Health and Wellbeing Services: Essex

John Whittingdale Excerpts

Tuesday 12th March 2024 Westminster Hall

[Sir John Whittingdale (Maldon) (Con)]

I thank my right hon. Friend the Member for Witham (Priti Patel) for obtaining this debate. As she said, we who represent the county of Essex work together closely on these matters, and I absolutely endorse everything that she and my hon. Friend the Member for Colchester (Will Quince) said.

I was elected originally for a constituency called South Colchester and Maldon, which included the areas in the Maldon district now represented by my right hon. Friend the Member for Witham and a number of wards in the Colchester constituency. During all the time that I have represented the area, we have been debating the problems of healthcare in the county, particularly the lack of funding.

When I first came to this place, we were part of something called the North East Thames regional health authority. My right hon. Friend is right that the record of NHS funding overall has been very good, but we have suffered consistently from a skew, with more money going originally to the areas of London that were part of the North East Thames RHA, and subsequently, through the various allocation formulas, we have lost out. The funding per head has been consistently below what is needed, and that is reflected in some of the problems we have, particularly because, at the same time that we have been underfunded, we have seen steady and continuing population growth. My right hon. Friend referred to the 1,000-plus houses being built in Heybridge, part of which falls in my constituency. I have another development on the other side of Maldon from Heybridge of another 1,500 houses. About 3,000 houses are going up in Maldon and Heybridge alone, with more houses across the district. They are putting steadily increasing pressure on the health service.

The issue of St Peter’s Hospital, to which my right hon. Friend referred, is of huge importance to the town’s residents, the Maldon district and the surrounding area. I will bring that matter to the House’s attention on Thursday in an Adjournment debate, when we will have a lot more to say about it. However, it is fair to say, in summary, that St Peter’s Hospital is 150 years old, it has been steadily deteriorating and, in all the time that I have represented the area, we have been debating a replacement. We have come very close a number of times, but each time it has never quite happened. It has now reached the point where the hospital can no longer safely provide services in some of the areas, because the original structure is not appropriate, and although money has been spent on it, the hospital has nevertheless deteriorated. We have been debating whether to refurbish or relocate it for all these years, but nothing happened until we reached the point where it is now proposed that the hospital is closed and services—particularly maternity and in-patient services—are moved to other locations far from my constituency and, particularly, some of the more remote areas. I will speak about that in more detail on Thursday, but it is an indicator of the way in which my part of Essex, particularly, has been under-provided for for far too long.

That is also reflected in the access to primary care, which my right hon. Friend mentioned. We have two GP practices in Maldon. They both have patient lists well in excess of 12,000. I know that across the country people struggle to get appointments. We all hear about the difficulty that people have—they ring at five-past 8 and are told that the appointments are all gone—but it is especially acute in Maldon. Both those practices are in buildings that are simply not fit for purpose, and that compounds the problem. In each case, we are looking to reap a benefit from this housing development by obtaining investment into infrastructure.

I share my right hon. Friend’s view that those currently trying to supply health services across the county are doing their best. I join her in congratulating and thanking the leadership of Essex County Council, whom I met last week to discuss these problems, including Kevin Bentley and his colleagues. Equally, I thank the representatives of the ICB, but we have reached a point where action has to be taken, and we are looking to the Government for help. As I say, I will talk more about that on Thursday. I know that every MP will claim that their area needs more support, but our situation is the consequence of decades of underfunding. We have been shouting loudly for too long without being heard, and we have reached a point where something has to change.

My right hon. Friend mentioned the Essex mental health inquiry, now called the Lampard inquiry. Melanie Leahy, originally my constituent but now a constituent of my right hon. Friend, and my constituent Lisa Morris have been calling attention to and ringing alarm bells about what has been going on in mental healthcare in Essex for a long time. When they first started doing so, they asked for an inquiry. For a long time they were denied it, until eventually we recognised that, clearly, something was badly wrong. The number of deaths that happened under the care of the then mental health trust was excessive and needed examination.

The Government eventually agreed and set up an inquiry, but it was not statutory. My constituents came back and said that it has to be statutory. At the time, we said to them that we had discussed this with the then Ministers, who said, “No, but our advantage is in it not being statutory. Therefore, we should not go down that road.” The Government have now accepted that the inquiry does have to be made statutory, and at last a proper examination can take place to identify exactly what has been going on. Concerns are still being expressed by campaigners who have lost family members.

I welcome the meeting that I had with my right hon. Friends, including the Minister, just a week ago to discuss how to proceed with the inquiry. There are real concerns over the timescale, which is being examined, and whether the inquiry can continue to examine deaths that are still taking place. Even very recently, there was a death.

Equally, there is concern that the lawyers, Hodge Jones & Allen, have been working pro bono on this, and they need some kind of remuneration if they are to continue. In other inquiries, lawyers representing family members have received interim payments, and the lawyers in this case also need some support, so I ask the Minister to consider that. Most importantly, however, they have been promised meetings. I know that the Minister is in the process of setting those meetings up, including with the Secretary of State so that she can hear directly from some of the families who have been affected. I know that the Minister is also looking at the terms of reference and the process under which the inquiry proceeds.

This has been going on a very long time. The Minister will understand the frustration, so we would be grateful to hear anything from him this afternoon about whether we can now press ahead and have those meetings with the families and those representing them, and get a proper, full examination of what has happened in the Essex Partnership University NHS Foundation Trust and its predecessor bodies.

I will return some of those themes on Thursday. Again, I thank my right hon. Friend the Member for Witham; we will continue to work together with my hon. Friend the Member for Colchester (Will Quince), and across the county, to ensure that our constituents receive the proper healthcare that they deserve.