A and E Departments Debate
Full Debate: Read Full DebateGerald Howarth
Main Page: Gerald Howarth (Conservative - Aldershot)Department Debates - View all Gerald Howarth's debates with the Department of Health and Social Care
(11 years, 6 months ago)
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The hon. Gentleman makes an important point. We have failed as an NHS to give the public confidence in there being anything between an A and E department and a GP surgery. Whether they are urgent care centres or other centres, the public do not have that confidence and do not understand their role. We need other things, besides those two extremes, and to do a better job of informing the public about how they work. That is part of the reason for reforming primary care.
May I invite my right hon. Friend to visit Frimley Park hospital, which serves his constituents and mine? I went there on Friday and saw the magnificent new A and E facilities in which it has invested. Yes, it has been under pressure in the past year or so, but it has managed and the out-of-hours service is being provided by GPs. I encourage him to come and see what a magnificent service is provided. Its excellent chief executive, Andrew Morris, raised with me the question of the tariff. Will my right hon. Friend explain a bit more his proposals to recompense hospitals such as Frimley Park, which are doing a fantastic job in A and E, for the additional burden they have had to assume?
I agree with my hon. Friend: Frimley Park is a terrific hospital and Andrew Morris a first-class chief executive. In fact, I am visiting Frimley Park in the next month and I will certainly have that discussion with him. My hon. Friend is right that one issue that A and E departments frequently raise is the tariff and the fact that they get paid only 30% of it for any A and E admissions over the 2009 baseline. That was why NHS England announced an important change a few weeks ago. Previously, hospitals had no say over how the money that is withheld from them is spent—it is meant to be used to reduce demand. We are now setting up urgent care boards, and hospitals will have a seat round the table to ensure that the money is spent in a way that reduces pressures on their A and E departments.