Saving Accident and Emergency at Burnley General

Tags: Campaign | health care | NHS

Wednesday, 11 October 2006 00:00

Mr. Gordon Prentice (Pendle) (Lab): The Member for Rushcliffe (Mr. Clarke) gently mocked Labour Members for hyperventilating when it comes to the Conservative record of all those years ago. I agree with him that policy convergence is taking place. In fact, the Prime Minister is on record as saying that a lot of policy cross-dressing is going on, yet we have these debates that are full of sound and fury about what the Conservatives did in their 18 years, and I think that it is just a big yawn. The Prime Minister can be very tribal. At Monday’s meeting of the parliamentary Labour party, he told us—jacket off; gleaming white shirt—“The Conservatives have a marketisation agenda, you know. Get in there on Wednesday.” Goodness me, I thought. I will come on to the business of new Labour and the market in a minute. I also wanted to pick up on the point made about structural change, which has been hugely debilitating. In the time that I have been a Member of Parliament, strategic health authorities have changed massively. We have a huge strategic health authority in the north-west. In east Lancashire, which is where my constituency is, East Lancashire health authority morphed into Burnley, Pendle and Rossendale primary care trust, which has morphed into an even bigger PCT. We had two hospital trusts—Burnley hospital trust and Blackburn hospital trust—but they have been merged. The Lancashire ambulance service has been abolished and we now have a regional ambulance service. Community health councils have been abolished and we now have public and patient involvement forums, which are about to be abolished and replaced by patient links. Tony Baldry: Is it not especially tragic that while we started off with community health councils that people understood, no one now understands how patients or the general public have a voice in NHS change? Mr. Prentice: I agree entirely. Last year, there was a lunatic proposal from Lord Warner to transfer 250,000 people directly employed by primary care trusts from the NHS into the private, voluntary and not-for-profit sectors. That was stopped only because of the huge outcry from Labour Members. The announcement was made on 28 July, and it was finally overturned by my friend the Secretary of State last November. Debilitating change has taken place. The Prime Minister tells us that we are the change makers, but every time that we change the organisation, it is set back a year, or perhaps 18 months. It takes time to recover, and as soon as it has recovered, we slap it in the face again and reorganise. The way in which we endlessly reorganise the health service is Maoist, which is why people in the health service are so antagonistic towards us, why the platform lost an important conference motion moved by Unison in Manchester, and why a statement by the national executive committee, saying that more work had to be done to engage people working in the health service, was rejected by the conference. We regard people working in the health service as pawns that can be moved about, but they are finally saying, “No, we are not having it.” The private sector is moving into the health service in a big way, but that is being done surreptitiously. Ministers do not say that it is taking place, although they should do so. All the arguments are wrapped up in issues such as contestability; instead, we should just play it with a straight bat and say, “There are too many people sleeping at their desks in the national health service; we will put 20,000 volts through the NHS and bring in the private sector.” That is what is happening in my constituency, where Netcare, a South African firm, has become involved. I have a letter from my primary care trust that reminds me that Netcare runs a local mobile ophthalmology unit at Rossendale hospital, but I am told that Netcare is coming to Lancashire in a big way. The contract will be signed by the end of the year. I am told that Netcare services “will be established in the following specialities”— I thought that it would just deal with the odd cataract, so that we process ophthalmology patients quickly, but it will be involved in work on ear, nose and throat, general surgery, trauma, orthopaedics and rheumatology. Urology and gynaecology, too, may be included, which does not leave much. Let us not kid people outside. The Prime Minister and the Government have a pro-market agenda, and they are pursuing it. Meg Hillier: Does my hon. Friend agree that although the vast majority of NHS services in this country are provided in NHS facilities by NHS-employed staff, there are examples of cases in which it is not the best provider? I can give a personal example of a family member who was waiting for a wheelchair. She received it free at the point of delivery, but it was made by a private company, and private companies undertook the fitting. She was glad to receive the wheelchair. Is my hon. Friend suggesting that the NHS should open a wheelchair factory and make all the component parts, and provide the wheelchairs as well as the free service at the point of delivery? Mr. Prentice: That is the argument about NHS Logistics. We can deconstruct organisations such as the police service. One might say that police officers should be fighting crime, not patrolling motorways, so we should take that responsibility away from them. The same could apply to the national health service. There are many people who want to be in the national health service family, and I agree that they should be partof it. Dr. Pugh: Were service users consulted about the change in the ophthalmology department? Mr. Prentice: I very much doubt it, because there are no consultation procedures when services are moved from the NHS into the private sector. There was no consultation—it just happened. I got my information from the PCT; I did not have an opportunity to say that I do not want Netcare to be responsibly for urology, gynaecology, and ear, nose and throat procedures.I do not want that South African company to be responsible, but I was not asked, and nor was anyone else. Patrick Hall: Will my hon. Friend give way? Mr. Prentice: You are on my time. Patrick Hall: I shall be brief. May I give my hon. Friend an opportunity to return to his characteristic loyalty to the Government by at least agreeing that the difference between the Conservative and Labour parties is that we do not pretend that we can grow the NHS while cutting tax? Mr. Prentice: I would prefer to return to my own agenda in the five minutes left to me. I am glad that my friend the Member for Burnley (Kitty Ussher) is here, because the latest shock to the system is that we may be losing the blue-light accident and emergency department at Burnley general hospital, which serves my Pendle constituency, too. Those services may be moved to Blackburn on the other side of east Lancashire. I do not believe that a proposal to close the blue-light accident and emergency services in Blackburn and transfer them to my friend’s constituency would see the light of day. Tomorrow, the council’s overview and scrutiny committee will make a decision on whether or not to refer the issue to the Secretary of State for Health. My friend and I are against it, the patient and public involvement forum is against it, general practitioners and others in the medical community are against it, and local people are against it, yet there is a possibility that tomorrow the overview and scrutiny committee may not recognise the strength of public opinion. That is why my friend and I will go up to Blackburn to speak to that committee, regardless of what the Whip says here. [Interruption.] I am speaking for my friend, and I think that I am doing so very well. The issue of ambulance times is critical. In my PCT area, it takes an average of 38.57 minutes to take someone to the nearest accident and emergency department. In West Craven, where I live, it takes 54.48 minutes, and that is before the possible closure of blue-light accident and emergency services in Burnley. The ambulance will shoot past Burnley general hospital to reach Blackburn, way over the horizon. Mr. Neil Turner: On the motorway. Mr. Prentice: Indeed, it is an absurdity. I do not know how many times I have driven down the M65 only to find the junction for Blackburn clogged with traffic. Mr. Ian Austin (Dudley, North) (Lab): Will my hon. Friend give way? Mr. Prentice: No, I will not. We hear from Ministers all the time about the need to listen to people—we heard about it today from the Prime Minister and from the Secretary of State—and if decisions on the NHS are to be made locally, the overview and scrutiny committee ought to listen to their voice. Mr. Austin rose— Mr. Prentice: Would my friend like to intervene? Mr. Austin: I am grateful that, finally, my hon. Friend has allowed me to intervene. I would like to ask him whether anything that the Government have done since 1997 has been welcomed by the people of Pendle and whether he can present a rather more balanced picture. Does he welcome the extra resources that have gone into the NHS in his constituency, and does he welcome the increased number of people who have been treated there? Does he welcome the financial position in his constituency, as I understand that both the hospital trust and the PCT have a surplus? Mr. Prentice: My friend has abused the generosity that I demonstrated when I allowed him to intervene. There are plenty of opportunities for balanced discussion at the meetings of the parliamentary Labour party. I am trying to save my local accident and emergency department, as the decision will be made tomorrow. The overview and scrutiny committee reports to my friend the Secretary of State, who has the power to refer the proposal to the independent reconfiguration panel, which consists of independent clinicians from across the United Kingdom who do not know east Lancashire. If they say that the department has to be closed—I say this to my friend the Member for Wigan (Mr. Turner), who takes great delight in interrupting me all the time—we can live with that, because independent clinicians will have made that recommendation, not the director of accident and emergency services, who will speak at the overview and scrutiny committee minutes before the councillors are invited to make a decision. There have been 13 recommendations from overview and scrutiny committees to the Secretary of State but she has passed only two of them on to the independent reconfiguration panel; that is not good enough. I had a meeting yesterday with Dr. Peter Barrett, who chairs the independent reconfiguration panel, and I told him that I hoped that there would be a reference through the overview and scrutiny committee to the Secretary of State, and that she would not throw it in the wastepaper basket, but that she would pass it on to that panel, which we on the Labour Benches set up tomake recommendations that would carry public confidence—in this case in my constituency and the neighbouring constituency of my friend the Member for Burnley. ____________________________________________________________ This Commons Motion went down on the Commons Order Paper on Wednesday 8 November: Closure of blue light A&E at Burnley General hospital This House is appalled and outraged at the decision of the Joint Overview and Scrutiny Committee of Lancashire County Council and Blackburn with Darwen Council to accept the proposed closure of blue light accident and emergency at Burnley General hospital despite vocal opposition from the Public and Patient Involvement Forum, local Members of Parliament and thousands of local people; believes that the Committee’s call for a review in twelve months time misses the point entirely and that the proposals as brought forward by the East Lancashire Hospitals Trust were, from the outset, deeply flawed; further believes the councillors concerned have let down those who trusted in their judgement and that they must take full responsibility for their decision and its consequences. Gordon Prentice Kitty Ussher < Prev   Next >