The Minister for Secondary Care (Karin Smyth)
It is a pleasure to respond to this debate, and I am grateful to my hon. Friend the Member for Cannock Chase (Josh Newbury) for securing it and raising in a constructive way the important matter of urgent care in Staffordshire. It is always good to have more proud NHS non-clinical bureaucrats in this place to pursue these issues.
This Government are clear that the patient should expect, as my hon. Friend says, high standards of care. We recognise that that has not always been the case in recent years, with too many people waiting too long to access the help they need, but we are determined to change that. We are taking serious, sustained action to restore timely access to high-quality urgent care across the country. Our urgent and emergency care plan for 2025-26 sets out that clear path to strengthening urgent care outside hospitals, so that patients can access timely, appropriate support without needing to attend A&E unless clinically necessary. We are increasing the number of patients treated closer to home by scaling up our urgent community response teams providing rapid two-hour care, expanding virtual wards to provide hospital-level treatment at home and growing multidisciplinary neighbourhood teams that intervene early and prevent avoidable deterioration.
We will support patients to book into the most appropriate urgent care service for them, whether via 111 or the NHS app, and we are using data from shared patient care records and digital tools to support better triage, to join up services and to anticipate pressures before they arise. That is backed by £2 billion of investment in NHS digital infrastructure. We are also investing £250 million to strengthen same-day emergency care and urgent treatment centre provision, helping systems across the country to avoid unnecessary admissions and supporting the same-day diagnosis, treatment and discharge of patients.
Turning specifically to my hon. Friend’s constituency, I know the work that he has done with his local NHS to ensure that his constituents’ voices are heard. In preparing for this debate, I also met the local NHS to understand better the situation that he describes. It is taking steps to strengthen urgent care capacity and to improve patient pathways, in line with the policy outlines that we have made. I am also aware of the concerns about the closure of the minor injuries unit.
As my hon. Friend said, following the closure during covid the ICB undertook a review of whether the service should be reopened. The review concluded that demand previously met by the Cannock Chase minor injuries unit was being met elsewhere. In that time, the NHS has strengthened the wider urgent care offer for local people. It includes enhanced primary care—my hon. Friend talked about wound care, which is very important to local people—as well as GP out-of-hours services accessed via NHS 111, urgent community response services, and access to urgent treatment centres in other locations. Those arrangements ensure that patients can receive timely and appropriate care.
As my hon. Friend mentioned, neighbourhood integrated teams will be scaled up, delivering more proactive and preventive care in order to intervene earlier and reduce avoidable deterioration. Those teams, as he outlined, are central to shifting care out of hospital and towards community care support. Urgent treatment centres do play a vital role in the wider urgent care system, providing timely assessment and treatment for patients whose needs are urgent but not life-threatening. The system is therefore ensuring that those centres meet national standards, improving consistency and simplifying access for the public, to help divert activity away from type 1 emergency departments and ensure that more patients receive the right level of care closer to home. Let me say in response to my hon. Friend and also his neighbour, my hon. Friend the Member for Stoke-on-Trent Central (Gareth Snell), that it is important for Members in the area to understand that that wider movement of capacity will ensure that they have the necessary information.
I am pleased to report that the system in Staffordshire has become the first in the midlands to establish a 24/7 integrated care co-ordination centre, which provides a single access point for clinicians, co-ordinates urgent community services, and prevents unnecessary A&E attendances. Nearly half the calls to the service are now successfully redirected away from hospital, which helps patients to access help more quickly and eases the pressure on A&E departments. Moreover, capacity has been increased in urgent community response services, virtual wards, same day-emergency care and intermediate care. Urgent community response performance is particularly strong, with more than 78% of referrals seen within two hours—well above the national ambition of 70%. Additional clinical resource has been put in place to meet rising demand and support resilience through the winter.
This work sits alongside strengthened pathways for people whom my hon. Friend described—especially those who may be elderly and experience falls, those who may be frail, those who need end-of-life care, and those in care homes. We need to ensure that those patients in particular receive timely and appropriate support and are confident that the service is there for them in that time of need. Together, these integrated services are helping to manage demand in A&E departments, improve patient flow, and make best use of urgent care capacity across Staffordshire, including in Cannock Chase. As my hon. Friend rightly said, those improvements must be felt by the people of Cannock Chase, and as my hon. Friend the Member for Stoke-on-Trent Central also pointed out, we need to ensure that demand is well managed and to support people across Staffordshire.
We are planning for the future as well. Our 10-year health plan sets out the long-term vision for urgent and emergency care reform. As I have said, a central priority is to shift care from hospitals into the community, and that will be driven by continuing to expand urgent care through urgent community response, virtual wards, rapid access clinics and better co-ordination through neighbourhood-based care.
Our plan is working: in the past 18 months the Government have invested a record £26 billion in the NHS, delivered more than 5 million additional appointments, cut waiting lists by 312,000, and launched the 10-year health plan to deliver more care in the community. We know that there is more to do, but our investment and modernisation are making a difference, and the NHS is showing clear signs of recovery. Thanks to these steps, this winter ambulances are arriving faster, A&E waits are shorter, and more patients are being treated closer to home.
I pay tribute to NHS staff across Staffordshire and across the country. Doctors, nurses, paramedics, healthcare assistants and support staff continue to show exceptional commitment, often in the most challenging circumstances, and they deserve our thanks and support. We know that the NHS is under pressure, but this Government are taking decisive action through our urgent and emergency care plan, our winter preparations, and our long-term reforms. We are putting the service back on its feet, and ensuring that patients receive timely, high-quality care.
As we make the NHS fit for the future by making the changes we need to move care out of hospital and into communities, and by making the switch from analogue to digital and from sickness to prevention, we have to communicate better with patients and the public, as my hon. Friend the Member for Cannock Chase has clearly outlined this evening. That includes keeping MPs well informed of the proposals.
Gareth Snell
I want briefly to highlight the fact that one of the perverse things in Staffordshire is that my constituency is serviced by the Royal Stoke hospital, as is Stafford. Its headquarters are within the ICB that funds it. Some of the places that the Minister has mentioned this evening include Cannock, Burton and Tamworth. Their hospitals are smaller and are linked to a much larger acute hospital in a trust that is headquartered outside the ICB. That is a perversity for cross-border invoicing, and it sometimes make us wonder what the incentive is for some of the trusts. Could a group of us MPs meet the Minister to discuss that?
Karin Smyth
When I became a Minister, my hon. Friend was one of the first through the door to share some of the issues in Stoke. In my meeting today, in which I had my map in front of me to point out some of the journey times, his comments were in my mind.
As I said, it is really important that we take local people with us as we move the system on the basis of the best clinical evidence. For me, that includes making sure that MPs are well informed of the proposals and the rationale behind them. As we have heard today, MPs are willing to be very constructive advocates for local systems on behalf of their constituents. I welcome the engagement with Members on this issue, and I am very happy to continue working with my hon. Friend the Member for Cannock Chase, other colleagues in Staffordshire and NHS leaders on how we can further strengthen emergency care services for people in Cannock Chase and, indeed, across Staffordshire.
Question put and agreed to.