NHS Corridor Care
Debate between Adam Dance and Rosena Allin-Khan(3 weeks, 1 day ago)
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Dr Allin-Khan
My hon. Friend is a powerful advocate for the people of Scotland. Yes, of course those statistics should be published, because in order to have any understanding of the issue, we have to have the data. Quite frankly, without the data, it is “not happening”. We should keep pushing for that and I hope that he puts the clip of him asking this question on social media to spark a little fire under some boffins to make that happen.
The reality is that corridor care is happening in every corner of the country. The drivers of the issue of corridor care are multifaceted, but one key cause that we cannot escape is our failing social care system that forces medically fit patients to sit and wait in hospital beds, seemingly endlessly. Without a hospital back door that works efficiently, we simply cannot get people through the front door to treat them effectively and move them on appropriately. The social care sector must be empowered because that will prevent hospital admissions in the first place and support timely discharges.
All sorts of unappealing names are given to people who have to spend a long time in hospital waiting for appropriate social care. Our vulnerable elderly, our grandmas and grandpas, are called bed blockers because they cannot get the social care that they need to safely be in their own homes. This requires a complete change in thinking and approach, one that understands the inherent link between the NHS and social care. Most significantly, we need leadership that is willing to address the crisis with the urgency it deserves, so that people get the highest quality of care.
Adam Dance (Yeovil) (LD)
One of my relatives went into hospital to get intravenous antibiotics but later died in that hospital due to being stuck there. She was ready to move on to a community hospital, but she gave up because she was scared in the hospital—they did not keep an eye on her, she fell out of bed and cracked her head open, and she later passed away. Does the hon. Lady agree that we need a lot more investment in social care to ensure that does not happen and our relatives do not have to go into hospital in the first place?
Dr Allin-Khan
I am heartbroken to hear about the hon. Member’s relative. This is the point: anyone who works in a hospital understands that, just by being in an emergency department waiting room and accessing people who are unwell, it is possible to catch other illnesses.
One thing we try to do is prevent unnecessary admission, because we know that a vulnerable elderly person who comes to hospital and is admitted to a ward with people who are unwell is more at risk of catching illnesses. As in the case of the relative of the hon. Member for Yeovil (Adam Dance), people can be vulnerable and not in an appropriate bed. There may not be enough staff able to check on them appropriately. Without tackling social care, we will never get on top of that issue. I am truly sorry to hear about the hon. Member’s relative. Simply put, we cannot dither or delay; we need answers to the social care crisis, and we need them quickly.
Another group of people who are very often overlooked are mental health patients. They continue to spend extraordinary amounts of time waiting in A&E. People experiencing a mental health crisis are two-and-a-half times more likely to face long delays in A&E. Just for a moment, let me paint a picture of what that looks like. The patient could be somebody with auditory or visual hallucinations who feels extremely scared and vulnerable. They may need security to ensure that they do not leave their room. They may be wondering what they have done to deserve this. They may not have staff there who know about their usual medication. Very often, they are shouting very loudly, and other patients will be concerned, not understanding that they have a mental health issue.
As doctors and nurses, we are not allowed to talk about somebody else in the hospital, so we can have a very loud A&E department, with someone who is very vulnerable—screaming and shouting and really suffering—being completely in the wrong place for so long and with everyone confused about why they are there. That is not appropriate, safe or dignified for mental health patients.
We are as far away as ever from parity between mental and physical health in the NHS. As I have just outlined, we witness that daily in emergency departments across the country. We need to create more partnerships between our emergency departments and mental health trusts, where mental health patients can be triaged and seen by a mental health team in a more dignified and appropriate manner.
St George’s hospital, where all hon. Members will know by now that I work my A&E shifts, is exploring a partnership with South West London and St George’s Mental Health NHS Trust, which would set up an assessment unit to triage mental health patients outside the emergency department. That would be safer, more appropriate and more dignified, and a calmer and more pleasant environment in which those patients could be assessed by mental health professionals.
Dr Allin-Khan
I think my hon. Friend has been on most of my last A&E shifts with me. [Laughter.] That is absolutely a common occurrence, and that is not the best, safest or most efficient place for any of our incredible teams of police officers and mental health nurses, who are trying to get on with their job. It is incredibly distressing. In parts of hospitals, colleagues tell me that they are waiting in relatives’ rooms with police officers and mentally unwell patients next to the resus area of an A&E department with bereaved families. None of that should be happening for anyone involved.
I am sure the Minister will agree that the best solution to this crisis will involve a holistic, multi-agency approach involving councils, social care providers and NHS trusts. As I have just outlined, this unacceptable and dangerous situation is shared not just by patients, but by their families and NHS staff, who are trying to do their best in a difficult situation.
Moving on to the professional bodies, corridor care has rightly been condemned by the Royal College of Nursing, the Royal College of Emergency Medicine—my royal college—the British Medical Association, and other professional bodies and trade unions. Some 65% of respondents to the Royal College of Emergency Medicine’s violence and aggression survey, which is due to be published later this year, said that care in inappropriate and non-clinical spaces contributes to the increase in violence and aggression towards staff and other patients. The impact of corridor care is clearly much more wide-reaching than we realise. It results in violence against our own NHS heroes—the very best of humanity—who, in a fractured and dangerous world, exemplify compassion, decency and selfless care for strangers. I can tell the House beyond a shadow of a doubt that staff in emergency settings are upset, traumatised and driven to tears of rage, and we know that NHS staff have to take a disproportionately large number of days off for the sake of their mental health.
Adam Dance
The hon. Member is making a fantastic speech. On the topic of staff, one of the biggest problems in Yeovil hospital is bullying culture, as we saw in the Baroness Amos report in relation to maternity. Does the hon. Member believe that staff should be free to speak up without the worry of losing their job?
Dr Allin-Khan
I thank the hon. Member for his intervention. Although it digresses from the debate about corridor care, I will happily answer his question. I think everybody in the NHS must be able to go to work free of intimidation, bullying and harassment. Wherever that happens, people should feel free to speak out—not to their direct line manager, because very often they are involved, but to a safe third party within the hospital, clinic or public setting where it happens, so that they will not be concerned about finding themselves moved or no longer in the job they love. I thank the hon. Member for raising that point; I have gone off topic, but it is an important point to acknowledge.
New Medium Helicopter Programme
Debate between Adam Dance and Rosena Allin-Khan(5 months, 2 weeks ago)
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Dr Rosena Allin-Khan (in the Chair)
I will call Adam Dance to move the motion and then the Minister to respond. I remind other Members that they may make a speech only with prior permission from the Member in charge of the debate and the Minister. As is the convention for 30-minute debates, there will not be an opportunity for the Member in charge to wind up.
Adam Dance (Yeovil) (LD)
I beg to move,
That this House has considered the future of the New Medium Helicopter programme.
It is a pleasure to serve with you in the Chair, Dr Allin-Khan. I thank the Minister for coming to answer pressing questions. I recognise how hard he and his team work and the headache that we must be giving him by going on about the new medium helicopter.
After retiring the Puma from service last year, the UK currently has a capability gap. We have no medium-lift helicopter ability for our armed forces, which means there is a clear requirement for helicopters to transport troops, equipment and supplies over long distances and difficult terrain on a wide range of missions. Although we hear a lot about the future of warfare, in the age of drones and even greater technology development, crewed helicopters are still key to a joint force that will allow our military to respond effectively to the ever-growing threats we face.
We have a gap that needs to be filled. That is what the new medium helicopter programme is for. As the last remaining bidder for the £1 billion contract, Leonardo is ready to fill that gap by offering the AW149 helicopter, built at the home of British helicopters in my constituency of Yeovil. The Minister will tell us that it is far more complex than many people outside defence may realise, but I think he can appreciate that it does seem quite simple. There is one bidder in a contract; that is a win, win, win. It fulfils a capability requirement, will help to boost defence spending and modernise our armed forces. It will provide investment in the British jobs and apprenticeships in Yeovil, which is what the Prime Minister told me he is determined to deliver.