Oral Answers to Questions

Martin Vickers Excerpts

Tuesday 6th February 2018 Commons Chamber

[Stephen Barclay]

I think the hon. Lady prepared her follow-up before hearing the answer. There is an improvement board established within the trust, chaired by NHS Improvement, that is tasked with reducing waiting times and ensuring that the standard is improved. Currently, the average time waited is 11 weeks for out-patients and seven weeks for in-patients.

[Martin Vickers (Cleethorpes) (Con)]

Will the Minister give an assurance that the support that NHS Improvement is giving to the trust will continue? He will know that this is the second time that the trust has been in special measures, and clearly we need continuing support. Will he also assure us that he will visit the trust—a promise that was made by his predecessor?

[Stephen Barclay]

My hon. Friend is right to point out the need to give support to this trust. That is why a wider package of £1.6 billion of funding has been given to the NHS to improve accident and emergency and elective care performance. Alongside that, we have specific work through NHS Improvement to address some of the particular issues that he alluded to in his trust.

Hospital Car Parking Charges

Martin Vickers Excerpts

Thursday 1st February 2018 Commons Chamber

[Martin Vickers (Cleethorpes) (Con)]

It is a pleasure to follow the hon. Member for Kingston upon Hull West and Hessle (Emma Hardy), who represents the other side of the Humber bridge, and it is a particular pleasure to support my right hon. Friend the Member for Harlow (Robert Halfon). He was an asset to the Front Bench, but he has also shown his campaigning skills when dealing with issues such as this on the Back Benches. We are very pleased that he is once more among us. Let us hope that we can be as successful with this campaign as we have been with one or two in the past. It is also a pleasure to follow the hon. Member for Great Grimsby (Melanie Onn), whom I will call my hon. Friend. On this occasion, I agree with every word that my Member of Parliament has said. That does not always happen.

As with so many financial matters, it is a question of getting the balance right. Should we place an additional burden on patients and their families, especially at a time when they are particularly stressed and perhaps in great distress, or should we place the burden on the very limited NHS resources that our hospital trusts are having to manage? As has already been pointed out, some patients and their families can afford to pay, but if they are visiting, for instance, a parent who is coming to the end of his or her life, they will suffer just as much distress regardless of their financial circumstances.

In 2017, the trust that serves Diana, Princess of Wales Hospital in my constituency had an income of £2.28 million from car parking charges. It tells me that there was a surplus of three quarters of a million pounds which was spent on patient care. That is good news in the sense that that is three quarters of a million pounds that it desperately needs, but it has come out of the pockets of people who are visiting the hospital or patients at particularly difficult times. As the hon. Member for Great Grimsby mentioned, we live in an area with many low-paid jobs and this is a real burden on many hard-working families.

I am not going to detain the House for too long, but I would detain it for a great deal of time if I were to read the 64-page guidance the local trust produces for parking on its hospital sites. It is an appalling burden that we place on organisations, be they in the public or private sector, when they have to go to such trouble as to produce guidance of that length on how they operate their car park. It is complete madness.

I also draw attention to the fact that patients in my constituency and the neighbouring areas in many cases have to travel much further than others for their treatment, specifically across the river to Hull. That is an additional cost; they have the burden of the petrol or of bus fares, although public transport is almost non-existent for many of the rural villages in my constituency and the wider area served by Grimsby’s hospital.

[Sir Greg Knight (East Yorkshire) (Con)]

My hon. Friend is making a good point: the cost falls disproportionately on those who live in rural areas.

[Martin Vickers]

I thank my right hon. Friend for emphasising the point I am making. Many patients have to travel for perhaps 15 or 20 miles to get to the hospital, and that is an additional burden that they can well do without.

The hon. Member for Great Grimsby mentioned the fact that there is a problem with management, and she mentioned parking in neighbouring streets. I will add the names of a few more of them: Cragston Avenue, St Helens Avenue, Charles Avenue. We know them very well; when I was a councillor for that area people used to complain about cars blocking their streets, and I am sure they complain to their Member of Parliament today.

That is a problem I recognise, and there is also a problem with commuter parking, which has to be dealt with. Tokens have been mentioned, and simple time limits of two or three hours before charges kick in might be another alternative, as well as the flat charge that my hon. Friend the Member for Southampton, Itchen (Royston Smith) mentioned.

I urge the Government to tackle this; it needs Government action to resolve it. It is unreasonable to expect trusts—particularly those like Northern Lincolnshire and Goole, which are in special measures and have major challenges of their own—to do so. An extra burden such as this is something they could well do without. As has been said, savings can be made through better procurement procedures, and that is one possible route. I am sure every Member in the House today could identify one particular saving to meet the £200 million-plus the NHS would have to find. But this is a major problem and a burden on our constituents and it could easily be resolved, and I urge the Government to get on with resolving it quickly.

Patient Transport Services: Northern Lincolnshire

Martin Vickers Excerpts

Tuesday 16th January 2018 Commons Chamber

[Andrew Percy]

I could not disagree with a word the hon. Lady said. She has stolen my thunder—[Interruption.] No, it is good! I was going to come on to the company’s treatment of volunteer drivers. Not only has it said that it will not pay them for mileage unless a patient is in the vehicle, but at three months’ notice it told them that if their vehicles were more than five years old, they could no longer be volunteer drivers. Despite that having been its policy for a considerable time, a company cannot give volunteers three months’ notice like that—say, effectively, “Change your vehicle or give up on the service.” Through its own actions, the company has made an already struggling service much worse. It has absolutely brought the situation on itself.

I have dealt with the issue of volunteer drivers, and I thank the hon. Member for Great Grimsby (Melanie Onn) for raising it. I want to give a couple of examples from my constituency to demonstrate how poor the service has been. One of my constituents in Brigg was given short notice that their transport was to be cancelled because there were no ambulances. That meant that this person, who suffers from mobility issues, had to cancel an important scan. It is impossible for them to get in or out of vehicles unless they have been specially arranged.

The mother of another constituent from Crowle on the Isle of Axholme is 87 years old; she suffers from dementia, is partially sighted and has been repeatedly left stranded following appointments arranged way in advance. My constituent has completely lost trust in the service and family members have had to take time off work to ensure that the lady gets to hospital. The service is there to ensure that that does not have to happen. The situation is completely unacceptable.

Another constituent from the Isle of Axholme has repeatedly been left stranded and unable to book an ambulance. They have been forced to use expensive taxis, which meant that the trip doubled in length. On one occasion the service failed to fulfil a pick-up arranged in advance, and that again required them to use a taxi. The service is totally unacceptable.

[Martin Vickers (Cleethorpes) (Con)]

rose—

[Andrew Percy]

I give way to my north Lincolnshire colleague.

[Martin Vickers]

Like the Opposition Members and my hon. Friend, I have a long list of complaints from constituents, but I want to highlight a particularly bad case. On two occasions—once at Scunthorpe Hospital and once at Grimsby Hospital—a 91-year-old gentleman in Barton-upon-Humber had to wait for four hours before transport was provided to get him home. On one occasion, he did not get home until past midnight. The situation is extremely serious.

[Andrew Percy]

Absolutely. As my hon. Friend has highlighted again in this debate, we are not talking about one or two cases: Members of Parliament across our area have multiple cases. I want to highlight another one. Another constituent of mine, this time from Burton-upon-Stather, has to attend Castle Hill Hospital for chemotherapy every single day. His experience is of ambulances frequently being late, of other patients missing their appointments and of late collection for following treatment. As he has pointed out, receiving chemotherapy means that he is already very ill and weakened, but not just once but regularly he has had to wait up to three hours for an ambulance to collect him. He has also had issues with the booking system and trying to get a place at all.

My final example is of another constituent living just outside Burton-upon-Stather: 82 years old, suffering from Alzheimer’s, in a wheelchair and with very poor mobility, he is totally dependent on the assistance of others to get to and from hospital. Again, his experience is of frequently waiting for the service to collect him from Scunthorpe Hospital. Not so long ago, during snowy, freezing weather, he was left for over three hours in a hospital doorway, waiting for a lift. In the end, hospital staff intervened and brought him inside to warm up, but yet again the experience of the complaints process was that Thames Ambulance Service was wholly unresponsive in dealing with complaints.

--- Later in debate ---

[Andrew Percy]

It is incredible that what is judged to be a failing trust has a failing transport patient service that is making it even more difficult for it to get out of special measures. That is another reason I brought this matter to the House today.

Following on from the intervention of the hon. Member for Scunthorpe (Nic Dakin), one of my requests is to the Department for Transport—so not directly in the gift of the Minister in the Department of Health and Social Care—which is currently undertaking a transport accessibility consultation. It might be sensible if the issue of patient transport were to be wound up as part of that. That is one of my asks. I know that the Minister cannot respond, as it is not her Department, but it would be useful if she could pursue it interdepartmentally.



I want to give the Minister enough time to respond, so I will not say much more, but the concerns that I have described are shared by the clinical commissioning group, which has raised these issues with North Lincolnshire Council’s health scrutiny panel on a number of occasions and has told the panel that there will be further sanctions if the service does not improve. Sadly, that was said at the end of October, and, as other Members’ interventions have made clear, there has been no turnaround since then.

[Martin Vickers]

I agree with my hon. Friend that action needs to be taken. Does he agree that the service has had long enough to get its act together, and that the Minister ought to be consulting the local health trust and the CCG with a view to terminating the contract?

[Andrew Percy]

I think that that is absolutely true. The chairman of the scrutiny panel, Holly Mumby-Croft, who is a councillor for the Broughton and Appleby ward in my constituency, has said that the “volume of people” who have contacted the panel directly is “very unusual”. It is for people to go directly to a scrutiny panel; not many are aware of the position of the council. That alone suggests that the problem cannot be solved through the usual channels. After the most recent appearance of Thames Ambulance Service before the panel, the chairman said:

“I have seen actually no improvement. None at all. It is worse.”

There is something seriously failing here, and it is putting the performance of our local hospitals at risk. More important, it is having a huge impact on our constituents.

I realise that the Government did not commission the service, and that it was commissioned by the CCG, which is responsible for the performance of the contract. However, I have some asks of the Minister.

Could the whole issue of patient transport be considered as part of the consultation that is currently being undertaken by the Department for Transport? Will the Minister and the Department look at the performance of Thames Ambulance Service in north Lincolnshire, and perhaps also in Hull, to see whether anything can be done directly by the Department to improve its performance? Will they, if necessary, look into what powers are available to establish whether or not this is a business that should be operating within the health service at all? If it is routinely leaving people with three and a half to four hours to get home, surely we need to ask, whether through NHS England or locally, whether this organisation should be allowed to provide transport services.

I accept that responsibility lies directly with the commissioners. I therefore urge the Minister to engage with the north Lincolnshire CCG and put maximum pressure on it to ensure that the powers made available in the contract tender to impose fines or even terminate the contract are used if there are not serious improvements very quickly. I have no confidence that the service will improve. I think it is time that the contract was terminated, and that either the local authority or the local ambulance service has another opportunity to tender. All of us in our area want the same thing. We want a patient transport service that does what it is meant to do: take people to hospital and get them home in a timely manner.

I look forward to the Minister’s response.

Oral Answers to Questions

Martin Vickers Excerpts

Tuesday 19th December 2017 Commons Chamber

[Mr Hunt]

I have a great deal of sympathy with what the hon. Gentleman has said. We are putting a lot of effort into patient safety and staff safety in mental health trusts, and we are discovering that there is a wide variation between practices. The hon. Gentleman has made an important point, and, if I may, I will write to him to inform him of our progress.

[Martin Vickers (Cleethorpes) (Con)]

The patient transport service in northern Lincolnshire is contracted to Thames Ambulance Service Ltd, which is failing miserably to perform to an adequate standard. Will the Minister meet me, along with my hon. Friend the Member for Brigg and Goole (Andrew Percy) and other neighbouring Members, to discuss what influence the Department can bring to bear?

[Mr Dunne]

I should be happy to do so.

Oral Answers to Questions

Martin Vickers Excerpts

Tuesday 10th October 2017 Commons Chamber

[Mr Dunne]

As the hon. Lady will know, we have inserted payment for extra activity into the contract for community pharmacists because we want more activities to take place in community pharmacies. For example, many flu vaccinations throughout the country are now being carried out by pharmacists.

[Martin Vickers (Cleethorpes) (Con)]

I thank the Minister for the recent meeting that he had with me and other colleagues about Grimsby Hospital, which is in special measures. It was clear from a recent meeting I had with the chief executive that staff vacancies are one of the biggest problems preventing the hospital from getting out of special measures. What additional support can the Department offer in order to get the hospital back on track?

[Mr Dunne]

I was pleased to welcome my hon. Friend to a meeting a few days ago to discuss the situation, together with his Opposition constituency neighbours. One of the things that we will be looking at in the coming weeks is the allocation of the new doctor training places. As part of the criteria, we will be looking to ensure that some of those places are allocated to areas where it is difficult to recruit, such as rural and coastal areas.

Oral Answers to Questions

Martin Vickers Excerpts

Tuesday 4th July 2017 Commons Chamber

[Mr Hunt]

Like all clinical commissioning groups, Coventry and Rugby CCG is under a great deal of pressure, but our view is that, given the recent funding increases, it should be entirely possible for it to be sustainable.

[Martin Vickers (Cleethorpes) (Con)]

May I return the Minister’s attention to the issues facing Northern Lincolnshire and Goole NHS Foundation Trust? My constituents are worried that both Grimsby and Scunthorpe hospitals are in special measures for the second time in as many years. Will he meet me and neighbouring MPs to discuss the situation?

[Mr Hunt]

I am more than happy to meet my hon. Friend, but he should be confident that we have put in place a substantial support package, including a buddy relationship with another trust and special teams from NHS Improvement, to turn the situation around.