NHS Urgent Care: Staffordshire

Josh Newbury Excerpts

Monday 26th January 2026 Commons Chamber

[Josh Newbury (Cannock Chase) (Lab)]

I am grateful for the opportunity to lead this debate on NHS urgent care in my brilliant county of Staffordshire, and particularly on what that means for my constituents in the towns and villages of Cannock Chase. I start by paying immense tribute to the dedicated staff who work in our NHS and in social care. From district nurses and general practice, through to care homes and A&E departments, the passion and expertise that they bring enriches and saves lives.

When I was elected, I knew that there were many local issues that I would need to get to grips with quickly, but among many priorities, I knew that I had to campaign on urgent healthcare first. It is a subject that my constituents have raised with me frequently, on doorsteps, in emails, at surgeries and in conversations with local clinicians. It goes right to the heart of whether people feel confident that our NHS will be there for them when they need it, and that our area is well served.

Before being elected to serve Cannock Chase, I worked in the NHS, not in a clinical role but in communications, and that experience has very much stayed with me. It means that I approach debates like this with a great deal of respect for the people working in the system, and with an understanding of just how complex it is. I know how difficult decisions can be, how stretched staff are and how long it can take to move from strategy to delivery, but I also know that delay and uncertainty have consequences for patients, staff morale and public trust.

For my constituents, uncertainty around access to urgent care has become an all too familiar experience. The minor injuries unit at Cannock Chase hospital was temporarily closed in March 2020, so that staff could be redeployed to the covid wards at New Cross hospital. At the time that decision was entirely understandable and widely supported locally. The NHS was facing an unprecedented emergency and staff stepped up in extraordinary ways to protect lives.

At the same time, it was said that the closure was temporary and that the Royal Wolverhampton NHS trust planned to reopen the MIU once pandemic-related workforce pressures eased, but, nearly six years on, that temporary closure feels anything but temporary. In fact, two years after the closure, in March 2022, there was significant fanfare around the possibility of a reopening that summer. Many residents understandably took that as a sign of progress, but ultimately nothing came of it.

After more than two years of radio silence, in August 2024 the Staffordshire and Stoke-on-Trent integrated care board announced a wholesale review of urgent care services across the county, in the light of new national standards for urgent treatment centres. Although the proposals are to upgrade urgent care facilities in other hospitals in Stafford, Burton-upon-Trent, Lichfield, Tamworth and Stoke-on-Trent to meet those UTC standards, they included the permanent closure of Cannock’s minor injuries unit, which would effectively end the remaining hope among my constituents and others in neighbouring constituencies that urgent care will come back to our area. The reasons given included a belief that need from the Cannock Chase area was already being met by other nearby hospitals and, above all, a refusal from the Royal Wolverhampton NHS trust to support urgent care provision at Cannock Chase hospital. A comment made to me by a member of the ICB’s staff was, “They just aren’t interested”.

The way that these proposals were communicated locally was very poor, and I have been very frank with the ICB about that. The reaction of the people who saw the ICB’s document was understandably one of huge concern, particularly among older residents, people with chronic conditions and those who cannot drive. The ICB planned only one public engagement event in my constituency, which was in the afternoon on a weekday, and even that attracted far more people than it had planned for. Although many did not get to hear about the event, the room was still packed, and very frank views were given. At my request, the ICB held a second event, which was on an evening, and I am told that that was well attended too.

We were told that the ICB expected to take its final proposals to health scrutiny at Staffordshire county council in the spring of last year, with a full public consultation in the summer if the committee deemed it necessary, yet months passed without any update, adding to the uncertainty and frustration locally. Let me be clear that I am not standing here to criticise the ICB for the sake of it; I meet it regularly, and at those meetings we have serious, detailed discussions about patient flow, demand, workforce and outcomes.

I understand that good decision making in the NHS takes time, but I believe that prolonged uncertainty comes at a cost. Every month that passes without clarity leaves patients unsure where to go when they need care, staff unsure what the future holds for their workplace, and communities feeling that decisions are being made far away, rather than with an understanding of local reality.

[John Slinger (Rugby) (Lab)]

I note what my hon. Friend says about his integrated care board. I have very positive meetings with my ICB, but a similar situation is affecting the town of Rugby, which I represent. The urgent treatment centre is nurse-led, and we very much want there to be a doctor-led treatment centre. A review is under way, but my constituents and I are simply not aware of its end date. That causes the kind of concern around services that you talk about—

[John Slinger]

That my hon. Friend talks about.

[Josh Newbury]

I saw a post from my hon. Friend on Facebook earlier today about this very matter. I know that he is fighting very hard on that on behalf of his constituents. I hope that my integrated care board listens to the concerns of my constituents, and I hope that that is reflected in Coventry and Warwickshire and that he can get some progress on a doctor-led unit.

For the past six years, people in Cannock Chase have had to travel to Stafford, Lichfield, Walsall or Wolverhampton for care that they would once have accessed locally. That is not simply an inconvenience; it undermines the objectives of urgent care reform, increases pressure on neighbouring hospitals and pushes more people into A&E. That is exactly the opposite of what the urgent care review is supposed to achieve.

Most worrying of all are those who are not seeking care at all. Not everybody can drive and not everyone has access to reliable public transport, particularly in places such as Staffordshire. When patients are faced with long, complicated journeys for what should be straightforward local treatment, many simply put it off; conditions then worsen, complications develop and people ultimately end up needing an ambulance for something that could have been treated earlier, more cheaply and closer to home.

At the engagement events and in conversations with me since, constituents have told me that the MIU was a lifeline when they did not need A&E but their GP felt they needed to go to hospital. Cannock Chase hospital is very close to a bus station, and most people locally can catch a single bus to reach it; in contrast, travelling by bus to MIUs in Lichfield, Stafford, Walsall or Wolverhampton can be difficult, often involving multiple changes and long journey times. As a result, many of my constituents are paying for taxis instead, which is a significant financial burden.

The issue becomes even clearer when we look at the demographics of my constituency. It has a slightly older population than the national average, with more than 19,500 residents aged 65 and over—around a fifth of our population. Almost half of those older residents—more than 9,300 people—are living with a long-term health condition, a higher proportion than we see nationally. These are the residents who are most likely to need timely urgent care, who are more vulnerable to deterioration if treatment is delayed, and who often face the greatest barriers when services are not available locally. The NHS’s own data shows higher attendances at both surrounding MIUs since ours closed, but not by the total amount of previous activity at Cannock Chase hospital, backing up what residents have been telling us about not always seeking care.

We can also see how these pressures play out in practice at nearby hospitals that many of my constituents rely on when local urgent care is not available. Although Royal Stoke University hospital is not in my constituency, it is a key part of the wider system and serves residents right across our county. In the final quarter of last year alone, that hospital saw more than 33,000 A&E attendances, and over 6,800 patients waited more than 12 hours to be admitted or discharged. That is more than one in five attendances—double the national average—placing the hospital among the most pressured in the country.

[Gareth Snell (Stoke-on-Trent Central) (Lab/Co-op)]

Royal Stoke hospital is in my constituency, and one of the things its staff tell me is that if it were not for the Haywood walk-in unit up in Stoke-on-Trent, Leek Moorland hospital or Stafford MIU, the A&E would simply fall over. Naturally, people in Staffordshire gravitate to the A&E when they want help, and the fact that my hon. Friend’s constituency is without an urgent treatment centre has a ripple effect across the county. Will he join me in asking the Minister to say when she winds up whether she has any data demonstrating the impact that the lack of a facility in Cannock is having on neighbouring hospitals, and therefore on the services that are experienced by my constituents and those in constituencies across the county?

[Josh Newbury]

I thank my hon. Friend and fellow Staffordshire MP for his intervention. He has highlighted a critical point: every part of our NHS can have a knock-on effect on the others, so the system needs to work as a whole. We cannot just focus on individual services; we have to see how it works in the round. That is what the review is trying to do, but of course, many of us feel it is not hitting on what it needs to.

I do not raise these figures to criticise staff, who are working under immense strain, or the Government, who are making strong progress on addressing the pressures I have described. I raise them to underline a simple point: as we have heard, when local urgent care is unavailable, demand does not disappear, it is concentrated elsewhere. Making sure patients get the right care in the right place is critical—too many people end up in A&E not because they need to be there, but because there is nowhere else for them to go. Perhaps in the past, our MIU was not always used for its intended purpose, but even that was often a symptom of failings in community care.

Urgent treatment centres will be a vital part of the fabric of our NHS, sitting between primary care and emergency departments. Not having that service for a population of over 100,000 people is a real challenge, and it weakens the wider system. In the 17 months since the review of urgent care was unveiled, I have had many conversations with our ICB about urgent care more broadly, as have GPs, councillors and campaigners. I know that they are putting in place services that make good on the Government’s commitment to shift care from hospitals out into the community. I welcome the introduction of a wound care local enhanced service, which recognises that wound care was previously a key reason for patients to access the MIU, even though their homes are a better place for that care to take place. This shows that sustained conversations about our local health needs and inequalities are starting to translate into results.

I hope that building on this, Cannock Chase can be a forerunner in the roll-out of multidisciplinary neighbourhood teams. The health inequalities we sadly have locally, coupled with the distance to many secondary care services that I have referred to, means that we would benefit hugely from that model of supercharged community care. Better than having to catch a bus to Lichfield or Stafford would be heading to Cannock Chase hospital, but better still would be getting that care at home. That is what I am calling for, and will continue to fight for, on behalf of my constituents.

There are areas where Staffordshire is performing strongly. Urgent community response services are exceeding national targets, winter planning has helped to stabilise hospital stays during periods of peak demand, and vaccination programmes are having an impact on admissions. This is not an argument against reform; it is an argument for consistency and fairness. If urgent care reform is about reducing avoidable A&E attendance, improving patient flow and ensuring equitable access across the system, then Cannock Chase cannot continue to remain an outlier.

Crucially, this is not just about rhetoric. The Government are making huge strides in the NHS nationally, backed by reform, investment and a determination to ensure that people get the right care in the right place at the right time. That is why I welcome the investment already being made in the Chadsmoor medical practice, the Rawnsley surgery and the Red Lion surgery in my constituency. That will make a huge difference to people’s everyday experience of the NHS that they can see and feel. Strengthening primary care does not remove the need for local urgent care—one cannot simply replace the other.

My ask today is simple and constructive. I am not asking the Minister to pre-empt the outcome of the ICB’s review—I know that she cannot do that—and I am certainly not arguing against the reform of urgent care that prompted this review. I am calling for clarity, fairness and alignment between national ambition and local delivery. If we believe in shifting care out of hospitals and into communities, if we believe in reducing avoidable A&E attendance and if we believe in equitable access to urgent care, then Cannock Chase must have that as part of its future.

I hope that 2026 can be the year that sees an expansion of urgent care back into my part of the world, and I urge the Royal Wolverhampton NHS trust to make better use of Cannock Chase hospital, which many residents feel remains underutilised compared with how things were under the former Mid Staffordshire NHS trust. I would welcome the Minister’s assurance that local voices will continue to be properly heard, that decisions will be communicated clearly and promptly, and that the Government will work with the Staffordshire and Stoke-on-Trent ICB to ensure that communities such as mine are not left without urgent care provision.

Urgent care, at its simplest, is about whether someone with a broken wrist, a deep cut or a worsening infection knows where to go and can actually get there. I look forward to continuing to work constructively with the ICB, the Minister and colleagues across the House to ensure that urgent care in Staffordshire truly works for the communities that we all serve.