NHS Winter Readiness

Saqib Bhatti Excerpts

Wednesday 30th October 2024 Westminster Hall

[Saqib Bhatti (Meriden and Solihull East) (Con)]

It is a privilege to serve under your chairmanship, Sir Roger, and I thank the hon. Member for North Shropshire (Helen Morgan) for securing this debate on what is an important day.

As the hon. Member for Winchester (Dr Chambers) has, I pay tribute to NHS staff who are dealing with significant demands in urgent and emergency care, which are particularly acute in a post-pandemic world. In the time that I have available, I will press the Government on the actions they are taking to increase vaccination uptake and to make use of available private sector capacity. Vaccination was the key to protecting the population from covid-19 and to ensuring that the virus could be managed and contained like other respiratory illnesses. Delivering the successful vaccination programme was one of the many benefits of leaving the European Union, which was a cause championed by the previous Government.

We must continue the push to protect the most clinically vulnerable and to reduce hospital admissions for RSV, flu and covid-19. I welcome the national RSV vaccine programme that was launched earlier this summer, and I would welcome an update from the Minister about the uptake of that vaccine among eligible groups.

I am concerned by recent data that shows that the uptake of the flu and covid-19 vaccines among eligible groups is lower compared with the same time last year. Figures on the uptake of the flu vaccine in the week commencing 20 October 2024 showed that the vaccination rate was 48.2% for all those aged 65 or over, which is lower than it was in October 2023. That means the picture for those people is worse. In the clinical risk group, only 20.8% of people had been vaccinated, which again is a worse uptake rate than that for last October. Given these worrying figures, what actions will the Government and the NHS take to promote vaccinations among eligible groups, particularly those at greater clinical risk?

As other hon. Members have stated, many NHS hospitals and secondary care settings are working at close to full capacity. For that reason, we must maximise the use of private sector hospitals and other facilities to reduce the pressure on the national health service. The Telegraph recently reported that private health providers have written to the Chancellor and the Health Secretary to propose a major expansion in the use of private sector facilities and staff for NHS treatment. It was stated that private sector investment could help build diagnostic capacity and,

“develop new surgery units and intensive care facilities.”

If I am not mistaken, the Health Secretary has spoken about the use of private sector facilities, so will the Government support the proposals, which would see an extra 2.5 million patients treated in private hospitals with the potential to cut NHS waiting lists significantly?

As we are talking about waiting lists in the winter, I want to turn to the winter fuel allowance, which is being cut. What is the Government’s assessment of the impact and pressure on hospitals from the withdrawal of the allowance? I believe that the Labour party put out an analysis back in 2017 stating that 4,000 people would be at risk of death from such a withdrawal. Can the Minister clarify whether that analysis is still correct and what the thinking is in the Health Department in response to the withdrawal?

During the winter months, protecting bed space for elective treatment is particular important for keeping waiting lists down. That is why we must also build on the capacity provided by community diagnostics centres and surgical hubs in recent years. The previous Government invested £2.3 billion to establish CDCs, which represented the largest cash investment in MRI and CT scanning capacity in the history of the national health service. In addition, the Independent Health Foundation has highlighted the positive impact that surgical hubs made in reducing waiting lists and increasing bed capacity. Despite their impact, Lord Darzi’s report on NHS performance made no reference to the role of CDCs and surgical hubs in helping to reduce waiting lists. On expanding the network of surgical hubs, and bearing in mind that the Budget is taking place in the main Chamber, it would be helpful to get some clarity on where the additional funding will be spent. Will the Minister commit to having more surgical hubs so that more patients across the country can access elective care quicker?

Will the Minister also commit to expanding the network of CDCs, which have delivered more than 7 million tests, scans and checks since 2021. The last Government supported national health service trusts to increase elective activity after the pandemic, particularly through the elective recovery fund, which reimbursed trusts for the operations they delivered. However, earlier this month the Health Service Journal reported that Ministers were considering whether to pause or cap the fund. At the election, Government Ministers stood on a manifesto that pledged to reduce waiting times for elective care, such as on hip and knee replacements, to 18 weeks by the end of the Parliament. Pausing or capping the elective recovery fund will surely affect the Government’s pledge to cut waiting times and risk placing further pressures on national health service finances. I am sure NHS leaders would greatly appreciate the Minister providing clarity on that point, so can she rule out the elective recovery fund being capped or paused this year?

To finish, as has already been said, I want to encourage anyone who is eligible to make sure they go and get vaccinated in advance of this winter.