NHS Funding Bill

Dehenna Davison Excerpts

2nd reading & 2nd reading: House of Commons
Monday 27th January 2020 Commons Chamber

[Tom Hunt (Ipswich) (Con)]

This is the second time I have addressed the House since my maiden speech. I wish to touch on the important issue of NHS funding and the need to ensure that my constituents in Ipswich get the best possible deal. I welcome the Bill, which will give our NHS the biggest cash increase in its history. The money will support the delivery of our NHS long-term plan and the 40 new hospitals, 50,000 more nurses and 6,000 more doctors that we promised in our manifesto. Of course, all that will be built on solid Conservative economic foundations.

I will work hard to ensure that Ipswich receives its fair share of the funding, which is so important because the disparities between Ipswich and East Anglia and the rest of the country are real and often pronounced. CCG funding per patient is more than £100 lower in Ipswich and East Suffolk than the average in England. We must keep an eye on the funding formula to ensure that areas including Ipswich get the funding for the services they need. That includes GP services, in respect of which our GP-to-population ratio has fallen behind and many local residents say that they struggle to get an appointment when they need one.

In this Parliament we have a unique opportunity to make a real difference to parts of the country that have felt left behind. I will do everything I can to ensure that that message is heard loud and clear.

[Dehenna Davison (Bishop Auckland) (Con)]

Does my hon. Friend agree that as part of that levelling-up priority, it is really important that we restore some of our services and existing hospitals, such as the A&E at Bishop Auckland Hospital?

[Tom Hunt]

Absolutely. The levelling-up agenda touches many parts of the country, including not only the north of England but East Anglia. I agree with my hon. Friend.

I wish to take this opportunity to touch on a recent CQC inspection report on the East Suffolk and North Essex NHS Foundation Trust. The trust was formed following the merger of Ipswich and Colchester hospitals in July 2018. The inspection gave the trust a rating of “requires improvement”, which is of course disappointing, but had just one of the 80 inspection criteria been different, the trust would have received a “good” rating. We should hesitate before we draw direct comparisons between the previous inspection five years ago, which rated Ipswich Hospital “good”, and the latest inspection, which also covered Colchester Hospital, which was previously rated as “requires improvement”. Nevertheless, the report’s recommendations for improvement will be important to bear in mind as we consider health funding going forward.

The report mentioned cutting referral waiting times, improving capacity for emergency mental healthcare, and ensuring that staff have the right training to provide patients with the correct care. All those aspects must be priorities, so I welcome the provision in the NHS long-term plan for better training opportunities for NHS staff, as well as additional staff and funding for mental health services. I trust that the Government will closely consider the specific needs of Ipswich and East Anglia as the plans are moved forward in the interests of levelling up the whole country.

Planning permission has recently been approved for a brand-new £35 million A&E department at Ipswich Hospital, which is expected to open in spring 2020. I look forward to an invitation to cut the ribbon. The new department will make a real difference for the more than 100,000 people it will treat every year. I hope the Government will recognise that and continue to support further significant upgrades in Ipswich.

Investment has been confirmed for a new orthopaedic centre in the East Suffolk and North Essex Trust area by 2024, and I know that many in Ipswich are concerned that it may be located in the centre of Colchester. I want my constituents to know that I will closely monitor the developments around the new orthopaedic centre to ensure that they will be able to access services smoothly and with minimal disruption. I will endeavour to ensure that if the orthopaedic centre is located in Colchester, patients will have to go there only for main operations, and that all other appointments should be made in the hospital closest to them.

The key point is that those twin investments—the A&E department in Ipswich and the new orthopaedic centre, wherever it may be located—may not have happened had a merger into a single trust not taken place. The merger of Ipswich and Colchester hospitals has the potential to provide a critical mass when it comes to delivering the resources that local people need for their health and wellbeing. A further example of that is that, since the merger, radiotherapy treatments for cancer patients in Ipswich have been maintained in Ipswich at the same rate, when there were fears that they might have been moved elsewhere. In addition, the staff vacancy rate, which was 12% before the merger, is now 9%.

I call on the Government to further communicate the benefits of the merger, to give people confidence in the system and to give them every reassurance that both Ipswich and Colchester hospitals can improve together. Rather than there being a situation in which one hospital drags another down, it must be the case that when two hospitals come together, the good one drags up the one that is struggling. It must not be the other way round. I will continue to have a watchdog role in respect of the merger. Some of the initial improvements, particularly the new A&E department in Ipswich, are positive, but I will not hesitate to question any developments that may not be in Ipswich residents’ interests.

Before I move on from the recent inspection report, it would be remiss of me not to congratulate our local NHS staff in Ipswich, who have been identified as delivering outstanding practice in critical care, maternity services and community health in-patient services, as well as good levels of practice in many other areas.

I also wish to pay particular tribute to members of the Indian community in Ipswich, who fill many roles in our local NHS services. Their commitment and dedication to their work is unquestionable. The role that the Indian community plays in our local NHS is one of the driving reasons why I wish to express my wholehearted support for the Government’s plan to attract the top talent from around the world to work in the NHS after Brexit, to help provide vital services on which we rely every day.

It is important that we prioritise those who have the most to contribute. I am glad that the Government have identified this as a priority component of a new Australian-style points-based immigration system that we will bring in, with a preferential visa system for those seeking to work in the NHS.

I recently met the chief executive of Ipswich hospital and have been invited to visit the hospital shortly to meet all the hard-working staff. I look forward to hearing further about how we can work together to improve the hospital that we all care for so passionately.

I wish to make one final key point on NHS resources, which is incredibly important to my constituents and to the public as a whole. Earlier, I mentioned Ipswich’s new A&E department. The business case for this project took almost a year to approve, when it should have taken a matter of months. For every month of delay, I understand that the cost to the taxpayer was around £167,000, which is mainly due to inflation and increased building costs. I am well informed that the approval process for big NHS capital schemes is too archaic and that part of the problem is a merger of NHS Improvement and NHS England and that the new organisation has not had time to streamline its approvals process.

As well as additional investment, we must ensure that hard-earned taxpayers’ cash is being used efficiently at every stage of healthcare provision. I urge the Government to take this into account, too, as we Conservatives continue our long and proud stewardship of the NHS.

--- Later in debate ---

[Dehenna Davison (Bishop Auckland) (Con)]

I pay tribute to my colleagues who made some excellent maiden speeches today, including my hon. Friends the Members for Darlington (Peter Gibson) and for Ashfield (Lee Anderson), both of whom I am very pleased to call friends. I am pleased that this excellent Bill is being spearheaded by my right hon. Friend the Health Secretary. I hope that he remembers as fondly as I do his trip to Bishop Auckland in December and how warm the responses were on the doorsteps. I hope, too, that he remembers the strength of feeling locally about the future of Bishop Auckland hospital.

As I said in my maiden speech, the NHS is at the very heart of the Conservative party and I am proud to support this Government, who are responsibly stewarding the NHS as they have done for 44 of the 71 years that the NHS has existed. Whatever the Opposition may try to peddle on Facebook, under a Conservative Government the NHS will always remain free at the point of use for all those who need it.

I welcome the record NHS funding from the Government and the bold step to enshrine that funding in law with this Bill. The additional £33.9 billion funding increase represents a 30% increase between 2018 and 2024, which will help to secure the long-term future of our NHS, and demonstrates the Government’s commitment to funding our NHS and public services properly. This landmark investment has been possible only as a result of the Government’s efforts to build a strong economy over the last 10 years. Let us not forget that it was the Labour Chief Secretary to the Treasury who left a note saying:

“I’m afraid there is no money.”

Let us also not forget that it was Labour who maxed out our credit cards with crippling private finance initiative deals that our local NHS trusts are still struggling to pay off.

I welcome the NHS long-term plan, which has prevention at its heart. That is why the biggest uplift in spending will be an extra £4.5 billion for primary medical and community health services. On top of that, the long-term plan commits to improving detection, with more targeted screening and rapid access diagnostic centres, so that in 10 years’ time, these measures will help 55,000 more people to survive cancer each year and the prevention of up to 150,000 heart attacks, strokes and dementia cases. I also welcome the fact that the NHS long-term plan will deliver on our manifesto commitments to build 40 new hospitals across the country, as well as investing in hospital upgrades with the biggest investment in hospital infrastructure in a generation.

There are areas where we must also ensure that we use our existing infrastructure efficiently. Locally, one of the best things that Labour did was to build Bishop Auckland hospital, but undoubtedly the worst thing that it did was to allow services to be stripped away, including shamefully, allowing the trust to close the A&E in 2009. As a result, in Bishop Auckland and Barnard Castle, our local hospitals sit with empty, unused wards, while Durham and Darlington see frequent overcrowding and patients struggling for beds. These underused hospitals are not draughty, old, imposing buildings on their way out, but bright, shiny, airy buildings that have a welcoming and warm environment.

Due to the strength of public feeling, I put local healthcare provision at the centre of my election campaign. Bishop Auckland hospital should be a focal point for healthcare in our community, where a wide variety of healthcare services are available for residents right across our area. That is overwhelmingly what residents want, but the ongoing removal of services does precisely the opposite.

[Mr Richard Holden (North West Durham) (Con)]

I support my hon. Friend and neighbour in her campaigning for Bishop Auckland hospital—I am behind her 100% on that. Will she also mention the support that she will be giving me for our rural services, particularly Shotley Bridge hospital, which needs an urgent rebuild as well?

[Dehenna Davison]

Absolutely—that is exactly why I talked about making sure that we make the most of our existing infrastructure. I would love to work with my hon. Friend on that, too.

I am committed to fighting the tide of the removal of services wholeheartedly, because Bishop Auckland hospital is a lifeline for my constituents, especially those in our rural communities. At the weekend, I attended the local NHS trust consultation on moving the award-winning stroke rehabilitation unit. It would move to an overcrowded hospital and be combined with a busy, stressful acute ward that is not conducive to recovery. Frontline staff have contacted me to express their opposition. The public are expressing theirs and I was proud to stand up at the meeting and express my opposition and how I will fight against the ward closure.

I am really grateful to my right hon. Friend the Health Secretary for meeting me to talk about this issue, and I will continue to work with him to ensure that part of the increased funding provided in the Bill will go to Bishop Auckland hospital and enable it to become the local focal point of healthcare again. Bishop Auckland residents should know that I will fight tooth and nail to save our services and restore our A&E. The Bill will certainly help in that fight, and I am delighted to speak in favour of it.