NHS Staffing Levels

Paulette Hamilton Excerpts

Tuesday 22nd November 2022 Westminster Hall

[Mrs Paulette Hamilton (Birmingham, Erdington) (Lab)]

I congratulate my hon. Friend the Member for Wirral West (Margaret Greenwood) on bringing forward this important and timely debate. In all areas of healthcare, it is incredibly important that our NHS is able to cope with the growing demand for its services.

Across the board, staffing shortages in the health service, let down by 12 years of Tory chaos, are endemic. In nursing, 40,000 registered nurses in England have left the NHS in the past year. We have lost 4,700 GPs in the last decade, and hundreds of practices have closed since the last election. That has resulted in GP surgeries being massively overstretched, such as the one in my constituency that has 3,200 people on its books.

The cuts are not just numbers; they have a real impact on people’s lives. One of my constituents is a PE teacher with a chronic knee injury. She was unable to book a GP appointment and could not get an MRI scan. So that she could continue to work safely, she felt that she had no option but to book it privately, costing her £300.

In mental health services, local trusts are seriously struggling with a lack of capacity. Last year, around 2.8 million people had contact with NHS mental health, learning disability and autism services in England. That is around 5% of the population, and my city of Birmingham had the third highest percentage of adults in contact with those services. Despite the obvious problems in this area, the Royal College of Physicians has reported that, nationally, we can expect an increase of just 4,000 more mental health nurses by 2024, when more than 12,000 are required to meet demand. We know that the pressures that hospitals face lead them to rely on NHS staff banks and agency workers to cover for the lack of capacity. This year, 83% of nursing staff said that staffing levels on their last shift were not sufficient to meet patient needs safely and effectively.

The new Chancellor of the Exchequer said in 2015:

“For too long staffing agencies have been able to rip off the NHS by charging extortionate hourly rates which cost billions of pounds a year and undermine staff working hard to deliver high-quality care.”

However, this autumn’s Budget pledge to increase NHS spending by £3.3 billion next year is not enough to plug the £7 billion shortfall that the NHS could experience.

I was a nurse for 25 years. I understand how important it is for the NHS to have sufficient levels of staff, and the disastrous effect that staffing shortages have. Nurses work long hours day in, day out, to support people all across the UK. They often do this on very low pay, and we know that many hospitals across the country have opened food banks specifically to feed their staff. After 12 years of mismanagement by the Tory Government, it is no wonder that our nurses have been driven to take industrial action for the first time. As I said earlier, nurses are leaving the profession in droves; some 40,000 quit last year. I for one do not blame them. I cannot say, hand on heart and with 25 years of nursing experience, that I could do the job now. The blame for the mess lies squarely with the Conservatives.

Ambulance Pressures

Paulette Hamilton Excerpts

Monday 18th July 2022 Commons Chamber

[Steve Barclay]

I am grateful to my right hon. Friend for that warm welcome. I was Minister of State when he was Secretary of State, and hugely valued the expertise, diligence and insight that he brought in that role, which provide useful context as I take on my new duties. He is absolutely right; indeed, he will recall, in 2018, looking in detail at delayed discharge, and work on that key issue continues. For example, on 1 July the NHS launched a 100-day sprint looking at all the known interventions. One issue that he and I have discussed in the past is how to socialise best practice and industrialise innovation at scale, and we are looking specifically at that. There is also a call for expressions of interest in pioneer science to better use tech and innovation on delayed discharge, and of course there is £2.6 billion of investment in the better care fund to support that integration work through the integrated care boards.

[Mrs Paulette Hamilton (Birmingham, Erdington) (Lab)]

Although I welcome the additional resource in response to the heatwave, it is simply not enough. Does the Secretary of State agree that until the Government address the systematic problems in social care to ensure that it is properly funded and people can be discharged quickly into the community, and we no longer see the revolving door service that is proving so damaging in the sector, we will not truly be able to reduce the pressures on the ambulance service?

[Steve Barclay]

The hon. Lady brings great practical insight on these issues from her profession as a nurse. The point she raises, as did my right hon. Friend the Member for South West Surrey (Jeremy Hunt), is absolutely right—delayed discharge has long been a key issue. That is why we have made the tough decisions we have on national insurance and why we brought forward the changes on integrated care boards. It is an area of common ground across the House that we need to work better to address delayed discharge, which blocks the pipe and, in turn, delays ambulance handovers and causes problems at an earlier stage. It is a key issue. I have set out a number of practical measures that we are taking, and further work is ongoing.

Draft Mental Health Bill

Paulette Hamilton Excerpts

Monday 27th June 2022 Commons Chamber

[Sajid Javid]

I can give my hon. Friend that assurance. Sadly, we have instances around the country where certain trusts have failed local people when it comes to mental health. He mentions Norfolk and Suffolk. We need to do better. This Bill and the resources behind it will make the difference.

[Mrs Paulette Hamilton (Birmingham, Erdington) (Lab)]

Through my role as a lay manager for Birmingham and Solihull mental health trust, I know that a major problem in the west midlands is the availability of beds for individuals detained by the police under section 136 of the Mental Health Act 1983. This is having a huge impact on A&E services in our area, because that is where the police take patients if there are no mental health beds available. How does the Secretary of State plan to improve bed availability for mental health patients?

[Sajid Javid]

I know that the hon. Lady speaks with experience, and I listen carefully to her when she speaks on these important issues. She may have seen the announcement earlier today that the additional support of around £150 million will go towards addressing her exact point about more provision, including crisis houses and sanctuaries—I also mentioned mental health ambulances earlier—and I think that will help.