Healthier Together Programme (Greater Manchester)

Mike Kane Excerpts

Tuesday 22nd July 2014 Westminster Hall

[Mike Kane (Wythenshawe and Sale East) (Lab)]

It is a pleasure to serve under your chairmanship today, Mrs Riordan. It is also a pleasure to follow the hon. Member for Bury North (Mr Nuttall), who speaks with passion about his constituents, and the authoritative contributions from my hon. Friends the Members for Stretford and Urmston (Kate Green) and for Blackley and Broughton (Graham Stringer), whom I congratulate on securing a timely debate.

We have world-class health services in Greater Manchester. My constituency is home to University Hospital of South Manchester, which delivers services amounting to £450 million, employs 6,500 people and has 530 volunteers, who give up their free time to help patients and visitors. The hospital has several fields of specialist expertise, including cardiology and cardiothoracic surgery, heart and lung transplantation, respiratory conditions, burns and plastics, cancer and breast care services. Indeed, the trust is home to Europe’s first purpose-built breast cancer prevention centre, which I visited just a few weeks ago to see the unveiling of the new plaque dedicated to my predecessor, Paul Goggins, who worked so hard for the services at Wythenshawe. The hospital not only serves the people of south Manchester, but helps patients from across the north-west and beyond.

[David Rutley]

The hon. Gentleman speaks with passion and great knowledge about his local hospital. I was fortunate enough to be able to witness how good the services are at Wythenshawe, because I was whisked away when I spent a day with the North West ambulance service. I went in to see heart surgery taking place there, and it is first class. We must recognise that the care pathways that link Wythenshawe—or Stepping Hill, for that matter—to outlying hospitals outside the Greater Manchester area, such as Macclesfield, are vital. Does he agree with my hon. Friend the Member for High Peak (Andrew Bingham) that it is critical that the ripple-out effects of the consultation are taken into account?

[Mike Kane]

I cannot agree more. Wythenshawe hospital lies at the south of the conurbation and at the south of the area of the Healthier Together consultation. Being at the south of the conurbation and south of the River Mersey, it has traditionally looked to provide services to people in Cheshire as a whole, including the hon. Gentleman’s constituency.

[David Rutley]

I am sorry to take the hon. Gentleman’s time again, but I thank him for giving way. It is odd that there are at least two options—options 4.1 and 4.2—where there would be no hospital in the south, with neither Wythenshawe nor Stepping Hill. Does he agree that that would be a strange outcome that could endanger patient health?

[Mike Kane]

I agree. It would be odd not only for my constituency, but for constituencies to the south in the Cheshire belt and the Cheshire plain that those hospitals serve.

Wythenshawe hospital is very much looking to the future and its long-term sustainability. It is developing the Manchester MediPark in partnership with Manchester city council and private sector developers. MediPark will exploit the huge strengths of Greater Manchester and the north-west in health and life science services. Research and development forms a key part of the new Manchester airport city enterprise zone, which I had the opportunity of updating Members on only last week during my Adjournment debate on regional airports.

UHSM is recognised as a centre of excellence for research and development, and is a founding member of Manchester Academic Health Science Centre. The partners of the science centre share the common goal of providing patients and clinicians with rapid access to the latest discoveries and improving the quality and effectiveness of patient care. It is clear that the hospital is going from strength to strength, but I fear that the planned Greater Manchester Healthier Together proposals, to which my hon. Friend the Member for Blackley and Broughton referred, could fundamentally destabilise the trust and lead to a loss of its major emergency service, many of its specialised services, its trauma service and even its teaching status.

The additional reorganisation is set against the backdrop of the Government’s £3 billion reorganisation of the NHS, which has siphoned off money from the front line to pay for back-office restructuring. In the first three years of this Government, attendances at A and E have increased by 633,000, yet Trafford general, to which my hon. Friend the Member for Stretford and Urmston referred and which serves many of my constituents, has seen a downgrading of its A and E department. It has got harder to get a GP appointment since the Government scrapped the previous Government’s guarantee of an appointment within 48 hours, and cut funding for extended opening hours. That is a key cause of Wythenshawe’s A and E problems.

[Julie Hilling]

Does my hon. Friend agree that the major vision that seems to be emerging is simply one of pitching hospital against hospital—fighting about whether to have a hospital in Wigan or Bolton, or four or five specialist hospitals, when, as has been said, we all want a good local service? Should not the concentration be first and foremost on getting primary care services correctly in place? That should be sorted out, and afterwards we can look at what hospital care we need.

[Mike Kane]

I agree; the most important thing is to get primary care in place first. Starting a consultation nine months from a general election that will pit MP against MP is not a good idea.

A quarter of walk-in centres, including Wythenshawe, have closed, and NHS Direct has been dismantled. On top of all that, the new Healthier Together proposals mean there is potential for a downgrade at Wythenshawe hospital. That would, as has been pointed out, be a broken promise for people in Wythenshawe and south-west Manchester, who following the downgrading of the A and E at Trafford general were assured that University Hospital of South Manchester would not be affected.

The aim of Healthier Together, to give patients across the region the same excellent standard of service wherever they live, is the right one. The challenge is huge. Manchester has the highest premature death rate of any local authority in the country. There can be no doubt that health care services in Greater Manchester need to change. Almost £2 billion has been taken out of the budget for adult social care. We need to do things differently to meet the challenges of the time and better integrating local authority services with the NHS will be a key part of that change. However, the current process is flawed and is moving too fast. The proposals fail to recognise that Wythenshawe is already a major specialist site that provides many vital services to the people of Greater Manchester.

The public are not being provided with enough detail to enable them fully to understand the implications of the proposed changes. The consultation meetings have been criticised—as they have today—for being jargon-ridden and held at inaccessible times. No financial models have been provided in the information for the public and UHSM believes that the current proposals could destabilise the finances of the trust.

Wythenshawe is a level 1 major trauma centre, and is currently the only site capable of developing a single level 1 trauma site for adults for the whole of Greater Manchester. As my hon. Friend the Member for Blackley and Broughton pointed out, it covers Manchester airport, and if an accident were to happen such a nearby centre would be vital. The current proposals could leave the southern sector of Greater Manchester and north Cheshire with no specialist major emergency hospital. The proposal does not reflect the view of providers and local commissioners in the southern sector that Wythenshawe should remain and be developed further as the sole specialist site in the southern sector.

The failure of the proposals to acknowledge Wythenshawe as one of the fixed sites threatens the future clinical, operational and financial sustainability of the trust. For changes at such a level to have the desired impact on services across Greater Manchester, all the partners must be firmly on board. I urge Healthier Together to look again and ensure that the baby is not being thrown out with the bath water, because of a rushed consultation and flawed proposals.