NHS Winter Crisis

Rebecca Pow Excerpts

Wednesday 10th January 2018 Commons Chamber

[Rebecca Pow (Taunton Deane) (Con)]

Will the hon. Gentleman give way?

[Jonathan Ashworth]

If I may, I will make a little progress. I have been generous, but I will try to take as many other interventions as possible.

We have heard about Stoke, but what about the story of 87-year-old Yvonne Beer, who suffers from dementia? She was at Worcestershire Royal when, forced to wait 10 hours in hospital to see a doctor, she had to be tied into a wheelchair with a scarf after her bed was taken away. We learn that Southmead Hospital in Bristol has had a capacity of 104%. Yesterday, a leaked memo revealed:

“Acute Medical Unit physicians have been on their knees with workload pressure”,

and that the

“biggest risk remains patients in corridors in the Emergency Department with no allocated doctor, no allocated bed and no treatment—some of these are very sick indeed”.

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[Simon Hoare (North Dorset) (Con)]

Will the hon. Gentleman give way?

[Rebecca Pow]

rose—

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[Jonathan Ashworth]

I thank the hon. Lady for her contribution. The memo was emailed to oncology department staff in the last few days. If the trust is now backing down on that, all of us across the House will welcome it, but the point still stands: the trust was looking at delaying chemotherapy by four weeks and it referred to a lack of staff and capacity. As we know, this trust has cut many, many beds in recent years, including cancer beds and renal beds, and we know that it is under huge pressures.

[Rebecca Pow]

Will the hon. Gentleman give way?

[Jonathan Ashworth]

I will make some progress.

The hon. Member for Banbury (Victoria Prentis) rightly said that we do not want to make this more of a crisis, but the Secretary of State knows that cancelling elective operations as an impact on hospital finances. It means a loss of revenue for trusts that are already struggling to meet their deficit targets. Rather than allowing waiting times—

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[Mr Hunt]

We did provide an extra £1.4 million to the hon. Lady’s local hospital before Christmas, to help it to deal with the immediate pressures, but let me deal with this issue of cancelled elective care operations. I agree with the shadow Health Secretary that it is a big deal for patients who are told that their planned procedure is to be postponed. No one minimises the distress that that causes, but last year and in previous winters operations were cancelled at the last moment, which is much more distressing and challenging for hospitals to plan around. The decision was taken this year to take a much more planned approach. We hope that, overall, fewer operations will be cancelled at the last moment, but we need to do this in a planned way.

[Rebecca Pow]

I cannot help but intervene, because last year someone very close to me—a member of my family—was one of those people who was about to go into the operating theatre when the procedure was cancelled. I came to my right hon. Friend about the case. I can tell the House that that was not a good experience, so it is a much better approach to plan ahead and give people notice. Yes, emergencies will happen, but planning ahead makes for a better system. I think the Government have made a good move.

[Mr Hunt]

My hon. Friend is absolutely right. I hope she will not mind my saying that her case involved cancer, and one of the things that the planned approach allows us to do is make sure that we do not have to cancel cancer operations, which are the most important, at the last moment. That is essentially what we are trying to do: protect everyone who is in a life-critical situation.

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[Rebecca Pow (Taunton Deane) (Con)]

There is no doubt that the NHS is under unique pressures, with demand going up every year, especially in a county such as Somerset, where we have an increasing ageing population. Somerset is a great place, but many people retire there, which increases the problem.

First and foremost, I want to thank all those working in the NHS in Taunton Deane. The extra £435 million invested in the NHS to deal with winter pressures is to be welcomed, as is the new forward planning. While it is not desirable to have an operation cancelled, the more notice one can have of that, the better. I referred to that earlier; I have personal, family experience of it. Without a doubt, having notice definitely helps.

I shall focus on A&E in particular. The A&E department at Musgrove Park Hospital in Taunton, which is Somerset’s main hospital, has seen 68,000 people through its doors in the last year, which is a huge increase, but there are nine consultants working there and there is 24-hour senior cover. I contacted the chief executive just this week for an update on how the hospital is doing. He reports that it has been extremely busy and that there has been record demand. That has had an impact on waiting time, but the staff in that department and in hospital more widely, as well as the wider community, have been fantastic in their response, often going above and beyond.

There has been much talk today about adequate funding for our health services. While that is important, it is also important to get the right management structures in place. In that respect, I want to highlight and praise Dr Cliff Mann, a senior consultant at Musgrove Park Hospital in the emergency department. He has just been awarded an OBE for his services to emergency medicine. During his time as president of the Royal College of Emergency Medicine, Dr Mann lobbied the Government to get changes in staffing and worked hard around education in A&E. He devised a special A&E hub, which is an excellent model. It is working really well at Musgrove and ought to be rolled out further. It brings together in the emergency departments primary care; 24/7 support for mental health issues; a seven-day, 12 hours a day community pharmacy, and a seven-day, 14 hours a day in-house frailty team. I believe that model is working.

To touch on equipment at Musgrove Park Hospital, it is still dealing with a pre-1948 intensive care unit and theatres. There have been redevelopment plans since the 1980s, and we are still waiting. In the autumn Budget, the Chancellor announced a welcome £3.6 billion investment in capital projects of that sort, and I make no bones about fully supporting the campaign to get new theatres at Musgrove. I know many people who would benefit—indeed, members of my own family have recently been treated at the hospital. There is a top-class team working there, producing excellent results, but those staff deserve new and better facilities. I believe Musgrove Park is the only hospital in the south-west without updated theatres, so I ask Ministers to support it.

I applaud the linking of social care with health. That is essential. Somerset County Council faces a very difficult situation in social care, so any help will be welcome. If the council got into the next pilot of retained business rates, that would help its funding and finances, and therefore its efforts on social care.

I applaud the Government for their action this winter. Things are much better. There is always more to do, but this Government are right behind the best health service in the world.