Future of the NHS

Debate between Daniel Kawczynski and Anna Firth

Tuesday 24th October 2023 Westminster Hall

[Anna Firth (Southend West) (Con)]

It is a pleasure to serve under your chairmanship, Mr Pritchard. I congratulate the hon. Member for Wirral West (Margaret Greenwood) on securing this important debate. I want to put on record straightaway my thanks to all the hard-working hospital and ambulance staff at Southend Hospital, and to everybody working in the NHS across Southend and Leigh-on-Sea—they do a fantastic job.

I want to start with the question of money. I do not agree at all with the characterisation of this Government as one that does not invest in the NHS. This Government are putting record investment into our NHS. Using the latest figures for which we have comparable international data—I noticed that the hon. Lady was selective about the years she chose—public spending on healthcare in this country totalled £177 billion in 2018-19, the equivalent of 8% of GDP. That is more than both the OECD and EU14 averages. Healthcare spending has only gone up since then. We are now spending £182 billion, amounting to £3,409 for every man, woman and child in 2022. This is simply not a Government who are not investing in their NHS.

I think we would all accept that reform is always welcome. Any attempts to talk about reform are generally met by the Opposition with accusations of privatisation or of needing to spend yet more money. I cannot help but observe that the hon. Member for Wirral West does not disappoint: we have heard both those accusations this afternoon. Let me give a recent quote from a senior politician:

“The reason I want to reform the health service is…I want to preserve it. I think if we don’t reform the health service we will be in managed decline”.

I hope that the hon. Lady recognises those words, as they are the words of her own party leader.

This is what people get from a Conservative Government. It is a Conservative Government who have funded the NHS more and who promise reform, and that is the way we will get better outcomes for all our constituents. One thing I will say, though, is that that investment must make its way down to our individual hospitals and NHS services.

That brings me to my first point. My hon. Friend the Minister is well aware that £118 million of capital investment was promised to South Essex hospitals in 2017. The lion’s share—£52 million—of that was earmarked for Southend Hospital. The Minister is also aware that I have raised this issue—I have termed it the missing millions—in Parliament 10 times and with Ministers on numerous other occasions. It is utterly incredible that here we are, more than six years later, and that money has still not, finally, made its way down to my local trust.

[Daniel Kawczynski]

Is my hon. Friend aware that the state-run, socialist model of the NHS has meant that despite my local NHS trust in Shropshire securing more than £312 million for modernisation of A&E services seven years ago, construction has still not started in Shropshire? The socialists believe in state-controlled services, but they are the most inefficient imaginable.

[Anna Firth]

My hon. Friend makes an extremely valid point. It is how we get the investment through the state bureaucracy that is so important. I thank the Minister very much indeed for his support last year, when I secured an advance payment of £8 million, which is already going towards improvements at Southend’s emergency department in preparation for the winter. But I stress once again, using the famous words of Cuba Gooding Jr that I have already said in the main Chamber but have not yet said in this one: when, please, are the Government going to “show me the money”, because Southend Hospital and Southend residents deserve it?

I want to move on to the future of the NHS. The focus has to be on prevention and on community care. The old adage that prevention is better than cure is clearly the way forward, and I want to focus on some examples from Southend. I recently visited the fracture clinic at Southend Hospital, which is about to launch a new fracture liaison service next spring. That will be the first FLS in the UK to focus across one area: it will be a consistent service, providing consistent care, across Mid and South Essex. The figures show that, over five years, the FLS will help to prevent 550 fractures, save the trust £472,000 and also save 1,300 bed days every year. Every single pound that the NHS is investing in the FLS will save £3.26 for our NHS. Outstanding, groundbreaking, innovative services like that are the future of our NHS, and I will just remark again that it started in Southend West.

The second thing that I want to talk to the Minister about is community pharmacies, which already save 619,000 GP appointments every week; roughly 32 million appointments are saved per year. We must continue to move services out of secondary care and into the community, and community pharmacies are a perfect example. We have the brilliant Belfairs Pharmacy and French’s pharmacy in my constituency. Both are run by an inspirational pharmacist, Mr Mohamed Fayyaz Haji, known to us as Fizz. The Minister will be well aware of everything that community pharmacies can do, but Fizz provides cholesterol and blood pressure checks, health advice, prescribing, ear syringing, community phlebotomy, earlier diagnosis measures such as measuring prostate-specific antigen levels, electrocardiograms, and ultrasound screening for sports injuries and pregnant women. That is a model for community pharmacy around the country, which, again, has to be the future of our NHS.

The final point that I want to talk about is hospice care and care homes. In Southend West we have an average age that is 20% higher than England’s as a whole. The triple whammy of people living longer but not necessarily in good health, coupled with more and more people working full time, means that good quality nursing care and end-of-life treatment will increasingly become a necessity for all of us.

Hospices such as Havens Hospices in Southend perform an incredibly compassionate service for our community, which is incredibly good value. They could play a vital role in reducing pressure on the NHS. They are an exemplar, and the NHS should look at the hospice service and learn from it, just as it should look and learn from brilliant care homes such as Cavell Lodge, which is managed by Michael Daley.

Regrettably, awareness of the role and value of our hospices and care homes often does not come until the point that it is needed. Hospices in particular are funded primarily, as the Minister knows, through charitable giving. Havens Hospices need £124,000 each week to provide their services. Overall, UK hospices are budgeting for a deficit of £186 million per year. Hospices save the NHS money in the long term by reducing pressures on hospital beds, ensuring our hospice sector—I would also add our care sector—not only survives but thrives. It is a win-win for all us.

I do not believe that more money is the answer or has to be the future of the NHS. A focus on prevention, on more care in the community and on an integrated health service that takes full advantage of the learnings available in the charitable and sometimes private sector can provide solutions to reduce pressure on the frontline services. All of that is deliverable, but only a Conservative Government will deliver it.