Health Care (London)

Debate between Mary Macleod and Andy Slaughter

Wednesday 8th January 2014 Westminster Hall

[Mr Andy Slaughter (Hammersmith) (Lab)]

Given the time constraints, I shall limit myself to one issue, which is the current threat to the emergency hospitals in my constituency, but I begin by congratulating my hon. Friend the Member for Westminster North (Ms Buck) on securing this timely debate. She made her arguments very well.

This morning, I received an e-mail from the Secretary of State that is pertinent to the debate. There was an agreement for him to meet the three Ealing MPs, two of whom—my hon. Friends the Members for Ealing, Southall (Mr Sharma) and for Ealing North (Stephen Pound)—are here, and me next Monday evening. The Secretary of State has withdrawn from that meeting, pleading other engagements, and asked us to meet officials instead. I hope that he will reconsider. The meeting is specifically about the threat to two of London’s major hospitals, Charing Cross and Ealing, and I hope that the comments I am about to make will lead the Minister to intervene and ask that the meeting go ahead. We understand that the Secretary of State has pressures on his time, but it is entirely unacceptable for him not to meet Members on an issue of such crucial and central importance.

It is sad news, but we know—

[Mary Macleod]

Will the hon. Gentleman give way?

[Mr Slaughter]

I would rather not because of the time. I am sorry.

We know what is happening with Hammersmith hospital because it has been announced that the A and E department there is going to close after the winter crisis—as if the crisis is not a continuing one. I have been told informally that it will close two weeks after the local elections to avoid any embarrassment to the Government. We were also told that there might not even be an urgent care centre there; it may be moving. That would mean no emergency access to Hammersmith hospital, unless it is still to receive emergency blue-light coronary cases. At least Hammersmith hospital will continue as a major specialist hospital, and a very fine hospital it is indeed.

The situation regarding Charing Cross hospital is far less clear. I will précis where we are and explain the matters that we wish the Secretary of State to deal with. In February last year, the decision, which is still extant, was made to close completely and sell off the Charing Cross hospital site, leaving an urgent care centre on 3% of the site. At the same time, there was to be an outline business case, to report in October last year, that might preserve 13% of the facilities and 40% of the site. That business case is now due in March, but we understand—through the Imperial College Healthcare foundation trust process, not any other process—that there will also be elective surgery on the site. That might mean there will be elective surgery as well as primary care and treatment facilities, and some form of emergency centre on the site, with perhaps 50% of the land preserved. That gain, in so far as it is a gain, is St Mary’s loss, because we understand that 50% of its site will be sold in any event. Of course, any amelioration in the position is to be welcomed.

I praise the cross-party Save Our Hospitals group for campaigning tirelessly in both my borough and Ealing on the issues I have mentioned. However, the point it would want me to make very clearly is that what I have described is not what we want. Of course we want good elective care, primary care and treatment services, but the issue of capacity must be addressed.

It is not feasible to close two of the largest emergency hospitals. I use the word “close” advisedly. As emergency hospitals, they are closing: there will be no emergency surgery, no blue-light A and E, no stroke unit and no intensive treatment on those sites. I am afraid that the Secretary of State’s intervention so far has been genuinely unhelpful and done for political reasons. We have invented a second-tier A and E, as it is called. A second-tier A and E is an urgent care centre. The only differences that clinicians could identify for me were that at a second-tier A and E there would be GP cover and X-ray services, and for elderly and vulnerable people there might be some beds for recuperation after minor treatment. Otherwise, it is an urgent care centre or a minor injuries unit.

Let us not play political games. I am not saying that we can keep politics out of the NHS—of course we cannot—but this is dangerous because it will mislead people. If people think that there is an A and E at Charing Cross or at Ealing when there is not, they will go there when they should have gone elsewhere. We will continue to campaign to save emergency services. It is not feasible for the Imperial family to go from three major emergency departments to one. All three are currently under pressure and overcrowded. The decision has to be taken by Ministers, so I implore the Minister to go back to the Secretary of State and ask that he meet us.

The level of politics is not acceptable. Politics comes into these matters all the time. Before the last election, when there was no threat to the hospitals, the Conservatives kept saying that there was—I have their election literature here. We now have taxpayers’ money being spent on campaigns saying that hospitals are staying open when, in fact, departments in them are not. Let us at least tell our constituents the truth. There may be unpalatable decisions to be taken, but as far as Charing Cross is concerned, the health service is clear that it will be a local hospital. It will not be an emergency hospital. That is not acceptable in any way to my constituents. It is not feasible to run a health service in west London on that basis.

I have made my points to the Minister clearly, and I look forward to her response. I also look forward to the meeting with the Secretary of State where I can put my points in more detail and more forcefully.

Hospital Services (West London)

Debate between Mary Macleod and Andy Slaughter

Wednesday 11th July 2012 Westminster Hall

[Mr Andy Slaughter (Hammersmith) (Lab)]

It is a pleasure to be here under your chairmanship, Mr Gray, and a pleasure to see so many colleagues from west London, of various parties, here for an important debate that concerns us all. It is a particular pleasure to see the hon. Member for Ealing Central and Acton (Angie Bray), relieved of the cares and constraints of office and therefore able to speak. I am slightly surprised that she chose to be pushed over House of Lords reform rather than this issue, the third and fourth runways at Heathrow airport or the cuts to Sure Start, pensions and other things that are going into the next manifesto, but we all find our path to salvation. I also welcome the hon. Member for Cities of London and Westminster (Mark Field), who already adorns the Back Benches. I hope that we can see others, including the hon. Member for Chelsea and Fulham (Greg Hands), joining the hon. Member for Ealing Central and Acton soon in order to fight the appalling changes to our health service.

Members of Parliament for the north-west London NHS area represent 2 million Londoners, and I know that all of them, whether they can be here or not, are very concerned by the proposals in the consultation document, “Shaping a healthier future”, published on 2 July. I will primarily deal with that document today. I intend to confine my comments, as the debate’s title suggests, to the effect on the major hospitals in north-west London of the proposed changes. Given the time constraints and the fact that hon. Members with more knowledge of hospitals in their own constituencies are here to speak, I will deal principally with the risks to Charing Cross and Hammersmith hospitals, but I will try to put those in the wider context of what can only be called a crisis in the NHS in north-west London. That is in the light of the further decision last week to put the future of Royal Brompton hospital at risk by the closure of children’s cardiac services there and the failure by Imperial College Healthcare NHS Trust to manage waiting lists and GP referrals.

The Minister will have seen the letter that I sent last week to the Secretary of State, asking for independent intervention to rescue the health service in west London before matters get more out of hand. I will expand on that and hope that the Minister can respond positively.

The other point that I will make in opening the debate is that the consultation should not be a Dutch auction. I do not think that any hon. Member will have come here to say, “Don’t close my hospital; close his or hers.” Every hon. Member and, indeed, every member of the public I have spoken to in the past few weeks wants to challenge not the detail or options that we are offered, such as they are, but the premise that such a major downgrading of the health service is sustainable, safe or sensible. If any hon. Member here felt a moment’s relief when they saw the schedule of closures—in particular, of accident and emergency departments—and realised that their local hospital was not on it, that relief was short-lived. The question immediately arose: how will the five remaining A and Es cope with the consequence of closing four busy departments and the consequent downgrading of other hospital services?

I am pleased to see here hon. Members representing, I think, all the north-west London hospitals, not only those under threat. Neither I nor my constituents are resistant to change in the NHS or unaware of the cost pressures that it faces. Indeed, it is the Government, not us, who need to be candid about both their failure to fund the NHS and the underlying financial motivation for these proposals.

The medical director for north-west London has been admirably frank. In approving the consultation two weeks ago, he stated that the local NHS would

“literally run out of money”

if the closures did not go ahead.

[Mary Macleod (Brentford and Isleworth) (Con)]

I congratulate the hon. Gentleman on securing the debate. Does he agree that whatever the shortfall in funding in London that he talks about, more funding has gone into the NHS from the current Government than ever before?

[Mr Slaughter]

Apart from the bit of fun that I had at the beginning of the debate, I am going to stay off party politics. I think the hon. Lady knows that the NHS was rescued under a Labour Government, and knows about the increase in funding then. She will also know from articles in the press this week and last that in fact, the promise made by the Prime Minister before the election to increase funding for the health service is not being kept. [Interruption.] I therefore think that that was a bad point to make. [Interruption.]

Pub Companies

Debate between Mary Macleod and Andy Slaughter

Thursday 12th January 2012 Commons Chamber

[Mary Macleod (Brentford and Isleworth) (Con)]

Thank you very much, Mr Speaker. This public meeting is being held purely to help local residents. It is for Transport for London and Hounslow and Hammersmith councils to update local residents and help them. Frankly, that is what I came into politics to do.

I am extremely disappointed that the hon. Member for Hammersmith (Mr Slaughter) has attempted to threaten, intimidate and bully me into doing what he wants and play political games. He knew what was happening—I told him at the earliest opportunity. I invited him to the meeting verbally and in writing. He said initially that he was happy with the plans for the meeting.

I have worked well recently with my Labour Hounslow council and expect to have a very positive working relationship with the new hon. Member for Feltham and Heston (Seema Malhotra). It is really sad that we cannot help our local residents without an hon. Member trying to stop us. We should work together for the good of our local residents and our constituencies.

[Mr Slaughter]

rose—

Social Housing in London

Debate between Mary Macleod and Andy Slaughter

Thursday 5th May 2011 Commons Chamber

[Mary Macleod]

That question is best directed at the Minister, who will, I think, disagree. I am sure that he will respond to it at the end of the debate.

The new homes bonus shows the concept of localism in practice, with local communities, local government, business and the third sector coming together to make decisions that will bring real benefit to the local area. The Mayor of London has made a commitment to deliver 50,000 new affordable homes by 2011, of which 30,000 will be social rented homes; the remainder will be for low-cost ownership. He is on target to deliver his manifesto by the end of his mayoral term, despite the biggest downturn in the market for many years. By the end of the financial year 2010-11, 40,000 homes will have been completed, with a higher proportion of social rented homes being family sized than in any previous mayoral term. The Mayor has also fulfilled his manifesto commitment to invest £60 million in bringing 3,142 empty homes back into use.

Secondly, let us consider the increased use of the private rented sector. We have been used to an “Englishman’s home is his castle” approach to housing, but it is clear that we need to move more towards a European model, whereby long-term renting is much more the norm. Private companies can play a role in that, and several are now developing models that provide grant-free housing for economically active families who find that they are unable to get social housing or who have no realistic prospect of getting on the housing ladder—the so-called sandwich class. Those companies work in urban areas to develop brownfield sites and provide good-sized family accommodation for under the £340 a week housing benefit threshold.

For example, the London Rental Housing Company intends to build 2,000 private rented units in the next five years, and it is currently searching for 10 sites across London that can accommodate at least 150 three-bedroom apartments. It also intends to build larger units for families and sharers. That is part of a new, emerging build-to-let sector, which is entering the market to build purpose-built mass housing. Perhaps one of the greatest indictments of the Labour years is the previous Government’s rigid adherence to political dogma and their ignorance of the private sector’s potential to help solve some of the problems.

The Mayor of London believes that, by attracting institutional investment, there is significant scope for the private rented sector to play a bigger role. He is also committed to ensuring value for money in the private rental market and introducing the London rents map, which enables prospective tenants to see the going rental rates for any given postcode area in the capital.

Thirdly, let me deal with increased mobility. The majority of tenancy agreements are currently made on a lifetime basis, with no regard for future needs. Indeed, tenants can leave properties to family members after their death, with no regard to their housing needs. Although I understand that it would be difficult to change the arrangements for existing tenants, and I appreciate why the Government have decided not to do that, the suggested changes for the future represent a much more realistic model for moving forward.

[Mr Slaughter]

I am listening carefully, and I have heard about no under-occupation for social tenants, so long-standing families will be forced to move out of their homes. I have heard, “Let’s rely on the private rented sector”, of which, as a west London Member of Parliament, given our heritage from Rachmanism, the hon. Lady should be ashamed. I am now hearing that lack of security is a benefit. I hope that she tells her constituents what she believes about housing policy in London, because, given the size of her majority, I would like to see how they vote next time.

[Mary Macleod]

I take every single person who comes to my surgery with housing problems extremely seriously, and I deal with them, as I am sure the hon. Gentleman does, too. That is what a Member of Parliament should do.