North East Ambulance Service

Pat Glass Excerpts

Wednesday 4th May 2016 Westminster Hall

[Mrs Hodgson]

My hon. Friend makes a very good point. I will come on to the shortage, which is running at about 15%, and the stress on paramedics, to which she alluded.

If the sat-nav equipment continues to fail, and if my interventions on behalf of my constituents and the ambulance trust’s action do not rectify the situation, there needs to be a serious investigation into what is going wrong. We cannot have our ambulances driving round lost on estates looking for the right street.

My most recent piece of casework is from February and is deeply concerning. It concerns my constituent, Mrs Ellen Sherriff. I feel that using the words emailed to me by my constituent’s husband, Mr David Sherriff, can help to highlight the situation and the distress that can come from having to wait hours and hours for an ambulance to arrive. I hope that you will allow me a moment to read out Mr Sherriff’s words, Mr Bailey. He said:

“Ellen became unwell at 10.35am yesterday morning with severe head pain on the right-hand side. She felt like she was going to pass out. I checked her blood pressure which was very high, so phoned 111 at 11am and spoke to a call handler who told me he was sending an emergency ambulance and not to be worried if it arrived with blue lights.

Two and a half hours later no one had come. Ellen remained unwell and could not stand any light.

I phoned 999 and was told the ambulance that was coming had been diverted to Cramlington but that we would be next unless a more urgent call came in.

At 2.40pm, a patient transportation ambulance arrived with two ambulance men. I asked why it had taken so long. They said given the circumstances Ellen should have been seen earlier. They had no equipment, not even a blood pressure machine. They said they couldn’t risk moving Ellen in case they caused the bleed in her brain to become life threatening and they would send for a paramedic. They would also remain here till he arrived. They also complained to the control room regarding the wait.

They sat outside until 5.30pm, 6 and a half hours after I first phoned. When the paramedic first arrived he examined Ellen and said she should have been in hospital 5 hours earlier.”

It was not until 6 pm, more than eight hours after the initial phone call, that my constituent, Mrs Sherriff, was admitted to hospital, where it was discovered that she did indeed have a bleed in the brain and that she should have been there much sooner.

Until Friday, Mr Sherriff was still awaiting a response to his complaint, which was sent in February. Perhaps the prospect of this debate ensured that he eventually got it. The trust has admitted errors in the handling and categorising of Mrs Sherriff’s condition, meaning that it was continually not treated with the urgency required. The trust has apologised and said that a “reflection and learning session” has been given to the original call handler, but this case could easily have had a tragic ending.

[Pat Glass (North West Durham) (Lab)]

I thank my hon. Friend for securing the debate, which is important to all of us. Does she agree that the issue is not only with the ambulance service? Last summer, in the middle of the night, I took a relative to the university hospital in Durham. In the morning, when I came outside, I counted 12 ambulances stood outside the hospital and unable to discharge their passengers and get patients admitted. The whole system in the north-east is now simply not working.

[Mrs Hodgson]

My hon. Friend makes a valid point—we often hear about the queues of ambulances at accident and emergency. Patients have waited hours and hours for the ambulance to come, but when they get to the hospital, they sit in a queue outside. I have raised that with my local hospital. There is a huge breakdown in the system. Something is going seriously wrong, and it is completely unacceptable. Mrs Sherriff, a patient who had a suspected bleed in the brain, had to wait for more than eight hours before getting to A&E. That is truly shocking, and all those cases mentioned highlight concerns that the Government and the North East Ambulance Service must address.

I have one more issue to discuss before concluding, and that is to do with the numbers of qualified paramedics, which my hon. Friend the Member for North Tyneside (Mary Glindon) mentioned in her intervention. When waiting times are going up and demand is rising, we clearly need to look at workforce retention and recruitment. Our paramedics do an amazing job, but they cannot be in two places at the same time.

At this point, I want to place clearly on the record that I am not apportioning any blame or criticism at all to any paramedic or ambulance crew. They do an amazing job, under very difficult and trying circumstances, day in, day out, and they should not be placed in situations whereby, once allocated, they race through traffic to a call, within the appropriate time allowed, only to be faced with stressed and sometimes angry people, who say, “Where’ve you been? I’ve been waiting four, five, six or seven hours.”

Oral Answers to Questions

Pat Glass Excerpts

Tuesday 5th January 2016 Commons Chamber

[The Parliamentary Under-Secretary of State for Health (Jane Ellison)]

My hon. Friend is right that there is a really important role for families. More than anything, the Government want to make the healthy choice the easy choice for families. However, young children are not in control of the whole of the food environment around them, as I am sure he would acknowledge. The Government’s forthcoming strategy is focused on children. Obesity is a complex issue and, frankly, everyone needs to play their part—the Government, local government, health professionals, industry and families.

[Pat Glass (North West Durham) (Lab)]

T2. The Health Secretary just tried to tell us why we have 8,500 more nurses in the NHS. Let me tell him why it is. It is because we have record recruitment from abroad. Since the Chancellor announced the scrapping of bursaries for trainee nurses and midwives, there has been a worrying reduction in the number of applications for next year’s training, compared with what we would expect to see at this time of year. That can only have a negative impact on the number of trained nurses from this country and on net migration. Was there any discussion between the Department of Health, the Home Office and the Chancellor before this idiocy was introduced?

[Ben Gummer]

We have record levels of nurses in training and a record number of nurses in practice because of the decision by my right hon. Friend the Health Secretary to increase nurse training by 11% over the past two years. We can expand that significantly due to our reforms to the funding of nurse training. As regards nurses from abroad, part of the reason we are undertaking this change is so that every putative nurse in this country can have the opportunity of having a nursing position. At the moment, we have to limit those positions because of the funding regime that is in place.

Oral Answers to Questions

Pat Glass Excerpts

Tuesday 7th July 2015 Commons Chamber

[Angela Rayner (Ashton-under-Lyne) (Lab)]

7. What progress the Government have made on achieving parity of esteem for physical and mental health services.

[Pat Glass (North West Durham) (Lab)]

15. What progress the Government have made on achieving parity of esteem for physical and mental health services.

[The Minister for Community and Social Care (Alistair Burt)]

The Government take mental health as seriously as physical health. We have introduced legislation to ensure parity of esteem, and with additional investment and the first access and waiting standards for mental health, we will hold to account and work with the NHS to achieve that aim.

--- Later in debate ---

[Alistair Burt]

I refer the hon. Lady to the answer I gave to the hon. Member for Greenwich and Woolwich (Matthew Pennycook). Mental health funding is increasing, and parity of esteem is demonstrated by having access targets and targets for waiting times for the first time. Those measures could have been introduced by a previous Government but they were not, and the demonstration of parity of esteem shown by that legislation and by the increase in investment should help to reassure the hon. Lady’s constituents. I pay tribute to those who work in a voluntary capacity to assist those with mental health issues.

[Pat Glass]

In the previous Parliament the Education Select Committee said that child and adolescent mental health services were not fit for purpose, and it called them a “national scandal”. The situation is getting worse, with children and families left for up to five months without appointments. What is the Minister doing to deal with that national scandal?

[Alistair Burt]

The way that children and young persons’ mental health services have been handled over a lengthy period has been extremely poor, and many MPs have similar concerns on behalf of their constituents. That is why one of my major priorities for this Parliament is to build on the good work of the previous coalition Government, with £1.25 billion to be spent on transforming care services for children and young persons—a commitment that I think the Labour party would struggle to match.

Child and Adolescent Mental Health Services

Pat Glass Excerpts

Monday 2nd February 2015 Commons Chamber

[Norman Lamb]

My hon. Friend is right to highlight an emerging and growing phenomenon causing increased distress for some young people. The prevalence survey, for which we now have the funding for 2015-16, is a massive opportunity to understand much better the scale of the problem we are seeking to deal with.

[Pat Glass (North West Durham) (Lab)]

In 2012, the Education Select Committee called CAMHS in this country a “national disgrace” and urged that the Department for Education and the Department of Health urgently get together to avoid the crisis we are seeing today. In the meantime, we have seen cuts in services, provision and funding, leading to the chaos today. I am incredibly unhappy with the complacency of the Minister’s answers. It is almost as if he is a spectator. He is the Minister with responsibility, and the answer is not a taskforce two years down the line or a prevalence survey five years down the line; it is to take action now.

Ambulance Resources and Response Times

Pat Glass Excerpts

Wednesday 14th May 2014 Westminster Hall

[Mr Wright]

I must praise my hon. Friend, because he does fantastic work on health issues through his passionate commitment to the NHS and in his work on the Select Committee on Health. He is absolutely right, and I will come on to the finances and resources for ambulance services in a moment.

Mr Gouldburn’s case was tragic, and from what the coroner said, it was avoidable. However, a further tragedy is that his case is not unique or isolated. I have been told about similar cases, as my hon. Friends have been.

[Pat Glass (North West Durham) (Lab)]

I commend my hon. Friend for securing this debate so quickly. I have raised the issue of the NEAS a number of times. I have met the Minister about it; I even recognise some of the civil servants who are here today, having met them before. However, I was talking then about cases in the dales, where we accept that there will be an issue about logistics. Recently, cases have been raised with me every week. The latest one involved an elderly lady who fell outside and broke her hip. When her son rang to find out where the ambulance was, he was told that she was 42nd in the queue. She was lying outside with a broken hip for three hours, and that happened in Consett, where there is an ambulance service in the town. The whole situation is spiralling out of control, and I would welcome my hon. Friend’s views on it.

[Mr Wright]

My hon. Friend is absolutely right that the situation is spiralling out of control. The case that she has just told the House about is simply unacceptable and downright distressing, but it is not unique.

--- Later in debate ---

[The Parliamentary Under-Secretary of State for Health (Jane Ellison)]

I congratulate the hon. Member for Hartlepool (Mr Wright) on securing the debate. Given the wide range of topics that he and his colleagues raised, I am not sure whether I will be able to cover them all in the time available, so if I do not, I will attempt to respond to any substantive points after the debate. I will also certainly alert my noble Friend Earl Howe to the points made.

As the hon. Gentleman said, ambulance services are vital to the health care system and provide rapid assistance to people in urgent need of help. Many lives are saved by the hard work of ambulance service personnel. He is right to place his congratulations on the record and I want to place on the record my appreciation of the work done by staff in ambulance trusts. I gently suggest that I do not recognise some of the words and phrases used in the debate to characterise the service provided, but I am sure that they were used to stress a point.

[Pat Glass]

Will the Minister give way?

[Jane Ellison]

No, because I have only just begun and the hon. Gentleman took many interventions.

Emergency services are the first port of call for many of us when serious illness or accident strikes. The total number of emergency calls to ambulance services in England in 2013-14 was 8.4 million, which is a 0.9% drop over the previous year. Unfortunately, a small proportion are unnecessary or frivolous, but the overwhelming majority are from people who feel in need of urgent help.

The growing number of people living with chronic conditions and the ageing population to which the hon. Gentleman referred are placing increasing pressure on urgent care services, something that we all acknowledge. It is important for my Department to work with Public Health England, local commissioners and health care providers to educate and engage the public on measures to prevent chronic health problems from developing. There are a number of people who end up in A and E because they have not taken medication properly or who suffer acute problems as a result of a chronic condition. Hon. Members will be aware of some of the longer-term problems in their region, which result from difficult public health challenges. Tackling those is my own particular portfolio, and is one way in which we can make the emergency services more sustainable in the longer term.

I hope hon. Members recognise that. At times, it seemed that they were merely committing themselves to significant additional future spending rather than also turning their minds to the longer-term challenges.

--- Later in debate ---

[Jane Ellison]

I am not familiar with the cases that the hon. Gentleman mentioned, but I will draw them to the attention of my ministerial colleagues and of the trust. I spoke to the head of the trust yesterday, and will make sure that the debate is brought to the trust’s attention. However, I gently say to hon. Members that they surely cannot be suggesting that at no previous time, under any previous Government, have there been any cases in which a service did not get this right. It is important to—

[Pat Glass]

It’s a service in crisis!

[Jane Ellison]

I do not recognise that description, and I do not think the service would recognise it.

Very rarely, as we have heard, waits may be unacceptably long, but it is important to remember that the vast majority of people receive a timely response when they dial 999. I am aware of the case of William Gouldburn, who was the constituent of the hon. Member for Hartlepool and who sadly died in April last year as the result of an existing heart condition. He waited two hours for an ambulance after his collapse at home. His case is distressing, and his MP is right to champion it and make us aware of it. The trust acknowledges that it failed by not getting an ambulance to Mr Gouldburn within the one-hour target it had set itself. It has been accepted that that was not good enough.

Difficult as his story is to hear, it is important to note that Mr Gouldburn’s 999 call was categorised as a green call—that is, a non-life-threatening situation—and at the inquest the coroner accepted that the call had been correctly triaged and categorised. That is not to say that there were not things that clearly should have been done differently, but it is right to put on the record what the coroner said. There is no denying that Mr Gouldburn waited an unacceptably long time for an ambulance, but the decision on his call’s priority was made when other calls were at the same time being prioritised as red.

It is a matter for local commissioners to agree with ambulance trusts the appropriate protocols for dealing with green calls, based on available clinical guidelines and local circumstances. I know that in the case of the hon. Member for North West Durham (Pat Glass) those local circumstances have been recognised with the introduction of a specific response vehicle in her constituency. There has been increasing demand on ambulance services—the North East Ambulance Service says that it saw a 5% increase in the volume of emergency incidents in the year up to March 2014—but thanks to the hard work of service staff, fast response times have been delivered in the vast majority of cases.

NEAS advises that over 40% of the calls it receives are categorised as red, so its consistent ability to exceed the national target for response times should be commended. NEAS has also told me that in 2013-14, 74.8% of calls categorised as green 2, or serious but not life-threatening, received a response within 30 minutes.

Oral Answers to Questions

Pat Glass Excerpts

Tuesday 1st April 2014 Commons Chamber

[Mr John Spellar (Warley) (Lab)]

3. How many staff have been made redundant and subsequently re-employed by NHS organisations since May 2010.

[Pat Glass (North West Durham) (Lab)]

10. How many staff have been made redundant and subsequently re-employed by NHS organisations since May 2010.

[The Parliamentary Under-Secretary of State for Health (Dr Daniel Poulter)]

Since May 2010 and up to December 2013, 4,050 staff across the whole NHS have been re-employed in the NHS following redundancy. This covers all staff grades, not just managers, and is a tiny proportion of the total NHS work force of currently around 1.2 million.

[Dr Poulter]

The Opposition will have to do better than these prepared questions. We have been lumbered with their redundancy terms, which were negotiated when the right hon. Member for Leigh (Andy Burnham) was a Minister in the Department of Health.

On NHS pay, we believe in having enough front-line staff to care for patients. That is the lesson of Mid Staffs. What the previous Government would have done—and the Opposition would have us do—is give some staff in the NHS two pay rises, not just one. That is unacceptable. We need to have enough staff to ensure that we can look after patients. All staff in the NHS will receive a pay rise of at least 1%, but unfortunately, because of the terms that the previous Government set, some managers are still treated better than patients. We will change that.

[Pat Glass]

Some time ago, the Prime Minister promised to stop the revolving door in the NHS and recover payments from those staff who had got huge payments and come back, sometimes to the same job. How is that going? How many people and how much money?

[Dr Poulter]

I think this is an own goal from the Opposition. They set the redundancy terms in 2006, when the shadow Secretary of State was a Minister in the Department, which have allowed extraordinary, eye-watering redundancy payments to be made, particularly to managers. That is to the disadvantage of front-line staff and patients. It is why we are currently in negotiations with the unions to ensure that we improve redundancy terms, stop those eye-watering payments and have more money to care for front-line patients.

Accident and Emergency Provision (North-East)

Pat Glass Excerpts

Wednesday 13th February 2013 Westminster Hall

[Tom Blenkinsop (Middlesbrough South and East Cleveland) (Lab)]

Government targets say that no more than 5% of patients should wait longer than four hours in accident and emergency departments, yet on Monday 14 January, The Northern Echo reported that the North East Ambulance Service

“has admitted that it is struggling to meet demand, after an elderly Parkinson’s Disease sufferer waited 11 hours before being taken to hospital. North-East Ambulance Service (NEAS) NHS Trust bosses said a surge in winter-related call-outs meant it was having to prioritise patients. NEAS has apologised to 84-year-old Eileen Anderson, of Marton, Middlesbrough, after it emerged ambulances are queuing for hours at hospitals across the region before being able to hand over patients.”

Mrs Anderson is a constituent of mine, and although that may be an extreme example of the delays that are occurring, unfortunately, it is not an isolated incident.

Late last year, the health care regulator, the Care Quality Commission, reported that 33% of people spent more than four hours in A and E—that was before this winter—while research shows that the number of people waiting for A and E treatment in England has risen by 47,000. Those waiting times are the worst in almost a decade. Nationally, almost 1 million extra visits to A and E units across England were recorded by the Department of Health in 2010-11, with a doubling of trolley waits—people waiting in A and E for longer than four hours to be admitted—in a single year. A freedom of information request revealed that eight-hour trolley waits almost trebled between 2009 and 2011.

The CQC has warned that 17 hospitals are understaffed and cannot guarantee patients’ safety. The excellent James Cook university hospital, which serves many in my constituency, including Mrs Anderson, has said that delays in admitting patients are being caused by insufficient staff and a lack of available beds. My most recent information is that the hospital is holding weekly meetings with ambulance bosses in an attempt to alleviate delays. The trust should be praised for taking action, but the fact that action is necessary is indicative of a sorry state of affairs.

[Pat Glass (North West Durham) (Lab)]

I have recently had a very unfortunate experience of the NHS involving admissions to A and E. Both my parents have been admitted to A and E over the past two months. Their care has been absolutely excellent—I could not criticise it at all—but staff took the opportunity to tell me that the staffing levels, particularly at weekends, in A and E and on wards is putting life at risk, which is surely a concern to us all.

--- Later in debate ---

[The Parliamentary Under-Secretary of State for Health (Dr Daniel Poulter)]

It is a pleasure to serve under your chairmanship, Mr Crausby. I congratulate the hon. Member for Middlesbrough South and East Cleveland (Tom Blenkinsop) on securing the debate and I thank all hon. Members who have come to advocate their constituents’ needs. The hon. Gentleman and I met earlier this year to talk through some of the problems and challenges in his local area. We discussed some of the individual cases that he has highlighted today, which we all agree to be unacceptable, in particular the case of one of his constituents who experienced a completely unacceptable 11-hour delay as a result of problems with getting the high-quality care they deserved.

There are several interacting issues: the ambulance service, the local A and E response, and the services provided at local A and Es. One key theme, as the hon. Gentleman and I discussed when we met, and as his speech made apparent, is the need to fundamentally change and improve how the NHS looks after older people. That point was brought home vividly last week by the report on the Mid Staffordshire NHS Foundation Trust. In addition, at the end of last year the Dr Foster hospital guide found that 30% of older people in hospital should not be treated there, and that more community-based support was needed. When we met, the hon. Gentleman rightly stressed the important role that local, smaller health care providers, in Guisborough and East Cleveland and elsewhere, can play in providing better community-based care. When people do not need to be in A and E in the first place, it is better for them to be looked after in their homes and communities, and it also brings financial benefits to the NHS. For older people, being admitted to hospital when they do not need to be there is distressing, and their length of stay tends to be much longer.

The hon. Gentleman threw down this challenge: will the changes being made to the health care system nationally put us in a better place to deal with the long-term challenge? The answer to that is yes, and I will briefly deal with that point before I come on to the local challenges that he has outlined.

Why do we need to change what we are doing in the NHS? I have set out clearly that we must do better, by keeping people well in the community. Before I came to the debate, I was talking, over the river at St Thomas’ hospital, about how we must improve children’s health, better look after children with long-term conditions, ensure that children with asthma and diabetes who do not need to be in hospital are not there in the first place, and provide better community-based care. Such improvements are particularly important for the care of the elderly. From April, we will put 80% of the NHS budget into the community, with clinical leadership through doctors and nurses. That is a strong step in the right direction of focusing on community-based and preventive care. I believe that we should all regard that as a good way forward.

[Pat Glass]

My recent experience reflects what the Minister has said. Older people who stay in hospital for long periods of time come out able to do less for themselves because things are done for them in hospital. When my father came out of hospital after five weeks, he was able to do far less. Will the transfer of funding into the community prevent that from happening? Will it allow people like him to be supported at home so that they do not have to spend long periods of time in hospital and come home with less mobility?

[Dr Poulter]

The hon. Lady makes a good point. A prolonged period of bed rest can have a huge impact on an older person’s mobility and their ability to look after themselves. The challenge, as she rightly outlines, is to get more support in the community. Putting the budget in the community is a step towards the provision of more preventive care, more community-based care and more care that keeps people, particularly older people, better supported and looked after in their homes.

The other challenge is to achieve a more joined-up approach between secondary care in an acute hospital—such as James Cook hospital—and care in the community. There is sometimes too much silo working, and we need to break that down and develop a more joined-up approach to care. That might be done, for example, through intermediate care teams that operate out of a hospital, who will help through physiotherapy and occupational therapy. When an older person arrives in A and E, we need immediately to gear up the right support in the short and longer term to enable them to go home more quickly. That is an important part of a more integrated and joined-up approach to ensure that an older person can be effectively supported and looked after at home if that is right for them. It is important that we get that more integrated approach across the whole country.

On local issues, the hon. Gentleman highlighted two-hour handover delays, which are clearly completely unacceptable. In my experience, the fault for handover delays might lie in two areas. First, the triaging system in a hospital might need to be reviewed to ensure that ambulance handovers are dealt with more promptly and quickly. Secondly, a delay in ambulance handover results in ambulance crews and ambulances being pinned down in A and E when they need to be back out on the road elsewhere. I know that the hospital will want to look at that closely.

In relation to having more community-based care, sufficient community-based resources must be available to better support people with day-to-day health care needs in the community, so that they are not forced to pitch up at a hospital’s main A and E department. At our meeting, the hon. Gentleman and I discussed the fact that the opening hours of the urgent care centres at Guisborough and East Cleveland hospitals are now 9 am to 5 pm during the week and 8 am to 8 pm at weekends, which has made it difficult for local people to access local health care service and created pressure on A and E departments. Having spoken to the trust, I am pleased to report that job interviews will be held on, I believe, 25 February for specialist nurse and other posts at those hospitals, with a view to extending the opening hours again in the future.

[Pat Glass]

I make a special plea on that issue. Weardale, in my constituency, is in one of the remotest parts of the country, but 5,000 people live there. Their out-of-hours GP service is at Bishop Auckland hospital, which for some of them is 20 miles away across roads that are among the most remote in the country, and particularly difficult to use in winter. Will the Minister look at that?

[Dr Poulter]

Absolutely. Sir Bruce Keogh will be conducting a review of emergency and other urgent care services, in which A and E services will not be lumped into one category but will be considered in a more nuanced way, reflecting the fact that rural communities face particular challenges. The review will consider how out-of-hours care, urgent care and emergency care should be delivered in such areas to take into account the rural nature and the distances that people have to travel. In some cities, there is a lot of A and E provision, but in other, more rural parts of the country where people have to travel further that is not the case. I am pleased that Sir Bruce will take that into account in his review.

[Pat Glass]

Will that review also cover services such as ambulance services? There are real concerns in Weardale, where I am involved in a campaign, that lives will be put at risk if ambulance services are not improved.

[Dr Poulter]

It is absolutely right to say that any review of A and E provision, and urgent care provision, must take into account travelling distances and transfer times to hospitals and between hospitals. Those issues will be part of the discussion and the review, although they are not the major thrust of what Sir Bruce is doing. However, a number of hon. Members have arranged to meet my ministerial colleague Earl Howe, who is currently examining several issues related to ambulances, and I am sure that he would also be pleased to see the hon. Lady to talk through some of the local issues in more detail.

Increased pressure on hospital services is not necessarily unusual for this time of year, notwithstanding the fact that it is completely unacceptable for there to be long handover delays or for people not to receive prompt and high-quality treatment. There are winter pressures that occur every year, and the Government will always do all we can—the previous Government did what they could as well—to ensure that the NHS is robustly funded and supported to meet such fluctuations in demand.

The Department of Health conducts daily monitoring of the winter pressures for all acute hospital providers. I am aware that South Tees Hospitals NHS Foundation Trust has James Cook University hospital as its main acute site—of course, it is also the local hospital that most of the hon. Gentleman’s constituents will attend—and the trust, like other organisations, has experienced some additional pressures in recent months. However, under the trust’s own internal criteria, the pressures that it experienced during late December and early January were identified as level three on a scale of one to six, which demonstrates that the trust has been busy. It is important to highlight, however, that it has been coping with those additional pressures, notwithstanding the issues raised in the debate, including the need to upscale the community-based response to prevent patients who would be better looked after in the community from being in an acute hospital setting in the first place.

It is also important to say that we expect all NHS commissioners and providers to ensure that appropriate measures are in place to manage any increases in demand, particularly during the winter. The delays in patient care that have been outlined eloquently by hon. Members are simply unacceptable, be they in A and E departments or in ambulance journeys to hospital. Delays are of concern, and the local NHS trusts and their partners must ensure that they step up their local strategies to cope with unexpected increases in demand.

We always needs to be aware of such seasonal variations in the NHS. That is why the Department of Health has given more than £300 million to the NHS specifically to deal with winter pressures. However, it is for local NHS providers to recognise that that extra investment has been made and to co-ordinate their response with the community, particularly through highly skilled community intermediate care teams, which help to get older people back home from hospital as quickly as possible so that they can be better looked after in their own homes.

The other main concern expressed by the hon. Gentleman was about ambulance performance. Delaying ambulances outside A and E departments, as a result of a temporary mismatch between A and E and hospital capacity and the numbers of elective emergency patients arriving, is simply not acceptable. There is a need for the local ambulance trust and the local hospital to work more constructively together, to ensure that such delays do not happen. That might be about having better triage, or the local ambulance trust might need to put more resources into the front line in the local area.

I also take this opportunity to say that the Government have provided £330 million of additional funding specifically to help the NHS cope with the winter pressures this year, so that patients receive the treatment they deserve. I understand that South Tees Hospitals NHS Foundation Trust received more than £1 million from that additional funding, and Middlesbrough primary care trust has received a further £264,000. Investment in social care services will also benefit the broader health system, but that requires the local trust to ensure that it uses the money wisely to address the concerns raised in the debate.

In January, the hon. Gentleman and I had what I thought was a constructive meeting with the trust, and I hope that will be the foundation for him and other local MPs to engage constructively with the trust to encourage a quick solution to the problems that have been outlined. One good thing that came out of the meeting, as the hon. Gentleman already knows, is that there is now an active process going on for the recruitment of specialist nurses to the smaller hospitals—the community hospitals —in the local area. When those nurses are in place, that will be a big step forward; I hope those hospitals will be open for additional hours, which will help to take pressure off acute settings.

In response to growing demand, an overall increase in ambulance activity and longer stays in hospital owing to more complicated medical conditions, I understand that the trust has already taken some specific measures, with £650,000 of investment being put into extra nurses and consultants. To deal with times of acute winter pressure, a bed winter ward will also open. The trust is also now working actively with its partners to redesign patient services, along the lines of the rapid response teams and intermediate care teams that I described earlier, to prevent inappropriate hospital admissions in the first place. In addition, it is exploring the development of a separate paediatric A and E department to create extra space for patients.

I am sure that the hon. Gentleman would have hoped that some of those measures would have been in train earlier, but following our meeting, and after the trust has listened to this debate, I am sure it will be all the more determined to do what it can to put things right in the future. As he knows, through our engagement I am taking an active interest in these issues and I will welcome further discussions if there are more problems in the future, because the delays that have been described today are unacceptable.

Social Care Funding

Pat Glass Excerpts

Monday 11th February 2013 Commons Chamber

[Mr Hunt]

That is absolutely the point. The group of people we are targeting with these proposals are not the most vulnerable, because they already get all their care costs covered if their assets are less than £23,000, but the people one step up from that, who in many cases have worked hard, saved all their lives and paid off their mortgage, but have a house that is not of sufficient value to cover the social care costs they need. I hope that these proposals will be very welcome in Pendle.

[Pat Glass (North West Durham) (Lab)]

Can the Secretary of State assure me and my constituents that any gains they may make from his proposals will not be completely wiped out by the massive cuts to local authority care budgets—£120 million this year alone in my own local authority?

Health and Social Care Bill

Pat Glass Excerpts

Tuesday 13th March 2012 Commons Chamber

[John Healey (Wentworth and Dearne) (Lab)]

It is good to follow the hon. Member for Loughborough (Nicky Morgan). Hers was an heroically loyal attempt to fill time on the Government Benches. But she is wrong. The Government have lost the confidence of the NHS to make further changes, and they have lost the trust of the British people to oversee those changes. Why no apology from Ministers? Why no apology to the 1.4 million NHS staff for the last wasted year of chaos, confusion and incompetence? Why no apology to the millions of patients who are starting to see services cut and waiting times get longer? And why no apology to the British people for breaking the promise in the coalition agreement to stop the top-down reorganisations of the NHS that have got in the way of patient care?

[Pat Glass (North West Durham) (Lab)]

I was contacted last week by a constituent of mine, Ruth Murphy, who told me that she had waited more than 40 weeks for an operation that had then been cancelled four times. She asked me if that was what we had to expect from a Tory NHS. That is the kind of thing that my right hon. Friend is referring to.

[John Healey]

Sadly, Ruth Murphy’s experience is more and more common. By the end of last year, the number of people having to wait more than 18 weeks to get into hospital for the operation they needed was up 13% since the previous year.

Health Inequalities (North-East)

Pat Glass Excerpts

Tuesday 24th January 2012 Westminster Hall

[Pat Glass (North West Durham) (Lab)]

It is a genuine pleasure to serve under your chairmanship, Mrs Riordan.

I congratulate my hon. Friend the Member for Newcastle upon Tyne Central (Chi Onwurah) on securing this debate. Also, I want to welcome to Westminster Hall the two Tanzanian women MPs who are shadowing me today. Whether they like it or not, they are finding out a great deal about health inequalities in the north-east of England.

I will be very quick; I am becoming good at truncating my speeches now. We have heard some excellent speeches that have been based on well researched statistics. I do not intend to use any statistics today. I will be unashamedly emotional and, like the hon. Member for Hexham (Guy Opperman), I will start by talking about my own family, because I want to talk about the practicalities of health inequalities.

I attended a memorial service in the village of Esh Winning last summer, which was to remember the men—they were men—who had died in the three pits of the Deerness valley. There was a huge list of men who had died; there were 75 names on it. Those three pits had never had a major disaster, but over 100 years 75 men were killed in them, including my grandfather, Andrew Corrigan, who I think was 27 when he died, and his brother, Peter, who was 25 when he died. They were on my father’s side of the family. On my mother’s side of the family, however, Alix Wright, who was 25, and his brother, Jack, who was 22, died in the trenches of world war one within two months of each other.

I will not pretend that wartime deaths were unique to the north-east, but they came on top of all the health inequalities that existed in the north-east. If people survived the trenches and the pits, they were very likely to succumb to consumption, problems in childbirth or the diseases of poverty. That continued right through the two world wars, and through the ’50s, the ’60s, the ’70s and ’80s. We created tens of thousands of ships, we hewed coal and we made iron ore into steel. That industrialisation left us with a massive legacy in the north-east—a history of early deaths from cancers, emphysema, stroke and heart disease.

The Labour Government did something about that situation. For the very first time, they focused on the social causes of health inequalities and put together a planned and integrated system to level the playing field. What concerns me is that, although the current Government are saying that they are committed to tackling health inequalities, what we are seeing is a complete difference between the drivers that they have put in place to deliver their stated objectives and what actually happens. There is a real skew between what they say and what they do.

I sat through the debate yesterday in the main Chamber on food prices. I do not want to be rude but I must say that it was almost as though the Secretary of State for Environment, Food and Rural Affairs was handing out bouquets at a village fete. We are faced with people telling us that there have been massive increases in charitable food banks and in middle class poverty; a return of diseases such as rickets among children; and children being admitted to hospitals during school holidays with malnutrition, which shocked me. However, the Secretary of State said to us that she welcomed the increase in food banks as a sign of the success of the big society. I see that as being a massive skew between what the Government are saying and what they are actually delivering.

I will finish by saying that in the north-east we have things that we are rightly proud of. We have a proud history; we fired the industrial revolution. As I have already said, we built tens of thousands of ships and we provided the powerhouse for this country for many years. And we have things that we can still rely on: our community and kinship; our social cohesion; our stability; and our wonderful surroundings, of which we are rightly proud. But we are saying to the Government, “You have a duty to ensure that we live long enough to be able to enjoy these things.”