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Accountable Care Systems


Today I would like to join leaders across the health and social care system in Buckinghamshire in welcoming yesterday’s announcement from NHS England that Buckinghamshire will be part of the first wave of Accountable Care Systems being created around the country to deliver improvements to local health care. The system is designed to end the ‘fractured’ health and social care system that leaves too many patients passed from ‘pillar to post’. Local leaders, health experts and communities will have more […]

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A Parliamentary Question about the NHS and Small Businesses


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During Department of Health questions on 7th February 2017, I raised a question with the Department of Health about NHS providers making slow payments to small businesses. This question arose from casework that I have been working on in Wycombe. Steve Baker MP: A small business in my constituency was driven out of business by slow payments for relatively small sums by NHS providers. Will he ensure strict compliance with the guidelines for timely payments? Philip Dunne MP (Minister of State Department of […]

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Making Kadcyla available on the NHS


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On 26th January 2017, I attended a back bench business debate in Parliament about the provisional decision not to provide the breast cancer drug Kadcyla for use in the NHS. The debate called for the National Institute for Health and Care Excellence (NICE) and pharmaceutical company Roche to re-assess the decision and ensure Kadcyla is kept available for patients. I spoke briefly to represent patients in Wycombe: I congratulate the hon. Member for Mitcham and Morden (Siobhain McDonagh) on securing […]

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Community Pharmacies: Letter from Minister


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I have now received a letter from the Parliamentary Under-Secretary of State for the Department of Health, David Mowat MP about the future of community pharmacy. I had attended the Minister’s statement in the Houses of Parliament on 20th October but I had also written to the Minister about this issue. There had been considerable local interest in the issue, especially in Downley, Lane End and Marlow Bottom. The Minister has said that from 1st December, the Government will Simplify the outdated […]

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NHS Sustainability and Transformation Plans must be published by the end of November


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In Wycombe, we all care passionately about the NHS and the future of local NHS services. Many local online activists sent campaign emails about the NHS Five Year Forward View and the Sustainability and Transformation Plans which will deliver it. On Tuesday 11th October, I raised the the issue at Health Questions: Mr Steve Baker (Wycombe) (Con): If he will take steps to ensure that clinical commissioning groups publish their proposals for implementing the NHS “Five Year Forward View”. The Parliamentary Under-Secretary of […]

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The Future of Community Pharmacies


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On 20 October, the Parliamentary Under-Secretary of State for the Department of Health, David Mowat MP, made a statement about the future of community pharmacy.  There was considerable local interest in the issue, especially in Downley, Lane End and Marlow Bottom, so I am delighted that the Government will introduce a Pharmacy Access Scheme in areas where there are fewer pharmacies and higher health needs. The Marlow Bottom Pharmacy, the Lane End Pharmacy, the Downley Pharmacy, Lansdales Pharmacy at Penn Surgery, the Tesco […]

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Tuberous Sclerosis Complex and Drug Licensing


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Constituents have expressed concern about the availability of Everolimus for subependymal giant cell astrocytoma (SEGA) associated with tuberous sclerosis complex. NHS England have decided not to consider this treatment for routine commissioning this year. The overall budget for specialised services in England is considerable, at around £15.7 billion per year. NHS England has to make difficult decisions about how to prioritise available funding. To ensure that investment decisions get the best possible patient outcomes, NHS England has established an annual prioritisation process led […]

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Changes to Carotid Endarterectomy Surgery


I am proud that Wycombe Hospital continues to be a specialist centre for two of the biggest killers – heart attack and stroke – and that there has been recent investment in these services. From 1st September 2016, carotid endarterectomy  surgery moved from Wycombe Hospital to the John Radcliffe Hospital. Some campaigners have opposed the change. It has been done to ensure patients have the best possible clinical outcomes. A carotid endarterectomy is a surgical procedure to unblock a carotid artery, which, […]

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Vascular Services for Thames Valley and in Wycombe


Regular readers will know I am committed to the highest quality NHS healthcare for Wycombe residents. For specialist procedures, there is often a tension between quality and location: time and again, clinical imperatives on safety and quality lead to centralisation to enable consultants and other staff to deliver expert care. So, bearing in mind the debate I called in 2013, I was concerned to hear about changes to vascular services at Wycombe Hospital. From April 2016, patients from Buckinghamshire who seek specialist […]

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Birthing unit at Wycombe Hospital


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Buckinghamshire Healthcare NHS Trust announced earlier this week a temporary transfer of service for women planning to give birth at Wycombe Birth Centre until the end of November. It is a result of an unanticipated number of midwife vacancies across maternity services. This is obviously extremely disappointing. The last time this happened was in 2010, as I reported here and here. Currently, about 20 mothers give birth at the unit each month, with 700 ante-natal and post-natal check-ups being carried out too. […]

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