South London Healthcare NHS Trust

Joan Ruddock Excerpts

Thursday 31st January 2013 Commons Chamber

[Mr Hunt]

I thank my hon. Friend for his constructive involvement in all the discussions we have been having to resolve this difficult issue, particularly with respect to his own constituents. He is absolutely right, because in the end the things that matter most are the clinical considerations. I thought it was extremely important to take advice from the NHS medical director, Sir Bruce Keogh, and I have taken that advice. He is absolutely clear that this will save lives, which is my biggest responsibility.

My hon. Friend is also right to say that the success of these proposals depends on negotiations with King’s Partners about the potential merger that it is involved in, and we want to conclude those as quickly as possible. They are a very important part of this issue. It is our ambition to proceed as quickly as possible for the sake of the people of south London, who need certainty about the future provision of their health services, but we have some difficult negotiations to conclude in order to make that happen.

[Dame Joan Ruddock (Lewisham, Deptford) (Lab)]

The only reason the proposals to close the A and E at Lewisham and downgrade the maternity services have not gone ahead in full is, of course, because of the enormous protests of over 50,000 local people and the almost total opposition of all consultants and GPs, including the GP commissioning group. Today’s proposals are an absolute sham and a shambles and utterly unacceptable to all of us who represent people in Lewisham.

Does the Health Secretary agree that, instead of allowing this rushed TSA process, which is completely unsuitable for the reconfiguration that he now proposes, he should allow the GP commissioning group to do the job for which he set it up, namely to lead a consultation process, properly, in order to understand the clinical needs of local people, whether the merger between Lewisham and Woolwich hospitals should go ahead, and to meet the real clinical needs of the local people? Will he also acknowledge that no due diligence was done in respect of the proposals, and that Lewisham hospital will need the strongest guarantees that it will not be led into a new, unsustainable trust by his proposals?

[Mr Hunt]

May I say to the right hon. Lady that a “sham and a shambles” are what I inherited and what I am dealing with, not what I am bequeathing through my announcement this morning. With respect to the GP-led clinical commissioning group in Lewisham, of course I understand its opposition to the proposals put forward by the trust special administrator, but it supports the principle that complex procedures should be done from fewer sites. That is an important point. Inevitably, when we are reducing the number of sites for complex medical procedures, the people in the areas where those procedures will no longer happen will often be opposed to the changes. That is what has happened here, but the group supports the principles behind what the trust special administrator has said.

The right hon. Lady’s concern that we are setting up a new trust that will not be sustainable is precisely why I am taking this extremely difficult decision today. Lewisham hospital has proposed that it and Queen Elizabeth hospital in Woolwich should be allowed to work out their own way of dealing with the deficit, but that was precisely the problem that happened when the South London Healthcare Trust was set up. Trusts with deficits were put together in a marriage that, in the end, failed to address those difficult decisions. My responsibility to her constituents is to address those issues and to give them certainty about the provision of their health services. Already, her constituents who have a stroke or a heart attack do not go to Lewisham hospital. They go to Tommy’s or Guy’s or other places where those specialist services can be delivered, and they get better treatment. We are expanding that principle through what I am announcing today, and it will save around 100 lives a year. That is something that she should welcome.