Andrew George

It is a pleasure to follow the hon. Member for Altrincham and Sale West (Mr Rand). Of course, in this debate we have to reflect on the fact that the Government inherited the NHS in the very worst state in its 77-year history, which the hon. Member for Chelsea and Fulham (Ben Coleman) reminded us of. The Government must pick up the NHS and try to restore it to the state that we would all like to see. I approve of the three shifts the Government are proposing—no one could argue against prevention rather than ill health. Obviously we want to see advances in prevention, technology and delivery of services into the community, with better integration and improvements in the workforce plan. With that, however, I would like to see the Government advance the case for safe staffing. When I was last in this place, I was part of a campaign on that, which sought to achieve, for example, a ratio of never more than seven on acute wards—seven acutely ill patients to every registered nurse on acute wards. We should be aiming to try to support staff on the frontline, rather than leaving them under the pressures they currently face where they are seriously understaffed. There are incredible pressures within the service itself. I know that, at the weekend, the A&E department of the Royal Cornwall hospital had more than 100 patients waiting to be treated, with ambulances often waiting outside. Our ambulance service is currently proposing to cut co-responders from some of our rural areas—where fire service staff support the ambulance service—which is a matter of great concern. The Royal Cornwall Hospitals Trust is also facing a £50 million cost improvement programme this year, and many other trusts on the frontline are also facing similar pressures. The Government must look at the capacity of the nursing home sector, as there are often many unused beds. We talk about the difficulty of discharging patients from a hospital, but there is also the risk of the independent sector cherry-picking the profitable bits of the NHS. We need, above all, to back up our NHS. As the hon. Member for Birmingham Erdington (Paulette Hamilton), the temporary Chair of the Health and Social Care Committee, pointed out, social care is vital. If one in four social care workers are leaving the sector every year, we know that we have a serious crisis. The Casey review cannot come soon enough.