Diagnostic Hospital: Stockton

Debate between Alex Cunningham and Caroline Johnson

Wednesday 26th October 2022 Commons Chamber

[The Parliamentary Under-Secretary of State for Health and Social Care (Dr Caroline Johnson)]

I congratulate my hon. Friend the Member for Stockton South (Matt Vickers) on securing this debate. He will appreciate that I am standing in for my right hon. Friend the Member for Newark (Robert Jenrick), who has been promoted to the Cabinet and the Home Office, so I ask him to forgive me if I do not have the answers to all of his questions, but I will ask the Department to write to him with those.

I know that this is an important subject for my hon. Friend and that he works tirelessly for the people of Stockton South on healthcare and on other matters. The waiting time for a diagnosis or an all-clear can be a very anxious one. It is something with which all of us who have been on a waiting list, or who have had a family member, a friend or a loved one on a waiting list, will be familiar. It is right that we do all we can to support services to recover from the pressures of the pandemic and to innovate and improve so that patients can have tests and receive diagnoses in a quicker and more convenient way.

Today, I will outline the work being done through the elective recovery programme to improve access to diagnostics and how that will impact patients across the UK, including in Stockton South. The waiting list for diagnostic tests in England currently stands at more than 1.5 million patients. Some 30% of those patients are waiting more than six weeks. That is up from a little under 1 million in 2019, before the pandemic. In the north-east and Yorkshire region, the waiting list for diagnostic tests is more than 213,000 patients, 26% of whom have been waiting more than six weeks. Community diagnostic centres are part of the answer and are a fantastic example of how we are providing more efficient, easier and more convenient access to vital services in the community.

The Government have committed £2.3 billion in capital spend as part of the 2021 spending review to support diagnostic services to recover and improve and to ensure that patients have access to often life-saving diagnostic tests that they need. This includes money to allow the NHS to continue to roll out a community diagnostic centre programme across England. This is a new way of delivering care, and it will ensure that elective diagnostic services are resilient in the face of winter pressures, because they have ring-fenced elective diagnostic activity.

Local healthcare systems, including NHS trusts, integrated commissioning boards, and local authorities, which know their patients and communities best, are being empowered to plan and bid for funding for new CDC sites, ensuring that they are placed where there is the greatest community need and the most clinical value, with successful bids ultimately signed off by the Secretary for Health and Social Care. I am pleased to say that 89 CDCs are currently operational across the country in a variety of sites, including hospitals, football stadiums and shopping centres, ensuring that patients have access to the care they need where they live. Those centres and hard-working NHS staff have so far delivered more than 2 million tests and are well on their way to providing capacity for 9 million tests a year by 2025.

With regard to the provision of a community diagnostic centre in Stockton, I am pleased to be able to inform my hon. Friend that the business case for the centre is currently in development. He will be pleased to learn that a large-model CDC, including capacity for imaging, physiological measurements, pathology and endoscopy, is planned for construction on the Castlegate shopping centre site, with plans for the centre to be fully operational by March 2025.

Castlegate is an ideal site for a CDC because of its accessibility for different population groups experiencing health inequalities, with excellent transport links. It is exactly the sort of area where the new centres can have the biggest impact. The Castlegate CDC will add to the 12 existing CDCs in the north-east and Yorkshire region and the four hub and spoke sites in the Tees Valley area, which have delivered more than 200,000 tests for patients in the north-east and Yorkshire region. Ten further sites across the north-east and Yorkshire are due to be approved in the near future and will all be operational by March 2025 to support our target of up to 160 CDCs.

I heard the comments of my hon. Friend the Member for Old Bexley and Sidcup (Mr French), but I am afraid I do not have the answers for him today. I will ask the Department to write to him with information on his specific bid.

[Alex Cunningham]

This is music to my ears. We have all worked very hard for this—local authority, health authority and politicians—and I am grateful for the positive message the Minister is giving us. Now I am going to be even cheekier and say that we desperately need a new general hospital to serve Stockton and the wider Hartlepool area. We need new facilities there. I hope, 12 or 13 years after the original hospital was cancelled, that this Minister will be the one to deliver it.

[Dr Johnson]

I thank the hon. Gentleman for his comments. The building new hospitals programme is in process and bids are in play, so I am afraid I cannot comment any further, as he will appreciate.

In conclusion, I encourage my hon. Friend the Member for Stockton South to continue his productive conversations with both his local ICB and NHS England to ensure that new developments in Stockton continue to support the local community health needs. I will ensure he is made aware when the proposal for the new centre has progressed further and when he can expect to see it open in his constituency.

I look forward to continuing to work with NHS England, local NHS systems such as the North East and North Cumbria ICS and fellow Members of the House to ensure that as a Government we meet the challenge posed by diagnostic waiting lists and ensure that patients are able to receive the often life-saving diagnostic tests that they need, as quickly and conveniently as possible.

Question put and agreed to.

Judicial Review and Courts Bill (Second sitting)

Debate between Alex Cunningham and Caroline Johnson

Committee stage
Tuesday 2nd November 2021 Public Bill Committees

[Alex Cunningham]

That is very helpful, thank you.

[Dr Caroline Johnson (Sleaford and North Hykeham) (Con)]

Q I wanted to ask a question about online procedures, particularly the coronial inquest where you have said that 95% are carried out by a coroner sitting alone. For the 5% that require witnesses, how does being able to hold inquests online make the system more efficient?

André Rebello: Perhaps I misspoke. When a coroner sits alone, the coroner still hears evidence, and witnesses still come to court. It is just that there is no representation for any of the interested persons; the coroner hears evidence and makes finding and determinations. There is a real issue, though, with remote hearings in that, although many people have found advantages with them, the coronavirus easements did not apply to coroners’ courts. Coroners’ courts have only been able to work through remote hearings by using rule 17 to receive video evidence.

The provisions in this Bill are to bring coroners’ courts in line with other courts. However, there is a real issue in regard to the Equality Act 2010; not everyone can participate in the rule of law and in open justice through remote hearings. Any judge presiding has to be very careful to make sure that everyone can participate. I suspect there are more disadvantages in remote hearings than in having everyone in court, where you can fully appreciate how people are following the proceedings. In the 95% of cases where there is no representation, the coroner still hears evidence. It is not as if the coroner is just reading statements; evidence is still heard.

--- Later in debate ---

[Alex Cunningham]

Okay.

[Dr Johnson]

Q On death certificates, you spoke about treating the last illness or seeing a patient in the last 14 days or after death. I appreciate that at the moment you can see them in the last 28 days or after death, and you seem to be implying that makes a large difference. With increasing face-to-face appointments and the opportunity to see the person after death, why do you believe the change will make a material difference to the number of cases referred to the coroner? I appreciate that the coroner gets involved if you cannot issue a death certificate, but how many cases are there in which the doctor is unable to see the patient after death or in which the 14-day window—between 14 and 28 days before death—is crucial? It seems to me that there would not be many such cases.

André Rebello: Actually, there are many. With the easements in the Coronavirus Act, we are just about keeping our heads above water in the coroner service. Under the Coronavirus Act, any doctor could have treated the patient—it does not have to be the doctor who certifies the death, provided that the other doctor sees the body after death—and we have been able to get medical examiners and other doctors to issue death certificates. These are all deaths from natural causes, which should not ordinarily be reported to the coroner. Hopefully, the statutory medical examiner service will alleviate quite a lot of the deaths that come the coroner’s way, which cause a lot of concern for bereaved families. Unfortunately, a lot of deaths are reported to the coroner unnecessarily. At the moment—gosh—probably 20% or 30% of deaths being reported now do not need to be reported. Doctors could issue, but for whatever reason, the deaths are being reported—I suspect that doctors are busy trying to get back to normal and see patients.

I have concerns about the coronavirus easements lapsing before we bring in the new death certification and medical examiner provisions. I raise this on the record to flag that I can see a storm brewing in, probably, April of next year.