Mental Health Act 1983

Andrew Percy Excerpts

Monday 29th October 2012 Commons Chamber

[Mr Hunt]

My hon. Friend is absolutely right. As a result of the new structures in the NHS, responsibility for ensuring that all patients who are threatened with detention receive the advocacy to which they are entitled under the Mental Health Act will be transferred from primary care trusts to local authorities. We will use this opportunity to review the arrangements, talk to local authorities, and do all that we can to ensure that those functions are discharged in the way my hon. Friend seeks.

[Andrew Percy (Brigg and Goole) (Con)]

Two mental health trusts that do a fantastic job in my constituency, Humber NHS Foundation Trust and Rotherham, Doncaster and South Humber NHS Foundation Trust, have been involved in this. Can the Secretary of State tell us how many patients have been affected by what has happened in trusts, so that if families approach us we can offer them the information that they require?

[Mr Hunt]

I shall try to give my hon. Friend that information later.

Health

Andrew Percy Excerpts

Tuesday 17th July 2012 Commons Chamber

[Jonathan Ashworth (Leicester South) (Lab)]

Like many other Members, I should like to say a few words about the outcome of the Safe and Sustainable review. Children’s heart surgery services in Glenfield, in the constituency of my hon. Friend the Member for Leicester West (Liz Kendall), have been earmarked for closure—a decision that came as shattering news when we heard it the other week to many of the staff who work there and many families of patients who have been treated there.

Many of my constituents have got in touch with me, and I have also been contacted by people across Leicester and the country. I do not have time to go through everything that they said, but Stacey Whiteley from Lincoln has contacted me. People have contacted me from Corby, Coalville and Northampton to express deep concern and opposition to the decision. Many of them said that there were a number of questions that they wanted answered and, as I think that they are legitimate concerns, I want to put them on the record.

My constituents have asked me, for example, why the extra options I to L were not presented for public consultation. Other constituents have pointed out that option A was the most popular, but was apparently ignored. Some constituents have questioned the impartiality of some advisers to the panel and others have pointed out that, in the consultation document, option A was described as being consistently the highest scoring option. Why was there a U-turn and option B chosen? It is right that those decisions should be made by clinicians, but these are legitimate questions from people concerned about the decision.

[Andrew Percy (Brigg and Goole) (Con)]

The hon. Gentleman makes an important point, but the decision was made not by clinicians but by commissioners, who have left the eastern side of England between Newcastle and England without a heart unit. Many of my constituents would have gone to Leicester in preference to Newcastle. Now they will probably travel to London or Liverpool.

[Jonathan Ashworth]

Indeed. Many of the hon. Gentleman’s constituents would have been welcome in Leicester. He is quite right: where do our constituents in the east of the country, between Newcastle and London, go? That is something else that many of my constituents have raised with me.

I wish to concentrate on the biggest deficiency of the decision, which is the impact on our world-class ECMO—extracorporeal membrane oxygenation—service. On Friday, the Secretary of State announced that he would accept the recommendation to shift our ECMO service from Leicester to Birmingham. In Leicester, we have had a brilliant, world-renowned ECMO service for 20 years.

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[Stuart Andrew]

I am extremely grateful to my right hon. Friend for that clarification. I hope that the independent review body will look at the issues that I raise.

Logical health planning clearly dictates that services should be based on where the population live. Doctors should travel to where the patients are, rather than the other way around. Even the British Congenital Cardiac Association has said that:

“Where possible, the location of units providing paediatric cardiac surgery should reflect the distribution of the population to minimise disruption and strain on families.”

After all, it is not buildings that perform operations, but the doctors and surgeons within them. That definition seemed okay in the case of Birmingham. The review stated:

“The Birmingham centre should remain in all options due to the high level of referrals from the large population in its immediate catchment area.”

Why on earth does the argument about the large immediate population not apply equally to Leeds?

The independent analysis of patient flows states that many of the people in west and south Yorkshire and in Lincolnshire will probably go to Birmingham, Liverpool or even London instead. The JCPCT reaches the figure of 403 surgical procedures for Newcastle on the basis of only 25% of the patients going there. Even that is doubtful. How was the figure of 25% arrived at?

[Andrew Percy]

It is very convenient that the 25% figure gets Newcastle just over the 400 mark. However, my constituents in east Yorkshire and north Lincolnshire will not travel to Newcastle at a rate of 25%. They will go straight up the M62 to Liverpool or head south to Birmingham or even London, which are much easier to get to.

[Stuart Andrew]

My hon. Friend is right. I am sure that that is the case for constituents across Yorkshire and the Humber.

National Health Service

Andrew Percy Excerpts

Monday 16th July 2012 Commons Chamber

[Andy Burnham]

The Bill that the Government brought through is an attack on the N in the NHS; that is what it was designed to do. It was designed to break national standards; to break national pay; to break waiting time standards; and to allow primary care trusts to introduce random rationing across the system. That was the intention of the Bill that they brought through; they wanted an unfettered market in the health service, and my hon. Friend is absolutely right. That is why we are saying that we will repeal this Act and restore the N in NHS at the earliest opportunity.

[Andrew Percy (Brigg and Goole) (Con)]

On 28 June, in response to misinformation put out by Labour councillors, the medical director of my local hospital trust, a doctor of 30 years, wrote an article in my local paper under the headline “NHS faces greatest challenge”. She talked about staff costs, treatment costs and the 2008 Nicholson challenge. She said that the trust’s problems date “back to 2008”, and she continued:

“Having been a doctor for nearly 30 years, the 2008 Nicholson challenge is, by far, the greatest challenge the NHS has ever faced”.

What should we believe: the picture being presented by the right hon. Gentleman or this article?

[Andy Burnham]

The hon. Gentleman is making my point; if he was listening to what I said at the start of my speech, he would have heard me say clearly that the £20 billion Nicholson challenge, which I set, was always going to be a mountain to climb for the NHS. Let us be clear that it was. What was unforgiveable was combining that Nicholson challenge with the biggest ever top-down reorganisation in history, when the whole thing was turned upside down, managers were being moved or made redundant and nobody was in charge of the money. That was what was so wrong, and that is what the hon. Gentleman should not be defending if he is defending staff in the NHS.

The third area where we need action from Ministers is on protection for staff. The Deputy Prime Minister said recently:

“There is going to be no regional pay system. That is not going to happen.”

But we heard yesterday that a breakaway group of 19 NHS trusts in the south-west has joined together to drive through regional pay, in open defiance of the Deputy Prime Minister. They are looking at changes to force staff to take a pay cut of 5%; to end overtime payments for working nights, weekends and bank holidays; to reduce holiday time; and to introduce longer shifts. We even hear that if staff will not accept this, they are going to be made redundant and re-employed on the new terms. So let us ask the Secretary of State and the Minister to answer this today: do the Government support regional pay in the NHS and the other moves planned by trusts in the south-west? If they do not, will they today send a clear message to NHS staff in the south-west that they are prepared to overrule NHS managers?

Fourthly, I shall deal with reconfigurations. The House will recall the promise of a moratorium on changes to hospitals and the Prime Minister’s threat of a “bare-knuckle fight” to resist closure plans. In 2010, the Secretary of State set out four tests that all proposed reconfigurations had to pass. They related to support from general practitioners, strengthened public and patient engagement, clear clinical evidence and support for patient choice. He said:

“Without all those elements, reconfigurations cannot proceed.”

So let me ask the Minister: does he think that the A and E units closing at Ealing, Hammersmith, Charing Cross and Central Middlesex pass that test? How about St Helier, King George, Newark and Rugby? Is it not clear to everyone that the Prime Minister’s bare-knuckle fight never materialised? Is it not also clear that no one told the Foreign Secretary, the Work and Pensions Secretary or even the Minister of State, Department of Health, the hon. Member for Sutton and Cheam (Paul Burstow), who is responsible for care and older people and who has launched a campaign against his own Department? What clearer sign could there be of the chaos in the Department of Health and of the chaos engulfing the NHS? Will the Secretary of State now take action to stop reconfigurations on the grounds of cost alone?

That brings me to my fifth and final area for action, which is NHS spending. The coalition agreement said:

“We will guarantee that health spending increases in real terms in each year of the Parliament.”

That is health spending, not the health allocation. Official Government figures show that actual spending has fallen for two years running and the underspend has been clawed back by the Treasury. Of all the promises the coalition has broken, people will surely find that one the hardest to understand given that the Prime Minister appeared on every billboard in the land, on practically every street in the land, promising to do the opposite just two years ago.

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[Mr Burns]

I do not like to contradict the right hon. Gentleman, but I will. What I said was slightly different from what he accused me of saying. What I said was that rather than praising the NHS in a year of change, the Opposition denigrate it. That is slightly different.

To pick up on a point that the right hon. Member for Leigh mentioned from a sedentary position, GP referrals for 2011-12 were 1% lower than in the previous year, but outpatient referrals were, as I said, slightly higher.

[Andrew Percy]

Will my right hon. Friend give way?

[Mr Burns]

If my hon. Friend will allow me, I would like to make some progress. If the opportunity arises, I will give way to him then.

I could stop after reporting all that good news, but I do not see why I should when there is so much more to praise the NHS for. It gets little praise for its performance from the Opposition. I want to praise the fact that patients are reporting better outcomes for hip and knee replacements and for hernias, and the fact that the latest GP patient survey showed that 88% of patients rated their GP practice as good or very good. MORI’s independent public perceptions of the NHS survey shows satisfaction with the NHS remaining high at 70%.

In the patient experience survey, 92% of patients who had used the NHS in the past year rated their care as good, very good or excellent. Mixed-sex accommodation breaches are down an incredible 96% since we came to power, although of course the Opposition often claimed to have eradicated that problem—not so, alas. MRSA infections are down 24% in the year, and C. difficile infections down 17%. More than a million more people have an NHS dentist. No reasonable person could look at the performance of the NHS over what has been a challenging year with anything but admiration and pride. I, too, would like to take this opportunity to praise NHS staff for their hard work and dedication and the excellent results they are delivering for patients.

[Mr Burns]

I promised to give way to my hon. Friend the Member for Brigg and Goole (Andrew Percy).

[Andrew Percy]

Will the Minister condemn Labour party representatives in Goole who, despite the fact that under Labour we saw ward closures and mental health in-patient beds go, recently gave the media incorrect waiting list times, and will he confirm that in North Lincolnshire 93% of patients are seen within 18 weeks, which is far ahead of the national target? The Labour party needs to stop talking down our local hospital.

[Mr Burns]

I am extremely grateful to my hon. Friend and certainly condemn any misrepresentation, misinformation or talking down of the NHS in any of my hon. Friends’ constituencies.

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[Stuart Andrew]

The hon. Gentleman pre-empts the next part of my speech and I am grateful to him for that.

As this is a health debate, I am sure that my right hon. Friend the Secretary of State would expect me to talk about the safe and sustainable review of children’s heart units. Like other Members, I have received a number of e-mails from various organisations today. One of them said that some MPs should seek to reignite the debate and that I should think about the children because if I had children, I would move heaven and earth to ensure that the service was the very best. Frankly, throughout the campaign on children’s heart units, I have only ever thought about the children. Of course I want the very best service for them, as do the right hon. and hon. Members from all parts of the House who have worked on the campaign. I have always accepted that there is a need for change. That is why I want to discuss a few related points this evening. I know that I will have an opportunity to raise it in greater detail tomorrow, but it is important that I speak about it tonight.

Access and travel times are incredibly important to the families who use children’s heart services. Logical health planning surely dictates that services should be based according to where the population lies. The British Congenital Cardiac Association states:

“Where possible, the location of units providing paediatric cardiac surgery should reflect the distribution of the population to minimise disruption and strain on families.”

[Andrew Percy]

That is exactly the point that Members who represent Yorkshire and northern Lincolnshire are concerned about. The proposals will mean that patients will have to travel, and expecting families in northern Lincolnshire to get to Newcastle is simply not acceptable.

Veterans (Mental Health)

Andrew Percy Excerpts

Wednesday 7th March 2012 Westminster Hall

[Guy Opperman (Hexham) (Con)]

It is a great pleasure and a privilege to speak in this debate today. I have been in this House for nearly two years and I have not had the opportunity to raise the issue of the mental health of veterans in the way in which we have done today. I pay great tribute to my hon. Friend the Member for York Outer (Julian Sturdy) for securing this debate and for the measured and eloquent way in which he has brought the issues to the House.

I join my hon. Friend and other colleagues in passing on our respective condolences to the service men and women, and to the families of those who died in Afghanistan so recently. I endorse everything that both the Prime Minister and the Leader of the Opposition said. It is an utter tragedy and one of the largest losses of life for many a year. I remain of the view that the sooner we bring our troops home from Afghanistan, the better it will be.

This debate is certainly overdue. I want to make a declaration. I send out my thanks and support to the various charities, volunteer groups and individuals who provide support. I echo the words of support for the Royal British Legion and Help for Heroes. If I need to declare that I have raised funds for such groups while serving as a Member of Parliament, I do so. I certainly need to make a declaration that I have represented, as defence counsel, multitudes of soldiers facing criminal charges, which was a salutary and depressing experience. Many of the soldiers had committed criminal offences, which they had no desire to commit, because they were suffering from mental health problems and fundamentally from post-traumatic stress disorder.

I represented a Royal Marine who had broken down in a supermarket after he had been unable to get together the right amount of money at the till. He felt that the lady behind the counter, who had been perfectly civil to him, had not been as co-operative as she should have been and it all became too much. The nature and the prevalence of post-traumatic stress are such that it is always the very smallest things at the end of the process that result in the demise of the mental strength of people who have quite happily stormed up Tumbledown ridge, gone across the Gulf deserts and fought repeatedly in a way that very few of us in this House can even contemplate. It is how we provide support that is important. As defence counsel for some of these lads and, on one occasion, a woman, I saw very strongly how their spirit was broken. I have also seen, over the last 15 to 20 years of lawyer practice, plenty of examples of these people falling through the system.

[Andrew Percy (Brigg and Goole) (Con)]

My hon. Friend is making an important speech about how people fall through the net. My neighbour, the hon. Member for Scunthorpe (Nic Dakin), mentioned Charles Brindley, who has been trying to do some work around GPs. Many GPs do not seem to be aware of the military assessment programme that is available. Often if someone presents with a mental health issue, the GP is not trained or aware of the services and support that can be made available. Does my hon. Friend agree that we need to ensure that GPs are better educated and better trained in dealing with such individuals?

[Guy Opperman]

I entirely endorse that point. Although it is incumbent upon Members of this House to raise the profile of this issue and to try to disseminate information about the types of health care support that exist, it is also incumbent upon the relevant health trusts and authorities to ensure that in future a degree of information is passed down the net to individual GPs and action teams, particularly those teams dealing with alcohol abuse, so that the organisations in the regions are able to support the veterans who are out there.

I have worked with a charity called Veterans in Action. It involves some constituents of mine in Northumberland but it also involves servicemen and women who are based in Lancashire and all over the country, who are attempting to do various things. For example, they have a pilot project with the Lancashire Drug and Alcohol Action Team that involves meeting up with GPs to work with them and trying to do exactly the sort of thing that my hon. Friend the Member for Brigg and Goole (Andrew Percy) has outlined.

However, the worry is that, although individual groups in our constituencies are all doing very good work to provide a degree of assistance to veterans, there is no overarching body providing global support. What often happens, therefore—for example it has happened with Veterans in Action, which was set up in my constituency and is now working throughout the country—is that the individual soldiers effectively get fed up with the process and decide to provide support themselves.

I supported what the previous Government did. They were working to do a great deal more than had previously been done. Successive Governments have improved care for veterans over time. But the “Fighting Fit” report and the work done by my hon. Friend the Member for South West Wiltshire (Dr Murrison) have clearly taken things to the next stage and a better level.

I will digress slightly, because in my constituency I have the Albemarle barracks and the Otterburn ranges, troops from my constituency are serving on a regular basis in Afghanistan with the 39 Regiment Royal Artillery, and the Ridsdale ranges provide all the weapons that are tested before the soldiers use them. I also have a large number of constituents who have served in the forces. For example, many Falklands veterans live in my constituency and have come to see me because of the experiences that they have suffered and the lack of support that they have experienced. That was under a different Government and, frankly, I am not here to criticise any Government. However, there is no question but that the degree of support given to the Falklands veterans was limited compared with the support that we are giving to the veterans who are returning from Afghanistan now. Things have got better.

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[Andrew Percy (Brigg and Goole) (Con)]

I was not planning to speak, Mr Dobbin.

[Jim Dobbin (in the Chair)]

No, I did not think that you were.

[Andrew Percy]

I will speak only for three or four minutes, which I think will give the shadow Minister and the Minister longer than they were expecting; but as there was not a line of hon. Members waiting to speak, I thought that I would add my voice to this important debate. I apologise, Mr Dobbin, for not dropping you a note.

I congratulate my near neighbour, my hon. Friend the Member for York Outer (Julian Sturdy), on securing this important debate on a vital issue. There are no party politics involved; we all agree about the sort of services that we want provided for ex-service personnel. I just want to tell the story of a constituent of my neighbour, the hon. Member for Scunthorpe (Nic Dakin). He is the gentleman whom I mentioned earlier, Charles Brindley, who is the vice-chairman of the Royal British Legion in Brigg, in my constituency. He has been trying to put together a project in the area to establish better mental health and support services for veterans. He is trying to co-ordinate through the councils, and I am pleased that North Lincolnshire council has taken him up on his offer of working with it.

There is so much involved in trying to bring everything together. The e-mails that we have had from Charles Brindley and the discussions that we have had with him have been quite enlightening. He has been trying to work with the Prison Service, and he found out that one prison does not have a dedicated individual to respond to ex-service personnel there. He has been trying to work with the primary care trusts and GPs on the very point that I raised with my hon. Friend the Member for Hexham (Guy Opperman): raising GPs’ awareness of what is available through the NHS for ex-service personnel. He has also been trying to work with other organisations that I would not even have thought of, such as Age UK, which has told him that older people may now be starting to present with mental health problems that go a long way back.

A range of organisations and institutions come across ex-service personnel at different points in their lives and provide them with services, and the fact that they are not necessarily always joined up concerns me. Some of what is happening can certainly be brought together under the auspices of the local authorities, but I echo the idea of a dedicated veterans agency. The example that is probably most similar to what we want are the incredibly dedicated services, including specialist health services, provided to veterans in the United States, where veterans seem to be provided with a lot of support that we in this country sadly do not give.

As many Members have said, it is often far down the line that mental health problems start to rear up. This summer, I met one of my ex-pupils walking through the town centre. I had not seen him since I taught him when he was about 16, and I asked him what he had been doing since then. He said, “I’ve been out in Afghanistan.” I think he was in a Yorkshire regiment. He said, “I got shot. I’ll show you.” He then rolled up his trouser leg to show me his bullet wounds. I asked him if he was okay, and he said, “I’m absolutely fine. I’m going to get paid out now. I’m going to get a better pension, and I’m going to get a house. Everything’s fine.” He may think that he is fine now, but in 10 or 15 years’ time, with his career in the military effectively ended, a mental health problem, as we know, could rear its head. What will there be to support that individual then? He is getting a lot of support from the Army at the moment—he had no criticism of that—but in 10 or 20 years’ time, that support might not be there, or he might not know how to access it.

[Jessica Lee (Erewash) (Con)]

I hope that my hon. Friend will agree that another consequence of delayed stress and trauma for veterans can be the impact on their family relationships. Representing families in courts, I have seen over the years that that has caused difficulties. It has been largely a case of fathers having a less meaningful relationship with their children and being less able to take responsibility for them.

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[Andrew Percy]

I entirely endorse what my hon. Friend says. We have probably all seen examples in our surgeries of military service sometimes leading to breakdowns, which are then presented at our constituency surgery for assistance. I am reminded of the old saying: while the physical wounds may heal, the mental scars never quite go away. So I endorse what has been said by other Members today.

[John Pugh]

One of the themes in the debate today has been whether we do or do not have a veterans agency. Somebody said that the veterans agency is an American model, but the Americans do not have our GP system. Even with the existence of a veterans agency, is there not a problem with how that then interacts with the GP, who will often be the first port of call when problems occur?

[Andrew Percy]

That is exactly the point that the hon. Member for Hexham (Guy Opperman) accepted. In creating anything, there will always be interaction problems. We all know where we want to be; how we get there is probably a bit more difficult. Now that the shadow Minister and the Minister will have a little more time, I am sure that they will expertly plot a course forward to deal with these issues.

Health and Social Care (Re-committed) Bill

Andrew Percy Excerpts

Wednesday 7th September 2011 Commons Chamber

[Nadine Dorries]

No, no, no.

I think that is because Liberal Democrats traditionally support choice. Is it any wonder that the person in question is now the former Member for Oxford West and Abingdon?

[Andrew Percy (Brigg and Goole) (Con)]

Will my hon. Friend give way?

[Nadine Dorries]

It is time to make a decision not informed by the Liberal Democrats, and without being blackmailed by a Liberal Democrat or held to ransom by the Liberal Democrats. It is time to make a decision based on our conscience. I say to hon. Members: be prepared to stand by your view today for a long time, as it will be on everyone’s parliamentary record. In weighing up whether to support the amendment, Members should bear in mind the fact that 78% of the public support it. This is why we are here as Members of Parliament—to make difficult decisions such as this, not to be blackmailed or held to ransom. This is why we are MPs—because our constituents expect us to be brave. They expect us to stand up in the face of blackmail and be accountable.

[Andrew Percy]

Will my hon. Friend give way?

[Nadine Dorries]

It does not happen very often in the House, but we have a conscience vote. It hardly ever happens, but we are all personally answerable for the decisions that we take. This decision is about nothing more than supporting an offer of counselling to vulnerable women who may need it and who may use it as a lifeline.

[Andrew Percy]

Will my hon. Friend give way?

[Nadine Dorries]

How many times do I have to say no to my hon. Friend?

This is about being accountable for our views, which is what Parliament is all about. I do not see why we should shy away from putting our positions on the record. If Members want to stand in the way of a woman’s basic right to independent counselling, then they should vote against this proposal. However, if they want to ensure that a woman can have access to very basic support, they should vote for the amendment. It is up to them—support these reasonable measures to provide all women with independent counselling, or stand in the way of that basic support.

This vote is about women. I want every woman in this country to be able to look every MP in the eye and ask, “How did you vote for me and my daughters? What was the decision that you took?” Every MP will be accountable for that vote and that decision today.

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[Valerie Vaz]

He was: he had a very big smile on his face and he said, “I’m about to retire.” [Interruption.] With the greatest respect, the Secretary of State was not there. Sir David was asked to stay on to preside over the NHS commissioning board, which he has described as

“the greatest quango in the sky.”

I think that the NHS commissioning board is going to be the new Secretary of State for Health, with all the powers but none of the accountability. The NHS has been quangoed—not coloured orange, as in the advert, although that might happen when the Bill goes to the other place, but coloured the blue of betrayal. These are not reforms: they are a complete dismantling and looting of our precious resource. This is not selling off the family silver, but selling off the whole estate, the freehold and the family crest.

It is not just Opposition Members who are concerned about accountability. There are widespread concerns about the accountability of the NHS commissioning board and commissioning consortia regarding public money.

[Andrew Percy]

Will the hon. Lady give way?

[Valerie Vaz]

No, I will not.

I again ask the Secretary of State for Health what discussions he has had with the Cabinet Secretary about the change regarding accountability for the public money that will be transferred—£60 billion of it—to those quangos. If he is asked questions about this in the House he will say that it is an operational matter.

I want to show hon. Members what the scenario will be like, because this is already happening in my constituency and this is what it will be like throughout England. The out-of-hours GP and urgent care service provider Waldoc has just lost the contract to provide out-of-hours services after 16 years, without a right of appeal to the strategic health authority and despite a patient satisfaction rate of 95%. When the contract was lost and staff turned up to find out whether they had jobs, they did not even know whether they would have a job the next day. That is how they have been treated. This has been happening in most PCTs, as some Members will know from their constituencies. People have left, vital expertise has gone and no one from the Government side has been able to give us a figure for the redundancy costs. When I asked the Minister how much this whole reorganisation would cost, he said he did not know the figure and that there was no new money. That must mean that money has come out of services.

We have, however, had a figure—£1.4 billion—from Professor Kieran Walshe of Manchester university. No wonder waiting times have gone up. Members of the public need to know that in an increasing number of areas, consortia will be conducting competitive tenders in which, potentially, foundation trusts, the constituent members of consortia and commercial providers will be bidding. Clearly, there will also be a conflict of interest. It has been estimated that a single procurement process can cost from £5,000 to £30,000. That is a waste of public money, and the whole regime of procurement is a waste of costs.

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[Joan Walley]

That is right and it comes back to the fact that, somehow or other, under the new regime, whatever it ends up being, there will not be the fairness or the universal provision. In certain areas—perhaps those such as mine, which have much greater deprivation and much greater health inequalities than others—things will be more difficult.

[Andrew Percy]

I do not recognise the picture that the hon. Lady is painting. The real issue with the provision and availability of services is more to do with the funding model that is in place. When my local PCT was unable to provide dental services and when the bed numbers at Goole hospital were reduced a couple of years ago, local people had no ability to influence those decisions, no matter how much they appealed to the Secretary of State, because it comes down to money.

[Joan Walley]

Of course it comes down to money, but it also comes down to fairness in how the money is allocated. That must relate to an overall sense of direction to deal with health inequalities.

I want to discuss very specifically three amendments that I have tabled, but I did not want to go into the detail without associating myself with some of the concerns that exist across the country which have not yet been resolved. I speak as an honorary vice-president of the Chartered Institute of Environmental Health. I tabled the amendments to ensure that we do not just pay lip service to environmental and public health, and that we truly get a Bill that is fit for purpose in respect of the prevention agenda and the new arrangements under which we will be operating, which should give more status and priority to environmental health.

I want to speak in favour of the Government looking either now or in the other place at the case for a chief environmental health officer for England. The reason for that is the fact that, historically, there was a post of chief environmental health officer, going back to the days before 1974 when local authorities last had lead responsibilities for public health services and when each authority had a medical officer for health.

Today, England has a chief medical officer, but not a chief environmental health officer. I heard what the Minister said about that, but I urge him to have further talks, if necessary, with the professionals to see how we could ensure that a chief environmental health officer for England was appointed. Earlier we talked about Wales, where there is a chief environmental health officer post. In all the arrangements in Wales and in Northern Ireland, there is a recognition of the role played by environmental health in promoting health and well-being, and of the importance, therefore, of ensuring there is an environmental health input to policy making at the highest level and at the strategic level. I believe that is what England currently lacks. If the Bill is to give a higher profile to public health services, and the lead in public health is to be provided by local authorities, which is where the environmental health work force is located, it is necessary to make corresponding arrangements such as my new clause could facilitate, if the Government gave it serious consideration.

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Despite 85% of us admitting that we have problems with our vision, 37% are put off having a sight test because of worries about money. That shocking statistic shows the extent to which fear of cost is as much of a barrier as actual cost, as more than 30 million people in the UK are entitled to free eye care paid for by the NHS and many more are entitled to free eye care paid for by their employer. The result of that confusion is that more than 20 million people are putting their sight at risk by failing to have regular sight tests.

[Andrew Percy]

The hon. Lady is making an interesting argument, and I would just ask her two things. First, how is she suggesting that we should pay for the idea? Secondly, is she seriously suggesting that we should return to millionaires being provided with dental treatment and eye care free of charge?

[Caroline Lucas]

It seems to me that if Wales and Northern Ireland have been able to abolish prescription charging altogether, it is certainly possible to do it. I would also argue that although everyone collectively having a stake in our public services may well mean that millionaires get a free eye test, under the type of regime that I would like to see they would be paying an awful lot more tax than they are under the Conservative party’s regime.

Health and Social Care Bill (Programme) (No. 3)

Andrew Percy Excerpts

Tuesday 6th September 2011 Commons Chamber

[Liz Kendall]

The Prime Minister claims that the whole profession is now on board for the Bill, and that simply is not the case. Government Members, particularly those on the Liberal Democrat Benches, should remember that the Government have no mandate from either the election or the coalition agreement for fundamental aspects of the Bill. In fact, the coalition agreement promises to do precisely the opposite—to stop top-down reorganisations of the NHS.

The Government want to railroad the Health and Social Care Bill through the House in the face of widespread opposition and huge controversy, and with no mandate for their plans.

[Andrew Percy (Brigg and Goole) (Con)]

Will the hon. Lady give way?

[Liz Kendall]

I will not, because we need to get on to the substance of the debate. The less time that the Government give MPs to scrutinise the Bill, the more people will think that they have something to hide; the more they hide, the longer it will take to get the Bill through the other place.

Unless hon. Members vote against the programme motion, it will be left to Members in the other place to provide the parliamentary scrutiny that the Bill needs and to get answers to the serious questions that remain. I believe that Members of this House should scrutinise legislation and get the answers to questions that our constituents need and deserve. The Government are refusing to give us the time to do our job. I urge Members to vote against the programme motion.

Southern Cross Care Homes

Andrew Percy Excerpts

Tuesday 12th July 2011 Commons Chamber

[Paul Burstow]

The first thing to say is that everything I have set out for the House today is about minimising the numbers of closures and moves. It is about ensuring continuity of care and continuing care in existing care homes. However, having said that, I made the point in response to her right hon. Friend the Member for Holborn and St Pancras (Frank Dobson) that there is new guidance for local authorities on how they engage with the residents of care homes and their families, and it is the responsibility of local authorities to do just that.

[Andrew Percy (Brigg and Goole) (Con)]

Were it not for my two county councils, information about the two homes in my constituency—Windsor Court in Goole and St Mary’s in Scunthorpe—would not have been forthcoming at all. Given that it has also taken me several weeks to try—unsuccessfully—to get Southern Cross to allow me even to visit their homes, can the Minister give me an assurance that he will do everything he can to ensure that we are given home-specific information as quickly as possible? If such information is not being made available to Members of Parliament, it is probably not being made available to residents or their families.

[Paul Burstow]

Yes, and I gladly undertake to ensure that if further information needs to be shared during the summer recess, hon. Members in all parts of the House will receive it in a timely fashion, so that they can address their constituents’ concerns.

Congenital Cardiac Services for Children

Andrew Percy Excerpts

Thursday 23rd June 2011 Commons Chamber

[Pat Glass]

Absolutely, and we need to appreciate why such moves are necessary. None of us wants another Bristol baby tragedy, and I think there is general agreement that we need changes in the organisation of services to drive up the quality of treatment and bring together specialist surgeons to work in larger teams.

[Andrew Percy (Brigg and Goole) (Con)]

Will the hon. Lady give way?

[Pat Glass]

Practically everyone remains in agreement that those changes need to be made.

[Andrew Percy]

Will the hon. Lady give way?

[Pat Glass]

The argument is simply about which units will specialise in surgery, even though all existing units will continue to offer ongoing cardiology care.

[Andrew Percy]

Will the hon. Lady give way?

[Pat Glass]

I am not going to give way, no matter how much the hon. Gentleman hassles me. I can see that that is what he plans to do.

Many local campaigns have been mounted, and they have been supported by local MPs fighting for their own units or fighting to delay decisions. I absolutely understand that, but the decisions have been put off before for many reasons, which I believe is to the detriment of patients.

The decision should not be made on a political basis. Few of us in the House are qualified to judge the quality, sustainability and deliverability of clinical outcomes in children’s heart provision. On 7 June, when I questioned the Minister of State, Department of Health, the right hon. Member for Chelmsford (Mr Burns), on the matter, he gave me a categorical assurance that decisions would be

“based on clinical outcomes, not political considerations.”—[Official Report, 7 June 2011; Vol. 529, c. 12.]

I hope that he will keep his nerve in the face of sustained political lobbying.

--- Later in debate ---

[Catherine McKinnell (Newcastle upon Tyne North) (Lab)]

That the children’s heart unit at Newcastle’s Freeman hospital is cherished across the north-east is undisputed. One has only to read the coverage of the Newcastle Evening Chronicle “Keep Our Children’s Heart Unit” campaign in recent months to appreciate just how the unit has changed the lives of countless young people and families over the past decades.

Indeed, because of the pioneering work of the children’s heart unit at the Freeman, it is recognised nationally and internationally as a centre of excellence, with particular strength in quality and outcomes. The unit has also had significant investment over recent years. It is the only unit in the country able to offer all forms of heart treatment, regardless of age, under one roof, and the Freeman is recognised as having led the way in the UK in providing end-stage heart failure treatment for children.

As my right hon. Friend the Member for Newcastle upon Tyne East (Mr Brown) said, the Freeman famously and bravely performed the UK’s first successful baby heart transplant in 1987. It has performed more than 200 child heart transplants overall, and was recently the first hospital in the world to enable a young child to survive for four months with an artificial heart, while the baby’s own heart recovered.

The quality of the work carried out at the Freeman means that young patients and their families travel to Newcastle for treatment not just from the west of Cumbria or north Yorkshire, but from as far afield as Scotland, Northern Ireland and even the Republic of Ireland.

For those reasons, I believe that the children’s heart unit at the Freeman is well-placed to continue providing its excellent, world-leading cardiac surgery services for children. Three of the four options put forward by the Safe and Sustainable review propose that that should be the case. However, I have concerns about attempts to move the debate away from the key issue at hand: ensuring that congenital cardiac services provided to children in England and Wales continue to be high quality, and therefore safe, and sustainable and deliverable. That was the intention of the Safe and Sustainable review.

[Andrew Percy]

Will the hon. Lady give way?

[Catherine McKinnell]

I shall give way once.

[Andrew Percy]

I do not think any hon. Members who are fighting to save their local units are trying to move the debate away from that. I shall quote what health professionals from the North Lincolnshire and Goole NHS Foundation Trust say:

“In summary, we believe the babies, children and families of northern Lincolnshire would be largely disadvantaged…knowingly relocating a well run and safe service without providing additional advantage to our families is questionable and unnecessary.”

We are not moving the debate away from the clinical issues at all.

[Catherine McKinnell]

The hon. Gentleman has put his thoughts and concerns issue on the record.

I mentioned the intentions of the Safe and Sustainable review, which was instigated by national parent groups, NHS clinicians and their professional associations. Those intentions must be the primary drivers in deciding the final outcome of the review.

I am equally concerned at suggestions that the decision and outcome of the review should be stalled, or that the remit should be altered. I am not alone in expressing such concerns. The Children’s Heart Foundation argues that that would leave

“the door wide open for another Bristol Baby tragedy”.

Meanwhile, the charity Little Hearts Matter believes that the Safe and Sustainable service reconfiguration offers—

--- Later in debate ---

[Andrew Percy (Brigg and Goole) (Con)]

Outrageous, Mr Deputy Speaker! But obviously accepted.

I associate myself with many of the comments of my fellow Yorkshire and the Humber MPs, particularly my near neighbour the hon. Member for Scunthorpe (Nic Dakin). I want to mention a couple of issues raised by our local health trust, which is opposing anything other than option D very strongly. Indeed, North Lincolnshire council’s scrutiny committee met to discuss the matter on Tuesday and similarly supports that option, which would help to maintain the Leeds unit. That is not simply because it is our local centre. My constituents have to travel a considerable distance to get to Leeds, as it is not exactly next door. It is okay for some of us, but it is quite some distance for my constituents over in Brigg, in particular.

My constituents accept the regionalisation of health services when it is of proven benefit. That is so in the case of adult cardiac services, which are currently provided in Hull, and the same applies to children’s cardiac services. However, if we are to go down the route of regionalisation and big centres, it seems sensible to put services where the population is rather than try to move the population to where the clinicians are.

I wish to quote a couple of points that my local health trust has made. It has stated:

“Leeds has the largest population centre and therefore it is most sensible to ask fewer patients to travel the least distance”.

As I said earlier, the conclusion of the North Lincolnshire and Goole Hospitals NHS Foundation Trust was that it believed babies, children and families in North Lincolnshire would largely be disadvantaged in their access by the proposed changes.

I am aware of the very short time available, so I cannot say most of what I would have liked to say, but my final point is that under the proposals we could end up in the rather odd situation that some of my constituents could be served by one centre and others by another. Given that they are all in the same health trust area, that could mean different services being provided to different constituents.

[Mr Deputy Speaker (Mr Nigel Evans)]

To speak for 10 minutes, I call the shadow Minister, Liz Kendall.

Health and Social Care Bill (Programme) (No. 2)

Andrew Percy Excerpts

Tuesday 21st June 2011 Commons Chamber

[John Healey]

One of the deep flaws in the motion is that it is hard to see how the Committee can properly consider the changes that the Government say they want to make without being able to consider the consequences for other parts of the Bill and other parts of the NHS.

[Andrew Percy (Brigg and Goole) (Con)]

Moderation in these debates is always to be welcomed. Surely the right hon. Gentleman must see that he cannot have it both ways. He cannot complain about the money and the length of time spent on the listening exercise. When I was in the House last week to listen to the statement, he said it was time to get on and get it done, yet he argues that we should drag the process out for even longer. He cannot have it both ways.

[John Healey]

I can and I have. This is a reckless and needless reorganisation, which has led to confusion and chaos over the past year. If the House does not help to get the legislation right by doing its proper job, that chaos and confusion and the wasted cost—money that should be spent on patient care—will continue.

--- Later in debate ---

[Andrew Percy (Brigg and Goole) (Con)]

I did not intend to speak, but I have been provoked into making a few brief comments. Like my hon. Friend the Member for Wellingborough (Mr Bone), I have concerns about programme motions, despite having been here only a short time. I, too, have never been successfully placed on a Bill Committee, although his failure is perhaps greater than mine as he has been here a bit longer than I have.

Before I was elected to this place, I spent 10 years as a local government councillor in perpetual opposition, being one of only two Conservative councillors on an authority of 60 members. We spent all that time criticising the administration for not listening to us and not giving us the opportunity to scrutinise decisions correctly. Perhaps it is the role of an Opposition to make a great deal of noise about the issue of scrutiny, and I understand that that is partly the approach of Labour Members today.

Since being elected, I have been incredibly frustrated by how little time there is to debate anything. Everything seems to be time-limited, and one sometimes sits for hours and cannot get called. I hope that if anything comes out of these discussions, this issue will be looked at in future years and we will have a different way of doing things in this place so there is proper debate.

When I talk to members of the public and health professionals, they tell me that they want clarity in knowing where we are heading with the NHS. Having listened to the Secretary of State, I want to know what the provisions will be to prevent cherry-picking.

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

Does the hon. Gentleman not understand that recommitting only the parts of the Bill that the Government want to recommit, and not considering the knock-on impact on other parts of it, will create uncertainty about the aspects that are not going to be debated?

[Andrew Percy]

I take the hon. Gentleman’s point. That has already been discussed. The key thing now is to debate the parts of the Bill that the Government have said they intend to amend, and perhaps that will mean that we can debate them in more depth. I want to know what the provisions are going to be to prevent cherry-picking. The shadow Secretary of State said that this is an attempt by the Government to break up the NHS and bring in market forces. I would not want to be a member of any political party that attempted to do that, so I want to know about the Government amendments.

[Kevin Brennan]

I respect the hon. Gentleman’s respect for Parliament and therefore put to him what I said earlier: on a point of principle, is it not wrong that the Government should be able to select the parts of the Bill that they want to have scrutinised and not allow Members from all parts of the House an opportunity to do so? Does that not set an extremely dangerous precedent?

[Andrew Percy]

We have discussed where these procedures come from and who is accountable for them, and that certainly cannot be laid at the door of this Government. Over the past few months, we have heard first that there has been too much delay, and now that there is not enough delay.

As we have heard, professionals in the health service and the public have been saying that they wanted to know where we were heading and that they needed some clarity. The Government wanted that brought to an end, and they have had their listening exercise. On that basis alone, although I do not like the idea of curtailing debate, I hope that we can get on with this so that we all know what the changes are going to be, and that we end up with an NHS that is on a stable footing for the long term and do not have any more reorganisation for a considerable time.

[Mr Deputy Speaker (Mr Lindsay Hoyle)]

Grahame Morris with about four seconds.

Southern Cross Healthcare

Andrew Percy Excerpts

Thursday 16th June 2011 Commons Chamber

[Paul Burstow]

Thank you very much, Mr Speaker.

I can assure the hon. Lady that, first and foremost, clear arrangements are in place to deal with a catastrophic failure, which I think is now increasingly unlikely. More importantly, we need to ensure that we learn lessons from past care home closures and take them into account in future. However, we can also be clear that the underlying viability of this business is very strong indeed. We need care homes, and that is why we now have a route towards a solvent restructuring of the business.

[Andrew Percy (Brigg and Goole) (Con)]

My concern is for the residents of the two care homes in my constituency, one in Goole and one in the Skippingdale area of Scunthorpe. It would be wrong if anyone tried to use the situation as a shield for making cheap political points.

Given that there are going to be up to 3,000 job losses, what measures will the Government take to monitor the quality of care and the staff ratio at individual homes, to ensure that there is no negative on impact on the residents? We are all concerned about that.

[Paul Burstow]

The hon. Gentleman asks an important question about the impact on the quality of care if there are staff losses. When it became clear that the company was posting a figure of 3,000 redundancies, I instructed the CQC to undertake additional assessments to ascertain any likely effect and ensure that there is no impact on the quality of care.