Frenchay Hospital

Simon Burns Excerpts

Wednesday 14th July 2010 Westminster Hall

[The Minister of State, Department of Health (Mr Simon Burns)]

I congratulate my hon. Friend the Member for Kingswood (Chris Skidmore) on securing this debate. I know that local health services are a top priority for him, and I am sure that his constituents will appreciate all he has done in fighting for better health care provision for them. I also congratulate my hon. Friend the Member for Filton and Bradley Stoke (Jack Lopresti) on his contribution, given the constituency interest that he has in the future provision of health care in this area. I pay tribute to the NHS staff, both in Kingswood and across the whole of Bristol and south Gloucestershire, who provide such excellent care for my hon. Friends’ constituents and those of other hon. Members.

My hon. Friend the Member for Kingswood has outlined the strength of feeling in his constituency for the retention of as many services as possible at Frenchay hospital, following the expected completion of the new hospital at Southmead in 2014. I understand that he would like clarification on the Bristol private finance initiative scheme. The Government recently conducted a review of all major public spending commitments made between 1 January 2010 and the general election on 6 May, to ensure that they are affordable and consistent with this Government’s priorities, given the horrendous economic situation that we have inherited and the staggering level of debt, which, we rightly believe, we should bring down as a priority because of its implications for the economy as a whole.

The north Bristol PFI scheme was considered as part of that review, and it was allowed to proceed. After final approval was given by the Treasury in February 2010, the scheme contracts were signed and construction is now under way. As my hon. Friend mentioned, the NHS would incur significant costs were it to cancel the contract, and I am afraid, therefore, that I have to tell him that cancellation is not a feasible option. The new Southmead hospital is going ahead, and is due for completion in 2014.

Both my hon. Friends are absolutely right that the decisions flowing from the reconfiguration in this part of Bristol and south Gloucestershire are the direct result of the actions of the outgoing Labour Government. They are not Conservative decisions. They were taken by the previous Labour Government and, as my hon. Friends will appreciate, it is too late to reverse them, and to prevent the implications for their constituents.

The business case projects that, due to a range of diagnostic tests being performed in the community and a greater number of out-patient appointments, there will be some 45,000 fewer acute hospital visits per year in the area. That will mean a far more convenient service for my hon. Friend’s constituents.

I shall set the issue in context. My hon. Friend will be aware that, following a public consultation in late 2004 on the proposals to develop health services in Bristol, north Somerset and south Gloucestershire, the NHS agreed to centralise acute hospital services for north Bristol and south Gloucestershire at Southmead.

In June 2008, as part of the Bristol health services plan, work began to plan community health services that would provide more care closer to home in general practitioner surgeries, community health centres and community hospitals. The Frenchay project board developed recommendations for commissioning community services at Frenchay, which were presented to the boards of the NHS South Gloucestershire and NHS Bristol primary care trusts at the start of 2010.

At the beginning of this year, the project board shared its recommendations on how services could be developed with local GPs, the then Members of Parliament and a range of community groups. The board has now shared its draft options with the overview and scrutiny committees of South Gloucestershire and Bristol councils. As my hon. Friend will know, local authorities will have a key new role in helping to join up services across the NHS, social care and public health. Overview and scrutiny committees will consider the project board’s final recommendations before they are presented to the boards of NHS South Gloucestershire and NHS Bristol in December 2010 and January 2011 respectively.

Let me explain to my hon. Friends the principles of reconfiguration. I recognise that, in the past, local people have felt that changes to local services have been handled badly. However, given the changes that my right hon. Friend the Secretary of State for Health has made to the criteria for judging reconfigurations, that is a thing of the past, although it is of little consolation to my hon. Friends. If the final recommendations differ significantly from what was agreed as part of the Bristol health services plan, NHS South Gloucestershire will proceed with a formal public consultation that will follow the four crucial tests on service changes set out by my right hon. Friend the Secretary of State.

I understand that, to date, the process meets the new criteria for the involvement of the public and clinicians, because the overview and scrutiny committee has accepted that the correct procedures have been followed by the project board. Indeed, only last week, it commended the PCT on the process that it had undergone.

Although the new Southmead hospital is going ahead, I have been assured that any future consultation on community health services at Frenchay hospital will closely involve GPs, local authorities, local people and local MPs to ensure that any new developments meet the needs and requirements of the local population and satisfy the new criteria laid down by my right hon. Friend. I have also been assured that the project board has completed a needs assessment, taking into account travel requirements, transport routes and population growth.

I can inform my hon. Friend the Member for Kingswood that no decision has yet been made on the location of the brain injury rehabilitation unit that is currently at Frenchay. Recommendations on the service will be put forward for consideration by the end of the year. However, detailed negotiation will be required, as the unit is subject to a private lease.

I am sorry that I have to tell my hon. Friends the Members for Kingswood and for Filton and Bradley Stoke that the burns unit will move to the Southmead acute hospital, as set out in the outline and full business cases in February. In-patient paediatric burns and in-patient paediatric neurological services will be centralised, along with all children’s in-patient services, at the Bristol Royal Hospital for Children. In-patient neurological services for adults will be based at the new Southmead hospital.

On other local services, the NHS treatment centre in Emersons Green opened in late 2009. It provides procedures for ear, nose and throat services, general surgery, gynaecology, minor orthopaedics surgery, ophthalmology and urology. It increases the choice of provider for my hon. Friends’ constituents and reduces their need to travel to larger acute sites in Bristol. The PCT has assured me of its commitment to working with local GPs and patient groups to ensure that services are accessible to my hon. Friends’ constituents. Minor injury services are already provided by a GP-led health centre in Kingswood and at a minor injuries unit in nearby Yate. Another minor injuries unit is due to open at Cossham hospital in 2012.

I applaud the determination that my hon. Friends have shown in championing their local health services. Their constituents, like those of all hon. Members, deserve local health services that have the full support of local GP commissioners and of local people themselves. By empowering local clinicians to decide how best to achieve the right outcomes for local people, this Government will ensure that the residents of Kingswood are provided with the very best NHS services now and in the future.

It is a pity that that attitude—the regard for local people and the bottom-up approach, rather than a top-down one—was not adopted by the previous Government. If more attention had been paid to the interests and concerns of my hon. Friends’ constituents, we might not be in the position that we are in today. As both of them rightly said, this is not—I repeat, not—a decision that has been taken by the current Administration. The coalition Government were not party to the proposals, which are a leftover from the Labour Administration.

As my hon. Friend the Member for Kingswood said, despite all the work that was done by a range of people, including him, to try to save services at his local hospital at Frenchay, their views were disregarded by the previous Administration and in the procedures for considering such things. He finds himself in a straitjacket because of past decisions. However, the new criteria set by my right hon. Friend the Secretary of State will apply to future such decisions, and far greater attention will be paid to the wishes and needs of local people.

My hon. Friend has an important part to play in continuing to engage with the local NHS on the community health services planned for Frenchay hospital, and I am sure that he and my hon. Friend the Member for Filton and Bradley Stoke will do all they can to continue to fight for the interests of their constituents, to ensure that they get good, high-quality NHS provision in their local community.