Health: Cardiology

Baroness Thornton Excerpts

Monday 24th October 2011 Lords Chamber

[Earl Howe]

My Lords, I agree that deprivation is an important consideration. The population density of the West Midlands conurbation and the very high case load of Birmingham Children’s Hospital suggested that the Birmingham service should be, as it were, a fixed point. However, I am afraid that the same cannot be applied to Leeds because although the Leeds catchment area has a high population it has a much lower case load than that of Birmingham. The analysis of the expert group suggested that there needed to be two centres in the north of England because of the population density; that was either Liverpool and Leeds or Liverpool and Newcastle. It was not possible to have a Leeds and Newcastle combination since Newcastle could not achieve a credible network.

[Baroness Thornton]

My Lords, as a Bradfordian I have to say that that is a very great shame because I cannot see how the people in Bradford will find it easy to go to Newcastle to visit their children in hospital. When you add up the number of surgical cases performed on adults as well as children in England each year, you reach a figure which would require nine or 10 centres across England, not the six or seven proposed by the Safe and Sustainable review. Therefore, does the Minister share my concern that, by deciding the future of children’s heart services without reference to adult congenital heart services, the review is not looking at the full picture? Indeed, why are adult and children’s services subject to two reviews?

[Earl Howe]

My Lords, surgery for children with congenital heart disease is much more complex than surgery for adults with congenital heart disease. The focus of the review has been on paediatric services up to now. As the most immediate concerns were around the sustainability of the children’s services, the paediatric cardiac services standards include the need for links with adult services and for good transition services between the two.