National Health Service Funding

Siobhain McDonagh Excerpts

Tuesday 22nd November 2016 Commons Chamber

[Siobhain McDonagh (Mitcham and Morden) (Lab)]

The “South West London Five Year Forward Plan”, published last week, states its intention to save a staggering £828 million by 2020—a contribution to the attempted national saving of £22 billion by 2020. However, that draft sustainability and transformation plan, published by the south-west London partnership, does not shed much light on how it will actually be managed other than by reducing A&E attendance by 40% in three years. That is a totally implausible aim that has not been achieved by any health system in the world—let alone one so strapped for cash.

That unsustainable ambition brings us to the long-standing proposal, which has so often been denied, to reduce the number of acute hospitals in south-west London from five to four or even—God help us—three. The five acute hospitals are St George’s, Croydon, Kingston, Epsom and St Helier, whose closure I have been fighting for 18 years. Of those five acute hospitals, St George’s will rightly be protected from closure. It is also clear that Croydon university hospital or Kingston hospital are unlikely to close, which leaves just St Helier and Epsom, both of which have been under threat before. No amount of vaguely-worded statements from the partnership will change the fact that the intention is to close St Helier. The STP clearly states that the partnership needs to

“Review our acute hospitals to ensure that we meet the changing demands of our populations, and to ensure that acute providers deliver high quality, efficient care… we will need four acute hospital sites in south west London”.

It continues by stating that the partnership will

“undertake further work, including analysis of revenue implications on 3, 4 and 5 site options”.

Not only will one acute site definitely close, but commissioners are considering the closure of two sites. We know from the STP’s former iteration in 2011, the Better Services Better Values programme, that the closure of St Helier was the main recommendation. Despite that, however, colleagues on the Government Benches, including the hon. Members for Wimbledon (Stephen Hammond) and for Twickenham (Dr Mathias), have been taken in by the STP, peddling the myth that no hospitals will close.

When is a closure a closure? If A&E and maternity services, and all the associated diagnostic and other services, are removed, that is precisely a closure. I want to make it clear to the House, the Government, the partnership and, most importantly, my constituents that we have come together as a community before to fight the closure of St Helier hospital and will do it again. We will do that not only for those who use St Helier, but for those who use every hospital in south-west London. The closure of St Helier would mean the undermining of all those other hospitals.