Kettering General Hospital Urgent Care Hub

Debate between Chris Skidmore and Philip Hollobone

Tuesday 3rd September 2019 Westminster Hall

[The Minister for Health (Chris Skidmore)]

It is an honour to serve under your chairmanship, Mr Bone, in my first debate as the new Minister of State for health.

I congratulate my hon. Friend the Member for Kettering (Mr Hollobone) on securing this debate on the proposed urgent care hub at Kettering General Hospital. This is an important issue for not only my hon. Friend but his constituents in the wider Kettering community, and it is one on which he campaigns tirelessly. I congratulate him on his diligence and determination to continue that, bringing it before the House today.

Kettering General Hospital, as my hon. Friend mentioned, has stood on the same site for nearly 122 years. It plays a vital role in the community, and he set out eloquently the importance of the hospital to that community. In January this year, my predecessor, my hon. Friend the Member for Wimbledon (Stephen Hammond), discussed the urgent care hub proposal with my hon. Friend the Member for Kettering and visited the hospital, following the foundation trust’s unsuccessful £45.7 million sustainability and transformation partnership bid in July 2018. My hon. Friend set out clearly the need to cope with rising demand, with which the urgent care hub could assist.

Given the unsuccessful bid, I am sure that my hon. Friend is aware that the sustainability and transformation partnership programme has been the main funding route for strategic capital development projects. Under that programme, capital has been allocated to more than 170 STP schemes since July 2017, which now amounts to about £3.3 billion. STP investments will modernise and transform NHS buildings and services across the country, including new urgent care centres, integrated care hubs that bring together primary and community services, and investment in new mental health facilities.

On 5 August this year, the Government announced a £1.8 billion increase in NHS capital spending, on top of the additional £3.9 billion announced in the 2017 spring and autumn budgets. Of the increase in NHS capital spending, £1 billion will allow existing upgrade programmes to proceed, to tackle the most urgent infrastructure projects. Some £850 million will allow 20 new hospital upgrades to start as soon as possible. Those hospitals were chosen because they applied for funding in tranche 4 of the sustainability and transformation partnerships, but narrowly missed out. I will set out the short process that we go through to designate the waves, whereby the 20 hospitals that narrowly missed out on upgrades previously will receive funding this time.

[Mr Hollobone]

Kettering General Hospital narrowly missed out on previous funding allocations. Northamptonshire is the only one of the 44 STPs in the country never to have received any capital funding in the four waves that have taken place. I find that staggering, given the overwhelming support from the local NHS for the urgent care hub proposals.

[Chris Skidmore]

NHS Improvement and NHS England follow an independent assessment process. Previous waves, and the allocation of the 20 hospital upgrades that were announced last month, were assessed on the following six criteria: deliverability; patient benefit and demand management; service need and transformation; financial sustainability that delivers savings to both the organisation and the sustainability and transformation partnership; value for money, including return on investment; and estates.

As well as the top-scoring schemes, a number of schemes of critical service importance have been included, such as mental health and learning disability schemes, drawing on the advice from sustainability and transformation partnerships and national and regional NHS leadership. Together, the schemes demonstrate that they will deliver clear improvements to services. That may not be the answer that my hon. Friend wants to hear, but let me reassure him that I am happy for NHS England and NHS Improvement to discuss how the process and the scoring of requirements operate in greater detail with the chief executive, Simon Welden, who is sitting in the Public Gallery. If the trust would like to have that meeting, I will happily help to arrange that feedback for the hospital and my hon. Friend.

On future capital funding, an extra £1.8 billion was announced in August. That money, to enable investments in critical infrastructure, was not previously available, and gives new spending power to the NHS to fund new projects. The £1.8 billion is a brand-new capital injection on top of money announced in previous Budgets and spending reviews. The Department’s capital spending limit has increased accordingly: following the announcement on 5 August, the capital spend on health for 2019-20 has gone up from £5.92 billion to £7.02 billion. It is important to make that clear, given some wish to look for bad news in any good news announcement. It is important to recognise that the £1 billion boost, and the £100 million of the £850 million allocated this year, will be spent on that capital allocation.

[Mr Hollobone]

I join the Minister in welcoming the £1.8 billion of extra capital funding for the NHS and the £1 billion wave of funding at the end of 2018. That is all very good news, but given there is almost £3 billion of extra capital injection, we simply cannot understand why £49 million of that could not find its way to Kettering, particularly as there is already a worked-up business case, to get the project up and running quickly.

[Chris Skidmore]

As a new Health Minister, I have found that the wave approach to the sustainability and transformation partnerships programme has highlighted a wider issue with NHS capital. My hon. Friend’s point about geographical distribution applies not just to bricks and mortar but to diagnostic equipment. We must make sure that our national health service is truly national, by giving every trust equal opportunities to apply for and receive funding. That is why the Secretary of State recently set out that, as a Government, we will establish a new health infrastructure plan. The plan will mean that we take a strategic approach when looking at hospitals that need upgrades, and how that will fit into a wider strategy that will be organised in the Department, taking into account local needs and NHS clinical requirements.

We will put in place a long-term strategy to upgrade and improve our NHS. That will deliver a major strategic hospital rebuilding programme that will provide the necessary health infrastructure across the country. I cannot go into any further detail, apart from to say that the shape of that will be confirmed in due course. To offer a comparison, the road investment strategy—RIS 1 and RIS 2—has a longer term process by which we can move away from a succession of waves. We have waves 1, 2, 3 and 4 of funding as part of the STP processes: some of those projects are further along and more developed than others; some have more advanced business cases than others, as my hon. Friend mentioned. It is important to take a strategic approach for the future.

I understand that my hon. Friend was disappointed that Kettering General Hospital was not selected for funding this time. However, as he mentioned, the trust secured £6 million in emergency capital funding this year, to deal with safety-related estates work. In addition, between 2017-18 and 2018-19, the trust received more than £14 million in capital to fund improvements to the hospital, including £12 million to tackle the urgent capital backlog and other essential capital expenditure. It received £2.4 million for winter pressures and £820,000 for electronic prescribing. That does not make up for what my hon. Friend recognises as an important development and improvement to the estate, but in Kettering the trust has improved enormously and has made great strides in recent years.

I note that while the Care Quality Commission rated the hospital as “needs improvement” after its inspection earlier this year, the trust has been taken out of special measures for quality following the CQC report published in May 2019. I am pleased that, despite the rising demand my hon. Friend mentioned, it is still providing patients with safe and good quality care and is focused on embedding a culture of continuous quality improvement. I am delighted that Kettering General Hospital is participating in a national urgent and emergency care standards pilot, and I await information and learnings on that this year.

[Mr Hollobone]

I am glad that the Minister highlights the huge improvements made at the hospital and the superb leadership we now have in place. Will he accept an invitation to visit the hospital and see the A&E department at first hand?

[Chris Skidmore]

I thank my hon. Friend for that invitation; I would be delighted to visit the hospital. I pay tribute to the staff at Kettering General Hospital, who continue to work hard and who contributed to the hospital’s receiving a good rating for care. I hope we will continue discussions during my visit.

I hope that, if my hon. Friend and the trust are willing, I can arrange the meeting to go through the criteria for STP wave 4 in finer detail. I hope that he understands that we are looking at setting up a new process by which capital infrastructure projects will be delivered. The Government have made significant investments in the NHS as part of their long-term plan. We recognise that we need to mirror that investment in NHS capital. I thank my hon. Friend for raising this important issue, and I look forward to working with him.

Question put and agreed to.

Universities: Financial Sustainability

Debate between Chris Skidmore and Philip Hollobone

Monday 11th February 2019 Commons Chamber

[Chris Skidmore]

I recently had a meeting with the Higher Education Commission, led by an all-party group in Parliament. I was keen to receive that report, and as I said, our international education strategy will be published in the spring. I look forward to that and to receiving all views while we consider what our policy proposals will be.

[Mr Philip Hollobone (Kettering) (Con)]

At a time when Her Majesty’s Opposition are expressing concern about the stability and viability of university finances, does the Minister share my outrage at the sky-high salaries and rocketing salary increases of some of these vice-chancellors and other senior university officials, which are far beyond anything that they are worth and are particularly insensitive to students, who always have to manage on a tight budget?

[Chris Skidmore]

Universities receive significant amounts of public funding, so it is right that their senior staff pay arrangements both command public confidence and deliver value for money both to students and taxpayers. We want to see senior staff pay in universities that is fair and justifiable, and the process for setting pay must be transparent. We have asked the OfS to pay close attention to the elements of the regulatory framework that will deliver value for money, as well as conditions of registration relating to senior staff pay, which will improve transparency in this area. I note that tomorrow, the OfS is publishing the first of its new annual reports on provider senior staff pay.

Historic Battlefields

Debate between Chris Skidmore and Philip Hollobone

Wednesday 12th September 2018 Westminster Hall

[Mr Philip Hollobone (in the Chair)]

We now move on to a debate about the preservation of historic battlefields. I call Chris Skidmore, who is probably dangerously overqualified to speak about the subject, to move the motion.

[Chris Skidmore (Kingswood) (Con)]

I beg to move,

That this House has considered the preservation of historic battlefields.

Thank you, Mr Hollobone, for your generous words and for chairing the debate. I chose this subject to allow other Members to contribute, as I am aware that there are historic battlefields, both on land and at sea, in or near many constituencies. This is a national issue, and it is right that it is given national attention by the Minister. However, I wish to turn my attention to a specific battlefield that is currently under threat. The battle of Bosworth is one of our nation’s most historic and important battles. It is where the last English king to be killed fighting in battle, Richard III, fell. It is where the Tudor dynasty under Henry VII was born. It truly changed the course of English history.

I must declare an interest. As the author of a book about the battle of Bosworth itself and a recent biography of Richard III, I have spent years researching the battlefield. I went from climbing rickety ladders to the top of St Margaret’s church in Stoke Golding to view the original site of the battlefield, to searching for original documentary evidence in the Vatican library. I was present at the 2010 conference at which a new location of the battlefield site was unveiled. It was demonstrated that the battlefield was far larger and stretched across a far wider area than previously thought. An expert archaeological team led by Dr Glenn Foard found nearly 40 cannonballs—the most ever found on a medieval battlefield—and the famous gilt silver boar badge, Richard III’s insignia, demonstrating that Richard’s men fought in a different location from previously thought. Those archaeological surveys of the battle, limited though they naturally were by time and resource pressures, provided a glimpse into what lies beneath the fields of Bosworth battlefield. More will surely be discovered if future archaeological investigation is allowed. Who knows what new technology will reveal in time?

The battlefield site, which is centred on Fenn Lane in what was then a marshy area known as Redemore, retains its rural setting and, crucially, provides us with an understanding of the contours and landscape of Henry Tudor’s approach to the battle on the morning of 22 August 1485. Given that we know Henry himself remained at the back of the battle as fighting began—he had never actually experienced open combat—only for Richard III to spot his standards and charge with his household cavalry towards Tudor, who was surrounded by his men, it is also likely that the final phase of the battle took place around the location of Fenn Lane.

National Democracy Week

Debate between Chris Skidmore and Philip Hollobone

Tuesday 27th February 2018 Westminster Hall

[Mr Philip Hollobone (in the Chair)]

We now come to an important debate about National Democracy Week, for which there is probably no one more qualified to move the motion than Mr Chris Skidmore.

[Chris Skidmore (Kingswood) (Con)]

I beg to move,

That this House has considered National Democracy Week.

It is a pleasure to serve under your chairmanship, Mr Hollobone. I am extremely grateful for the opportunity to highlight the importance of the week beginning 2 July 2018, which the Government announced last year as the inaugural National Democracy Week. I should declare my interest: I was the Cabinet Office Minister who made that announcement on 15 September 2017, committing the Government to establishing the week. I hope the Minister does not feel that I am appearing as a ministerial Banquo’s ghost; it is not my intention to haunt my old Department, but to highlight the week’s potential, not only for the Minister and the Cabinet Office—the Department responsible for democratic engagement—but for promoting democratic engagement and the concept of democratic inclusion, as defined in the Government’s recent democratic engagement plan.

We chose the week beginning 2 July as National Democracy Week because it will mark the 90th anniversary of the Representation of the People (Equal Franchise) Act 1928, which gave women a truly equal right to vote. As the Minister will be aware, although we recently celebrated the 100th anniversary of the right for women to vote being won by the suffrage movement, that right applied only to women over the age of 30; it was another 10 years before Stanley Baldwin’s Conservative Government passed the legislation that placed men and women on an equal footing in the eyes of our democracy.

As part of this year’s suffrage centenary celebrations, National Democracy Week has the opportunity not only to highlight the importance of the 1928 Act and its place in history but to look ahead. That is vital, because it will allow us to ask ourselves whether we believe the franchise is truly equal or whether there is more we can do to ensure that every voice matters in our democracy and that we are content that our democracy is truly working for everyone in society.

I am delighted that 100 years and a day after the Representation of the People Act 1918, the Minister introduced legislation to ensure that the process of anonymous registration would be made much easier for survivors of domestic violence. It demonstrates that, as a matter of social justice, we elected representatives must always listen closely to voices who state that they are still struggling to exercise their democratic right to vote. One campaigner, Mehala Osborne, a survivor of domestic violence, found that she was unable to vote in the mayoral elections in Bristol, so with Women’s Aid on board, she began a campaign for a more democratic society. She demonstrated that despite the fact that we are celebrating the 100th anniversary of women getting the right to vote, there are still women in society who are unable to vote because they may be put at risk if they join the electoral register publicly. I am delighted that the Minister has taken action to change that situation so that survivors of domestic violence can much more easily register anonymously to vote in this year’s local elections.

It is clear that in this year of celebration of suffrage and democracy, there are still people in this country who, through no fault of their own, cannot vote—not citizens who refuse to engage in the democratic process, tragic as that is, but active citizens whose voice continues to go unheard because they are unable to participate in elections. Although legislation can give the appearance of equal rights and participation, the reality is that modern Governments always have to look again at the barriers that prevent certain groups in society from exercising their democratic right to vote.

For people who have learning disabilities or physical disabilities, I know that the Government are committed to working to ensure that every stage of the democratic process is as smooth and clear as possible, with their review of the accessibility of elections. For people whose voice may be silenced by electoral fraud, I know that the Government’s plans to increase electoral integrity will be of real value, preventing impersonation at polling stations, tightening the application process for postal votes and reducing the threat of intimidation—not only for voters at polling stations, but for candidates standing for election.

Those are important reforms for today that will help to strengthen our democratic process and give people the right to vote, but we should also think of tomorrow. We may not know what tomorrow will bring, but I believe that this year and in future years, National Democracy Week should help to provide a vital forum to discuss what more we need to do collectively to strengthen our democracy and meet future challenges. Some of those challenges we know about and some are still unknowable, but we will have a week to consider them.

Civil society organisations have already organised events such as National Voter Registration Week. Such events have been highly successful in years of electoral activity, but less so in what I call the years of peacetime. I hope that the establishment of National Democracy Week will allow all civil society groups and political parties, regardless of colour, to rally around the first week of every July so that it becomes a permanent fixture in the political and democratic calendar of the United Kingdom. The July date will also allow it to mark the beginning of the annual canvass. I recognise that the canvass is well overdue for reform, which will undoubtedly happen, but I hope that local authorities across the country will recognise the value of the week and take the opportunity to highlight their own electoral registration processes to ensure that every eligible member can join that year’s electoral register.

My ambition when establishing National Democracy Week was not only for at least one event to take place in every local authority across the country, starting at a low level and building up in future years, but for as many Members of Parliament and elected local councillors as possible to get involved and speak in schools—perhaps on the Friday, when hon. Members are back in their constituencies. That will allow us to demonstrate on social media and elsewhere the value of the week as a mass participation and engagement exercise similar to Small Business Saturday.

Much work is going on behind the scenes in preparation for this year’s National Democracy Week: chapter 13 of the Government’s democratic engagement plan sets out the next steps for the week, and the National Democracy Week council comprises key civil society groups involved in our democratic society. I would value an update from the Minister on the progress of preparations, but also on when she thinks the Cabinet Office will go public with the launch of a communications strategy for the week, possibly including a Twitter handle, a website, packs for parliamentarians and other materials for organisations that will lead engagement locally.

I draw the Minister’s attention to the strong interest shown by the United Nations in the Government’s proposals, and indeed in our democratic engagement strategy. I believe that as one of the oldest democracies in the world, the UK has a duty to encourage and inspire developing democracies to look at participation in and access to their own elections. National Democracy Week provides a real opportunity for international engagement as well as local involvement. 

I know that the Minister, who was previously chair of the all-party group on democratic participation, shares my commitment that participation in our democracy, electoral registration and electoral access is more than just a technical or legal matter. It sends out a message that behind every vote is a voice that deserves to be heard, and I hope that National Democracy Week will focus on what we can do and need to do for our democratic future, just as we commemorate our democratic past.

I hope that this year’s National Democracy Week will be the first of many, but its success depends on getting as many people involved in as many regions and local authorities as possible. My message to anyone who cares about democratic participation is to get involved, get involved now and contact the Cabinet Office. This is too important an issue for party politics and I hope that in 10 years’ time, when we will celebrate in 2028 the 100th anniversary of that true equal franchise, National Democracy Week will still be going from strength to strength as a cornerstone of our democratic calendar.