Health
Debate between Andy Slaughter and Lyn Brown(10 years, 5 months ago)
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Mr Andy Slaughter (Hammersmith) (Lab)
I am sorry that this debate began with a speech that was smug and complacent even by the standards of the Secretary of State for Health. I thought we had reached a low point until I heard the hon. Member for Thurrock (Jackie Doyle-Price) using a speech on the NHS to promote the tobacco industry. I am glad that those speeches have been balanced by those we have just heard from my hon. Friends the Members for Walsall South (Valerie Vaz) and for Westminster North (Ms Buck). Indeed, the speech from the shadow Secretary of State, my right hon. Friend the Member for Leigh (Andy Burnham), reaffirms Labour’s commitment to the health service, which is fairly lacking from this Government.
I am going to speak about the crisis in the west London health service, partly because it is such a major crisis and partly because I think it indicates the way the Tories are dealing with the health service generally. It began two years ago, almost exactly, with the announcement of the biggest hospital closure programme in the history of the NHS. Since then we have had sham consultations with 100,000 people petitioning and being ignored, U-turns, confusion, incompetence, refusal to answer questions and political chicanery to make what happened in Ilford, as we heard from my hon. Friend the Member for Ilford South (Mike Gapes), look like a model of probity. Now we have the contamination of the whole NHS locally, including the primary care sector.
When the closure programme began, the medical director of North West London NHS said, candidly, that if it did not close four A and Es and two major hospitals, it would literally run out of money and go bankrupt. Those are the words he used. I suppose we should be grateful to him, because those statements galvanised the population of west London to engage in “save our hospitals” campaigns, and they have been campaigning for two years in rain and snow. Despite huge disinformation paid for by the taxpayer, by a Conservative council and indeed by the NHS, when I now stand in Lyric square in Hammersmith on a Saturday, I can be sure that 99% of my constituents know what is actually happening. I pay tribute to those campaigners from all political parties—including a lot of ex-Tories, as well people from minor parties, Labour supporters and others. They have really made the running on this issue.
Yes, there were changes. Initially, for example, we were going to lose the whole of Charing Cross hospital. Now there will be a local hospital on the site. When that was first mooted, a senior member of the local Conservatives and a Cabinet member said:
“This is an enormous teaching hospital with a 200-year history. You can’t make the Charing Cross hospital into a local hospital. It’s absurd. People won’t put up with that.”
Within weeks, they were spending ratepayers’ and taxpayers’ money putting out leaflets saying that Charing Cross hospital had been saved. That was compounded last October when the Secretary of State for Health stood here and effectively said, “Oh, it won’t just be an urgent care centre. It’ll be a second-tier emergency department.” Let me clarify the three differences between those two: recovery beds, X-rays and GPs. I thought we had GPs on duty in urgent care centres, but apparently not; we can just have nursing cover. It is an urgent care centre by any other name; to call it an A and E is misleading. It will lead to people with serious medical conditions going there and risking their and their family’s lives—as we have already seen at Chase Farm and elsewhere. Charing Cross and Hammersmith will not have blue-light emergencies—except for heart attacks in the case of Hammersmith. We will not have a stroke unit; we will not have the 500 emergency beds; we will not have intensive treatment. This is a second-class, second-tier health service.
The worst transgression happened in only the past few weeks during the local election campaign. I am not making this up, Madam Deputy Speaker. After the postal votes were opened and the Hammersmith Conservatives saw that we were ahead in some of their safe wards, the Prime Minister was brought down at short notice and locked in the basement of the Conservative party offices with a local journalist and came out with this pronouncement:
“Charing Cross will retain its A&E and services”.
I believe that the Prime Minister is an honourable man, and that he was misled into making that statement. The statement is demonstrably false because the NHS has clearly said that most of those services—other than treatment services, primary care services and elective surgery—will not exist at Charing Cross hospital under any analysis.
I thus went to see Imperial. It was the day after the election and I had been up for 30 hours and was not in a terribly good mood. I went to see the new chief executive of Imperial, and I tried to persuade her that Charing Cross should stay open. I said that I would take the new Labour leader of Hammersmith council to see her, as he might be able to persuade her better than I could. I then left and went home. That evening, she e-mailed to say, “Oh, I forgot to tell you when you were here: we are closing the other A and E in your constituency on 10 September. It was just a short meeting and I did not have time to tell you about it.”
At the same time, as my hon. Friend the Member for Westminster North said, the CCG is writing to tell us that it is good news that in year—in the middle of a financial year—it has decided to pull together £140 million from the CCGs around north-west London and to redistribute it into primary care. In other words, they are panicking and having to take desperate measures because the primary care services are so short of money and cannot pick up the slack from the closure of A and E services. We might think, “At least they are doing something”. A substantial proportion—they will not say how much—is going out of my CCG and into other CCGs because, they believe, that is a fair way to distribute money. We are losing not only both A and Es, but our primary care funding and, with the closure of Hammersmith A and E—if we cannot prevent it from going ahead in September—Imperial has admitted in its own board papers that there is insufficient capacity at St Mary’s hospital.
Mr Slaughter
I thank my hon. Friend for that intervention. In exactly the same way, the Government are choosing to close the A and E department at Hammersmith hospital, which is slap bang in the middle of one of the most deprived areas of London, covering White City, Old Oak, Harlesden, north Kensington and east Acton. That means that 22,000 people who rely on those A and E services every year will have to travel to St Mary’s hospital in Paddington. They will not be directed to Central Middlesex hospital, which will be closing on the same day, and they will not be directed to Charing Cross hospital, because the plan is to close that within a year or two. They will be told to go to St Mary’s, where there are not enough beds and not enough capacity in A and E to cope with the current demand. That is contrary to undertakings given in the House that there would be no closures of A and E services until alternative services were provided. There will also not be enough acute services to provide a training base for students at Imperial college.
Two weeks ago we won the election in Hammersmith, against the expectations of, at least, the Conservatives, and we won it on this issue. If the Government will not listen to the 100,000 people who petitioned, perhaps they will listen to the people of west London who, on the issue of the NHS, overwhelmingly voted Labour and against the policies that are being pursued by the Conservatives. They should listen, and they should think again about hospital closures that will cost the health and the lives of my constituents.
High Speed Rail (Preparation) Bill
Debate between Andy Slaughter and Lyn Brown(11 years, 5 months ago)
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Lyn Brown (West Ham) (Lab)
I am delighted to be at this debate and supporting this Bill, providing, as it will, the ability for the Government to spend money preparing the way for a second high-speed rail service serving London and the regions. My constituency has running through it the route of High Speed 1 and, in talking about spending and finance, I would like to draw the House’s attention to the need to ensure that spending on the new route is planned in a way that capitalises on investment already made, so that we get more bang for the taxpayers’ bucks.
How we will do that is by providing for a substantial link between HS1 and HS2. This new spending should provide this link, with the most obvious and effective way being to utilise the connection to Stratford in my constituency of West Ham. I am arguing that the link between HS1 and HS2 should be substantial and robust enough to enable Stratford to play a major role in the wider high-speed network. That would include it being the London stop for those international services that originate in the regions, thus adding to the viability and the financial business case of those services and, indeed, of HS2 itself. I am not aware of any costings yet undertaken on the funding needed for a robust link, so I ask the Minister to enlighten me in his summing up as to whether any are so far available.
If Stratford becomes a major support station in east London catering for HS2, inter-city and inter-regional services, that would significantly reduce the numbers needing to use the Euston terminus, and Euston could be smaller as a result. The planned Old Oak interchange on its own will not enable enough HS2 travellers to avoid the Euston terminus; we need an enhanced role for Stratford in the east to cater for a similar proportion and then we can have a much slimmed-down Euston terminus.
Mr Andy Slaughter (Hammersmith) (Lab)
I hate to disagree with my hon. Friend, particularly as she is my Whip, but I think she will see that the overwhelming consensus of opinion is in favour of the Old Oak interchange. Although I understand that she is standing up for her constituents, I think she is whistling in the wind rather here.
Lyn Brown
Old Oak—where? All I would say to my hon. Friend is that Stratford has an international station, called the Stratford International station—the message is in the title. I suggest that he needs to look further and wider than his local concerns in order to understand the case. And if he ever wants to be slipped again, I suggest he stays seated.
As I was saying, we need an enhanced role for Stratford in the east to cater for a similar proportion and then we can have a much more slimmed-down Euston terminus. With a twin-track link to Stratford from Camden town, and with the proposals for Old Oak, the number of platforms at Euston would reduce from 12 to six or fewer. Recent research shows that there would be almost as much demand for trips to east London, docklands, Essex, East Anglia and Kent from HS2 travellers as for trips to central London. Using Stratford helps to cater for those needs. Perhaps the Minister would like to talk to the leader of his local county council, who, along with others, funded this research. His constituents will also, I am sure, be interested in the better travel options that will be available to them if this money is spent wisely. The interconnectivity of Stratford is already good, unlike—where was it? The two stations at Stratford serve 100 million passengers a year and it is the UK’s rail hub with the sixth highest use. It has two tube lines, regional rail services to Kent, Essex and East Anglia, and the docklands light railway, and it is strategically positioned for Canary Wharf, London City airport, and the Excel exhibition centre. Of course, it will have Crossrail.
The expenditure we are talking about today must include a robust and substantial link to Stratford between HS1 and HS2. About £1 billion of taxpayers’ money has already been invested in Newham’s international station, so it should get the international services for which it was built. To do otherwise would be crazy.
The business case for spend on HS2 will be greatly strengthened by a link that enables Stratford International to play a full role in the new network and the spending we are talking about today will be more effective as a result. I urge the Minister to try to ensure that that link is delivered.
Legal Aid, Sentencing and Punishment of Offenders Bill
Debate between Andy Slaughter and Lyn Brown(13 years ago)
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Mr Slaughter
My right hon. Friend is right. Only 40% of women who suffer domestic violence report it at all, and many go for years without reporting it. They certainly do not have the wherewithal to report it when they are imprisoned not only by violent relationships but by economic circumstances and by having to care for their children. That is what I meant when I said that the Minister does not live in the same world as those victims.
Lyn Brown (West Ham) (Lab)
I have here a report from a local newspaper. Kay Atwal, a reporter on the Newham Recorder, describes the lives of women she has met, saying:
“Your mail is opened by your in-laws, you can’t call your family or friends and you are not allowed out of the house. Your days are an endless round of cooking, cleaning and clearing up punctuated by threats and criticisms. And hanging over you is the constant fear that you could be deported from Britain if your husband divorces you.”
Does my hon. Friend agree that women such as those could well be affected by the changes that the Government are making today?
Mr Slaughter
We all have similar cases in our constituencies, and I am sure that the Minister must have, too. Those are the people to whom he should be listening.