NHS Funding: Essex

Debate between Robert Halfon and Mark Prisk

Wednesday 13th February 2019 Westminster Hall

[Robert Halfon (Harlow) (Con)]

I beg to move,

That this House has considered NHS funding in Essex.

It is a pleasure to serve under your chairmanship, Sir Christopher. I have raised the pressing need for a new hospital in Harlow on more than 20 separate occasions in the House of Commons, and this is my fourth debate on this subject. I thank my fellow Essex and Hertfordshire MPs, many of whom have kindly joined me this afternoon, for their support in the House and in our sustained campaigning efforts to secure capital funding for an all-encompassing health campus.

In May last year, I wrote to the former Health Secretary, my right hon. Friend the Member for South West Surrey (Mr Hunt), to urge the Government to support the capital funding bid at the time for a new hospital. In that respect, I am particularly grateful to my hon. Friend the Member for Broxbourne (Mr Walker); my hon. Friend the Member for Hertford and Stortford (Mr Prisk), who is a stalwart supporter and works closely with me in campaigning for our new hospital; my hon. Friends the Members for Saffron Walden (Mrs Badenoch), for Braintree (James Cleverly), for Brentwood and Ongar (Alex Burghart) and for Chelmsford (Vicky Ford); the Deputy Speaker, the right hon. Member for Epping Forest (Dame Eleanor Laing), who is another neighbour who works with me to ensure we have a first-rate hospital for the 21st century; and my right hon. Friend the Member for Witham (Priti Patel). They all joined me in signing the letter, and they pledged their support for a new hospital to serve our constituents.

[Mr Mark Prisk (Hertford and Stortford) (Con)]

I hope the Minister will take away my right hon. Friend’s point that healthcare in Harlow is important, certainly to the people of Harlow and Essex, but also to people in Hertfordshire. People in Bishop’s Stortford, Sawbridgeworth, Hertford and Ware are all looking for this investment, and we hope the Minister will listen carefully.

[Robert Halfon]

My hon. Friend has been an incredible supporter; his constituents will know the work he has done to lobby the Government for our new health campus. He makes an incredibly important point: this is about not just a Harlow hospital, but a hospital for the surrounding area that will serve the people of Hertfordshire and Essex, and I am pleased that my hon. Friend the Member for Rochford and Southend East (James Duddridge) is also here.

--- Later in debate ---

[Robert Halfon]

My hon. Friend is right. We are very lucky that the management of Princess Alexandra Hospital are second to none. We were in significant difficulties, but they turned the hospital around and are doing a remarkable job. They are doing their side of the equation; we need the Government to do the other side.

[Mr Prisk]

I am grateful to my right hon. Friend for giving way to me a second time. Does he agree that the issue, and the reason we need long-term funding, is that both our constituencies face significant pressures for additional housing? Simply coping with what we have now is difficult enough. We need long-term funding to provide healthcare to the new communities that will be built.

[Robert Halfon]

My hon. Friend again hits the nail on the head. We have a problem at the moment, but we will have thousands and thousands of new houses in our area. It will be impossible to maintain the hospital as is with that population influx.

A new health campus would provide the additional space we desperately need and make a huge difference to patient and staff satisfaction. Patient flow would improve with greater bed capacity. Reduced pressure on staff to turn over beds quickly would allow them to spend more time with patients, delivering the quality of care they are eager to provide. What is more—I know this will please the Minister—the Government would no longer need to fork out millions of pounds for temporary add-on structures to create space for more beds. We have a ward that was literally built on stilts above a car park.

The health campus would take into account the anticipated population growth in Harlow and provide the flexibility that is currently lacking. Working conditions for staff would greatly improve, the attractive state-of-the-art facilities would allow the hospital to recruit from the very best, and of course the skills and training opportunities would be limitless. I am heading up an inquiry on the fourth industrial revolution in my capacity as Chair of the Education Committee, so I am well aware of the skills deficit we face in this country, which is set only to widen in the age of automation.

Princess Alexandra Hospital, Harlow

Debate between Robert Halfon and Mark Prisk

Tuesday 5th June 2018 Commons Chamber

[Robert Halfon]

My hon. Friends understand that this is not just an issue for Harlow but for the surrounding areas of Essex and Hertfordshire. My hon. Friend the Member for Broxbourne (Mr Walker) is exactly right—for our hospital to have a future, we need a new hospital.

[Mr Mark Prisk (Hertford and Stortford) (Con)]

I commend my right hon. Friend for his championing of this important cause. He is right to point out that while this facility is important for the people of Harlow, it is just as important for the people of Bishop’s Stortford, Hertford, Ware and other towns represented here today. It matters to the whole region. I hope that he will emphasise that point and that the Minister will take it on board in his remarks.

[Robert Halfon]

I am very proud that my hon. Friend and I share a constituency office and work together on an enormous range of issues. His support and backing is recognised by his constituents because they understand, as he does, that a new hospital in Harlow will benefit not just Harlow but all the surrounding areas and residents.

The hospital’s infrastructure is deteriorating. As my hon. Friend the Minister stated in response to my question on 8 May 2018, the Government

“recognise that the Princess Alexandra Hospital…is in a poor condition.—[Official Report, 8 May 2018; Vol. 640, c. 537.]

While the hospital leadership has been proactive in seeking out funding—last year, the trust secured £2 million to redesign the emergency department—long-term under- investment means that the estate is extremely fragile. A survey in 2013 said that 56% of the hospital’s estate was rated as “unacceptable or below” for its quality and physical condition.

Not only is the hospital falling apart, but the layout is unco-ordinated and problematic. To use a horrible euphemism, there are “sub-optimal clinical adjacencies”, in the words of the previous Minister. Urgent care is spread across the site due to the sporadic development of temporary structures, making it very difficult for patients seeking care to find their way around and for the hospital staff caring for them.

Capital Funding: New Hospital in Harlow

Debate between Robert Halfon and Mark Prisk

Wednesday 18th October 2017 Westminster Hall

[Robert Halfon (Harlow) (Con)]

I beg to move,

That this House has considered capital funding for a new hospital in Harlow.

It is a pleasure to serve under your chairmanship, Mr Howarth, and I am grateful to Mr Speaker for allowing this debate. The Princess Alexandra Hospital was completed in 1966 to provide acute hospital and specialist services for around 350,000 people living in Harlow and the surrounding areas. Alongside others, I have been working hard for Harlow residents to improve healthcare services, so that they are fit for the 21st century. I have worked to secure extra funding and more doctors and nurses for our hospital, and the new leadership team work tirelessly to do everything possible to improve performance.

However, only so much can be done at the hospital as it stands. The infrastructure is deteriorating. The accident and emergency services are overstretched and staff retention remains a serious problem. It is for these reasons that I am putting forward the case for capital funding for a new health campus in Harlow, bringing together accident and emergency services, GP provision, social care, physiotherapy and a new ambulance hub—bringing healthcare in Harlow into the 21st century.

The Princess Alexandra Hospital is in special measures. It was judged as inadequate overall by the Care Quality Commission in 2016. It is important to note, however, that maternity and gynaecology were rated outstanding at the inspection. Day in, day out, a huge amount of remarkable work is done by the hospital leadership, the hospital’s chief executive Lance McCarthy, and above all the doctors, nurses and auxiliary staff, to provide the very best care they can.

I take this opportunity to thank and praise the health trade unions, led by people such as Councillor Tony Durcan from the nurses’ union, and Councillor Waida Forman and Daniella Pritchard from Unison, whose only aim, whatever our occasional political differences, is to improve the quality of hospital care and the services for their members. Much of this improvement work has been noted by the CQC. Its report, however, outlined various remaining concerns, from staff shortages to deteriorating mortuary fridges, some of which were no longer fit for purpose and were ordered to be repaired during the inspection.

This leads me to my first and most pressing concern. The Princess Alexandra Hospital is not fit for purpose. It is unable to provide healthcare fit for the 21st century and Harlow and the wider area. According to the CQC report in 2016:

“The environment was one of the top risks for the trust. The estate was aged and in need of repairs costing tens of millions”.

Much of the hospital is original and therefore over 50 years old. It has exceeded its useful life and much of the infrastructure is in a state of permanent decline. In addition to the original hospital built in the 1960s, a number of temporary structures have been added, many of which have now surpassed their 10 to 15-year lifespan. That creates a complicated design, with urgent care spread across the site.

A 2013 survey rated 56% of the hospital’s estate as unacceptable or below for its quality and physical condition, which puts the capacity of the hospital to care for those in need at serious risk. That becomes strikingly clear when we read and hear reports of sewage and rainwater flowing into the operating theatres.

The doctors, nurses, management team and support staff at the Princess Alexandra Hospital work so hard, every single day, but their working lives are made so much harder by the hospital’s deteriorating facilities. In addition to the ageing infrastructure, the services are under increasing pressure to provide care to residents in Harlow and the surrounding area. Changes to other local facilities have placed additional pressures on the trust’s capacity, resulting in occupancy levels running higher than 96%. That means that the Princess Alexandra is not only fundamental to the health and wellbeing of the growing Harlow population, but to a wider area, including parts of Hertfordshire and Epping Forest—it is very good to have my hon. Friend the Member for Hertford and Stortford (Mr Prisk) in the Chamber to ensure we get good health services in our area.

[Mr Mark Prisk (Hertford and Stortford) (Con)]

I congratulate my right hon. Friend and parliamentary neighbour on securing this important debate. Does he agree with me that in my constituency and his, ever since the previous Labour Government scrapped their plans for a new hospital at Hatfield, there has been a sense locally that somehow our area has been ignored for capital investment, and that is why his proposal is so sensible?

[Robert Halfon]

As usual, my hon. Friend makes a powerful point. I will come on to how changes in nearby hospitals have had a significant effect on the Princess Alexandra Hospital.

The emergency department in particular suffers. As the CQC reported last year:

“Long waits in the emergency department and capacity issues in the wards meant that patients were not always seen in a timely manner, with many patients in the emergency department breaching four hour and 12-hour targets.”

As I understand it, we have the highest A&E use of any hospital in England. The department struggles to deliver the national four-hour standard, achieving 72% for 2016-17. Having said that, the A&E department saw 10,628 more people in less than four hours last year than it did in 2009-10. This improvement is astonishing when considered against the changes to the nearby emergency departments and with attendance rates at the Princess Alexandra Hospital being 10% higher than the national average, at around 200 to 300 visitors per day.

Chase Farm Hospital near Enfield became an urgent care centre in 2013. The same happened at the Queen Elizabeth II Hospital near Welwyn Garden City in 2014. Urgent care centres only deal with minor injuries, while the Princess Alexandra Hospital deals with those plus major injuries, including life-threatening chest pains and head injuries. All major injuries and illnesses have been dispersed to surrounding emergency departments, and attendance at the Princess Alexandra Hospital has risen consistently.