division_name: Opposition Day &#8212; [6th Allotted Day] &#8212; Acute Hospital Services
motion: <p class="" pid="c.287.3/1" pwmotiontext="yes">I beg to move,</p>
  
  <p class="indent" pid="c.287.3/2" pwmotiontext="yes">That this House recognises the need to develop and improve acute hospital services; is concerned that current reconfiguration proposals are being dictated by financial and staffing pressures; believes that the Government cannot call for change whilst failing to put in place the commissioning and tariff structures necessary to support, for example, maternity services, acute stroke care, cardiac care and vascular surgery; regrets the Government's lack of support for models of service configuration which would secure high standards whilst maintaining access; calls on Ministers to bring forward proposals to mitigate the effects of the European Working Time Directive on hospital services; insists that reconfigurations should be based on safety, quality of care, accessibility and choice; is deeply concerned that NHS staff, public and patient voices are not given appropriate weight in the decision making process; and calls for a stronger local democratic voice that will contribute to public confidence in the planning of acute NHS services.</p>
  
  <p class="" pid="c.300.0/1" pwmotiontext="yes">I beg to move, To leave out from "House" to the end of the Question, and to add instead thereof:</p>
  
  <p class="indent" pid="c.300.0/2" pwmotiontext="yes">"recognises that the NHS must respond to developments in medical technologies and changes in patients' needs if it is to continue delivering high quality care; acknowledges that the Government established a clear process for consulting patients, the public and their representatives on changes to the NHS; notes advice received from clinicians that some services need to be concentrated in centres of excellence so that professionals with the right expertise, experience and equipment can treat patients safely and effectively; further notes that, in the case of primary angioplasty services, this could save 500 lives a year and prevent around 1,000 further heart attacks and around 250 strokes; recognises that advances in medical technology mean that other services which were previously delivered in hospitals can now be delivered safely and effectively in the community and people's homes, such as minor operations and outpatient appointments in GP clinics; understands that with an ageing population and more people living with long term conditions there needs to be a shift in services into the community, as patients and the public said in response to consultation and as set out in the White Paper 'Our Health, Our Care, Our Say'; welcomes the Government's commitment to supporting this shift including &#163;750 million being invested in new community hospitals and services; and agrees that the focus of Government policy and NHS services should be on improving health and saving lives, not on preserving buildings and beds."</p>
  
  <p pid="c.374.4/1" pwmotiontext="yes"><i> The House having divided:</i> Ayes 220, Noes 288.</p>