Oral Answers to Questions

Karin Smyth Excerpts

Tuesday 15th October 2024 Commons Chamber

[Sir Edward Leigh (Gainsborough) (Con)]

1. What steps his Department plans to take to improve health outcomes in the east midlands.

[The Minister for Secondary Care (Karin Smyth)]

Lord Darzi’s report concluded that the health service is in a critical condition across the country, including in the east midlands, where healthy life expectancy has declined in the past decade. Waiting lists in the region stand at slightly below the national average for 18-week waits, at 57% compared to the national average of 58%.

[Sir Edward Leigh]

With two thirds of people having to wait more than four hours at Lincoln County hospital’s A&E department and with horror stories from my constituents of people waiting up to 24 hours, does the Minister understand that if we are to save the NHS and give people the timely appointments they need, we must unleash the full power of the private sector?

[Karin Smyth]

I thank the right hon. Gentleman for helping to underline the shocking inheritance from the previous Government. He is absolutely right. We are committed to cutting waiting times and serving constituents, like mine, by delivering the long-term reform the NHS desperately needs. The Government are committed to the funding model. We are not going to change it. He tries this every time, but we are committed to the funding model as it exists.

[Matt Western (Warwick and Leamington) (Lab)]

A really important part of improving health outcomes in the east midlands, and across the country, is the use of diagnostics. The Rosalind Franklin laboratory, which was set up in my constituency, was closed down just a few months ago at a cost of £0.6 billion. Does my hon. Friend agree that one of the most important things we could do is to restore good quality diagnostics to our NHS?

[Karin Smyth]

My hon. Friend is absolutely right. We are committed to improving diagnostics as part of our reform of the health sector. Analysis of waiting lists shows that 20% of people will end up with a hospital admission, most as a day case. To improve waiting times, the focus must be on early prevention, diagnostics and consultant review at an early stage.

[Mike Tapp (Dover and Deal) (Lab)]

2. What assessment his Department has made of the effectiveness of NHS urgent and emergency care services.

[The Minister for Secondary Care (Karin Smyth)]

The recent independent report by Lord Darzi makes it absolutely clear that urgent and emergency care services are also struggling, with the latest data published last week showing that one in 10 patients spend over 12 hours in A&E. We are committed to returning to service standards that patients rightly expect through our ambitious 10-year plan to reform the health service.

[Mike Tapp]

In September 2021, Victoria hospital in Deal lost provision for blood testing. After a long campaign by residents, it was agreed that it would return. However, that has stalled in the tendering process. Will the Minister meet me to discuss how we can move this forward?

[Karin Smyth]

I commend my hon. Friend for championing this issue on behalf of his constituents. I understand that he has raised it with the chief executive officer of his local trust. He will appreciate that commissioning decisions are a matter for the local integrated care board, in this case Kent and Medway ICB, but I am, of course, very happy to meet him to discuss it further.

[Andrew George (St Ives) (LD)]

I wish the Minister well in her efforts to address this issue, because it is extremely serious. There are very often more than 20 ambulances queueing outside Treliske hospital, which has a serious impact on expectations for patients. Will the Minister please look at the potential for urgent treatment centres to take pressure away from emergency departments, such as the urgent treatment centre at West Cornwall hospital in Penzance, which really needs to be re-established on a 24/7 basis? That would make a real impact.

[Karin Smyth]

I thank the hon. Gentleman for his good wishes. It is, indeed, a huge task we have before us. We will maintain ambulance capacity throughout this winter. He makes a valuable point about alternative models to hospital admissions and treatment in the community. That is a matter for the local ICB, as I know he knows. It needs to look at which model is the best fit, particularly in rural areas, to reduce the pressure on frontline A&E services.

[Paula Barker (Liverpool Wavertree) (Lab)]

Intermediate care for people facing homelessness, which is recommended by the National Institute for Health and Care Excellence, can reduce rough sleeping by around 70%. That is life-changing for people who have been sleeping rough and it plays a significant role in relieving pressure on hospitals. A recent evaluation of intermediate care for people facing homelessness in one county in England found a 56% reduction in A&E visits and a 67% reduction in emergency admissions. What exists currently is a postcode lottery. How can we embed the NICE approach in every integrated care system across England?

[Karin Smyth]

My hon. Friend has highlighted an issue that is often overlooked. Homelessness has risen to shocking levels in the last 14 years. When it was addressed under the last Labour Government, people were moved off the streets, and there was decent care at the front end of the hospital system and support in the community. My hon. Friend is right: there are good examples across the country, and we would like to see them embedded as part of our overall goal, across Government, of reducing the scourge of homelessness in society and once again supporting the front end of the health service.

[Alison Bennett (Mid Sussex) (LD)]

I recently met representatives of the Royal College of Emergency Medicine, who told me that the inadequate state of social care was resulting in the deterioration of people’s physical health, leading to more presentations at emergency departments. Does the Minister agree that if social care were properly funded, pressure on our hospitals would be reduced?

[Karin Smyth]

What we see at the front end of the system is a result of the deterioration throughout the system, and the flow of patients from the community, through discharge and, indeed, through social care. Our ambitious 10-year plan will involve examining the entire patient pathway to ensure that care is provided in the community, closer to home. Prevention is a key part of that, as is the look that we are taking at social care.

[Greg Smith (Mid Buckinghamshire) (Con)]

3. What steps he plans to take to reform adult social care.

--- Later in debate ---

[Blake Stephenson (Mid Bedfordshire) (Con)]

T3. I welcome all efforts to increase the number of GPs throughout England. Residents in new and growing towns such as Wixams in Mid Bedfordshire need a GP surgery. My local councils have been told that they need to put up the capital to deliver one, causing concern about cash flow and borrowing costs. Will the Minister meet me to discuss a new capital investment programme to ensure that residents in new towns such as Wixams do not have to wait for developer contributions to get the services they need?

[The Minister for Secondary Care (Karin Smyth)]

As Lord Darzi outlined, capital development in the NHS is shocking, with a backlog of £11 billion in maintenance. I would be happy to meet the hon. Member to discuss his problem.

[Ruth Jones (Newport West and Islwyn) (Lab)]

T5. Alan Petersen is a senior pharmacist in my constituency. He tells me that pharmacies have experienced high volatility in drugs pricing and big increases in bills in recent years. At the same time, they are expected to do far more in direct consultation with the public. Given the UK Government’s jurisdiction over funding dispensing services in England and Wales, when do they plan to review pharmacy funding?

--- Later in debate ---

[Rebecca Long Bailey (Salford) (Ind)]

T7. Ingleside, the only birthing centre in the city of Salford, was temporarily closed in 2022 amid an acute midwifery staffing deficit across Greater Manchester. Will the Minister be kind enough to meet me to discuss what he can do to ensure that that unit reopens safely as soon as possible?

[Karin Smyth]

My hon. Friend is right to raise the crisis of midwifery services. We have already had debates in Westminster Hall about this, and the issue affects the entire country. It is a priority for this Government, and I am of course happy to meet her to discuss her constituency issue.

[Olly Glover (Didcot and Wantage) (LD)]

T8. Lord Darzi’s report highlighted the importance of local focus and alignment to co-ordinating local services and improving health, contributing to reduced hospital admissions. In Oxfordshire, the integrated care board is proposing to remove Oxfordshire’s dedicated place director. Will the Secretary of State give his support to place- based roles to maintain local authority alignment, as recommended in Lord Darzi’s report?