Health Care (Gloucestershire)

Jack Lopresti Excerpts

Wednesday 19th March 2014 Commons Chamber

[Jack Lopresti (Filton and Bradley Stoke) (Con)]

First, I pay tribute to my hon. Friend the Member for Kingswood (Chris Skidmore) and congratulate him on securing this debate, and thank him for working closely with me on this matter, which is extremely important to our constituents. My remarks will focus on my local hospital, Frenchay.

Before I begin, I would like to declare a personal interest of sorts. I have had a lot of serious health issues over the past year and have spent a lot of time in and out of Frenchay hospital. I want to place on the record my huge thanks and appreciation to all the doctors, nurses and staff who looked after me and made me better while I was there. [Hon. Members: “Hear, hear.”] Thank you. I am pleased to say that I have now been given the all-clear and can get on with the rest my life. I do not think it is an exaggeration to say that I probably would not be here without all the care and treatment I have had over the past year, for which I will always be grateful.

Sadly, health care provision at Frenchay hospital is to be fundamentally reduced in May, when the main part of the hospital will close until 2016. Its out-patient and diagnostic services, and probably beds, will be relocated. The Independent Reconfiguration Panel has given advice to the Secretary of State and I fully understand that it would be unprecedented for him not to accept it. I am of course disappointed with the IRP’s decision, but it has made some extremely important points.

I am particularly concerned about which health services will be provided when and if Frenchay hospital fully reopens in 2016. The future health care provision in south Gloucestershire and the future of Frenchay hospital have gone through a terribly long, drawn-out process. There have been about 10 years of discussion and it is still not clear what will happen in the future.

The previous Labour Government made the changes in 2005, when a vision was set out for health services in the Greater Bristol area, which included plans for a community hospital at Frenchay. Five years later, in 2010, the “emerging themes” proposals for health care in the area again promised a community hospital at Frenchay and we were told that the acute care services would move to the new acute hospital at Southmead.

We were told that the community hospital at Frenchay would have step-down and step-up services. The step-down service would be for patients who received surgery at the new Southmead hospital and were moved to their local community hospital prior to going home. That was in order to reduce the number of beds required at Southmead and to enable family and friends to visit patients more easily during their convalescence. Step-up patients are those who require hospitalisation for more minor matters but who do not require the full services of an acute hospital. The bed numbers for the new Southmead hospital were planned on the basis of community hospitals such as Frenchay being available for more minor matters.

In total, it was recommended that there would be 68 beds at Frenchay. There was also going to be a range of out-patient services and diagnostics and an enhanced community health service in order for care to be provided at home. On top of that, there was going to be space left on the site for a doctors’ surgery, extra care housing and possibly even a nursing home.

That was fine: it was not what local people wanted, but at least it was a clear plan with clear objectives. However, in July 2012 the primary care trust and the clinical commissioning group began to change their minds, but they did not fully update the South Gloucestershire council public health and health scrutiny committee until April 2013. At this point, they also confirmed that a stocktake was being taken of out-patient and diagnostic capacity at Frenchay. In September 2013, the council’s health committee received confirmation that it proposed no longer to have out-patients and diagnostics on the Frenchay site, while the CCG met and decided in August that, for the interim, rehabilitation beds at Frenchay would be moved to Southmead for two years.

Conservative councillors on the health committee came up with a plan, and identified funds in the council’s budget to keep the in-patient rehabilitation beds at Frenchay for two years until the new Frenchay health and social care centre opens in 2016. They proposed the plans to the health committee in September last year, but to my utter amazement, Liberal and Labour councillors on the committee joined together to vote against the plan to keep Frenchay fully open. I felt that that was purely and cynically party political, and not at all in the interests of the people of South Gloucestershire.

In the end, all the council’s health committee as a whole could agree was to ask the Secretary of State for Health to refer the decision to the IRP. My right hon. Friend made the referral which, I must say, is more than the previous Government did; had they done so, we might not be in quite this situation now. My constituent Barbara Harris wrote to me this morning that the IRP has made “scathing comments” on the way in which local health care providers have handled the issue of Frenchay hospital. As my hon. Friend the Member for Kingswood has said, the IRP has said that it is understandable that residents

“should feel exasperated by the years of delay”

and by the “amendments to plans”. The IRP has concluded that the whole process shows a “marked lack of empathy” by local health care providers

“for patients and public who have the right to expect better”.

The North Bristol NHS Trust should now publish in full its findings on population growth and its stocktake of the diagnostic and out-patient capacity in south Gloucestershire, as the IRP suggested. That should be the local health care provider’s first step in fulfilling the IRP’s other recommendation on how hard it must work to regain the public’s trust. I fully agree with the IRP’s point that patient and public engagement must now be a core element in the design and delivery of how diagnostic and out-patient services are delivered in south Gloucestershire. I have said for a long time that health care providers should not feel that they can go back on their word as and when they wish.

South Gloucestershire council, our local residents and I need clarity about the plans for health care services in our area. Ten years down the line, my constituents deserve more than the ongoing confusion, broken promises and moved goalposts. I can understand why many of my constituents are not convinced that any health care provision, except perhaps a care home, will be left at Frenchay. I want a guarantee that health services are going to be provided at the Frenchay site in future. My constituents and I also want to know and to be reassured about the basis on which services will be provided.

Winterbourne View

Jack Lopresti Excerpts

Monday 10th December 2012 Commons Chamber

[Jack Lopresti (Filton and Bradley Stoke) (Con)]

May we have an assurance, first, that local agencies, such as the police and local government, have to take a large chunk of responsibility for this situation occurring in the first place and, secondly, that there will never be a repeat of the situation where the local council can fail to pick up on up to 40 alerts over several years? That could have avoided much of the pain and suffering at Winterbourne View.

[Norman Lamb]

I agree absolutely. One of the great scandals of this whole saga has been the extent to which local authorities and primary care trusts let people down. The father of a patient at Winterbourne View told me how the concerns he raised were ignored, how he watched as his son became more zombie-like because of the use of antipsychotic drugs and how he felt guilty himself—how shocking that a parent ends up feeling guilty through no fault of his own. He was powerless to do anything. It is shocking that public authorities let people down in that way. That is why I say that everyone in the system has to step up to the plate and recognise the need for a complete change of culture to recognise that everyone with learning disabilities has exactly the same rights as the rest of us.

Winterbourne View

Jack Lopresti Excerpts

Tuesday 30th October 2012 Commons Chamber

[Norman Lamb]

I thank the shadow Minister for asking the urgent question. The view is shared on both sides of the House that what “Panorama” exposed is utterly intolerable and has to come to an end. I am absolutely determined that when I make the Government’s final response by the end of November, it will be robust and clear so that everybody understands what has to happen.

When I came into my job, I heard briefings about the whole saga and how long it has gone on. For years and years, public money has been spent on putting people into inappropriate settings, often putting them at risk of abuse. That is a national scandal, and it has to end. I will be very clear about ensuring that we take robust and effective action.

The hon. Lady is absolutely right that Ministers are here to set policy, and that is what I intend to do. Since my appointment, I have been working to ensure that we set the right policy to protect vulnerable individuals. She is right that they must never suffer from abuse. Of course, there is always the risk of rogue individuals who behave very badly, and they must be dealt with through the criminal law, as has been seen with Winterbourne View staff. I have also made the point that the corporate owners of such organisations must be held to account for things that go on in their homes if those homes have been neglected. I want to meet the parents of those who were at Winterbourne View to hear from them directly, and I will seek to make arrangements for that.

The hon. Lady mentioned the 19 safeguarding alerts. In fact, that intolerable figure was in March but by September, the number was down to six. She is right, of course, that not every safeguarding alert means that something awful is happening. It means that concerns have been raised, and it is important that people raise their concerns. I assure her that I will do everything I can to end this scandal and ensure that we have proper safeguarding arrangements in place.

[Jack Lopresti (Filton and Bradley Stoke) (Con)]

Will my hon. Friend assure the House that the alerts are being actioned and dealt with? We know that on previous occasions, South Gloucestershire council and Avon and Somerset police received countless alerts, but if it had not been for the BBC and “Panorama”, we would never have found out about this issue. When I saw the programme last night, I was appalled that patients can be moved hundreds of miles without their families—and their parents in particular—being told. I thought that was an outrage.

[Norman Lamb]

My hon. Friend raises extremely important points. First, we must ensure that the alerting system works effectively. We are putting safeguarding boards on a statutory basis. That is important and means that all key players will have a part in ensuring that adults in vulnerable situations are kept safe. We must ensure that alerts always work effectively in the future.

My hon. Friend’s point about individuals being placed a long distance away from home is of absolute concern. It strikes me that if someone is placed far away from their community, in what is effectively a closed setting, conditions are created for potential abuse to take place. That has to stop.

People with Learning Disabilities (Abuse)

Jack Lopresti Excerpts

Monday 3rd September 2012 Commons Chamber

[Mr Tom Clarke (Coatbridge, Chryston and Bellshill) (Lab)]

Thank you, Mr Speaker, for facilitating what I believe is a very important debate. We recently welcomed and entertained the entire world to the Olympic and Paralympic games. By every measureable standard, both events have been hugely successful for Great Britain, so I have asked myself incessantly, how can a nation reach such towering heights of achievement but retain the capacity to engage in crass behaviour that should make us all feel ashamed? The standard of care and protection that we provide to people with learning disabilities is a shameful indictment of our society. There is no defence for the way we ill-treat people with learning disabilities.

Mencap felt compelled to produce a report on the subject, “Out of sight”. I recommend that everyone with an interest in disability or human rights takes the time to read that report, which was co-authored by the Challenging Behaviour Foundation. It calls for an end to the neglect and abuse of people with a learning disability. The opening remarks are defiant: “Enough is enough.” I echo that, and would add: “No more and never again.”

It is nothing short of a national scandal that we have allowed people with learning disabilities to be so marginalised and ill-treated. It should not have happened, and it had better not still be happening. What can we do to avoid it happening again? We need to find the necessary legislative measures that will root out the outrageous behaviour that has been brutally meted out to defenceless, vulnerable people. The abuse is not confined to care homes.

In preparation for this debate, I reflected on the fact that before the summer recess Lord Rix and I, as co-chairs of the all-party learning disability group, launched the start of learning disability week by hosting a special event in Parliament. We sought to highlight the appalling spectacle of how people with a disability are subjected to hate crime in today’s Britain. Our aim was to raise awareness of the offence, and demand positive progress from police forces across the UK in tackling such crime. Research has shown that in today’s Britain as many as nine out of 10 people with a learning disability have been victims of hate crime or subject to bullying. People with a learning disability tend to take longer to learn, and may need support to develop new skills, understand complex information and interact with other people.

Even as we campaigned, more evidence emerged. Winterbourne View hospital was a care unit that provided short-term monitoring of adults with learning disabilities. The BBC’s “Panorama” programme exposed a pattern of institutional abuse perpetrated by several nurses against the most vulnerable patients in the unit.

[Jack Lopresti (Filton and Bradley Stoke) (Con)]

The Winterbourne View serious case review was published. It strongly criticised South Gloucestershire council for failing to prevent the abuse, given that, in the years leading up to the terrible scenes that we witnessed on “Panorama”, 40 alerts were sent to the council but were not acted on. It is a tragedy and a travesty that they were not acted on sooner; if they had been, we may have been able to prevent a great many of the abuses and atrocities that we saw on the programme. Does the right hon. Gentleman agree that it is imperative that local councils act immediately on information and on issues that are flagged up, as they were in the Winterbourne View case, to ensure that we never see such terrible scenes again?

[Mr Clarke]

I am pleased that the Member in whose constituency Winterbourne View was—I know he has worked very hard on the issue—has intervened, and I am sure that the House will take careful note of what he has said.

Among the abuses that “Panorama” thought important were the following: patients were forced to have showers while fully clothed; mouthwash was poured into a patient’s eyes; a patient had a bucket of cold water poured over her and was forced to sit outside in the cold; patients were dragged along the floor; a patient was repeatedly punched; and a patient was driven to attempt suicide, and was subsequently mocked. That establishes that vulnerable people were tortured for the amusement of men and women guilty of an inhuman and monstrous series of crimes.

Frenchay Hospital

Jack Lopresti Excerpts

Wednesday 14th July 2010 Westminster Hall

[Jack Lopresti (Filton and Bradley Stoke) (Con)]

It is a pleasure to speak in this important debate. Frenchay hospital is in my constituency, and as the local MP I would like to pay tribute to the doctors, nurses and other staff there. My constituents and I are proud to have it as our local hospital. Indeed, many of my constituents have contacted me about the future of Frenchay—about its downgrading and the loss of its accident and emergency facilities. What they want is simple: to continue to have a great local hospital.

In government, we must work towards and achieve good local health care facilities, so that local communities are able to feel safe and reassured that they, and their loved ones, will be looked after in their time of need. Many of my constituents are rightly concerned about the future of Frenchay and, while I accept that we need investment across the NHS, many of them feel that in south Gloucestershire we seem to be missing out to our neighbour Bristol when it comes to health care investment.

As my hon. Friend the Member for Kingswood (Chris Skidmore) has already explained, the contracts for Frenchay’s downgrading were signed in February this year. It is unlikely that that decision can be reversed without significant legal cost. Yet let us not ignore the fact that access to health care is a huge problem for my constituents. If left unchecked, it will continue to worsen in the years to come as a direct result of Frenchay’s downgrading.

Recent growth predictions by South Gloucestershire council have stated that there will be a requirement for 21,500 extra houses in the local area by 2026. My constituency has already seen significant growth, particularly in the vibrant and thriving community of Bradley Stoke. Given the expanding population and the growth predicted, I have to question the logic of allowing Frenchay to lose its accident and emergency facilities.

Many of the local communities in Filton and Bradley Stoke are in rural areas. In an emergency situation, when they are in urgent need of treatment, people in those locations will have no choice but to travel the longer distance to Southmead hospital. The extra travel time in the most severe situations could be the difference between life and death, and that prospect horrifies and alarms me. It is important that we understand the situation in which we find ourselves. The decision to downgrade Frenchay might seem to be signed and sealed, but I know that I, with the support of my hon. Friend the Member for Kingswood, will continue to fight for what the people of south Gloucestershire deserve.

If—or when, as is more likely—Frenchay is downgraded in 2014, we must remind ourselves that this was not the decision or desire of this coalition Government. It was, as my hon. Friend mentioned, the decision solely of the previous Labour Administration. For my constituents, the people of Filton and Bradley Stoke, the word “Frenchay” will come to represent the failure of that Labour Government in our local area. The word will come to represent how Labour let down every single one of my constituents, by denying them the chance of a good local hospital to treat their growing needs.

My hon. Friend has outlined the continuing fight, and we are tackling it together to ensure that Frenchay secures as many facilities as possible. We need to protect the future of its world-class facilities—the head injuries unit, the burns unit and the staff—and we will also ensure that the promise made about the number of beds is honoured. I will continue, as the local MP, to do all I can to fight for the future of Frenchay. Its future is of vital importance, and I look forward to the Minister’s response and the Government’s view.

Finally, I pay tribute to the Save Frenchay Hospital Group. Many of its leading members are constituents and friends of mine, and it has been my pleasure to work with them on this issue over the past few years. They have done a terrific job of bringing focus and attention to the issue, and their work will not be in vain. We will fight, and together we will win the battle to keep the best services possible at Frenchay for years to come.