NHS Backlog

Josh Fenton-Glynn Excerpts

Monday 6th January 2025 Commons Chamber

[Josh Fenton-Glynn (Calder Valley) (Lab)]

I welcome this debate. Another winter and there are more severe backlogs—the causes are structural and predictable. The shadow of what Lord Darzi found weighs heavy on this debate, with 14,000 unnecessary deaths in A&E each year, waiting times for over-65s in emergency care having more than doubled to seven hours, and over 100,000 under-threes waiting more than six hours to be seen in 2023. Each one of those numbers is a devastated family, a patient at greater risk, or a patient enduring that long, nervous wait. This winter, my local hospital trust has seen average bed occupancy rates hit 98.5%. At one point in mid-December, only three out of 715 beds were free to use.

The crisis in our NHS that my constituents in Calder Valley face is not the result of a lack of work by our NHS staff—I hope everyone in this House can join me in paying tribute to those hard-working staff. Instead, this crisis has come about because of bad policy choices and warnings repeatedly ignored. In his report and when he came to the Health and Social Care Committee, Lord Darzi made it absolutely clear that the root cause of the problem is the Health and Social Care Act 2012, which was pushed through without precedent or preparation by the coalition Government amid repeated warnings from healthcare professionals. This disaster proves that to move forward, we have to learn from why bad health policy gets made: because of a focus on ideology over practicality, on efficiency savings over real improvements, and on treatment over prevention and later-life care.

We must also learn that to rebuild our NHS we cannot be top-down, but must build on a foundation of decent social and community care that is close to home and respects the skills of those who work throughout the system. That brings me to my next point, which is about social care. The scale of the crisis in the NHS means that it will not be fixed overnight—indeed, the Secretary of State talks about a 10-year plan—but we know that problems are solved easier and earlier if patients are treated closer to home. Yet the failure to plan health and social care together over the past 14 years means that more than one in 10 NHS hospital beds are filled by people who simply do not have the right care.

[Anna Dixon (Shipley) (Lab)]

In my constituency, Bradford council’s Home FAST—first assessment support—scheme aims to get people home from hospital more quickly and to be assessed for any onward care services when they are at home. Since its launch, there has been a large reduction in the need for intermediate care facilities after hospital care. Does my hon. Friend agree with me that such innovations need to be at the heart of the Government’s 10-year plan, ensuring that we integrate health and social care, as he was saying, but perhaps also looking to revise the better care fund so that it delivers both rapid discharge and rehabilitation, which are obviously both critical to tackling NHS backlogs?

[Josh Fenton-Glynn]

In fact, the better care fund works best in West Yorkshire when it works to hasten people’s journey out of hospital, and that sounds like a very good example.

In my own local hospital trust, the figure for people on the transfer of care list is even higher: 20% of beds are taken up by people who could be treated at home. That is almost 150 patients in hospital rather than getting social care where they need to be. Even well-run trusts are finding the wait for transfer of care too great, proving again that we cannot fix our health service without fixing 14 years of Tory mismanagement or without fixing social care.

In closing, while this Government face problems not of our own creation, we must still learn from what has gone before. In this regard, I absolutely welcome the announcement on progress in social care today, but I gently express to the Minister, as I did to the Health Secretary at his Committee appearance, that we need to see action on the ground solving our social care crisis earlier than 2028. In 2023, the National Audit Office told us that nearly four in 10 directors of adult social services were worried about meeting their statutory obligations. On top of that, we have a provider crisis because of this instability. The electorate gave this Government a term of five years to take bold steps to reverse the crisis in our NHS. They rejected the previous Government because they wasted each of their terms over 14 years of failure to enact a solution on social care, leaving people in hospital instead of being able to receive care among family and friends. I look forward to this Government acting on that mandate.

[Madam Deputy Speaker (Judith Cummins)]

Order. We will start the Front-Bench the Front-Bench speeches at 9.35 pm, so our very last Back-Bench speaker is Ellie Chowns.