NHS Corridor Care Debate
Full Debate: Read Full DebateAmanda Martin
Main Page: Amanda Martin (Labour - Portsmouth North)Department Debates - View all Amanda Martin's debates with the Department of Health and Social Care
(1 month ago)
Commons ChamberI 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.
Amanda Martin (Portsmouth North) (Lab)
Does my hon. Friend agree that often this is compounded when somebody has been arrested and police officers are sitting for hours? I was recently in A&E, and there were two police officers there for the duration that a member of the public was there. They may also need somewhere else to deal with that situation.
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.
Amanda Martin (Portsmouth North) (Lab)
I thank my hon. Friend the Member for Tooting (Dr Allin-Khan) for her service and for securing this debate.
There is no clearer sign of the failure of the NHS under the Conservatives than the fact that corridor care was allowed to become normal. Only a few weeks ago, I was in the Queen Alexandra hospital in my constituency watching my dad being cared for in a corridor. It brought home just how far standards have fallen and no family should have to experience that. Corridor care has real consequences. As we have heard, the Royal College of Emergency Medicine estimates that in 2025 alone there were more than 15,000 excess deaths associated with long waits in emergency departments. It is not just the physical impact on patients that is damaging, but the emotional impact on patients, loved ones and the NHS staff who come to work every day wanting to provide the care that their patients deserve, yet are too often forced to do so in impossible conditions. It is degrading, undignified and should never have become an acceptable norm.
Before I go further, I want to thank the incredible staff across Portsmouth’s NHS and care services. From those working at the Queen Alexandra hospital, to our ambulance crews, GPs, pharmacists, community teams and carers, they continue to deliver outstanding care despite extraordinary pressures. Last winter, it was an absolute privilege to spend a night shift with Nigel and Sam from our local ambulance service. Seeing at first hand their professionalism, compassion and resilience only strengthened my admiration for everything they do, often in incredibly difficult circumstances.
I recognise the work already being done across Portsmouth to help people access the right care. Strengthening general practice and supporting people who arrive at A&E with non-emergency conditions to receive care elsewhere helps to ensure our emergency department is there for those who need it most. That work matters and deserves recognition, so I thank Linda Stead and her team at the Portsmouth Primary Care Alliance Ltd, and the team at the Southern Hampshire Primary Care Alliance.
I welcome the decision of the previous Health Secretary, my right hon. Friend the Member for Ilford North (Wes Streeting), to ensure NHS England has finally introduced a clear definition of corridor care and begun publishing trust-level data. We cannot solve a problem if we refuse to see it and measure it. Sadly, the first set of figures makes difficult reading for Portsmouth. In May this year, Portsmouth hospitals university NHS trust ranked eighth worst for corridor care on hospital wards and ninth worst in emergency departments. That is simply not good enough.
I welcome the Government’s commitment to shift more care into communities. Preventing unnecessary admissions is essential if we are to reduce pressure on our hospitals, because corridor care starts with a lack of community services. However, I remain deeply concerned by my integrated care board’s approach and its failure to engage meaningfully with me. The initial discussions on health hubs focused on potential sites, yet astonishingly, although not surprisingly, the proposed locations were all in Portsmouth South. That is simply unacceptable. If we are serious about reducing health inequalities and improving access to care, these services must be available across the whole city. Yet, as with so many decisions affecting Portsmouth, residents in Portsmouth North are neglected and overlooked. To help me change that, will the Minister outline what expectations have been placed on integrated care boards to work constructively with local MPs?
Of course, reducing admissions is only one part of the answer. We must also improve patient flow through our hospitals, so I welcome today’s announcement about a 10-year capital plan for health and social care. Buildings and modern facilities are important if we are to move people from corridors to beds and from A&E to GPs, but too many people remain in hospital because the social care support they need is simply not available or because the pharmaceutical system is not fit for purpose. Will the Minister update the House on what further action is being taken to improve hospital discharge and tackle the pressures in social care and pharmaceutical services?
I am proud that this Government have already begun to turn our NHS around. We have seen the fastest ambulance response times in five years, the shortest A&E wait for four years, and the biggest fall in dissatisfaction in the NHS since 1998, but none of us should be satisfied while patients are still receiving treatment in corridors. People in Portsmouth deserve dignity when they need care, NHS staff deserve the resources and conditions to do their jobs, and together we must ensure that corridor care becomes not the accepted reality of our NHS, but a thing of the past.