NHS Corridor Care
Naushabah Khan Excerpts(2 weeks, 5 days ago)
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Naushabah Khan (Gillingham and Rainham) (Lab)
I thank my hon. Friend the Member for Tooting (Dr Allin-Khan) for bringing this important matter to the House, and for talking so eloquently about her experiences on the frontline.
Few issues speak to the state of our national health service more than this one. Since being elected, my inbox and advice surgeries have been inundated with heartbreaking and, frankly, harrowing stories from constituents who have either experienced care in a hospital corridor themselves or have witnessed the experiences of loved ones. May alone saw more than 90,000 instances of patients receiving care in clinically inappropriate settings, which is almost 3,000 people every day across our nation. In their most vulnerable hour, patients are being stripped of privacy and dignity, and left without a call bell or even sometimes access to a toilet.
I will give Members some examples of the cases that have been raised with me. One constituent wrote to say that their mother, who was on end-of-life care, was treated in a corridor. I cannot even begin to imagine how distressing that must have been. Another reported on how she was treated in a single patient cubicle that had been stripped of its bed and fitted with six chairs, and hearing other people’s medical history, watching their cannulas being inserted and, harrowingly, witnessing a confused elderly man beg for his daughter.
I look to Conservative Members—unfortunately, not many of them are here—when talking about this and about exactly how we got here, because the normalisation of these practices over 14 years of Conservative Government has brought us to this point. Indeed, it was under their watch that 12-hour waits in A&E rose twentyfold. Lord Darzi’s report laid it all bare. We inherited a health service in a critical condition and broken by over a decade of under-investment.
Matt Rodda (Reading Central) (Lab)
It is important to recognise this wider legacy. In my area of Reading, we are waiting for a new hospital to be built. One was promised by the last Government, but no funding was provided, and there are very real-world implications of continuing with old buildings in such a state, like our A&E. I appreciate my hon. Friend raising this matter, and I look forward to the Minister providing further details.
Naushabah Khan
I thank my hon. Friend for raising that very important issue.
Yet while corridor care was rising in our hospitals, the previous Government did not count the numbers. I pay tribute to my right hon. Friend the Member for Ilford North (Wes Streeting), who as Health Secretary chose to publish the official data, because how can we fix what we cannot measure? I also welcome the steps taken by the Government to turn the tide on the mess we inherited, such as the millions of extra appointments delivered, bringing waiting lists down from record highs, and the commitment to end corridor care by 2029.
However, corridor care does not begin in the corridor itself, as many Members have noted. It begins with the hospital bed that cannot be freed, as well as the lack of investment in the wider landscape and the lack of support in our communities. This January, the data suggested that one in 10 NHS beds were occupied by people who were medically fit to leave but had no safe place to go—a failure that costs the state £2.7 billion a year, and that costs some of our constituents their lives.
Monica Harding
My mother, who is 94 and fit and healthy, fell and fractured her collarbone. She went in and was medically discharged on the same day, but because there was no care support for her, she was then in hospital for a week, bed blocking. Because of the quality of care she received, when she came out she ended up with a very severe urinary tract infection and sepsis, and then had to stay in hospital for six weeks. Obviously that cost my mother a lot, but it also cost the NHS a huge amount of money. Does the hon. Lady agree that one of the problems is adult social care and that we need to fix it?
Naushabah Khan
The hon. Member makes a very powerful point. I will come to adult social care in a moment.
We simply cannot end corridor care at the front door of the hospital when the back door remains jammed shut. I welcome the steps taken to reform adult social care—a £3.7 billion funding boost for local authorities—but it is clear that we must go further. I eagerly await Baroness Casey’s independent commission on adult social care. However, I am concerned that the review’s terms of reference call for recommendations to be implemented in a phased way over a decade. That is simply not fast enough. Social care reform must work in lockstep with NHS reform. A commission reporting in 2026 and 2028, with implementation stretched over a decade and beyond, will not be able to enact the scale of change needed to meet our targets. I urge the Government to move at pace.
Naushabah Khan
No, I will not take any further interventions, thank you.
Lastly, I would like to pay tribute to the nurses, doctors and staff who keep Medway hospital in my constituency of Gillingham and Rainham running. In this House, we all receive correspondence from frustrated members of the public regarding the state of our NHS. However, it is the staff who carry the moral injury of apologising, shift after shift, for conditions that they did not create.
Several hon. Members rose—
Meningitis Outbreak
Naushabah Khan Excerpts(4 months, 1 week ago)
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Wes Streeting
I thank the shadow Secretary of State for his constructive response and support as we respond to this incident, and I welcome the way in which he has rightly brought scrutiny to the response. I should say from the outset that once we are through this, we will obviously look at the handling of the UKHSA’s response at every point, because there are always things that we can learn from and seek to do better.
The balance that needed to be struck in the public communication was to ensure that people were informed in a timely way, but also that, first, we did not spread unnecessary anxiety and concern, and secondly, having been made aware of the risk, there was a channel through which people could receive support. As I set out in the timeline, in response to individual cases, thorough contact tracing was undertaken and antibiotics were offered in cases of direct contact. By 5 pm on Sunday, the antibiotics were more widely available, and public communication went out at 6 pm. The schools were identified over the course of Sunday—that was not a straightforward experience.
The two schools identified, Simon Langton grammar school and Queen Elizabeth’s grammar school in Faversham, were both contacted first thing on Monday. We are also looking at Norton Knatchbull school in Ashford, where there may potentially be another case. We are working closely with those schools and have stood up wider school briefing. We will look carefully at whether we could have done more, and more quickly, to identify those schools and make contact ahead of Monday morning.
The shadow Secretary of State asked about the criteria for educational settings and the wider availability of vaccinations. We are looking at this issue actively with the UKHSA and will make announcements about further cohorts in the coming days. Turning to local NHS capacity, the NHS in the south-east region is supporting the UKHSA, which is the lead agency, in the response to the bacterial meningitis outbreak. Kent and Medway integrated care board has stood up, and is currently operating, a hub at the University of Kent site to deliver prophylaxis to students, and a second site has also been opened. We have obviously made sure that appropriate support is in place for hospitals responding to patients presenting at those hospitals.
The shadow Secretary of State asked about the supply of antibiotics and vaccinations. We are confident that we have the right levels in place to respond, and as we think about potentially widening cohorts, we will obviously make sure that supplies are available in a timely and effective way.
Naushabah Khan (Gillingham and Rainham) (Lab)
I thank the Secretary of State for his statement, and I particularly welcome his announcement that he is reviewing the ongoing use of the vaccine and considering expanding it to a wider cohort. Given that the University of Kent also has campuses in Medway, could he inform me what work he is doing with the university to ensure that the spread across other campuses is monitored on a regular basis, and that if there is any potential for this outbreak to spread further, it is being reviewed regularly?
Wes Streeting
I am grateful to my hon. Friend for her question, which raises an important point—the shadow Secretary of State also raised it—about public health information. There are exams taking place at the University of Kent this week, but many students may have returned home, and indeed there will be some students at the University of Kent in Canterbury who commute in from the surrounding area. We have four sites available on and around the campus: the senate building at the University of Kent, the Gate clinic at Kent and Canterbury hospital on Ethelbert Road in Canterbury, Westgate Hall in Canterbury, and the Carey building at the Thanet community health hub in Broadstairs, which is planned to be open from Tuesday 17 March. We are also making sure that students who have gone home and who may wish to access antibiotics because of risk factors or concern about symptoms are able to contact their GPs and receive support locally.
Oral Answers to Questions
Naushabah Khan Excerpts(9 months ago)
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Wes Streeting
Waiting lists are lower now than when Labour took office, and that is in stark contrast with the record of the Government in which the shadow Secretary of State served; waiting lists increased every single year they were in charge. This is the first year in 15 that waiting lists have fallen. That is the difference that a Labour Government make. We are only just getting started. As for leadership changes, we all know why they are calling the Leader of the Opposition “Kemi-Kaze”.
Naushabah Khan (Gillingham and Rainham) (Lab)
The Minister for Secondary Care (Karin Smyth)
We know that there have been issues with the urgent emergency care response. We are absolutely committed to supporting ambulance trusts to continually improve the patient experience. The urgent emergency care plan for 2025-26 is backed by nearly £450 million of funding. I am happy to discuss that further with my hon. Friend.
Jhoots Pharmacy
Naushabah Khan Excerpts(9 months, 1 week ago)
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Stephen Kinnock
I pay tribute to the Boots employees in the hon. Member’s constituency where Jhoots is not providing the service that is required. We appreciate that. I can assure him that nothing is off the table. He has rightly identified the problem with the regulatory framework, which is strong on pharmacists, pharmacists’ premises and pharmacy staff, but there is something of a gap when it comes to regulating pharmacy business owners. That gap has been identified, and I have commissioned my officials to work on that at pace. I will happily keep him updated on that work.
Naushabah Khan (Gillingham and Rainham) (Lab)
I thank the Minister for the context and the responses he has provided so far. Jhoots in my constituency of Gillingham and Rainham has provided an incredibly poor service, not paying staff, not dispensing vital medicine and often not opening on time. However, any replacement pharmacy or provider cannot come in, because the local pharmaceutical needs assessment suggests that there is functioning provision. Will the Minister consider a review of the criteria surrounding PNAs so that they not only list those pharmacies that are available, but also look at failures, such as the ones we are seeing with Jhoots? By recognising that, other providers can take their place, if needs be.
Stephen Kinnock
My hon. Friend has put her finger on an issue within all this, which is that if we are looking to bring in other pharmacies to replace Jhoots or, indeed, to take over a Jhoots store, we cannot do that in the latter case until such time as there is an insolvency and that business is no longer a going concern. There is a process, set out in legislation, for opening new pharmacies. Potential new pharmacy contractors can apply to open in an area and evidence how a new pharmacy can provide benefits for patients, but it is a challenge for them to make such a case if a Jhoots pharmacy is still listed as open and providing services. It is something of a Catch-22 situation. We first have to resolve the issue with Jhoots and take the necessary action, and then we can see where we are with potential gaps in the market.
Oral Answers to Questions
Naushabah Khan Excerpts(1 year, 1 month ago)
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Karin Smyth
The hon. Lady has asked an important question about the pharmaceutical industry, which is key to the country’s growth mission and to supporting all our constituents and the entire country. As we know, my right hon. Friend the Prime Minister is currently attending the G7 summit. We have good relationships with America, and the Department is working closely across Government to ensure that the same stability of supply remains for our constituents.
Naushabah Khan (Gillingham and Rainham) (Lab)
Luke Murphy (Basingstoke) (Lab)
The Secretary of State for Health and Social Care (Wes Streeting)
The Government inherited a ludicrous situation whereby patients could not get a GP appointment and GPs could not get a job, so one of my first acts was to cut red tape to give practices flexibility to hire GPs, along with an extra £82 million investment. Thanks to that combination of investment and reform, this Government have recruited an additional 1,700 GPs to the frontline since July, exceeding our target of 1,000. We have invested an extra £889 million in general practice this year, taking action to bring back the family doctor. We do not pretend to have solved all the problems, but change has begun and the best is still to come.
Naushabah Khan
I welcome the Government’s commitment to restoring the family doctor, and the recruitment of 1,700 additional GPs nationwide, but my constituency has yet to benefit from that. Concern has been expressed to me about the expansion of the additional roles reimbursement scheme to include only newly qualified GPs, which it is feared may be too restrictive. I have met local GP partners who share that concern, so will the Secretary of State meet us to discuss how the scheme can better support areas such as mine?
Wes Streeting
We are investing an extra £900 million in general practice, and have reformed the GP contract to help bring back the family doctor and end the 8 am scramble. That contract reform included further changes to make it easier to recruit GPs through the scheme. As my hon. Friend will see shortly when we publish the 10-year plan for health, general practice is at the heart of our proposals to build a neighbourhood health service. I am keen to work with her and with GPs to make it even easier to ensure that qualified GPs can get jobs and patients can get GP appointments, and I should be delighted to meet her.