Oral Answers to Questions

David Rutley Excerpts

Tuesday 25th November 2014 Commons Chamber

[David Rutley (Macclesfield) (Con)]

T7. Eighteen NHS trusts have been placed in special measures, while so far six have come out. What progress is being made with the other 12?

[Mr Hunt]

I am happy to answer that, because for the first time we have a proper independent inspection regime. Labour tried to vote that down so that we could not have it, but we pressed on. A third of these trusts have been turned round. We are making good progress across most of the other 12 hospitals in special measures, including 1,500 more nurses, 200 more doctors, and 53 changes at board level. Where there were problems before, we are sorting them out.

Physical Inactivity (Public Health)

David Rutley Excerpts

Tuesday 18th November 2014 Westminster Hall

[David Rutley (Macclesfield) (Con)]

It is a pleasure to serve under your chairmanship, Mr Weir. I congratulate the hon. Member for Blaenau Gwent (Nick Smith) on securing this debate on an important subject on which I know he has been campaigning for many years. Many of us have taken the opportunity to come to support him.

I draw Members’ attention to my interests: I am co-chair of the all-party group on mountaineering, a vice-chair of the all-party group on mountain rescue and secretary of the all-party group on national parks; there is a definite outdoor theme there. I will spend a few minutes discussing why it is vital to ensure that we tackle the challenge of physical inactivity, and how we can do even more by tackling it in an outdoor setting. Over the past few years, I have been passionate as a Member of Parliament about ensuring that we get people off the sofa and outdoors to be active. The good news is that we are making progress. We have had numerous debates; I secured a debate on outdoor pursuits recently, and in September the hon. Member for Ogmore (Huw Irranca-Davies) secured a debate on outdoor sport and recreation.

It is positive that we have been working closely with Ministers, particularly the Under-Secretary of State for Culture, Media and Sport, my hon. Friend the Member for Maidstone and The Weald (Mrs Grant), who takes a keen interest in the matter, and of course our very own Minister for public health, my hon. Friend the Member for Battersea (Jane Ellison), who is an example in that respect. She was kind enough to come to the Macclesfield area and High Peak, and we walked around Goyt valley and up on to Shining Tor, practising what she preaches by having a meeting outdoors, talking and walking. She is an excellent walker and a great ambassador for the issue. I commend her for the important work that she does.

Why are we doing this? As Members have highlighted, it is important to recognise that 30% of the UK population are inactive, compared with Scandinavia, where the figure is more like 8%. Clearly, there are other countries not very far away that have grasped the nettle better and more effectively than we have. A key report published recently, “Moving More, Living More”, suggests that the cost of physical inactivity is around £20 billion. We have a chance to reduce premature death. The importance of physical activity in tackling mental health issues as well has not been stressed as much in this debate as in other settings. The well-being aspects of walking and cycling, for example, are critical. Charities in my area, such as Age UK Cheshire East, make every effort to show people those well-being aspects.

It is good that we can take the agenda forward through Government and local authorities, but importantly, we can get more people involved in outdoor activities by bringing together various groups. Progress is being made; a year or two ago, we launched an important programme called “Britain on Foot”, and now a coalition of outdoor organisations including the Ramblers, the Youth Hostels Association, Living Streets, the British Mountaineering Council and the Outdoor Industry Association has published six key proposals for Government action on the outdoors.

The first and most important is that we need cross-government support for a long-term strategy on outdoor recreation. We need a strategy for promoting outdoor activities and tackling physical inactivity, just as we have one for sport. Interestingly, Sport Cheshire has now changed its name to Active Cheshire, an approach which I am sure has been mirrored in other parts of the country as well, to show that we need a more holistic approach. Yes, we have a sport strategy, but now we also need a physical or outdoor activity strategy to match it every step of the way. The aim is to get 1 million more people out of physical inactivity.

Another of the six key proposals is to increase opportunities for young people to be active outdoors; I know that the hon. Member for Blaenau Gwent is particularly keen on that. The work of the Scouts, the Guides and Duke of Edinburgh programmes provides clear opportunities. I hope that the Minister, in her winding-up remarks, will show her support for the six key proposals, as the Sports Minister has done. We need a cross-government approach to the issue. The Sport and Recreation Alliance’s report “Reconomics”, published earlier this year, says that we have a vast blue and green gym that we should be using more often. It is free. Let us get more people active outdoors.

Ebola

David Rutley Excerpts

Monday 13th October 2014 Commons Chamber

[Mr Hunt]

The hon. Lady makes an important point. The Under-Secretary of State for Health, my hon. Friend the Member for Battersea, has been in contact with the Northern Ireland Health Minister, and we will pursue discussions with the Republic of Ireland. Although the hon. Lady’s concern is legitimate and it is right that she has asked the question, it is important to say that the current assessment is that the risk level to the UK is low. I would imagine that the risk level in Ireland is similarly low, but that is ultimately a matter for the Irish authorities. At the moment, we are following a precautionary process just in case the risk level increases. We will of course involve colleagues in the Irish Republic in our assessment of those risks.

[David Rutley (Macclesfield) (Con)]

I am pleased that my right hon. Friend is focusing on the protection of health care workers in the vital work he is taking forward. Given that lessons are still being learned from cases in Texas and Madrid, what mechanisms are in place to update procedures when any new findings are brought into the public domain?

[Mr Hunt]

My hon. Friend is absolutely right that what happened in Dallas is of great concern. We need to listen to our colleagues in the Centre for Disease Control in the US as they try to understand exactly what happened. If they decide that we need to change the protocols for protecting health care workers, we will of course take that advice extremely seriously. At the moment, their scientific assessment is that there was a breach in protocol, not that the protocols were wrong. Until we identify what those breaches were, we cannot be 100% sure. We are working very closely with them and we have a good and close working relationship. We will update our advice to UK health care workers accordingly.

Healthier Together Programme (Greater Manchester)

David Rutley Excerpts

Tuesday 22nd July 2014 Westminster Hall

[Kate Green]

I absolutely agree with my hon. Friend, and the issue about democracy that she raises is one that we are all particularly concerned about.

[David Rutley (Macclesfield) (Con)]

I would just like to put it on record that my hon. Friend the Member for Altrincham and Sale West (Mr Brady), who cannot be here because of a commitment, shares concerns about the process and the way in which things are moving forward, which I think he has also expressed to the hon. Member for Wythenshawe and Sale East (Mike Kane). I just want to put it on the record that other Members are also expressing their concerns.

[Kate Green]

I am grateful to the hon. Gentleman for that contribution.

I am sure that my hon. Friend the Member for Wythenshawe and Sale East will talk particularly about the situation at Wythenshawe hospital, which is in his constituency, and our particular concern for the status of that hospital as a fixed-site specialist centre of excellence for a number of specialisms that matter not only to the population of south Manchester, or even to the population of Greater Manchester, but to the whole population of the north-west region. Some of those specialisms matter to the whole population of the north of England, and parts of Scotland too. It is deeply concerning to us that the Healthier Together consultation appears not only to be unaware of the difficulty of protecting those specialisms in the proposed process of remodelling hospital configurations, but to be completely unaware of the interdependency of specialisms and general acute and medical provision. If one element is removed from a cocktail of clinical support that is available to support high-level specialisms, those specialisms are completely undermined and eventually will probably be unable to survive.

I have a particular example of that process that I will draw to the Minister’s attention; it arises from my visit last week to Wythenshawe hospital and its highly regarded cystic fibrosis unit. The doctors and clinical staff there told me that the unit benefited from being part of a much broader, fixed-site specialist team, and indeed survived on that basis. It draws on a range of other specialisms around the hospital, including interventional radiology, transplantation, urology, nutritional support teams, gastroenterology, diabetes, endocrinology, ear, nose and throat services, obstetrics, extracorporeal membrane oxygenation and so on. Picking out some specialisms and moving them cannot be done in isolation, but Healthier Together does not seem to be aware of that at all.

Finally, as my hon. Friend the Member for Blackley and Broughton said, there are concerns about process—about how the public are being engaged in this debate. He said that we have a consultation taking place over the summer holidays, exactly as happened with the new health deal for Trafford, although we told them not to do that again, and during the working day. I understand that few people attended the public meeting in Trafford; I am not surprised, because it was difficult to know that it was even taking place. I would not be able to tell when it happened, because I was not notified directly, let alone my constituents.

--- Later in debate ---

[Mike Kane (Wythenshawe and Sale East) (Lab)]

It is a pleasure to serve under your chairmanship today, Mrs Riordan. It is also a pleasure to follow the hon. Member for Bury North (Mr Nuttall), who speaks with passion about his constituents, and the authoritative contributions from my hon. Friends the Members for Stretford and Urmston (Kate Green) and for Blackley and Broughton (Graham Stringer), whom I congratulate on securing a timely debate.

We have world-class health services in Greater Manchester. My constituency is home to University Hospital of South Manchester, which delivers services amounting to £450 million, employs 6,500 people and has 530 volunteers, who give up their free time to help patients and visitors. The hospital has several fields of specialist expertise, including cardiology and cardiothoracic surgery, heart and lung transplantation, respiratory conditions, burns and plastics, cancer and breast care services. Indeed, the trust is home to Europe’s first purpose-built breast cancer prevention centre, which I visited just a few weeks ago to see the unveiling of the new plaque dedicated to my predecessor, Paul Goggins, who worked so hard for the services at Wythenshawe. The hospital not only serves the people of south Manchester, but helps patients from across the north-west and beyond.

[David Rutley]

The hon. Gentleman speaks with passion and great knowledge about his local hospital. I was fortunate enough to be able to witness how good the services are at Wythenshawe, because I was whisked away when I spent a day with the North West ambulance service. I went in to see heart surgery taking place there, and it is first class. We must recognise that the care pathways that link Wythenshawe—or Stepping Hill, for that matter—to outlying hospitals outside the Greater Manchester area, such as Macclesfield, are vital. Does he agree with my hon. Friend the Member for High Peak (Andrew Bingham) that it is critical that the ripple-out effects of the consultation are taken into account?

[Mike Kane]

I cannot agree more. Wythenshawe hospital lies at the south of the conurbation and at the south of the area of the Healthier Together consultation. Being at the south of the conurbation and south of the River Mersey, it has traditionally looked to provide services to people in Cheshire as a whole, including the hon. Gentleman’s constituency.

[David Rutley]

I am sorry to take the hon. Gentleman’s time again, but I thank him for giving way. It is odd that there are at least two options—options 4.1 and 4.2—where there would be no hospital in the south, with neither Wythenshawe nor Stepping Hill. Does he agree that that would be a strange outcome that could endanger patient health?

[Mike Kane]

I agree. It would be odd not only for my constituency, but for constituencies to the south in the Cheshire belt and the Cheshire plain that those hospitals serve.

Wythenshawe hospital is very much looking to the future and its long-term sustainability. It is developing the Manchester MediPark in partnership with Manchester city council and private sector developers. MediPark will exploit the huge strengths of Greater Manchester and the north-west in health and life science services. Research and development forms a key part of the new Manchester airport city enterprise zone, which I had the opportunity of updating Members on only last week during my Adjournment debate on regional airports.

UHSM is recognised as a centre of excellence for research and development, and is a founding member of Manchester Academic Health Science Centre. The partners of the science centre share the common goal of providing patients and clinicians with rapid access to the latest discoveries and improving the quality and effectiveness of patient care. It is clear that the hospital is going from strength to strength, but I fear that the planned Greater Manchester Healthier Together proposals, to which my hon. Friend the Member for Blackley and Broughton referred, could fundamentally destabilise the trust and lead to a loss of its major emergency service, many of its specialised services, its trauma service and even its teaching status.

The additional reorganisation is set against the backdrop of the Government’s £3 billion reorganisation of the NHS, which has siphoned off money from the front line to pay for back-office restructuring. In the first three years of this Government, attendances at A and E have increased by 633,000, yet Trafford general, to which my hon. Friend the Member for Stretford and Urmston referred and which serves many of my constituents, has seen a downgrading of its A and E department. It has got harder to get a GP appointment since the Government scrapped the previous Government’s guarantee of an appointment within 48 hours, and cut funding for extended opening hours. That is a key cause of Wythenshawe’s A and E problems.

Oral Answers to Questions

David Rutley Excerpts

Tuesday 10th June 2014 Commons Chamber

[Dr Poulter]

We have had this discussion. A payments system that is almost 20 years out of date and is not funding patients according to clinical need or is not per head of population will not deliver good care. The payments system needs to be changed and NHS England is working with practices that are facing challenges to address those challenges and ensure that high-quality patient care can still be delivered locally.

[David Rutley (Macclesfield) (Con)]

T8. Following the recent speech by the new NHS England chief executive Simon Stevens about the important role of local hospitals, can my right hon. Friend confirm that district general hospitals such as Macclesfield will continue to play a vital role in delivering local health services in the years to come?

[Mr Jeremy Hunt]

I can confirm that. What my hon. Friend said was profoundly important. There is not an automatic link between size and quality. We know that for certain types of treatment, there is huge benefit in centralising services, as has happened for stroke services in London, but other services can be delivered extremely well at smaller units, and we will continue to support those.

Care Bill [Lords]

David Rutley Excerpts

Tuesday 11th March 2014 Commons Chamber

[David Rutley (Macclesfield) (Con)]

With 11 areas identified as having challenges to the health economy, will the Minister give reassurances that proper checks and balances are in place so that the TSA powers will be used only in isolated, limited and exceptional circumstances?

[Dr Poulter]

That is absolutely the case. It is absolutely wrong to conflate the fact—as Opposition Members are trying to do—that from time to time even good hospitals occasionally run deficits with the TSA regime. This is a power of last resort; it is not a power that is routinely used. Local measures are in place to support hospitals to get their finances in order and to ensure that where there are care quality problems, they are addressed promptly to the benefit of patients.

Oral Answers to Questions

David Rutley Excerpts

Tuesday 25th February 2014 Commons Chamber

The Secretary of State was asked—

[David Rutley (Macclesfield) (Con)]

1. What progress he has made on improving out-of-hospital care for the frail and elderly.

[The Secretary of State for Health (Mr Jeremy Hunt)]

We will ensure that everyone over the age of 75 has a named GP, responsible for delivering proactive care for our most vulnerable older people in the best traditions of family doctors. Through our £3.8 billion better care fund, we are also merging the health and social care systems to provide more joined-up health and social care.

[David Rutley]

I welcome the steps that my right hon. Friend is taking to improve and enhance the quality of care for the elderly. Given that east Cheshire has one of the fastest-growing ageing populations in the UK, will he tell the House what specific steps he is taking to improve out-of-hospital care in and around Macclesfield? Furthermore, does he agree that it is vital that appropriate funding is in place to take care of the elderly and most vulnerable patients?

[Mr Hunt]

May I congratulate my hon. Friend on the campaigning work he does in his constituency on health matters? I commend the Eastern Cheshire clinical commissioning group for its “Caring Together” programme and for the fact that Cheshire was selected as one of the 14 integrated care pioneers. I hope that it will blaze a trail in joining up the barriers that have bedevilled our health and social care system for too long, so that his constituents are not pushed from pillar to post because of arguments about budgets and people can be discharged on time. I think his area is blazing a trail.

Urgent and Emergency Care Review

David Rutley Excerpts

Tuesday 12th November 2013 Commons Chamber

[Mr Hunt]

The hon. Lady is absolutely right that the urgent emergency care we offer to people with mental health problems is not up to scratch and needs to be a great deal better. Different solutions will be appropriate in different parts of the country, but often going to a normal A and E is not the right approach. We need to consider whether, when people have such conditions, there can be better access to people who know them, their medical history and their condition and who are in a position to advise them in a way that means they do not end up doing what I have seen happening time and again in A and Es, where people end up as frequent fliers, going again and again to an A and E just because there is nowhere else to go. That is one thing that we are trying to sort out tomorrow.

[David Rutley (Macclesfield) (Con)]

We have heard a lot today about NHS A and E services in England. Will my right hon. Friend tell the House whether there are any lessons to be learned from A and E services in Labour-run Wales?

[Mr Hunt]

Wales has not met its A and E target since 2009 because the Welsh Government followed the advice of the shadow Health Secretary and cut the NHS budget by 8%.

Oral Answers to Questions

David Rutley Excerpts

Tuesday 16th July 2013 Commons Chamber

[Mr Hunt]

That is not quite a fair representation of what happened in the case of Lewisham, or indeed for Trafford, because I agreed to meet all local MPs regarding Lewisham. These things are carefully constrained by what is legally possible so as to be fair to all sides, but I met all Lewisham MPs. As the hon. Lady knows, I have agreed to meet her—I think that we are meeting later this afternoon—and I am sure that she will express the concerns of campaigners in Trafford.

[David Rutley (Macclesfield) (Con)]

T5. Integrating health and social care is an especially important priority in areas with the fastest-ageing populations. With that in mind, do Ministers agree that it is vital to support joined-up initiatives such as Caring Together in north-east Cheshire, which involves the local clinical commissioning group, council and NHS trust?

[The Parliamentary Under-Secretary of State for Health (Dr Daniel Poulter)]

My hon. Friend is absolutely right to highlight such initiatives. That was why the Government, as part of the Health and Social Care Act 2012, set up health and wellbeing boards, which bring together housing providers, the NHS, the third sector and social care locally so that they can look at how to improve and better integrate personalised care, especially for the frail elderly.

Oral Answers to Questions

David Rutley Excerpts

Tuesday 16th April 2013 Commons Chamber

[Dr Poulter]

It certainly sounds as though there is a need for an accident and emergency department in Kettering. These are matters for the local commissioning boards to take forward, but it would be wrong for the hon. Gentleman or anyone else to say that as part of the Healthier Together programme there are any site-specific proposals that would in any way threaten Kettering accident and emergency department.

[David Rutley (Macclesfield) (Con)]

T1. If he will make a statement on his departmental responsibilities.

[The Secretary of State for Health (Mr Jeremy Hunt)]

In a week when we are remembering the remarkable contribution made by Margaret Thatcher to our national life, we should also mark the extraordinary contribution made by someone else who died last week—Professor Sir Robert Edwards, the Nobel prize-winning doctor who pioneered modern IVF treatment. One in seven couples in this country experience fertility problems and he has given them hope and, in many cases, wonderful happiness. The whole House will want to applaud not just his scientific boldness, but his moral courage in confronting what was considered at the time to be an extremely difficult ethical issue.

[David Rutley]

In the light of the recent measles outbreak in south Wales, does my right hon. Friend agree that the claims made by Dr Andrew Wakefield about the MMR vaccine are both discredited and completely wrong?