NHS Reorganisation
Paul Blomfield Excerpts(13 years, 1 month ago)
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Paul Blomfield (Sheffield Central) (Lab)
Over Christmas, I found myself using the services of the Royal Hallamshire hospital in Sheffield for emergency eye surgery. I want to take this opportunity to pay tribute to the staff there, who saved the sight in my left eye, which is, as hon. Members might imagine, important to me. That procedure was routine for those staff—something that they did day in, day out. The whole experience—the quick diagnosis, emergency admission, successful operation and supportive aftercare—brought home to me the importance of having a national health service that is not only free at the point of delivery but available equally to all and with the capacity to meet the health care needs of our people. Let me contrast it with the system in the United States, where the quality and speed of treatment depends on patients’ ability to pay. Incidentally, the American system costs the public purse more. I know that some Conservative parliamentarians look at that system with enthusiasm. Many of us will recall Daniel Hannan campaigning against President Obama’s health reforms and describing the NHS as a 60-year old mistake, so it is not surprising that the majority of people in this country do not trust this Government with the NHS. When Government Members talk about monopolies, the people of this country see a public service.
Christopher Pincher
The hon. Gentleman talks about Government Members, but he might note that, other than those on the Front Bench, there are only 11 Members on the Opposition Benches for their Opposition day debate. On the Government side there are more than double that number. Does that not bear eloquent testimony to who really cares about the NHS?
Paul Blomfield
What bears eloquent testimony to who really cares about the NHS is our record. Before 1997, I remember patients being stacked up in hospital corridors in Sheffield every winter because the hospitals could not find beds. That situation has been transformed under Labour over the past 13 years.
The Prime Minister has tried hard to reassure the public that the NHS is safe in Tory hands, but he has failed. In January, a major survey of the British public demonstrated that only 27% of people back moves to allow profit-making companies to increase their role in the NHS. That reflects the way in which our people treasure the NHS and its values, and that is why the Government did not have the confidence to say at the general election what their real intention was: the deconstruction and privatisation of the NHS by stealth.
It is not only the public whom the Prime Minister has failed to convince. The Secretary of State told us again today, as the Government have done many times during discourse on the issue, that we should trust doctors—those who understand the NHS.
Paul Blomfield
I am afraid that I will not; I said that I would give way once and then make progress.
I hope that the Government will take their own advice and listen to doctors, because yesterday the doctors spoke clearly and powerfully with one voice, despite reports that we have seen that under the proposals, doctors could earn up to £300,000. At the first emergency conference of the British Medical Association in 19 years, they sent a clear message to the Government: “Think again.”
Five of Sheffield’s hospitals are in my constituency, and I want to focus on the consequences of ending the cap on private income earned by hospital trusts without providing any safeguards. As hospitals face squeezed budgets, they will inevitably look at every opportunity to enhance their income. At one level, they might see the chance of offering additional services such as en suite facilities to those who can afford to pay, but at another, more damaging level, we need to recognise that in Sheffield and across the country, patients are now being refused non-urgent elective surgery. There are increases in waiting times for knee and hip replacements, and for cataract, hernia and similar operations. Those are not operations for life-threatening problems, but they are hugely important for people’s quality of life. Access to that sort of surgery at the earliest point of need transformed the lives of tens of thousands of people under Labour. Those operations may not be life-critical, but delaying them condemns people to pain and immobility.
Paul Blomfield
No. I have said it once: I have given way, and will not give way again, because I want to make progress.
The Government’s plans mean that as we return to the days of long waiting lists, in will step the health insurance companies, perhaps with their links to new commissioning bodies, which will pitch to those who understandably want the assurance of prompt treatment when they need it. There would be a self-reinforcing cycle: more patients would go private to escape worsening NHS services, and NHS providers would then prioritise private patients, worsening services further. Before long, the NHS would be changed beyond recognition. Its founding principles of free and equal treatment for all who need it would be fundamentally undone. No wonder that the chair of the Royal College of General Practitioners has attacked the plans as
“the end of the NHS as we currently know it”,
or that the Royal College of Midwives has said that
“this could accelerate the development of a two-tier service within foundation trusts, with resources directed towards developing private patient care service at the expense of NHS patients.”
Paul Blomfield
No, I will not. The Royal College of Nursing says that it
“cannot support the removal of the private income cap...Until foundation trusts can credibly demonstrate that private income is not at the expense of NHS patients”.
The proposals reveal the ideological heart of the Government and their vision for public services: a two-tier health system, with the best available for those who can afford it, and the NHS becoming a safety net for those who cannot. I was pleased that last Saturday, in the heart of my constituency, the Liberal Democrats found their voice and spoke out against the anti-state, anti-public-services faction that now leads their party. I say to Liberal Democrat Members, as the hon. Member for Southport (John Pugh) said, “This is our Bill”. This is our motion—support it today.
Oral Answers to Questions
Paul Blomfield Excerpts(13 years, 3 months ago)
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The Minister of State, Department of Health (Paul Burstow)
I will certainly ensure that the CQC understands that that is a matter of concern. When it discharges home owners and deregisters them, after receiving an application for a fresh registration, it conducts a thorough appraisal and assessment of their fitness to provide the service. The new owner of a home may well have done a great deal of work in improving the quality of training given to staff, but I agree that it ought to be possible for people to look at the CQC’s website and see reports on the quality of the previous provider so that they can assess that as well.
Paul Blomfield (Sheffield Central) (Lab)
T5. A year ago, writing in The Sun, the Prime Minister made a firm and passionate pledge to increase the number of midwives by 3,000. Last week, the chief executive of the NHS told the Public Accounts Committee that the NHS is now short by 4,500 midwives. Will the Secretary of State tell the House when he intends to implement plans to honour the Prime Minister’s pledge—or can we take it that it is just another Conservative broken promise on the NHS?
Mr Lansley
Well, I do not wish to embarrass the chief executive of the NHS, but actually, he told me he made an error—he was referring to health visitors, not midwives, when he was talking to the Public Accounts Committee. We are short of health visitors precisely because, through the life of the last Government, the number was continuously going down, and we are going to recruit more. Actually, we share the last Labour Government’s commitment to increase the number of midwives, not least because of the increase in the number of births, and to do so in pace with that. As a consequence, in conversations that the Under-Secretary of State for Health, my hon. Friend the Member for Guildford (Anne Milton), and I have had with the Royal College of Midwives, we have made it clear that we will do all we possibly can. We already have more midwives in training than at any other time in our history.
NHS Reorganisation
Paul Blomfield Excerpts(13 years, 5 months ago)
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Paul Blomfield (Sheffield Central) (Lab)
I want to focus on one specific part of the Government’s plans, which has already been mentioned by a couple of my hon. Friends and by the former Secretary of State for Health, my right hon. Friend the Member for Holborn and St Pancras (Frank Dobson). It is the funding of our children’s hospitals.
I am fortunate enough to have at the heart of my constituency Sheffield children’s hospital, which is a centre of excellence for the region and for the country. It offers pioneering services in trauma and orthopaedics, it is a regional centre for the whole of the north of England for burns injuries and the principal treatment centre for South Yorkshire for childhood cancers, and its metabolic bone service is accessed from across the UK. It does a superb job treating some of our most critically ill children and I want to use one example to bring to light the importance of its work.
A young girl was left unconscious on the streets of Derbyshire with devastating brain injuries after being hit by a car. She was 13 years old. She was transferred to the hospital’s intensive care unit, where a scan revealed the full extent of her head injuries. She was seen to have diffuse axonal injury, one of the most devastating types of traumatic brain injury and, as the Secretary of State will know, a major cause of long-term unconsciousness. She was moved to the children’s hospital’s neurosciences unit, which has specialist equipment to support her rehabilitation and expert consultant neurosurgeons—these are crucial points. Her mother said:
“The doctors and nurses were wonderful and really did go above the call of duty to provide the very best care and treatment. The ward manager was like a second mum to her. The team cared for her like a member of their own family. She is now back at home, relearning simple things such as walking and talking. There is a long road ahead, but if it was not for the Children’s Hospital she wouldn’t be here.”
Such cases involve staff from many disciplines and services to ensure that the patient makes the best recovery possible. Neurosciences are one of the trust’s flagship services, treating children who have suffered brain injuries or who have other brain conditions, spinal cord conditions, diseases such as meningitis or conditions such as epilepsy. The intensive care unit is part of the hospital’s state-of-the-art critical care facility for children and is situated alongside high-dependency and neonatal surgical units, meaning that all the critical care services are in close proximity.
Such services come at a cost, however, and I have always understood that that is why we have had a top-up tariff to pay for the extra staff and the additional support needed to provide that specialist care to very young patients. We now understand that the Government plan—they might be in discussions, but we understand that this is the plan—to cut the tariff to less than a third of its current value.
Lyn Brown (West Ham) (Lab)
Does my hon. Friend agree that that puts a whole new slant on the saying, “Women and children first”?
Paul Blomfield
I certainly would. To cut the tariff from 78 to 25% is the most outrageous proposal on health care to have come from this Government.
When questioned on this issue—this is extraordinary—a spokeswoman from the Department of Health said, very casually,
“less than 10 hospitals are likely to be affected significantly by these changes and the tariff is not their only source of income.”
We are talking about 10 of the leading hospitals that care for our children. Let us be clear: the Sheffield Children’s NHS Foundation Trust has estimated that the change could cut its budget by as much as £4.9 million. That is a reduction of almost 10% in its total funding. It has said that that
“would have a serious impact on the hospital finances and ability to deliver some services.”
Gordon Birtwistle (Burnley) (LD)
I am very pleased that the hon. Gentleman has an excellent hospital in his constituency. Will he advise me why the Labour party set in train the closure of Burnley’s children’s ward when it was in power, leaving an area of Burnley, Pendle and Rossendale and more than 250,000 people without a children’s ward, never mind a children’s hospital?
Paul Blomfield
I can certainly talk at length about the enormous investment that we made in our hospitals and health services and about the tremendous difference that that made to patients and to reducing the waiting lists that we inherited in 1997. However, I want to make the point about the impact on Sheffield children’s hospital. As the hospital said, the change will have a serious impact on its ability to deliver services that provide critical interventions for those whom we should be protecting most—our children. If the Government are prepared to attack these budgets in such a way, what will the commitment to guarantee health spending increases in real terms in each year of this Parliament be other than another broken promise?