Speeches by Beales.

“That is helpful. I am just conscious of time.”

“It might be worth reflecting on what that role is, because I have not really heard compellingly what it is to drive pace and transformation. When will the NHS be paperless? When will pagers, fax machines and mountains of letters going between primary and secondary care be a thing of the past? Is there a date by which t…”

“Are there specific dates for this kind of issue?”

“Apologies for rushing you; so there isn’t a date in mind. I appreciate the context, but I have two more points before I finish in two minutes. Neighbourhood working is obviously crucial to the future of the NHS. You have talked about the lack of interoperability between different parts of the health sector in digital i…”

“So you are saying that delivering the 10-year plan, switching the health service from analogue to digital, involves getting the last 10% of trusts on to EPRs. It does not sound like the transformational vision that is in the 10-year plan, potentially.”

“Just to challenge that, in Hartlepool at the moment, they are rolling out robotics surgery and they are using AI in MRI scans. You said it is not possible, but why is it fair that in a system like that, people in Hartlepool have access to quite radical transformation and digital innovation, but those in Hillingdon do n…”

“You are clearly outlining the problems with the system, which I completely agree with. I suppose my question is what, structurally, culturally or organisationally, will be done differently by NHS England. You have now subsumed NHS Digital. From the centre, in your leadership role, what will you practically be doing? Wh…”

“My section is on digital transformation, which has been highlighted as quite a major plank in delivering the sorts of changes that are needed in the health service. One of the three major shifts is from analogue to digital, and arguably the other two shifts also hang quite importantly on digital transformation, as you …”

“In a spirit of cross-party collaboration, I praise the shadow spokesperson, the hon. Member for Orpington (Gareth Bacon), for expertly outlining some of the logistical challenges of Heathrow expansion. It is a surprise and a shame that the Tories did not answer those questions before voting for expansion in 2018 when i…”

“How does your system currently work if that is not used? When those external providers carry out checks, how does the data flow back to primary care records?”

“It is a pleasure to serve under your chairship, Dr Huq. I thank the hon. Member for Chelmsford (Marie Goldman) for securing this important debate today. To be frank, SEND support in Hillingdon is poor and getting worse. In Hillingdon, there has been a 40% drop in the number of families getting their determination for a…”

“I welcome the spirit of openness and transparency that the new leadership of the programme has demonstrated. Previously, and frustratingly, residents in Hillingdon were—to be frank—led up the garden path. We were left with all but an IOU note for £750 million for a new hospital. The revenue funding for the new hospital…”

“The NAO report, which is the focus of today’s meeting and is the motivation behind today’s session, particularly highlighted failings around the patient journey and data-sharing arrangements. Dr Wrigley, you talked about providers not being able to connect with the broader system and about data, once checks have been c…”

“I just want to challenge that assumption. I am picking up from your previous comments, and from what you just said, a hesitancy about other providers being involved—you called it outsourcing—and a concern about a digital version of Health Check through the app. As you highlighted, capacity in general practice is limite…”

“From a patient perspective, the GP is important, but they are not the only part of the system. Many people unfortunately do not access GP care, so perhaps a range of providers would be helpful to reach beyond those you already reach. You mentioned the GP Connect app, which other clinicians can view. Can community provi…”

“Are there issues with people’s records not being updated, so they may be at higher risk of cardiovascular issues that are not followed up?”

“Sir Sam, Tower Hamlets was mentioned in the NAO report as somewhere where data-sharing arrangements are in a good place. Do you have any reflections on that?”

“That sounds really positive, but I am wondering why that is not common practice. You have highlighted data-sharing arrangements as overcoming some of the barriers to the Health Check system. How have you been able to navigate those barriers locally that other people face, where there are not data-sharing arrangements i…”

“Just to challenge you on a point, you had concerns about healthcare providers entering patient data and the accuracy, but the system is moving to allowing patients to enter blood pressure measurements. I just point out that if a community healthcare provider, a voluntary sector organisation, a nurse or a pharmacist has…”

“I do not want to revisit that, but I think you were suggesting that you were concerned about the accuracy of data from other providers feeding back into the primary care system. I am just pointing out that the system is moving to allow patients to enter their own data, and I support that personally, but it seems kind o…”