Francis Report

Debate between Andrew Gwynne and Jonathan Reynolds

Wednesday 5th March 2014 Commons Chamber

[Jonathan Reynolds (Stalybridge and Hyde) (Lab/Co-op)]

I will focus on the impact of the Francis report on my local hospital in Tameside.

Tameside hospital has been a major issue for me, as the MP for Stalybridge and Hyde, and it featured prominently in my election literature in 2010. At the general election, I pledged to work with my hon. Friends the Members for Denton and Reddish (Andrew Gwynne) and for Ashton-under-Lyne (David Heyes), to resolve what we believed to be the serious problems at Tameside hospital by building on their work and statements in the previous Parliament. Securing improvements at the hospital has been a priority for all of us and it will continue to be so. The stance that we have taken, combined with the work of Sir Bruce Keogh, has allowed genuine improvements to take place at Tameside and I am proud of that work.

I regret the journey that there has been in this Parliament towards making Francis a more partisan issue. The Prime Minister’s initial statement on the matter was quite admirable and the work of Sir Bruch Keogh offered a way forward for problem hospitals such as mine. We all stand to lose that if we try to game it for partisan advantage. There is a feeling that the Government have tried to obscure the unpopularity of the NHS reorganisation by doing so. Surely we can all agree that the two matters should not be conflated.

I love the NHS, but I love my constituents even more. If any institution is letting them down, I will not hesitate to call it out. I believe that that is true of all my Opposition colleagues.

The recommendations of the Francis report were, without doubt, an important contribution to improving the quality of health care in England. The circumstances that led to the creation of the Francis inquiry threatened to undermine public faith in the NHS, and a serious and independent investigation into those factors was crucial to maintain people’s trust in the NHS. That investigation was begun by my right hon. Friend the Member for Leigh (Andy Burnham), in whom I have tremendous faith.

The stories of poor care at Mid Staffordshire and other NHS trusts were indefensible and often heartbreaking. I hope that we never see such instances again in the NHS. However, it is important that we also take this opportunity to commend the thousands of doctors and nurses who work tirelessly to provide people in this country with the very best of care. The people who work for the NHS, including those from overseas who choose to come and work in the NHS, do an incredible job and they must always know that we appreciate them greatly.

Following the publication of the Francis report, my local trust, Tameside Hospital NHS Foundation Trust, was one of five trusts that were investigated by Sir Bruce Keogh. It was not the work or recommendations of the Francis inquiry that were of the most immediate significance to my area, but the fact that the publication of the report sparked a chain of events that had a significant impact on the delivery of care at the local hospital in Tameside.

At the time of publication, Tameside had the second worst record for hospital deaths. Data from the summary hospital-level mortality indicator showed that 18% more patients than expected died at Tameside in the 12 months leading up to June 2012. The standards of care at the hospital had been of concern to the public for some time. I should perhaps mention that the information on Tameside hospital was complicated by the legacy of the crimes of Harold Shipman in my constituency. That had a huge impact on how people thought about care at the end of their life and on where they went for that care. That was always a plausible excuse for the mortality scores, but there was a need to push past the excuse and discover the real causes.

In the light of those problems, I cited my concerns about aspects of care at Tameside hospital on the record on several occasions, acting in conjunction with my hon. Friends the Members for Denton and Reddish and for Ashton-under-Lyne. We had already called for the resignation of the trust’s chief executive so that the hospital could improve.

The problems at Tameside were indicative of the broader issues that Francis and Keogh were attempting to address. The confidence of the local community in members of the senior management team had all but disappeared. That led to problems often not being adequately addressed or even acknowledged. The hospital became defensive and saw the issue as one of public relations management, rather than service improvement.

There is a fundamental point that we must grasp if we are properly to understand what factors contribute to the level of public trust. People understand that mistakes are sometimes made. That is the case in all professions and walks of life. However, people cannot understand it—and nor should they—when mistakes happen but no serious attempt is made to address the concerns of patients or clinicians in an open and transparent way to resolve the issues.

Sadly, that is exactly what happened for too long at Tameside hospital. In the worst cases, the hospital management actively tried to downplay the problems raised by patients, family members, elected representatives and even, in some cases, each other. That behaviour is not acceptable and a failure to address it undermines public faith in the NHS.

Putting the spotlight on these hospitals has had some success in breaking through this culture, and Tameside now has a clear set of objectives on which to develop a strategy for improvement. Without the Francis report and the subsequent work of Sir Bruce Keogh, that long overdue process of improvement at Tameside hospital might not have happened. We as local MPs would still be calling for those changes to happen, but we would not have had the expert analysis that the process provided to back up what we were saying.

[Andrew Gwynne (Denton and Reddish) (Lab)]

I am grateful to my hon. Friend for setting out the case. Does he share my confidence that the hospital has indeed turned a corner? Part of that is down to the buddying arrangements with the University Hospital of South Manchester in Wythenshawe and the excellent interim leadership of Karen James.

[Jonathan Reynolds]

I endorse those comments entirely and thank my hon. Friend for his contribution. The negative attention that the hospital received as part of the Keogh investigation was undoubtedly the catalyst for the departure of the former chief executive in 2013, and the first step on the road to improvement.

It is important, however, for us to note the limits of Government’s capacity to push this agenda. Of course, Government have to be the ones who set the framework for improvement in the NHS, but cultural changes can properly come only from the front line. What Tameside hospital now has is a set of recommendations to be implemented, a framework for the delivery of those changes, and new leadership which, ultimately, will deliver the improvements that patients in our area need. I still visit the hospital regularly; indeed, I was there on Friday last week, and I am pleased to say that in my view it is certainly turning a corner. I hope the Government maintain their commitment to all the Francis recommendations, and ensure that the high expectations are hardwired into the NHS’s leaders.

Just before Christmas, I was walking my dogs in Stalybridge as usual, and a friend of mine whom I had not seen for quite a long time shouted over to me. He explained that he had been receiving treatment for more than a year at Tameside hospital. Over that time he had been able to witness, in his words, visible improvements to his care and to how the hospital was run and how it functioned, due to the changes facilitated by the Francis report, the Keogh inquiry and, I believe, the work of myself and my hon. Friends. We will not stop that work or feel self-satisfied because of it, but I am pleased that we have been able to make that difference. That, ultimately, is what we should all be trying to bring about by discussing the anniversary of the Francis report.

Arts and Creative Industries

Debate between Andrew Gwynne and Jonathan Reynolds

Wednesday 19th June 2013 Commons Chamber

[Jonathan Reynolds (Stalybridge and Hyde) (Lab/Co-op)]

I would like to talk about the key ways in which our cultural institutions and the creative industries that feed off them are crucial to our economy, our standing abroad and the education of our children. I believe that nowhere provides a better example of the importance of these industries than Greater Manchester, in which my constituency lies.

The late Brian Redhead, editor of the Manchester Evening News and presenter on the “Today” programme, once said:

“Manchester…is the capital, in every sense, of the North of England, where the modern world was born. The people know their geography is without equal. Their history is their response to it”.

Greater Manchester’s history and its future are both inseparable from its culture. The same city that hosted the largest ever art exhibition anywhere in the world in 1857 is still the thriving cultural capital of northern England today—although I appreciate our neighbours to the west may dispute that at times.

More than 20,000 people are employed in cultural businesses in Greater Manchester, the city region containing the nation’s largest concentration, outside London, of jobs in the media and creative industries. Art and creativity are woven into our economic fortunes as much as they form our city’s culture.

The value of the arts, however, is more than just a crude measure of gross domestic product. Let me provide the example of the Cornerhouse, a contemporary arts centre and independent cinema in central Manchester, which is run by my constituent, Dave Moutrey. Alongside its contemporary visual art exhibitions and the 30 titles it screens each month by independent, international and avant-garde film and documentary makers, it is also a hub for budding creative talent. Through a programme known as “micro-commissions”, the Cornerhouse has helped 60 budding creatives to launch their artistic careers over the last three years, with small commissions for work that get them an audience and allow them to make their first step in the industry. It is institutions such as Cornerhouse that are important both economically and culturally—not just to our city, but to our country as a whole.

[Andrew Gwynne]

As part of a £25 million investment in the arts, the Cornerhouse is going to be located with the Library theatre on a new site at First street in the city centre. Is that not a real testament to Manchester’s investment in the arts and in particular to how much Manchester values the Cornerhouse?

[Jonathan Reynolds]

Absolutely. I am as delighted as my hon. Friend and, indeed, everyone in Greater Manchester is at this exciting development, which will ensure that this site, building and institution go from strength to strength.

Culture can attract people to an area—I know that, because as a shy, young 18- year-old, the crucial factor that led me to choose to study in Manchester over anywhere else was probably my deep love of the Stone Roses, and Manchester is also home, of course, to The Smiths, Oasis, Joy Division and New Order. I could go on, but I fear I would lose some of the more venerable Members of the House!

Marriage (Same Sex Couples) Bill

Debate between Andrew Gwynne and Jonathan Reynolds

Tuesday 5th February 2013 Commons Chamber

[Jonathan Reynolds (Stalybridge and Hyde) (Lab/Co-op)]

Having listened carefully to the representations I have received from constituents on both sides of the debate, I will vote for equal marriage today. I will do so because I am a Christian, not in spite of it. I believe marriage is important, and I believe it should be taken seriously—certainly more seriously than how it is presented in modern celebrity culture. I also think there are things that undermine marriage and strong relationships—the lack of family-friendly working hours and prohibitive child care costs are among them—but I genuinely cannot see how my support for equal marriage undermines my own marriage, the marriage of anyone else, or marriage as an institution. If anything, I believe it strengthens it.

I acknowledge that this is a difficult debate for some people. I understand that some Members have a different view from me, but I do not believe a case has been made to explain why the honour and privileges of marriage should not be extended to all. Some of the e-mails I have received have asked, “What protection will be offered to people who disagree?”, but this is a permissive law. It gives the right to conduct same-sex marriages only to organisations that wish to do so. I am genuinely not aware of anything from which people will need to be protected.

Another of my concerns relates to the role of teachers in Catholic schools in the event of this redefinition. I believe that the Education Secretary has provided adequate reassurance in that regard, but I hope we can all agree that what schools should be doing is working to tackle homophobia, and that that should be the starting point for the discussion of these issues in schools.

Some people have raised the prospect of “polymarriage” between three or more people if this change goes through. I find that objection quite offensive. Comments of that kind degrade the loving relationships of many of my constituents, and I feel that they make a poor contribution to the debate.

One of the things I find saddening is that in many of the objections I have received is an assumption that gay and lesbian people and Christians are two separate groups. When a petition was read out in my church on a Sunday several months ago, I could see how distressed gay members of the congregation felt. It is a matter of huge regret that some people—only some—have not acted more sensitively when addressing this matter.

While the overwhelming majority of the letters and e-mails that I have received have been extremely cordial, a number of them—not least some from people professing to want to uphold Christian values—have displayed a vitriol which I find extremely worrying. For instance, I have been told that my wife and I—my wife is chair of the governors at our local faith school—should not have married in a church if I am unwilling to vote against this measure. My response to that is extremely robust. If those people want to purge the various Churches of anyone who believes that faith is compatible with equal rights, they can do so, but they will kill the Churches if they do. There is no future in such a narrow, unwelcoming world view. We have reconciled many literal interpretations of scripture with modern life, and we can do so again on this occasion.

One of the more philosophical arguments that has been presented to me is that marriage belongs to the Church and not to the state. I do not believe that that is true either. We have revised and changed marriage through statute repeatedly over the last 100 years, and I believe that many of those changes strengthened marriage, notwithstanding the claims to the contrary that were made at the time. They include the introduction of register office weddings and weddings outside religious venues, and changes in the law on sexual violence within marriage. Many of those changes opened up the honour of marriage to a wider circle of people, and they should be commended for doing so.

[Andrew Gwynne (Denton and Reddish) (Lab)]

Does not the way in which the Bill is drafted protect the Church’s view of marriage, and, indeed, protect those in the Church who hold that view strongly, enabling them to continue to hold it without fear of retribution?

Local Government Procurement

Debate between Andrew Gwynne and Jonathan Reynolds

Wednesday 16th January 2013 Westminster Hall

[Andrew Gwynne (Denton and Reddish) (Lab)]

As ever, it is a pleasure to see you in the Chair, Mr Robertson. I am grateful to have been granted this debate.

Local government procurement is becoming increasingly important, particularly in places such as my constituency, and I will refer to some of the work that is being done to support local businesses in my constituency during these harsh economic times, especially with the help of Tameside metropolitan borough council in its Tameside Works First initiative. It is also important nationally because almost £62 billion a year is spent through local government procurement, and that amount looks set to increase rapidly as spending cuts force councils to outsource even more services. Clearly, the way in which that money is spent can have a huge impact on the local economy, jobs and training, so we must ensure that we get it right. We must also ensure that, as well as working to obtain best value for money, councils do not overlook important benefits that could be secured through better procurement, particularly added benefits to the local economy.

A study by the Federation of Small Businesses shows that of every £1 spent in the local economy, 83p goes back into that economy. Social Enterprise UK asks:

“If £1 is spent on delivery of services, can that same £1 be used to also produce a wider benefit to the community?”

That is an interesting point, because investing in our local communities must almost certainly have a wider social benefit and positive effect on the same local area.

[Jonathan Reynolds (Stalybridge and Hyde) (Lab/Co-op)]

As ever, it is a pleasure to share with my hon. Friend the responsibility of representing Tameside in Parliament. He is always pressing its case. We know from experience in Tameside what a difference local councils can make. Does he agree that the Government’s attitude to local government funding and to local councils borders on contempt? The way we are going, we will soon lose any lever we have in managing our local economies through local authorities and helping to improve our constituents’ lives.

[Andrew Gwynne]

My hon. Friend makes an important point, because the impact of the local government settlement on a council such as Tameside has been nothing short of devastating. Projections show that coming years will be very difficult for Tameside and other boroughs if things do not improve substantially. That will involve not just the council’s own budget, but the wider local economy. The amount of money being taken out of areas like Tameside will have a devastating impact on the communities we represent.

I want to highlight some of the good work being done in my constituency. The importance of local procurement to support small and medium-sized enterprises is well known. Research in 2005 by the New Economics Foundation with Northumberland county council suggested that for every £1 of direct spending in the local economy, the total value, including indirect spend, equates to £1.76. At the start of the economic downturn, Tameside metropolitan borough council, one of two councils covering my constituency, introduced the Tameside Works First initiative to give more support to local companies and to help to boost the local economy. It was spearheaded by Councillor Keiran Quinn, then the cabinet member for economic development and now the executive leader of the council, precisely to provide support to local companies. Under that programme, specific capital projects and programmes were designated to be supplied locally when possible. At the same time, partner organisations were encouraged to sign up to a local procurement charter, committing themselves also to support a local supply chain.

Police Funding (Greater Manchester)

Debate between Andrew Gwynne and Jonathan Reynolds

Tuesday 22nd June 2010 Westminster Hall

[Andrew Gwynne (Denton and Reddish) (Lab)]

It is a pleasure to see you in the Chair, Mr Weir. I wish to pass on my thanks to Mr Speaker for ensuring that this debate can take place today. I would also like to put on the record my thanks and appreciation to all the police officers and staff at the Greater Manchester police, who do an absolutely fantastic job—a very difficult job in very difficult circumstances. I wish to put on the record my tribute to their work in making my constituency a safer place.

I would also, very briefly, like to congratulate the Minister on his appointment. Given everything that is facing the public services as we progress with the new coalition Government, I am sure that he will do his best, in very tight circumstances, for the police service in Great Britain.

It is, however, a concern that one of the first acts of the new Conservative-Liberal Government has been to introduce a cut of £125 million in police revenue, with a further £10 million from capital funding and £10 million from the counter-terrorism budget. For Greater Manchester police in my region, that announcement will mean a cut of just less than £7 million. That represents a reduction in grant of approximately 2% of total budget. Only Greater London, at £30.4 million, and the west midlands, at £7.5 million, will be harder hit.

Clearly, the Greater Manchester region will be hit harder than most. That has led to uncertainty, as the police had already set out their budgets for the coming financial year. That is why the reduction is so damaging to the efforts being made to tackle crime in my constituency and in other constituencies across Greater Manchester. Police authorities will now have to cut services that they have not planned to cut and there is the likely possibility that that will impact on front-line services.

[Jonathan Reynolds (Stalybridge and Hyde) (Lab/Co-op)]

Does my hon. Friend agree that local councillors in Manchester, of whom I am still one, have worked very hard in recent years, on a cross-party basis, to deliver precept rises that allow Greater Manchester police to have the resources to do its job, and that the least we could expect from the Conservative-led Government is a similar level of commitment at a national level?

[Andrew Gwynne]

This is the first opportunity that I have had to welcome my hon. Friend to the House. He will be a stalwart campaigner for his constituents, who are on the other side of the River Tame from my constituency. He is absolutely right. Although the police authority has had to make some difficult decisions about the police precept, a lot of hard work went into ensuring that the funding package for this financial year was robust and matched the needs of policing in Greater Manchester.

Of course, the previous settlement was made by the Labour Government before the general election. As a result, police authorities set their local budgets on the basis of that settlement and will now have to make difficult choices to bring their budgets into line with the new Government’s amended settlement. Greater Manchester police authority has already admitted that tough decisions will have to be made. There is a concern in my constituency about how that will affect policing in Greater Manchester.

Throughout the years of the Labour Government, we saw a real fall in the number of crimes that were committed. Overall, crime fell by 36%. That was, in part, thanks to the record investment in levels of policing. In 1997, Greater Manchester police employed fewer than 7,000 police officers. According to the most recent figures, from September 2009, there are now 8,148 police officers.

According to the House of Commons Library, in my constituency we now have 917 full-time equivalent police officers, as well as—a great invention of the last Labour Government—police community support officers. Across the same area, the boroughs of Tameside and Stockport, we now have 99 PCSOs committed to being a uniformed presence on the streets.