NHS Capital Spend and Health Inequalities

Edward Argar Excerpts

Tuesday 22nd March 2022 Commons Chamber

[The Minister for Health (Edward Argar)]

As ever, it is a pleasure to be here at the end of the day for the Adjournment with you in the Chair, Madam Deputy Speaker—I may jest slightly, but these Adjournment debates are hugely important, as you know, because they give an opportunity to raise matters of genuine local importance to Members of this House, as my hon. Friend the Member for Telford (Lucy Allan) has done.

With that in mind, I congratulate my hon. Friend on securing this debate, and on her passion and commitment to her constituents. She has raised these issues consistently in this House, both in the Chamber and in Westminster Hall debates, and I pay tribute to her for that. She is a strong and passionate campaigner on behalf of her Telford constituents, and they are extremely lucky to have her as their Member of Parliament.

Occasionally, as a Minister, one may catch one’s breath slightly when one sees an Adjournment debate in my hon. Friend’s name on this subject in the Chamber, because one knows she will press her constituents’ points hard, which is exactly what she is here to do. That is why they have wisely elected her three times now to this place. I know her determination on behalf of her local hospital and her constituents, and I gently say to her local trust that it ignores or dismisses that at its peril—something I have learned doing this job for two and a half years. I hope she will feel that I have never ignored or dismissed the points she has raised.

I will turn to the national picture on capital spend before turning to my hon. Friend’s specific points. This Government are prioritising capital spend in the NHS to transform and improve healthcare outcomes for people and to put health financing on a sustainable footing. We are building new hospitals, upgrading those that have reached or are reaching the end of their life and tackling backlog maintenance and RAAC—reinforced autoclaved aerated concrete—challenges in hospitals. We are also improving the mental health estate, investing in technology, the digitisation of the NHS, elective recovery and research and development.

It is our firm belief that health services will need to do things more efficiently and differently from before, and for that reason the DHSC’s capital budget is set to reach its highest real-terms level since 2010: £32.2 billion for the period 2022-23 to 2024-25. My hon. Friend mentioned the importance of improving our diagnostics facilities. This Government are proud to have invested £2.3 billion in the community diagnostic centres programme. Some £5.9 billion of capital investment will be provided for the NHS to tackle the backlog of non-emergency procedures and to modernise digital technology to tackle waiting lists, including £2.1 billion for the innovative use of digital technology, and £1.5 billion for new surgical hubs, increased bed capacity and equipment to help elective services to recover, including surgeries and other medical procedures, as well as the community diagnostic centres that I have referred to previously. Based on increasing demand and patient convenience, the CDCs aim to carry out the range of diagnostic tests required for a patient in as few visits and in as few locations as possible, and they genuinely have the potential to improve health outcomes.

My hon. Friend talked about health disparities particularly in the context of her own constituency, sitting within our country but also within the county of Shropshire. She is right to say that health disparities across the country are stark and have been further highlighted and exacerbated by the pandemic. We are determined to address the long-standing health disparities that exist in many areas, be they in access to services, health outcomes or people’s experience of their local health service. To that end, later this year we will publish a health disparities White Paper setting out actions to reduce the gap in health outcomes between different places and communities across the country so that people’s backgrounds do not dictate their prospects for a healthy life ahead of them. This will mean looking at the figures for preventable killers such as tobacco and obesity as well as wider causes of ill health and access to the services needed to diagnose and treat ill health in a timely, accessible way. This will be a cross-system endeavour relying on close working with the NHS, wider health and care services, and across local and central Government. I welcome any thoughts my hon. Friend has in her local context as we develop that White Paper.

Let me turn to my hon. Friend’s two specific points relating to her health and care system. She highlighted her campaign to retain a 24/7 A&E local in Telford. As she said, in 2019 my right hon. Friend the Member for West Suffolk (Matt Hancock) made his decision, which still stands, for the Future Fit programme to proceed, but also, crucially, for an A&E local to be in place in Telford. It is very important that I put this on the record. The success of my hon. Friend’s call—the fact that that was agreed to—is down to her campaigning work on behalf of her constituents. I suspect that without her, it may not have happened. The fact that it has, as I believe was confirmed by my right hon. Friend the current Secretary of State in a letter to her recently, is testament to the success of her campaign, regardless of some of the more misleading views that have been spread around in the course of this process. She has succeeded. She has campaigned for her constituents and she has won on this point, and I pay tribute to her.

On my hon. Friend’s second key point about the Future Fit programme more broadly, and the budget available to it, she will be aware that as of this month £1.1 million has been made available to the trust to continue the development of that programme as part of the £6 million-worth of early funding agreed in late 2020. NHS England and NHS Improvement continue to work with her local trust to develop the business case for that programme, and we still wish them to go ahead with it. We want them to work to come up with the right solution for the local community, and we remain committed to that. My hon. Friend asked a very specific point about that. It will have to follow the usual business case approvals process.

We are clear that the £312 million that my hon. Friend alluded to remains, as it was at the outset, the maximum amount currently allocated to that programme. It reflects the original allocation and continues to be the allocation, so I encourage her trust to continue working with NHS England and NHS Improvement to develop a scheme and a programme that matches that budget for the benefit of everyone’s constituents in Shropshire and in Wales, who this hospital also serves.

I look forward to continuing to work with my hon. Friend and other hon. and right hon. Members from Shropshire and Wales on the future of services at Shrewsbury and Telford. I conclude by once again paying tribute to my hon. Friend for her passion, her determination and her perseverance on behalf of her constituents.

Question put and agreed to.