Hospital Services (Worcestershire)

Karen Lumley Excerpts

Wednesday 2nd March 2011 Westminster Hall

[Karen Lumley (Redditch) (Con)]

It is a pleasure to speak under your chairmanship, Mr Hood. I am delighted to secure the debate on hospital care in Worcestershire. To put hospital care in Worcestershire in context, I should explain that we have two acute hospitals and a treatment centre. The acute hospitals are based in Worcester and my constituency of Redditch, and the treatment centre is in Kidderminster. In other parts of the county, we have community hospitals, which play a great role in delivering the highest level of care to our constituents.

The emphasis today is of course on the new cancer care facility, but all areas of the NHS trust are working hard and playing important roles. Worcestershire Acute Hospitals NHS Trust has recently appointed a new chairman, who is determined that the mission of the trust will be to make all care patient-orientated. To do that, the care offered, the facilities available and the attitude of all staff must put patients and their well-being first.

I shall begin by sharing with hon. Members some of the successes within the trust. The national target of ensuring that 80% of patients brought to accident and emergency by ambulance staff are seen within 30 minutes has been surpassed by our trust. The benefits of receiving treatment quickly are self-explanatory. Obviously, the more quickly a person is seen, the less likely they are to deteriorate, and the ambulance staff can get back to doing what they do best.

I spent some time in A and E at the Alexandra hospital and was incredibly impressed by what I saw. The staff do an amazing job, sometimes in very challenging circumstances. Guided by Mr Christopher Hetherington, a consultant in the department, I saw at first hand how staff dealt efficiently with arriving patients. I was struck by their professionalism and commitment to their patients.

Despite the added challenge of the snow and bad weather in December and January in Worcestershire, the trust’s ambulance staff achieved a performance rating of more than 90%—the result of focus and dedication. I look forward to seeing them later this month when I do a night shift with an ambulance crew in Redditch.

Successes have also been shown in the results of patient surveys. The national maternity survey from 2010 showed that mothers in Worcestershire were impressed by the maternity care that they received. Those who completed the survey were pleased with all aspects of care, including care at home after leaving hospital. The trust now ranks in the top fifth for offering mothers choice. Choice should be at the forefront of the reorganisation that our NHS trusts face. If we are to create an NHS that is centred on patient care, offering patients choice about and influence over their treatment is essential.

[Sajid Javid (Bromsgrove) (Con)]

I echo my hon. Friend’s comments about Alexandra hospital. It is a hospital that people in her constituency and in my constituency share, and I know that constituents from far and wide respect the services that they receive, the quality of care and the dedication of the employees and the health care professionals. Does she agree that, along with Alexandra hospital and the other acute hospital that we have in our county, the community hospitals, such as the Princess of Wales community hospital in Bromsgrove, complement the health services on which our constituents rely in Worcestershire?

[Karen Lumley]

I thank my hon. Friend for his intervention. I totally agree with him. Many of my constituents in Redditch also use the Princess of Wales hospital. I have been there on many occasions and know what a fantastic job the staff do.

Effective hospitals rely on good facilities. Kidderminster hospital has recently acquired a state-of-the-art MRI scanner. It offers patients the best diagnostic procedures available. New services can now be offered, including breast scans and whole-body imaging. Some 9,400 scans a year can be performed with the machine. One-stop-shop access to out-patient clinics cuts waiting times and means that patients are in the clinics for as little time as possible. Developments such as those are lessening the postcode lottery effect in the NHS.

Worcestershire is awaiting a decision about whether a radiotherapy unit will be built at the Alexandra hospital in Redditch or the Worcestershire Royal hospital. I, of course, hope very much that it will be built at the Alexandra hospital in Redditch.

[Harriett Baldwin (West Worcestershire) (Con)]

I thank my hon. Friend for securing this extremely important debate, because it allows me to place on the record the thanks of the Malvern community for the opening of the new Malvern hospital by the Princess Royal last week. Does my hon. Friend agree that a key thing with radiotherapy services is the distance that people have to travel every day and that Worcester might be considered a very central location in the county of Worcestershire?

[Karen Lumley]

As you can see, Mr Hood, we have a debate among ourselves about where the cancer centre should be sited. Obviously, we in Redditch and Bromsgrove have the advantage of lots of space to build the cancer unit, and we have already started a local campaign to bring the unit to the Alexandra hospital.

[Mr Robin Walker (Worcester) (Con)]

I am grateful to my hon. Friend for giving way and grateful to my hon. Friend the Member for West Worcestershire (Harriett Baldwin) for the point that she made. I am sure that my hon. Friend the Member for Redditch (Karen Lumley) would acknowledge that the Worcestershire Royal hospital already has considerable expertise in cancer treatment. Will she join me in urging our right hon. Friend the Minister to ensure that, wherever such services end up being placed, they are supported, as they are a vital component of a strong and much needed cancer strategy for our county?

[Karen Lumley]

As you can see, Mr Hood, the feeling among us is quite strong. We have all campaigned together to try to secure a unit in Worcestershire and we are all very grateful that we are to get that unit—we just need to know where it will be. But wherever it is built, I am very pleased that, by the end of 2013, 95% of the radiotherapy and chemotherapy patients will be treated in Worcestershire. That is the message that we all want to get across. The ability of my constituents battling cancer to receive their treatment close to home and to know that the treatment is the best available will, I hope, make a real difference. The new facility will match the already excellent care that the trust offers—care that means that it was ranked in the top 20% of trusts in the national cancer patient experience survey.

The news of the radiotherapy unit and other successes is encouraging. However, like many other MPs, I am very concerned about the money that is spent providing locum doctors to cover staff shortages. I hope that the Minister will deal with that today. The number of locum doctors employed has increased dramatically in the past 10 years. Trusts face acute shortages of middle grade doctors. Locum doctors are expensive. They should be used only to fill unforeseen gaps in staffing or when there is a dramatic increase in work load. They should not form part of the regular staffing arrangements as they do now.

We all know that we must make cuts in the public sector. However, I cannot see why my constituents should face reduced public services because money is being spent inefficiently. A cost-effective NHS will offer greater scope in how we care for people in our communities, both in Redditch and nationally.

The problem has been exacerbated by the European working time directive. Reducing—unnecessarily, I believe—the number of hours that doctors can work leads, of course, to a reduction in the number of hours covered by doctors available to hospital management. That is combined with the new strict immigration rules, which have resulted in far fewer doctors being able to emigrate from India and Pakistan and increased the pressure on hospitals as they try to fill an increasing number of vacancies.

The result in Worcestershire Acute Hospitals NHS Trust, which has 24 vacancies at the moment, is that money that could otherwise be directed to caring for patients is spent on locum doctors, the agencies that they come from and the bureaucracy involved in short-term employment. If we are to succeed in reducing public spending, we can no longer rely on short-term solutions. I understand that the trust has been actively recruiting doctors from Poland and the Czech Republic. Initiatives such as that must continue. However, the idea being explored whereby non-medical roles are created to support rotas and treatment concerns me. The trust considers that option “undesirable”.

It is not only doctors in hospitals who are anxious about the impending changes. I have met GPs recently—I do so regularly—who have shared with me their concerns about the establishment of the NHS commissioning board. When each GP must be a member of a consortium, their job will have to include commissioning services. The doctors in Redditch whom I meet regularly are equally concerned about the unequal funding for shire counties. I hope that that will be addressed sooner rather than later. There are also concerns about the reorganisation taking away local knowledge of the complexities of our county and its problems. Bromsgrove and Redditch GPs will do their best for their patients—I hope that, when the changes are introduced, they will be fully skilled to do the best job that they can.

In summary, I am delighted that we are finally getting a cancer care unit for Worcestershire—I hope that it will be in Redditch. However, I hope that the Minister will address my concerns about the expensive use of locum doctors and the concerns raised by local GPs. I welcome the coalition Government’s commitment to local health care being delivered by local clinicians in our own localities.