NHS Corridor Care
I beg to move, That this House has considered NHS corridor care. I express my sincere thanks to the Backbench Business Committee for granting time to the important subject of corridor care, and I declare my interest as a proud serving NHS emergency doctor working in A&E at St George’s hospital in my Tooting constituency. In my 21 years as a doctor—I know; I can hear the audible gasp because I do not look old enough—I have never felt more proud to serve with a group of individuals such as those at St George’s hospital. The leadership team, to which we welcome a new CEO in Mat Shaw, and the team of nurses, doctors, reception staff, porters and healthcare assistants in my emergency department, make me proud to go and do every single shift that I do there, and it feels like a pleasure, not a chore.
I thank my hon. Friend for her fantastic work in the NHS as a doctor; it is much appreciated. Like many NHS workers, she struggles against the odds and sees on a daily basis the impact of corridor care. Does she agree that NHS staff feel frustration with corridor care as much as patients do, and that they want to act and see it end as much as anyone else? Crucially, the key is more staff. Is that not, ultimately, what we all want?
My hon. Friend and I are not performing a double act today, but he leads me on perfectly to the next part of my speech, as I go on to say that “corridor care” is something of a misnomer. Treatment in a corridor, far away from oxygen, proper equipment and emergency cords to pull, without privacy or dignity, without access to decent and appropriate toilet facilities, and without the highest standard of infection prevention and control, cannot be classified as care in any realistic sense. It is important to say that the staff go above and beyond with what they have. It is not the case that patients are suffering in pain because the staff do not care or do not provide a first-class service; it is because, quite simply, a corridor or any other space not built to serve and care for patients in is not the right place for a patient to be. It is not just corridors, because patients across the NHS have been seen in antenatal rooms, store cupboards, waiting rooms and even car parks, filling every conceivable inch of a hospital. Members can imagine that people are coming in feeling particularly vulnerable, and they are happy to get the care wherever they can get it. I have never heard of any of my colleagues across the country say that they have had a patient who refused to be seen in a cupboard; they are just grateful to be seen. Even the official definition of so-called corridor care is problematic. NHS data relies on local clinical judgment about whether an environment is safe and whether patients’ privacy and dignity are being maintained. Trusts are applying these standards differently, and some feel the need, sadly, to game the system to artificially lower their corridor care statistics.
I would just like to highlight that the Scottish Government do not record or publish any statistics on the number of patients being treated in corridors. However, we know that it happens. The Crosshouse hospital, which serves my constituency, was recorded in January as having one of Scotland’s most under-pressure emergency departments. It exceeded capacity by 50% in December, revealing corridor care conditions in the hospital. Does my hon. Friend agree that it is important to record accurate data so that we can track improvement?
My hon. Friend is absolutely right, and I am so sorry to hear of the situation in her community in Scotland. It is regrettable, and patients and their families deserve better. Absolutely, if we cannot accurately assess the issue in full, it is impossible to deal with, and I hope the Minister will talk today about how she will commit to revising this definition to make it more robust.
I thank the hon. Member for securing this debate and for allowing me to intervene. The Mid Yorkshire Teaching NHS trust published data about patients in corridors for the first time only in May, and in that month it recorded 121 patients per day being treated outside clinical rooms and areas. A constituent of mine, Catherine, wrote to me to describe seeing at first hand elderly people waiting in corridors for hours with no family members to support them. Does the hon. Member agree that corridor care has moved from being an exceptional problem to an everyday issue in many NHS trusts, and that the Government must act to address the root cause of this issue?
The hon. Member is right, but I know that the Government care deeply about this. This is not something on which I am in tension with the Government in any way. I have spoken to the Ministers and the Secretary of State, and I know that they are committed to acting and ensuring that every single patient across our country gets the best possible care. Let us be really clear: the NHS should not be a political football. Safe and dignified healthcare should not be a political football. I hope that we are all in agreement on this issue today. I would have hoped to see more Members on the Opposition Benches today, and I hope that their absence is not a reflection of how much they care about the issue, because, quite frankly, we owe it to all our communities to get this right. I know from my own experience, as will other hon. Friends in the Chamber, that when someone comes to A&E, it is often the worst day of their life. It could be the worst day of their life because of their experience as a patient, or it could be the worst day of their life because someone they love—their child, their partner, their mother or their father—is dying or has died. When we think about the dignity and care that we give, we have to look at it holistically—not simply as a set of symptoms that we are treating but as a family and the experience that they take away with them of what has happened on that day. People are in tears, people are in pain, and we owe it to them to get this right.
Many people in my constituency have written about experiencing corridor care, and that loss of dignity when vulnerable and elderly patients are sitting in corridors. Does the hon. Member agree that we desperately need urgent action to ensure that dignity is prioritised wherever care is given?
That is absolutely right—the hon. Member makes a valid point. People can be enduring a heart attack; they can be losing a baby; they can have had a road traffic accident and be lying on a trolley, blocked and collared, or lying on a board and looking up at the ceiling, wondering when they might make it into the scanner. People will definitely be having a time in hospital that will be etched on their memory, and sadly for many patients, and many loved ones, that is the last day they will ever see—the A&E will be the last place they know. In the NHS we want that experience to be as comfortable and reassuring as possible. We want the best possible care, delivered in the fastest possible time, to patients who are treated fairly, efficiently, and with compassion and dignity. Frankly, that is impossible in a corridor, even with the greatest will in the world. In my A&E at St George’s hospital we have patients in corridors, as we do across the country, but we have nurses who are there and dedicated to check their observations, ask if they need pain relief, and try to deliver—and they do—the best possible gold-standard care. But there is no privacy in a corridor, or in a cupboard, or anywhere where there should be, and that simply is not right. In emergency departments across the country, regardless of data that some trusts try to put forward to show that it is in only a certain number of places, we know from our inboxes that corridor care is everywhere.
I thank my hon. Friend for securing this debate. She has spoken about some of the impacts of this issue. My 80-odd-year-old mum was recently admitted to Airedale hospital with acute respiratory issues. She had to wait in a chair for over 12 hours, alongside my dad, in a very undignified way. Does my hon. Friend agree that ideally we should be preventing admissions for older and frail patients, and does she believe that the stronger proactive primary and community care services proposed by the Government with neighbourhood health teams could help to prevent some admissions for older and frail elderly people like my mum?
I hope my hon. Friend’s mum is making a swift and healthy recovery, and I am sorry to hear that that was her family’s experience. I agree that prioritising care for the frailer, elder population can often be dealt with more effectively before someone comes to hospital. I also know that my hospital of St George’s in Tooting has a special dedicated frailty unit that goes a long way in speeding things up for people. Good pilots are going on across the country, where care can be taken to our elderly community before people come in. Tackling social care is something I am coming to in my speech, because we could not have a speech on corridor care without a huge nod—or an entire body bend—to social care and the need to fix it. While this situation is extremely hard for patients and their families, the toll it takes on healthcare staff is huge. By healthcare staff I do not just mean doctors such as myself, but nurses, porters, healthcare assistants and cleaners—we are one big family in the NHS, and no one job is more important than any other. We are unable to do any of our roles without all the others, and for that we are truly grateful. Knowing that they might be caring for a patient in their mid-80s, who is trying to hold back tears because they do not want to upset anybody very publicly in a corridor, is absolutely heartbreaking and takes a toll on their mental health. Our nurses, doctors and all the staff I have mentioned are going home absolutely burnt out—this is not what they trained and studied for, and not what they go to work to deliver. They go to work to deliver the best possible gold-standard care for the community that they care about.
On my hon. Friend’s point about burnout, we are entering what for many Cornish men and women is the dreaded tourist season, when our population doubles or trebles. My constituents in Camborne, Redruth and Hayle are concerned about the chronic capacity issues and the impact of the tourist season on patient safety at Treliske, our one general hospital that covers the whole of Cornwall. Does my hon. Friend agree that NHS workforce planning and funding for places like Cornwall need to reflect the additional pressures placed on healthcare services during periods of peak tourist activity?
I remember meeting my hon. Friend before he became an MP when I visited a hospital in his community, and I know that he has been a powerful advocate from long before he came to this place. I thank him for that and for raising this issue. We often think about winter pressures and forget that different communities experience different pressures—it is not a one-size-fits-all situation. It is important to look at the tourist season in Cornwall, and I am hopeful that the Government take that into account in their planning. Madam Deputy Speaker, you will be appalled, as we all are, to know that there are places up and down the country where bodies are being wheeled to the mortuary past living patients in corridors. People are spending hours in pain and distress, desperate for privacy, and exhausted staff are working while feeling that they have one arm tied behind their back.
My hon. Friend is being generous in taking interventions. There are few Members of this House, if any, who know about this subject in more detail than her. In Scotland, where my own constituents are facing the problem of corridor care, the Royal College of Nursing said a few weeks ago that we are “trailing behind” even what is happening in England, partly because the NHS in England is publishing statistics on corridor care. Does she agree that the Scottish Government should do the same so that we can track corridor care and therefore help resolve it?
My hon. Friend is a powerful advocate for the people of Scotland. Yes, of course those statistics should be published, because in order to have any understanding of the issue, we have to have the data. Quite frankly, without the data, it is “not happening”. We should keep pushing for that and I hope that he puts the clip of him asking this question on social media to spark a little fire under some boffins to make that happen. The reality is that corridor care is happening in every corner of the country. The drivers of the issue of corridor care are multifaceted, but one key cause that we cannot escape is our failing social care system that forces medically fit patients to sit and wait in hospital beds, seemingly endlessly. Without a hospital back door that works efficiently, we simply cannot get people through the front door to treat them effectively and move them on appropriately. The social care sector must be empowered because that will prevent hospital admissions in the first place and support timely discharges. All sorts of unappealing names are given to people who have to spend a long time in hospital waiting for appropriate social care. Our vulnerable elderly, our grandmas and grandpas, are called bed blockers because they cannot get the social care that they need to safely be in their own homes. This requires a complete change in thinking and approach, one that understands the inherent link between the NHS and social care. Most significantly, we need leadership that is willing to address the crisis with the urgency it deserves, so that people get the highest quality of care.
One of my relatives went into hospital to get intravenous antibiotics but later died in that hospital due to being stuck there. She was ready to move on to a community hospital, but she gave up because she was scared in the hospital—they did not keep an eye on her, she fell out of bed and cracked her head open, and she later passed away. Does the hon. Lady agree that we need a lot more investment in social care to ensure that does not happen and our relatives do not have to go into hospital in the first place?
I am heartbroken to hear about the hon. Member’s relative. This is the point: anyone who works in a hospital understands that, just by being in an emergency department waiting room and accessing people who are unwell, it is possible to catch other illnesses. One thing we try to do is prevent unnecessary admission, because we know that a vulnerable elderly person who comes to hospital and is admitted to a ward with people who are unwell is more at risk of catching illnesses. As in the case of the relative of the hon. Member for Yeovil (Adam Dance), people can be vulnerable and not in an appropriate bed. There may not be enough staff able to check on them appropriately. Without tackling social care, we will never get on top of that issue. I am truly sorry to hear about the hon. Member’s relative. Simply put, we cannot dither or delay; we need answers to the social care crisis, and we need them quickly. Another group of people who are very often overlooked are mental health patients. They continue to spend extraordinary amounts of time waiting in A&E. People experiencing a mental health crisis are two-and-a-half times more likely to face long delays in A&E. Just for a moment, let me paint a picture of what that looks like. The patient could be somebody with auditory or visual hallucinations who feels extremely scared and vulnerable. They may need security to ensure that they do not leave their room. They may be wondering what they have done to deserve this. They may not have staff there who know about their usual medication. Very often, they are shouting very loudly, and other patients will be concerned, not understanding that they have a mental health issue. As doctors and nurses, we are not allowed to talk about somebody else in the hospital, so we can have a very loud A&E department, with someone who is very vulnerable—screaming and shouting and really suffering—being completely in the wrong place for so long and with everyone confused about why they are there. That is not appropriate, safe or dignified for mental health patients. We are as far away as ever from parity between mental and physical health in the NHS. As I have just outlined, we witness that daily in emergency departments across the country. We need to create more partnerships between our emergency departments and mental health trusts, where mental health patients can be triaged and seen by a mental health team in a more dignified and appropriate manner. St George’s hospital, where all hon. Members will know by now that I work my A&E shifts, is exploring a partnership with South West London and St George’s Mental Health NHS Trust, which would set up an assessment unit to triage mental health patients outside the emergency department. That would be safer, more appropriate and more dignified, and a calmer and more pleasant environment in which those patients could be assessed by mental health professionals.
Does my hon. Friend agree that often this is compounded when somebody has been arrested and police officers are sitting for hours? I was recently in A&E, and there were two police officers there for the duration that a member of the public was there. They may also need somewhere else to deal with that situation.
I think my hon. Friend has been on most of my last A&E shifts with me. [Laughter.] That is absolutely a common occurrence, and that is not the best, safest or most efficient place for any of our incredible teams of police officers and mental health nurses, who are trying to get on with their job. It is incredibly distressing. In parts of hospitals, colleagues tell me that they are waiting in relatives’ rooms with police officers and mentally unwell patients next to the resus area of an A&E department with bereaved families. None of that should be happening for anyone involved. I am sure the Minister will agree that the best solution to this crisis will involve a holistic, multi-agency approach involving councils, social care providers and NHS trusts. As I have just outlined, this unacceptable and dangerous situation is shared not just by patients, but by their families and NHS staff, who are trying to do their best in a difficult situation. Moving on to the professional bodies, corridor care has rightly been condemned by the Royal College of Nursing, the Royal College of Emergency Medicine—my royal college—the British Medical Association, and other professional bodies and trade unions. Some 65% of respondents to the Royal College of Emergency Medicine’s violence and aggression survey, which is due to be published later this year, said that care in inappropriate and non-clinical spaces contributes to the increase in violence and aggression towards staff and other patients. The impact of corridor care is clearly much more wide-reaching than we realise. It results in violence against our own NHS heroes—the very best of humanity—who, in a fractured and dangerous world, exemplify compassion, decency and selfless care for strangers. I can tell the House beyond a shadow of a doubt that staff in emergency settings are upset, traumatised and driven to tears of rage, and we know that NHS staff have to take a disproportionately large number of days off for the sake of their mental health.
The hon. Member is making a fantastic speech. On the topic of staff, one of the biggest problems in Yeovil hospital is bullying culture, as we saw in the Baroness Amos report in relation to maternity. Does the hon. Member believe that staff should be free to speak up without the worry of losing their job?
I thank the hon. Member for his intervention. Although it digresses from the debate about corridor care, I will happily answer his question. I think everybody in the NHS must be able to go to work free of intimidation, bullying and harassment. Wherever that happens, people should feel free to speak out—not to their direct line manager, because very often they are involved, but to a safe third party within the hospital, clinic or public setting where it happens, so that they will not be concerned about finding themselves moved or no longer in the job they love. I thank the hon. Member for raising that point; I have gone off topic, but it is an important point to acknowledge.
I am sure the hon. Lady understands how much support there is in the Chamber for this debate, and will be coming to a conclusion shortly.
Thank you very much for raising that, Madam Deputy Speaker—I am nothing if not a talker. I am sorry that I am taking such a long time, and I will move forward quickly with my speech. The Royal College of Emergency Care and I, as the chair of the all-party parliamentary group on emergency care, have put together a number of recommendations. First, restore patient flow by reducing delayed discharges; secondly, focus equally on four-hour and 12-hour performance; thirdly, reform funding and incentives; fourthly, spread responsibility for patient flow across the hospital; and lastly, address inequalities in access and outcomes. We cannot have a debate like this without recognising the terrible inequalities that scar our healthcare service—we have to work to reduce the disproportionate burden of long waits on deprived communities, older patients and people with mental health needs. Those measures would make a real difference to hospital systems, patient experience, and the overall effectiveness of the NHS. The founding principles of the NHS are stretched to breaking point every time someone waits for 10 hours, in terrible pain and sometimes in their own urine, under the harsh strip lights of a corridor, unable to feel that they can ask for help. It is completely undignified. The Minister will be very familiar with the stats we have sent to the Department, which show the disproportionate number of deaths in our country that are due to corridor care. The fact that we in the UK have people dying because they have been treated in a corridor is simply unacceptable to me and other Members of this House, so let us commit today to ending it once and for all, and ending corridor care forever.
We will start with an immediate five-minute time limit.
I begin by thanking the hon. Member for Tooting (Dr Allin-Khan) for setting out so brilliantly, with her professional expertise and human touch, what it means for corridor care to be a normal habit across the NHS in all parts of the country—not just in the winter, with winter pressures, but throughout the year. She made many good points, and I hope I can add some context with the stories I have gathered in Mid Sussex, from constituents who have experienced corridor care first-hand, whether as patients or staff. They have shared some of the most frightening, painful and vulnerable moments of their lives with me. First, I thank them, and to those whose stories I cannot share today due to a lack of time, I apologise. Many of those people wanted the House to be told one thing before anything else: the staff who cared for them were extraordinary. They spoke of nurses who never stopped smiling despite being exhausted, doctors who apologised because they knew patients deserved better, and paramedics who stayed compassionate under impossible pressure. One constituent arrived at the Princess Royal hospital in Haywards Heath after falling and breaking both a shoulder and a kneecap. It was a Friday night, and A&E was overflowing. After X-rays, they spent hours on a trolley in a corridor beside the nurses’ station because there was nowhere else for them to go. They told me that the nurses were attentive and kind throughout the night. They checked in constantly and did everything they could. However, kindness cannot create another treatment cubicle, compassion cannot magic up another doctor, and dedication cannot create a bed that is simply not there. Another constituent, Chris Philpot, shared an experience that I found impossible to forget. Following a ruptured appendix and serious complications, he spent 19 hours on a trolley in the corridor at the Royal Sussex county hospital. During that time, he watched an elderly lady have her blood pressure taken while resting her arm on his leg because there was nowhere else to support it. No privacy, no dignity—that is not the standard of care patients should expect in modern Britain.
My hon. Friend has just highlighted a point that was mentioned by the hon. Member for Tooting (Dr Allin-Khan). That kind of experience causes concern not only for its lack of dignity, but for infection control, antimicrobial resistance and hospital-acquired infections. That kind of treatment not only has a lack of dignity, but can be lethal. That is a huge public health issue, which my hon. Friend’s specific example highlights.
I agree with my hon. Friend. What we see time and again is that one problem becomes another until eventually the patient pays the price. My constituent, Catherine Jeater, has seen corridor care as a patient and as a relative of a patient. She watched her father being treated for appendicitis in an emergency department that was so overcrowded that patients were double-parked on trolleys, changing into hospital gowns in full view of strangers. Months later, while undergoing chemotherapy herself, she attended the Princess Royal hospital with a chest infection. Because she was immunocompromised, she should have been isolated. Instead, she received intravenous antibiotics sitting on a chair in a corridor, because no cubicles were available. She told me the staff were amazing, but she also made it clear that amazing staff should never have to work in those conditions Perhaps the most difficult responses I have received were from the healthcare professionals themselves. One doctor told me that they regularly examine patients in corridors. Another said that corridor care is not just an A&E problem, and that it is now normal for people to be on trolleys in non-clinical areas throughout the hospital. That means there are no curtains to provide privacy, no piped oxygen and no name above the bed, and patient safety is inevitably compromised. A senior nurse described to me the moral injury that they and their colleagues face every day, having to try to deliver the best care possible in terrible conditions, all the while apologising for something that is beyond their power to fix. They have to do that every single day. I am not personally enjoying this third heat wave, but imagine A&E departments without air conditioning: they become furnaces. Imagine trying to treat incredibly frail patients when the temperature in a corridor is 40°C. Another clinician wrote something that stopped me in my tracks. They said that corridor care had become so common that they were teaching medical students and junior doctors how to provide it—and that is not just during winter pressures, but all year round. This should trouble every single one of us. We are training the next generation of clinicians to adapt to something that should never have become normal in the first place. The real danger is not simply that corridor care exists, and not that we begin to accept it, but that we shrug our shoulders and tell ourselves that this is just how the NHS works now. The solutions are not easy—hospitals cannot fix this on their own—but we do need to get it right. We need to invest in capacity, in workforce, in social care, and in reducing waiting lists so that treatable conditions do not turn into emergencies.
Will my hon. Friend give way?
I am sorry, but I will not, in the interests of time. This is happening not because our NHS staff are failing, but because they are being asked to deliver excellent care in circumstances that make excellence almost impossible. My constituents have not shared these stories because they have lost faith in the NHS; they have shared them because they believe that the NHS can and should be better than this. Let me therefore end with a plea that we never describe corridor care as the “new normal”, because there is nothing normal about receiving intravenous antibiotics during chemo in a corridor. There is nothing normal about waiting 19 hours on a trolley. There is nothing normal about losing your privacy, your dignity, and sometimes even your safety, simply because there is nowhere else to go. The NHS was founded on the belief that every person matters. We need to make that happen once again.
Let me first offer huge thanks to my hon. Friend the Member for Tooting (Dr Allin-Khan) for her brilliant speech, and for the work that she does most weeks and about which, in my opinion, she does not speak loudly enough. My mum has been rushed to A&E twice in the last two months, and I have been with her. The paramedics were amazing and the hospital staff were amazing, but nothing prepared me for what I witnessed: trolley after trolley backed up along corridors as hospital staff and family members visiting patients in A&E walked hurriedly up and down, trying to cause as little disruption as they possibly could. I saw staff trying to pull a curtain across halfway down the corridor to provide some semblance of dignity for vulnerable patients who were trying to use bedpans, but it was futile, given the number of people walking up and down. It was harrowing. I can only describe it as something that one would see in a war zone rather than in modern Britain. When I asked the staff, “Is it always like this?” they said, “Yes. It comes and goes when it gets busy. It gets worse at weekends. But ultimately we do not have enough beds, and we do not have enough staff to be able to cope with this level of pressure.” I heard similar stories from my constituents, but I will give the House just one today. An 80-year-old who attended A&E with his frail wife spent 15 hours there, eight in a wheelchair and the rest on a trolley in a corridor. This is not just a symptom of winter pressures; it is the visible sign of a healthcare system that has been stretched beyond breaking point by years of political decisions. For years we saw hospital beds disappear, staff vacancies grow, social care neglected, community health services hollowed out, and local authority budgets slashed, and the consequences were entirely predictable. Now we see patients who are well enough to leave hospital but have nowhere to go, emergency departments overflowing with wait times that no sick person should ever have to endure, and people being treated in places that were never designed to deliver healthcare. No one should pretend that this can be fixed overnight, but if we are honest, we know that we have to act fast. Emergency departments are still operating beyond safe capacity, and people remain stuck in hospital because social care, community services, mental health support and general practice still do not have the necessary capacity. If we want to end corridor care, we must deal with its root causes, not just the consequences, because it does not just begin when someone arrives at A&E; it begins when they cannot get a GP appointment, when mental health support is not there, when local authorities cannot provide a care package. It begins when care cannot happen at home. Community nurses who should be visiting vulnerable patients regularly cannot do so, because they are stretched beyond breaking point. There is a lot of talk about virtual wards providing hospital-grade care at home. That sounds brilliant, but the fact is that the system does not have the staff capacity to deliver it, so we need a properly funded long-term workforce plan that delivers fair pay, expands education and apprenticeships, improves retention, ensures that we have safe staffing standards, and gives frontline staff a real voice in how services are designed. It also means finally delivering a national care service that brings care back under public ownership and control, that delivers a universal entitlement to care based on need, not ability to pay, and that is publicly accountable, properly funded and built around people’s needs, not the fragmented marketised provision that we see at the moment. It also means investing in community nursing, neighbourhood health teams, rehabilitation services and mental health, so that fewer people reach crisis and more people can leave hospital safely when they are ready. It means taking prevention seriously too, because every £1 spent on improving housing, reducing child poverty, cleaning up our air, and supporting healthier communities strengthens public health and saves many more pounds further down the line. Our NHS was founded on a simple principle—healthcare should be based on need, not the ability to pay—and corridor care betrays that principle. We need to see our Government restore the promise that when someone is at their most vulnerable, our national health service will be there for them—not in a corridor or on a trolley, but with the compassion, privacy and care that every person deserves.
I thank the hon. Member for Tooting (Dr Allin-Khan) for securing the debate. This is a really important topic, and I do not think there has been enough focus on it in the last few years. Her speech was very powerful, and the hon. Member for Salford (Rebecca Long Bailey) made really important points about corridor care not happening in a silo. There is a wider system of things going on, so we need to look at this more broadly. I feel strongly about this issue because I have seen the shocking reality for myself at East Surrey hospital, in my constituency, and at St Helier hospital, which is outside my constituency but serves some of my constituents. Patients are being cared for in spaces that were never designed for clinical treatment, and staff are trying their best to do their jobs in impossible circumstances. I cannot imagine how upsetting it must be to go into hospital with a serious medical problem, only to spend hours on a trolley, surrounded by noise and footfall and without any sort of privacy, and to be denied basic dignity. In fact, I saw one example of a patient who was near automatic doors, which opened and shut every time someone walked past them. That is not dignified or appropriate in any shape or form. How can it be right that doctors are forced to discuss private medical matters with patients in public hallways, or even to attempt examinations and treatment without the facilities that they need being close at hand? Let me be clear: all the staff I met on my visits were doing the best they could in extremely difficult circumstances. The problem was not down to their lack of commitment or compassion; it was down to a system that is operating without enough physical space to meet the excessive demand placed upon it. The previous Secretary of State, the right hon. Member for Ilford North (Wes Streeting), promised to eliminate corridor care by the next general election in 2029, and we need to understand how it will be addressed. I think we all accept that this is not an easy thing to solve, but it would be good to know what steps will be taken to address this big issue. The crux of the issue appears to be hospital flow. Emergency departments cannot move patients into wards when beds are full, and beds remain occupied when people who are medically fit to leave cannot access the care, rehabilitation or support that they need outside hospital. Delayed discharge therefore remains part of the problem. Without sufficient social care capacity, community service and intermediate care, hospitals cannot safely discharge patients. At St Helier, there is another fundamental issue: physical space. The hospital is trying to offer a modern service in buildings that the trust says are no longer fit for purpose. Much of the estate is older than the NHS itself, and staff contend with leaking roofs, flooding, damp, mould and buildings that are difficult to keep at a suitable temperature. Those conditions make it harder to provide safe care, and place still more pressure on staff, who are already overstretched. One example of the type of challenge is the women’s health block, which is currently a big issue. Routine testing has identified low levels of legionella and pseudomonas in the water supply. While filters have been installed and regular testing commenced, that highlights the fact that these measures are not a sustainable long-term solution, given the age and complexity of the building’s water system. This is hugely disappointing for patients and staff, particularly considering the hard work that has gone into improving the hospital’s women’s health services. That is why I strongly support the planned new specialist emergency care hospital in Sutton to be delivered alongside significant investment to modernise both St Helier and Epsom hospitals. The new hospital would bring together major emergency care, acute medicine, critical care and emergency surgery in modern facilities designed around the needs of patients and staff, while crucially leaving 85% of services at the existing hospital sites. This is exactly the sort of investment urgently needed to reduce overcrowding and end the indignity of patients being treated in corridors, yet the start of construction has been delayed—pushed back to 2033. I urge the Government to reconsider that timeframe, as that would be important in helping to address the challenge we face with corridor care.
Order. The speaking limit will drop to three minutes after the next speaker.
I thank my hon. Friend the Member for Tooting (Dr Allin-Khan) for bringing this important matter to the House, and for talking so eloquently about her experiences on the frontline. Few issues speak to the state of our national health service more than this one. Since being elected, my inbox and advice surgeries have been inundated with heartbreaking and, frankly, harrowing stories from constituents who have either experienced care in a hospital corridor themselves or have witnessed the experiences of loved ones. May alone saw more than 90,000 instances of patients receiving care in clinically inappropriate settings, which is almost 3,000 people every day across our nation. In their most vulnerable hour, patients are being stripped of privacy and dignity, and left without a call bell or even sometimes access to a toilet. I will give Members some examples of the cases that have been raised with me. One constituent wrote to say that their mother, who was on end-of-life care, was treated in a corridor. I cannot even begin to imagine how distressing that must have been. Another reported on how she was treated in a single patient cubicle that had been stripped of its bed and fitted with six chairs, and hearing other people’s medical history, watching their cannulas being inserted and, harrowingly, witnessing a confused elderly man beg for his daughter. I look to Conservative Members—unfortunately, not many of them are here—when talking about this and about exactly how we got here, because the normalisation of these practices over 14 years of Conservative Government has brought us to this point. Indeed, it was under their watch that 12-hour waits in A&E rose twentyfold. Lord Darzi’s report laid it all bare. We inherited a health service in a critical condition and broken by over a decade of under-investment.
It is important to recognise this wider legacy. In my area of Reading, we are waiting for a new hospital to be built. One was promised by the last Government, but no funding was provided, and there are very real-world implications of continuing with old buildings in such a state, like our A&E. I appreciate my hon. Friend raising this matter, and I look forward to the Minister providing further details.
I thank my hon. Friend for raising that very important issue. Yet while corridor care was rising in our hospitals, the previous Government did not count the numbers. I pay tribute to my right hon. Friend the Member for Ilford North (Wes Streeting), who as Health Secretary chose to publish the official data, because how can we fix what we cannot measure? I also welcome the steps taken by the Government to turn the tide on the mess we inherited, such as the millions of extra appointments delivered, bringing waiting lists down from record highs, and the commitment to end corridor care by 2029. However, corridor care does not begin in the corridor itself, as many Members have noted. It begins with the hospital bed that cannot be freed, as well as the lack of investment in the wider landscape and the lack of support in our communities. This January, the data suggested that one in 10 NHS beds were occupied by people who were medically fit to leave but had no safe place to go—a failure that costs the state £2.7 billion a year, and that costs some of our constituents their lives.
My mother, who is 94 and fit and healthy, fell and fractured her collarbone. She went in and was medically discharged on the same day, but because there was no care support for her, she was then in hospital for a week, bed blocking. Because of the quality of care she received, when she came out she ended up with a very severe urinary tract infection and sepsis, and then had to stay in hospital for six weeks. Obviously that cost my mother a lot, but it also cost the NHS a huge amount of money. Does the hon. Lady agree that one of the problems is adult social care and that we need to fix it?
The hon. Member makes a very powerful point. I will come to adult social care in a moment. We simply cannot end corridor care at the front door of the hospital when the back door remains jammed shut. I welcome the steps taken to reform adult social care—a £3.7 billion funding boost for local authorities—but it is clear that we must go further. I eagerly await Baroness Casey’s independent commission on adult social care. However, I am concerned that the review’s terms of reference call for recommendations to be implemented in a phased way over a decade. That is simply not fast enough. Social care reform must work in lockstep with NHS reform. A commission reporting in 2026 and 2028, with implementation stretched over a decade and beyond, will not be able to enact the scale of change needed to meet our targets. I urge the Government to move at pace.
Will my hon. Friend give way?
No, I will not take any further interventions, thank you. Lastly, I would like to pay tribute to the nurses, doctors and staff who keep Medway hospital in my constituency of Gillingham and Rainham running. In this House, we all receive correspondence from frustrated members of the public regarding the state of our NHS. However, it is the staff who carry the moral injury of apologising, shift after shift, for conditions that they did not create.
I have a correction to make. Back Benchers are on a four-minute speaking limit. We have found some more time.
I congratulate the hon. Member for Tooting (Dr Allin-Khan) on securing this debate. Some very important points have been made. I am going to skip through some of those important points to reinforce the message, and bring forward issues raised directly with me by my constituents. What we have heard is that what was once regarded as an exceptional state of affairs in the NHS has become so commonplace that Parliament is now debating it as a national issue in its own right. We have heard about the lack of investment and the redirection of resources, and about the issue being compounded over the many years of the previous Government. I acknowledge and recognise the efforts made by the current Government to try to address this, as well as many other challenges in the NHS. I congratulate them on their efforts to bring down waiting lists by many, many thousands; my constituents appreciate that. We heard that more and more that patients are being treated away from clinical and sterile places: in corridors, cupboards and other places not designed for treatment. They are being denied their privacy, dignity and adequate support. One doctor described patients dying because they could not access appropriate clinical areas in time. That is not what we would class as a jewel-in-the-crown public service—but that is what the NHS is, and all of us across the House want to restore it back to being the world-class, free-at-the-point-of-need care service for every single person in our country. For many years, hospitals under pressure often managed overcrowding by keeping patients and ambulances outside emergency departments while they waited to be handed over and moved into clinical areas. That resulted in ambulance waiting times going through the roof and many patients not receiving the emergency paramedic assistance they clearly required. Under the previous Government, that issue was displaced: from holding patients inside ambulances to moving them into the hospital building, freeing up ambulances to go and serve other patients. I am not a medical doctor, but I am a scientist and an engineer, and what is obvious is that the 40 hospitals under the previous Government did not get delivered—not all of them were new, but that is also true of the ones that were to be refurbished and expanded. As with prison spaces, we lack the number of beds in our country that the NHS needs to provide safe and dignified care for every patient who seeks treatment. Catherine, one of my constituents, wrote to me to say that she went into hospital with her husband. She waited in a corridor for five hours, but she saw many elderly patients with no relatives or friends with them, who had been waiting there for many hours before she arrived, and nobody was able to look after them or offer them water. They had to keep asking for water from other patients. That experience will exacerbate somebody’s medical condition and increase demand on the NHS. We have heard—
Order. I call Sarah Hall.
Let us be clear from the beginning: corridor care is unacceptable. No patient should be treated in a corridor. No family should watch a loved one receive care without the privacy and dignity that they deserve. No member of our brilliant NHS staff should be put in the impossible position of delivering care in an environment that they know is not right. I know how deeply my constituents feel about this, and hardly a week goes by without someone contacting me about their experience of Warrington hospital. They tell me about the kindness of the staff despite incredibly difficult circumstances; others tell me about the length of time that their loved ones have waited to be seen, and those experiences are reflected in the figures. In May this year, Warrington hospital recorded the second-worst 12-hour A&E performance in the entire country. Those figures are deeply concerning, and it would be wrong of me to pretend otherwise, but if we only talk about A&E waiting times, we miss the bigger picture. Corridor care does not begin in a corridor: it begins when patients are medically fit to leave hospital but the care or support that they need at home is not yet in place. It begins when patient flow slows down, leaving emergency departments carrying pressures that they were never designed to absorb. It begins when a town like Warrington grows significantly without its infrastructure keeping up.
I absolutely agree with my hon. Friend that it is not about fixing the problem at the front door; it is about fixing the problem at the back door. Does she agree that closer integration of health and social care is part of the answer to enable that flow through hospitals out into the community? During the summing up, I hope the Minister might carefully consider my amendment to the Health Bill on health and care integration—my hon. Friend might also look at that.
I absolutely agree; the NHS system as a whole is very fragmented, and the lack of connectivity is a big issue. Social care is a core component and it needs to be a priority going forward.
Of course, we must fix the back door and help people get out of hospital quicker, but there is also a challenge at the front door, with too many people feeling that they need to go to secondary care for health treatment. Is it not so important that we fix the foundations of the NHS by having a shift to community treatment, so that fewer people feel that they have to go to a hospital in the first place?
I agree with my hon. Friend and will touch on that point in a second, using Warrington as an example. I am pleased that our local trust has already taken steps and is rightly treating corridor care and waiting times as a priority, but there is more to do. That is why I have been working closely with our local NHS, Ministers, and Cheshire and Merseyside ICB to move beyond talking about the problem, and to start changing how urgent and emergency care works in Warrington. Together with our local trust, I have developed a three-part pragmatic plan to improve health services for our town. Given the pressure on A&E and waiting times, the first priority is clear: a new urgent treatment centre for Warrington. In April, I was pleased to announce that proposals had moved forwards, with architects beginning the initial design work. Since then, the proposal has moved forward again, and detailed design and site survey work is now under way. An urgent treatment centre in Warrington means that families would not have to travel out of borough for things like minor injuries, sprains, cuts, burns or infections, or for a child with a fever who needs checking over. Such conditions can still be serious, but they do not need the full resources of an emergency department set up for life-threatening situations like heart attacks, strokes and major trauma. An urgent treatment centre would help to free up space in A&E for the sickest patients and improve the experience for others by helping them to get the right care in the right place. Easing pressure in A&E is the first step, but it is not the whole answer. Part 2 of my plan is about moving routine appointments, diagnostics and planned care into the community so that people can be treated closer to home, and the hospital can focus on the patients who need the most specialist care. However, there is one issue that none of us can ignore, and that is the hospital itself. People back home know that we need a new hospital. They see it when they go to A&E and when they visit relatives in hospital, and staff feel it every day. Much of the site was built in a different century for a different population and a very different NHS. We urgently need a new hospital—there is absolutely no question about that. Much to our deep disappointment, Warrington was never included in the previous Government’s so-called new hospital programme, despite warm words hinting to the contrary. That brings me on to the third part of my plan: modernising and replacing outdated hospital facilities, built in phases while vital services continue to run. When I was elected, I said that I would be honest about the challenges before us. Yes, Warrington needs a new hospital, but it also needs a proper plan and funding behind it, not just empty promises. My approach is a pragmatic one: we must ease the immediate pressures today, build better services around the hospital tomorrow, and put Warrington in the strongest possible position for investment in the years ahead. That is what I am fighting for. I will keep challenging where challenge is needed, keep working with our local NHS where partnership is needed, and keep putting Warrington South first until we get this right, because my residents in their time of need and our excellent NHS staff deserve better.
I thank the hon. Member for Tooting (Dr Allin-Khan) for securing this incredibly important debate. I have heard from literally dozens of my constituents about why this issue is so important. They have told me their individual stories about elderly relatives stuck in corridors and the terrible effect that has had on their treatment, care and health outcomes. I have heard from staff in my local hospitals, who have shared exactly the same concerns about the conditions in which they are forced to work. Patients tell me universally how proud they are of the NHS and how much they value the incredible care they get at the hands of the people who keep it going, but they also tell me universally that corridor care is shameful and should not continue. I recently raised this matter directly with the chief executive of my local hospital, Hereford hospital, in our regular catch-up, and was delighted to hear that Hereford is not just aiming to meet the Government’s target of ending corridor care by 2029, but that locally, we have a target of ending corridor care by this autumn. I am really pleased that this is being prioritised so much locally, and I will be keeping a careful eye out to ensure that that happens. I want to raise a particular issue that has been touched on by many colleagues across the House this afternoon, which is the integral relationship between the NHS—what happens in our hospitals—and the social care system. We simply cannot fix the problem of corridor care unless we fix the problem of social care. For too many years—for decades, in fact—social care has been a political football kicked down the road by Governments of all stripes because it is difficult, but we have to grasp this nettle. We simply cannot fix the NHS unless we fix social care. Lord Darzi said exactly that himself. Sadly, however, we have not given the necessary attention to fixing social care. Yes, we have the Casey commission, which I value very much. I am very pleased with the work that has been done by Baroness Casey, but insufficient political effort is being put into this issue. It took nine months for us to have the first cross-party meeting that the previous Secretary of State for Health and Social Care said he was going to call, and we have only recently had the second. We must put our shoulders to the wheel collectively to fix the challenges of social care and to have the difficult conversations about how we will fund it, because it does need funding; we do need those political conversations, and we need to find consensus. Unless we address the issues at the back door, too many people will be stuck in hospital when they would be better cared for elsewhere—better for them and their health; better for the national budget, because it would be cheaper; and better for our overall outcomes. It is shocking to learn that the Royal College of Emergency Medicine calculates that there were 15,000 excess deaths last year because of corridor care. That should not happen in our country today. I urge the Minister and her colleagues as strongly as possible to give the same attention to fixing social care as to fixing the NHS. Let every Member put in that effort too. It is notable that at Health and Social Care questions there is usually one question on social care and 19 on health. We must redress the balance collectively, put in the focus to fix social care, and thereby fix corridor care.
A number of constituents who work as nurses in the A&E department at St Helier hospital asked me to come to see for myself what they were dealing with. They asked me to come late on a Monday morning, rather than a Saturday or Sunday night as I had anticipated. What I saw was deeply troubling. Around 250 patients were coming through the department every day. Elderly people were being cared for on trolleys out of nurse sight lines. However, what really struck me was that packs of staff were wandering around A&E, with nowhere to do their job. They could not do their paperwork, sit near their patients or monitor anything. Corridor care does not begin in the corridor; it begins long before a patient reaches A&E. For years, community services and alternatives have gradually disappeared. The walk-in centre at the Wilson hospital in Mitcham, which once treated patients every day until midnight, even on Christmas day, has gone. Out-of-hours GP services have been reduced. Those patients have not disappeared; they now go to St Helier. If we want fewer people waiting in our overcrowded emergency departments, we must invest in the services that prevent them from needing to be there in the first place. That is particularly important in communities such as mine, where people are more likely to live with long-term health conditions and greater health inequalities. An A&E department cannot function in isolation. It depends on having the services, capacity and infrastructure around it to keep patients flowing safely through the hospital. That is why I have spent years campaigning for St Helier. I am therefore delighted that NHS London announced up to £57 million to expand and modernise St Helier’s emergency department. However, that cannot be the end. St Helier needs renewal. Only days later, there was an announcement that disrepair in the women’s services block meant that it would have to close. I am delighted that the chief executive of the hospital trust has said that those services will return. Nevertheless, the situation is a stark reminder of what happens when hospitals are expected to serve growing populations in ageing buildings that have been allowed to deteriorate for decades. Corridor care should never become normal in our NHS. My constituents deserve a St Helier hospital that is properly equipped to care for them when they need it most. I am determined to continue to fight for that.
I will now announce the results of today’s deferred Divisions. On the draft Children’s Wellbeing and Schools Act 2026 (Establishment of Schools) (Consequential Amendments) Regulations 2026, the Ayes were 369 and the Noes were 102, so the Ayes have it. On the draft Supply of Machinery (Safety) (Amendment etc.) and the EU Machinery Regulation (Enforcement etc. in Northern Ireland) Regulations 2026, the Ayes were 317 and the Noes were 103, so the Ayes have it. On the draft Town and Country Planning (Discharge of Local Planning Authority Functions) (England) Regulations 2026, the Ayes were 283 and the Noes were 182, so the Ayes have it. [The Division lists are published at the end of today’s debates.]
I congratulate my hon. Friend the Member for Tooting (Dr Allin-Khan) on securing this debate and on her tremendous work in this area, both in this House and as an emergency doctor in the NHS. I want to begin not with statistics, but with something that happened to me. Last year, at about 9 o’clock one evening, I stood up to go to watch a film with my family, but I suddenly felt faint and nauseous. A home blood pressure machine showed that my reading was over 200. I went to A&E and was seen, and a CT scan was arranged. I then had to sit on a chair in what was essentially a public waiting room, where I stayed for the entire day. I had my scans and blood tests there—everything was based in that room. It was only the next evening that I managed to get a bed on an acute unit, so I spent 24 hours in effectively what we would call a corridor. The next day I had an MRI scan and then went to see a neurologist and a stroke team. Let me be absolutely clear: I do not blame the hospital or the staff. They were professional and compassionate throughout. But they are working under chronic pressure in a system that simply does not have the space or the beds to care for patients as they would wish. The first official NHS England data on corridor care published last month showed that in the Royal Bolton hospital, an average of 13 patients a day were treated in corridor spaces in May. I welcome the honesty of the trust’s chief nursing officer, who said that even one patient cared for in this way is far too many, and I commend the trust’s commitment to eliminate the practice ahead of the national timescale. Bolton is not an outlier; it reflects a national emergency across the United Kingdom. About 2,200 patients experienced corridor care on any day in the month of May, while many hundreds were treated in unsuitable spaces. Nearly 148,000 patients waited 12 hours or more in A&E in that month—the worst record in May. The Royal College of Emergency Medicine warns that the official figure may still understate the true scale. This is not just undignified; it is deadly. The Royal College estimates that in 2025 alone, over 15,800 excess deaths were associated with long waits in emergency departments. The Uncorked—Understanding escalation area and corridor care in UK emergency departments—study found that corridor care leads to longer hospital stays and a greater risk of death. There are many reasons for the delay, and many of them have been mentioned. Bed occupancy is running at 93%, far above the safe level of 85%, while some 13,000 beds are occupied by patients who are medically fit to leave but cannot be discharged for want of social and community care. I know that the Government have spent a lot of money on the NHS, such as ending the doctors’ dispute, but will they make a full commitment to ensure that corridor care does not occur in our country and that no patient in Bolton and Walkden, or anywhere else in the United Kingdom, spends a day of acute illness on a chair in a waiting room? The staff of our NHS deserve better, as do our constituents.
I thank my hon. Friend the Member for Tooting (Dr Allin-Khan) for securing this debate and for her years of work in the A&E at St George’s. Emergency care is in crisis in the NHS, and corridor care is just an overspill because we cannot cope. That is because we are doing a few things wrong that we could remedy. I work as a GP. I did a surgery last Friday and actually tried to admit someone. I rang up A&E and they said, “Well, I wouldn’t send them up at the moment, as we’ve got a six-hour wait.” I realised that, quite often, we do not have an operable emergency care service, and this is something we need to work on. I will briefly go through a few causes and then a few remedies, and the remedies could be clinical as well as organisational. First, we have an ageing population. Frailty is increasing. In Stroud alone, in four years, the number of over 90-year-olds went up 29% in just that short period of time. We have an enormous cohort of very elderly and frail people. Secondly, as we have heard, we have a lack of beds due to delayed discharge—I will not say any more on that. Thirdly, we have a lack of care beds in the community to enable discharge. There is also a lack of capacity in GP surgeries for on-the-day appointments. In my surgery, 45% of our appointments are on the day, but we obviously need to increase that so we can absorb the demand in primary care.
I have sat through the debate, and I do not believe that community pharmacy or independent prescribing have been mentioned. Does my hon. Friend, with his experience as a GP, endorse the changes that the Government are making to maximise the use of pharmacists to deal with some of the pressures that he mentioned GPs face?
That is absolutely true. We need to look at all the ways of reducing demand on GPs and, therefore, on A&E departments—that is what my speech is totally involved in—and pharmacies have a really good role to play. There is another thing here, which was noticed in the doctors’ strike. When we have senior clinicians on the front door of A&E, that makes the department much quieter, because they make decisions quickly and can take a bit more clinical risk as they are more experienced. Perhaps we need to rearrange how care works in A&E departments so that we do not get a backlog. I turn to the remedies. We are beginning to turn the NHS around—that is clear from working in it and from what my patients say. Things are beginning to change. We need to do a lot more, but we are investing a lot of money in it. We must not say that things are getting worse, because I believe they are slowly getting better. As so many have said, we need to fix social care. We could have a system whereby the community is responsible for a patient as soon as they are ready for discharge. Perhaps the community should have to pay for the patient to remain in hospital after that to encourage it to get them out of hospital. We must stop agency working in social care, because that is causing a huge amount of stress to carers. We need care to be based on a community model so that carers cover small areas and do not have huge travel times. We also have to improve GP access. I think we should also make it so that A&E departments see only accidents and real, genuine medical emergencies. So we need a little bit of an increase in funding for primary care. We also need GPs to be assessing emergencies up until 10 o’clock at night to relieve the pressure on A&Es. There are a couple of other things. I have said about getting more experienced doctors involved earlier in the process, but we also need to invest in scanners—so many people in A&E are waiting for tests before they go home. Also, as my hon. Friend the Member for Tooting (Dr Allin-Khan) said, it is not appropriate to have mental health assessments in A&E; we need mental health assessment units, which I do believe the Government are bringing in. There are a few clinical factors. Perversely, we need not to be so risk-averse. For example, admitting a patient for risk of falling is ridiculous, because they are more likely to fall in hospital than in their own home. Dementia fluctuates, so just because someone has seen a slight increase in confusion, that does not mean that they need a whole batch of tests. We need to treat dementia more holistically. Polypharmacy—that is old people on loads of drugs—causes about 10% of admissions, so let us reduce that. We need good end-of-life care. Some 50% of people with cancer die in hospital—many of them face corridor care—and we need to reduce that, because most of them want to die at home. Every older person needs an advance care plan so that, when they become ill, we know whether they want to go to hospital. That is incredibly important in pathways of care. Corridor care did not appear overnight, and it will not disappear overnight. But, by rebuilding the NHS from the community upwards, fixing social care and investing where it matters most, we can ensure that no patient is left waiting for care in a hospital corridor ever again.
I now call another doctor—it is easier to see a doctor here than to get a GP appointment.
It is true: I am another doctor. I qualified in 1982, probably long before my distinguished colleague, my hon. Friend the Member for Tooting (Dr Allin-Khan), was even born. I thank her very much for securing this important debate. For context, when I was a registrar in 1988, the NHS had 300,000 beds, but by the time I was a senior consultant in 2020, we had 140,000 beds—less than half the beds we had when I was a registrar. I recall how the Northern general hospital in Sheffield had rows of Nightingale wards with crisp, white linen stretching as far as the eye could see down to the end of the ward. There were always beds. There was no such thing as corridor care. To echo what the distinguished GP, my hon. Friend the Member for Stroud (Dr Opher) said, if an elderly woman goes off her legs at five o’clock on a Friday evening in February, the family will call the GP. The answerphone will say “Dial 111”, the call handler will triage her and advise ringing 999, and that woman will arrive at A&E at 9 o’clock in the evening, be seen at 1 in the morning and be admitted, because that is what happens if someone is seen at 1 in the morning. If we had a functioning community health service, with more neighbourhood health services, the patient would probably have been visited by a GP, perhaps until 10 o’clock at night. The diagnosis of a urinary tract infection would have been made, the patient would have been given an antibiotic and somebody would have come to see them in the morning, and they would have been a lot better by then and would never have been admitted. We can definitely reduce admissions if we think more carefully about how we treat patients in the community. “Corridor care” is an oxymoron. There should be no corridor care. As we have heard, it happens when patients arriving in A&E overwhelm the available cubicles and rooms and the wards have no beds, and we know that patients are sent to A&E because the GP system simply cannot cope. I understand that the APPG on emergency care found that 20% of major emergency departments had patients being cared for on trolleys or in chairs in corridors. Almost 80% of clinical leads also said that patients were being harmed by corridor care. My son is an A&E doctor, who is presently in London. He texted me shortly after I was elected: “Dad, bring the Health Secretary here right now so that he can see what is going on.” There were queues of trollies and patients waiting in ambulances, and trollies in the car park. We know that many patients come to serious harm while waiting. As my hon. Friend the Member for Stroud said, A&E means accident and emergency; that is what it is for. At West Suffolk hospital in my constituency, Dr Cameron, the chief executive, said that corridor care had been “sorted out” through a whole-hospital approach, with everyone thinking about patient flow, planning discharge early and involving social services, allied health professionals and pharmacy. West Suffolk hospital simply refused to accept that corridor care was inevitable. I believe that we should take the best of those ideas to the rest of the NHS.
I thank my hon. Friend the Member for Tooting (Dr Allin-Khan) for securing this debate and all my esteemed colleagues for covering the issue so brilliantly and with such expertise. You will be glad to hear, Madam Deputy Speaker, that that allows me to be brief and to focus on Blackburn A&E. Blackburn A&E is one of the busiest in the country, serving east Lancashire. It has been one of the starkest examples of corridor care, and I could tell so many stories of constituents suffering the indignities and poor care that are the inevitable consequence of that. There is the 70-year-old lady with spinal cancer who was stuck there for 72 hours; the young woman who was a historical sexual assault victim, physically shaking with fear at being left in a corridor surrounded by men; or the 90-year-old with dementia and double incontinence, reliant on her daughter to change and clean her, and desperate for privacy, comfort and reassurance. I too have been there, unable to walk after a fall, for 13 hours overnight in a corridor that felt like a war zone, next to an old lady who was in constant pain, fearful and alone, crying out for her family—just one voice among many. Corridor care is at best undignified and at worst heartless, heartbreaking and cruel. Its normalisation is a scandal and is one of the starkest examples of a health system failed and broken by Tory austerity. We must end it, and I am pleased to say that in Blackburn we are finally seeing progress.
We talk about getting people out of hospital, but it is also about keeping them out of there. I spent years in and out of hospital as a teenager; I was one of the youngest people in Britain to have a hip replacement when I was in sixth form. The rehabilitation services that I relied on at the Royal London hospital were sadly closed by the last Government. Does my hon. Friend agree that it is important that we invest in those services for them to reopen, so that when people leave hospital, they stay out of hospital?
The investment in prevention and in repairing the massive damage done by the previous Government to our valued health system is crucial and fundamental. We are finally seeing progress in Blackburn, and that is because of additional resources and support from NHS England and the Government’s getting it right first time initiative. East Lancashire Hospitals NHS trust and the leadership must be praised for that. They have been working hard and with real focus to address the underlying drivers of corridor care, such as safe and timely discharge, and the presence of senior clinicians. This is not about quick fixes but about looking to end the practice for good. So far, waits of 12 hours-plus have reduced by 18%. That means there is a long way to go, and myself and fellow east Lancashire MPs are working with the trust both to challenge progress and to argue for the resources needed to do the job.
The hon. Member and I share the same local authority and all our constituents are affected by the corridor care crisis at the Royal Blackburn hospital, which ranks seventh for A&E corridor care and fifth for ward corridor care, despite the management and the executive team working extremely hard. Does he agree that for places such as Blackburn with Darwen, which have the highest levels of deprivation and health inequalities, one solution is to have a targeted needs-based funding system?
The crucial thing is that we recognise the scale of the challenge and work together to solve it. This needs to be a shared mission on behalf of our residents, our friends and our families. In a year’s time, I intend to be standing here after we have together ended corridor care in Blackburn A&E for good, and I hope the Minister and the Department of Health continue to share this commitment. This is a moral imperative, and together we must deliver the care and dignity that our residents deserve.
I thank my hon. Friend the Member for Tooting (Dr Allin-Khan) for organising this debate. It is really important and very timely. Corridor care is a visible symptom of the pressure our NHS is under. According to Age UK, the number of people experiencing corridor care has grown 563-fold since 2015. In Cornwall, where I am from, it is no longer a seasonal response to winter or summer pressures but happens all year round. This is true of the Royal Cornwall Hospitals NHS trust in my constituency, which includes Treliske, Cornwall’s only major acute hospital. On any given day in May, 31 patients in RCHT were receiving corridor care in the emergency department and 16 on the wards. One ex-clinician said to me that corridor care “distresses patients, costs lives and demoralises staff”. Patients treated in temporary escalation spaces face a lack of privacy and dignity and limited access to necessities such as food, water and toileting. They experience worse outcomes as well. The Royal College of Emergency Medicine has estimated that in 2024 there were 16,500-plus associated excess deaths related to stays of 12 hours or more before being admitted. We know that part of the root cause of the problem is a lack of bed space and staff in hospitals. While Treliske’s overall four-hour performance has averaged 45.8% so far this year, its performance for patients admitted to hospital averages 26.3%, so patients just are not moving through the system quickly enough. Since this Government came to power, there have been some welcome improvements, particularly in ambulance handover times. Our local ambulance trust, the South Western Ambulance Service NHS foundation trust, has got much faster at moving patients from ambulances, so that the ambulances do not waste so much time sitting outside the emergency department, but of course, moving patients faster can increase the queue in ED and the need for corridor care there. On any given day in May, 103 hospital beds were occupied by patients who were fit to leave, which represents over 15% of all general and acute beds within the trust. It is crucial that we address gaps in community and social care provision and strengthen the integration between hospitals and social care so that these patients can come out faster, reducing the pressure. The 10-year plan is committed to ending corridor care, and I welcome that emphasis. Part of that approach involves strengthening co-ordination between the NHS, social care and the voluntary sector. We have very good neighbourhood health teams in Cornwall. They are ahead of the game and their community health and wellbeing workers are proven to make a real impact on hospital admissions. The NHS’s urgent and emergency care plan sets out a number of other important measures to reduce corridor care, including reducing internal discharge delays of more than 48 hours and investing £450 million in same-day emergency care. I welcome the expansion of same-day emergency care capacity at our community hospitals and the efforts that are being made by mobilising the third sector. However, that must be balanced with the fact that sending people home so early without proper rehab can increase the risk of them coming back and increase the demands on GP surgeries. Kernow Health CIC runs out-of-hours GPs, a 111 advice service, and a line for clinicians to talk to paramedics. That has led to some people not having to go into hospital. We also have a specialist falls car that can help with nine callouts a day, and stop people going into hospital when they fall. So much more could be done and there have been many suggestions, but ultimately, corridor care needs to be treated as a system-wide problem. We must also look again at the way we treat people at weekends, because closure over a weekend can make such a difference.
We must continue to highlight corridor care, as it puts a spotlight on the pressures facing the NHS. One of the first visits I made after being elected to this House was to William Harvey hospital in my constituency. During my visit I was shown around an A&E department where 19 patients were being treated in corridors, even in the summer months, when emergency departments are typically under less pressure. That was deeply concerning, and demonstrated how under the previous Conservative Government corridor care became increasingly normalised. I have previously spoken in the House about the incident at William Harvey hospital last September, when a coffee shop had to be converted into an emergency ward to accommodate A&E patients because it ran out of corridor. That was not an isolated incident, but part of a wider pattern caused by years of under-investment and rising demand. NHS staff continue to provide outstanding care in difficult circumstances, often without the capacity, workforce or facilities that they need. One lesson we must learn from the failures of the previous Conservative Government is that health infrastructure must keep pace with population growth. I recognise the need to build more homes to address the housing crisis that this Government inherited, but we must ensure sufficient capacity in GP surgeries, community health services and urgent care facilities. While schools and shops often come as part of a new housing development, healthcare infrastructure has too often been an afterthought. We need sufficient primary care capacity to prevent avoidable hospital visits and admissions that make corridor care more likely. Will the Minister set out what steps the Government are taking to ensure that, as new homes are built, health infrastructure planning and investment keep pace? I welcome the Government’s commitment to end corridor care by the end of this Parliament. We should never accept a situation in which hospital corridors become makeshift wards. No patient should receive treatment without privacy and dignity, and no member of staff should have to provide care in an environment that falls below the standards they strive to uphold. Our constituents rightly expect to be treated in safe, appropriate and dignified settings. I was pleased by the announcement a few months ago that East Kent hospitals NHS trust, which covers William Harvey hospital, will be part of the new intensive recovery programme. I am hopeful that such targeted support will help to tackle the significant challenges facing the trust, reducing waiting times, improving patient flow, and ensuring that people across east Kent receive the timely, high-quality care they deserve. I hope the programme will help to ease the pressures that have contributed to corridor care, and that the Minister will update the House on the new intensive recovery programmes. I also welcome the forthcoming opening of an upgraded same-day emergency care unit at William Harvey hospital, which I recently had the opportunity to visit. Funded through the trust’s use of part of a £29 million investment from the Labour Government, the unit will increase capacity and help to relieve pressure across the hospital, enabling more patients to receive timely assessment and treatment. I also welcome the recent announcement by the local ICB about the single neighbourhood provider. GP services in my constituency are proactively reaching out to frail patients, which will help to avoid them going to A&E. This Government have made important progress through additional investment, workforce expansion, improved discharge arrangements and targeted support for struggling trusts. Those steps should be welcomed, but there is more to do. If the Government are to fulfil their commitment to end corridor care, they must continue to pursue reform with urgency and determination—
Order. I call Amanda Martin.
I thank my hon. Friend the Member for Tooting (Dr Allin-Khan) for her service and for securing this debate. There is no clearer sign of the failure of the NHS under the Conservatives than the fact that corridor care was allowed to become normal. Only a few weeks ago, I was in the Queen Alexandra hospital in my constituency watching my dad being cared for in a corridor. It brought home just how far standards have fallen and no family should have to experience that. Corridor care has real consequences. As we have heard, the Royal College of Emergency Medicine estimates that in 2025 alone there were more than 15,000 excess deaths associated with long waits in emergency departments. It is not just the physical impact on patients that is damaging, but the emotional impact on patients, loved ones and the NHS staff who come to work every day wanting to provide the care that their patients deserve, yet are too often forced to do so in impossible conditions. It is degrading, undignified and should never have become an acceptable norm. Before I go further, I want to thank the incredible staff across Portsmouth’s NHS and care services. From those working at the Queen Alexandra hospital, to our ambulance crews, GPs, pharmacists, community teams and carers, they continue to deliver outstanding care despite extraordinary pressures. Last winter, it was an absolute privilege to spend a night shift with Nigel and Sam from our local ambulance service. Seeing at first hand their professionalism, compassion and resilience only strengthened my admiration for everything they do, often in incredibly difficult circumstances. I recognise the work already being done across Portsmouth to help people access the right care. Strengthening general practice and supporting people who arrive at A&E with non-emergency conditions to receive care elsewhere helps to ensure our emergency department is there for those who need it most. That work matters and deserves recognition, so I thank Linda Stead and her team at the Portsmouth Primary Care Alliance Ltd, and the team at the Southern Hampshire Primary Care Alliance. I welcome the decision of the previous Health Secretary, my right hon. Friend the Member for Ilford North (Wes Streeting), to ensure NHS England has finally introduced a clear definition of corridor care and begun publishing trust-level data. We cannot solve a problem if we refuse to see it and measure it. Sadly, the first set of figures makes difficult reading for Portsmouth. In May this year, Portsmouth hospitals university NHS trust ranked eighth worst for corridor care on hospital wards and ninth worst in emergency departments. That is simply not good enough. I welcome the Government’s commitment to shift more care into communities. Preventing unnecessary admissions is essential if we are to reduce pressure on our hospitals, because corridor care starts with a lack of community services. However, I remain deeply concerned by my integrated care board’s approach and its failure to engage meaningfully with me. The initial discussions on health hubs focused on potential sites, yet astonishingly, although not surprisingly, the proposed locations were all in Portsmouth South. That is simply unacceptable. If we are serious about reducing health inequalities and improving access to care, these services must be available across the whole city. Yet, as with so many decisions affecting Portsmouth, residents in Portsmouth North are neglected and overlooked. To help me change that, will the Minister outline what expectations have been placed on integrated care boards to work constructively with local MPs? Of course, reducing admissions is only one part of the answer. We must also improve patient flow through our hospitals, so I welcome today’s announcement about a 10-year capital plan for health and social care. Buildings and modern facilities are important if we are to move people from corridors to beds and from A&E to GPs, but too many people remain in hospital because the social care support they need is simply not available or because the pharmaceutical system is not fit for purpose. Will the Minister update the House on what further action is being taken to improve hospital discharge and tackle the pressures in social care and pharmaceutical services? I am proud that this Government have already begun to turn our NHS around. We have seen the fastest ambulance response times in five years, the shortest A&E wait for four years, and the biggest fall in dissatisfaction in the NHS since 1998, but none of us should be satisfied while patients are still receiving treatment in corridors. People in Portsmouth deserve dignity when they need care, NHS staff deserve the resources and conditions to do their jobs, and together we must ensure that corridor care becomes not the accepted reality of our NHS, but a thing of the past.
I thank my hon. Friend the Member for Tooting (Dr Allin-Khan) for bringing this timely and important debate to the Chamber. As we have heard, corridor care is one of the clearest signs of wider pressures across urgent and emergency care services, including rising demand, delayed discharge and constrained hospital capacity. As so much has already been said, I want to focus my remarks on a couple of areas. As an MP for a coastal community, I want to make it clear to the Minister that when we are looking at these pressures, we need to acknowledge the additional pressures facing specific communities. Coastal communities tend to have older populations and poorer health outcomes. Worthing West sits within one of England’s coastal communities. Its population is older than average—even though I am not older than average—frailty is increasing, multiple long-term conditions are common, emergency admissions are correspondingly higher, recruitment is harder and deprivation exists alongside affluence. All these things contribute to the pressures that we have discussed during the debate. University Hospitals Sussex NHS foundation trust is in my constituency. As we have discussed, NHS England’s data is not completely useful in many instances, but it is the best that we have. I have had a look and, on average, the four emergency departments in the trust are seeing 65 patients in their emergency department corridor care service each day. In their general and acute wards, they have corridor care for 39 patients each day. That is not insubstantial. We have talked about the back door, but I really want to talk about the front door. Members will be unsurprised to hear that, as a public health doctor, I know that prevention is a corridor care policy. The Government need to ensure that investment in prevention and public health is recognised as part of the solution to reducing corridor care. We have to reduce the flow of avoidable illness into our hospitals in the first place, and that means tackling smoking, poor housing, air pollution, obesity, loneliness, poverty and delayed access to community care. Corridor care begins long before a patient reaches an accident and emergency department.
My local hospital, Basildon university hospital, is in the 40th worst trust for delivering hospital care. Does my hon. Friend agree that not having the right community equipment, such as community disability aids and home adaptations, can quite often be a leading cause of delayed discharge? Will she urge the Minister to look at this issue when she commits to ending corridor care by the end of this Parliament?
I thank my hon. Friend for those excellent remarks, and I agree wholeheartedly. As I have said, corridor care is a symptom, and our challenge is to identify the underlying causes, rather than simply measure the symptoms. It is what happens when demand, delayed discharge, workforce shortages, social care pressures and preventable ill health collide in one place. Stakeholders that I speak to—and, I am sure, stakeholders that colleagues across the House speak to—repeatedly call for public health investment, stronger community services, social care capacity and the prevention of avoidable admissions. Every prevented stroke, every smoking cessation intervention, every warm home, every child who grows up healthier and every patient supported earlier in the community means one less avoidable admission to an already overcrowded emergency department, such as that of my hon. Friend the Member for Tooting.
I thank my hon. Friend the Member for Tooting (Dr Allin-Khan) for securing this important debate. The previous Government wreaked havoc on the NHS, with waiting times at an all-time high even before covid-19 hit a bruised and battered system. Under-investment and undelivered promises saw corridor care become commonplace, with its subsequent indignity and risk. It is a clear visual demonstration of a system on its knees. This Labour Government are determined to act. The urgent and emergency care plan for 2025-26 provided more than £450 million of investment in urgent and emergency care. Additional millions of pounds of capital investment, reaching £1.9 billion over the next four years, will help to deliver it. Links between hospitals and social care are clear and critical, which is why the Government are working to implement a national care service and initiatives such as the first-ever fair pay agreement for adult social care staff. Watford general hospital in my constituency is on the new hospitals programme, but it was previously delayed endlessly under the Conservative and Liberal Democrat coalition Government and subsequent Conservative Governments. However, under this Labour Government, it is seeing tangible action in preparation for the rebuild. West Hertfordshire Teaching Hospitals NHS Trust has worked incredibly hard in my constituency to deal with corridor care, and I am delighted to say that corridor care has been eradicated altogether at Watford general hospital. It has not had a single incident of corridor care for six months. How has it managed that remarkable achievement? First, the hospital has taken a whole-hospital approach to flow, making it everybody’s business and therefore everybody’s concern. The trust states: “The simple rule is we don’t accept corridor care in our wards. We find other solutions.” Secondly, the hospital has embraced data, embedding it into everything that it does to manage the flow of patients. It has real-time data tools such as electronic bed management, e-whiteboards and a digital command centre. Six key measures have been identified, which staff are using and which are easy to understand. Thirdly, the trust has engaged in partnership working—it could not tackle corridor care in A&E alone. There is a care co-ordination centre to reduce the number of ambulances coming into A&E for those who do not need emergency treatment; a multidisciplinary team to advise paramedics on where people should be treated; and close working with social care, treating people away from hospital, as is included in the NHS 10-year plan. In conclusion, I place on record my thanks and admiration for the staff at the trust. Their hard work has paid off, and it demonstrates what can be achieved when working together as a team to deliver for their patients and population.
I call James Naish to make the final Back-Bench contribution.
Thank you, Madam Deputy Speaker—I appreciate being called. Before I begin my speech, I note that my hon. Friend the Member for Worthing West (Dr Cooper) mentioned coastal communities. She was absolutely right to do so, and I will refer to rural communities, because there are equal challenges with delivering healthcare to that particular demographic. I will start with some good news for my constituents. Last year, Nottingham University Hospitals NHS trust was named among the 10 most improved trusts in England for four-hour A&E performance, and sixth nationally for 12-hour waits. That is not a small thing; it reflects genuine hard graft by staff at Queen’s Medical Centre and Nottingham City hospital, and it earns the trust a share of a £3 million reinvestment fund from NHS England. That sounds good, but I would be doing my constituents a disservice if I stood in this place and pretended that the job was done, because just over a week ago, on 29 June, NUH declared a critical incident after the recent extreme heat drove demand across the trust far beyond what its emergency department could safely absorb. What is more, it was the fourth critical incident over the past year. At its worst, during the latest incident, there were 188 patients in the emergency department and 20 ambulances queuing outside. Patients were experiencing lengthy waits on corridors, and more people than expected were medically fit but unable to be discharged. I recently asked the Government about this issue, and the Minister’s response was clear: corridor care was “unacceptable”, and should never become normal practice. That should not even need saying, and it is only after 14 years of drift that it did. What matters now is action, and the Government have published a national definition of corridor care for the first time and started daily reporting, so that neither trusts nor we in this place can hide the problem. Thankfully, that transparency is being backed by some new money: over £450 million is going into urgent and emergency care capacity this year alone, and £215 million of capital funding is delivering 40 new and expanded urgent care sites across England. For my constituents, this means two things locally that I genuinely welcome: confirmed funding for an expanded urgent treatment centre at QMC, and a trust-funded reconfiguration of the emergency department, because our chief executive has found the money internally to get on with that work now, rather than wait. I was particularly pleased to be able to tell this to one of my constituents, Renee, after she contacted me to tell me about her experience in A&E. As a lady in her 70s with a long-established heart condition for which she has ongoing consultant care, after a heart attack, she found herself spending nine hours waiting for care in A&E for a condition that should have been treated immediately. Nationally, A&E waiting times are at their best level in five years, and elective waiting lists are at their lowest in three and a half years. That is progress, but it will ultimately count for nothing in Rushcliffe if a bad winter, a system failure or a staffing gap can still tip a good department into crisis extremely quickly. As such, my ask of the Minister is simple: keep funding urgent and emergency care, keep the pressure on trusts that are lagging behind, and keep listening to Back Benchers, who regularly hear about this issue from doctors and constituents at our surgeries.
I call the Liberal Democrat spokesperson.
I thank the hon. Member for Tooting (Dr Allin-Khan) for her excellent opening speech—it was what we expected, given her unparalleled experience and knowledge in this area. As we have heard over and over again, our A&E departments are at breaking point and ambulance services have been overwhelmed. The corridor care data, which was finally released last month, confirmed the extent of this crisis, well after the end of what we would consider to be the winter peak. Corridor care is no longer a phenomenon confined to the winter months; it is a year-round crisis. I have no doubt that the recent heatwaves will have put unbearable pressure on services yet again. The scale of corridor care has a huge impact on patients. Some 36% of visitors to hospitals have seen care delivered in a corridor. A freedom of information request by the Liberal Democrats revealed that the average hospital trust now sees nearly 3,000 patients wait more than 24 hours in A&E each year. Corridor care is also extremely detrimental to staff. A 2025 Royal College of Physicians survey found that 78% of doctors had provided care in a temporary space. In testimonies collected by the Royal College of Nursing, nursing staff described patients deteriorating unnoticed and suffering avoidable harm. They expressed their anxiety and demoralisation at the level of care they were able to give and being unable to guarantee patient safety, because corridors are unsafe for patients and unsafe for staff, too. Staff are losing hope, and corridor care has become so normalised that one hospital advertised for a dedicated corridor care nurse. Another, as we have heard, even created a makeshift ward in an on-site Costa Coffee. The Government owe it to patients and staff to make fixing this crisis an urgent priority. Even the release of corridor care data was a shambles, arriving late after months of the former Secretary of State, the right hon. Member for Ilford North (Wes Streeting), paying lip service to transparency and delaying its publication. Concerns have already been raised over loopholes in the Government’s definition of corridor care, which anecdotal evidence suggests has encouraged trusts to hide the true extent of the crisis, with treatment being pushed back into ambulances to avoid incidents being labelled as corridor care. University Hospitals Coventry and Warwickshire NHS trust had no patients being treated in corridors, while ambulance crews were providing care in its car parks, according to a recent West Midlands ambulance service board paper. Increasing ambulance handover times will not tackle the indignity of corridor care, but will only compound it and prevent the release of those ambulances to people with potentially life-threatening conditions. The corridor care data, which is the best we have got, revealed that May alone saw a shocking 90,000 incidents of corridor care. The Royal College of Emergency Medicine’s recent report estimated that long waits caused at least 15,860 excess deaths in England in 2025. All of the evidence is there. The royal colleges have been sounding the alarm for years. Data and reports demonstrate the huge scale of this scandal. Countless individual stories remind us of the personal tragedies behind the numbers. One of my constituents, a carer for three adult sons, called after a truly awful experience last year. His eldest son had collapsed on the stairs in the middle of the night. After calling 999 and being told no ambulance was available for some time, my constituent drove his son to A&E himself with some difficulty, and only once his son had regained consciousness. They waited in A&E for 28 hours to then be put in a holding area for one and a half days before being transferred to a ward. Each of these numbers and cases involves a person. Madam Deputy Speaker, it could be your child, an elderly relative or a vulnerable friend—each experiencing no privacy, no dignity and suffering poor outcomes. I look forward to hearing the Government’s plan to resolve this crisis. The Liberal Democrats have an action plan to fix corridor care. We believe that hospital capacity is a key issue, and that cannot be fixed without fixing social care. One of the biggest factors behind lack of capacity is the lack of social care. Baroness Casey’s final report is not due until 2028, and I hope that the Minister will be able to announce that the Secretary of State will bring that forward, so that we can solve the social care crisis. Without those beds, people are either held outside in ambulances or on corridors outside wards. We would invest £1.5 billion to provide 6,000 more beds across the system. Those would be provided through new staffed hospital beds and investment in safety-net social care beds, proper step-down care packages and more support for carers and hospices, so that thousands more patients can leave hospital. To solve corridor care, we have to fix the front door and the back door, and invest in primary care as well as social care. That would include boosting recruitment and retention to provide 8,000 more GPs to reduce pressure on hospitals and save the NHS time and money in the first place. We would also place a duty on the Secretary of State to prevent 12-hour waits in A&E and ensure that they do not continue to happen year in, year out. The Liberal Democrats have a plan to bring back the dignity and safety that patients deserve, and the working conditions that NHS staff deserve too. I hope that the Government will listen to our plan, and I look forward to hearing from the Minister.
I call the shadow Minister.
I should begin by declaring my interests as a member of the British Medical Association, a member of the Royal College of Paediatrics and Child Health, and an NHS paediatric consultant. I thank the hon. Member for Tooting (Dr Allin-Khan) for initiating the debate. I know that, as a practising doctor like me, and, in particular, as someone who works in an emergency department, she understands the importance of this subject. Let me also pay tribute to the staff who work throughout our health service, some of them in quite difficult circumstances. I am glad to respond to this debate on what is a very important but very difficult issue. Every day in May, nearly 3,000 patients spent time in so-called clinically inappropriate spaces. These may be corridors, but as we have heard, they may also be cupboards or waiting areas. That is not good enough. Corridors are no place to provide clinical and nursing care. There is no privacy and dignity for people getting changed or being examined, and others may overhear what is said about their medical conditions. It is not safe. The hon. Member for Mid Sussex (Alison Bennett) pointed out the infection control risks. Availability of oxygen has also been mentioned. If someone has a cardiac arrest and collapses, where is the space for them to be looked after? I wonder if the Minister can tell us whether the Government intend to support new clause 84 of the Health Bill when we discuss it in Committee, probably next week. The new clause requires the number of patients who have died when 12-hour waits in A&E departments were a contributory factor to be recorded. We have heard upsetting stories this afternoon, and I have heard some myself in my constituency, including that of a gentleman who sat for more than 60 hours in a plastic chair while receiving intravenous antibiotics for sepsis. These are all examples of a much broader and more serious problem. Every day, patients, often frail and elderly, are kept for hours on trolleys in corridors or on chairs in waiting rooms. As we heard from the hon. Member for Stroud (Dr Opher), we have an ageing population, so this problem is applying more pressure. A&E attendances increased by 2.5% last year. The latest figures show that in May this year alone, 50,212 patients waited in A&E for more than 12 hours after a decision to admit them to hospital. That represents a 17.1% increase since last May. Last year, the Government produced their urgent and emergency care plan, in which they set their targets, including the target for an absolute minimum of 78% of patients to be admitted, transferred or discharged within four hours. That target is well below the NHS constitutional standard, but, furthermore, the latest NHS data shows that the Government have missed it, with 25.7% of patients seen within four hours in May 2026, down from 76.9% in the previous month. Things are actually going in the wrong direction. We need to consider why patients are being cared for in corridors. Essentially, it is a reflection of the lack of appropriate spaces, often spaces in an in-patient ward. We therefore need a structured plan. The hon. Members for Shipley (Anna Dixon) and for Worthing West (Dr Cooper) spoke about where we should start. We should start with prevention, care at home and virtual wards. We need to think about delivery in rural areas. The hon. Member for Bury St Edmunds and Stowmarket (Dr Prinsley) talked about care and treatment in the community, and others have talked about improved social care. I hope the Minister will tell us whether, when we debate the Health Bill in Committee, she will accept new clauses 105 and 106, which relate to how people can care for themselves, to education and to the safety and classification of prescription-only medicines, so that the more simple conditions can be managed closer to home by pharmacists.
Community care, which my hon. Friend has just touched on, is still important, particularly in preventing the need for corridor care. Insch War Memorial hospital, in my constituency, has been earmarked for closure, which is completely wrong. The trustees have done an amazing job in raising money to keep this vital community asset open. Does my hon. Friend agree that such community hospitals are vital not just for rural communities, but in helping the larger hospitals to manage their own patient care?
I absolutely agree. The NHS is devolved in Scotland, but that sounds like a very unwise decision that it should certainly reconsider. I am sure my hon. Friend will be a doughty campaigner in ensuring that it does so. That brings me to the next part of my speech, which is about the extra space in emergency departments and the importance of caring well for people in A&E. I ask the Minister for an update on the work that Dr Acheson and the Royal College of Emergency Medicine have been doing on on-time medication, as we need to make sure that patients do not suffer detriment in A&E because they are not given medication on time. An hon. Gentleman on the Labour Benches talked about the extra space on wards and the number of beds. The number of beds has reduced over time, partly because we do clinical care differently—for example, people now stay in hospital for a much shorter period after having a baby, and that is true of other operations too. However, my understanding is that the total number of beds has dropped further since Labour came into office. Can the Minister explain why that is? It is fair to say that we did not get everything right when we were in office, but we did increase the number of emergency department doctors by 100% between 2010 and 2024, and we met our manifesto commitment to hire 50,000 new nurses. We developed a long-term workforce plan, but this Government did not want our plan; they wanted their own. They said that they would deliver it by the autumn, and then by the spring. It has now been “imminent” for quite some time, but how soon is imminent? As many Members have said, we need to tackle corridor care, but we also need to tackle the back door: social care. Two years ago, this Government promised cross-party talks. As has been mentioned already, they took nine months to have the first meeting and have only recently had the second meeting. That is not tackling the problem with the urgency that it needs. The Casey report is not due till 2028, and this is being kicked into the long grass. We can only hope that the new Prime Minister will make a difference. As my hon. Friend the Member for Reigate (Rebecca Paul) said, the Government need a plan. I hope the Minister will explain in detail how they intend to deliver on their plan, because delivery is key. We often hear of targets and aims, which are easy to set but hard to reach. What have we seen so far? Long A&E waits are up, and we have seen overall waiting lists increase by 112,000 on the previous months. The number of people waiting for operations and procedures is up on last year and last month. The Government have ditched their promise to deliver a doubling of medical school places, and delayed the workplace plan. The promise to roll out fracture liaison services is running behind schedule, and there is still no response to the Hughes report. I could go on, but the basic issue is that the Government seem keen to set targets—worthy and important goals—without knowing how to deliver them, leading inevitably to disappointment. Can the Minister say how she will meet the target of abolishing corridor care? What will be the effect of reducing the capital budget, as announced in the defence investment plan? What does she think will be the effect of removing the social care voice from ICBs? Importantly, as we look forward to winter, what planning is being done now to make sure that patients are kept safe in the autumn and winter?
The hon. Member for Sleaford and North Hykeham (Dr Johnson), the hon. Member for North Shropshire (Helen Morgan) and I are deep in the Health Bill Committee, and I have not seen them all day, so it is nice to have the opportunity to get back into the swing of our discussions. I am really grateful to my hon. Friend the Member for Tooting (Dr Allin-Khan) for securing this important debate. Her commitment, and her pride in St George’s hospital and all the staff who work there, is always so clear to see. She did a great job for them and the rest of the country again today. She has given us an opportunity to discuss something that matters so much to patients, their families, NHS staff, Members from across the House, and the staff who work here. I recognise the important contribution of frontline clinicians, professional bodies and organisations such as the Royal College of Emergency Medicine and the Corridor Care Coalition. Their experience and expertise have helped shape our work to establish a consistent national definition of “corridor care” and strengthen national guidance. We share the same objective: to ensure that every patient receives safe, dignified care in an appropriate clinical setting. We will continue to work with these experts across NHS England and the Department of Health and Social Care. Let me be absolutely clear: corridor care is not an acceptable standard of care, and it must not become normalised or, as the hon. Member for Mid Sussex (Alison Bennett) said, a habit. Wherever possible, patients should be assessed and treated in an appropriate clinical environment with dignity, privacy and the highest possible standards of care. Equally, NHS staff deserve to work in an environment that allows them to provide the compassionate care that they are trained to deliver. That is why tackling corridor care is a priority for this Government. If we are to solve this problem, we have to be honest about why it occurs, and we have heard some of the reasons today. Corridor care is one of the clearest symptoms of pressure across the entire urgent and emergency care pathway—it is not simply an emergency department issue. As we heard from my hon. Friends the Members for Rushcliffe (James Naish) and for Worthing West (Dr Cooper), it also responds differently in different places, such as rural cities or coastal areas. Historically, care in non-designated clinical areas was an exceptional escalation measure during periods of peak demand, but over time sustained increases in demand alongside capacity constraints across hospitals, community services and social care mean that what was once exceptional has become more routine in some places, and that is not acceptable. The hon. Member for Sleaford and North Hykeham might not remember exactly how and when that happened, but I know that when I worked in urgent and emergency care in Bristol, under the previous Labour Government, we eradicated such pressures in A&E, and they somehow crept back—not by magic, but by neglect—under the Conservatives’ stewardship. We heard from my hon. Friend the Member for Salford (Rebecca Long Bailey) about her mother’s experience, and I do hope people are witnessing that. My hon. Friend the Member for Portsmouth North (Amanda Martin) talked about her father’s experience. My hon. Friend the Member for Bolton South and Walkden (Yasmin Qureshi) had a terrible experience of her own. My hon. Friend the Member for Ashford (Sojan Joseph)—again, he is on the Public Bill Committee and doing great work—went to observe his emergency department, as I know many hon. Members do. So we have direct experience of this in the House and have seen it for ourselves, and I have of course visited my local systems in Bristol. Pressure in one part of the system affects other parts, and when patients who are medically fit cannot be discharged because appropriate support is unavailable, beds remain occupied, reducing hospitals’ ability to admit new patients from emergency departments, and the result is overcrowding, delayed patient flow and an increased risk of patients being cared for in temporary environments. We heard about that in detail from my hon. Friends the Members for Warrington South (Sarah Hall), for Stroud (Dr Opher) and for Truro and Falmouth (Jayne Kirkham), and that is why we are tackling it. The first step was bringing in consistency and transparency about how corridor care is measured. For too long there has been no single national definition, making it really difficult to understand where the pressures were greatest or to compare performance across the NHS. We cannot improve what we do not measure, as was noted by my hon. Friend the Member for Gillingham and Rainham (Naushabah Khan). NHS England introduced a clear national definition of corridor care and began daily reporting in March 2026, and since June that data has been published, providing greater transparency and enabling targeted support for those organisations experiencing the greatest pressure. Let me make it clear to the Liberal Democrat spokesperson, the hon. Member for North Shropshire, that part of getting the definition and the data right did mean that did not come out immediately. It is difficult to get this right, and we continue to work on doing so. I also make it really clear that, in overseeing this, I am not hiding the experience of things such as ambulance waits. We are absolutely monitoring those things as part of my overseeing of the wider system. Alongside improved reporting, NHS England has strengthened the national guidance for trusts where temporary care environments cannot immediately be avoided. The guidance is clear that patients must continue to receive the same clinical standards of care wherever they are treated. They must be prioritised according to clinical urgency, supported by senior clinical oversight, named nursing responsibility and ongoing monitoring, with clear escalation arrangements, where required. I know that Members are rightly concerned by patient safety, and of course no patient should receive a lower standard of care because they are being treated in a temporary clinical environment, but the safest care is in the right clinical setting, and that is what we are aiming to do. We have also ensured that, following the spending review, the Government allocated up to £1.9 billion of capital funding over the next four years to support improvements in urgent and emergency care to help restore the constitutional standards talked about by the hon. Member for Sleaford and North Hykeham. The Conservatives did not hit any constitutional standards for over 10 years, and we are determined to right that wrong. Along with that investment, NHS England has published its model emergency department guidance, supporting faster clinical decision making, improved streaming of patients and stronger whole-system responsibility for performance. While there is much more to do, these reforms are already contributing to improvements, as we heard from my hon. Friend the Member for Stroud, including the shortest waiting times for four years and the fastest ambulance response times for about five years, despite continued and increasing high demand. Targeted support is where we need to do the most work, and early national data shows that much corridor care is concentrated in some key places. The specialist “Getting it right first time” teams are therefore working directly with those trusts to help improve patient flows, strengthen the discharge process, make better use of data and share learning from organisations that have already made progress. I commend my hon. Friend the Member for Bury St Edmunds and Stowmarket (Dr Prinsley), who highlighted the improvements at West Suffolk hospital, and my hon. Friend the Member for Rossendale and Darwen (Andy MacNae) for the great work happening at Blackburn and the work he is doing with other east Lancs MPs. My hon. Friend the Member for Watford (Matt Turmaine) talked about the improvements happening there. We heard about North Herefordshire and I am going to hold them to the autumn deadline raised by the hon. Member for North Herefordshire (Dr Chowns). There is nothing like putting it on the record for them, is there? Great work. As colleagues have said, we want to take the best to the rest and some people are doing amazing work in difficult circumstances. Ultimately, as Members have said, eliminating corridor care means improving flow across the whole system. That requires: faster discharge; stronger community and neighbourhood services, as highlighted by my hon. Friend the Member for Mitcham and Morden (Dame Siobhain McDonagh); improved social care; and more people receiving care closer to home, so that hospitals can focus on those who need in-patient care. That ambition sits at the heart of our urgent and emergency care plan and our 10-year health plan, which of course includes more prevention, as mentioned by my hon. Friend the Member for Worthing West. The shift from hospital to community care will improve patient experience, reduce avoidable hospital attendance and create the capacity needed to restore urgent emergency care standards. This is about lasting reform, not a temporary response to seasonal pressures, whether they be the current heat or winter. Before I conclude, I want to acknowledge the extraordinary professionalism of NHS staff: doctors, nurses, paramedics, health care assistants, porters, pharmacists and so many other people who continue to provide outstanding care under immense pressure. No member of staff comes to work expecting to treat patients in corridors, and many have spoken openly, rightly, about the moral distress it causes. They deserve not only our gratitude, but practical action to improve the conditions under which they work. Part of what we are doing—introducing the national definition, being transparent about the data, strengthening patient safety guidance, investing additional urgent care capacity, providing targeted support to the most challenged trusts and addressing the wider pressures that drive corridor care—is the start of doing just that. Every patient deserves care delivered with dignity, compassion and respect. Every member of staff deserves a system that enables them to provide that care safely. Corridor care is not inevitable. It is the consequence of pressures that have built up across the health and care system, and it is a challenge that this Government are determined to overcome. By improving patient flow, increasing capacity, supporting frontline services and delivering long-term reform, we will restore urgent emergency care standards and end the routine use of corridor care before the end of this Parliament. That is our commitment to patients, NHS staff and this House.
As I stand here now to give my closing remarks, I am filled with a sense of pride. There are very few occasions when we all come together across the House in unison on an issue. Today is an example of where Members from every party and those who sit as independents have come together to say: enough is enough, we all stand united against the scourge that is corridor care. It would not be fair of me to single out individual contributions, because they were all worthy of accolades. Members have shared their own deeply personal experiences or those of their families. They have highlighted how important it is that we understand the geographical implications of how this is a challenge that does not require a one-size-fits-all approach. I am really pleased to hear the commitments from the Minister, especially as we know that, according to the Royal College of Emergency Medicine, 1,300 excess deaths occur every month due to long A&E waits. That is the equivalent of a plane crash of people dying every single week. We cannot allow that to happen. I appreciate everything the Minister said, but my closing request is this. Can we please do everything we can to heed the remarks of everyone across the House today and speed up whatever we can to ensure there is not a single excess death attributed to something that could be avoided? For every person who dies when it could have been prevented, we have a family in grief and a life taken too soon. If we know there are things we could be doing—money we could be spending, a social care system we could be fixing to ensure people have extra precious time with their loved ones and that people have dignity on what is, on many occasions, the last day of their lives—we must spend every ounce of energy in the Department of Health and Social Care to fix this problem. I thank everyone who has taken part in this debate and I thank the Minister. Let us end corridor care for good. Question put and agreed to. Resolved, That this House has considered NHS corridor care.