West Cumberland Hospital

Part of the debate – in the House of Commons at 6:23 pm on 20 October 2014.

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Photo of Jamie Reed Jamie Reed Shadow Minister (Health) 6:23, 20 October 2014

My hon. Friend makes an absolutely pivotal point. This is about not just the effectiveness and efficacy of the clinical solutions provided by the NHS; it is about the patient experience and the best outcomes for patients, and not just those 40 miles from Carlisle and further afield. The 40-mile point is Whitehaven, but it is actually much further south than that: it is Egremont, Cleator Moor, Seascale, Wasdale, Eskdale and so on. It is the people there who, perhaps more than others, are disadvantaged by these moves.

Childbirth is one of the biggest moments in any parent’s life, but the elation and happiness that surrounds a new family at this time can all too often turn to stress, worry and fear. Any complications can have a catastrophic effect—I have seen this recently with close friends. If there are complications during a labour, it is just not feasible for an expectant mother—particularly one in difficulty—to be transferred 40 miles from Whitehaven and further afield south, on a journey that, as my hon. Friend said, takes well over an hour at the best of times and considerably longer in heavy traffic. On occasion, the roads will become impassable in bad weather. In fact, only this year, after a visit to my constituency, a Minister wrote to one of his colleagues, a Minister in the Department for Transport, pointing out the inadequacy of the A595, bemoaning the state of the road infrastructure. If the roads are not good enough for visiting Ministers, they are certainly not good enough to be transporting patients at the time of their greatest need.

The truth is that a one-hour journey for a mother in labour means more than 90 minutes, bed to bed. That is indefensible. Also, studies have shown that an increase in straight-line ambulance journey distances is associated with an increased risk of death and that an increase of 10 km in straight-line distance is associated with an absolute increase of around 1% in mortality. Consider that for a moment. The centralisation of some services from the West Cumberland hospital in Whitehaven to Carlisle will increase the mortality risk for west Cumbrians much further afield than Whitehaven.

Between 2007 and 2008, the local primary care trust, as it then was, undertook a consultation on local services, to which it received 140,000 responses. As a result, the people of west Cumbria were told that they would receive a new hospital, built on the site of the West Cumberland hospital. The new hospital would retain services, including consultant-led maternity services, and also develop specialisms not catered for at Carlisle. The deal struck was also set to provide newly built cottage hospitals in Millom, Keswick and Maryport, to complement the existing new one built in my hon. Friend’s constituency in Workington.

When the Government took office in 2010, they scrapped the funding for the new hospital, as they did for all other existing new build hospital projects. It is only through perseverance, hard work and a lot of lobbying by me, my hon. Friend and others that the Prime Minister acquiesced and returned some of the money, for which we are very grateful indeed. However, the full funding was not returned and funds had to be found elsewhere. The Minister will know that to this day I am still consistently making the case—through the trust development authority, NHS England and other bodies—for extra funding. Now that the new hospital site is almost completed, it is only right that the other promises that were made are honoured.

Consultant-led maternity services cannot be removed from the West Cumberland hospital, and the Government must surely intervene to ensure that this does not happen. Before the election, the then Leader of the Opposition and now Prime Minister promised a “bare-knuckle fight” to stop maternity services moving, yet that fight has never appeared. Around the country, people wonder whether it will ever appear. However, can the Minister confirm that there is set to be a nationwide maternity services review? Will he explain when that will begin and end?

I believe that the local CCG in Cumbria wants to commission the consultant-led maternity services at the West Cumberland hospital, but that the North Cumbria trust does not wish to do so. I have submitted a series of freedom of information requests to the trust, seeking its internal proposals for removing consultant-led services; to date, I have received no response. Can the Minister help in that regard? Can he impress on the trust the urgency of the matter and the need for full candour? I hope he will be able to do so in writing.

Report after report by Sir Bruce Keogh and by the Care Quality Commission has shown that there are real issues, as my hon. Friend said, that need to be addressed not only in North Cumbria, but right across the Cumbrian health economy. Staff shortages are having a major impact on the services—not just the type but the quality—that can be delivered. Will the Minister commit himself today to investigate the recruitment practices of the North Cumbria trust? Will he commit himself to assist with recruitment, with financial incentives for potential new staff? This is critical. I am inundated with complaints from staff about the poor quality of recruitment advertising, cancelled interviews for applicants and much more. As a result, we have one of the highest locum spends in the whole country. The Minister will be only too aware of the effect on the trust’s ability to provide, in some cases, even the most basic front-line services.

In the people of west Cumbria, this Government—any Government—the trust and the regulators will find a willing partner for constructive discussions about what services should and could look like. They have been through these issues year after year; they are well versed in them and up to speed with the realities of modern clinical practice—and commissioning decision making, too.

More than that, however, with the brand new hospital being built, we should be able to develop a new model of health care for health economies such as Cumbria’s that is exciting, attractive and sustainable. We should be able to attract top-class medical professionals to our hospitals, and we should be able to support them. As Bruce Keogh points out, there is excellence at the North Cumbria trust. These issues are genuinely—we can say this without exaggeration—matters of life and death.

I have asked the Minister a series of questions. There will doubtless be many more, and if he cannot answer them today—I again express my gratitude for being allowed to speak in this debate—I hope he will answer them in writing. In addition, I hope he will agree to meet a delegation of hospital campaigners—from my constituency and that of my hon. Friend—in the Department of Health as soon as possible. Most of all, I hope he will listen to the clear voice of the people of west Cumbria. We need the West Cumberland hospital and the services it provides, and we will fight to the finish to secure the hospital services we deserve and the hospital we were promised. Future generations of west Cumbrians deserve nothing less.