Ambulance Services (Devon)

Neil Parish Excerpts

Wednesday 12th July 2017 Westminster Hall

[Dr Sarah Wollaston (Totnes) (Con)]

I beg to move,

That this House has considered ambulance services in Devon.

It is a pleasure to serve under your chairmanship, Mr Davies. Let me say at the outset that we all pay tribute to our blue light services and that this debate is not in any way intended to criticise them. The intention is to set out the challenges that they confront and to celebrate their professionalism and the work that they do, but also to ask my hon. Friend the Minister to address some key issues that they face in Devon and, in particular, in my constituency.

The debate has been triggered by a number of incidents. People have contacted me either directly or indirectly to raise concerns about long waiting times faced by my constituents; an incident that typifies the situation happened last month. An elderly lady was left for two hours at the roadside, on a baking hot day, waiting for a paramedic crew to arrive. She had serious neck injuries and was in some distress. Were it not for the kindness of passing strangers, things might have been even worse, but a consultant anaesthetist happened to be passing and was able to provide critical assistance at the scene, and the lady also had assistance from the police and from staff from South Hams Community Hospital. As a result, the outcome has been good, but it could have been very different. That has caused a great deal of concern, because it is not an isolated incident. Although much of the focus of my speech will understandably be on the critical, type 1 cases, which require a response within eight minutes—everyone understands that—I would like the Minister also to think about those other cases that we are all coming across in our constituencies which are not immediately life threatening but are nevertheless very serious and where the outcome can be very different unless we see a timely response from our ambulance services.

First, I would like to address demand, which is rising at an extraordinary rate. During the five years to 2016-17, over the area of the South Western Ambulance Service NHS Foundation Trust we have seen a considerable rise in demand, but there has been a 19.2% increase in the Totnes constituency alone, a 29% increase in Plymouth and a 23.7% increase in Torbay. The challenge is far greater in a rural setting, for obvious reasons. The SWASFT area is the most rural area in England; and if we look at the activity for Devon, we see that 23.5% of SWASFT’s activity is in that county, but that is matched by only 22.2% of its funding.

[Neil Parish (Tiverton and Honiton) (Con)]

I very much appreciate the debate that my hon. Friend has introduced in the Chamber today. She is making a very good point about the rurality of Devon, which is one of the largest counties in the country. Of course, the issue is not just its size. If one starts going north-south, there are no really fast roads—we need much more done to the north Devon link road. Apart from the scale of the county, however, the issue is about getting an ambulance to an incident in time and our very scattered population. My hon. Friend makes a very good point. I am sure that Ministers are aware of the size of Devon, but there is also the question of the time it takes to get from A to B if one is not going on major roads.

[Dr Wollaston]

I thank my hon. Friend for his intervention. Of course, as we know, demand can escalate considerably during the peak summer times, but many of our roads are single-track ones with passing spaces, and it can be very difficult to get an ambulance resource to the scene in a timely manner.

My first point to the Minister is that there are no concessions for rurality; there is no funding premium to allow SWASFT to meet the extra demands that it faces. In fact, overall, its funding has fallen by 2.46% per incident in 2017-18, compared with 2014-15. It has to meet the huge increase in demand with shrinking resource, in what is one of the most challenged areas in England because of rurality. I would like the Minister to acknowledge that key point and the impact of rurality on response times.

My second point to the Minister is that although overall SWASFT is doing a good job in meeting the performance target of 75% of category 1 calls receiving a response within eight minutes, that does rather mask the picture in the most rural parts of the area. Let us take the South Devon and Torbay clinical commissioning group area as a whole, for which we have some data that show that it just meets the target, with the figure of 75.65% of calls. If we look at the breakdown for the Totnes constituency, we see that during the past three months the figure has been 61%, so my point to my hon. Friend is that, when considering a county such as Devon, he should look not just at the overall, top-line figure, but at the impact in the most rural parts of the constituencies. I hope that he will ask for that as an ongoing measure, as a response to this debate.