A&E Services

Debate between James Cleverly and Yasmin Qureshi

Wednesday 24th June 2015 Commons Chamber

[James Cleverly]

I will not take interventions, because I am conscious of how many others wish to speak.

A&E waiting times are driven by three factors: the number of people coming in; the time it takes to treat them; and the ability to discharge or transfer patients. I do not have time to discuss the process that happens while patients are in an A&E department, so I will let others with more direct operational experience do that. It is ridiculous for any of us to pretend that the changes to the GP contract of 2004 did not have a significant and detrimental effect on waiting times for A&E. The fact that 90% of GPs chose to opt out of out-of-hours provision must have had an effect on the number of people going to A&E departments.

[Yasmin Qureshi (Bolton South East) (Lab)]

rose—

[James Cleverly]

I am not taking interventions.

The fact that the ability to discharge patients back into the community is dependent on the ability to care for them while they are in the community means that adult social care must be considered an essential and integral part of the A&E mix. If general wards are not able to discharge into the community, they are not able to make bed spaces available and, in turn, A&E departments are not able to transfer to other wards within the hospital.

I therefore pay tribute to the excellent work done on the Manchester model, putting together NHS provision and adult social care, so that the obvious inter-relationship between the two could be looked at holistically. I am happy that some Opposition Members—perhaps only some of them—welcomed the introduction of the Manchester model. Again, if we could work in a cross-party, collegiate way to learn the lessons from that integrated service model in Manchester and roll it out nationally, I think we would be in a much better place for looking at and subsequently dealing with the problem of A&E waiting times.

It has been alleged—I am sure Opposition Members will all leap to their feet to deny it—that Labour Members were keen during the last general election to weaponise the NHS. [Interruption.] Those were not my words. This is too important an issue to turn into a party political football. I will make this commitment—[Interruption.]