Super Health Hub in Plymouth City Centre

(Limited Text - Ministerial Extracts only)

Tuesday 25th October 2022 Westminster Hall

[The Minister of State, Department of Health and Social Care (Robert Jenrick)]

I congratulate the hon. Member for Plymouth, Sutton and Devonport (Luke Pollard) on securing the debate, and also make honourable mention of his constituency neighbour, my hon. Friend the Member for South West Devon (Sir Gary Streeter). The hon. Gentleman raised this matter with me within, I think, hours of my appointment as a Minister, and he raised it assiduously with my predecessors, so I know that it is something about which he is extremely passionate. He has made a very persuasive case for the new centre this afternoon. I join him in thanking NHS doctors, nurses and other staff in Plymouth. I appreciate the strain that services are under at the moment and are likely to be under this winter as we continue to move out of the long shadow cast by the pandemic. I thank them for their service to the NHS.

I will first set out the current situation regarding NHS capital funding and the new arrangements for allocating that funding, as that is critical to understanding the prospects of the health hub project, the merits of which have been laid out very persuasively this afternoon. The Government are backing the NHS with a significant capital settlement, which is welcome and will be a step change for the quality and efficiency of care up and down the country. The NHS has a significant budget, but has been marked in recent years—indeed, decades—by under-investment in its capital and estate. Subject to the state of the public finances, we need to correct that as a country. The capital settlement includes over £4 billion a year for each of the next three years, and a total of £12 billion in capital for systems to invest in the estate. Those are part of our changes to health and social care capital funding arrangements.

We are greatly increasing the role of local health system planners in determining local health infrastructure in collaboration with NHS England. In line with nationally published guidance, integrated care boards can decide how the NHS operationally capitalises the spending for their own area. Although we have a range of nationally funded projects, to which the hon. Gentleman alluded, they are already quite well defined. For example, we have committed an initial £3.7 billion over four years to make progress on delivering 48 hospitals by 2030, and 70 upgrades to hospitals, worth £1.7 billion. I want to highlight the fact that much of this investment is benefiting Devon. Over the last few years, there has been £15 million for estate improvements and A&E upgrades at hospitals in the Plymouth NHS trust, and £17 million in hospital upgrades funding awarded to the integrated care board; that includes £9.3 million for imaging facilities at Derriford Hospital and Barnstaple.

Turning to the specific project, I am pleased that the system continues to develop plans so that we can consider a pilot. Plymouth has been able to progress through the business case process more quickly than expected. That is a testament to the hard work of local partners and the strong stakeholder relationship management by the council. The hon. Gentleman paid tribute to the role of the council, and I echo his remarks.

The health centre is designed to address the needs of the local population by providing exactly the kind of one-stop-shop facility the hon. Gentleman described, incorporating GPs, community and mental health services, dentistry, out-patients, diagnostics and pharmacy, as well as space for several community and voluntary groups. That will help to tackle the root causes of poor health and poor wellbeing in the area, which contains some of the most deprived communities in the country.

As I said, we have changed our capital funding mechanisms and introduced integrated care boards to ensure that local investment decisions are guided by local priorities. To that end, it is the local integrated care board that is empowered to invest in the Plymouth health centre if it deems it to be a priority. I understand that Devon integrated care board has been allocated £250 million over the next three years. For the scheme to progress, the NHS Devon integrated care board would need to prioritise its construction via this operational capital budget or other locally sourced funding solutions. I appreciate that this is not the answer that the hon. Gentleman was seeking, but as things stand, there is no additional national funding to deploy for projects like this. The new hospital programme, which he alluded to, is already allocated. Indeed, as he acknowledged, it is possible that that cost of the programme will be greater than the existing budget, so a great deal of work will be required in the years ahead to deliver those hospitals alone, without adding further projects to the programme.

However, given that the hon. Gentleman has brought this debate to the Floor of the House and I have been unable to give him quite the answer that he wishes, I would be more than happy to visit Plymouth and to broker a meeting between his local ICB chair, the stakeholders, such as the council, that have been involved in the project and have advocated it so strongly, and NHS England, to see whether there is anything innovative or creative that we might be able to do to try to move this forwards. I can see the arguments for it are very strong, and it must be frustrating to the hon. Gentleman and to the local stakeholders that its further progress seems to be in doubt.

I am all in favour of the idea of a health village and community diagnostic centres. That is something that we are taking forward on a national scale and so what the hon. Gentleman is trying to achieve here is entirely in line with national policy objectives. If I can, I will revert to him as soon as possible after this debate and arrange that visit and, perhaps more importantly, arrange that meeting in which we can explore why NHS England ultimately was not able to provide the funding that he hoped for. As I understand it, it was never approved funding, but there had been a discussion with NHS England as to whether it might be available. But it never ultimately committed to do that. Perhaps we can explore whether there are any other potential routes, so that we do not close the door on what seems to me to be an extremely valuable project.

I thank the hon. Member for Plymouth, Sutton and Devonport—I thank my hon. Friend the Member for South West Devon as well—for the extremely constructive manner in which he has handled this debate and our previous conversations. I hope that I will be able to take this forward and move it to a successful conclusion.

Question put and agreed to.