North Tees and Hartlepool NHS Foundation Trust

Matt Vickers Excerpts

Tuesday 27th February 2024 Westminster Hall

[The Minister for Health and Secondary Care (Andrew Stephenson)]

It is a pleasure to see you in the Chair, Sir Charles. I congratulate the hon. Member for Stockton North (Alex Cunningham) on securing this important debate. He has used it to raise important questions that are vital to NHS governance—localism, transparency and accountability. He is right that patients in his constituency and the wider region should be at the forefront of decision making about their healthcare. NHS England has found that shared leadership and group working arrangements between trusts can stabilise governance and align approaches to help improvement.

[Matt Vickers (Stockton South) (Con)]

I thought that those were very legitimate questions and concerns about the way forward with mergers—joint working—but one of the issues in our part of the world is that South Tees Hospitals NHS Foundation Trust was burdened by the last Labour Government with a huge PFI deal at James Cook Hospital that cost £1 million a week. That is what makes this contentious. That is what makes it so difficult to see joint working in our part of the world.

[Andrew Stephenson]

I thank my hon. Friend for making that point. I recognise that they are two trusts with very different characteristics. He is right about the eye-watering legacy in one trust—I think it is £57 million a year of PFI debt—which can make joint working controversial. However, as I will come on to say, I have been assured that the two trusts want to work together with joint arrangements, but not merge. I hope we can set the record clearly: in doing the research behind this speech, I have heard that this is not the prelude to a merger through the back door; rather, it is about trusts wanting to work together to address the healthcare needs in the area.

It is right that any decisions about shared leadership arrangements are made in Stockton, not Westminster. However, where an NHS trust is facing performance challenges, the Government back targeted interventions by NHS England, bringing the trusts together to properly diagnose the problem and develop an improvement plan, which could include shared leadership. Any leadership changes should be kept under constant review to ensure that they are effectively delivering for patients and the local area. The point is to help challenged trusts to improve and take ownership of local issues. External evaluations of NHS England’s leadership interventions have found them to be effective.

I will address the current leadership arrangements of the North and South Tees trusts. Up and down the country, trust governance fits a variety of different frameworks. As the hon. Member for Stockton North knows, putting a round peg in a square hole is pointless. However, although we support a diversity of models, I am crystal clear that every arrangement should be geared towards building a faster, simpler and fairer NHS that works for both patients and staff. I am happy to assure him that, in this instance, I have been assured that the shared leadership and joint working arrangements are not in any way a precursor to trust mergers or acquisitions. In other words, both trusts intend to remain statutory organisations in their own right.

NHS England promotes those models of working to maintain consistency within trusts and to ensure that everyone is on the same page when lessons are being learned. However, for over 10 years now, North and South Tees trusts have been discussing how to work together to provide a better offer for the people of Stockton.

NHS Dentistry: Recovery and Reform

Matt Vickers Excerpts

Wednesday 7th February 2024 Commons Chamber

[Victoria Atkins]

I join my hon. Friend in his praise for our right hon. Friend the Member for South Northamptonshire (Dame Andrea Leadsom). As I say, we are having to apply strict criteria to the dental vans. We want to get them out as quickly as possible to the most underserved areas, but we do not want dental vans to be the limit of our ambitions. The idea behind them is very much to revitalise those parts of the country that do not have NHS dental practices within a reasonable distance, and we are convinced that dental vans are just one of the levers by which we will achieve that.

[Matt Vickers (Stockton South) (Con)]

As my right hon. Friend knows, I am extremely concerned about access to dentistry for residents in Stockton South, so I hugely welcome this unprecedented investment and the places it will create locally. Can she confirm that the Government are committed to tackling the situation as quickly as possible and also for the long-term, and that they will continue to consult on broader workforce and contract reform?

[Victoria Atkins]

I am delighted to confirm that. We have wanted to deal with the issues as quickly as we can, but also with an eye to the future. This is the way in which the Government set out our plans for the NHS and for our social care system. I am confident, for example, about the introduction of golden hellos for new dentists. We know that that works with GPs and we now want to try it with dentists to see whether we can get dentists into those areas that do not have the service they need at the moment.

Oral Answers to Questions

Matt Vickers Excerpts

Tuesday 17th October 2023 Commons Chamber

[Steve Barclay]

As I have said, we have 6.5% more dentists now than when we came to power. There is also a quarter more dental activity this year compared with last year. I understand why the hon. Gentleman does not want to talk about the investment that we are making on the elective programme in Norfolk, because it includes funding for two new hospitals in Norfolk through our new hospitals programme and significant funding into diagnostic capacity, with a number of diagnostic centres being opened in Norfolk, which he does not want to mention.

[Matt Vickers (Stockton South) (Con)]

T4. My local hospital, North Tees, is tired, dated and well beyond its life expectancy, with operating theatres too small to meet modern requirements, so I was hugely disappointed that my NHS trust failed even to apply for Government funding that could have built a new state-of-the-art surgical hub on the site. Will my hon. Friend work with me to ensure that the people of Stockton get the healthcare facilities that they need?

[Will Quince]

We will always work with my hon. Friend and the trust on capital improvements where needed, but I am pleased to note that the trust has been allocated significant investment from national programmes in recent years, which my hon. Friend fought hard for, including £32.2 million from our community diagnostic centres programme, which will provide vital testing to local residents close to home, and £3 million from our A&E upgrade programme. We will of course continue to work closely with colleagues in the NHS and the local trust to continue delivering for the people of Stockton.

Oral Answers to Questions

Matt Vickers Excerpts

Tuesday 11th July 2023 Commons Chamber

[Steve Barclay]

We are taking significant action on mental health, which is why we are investing £2.3 billion more, compared with four years ago. We have targeted measures as part of our urgent and emergency care recovery plan, including 100 mental health ambulances. We are putting in additional capacity, such as crisis cafés, to support emergency departments. We are also making mental health support available through 111 for the first time, which will allow us to get to issues early, before people are admitted to hospital.

[Matt Vickers (Stockton South) (Con)]

T5. I was delighted when the Government awarded Stockton a new £25 million diagnostic hub, but my local Labour council, which is a partner in delivering the project, appears happy to accept months of delays in completing it. Does my hon. Friend agree that Labour’s delays could cost lives? Will he work with me to ensure that all partners understand the urgency of the project?

[The Minister for Health and Secondary Care (Will Quince)]

That is hugely frustrating, because I know how hard my hon. Friend campaigned for the Stockton community diagnostic centre and that he recognises the urgency of increasing diagnostic capacity locally. Delivery plans have to be agreed at a local level, so I urge Stockton council to work with him to meet the ambitious timeline and get Stockton CDC open as soon as possible.

Hospital Provision: Tees Valley

Matt Vickers Excerpts

Tuesday 28th March 2023 Westminster Hall

[Jill Mortimer]

It was. The other thing I want to say is that this is an extremely good example of Labour putting politics above the people of Hartlepool. The Labour candidate in Hartlepool, the councillor Jonathan Brash, has had no interest in the hospital. He has had no interest in anything in Hartlepool for a long time. However, every time it looks like I am going to succeed in bringing something forward for the people of Hartlepool, Jonathan Brash is there, ready to have a photo opportunity or write a magic letter to try and take the credit. I am grateful to hon. Gentleman for raising that so I can clarify the situation.

Some may wonder why there is a need to invest in new services. If the hospital had been properly loved and maintained, there would be no need to do so. Sadly, Hartlepool has not been championed by my predecessors —the Labour MPs who went before me—resulting in a significantly lower amount of investment compared with surrounding regions. The Labour centralisation policy of the mid-2000s meant that it became Labour party policy to close down Hartlepool hospital. Indeed, the candidate who stood against me in the by-election, Dr Paul Williams, co-authored the report that recommended that critical care and other services be taken away from the hospital and moved elsewhere. As I have said, there was Labour talk of a new super-hospital, to be funded by one of Labour’s public-private finance initiatives, and we have seen the issues that have arisen from that at James Cook—a prime example of the huge amount of money that the schemes now leech from our NHS.

[Matt Vickers (Stockton South) (Con)]

Labour’s health legacy on Teesside is a dodgy Labour PFI deal that still costs James Cook hospital £1 million every single week. Does my hon. Friend agree that that money would have been better spent on doctors and nurses supporting our residents?

[Jill Mortimer]

I totally agree with my hon. Friend. In fact, less than a year’s-worth of the £1 million a week that goes into propping up James Cook’s PFI deal—£40 million—would be enough to upgrade and put in the services that we want Hartlepool.

Sadly, my constituents got caught in the political crossfire and were left with a shell of a hospital at Hartlepool and faced with long journeys to North Tees and James Cook for many hospital services. When the accident and emergency unit was closed down in 2011, local opposition was so strong that roughly a third of the population of Hartlepool signed a petition organised by the “save our hospital” campaign. It was incredible—there were more than 30,000 signatures, and there were marches through the town.

I was elected in 2021 on a promise of bringing positive change. That includes bringing education, skills, jobs and prosperity to the town, but there was also an overriding call on the doorsteps for the return of services to our much-loved Hartlepool hospital. I set about trying to find a solution for this long-standing and ignored issue. I have therefore been working directly alongside North Tees and Hartlepool NHS Foundation Trust and its excellent chief executive, Julie Gillon, for in excess of 18 months. During that time, I have built a strong working relationship with Julie. Sadly, she has recently announced her decision to retire from her role and pursue other things, but she intends to dedicate the next six months to championing our proposals for Hartlepool. She will be a sad loss to health provision in the Tees Valley, and I will be one of many who will miss her. She is a competent leader and a good, strong woman—the sort we excel at in the north-east.

--- Later in debate ---

[Will Quince]

I absolutely guarantee and assure my hon. Friend that I will get that meeting with Lord Markham arranged as soon as is practically possible, but certainly in the next few days.

I am grateful to my hon. Friend for giving me the opportunity to highlight how the Government are prioritising capital spend in our NHS in order to transform and improve healthcare outcomes for people and put healthcare financing on a sustainable footing. She understandably and rightly focused on the North Tees and Hartlepool NHS Foundation Trust, her local trust, and of course the University Hospital of North Tees in Stockton, which serves many of her constituents. I will, of course, turn to that, but before I do I will briefly reference our capital funding plans more broadly, because the context is important.

We have already provided record sums to upgrade NHS buildings and facilities so that trusts up and down the country can continue to provide the best possible quality of care. Currently, the Department’s capital budget is set to reach upwards of £36 billion for 2022-23 through to 2024-25—a record capital settlement—and we are using that level of investment to address current care delays.

My hon. Friend made a strong case for why new hospitals are important. As important as they are, the broader health economy is, of course, about far more than that. It is about surgical hubs; it is about community diagnostic centres such as the one in Stockton, as she rightly pointed out; it is about ambulance hubs, and it is about discharge lounges. It is about all those value-adding capital projects too. As part of our urgent and emergency care recovery plans, the 5,000 extra beds that are being added to existing NHS hospitals ahead of next winter are also hugely important.

As I said, new hospitals are, of course, important, and we are aware of the need for further investment in the NHS estate. We are investing an extra £1.7 billion to 2025 for more than 70 hospital upgrades. As my hon. Friend alluded to, the Government have committed to building 40 new hospitals, backed by an initial £3.7 billion for the first four years of the new hospital programme.

[Matt Vickers]

We are incredibly grateful for the £40 million invested recently in the North Tees and James Cook hospitals, and for Stockton’s new diagnostic hospital and mental health crisis hub, but the incredible, committed, dedicated, grade-A workforce at North Tees deserve grade-A facilities. Will the Minister ensure that North Tees’s bid to rebuild and upgrade the hospital is given the fullest attention?

[Will Quince]

I thank my hon. Friend for his question. I know from his persistence in campaigning for the community diagnostic centre that his continued persistence in campaigning for a new hospital and upgrades will not have been missed by the relevant Minister, Lord Markham. I will come on to talk about the new hospital programme and the selection of the next eight hospitals.

As I said, the Government are committed to building 40 hospitals, backed by an initial £3.7 billion. Two schemes are already complete and five are currently under construction. The programme is delivering facilities that are at the very cutting edge of modern technology. Critically, it is engaging with clinical staff to ensure that we provide a better working environment for them. We know that enables increased efficiency; importantly, it also promotes staff wellbeing and improves retention.

Urgent and Emergency Care Recovery Plan

Matt Vickers Excerpts

Monday 30th January 2023 Commons Chamber

[Steve Barclay]

My hon. Friend is right that not every patient accessing an emergency department needs a tier 1 A&E facility. This is about right place, right treatment for the patient, and making better use of urgent care centres. How those centres can better triage patients who can be treated there is a key part of the plan we have set out.

[Matt Vickers (Stockton South) (Con)]

In Stockton South we are incredibly grateful for the Government’s commitment to build a new diagnostic hospital so that local people can get access to lifesaving scans, tests and checks. We are also grateful for the £3 million announced to establish a new mental health crisis hub, so that people can get support in their hour of need. What is my right hon. Friend doing to ensure that we have the right people with the right skills in the right place to deliver great service at those facilities?

[Steve Barclay]

I am delighted that, thanks to my hon. Friend’s assiduous campaigning, he has secured his diagnostic centre, and that he assures me he will get it operational in one of the fastest times seen by any area. We are bringing forward our workforce plan, and as I set out, we have 2,500 more nurses this year compared with last year. We are on track for our manifesto commitment of an extra 50,000 nurses, with more than 30,000 recruited already.

Cancer Outcomes: Tees Valley

Matt Vickers Excerpts

Monday 16th January 2023 Commons Chamber

[Helen Whately]

Yes of course. More people coming through for referral for cancer diagnosis and increased early rates of diagnosis feed through into us needing to increase the rates of treatment. The NHS is treating more people for cancer, but of course this is taking time because of the increased levels of referrals. We are working very hard to do this.

I want to return to talking particularly about cancer diagnosis and what we are doing to do that earlier, and specifically about the community diagnostic centres that are being rolled out across the country supported by £2.3 billion of capital investment. Local health systems can bid for a share of that funding when they make the case for community need and clinical value, and I am delighted to say that 89 community diagnostic centres are currently operational across the country. Hard-working NHS staff have so far delivered more than 2.7 million additional checks at these centres. Specifically in the Tees Valley, I know that my right hon. Friend has been working with his local NHS to support its proposal for a new diagnostic centre in Stockton-on-Tees, and I can update him with the good news that this new site has been approved, with a planned opening date of December 2023.

[Matt Vickers (Stockton South) (Con)]

Can I thank the Government for this fantastic investment in my part of the town? It will save lives. Also, importantly, can I thank the Government for challenging us locally to deliver it more quickly so that we can save more lives more quickly and make a bigger difference to the community? Thank you very much. We are going to do our best.

[Helen Whately]

It is good to be able to talk about good news. As my hon. Friend says, his area is not only getting a community diagnostic centre but getting it quicker because the timeframe for doing it has been brought forward. That is tremendous, and I look forward to his area achieving that later this year. It is great that we have been able to announce the date when it will open.

The new Castlegate site for the Tees Valley community diagnostic centre is planned for construction on the Castlegate shopping centre site as part of the local regeneration project. There are excellent transport links, which means that it will be accessible to the whole community. It is important to make these places accessible in order to get people to come forward for testing and screening. This will be the latest addition to the 14 existing community diagnostic centres in the North East and Yorkshire region and the four hub-and-spoke sites in the Tees Valley area, which have so far delivered over 250,000 tests.

Diagnostic Hospital: Stockton

Matt Vickers Excerpts

Wednesday 26th October 2022 Commons Chamber

[Matt Vickers (Stockton South) (Con)]

I thank the House for allowing me the opportunity to raise this important and urgent issue, making the case for one of the Government’s new diagnostic hospitals to come to Stockton.

First, I would like to take the opportunity to thank the incredible workforce who are the backbone of my local NHS. Having volunteered during the pandemic and shadowed shifts in my local hospitals, North Tees and James Cook, I have seen at first hand their incredible commitment and dedication; the doctors, nurses, porters, domestic staff, care workers and everyone else each day provide a lifeline to those most in need. We owe them a huge debt of gratitude. These people deliver grade A public service and deserve grade A resources and workplaces.

I welcome the fact that a Conservative Government have given the NHS the biggest cash boost in its history. I welcome the incredible difference that this additional £33 billion of funding will make, and I welcome the commitment to build 40 new hospitals by the end of the decade and to create a network of diagnostic hospital hubs to tackle the post-coronavirus backlog. In recent times, I am delighted to have seen tens of millions of pounds of capital investment put into my local hospitals. At South Tees, that has meant, among others things, upgrades to life-saving radiology equipment, and at North Tees we have seen upgrades to our award-winning urgent care centre and the provision of a new respiratory unit.

However, nowhere is investment in healthcare needed more than in my area. There is a debate about health inequalities in this country; this is about the difference in access to care, the impact on people’s quality of life and the differences in the resulting life expectancy. It is an appalling fact that there is a street in Stockton where if someone travels from one end to another, just 5 miles, they pass through two areas where the difference in life expectancy is 20 years! Those living in Yarm in my constituency can be expected to live until the age of 84, whereas those living in Stockton Town Centre, in neighbouring Stockton North, can expect to live, on average, only to the age of 64—that is equivalent to the life expectancy of those living in Ethiopia. That is entirely unacceptable in Britain in 2022; we cannot go on like this.

I realise that a new hospital or diagnostic hub is not the entire solution to this problem, and that it requires interventions from the health service, social services, the local council and other agencies, but investment in our local health service is part of that solution. I have already held an Adjournment debate on the need to improve North Tees hospital and I have talked of the huge maintenance costs that consume the hospital’s budget, the fact our operating theatres are not big enough to house modern robotics and the fact that the hospital is just not fit for the 21st century. Our bid is in to the new build hospital programme, but today I am here to make the case for us to have one of the Government’s new diagnostic hospital hubs.

The pandemic has created a huge pressure on our NHS; with elected surgery paused, the waiting lists and backlogs have grown to unprecedented levels. During a shadow shift at North Tees, I saw the unbelievable challenges facing our doctors as they have to decide which patient’s surgery is the most urgent and who must wait, whether it be the youngster involved in a car accident at the weekend or the elderly person awaiting a hip operation. These are harrowing choices for clinicians to make and we must do everything we can to help tackle that backlog. Among the 88,000 people on waiting lists across North Tees, South Tees and County Durham NHS trusts, more than 2,500 have waited more than a year for an appointment. So as well as pushing the bid for a new hospital at North Tees, I believe Stockton would be the ideal place for one of the Government’s new diagnostic hospital hubs. Such a hub could save lives in my area, by ensuring that people can get the checks and tests they need more quickly. They could get the MRI scan that could detect cancer and ensure they get the treatment they need in time, or the CT—computerised tomography—scan that detects the stroke and ensures the right care to aid their recovery.

I realise that the Minister, and several of her predecessors, may well be sick of hearing from me on these two bids, but I am not the only person who believes this diagnostic hospital hub needs to come to Stockton.

Both North Tees and South Tees NHS trusts have agreed that Stockton should be the home of such a hospital hub. I spent my summer delivering tens of thousands of leaflets and knocking on doors across my constituency, speaking to residents about the plan. Thousands of people signed the petition and backed the plan. Our proposal is to build the new diagnostic hospital in Stockton town centre, which is due to be reconfigured and made fit for the future, thanks to £16.5 million from the Government’s future high streets fund. Putting the hospital hub here will mean that it is accessible to all by public transport, as well as driving footfall and breathing life into our town centre to support the local economy. 

 It would be remiss of me to discuss this without mentioning the challenges in attracting radiographers to operate and man such a hospital hub. It is great that, thanks to a Conservative Government, there are now 30,000 more doctors and 40,000 more nurses working in our NHS than there were in 2010. However, there remains a problem in attracting radiographers. A chronic workforce shortage means that a diagnostic centre would need additional staffing rather than extracting from the teams already based in acute hospitals. 

The north-east is hit worst by these shortages with a vacancy rate of 17%, the highest vacancy rate in England and, worryingly, 90% of those vacancies have been unfilled for more a year. Alongside my plea for a diagnostic hub, I urge the Government to invest in local clinical radiology training places. 

This Conservative Government and their levelling-up agenda have meant huge investment in my area, improving infrastructure with upgraded roads, new cycle lanes, railway stations and the saving of our airport. We have seen new jobs and training opportunities delivered through the UK’s first and biggest freeport, supporting the development of a new training hub to upskill local youngsters and increasing investment in local schools. Tens of millions of pounds of funding have been put in to improve town centres in Stockton, Thornaby, Yarm and—hopefully soon—Billingham.

Now it is time to level up on health, so that people from my area can live long and happy lives and we can eliminate health inequalities that have no place in modern Britain.

[Mr Louie French (Old Bexley and Sidcup) (Con)]

My hon Friend is making a fantastic speech on the importance of diagnostic hubs in the north of England. Does he agree that that levelling up also applies to areas in the south, particularly my area of Sidcup, where we have also been lobbying for a diagnostic hub? We also need to level up and provide that local service for my hospital, Queen Mary’s, in Sidcup.

[Matt Vickers]

I agree. I know how much work my hon. Friend has put in to try to seal the deal in his part of the world. I am sure that the Minister will have good news for us all. It is well earned if it is there.

I hope that Ministers will back the bid that has been put forward to provide my area with the much-needed increase in diagnostic capacity so that my local NHS is fit for the future, fit for patients, and fit for its amazing staff. I know that the Government are committed to modernising the NHS and have announced massive investment that will fund healthcare across my region. I know that the Minister is probably sick of hearing from me on this issue, but I will continue to push for the resources we need to tackle the heartbreaking health inequalities that my area faces. 

I thank the Minister for her attention and look forward to her response.

[Mr Deputy Speaker (Mr Nigel Evans)]

I call Alex Cunningham.

Future of the NHS

Matt Vickers Excerpts

Monday 31st January 2022 Westminster Hall

[Matt Vickers (Stockton South) (Con)]

I beg to move,

That this House has considered e-petition 598732, relating to the future of the NHS.

It is an honour to serve under your chairmanship, Mr Gray. Today I have the privilege of bringing the petition to the House for debate. I congratulate Marcus Hynes, the writer of the petition and a proud Unite member, on achieving over 135,00 signatures. Marcus and other esteemed members of Unite shared their views ahead of the debate.

The NHS is a truly British innovation. It is there to help us in our hour of need, supporting us from cradle to grave. The NHS has an enormous role in the lives, health and welfare of British people. As a result, it is rightly at the centre of much debate in this place, as we constantly look at how it can be expanded, improved and made more efficient. I thank the NHS and all its amazing doctors, nurses, staff and volunteers for what they do. Throughout the past two years, they have been the crutch that has kept this country upright. No words will ever be able to articulate how thankful people across the UK are for the work that they do for us every day.

The NHS is a great British institution, founded in the wake of the war by a society that wanted better for everyone. It is, and always shall be, free at the point of use. The NHS carries the weight of our country’s health problems on its shoulders, which is why I am delighted to support the Government’s ongoing commitment to it.

[Mike Amesbury (Weaver Vale) (Lab)]

The hon. Member referred to the NHS being free at the point of delivery, but NHS dentistry is on its knees. In my constituency, Rachel Elizabeth has been waiting over two years to see a dentist. It is the same in Runcorn, Frodsham and so forth. There is a similar situation in the neighbouring constituency of my hon. Friend the Member for City of Chester (Christian Matheson), in Ellesmere Port and right across the country. Does the hon. Member for Stockton South (Matt Vickers) agree that NHS dentistry is in crisis?

[Matt Vickers]

I have shared concerns about NHS dentistry from my own part of the world, and I am fairly confident that the Minister will fill us in and give a more extensive response.

The NHS carries the weight of our country’s health problems on its shoulders, which is why I am delighted to support the Government’s ongoing commitment to it. The biggest cash boost in the history of the NHS is allowing us to put thousands more doctors and nurses into our hospitals, coupled with major capital investment programmes that have already benefited my local hospitals. I know that the Minister is only too aware of my ongoing campaign to secure more sizeable improvements at the University Hospital of North Tees. That said, I know from my constituency that there remain huge challenges for the NHS and its role in improving the health of the nation.

In 2018, Stockton was labelled England’s “most unequal town” by the BBC. It is a town where people born in one area can be expected to live 18 years fewer than those living just a few miles up the road. Such health inequalities are not acceptable in modern Britain. The NHS rightly looks to prevention as well as cures, and furthering this cause requires not just more resources and improved efficiency, but joined-up co-operation with other agencies, which lies at the heart of the reform agenda.

Putting my experiences and observations aside, the lead petitioner, Mr Hynes, and those from Unite wanted to let me know that they are fundamentally opposed to the Health and Care Bill. As part of their reasoning, petitioners cited concerns about the staffing crisis, overwhelmed human resource departments and the backlog as core reasons for their belief that the Bill should not be brought on to our statute book. Petitioners shared their concerns about staff shortages and worker fatigue in an NHS that already stretches itself to meet the needs of the UK’s ageing population and the exponential growth in the public’s health needs. They talked of how the pandemic has compounded this problem.

Moreover, the pandemic paused elective surgery, leaving the NHS to deal with backlogs and extended waiting lists. The view of the petitioners was that the NHS should be given time to stabilise and respond to those challenges before taking on the challenges of reform. On a more institutional level, Unite said that it fears that this Bill would open the NHS up to deregulation, worsening staff shortages, and create a pay-for-use system akin to America’s.

The petition states that

“The Government has no democratic mandate to privatise the NHS”.

I agree: the Government have no democratic mandate to privatise the NHS, which is why they are doing no such thing. Access to NHS services will continue to be based on clinical need, not an individual’s ability to pay.

[Jim Shannon (Strangford) (DUP)]

I congratulate the hon. Gentleman on having secured this debate. I put to him—this is perhaps a challenge to the Minister and the Government—that we need to be careful with the NHS as it is today. We all love the NHS—we love the workers and we love what it does—but if we are not careful, it could come to a point where if a person does not have the money, they cannot pay for their care. Does the hon. Gentleman agree that if that were to happen, the whole principle of the NHS would be knocked on the head?

[Matt Vickers]

This is a debate that we have in every election campaign, and other than the issues around dentistry, which I am sure we will come to, the NHS remains free at the point of use. I will fight the corner to keep it that way, and I am sure that the hon. Gentleman will do so as well.

[Graham Stringer (Blackley and Broughton) (Lab)]

I think everybody in this room would agree with the principle that the NHS was founded on—care that is free at the point of use—but the NHS has had many structural forms since its inception immediately after the second world war. My concern is that its current form and the proposals that the Government are bringing forward further centralise the NHS, and waste further money on bureaucracy, mimicking the private sector and creating an artificial market. Does the hon. Gentleman agree that that is a waste of money, and that the NHS should be decentralised in order to provide better services to local communities?

[Matt Vickers]

I am sure we are going to hear about the ways in which these structural reforms will take place with that very aim in mind. I am going to try to get through my speech, because I am sure that Members would prefer for everybody to get in and to hear from the Minister, who is wiser on this issue than I am.

In my view, the Health and Care Bill does not represent an attempt to create a “pay for play” system—quite the opposite. While I am sure the Minister will go into detail about this point in his response, my understanding is that the Bill is largely the work of the NHS itself, inspired by NHS England’s own desire to restructure its organisational system to be more efficient and effective. It builds on the NHS’s own long-term plan, as set out in 2019, and the NHS people plan, which was published in 2020. Many of my conversations with leaders from my local NHS trust suggest that the answers to improving health outcomes require multi-agency working and empowerment of local health agencies, and my understanding is that the reforms and structural changes in the Bill set out to do exactly that.

One point on which I strongly agree with the petitioners is the need to drive value for money within our NHS, reducing management costs and excessive use of consultants, so that the huge increases in funding for the NHS can actually reach the frontline, not just fund more fruitless layers of bureaucracy. I am hopeful that the Minister will update us on what is being done to drive efficiency in that regard. Another point that I fundamentally agree with is the petitioners’ view that private finance initiative contracts have no place in our NHS. I know all too well the debilitating effect they have on the ability of the NHS to administer care across our country. Nationally, PFI contracts cost our NHS £1 billion a year and restrict numerous hospitals across the breadth of Great Britain.

I have seen at first hand how PFIs have damaged our local services in the Tees Valley. South Tees Hospitals NHS Foundation Trust, in particular, has been plagued by a dodgy new Labour PFI contract. The James Cook University Hospital was completed in 2003, but its PFI contract does not run out until 2034, and will cost over £1.5 billion. The trust currently has to meet annual payments of £57 million a year—more than £1 million every week. Of course, hospital upgrades and rebuilds are expensive, but that trust is paying £17.5 million over and above what an equivalent Treasury-funded hospital would cost annually. Shockingly, that is enough to pay for more than 530 nurses. It is ludicrous.

Even if there were not an extra 530 nurses at South Tees, there is so much the hospital could do with this money, such as investing in its building, equipment and staff to help improve health outcomes and inequalities. Excessive costs from historic PFI contracts are listed as the largest single contributory factor to the hospital’s troublesome financial position. At time when retention is a huge issue for our NHS, this money would be crucial to making a substantial difference to the working lives of our NHS heroes. I am glad that in 2018 a Conservative Government decided that PFI contracts would be phased out. However, hospitals up and down the country are now stuck dealing with a Labour legacy that has damaged our NHS, our people and our ability to tackle health inequalities across this country.

[Andy McDonald (Middlesbrough) (Lab)]

Will the hon. Member give way?

[Matt Vickers]

I will carry on; I am sure that there will be a chance for the hon. Member to contribute. I look forward to hearing the rest of the debate and to listening to the input of Members from across the House.

[James Gray (in the Chair)]

Members will see from a glance around the room how many people intend to speak. I do not intend to impose a formal limit, which seems to sacrifice quality in favour of quantity, but I do suggest that, as a courtesy to one another, speeches are limited to around three minutes.

--- Later in debate ---

[Matt Vickers]

I thank the 135,000 petitioners for triggering this important debate on our most essential and treasured service. I thank Members for their valuable, emotional and passionate contributions, and I thank the Minister for what was a comprehensive response. The NHS is a great British institution, and we should be proud of it. From Borough to Burnley, our NHS staff are rightly celebrated as heroes. Their dedication got us through the pandemic and will help us reach the 6 million people on our waiting lists. We owe them a gratitude that cannot be expressed in words.

Dentistry remains an issue for constituents across the UK, and I look forward to the debate on NHS dentistry, which I understand is to take place in the near future. I am delighted that the NHS has the biggest cash boost in its history, and I am delighted to see thousands more doctors and nurses working in our amazing hospitals. I look forward to more debates on the NHS, so that we can continue to appreciate, extend and improve our great British NHS.

Question put and agreed to.

Resolved,

That this House has considered e-petition 598732, relating to the future of the NHS.

North Tees Hospital

Matt Vickers Excerpts

Thursday 28th October 2021 Commons Chamber

[Matt Vickers (Stockton South) (Con)]

I am grateful to you, Mr Deputy Speaker, and to the House for the opportunity to hold this important and urgent debate, and to the Minister for his attention this evening. After much time spent securing the debate, I am delighted to have the chance to make the case for much-needed and urgent improvements to North Tees Hospital.

I pay tribute to all the amazing healthcare workers—the doctors, nurses, technicians, cleaners, and anyone who had a hand in making sure that our hospitals, including North Tees, stayed afloat during the pandemic. While many retreated to the safety of their own homes, they got on with the job, putting themselves at risk, to help keep us safe. We owe them all a huge debt of gratitude. I was recently fortunate enough to undertake a shift alongside the doctors, nurses and surgeons at North Tees Hospital, and I saw for myself the challenges that they are facing and the sheer scale of the elective surgery backlog created by the pandemic. Doctors and surgeons are being forced to make decisions on who gets their treatment first: the elderly lady who needs a hip replacement to deal with her arthritis or the youngster who needs surgery after a sporting accident.

Dealing with this backlog involves us all making the difficult decisions that are required to get our NHS back to full health. While none of us on the Conservative Benches wanted to increase national insurance or create the health and social care levy, having seen the waiting lists, and seen the work our surgeons are doing, I am confident it was the right thing to do. This funding is what our constituents need and what our hospitals so desperately need. Of course, this money comes on top of the record investment that the Conservative Government are placing in the NHS, with 50,000 more nurses, 50 million more GP appointments a year, and, as announced yesterday, an additional £5.9 billion, taking the total investment to date to £176.5 billion—a 27% increase since the Conservatives came into government in 2010. In the past year, we have welcomed £6.5 million invested in North Tees, including huge improvements to our now award-winning urgent care centre.

Seeing the hard work and commitment of all the people who work and volunteer at North Tees Hospital is inspirational, and the people there really are award-winning. Dr Iain Loughran, one of the physiotherapy consultants, won an award at the chief allied health professions officer awards for creating an app for physiotherapists who were deployed during the pandemic; nursing associate Lisa Tomlinson was shortlisted for the rising star award for her work as an ambassador for cervical cancer after beating the illness herself; and volunteer Stephen Pratt was awarded the British Empire Medal as part of the Queen’s new year honours. These incredible people deserve the facilities and resources they need to go about their great work.

Built in 1968, the hospital serves a population of 400,000 people—a population with some of the highest health inequalities and highest rates of deprivation in the country. It is a heartbreaking and outrageous fact that, according to Public Health England, Stockton has the nation’s biggest gaps in life expectancy. In central Stockton, male life expectancy is just 64 years, while just a few miles up the road a man can expect to live to 85. This cannot go on; it has to change. When it comes to levelling up, people’s life expectancy must surely be a priority, and delivering good health services is the key to that.

Unfortunately, the North Tees Hospital building does not live up to the standard fit for the great people who work there and the patients treated there. During my shift, I got to see the challenges of the estate and the staff’s frustrations. The building was constructed in the 1960s. It is a concrete building constructed at a time when medical needs and processes were very different, and the architects had no foresight when it came to design. As a result, the hospital is in a state of poor repair and is pulling resources from frontline services to address its issues. Structural and engineering elements of the major buildings are now well beyond their life expectancy. The NHS workers in my patch, who have worked with determination and perseverance to make the best of the facilities they have, have said that this is putting the trust’s ability to provide good care at risk.

It is time to replace this hospital, which is far past its sell-by date. The fact that the hospital is comprised of two towers, which host both wards and theatres, means that piecemeal improvement or ongoing gradual investments will struggle to ever make the change needed. It is not practical and barely possible to extend a ward or theatre above the ground floor. The building has a flat roof, and as a result the building suffers hugely during adverse weather conditions. Nobody should be greeted by buckets catching water from leaky roofs when sat in A&E, in a ward or when in theatre or losing a loved one. At those tough times, we need to do better than that.

The hospital is no longer fit for purpose. By national health building note standards, our wards are way too small, with too many shared rooms. HNB guidance suggests that 85% of rooms should be single occupancy. In our trust, the proportion of single rooms is just 16%. Our theatres are also far too small. HNB standards suggest that theatres should be 55 square metres, while some theatres at North Tees are just 28 square metres. That has a huge impact on what can be done in them. There is not the space for modern technology and robotics. Not being able to have that equipment means that some patients must go elsewhere for certain surgery. Moreover, it results in some surgery taking longer to perform and it extends recovery times, so longer surgery slots are filled more quickly and more time is spent in hospital beds.

Improving isolation facilities on wards, improving clinical adjacencies and increasing the number of single-bed rooms are all options that would improve health outcomes in Stockton South, but they can only be achieved if we invest now. No amount of paint slapped on the hospital and no amount of plastering over the cracks could hide the fact that it is no longer fit for purpose. A six-facet survey was recently conducted, and it concluded that demolition and replacement was by far the best option. The costs are only one of the factors that justify that approach.

The trust continues to invest significant capital in maintaining the facilities in a safe and operational condition, but the six-facet survey indicates a steep increase in the backlog, with more than £250 million-worth of maintenance to be undertaken in the next 10 years as a “do minimum” option. On the other hand, the consolidation of services on to a new hospital site would have estimated savings of between £5 million and £6 million a year. My trust does not want to spend millions each year maintaining a crumbling building; it wants to spend the money on doctors and nurses and improving health outcomes.

By far the most important justification for this proposal is the improved care it would provide for my constituents and others. A new modernised estate could support a health management programme that would address some of the health inequalities that exist in communities such as mine, because, sadly, we are still more likely to have chronic obstructive pulmonary disease or heart conditions or die earlier than the average citizen. Those problems are set only to get worse as our population ages.

Aside from that investment, there are so many other opportunities up for grabs that could revolutionise healthcare in North Tees. As the chair of the all-party parliamentary group on the future of retail, I am a huge advocate of the “Health on the High Street” initiative, which I have been championing locally. By decentralising NHS estates and putting diagnostic centres in empty buildings on our high streets, we can bring healthcare closer to people’s doorsteps and bring some desperately needed footfall to our town centres. During the last year, I have taken that idea to my local NHS trust, and there is now a strong possibility of developing a hospital with diagnostic facilities in our town centres, but it all costs money, and we need cash in Stockton.

If there is one other thing we can do that would make the NHS fit for the future, it is getting rid of Labour’s crippling private finance initiative deals. The James Cook University Hospital, which is not in my patch, but serves many of my constituents, has a PFI scheme that costs £57 million a year. That is more than £1 million every single week and £18 million more than an equivalent hospital trust would ever have to pay. It is ridiculous. That £18 million could pay for 530 nurses in our hospitals.

I was delighted that the Conservative Chancellor announced in 2018 that those dodgy debt-loading schemes would no longer be used, but if we want to put the NHS on a surer footing, we need to get rid of the schemes that remain and hold it back. I ask the Minister to look again at what can be done to end Labour’s debt legacy on the James Cook University Hospital, so that that money can be spent on nurses, doctors and improving the health outcomes of people from our part of the world.

I will return to my main ask before I finish. To eradicate the risks associated with an ageing estate that is no longer up to the job, a new 21st-century hospital for Stockton is a must do. Now is not the time for sticking plaster. We cannot go on throwing good money after bad to maintain a building that is just not fit for purpose.

I hope that Ministers will back the bid that has been put forward by North Tees, so that we can build a new North Tees that is fit for the future, fit for patients, and fit for staff. I know that the Government are committed to modernising the NHS and have announced a massive investment that will fund healthcare across the region. The Minister is probably sick of hearing from me on the issue, but I will not give up until the amazing doctors, nurses and staff have the modern facilities and resources that they deserve.

In the light of that, I invite the Minister to the hospital to see the challenges and the improvements that must be made. If his diary does not allow that, however, North Tees will happily take a nice big cheque instead.