Step-down Intermediate Care: Community Hospitals
Tuesday, 20 October 2026
Contributions
Dr Sam Rushworth (Bishop Auckland) (Lab)Labour
7. What steps her Department is taking to increase the use of community hospitals and beds for step-down intermediate care.
The Minister for Secondary Care (Karin Smyth)Labour
My hon. Friend makes an excellent point about the importance of intermediate care, which is a key component of supporting patients into discharge to recover outside of hospitals. Community beds play an important role, but we are clear that home-based intermediate care also needs support, particularly for frail people, through neighbourhood health. That should be the default pathway, and we will continue to work with the system to make that happen.
Ward 7 at Bishop Auckland hospital is an example of the NHS working—physios, nurses, healthcare workers and some excellent facilities—so we were shocked to hear that our local NHS trust plans to close the ward, move it to Darlington and break up that team. Will the Minister meet me so I can represent my constituents and the workers at that hospital, and raise those concerns with her face to face?
I am, of course, happy to meet my hon. Friend to discuss that issue further. I am clear that all changes to services should be based on clear evidence that they deliver better outcomes for his constituents and people across the country. He is absolutely right that we want to extend care closer to home. As I said, the default is to get more care into people’s homes, and I am happy to discuss that further with him.
Alex Brewer (North East Hampshire) (LD)Liberal Democrat
Our community hospital in Fleet is doing a brilliant job, but it could be a much more established resource for local people, especially given the delays in rebuilding our local hospitals. Will the Minister meet me to discuss how we can make the best use of community hospitals in North East Hampshire while we wait another two decades for the rebuild of Basingstoke hospital?
The hon. Lady is right that we absolutely want to get more care closer to people’s homes and into people’s homes. We want to support frail people in their homes before they even get into hospital. I am working with the integrated care board to make sure that all that happens. I am happy to discuss that further with her.
Mr SpeakerSpeaker
I call the shadow Minister.
Gregory Stafford (Farnham and Bordon) (Con)Conservative
Step-down beds in community hospitals, such as the Chase community hospital and Haslemere hospital in my constituency, are vital. Unfortunately, neither of those two hospitals is being used for that purpose at the moment. At the same time, delayed discharges have hit an all-time high under this Government. More than 14,000 patients a day are stuck in hospital for two weeks or more after being declared fit to leave—that is up 12% since July last year. Behind every one of those numbers is someone who wants to be at home and an acute bed that another patient desperately needs. Why are the Government failing so abysmally at getting people out of hospital and into care at home?
As the hon. Gentleman knows, the situation deteriorated massively under the 14 years of Conservative government. He is well aware of the fragmentation of all our services. He knows how the system was fragmented and what happened under those reforms. He knows that is why we are trying to change it. He is absolutely right, though, that people being in beds in hospitals or in parts of the system where they should not be is not good for their health or their outcomes. That is why it is part of our three shifts, and that is fundamentally why the Prime Minister is very clear that we will raise social care up the agenda and ensure that people are treated more in their homes and in community services where they live. I welcome his support for our shift to neighbourhood care and to better care closer to home.
Source: UK Parliament Hansard API. Debate ID: 5420662.