NHS Winter Crisis

Justin Madders Excerpts

Wednesday 10th January 2018 Commons Chamber

[Justin Madders (Ellesmere Port and Neston) (Lab)]

We have heard some excellent contributions today. The depth of the crisis is reflected by the fact that no fewer than 38 Members put in to speak, and although we only managed to hear from just over 20 Back-Bench Members, they were from all four corners of England. Owing to the time constraints, I cannot refer to them all, so I will just pick out a few, particularly from those still working in the NHS, such as my hon. Friend the Member for Stockton South (Dr Williams), who said it felt like we were going back to the 1990s and that it did not have to be like that—this decline is not inevitable. I totally agree with him on that.

We also heard from my hon. Friend the Member for Wolverhampton South West (Eleanor Smith), who brought her 40 years of service in the NHS to the fore and made the valid point that cancelling operations now creates a backlog, which will cause problems later on. We know that many trusts are already failing to meet their 18-week target.

Perhaps the most compelling contribution was from my hon. Friend the Member for Tooting (Dr Allin-Khan), who worked in A&E over Christmas. She was absolutely right to say that many people attend A&E because they are not getting the treatment that they need from elsewhere in the system, due to a squeeze on funding. She also made the valid point that many people are not being discharged as quickly as we would like because of massive cuts to social care over the years. Her contribution was excellent, and she made the point that these conditions have arisen not by accident, but because a political choice has been made.

After two years in which the A&E target has been missed altogether, we now know that waiting times shot up in recent weeks. Some hospitals cannot see even half their patients within four hours at A&E. The Secretary of State knows a little about waiting: there was a gap of an hour and 42 minutes between his entering No. 10 on Monday and confirmation that he was continuing in his job. Perhaps he was left waiting in a corridor. I hope that he was at least offered a chair. He would have to double that time, and double it again, to begin to appreciate how long some patients are having to wait, often in great discomfort and pain.

Following the reshuffle on Monday, the Health and Social Care Secretary has had a rebrand, but if it took him over five years to work out that his actions might have some bearing on social care, how much longer will it be before he learns that the message that he hears about underfunding in the NHS is so consistent because it is true? How long before he realises that, on his watch, standards have deteriorated by almost every measure? How long before he realises that the decisions that his Government have taken have led to the litany of woe that we have heard today?

[Andy Slaughter (Hammersmith) (Lab)]

I do not know whether my hon. Friend has seen that an emergency consultant at Charing Cross Hospital has said that staff were practicing “battlefield medicine” there. By that, he meant that when a blue-light ambulance arrived, staff had to decide whether to take someone out of the resuscitation room to put the arrival in, or to leave the arrival in the corridor until a bed space was free. That same hospital faces losing all its emergency beds and its blue-light A&E. Does he agree that we have to rethink further reductions in beds and A&E capacity, given the crisis that we are in?

[Justin Madders]

I thank my hon. Friend for his contribution. He is absolutely right. Those working on the frontline have made many statements about just how acute the problem is. Bed numbers have dropped rapidly in recent years. The worry is that under STPs, even more beds may be lost.

The Health Secretary today denied there is a crisis, but he admitted it on Twitter, where he asked of Tony Blair,

“does he not remember his own regular NHS winter crises?”

If the House wants to make a comparison with Tony Blair, I will help it: in the last winter under Tony Blair, between October and December 2006, one in 50 patients spent longer than four hours in A&E. In November, under this Health Secretary, one in 10 did.

Of course, behind every single figure is a vulnerable patient who is being let down—a patient like 87-year-old Esme Thomas, who, according to the BBC, waited 22 hours to be admitted to a ward at Weston General Hospital, or the patients at Pinderfields Hospital in Wakefield, who, as we have heard, were photographed lying on the floor, some still attached to drips. If the best that we—one of the wealthiest nations in the world—can offer people who are ill is an uncomfortable metal chair, something has gone badly wrong. What do the Government say to the nurse who told “ITV News” that there had been times when she had spent whole days treating patients in the hospital car park? Those stories should shame the Government into action.

Of course, it is not just those attending hospital who are suffering; so are those who are not able to go to hospital at all: 55,000 operations have been cancelled this month. When asked about this, the Prime Minister said that it was all “part of the plan.” If it was all part of the plan, why were the operations arranged in the first place? This is not a plan; it is a shambles.

The human cost of this crisis is devastating. Even before the worst of the winter had reached us, a one-year-old baby with a hole in her heart had her life-saving operation cancelled five times. Her parents were told that their daughter could go into cardiac arrest during the operation, so I cannot begin to imagine the anguish that they must have gone through in preparing themselves for the operation five times. Or what about the 12-year-old autistic girl from my constituency whose operation to remove her tonsils has been postponed? She has had at least eight bouts of infection in the past year, and because of her autism, the delay to her operation has caused her anxiety. It was a huge deal to build her up for the operation after her pre-operative assessment, particularly given the prospect of spending a night in hospital, but after the cancellation, she is anxious that when she gets her new operation date, that will be cancelled as well. If leaving these children anxious and in pain was part of the plan, it is a plan this Government should be ashamed of.

Across a whole range of indicators the NHS has experienced its worst performance since records began, and that was before we headed into this winter. Let us be clear: I do not for a second hold the people who work on the frontline responsible for this. Indeed, it is only through their dedication that the health service keeps going, despite the best efforts of this Government to destroy staff morale—whether an entire generation of junior doctors alienated, the next generation of nurses deterred from entering the profession by tuition fees, or the thousands of staff up and down the country who are frankly fed up of rota gaps, pay restraints and meaningless platitudes from this Government.

Only this afternoon we hear that the Care Quality Commission is postponing routine inspections, presumably because it knows a winter crisis is on. This is an unprecedented step that sends a huge signal to the Government that this is not just normal winter pressures.

Let us hear from some of those staff working on the frontline. A&E doctor Adrian Harrop said the claims that the NHS had never been better prepared were “misleading, disingenuous nonsense”. He also said:

“The system I’ve been working in in recent days and weeks seems under-resourced, underfunded and understaffed.”

Tracy Bullock, chief executive of Mid Cheshire Hospitals NHS Foundation Trust, said:

“I’m 34 years in and I’ve never seen anything like this.”

These are honest, hard-working professionals—the lifeblood of the NHS—and Conservative Members know full well we could have repeated dozens of similar comments from NHS staff, because at the bottom of all this is the unescapable, indisputable fact that under this Government the NHS is in the middle of the longest and deepest financial squeeze in its entire history, and it is a squeeze that, as we have heard today, is having devastating consequences.

We warned time and again that, unless early and substantial action was taken, we faced another severe winter crisis, and that is exactly where we are today. We have had an apology but no action from the Government. Patients deserve to know when this crisis will be solved and when their cancelled operations are going to take place, and this country deserves a Government fit to run the NHS. I commend this motion to the House.