The Parliamentary Under-Secretary of State for Health (Ben Gummer)
It is a great pleasure to serve in this, your first Adjournment debate of the new Parliament, Madam Deputy Speaker. I am delighted that you have found your seat again. It is a great pleasure, too, to respond to my hon. Friend the Member for Stafford (Jeremy Lefroy), who has been a model for many of us in the 2010 intake in his advocacy of local health issues. He was rightly recognised for so doing in the election, and I am delighted that he, like so many of my hon. Friends, was returned with such a considerable mandate as a result of his hard work. I congratulate him, too, on securing this important Adjournment debate, which continues the battle he has fought on behalf of his constituents over the last Parliament.
Let me say first that the initial meetings I have had in my new position have in large part centred on the issues raised as a result, both directly and indirectly, of the terrible events that befell the Mid Staffordshire trust. My hon. Friend’s bringing of this Adjournment debate is timely in that sense.
I shall first address some of the specific issues my hon. Friend raised about the procurements recently spoken about in the press before moving on to deal with the more general issues. None of this has been particularly helped by some of the comments in the local media. Looking at the CCG’s proposals to improve the organisation of cancer and end-of-life services, which my hon. Friend raised first, I would like to announce to him and the House today that a public-private consortium led by two NHS trusts is now the sole remaining bidder and is in the final stages of talks with the CCG to manage the cancer care pathway. This is an innovative model. I know my hon. Friend has some reservations about it, but it is the first of its kind and it should greatly help to improve and develop services for patients. It is one of the outcomes we wanted to see from the changes in his county, so that health excellence emerges out of the terrible events that occurred. I know we share a common position on that.
Four CCGs are in the process of procuring this consortium to act as a service integrator for the wide range of organisations in the area providing cancer care and to improve the journey of patients in the county and their experience of the care they receive. Dialogue will now continue.
My hon. Friend asked about the role of advisers, consultants and the associated costs. I cannot give him the details now, but I will ensure that they are provided to him. I will ensure also that all officials, including those in the CCG, have the discussion about the role of consultants and advisers in order to satisfy him—or not—on that matter.
Let me now deal with some more general points about the health economy in which my hon. Friend’s constituency sits. It is challenged, and it has been challenged for a long time. Last year, Staffordshire was identified as one of the 11 most challenged local health economies in England. The healthcare organisations in those areas need intensive support to ensure that, as a minimum, services are clinically and financially sustainable over the next five years.
Many of the problems faced by Staffordshire have lain unaddressed for years. Recruitment and retention problems are not unique to the county—other parts of the country experience them as well—but, as my hon. Friend will know, they contributed to the dreadful events on which he has become an expert. Change is needed, not just in the hospitals but in the local health economy as a whole.
As my hon. Friend has already explained, the county hospital in Stafford is now part of the new University Hospitals of North Midlands NHS Trust—in alliance with services in Stoke—but that in itself is not enough to ensure that patients get a better service. That is about much more than a change of management. A solution often used by the NHS involves concentrating services on a single site, so that professional skills are maximised and patients receive much better care.
Although there is a need to reorganise, reorganisation is not just a switch of management location; services themselves must change. That process must be led by local clinicians, working in a partnership between hospital and community, and taking the views of patients into account. The eventual structure cannot be imposed from the outside, nor can there be a “one size fits all” answer. Stafford’s geography, population distribution, transport links and distance to nearby towns and cities, for example, are all relevant to a decision on how services should be set up. Any solution must take account of those factors, as well as others such as disease prevalence and age profile, which are, perhaps, more obviously health-related.
Sir William Cash
Let me—briefly—remind my hon. Friend that people in the deep rural parts of my constituency are served by the county hospital and the University Hospitals of North Midlands NHS Trust. It is important to ensure that, when there is a lack of easy communication on the motorway, they too are specially looked after.
Ben Gummer
That is precisely the point that I made to the clinical commissioning groups when I spoke to them yesterday. I appreciate its importance, and not just on the basis of my own experience of representing an urban seat in a largely rural county.
My hon. Friend the Member for Stafford raised the issue of community beds. I need not advise him to exercise caution when it comes to believing everything that he reads in the press. However, there will be consultation about any changes that do take place, and I know that the Trust Development Authority and the commissioners will work together to ensure that they take place in a coherent fashion. Following my forthcoming meeting with chief executives and the TDA commissioners, I shall be happy to meet my hon. Friend and others to discuss changes in services if that will help to allay his concerns.
I have had detailed discussions with commissioners and NHS England about haematology and oncology services. Although there was a thought that they had been mentioned in original documents, I must say that I, too, found such mentions to be lacking. I am afraid problems of that kind are often encountered in the NHS, and that, in the past, consultations have not been as full or as pertinent as they should have been. I have asked the NHS again to consult specifically on those services, and also to engage in a full and proper consultation with patients and local groups. The same will apply to any other services that may come into question. I take my hon. Friend’s point about the need for a list of services, and I will pass it on to the CCGs, because I think it is important.
Jeremy Lefroy
I am most grateful to the Minister. It is very good news that there will be proper, extra consultation. As I said earlier, last week I visited a patient whom I know, and saw the excellent service that is currently being provided. It would be a real loss—more than that, a tragedy—were that service to be moved.
Ben Gummer
I stress that it is not for me to design the outcome of that consultation, because the whole point of what we are trying to do is to allow clinicians to make that decision, but they must consult properly. The same pertains for A&E. My right hon. Friend the Secretary of State has said that round-the-clock A&E services—I know he has made this point specifically to my hon. Friend—could return to Stafford if clinically safe to do so.
There is a need for quality services to be delivered immediately, however, and that is why I am concerned also about the situation at Stoke, where issues clearly need to be addressed in the immediate term. I wrote yesterday to the chief executive of the University Hospitals of North Midlands NHS Trust to arrange a meeting with him, local commissioners and the TDA to see what can be done immediately to help improve the emergency services at Stoke. I will of course speak to my hon. Friend following that meeting to bring him up to date on the conclusions of that discussion.
I also understand from the local NHS that the plans are resilient and will deliver better services, and that the work is being led by CCGs and local authority commissioners. They are redesigning the Staffordshire health and social care economy to ensure that patients enjoy the benefits of a safe, high-quality and financially sound service in the long term. That is their assurance to me. My job, and my hon. Friend’s, is to ensure that they fulfil their promise.
My hon. Friend brought up two separate issues more generally about agency nurses and consultants, and he will have seen the announcements made by my right hon. Friend the Secretary of State yesterday and today about them. Both go to the heart of the matter my hon. Friend raised and demonstrate how we in this Government are prepared to move rapidly on the matters facing the NHS in the early days of this Parliament to ensure that we can deliver the excellence in healthcare that we know our constituents deserve and wish for.
The Minister for Community and Social Care, sitting beside me, has heard my hon. Friend’s comments on GP numbers. That is a challenge throughout England and in my constituency, and one that we hope to address in part by the 5,000 additional general practitioners whom we hope to recruit in the next five years. We will, however, bring forward a range of measures to ensure that general practice not only survives but flourishes in the years to come.
In conclusion, I thank once again my hon. Friend for bringing so carefully and diligently these important matters to the House’s attention. It has allowed us to explore some of the wider issues facing the national health service. I hope I have provided him with a few points of consolation and also reassurance on how the Government and local health commissioners will proceed with the matters that he has raised. If he has any further complaints, problems, wishes or desires about his local health service, he should come to me. That invitation extends to his colleagues in the county of Staffordshire as well.
Question put and agreed to.