Kettering General Hospital

Tom Pursglove Excerpts

Friday 21st October 2016 Commons Chamber

[Mr Hollobone]

You will know, Madam Deputy Speaker, that my hon. Friend has a great way of simplifying complex issues to make them readily understandable. His intervention is just another example of that.

NHS England has told Her Majesty’s Government that it is targeting the clinical commissioning groups that are more than 5% above or below the target funding, that both Nene and Corby CCGs are underfunded, and that the cash increase of 5.2% for Nene and 9.4% for Corby in 2016-17 will bring us within that 5% zone. This suggests that we are outside it at the moment. The fact that we are more than 5% away from the target funding and that we have one of the most rapidly increasing populations in the country illustrates the stiff challenge that Kettering general hospital faces.

[Tom Pursglove (Corby) (Con)]

Residents in Corby and elsewhere in east Northamptonshire are proud of their hospital, as are my hon. Friend’s constituents in Kettering. One of the challenges that goes with a growth agenda is the need for new infrastructure to support new homes. Does he agree that the new urgent care hub in north Northamptonshire, which we are all campaigning for, will be crucial not only for securing health services in our area, taking the pressure off A&E and meeting the growing needs of new residents moving into our area, but for meeting the Government’s agenda on the better integration of health services?

[Mr Hollobone]

One of the advantages of working closely with my fellow Members of Parliament is that we begin to read each other’s minds. My hon. Friend’s observation leads me seamlessly on to section 2 of my speech, which is entitled “Urgent care hub”.

In many ways, this is the most exciting challenge that the hospital faces. The idea of an urgent care hub is to have on one site, at Kettering general hospital, a one-stop shop for GP services and out-of-hours care, an on-site pharmacy, a minor injuries unit, facilities for social services and mental health care, access to community care services for the frail elderly and a replacement for the hospital’s A&E department, which, as I have said, is more than 20 years old.

The three local MPs are working hard on this issue but, frankly, we need more support from the Minister. The hospital has drawn up ambitious proposals to develop the urgent care hub, which could cost between £20 million and £30 million. It is exactly the sort of thing that NHS England has highlighted in its “Five Year Forward View” as the way forward, and it enjoyed the support of the previous Minister, my hon. Friend the Member for Central Suffolk and North Ipswich (Dr Poulter). In a debate in Westminster Hall on 24 March 2015, he said:

“The principle of the hub is absolutely the right way forward for the local NHS. It is the type of integrated care model that we need elsewhere in the country, particularly where the NHS is servicing a broad population. In this case, it is servicing not just Kettering, but a partially rural county and rural area. This is a model that I am sure hon. Members will continue to support and that I will continue to have a keen interest in supporting. I hope the plans will be successful at making the improvements that patients in my hon. Friend’s constituency and the area surrounding Kettering want. There are encouraging signs. The improvements envisaged are significant and would ensure that the local area had a resilient and high-quality health care system to deliver the highest-quality patient care.”—[Official Report, 24 March 2015; Vol. 594, c. 440WH.]

Would the Minister be kind enough to visit Kettering general hospital to look at the proposals for an urgent care hub? I am going to be pestering him at every Health questions this Parliament, and it would greatly assist the quality of his answers if he is able to visit the hospital and then speak from a position of knowledge. Kettering general hospital could lead a pioneering development for our country’s NHS.

That brings me to the wider issue of funding for the estate at Kettering general hospital. A small or medium district general hospital such as Kettering, which is on an ageing town-centre site, will inevitably have a great backlog of maintenance and equipment that needs to be replaced every year. The hospital spends something like £10 million to £15 million of capital each year through loans, unhelpfully swelling the balance sheet. The financial pressure on the hospital is clearly huge. The capital programme for next year is largely made up of three items: £5 million on a maintenance backlog; just over £1 million on IT infrastructure; and almost £1.5 million on medical equipment. The Minister needs to make the point to the Chancellor that there is currently no capital support for the strategic transformation plans.

Transforming district general hospitals up and down the country will be difficult. Nevertheless, Kettering general hospital is innovating. It has installed a new modular unit to try to upgrade the A&E, with 13 major bays for complex medical and surgical needs. I remind the Minister that Kettering’s A&E now treats 83,000 patients. It was designed to treat 40,000 and was built 20 years ago. Some £5 million has been spent on a new maternity unit, bringing state-of-the-art maternity services to the hospital, where 3,800 babies are delivered and 2,000 gynaecological and obstetric theatre procedures are carried out every year. Those developments are fantastic, but they are expensive and difficult for the Kettering General Hospital NHS Trust to afford.

My fourth point of five is about the national IT roll-out. Hospitals experience difficulties in complying with necessary advances in linking their IT systems to regional and national services. One example is the problem that local patients have experienced in getting their X-ray results. There is meant to be an integrated east midlands system for X-rays, but Kettering has experienced difficulties, and some delays in getting X-rays to patients have lasted three or four months, which the hospital admits is unacceptable. The Minister needs to be made aware of the IT challenge faced by district general hospitals.

On the workforce, Kettering is succeeding in recruiting staff, which is good news, but there are still vacancies. Of 1,200 nursing posts, 80 remain vacant as of today. Many of the nurses come from Europe and elsewhere. The hospital has recruited 72 European nurses and the good news is that 95% of them have stayed with the trust—the national average retention rate is 28%. On the Minister’s visit to the hospital, he will be able to learn from a good example of how to retain hard-working staff, and he may be able to apply that elsewhere. In Kettering, 61% of people voted to leave the European Union, a fact of which I am hugely proud, but when we negotiate our Brexit terms and conditions, we must make provision to retain key personnel from the EU who bring to our country the skills we need and are unable to find among our own people.

Kettering general is a very good hospital, but it is under a huge amount of pressure. There are things that the Government can do to make it succeed. Along with my hon. Friends the Members for Wellingborough (Mr Bone) and for Corby (Tom Pursglove), I will be on the Minister’s case for the rest of this Parliament to make sure that our hospital works properly and successfully, delivering the local patient care that people need and deserve.

[Mr Peter Bone (Wellingborough) (Con)]

I congratulate my hon. Friend the Member for Kettering (Mr Hollobone) on securing such an important debate and on the fact that he has consistently been a champion for Kettering’s hospital. I am grateful to the Minister for making the effort to come here today to listen to this debate. Perhaps if he is able to visit Kettering general hospital, he will stop on the way to see the Isebrook hospital at Wellingborough, which is what I briefly wish to talk about.

The Isebrook hospital is what we might call a community hospital. At the moment, it is undergoing a refurbishment to provide new X-ray equipment. Our issue is that we should have a minor accident and emergency unit there. It is part of the overall hub plan, but because that plan has got bogged down in red tape and administration, the Isebrook expansion has not taken place. That is a mistake, because if we had such a unit at the Isebrook, 40% of the people who now go to Kettering’s A&E would not need to go there, which would save an immense amount of money. By spending a little money now, we could save a lot of money, as well as make things much better for my constituents.

[Tom Pursglove]

We know that that is categorically the case, because Corby has the hugely popular and successful Corby urgent care centre, which was delivered under a Conservative Government and works incredibly well. Local people go there, rather than to Kettering general hospital. The hub-and-spoke approach is exactly the way forward, and my hon. Friend’s constituency would benefit from it in the same way as Corby has.

[Mr Bone]

I am very grateful to my hon. Friend for his intervention. He is so active in Corby that it is no wonder that he has got his minor accident and emergency centre ahead of me, but we cannot have a hub-and-spoke system if one of the spokes is not there. It would not be a bad idea for the Minister to come and see physically why this unit is such a good idea.

[The Minister of State, Department of Health (Mr Philip Dunne)]

What a pleasure it is to join you this afternoon to participate in this debate on Kettering hospital, Madam Deputy Speaker. I congratulate my hon. Friend the Member for Kettering (Mr Hollobone), not just on securing this debate, but on his persistence in keeping Kettering hospital at the forefront of the national debate on what is happening to our health service. He has taken an assiduous interest in promoting it at almost every opportunity, as he suggested today. Indeed, he raised the matter at my first Health questions earlier this month and was on his feet raising it again with the Prime Minister the following day. He is a worthy champion of the cause, and I am therefore fully aware of his interest in local health matters affecting his constituents.

I wish to join my hon. Friend in recognising at the outset the great work done by all our staff in the NHS right across the country, but particularly the staff who work in and around Kettering and the other hospitals we have heard of today from my hon. Friends the Members for Corby (Tom Pursglove) and for Wellingborough (Mr Bone). I was invited by two of the three Members who have spoken to attend their local hospitals—

[Tom Pursglove]

You are very welcome to Corby, too.

[Mr Dunne]

My hon. Friend, from a sedentary position, extends an invitation, too. I am grateful to all three hon. Friends. I am relatively newly in post, and the demands at present are to visit hospitals that are in greater difficulty than any of these cases, but I will endeavour to see what I can do during next year possibly to visit Kettering.

Community Pharmacies

Tom Pursglove Excerpts

Monday 17th October 2016 Commons Chamber

[David Mowat]

We do not believe that any community pharmacies will necessarily close as a result of these cuts. That will depend on a number of factors. [Interruption.] I will answer the question, which is fair. It depends on the margin they make from their pharmacy activities and on the additional margin they make from their retail activities. Given that 65% of all pharmacies are owned by public companies or private equity, it depends on the position those organisations take to their businesses. That is very hard to predict.

[Tom Pursglove (Corby) (Con)]

Will the Minister say a little more about how he sees these plans tying in with the agenda to better integrate health services? In Weldon in my constituency, GP and pharmacy services work very well together for local patients under the leadership of Dr Sumira. What best practice is out there, and what attention is the Government giving to it?

[David Mowat]

As I said, we are recruiting an additional 2,000 pharmacists into general practice by 2020. We will also link community pharmacists into the NHS 111 system in a way that has never been done in England, so that repeat prescriptions will go direct to pharmacists and not to out-of-hours GPs. By 2018, pharmacists will receive additional payment for looking after minor ailments.

Victims of Contaminated Blood: Support

Tom Pursglove Excerpts

Wednesday 16th December 2015 Commons Chamber

[Tom Pursglove (Corby) (Con)]

One of my constituents, Sue Wathen, is trying to access the Harvoni drug, but it is proving incredibly difficult, because she has not developed cirrhosis. She does, however, have an underlying medical condition that is being exacerbated by the contaminated blood. Much is being reported about greater access from February. Is that the case and will Mrs Wathen be able to access the treatment she so desperately needs? I would love a yes or no answer, because it is incredibly frustrating.

[Jane Ellison]

I would never give a yes or no answer to the individual health problems of a constituent I do not know, and I am not a clinician, but if my hon. Friend would like to write to me, I will certainly make sure I give an individualised response. Ultimately, however, the right clinical route for any one individual would come at the suggestion of their consultant hepatologist. Towards the end of November, NICE published new guidelines on three more drug treatments, so the drug landscape for hepatitis C is changing rapidly, but I am happy to ensure that hon. Members are kept fully informed. As I said in a previous debate, if people are concerned that their constituents are not aware of what is out there or do not feel they are getting the support they need to access treatment in line with the NICE guidance, we can offer advice to Members on how to make sure that happens. However, I am well aware of the general point he makes.

Junior Doctors Contract

Tom Pursglove Excerpts

Monday 30th November 2015 Commons Chamber

[Tom Pursglove (Corby) (Con)]

What assessment has the Secretary of State made of both the cost and the wasted NHS resources that will result from any strike action?

[Mr Hunt]

I cannot provide my hon. Friend with that information this afternoon, because we do not yet know whether the strike will go ahead tomorrow, and how many operations will end up being cancelled in advance of it because of the late notice, but I am happy to get that information for him when we have an estimate.

Junior Doctors Contract

Tom Pursglove Excerpts

Friday 20th November 2015 Commons Chamber

[Alistair Burt]

The Secretary of State has not picked a fight. Three and a half years of negotiation on a new contract, publicising the offer, and being willing for negotiations—which he did not withdraw from—to restart, is a funny definition of picking a fight.

[Tom Pursglove (Corby) (Con)]

I thank the Minister for coming to the House to set out the Government’s position, and I impress on him the concern felt by my constituents about this strike. Does he agree that our constituents expect everybody to get around the negotiating table to try to sort this out, and for Members of this House to advocate that approach? That is the responsible thing to do.

[Alistair Burt]

My hon. Friend is right. In any quarter there will be puzzlement about support for action that will withdraw the work of junior doctors from their patients. We estimate that between 50,000 and 60,000 elective pieces of work are done every day in the NHS, and such work will inevitably be put off if doctors are not available. Those numbers are individual patients who will not get the care that they are looking for, and that a doctor would want and expect to give. There must be something better than this stand-off, which is why we appeal to the BMA to take up the Secretary of State’s offer and come back to negotiations.

Oral Answers to Questions

Tom Pursglove Excerpts

Tuesday 13th October 2015 Commons Chamber

[Ben Gummer]

The hon. Gentleman should know that the unforgiveable thing was the dereliction of care by a Department of Health under a previous regime. It contributed to short staffing—a significant part of the scandal at Mid Staffs—that we needed to put right in short order. That required an emergency response and agency labour to be employed. We are now putting staffing on a sustainable basis; we were left with short staffing in 2010.

[Tom Pursglove (Corby) (Con)]

14. What steps he is taking to ensure consistency in services and treatment throughout the NHS.

[The Parliamentary Under-Secretary of State for Life Sciences (George Freeman)]

The mandate for NHS England sets out our national ambitions for the health service across England. NHS England and the clinical commissioning groups are responsible for working with local providers. To ensure quality and consistency, the Care Quality Commission has developed a set of fundamental standards. The National Institute for Health and Care Excellence also provides a range of guidance and quality standards, and the Department of Health has established the MyNHS website to highlight regional variations and use transparency to drive improvement across the system.

[Tom Pursglove]

I thank the Minister for that answer, but earlier this year figures published by Public Health England showed that more people under the age of 75 die from cancer in Corby than anywhere else in England. What steps are Ministers taking to help to improve those rates? They are stubbornly high, and we need to stop the higher prevalence of cancer in our area.

[George Freeman]

My hon. Friend makes an important point. The Government are absolutely committed to world-class cancer care, which is why we put £1 billion into the cancer drugs fund. We have seen a huge 71% increase in cancer referrals, with 40,000 more patients treated, and a new cancer strategy has just been set out. It is true that the incidence of cancer in my hon. Friend’s constituency is regrettably high, and Corby CCG has significantly worse cancer outcomes. That has been recognised and the 2015-16 commissioning plan puts in place a series of measures on cancer, including improving earlier diagnosis, providing treatment within 62-day referral targets and implementing the national cancer survivorship programme.

NHS: Financial Performance

Tom Pursglove Excerpts

Monday 12th October 2015 Commons Chamber

[Ben Gummer]

The hon. Gentleman will know that funding for the NHS in Northern Ireland is not within my bailiwick. I therefore point him in the direction of the Northern Ireland Office and his Assembly. As far as England is concerned, I confirm that we will deliver not the £8 billion that the NHS has asked for, but £10 billion over the course of this Parliament.

[Tom Pursglove (Corby) (Con)]

The policy of advancing a new urgent care hub at Kettering general hospital has united politicians of all parties in north Northamptonshire, as well as the public. Does the Minister agree that we need more of that in our country—rather than petty bickering, people getting together to find solutions to these problems?

[Ben Gummer]

Conservative Members disagreed with my hon. Friend’s predecessor on many points, but he did great cross-party work with Members who were not of his political persuasion to find a good solution for urgent care in his area. I hope that we will follow that model on a larger scale across the country. If we can do that, there will be a much better resolution to the challenges facing the NHS. Patients and people want us to address those challenges without turning the whole thing into a political circus.

Contaminated Blood

Tom Pursglove Excerpts

Monday 20th July 2015 Commons Chamber

[Ben Gummer]

The hon. Lady can find her answer within her question. If we are to move quickly to a resolution, we cannot insert another inquiry process that would delay yet further what we need to do for the sufferers who have been waiting so long.

[Tom Pursglove (Corby) (Con)]

Some of my constituents have faced real difficulties when trying to access appropriate treatments. Can my hon. Friend reassure me that Ministers will take action to ensure that no new treatments are denied on the basis of cost?

[Ben Gummer]

I can reassure my hon. Friend that treatments, including new treatments, will be provided on the basis of need, but again, it will be for NHS England to determine how they are released to the service. I know that my hon. Friend the Under-Secretary of State for Life Sciences will give my hon. Friend further details if he requires them.

NHS Reform

Tom Pursglove Excerpts

Thursday 16th July 2015 Commons Chamber

[Mr Hunt]

That is an important recommendation, and the Government support it. We intend to implement it, but there are costs involved, which we are going through as part of the spending review process.

[Tom Pursglove (Corby) (Con)]

Local people in Corby and east Northamptonshire want to see a truly seven-day NHS. One way of achieving that in our area is to get moving on the new urgent care centre at Kettering, which has attracted cross-party support. Some Members could learn valuable lessons from that project and from what has been going on in Northamptonshire. I thank Ministers for all that they have done in the past to help get that project moving. Will the Secretary of State do everything he can to help it come to fruition in the months ahead?

A&E Services

Tom Pursglove Excerpts

Wednesday 24th June 2015 Commons Chamber

[Mr Reed]

I am afraid the hon. Gentleman is not listening; the rules have changed. The system whereby these processes are undertaken has comprehensively changed. If he were to draw a golden thread through Conservative health policy over the past five years, it would be that the public do not matter and are not listened to, and that change is driven from the centre, irrespective of what local clinicians say.

[Tom Pursglove (Corby) (Con)]

This is all a little ironic, given that in my constituency the Labour party went around petrifying local people by saying that the A&E unit at Kettering general hospital was going to close, but it is still open and it is performing better. Would the hon. Gentleman like to apologise?

[Mr Reed]

If the hon. Gentleman is seeking an apology, would he like to apologise for the fact that A&Es in England have missed their waiting time targets for the past 100 weeks? I do not see any trace of an apology or any scintilla of embarrassment on his face.

It is true that certain societal changes, including the ageing society, pose new challenges and offer new pressures for the NHS, but the service is also under increasing financial pressure as a direct result of Government policy. First, the declining access to social care and the squeeze on primary care have forced people to turn to A&E in increasing numbers and have also meant an increasing number of admissions that could have been avoided if people had received better care outside hospital. Secondly, the Government wasted £3 billion, at least, on a damaging top-down reorganisation that nobody wanted and nobody voted for, and which was hidden from the electorate. That reorganisation sucked resources from front-line patient care. We know that senior members of the Cabinet believe that the reorganisation was a catastrophic mistake. We know that, in the words of British Medical Association chair Mark Porter,

“the damage done to the NHS has been profound and intense”,

and we know that the reorganisation has not made the NHS more productive or more efficient.

Thirdly, the effect of that wastage has been compounded by the short-sighted cuts to nurse training places at the beginning of the previous Parliament. That means that there are not enough staff working in hospitals—that was a key criticism by the Keogh review. In addition to compromising patient safety and clinical outcomes, this Government’s decision has left trusts over-reliant on expensive agency staff.

--- Later in debate ---

[Barbara Keeley]

rose—

[Tom Pursglove]

rose—

[Ben Gummer]

I give way to my hon. Friend.

[Tom Pursglove]

Under the coalition Government, a new urgent care centre opened in Corby, which is providing an excellent service for my constituents. That is in addition to the service in Kettering. Does the Minister agree that it is important that care is not only accessible, but as local as possible?

[Ben Gummer]

My hon. Friend, and our hon. Friends in Northamptonshire, have worked hard together—as Northamptonshire MPs did previously on a cross-party basis—to find the best configuration of services for their county. It is a great shame that that model of cross-party working cannot be echoed or reflected across the House. In that vein, I would prefer it if the Opposition had come here to talk about plans for social care. They have two competing visions for social care. We sometimes hear thoughtful remarks from the shadow Minister for care and older people, but then there is the shadow Secretary of State’s repetition of the phrase about wanting a top-down reorganisation of the NHS around a social care model. None of that will deliver what we all want: an integrated NHS and social care model, which is what we are beginning the journey of creating. We are doing that by reflecting locally what local places need in terms of integration rather than creating a national model to which they have to adhere. Again, it is important to fix all this—