Testing of NHS and Social Care Staff

Paul Bristow Excerpts

Wednesday 24th June 2020 Commons Chamber

[Paul Bristow (Peterborough) (Con)]

Our NHS has done a remarkable job of looking after us during the covid-19 pandemic. It is entirely right that, in turn, we protect NHS staff and patients by maximising the effective use of PPE and, of course, through testing. In fact, that is a key part of getting the NHS back to tackling the many operations and treatments delayed by lockdown. I consider dealing with that backlog an even greater challenge.

The Prime Minister introduced the lockdown to protect our NHS. The Government were rightly concerned that our hospitals would be overwhelmed, as we saw happen in Italy and elsewhere at the start of the pandemic. It did not happen here. For that success, not just our NHS staff, but the Minister for Care and other Ministers deserve credit. We ramped up capacity, with former NHS workers coming back to serve. New hospitals were opened, and appropriate agreements were reached with the independent sector. This drive for increased capacity must continue.

Now that we are keeping the virus under control, we need a new national effort to clear the backlog. Led by the Secretary of State for Health and Social Care, and spurred on by the galvanising optimism of the Prime Minister, we should back our NHS to deliver again. It is essential to act. Most of us have heard about patients who have missed treatments or had operations cancelled. Even routine and delayable elective procedures such as hip and knee replacements are crucial for patients. Cataract operations restore sight for our grandfathers and grandmothers, and cardiac operations prevent heart attacks and extend lives.

The message should be loud and clear that the NHS is open for business, but it is also important to stress that official figures have been paused. We must treat the projection that there will be 10 million people on waiting lists as just that—a projection, not fact. Too many hon. Members on the Opposition Benches are eager to hear bad news. Yet there is a challenge ahead of us. The Royal College of Surgeons is absolutely right to call for a five-year strategy to tackle the waiting list situation. There is no blame in that. Although we need swift action, there is no quick fix.

We need to look urgently at long-term recruitment. Those who have joined the NHS during this covid pandemic must be encouraged to stay. Coronavirus is also affecting the capacity of operating theatres. Diagnostics underpin the clinical activity in hospitals and the capacity for MRI and CT scans, endoscopy and laboratory tests are limiting factors on everything that follows.

Back in March, the Secretary of State was right to negotiate a deal with the independent sector, and I hope that coronavirus has ended the lazy assumption that the independent sector and the NHS cannot work in partnership, because that has been a good thing and has helped our NHS to get through this period.

Finally, the NHS needs to become more productive. The people who tell me that are NHS staff themselves. We have already seen GPs switch to virtual appointments and consultations, and this has worked. Technology is crucial, but it is only a start: the NHS can change many care pathways to become more productive; and we can accelerate the uptake of existing treatments that keep patients out of hospitals.

We can and must be ambitious for the future of our national health service, precisely because there is so much good will and its staff are more valued than ever. We must not let the public down. We must not let NHS staff down. This is an opportunity for change, and I am confident that this Government will deliver.

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[Emma Hardy (Kingston upon Hull West and Hessle) (Lab)]

I start by paying tribute to all the health and social care workers, right across my constituency. They have my deeply felt thanks and gratitude.

I will concentrate on my role as chair of the all-party parliamentary group on vascular and venous disease, because I am deeply concerned by the impact covid-19 has had on people who suffer from vascular disease. I have spoken about vascular disease before. It is a killer disease that few seem to know about, despite the devastation it causes to so many lives. Between 15% and 20% of British people over 70 are affected by peripheral artery disease, which can cause painful chronic leg ulcers and is the main cause of amputations in England. As I have said previously, every hour in England someone has part of their foot removed; every two hours in England someone loses their leg.

As chair of the APPG, I have heard evidence from NHS frontline workers and patient representatives deeply concerned by the burden borne by people with vascular disease because vascular services have experienced reductions in their capacity to deliver care during the crisis. Some people with vascular disease are too frightened to seek treatment. As Mr Naseer Ahmad, the Manchester amputation reduction strategy director, says, “One of the biggest problems we face is fear.” I believe the lack of a comprehensive and universal covid testing regime, combined with stories of patients who enter hospital covid-free only to contract the disease while in hospital, is driving that fear. That has inevitably led to people who otherwise would take themselves to hospital staying at home while their condition worsens. To make matters worse, clinicians have expressed fears that many people who have had their non-urgent operations cancelled may have deteriorated since that decision was made.

[Paul Bristow]

Does the hon. Lady agree that for people with peripheral artery disease, it is often urgent referral that makes the difference between saving a limb and losing it? Unfortunately, during the crisis, that urgent referral to secondary care and multidisciplinary teams may not have happened. We must guard against that as we try to save limbs.

[Emma Hardy]

I absolutely agree. As Dr Dan Carradice, a leading consultant on this condition at Hull Royal Infirmary, says, time is ticking, and the more quickly we can deal with this, the more urgently we can save limbs. Because of the delay, we have seen over the past few months a growing wait for lower limb amputations, many of which could have been avoided with timely diagnosis and appropriate treatment.

We cannot allow this situation to continue. Patients must be confident that they can visit their hospital safely. One vital way the Government could restore trust is to have a routine weekly testing programme for NHS and social care staff, so that patients know when they enter hospital that they are not likely to contract covid-19. Every day, the number of people seeking treatment is growing. Dr Una Adderley, programme director of the national wound care strategy, has described a “tsunami of unmet need” on the horizon as certain vascular services have been deprioritised.

Of course I recognise the huge pressure the NHS is under, but I believe that more can be achieved for people with vascular disease if they are given the focus they need. We need to create safe, covid-19-negative pathways and services for vascular disease in the community and in hospitals. I recognise that these are not straight- forward tasks, and as chair of the all-party group I will be writing to the Secretary of State for further details on exactly how this could be achieved. We also need a comprehensive approach to vascular disease in the NHS long-term plan, because there are huge regional inequalities, with patients in Hull being 46% more likely to need a major amputation than the England average. As I said before, time is tissue, so I look forward to getting a date in the diary for the Minister for Health, the hon. Member for Charnwood (Edward Argar), to visit Hull, as he promised in a previous debate—but of course, only when it is safe to do so.

I note that the Government wish to change the wording of the motion away from the need for a weekly testing programme to instead celebrating and recognising their own efforts. With the greatest of respect to the Government, the highest and most well regarded praise tends not to be written by oneself. I would encourage them to seek to earn that praise rather than pen their own, and one way in which they could do that would be to prioritise the hundreds of thousands of patients suffering from vascular disease in the UK.