(5 days, 9 hours ago)
Commons Chamber
Alison Bennett (Mid Sussex) (LD)
I am grateful to the hon. Member for Thurrock (Jen Craft) for opening the debate, and to the hon. Member for Dudley (Sonia Kumar) for her work on the APPG and as a physiotherapist.
Medical staff in my constituency and across the country are the backbone of our national health service. While doctors and nurses are often front of mind when the public think about the NHS workforce, as we have heard this afternoon an army of highly skilled professionals keep our health services running every single day. They save lives, provide comfort in moments of fear and, as set out so brilliantly by the hon. Member for North Durham (Luke Akehurst), aid rehabilitation, enabling people to get back to their normal lives.
I am conscious that this debate is on a devolved matter, but I thought it worth mentioning that the Allied Health Professions Federation held a hustings for the Scottish Parliament elections earlier today. Topics included having input from health professionals during primary care and the crisis in vacancies. On rehab, does my hon. Friend agree that we need to ensure that allied health professionals get the access they need to, for example, care home patients, so that we can get those people out of hospital and into the right setting to receive the care that they need?
Alison Bennett
My hon. Friend is right. We know that with the right support, often from allied health professionals, people do not need to present at A&E and they can get out of hospital and into suitable accommodation with the right level of support much more quickly, which is better for them as individuals and also supports the NHS in carrying out its functions more efficiently.
Many of our allied health professionals—the third largest professional group in the NHS—do amazing work, as we have heard. They are central to prevention, diagnosis, treatment and public health. As pressures on our health and care services have grown, their role has become indispensable. From the paramedic first on the scene in an emergency, to the radiographer enabling rapid diagnosis and the physiotherapist helping someone regain their independence, those professionals are there at every stage of the patient journey. They are often the difference between life and death, between recovery and long-term disability, between dependence and independence, yet their contribution is overlooked.
After years of mismanagement, our NHS has been left on its knees. Nowhere is that more visible than in our emergency departments. We have seen avoidable deaths in A&E waiting rooms, we have seen patients waiting hours for ambulances, and we have seen the shocking normalisation of corridor care—patients left on trolleys without privacy, dignity or proper attention. There are now even reports of people receiving end-of-life care in hospital corridors. This is a health system under intolerable strain. Public confidence is being shaken. It is no surprise that two thirds of people are worried about long A&E waits.
The data is stark. Last year saw the worst level of 12-hour trolley waits ever recorded. On average, hospital trusts are now seeing thousands of patients waiting more than 24 hours in A&E every year. That is unacceptable. The Liberal Democrats have been leading the call to end corridor care within a year. We believe the crisis can be tackled, but only with serious, practical action. That includes creating a bank of safety net social care places and expanding step-down care for patients who are medically fit to leave hospital but still need support.
At the heart of the solution are allied health professionals. By delivering rehabilitation packages through physio- therapists, occupational therapists and others, we can help people leave hospital sooner, recover more quickly, and regain their independence at home. That is better for patients and it is essential for freeing up hospital capacity and ending the gridlock in A&E.
Will the Government commit to ending corridor care and 12-hour waits this year, and will they back that commitment with real investment in community care, social care and the allied health workforce? If we are to rely on those professionals—as we must, and as we already do—we need to support them properly. Right now, working conditions across the NHS are driving morale into the ground. Staff face inflexible rotas, burnout and, shockingly, workplace violence. That is not sustainable for them or for the patients they serve.
The Liberal Democrats have a number of proposals that we would be grateful if the Minister considered. We would establish a truly independent pay review body. We would expand access to affordable childcare so NHS staff can balance their family with their careers. We are also calling for action on everyday costs such as reducing car parking charges at hospitals. Those are practical steps that would make a real difference.
There are also growing staffing pressures among the allied health professionals. The Library reports that there has been a 57% increase in allied health professional full-time equivalents over the last decade, with the number of employees rising from 75,000 to 118,000. However, in conversations with the Royal College of Podiatry, it described high vacancy levels for NHS podiatry positions, a declining pipeline of applications to study podiatry programmes in England and rising demand for podiatrists’ services, all the while with the draw of working in the private sector. In physiotherapy, eight in 10 physiotherapists report that they do not have enough staff to meet demand, yet many services are facing recruitment freezes. Those contradictions speak volumes.
The long-delayed national workforce plan must finally deliver for allied health professionals. It must address regional shortages and embed these roles fully into workforce planning from the outset, not as an afterthought. If the Government are serious about shifting care into the community and focusing on prevention, investment in AHPs is essential. Too often, we see a gap between rhetoric and reality. While Ministers talk about prevention, funding decisions continue to prioritise short-term fixes elsewhere.
Our NHS is one of this country’s greatest achievements, but it cannot function without the people who sustain it. Allied health professionals are highly trained, autonomous practitioners. There are nearly 118,000 of them working across the NHS in England. They are central to modern, multidisciplinary care and to the future of a sustainable NHS. If we want a health service that prevents illness, reduces inequalities, and supports people to live healthier, longer lives, we must recognise and invest in their contribution. We must continue to fight for an NHS that works for patients, and we will continue to stand up for the staff, especially those too often overlooked, who are doing everything they can to get our NHS back on its feet, because they deserve nothing less.
(5 months, 1 week ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
Alison Bennett (Mid Sussex) (LD)
It is a pleasure to serve under your chairship, Ms Vaz. I thank the hon. Member for Shipley (Anna Dixon) not only for securing this important debate on Carers Rights Day, but for all her work championing carers since her election to Parliament.
I welcome yesterday’s publication of the terms of reference of the employment rights for unpaid carers review, which suggests that the Government are looking in the right direction. However, as my hon. Friend the Member for North East Fife (Wendy Chamberlain) noted, the pace is not as fast as it could be—it has already been going a year—and the period of consultation may actually be too short, given the demands that carers and the people who support them face, as everybody in this Chamber understands. I hope this review will usher in paid carer’s leave, as it would make the biggest difference for those on the lowest wages, who cannot currently afford to take unpaid carer’s leave.
This year, the theme of Carers Rights Day is, “Know your rights, use your rights”. It is all about making sure, as hon. Members have noted, that the millions of unpaid carers who support loved ones through illness and disability, know that they have access to support and rights, such as carer’s assessments, carer’s leave and hospital discharge support.
In my Mid Sussex constituency and across the UK, hundreds of thousands of people are waiting for social care. Many are stranded in hospital beds simply because the support they need in the community is not there, which in turn puts immense strain on our already creaking NHS. That is why my Liberal Democrat colleagues and I are campaigning so passionately for a social care system that values care users, supports care workers and, crucially, recognises the millions of unpaid carers who quietly keep this country going.
The hon. Member for North Herefordshire (Dr Chowns) set out her frustrations, which we share, with the pace of the Casey review. It is worth noting that only one cross-party meeting has happened since the Secretary of State announced that review in January, and a second meeting has not yet been convened. Can the Minister advise us when we can expect to secure a second meeting?
I want to express my thanks to Baroness Casey, who, although she has been appointed to this commission, is doing other work for the Government. I would not want that to go unrecognised when we are talking about the delays.
Alison Bennett
I wholeheartedly agree with my hon. Friend’s excellent point. It is regrettable that there seems to be only one person that the Government like to call on to do very important work across a number of different areas.
(1 year, 6 months ago)
Commons Chamber
Alison Bennett (Mid Sussex) (LD)
Hon. Members on both sides of the House have made many fine contributions, some of which have been very detailed. You will be pleased to know, Madam Deputy Speaker, that mine will hopefully be quite simple.
There are two words that I would like everybody to consider: urgency and trust. Those were the words that summarised the feelings of my Burgess Hill constituent Graham Knight when I spoke to him recently. Graham is not sure precisely when he was infected, but he thinks it was probably in 1987 while he was having his appendix removed. It was not until 2002 that he was finally diagnosed with hepatitis C. He told me that every day he has woken up since then has been a bonus. Needless to say, there has been a vast impact not only on his health, but on his professional life, his personal life and relationships and his social life. In 2003, Graham lost his business; the next year, as a consequence, all the family savings were gone.
There has been an enormous impact on Graham’s marriage to Sue. Graham and Sue are fearless, determined, strong people. He told me that before he became poorly they had two to three good years of happy, healthy marriage; I am pleased to say that they are still happily married, but Graham’s hepatitis C has had a profound impact on them in the years since. Graham said that Sue did not deserve that in her marriage, but she has been steadfast and loyal throughout. Graham also has high praise for the team who have cared for him at Guy’s and St Thomas’ hospitals: the care he has received has been incredible.
Graham’s asks are about urgency. He says that there has been a profound loss of trust among the infected blood community, and that nothing—nothing—will restore that trust until the payments are forthcoming. Victims need certainty, because they cannot plan for the future.
Trust and urgency were certainly raised by my constituent John, who emailed me recently following a meeting between legal representatives and members of the IBCA team to get an update. He said that
“big and elaborate apologies are not what is needed, it is what was promised regarding compensation settlements that we want to see actioned without further delays.”
It is clear that my hon. Friend agrees, but I would like to hear her response.