Speeches by Beales.

“In 2017, bariatric surgery was devolved by NHS England to local areas—there were known as CCGs at the time, but they are now ICBs—on the basis that they would design effective local pathways, respond to local population need and aim to increase consistency in the pathway of obesity management. It seems that that has no…”

“If we moved to a nationally commissioned service, would there be a need to commission a service in every area, or should we be focusing on super-hubs? We have heard some evidence around surgical space, time and facilities being a barrier in certain areas, so should we be commissioning specific national bariatric surger…”

“On the NICE standards, some of the data we have seen has suggested that around 31% of ICB areas are not following the NICE criteria in full. There is variation in who can apply for bariatric surgery, which is not compliant with NICE, and some areas have no provision at all. NICE has already produced some kind of clinic…”

“Neil, you clearly get it, but do you think there is too much reliance at the moment on personalities, passions and personal beliefs in bariatric surgery and interventions in this space, which drive decisions and lead to variability? Or do you think there are other explanations for why lots of areas just do not do what …”

“What would that accountability look like now? You said that it would be possible for NHS England to achieve that now, or potentially it could be achieved in the future by the Department of Health under the new arrangements, but for the 31% of areas that are now not compliant with NICE criteria around bariatric surgerie…”

“The hon. Lady is being generous with her time, and I thank her for bringing this important debate to the House. She has expertly described the ongoing impacts in communities like ours. Residents in West Ruislip and Ickenham in my constituency live day in, day out with the consequences of HS2 works. As she rightly point…”

“The case is very strong indeed for bariatric surgery.”

“Do you think progress has been made? We have heard about the remission programme and the diabetes prevention programme, which have been committed to nationally and pushed by NHS England, with some degree of local involvement; do you think there is a case for that kind of model for bariatric surgery?”

“You have made a compelling case about the untapped potential of bariatric surgery. Given the variation you have spoken about nationally, why do you think local commissioners just do not get it?”

“That would be the driver. If we treated it as a disease, all these commissioners would suddenly commission more bariatric surgery.”

“Neil, you talked about commissioning for local population needs. Is it your view that in the areas that are not commissioning at the moment, their obesity levels are such that it is less of a priority? Would the commissioning of bariatric surgery map to the issues of deprivation, obesity and local need?”

“Why do you think those commissioners are not commissioning for population need?”

“I hope you will join me, Mr Speaker, in wishing Wealdstone football club good luck in their FA trophy final at Wembley on Sunday. The early access programme gives the NHS access to life-changing and innovative drugs for free. I recently met Sarcoma UK, which told me of the difference that these drugs make to many patie…”

“I thank my hon. Friend for being so generous with her time; she is leading the debate excellently. Like many Members, I have been contacted by constituents raising this issue. On Friday, Karen, one of my constituents, talked to me at my coffee morning specifically about the issue of new approach methodologies and their…”

“I have been contacted by several constituents who have experienced challenges and delays in accessing their pensions via the scheme that Capita has managed, or should I say mismanaged, for some time, including Bindu, Duncan and Ann-Marie. Tony, a civil servant for 40 years, should be looking forward to a well-earned re…”

“I thank my hon. Friend for securing this very important debate. I know this is a subject on which he has much knowledge, experience and passion. ShopMobility, a group of volunteers who provide mobility aids at the shopping centre to get people out and about in the town centre, have recently reported to me that many of …”

“One of the frustrations in my own community is unmet GP need and investment in the primary care estate. I have met pharmacists who want investment in order to have consulting rooms, and hundreds of thousands of pounds of health section 106 is unspent at the civic centre in the same community. It feels like there is a m…”

“Turning to section 106 and CIL, Martin, do you have a sense as an organisation of how much CIL and section 106 that can be utilised for healthcare at the moment is unspent?”

“Do you think there is enough transparency on section 106 and CIL funding, what is available and the conditions under which it could be allocated?”

“One of the challenges from local authorities is that, often in the planning process, they do secure provision and sites, but the NHS is moving at such a different pace and scale that those sites are lost. New health centres and GP centres are secured in developments as section 106 gains, but the NHS is not able to move…”