The hon. Gentleman raises an important point. The crucial thing is that the NHS does not lose out financially. I think that that is the substance of what he is saying.
Sadly, the guidance is superficial. I have been unable to work out what constitutes a reasonable charge. The Government are not able or willing to keep local trusts in check. Since 2013, the campaign to scrap hospital car parking charges has gained speed, with more and more leading UK charities and associations representing drivers carrying out research into the negative effects of the charges on different groups of patients and drivers.
The sick and vulnerable are disproportionately hit by the charges, particularly those with long-term or severe illnesses who require repeated or lengthy stays in hospital. Research has shown that cancer patients and parents of premature babies face the greatest financial consequences. CLIC Sargent, a wonderful charity supporting young people with cancer, found that families were paying an average of £37 in car parking charges every month, with some families paying up to £10 per day. It also says that more than one in four parents of a child with cancer—29%—are not offered a reduction in parking costs by their NHS trust.
Macmillan Cancer Support mirrors that sentiment, saying that cancer patients in England are paying extortionate hospital car parking charges. Bliss is another very special charity for families with premature babies. Although some babies stay in the neonatal unit only for a few days, some parents will have to pay more than £250 if their baby stays in the neonatal unit for eight weeks. The charity says that many parents cannot even afford to go to see their premature baby because of the cost of hospital car parking.
I have a quote from the charity, Headway, which really sums up the whole debate. Headway does an incredible amount of work with brain injury. This is what it said:
“Recently, we supported a family who had spent more than £1,500 in parking charges in only 15 weeks. They needed to be at the bedside of their son who was fighting for his life after sustaining brain injury. What parent wouldn’t want to be there, day and night? Yet they were faced with a huge bill. These charges are driving families into debt and despair at a time when they already have more than enough to cope with.”
Kidney Care, another charity, told me that dialysis patients have to go to hospital three times a week, and each appointment takes four hours, with the average cost of four hours of parking estimated to be £3.28. Members can imagine how the costs stack up. The right hon. Member for Kingston and Surbiton (Sir Edward Davey) mentioned disabled car parking. It is extraordinary that, despite the Government guidance, almost half of hospitals inexplicably charge disabled drivers. They do not go to hospital out of choice. It is harder for them to use public transport, yet they have to pay significant charges. Even the hospitals that allow free parking attach a lot of conditions to that provision. Scope, the charity supporting disabled people, shares the sentiment, widely noting that disabled people
“have on average £108,000 fewer savings and assets than non-disabled people”.
It is not just charities that do valuable work. The RAC and FairFuelUK have also supported the campaign to scrap hospital car parking charges. I have worked with Howard Cox at FairFuelUK for a number of years in order to freeze fuel duty. The organisation held a poll last year with almost 9,000 respondents, 95.5% of whom wanted hospital parking scrapped or set at a maximum of £1. The RAC carried out a serious survey of more than 1,000 motorists. Two thirds of them named hospitals as the location where they most disliked having to pay for parking, and 41% said that the Government should scrap hospital parking charges immediately. It is clear that support is growing for the campaign to scrap hospital car parking charges, not only from the charities representing the most vulnerable—often with long-term and life-threatening illnesses—but from the two major organisations representing millions of motorists in the United Kingdom.
The support for an end to hospital car parking for patients and their visitors is clear, but we must not forget our incredibly hard-working NHS staff, some of whom are charged to go to work. Other public sector workers such as police officers and teachers are, for the most part, rightly able to park for free on their work premises, whether at a police station or a school. The Government guidance suggests that concessions should be available to all hospital staff—nurses, porters, cleaners, occupational therapists and doctors—working shifts that make public transport use difficult, but so much of the hospital workforce cannot rely on public transport to get to work.
Let us take the example of a hospital worker living in Pocklington in Yorkshire. He or she would either have to make the 15-mile drive to work at York Hospital and pay £2 to park during the shift, or spend more than an hour on two buses to get to work. If staff are working shifts at unsociable hours—as, of course, many do in the health service—they have no choice but to use hospital car parks.
Although all hospitals seem to offer a discounted parking scheme based on pay band or salary, or by allocating a limited number of discounted staff spaces, NHS staff are charged to work unsociable hours. The hon. Member for Kingston upon Hull West and Hessle (Emma Hardy) was told by hospital staff that they cannot afford the charges at hospital car parks, so they have to park on unlit nearby streets, which leaves them vulnerable when leaving the workplace at night.
Interestingly, staff car parking charges are a nuisance not just for hard-working NHS staff, but for residents too. I was recently contacted by a resident of Scarborough. This person was delighted to hear of the campaign, but came from a rather different angle. Staff park in the residential roads around Scarborough General Hospital to avoid being charged to go to work. The influx of cars every day means that driveways are blocked, there is more traffic on the road and residents are unable to go about their daily business.
I realise that hospital parking charges can be a source of income for hospitals. They are certainly a goldmine for some private companies, but the Government have previously stated:
“Providing free car parking at NHS hospitals would result in some £200 million per year being taken from clinical care budgets to make up the shortfall.”
I have a number of things to say about that. When considered in the content of the £120 billion-plus to be spent on running the NHS, the figure of £200 million is put into perspective. Going on the assumption that free hospital car parking would cost £200 million a year, I think that there are a number of funding options that would not leave hospitals out of pocket or affect clinical care budgets. The Government themselves have published a report saying that better procurement in national health service hospitals would bring in more than £1 billion a year. I am just asking for £200 million to scrap hospital car parking charges.
The Department of Health financial accounts for 2016-17 suggest that the Department underspent its revenue budget by £563 million, which is about 0.5% of the total budget. Could some of this money not go towards covering the parking costs of patients and hospital staff? It might also be time to look at other areas of government where we spend a significant amount of money and look at reallocating the very small amount of that money—£200 million—that it would take to scrap hospital car parking charges.
Another concern, raised by my hon. Friend the Member for Solihull (Julian Knight), is that free parking at hospitals would be exploited by shoppers. However, this could easily be solved by using parking tokens validated by ward staff. Some NHS hospitals in England do the right thing and provide free parking, including Northamptonshire Healthcare NHS Foundation Trust and Leicestershire Partnership NHS Trust. That shows that it is possible to deliver free parking for patients, visitors and staff while discouraging abuse of the system with tokens or barriers. Having contacted hospitals in Scotland and Wales directly, I know that there are numerous parking solutions to ensure that free parking is not exploited. Alongside the abolition of hospital car parking charges, a system could be introduced whereby a ticket or token is presented to ward staff at the beginning of the visit and validated at the end.
It is time to end the hospital car parking rip-off once and for all. The NHS is supposed to be free at point of access. It was never envisaged that people with cars would have to pay on top of their taxation for the national health service, yet patients and visitors are charged for access to vital services. That causes a huge amount of stress to many. It affects the most vulnerable: parents with sick children, patients suffering from long- term illnesses, and staff without access to public transport. These charges are a cause of major social injustice.
Clearly, the Government guidance is not working. I urge the Government to look into the most efficient way to scrap hospital car parking charges and bring an end to this stealth tax on drivers once and for all.