Contribution
I thank my hon. Friend and fellow Staffordshire MP for his intervention. He has highlighted a critical point: every part of our NHS can have a knock-on effect on the others, so the system needs to work as a whole. We cannot just focus on individual services; we have to see how it works in the round. That is what the review is trying to do, but of course, many of us feel it is not hitting on what it needs to.
I do not raise these figures to criticise staff, who are working under immense strain, or the Government, who are making strong progress on addressing the pressures I have described. I raise them to underline a simple point: as we have heard, when local urgent care is unavailable, demand does not disappear, it is concentrated elsewhere. Making sure patients get the right care in the right place is critical—too many people end up in A&E not because they need to be there, but because there is nowhere else for them to go. Perhaps in the past, our MIU was not always used for its intended purpose, but even that was often a symptom of failings in community care.
Urgent treatment centres will be a vital part of the fabric of our NHS, sitting between primary care and emergency departments. Not having that service for a population of over 100,000 people is a real challenge, and it weakens the wider system. In the 17 months since the review of urgent care was unveiled, I have had many conversations with our ICB about urgent care more broadly, as have GPs, councillors and campaigners. I know that they are putting in place services that make good on the Government’s commitment to shift care from hospitals out into the community. I welcome the introduction of a wound care local enhanced service, which recognises that wound care was previously a key reason for patients to access the MIU, even though their homes are a better place for that care to take place. This shows that sustained conversations about our local health needs and inequalities are starting to translate into results.
I hope that building on this, Cannock Chase can be a forerunner in the roll-out of multidisciplinary neighbourhood teams. The health inequalities we sadly have locally, coupled with the distance to many secondary care services that I have referred to, means that we would benefit hugely from that model of supercharged community care. Better than having to catch a bus to Lichfield or Stafford would be heading to Cannock Chase hospital, but better still would be getting that care at home. That is what I am calling for, and will continue to fight for, on behalf of my constituents.
There are areas where Staffordshire is performing strongly. Urgent community response services are exceeding national targets, winter planning has helped to stabilise hospital stays during periods of peak demand, and vaccination programmes are having an impact on admissions. This is not an argument against reform; it is an argument for consistency and fairness. If urgent care reform is about reducing avoidable A&E attendance, improving patient flow and ensuring equitable access across the system, then Cannock Chase cannot continue to remain an outlier.
Crucially, this is not just about rhetoric. The Government are making huge strides in the NHS nationally, backed by reform, investment and a determination to ensure that people get the right care in the right place at the right time. That is why I welcome the investment already being made in the Chadsmoor medical practice, the Rawnsley surgery and the Red Lion surgery in my constituency. That will make a huge difference to people’s everyday experience of the NHS that they can see and feel. Strengthening primary care does not remove the need for local urgent care—one cannot simply replace the other.
My ask today is simple and constructive. I am not asking the Minister to pre-empt the outcome of the ICB’s review—I know that she cannot do that—and I am certainly not arguing against the reform of urgent care that prompted this review. I am calling for clarity, fairness and alignment between national ambition and local delivery. If we believe in shifting care out of hospitals and into communities, if we believe in reducing avoidable A&E attendance and if we believe in equitable access to urgent care, then Cannock Chase must have that as part of its future.
I hope that 2026 can be the year that sees an expansion of urgent care back into my part of the world, and I urge the Royal Wolverhampton NHS trust to make better use of Cannock Chase hospital, which many residents feel remains underutilised compared with how things were under the former Mid Staffordshire NHS trust. I would welcome the Minister’s assurance that local voices will continue to be properly heard, that decisions will be communicated clearly and promptly, and that the Government will work with the Staffordshire and Stoke-on-Trent ICB to ensure that communities such as mine are not left without urgent care provision.
Urgent care, at its simplest, is about whether someone with a broken wrist, a deep cut or a worsening infection knows where to go and can actually get there. I look forward to continuing to work constructively with the ICB, the Minister and colleagues across the House to ensure that urgent care in Staffordshire truly works for the communities that we all serve.