NHS Funding: Essex

Priti Patel Excerpts

Wednesday 13th February 2019 Westminster Hall

[Robert Halfon]

I am delighted that my hon. Friend’s daughters were born in the Princess Alexandra Hospital—not a fact I knew until today. Knowing their father, I am sure he was very proud that they were born in Harlow. I thank him for his support for our new hospital, and I am sure the Minister has heard the point about the need for more health investment in his part of Essex.

As one would expect, the natural ageing of the building means the estate is no longer fit for purpose, nor does it allow for service improvement. The structural materials are crumbling and the fabric of the hospital is outdated, making compliance with regulatory health and safety standards more and more challenging. Not only that, but demand for health services in Harlow has changed considerably since 1966. The population has grown by over 30,000, diagnosed physical and mental health illnesses are on the rise, and, more recently, NHS hospitals in neighbouring constituencies have closed, meaning that the Princess Alexandra Hospital now serves over 350,000 people—well beyond its envisaged capacity.

The impact of these pressures is fronted by both patients and staff. Waiting times in the A&E department are among the highest in the UK, and crowded wards are hampering patient experience. The dilapidated working environment, temperamental equipment and pressurised conditions are taking their toll on staff morale, with any hopes of enhancing performance dashed by factors beyond their control. Does the Minister not agree that we should do all we can to support our hard-working NHS staff and to champion their admirable aim to improve patient care at the Princess Alexandra Hospital?

[Priti Patel (Witham) (Con)]

I congratulate my right hon. Friend on securing this debate, and I absolutely support and welcome his case for investment in the Princess Alexandra. In terms of getting the improvements my right hon. Friend seeks in his hospital, as well as across our county of Essex and in neighbouring areas, it would be good to hear from the Government what plans there are in the 10-year plan to secure funding for the facilities we need.

[Robert Halfon]

My right hon. Friend has always been a champion for Essex—there is not an Essex issue that she is not on top of. She has been very supportive of the need for a new hospital in Harlow, and I welcome her signing and supporting the letter we wrote to the Health Secretary. She is right that we need to know how the 10-year plan will help our beautiful county—how it is going to help in west Essex, across the south and right up to the constituency of my hon. Friend the Member for Clacton (Giles Watling).

In spite of the difficulties, the staff have proved they can implement changes. In March 2018, the hospital was brought out of special measures thanks to the incredible efforts of every employee, from the board members right through to the nurses, doctors, porters, cleaners and catering staff. Given the working conditions, it is no wonder that attracting and retaining well-qualified staff is so difficult. In December, the hospital operated at a 13.8% vacancy rate, and the board cited particular difficulty in filling critical nursing roles.

That issue is exacerbated by the promise of higher salaries and competitive training programmes at Barts and University College Hospital, just 30 miles from Harlow, in London. Further, Essex County Council notes the higher wages available in the privately funded social care sector as another magnet attracting staff away from our NHS hospitals. Many of those factors were never envisaged during the hospital’s construction in the 1950s, but we have the opportunity now to build a brand-new health campus that will bring healthcare services in Essex into the 21st century, as well as creating the space and training facilities for longevity.

At the start of this month, the hospital and I were delighted to welcome the Health Secretary; he saw for himself the state of affairs at the Princess Alexandra Hospital. I am incredibly grateful to him for taking the time to speak so meaningfully with the NHS staff, particularly those on the frontline—the doctors, nurses and support staff—to allow him to gauge the realities of the day-to-day operations at the hospital. I take this opportunity to ask whether the Minister will commit to visiting the Princess Alexandra Hospital in Harlow, to continue the Health Secretary’s work. Does he recognise how useful it may be to inform future decisions about capital funding?

The Health Secretary concluded that Harlow has a strong case for capital funding. He stated how impressed he was with what the staff were managing to do in the tight working spaces, and acknowledged that a longer-term solution was essential. The board is doing all it can to set progress in motion. The trust is currently developing a pre-consultation business case and refreshing its 2017 strategic outline case, which will be submitted for approval in June. An event will be held tomorrow with stakeholders to assess the preferred way forward, including for the location of the new health campus, with a final decision to be made next month.

I understand from discussions between the Health Secretary and the trust’s executive board that the Department of Health and Social Care has spent its current capital allocation, and that major capital projects will be considered following the upcoming spending review. Will the Minister provide an assurance that, when the time comes, he will take all the necessary steps and work with the Treasury to release the capital funding for the new hospital we desperately need? Will he also set out a timeframe for that decision?

The trust’s executive board estimates that the health campus would cost £400 million. It is one of the seven new hospital projects seeking more than £100 million. I assure the Minister that that investment would provide a long-term solution, ultimately saving the Government, the hospital and the taxpayer millions of pounds. Princess Alexandra Hospital has been fortunate to receive pockets of Government funding, for which we are incredibly appreciative. In December, it received £9.5 million to provide additional bed capacity, on top of a £2 million investment in September ahead of the busy winter period. Successful capital funding bids led to the four-month turnaround of the £3.3 million new Charnley ward in January and the addition of a second maternity theatre last year.

I acknowledge that the Government are supporting the hospital, but those stop-gap investments were quick fixes when the need became urgent. Surely it is now time to look at the bigger picture. Does my hon. Friend the Minister agree that we must be wise with taxpayers’ money, and that to do so, we must address the root causes of the problems—the reasons why we need additional space for beds and extra funding for our A&E department, which is one of the busiest in the country?

--- Later in debate ---

[Priti Patel (Witham) (Con)]

It is a pleasure to serve under your chairmanship, Sir Christopher. I congratulate my right hon. Friend the Member for Harlow (Robert Halfon) on securing this debate and on being—I hope he will not mind me referring to him in this way—a warrior for Harlow. There is no doubt that he has made a strong and welcome case for investment in the Princess Alexandra. It is clear that Harlow needs a new hospital, and that a new campus can meet the long-term health objectives of both Harlow and neighbouring areas.

That brings me to the question of the health challenge across the whole of Essex when it comes to funding and investment in the NHS and the delivery of better healthcare services, especially given the significant levels of housing and population growth. There is an irony here: central Government provide money to local authorities for housing, looking at capacity studies, new growth and things of that nature, but we are not joined up enough across Government to release some of those funds back into the health economy.

Importantly—I hope the Minister will recognise this—the comprehensive spending review presents an opportunity for the Government to look at how the funding formulas can be connected to long-term economic and population growth. Of course, to ease pressures on hospitals and the health and social care systems, we also need investment in my constituency in a new multi-purpose healthcare centre that brings GPs and other health practitioners together at a local level. I am grateful to the Department of Health and Social Care, because I recently met the Secretary of State, who endorsed and gave his personal support to a new health centre in Witham and has also put pressure on the clinical commissioning group to work on the delivery of that, as the Minister is aware.

Returning to the point that I made in my intervention earlier, the new 10-year plan for health and the NHS is a perfect opportunity and window to consider how the Department can join up the whole system, make it much more integrated and look at delivery. My hon. Friend the Member for Clacton (Giles Watling) mentioned GPs; in our part of Essex and in rural parts of Essex we struggle to recruit them. We have the excellent Anglia Ruskin University training the next generation of GPs at a rate of 100 per year, thanks to its new medical school, and we want to benefit from that; I think the whole of Essex will benefit from it.

I hope the Minister, in his remarks, will look at the whole health economy in Essex and take on board the case that has been made today that we need not just investment, but a long-term vision from the Department.