Mr. Peter Bone (Wellingborough) (Con): It is
a great pleasure to follow the hon. Member for South Swindon (Anne
Snelgrove), who made her points very powerfully. I will help her,
I hope, with the points that I want to make.
I should like to concentrate on the final part of the motion
on access to NHS services, which urges the House to call
“on the Government to ensure the fair allocation
of resources, relative to burden”.
First, however, I pay tribute to the consultants, doctors, nurses
and other professionals who work in our health service. They are
a tremendous asset to the country, and their dedication, professionalism
and care know no bounds. Many nurses and doctors work longer than
required to put patient care first, but they are often unrewarded
financially for doing so. They are an asset to the country, and
were it not for them, the NHS would be in crisis.
Unfortunately, in past years and months, and even in the past
few weeks, I have had to attend a number of NHS hospitals across
the country. The one thing that all the staff wanted me to say
in the House of Commons when they found out that I was a Member
of Parliament was that morale is at rock bottom. I did not know
before today’s debate that my hon. Friend the Member for
South Cambridgeshire (Mr. Lansley) had the figures from a survey
to prove that, but that was just what they told me. Wherever I
was, they said that morale was at rock bottom. When I asked why,
they said that the main reason was that the Government set them
priorities and targets. They head in that direction for six months,
but then the Government change the priorities and targets, and
they head off in the opposite direction. They thought that clinical
judgment was not appreciated, and was not being used.
A very senior consultant—one of the top cancer care specialists
in the country—said that the book and choose system has
had an adverse effect. He said that part of every surgery must
be reserved for people using that system. He said that as a result
he sees people who could be seen by a junior doctor rather than
people who are seriously ill whom he should see. That is because
of direct Government intervention on his clinical judgment.
The hon. Member for South Swindon made a powerful speech about
how well things are going in her area and how much extra investment
there is. That highlights an aspect of my argument: the situation
is not the same across the country. The national capitation formula
is supposed to produce fair play across the whole of the NHS,
but north Northamptonshire does not get a fair deal. By the Government’s
own figures, over the past five years north Northamptonshire has
been underfunded by £111 million. If we in north Northamptonshire
had £111 million extra, we would not be denying patients
access to certain treatments. I want to highlight such patients
to give a few examples of what underfunding actually means. I
am not trying to claim that the Government do not want to invest;
I do not believe that the Government want what is happening to
happen, but because of how they have run the NHS—top-down,
in a Stalinist manner—it is happening.
A 92-year-old constituent of mine has gone deaf. He currently
manages to live on his own, but he cannot make do without a hearing
aid. The waiting time to receive a hearing aid for that 92-year-old
is 15 months, and yet they can, of course, be bought off the shelf.
He has been let down; access to that has been denied him. There
is also the case of a lady who needed a hysterectomy. My primary
care trust has introduced a minimum five-and-a-half-month wait.
When she eventually got into hospital, she was gowned up and had
done all the tests when she was told at 5 o’clock in the
evening, “Sorry, we can’t do it because the doctor’s
run out of hours,” so she had to go back into the queue
again.
There is also the issue of cancelled operations. I sat in a mixed
ward and witnessed a consultant telling a patient on the other
side of the room, “I’m sorry that we had to cancel
your operation that was scheduled for six months ago. Unfortunately,
your cancer has now got worse and the operation will be much more
complicated.” That patient did not survive; he died on the
operating table.
Let me give another example of a lady in my constituency who
is almost 80 years of age. She went to hospital; it was not the
local hospital as there is no hospital in my constituency, so
she had to go to one in a neighbouring constituency. She was told
that she was going blind and had macular degeneration and that
the only way to fix it was to have injections of a drug called
Avastin.
The consultant told her that it was not available on the NHS
but that if she went to the place down the road, she could have
it done for £3,300. It is incredible that although we are
supposed to have a national health service with access for everyone—and
with great facilities in South Swindon—I have a constituent
who will go blind unless her family finds £3,300. That cannot
be the basis on which to run the NHS. It cannot be right that
patients in my constituency can go blind because people in Whitehall
will not fund the treatment they need.
-ends-
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