HCRG Care Group: Performance in the South-west Debate
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Brian Mathew
Main Page: Brian Mathew (Liberal Democrat - Melksham and Devizes)Department Debates - View all Brian Mathew's debates with the Department of Health and Social Care
HCRG Care Group: Performance in the South-west
Brian Mathew Excerpts(1 day, 17 hours ago)
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Brian Mathew (Melksham and Devizes) (LD)
Does my hon. Friend agree that one of the most disruptive changes for frontline staff and patients has been the loss of dedicated admin support in favour of the so-called single point of access—or SPA—that simply does not work? If HCRG is serious about improving services, restoring adequate admin support for clinical teams must surely be part of the solution. Time spent on admin by clinical staff is time spent away from patients.
Sarah Gibson
I absolutely agree with my hon. Friend and will come to that point. The biggest concern for staff is patient safety, which they have clearly highlighted to us. One Chippenham resident told me they waited an hour to get through to the single point of access, only to be told to expect a callback, which did not arrive until the following day. A constituent from Calne described spending a week making calls, leaving messages and sending emails simply to secure a podiatry appointment. I understand that, in the end, he was so desperate that he just went into the offices, but not everyone can do that. I appreciate that the integrated care board, the commissioner, has the single point of access under surveillance. But as I will return to later, being under surveillance is just not enough for our residents.
Many of the concerns raised with me have come not only from patients but from staff. I have heard concerns about growing caseloads, vacancies, the loss of experienced staff and, as my hon. Friend the Member for Melksham and Devizes (Brian Mathew) mentioned, the reduction of administrative support.
One nurse reported that what had previously been 10 visits per day had increased to approximately 15. Another described seeing 14 patients during a shift that overran by 90 minutes. Staff speak of chronic understaffing, excessive workloads, and concerns about the impact that the pressures are having on patients and the workforce.