Ambulance Services (Devon)

Debate between Sarah Wollaston and Peter Heaton-Jones

Wednesday 12th July 2017 Westminster Hall

[Dr Wollaston]

I thank my hon. Friend for his intervention. Of course, as we know, demand can escalate considerably during the peak summer times, but many of our roads are single-track ones with passing spaces, and it can be very difficult to get an ambulance resource to the scene in a timely manner.

My first point to the Minister is that there are no concessions for rurality; there is no funding premium to allow SWASFT to meet the extra demands that it faces. In fact, overall, its funding has fallen by 2.46% per incident in 2017-18, compared with 2014-15. It has to meet the huge increase in demand with shrinking resource, in what is one of the most challenged areas in England because of rurality. I would like the Minister to acknowledge that key point and the impact of rurality on response times.

My second point to the Minister is that although overall SWASFT is doing a good job in meeting the performance target of 75% of category 1 calls receiving a response within eight minutes, that does rather mask the picture in the most rural parts of the area. Let us take the South Devon and Torbay clinical commissioning group area as a whole, for which we have some data that show that it just meets the target, with the figure of 75.65% of calls. If we look at the breakdown for the Totnes constituency, we see that during the past three months the figure has been 61%, so my point to my hon. Friend is that, when considering a county such as Devon, he should look not just at the overall, top-line figure, but at the impact in the most rural parts of the constituencies. I hope that he will ask for that as an ongoing measure, as a response to this debate.

[Peter Heaton-Jones (North Devon) (Con)]

There is a specific example of exactly what is being described by my hon. Friend in my constituency of North Devon—the situation in Lynton and Lynmouth, the twin villages right on the north coast. At the beginning of last week, the South Western ambulance trust withdrew what was in effect a rapid-response paramedic vehicle that was traditionally stationed in Lynton and Lynmouth, specifically because of the rurality and the distance from anywhere else of those two villages. There is a lot of concern in the community because that service has been withdrawn. I pay tribute to the CCG, which is looking for an alternative arrangement, but the fear is that there is still a gap, and the response time, because of the distance of Lynton and Lynmouth from everywhere else, is key. May I ask my hon. Friend the Minister, through my hon. Friend the Member for Totnes (Dr Wollaston), to consider that particular example?

[Dr Wollaston]

I thank my hon. Friend for that intervention. Likewise, very considerable concerns have been raised in my constituency about the withdrawal this month of rapid-response vehicles from Dartmouth and Kingsbridge and in Totnes. I understand the reasoning that double-crewed ambulances can provide the conveyance that people need to hospital and that utilisation of the single vehicles is less—about 24%. I understand the rationale behind it, but equally I ask the Minister to respond to precisely the concerns that my hon. Friend the Member for North Devon (Peter Heaton-Jones) has raised, because the worry in communities such as mine is that once the double-crewed ambulances are conveying a casualty to an urban centre, they tend not to come back again, whereas the rapid-response vehicles did. There is a genuine concern about how we will ensure that the double-crewed ambulances come back.

As I have said, I welcome the increase in the double-crewed ambulance resource as the rapid-response vehicles come away, and I am aware of the data whereby efforts are being made to provide a reassuring response that actually the number of hours in total will increase. However, that change is just coming in this month, and I would like the Minister to assure the House today that he will look very closely at the data as they emerge over the next few months, to ensure that those vehicles are returning to the rural areas, because I fear that otherwise we will again see that SWASFT is meeting the overall, top-line target for the entire patch, but that will be at the expense of rural constituencies such as my own, where there will simply be a worsening of the response. We need to look at that very closely, and I would like the Minister to assure me that, following this debate, he will specifically ask SWASFT to ensure that there is a response available and it does not worsen in the rural parts of Devon.

I would also like to address the matter of the workforce, which is an issue across the NHS as the Minister knows. Within our paramedic resource there is actually an 11% turnover of paramedic staff, in part because they are such a skilled and valued workforce, which means in many cases they are being attracted into other parts of the NHS, for example to work in casualty departments and minor injuries units. Everyone can understand that, but we need to make sure that we are recruiting and retaining within our blue light response services as well. For example, there are currently about 100 vacancies over the whole of the SWASFT area, and 16 whole time equivalent vacancies in Devon alone. What is the Minister doing to work alongside Health Education England to address the workforce issues? I will again make the point I have done in previous debates about the impact of the pay cap on the recruitment, retention and morale of the workforce. Again, I call on Ministers to consider giving the pay review bodies greater flexibility to be able to increase the rates of pay.

We know that there are pressures on our ambulance services, but we cannot view them in isolation. I would like the Minister to consider the impact that this is having on our other blue light services, particularly the police. They have raised some worrying concerns with me about not only the amount of time that they are having to spend on scene—as they did the other day in the incident that I described—while they wait for an ambulance resource to arrive, but the fact that on occasion they themselves have to take people to hospital who should really be conveyed by an ambulance resource. To clarify, in May this year there were 226 incidents where an ambulance was requested but no ambulances were available to be assigned in the Devon and Cornwall police area, and in June there were 158. These long waits are having a knock-on on the police’s ability to carry out their other duties, and that should concern us all.