(5 years, 7 months ago)
Commons ChamberI thank the hon. Gentleman very much indeed for that intervention. I agree with him. From testimonials sent to me by former students and their families, I know how strongly they agree, too. In many cases, Welbeck has transformed their life chances. As he also says, this is about building fantastic armed forces, particularly with a science, engineering and technology background, for the United Kingdom. I am sure the Minister will want to cover how he thinks the changes proposed will enhance that and not detract from it. There is some convincing to do on that score.
Welbeck aims to prepare students for life at university and beyond by giving them a well-rounded curriculum that will—as a champion of character education, I particularly endorse this—
“challenge and develop them academically, physically and socially.”
The college also aims to develop students on a personal level by challenging them through a diverse range of co-curricular activities, which include many different sports, combined cadet force activities, and working within the community through volunteering and charity work.
On 6 April 2018, the Under-Secretary of State for Defence, my right hon. Friend the Member for Bournemouth East (Mr Ellwood), who is the Minister for Defence People and Veterans, wrote to me and my hon. Friend the Member for Charnwood:
“I am writing to inform you that the Ministry of Defence will be undertaking a review of the Defence Sixth Form College at Welbeck as part of an ongoing initiative to understand how to improve the supply of STEM graduates into Defence and the Armed Services…Welbeck is part of our wider scheme for recruiting STEM graduates. Its role is to educate pupils in relevant A-level subjects prior to moving to the next phase of the scheme where they are supported through STEM courses at university. If successful they then go into Initial Officer Training with one of the Armed Services or enter the Civil Service within the MOD. Like many other organisations, we”—
the MOD—
“have found it consistently difficult over recent years to attract sufficient, good quality, STEM candidates. Whilst the education and wider experience provided by Welbeck is of a high standard, and despite measures to mitigate shortfalls, intake targets are not being achieved. Equally, over the 5-6 years they are in the pipeline the numbers seeing it through to Initial Officer Training has consistently only been about 55%.
The review will look at the breadth of the operation of Welbeck, which is a private Finance Initiative establishment run by a contractor, Minerva. It will explore re-setting the current PFI, extracting better value from the current PFI, and also whether a different STEM graduate recruiting scheme would better meet Defence’s needs. We will be instructing PwC to work with Minerva to explore the viability of these options.
Whilst the review will be internal to MOD only, I understand that such a review can create uncertainty and potentially some concern among your constituents. I want to reassure you, however, that no decisions will be made until the review is complete, at which point I will write to you again. One of the assumptions of the review is that, whatever happens, students who are currently on the scheme will be able to see it through to graduation and joining the Services or Civil Service.”
I know that, as the local MP, my hon. Friend raised a question with the Prime Minister on this in the House last year and has had regular engagement on it with Ministers. But as far as I can establish, the review’s conclusions have not been released to the public, nor is it clear who was formally consulted, so it was deeply disappointing to read last month, in a written statement by the Minister here today, of the decision by the Ministry of Defence to
“put in place a new, targeted scheme to recruit undergraduates in related subjects; the STEM graduate inflow scheme…This scheme has been designed to significantly increase the number of STEM graduates brought into defence and the variety of STEM disciplines they are from…The new scheme will replace the current defence technical officer and engineer entry scheme…which has produced some excellent young graduates but is not meeting defence’s requirements or providing sufficient value for money. Ending the current scheme will also mean that the Defence Sixth Form College…at Welbeck will close, with a final intake in September 2019.”
We, and those watching this closely, note the Minister’s final comment in the statement:
“Full transition to the new scheme will take place incrementally over the next five years, during which the current intake of students will be fully supported. For the final two years Welbeck remains a going concern. That time will be used productively to work with local authorities and stakeholders to seek the best possible future use of this impressive school, including within the education sector or an alternative use within defence.”
I will return to the issue about the future in a moment but, first, for the sake of those affected, we must be absolutely sure that the Ministry of Defence is making the right decision. As the local MP, my hon. Friend has written:
“A number of constituents have written to me, following the announcement, to express their concern about the forthcoming closure of the College, particularly in light of the excellent opportunity Welbeck offers young people across the UK, since 1953 and on its current site since 2005, to get a first-class STEM and technical education in preparation for a career in our Armed Forces, and for the values and discipline it instils in its students. While I can understand the Ministry of Defence’s approach to ensuring that it has access to talented engineering and technical graduates needs to be updated from time to time to reflect changing needs and approaches to training and education, I do share the view that Welbeck's closure will be a real loss in that context.”
As local MPs, we note, and are grateful, that my right hon. Friend the Member for New Forest East (Dr Lewis), the Chair of the Defence Committee—I am delighted to see him here—has written to the Ministry of Defence to ask if it is wise to
“shut down a means of creating graduates who have been working towards a service career from their mid-teens.”
He goes on to say
“we are very concerned that closure of Welbeck College risks sacrificing an existing—and productive—source of STEM graduates in the hope that a new and untried system will be more successful.”
Like my right hon. Friend, I, on behalf of the Defence Committee, received a number of representations from people involved with Welbeck who stressed the high quality of the service it provides. I cannot help wondering if part of the problem is that not all Welbeck graduates go into the armed services. Perhaps part of the solution is that part of the budget should be funded by some other Department to recognise the fact that there is an educational benefit that goes wider than just recruitment into the armed forces.
I thank my right hon. Friend for his intervention. He speaks with great expertise as Chair of the Defence Committee and makes an interesting point. If I were still Secretary of State for Education, I would be thinking about the impact on my budget, but he made two broader points. The first is about the positive impact of having more young people studying science, technology, engineering and maths in this country. Of course, if they are going to be part of our armed forces or the MOD civil service, that is a great thing for the country, but there are many other fantastic STEM-based jobs that will benefit this country too, and I suspect that many of those future employees have started life at Welbeck and been inspired there.
The second point is about how the decision was made, what alternatives were looked at and who was consulted. In his letter to the MOD, the Chair went on to say:
“Our understanding is that the staff and governors were not consulted on the College’s future and it does not seem obvious to us that the creation of SGIS requires the closure of the College”.
He asked why the decision must lead to the closure of Welbeck, whether the change between the two schemes offers value for money, how closing the college will help UK defence
“in an increasingly competitive market for STEM graduates in the UK and globally”,
and whether the staff and governors of the college were consulted before the written statement, or whether they were informed of the decision without being able to influence the review. We look forward to reading the Government’s response to that letter, which I suspect, like all other Select Committee correspondence, will be published and made available to the public in due course.
The decision is clearly very unsettling for staff, families, current students and those who had hoped to study there in future. We note the current 847 signatures on the petition on the Parliament website and the current 1,076 signatures on the 38 Degrees petition site. The latter petition calls for a consultation to be held to include parents, staff, students and other relevant stakeholders over the proposed closure of Welbeck. As I have said, it is clear from the comments received just how strongly parents and families feel. I have selected two of those I have received. The first reads:
“It is incredibly disappointing to read that Welbeck Defence Sixth Form College is to shut...Our 15 year old daughter...has visited Welbeck twice as she has her heart set on joining the Navy and training to be an air engineer. Welbeck provides a place where young women can be encouraged and supported into engineering careers. It offers a standard and type of education—and opportunities—that would otherwise be out of reach to families like us who are not affluent and cannot afford to pay for expensive boarding schools”.
The second reads:
“I strongly believe without Welbeck my son would not be achieving as well as he is doing now. Welbeck is there for intelligent children from poor backgrounds and not just for children from private schools or more affluent families. They are all given the same opportunity from an early age to reach their full all round potential academically and within many sports and other areas which my son would not have been able to achieve at sixth form collage. Welbeck is a community; a family and a collection of likeminded intelligent young adults who are training with the mind set to do as well as possible not just for themselves but for their country and their chosen entry force. My son ended up getting offers from both and chose the RAF to follow on from his years at air cadets.”
I hope that in his reply the Minister will address the questions raised by the Chair of the Defence Committee and say how he thinks the new scheme will still benefit the students whose lives and futures are being shaped and transformed by Welbeck. I hope he can also take us through how the review was conducted and who was involved.
If this decision is not to be reversed, this fantastic site could well be empty in just a couple of years. Neither my hon. Friend the Member for Charnwood nor I want an empty site just sitting there, nor do we want it sold off to any old bidder. We know there is already local interest. The Minister’s written statement made it clear that an alternative use within either education or defence would be found. I hope that the PFI contract will not put future occupiers off or provide an excuse for officials not to pursue alternative uses sooner rather than later. If he can shed more light on plans for the site, we would be pleased to hear them.
I finish with another comment from a family. [Interruption.] The Minister is poised. He cannot wait. I am delighted—he is a coiled spring—but I hope he will bear with me while I read out one further comment:
“The training and preparation that the students receive is truly first class and I am fearful that we may lose something irreplaceable which, if lost, will be impossible to replicate.”
I echo that sentiment. I hope that, at a time when the UK needs all the talent that we can muster, the Minister will understand the concerns that I have set out and provide reassurance. I suspect that this will not be the last debate or set of questions on the issue that I have raised. As the local Members of Parliament, my hon. Friend the Member for Charnwood and I look forward to working with the Minister and his officials on this important matter.
(10 years, 4 months ago)
Commons ChamberLet me begin where the right hon. Gentleman ended: absolutely, we need to look forward. Of course, the Department, Birmingham city council, Ofsted and others involved need to learn the lessons, but he is right: we are talking about children’s education, and we need to look to the future—to rebuild the schools and give parents confidence, particularly when families return to school in September, that lessons have been learned and that the teaching staff involved have been dealt with.
I am pleased that the new members of the Park View education trust are taking swift action to ensure that the behaviours reported by Peter Clarke have no place in schools. Obviously, I cannot comment on individual cases, but I am assured that the trust will be instigating disciplinary proceedings where appropriate. Also, the National College for Teaching and Leadership will take extensive evidence from Peter Clarke so that its misconduct panel can consider whether any teachers involved should be barred from the profession.
When the right hon. Member for Salford and Eccles (Hazel Blears) and I gave evidence to the Prime Minister’s extremism taskforce, we emphasised the need for permanent cross-departmental co-operation. While I am pleased that the Secretary of State says she will work closely on this matter with the Home Office and the Department for Communities and Local Government, will she try to persuade her Cabinet colleagues that it would be sensible to set up some sort of permanent machinery so that we can head off these sorts of episodes, rather than merely reacting to them?
I thank my hon. Friend for the intentions behind his question. He is right that I have mentioned the close working between my Department, the Home Office and DCLG, which will, of course, continue, and it is right to pay tribute to the former Secretary of State, who set up the division in the Department looking at extremism. However, I say this to my hon. Friend: let us wait and see; let me reflect on everything that has come out of the two reports and work out the best way for the Government to tackle these problems.
(13 years ago)
Commons ChamberI am extremely pleased to have the opportunity to raise this important topic in the Chamber tonight. I should declare at the outset my position as a vice-chairman of the all-party parliamentary group on mental health.
The Government’s recent mental health strategy stated that mental ill health represented up to 23% of the total burden of ill health in the UK, and that it was the largest single cause of disability. At least one in four adults will, at some point in their life, experience a period of mental ill health. For some, it may be a relatively mild, one-off episode. For others, the first episode will herald the start of a long-term relationship with the mental health services in all their guises. Such episodes, whether short term or long term, have a profound effect not only on the person suffering with a mental health condition but on their families and friends, many of whom will never have come into contact with these conditions or this part of the NHS before.
In the most serious cases, a patient might spend a period of time in an acute care setting, either voluntarily or while being detained under the Mental Health Act for their own welfare and the welfare of those around them. At such times, the patient and their families and loved ones will expect the patient to be kept safe and secure while they are given the appropriate therapy and treatment to enable them to resume their place in our communities. That expectation, and the fact that it is sometimes not fulfilled, are the focus of this short debate tonight.
In June 2010, shortly after I was elected as the Member of Parliament for Loughborough, I was approached by a constituent, Glyn Brookes, who told me about the tragic death of his daughter, Kirsty. I appreciate that the Minister is unlikely to be able to respond to this particular case, although I have sent his office a copy of the coroner’s report into Kirsty’s death. However, it is because of this case that I have ended up leading this debate tonight.
Kirsty was a patient at the Bradgate unit at University Hospitals of Leicester. She was able to escape from the unit using the frame of an external door to help her. Her escape was not dealt with as it should have been, and she was able to commit suicide before either the hospital authorities or the police found her. This has clearly been devastating for the Brookes family, and I would like to pay tribute to them, and particularly to Mr Brookes who contacted me to tell me their story. I would also like to pay tribute to the excellent coroner whose report helped, I think, to answer the Brookes family’s questions about the tragedy. I should say that I have spoken to the former and current chairmen of Leicestershire Partnership NHS Trust, which administers the unit, and I understand that work is ongoing to learn and act on the lessons of this case.
As a result of the case being raised with me, I began to wonder how many other patients absconded each year from units run by our mental health trusts. I submitted Freedom of Information Act requests to all 58 of the mental health trusts in England, 57 of which have replied. The figures make grim reading. Before I go into them, however, I should say that this exercise has shown me that there is a real variety in the quality of record keeping at the trusts. There also seems to be a real difference in the way in which the term “abscond” is used by the trusts as a basis for recording the relevant information. I hope that the Minister and the Department will be able to help with this matter.
The Mental Health Act 1983 defines “abscond” as when a patient who is liable to be detained under the Act
(a) absents himself from the hospital without leave granted under section 17 above; or
(b) fails to return to the hospital on any occasion on which, or at the expiration of any period for which, leave of absence was granted to him…; or
(c) absents himself without permission from any place where he is required to reside in accordance with conditions imposed on the grant of leave of absence”.
In responding to my request for information, some trusts used this definition, while others made the distinction between a patient who was “absent without leave”, “absent without explanation”, “missing” or escaped. In addition, some trusts use the terms “AWOL” and “abscond” interchangeably without definition or explanation. Other trusts used only “abscond”, but did not define what they meant by the term. Finally, some trusts provided the number of “incidents” of absconding, rather than the number of patients. Others did not make that distinction. For simplicity, however, the figures that I will now mention refer to the total number given for the five-year period that I asked about, and therefore do not differentiate the different types of absconding incident.
My research showed that in the past five years about 40,500 incidents of absconding occurred, ranging from a total of three reported incidents for Barnet, Enfield and Haringey Mental Health Partnership Trust to 3,891 for Lancashire Care NHS Foundation Trust. There is significant variation across the country, so clearly some trusts are doing things very differently from others. In the case of Leicestershire Partnership NHS Trust, the total figure for the past five years is 386. I must stress caution in comparing those numbers. We could, in many cases, be comparing different things—although the overall effect of patients absconding is the same—simply because the trusts use their own definitions, despite the fact that the Department of Health has published its definitions of absconding and escaping.
I do not know where on my hon. Friend's list the Hampshire Partnership NHS Trust figures, but did she find any correlation between the quality of the infrastructure of the units and the numbers of people absconding? Did she find, for example, that a brand-new unit, such as Woodhaven in my constituency, tended to have a lower rate of such problems? This is of particular interest to me, as that eight-year-old hospital is threatened with closure, and I have a debate on it later this week.
I am grateful to my hon. Friend. I have seen the subject of his Adjournment debate later this week. Unfortunately, I did not have the opportunity to go into that level of detail, but I shall come to the quality of care and to demonstrate that it has a huge impact on the absconding rate for patients. As I shall come on to mention, this is an issue on which the Department of Health and the trusts could work together. Interested Members or other interested parties should see the link between absconding and the quality of care given. There is no doubt that there are innovative ways of ensuring that patients do not feel the need to abscond, and that if they are outside the environment, of ensuring that they will come back because they know that they will receive therapeutic treatment.
As I was saying, despite all the caveats, the numbers are simply too high for organisations that owe their patients a duty of care. The fifth agreed objective in the Government’s mental health strategy launched earlier this year stated:
“Fewer people will suffer avoidable harm—people receiving care and support should have confidence that the services they use are of the highest quality and at least as safe as any other public service.”
This is, of course, an objective that anyone who has an interest in any health service, but particularly mental health services, would want to see met. The fact is that guidance is already in place for mental health trusts and for those working within them to follow, although it would be fair to say that a lot of that guidance deals with how to react to an incident of absconding rather than offering concrete guidance on prevention. In the case of my constituent, the coroner expressly found that
“it would appear that the hospital had a system and policies in place to protect and supervise Kirsty from harm but at all material times those caring for her did not follow those policies.”
That is just not acceptable.
The Minister will remember the long sessions earlier this year discussing the Health and Social Care Bill in Committee Room 10 upstairs—how could we forget them? One of the recurring themes was not just that we all want to see high-quality services but how we ensure our health and social care services are of high quality and that everyone is focused on the primary objectives of the health system. Do we do so through inspections? Do we hope that everyone working within the health system works to their own high standards, as many thousands of employees surely do? Do we ensure that guidance is not only available but followed? And do we ensure that when things go wrong, as in the case of my constituent, thorough investigations follow and lessons are learned? Surely it must be a combination of all those things.
As I mentioned, hospital wards are meant to be places of therapy, but too often, especially in the case of mental health wards, they are anything but. In a recent report, the Centre for Social Justice said:
“Hospitals tend to be untherapeutic and dangerous places”.
In helping me to prepare for this debate, Mind sent me a note saying:
“The quality of care quite clearly has an impact on a patient’s decision to abscond. Unfortunately, as Mind’s forthcoming acute and crisis care campaign will show, people in inpatient settings often experience substandard quality, with no meaningful activities, little or no interaction with staff or each other, and at worst, lack of safety, abuse and coercive treatment.”