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I am grateful to have secured my first Adjournment debate as an MP on an issue that has resonated so deeply with many residents across the Isle of Wight, whether they are directly touched by dementia or not. I put on record my thanks to those across the island who...
I am grateful to have secured my first Adjournment debate as an MP on an issue that has resonated so deeply with many residents across the Isle of Wight, whether they are directly touched by dementia or not. I put on record my thanks to those across the island who...
I thank my hon. Friend and neighbour for securing this debate, and I strongly support him on this issue. People living with dementia and their families deserve care close to home, and should not have to cross oceans or seas and get trains to get the support that they need....
I thank my hon. Friend and neighbour for securing this debate, and I strongly support him on this issue. People living with dementia and their families deserve care close to home, and should not have to cross oceans or seas and get trains to get the support that they need....
I thank my hon. Friend for that timely intervention. Before I get into the deeply troubling accounts that have been brought to me, I pay tribute to Maggie Bennett and her team who run the Parklands Alzheimer’s café. While the café cannot offer overnight accommodation, it offers vital respite for...
I thank my hon. Friend for that timely intervention. Before I get into the deeply troubling accounts that have been brought to me, I pay tribute to Maggie Bennett and her team who run the Parklands Alzheimer’s café. While the café cannot offer overnight accommodation, it offers vital respite for...
The hon. Gentleman is giving a typically excellent and passionate speech. No person living with dementia should be removed from their family or support network. Does he agree that as the NHS is restructured, there needs to be a proper focus on outcomes for dementia sufferers right across the country?
The hon. Gentleman is giving a typically excellent and passionate speech. No person living with dementia should be removed from their family or support network. Does he agree that as the NHS is restructured, there needs to be a proper focus on outcomes for dementia sufferers right across the country?
I could not agree more; a national dementia strategy is of the utmost importance. As I will go on to say, we currently have a situation where people are being moved away from home or where the care they need just is not available.
Nationally, 87% of care services are now...
I could not agree more; a national dementia strategy is of the utmost importance. As I will go on to say, we currently have a situation where people are being moved away from home or where the care they need just is not available.
Nationally, 87% of care services are now...
I am grateful to my hon. Friend the Member for Isle of Wight West (Richard Quigley) for raising this very important issue, and I recognise the deeply concerning experiences that he has highlighted of families on the Isle of Wight, including the story of Maggie Bennett and the café that...
I am grateful to my hon. Friend the Member for Isle of Wight West (Richard Quigley) for raising this very important issue, and I recognise the deeply concerning experiences that he has highlighted of families on the Isle of Wight, including the story of Maggie Bennett and the café that...
To ask the Secretary of State for Health and Social Care, what estimate he has made of the number of patients discharged from hospital to nursing or residential care placements outside their home local authority area due to local shortages of provision.
To ask the Secretary of State for Health and Social Care, what estimate he has made of the number of patients discharged from hospital to nursing or residential care placements outside their home local authority area due to local shortages of provision.
The Department does not hold an estimate of the number of patients discharged from hospital to nursing or residential care placements outside their home local authority area due to local shortages of provision. Local authorities have statutory responsibility for assessing and meeting eligible care needs and for arranging appropriate placements.
Enabling people to be discharged from hospital more quickly and with the right support contributes to speedier recovery and better outcomes. In some instances, this may mean discharging a patient outside of their local area so that they can receive the most appropriate care after discharge.
The Hospital Discharge and Community Support Guidance sets out that integrated care boards and local authorities should agree local arrangements to ensure that any decisions about the joint funding of care can be made swiftly. The guidance is available at the following link:
These arrangements should follow the Who Pays? guidance for services funded by the NHS, and reference ‘ordinary residence’ rules for services funded by local authorities, so that there is no adverse effect on timely discharge. The Who Pays? guidance is available at the following link:
https://www.england.nhs.uk/long-read/who-pays/
The Government provides £9 billion through the Better Care Fund (BCF) to be used jointly by the NHS and local authorities towards achieving agreed goals for reducing discharge delays. This February, the Government published guidance setting out new arrangements for the BCF. As well as supporting timely discharge from hospital, the BCF will also focus on services that help people regain independence and prevent avoidable admissions.
To ask the Secretary of State for Health and Social Care, what assessment he has made of the potential implications for his policies of regional variations in access to (a) nursing and (b) residential home spaces for patients waiting to be discharged.
To ask the Secretary of State for Health and Social Care, what assessment he has made of the potential implications for his policies of regional variations in access to (a) nursing and (b) residential home spaces for patients waiting to be discharged.
Local authorities are best placed to understand and plan for the needs of their population. That is why, under the Care Act 2014, local authorities are tasked with the duty to shape their care market and to commission a range of high-quality, sustainable, and person-centred care and support services to meet the diverse needs of all local people.
In performing that duty, a local authority must have regard to current and likely future demand for such services and consider how providers might meet that demand. This includes ensuring sufficient rehabilitation and recovery capacity to support timely and safe discharge for people with more complex needs, including those who may require a new nursing or residential home placement where appropriate.
The Government is making over £4.6 billion of additional funding available for adult social care in 2028/29 compared to 2025/26, to support the sector in making improvements. Additionally, through the Better Care Fund, over £9 billion is provided for 2025/26 for the National Health Service and local authorities to work jointly towards agreed goals on reducing discharge delays.
To ask the Secretary of State for Health and Social Care, what discussions he has had with NHS England on reducing long-stay hospital delays caused by social care capacity.
To ask the Secretary of State for Health and Social Care, what discussions he has had with NHS England on reducing long-stay hospital delays caused by social care capacity.
The Department works closely with NHS England on reducing long-stay hospital delays including those caused by social care capacity. Though the Better Care Fund (BCF) the Government provides over £9 billion to be used jointly by the National Health Service and local authorities towards achieving agreed goals for reducing discharge delays.
Local systems have been asked to place a particular focus on reducing bed occupancy and improving patient flow. We have asked National Health Service trusts to work with local authorities on eliminating the longest days, including those caused by waiting for care packages. Areas facing the most significant pressures are receiving targeted support to improve discharge performance.
Updated BCF guidance published in February sets out arrangements to further support timely discharge from hospital including focussing on services that help people regain independence. The updated BCF guidance is available at the following link:
My Lords, we have introduced new data collection on corridor care, which will be published shortly for the first time. We are taking sustained action to reduce the use of corridor care, ensuring that there are safeguards for patients in the interim to still receive high-quality and safe care with dignity and privacy. We are investing £450 million to expand same-day and urgent care services, and to improve hospital flow, as well as introducing new clinical operational standards.
My Lords, we have introduced new data collection on corridor care, which will be published shortly for the first time. We are taking sustained action to reduce the use of corridor care, ensuring that there are safeguards for patients in the interim to still receive high-quality and safe care with dignity and privacy. We are investing £450 million to expand same-day and urgent care services, and to improve hospital flow, as well as introducing new clinical operational standards.
To ask His Majesty’s Government what assessment they have made of the provision of corridor care in the NHS; and what plans they have to mitigate any issues arising.
I thank the Minister for her reply, but I want to understand when a credible long-term delivery plan will be published—rather than “in the near future”—to restore year-round resilience, making whole-system patient flow a core performance priority. Unnecessary stays in hospital are linked to worse patient outcomes, and it should be possible to reduce the nearly 13,000 beds occupied on average each day in 2025 by people medically fit for discharge, in turn reducing the need for corridor care.
I thank the Minister for her reply, but I want to understand when a credible long-term delivery plan will be published—rather than “in the near future”—to restore year-round resilience, making whole-system patient flow a core performance priority. Unnecessary stays in hospital are linked to worse patient outcomes, and it should be possible to reduce the nearly 13,000 beds occupied on average each day in 2025 by people medically fit for discharge, in turn reducing the need for corridor care.
Let me say at the outset that corridor care should not be normalised; it is not what we want to see as routine. The reality is that we cannot eliminate it entirely—I think that is understood—but the current situation is not as we would want it to be. In addition to the Urgent and Emergency Care Plan 2025/26, which sets out clear actions to deliver improvements, the most challenged trusts are receiving targeted support. Looking to the future, as the noble
Baroness asked about, the medium-term planning framework clearly sets out a trajectory to improve the situation. The introduction of clinical guidelines for the first 72 hours will also increase the proportion of people discharged within 72 hours. I very much recognise the situation the noble Baroness describes.
Let me say at the outset that corridor care should not be normalised; it is not what we want to see as routine. The reality is that we cannot eliminate it entirely—I think that is understood—but the current situation is not as we would want it to be. In addition to the Urgent and Emergency Care Plan 2025/26, which sets out clear actions to deliver improvements, the most challenged trusts are receiving targeted support. Looking to the future, as the noble
Baroness asked about, the medium-term planning framework clearly sets out a trajectory to improve the situation. The introduction of clinical guidelines for the first 72 hours will also increase the proportion of people discharged within 72 hours. I very much recognise the situation the noble Baroness describes.
Let me say at the outset that corridor care should not be normalised; it is not what we want to see as routine. The reality is that we cannot eliminate it entirely—I think that is understood—but the current situation is not as we would want it to be. In addition to the Urgent and Emergency Care Plan 2025/26, which sets out clear actions to deliver improvements, the most challenged trusts are receiving targeted support. Looking to the future, as the noble
Baroness asked about, the medium-term planning framework clearly sets out a trajectory to improve the situation. The introduction of clinical guidelines for the first 72 hours will also increase the proportion of people discharged within 72 hours. I very much recognise the situation the noble Baroness describes.
I thank the Minister for her reply, but I want to understand when a credible long-term delivery plan will be published—rather than “in the near future”—to restore year-round resilience, making whole-system patient flow a core performance priority. Unnecessary stays in hospital are linked to worse patient outcomes, and it should be possible to reduce the nearly 13,000 beds occupied on average each day in 2025 by people medically fit for discharge, in turn reducing the need for corridor care.
My Lords, as a former chair of an NHS community trust, I say that the situation often arises because of the shortage of social and community care. What are the Government doing to address those issues?
My Lords, as a former chair of an NHS community trust, I say that the situation often arises because of the shortage of social and community care. What are the Government doing to address those issues?
On social care, we are making progress on building a national care service. Around £4.6 billion of additional funding has been made available for adult social care by 2028-29. Along with other matters, including funds to improve and provide adaptation so that people can return home when they would not have been able to otherwise, we are providing funding of over £1 billion for adult social care with local authorities. This can be used to expand capacity. Of course, we have an independent commission chaired by the noble Baroness, Lady Casey.
On social care, we are making progress on building a national care service. Around £4.6 billion of additional funding has been made available for adult social care by 2028-29. Along with other matters, including funds to improve and provide adaptation so that people can return home when they would not have been able to otherwise, we are providing funding of over £1 billion for adult social care with local authorities. This can be used to expand capacity. Of course, we have an independent commission chaired by the noble Baroness, Lady Casey.
On social care, we are making progress on building a national care service. Around £4.6 billion of additional funding has been made available for adult social care by 2028-29. Along with other matters, including funds to improve and provide adaptation so that people can return home when they would not have been able to otherwise, we are providing funding of over £1 billion for adult social care with local authorities. This can be used to expand capacity. Of course, we have an independent commission chaired by the noble Baroness, Lady Casey.
My Lords, as a former chair of an NHS community trust, I say that the situation often arises because of the shortage of social and community care. What are the Government doing to address those issues?
My Lords, in a recent survey 78% of physicians reported undertaking corridor care. It is becoming almost the norm all the year round. It affects patients’ dignity, health and safety, and patient outcomes, because there are greater infection rates. I welcome the Minister’s points on the action that the Government are taking, but it is rather long-sighted and there is a real urgency to do something now.
My Lords, in a recent survey 78% of physicians reported undertaking corridor care. It is becoming almost the norm all the year round. It affects patients’ dignity, health and safety, and patient outcomes, because there are greater infection rates. I welcome the Minister’s points on the action that the Government are taking, but it is rather long-sighted and there is a real urgency to do something now.
I agree with the noble Baroness. Corridor care is perhaps one of the most visible and distressing symptoms of an NHS that the noble Lord, Lord Darzi, described as broken. We have to fix a number of the processes. I welcome that we are expanding urgent care access, for example, in primary, community and mental health settings, which will reduce demand on services. However, without publicly available data and the clinical operational standards that we are setting, the change will not be made as quickly as we would all like. There are immediate actions, as well as medium and long-term actions.
I agree with the noble Baroness. Corridor care is perhaps one of the most visible and distressing symptoms of an NHS that the noble Lord, Lord Darzi, described as broken. We have to fix a number of the processes. I welcome that we are expanding urgent care access, for example, in primary, community and mental health settings, which will reduce demand on services. However, without publicly available data and the clinical operational standards that we are setting, the change will not be made as quickly as we would all like. There are immediate actions, as well as medium and long-term actions.
I agree with the noble Baroness. Corridor care is perhaps one of the most visible and distressing symptoms of an NHS that the noble Lord, Lord Darzi, described as broken. We have to fix a number of the processes. I welcome that we are expanding urgent care access, for example, in primary, community and mental health settings, which will reduce demand on services. However, without publicly available data and the clinical operational standards that we are setting, the change will not be made as quickly as we would all like. There are immediate actions, as well as medium and long-term actions.
My Lords, in a recent survey 78% of physicians reported undertaking corridor care. It is becoming almost the norm all the year round. It affects patients’ dignity, health and safety, and patient outcomes, because there are greater infection rates. I welcome the Minister’s points on the action that the Government are taking, but it is rather long-sighted and there is a real urgency to do something now.
My Lords, my mother-in-law, Molly, is 110.
My Lords, my mother-in-law, Molly, is 110.
Oh!
Oh!
I shall pass on your Lordships’ best wishes to her. Last year, she was taken ill and the ambulance took her to a Liverpool hospital in the early afternoon, but, after some tests, no bed could be found for her. She spent the rest of the day and all of the night on a trolley in a corridor. Every hour throughout the night she was moved along, deprived of sleep and the basic provisions, including food and drink, which she would have had on a ward. What are the Government now doing to tackle the problem of delayed transfer of care, which results in fewer beds being available? Does the Minister accept that this can be done only by properly resourcing adult social care?
I shall pass on your Lordships’ best wishes to her. Last year, she was taken ill and the ambulance took her to a Liverpool hospital in the early afternoon, but, after some tests, no bed could be found for her. She spent the rest of the day and all of the night on a trolley in a corridor. Every hour throughout the night she was moved along, deprived of sleep and the basic provisions, including food and drink, which she would have had on a ward. What are the Government now doing to tackle the problem of delayed transfer of care, which results in fewer beds being available? Does the Minister accept that this can be done only by properly resourcing adult social care?
I agree with the need for more adult social care, but there is a whole range of factors that affect discharge delays, including the number of people who present. What the noble Lord outlined was not right and not the way in which his mother-in-law should have been dealt with. I know he would not expect me to comment further on individual circumstances, but if somebody is being considered for corridor care, that should be appropriately risk-assessed by clinical teams. The exact point he made is something that I have asked about. There should be a named nurse, and the provisions he talked about, such as food and drink, should have been there.