NHS Winter Pressures

Anna Firth Excerpts

Monday 9th January 2023 Commons Chamber

[Steve Barclay]

On the hon. Gentleman’s first point, this is absolutely a system-wide challenge. That is why the use of innovations such as virtual wards in demand management upstream, in the care home or on the home, is important, just as discharge—getting patients to leave hospital who are fit to do so—is important. The focus has often been on ambulances being delayed at A&E or on the significant and real pressures in emergency departments themselves, but the challenge is much wider. That is what the funding in the autumn statement recognised.

In response to his second point about this being a longer-term issue in England specifically, I would just point him to the examples in Wales and the pressures in Scotland. This surge in flu combined with covid and the pandemic legacy that we have seen in England have created so much pressure over the festive period, and it is something with which many other health systems around the globe have also been grappling.

[Anna Firth (Southend West) (Con)]

I very much welcome this extra funding, and I look forward to hearing how much will be coming to Southend University Hospital, which has had to deal with not one but two critical incidents declared by the East of England Ambulance Service NHS Trust. It has already innovated with modular units and an active discharge lounge. These NHS workers deserve all our recognition, and what they need is £8 million of capital funding to reconfigure the hospital, which is fundamentally not big enough. In the short term, will the Secretary of State agree to encouraging care homes to take discharges after 5 pm? Every day, 15% of the people who need to be discharged cannot be discharged because the care homes will not take them after 5 pm. That is at least 70 people a week who could be out of hospital. This is an emergency—everyone must put their shoulder to the wheel.

[Steve Barclay]

My hon. Friend has raised the £8 million capital request with me previously, and it is something we are looking at. She is right about how capital needs to be looked at in the context of getting flow into a local system and of where triaging can be unlocked. In response to her point about 5 pm, there are two points. First, part of the reason for looking at discharge lounges is that if we have something that is 7 am to 7 pm, there is a cultural change for the patient in going into the discharge lounge in the morning and being off the ward. Looking at other health systems around the world, we see that that can be beneficial in accelerating discharge, rather than there being a point in the day after which suddenly it is easier to leave discharging the patient until the next day.

The second point on 5 pm is that we need to look at what support care homes need to have the confidence to take the patient. To be fair to them, it is not simply a question of whether they are refusing to take the patient after 5 pm; it is also about us looking at the wider wraparound care package, so that care homes are confident in taking that risk not just after 5 pm on weekdays, but at weekends, when there is often a significant drop in the number of patients taken.