St Peter’s Hospital, Maldon

Priti Patel Excerpts

Thursday 14th March 2024 Commons Chamber

[Sir John Whittingdale (Maldon) (Con)]

It is a pleasure to have a fellow Essex Member in the Chair, Madam Deputy Speaker. I also welcome my hon. Friend the Minister, and I am glad to see my constituency neighbours, my right hon. Friend the Member for Rayleigh and Wickford (Mr Francois)—on the opposite side of the River Crouch—and my right hon. Friend the Member for Witham (Priti Patel). She and I share the Maldon district between us, and we are working very closely on an issue that is of huge importance to both my constituents and hers.

St Peter’s Hospital in Maldon is a much-loved community hospital. It has been delivering care since the NHS was founded, but the building itself is a former workhouse and is more than 150 years old. We have known for some time that the building has significant problems, although, thanks to the dedication of the staff, the quality of care has been superb. There are significant challenges, which have become worse over time. The hallways are too narrow for stretchers, the floors have not been able to take the weight of the beds, the lift has repeatedly broken down, and there are leaking roofs, asbestos and potentially even a risk of legionnaires’ disease. While money has been spent over the years to maintain the building and keep it going, it has long been recognised that a new purpose-built facility is needed, either on the present site or in a different location. That has been the subject of debate and discussion for a number of years.

In 2003, the annual report of the Maldon and South Chelmsford Primary Care Trust stated that two preferred sites had been identified, that a provisional outline business case approval had been given, and that the new build was scheduled to open at some time towards the end of 2007. It never happened. There were difficulties with establishing ownership of part of the land off Limebrook Way, where it was due to be sited. Since then, we have had a succession of studies and debates about what a new hospital should offer and whether it should be a health hub. Most recently, plans were being drawn up for a new site to be developed to the west of Maldon, on Wycke Hill. However, this proposal became stuck due to the lack of sufficient funding for the access road, and a reduction in the contribution available from the developer and from the section 106 money for the housing being developed nearby.

To meet the anticipated winter pressures, it was announced in August last year that the in-patient beds would be relocated to Brentwood and Rochford, and the birthing unit transferred to St Michael’s Hospital in Braintree. We were told that these changes were only temporary while long-term solutions were found. Despite that, the Mid and South Essex integrated care board announced in January that it was proposing to make the changes permanent and that the out-patient services at St Peter’s would be relocated elsewhere, allowing the building to be eventually closed.

The proposals are subject to a consultation, which has recently been extended to 4 April. The ICB says that 2,600 of its surveys have already been returned. Over 400 people attended a public meeting that I organised with the mayor of Maldon, Councillor Andrew Lay, and another 100 had to be turned away. I have also received nearly 700 email responses to my own survey, and I am currently distributing across the constituency 25,000 leaflets containing a survey. It is already clear that my constituents are unanimous in wanting to see medical services continue in the town. They also believe that the consultation is a cosmetic exercise, with decisions already taken. I have to say that this belief is reinforced by the fact that the two alternative options presented for the in-patient beds currently in St Peter’s both involve closing the wards in the hospital and moving them elsewhere.

The Maldon district is growing steadily. We have something like 3,000 houses currently under construction in Maldon and Heybridge, with another 1,500 across the district. Demand for NHS services is rising steadily, with the GP to patient ratio already one of the worst in the country. Rather than closing NHS facilities, we need more. In addition, Maldon district is geographically spread, with some villages already half an hour’s travel time from Maldon. The travel time to Broomfield, Braintree or Brentwood can be up to an hour or more from villages such as Tillingham or Southminster in the Dengie peninsula, and the idea that an expectant mother in the early stages of giving birth should have to travel an hour is appalling.

The ICB suggested last year that there was an average of just six births per month at the maternity unit in St Peter’s, but the unit was actually closed for a large part of that time, because staff were sent to Chelmsford. Ten years ago, there were over 300 births per year, and the population has grown steadily since that time. As one of the midwives wrote in response to the survey that I am conducting:

“Our unit has seen 1000’s of births over its 75 years, over the past 5 years we have had over a 1000 postnatal stays, mothers who have birthed at Broomfield, then needed ongoing support coming to stay with us, we have taken readmissions from the community with baby’s not feeding well, which in turn warded off a remission to Broomfield where beds are always in short supply. We do in excess of 50 community visits weekly, 80+ clinic appointments weekly, over 20 new bookings a week, and anything between 5-10 appointments a day on our ward for anything extra…We are so much more than the ‘6 births a month’ that was widely reported and made us as a team so very angry and undervalued.”

The availability of in-patient services and a maternity unit are of huge importance to my constituents, but it is the out-patient services on which thousands depend. There are some 80,000 out-patient appointments each year, with a huge range of specialties such as X-rays, blood tests and ophthalmology. Although, unlike my right hon. Friend the Member for Witham, I have not used the birthing unit, I have received physiotherapy at the hospital and am due to have an abdominal aortic aneurysm screening there in the next few weeks.

I welcome the ICB’s assurance that out-patient services will be maintained at St Peter’s until alternative locations in the town are found, but it is essential that they are maintained in Maldon without a break or cessation of service. It is not good enough simply to divide up the different services and to try to slot them into buildings across the town. We need the new hospital or health hub that has been promised for so long. We have seen the new hospital at Braintree and the expansion of Broomfield and Southend, but Maldon has been consistently overlooked.

It was announced in last week’s Budget that the Maldon district is being allocated £5 million of levelling-up money for cultural projects, which I welcome, but what my constituents want is not cultural projects but a new hospital. Essex County Council and the district council have money set aside, but it is unlikely to be sufficient.

I applaud the Government’s continuing investment in the NHS, of which we saw further proof last week, but I ask the Minister to tell the Mid and South Essex ICB to think again and, rather than cutting services, to maintain and expand them so that my constituents have the high-quality, easily accessible healthcare they deserve.

[Priti Patel (Witham) (Con)]

rose—

[Madam Deputy Speaker (Dame Eleanor Laing)]

The right hon. Lady has not asked me, the Minister or the right hon. Member for Maldon (Sir John Whittingdale) whether she can take part in the debate, but she can ask now.

[Priti Patel]

May I take part in the debate?

[The Minister for Social Care (Helen Whately)]

indicated assent.

--- Later in debate ---

[Priti Patel (Witham) (Con)]

Thank you, Madam Deputy Speaker.

I congratulate my right hon. Friend the Member for Maldon (Sir John Whittingdale) on securing the debate, and I echo everything he said in illustrating the sorry and sad situation in which our constituents find themselves with regard to what is a much-loved local hospital. Naturally, we both speak from our personal experience, but it is fair to say that both he and my right hon. Friend the Member for Rayleigh and Wickford (Mr Francois) will have received hefty mailbags of angry correspondence from our constituents who believe that the ICB’s consultation is effectively a slippery slope to permanent closure and the running down of services after last summer’s announcement, which we clearly do not support. It is right that we stand up for our constituents.

I reiterate and echo the points raised by my right hon. Friend the Member for Maldon, particularly on the incredible maternity and birthing facility. Nurses from the facility were present at the public meeting held in Witham on Monday evening, and I emphasise the due diligence, care and compassion they provide not just in the birthing unit but in the wider community. The support that the facility gives to new mothers was echoed by everyone in that public meeting.

The reality is that Essex is a very large county, and relocating these services is simply not good enough because of the time it takes to travel to the alternative facilities, and public transport is not available. I emphasise that Maldon is a growing district in both our constituencies; the Westcombe Park development in Heybridge straddles my right hon. Friend’s constituency and mine, and it now has more than 1,000 homes under development.The current local plan runs until 2029 and will see the development of another 5,000 homes. It is simply unsustainable that we have a proposal to close St Peter’s Hospital and relocate services elsewhere in Essex, because we can guarantee that in future years there will be calls to stand up those local medical facilities again. That is why, as my right hon. Friend the Member for Maldon said, we must have new facilities in Maldon town, and they have to be future-proofed to meet growing need.

Finally, it is vital that we recognise the overall impact of an ageing and growing population. We have to provide the right kind of medical facilities and give our constituents the assurance that whatever happens with their health, they can have health provision on their doorstep.