NHS England: Major Incidents

Lord Hunt of Kings Heath Excerpts

Wednesday 28th January 2015 Lords Chamber

[Lord Hunt of Kings Heath (Lab)]

My Lords, I am very grateful to the noble Baroness for repeating that Statement, and I echo her thanks to the staff of the NHS and other agencies who are coping with such pressure at the moment. The noble Baroness said that there is no definition of a major incident. Can she tell me why there is no national definition of a major incident, given that the NHS is a national service and that we need comparators between different areas of the country? Can she also tell me why a head of operations at a major trust who received the NHS England guidance said it was designed,

“to effectively stop trusts from calling a major incident”,

and that consultants’,

“hands will be tied in most cases if they wish to call a major incident for capacity reasons”?

That sounds rather like news management by NHS England. Finally, can she confirm that, when the previous Government left office, the 98% target was being met?

[Baroness Jolly]

I shall take the noble Lord’s questions in reverse order. The 98% target was being met—up until probably the middle of November, we were hitting our target—but, from the middle of November through the cold Christmas and New Year season, demand was really very high. In 2013, NHS England produced guidance on such issues that would, clearly, have gone to all CCGs, trusts and interested organisations. It is up to local trusts, following the guidance, to make their own decisions about how appropriate it is to call an emergency. The noble Lord has an advantage over me; I have not seen the West Midlands document, so I am not sure exactly how that trust interpreted the guidance. I have not seen the document, so I cannot follow the trust’s interpretation, but from the Secretary of State’s Statement, he probably finds it difficult to follow.