Foreign and Commonwealth Office

Jonathan Lord Excerpts

Tuesday 24th May 2011 Commons Chamber

[Jonathan Lord (Woking) (Con)]

In the Backbench Business debate before the Christmas recess, I spoke about magistrates court closures, and about how the Government, instead of following their localism agenda, were unjustly moving services away from some local communities in the name of efficiency and effectiveness. I firmly believe that delivering services locally can enhance efficiency and effectiveness rather than being their antithesis. So, as the Government, the regions, and those who commission and provide health services grapple with difficult budgets and soaring demands, I urge the Government, and particularly the key health stakeholders in my county of Surrey, really to think through how community hospitals could help to deliver improved health care at a local and accessible level and in a cost-efficient way.

My constituents in Woking, Pirbright and Normandy are generally well served when they travel out to the two acute hospitals located on either side of the constituency—St Peter’s in Ashford and the Royal Surrey in Guildford—but I am particularly fortunate to have Woking community hospital at the very heart of my constituency. It is an excellent local facility, receiving 110,000 visits each year. It provides assessment and rehabilitation, audiology, ophthalmology, physiotherapy and X-rays, and the nationally respected Bradley unit offers a neuro-rehabilitation service for patients with multiple sclerosis and other disorders.

The doctors, nurses and staff are incredibly dedicated, and the hospital is also supported by the Friends of Woking Community Hospital, whose 350 members have raised hundreds of thousands of pounds to fund additional improvements and projects. These have included diagnostic equipment for the early detection of glaucoma, electronically operated beds and the construction of two conservatories that provide patients with a quiet, light-filled space. They even provide newspapers for long-stay patients of the Bradley neuro-rehabilitation ward. A major legacy has recently been bequeathed by Sir Alec Bedser, a long-term Woking resident, and I am sure his generosity will be put to good use. This amazing level of dedication and support is difficult, though not impossible, to replicate at the larger institutions and provides a real catalyst for future success.

I would argue that community hospitals such as the one in Woking that already have a certain size and critical mass and already have the experience, the space, the good buildings and infrastructure to offer a broad range of services to a reasonably large local population—even though they are not immediately adjacent to a main acute hospital—have enormous potential to expand their existing offerings and deliver excellent health care right in the heart of their communities.

What I am championing is the idea of a lead or a hub community hospital that offers a wider range of truly local health care, which could help to take some of the pressure off our over-burdened acute hospitals. For example, with the right medical staff on hand and good co-ordination with the ambulance service, most low-acuity ambulance calls could be dealt with at hub community hospitals. There could be an extension of medical cover at the hubs, including into the evenings and weekends, so that a wider range of sicker patients could be seen there. What about a rapid access centre, where a consultant would see and assess elderly people within one or two days to save them being sent to A and E or a busy acute hospital? Perhaps there is scope at one or two of our larger community hospitals for a temporary intoxication and related minor injuries unit. I believe that community health services can play a leading role in developing home nursing services to complement local hospitals so that patients can be released quicker to be supported at home, thus releasing hospital beds for new patients.

To its credit, NHS Surrey has held discussions about the future for community health. Let us be clear, however: over the next few weeks or months, I would like to see three things. First, I want a firm commitment that Woking community hospital will be a lead or hub hospital, albeit initially on a pilot basis. Secondly, I want some details on the service provision that is going to be enhanced and how it can be integrated with other local services. Finally, I want a commitment to funding that recognises the important future role that community health services and key community hospitals should have in Surrey.

The Government have increased the primary care trust’s baseline budget by over £30 million for this year, so the plan to reduce spending on community health services by 1.5% is worrying and difficult to justify. I believe that moving more activity to community settings has a major role to play in the future clinical and financial sustainability of the Surrey health system—a view that seems to be shared by NHS Surrey—but the rhetoric about treating more patients in the community must be backed by action and by funding.

In the Woking community hospital, I have a very fine local facility. I want to see it enhanced over the coming years and I believe that NHS Surrey should support me in that endeavour. I believe that the Government and health authorities generally should also look at supporting community health right in the heart of their communities.