Josh Fenton-Glynn

I am pleased to be called to speak in this important debate, Madam Deputy Speaker. When we talk about the NHS, we can argue either about specific investments or about general principles, and like many colleagues, I have received a great amount of correspondence highlighting no end of specific areas where investment is needed. I could also speak about the need to invest in urgent treatment centres in Todmorden, or to celebrate the work of Calderdale and Huddersfield NHS foundation trust—two things that I continue to raise with my right hon. Friend the Secretary of State for Health and Social Care. However, as I have the privilege, along with others, of sitting on the Health and Social Care Committee, I want to talk in more broad terms about some of the problems facing our health and social care system, and about how the proposed shifts in the NHS need a reprioritisation of resources. I will focus on what I argue is the most important of those shifts—the so-called left shift of care from hospitals to the community. The hon. Member for North Cotswolds (Sir Geoffrey Clifton-Brown) outlined the need for that well—even if to hear him speak one might think that it had come from on high, and not as the result of 15 years of the previous Government. One in 10 people are stuck on waiting lists in a healthcare system that is becoming increasingly hospital-centric, and those lists will only grow if we continue on the same course. There is no solution to our crisis in emergency medicine without the left shift of solving problems earlier and closer to home. Of course we need hospitals and to invest in them, but they should be where people go with acute and complex cases, not where they go for want of working services elsewhere. Despite the need to shift to community care being obvious to just about everyone, one of the most glaring revelations of the Darzi report was how poorly successive Governments have gone about achieving that. Meanwhile, we are not training or retaining enough GPs—that is where the renegotiation of the contracts is important. In Calder Valley, the retention crisis has meant that Bankfield and Church Lane surgeries, Northolme practice, and Rastrick health centre all have a ratio of patients to fully qualified GPs that is far higher than the local, regional and national averages—averages that simply do not meet what is needed from our health service. More than a decade after the Dilnot report, social care remains the forgotten service—the Cinderella service, as my hon. Friend the Member for Poole (Neil Duncan-Jordan) artfully called it. With 1.4 million social care staff, our care system is the same size as the NHS workforce, but it receives nothing like the support or understanding of other areas of our health system. The consequence is that our Committee, week after week, hears about delayed discharge, with 20% of beds in my local hospital taken up by people who should be treated at home or closer to home. Meanwhile, carers are missing their appointments because they are delivering care to loved ones, and they end up with worse illnesses, adding to the strain on the NHS. In less than a year, this Government have ended the industrial action in our NHS and delivered 2 million additional appointments, and they are now setting up a new deal with GPs. However, that cannot be the extent of our actions. The 10-year plan cannot continue down the same road that the last Government took us on, of trying to fix a crisis in the NHS by putting more money into hospitals and nothing else, because that tackles the symptoms but not the causes of the problem. Therefore, when setting out the estimates, I urge the Minister to be mindful of the shifts we need to ensure that funding not only increases, but increases with a focus on community and social care. That is what we need for a sustainable system that will protect the rest of our health service in future, because a sustainable system is the only way to deliver better healthcare and better social care for people across the country.