Healthcare in Essex

Eleanor Laing Excerpts

Monday 5th November 2018 Commons Chamber

Motion made, and Question proposed, That this House do now adjourn.—(Iain Stewart.)

[Madam Deputy Speaker (Dame Eleanor Laing)]

I call Robert Halfon.

--- Later in debate ---

[The Minister for Health (Stephen Barclay)]

I congratulate my right hon. Friend the Member for Harlow (Robert Halfon) on securing the debate and on securing an early visit from the Secretary of State. As the whole House knows, he is passionate about the future of the Princess Alexandra Hospital in Harlow and he has raised this issue assiduously in a number of debates and interventions in the House. As he referred to, we had a very productive meeting with the hospital chief executive in June, when we discussed a range of issues, including the workforce and services offered at the hospital. That is in addition to an earlier Adjournment debate, as well as an Adjournment debate with my predecessor a year ago and exchanges at Health questions. On behalf of his constituents, he has brought these issues to the attention of the House extremely effectively.

I also place on record that I very much recognise that these issues are extremely important to Epping Forest as well, Madam Deputy Speaker. I know how assiduously you have campaigned on behalf of your constituents. Indeed, this is an issue that Members across Essex and Hertfordshire have spoken up on. That was reflected in previous debates and was reflected in the contribution from my hon. Friend the Member for Chelmsford (Vicky Ford). As we all recall, she was instrumental, as were other Essex MPs, including my right hon. Friend, in securing the new medical school, which, as she said, will help us to deliver the extra doctors to go with the buildings and capital spend, which we are discussing today.

As my right hon. Friend is aware, but for the benefit of the House, we have the sustainability and transformation fund as part of the Government’s commitment to upgrading the NHS estate. This investment will modernise and transform the NHS’s buildings and services, with the money going towards a range of programmes. This is part of the Government’s commitment to spending £3.9 billion on capital investment in buildings and facilities by 2022-23 and alongside the £20.5 billion a year extra that my right hon. Friend referred to. This investment—the biggest ever in the NHS—reflects the fact that the NHS is the public’s No. 1 priority, as indeed it is the Government’s No. 1 priority, and is an indication of the Prime Minister’s personal commitment to funding the NHS and ensuring it is fit for the future.

My right hon. Friend will be aware that the application window has now closed. I know that considerable work was done following the earlier application when a bid of between £500 million and £600 million was submitted. I am sure he will recognise that this was a significant sum but that the further work has brought it closer to the £330 million, and officials in NHS England and NHS Improvement are working closely with the Department to evaluate that bid alongside the other bids. As I mentioned in the previous debate, all bids will be assessed against standard criteria, including their value for money and contribution to transforming services and managing demand sustainably, as well as demonstrating their fit within a wider STP level estate strategy.

My right hon. Friend asked about timescales. The timescales are as previously referred to, with the commitment to decisions being made in the autumn. That position has not changed.

It is worth remembering that STP funding is only one element of support available to trusts. In 2017-18, the trust was successful in securing £2 million of emergency department capital funding to support the redesign of the emergency department. This funding was targeted to improve facilities and support improvements, including investment in paediatrics and the emergency department. In this financial year, capital funding to support winter pressures is also available to the trust, and this funding is part of the £145 million given to 80 NHS trusts across the country ahead of winter to improve emergency care. I understand that this money is earmarked for increasing bed capacity.

As we discussed in the summer, the trust recently exited special measures, with two thirds of services moving to a good or outstanding rating. This is a big achievement, and I know that the focus for 2018-19 is to achieve a good rating from the Care Quality Commission. My right hon. Friend has spoken about this in previous debates, and I join him once again in paying tribute to the staff who worked so hard to take the trust out of special measures.

It is clear that the hospital is a vital element of the local economy. I know that the Princess Alexandra Hospital NHS Trust has been working hard to improve recruitment and retention, and I am pleased that this is still a focus for it. The hospital is one of Health Education England’s nursing associate pilot sites through its lead partner, Hertfordshire Partnership University NHS Foundation Trust, and I am aware of plans for a huge expansion in the numbers of nursing associates through the apprentice route, which will positively impact on the work of the trust.

As I am sure the House is well aware, my right hon. Friend, like me, is a keen supporter of apprenticeships. I know that the hospital has taken on apprentices in the last year but that the number of apprentices is well below the target. It should be noted that any nursing associates in training as part of the scheme I just mentioned will not be included in the apprentice figures. As of April 2018, we know of 18 apprentices starting at the hospital, against a target of 76. I am keen to work with my right hon. Friend to continue the work that he has done in the House to ensure that the hospital meets that apprenticeship target. Both he and I are strongly committed to bringing more apprentices into the workforce.

My right hon. Friend referred to the Harlow science hub campus programme. Partly as a result of his campaigning, there will be a new public health campus in Harlow, at a cost of about £400 million. Not only are the Government making a significant contribution to the NHS, but the fact that the project is still on schedule—and by 2024, following a phased opening from 2021, approximately 2,700 staff will be based there—is a significant tribute to the work that my right hon. Friend has done, along with others, in securing a much-sought-after commitment to Harlow. I know that Public Health England and the Princess Alexandra Hospital have been discussing the opportunities that will arise as a result of the move to Harlow, and I hope to hear more about that soon.

I commend the work that my right hon. Friend is doing to raise support for the STP bid by the Princess Alexandra Hospital Trust. He has raised the estate issues faced by the trust on more than one occasion in the House, and in meetings with the Secretary of State and me, and I know that he raised them with my predecessor as well. We recognise that the hospital estate is in poor condition, which is why I am pleased that the trust has submitted the revised STP bid. I am also pleased that money was made available last year, and will be made available again this year, to make improvements to the hospital in the interim.

I look forward to continuing to work on this issue with my right hon. Friend, and to working on the future of the NHS in Harlow as well as the surrounding region. As has been made clear again this evening, Madam Deputy Speaker—alongside your own work—the patients and staff of the hospital can be confident that they could have no better champion than my right hon. Friend, who has campaigned to secure this much-needed investment.

[Madam Deputy Speaker (Dame Eleanor Laing)]

What an excellent, meaningful, well-targeted debate.

Question put and agreed to.