Maternity Services

Angus MacDonald Excerpts

Tuesday 25th February 2025 Westminster Hall

[Chris Bloore (Redditch) (Lab)]

I congratulate the hon. Member for Chichester (Jess Brown-Fuller) on securing today’s debate. My constituents are watching at home and she eloquently set out the challenges that face our maternity services and the health of women across the UK, so I thank her for doing that so well.

When people in Redditch elect their Members of Parliament, they do so with a clear mandate on maternity services and the future of the Alexandra hospital. It would be remiss of me not to thank the shadow spokesperson, the hon. Member for Hinckley and Bosworth (Dr Evans) who did a tour of service at our hospital in the earlier parts of his career—we thank him for that.

Our maternity services are famed for delivering one Harry Styles many years ago—[Interruption.] Yes, just the one Harry Styles. More seriously, in 2015 our maternity services were closed and relocated to Worcestershire Royal. That temporary relocation was made permanent in 2017. That is the only site delivering such services across our entire county. That means many of my residents are forced to travel to Worcester or Birmingham to get the services they need.

Although the hon. Member for Chichester was brave enough to share some of the stories that she has heard from her constituents, I am quite frankly not strong enough to retell some of the stories I have heard—of stillbirths and, frighteningly, of parents giving birth to their children on the roadside—in the way that they deserve. Since 2015, the initial promises to return those services to my constituency have been forgotten. Despite signatories totalling over 50,000 from the local community, no parameters for the return of such services have been discussed by the ICB.

I want safe services for my constituents, but although I am concerned by the current configuration of services, I am deeply concerned about the future of services in my constituency. Worcestershire Royal has significant constraints on growth. Worcestershire is set to deliver tens of thousands of new homes and huge population growth in the next 10 years, with pressures on services set to rise substantially. As this Government seek to rebuild and reconfigure our NHS, it is time for those services to meet the needs of the present and, most importantly, deliver the services of the future. I urge the Government to review the decisions taken on the centralisation of services that may have made sense in the past, but will not in the future.

[Mr Angus MacDonald (Inverness, Skye and West Ross-shire) (LD)]

I am proud to represent Inverness, Skye and West Ross-shire. My colleague, my hon. Friend the Member for Caithness, Sutherland and Easter Ross (Jamie Stone), could not be here, but, on the subject of centralisation, our nearest maternity hospital is in Inverness, which is four hours each way from parts of Sutherland, Argyll, and the Isle of Eigg—around Muck, which I am sure the hon. Member is, or should be, familiar with. I wonder whether the hon. Member could support our case that centralisation is becoming a real problem for expectant mothers, who suffer enormous complications because of distance, given that smaller regional hospitals are no longer providing maternity care?

[Chris Bloore]

I thank the hon. Gentleman for his intervention and I am sorry to hear about the level of problems that mothers face his constituency. The hon. Member for Chichester started the debate saying that this is about services for women at their most vulnerable, when they are giving birth. It is clear from the experiences of the hon. Gentleman’s constituents and mine that services are not meeting the needs of those women when they need them the most. That is the challenge that we should now take up.

I conclude by saying that, in the past, the reconfiguration of services has been based on a financial envelope and the challenges of staff shortages, and that has dictated many decisions, but now is the time, with the Darzi report and the eloquent speeches we have heard today, to build that service for the future. We should all strive to meet that challenge, even if that means making difficult financial decisions to invest in the long term, so that we can give women and families the support that they deserve.

Hospice and Palliative Care

Angus MacDonald Excerpts

Monday 13th January 2025 Commons Chamber

[Mrs Sureena Brackenridge (Wolverhampton North East) (Lab)]

The crisis in funding, and the postcode lottery and health inequalities faced by many families, particularly in accessing hospice and palliative care, weighed heavily on my decision to vote as I did in the debate on the assisted dying Bill. That is why I am sincerely grateful to the hon. Member for Wimbledon (Mr Kohler) for securing this very important debate.

I was profoundly moved by the extraordinary work of our local hospice, Compton Care, when I recently visited its new hub in the Scotlands, Low Hill, just before Christmas. I was deeply moved by the work that its people do to support families who turn to them at their darkest time. I saw outstanding medical care provided by specialist medical teams and counsellors, but also the wraparound support that they provide—everything from creative therapies and grief counselling to bespoke support for bereaved children. There were also those quiet, crucial moments when the specialist staff knew just what to say, just when things were so difficult for families —moments that are unimaginable to navigate.

That is why the Government’s extra £100 million for hospices across the country and their extra £26 million for children’s hospice services are essential. It is the biggest investment in a generation, a clear sign of this Government’s commitment to everyone having access to high-quality end of life care. It will result in hospices such as Compton Care reaching more people, especially in communities that have long felt the brunt of deepening health inequalities. It will provide much welcome support for families across Wolverhampton and Willenhall, and ensure that no one faces the end of life without the care, comfort and compassion that they deserve. I welcome the Government’s investment boost in hospice and palliative care, but I will continue to advocate for equity in care.

[Mr Angus MacDonald (Inverness, Skye and West Ross-shire) (LD)]

May I intervene?

[Mrs Brackenridge]

I have nearly finished, thank you. I will never lose sight of constituents’ fundamental right to dignity and care, which matters right until the very end.

--- Later in debate ---

[Jim Dickson (Dartford) (Lab)]

I thank the hon. Member for Wimbledon (Mr Kohler) for securing this debate and for his excellent and moving opening speech. Hospices across the country care for hundreds of thousands of people living with conditions that limit their lives or mean they face their lives coming to an end.

I wish to put on record my thanks to two hospices that provide crucial services for people in my area. Ellenor is a specialist palliative care provider for adults and children based in the constituency of my hon. Friend the Member for Gravesham (Dr Sullivan). Since 1985 it has been providing hospice care for those who need it most, and it recently opened a new wellbeing centre, which is a hugely welcome addition to its facilities. I also pay tribute to Demelza, which has children’s hospices in the constituencies of my hon. Friends the Members for Sittingbourne and Sheppey (Kevin McKenna) and for Eltham and Chislehurst (Clive Efford). Demelza supports families who are going through what I can only imagine are some of the most difficult circumstances I can possibly think of, where children are facing serious or life-limiting conditions.

Given the importance of such services, I understand the high degree of concern from the sector before the Government’s announcement of further funding last month, with the NHS England children’s hospice grant not having been confirmed at that point for 2024-25. I therefore join hon. Members who have welcomed the 19 December announcement by the Secretary of State for Health and Social Care of £100 million in funding improvements for hospices, such as updated IT and improved facilities for patients and visitors. I also very much welcome the news that hospices for children and young people will receive £26 million in revenue funding for the next financial year. Hospice UK has welcomed that funding, saying that it will

“bring clarity to critically important services for children with life-limiting illnesses.”

[Mr Angus MacDonald]

What does the hon. Member think about the many hospices that do not need the capital but are desperate for the income? I would be interested in his answer.

[Jim Dickson]

I thank the hon. Gentleman for his question. The capital funding will be of immense help to a wide variety of hospices in ensuring that they can upgrade their operation so that they are less reliant on revenue funding from the charity sector and from the NHS. We need a sustainable funding model, and I know the Minister will come back on that at the end of the debate. Finally, let us wish Hospice UK, individual hospices, and our NHS every success with their amazing care for all who need their services, and hope that they will be able to find a sustainable financial future as a result of the Government’s work.

Income Tax (Charge)

Angus MacDonald Excerpts

Tuesday 5th November 2024 Commons Chamber

[Mr Angus MacDonald (Inverness, Skye and West Ross-shire) (LD)]

It is appropriate that I am following the words of the hon. Member for Stafford (Leigh Ingham) about the palliative care sector. I am grateful for the substantial settlement for the NHS, especially as Scotland will get £3.4 billion, which will make an enormous difference. The Belford hospital in Fort William has been condemned, effectively, for 25 years. Unfortunately, I have very little confidence in the Scottish Government to spend that £3.4 billion well.

I recently spoke with Kenny Steel, the chief executive officer of Highland hospice in Inverness, who told me that the changes to employer national insurance are expected to add an unaffordable £177,000 to its annual salary bill. That comes on top of the need to remain competitive with the 5.5% salary increase awarded to NHS staff. Marie Curie anticipates that the NI increase will cost it £3 million a year—money it does not currently have.

The Government’s planned increase in employer NI contributions to 15% from April 2025 is an impossible amount for the palliative care sector. If those essential care providers cannot absorb the additional cost, their survival is at risk. If hospices fail, the patients they support will inevitably turn to the NHS, placing greater pressure on an already overstretched system. If the Minister could listen to me and put his phone down for a moment, I would be grateful—can you listen to me, just for a second?

[Madam Deputy Speaker (Judith Cummins)]

I remind the hon. Member not to address other people in the Chamber as “you”, as he is actually addressing me. Please continue.

[Mr Angus MacDonald]

Palliative care charities are essential partners that deliver compassionate, dignified end-of-life care on behalf of, and much cheaper than, the NHS. Organisations that provide healthcare for the NHS should be treated like NHS bodies in these decisions. Increasing NI contributions for hospices but not the NHS places those providers in a critical financial position, and firmly indicates that the Government regard organisations such as Highland hospice as second-class.