Ambulance and Emergency Department Waiting Times

Jack Brereton Excerpts

Wednesday 6th July 2022 Westminster Hall

[Jack Brereton (Stoke-on-Trent South) (Con)]

I start by thanking all our NHS and care workers, who do an incredible job every day in dealing with the huge pressures on our local health services.

As I have said on a number of occasions, we are seeing significant challenges in north Staffordshire with ambulance delays and demand at the Royal Stoke A&E. Many of my constituents have contacted me after waiting for many hours for an ambulance. I have had to intervene on more than one occasion to get West Midlands Ambulance Service to respond to patients who have waited for 12 hours or more.

It is totally unacceptable for elderly and vulnerable people to be left to suffer without the emergency response that they need. Ambulances are now frequently queuing up outside the Royal Stoke A&E due to the lack of space to admit people. Our experience is similar to that of many other Members, with occupancy levels in the Royal Stoke hospital at over 90% much of the time. Despite the efforts to increase flow through the hospital, we still see too many patients fit for discharge not being able to be discharged, due to the lack of social care beds or not having care packages in place.

The availability of social care places across Staffordshire has continued to be significantly affected by covid, with homes locked down to new admissions, and a number of places have been lost due to quality and staffing issues. Our health and care services are still being impacted by the effects of the pandemic, and work to recover them from the pandemic is ongoing. What is clear is that these pressures cannot be sustained and that the situation must improve, but there are multiple causes that cannot simply be fixed overnight. Many of the pressures in the local health care system predate the pandemic. These relate to the period when the new private finance initiative hospital was built by the last Labour Government. That hospital has fewer beds and faces more demand following the Stafford Hospital scandal—also under Labour’s watch—as well as the amalgamation of Staffordshire Ambulance Service into West Midlands Ambulance Service.

We must address some of these deep-seated challenges. I commend the Government’s work to invest £36 billion in our NHS and care services, which are record levels of Government investment. However, this is not just about more money. We will not put our health and care services on a sustainable path by just pumping in more money. We must also use the opportunity that this investment provides to fix some of the wider systemic problems.

One of my constituents who is a student paramedic contacted me this week. He described the huge overcrowding at the Royal Stoke A&E and on occasions having to spend his whole 12-hour shift with frail, elderly and vulnerable patients just waiting outside A&E to be admitted. He hits the nail on the head when he said that many are turning to A&E and calling ambulances due to failures to properly manage their conditions in the community, with the challenges of accessing primary care. Accessing primary care and GP services are all too common problems, with people needing to resort to far more costly acute and secondary care.

I do not doubt that many working in primary care are equally overloaded and are doing their best to support patients, but primary care services need to be prioritised more. Access to primary care in our communities needs to be improved, as this is the route to greater prevention and earlier intervention to reduce some of the demands on the wider healthcare system. I very much support the improvements that the Government are making through the Health and Care Act 2022, which will help to better integrate healthcare services with integrated healthcare systems, which went live from the start of this month. I hope that the key focus of our ICS in Stoke-on-Trent and Staffordshire will be on better integrating primary, secondary and social care, so that we develop a more patient-focused service. That requires all healthcare partners, and partners more broadly, to work together. We must see greater collaboration to help to address some of these challenges.

Key to reducing demand will be greater prevention and early intervention, whether in physical or mental health. This will also very much rely on communities and the charitable third sector, which have much to give when it comes to prevention of illness and improving quality of life. Pharmacies can also do more, and I was pleased to attend the event in Parliament just down the corridor from here yesterday to support pharmacies. As the Minister knows, I have also raised before the keenness of Staffordshire Fire and Rescue Service to do more to help West Midlands Ambulance Service out. It has first-aid trained professionals; indeed, those professionals are already responding to more minor emergencies in some parts of the country when demand on the ambulance service is high.

For north Staffordshire, it is also particularly vital that we see the delivery of the four proposed integrated care hubs, especially the one in Longton in my constituency, completing the second phase of the new Longton primary care centre. These will bring together healthcare services and significantly improve access to NHS and care services right at the centre of the community. We have been talking about those improvements and going through consultation after consultation for far too long. We need to get on and deliver them. I very much hope the new community diagnostic hub will also be located on the site in Longton in a new, purpose-built facility.

Overall, what is most important is that we continue to support the NHS and care workforce and ensure the necessary investment that the Government have committed so that we see more of those doctors and nurses directed straight on to the frontline. I will continue to support our local NHS system in Stoke-on-Trent and Staffordshire.