Jimmy Savile (NHS Investigations)

Debate between Jeremy Hunt and Phillip Lee

Thursday 26th February 2015 Commons Chamber

[Mr Hunt]

Of course it is important that we learn the governance lessons, but the report is careful. It does not use the word “improper” in relation to the behaviour of Ministers or civil servants. It says that they acted reasonably. It raises some important questions, and I hope that the tone of my statement will reassure my hon. Friend that I do not seek to duck the fact that there are clearly questions about whether Ministers and civil servants behaved in the appropriate way. It is important that we learn the lessons from what went wrong.

[Dr Phillip Lee (Bracknell) (Con)]

I represent the constituency that is home to Broadmoor hospital, and I worked at Stoke Mandeville for two years in the early part of this century, so I have taken a deep personal interest in the investigation. I find it difficult to comprehend or accept that senior managers and clinicians were not aware of the allegations. I can find no mention in the Stoke Mandeville report of any clinician by name as yet. Can the Secretary of State assure me that looking to the future, named individuals will be given the responsibility to prevent this from happening, and if they fail there will be an impact on them, their career, their pension and the like?

[Mr Hunt]

The report clearly says that every trust must have a named director who is responsible for safeguarding. One can draw one’s own conclusions about whether senior management knew or not. The report was unable to find evidence that that was the case, but nor did it say that it was not the case. One comes away with the clear suspicion that senior management may not have wanted to hear the things that they were being told because of Savile’s importance in fund raising and possibly his celebrity status. That is what we must make sure never happens again.

NHS Investigations (Jimmy Savile)

Debate between Jeremy Hunt and Phillip Lee

Thursday 26th June 2014 Commons Chamber

[Mr Hunt]

I know that the hon. Gentleman has campaigned a lot on these issues. We have not ruled out anything, but we want first to draw together the lessons for the NHS and across Government as quickly as possible. One of the important benefits of the way in which we have proceeded so far is that, because it is an investigation and not a public inquiry, we can get to the truth relatively quickly. However, we will certainly look at the cross-governmental lessons.

[Dr Phillip Lee (Bracknell) (Con)]

As a former member of the medical staff at Stoke Mandeville hospital and now as the Member representing Broadmoor hospital, I have many questions, but let me concentrate on one. In appendix 2A part V, there is a letter about Broadmoor from Jimmy Savile to the Department of Health. It is headed “National Spinal Injuries Centre at Stoke Mandeville”, and it is signed “Dr Jimmy Savile”. Indeed, the content of the letter is deeply unprofessional and remarkable, and it was copied on to a series of people, including the then Secretary of State. Will my right hon. Friend assure me that each of these individuals has been investigated in respect of their response to this correspondence, as I cannot believe that people could have received it without being deeply concerned about this vile man’s involvement in a high-security hospital?

[Mr Hunt]

My hon. Friend raises a very important point. We received the reports only this week, but I will certainly take this away with me and look into exactly the point he makes.

Hospital Mortality Rates

Debate between Jeremy Hunt and Phillip Lee

Tuesday 16th July 2013 Commons Chamber

[Mr Hunt]

If the issues are around staffing, we will sort those out. If the issues are around leadership, we will sort those out. If the issues are around clinical practice, we will sort that out. My commitment to the House is that we will do what it takes to sort out these failing hospitals.

[Dr Phillip Lee (Bracknell) (Con)]

In 2006 the then Labour Government purchased 49% of Dr Foster, the intelligence unit from which a lot of these mortality data are emanating. Does the Secretary of State agree that for Secretaries of State from that point onwards to be claiming they were unaware of the data seems a bit rich?

[Mr Hunt]

There were repeatedly high mortality rates in all these 14 hospitals, and it took the public inquiry that Labour did not want to demonstrate to the world just how important hospital standardised mortality ratios are. They are the smoke alarm that was ignored in the case of Mid Staffs, and which could have led to the prevention of thousands of tragedies if we had taken action earlier. That is why we immediately insisted on this review by Sir Bruce.

Care Quality Commission (Morecambe Bay Hospitals)

Debate between Jeremy Hunt and Phillip Lee

Wednesday 19th June 2013 Commons Chamber

[Mr Hunt]

As I understand it, the terms of reference, the way it is conducted and the timetable for the review happening at the moment are being set independently, but we should give every support to the people doing that review to make sure that they have access to the clinical expertise they need.

[Dr Phillip Lee (Bracknell) (Con)]

I very much welcome the Secretary of State’s desire to see published appropriately contextualised surgical outcome data for each surgeon. Those surgeons, however, have to work within structures created by managers, so in the interests of transparency would he support the publication of each manager’s performance so that the public can see where failure is taking place? First, that could prevent the merry-go-round of jobs, Cynthia Bower being the classic example. Secondly, appropriate financial penalties can be applied to the said managers if they fail, as they clearly have done in Morecombe.

[Mr Hunt]

My hon. Friend speaks extremely wisely. One of the key issues raised by the Francis report was the fact that we have a form of accountability for doctors and nurses—it does not always work as well as it should—through the possibility of being struck off by the GMC and the Nursing and Midwifery Council, but there is no equivalent accountability for managers. In a way, that is what the chief inspector is going to do. That is why I was so keen that as well as looking at whether a hospital is safe or not, the chief inspector should rate hospitals with Ofsted-style rankings, which look clearly at the quality of leadership in every organisation. The score that a hospital or a trust gets from the chief inspector will ultimately be the determinant of whether or not an organisation is well led. That is why I think it will give the public vital information about leadership, which they do not have at present.

Children’s Heart Surgery

Debate between Jeremy Hunt and Phillip Lee

Wednesday 12th June 2013 Commons Chamber

[Dr Phillip Lee (Bracknell) (Con)]

My apologies, Mr Speaker. As someone who has long argued for the reconfiguration of acute and surgical services, I consider the management of this clinical consolidation to be of great importance. Does the Secretary of State agree that best clinical outcomes should be the primary driver of any reconfiguration and that there is a need for a national plan for the reconfiguration of all acute and emergency services? If such a plan were drawn up, it should receive cross-party support.

[Mr Hunt]

May I commend my hon. Friend, because he is one of the few Members of this House who has been prepared to campaign for changes in acute services in his own constituency, which might not necessarily be what his constituents would want? He has shown considerable bravery on this issue. I will mention his idea of a national plan for acute and emergency services to Sir Bruce Keogh, who is carrying out the review of emergency services as part of the vulnerable older people plan. We definitely need to have a different national approach to service reconfigurations.

A and E Departments

Debate between Jeremy Hunt and Phillip Lee

Tuesday 21st May 2013 Commons Chamber

[Mr Hunt]

Yes, we have been responsible for a huge increase in performance, many more people being operated on, the virtual elimination of mixed-sex wards, MRSA rates being halved, more operations than ever before, more outpatient operations than ever before and more GP appointments than ever before.

[Dr Phillip Lee (Bracknell) (Con)]

I am struck by the fact that no mention has yet been made of the drivers of the reported chaos in A and E and the pressures on primary care out of hours. What of ageing? What of obesity? What of the changes in behaviour, the absence of stoicism, the increase in medical technology costs? Whatever the system that either the Government or the Opposition talk about, it will come under pressure. When will we have some reality in this Chamber about the causes of this problem, because the sooner we have, the better we will all be?

[Mr Hunt]

I recognise my hon. Friend’s clinical background. When I talk to clinicians in A and E wards, they tell me that the long-term drivers of the pressures they are under are an increase in the number of older people and an increase in the acuteness of the conditions of people coming through the doors. That is why at the heart of our long-term solution is a vulnerable older people’s plan that ensures we look after them with the dignity, compassion and respect they deserve.

Mid Staffordshire NHS Foundation Trust

Debate between Jeremy Hunt and Phillip Lee

Tuesday 26th March 2013 Commons Chamber

[Mr Hunt]

Of course we need to rely on good information being supplied by hospitals, and that is why we have said today that it will be a criminal offence for hospitals knowingly to supply wrong information. This goes back to an earlier question, and we will work closely with outside bodies, such as the royal colleges, to ensure that we establish the best way to judge, for example, cancer survival rates. One of the lessons of the success of measuring heart surgery survival rates is the importance of having a good risk-adjustment process in place. We will do that across the other 10 specialties that I announced today.

[Dr Phillip Lee (Bracknell) (Con)]

Although I acknowledge the Secretary of State’s genuine desire to improve hospital standards by the introduction of his new inspectorate, I am concerned about the further reliance on systems above individual responsibility. Will he assure the House that his new inspectorate will not become yet another component of the merry-go-round of management employment schemes currently found in the NHS? Will he also assure me that those implicated in previous hospital management scandals will not be employed as inspectors in the future?

[Mr Hunt]

My hon. Friend is right: we have to ensure that the inspectorate works in the successful way that Ofsted has worked in the school system, and does not make the mistakes that have been made by other regulators inside the NHS system. It is important that it is based on respected peer review, is thorough and is respected in terms of the input that it is able to give hospitals on improving their performance. We will work hard to make sure that we deliver that.