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My lords, I will repeat the
statement that is a response to an | 0:00:41 | 0:00:44 | |
urgent question given by my friend
the Minister of State for health and | 0:00:44 | 0:00:48 | |
the Other Place. The statement is as
follows, winter is challenging for | 0:00:48 | 0:00:51 | |
health services worldwide. With a
high number of flu cases this year | 0:00:51 | 0:00:55 | |
we have seen an increase in
anti-attendances from flu, triple | 0:00:55 | 0:01:01 | |
from last year with a high number of
hospital beds occupied as a result | 0:01:01 | 0:01:07 | |
and a further 700 with the
norovirus. The NHS saw many more | 0:01:07 | 0:01:12 | |
patients in AMD compared to this
time last year. The guidance issued | 0:01:12 | 0:01:15 | |
by the preparedness panel to free up
capacity for emergencies given the | 0:01:15 | 0:01:21 | |
high number of new cases including
two dominant strains of flu could | 0:01:21 | 0:01:25 | |
circulate in this year. It is
important to remind the House and | 0:01:25 | 0:01:29 | |
the deferment of operations referred
to in that guidance applied to | 0:01:29 | 0:01:31 | |
around 13% of hospital beds dealing
with alleged patients around half of | 0:01:31 | 0:01:37 | |
which were protected with respect to
cancer and other urgent treatments. | 0:01:37 | 0:01:42 | |
The guidance was up aided on the
26th of January to confirm that the | 0:01:42 | 0:01:47 | |
deferment of hospital operations is
no longer needed and in terms of the | 0:01:47 | 0:01:50 | |
impact of this guidance has had on
operations, we will not notice on | 0:01:50 | 0:01:54 | |
either side of house until mid-March
when that data will be published in | 0:01:54 | 0:01:58 | |
paste -- and placed in the library
for the benefit of both sides of the | 0:01:58 | 0:02:01 | |
House. I thank the Minister for that
statement and can I also, before I | 0:02:01 | 0:02:09 | |
ask my questions, thank the
Secretary of State and the Prime | 0:02:09 | 0:02:14 | |
Minister for their response to the
United States president, for his | 0:02:14 | 0:02:18 | |
bizarre attack on our NHS. My lords,
over 95% of hospital beds were full | 0:02:18 | 0:02:24 | |
last week, leaving just one bed in
20 available. We saw the highest | 0:02:24 | 0:02:29 | |
number of AMD favourites -- accident
and emergency favourites. A pager | 0:02:29 | 0:02:39 | |
beeped to our NHS staff who have
gone the extra mile in challenging | 0:02:39 | 0:02:43 | |
circumstances. We know that many
elective operations were planned to | 0:02:43 | 0:02:48 | |
be cancelled but it would seem that
some urgent operations have also | 0:02:48 | 0:02:51 | |
been cancelled as well so would the
Minister explained to the has what | 0:02:51 | 0:02:56 | |
is operations having cancel despite
NHS England's advice to the country? | 0:02:56 | 0:03:03 | |
The accident and emergency targets
which are enshrined in the | 0:03:03 | 0:03:09 | |
legislation and the Constitution
which are... Will the Government be | 0:03:09 | 0:03:14 | |
bringing forward legislation to
amend the Constitution? Will be | 0:03:14 | 0:03:18 | |
accept that don't be winter plans
have been outlined, that these are | 0:03:18 | 0:03:23 | |
now being compromised in the light
of at least 23 trusts, who are now | 0:03:23 | 0:03:30 | |
on black alert which means that they
are under severe pressure. My lords, | 0:03:30 | 0:03:36 | |
I think the noble lady for her
question. I agree with her that we | 0:03:36 | 0:03:40 | |
are all proud of our NHS on all
sides of this has and I am sure we | 0:03:40 | 0:03:44 | |
had great pleasure in stating that
in which ever means we were required | 0:03:44 | 0:03:47 | |
to. I would also like to join her in
paying tribute to the staff who do | 0:03:47 | 0:03:53 | |
such great work in challenging
circumstances. On the two questions, | 0:03:53 | 0:03:56 | |
first about urgent operations. It
was clear in the guidance that they | 0:03:56 | 0:03:59 | |
should not be cancelled when it
affected patient outcomes. If that | 0:03:59 | 0:04:03 | |
has happened then NHS England is
investigating and reinstating this | 0:04:03 | 0:04:08 | |
operations and the guidance is quite
clear and NHS England has followed | 0:04:08 | 0:04:12 | |
that. In terms of A&E targets being
achieved, we noted the targets have | 0:04:12 | 0:04:18 | |
not been achieved recently and it is
important and instructive I think to | 0:04:18 | 0:04:21 | |
look at the extraordinary increase
not just a mentor but overall in the | 0:04:21 | 0:04:26 | |
number of episodes that are
happening, they are really going up | 0:04:26 | 0:04:28 | |
at a very high level, demand is
higher than I think could have been | 0:04:28 | 0:04:32 | |
anticipated and it is a credit to
the NHS that is per free sing -- | 0:04:32 | 0:04:37 | |
producing the performance that it
has. My lords, this morning I | 0:04:37 | 0:04:49 | |
visited a suburban lot -- suburban
Hospital in London with an almost | 0:04:49 | 0:04:56 | |
brand-new A&E unit but despite all
of that they were still facing 97% | 0:04:56 | 0:05:02 | |
bed occupancy on Sundays which is
really stretching | 0:05:02 | 0:05:15 | |
the patients to actually make this
work. Money was clearly an issue. | 0:05:16 | 0:05:20 | |
They were really quite anxious about
the end of year and what their | 0:05:20 | 0:05:23 | |
accounts might look like. Today, the
Liberal Democrats launched a report | 0:05:23 | 0:05:32 | |
looking again at a different way of
funding the NHS, the creation of an | 0:05:32 | 0:05:39 | |
Office for Budget Responsibility for
health and care, long-term health | 0:05:39 | 0:05:43 | |
and care funding, a ring fenced tax
placing national insurance, but also | 0:05:43 | 0:05:47 | |
in the short-term, and there is a
clear need for some sort of | 0:05:47 | 0:05:51 | |
short-term fix, £2 billion to paid
for from income tax by adding a | 0:05:51 | 0:05:57 | |
penny to our income tax and I wonder
whether the Minister has actually | 0:05:57 | 0:06:02 | |
look at this report and whether he
would actually agree to discuss it. | 0:06:02 | 0:06:10 | |
I think the noble lady for questions
and I'm glad she had a possible -- | 0:06:10 | 0:06:14 | |
positive experience at the hospital
this morning. Bed occupancy is this | 0:06:14 | 0:06:19 | |
moment in time but a good job was
done to get it now below 80% -- 85% | 0:06:19 | 0:06:26 | |
in the run-up to Christmas. Part of
dealing with that is actually the | 0:06:26 | 0:06:30 | |
social care Saitama as we know. The
extra funding is having some impact | 0:06:30 | 0:06:37 | |
on these delayed transfers of care
and bring up the number of beds. She | 0:06:37 | 0:06:40 | |
is right of course that money is
important, to Tovey as we have the | 0:06:40 | 0:06:43 | |
demands of the growing and ageing
population. We did have more money | 0:06:43 | 0:06:48 | |
in November in the budget for the
short term. In the long-term, there | 0:06:48 | 0:06:52 | |
is in and formed an lively
discussion going on across Knost | 0:06:52 | 0:06:54 | |
just a liberal -- the Liberal
Democrats... I would be delighted to | 0:06:54 | 0:07:05 | |
meet with her to discuss her plans
and what I can say is that there | 0:07:05 | 0:07:10 | |
needs to be a sustainable long-term
increase in NHS funding and we need | 0:07:10 | 0:07:14 | |
to find the right way to do that.
Does the Government recognise the | 0:07:14 | 0:07:20 | |
concerns of the Royal College of the
emergency medicine at the revised | 0:07:20 | 0:07:23 | |
map collecting data by NHS England
does not allow meaningful | 0:07:23 | 0:07:34 | |
comparisons? Their concern is that
this may be giving an overoptimistic | 0:07:34 | 0:07:40 | |
impression of throughput and does
not reflect the huge pressures on | 0:07:40 | 0:07:43 | |
level one units and I wonder whether
the Minister would undertake to meet | 0:07:43 | 0:07:47 | |
with the resident of the Royal
College of emergency medicine with | 0:07:47 | 0:07:50 | |
me to discuss some of their
concerns. It is an afternoon of | 0:07:50 | 0:07:56 | |
agreeing to meetings. I would be
delighted to although I am not | 0:07:56 | 0:08:00 | |
knowledgeable enough about the
particular issues you mentioned. Of | 0:08:00 | 0:08:05 | |
course, they all have the obligation
to reach the four hour waiting time | 0:08:05 | 0:08:11 | |
standard everyone to make sure that
whatever the situation, whatever the | 0:08:11 | 0:08:14 | |
venue, that we can do that. Could
the noble lord the Minister | 0:08:14 | 0:08:22 | |
explained how five years after
France's inquiry, the lack of | 0:08:22 | 0:08:29 | |
investment in health care in
England, as outlined in the report | 0:08:29 | 0:08:34 | |
published today, left to chance,
shows that even if we had more beds, | 0:08:34 | 0:08:38 | |
we would not be able to staff them?
In comparison, Wales has invested | 0:08:38 | 0:08:44 | |
heavily in new nurses, and continued
professional development, and is | 0:08:44 | 0:08:52 | |
doubling the amount of district
nurses it intends to train this | 0:08:52 | 0:08:54 | |
year. While in England, we currently
have 4400 qualified district nurses | 0:08:54 | 0:09:02 | |
went in 2010, we had 7500. How can
we resolve this quickly and ensure | 0:09:02 | 0:09:09 | |
that we have more district nurses in
training by this up Amber? -- by | 0:09:09 | 0:09:14 | |
this September. This is an important
point about nursing numbers and the | 0:09:14 | 0:09:22 | |
particular accusation was about the
follow-up to the Francis Report. Of | 0:09:22 | 0:09:26 | |
course, a lot of that was about
staff on awards and their the | 0:09:26 | 0:09:30 | |
picture shows and delays figures
from October, when compared to May | 0:09:30 | 0:09:37 | |
of 2010 -- October 20 17th -- 2017.
Some other areas of nursing have | 0:09:37 | 0:09:46 | |
been affected, we talked about
mental health and district nursing. | 0:09:46 | 0:09:49 | |
What I would say is that the
increase in nurses training places I | 0:09:49 | 0:09:53 | |
do mean that there are more nurses
going into mental health and | 0:09:53 | 0:09:59 | |
community nursing as well. The
increase in population over the last | 0:09:59 | 0:10:06 | |
30 years, the number of beds in the
National Health Service is half what | 0:10:06 | 0:10:09 | |
it was 30 years ago. In Germany,
they have eight beds per thousand. | 0:10:09 | 0:10:20 | |
In France, it is six, and in the UK,
it is two and a half. Is it not time | 0:10:20 | 0:10:27 | |
we revisited the whole question of
the number of beds available at our | 0:10:27 | 0:10:30 | |
national concerns? The noble lord
raises an interesting issue and is | 0:10:30 | 0:10:35 | |
he quite rightly pointed out that
number has been dropping over a long | 0:10:35 | 0:10:38 | |
time and indeed it has actually
plateaued in recent years but it has | 0:10:38 | 0:10:41 | |
been following. It is a difficult
situation. We all agree that more | 0:10:41 | 0:10:46 | |
care should be delivered in the
community but we also understand at | 0:10:46 | 0:10:49 | |
certain times of year you do need
beds in hospitals. I think I would | 0:10:49 | 0:10:55 | |
point to two things. Firstly,
freeing up, making sure that that | 0:10:55 | 0:10:59 | |
capacity is more efficient so that
people can stay safely for less time | 0:10:59 | 0:11:03 | |
and can spend more time being
treated in their homes, often where | 0:11:03 | 0:11:05 | |
they want to be and that is why
funding for social care is | 0:11:05 | 0:11:09 | |
important. The other thing I would
point out is that there was a | 0:11:09 | 0:11:12 | |
reconfiguration test that has been
introduced by NHS England which is | 0:11:12 | 0:11:15 | |
about stopping reductions in bed
numbers, which the noble lord has | 0:11:15 | 0:11:20 | |
said has happened over successive
governments, where it cannot be | 0:11:20 | 0:11:22 | |
proven that any reduction is for the
benefit of patients overall in terms | 0:11:22 | 0:11:25 | |
of their overall care. My lords, I
declare an interest as president of | 0:11:25 | 0:11:32 | |
this Association. Is the Minister
aware that ID national spinal | 0:11:32 | 0:11:40 | |
centre, one ward was absolutely
necessary, has been taken away from | 0:11:40 | 0:11:44 | |
the spinal unit and used for general
patients? And all over the country, | 0:11:44 | 0:11:51 | |
in the spinal units, there are
waiting lists, and these are very | 0:11:51 | 0:11:54 | |
seriously ill patients who need
specialised treatment. Would the | 0:11:54 | 0:11:59 | |
Minister look into the situation? I
was not aware of that but I shall | 0:11:59 | 0:12:06 | |
certainly investigate. | 0:12:06 | 0:12:16 |