Stepping Hill Hospital

Robert Largan Excerpts

Tuesday 21st January 2020 Commons Chamber

[Mr Wragg]

The hon. Gentleman, my constituency neighbour to the north of my constituency, is entirely spot on. His remarks are incisive and to the point, because the demand for emergency care in our area has risen by about 5% in the past year, and in the three months to December alone it increased by 6%. It was previously rare for Stepping Hills’ emergency department to see more than 200 patients a day, but now it is not uncommon for over 300 people to seek treatment per day. Indeed, in Christmas week, over 1,700 patients were seen by the department.

Bed capacity is also a problem at Stepping Hill. A hospital bed system should ideally run at about 85% occupancy to make way for new patients, but at Stepping Hill beds have been frequently running at over 99% occupancy. Having support in place to enable people to return home as quickly as possible once they no longer need acute hospital care is also key to achieving the national standard by improving the flow of patients through the hospital and its emergency departments. As the hon. Member for Denton and Reddish (Andrew Gwynne) says, Stockport has the highest proportion of elderly people in Greater Manchester, with 19.5% of the population being 65 or older. While increasing longevity is of course to be celebrated, our local population is living longer, often with complex and multiple health conditions, and they place a particular demand on the emergency department that is not seen to the same degree elsewhere in the region.

The hospital has implemented a number of short-term initiatives to try to fix and improve the situation in A&E, particularly to address the extra winter pressures due to influenza and the cold weather. The trust recently spent £1.2 million provided by NHS England to expand the number of consulting and treatment rooms in the existing emergency departments. This winter, Stepping Hill implemented its winter plans two months early, opening an extra 30 beds in the hospital. Even so, concerns this year were so great that they were recognised by the Greater Manchester health and social care partnership. In December, the hospital received an extra £2 million of funding to enable it to open an additional 51 beds until after the end of March this year, increasing staffing and supporting seven-day working.

However, I want to ask a number of questions of my hon. Friend the Minister, for whose consideration this evening I am very grateful. First, despite all those steps and extra beds, in December, alarmingly, 200 people waited for 12 hours or more in the department before a bed could be found for them. I wish therefore to ask him what more can be done by the Government to help Stepping Hill to improve its A&E performance in the short term.

[Robert Largan (High Peak) (Con)]

I congratulate my hon. Friend and constituency neighbour on securing this debate. I know he is a great advocate for the local NHS and for Stepping Hill Hospital, which many of my constituents use as their local hospital. He touched on the worrying performance figures. Does he agree that we need to get on with building the urgent care centre as soon as possible?

[Mr Wragg]

First, may I congratulate my hon. Friend on his election in High Peak, which is next door to me, and for working as closely as possible with me on this issue as soon as he was elected? Like him, I welcome the investment that is coming, as I am about to outline.

Opening more temporary beds is not the answer to the pressures on our health and care system. A radical long-term solution is needed if Stepping Hill is to improve its A&E performance. That is why I, the hospital and all Members across the House with an interest in it have called for greater investment. The new £30.6 million of funding will enable the organisation to construct a three-storey, purpose-built emergency care campus. It will include an urgent care treatment centre, a GP assessment unit and a planned investigation unit, as well as a new ambulance access road and improved waiting areas.

The emergency care campus will not be simply a new accident and emergency; it is intended instead to care for patients who require a slightly lower grade of emergency care, thus relieving the pressure on A&E by improving the flow of patients through the hospital from the emergency department. Patients who need resuscitation or emergency care will still be seen in A&E. This much-needed investment will relieve the pressures on accident and emergency by implementing a better triaging system for patients, meaning that they get the right care in the right place. Patients who do not require full A&E emergency care will be seen in one of the three new services at the urgent care campus.

The urgent care treatment centre will provide an alternative for those who do not need resuscitation or emergency care. It is expected to triage about 45 patients a day away from accident and emergency. The GP assessment unit will support patients who are referred by their GP for hospital care, ensuring that they have quick access to the acute and medical specialists they need to see without going through the emergency department, thereby reducing A&E admissions by a further 25 patients a day. The planned investigation unit will improve the time in which patients are returned home with a care plan when they no longer need to access acute care services.

[Mr Wragg]

I absolutely concur with the hon. Gentleman. The leadership of the hospital is excellent. I think that, as he says, better days are very near. May I take this opportunity to welcome the hon. Member for Stockport (Navendu Mishra), who has come to take part in this debate?

[Robert Largan]

To follow up on the point made by the hon. Member for Denton and Reddish (Andrew Gwynne), it is great to see the progress that has been made at Tameside Hospital, which many of my constituents, particularly those in Glossop, Hadfield and Tintwistle, use as their local hospital. Does my hon. Friend agree that it is fantastic that the Government have committed to a new urgent care centre at Tameside Hospital as well?

[Mr Wragg]

There is mutual praise and admiration all around in this debate, so I entirely agree with my hon. Friend. It is wonderful that we find such consensus on this issue. Stepping Hill unites us all, and that is something of which we can be proud.

I intend to work closely with the Government, Stockport Council and the hospital trust to support the planning process, so that the new emergency care campus can be built and be up and running, treating patients as soon as possible. That leads to my second question for my hon. Friend the Minister. What timescale does he envisage for the completion of the new urgent care campus, and how confident is he that it can be met? How many more winters will the hospital go through before that new facility is up and running?

No debate on hospitals would be complete without at least a brief discussion of parking, which is often the bane of patients, visitors and staff alike. It is an issue that affects not only those using the hospital but local neighbours. A lack of car-parking capacity, or the desire to avoid charges, often means that cars spill out to use kerbside parking on nearby residential streets, which can prove to be a significant inconvenience. I therefore welcome the Government’s commitment to provide free hospital parking for those who need it most, including disabled patients, parents and carers of sick children staying overnight, and hospital staff working night shifts, who are less able to rely on public transport. That change is long overdue and will make the NHS as accessible as possible for those who need it most.

In addition, I am extremely encouraged that the Government plan to provide more than £200 million of capital funding for new car parks, to support several hospitals across England that need extra car-parking capacity. Does the Minister know which hospitals have been earmarked for that funding and whether Stepping Hill is among them? If he cannot give me a firm answer today, will he meet me following the debate, so that I can make the case again for increasing parking capacity at Stepping Hill?

I look forward to hearing the Minister’s reply, and I hope that he can provide me with the answers to these important questions. I especially hope that he has some ideas on short-term solutions that can be found to help the hospital and its patients while construction work on the emergency campus is carried out. I would also like to take this opportunity to extend an open invitation to him to visit the hospital—I am sure that he would be very welcome—to see at first hand the pressures it faces and what can be done to improve the situation for the hospital and its patients.

Finally, I wish to reiterate my thanks to the dedicated doctors, nurses and staff across the hospital for their tireless work, day and night, in these very challenging circumstances.