Accident and Emergency

Guy Opperman Excerpts

Wednesday 18th December 2013 Commons Chamber

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

What we have heard today is a deeply unconvincing attempt by the Opposition to turn A and E into a political football. As a former Health Secretary who missed his own target for 14 of the 26 weeks that covered winter, the shadow Secretary of State should know better than to run down the phenomenal achievements of hard-working NHS staff at this busy time of year.

The right hon. Gentleman threw out numerous statistics—[Interruption.] He asked me to give him some answers, so he should just listen. He threw out numerous statistics, but let us look at the facts he chose not to mention. First, given that A and E departments across the United Kingdom face similar demographic challenges and have similar structures and targets, a comparison with Wales is instructive, not least because, with a Labour-run Government, it is following policies that are closer to those that he favours. The most recent full-month data available for both countries show that England hit the target, with 95.7%, but Wales missed it, with 90.4 %. Last year, England hit the target, with 95.9%, but Wales missed it, with 87.7%. In fact, Wales has missed it every single year since 2009. He also talked about ambulance times. In October, the figure for England was 74.6%, and for Wales 65.2%.

The right hon. Gentleman used some strong language. He talked about complacency and crisis. Will he now demonstrate that those comments were not shallow point scoring by making the same criticisms of Labour in Wales? If not, the House will see those comments for what they are: a hollow attempt to turn an operational challenge—one that he faced, that I face, and indeed that all Health Secretaries face—into a political argument regardless of the impact on patients or staff. Vulnerable people are relying on our emergency services this winter, so to whip up fear and run down performance, as he has done, is frankly shameful. It is putting politics before patients, and not for the first time from the Opposition Benches.

If the right hon. Gentleman does not want to talk about Wales—[Interruption.] I will move on to that later. If he does not want to talk about Wales, let us look more closely at England. Again, the statistics he did not want to share with the House show that NHS A and E departments are actually performing much better than when he was Health Secretary.

[Guy Opperman (Hexham) (Con)]

Does the Secretary of State welcome the example being shown by the award-winning Northumbria NHS Trust, which is building a brand-new specialist emergency care hospital in these difficult times, offering 24-hour cover seven days a week with consultants? That idea preceded the Keogh review and shows the way forward that A and E should be taking.

[Mr Hunt]

My hon. Friend is absolutely right. Huge progress is being made on the ground to deal with the challenges, and under a lot of pressure, and that is why we need to use language responsibly, rather than using the kind of hyperbole we have heard this afternoon.

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[Mr Hunt]

I would urge him to urge his own MP to back this Government’s initiative to introduce seven-day GP surgery opening in pilots in every single region of the country, and to back plans like those in north-west London, where seven-day GP opening has been introduced—for which we have not had support from Labour.

[Guy Opperman]

Does the Secretary of State agree that prevention is the most important thing to alleviate A and E pressure, and that the simplest thing we can do is to encourage the populations in all our constituencies to take up the flu jab, which will prevent a large number of people going to A and E?

[Mr Hunt]

My hon. Friend is absolutely right. This year we have extended flu jabs to two and three-year-olds because we think that prevention is better than cure.

We have been looking at other causes of the long-term pressure on A and E, such as Labour’s 2004 GP contract. The right hon. Gentleman spent the past year telling this House that that contract, which scrapped named GPs, has nothing to do with the problems in A and E. This is despite what nearly every A and E department in the country is talking about—namely, the pressure being caused by poor primary care alternatives, particularly for the frail elderly. What did he tell Sarah Montague on the “Today” programme when we reversed that GP contract and brought back named GPs for the over-75s? He conceded to her, as he never has in this House, that our changes which reversed that contract would help A and E, so he is finally accepting on the radio what he does not accept in this House and what A and E staff have been saying for months—that having someone in the community responsible for frail elderly will help.

--- Later in debate ---

[Guy Opperman (Hexham) (Con)]

As a jockey, I spent far too much time in A and E departments after coming off race horses. Once, I wandered into Leicester hospital with a broken collarbone and four bones sticking out of my shoulder. On another occasion, I spent a long time with a cut kidney and lost a spleen at Warwick hospital—I thank Dr Mike Stellakis and his team for saving my life that night. Also, two years ago, I collapsed in the House and spent a night in St Thomas’ with a young but capable bunch of A and E doctors. I thank them all and put on the record this Christmas the huge effort made by all our public sector staff, particularly in the NHS.

In Northumberland, we feel that we are leading the way in health care provision. Begun under the previous Government, that has continued under this one. Haltwhistle is a small cottage hospital that in the olden days would have been shut, but which now is being rebuilt as an integrated NHS and local authority facility. It is the first of its kind in the country, it is utterly transformative and it is exactly what the NHS and the local authority should be doing with old buildings, although I urge the trust to resolve the contracts that are not yet resolved. When I visited it last week, however, I saw that it was a truly innovative building and that it would be a great addition.

Hexham A and E is also a fantastic building. This November, I worked there as a hospital porter, and I thank Barry, the head porter, who has worked there 31 years, for keeping me in line and ensuring I did not put anything in the wrong place. Then there is Cramlington, an innovative, pre-Keogh assessment health care centre being built for the north-east. It is a perfect example of where we should be going: a 24-hour, seven-day-a-week, consultant-led facility. As an A and E specialist care facility, it is exactly what Keogh is talking about. Interestingly, it was planned under the previous Government and is being brought forward under this one. It is exactly the direction we should be heading in.

I shall deal briefly with another issue. Northumbria has outstanding health care, but sadly North Cumbria is having some difficulties, and I urge the Secretary of State to expedite the merger of Northumbria and North Cumbria NHS trusts as soon as possible.

I turn now to ways we can keep our constituents and patients out of A and E. I have no spleen—it was kicked out of me by a three-mile chaser at Stratford—so every year I need the flu jab. Consequently, like pensioners, some young children and vulnerable adults, I went to get my flu jab last month at Haltwhistle GP centre. I thank Sarah Speed—it was not painful and took only five minutes. Tragically, however, at least 10% to 20% of the population do not take up the flu jab and are therefore likely to end up in A and E over the winter or possibly die. As constituency MPs, we must ram home their failure to take up the opportunity to deal with their own health care.

Finally, I turn to the hospice and dementia care systems in Northumberland. In the Charlotte Straker hospice and Tynedale Hospice at Home, we have two outstanding hospices, both of which I have assisted and one of which I have fundraised for. Both do a great job keeping people out of hospital. I should also mention the Age UK programme dealing with elderly people in my constituency. It is making a huge difference and ensuring that everyone becomes a dementia friend. Only through such actions will we bring about real change in our health care system.