Urgent Care Centres: Hillingdon

Gagan Mohindra Excerpts

Wednesday 10th September 2025 Commons Chamber

[David Simmonds]

I am grateful that my constituency neighbour is here. Had he the same degree of history in Hillingdon as myself and the right hon. Member for Hayes and Harlington, I am sure he would recall that the hotels were set up and opened as part of a dispersal programme started under the Labour Government in the mid-2000s and led by Andy Burnham, who is now the Mayor of Greater Manchester. I know that has placed ongoing pressure on the local area, but the number of people put into that initial accommodation who are now stuck locally is very large.

I am sure the hon. Member for Uxbridge and South Ruislip (Danny Beales) shares my concern that, under the recent announcements about local authority funding, Hillingdon remains broadly the same as it always has been, but I welcome his commitment to carry on the work started under the previous Government for the rebuild of Hillingdon hospital. I know the right hon. Member for Hayes and Harlington will be very aware that the work undertaken on sewerage and electronics for that new build over the last few years has presented a significant challenge to residents in accessing the hospital—I am sure his constituents complain about it as much as mine have done.

Indeed, the challenges that will come during the rebuilding process of the hospital on what is currently its car park are a further argument for why a minor injuries unit is important in this period. It creates a bit of additional capacity to help with potentially challenging times at A&E and the difficult logistical challenge of accessing a hospital whose car park is already constrained and will be the building site for a new hospital. All those are additional reasons why a minor injuries unit remains important.

It is noteworthy in this context that the move away from an open access unit to appointment-only, which took place following covid, has significantly reduced the footfall at the Mount Vernon unit and has driven up the cost per visit compared with the previous position. This is part of a pattern that we have also seen in the Harrow part of my constituency at the Pinn medical centre, where the loss of a walk-in facility has led to more patients attending the local A&E, to longer waits and, ultimately, to increased cost to the NHS, because A&E attendances are more expensive than nurse-led walk-in services such as that which is available at Mount Vernon.

The Minister knows all this personally. She knows how much value the local community—not just in Hillingdon, not just in Ruislip, Northwood and Pinner, but across north-west London and into neighbouring Buckinghamshire and Hertfordshire—places on that service and how often Members of Parliament representing places like Watford and the Harrow constituencies have been in touch to share their concerns about the delays and challenges faced by patients attending A&Es in Watford, Hillingdon or Northwick Park, which are the main destinations for alternative treatment.

[Mr Gagan Mohindra (South West Hertfordshire) (Con)]

I congratulate my hon. Friend on securing this Adjournment debate. He has highlighted the issues in his constituency, and he is lucky enough that Hillingdon hospital is going to be refurbished. Given the delays to the Watford General refurbishment, where spades will not be in the ground until 2032 at the earliest, does he agree that Mount Vernon is even more critical for the surrounding areas with the capacity that it provides?

[David Simmonds]

I am grateful to my hon. Friend, another constituency neighbour, for the support that he has lent to this campaign on behalf of his constituents. In a busy capital city, where there are all kinds of challenges arising not just from the airport but from our transport links, the pressure on some of those A&Es is higher than the NHS funding formula has traditionally recognised, and services such as minor injuries units have come into being over the years to make sure that that provision is there.

I know that my constituency neighbours’ constituents attend Mount Vernon not just to go to the minor injuries unit; it is also home to a cancer centre, a hospice, a private hospital, a general practitioners—a whole variety of NHS and private healthcare services—as well as to research and scanning, and nurses’ accommodation. All those things are incredibly important to the local community.

My asks of the Minister are straightforward. She understands as well as we all do that the NHS is always under financial pressure regardless of which party is in government, and she understands personally how much this unit at Mount Vernon hospital matters to local people across an area that is much wider than that served solely by the Hillingdon hospitals NHS foundation trust. She also understands that the vision of the 10-year plan puts great emphasis on out-of-hospital care. The commitment to the Northwood and Pinner cottage hospital started under the previous Government and now under construction at the site in my constituency is an example of the willingness of both this Government and the previous one to invest in those types of service. It therefore seems perverse to be closing down one such service that is already successfully in operation and that is both valued and has the potential to further reduce the cost and service pressures on our local NHS.

I ask the Minister simply to intervene with the trust and to ask her officials to engage with it about the wider impact that the closure will have beyond the Hillingdon hospitals trust alone. From the trust’s perspective, moving those staff and that budget on to the main hospital site will improve the look of its bottom line, but in the long term it will increase the costs to the NHS for those patients and reduce the quality of the service that they receive. Will she therefore consider encouraging the trust to move back to an open access model, as used to operate at the site, which would further reduce the number of A&E visits, which are costly to the NHS and stressful and time-consuming for patients? Will she confirm to the House that she notes the concerns that have been expressed so profoundly and across party by MPs from Hertsmere, Beaconsfield, South West Hertfordshire, East Harrow, and Hayes and Harlington, some of whom have taken the time even during a tube strike to be present for this debate to demonstrate the importance that they place on it?

Some have said that the more than 20,000 local people who signed the petition were expressing faux outrage. Those 20,000 people value the service. Many of them, including myself, have used it over the years. We know the benefit that it brings. We know that it is in accordance with this Government’s vision and strategy for the NHS. We know that, used properly, it can reduce costs to the NHS and improve the quality of service, not just for my constituents but for all our constituents. Will the Minister please intervene, ask the trust to think again and find a way to secure this valued service for the future, for local residents?