A&E Services

John Redwood Excerpts

Wednesday 24th June 2015 Commons Chamber

[Mr Jamie Reed (Copeland) (Lab)]

I beg to move,

That this House notes that hospital A&E departments have now missed the four-hour A&E target for 100 weeks in a row; further notes that trusts are predicting record deficits this year; believes the pressures on hospitals are a consequence of declining access to out-of-hospital services under this Government, including fewer older people receiving social care and more people waiting a week or more for a GP appointment; further believes the increasing bill for agency staff is also adding to the pressure on hospitals; notes that the Government plans to stop the weekly reporting of A&E data; believes this decision will make the NHS less transparent and make it harder for patients to judge the performance of their local hospital; and calls on the Government to reinstate the publication of weekly A&E data and to set out how it will tackle hospital deficits in 2015 in order to protect services.

I want hon. Members from all parts of the House to cast their minds back to the week commencing 14 July 2013: the country was still basking in Andy Murray’s historic win at Wimbledon; England had just embarked on a successful Ashes series against Australia; and hospital A&E departments achieved their target to see 95% of patients within four hours. Since then a number of unlikely things have happened: the then reigning world champions, Spain, have crashed out of the World cup in the first round; a group of scientists remotely have landed a probe on a comet hundreds of millions of kilometres from earth; and Cuba and the United States have begun to repair diplomatic relations. But in the same period some sadly predictable things have occurred: England have crashed out of the World cup in Brazil; they have been whitewashed by Australia in the cricket; and under a Conservative Government hospitals in England have now missed their A&E target for 100 weeks in a row.

I start this debate by paying tribute to the hard-working staff at every level of our national health service. They work tirelessly in trying circumstances, and without them there would be no NHS. Ministers have in this place adopted the practice of attempting to pretend that any criticism of Government policy is a criticism of the health service or its staff, so let us make clear one thing right at the start of this debate: NHS staff are remarkable and we are all in their debt. The achievements of NHS staff are despite Government policy, not because of it.

[John Redwood (Wokingham) (Con)]

What have the Opposition learned from the Mid Staffs disaster and tragedy, where they were hitting the targets but missing the point? What should they learn about how one drives quality forward in the health service?

[Mr Reed]

I thank the right hon. Gentleman for that question. If he paid attention to the Francis report, he would learn that it was not the targets themselves that were to blame for the Mid Staffs tragedy, but the way they were applied in that hospital. That is clearly stated in both the first and second Francis inquiries; indeed, it was a point that the Prime Minister made on the Floor of this House when he reported to Members.

In the past 100 weeks, nearly 2.4 million patients have waited more than four hours in hospital accident and emergency units in England.

--- Later in debate ---

[Ben Gummer]

I apologise, Madam Deputy Speaker.

The motion is about A&E services, and I would like to talk about the progress that the NHS has made in the past five years. Far from the picture painted today by the hon. Member for Copeland (Mr Reed) and Members who intervened during his speech, the NHS is treating more people than ever before, it is treating more people in A&E than ever before and it is treating more people at a higher rate of satisfaction than ever before, and the result of that is that patient outcomes—something we did not hear much about from the shadow Minister—have improved. We are treating more people to a higher standard.

[John Redwood]

Is it not the case that the excellent policy of seven-days-a-week GP services means an expansion in the amount of GP services, which will provide welcome relief from the pressures on A&E, which will add to the good work being done in hospitals?

[Ben Gummer]

That is precisely the sort of policy on which we will seek consensus in the months and years ahead. There is a choice for Opposition Members. I know there are many new Members who wish to make their maiden speech in this debate, and I would just say to them that the choice is this: to come together to try to model better care within the NHS and better outcomes for patients, or to seek division.