Sudden Unexplained Death in Childhood

Robbie Moore Excerpts

Tuesday 17th January 2023 Westminster Hall

[Robbie Moore (Keighley) (Con)]

It is a pleasure to serve under your chairmanship, Mr Twigg, and I thank my right hon. Friend the Member for Spelthorne (Kwasi Kwarteng) for securing this really important debate, which will hopefully shine a little light on the sad topic of sudden unexplained death in childhood.

It is only right that I begin my contribution by telling the story of a family from Silsden in my constituency whom I had the pleasure of meeting just last Friday. Cheryl, a senior nurse in our local A&E department, and Darren, a local police officer, are incredibly loving parents to two wonderful children. On Christmas day, they put their loving, happy and fun-going little boy, Jack, who was only 16 months old, to bed, only for him not to wake the next morning. That is incredibly sad news, and it was undoubtably devastating for the family. One cannot pull together the words to express the deep sense of loss, anguish, grief and heartbreak that Cheryl and Darren will be feeling. Of course, this also has an impact on their older son, Louis, who has lost a brother he will now not be able to grow up with and share that unique brotherly bond with. Since Jack passed away only on Christmas day just past, the family have had no answers as to what has happened, and investigations are still ongoing.

Sudden unexplained death in childhood is the fourth leading category of death for children aged one to four years old in England and Wales. Approximately 40 children are affected by SUDC in the UK each year—that is one to two seemingly healthy children passing away every fortnight, often going to sleep and never waking again. As we have heard, SUDC affects not just young children under one year old; more one to nine-year-olds die of sudden unexplained death than die as a result of road traffic accidents, drowning or fires.

Published epidemiological data suggests a common profile for children affected by SUDC. Most commonly, they are one to two years old, they are male and, most worryingly, they are dying unwitnessed, alone as they sleep. The child’s development is usually normal and their vaccinations are up to date.

Of course, as all of us have said, awareness is absolutely key, because if a parent, family member or friend does not know why the death has occurred, they will constantly ask, “Why?” Over 13,000 research papers have been published on sudden infant deaths. That has helped to pioneer safer sleep advice, which has led to an 80% decline in infant deaths. However, only 55 research papers have been written on SUDC.

Last year, 8 December marked the publication of the groundbreaking report “Sudden and Unexpected Deaths in Infancy and Childhood” by the National Child Mortality Database—I have read it, and it is well worth reading, for those Members who wish to do so. It concludes that, of the sudden and unexpected deaths in 2020 that have been investigated and reviewed, 16% are still classified as unexplained. It provides greater awareness and accuracy around understanding exactly which of the many children who are affected by seizures are at risk. It helps to address some of the knowns but, as many of us have outlined, there are still many unknowns. That comes back to the issue of why research is so important. I ask the Minister what we are doing to increase that research, as well as awareness, training among medical professionals, and the public information out there.

This is undoubtably a difficult topic to talk about, but we must never forget that at the heart of all this is the sad loss of a child. They leave behind a heartbroken family—parents, brothers, sisters and grandparents—and friends. In Jack’s case, he leaves behind a loving mother, father and three-year-old brother, Louis. I would like to thank them for their time in sharing their story and for educating me in the meeting I had with them last Friday.

[Derek Twigg (in the Chair)]

I will call the Minister no later than 5.16 pm.

Oral Answers to Questions

Robbie Moore Excerpts

Tuesday 19th July 2022 Commons Chamber

[Steve Barclay]

I hope the hon. Gentleman will look at today’s announcement, because it shows that the Department has listened. That is why, for example, it will facilitate better contract management, better reflect the floor price for units of dental activity and reward complex treatment, which was one of the key concerns. Equally, I hope that the hon. Gentleman recognises that this Government, through the £1.7 billion of income protection during the pandemic, have done much to facilitate dentistry’s ability to bounce back.

[Robbie Moore (Keighley) (Con)]

2. What steps his Department is taking to help the NHS achieve net zero.

[The Minister of State, Department for Health and Social Care (Maria Caulfield)]

We are committed to supporting the NHS to achieve net zero by 2040 for direct emissions, with the Government already investing £280 million through the public sector decarbonisation scheme to support that ambition.

[Robbie Moore]

The NHS plays a key role in our national attempts to achieve net zero. I was therefore delighted to see the Airedale NHS Foundation Trust submit its plans for a new Airedale Hospital in my constituency. Those plans of course deal with the severe structural risk associated with aerated concrete, but they are also designed to create Europe’s first ever carbon neutral hospital. Does my hon. Friend agree that these are extremely exciting plans and that they are another reason why we should try to achieve a new Airedale Hospital in my constituency?

[Maria Caulfield]

I thank my hon. Friend, who campaigns hard on this issue for Airedale Hospital. I absolutely understand the urgency around aerated concrete given the effect it is having, and of course I agree that the NHS has a vital role in supporting net zero. He will understand that I cannot commit to any one application. We are reviewing all applications and we aim to make a final decision later this year.

Draft Mental Health Bill

Robbie Moore Excerpts

Monday 27th June 2022 Commons Chamber

[Sajid Javid]

Of course the hon. Lady should get the Bill and any other documentation she needs in large print, and I am sorry that she has not. I will take that up. I apologise to her, and she makes a very important point.

Support for children, even before the pandemic, was rightly a priority. Funding will increase to record levels by 2023, with an additional £2.3 billion in total so that an additional 345,000 children and young people can be seen. We put in an additional £79 million during the pandemic, and we will set out in our new 10-year mental health strategy exactly how we will do more.

[Robbie Moore (Keighley) (Con)]

I commend the Secretary of State for bringing forward this draft Mental Health Bill. I have met key individuals across Keighley in recent months who provide mental health and wellbeing support and advice, including Nick Smith, Ryan Anderton, Bill Graham and one of our hard-working GPs, Caroline Rayment. They are all passionate about this subject, and I am sure they will be pleased to see greater autonomy in providing personalised care. A key issue they have raised with me is that of adults and children with learning difficulties. Can my right hon. Friend confirm that the Bill will help those with learning difficulties to engage further with mental health and wellbeing services?

[Sajid Javid]

Yes, it will. I set out in my earlier answers some of the Bill’s changes for those with learning difficulties and autism. I think my hon. Friend will also welcome the publication of the new 10-year mental health plan.

Special Educational Needs and Children’s Mental Health Services

Robbie Moore Excerpts

Wednesday 9th February 2022 Westminster Hall

[Robbie Moore (Keighley) (Con)]

It is a pleasure to serve under your chairmanship, Ms Fovargue. I pay tribute to my hon. Friend the Member for Newbury (Laura Farris) for securing this debate, which, as many hon. Members have identified, is important for all present.

Identifying special educational needs and early diagnosis is a particular problem given the complexities surrounding this issue. Early diagnosis is absolutely key. I have heard from constituents many harrowing stories of people trying every channel and route possible, including schools and local GP services, to identify special educational needs at an early stage.

Children’s mental health and special educational needs are complex. Their conditions can often be misdiagnosed or not even identified at an early stage. The signs of autism, for example, can be put down to a child experiencing a dislike for something such as going to school. Of course, the recent challenges of the pandemic have not made things easier.

Early diagnosis is key, but the process of getting a formal diagnosis is far too inaccessible and long-winded for many of my constituents. One constituent told me that there was no point in even entertaining the process, because they would have to wait three or four years for their child to receive a diagnosis. That is completely unacceptable. Likewise, private companies that offer such services are currently working their way through a huge backlog that accumulated during the pandemic. Too many of my constituents also find themselves priced out of any private offering.

In spite of those difficulties, there are a number of fantastic groups across Keighley and Ilkley that support young people with special educational needs and mental health issues. Take Margaret Nash, Helen Millar and the rest of the team at AWARE—Airedale and Wharfedale Autism Resource—which provides support to families with children and young adults on the autistic spectrum, with no formal diagnosis required. My thanks also go to Lesley Brook and everyone at the Nebula Girls Group, a Keighley-based organisation that helps young girls in Keighley who suffer with special educational needs.

I want to emphasise the issues of appointments and referrals. Battling their way through the bureaucracy and red tape, parents and young children find that the challenges of navigating a complex diagnosis system are not easy at all. As many hon. Members have identified, the transition from primary to secondary school—and then into the job sector—is extremely difficult, whether or not a person has been diagnosed.

That is where I would like more emphasis from the Government. Emphasis should be put on not only funding and providing targeted support, but providing businesses with the support they need to help people with special educational needs beyond the education system and into the work environment.

I appreciate that this issue is not being ducked by the Government, and I recognise that the Department for Education will continue to increase funding for children and young people with the most complex needs. However, we cannot stop there. All hon. Members present have recognised that CAMHS is not fit for purpose—we must ensure that it is. Like my hon. Friend the Member for Newbury, I call on the Minister to make sure that the SEND review is released at the earliest possibility so that we can try to get better mechanisms in place. There are some fantastic efforts being made at a local level, but we cannot rely on voluntary groups to sort this issue out. The Government, local authorities and CAMHS have got to do the utmost to make the whole process fit for purpose.

Hospital Building Programme

Robbie Moore Excerpts

Wednesday 3rd November 2021 Westminster Hall

[Robbie Moore (Keighley) (Con)]

It is a pleasure to serve under your chairmanship, Mr Sharma. I congratulate my hon. Friend the Member for Crewe and Nantwich (Dr Mullan) on securing this important debate. I am glad to speak once again in this place about my campaign for a new Airedale hospital in my constituency. I have raised the subject in Westminster and met the Minister on several occasions.

To set the scene about why we need a new, rebuilt Airedale hospital, similarly to the case that has just been made, my hospital suffers immensely from aerated concrete. The hospital opened in the 1970s, construction having started in the 1960s. Although the hospital’s original life expectancy was 30 years, we are now in its 51st year. The 1960s design sadly leaves a huge legacy of structural failings. Some 83% of the hospital is constructed from aerated concrete, which is in the roof, floors and ceilings. In total there are 50,000 aerated concrete panels in the hospital—five times more than any other hospital affected by that issue.

Aerated concrete is not the only unfortunate hangover from 1960s hospital design. The Airedale is also the largest flat-roofed hospital of any NHS asset in the country and, given that my constituency has some of the wettest weather in the UK, that leads to severe leakage. Unfortunately, the Airedale has more recorded leaks than any other hospital in the UK. Since being elected I have made several visits to the hospital, including up to the roof, where I have seen these issues for myself. I have also been shown parts of the hospital that are closed to the public to mitigate the risks from the aerated concrete and the flat roof.

Aerated concrete panels, such as those found in Airedale hospital, are prone to fail when deflections are recorded between 50 mm and 90 mm. More and more panels are constantly getting to this risk deflection. To put it bluntly, if swift action is not taken then the possibility of a collapse within the structure of the Airedale will constantly rise. We only need look back to 2019, when a school roof unfortunately collapsed because it had been constructed from aerated concrete. Such a collapse would be unthinkable, which is why we need to take swift action.

The Airedale trust has informed me that if it were to experience a closure, even a temporary one, then 45,000 referrals to treatment, 60,000 diagnostic tests, including MRI scans and ultrasound therapy treatments, and 2,000 maternity deliveries would be affected. That cannot arise and I cannot stress how important it is that it is avoided. I firmly believe that that can only be done by delivering a new Airedale hospital.

The catchment area for Airedale hospital covers a huge rural area. I have the full support of my right hon. Friend the Member for Skipton and Ripon (Julian Smith) and my hon. Friends the Members for Pendle (Andrew Stephenson) and for Shipley (Philip Davies), all of whose constituents use the Airedale hospital alongside mine. We also have to look at the wider area. The local authority has proposed plans for 3,000 new houses to be built in my area alone, which will add pressure on existing hospital services.

It is fantastic that the Government have announced that there will be a further eight new hospitals, on top of the 40 already announced. I was proud to see that in September the Airedale trust submitted its bid for one of those final places. It is an ambitious bid, detailed and affordable. The plans are convenient, in that they will not disrupt the current workings of the Airedale and are following a fully strategic outlined case.

A full appraisal recommended that the most cost-effective and future-proofed solution would be a new Airedale hospital on the grounds already owned by the trust. Indeed, the trust owns 43 acres of land and can build a new hospital while keeping existing operations until a transfer to the new build. The plans have a strong environmental case and outline the Airedale trust’s vision to be Europe’s first carbon-neutral and fully digitally enabled hospital, with the capability to generate renewable energy on site.

May I once again request a visit to Airedale hospital by my hon. Friend the Minister? I want to raise again the urgency of the case, as I did last week in the main Chamber to the Prime Minister. The Airedale needs and deserves a rebuild, and I will continue to do everything that I can to stand up for my constituents and press the case.

--- Later in debate ---

[Edward Argar]

I did not regret giving way to my right hon. Friend quite as much as I feared I might, although he may yet come back to me. As ever, he makes his point powerfully and clearly, and I suspect that, as well as my having heard it, his trust will also have heard it.

As the shadow Minister said, my hon. Friend the Member for Hartlepool (Jill Mortimer) made broader points, in addition to points about her local hospital and trust, about health inequalities and the role that the right infrastructure and staff—the right people in the right place—can play in tackling that. I have to pay tribute to her. Within a day of her arriving in this place following her fantastic by-election victory, she had pinned me down so she could come and see me and talk about Hartlepool and health services there. Her constituents are extremely lucky to have her. She hit the ground running and has not stopped working since on behalf of her constituents.

My right hon. Friend the Member for Basingstoke and I, as she alluded to, have spoken a number of times about her trust. How can I not accept her kind offer of going to the site and seeing her in her constituency? I have known her for a long time, so it is a pleasure to say yes. I would like to go there and do that, then perhaps we can discuss the plans further. She and I have met on several occasions. She is a great champion for the new hospital in her area, so I am grateful for the invitation.

My hon. Friend the Member for Keighley—I almost said “my hon. Friend the Member for Airedale”, given the frequency with which, he raises and champions in the House at every opportunity the need for a new hospital at Airedale—is right to highlight the challenges that his trust faces, as he has done on many occasions, particularly in the context not only of the needs of his population, the challenges of an old building that has long exceeded its intended lifetime, but also the RAAC plank issue. I know that his trust is keen to be one of the eight. I will only say to him, I am afraid, what I said to my hon. Friend the Member for Crewe and Nantwich, which is that the bids will be considered very carefully. I know that he will continue making the case, as he has done in the past.

[Robbie Moore]

Will the Minister give way?

[Edward Argar]

I will give way briefly to my hon. Friend, then I will turn to the contribution of my hon. Friend the Member for North West Norfolk (James Wild).

[Robbie Moore]

Can the Minister clarify how the final eight will be decided and will structural risk profile be a key consideration?

[Edward Argar]

My hon. Friend, quite wisely, presses his advantage. I can give him some reassurance on that, as I did to the shadow Minister when talking about the criteria, that safety and risk will not be the only criterion, but that will be a key factor in the consideration.

I turn now to the contribution of my hon. Friend the Member for North West Norfolk. The other day in the Chamber, I inadvertently paid tribute to my hon. Friend the Member for North Norfolk (Duncan Baker) for the work being done by my hon. Friend the Member for North West Norfolk in one of my responses. I pay tribute to my hon. Friend for North West Norfolk, who has quite rightly raised with me on several occasions the Queen Elizabeth Hospital King’s Lynn and the challenges posed by RAAC planks there. I know he is campaigning both in Parliament and locally on that issue. Courtesy of him, I have met his trust in the past and we have provided more than £20 million in this financial year for critical risk remediation. I know that, quite understandably, my hon. Friend is saying very clearly that that is welcome and will help, but it will not solve the problem. He will continue to press the case for a new hospital. He, too, has kindly invited me to his constituency, so I think I am due to go on tour around the country at some point, visiting various hospitals and colleagues.

Turning to some of the broader underlying themes that have emerged in the debate, I will seek to answer some of the questions posed by the shadow Minister. He gently tempted me on definitions. I am clear that the definitions we have—the three key elements he alluded to—not only pass the common-sense test and the understanding of what the reasonable person in the street would consider a new hospital. Equally, he teased me gently about VAT notice 708. I mentioned that at the Dispatch Box because—he says that we should be transparent and have a logical reason for how we define, do and choose things—our starting point was that there can be a VAT exemption for new builds, but not necessarily for refurbishment. I took that as a starting point for developing the common-sense definition. A lot of what he sees in the definitions is reflected in the same one used there, so there is consistency.

The shadow Minister talked about skills and inflation and whether we will have the people to build the hospitals. He is right to do that, because, as we have seen following the bounce back after the pandemic, builders and construction firms are very much in demand. There is pressure on materials as well, not just inflationary pressure, but on quantities. That is one of the reasons why, even before the impact of the pandemic, this is a phased programme. These hospitals will be built over a period of years up to 2030, allowing for market capacity.

Equally, one of the reasons why we have set out this long-term plan is so that we can make the market aware of what our plans are. If there is certainty in the market that the hospitals will be coming through, we will see firms investing, because they know there is potential for long-term business and work for them. That is one of the ways in which we have helped to handle that.

The shadow Minister asked about funding, and what would be available for what period. He will be aware of the initial £3.7 billion that has been allocated to this project, which takes us to 2024. Future funding will be subject to future spending reviews for that period. Between the 2024 period and 2030 there will be a general election at some point, and I suspect that may play a part in the spending review as well. We have the funding up front to get going with this programme, and off the top of my head, I think we already have eight hospitals in construction. The Cumberland Cancer Hospital has already been opened by my right hon. Friend the Health Secretary. Over this period, we will continue to start further construction of new hospitals.

The shadow Minister also alluded to geography and the distribution of the hospitals. Off the top of my head, 30 of the 40 are outside London and the south east, so we have sought to achieve geographical spread for the new hospitals and, equally, will seek to do that with the new eight. He also asked about the quantum needed for a new hospital, and he had a particular figure in mind. If he looks at the list of 40, many of them are very different hospitals, from the major acute district general hospital to a community hospital with in-patient beds; it is clearly a new hospital. The costs vary in the nature of what is built, its scale and size.

The shadow Minister also asked whether there would be a cap and whether trusts have complete freedom. No—as he would expect, there is a balance is to be struck between delivering what a trust wants for its plans and the need for financial prudence and recognition of the need to safeguard taxpayers’ money; it is not a limitless amount. Conversations are going on between the national team and local projects to ensure that their schemes are affordable and not hugely over budget. That is a pragmatic, ongoing process.

The shadow Minister also touched on some of the criteria for the scheme and how we are making the national scheme work. We include in this modular build modern methods of construction. We have a national set of standards for what we would expect from a new hospital, but a degree of local flexibility for the delivery of that. We recognise that each trust is slightly different, but we want to standardise where we can, because that keeps costs down and provides certainty in the market and speeds up construction. We have also built into our plans, since they were originally announced, even more ambitious green targets and energy efficiency targets for those trusts.

Covid-19 Update

Robbie Moore Excerpts

Monday 19th July 2021 Commons Chamber

[Nadhim Zahawi]

I thank the hon. Lady, who made an excellent video about the vaccination centre in Acton—she had a bit of a go at me for not delivering it within a few weeks, but we finally got it delivered in Acton. She has done a tremendous job in leading the vaccination communication in her community.

I agree that it is abhorrent and completely wrong for anyone to intimidate people looking to get their vaccination, the incredible NHS staff delivering it, the volunteers or anyone else in the extraordinary mobilisation we have experienced of the nation coming together and delivering the largest vaccination programme in history. I will look at anything we can do to continue to protect our frontline staff. A senior responsible officer embedded in the vaccination deployment team looks seriously at security every single day, and we will not hesitate to take action against anyone who threatens any member of staff or volunteer taking part in the vaccination programme.

[Robbie Moore (Keighley) (Con) [V]]

We cannot ignore the slight reduction in vaccine uptake in the past couple of weeks, which is in spite of the fantastic work being done across Keighley and Ilkley to deal with this, including at the Silsden medical practice, Keighley’s central mosque and Airedale Hospital, which this week are providing walk-in services for young people to get their vaccine. Will my hon. Friend join me in encouraging all those who have not yet taken up the offer of the vaccine to do so to prevent transmission and to help protect themselves and others?

[Nadhim Zahawi]

I commend my hon. Friend for his exemplary work in taking the message out to his constituents that vaccines protect people, families and communities. He is right to continue to double down on his efforts. I assure him that we will do the same across the system, whether through pop-ups, mobile sites or opening for longer hours. The Eid festival begins tomorrow and we have a whole programme around that. I wish the Muslim community a happy Eid Mubarak, but I also encourage them to come forward and get vaccinated.

Oral Answers to Questions

Robbie Moore Excerpts

Tuesday 13th July 2021 Commons Chamber

[Sajid Javid]

The hon. Gentleman will know that the Government’s decisions are rightly informed by the best possible scientific advice there is and, as well as that, looking at the data and then taking all of that into account when reaching decisions. The hon. Gentleman asks about masks, and I have answered that question a number of times at the Dispatch Box. I am very happy to repeat that we are moving away from a system of regulation to guidance, but in that guidance, which was published yesterday, we have made it very clear that in certain situations masks will still make sense, and we believe that people will use their common sense and follow that guidance.

[Robbie Moore (Keighley) (Con)]

What steps he is taking to improve the infrastructure of the NHS estate.

[Philip Dunne (Ludlow) (Con)]

What steps he is taking to improve the infrastructure of the NHS estate.

[The Minister for Health (Edward Argar)]

In our manifesto, we committed to building 40 new hospitals by 2030 and to upgrading another 20 hospitals. We are delivering on this commitment, and we now have plans to build 48 new hospitals this decade. We are also delivering improvements across the country to hospital maintenance, eradicating mental health dormitories and improving A&E capacity. Finally, the Department has received a £9.4 billion capital settlement for 2021-22, including the first year of a £5.4 billion multi-year commitment until 2024-25 for new hospitals and hospital upgrades, and £4.2 billion for NHS trusts’ operational capital.

[Robbie Moore]

Some 83% of the Airedale hospital in my constituency is built from aerated concrete, with the building containing 50,000 aerated concrete panels in its construction, which is five times more than any other hospital in the UK. This building material is known for its structural deficiencies, so can my hon. Friend assure me that when his Department considers new infrastructure projects, schemes with the highest risk profile, such as the Airedale hospital, will be an absolute priority?

[Edward Argar]

My hon. Friend is a doughty campaigner in this House on behalf of his local hospital at Airedale, going the extra mile, I gather from the Keighley News, by committing to run 100k in 10 weeks to raise funds for, among other things, the Friends of Airedale Hospital—I hope, if he has not finished that yet, it is going well.

To my hon. Friend’s substantive point, he raises an important issue. Airedale has been allocated capital investment in the millions for the 2021-22 financial year from a funding budget that is ring-fenced for RAAC—reinforced autoclaved aerated concrete—plank remediation, but I can reassure him that, as we look to set the criteria for the next eight hospitals, safety considerations are highly likely to be one of the key considerations.

Covid-19 Update

Robbie Moore Excerpts

Monday 12th July 2021 Commons Chamber

[Sajid Javid]

On the study to which the hon. Lady referred, I will look into that and write to her, if she will allow me. Immunocompromised people and what we can do to help them has come up a number of times during this statement. I direct the hon. Lady to the comments I have already made and highlight the fact that we will publish some guidance today.

[Robbie Moore (Keighley) (Con)]

I welcome my right hon. Friend’s statement. Last week, I heard from a self-employed small business owner in my constituency of Keighley and Ilkley who has been told to self-isolate three times in the past two months, despite not testing positive on any of those occasions. Such an experience is both impractical for the individual and harmful to our local economy, so will my right hon. Friend assure me that he is exploring all possible options to remedy the situation, whether through adjustments to the NHS app or changes to the self-isolation rules?

[Sajid Javid]

On the app and the so-called pinging—my hon. Friend referred to an individual in his constituency who has perhaps been pinged too many times—it is right, as I have said, that we take a fresh look at any changes that we can make in the light of the success of the mass vaccination campaign. If my hon. Friend will bear with me, I think he will be pleased with our course of action.

New Airedale Hospital

Robbie Moore Excerpts

Tuesday 15th June 2021 Westminster Hall

[Robbie Moore (Keighley) (Con)]

I beg to move,

That this House has considered a new Airedale Hospital.

I am delighted to serve under your chairmanship, Sir Edward. I am grateful to Mr Speaker for granting this urgent debate—it is urgent for reasons that I will outline in my speech—and giving me the opportunity to continue my campaign in this place for a new Airedale Hospital in my constituency. I would also like to record my thanks to the Minister, who has met me on multiple occasions to allow me to raise the issue with him.

I am lucky enough to represent such a diverse constituency. My constituency is home to different towns, different communities and, with that, different challenges. Yet one thing that I hear from all four corners of my constituency—be it in Keighley, Ilkley, Silverstone, Worth Valley or any other part of my constituency—is that Airedale Hospital needs and deserves a rebuild. I am not alone, because the issue is being raised by many constituents.

Airedale Hospital serves a huge catchment that reaches right up into the Yorkshire Dales and into Lancashire, serving many residents in West Yorkshire. My hon. Friend the Member for Shipley (Philip Davies), whose constituents benefit directly from the hospital’s services, is also fully behind my campaign for a new rebuild, as are my right hon. Friend the Member for Skipton and Ripon (Julian Smith) and my hon. Friend the Member for Pendle (Andrew Stephenson). They have all worked tirelessly with me on our joint endeavour to secure the hospital long into the future. Even the Chancellor’s constituents use the Airedale.

I will outline the background and explain why my ask for a rebuild of the hospital is urgent and very important to our communities. The Airedale employs over 3,500 members of staff and volunteers, serving a population of 200,000 while providing training and education, creating lifelong careers for many of my constituents. The hospital was opened in 1970, construction having started in the 1960s. The original life expectancy of the 1960s build was only 30 years, but last year we celebrated the hospital’s 50th birthday.

Like many buildings constructed in the 1960s, the hospital is constructed predominantly from reinforced autoclaved aerated concrete, or RAAC—aerated concrete for short. That material is widely known for its structural deficiencies. A staggering 83% of the hospital is made from this material, including the roof—the Airedale has the largest NHS hospital flat roof in the country, compared with any other NHS asset. That does not help when you take into account our lovely Yorkshire weather. Given our geography, our area where the Airedale Hospital is situated is one of the wettest areas in the UK. Coupled with its 1960s-design flat roof, that means that the Airedale unfortunately experiences more leaks than any other hospital in the country, creating challenges with water pooling, which of course increases the weight on the concrete roof panels. It also means that the flat roof soaks up the hot summer sun, and years of heat, rain and frost through the tough winter months all take their toll on the current design of the building.

While many of these 1960s constructions have come and gone, Airedale Hospital remains. It is thought to be the oldest aerated concrete hospital in the UK. Aerated concrete is present in the roof and walls and the hospital is the only NHS trust asset that has aerated concrete in its floor panels. In fact, in total the hospital has over 50,000 aerated concrete panels, which is five times more than any other hospital affected by reinforced aerated concrete design.

Aerated concrete is known to have about one 20th of the strength of normal concrete. The Building Research Establishment has identified that aerated concrete roof panels are prone to fail when deflections between 50 mm and 90 mm come about. It is deeply concerning that Airedale Hospital has identified a significant number of aerated concrete panels with deflections approaching that threshold.

Time is of the essence. I cannot stress enough to the Minister how important and urgent this is. The warning signs are there for everybody to see, hence my lobbying hard with colleagues for a complete new rebuild of the Airedale Hospital, so that we can completely remove the risks of aerated concrete construction. My worry is that no matter how much surveying and mitigation works are undertaken, all we are doing is delaying the potential risk of a collapse at a later date.

The Minister will be well aware, from our previous conversations, of a school in Scotland where the roof, constructed by aerated concrete, unexpectedly collapsed in May 2019. Fortunately, no one was injured or killed, but that was a matter of timing and luck, nothing else. The collapse was not due to mislaid bricks or improper contracting. The Standing Committee on Structural Safety concluded in its report:

“The cause of the collapse was a shear failure due to inadequate bearing following some structural alterations made by the school. The failure was triggered by outfall gutters becoming blocked which allowed ponding of water on the roof to quickly build up during a storm”.

I understand from previous reports by the Building Research Establishment that it was thought that aerated concrete planks gave adequate warning through visual deterioration before failing. However, recent failings, including the school roof collapse in Scotland in May 2019, showed that this can no longer be relied on. It is therefore necessary to reconsider maintenance and inspection regimes. In fact, the same Committee issued an alert stating that pre-1980 aerated concrete panels

“are now past their expected service life”.

I reiterate that my hospital was built in the 1960s.

The reality is that the longer the hospital remains in its current state, the greater the possibility that such a tragic event could happen, if action is not taken. Should there be such a collapse, even if only in one small part of the hospital, imagine the consequences: the impact on life, services and the day-to-day operations of our much-loved hospital.

I have had several visits to the hospital since becoming an MP, including going on to the roof to see the issues for myself. I also visited parts of the hospital that are currently closed to the public, sealed off for reasons directly linked to mitigating the risk from the fact that the hospital is built from aerated concrete.

When one thinks of how much we rely on the NHS every day, particularly over the past year, the idea of any hospital, or even just a small part of it, having to shut its doors temporarily really hits home. Members of Airedale’s trust have also made it clear to me their fear of a loss of public confidence in the hospital, given its structural deficiencies. Such a loss of confidence would be through no fault of their own. They have a brilliant team and I have been working incredibly closely with them. However, it demonstrates why the problem must be dealt with as soon as possible. The more time goes on without acting, the greater the risk of structural failure.

What is currently being done to mitigate such risk? The Airedale NHS Foundation Trust performs several procedures to try and mitigate the dangers created by aerated concrete. It carries out regular inspections of the hospital, but those inspections have found more than 500 related structural failure incidents caused by aerated concrete, including 27 cracked concrete panels, 327 roof leaks and one incident of falling debris. The trust is regularly forced to make changes within the hospital to deal with those problems and ensure that it can operate.

During the winter months, the trust must act quickly to remove rainwater and snow to prevent the flat roof from leaking and ensure that gulley drains remain unblocked. As one would expect, that work comes at significant cost and the trust has already had approval for emergency funding of £15 million, but that is just the tip of the iceberg. The backlog maintenance for the site currently stands at £480 million, making it financially unviable to consider removing or replacing aerated concrete from the existing structure.

Of course, it is not just about the maintenance cost; it is also about the impact on healthcare service. The trust has predicted that if a temporary closure were to happen, 45,000 referrals to treatment across West Yorkshire and Harrogate would be delayed. Some 60,000 diagnostic tests and procedures, including MRI scans and ultrasound therapy treatments, and 2,000 maternity deliveries would also be affected. Overall, the trust has estimated that if an emergency closure were to happen, up to 346,000 patients across the local area could be affected. Those are chilling figures that make a new Airedale Hospital a necessity.

A modular approach has been suggested and provides a potential means to regenerate Airedale Hospital, in line with the Department for Health’s commitment to eradicating aerated concrete from NHS buildings by 2035. In my view, while that is an option, it comes with significant challenges in terms of structural connectivity with existing parts of the building—not to mention the impact on the provision of healthcare services. We cannot forget that the trust’s independent structural engineers’ report warns that the hospital’s aerated concrete panels must be replaced by no later than 2030, which is in only nine years’ time. I make my case and I know that the Minister, with whom I have had many a meeting and conversation, gets my concerns. However, we need action and we need to make decisions now.

As I continue to lobby with my right hon. and hon. neighbours, Airedale Hospital continues to provide an incredible service to many of my constituents in Keighley and Ilkley, as well as the wider area. A service delivered by incredible doctors and nurses, and other NHS staff, with a real sense of duty. At this point, I must extend my personal thanks to Brendan Brown, the chief executive of the Airedale NHS Foundation Trust, and his team, and of course I also thank Friends of Airedale, a fantastic local charity whose volunteers do so much to help staff and patients.

We need to look ahead at what the next stage is for Airedale Hospital. I am delighted to say that the trust has provided an ambitious, detailed and affordable plan for a complete new rebuild that we can make into a reality. The proposals are convenient, in that they would not disrupt the current workings of Airedale Hospital in the same way the current problems do, or in the same way that any sticking-plaster approach would. A strategic outline case was completed in January 2021, when a full appraisal recommended that the most cost-effective and future-proof solution would be to build a new hospital for Airedale within the 43-acre grounds owned by the trust. That work could be completed in as little as three years from sign off.

These are exciting plans, with a strong environmental case. The Airedale trust’s vision is to create Europe’s first carbon-neutral and fully digitally enabled hospital, with the capabilities to generate renewable energy on site. The financial, environmental and practical case for a new Airedale hospital is clear for all to see, and I am delighted to invite the Minister to come and join me, chief executive Brendan Brown and his brilliant team for a visit to the Airedale, so that we can continue our discussions and get some concrete commitment from him that a new rebuild is the way forward.

Of course, I welcome the announcement that the Government will invest in another eight new-build hospitals, but we want to have an update now on how and when we will be able to bid for this funding, and to know whether those eight places will be ring-fenced for NHS trusts with hospitals that have the highest risk profile.

I will end by sending a message that is loud and clear to the Minister. I cannot stress enough the urgency of this issue and the desperate need for clarity now, so that we can take matters forward in a sensible manner and so that we are not simply throwing good money after bad. I am not in the game of seeking a make-do or half-hearted approach to solve this challenge. Given the facts, the high structural risk profile of the Airedale hospital—the highest of any hospital in the UK—the solution I seek is a complete new rebuild to eliminate any risk and to provide the healthcare service at the Airedale site long into the future for many generations to come.

Covid-19 Update

Robbie Moore Excerpts

Monday 14th June 2021 Commons Chamber

[Matt Hancock]

No, because any businessman or woman in Warwick or, indeed, Leamington will understand that it is literally impossible to take decisions on data that has not yet occurred. The hon. Member for Twickenham (Munira Wilson) had it right when she pointed out that we did not know this data at the time.

[Robbie Moore (Keighley) (Con)]

As my right hon. Friend will be well aware, people in Keighley and Ilkley have never come out of some form of restrictions; in fact, in July last year, we went into some of the toughest local restrictions. Going forward, will he rule out using a regional approach, so that communities such as mine can come back out of this pandemic and recover as normal?

[Matt Hancock]

We have in the last month or so surged in testing and changed recommended advice, but we have not taken a regional approach to the legal restrictions. Frankly, I think that has been a better way of doing things. I know that that is what the people of Keighley would prefer, and they are very wise folk.