Uckfield Community Hospital Surgical Unit

Karin Smyth Excerpts

Tuesday 25th November 2025 Commons Chamber

[The Minister for Secondary Care (Karin Smyth)]

Duly noted, Madam Deputy Speaker. It is a pleasure to respond to the hon. Member for East Grinstead and Uckfield (Mims Davies). I begin by recognising the genuine concern of the residents of East Grinstead and Uckfield, which she has articulated so well, about the future of that local surgery unit. Such local facilities are really important to all our constituents, and it is right that we, as Members of Parliament, advocate on their behalf. She has ensured that her constituents’ voices have been heard both in Parliament and through her engagement with the NHS Sussex board and the integrated care board. We understand that it is difficult to keep pursuing such changes, but as we are all told in the House, we are used to being persistent.

Reducing waiting lists is a central part of the Government’s health mission. I reassure the hon. Lady and other colleagues that we are committed to putting patients first, ensuring timely treatment and bringing care closer to where people live. That is why in December 2024 we published our plan for change, setting out our commitment to return by March 2029 to the NHS constitutional standard that 92% of patients wait no longer than 18 weeks from referral to consultant-led treatment.

We are seeing improvements, with more than 5 million additional appointments—more than double our election pledge—and working with the NHS we have cut waiting lists by over 230,000 since we came to office and delivered 135,000 more cancer diagnoses. In August, we confirmed that 100 community diagnostic centres across the country are offering out-of-hours services 12 hours a day, seven days a week, meaning that patients can access vital tests, scans and checks around their busy lives. There are also new surgical hubs, as we have heard, to help tackle the backlog.

Currently, the waiting list stands at 7.3 million patient pathways, with 6.2 million people waiting. That is what we need to change with our elective reform plan—our 10-year health plan is built on that—which has a key focus on improving access to healthcare for everyone and prioritising patient experience, ensuring that wherever people live in England, they will be seen, diagnosed and treated in a timely way, no matter what they earn. To help achieve that, we are investing £6 billion of additional capital investment over the next five years in diagnostic, elective, urgent and emergency capacity in the NHS.

I join the hon. Lady in thanking her local NHS staff for their work to make sure that these improvements are felt by local people. On her specific concerns regarding the trialled closure of the day surgery unit, which as she said is run by East Sussex healthcare NHS trust, I understand how unsettling the decision feels for many people, including the public and, as she articulated, the staff. In preparation for the debate, I met the local NHS leaders. I am grateful to them for their time and their briefing on these issues. It is important to hear from people on the ground on these matters.

Our 10-year plan commitment to move care into the community is a priority for the Government, as the hon. Lady said, but it does need to be coupled with pragmatism and what is best for patients. In this case, according to the latest data held by the trust, almost 90% of patients accessing relevant services at Uckfield live closer to the two main hospitals in Hastings and Eastbourne, and the proposal was therefore to relocate the day surgery unit activity to those two hospital sites. According to the trust, for most patients that would mean treatment closer to home than under the existing offer.

Secondly, the change was expected to increase the overall number of day surgery procedures available to more people, including the residents of Uckfield, so that they could receive surgery more quickly. Local leaders have taken that decision because it is critical to increase productivity in the NHS. By using both hospitals, local and general anaesthetic procedures can be offered in the same place, with greater provision for higher risk patients or those who need overnight stays.

I come on to the findings from the trial to date. Decisions to reorganise local provision are often a disappointment and difficult for many people. It is important that there is a strong case that the move is better for patients, productivity and value for taxpayers’ money. Following a six-month trial, the trust has found that patients did not report any decline in their experience following the move, and concerns were not raised about travel or access. I am told that the patient advice and liaison service has reviewed complaints from the pilot period and has had no negative feedback related to the pilot. The evaluation showed that the trust was able to increase capacity for elective procedures, improve the timeliness of pre-assessment, and provide greater flexibility to prioritise urgent, cancer and general anaesthetic cases. The initial analysis indicated that 88.3% of sampled patients were treated closer to their homes, with an average reduction in travel distance of 10.3 miles per journey.

The responsibility for delivery, implementation and funding decisions on services ultimately rests with the appropriate NHS commissioner rather than with the Government, working closely with providers and local stakeholders, and that includes local Members of Parliament. The ICB has a duty to consult the relevant local authority health overview and scrutiny committee about substantial changes to health services, and I have been informed that the trust is looking to share a paper with the committee in December.

All substantial planned service change should be subject to a full public consultation and meet the Government and NHS England’s tests to ensure good decision making. The hon. Lady made her points extremely about the League of Friends and its great work across the country and in her area. As well as putting this issue on the record, as she has done here, I will ensure that the local NHS addresses the issues that she has raised this evening.

It is important to note that the changes only affect the day surgery unit. I am assured by the local NHS that other services at Uckfield community hospital, which she outlined in her speech and which are central to our plans to make care more local and to provide neighbourhood services, will continue. The opening of the new Sussex surgical centre, which the hon. Lady talked about, backed by £40 million of investment, means that the trust will be able to provide better care for more patients closer to where most of them live.

In closing, may I add my thanks for the great work of the League of Friends? I thank the hon. Lady for raising this important issue and for her ongoing support for the Uckfield community. I know that she will continue to work with the local NHS on behalf of her constituents and we are happy to continue that discussion with her.

Question put and agreed to.