Norfolk and Suffolk NHS Foundation Trust

Maria Caulfield Excerpts

Tuesday 7th March 2023 Commons Chamber

[The Parliamentary Under-Secretary of State for Health and Social Care (Maria Caulfield)]

I thank my hon. Friend the Member for Central Suffolk and North Ipswich (Dr Poulter) for bringing forward this important debate about the Norfolk and Suffolk NHS Foundation Trust, and for highlighting the progress that has indeed been made. The difficulties at the trust have been well documented, and there have been performance and quality issues for many years. Those have been highlighted on behalf of their constituents by many Members of the House, including my hon. Friends the Members for North Norfolk (Duncan Baker), for Bury St Edmunds (Jo Churchill), for Waveney (Peter Aldous) and for Ipswich (Tom Hunt), many of whom are here this evening. However, all the MPs in Norfolk and Suffolk have worked constructively to make progress and to support the trust, patients and staff.

To understand the root causes and to ensure that effective plans are in place to improve patient outcomes, I and many of my ministerial predecessors have met right hon. and hon. Members from Norfolk and Suffolk collectively on several occasions, alongside NHS England, the CQC and representatives from the trust and the newly formed ICBs, to review progress and to ensure that there was an effective plan to achieve the quality of care that patients and families clearly deserve.

I am pleased that the latest CQC report recognises some key progress in areas that need improvement. The leadership team and staff across the trust should be congratulated on their hard work on that, and on the fact that the trust’s overall rating has moved from “inadequate” to “requires improvement”. Many elements of the report were found to be “good”, however, which indicates that things are moving in the right direction. The CQC also reports that

“the trust had moved at pace to make the necessary changes and…significant improvements could be seen at all levels”,

which is encouraging.

I understand that my hon. Friend the Member for Central Suffolk and North Ipswich and other hon. Members from Norfolk and Suffolk were invited to attend a briefing on 23 February, prior to the publication of the inspection. I hope that those who could attend found that session constructive; it sounds as though there is collective agreement that progress has been made. I had a similar session with the CQC the day before and I found the progress encouraging. I was reassured that many of the issues raised previously are being addressed, but there are clearly still significant challenges at the trust that must be addressed, which my hon. Friend outlined well this evening.

I welcome the progress that the trust and its leadership team have made and the fact that they have set out a realistic improvement delivery plan and a commitment to take it forward. I am pleased to hear from the CQC that the trust and all its partners are clear that they cannot take their foot off the pedal. Now is the time to double down on their efforts and not just assume that the progress of the last few months will continue.

I am pleased to confirm that NHS England will continue to provide the existing level of support to the trust. A full-time improvement director is in place, with representation at the trust’s governance meetings, so they have full visibility of the latest data and improvements needed. They will continue to work closely with the trust and key stakeholders to ensure that they continue to build on the recent progress. As part of the next steps, a rapid quality review meeting between the trust and its partners will take place on 27 March.

I will continue to watch closely and to ensure that any concerns that arise are dealt with quickly and at pace. Alongside NHS England, I am keen to ensure that the joint meetings that we were having continue to take place. I intend to hold a follow-up meeting with the relevant Members of Parliament and our system partners in early May, once the rapid quality review meeting has taken place on 27 March and the options review work has concluded. I hope that gives my hon. Friend some reassurance about how seriously we are taking the issue.

On mental health more generally, on 23 January I announced that we were commissioning a rapid review into mental health in-patient settings, with a focus on how we use data and evidence to look at the quality of in-patient services in mental health across England more broadly, including complaints and whistleblowing alerts, to identify risks to safety. The review is being chaired by Geraldine Strathdee and will run for eight weeks. We will shortly get her report and I am keen to implement her findings. That relates to the point that my hon. Friend the Member for North Norfolk made about the culture in mental health and how we change that to improve outcomes for patients. NHS England recently announced a new in-patient quality transformation programme to support cultural change in mental health and to develop a new, bold, reimagined model of care for all NHS-funded mental health services, particularly in an in-patient setting.

In the minute or so I have left, I will touch on a couple of key asks. Capital funding is available for mental health services. A few weeks ago, we announced funding for crisis centres, community support teams and mental health ambulances, so that they can respond more quickly to those going into crisis, in order to try to avoid admissions. More generally, record levels of funding are going into mental health—£2.3 billion extra each year. I encourage the local trust to speak to its integrated care board, which has access to that funding, if it is interested in capital programmes. That is a whistlestop tour of the support that we can give.

[Dr Poulter]

Will the Minister give way?

[Maria Caulfield]

I have only a few seconds left.

In conclusion, I hope that reassures all hon. Member across Norfolk and Suffolk that we take the issue seriously. I am delighted that progress is being made across the trust.

Question put and agreed to.