Wednesday 1st November 2017

(6 years, 6 months ago)

Westminster Hall
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Ruth Cadbury Portrait Ruth Cadbury (Brentford and Isleworth) (Lab)
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I congratulate my hon. Friend and constituency neighbour on securing this debate, and on his leadership in the campaign on the future of Charing Cross. The great fear among my residents—particularly in the eastern half of my constituency—and among people from a far wider area is about the loss of the full-scale accident and emergency service at Charing Cross, which would potentially mean downgrading many in-patient and out-patient services linked to it.

Andy Slaughter Portrait Andy Slaughter
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I am grateful for the clarity that my hon. Friend brings on that point. What is proposed is the loss of all consultant-led emergency services—type 1 A&E services. The site will therefore lose blue-light ambulances, emergency surgery and emergency consultant services. That is a very substantial change to the health facilities available.

The change came under the heading, “Shaping a healthier future”, which I am afraid my constituents regarded as a rather Orwellian title. That programme has now been subsumed within the sustainability and transformation partnership proposals, which are now nationwide, but essentially the meat of the proposal has not changed over that time. I do not deny—I look for points of agreement if I can—that some of the objectives are perfectly laudable, such as specialisation and the bringing together of expertise on a particular site, as has happened with stroke services, major trauma, renal services and so on, even within the three hospitals in the Imperial trust. That is to be commended. No one objects to improvement to primary, social and community care, which may in time lead to less pressure on acute services. If the consequence is not just better health outcomes but a saving for the public finances, we do not object. The problem, and the reason why there has been a breakdown of trust, is that the changes are being advanced before we know the consequences.