HC Deb 06 June 2000 vol 351 cc156-7
10. Mr. Gordon Marsden (Blackpool, South)

What assessment he has made of the priority given to public health and healthy living programmes in the future plans of primary care groups and trusts in the north west. [122869]

The Parliamentary Under-Secretary of State for Health (Yvette Cooper)

Health improvement programmes across the north-west include an assessment of the health needs of local populations, and the funding of primary care group investment plans is aligned with programmes' priorities. Primary care groups and trusts have huge potential to improve people's health and prevent illness, and the north-west regional office will continue to support that developing role.

Mr. Marsden

I thank my hon. Friend for that answer, and I am encouraged by her emphasis, and that of primary care groups, on preventive health measures. The primary care group in my constituency is pressing ahead on that front with preventive measures on osteoporosis and is introducing nutritional standards for the elderly and nursing standards. Such issues are especially important in the north-west because of the diet and life style challenges in the area. What incentives can my hon. Friend provide to primary care groups and trusts to take such measures so that outcomes are adequate and contribute to definite improvements in diet and life style?

Yvette Cooper

An immense amount of work can be done through primary care groups to promote health, prevent ill health and tackle health inequalities. The primary care group in my constituency is working with the Castleford Tigers to promote healthy eating in schools. In developing the national plan, we are seeking ways to spread best practice by primary care groups to every area so that we can tackle the health inequalities whereby people in low income areas are most likely to become ill.

Mr. Nicholas Winterton (Macclesfield)

Public health and healthy living programmes are vital to the future health of the next generation, but does the Minister agree that it is critical that confusion about the roles of primary care groups and hospital trusts should not lead to duplication of facilities? Will she ensure that those roles are clearly defined and that the position of trusts such as the East Cheshire NHS trust in my constituency is not eroded by the future development of primary care groups, which will eventually become trusts?

Yvette Cooper

Health promotion and prevention of ill health do not cause problems of duplication; rather, there is a need to fill gaps. For too long, there has not been sufficient emphasis on preventing people from becoming ill and on tackling the huge unacceptable health inequalities throughout the country. We need to encourage people throughout the NHS to work with the community, not in duplication but in partnership, to deliver health improvements for every member of our population.