Jebb touched on this with my colleagues a minute ago—for it to be made compulsory for people selling these weight loss drugs to also offer wraparound weight loss management to help people when they come off the drugs? Is that something that should be required by law?”

“It is a pleasure to serve under your chairship, Sir Desmond. Eighty years ago, just after the second world war, my great-uncle Zelia stood outside this Parliament building. He doffed his hat—everyone had a hat in those days—and he said, “She saved us all.” He was a Latvian Jew who lived in Paris; I was always told he h…”

“Will the hon. Member give way?”

“I do. I congratulate my hon. Friend again on replacing Boris Johnson with a much nicer man, who definitely has much better hair. I absolutely agree. We have to recognise that the swiftest path to growth for this country lies in tackling the red tape that Brexit introduced. I think of a small butcher in my constituency …”

“You have enough money to deliver what you need to deliver, yet we are failing on vaccines. That is not very reassuring. When you ask for money, you ask for it on the basis of arguments that you make. Has there been a cost-benefit analysis undertaken of the cost to the NHS of people not being vaccinated? Is there a cost…”

“Not overall?”

“Why has one not been done overall? You are arguing for money for three years for vaccination, and we have a failure in vaccination rates. They are poor and are going down. In my part of London, they fall every year. London is failing on vaccination generally—flu vaccination and others. We know that. Why have you not us…”

“The health system what?”

“Are you saying that, in having a vaccine programme which hits 65% against its 95% target, you analyse what that 65% means, or do you look and say, “If we got vaccination rates up, it would save the NHS this much money?” Could I just have a yes or no? Have you actually done a study? Is there a study?”

“Then why do you not do one? You know there is a problem. We all know there is a problem. I am sounding quite irascible because I have been dealing, as so many of my colleagues have, with ICBs and others on vaccination for years. The first time I raised it in an ICB, a doctor said to me, “Well, some people do not like t…”