Oral Answers to Questions

Debate between Baroness Morgan of Cotes and Simon Burns

Thursday 16th October 2014 Commons Chamber

[Nicky Morgan]

I agree with my hon. Friend on the need for a seamless support service for victims. We want victims to be absolutely at the heart of any cases that are brought. I cannot comment on individual cases, but, as my hon. Friend has said, he has raised the issue with my right hon. and learned Friend the Attorney-General and I hope he will supply him with details. I am happy to have a conversation with the Attorney-General about any points that can be raised and learned from such cases.

[Mr Simon Burns]

Will my right hon. Friend join me in praising the excellent work done by the three rape crisis centres in Essex? What further support do the Government plan to give to those who are the victims of sexual assault or rape in the UK?

[Nicky Morgan]

The new rape action plan will aid the Government’s drive to ensure that every report of rape is treated seriously and every victim given the help they deserve. I recently announced two new support centres, which will open in Grantham and Crawley, offering victims access to expert advice, support and counselling. That means that this Government have met their commitment to open 15 new support facilities across the country in this Parliament.

Oral Answers to Questions

Debate between Baroness Morgan of Cotes and Simon Burns

Thursday 1st May 2014 Commons Chamber

[Nicky Morgan]

Yes.

[Mr Simon Burns (Chelmsford) (Con)]

2. What progress the Government Equalities Office has made on encouraging improved media coverage of women’s sport.

Paediatric Cardiac Surgery

Debate between Baroness Morgan of Cotes and Simon Burns

Wednesday 7th July 2010 Westminster Hall

[Mr Burns]

As I said a minute ago, that recommendation is the consensus within the professional bodies. However, I am more than happy to give the hon. Lady a commitment that I will write to her after this debate to elaborate, providing as much extra detail as I can, if she believes that will be helpful.

Turning to the other criteria, the review will also take account of surgical centres’ physical location relative to others and the impact of reconfiguration on other important services, including the highly regarded ECMO or total life support service at Glenfield hospital in the hon. Lady’s constituency, which she described with such eloquence in her remarks. The final part of the review will involve centres’ ability to attract key clinical staff and their families. I hope I can reassure the hon. Lady that transportation options and travel distances will be evaluated, including travel times specifically. The Paediatric Intensive Care Society has advised on the issue, and we continue to investigate and seek advice. I appreciate fully the importance of the issue and the concern that it causes many families.

[Nicky Morgan]

Will the review also consider the impact on other services? For example, at Glenfield, there are two intensive care units for children in the city, and I understand that one team covers both. If the centre were to be closed—this might also apply to other centres—it might destabilise other services within the hospital.

[Mr Burns]

The short answer is that I cannot make that commitment myself. As my hon. Friend will appreciate, the review is independent and will be carried out at arm’s length from the Department of Health and Ministers. I do not have a role, and it would not be correct for me to seek to interfere in the process. However, having said that, I am confident that my hon. Friend’s point will be considered as part of the review, because it will be comprehensive and across the board, considering all aspects of this highly specialised and important health care provision. I hope that reassures her.

The available research evidence suggests that larger surgical centres deliver better clinical outcomes. As cardiac expertise is available round the clock, they can perform a wider range of complex procedures, meaning fewer transfers between centres. Larger centres can still provide a personalised service. The service standards make it clear that tailoring services to the needs of each child is critical. That is an extremely important factor that I know the hon. Member for Leicester West understands and accepts fully.

I also assure the hon. Lady that any changes to local health services will not be driven from the top down. The review has strong support from external organisations. It has been instigated at the request of parent and patient groups, clinicians working in the service and professional associations, including the Children’s Heart Federation, the Royal College of Surgeons, the Royal College of Paediatrics and Child Health, the Royal College of Nursing, the British Congenital Cardiac Association and the Society for Cardiothoracic Surgery in Great Britain and Ireland. It is important to understand that any recommendations on the future number and location of surgical centres will be made not by any central body but by the 10 specialised commissioning groups working with local NHS commissioners. The review will consider access to services for the whole country.

The national specialised commissioning group was asked to lead the review because of its co-ordinating role across the 10 specialised commissioning groups. I am sure that the hon. Lady will agree that that was the most sensible approach to take when the review was devised and set up just over two years ago in 2008. The group was ideally positioned to engage with commissioners and clinicians from across the country.

I reiterate that the review is being undertaken in response to the concerns of parents and professionals about the future capacity and capability of paediatric cardiac services. It will be an open process; I assure the hon. Lady that the outcomes are not predetermined. It is a genuine review seeking genuine answers in order to maintain the highest standards of quality in a specialised and difficult area of patient care. The national specialised commissioning group will set up a consultation process on its recommendations and standards this autumn. We must wait and see what the review says and then go through the consultation process, during which anyone will be able to input their thoughts, recommendations, comments, criticisms or praises of the review’s findings, before any final decisions are taken.

I thank our external partners and their patients for their input to the review so far. I find it encouraging that the review has broad support across the board. As the hon. Lady will accept, children deserve the best possible care. The Government are determined to provide the best paediatric cardiac care possible after the review and consultation processes have been concluded and the final decisions reached.

Question put and agreed to.