Frenchay Hospital

Chris Skidmore Excerpts

Wednesday 14th July 2010 Westminster Hall

[Chris Skidmore (Kingswood) (Con)]

Thank you, Mr Hood, for allowing me to initiate this important debate on the future of Frenchay hospital. My constituency is currently served by Frenchay hospital’s acute hospital facilities, so its downgrading is one of my constituents’ most important concerns. The decision to downgrade the hospital and establish a new super-hospital at Southmead in Bristol was taken as part of the Bristol health services plan in March 2005. Meanwhile, Frenchay is to become a community hospital, the development of which will take place in 2014.

Five years might seem a long time ago, but over those years the future of the hospital has remained an ongoing point of concern and debate. The decision to downgrade is deeply unpopular and has been challenged by South Gloucestershire council and tens of thousands of local residents, nearly 50,000 of whom petitioned the then Secretary of State for Health, Patricia Hewitt, to allow for the decision to be referred to an independent reconfiguration panel. In my view, those are 50,000 reasons why the hospital should be saved, but the petition was rejected, as was a request by South Gloucestershire council’s health scrutiny sub-committee that the matter be referred to the same panel. Instead, the then Health Minister, Lord Warner, said that he saw

“no reason to ask the Bristol health services plan to reconsider…There is no need to refer the decision to the independent reconfiguration panel.”

The current Health Secretary also supported at the time the move for a referral to the independent reconfiguration panel. In a letter dated 27 July 2005, he wrote to Ms Hewitt, stating:

“Plans to change radically hospital provision on the scale proposed in Bristol and South Gloucestershire clearly need to have the confidence and support of the community served by these hospitals. It seems clear that currently the proposal to downgrade Frenchay does not have the support of tens of thousands of local people…my reason for supporting referral is that I believe the people of South Gloucestershire have the right to expect the decision to deprive them of Frenchay Hospital, as they know it, to be independently scrutinised”.

I agree with that letter; he was right that the decision to downgrade the hospital should have been independently scrutinised, as clearly the decision did not, and still does not, have the support of the local community across south Gloucestershire.

In October 2007, there was further hope that the then Secretary of State for Heath, the right hon. Member for Kingston upon Hull West and Hessle (Alan Johnson), might reconsider the case for the decision to downgrade the hospital to be referred to the independent reconfiguration panel. However, he replied to the request by the council’s health select committee simply by stating:

“The previous Secretary of State, Patricia Hewitt, dealt with the referral on this issue ... it is not intended to revisit that decision”.

The leader of the council, John Calway, commented at the time:

“This decision will come as a body blow to everyone who is continuing to desperately search for a lifeline for Frenchay…I believe the anger at this decision has been compounded by the fact that the Government has consistently refused local people’s wish for an independent inquiry into the decision.”

Councillor Calway then stated:

“While we are denied an independent inquiry we will never know whether the decision to downgrade Frenchay was made in the best interests of our residents...Sadly for us in South Gloucestershire, the Government has made it very clear that it is supporting the downgrading of Frenchay a has no intention of intervening to even allow this to be questioned or scrutinised.”

That is a view I continue to share.

Ultimately, the previous Government’s decision not to refer the decision to downgrade Frenchay hospital to an independent reconfiguration panel has resulted in the current situation. Five years after the original proposals for the Bristol health services plan were formulated, the contracts for the new super-hospital at Southmead were finally signed in February 2010. The result, I am informed, is that that has ultimately dealt a death blow to any chance of the hospital retaining its acute hospital facilities. I am also informed that, the contracts having already been signed under the previous Government, reversing that decision seems impossible as it would come at massive cost to the NHS and the Government because of the legal implications.

I would be grateful to the Minister for any comments he might have on that matter. Has the previous Government’s refusal to allow local people to have their say on where their local hospital and acute facilities should be located meant that it is too late to intervene?

I understand that on 20 May 2010 the Secretary of State wrote to all NHS chief executives, advising them that their current and proposed reconfigurations must meet four criteria: they must have the support of GP commissioners; they must have strengthened arrangements to ensure that local people’s views are not ignored; they must be supported by clear clinical evidence; and they must support and develop patient choice.

I am very interested to hear from the Minister whether there has been any response to that letter from North Bristol NHS Trust, as many local people would not agree that those four criteria have been met. I hope that that is not the case but, if it is, does the Minister agree with me that the downgrading of Frenchay hospital was Labour’s downgrading? If Frenchay must lose its acute facilities in 2014, that was not the decision of the current Government, but of the previous one. The downgrading of Frenchay hospital, if it is to take place, is a testament to Labour’s NHS record in Kingswood and south Gloucestershire. That is, in my mind, both a tragedy and a national disgrace.

For my Kingswood constituents, the decision, taken under the previous Government, to downgrade Frenchay hospital will be nothing short of disastrous. In this, the second decade of the 21st century, local services should be becoming more, not less, convenient and local. Many constituents are extremely worried about the consequences of the move to Southmead. They are concerned about how, in times of greatest need and when their lives might depend on it, they will be able to reach a hospital over the other side of Bristol. If Frenchay is to become a community hospital under the previous Government’s downgrading, we need to look forward, to ensure that the maximum possible numbers of facilities remain there.

I do not propose to go into detail about the hospital’s reconfiguration, as I understand that the Frenchay project board has yet to finalise details of its scheme. There is, however, concern over exactly what will remain at Frenchay when it becomes a community hospital. Concern has been voiced over the future of its world-class facilities—for instance, the head injury therapy unit, which deals with brain injury rehabilitation services for the community. There is also the Headway organisation, which is based in the hospital grounds and offers vital support to those who have suffered a brain injury and would like to remain at Frenchay. The organisation stated last year:

“we have been unable to get any answers yet as to our future location.”

Then there are the excellent paediatric burns and neurological units, which will possibly move from Frenchay ahead of its becoming a community hospital, though decisions have yet to be finalised.

As the local MP for an area that depends heavily on Frenchay, I do not want to see the hospital, if it has indeed lost its accident and emergency facilities, to be run down to the ground and stripped of its world-class facilities. I raise these issues today because I would like to see the maximum possible number of facilities remain at Frenchay hospital. It is still an excellent world-class treatment centre, and I would like to pay tribute to all the fantastic staff, who have worked so hard to make it what it is today. Frenchay is, quite simply, too valuable to lose.