Speeches by Beales.

“This might be for Michelle and David. I am going to ask some questions about planning guidance and the vaccine strategy. Three years on from its development, how does performance compare with what was expected in the strategy?”

“It is slightly worrying that we do not know when we will get back to high coverage rates, that we have no target for it and that it is not in a strategy.”

“I am an MP with a Conservative council, and a colleague from the Conservative Croydon council area—[Interruption.] Conservative Members cheer; unfortunately, it is a bankrupt Tory council, but luckily this Government are stepping in, have followed the deprivation and the need, and are properly funding that council, reg…”

“In terms of resourcing, from data we saw through a parliamentary question about the levels of spend from NHS England on vaccinations, it has fallen year on year over the last three or four years in both real and percentage terms. The previous panel talked about the need for resources for primary care, outreach, health …”

“My hon. Friend makes an excellent point. Rightly, this Government are putting more money back into local government for the first time in many years. That is long overdue, but that money has to be well spent. Unfortunately, what he describes in Harrow is quite similar to the experience of my residents in Hillingdon. Th…”

“That is fair to say. I could certainly talk about complacency when looking at the effect of the strategy over the last few years. Finally, you talked about malign actors, Greg. Do you think people who are actively promoting false information about vaccines should be held responsible for the implications that has?”

“Should we expect, based on the situation you have just described, resources to be at a maintained or increased level?”

“Can you share any more information about that projection? Will the levels of financing in real terms, percentage terms, or both be maintained or increased over the next three years compared with the previous three, which have seen a decline every year?”

“I have been contacted by over 400 of my constituents who are calling for greater regulation of social media and young people’s use of it. There is disagreement about whether there should be a full or partial ban, and the exact age at which it should be introduced. Regardless of where the Government’s consultation leads…”

“12. What steps her Department is taking to help protect young people online.”

“If things are not successful, but no one is aware that they have not been successful, is that not creating a system that continues to make the same mistakes in different ways?”

“You pilot the things because they are in the 10-year health plan. Is that the view: that whatever is in the 10-year health plan has to be piloted? How does it get identified as something that should be in the 10-year health plan?”

“Finally, the innovation ecosystem programme report recommended budgets for innovation that span multiple years, ideally spending review periods. Do you think that it is possible or realistic to have budgets for piloting and innovation that go beyond three years, so beyond spending review periods?”

“Rolling back on my question, those are examples of things you decided to prioritise. My question was about why you decided to prioritise those things to pilot or trial, or whatever word you wish to use. Presumably there are many other innovations or options that people in the health and care system might want to see in…”

“Do you mean nationally procuring, so that would be the NHS buying it?”

“That is a very helpful example. In terms of industry, we have talked about new drugs and treatments. Innovation is happening. As you said, new drugs are being approved all the time now by NICE, weekly rather than monthly. Is there any view about, if industry has a case to make about a new innovation or treatment, wheth…”

“Claire, in terms of deciding which pilots or trials to prioritise, what is the decision-making framework that NHS England uses?”

“We are hearing that the 3% is not necessarily happening in many places. It is a patchwork. Do you think there is scope, potentially Claire or Kathy, for greater co-funding of pilots with industry or academic partners? Does it have to be NHS-led piloting?”

“In terms of budgeting for piloting, the 10-year health plan discussed—perhaps your colleague with an ICB hat on might also have a view about this—ICBs dedicating 3% of their budgets to invest in transformation and innovation. Is your sense that that is happening? Is that achievable?”

“There is no central oversight of locally commissioned pilots.”