Health Services: Cross-border Co-operation

Debate between Caroline Dinenage and Virginia Crosbie

Tuesday 16th April 2024 Westminster Hall

[Dame Caroline Dinenage (in the Chair)]

I will call Virginia Crosbie to move the motion and then I will call the Minister to respond. As is the convention for 30-minute debates, there will not be an opportunity for the Member in charge to wind up, or indeed for anyone else to make a speech, but there will potentially be opportunities to intervene.

[Virginia Crosbie (Ynys Môn) (Con)]

I beg to move,

That this House has considered cross-border cooperation on health services.

It is an honour to have you chairing this important debate on cross-border co-operation on the health service, Dame Caroline, and I thank you for the opportunity to hold it.

My constituents in Ynys Môn, like those of my colleagues here today, are served by the devolved Welsh NHS, which is managed and funded by the Welsh Government in Cardiff. Despite health having been devolved for 25 years, around a third of my most serious casework is for my constituents who are suffering, or perhaps even dying, because of failures in our local health board. I hear from patients, families and even members of staff who are deeply concerned about Betsi Cadwaladr University Health Board—BCUHB for short—and the effect that its failings are having on the people of north Wales. That is why my colleagues and I want the UK Government to help find a solution and why we desperately need the following: much better co-operation across borders on our health services; data that allows the direct comparison of performance across all health boards in the UK, regardless of whether they are devolved; a recognition that the UK Government have a moral, and arguably a legal, duty to take action where the wellbeing of their citizens is compromised; and a willingness to act on that duty where necessary.

I can best explain why we are so concerned by sharing the issues we face in north Wales. BCUHB is by far the largest health board in Wales; with a budget of £1.9 billion, it is responsible for a quarter of the Welsh population—more than 700,000 people spread across a huge area roughly four times the size of Greater London. BCUHB is currently in Welsh Government special measures for not the first but the second time; it has spent all of the last six years in special measures. Despite that, its performance seems to be getting worse, not better. It has been called “dysfunctional”, “chaotic” and a “basket case”. In February 2023, the Welsh Health Minister sacked its entire board. An audit of its 2021-22 accounts found £122 million unaccounted for, with senior executives accused of deliberately falsifying entries. It is now on its eighth chief executive in 11 years. All that is despite a devolution settlement that funds the Welsh Government with £1.20 per person for every £1 we spend here in England.

It is difficult to relate just how bad some of the stories I hear are: people discharged from hospital sicker than when they went in; hours spent waiting for ambulances, and hours spent waiting in ambulances outside A&E; errors in patient records; appointments lost; significant failures in the provision of medication; palliative patients dying in hospital because fast-tracking them home would take weeks; and medical appointments cancelled and rearranged for hospitals 60 miles away.