On 2 July 2002, the McAuley Building was opened at the Mater Hospital. It is a new, state-of-the-art building that will service the hospital. It was called after Mother Catherine McAuley, a Catholic religious sister in the nineteenth century who founded the Sisters of Mercy, an order particularly dedicated to teaching and nursing. She was a sort of nineteenth-century Mother Teresa in Ireland. She and her sisters founded many schools, hospitals and other institutions the length and breadth of Ireland for the Irish people — Catholic and Protestant, from north and south. In many ways, together with other religious orders and people, both Catholic and Protestant, she established the foundations and infrastructure for schools, the education system and the health service in Ireland.
Part of those foundations was the Mater Hospital, which was founded in Belfast in 1883. By 1909, the hospital’s status in Ireland was such that it was recognised as a university teaching hospital. The Mater maternity unit was eventually opened in 1945, adding a further service to the hospital. In 1972, the hospital, which had previously been under Catholic control and which had been independent throughout its history, became part of the National Health Service. A deed of arrangement underpinned the transfer of the hospital to the NHS. That was a guarantee from the Government of the time that the hospital’s character and ethos would continue. I shall say more about that later.
Until 1972, the hospital was funded by the Young Philanthropists, of which my late father was a member. It was an imaginative and far-sighted group, for it saw that it was important to put moneys necessary for the hospital’s future into trust funds. Indeed, the group raised a great deal of money. Over the years, thanks to the financial wizardry of a very distinguished cleric called Monsignor Mullally, the money was transformed into a multimillion-pound fund. The upshot was that the McAuley Building was opened in July 2002. Built at the cost of £17 million, it was virtually a new hospital. None of that money came from the state. It was raised by generations of Belfast people. It was used to build and equip the building. It was, in effect, a gift of £17 million to the public Health Service by a private charitable trust.
The Mater Hospital has, however, been informed, following the Department’s document ‘Developing Better Services: Modernising Hospitals and Reforming Structures’, which was published in June 2002, that it is to be downgraded to a local hospital. It will no longer be an acute hospital. In substance, that means that its acute services will be systematically removed over several years. It will end up as little more than a glorified nursing home.
Despite what the Department says, the hospital will lose many of its services. It will lose its accident and emergency service, which — as those who live in north Belfast know — is crucial to the people of the area. That area has the lowest car ownership in Belfast — indeed, in Northern Ireland — yet the Department is persisting in its views. The Department also insists that intensive care and high dependency units will be removed. Inpatient general medicine, inpatient cardiology and the coronary care unit, inpatient diabetic services, inpatient respiratory medicine, inpatient general surgery, inpatient urology services, inpatient cardiac investigation, inpatient gynaecology, inpatient laboratory services and inpatient anaesthetic services will also go. I contend that there will be nothing left if the Department’s proposals are implemented.
The developing better services document takes the form of a White Paper. It not called a White Paper, but that is what it is. It represents the Department’s and the Minister’s thinking. In fact, the Minister had to be pushed into extending the period of consultation. She said that consultation should end in September 2002. That has now been extended to the end of October 2002. That demonstrates the Department’s commitment to the proposals contained in the document. There is no doubt that if the proposals are implemented, it will be the end of the Mater Hospital as an acute service hospital in Belfast.
Furthermore, the continuance of maternity services is also under threat. That threat is not as explicit as the threat to other services. The survival of the service is conditional upon the Mater Hospital’s working with the new centralised Belfast Maternity Service. That is code for “If you do not do what you are told, you will lose your maternity services”. That is what the Minister and the Department are saying to the Mater Hospital.
The Department says that the Mater Hospital’s teaching status will remain. I mentioned that such was the status of the Mater Hospital at the beginning of the century that it was granted university teaching status. The Department says that that status will remain. How credible is that proposal, when the Minister is taking away the acute services that would encourage doctors and nurses to come to the Mater Hospital to train? Its teaching status might remain in name, but in reality it will not remain at all. It does not take a genius or a medical expert to reach that conclusion.
The Department says that the developing better services document is in line with the Hayes Report — the acute hospitals review group report. That is untrue. I ask Members to check the document and the Hayes Report. It is not in line with the proposal for partnership with the Whiteabbey Hospital to deliver acute services to north Belfast, Carrickfergus and Newtownabbey. It is not true for the Department to assert that.
There is no proposal to retain acute services at the Mater for the foreseeable future. Some of the acute services that I mentioned will be retained for a few years, but they will be phased out. However, the Hayes Report stated that acute services at the Mater would be retained for the foreseeable future — in other words, for an indefinite period. The Minister’s document does not say that; it says that it is merely a transitional arrangement. Further to that, the Hayes Report states that a regional service should be located in the Mater, but that is not mentioned in the Minister’s document at all.
The effect in north Belfast will be considerable and significant. The effect on employment alone will be substantial. Around 1,000 people are employed by the Mater Hospital. It is possibly one of the biggest employers in north Belfast. Ancillary, clerical, medical, clinical and nursing staff will be systematically removed. In a few years’ time, the number of employees might be down to 500 or 600 staff — and still falling. Think of the effect that that will have on north Belfast.
The latest analysis of north Belfast contained in the North Belfast Community Action Project Report states:
“The population served by the North and West Belfast Health & Social Services Trust has some of the poorest health and social care indices with high incidences of cancer, asthma, bronchitis and other diseases. Seventeen out of the 20 wards in North Belfast are in the 25% most health deprived wards in Northern Ireland. Ten out of 20 wards in the area are in the 25% of wards in Northern Ireland with the highest ratios for cancer. These are all causally linked to the levels of deprivation experienced by this population.”
Acute hospital services will be removed from the people who most need them. What sort of madness is this coming from the Department of Health? North Belfast has some of the highest rates of suicide, substance abuse and mental ill health. How can any of these proposals ameliorate that situation?
The Mater Hospital serves the community, and has served it very well. Over 45,000 people have used the accident and emergency service in the Mater Hospital over the past year. There were 6,000 medical or surgical emergencies and 1,000 births. That is a more than creditable performance for any Northern Ireland hospital.
The Minister’s proposals are unacceptable and wrong. They are dangerous and will hurt the long-suffering people of north Belfast. They are an offence to good public policy. Is it not ironic that a Minister who is ostensibly committed to the equality agenda is, through her proposals, undermining that agenda and disadvantaging the people of north Belfast, Catholic and Protestant?
The proposals also run contrary to the deed of arrangement, because they undermine the historic character and ethos of the hospital. Not only are the proposals legally questionable, they are undoubtedly politically unacceptable and objectionable to the people of north Belfast. During this little political interlude, let us hope that the Minister will have a change of mind, or that her mind will be changed, by the time we return.