Hospice Funding: Devon

Debate between Simon Jupp and Kevin Foster

Wednesday 17th January 2024 Commons Chamber

[Simon Jupp]

I thank the hon. Gentleman for his point. One of the points he raised with me earlier, when he told me he was going to intervene on me, was about fundraising, and that has been really difficult since covid for all sorts of reasons.

Across the rest of my part of Devon, Hospiscare runs hospices at High View Gardens in Exmouth and Searle House in Exeter, and it has run has fantastic clinical nurse specialist teams in Budleigh Salterton, Exmouth and further afield in neighbouring constituencies. Hospiscare is the biggest of the local charities, and it supports 2,500 people each year. However, these charities need dedicated teams and a lot of funding to support many thousands of patients.

Funding matters even more because we know that Devon’s population is ageing and growing. In Devon, there are proportionately more older people than the national average. More than 25% of the total population in the Devon County Council area is aged over 65, compared with less than one in five of the total England population, and 14% of these people are 85 and over. By 2040, Devon’s population aged between 65 and 84 is predicted to increase to 225,000, which is a 27% rise, and the 85-plus population will nearly double to 56,000. Hospices across our county are therefore playing an increasingly key role.

[Kevin Foster (Torbay) (Con)]

My hon. Friend is right to highlight the future challenges for hospices. Would he agree that plans such as those coming forward for Rowcroft Hospice in my own constituency to very much integrate and provide both nursing and sheltered accommodation, alongside the hospice services they will continue to provide, show a way to generate additional income, while not conflicting with their core purpose?

[Simon Jupp]

I completely agree with my hon. Friend. These services are dynamic and they are working, and the people of Torbay are well served.

I was reminded of the increasing importance of hospices by Dr Timothy Dudgeon, a constituent of mine from Ottery St Mary. He first approached me two years ago, and we met at one of my regular surgeries in Exmouth shortly afterwards. His plea was simple: Hospiscare, one of the charities I have mentioned, needs fairer funding from the NHS in Devon to cope with growing demand. I fully agree with him, but here we are two years later because the NHS simply is not listening.

I have raised the matter through meetings, letters and everything else to the NHS Devon integrated care board, and I am taking my call to the Floor of this House because I want the chair of the ICB, Dr Sarah Wollaston, formerly of this place, to realise that I am not letting this unfair deal for Devon’s hospices go without challenge. The issue here is obvious to all, and the solution is simply common sense, which is something we ought to try a little more often.

Hospices across our country and county are facing a perfect storm: income from fundraising is falling while costs and demand for their services are rising. Hospiscare in Devon has told me that it is facing a £2.5 million deficit in the next financial year. Meanwhile, Sidmouth Hospice at Home has told me that its average case load has risen by over 50% in the last year alone. Amid this perfect storm, I have been calling on the NHS Devon ICB to increase its funding for all of our hospices.

ICBs are responsible for determining the level of funding for palliative and end-of-life care in their area. This is devolution, and I support it. The Government do not decide how funding is spent; local organisations should know their area best and where to send their money. However, I question the situation in Devon. If the ICB needs more money to achieve fairer hospice funding, I would bang down the door of any Minister to help them, if asked, but they have not asked, and we have faced a wall of silence.

That was, intriguingly, until a couple of hours ago, when I received a letter from the NHS Devon ICB. It is intriguing timing, do we not think, given that it did not reply to previous letters I sent last year? Now it has finally responded to one of my letters from November. The NHS Devon ICB says that it is

“working on plans to move towards more equitable NHS funding”,

starting in the next financial year. I am sure colleagues here will be pressing for more details about that.

The wall of silence we have all faced in Devon is why I have launched a campaign and a petition on my website to put pressure on the ICB to increase funding to our local hospices, which residents across my constituency of East Devon and beyond are supporting. I first raised this with NHS Devon ICB two years ago after I met with Dr Timothy Dudgeon. I really hope the Minister can support my message to the ICB and its chair Dr Sarah Wollaston. Our message is crystal clear: there needs to be a fairer deal. Hospiscare is funded for 18% of its costs from NHS Devon ICB compared with the national average of 37% from ICBs across England. Sidmouth Hospice at Home receives no funding from the NHS in Devon at all, and that puts it in a small minority in the country receiving no money from a local NHS body. That simply cannot be right.

South West Water: Performance

Debate between Simon Jupp and Kevin Foster

Tuesday 28th February 2023 Westminster Hall

[Simon Jupp]

My hon. Friend is absolutely right. I am proud that the Conservative Government introduced the Environment Act 2021. It is a landmark piece of legislation that provides a domestic framework for environmental protections following our departure from the EU. It places statutory obligations on water companies to upgrade our Victorian sewerage infrastructure, and my Conservative colleagues and I fully supported the Bill so that it could become law. Let us not forget that this is the first Government in history to crack down on sewage discharges.

Political argument and debate have been pushed aside for taunts and jibes by people who really should know better. Claims have been misinterpreted and twisted in often vicious ways with, I am afraid to say, dark consequences. Those present will know that that has led to colleagues facing threats and abuse in the street and on social media. I was really upset to hear that one hon. Member recently received faeces through their letterbox as a result of this politics. That is unacceptable, and any Member here today who repeats those claims should be ashamed of themselves.

We all want healthy seas and rivers, clean bathing waters and thriving coastal environments and marine species, but previous Governments have ducked and dived on the issue for far too long—including, dare I say it, the Liberal Democrats when they were in coalition. Brushing aside attempts to muddy the water, a key reason that this issue receives so much more publicity now is that we finally have the data to hold our water company to account. In 2016, the proportion of storm overflows monitored across the network was 5%. By the end of the year—or perhaps sooner—that figure will reach 100%. We are getting a fuller picture of when and for how long each storm overflow operates.

I urge the Minister to ensure that water companies—not just those in the south-west, but across the country—maintain those monitors and fix any faults immediately. We deserve the full picture all year round. If they do not do so, the Environment Agency should step in with enforcement action—and if it needs resource, so be it. New data is shining a spotlight on the performance of water companies. We have stronger legislation, an ambitious timeframe with an eye on the cost of living, and a revolutionary level of data.

Colleagues have gathered here today to discuss the performance of South West Water in particular. I do not need to remind them that the company is currently rated one star for environmental performance by the Environment Agency; it is the joint worst in England. I know that colleagues of all political colours here today are disappointed and frustrated by that. Our communities in Devon, Cornwall and parts of Dorset and Somerset deserve so much better.

As politicians, we must do what we can to hold the leadership of South West Water to account. I have met the company many times since my election as the MP for East Devon in 2019. It is always keen to talk, and for that I praise it. Some colleagues will remember our meeting with the chief executive in Westminster in December, which I chaired. We were told that South West Water’s overflows halved from 2021 to 2022 across the bathing season. That was positive news, and not before time, but last summer was particularly dry—the Environment Agency declared an official drought across our whole region—so it may be that mother nature had the most influence on that reduction.

South West Water must be clear and transparent about its progress on its plans to reduce storm overflow discharges. It is launching an updated website with better and more timely information, which is welcome, but it did not take that decision off its own back. The Government’s storm overflows discharge reduction plan stipulates that water companies should publish information in near real time. That is further evidence that it is Conservative policies put in place by this Government that have introduced the framework that demands that water companies buck up their ideas.

However, it is not just in the corridors of Westminster that the companies have their feet held to the fire. I am pleased to be working alongside stakeholders in East Devon, including Sidmouth Town Council and many others, and I continue to press South West Water urgently to fix specific local problems as and when they crop up. I secured compensation for residents in Clyst St Mary in my constituency after foul flooding overtook the entire place, despite South West Water at first refusing to pay compensation. That was not company policy, but it certainly should be now.

Engagement between politicians and South West Water is an important first step. Under powers granted by the Environment Act, the water regulators can launch criminal and civil investigations into sewage spills. Ofwat can fine companies up to 10% of their annual turnover, which is potentially hundreds of millions of pounds, and the proceeds will now be channelled directly into work to improve water quality. That is another major step, which I very much welcome and I know that colleagues will too.

It is important to note that, as a result of those policies put in place by a Conservative Government, South West Water was fined £13 million last year alone because of missed targets. Although such financial penalties are indicative of the company’s poor performance to date, they prove that the regulator now has some teeth.

[Kevin Foster (Torbay) (Con)]

My hon. Friend has rightly outlined that one of the reasons we can have this debate and there is so much focus on this issue is that monitoring has increased so significantly. This situation has not just started in the last few years; it has been happening for decades, if not since the 19th century. It is just that we now know what is going on.