Speeches by McKenna.

“I would like to explore a bit more about funding itself and actually the future of funding in particular. Jen, it has been really interesting to hear you talking about the registration model and the practical benefits it will bring to the work of CIISA. In truth, how sustainable do you think this registration model wil…”

“That is really interesting. I take David’s point that many men have experienced the creepy guy as well.”

“With this shift to it being much more transparent, obvious and public who is actually providing money to CIISA, how are you going to ensure that that either does not or is not seen to compromise your independence?”

“Zelda, what is your perspective on that from slightly to one side?”

“Yes.”

“It is not backed by any statutory backstop. Do you think we need to progress to that, having your position in terms of funding backed—I cannot even say the word now, which is unfortunate for a parliamentarian—by a statutory backstop? Do you think we need that level of legal support?”

“Do you think that would help with government commitments to ensuring that you had sustainable funding? Is that something that you would like to see?”

“Of course the ICBs are going through quite substantial reorganisation and, frankly, big challenges to their budgets. However the details are that are locally driven, locally designed and fit the local population, with those budget constraints that are quite significant coming into ICBs, how are you going to ensure that…”

“What do you think they got right in the Tower Hamlets hub model?”

“It is interesting that you mentioned Dame Lesley in this. She was characteristically forthright with us. She thinks that about 85% of referrals that are coming through to secondary care can go through a community or a primary healthcare model. It is a high statistic. She said the current situation is ludicrous. I suppo…”

“With prioritising that in that system, what does that mean? How does prioritisation manifest in the system?”

“That is a lot of enabling things and actions to make things happen. Where do you see the blockers? What are the blockers that stop this from happening and may there still be things that we have to address?”

“We have heard quite a lot about dysfunction in the commissioning system, particularly around LARC and so on. These are really great ideas but are you taking steps to really address the challenges around the commissioning of LARC and how long is this going to take?”

“Particularly as we are starting to move towards a neighbourhood health service—whatever that means; clearly that is still being worked through—where do women’s health hubs sit in that? It is a slightly older conception. How are women’s health hubs going to fit in with this neighbourhood health model?”

“That is handy.”

“I have lived in Tower Hamlets and now represent a rural community and I know quite a few members of the Committee are particularly concerned about rural and coastal communities. Actually, if this is a model that is largely being developed in urban and metropolitan areas, how long will it take to develop these into a st…”

“Thank you for everything you have said so far. I would like to look a little more particularly at LARC—long-acting reversible contraception—and gynaecology in relation to waiting lists, changes to healthcare delivery, such as women’s health hubs and so on. Tabitha, just quickly, I believe I worked with you sometime bac…”

“We have talked about some of the longer-term impacts and the potential for the future, unless anyone has anything to add. This is down the line, beyond the process of donation.”

“Should there be a long-term duty of care on the clinics offering this service?”

“Is there evidence on the different psychological needs or maybe the different types of counselling required for different demographic groups? It could be a sexual orientation, or particularly neurodivergence.”