Accident and Emergency Provision (North-East)

Lord Wharton of Yarm Excerpts

Wednesday 13th February 2013 Westminster Hall

[Tom Blenkinsop]

My hon. Friend makes an excellent point. It is a sorry state of affairs, and personal experiences, that people from our area are reporting. The warning signs are there, and I believe front-line staff when they say, as has been reported:

“Somebody is going to die somewhere down the line and it could be the most vulnerable, children. Families of sick people arrive at hospitals and expect to find them in a bed, but they are still outside in an ambulance.”

In fact, a tragedy has already taken place. Last year, an ambulance crew brought a patient to the hospital, but he was not officially handed over to A and E staff. Before he could be seen by a nurse or doctor, he went into a fatal cardiac arrest. The patient, who has not been identified, died at James Cook university hospital, having waited for emergency treatment for more than two hours.

The delays are obviously stretching resources all over the place; for example, ambulances from as far away as Lancashire are being brought in to cover other emergencies. I fear that, with changes in NHS provision elsewhere in the north-east and north Yorkshire, James Cook hospital’s resources might become even more stretched. Surgeries’ general reduction in their late opening times for out-of-hours appointments in some areas across the north-east is putting further pressure on regional A and Es. For example, in County Durham, 69 GP surgeries offered late opening appointments in 2011, but in 2012 that was down to 61 surgeries, which is a 7.6% drop. In Newcastle, 33 GP surgeries offered late appointments in 2011, which dropped to 24 surgeries in 2012. In Hartlepool, 15 GP surgeries offered late appointment times in 2011, but that dropped to 10 in 2012, which is a 31.3% decrease. As the Minister will admit, triage is essential, and that is enormously helped by walk-in centres in my constituency, across Middlesbrough and in Redcar, especially as regards less affluent transient populations who are often not on GP registers.

As the Minister knows following the meeting he kindly agreed to have with me and a representative of the trust, urgent care provision in east Cleveland is facing particular problems. The trust claims to be taking steps to resolve the problems, but if the issues are not resolved, I fear that in the interim—and possibly in the longer term—a reduction in urgent care provision in east Cleveland might further increase the demand faced by James Cook hospital’s accident and emergency department, as patients search for alternative treatment. To an extent, we have already seen that with the draw-down in services at Guisborough general hospital’s minor injury unit.

[James Wharton (Stockton South) (Con)]

I congratulate the hon. Gentleman on securing what is an important debate for many of our constituents. Many of my constituents use James Cook hospital—some by choice, because it is such a good hospital. The hon. Gentleman is talking about the reorganisation of services across the north-east and its impact. We have seen A and Es closing, or being focused in smaller areas to provide specialist care. How would a new hospital at Wynyard impact on future service provision for our constituents?

[Tom Blenkinsop]

I thank the hon. Gentleman for his input. A hospital at Wynyard would be an excellent provision for the region. It was planned by the previous Labour Government. That was as part of a different financial package and under a different scheme, but it was always in the Labour Government’s plans. It is good that the present Government also want that to happen. However, we are discussing current services, and the impact of the reduction in moneys on James Cook hospital and services in east Cleveland and north Yorkshire, which he will no doubt have read about in the local press.

Changes in provision for A and E departments in north Yorkshire might increase the pressures faced by James Cook hospital. In the neighbouring constituency of Scarborough, the trust has given assurances as to the future of overnight A and E services, but local people feel that there are uncertainties over the future of those services. In Northallerton, the Secretary of State for Foreign and Commonwealth Affairs, the right hon. Member for Richmond (Yorks) (Mr Hague), has been campaigning against cuts to services, particularly maternity services, at the Friarage hospital. In Malton, the minor injuries unit has been closed at weekends. I fear that if services at those hospitals are further reduced, additional demand might be placed on James Cook hospital, despite the fact that it already struggles to cope with demand.

When someone is taken to hospital in an ambulance, most reasonable people would expect them to receive care and treatment very quickly. Although I accept that demand is difficult to predict, I certainly do not expect my constituents to have to wait two and a half hours after been taken to hospital by paramedics. I do not hold nurses or doctors responsible for that; after all, more than 5,000 nurses have been cut across the NHS since May 2010. The situation is more likely to have been caused by the budgetary squeeze and the organisational changes that local NHS trusts find themselves dealing with due to the Government’s cuts and unnecessary NHS reorganisation.

I hope that my examples make it clear that there are serious problems on Teesside and across the region, and that they cannot be allowed to continue. I appreciate that the Minister is monitoring the situation with regard to urgent care staff in other hospitals in my constituency. I would be grateful if, alongside that process, he closely monitored A and E performance at James Cook university hospital. There is a very real danger that the situation could deteriorate. At the moment, the capacity for the hospital’s A and E department is 60,000 patients a year; that is what it was designed for. This year, it expects almost double that figure—105,000 patients. That is a time-bomb waiting to go off, which would have repercussions across the region.