A and E and Ambulance Services

Debate between Jeremy Hunt and Mark Hoban

Thursday 18th December 2014 Commons Chamber

[Mr Hunt]

We have enacted, or started to enact, every single one of them. Some of them take a bit longer—the contracts for A and E consultants, for example, which we want to ensure are attractive enough to encourage people to want to become A and E consultants. I am pleased to say that we have made some progress on that and are now getting the recruits coming into A and E that we want to see. Other things are starting to happen this winter—more co-location of GP services at A and E front doors and better discharging procedures from hospitals. We have been working very closely with the College of Emergency Medicine, which has been a great help to us in devising these winter plans.

[Mr Mark Hoban (Fareham) (Con)]

Last Friday, my hon. Friends the Members for Portsmouth North (Penny Mordaunt) and for East Hampshire (Damian Hinds) and I met leaders of the health and social care system in south-east Hampshire to discuss how it is dealing with the operational challenges it faces. May I commend to my right hon. Friend the model it is using—of working together to prevent unnecessary admissions, ensuring a safe and speedy assessment of those who turn up at A and E and also issuing a prompt discharge of those who are medically fit to return to their own homes?

[Mr Hunt]

My hon. Friend is absolutely right, and I commend what is happening in his constituency. He will be pleased to know that this is beginning to happen all over the country. The heart of the long-term solution is to have people in the social care system, people in primary care and people in hospitals to see themselves as part of one system, in which people are properly flowing between different parts of the system in the way that is right for them, ignoring organisational or institutional barriers. Where that happens, we are making good progress and we are getting the right performance in A and Es.

NHS (Five Year Forward View)

Debate between Jeremy Hunt and Mark Hoban

Monday 1st December 2014 Commons Chamber

[Mr Hunt]

I agree with the hon. Gentleman that we need to address the issue of availability of mental health beds for crisis care, but we also need to recognise that the model of care for people with mental health needs is changing. We think that it is much better to avoid long-term institutionalisation if we possibly can, and that is why there has been a process of reduction in the number of beds. That happened under the Labour Government as well. If he wants to know what I am doing, I will tell him. I am part of the Government who are delivering a strong economy, which means we can put more money into the NHS.

[Mr Mark Hoban (Fareham) (Con)]

I commend my right hon. Friend for securing £1 billion from the Chancellor to modernise primary care services. I know that the GPs in my constituency will welcome that, because they often cannot provide additional services owing to capacity constraints. May I urge him to ensure that, when money is spent from the fund, it is linked to delivery in relation to the proposals set out by Simon Stevens for improving primary care, for better provision locally and for closer integration with hospitals?

[Mr Hunt]

My hon. Friend is absolutely right. This will help to improve primary care premises and facilities. I know that there is an urgent need to upgrade a number of GP surgeries and primary care facilities, but this is not essentially about buildings. It is about new models of care. The single big change that we need to see over the next five years is in the role of GPs, so that they have the capacity and the desire to take proactive responsibility, particularly for the most vulnerable people on their lists, including people with long-term conditions such as dementia, diabetes and asthma. To do that, they will need better facilities—bigger facilities—and the ability to carry out more diagnostic tests in their surgeries, and I think that this funding will make a big difference.