Southend Hospital

Debate between Mark Francois and Stephen Hammond

Wednesday 5th December 2018 Westminster Hall

[The Minister for Health (Stephen Hammond)]

It is a pleasure to serve under your chairmanship, Mr Davies, and to take part in this debate. I congratulate my hon. Friend the Member for Southend West (Sir David Amess) and pay tribute to my hon. Friend the Member for Rochford and Southend East (James Duddridge) and my right hon. Friend the Member for Rayleigh and Wickford (Mr Francois) for their contributions. They have all raised points that I wanted to come to and I hope I can respond to them in my reply, because the subject is very important. As constituency MPs, whether a Minister or no, we all recognise the crucial importance of local healthcare systems and what they deliver for our constituents.

My hon. Friend the Member for Southend West is well known as a passionate advocate for his constituents, and has been for many years, but he was also right to point to his distinguished service on the then Health Committee, a Committee that has always done so much to drive thought. He mentioned a number of issues and said he did not want to blow his own trumpet, but some of the issues that he raised are now mainstream issues, and that is hugely important.

My hon. Friend was right when he said in his opening remarks that he thought the NHS was the best health service in the world. I completely agree; that is right. He is also right, of course, as was my hon. Friend the Member for Rochford and Southend East, to say that it is the staff who drive the hospitals and the service for our constituents. As my hon. Friends did, I extend my thanks and those of everybody to those staff, and to everybody who works in the health service, whatever they do. They all contribute in a significant way. They also spoke of the role of volunteers, which was again right. I see the work that volunteers do in my local hospitals. People sometimes forget how that work contributes to the whole experience; it makes life easier for people at an extraordinarily stressful time. I also note with interest the comments made about the stars awards.

I had the chance to speak to Clare Panniker yesterday. She is clearly an impressive professional, driving change for the right reason, which is listening to clinicians and ensuring the best outcome for patients.

I wanted to make those remarks right at the start, and I will say a few words on the three issues that my hon. Friends have talked about—stroke, cancer, and transport and access. The national picture on stroke services is that there is a need to improve the quality of service provision and outcomes for all patients. It is well recognised that stroke is the fourth-biggest killer in the United Kingdom and a leading cause of disability. Although the 10-year national stroke strategy came to an end last year, a programme board was established in March 2018 to oversee the development of a new stroke plan. The fact that one has continued does not mean in any sense that the prioritisation has changed; indeed, that board is now chaired by NHS England’s medical director, Steve Powis, and by the chief executive of the Stroke Association.

To add to what my hon. Friend the Member for Southend West said about specific local issues, we should also mention the importance of the national context. I absolutely understand some of the issues that he raised, and he is right to say that changes, and the rationale for changes, should be clinician-led rather than politician-led. As my hon. Friend the Member for Rochford and Southend East acknowledged, that is actually what is happening with the transformation programme, which is why I understand the frustration of my hon. Friends. They will understand that it is impossible for me to comment on that in detail today due to the referral, but I give the guarantee that when the process has ended and the decisions have been made, all my hon. Friends—not only the three who are present, but others who are concerned—will of course be given sight of that recommendation and the chance to comment on it.

My hon. Friend the Member for Southend West has explained that he has a particular interest in transport. For the sake of clarity, it is important that I set out what has been agreed by the clinical commissioning group and what some of the alternative paths are, in response to the point made by my right hon. Friend the Member for Rayleigh and Wickford. On the transfer of patients, we all know that the CCGs have approved a treat-and-transfer model, whereby a small number of patients will receive initial treatment at their local A&E before being transferred to another hospital. Decisions on patient transfer will be made solely as clinical decisions and discussed with patients prior to transfer. Modelling by the CCG and clinicians suggests that, on average, 15 patients a day might be transferred from their A&E to a different site for clinical reasons and due to the proposed changes. It is a vital part of a joined-up service, especially where specialisation increases—the need for this may or may not increase. Like my right hon. Friend the Member for Rayleigh and Wickford, I encourage hon. Members to continue to press this matter with the STP once it is resolved, because I think it is vital.

[Mr Francois]

The critical thing we need to know is who will provide the service. The obvious answer is the East of England Ambulance Service, but it faces serious resource and capacity challenges. It is difficult for us to support this plan wholeheartedly until we are given definitive answers. Who will provide the service, and how will it work in practice?

Affordable Housing (London)

Debate between Mark Francois and Stephen Hammond

Wednesday 9th September 2015 Westminster Hall

[Ruth Cadbury]

rose—

[Stephen Hammond (Wimbledon) (Con)]

rose—

[Mr Francois]

I will take an intervention from the hon. Lady first and then one from my hon. Friend. I must be quick.

[Mr Francois]

On the formula, to help with the increasing supply of affordable homes, we are making debt cheaper for housing associations to deliver more affordable housing through the affordable housing guarantee scheme. It aims to deliver up to 30,000 homes through guaranteeing up to £3.5 billion of debt.

A number of hon. Members mentioned the matter of buying property in London.

[Stephen Hammond]

The Minister is a absolutely right that the London Land Commission has the ability to be transformational. I urge him to use the good offices of Government to ensure that the whole of the public sector complies. Parts of the public sector have a history of dragging their feet in bringing the land forward. The Government can play that inspirational and effective role.

[Mr Francois]

My hon. Friend knows a lot about the subject and his point is well made.

The Mayor’s London housing strategy includes a commitment to double the number of First Steps homes —the single brand for shared ownership products in London—delivered in the capital by 2020, and to double it again by 2025, helping 250,000 Londoners into home ownership.

Several hon. Members mentioned planning. The Localism Act 2011 gave the Mayor strategic housing and regeneration powers and enabled the establishment of mayoral development corporations to support the regeneration the Queen Elizabeth Olympic park—it is very fitting to mention that today—and Old Oak Common and Park Royal. Since then, the Government have invested more than £3 billion and housing delivery has increased. In 2014, 52,000 homes were granted planning permission in London, up from 45,000 in 2013. Those figures include both minor and major schemes and are consistent with the national total of 253,000 for 2014.

The Government have helped to unlock major regeneration sites in London to deliver new housing. Those include the Greenwich peninsular, with 10,000 new homes, including approximately 3,270 affordable homes for rent or part-rent, 600 student beds, and 3.5 million square feet of commercial floor space. Of the 10,600 new homes at Barking riverside, 31% will have three or more bedrooms and more than 40% will be affordable. Of the 10,000 new households at the Queen Elizabeth Olympic park, around one third will be affordable housing, with many built for long-term rent, as well as to buy. Five new neighbourhoods provide play areas, schools, nurseries, community spaces, health centres and shops, with places to relax, play and exercise all within easy walking distance.

Some hon. Members mentioned changes in rents and the pressure on housing associations. It is important to bear in mind that housing associations generated a surplus of about £2.4 billion in 2014. The sector is financially robust and will be able to deliver the efficiency savings that the change in rental costs implies. To help them further, the regulator will be on hand to help housing associations consider how they can deliver greater efficiency and value for money.

In the few minutes that I have had, I hope that I have managed to outline the number of initiatives under way to increase the supply of affordable housing in London. The Mayor has an extremely proactive programme of attempting to do that. There is a step change in the number of affordable houses being aimed for in London. He is rolling that programme out and making progress. It is incumbent on us all in this debate, which has been conducted in a relatively non-partisan manner, to encourage the Mayor and his successor—whoever they may be—to continue the programme of providing affordable housing in London and giving the people who live in our great capital city a good place to live. On that point, I will keep my word and give just over one minute to my hon. Friend the Member for Croydon South to conclude the debate.