(5 years, 4 months ago)
Commons ChamberLet me take this opportunity to congratulate the hon. Member for East Dunbartonshire (Jo Swinson) on her election as Liberal Democrat leader. I look forward to having cordial relations with her as a fellow party leader if I am successful tomorrow in the election.
With regard to the right hon. Gentleman’s point about the war of words on news, this was actually one of the times when the Iranians did not really bother to pretend that they were peddling a myth about the cause of the seizure of Stena Impero. They changed their story three times in the space of about 24 hours, and are not making any pretence at all that in their view this is a tit-for-tat seizure. That is why we have to be very clear about the difference between a legal detention of a ship with oil bound for Syria versus this wholly illegal act of state piracy.
It is right and typically gracious of the Foreign Secretary that he congratulated the hon. Member for East Dunbartonshire (Jo Swinson) on her election, and I myself do so. I wish her every possible success in the important work that she now has to undertake.
Does the Foreign Secretary accept that the taking of hostages and the flouting of international law have been the signature strategy of Iran ever since the Islamic revolution in 1979? If he does accept that, was it not entirely predictable—and, indeed, predicted—that by impounding this Iranian ship, however legally justified that was, the consequence would be an attempt to retaliate by grabbing a British vessel? What consideration was given, before the original decision was taken, to the adequacy of the number of ships in the Gulf, either ours or those of our allies? What attempts were made to persuade vessels that had to navigate the strait that they should do so in small convoys, which would at least enable two, or at most three, frigates to protect a larger number of ships? Sailing independently and separately meant that one or more were bound to be seized.
Yes, and I wish I had made more of my strong agreement with what my hon. Friend has just said in the last few months. As we have been talking a lot about the Gulf and he has mentioned the Navy, let me talk about a couple of other areas where I think we could do with a stronger Royal Navy presence. One of them is the Arctic and the other is the Indo-Pacific region. I think in both regions it would send a very strong signal about British national self-confidence if we had the naval capacity that we would all want.
Oh, very good! The Foreign Secretary is not that bothered about straying out of lane; he is going from one region to the other. This is all very encouraging.
I thank the Foreign Secretary for his statement. I note that he said that while HMS Duncan has been despatched to the Gulf, it is there to take over from HMS Montrose—so we are still going to finish up with one destroyer covering 19,000 nautical miles and having to escort on average three vessels a day. Are we so bereft of naval power that we cannot send an additional ship to the area and have to rely on other European nations who have not divvied up so far, or has this decision been made so that we do not annoy the Iranians?
(5 years, 5 months ago)
Commons ChamberHandling plastic waste is a key environmental challenge, as was highlighted earlier. Last week, I met Malaysian Prime Minister Mahathir, who agreed on the importance of partnership between our two Governments to tackle the issue of unrecyclable waste illegally exported to Malaysia. Our high commission in Kuala Lumpur is already on the case. Will my right hon. Friend pass on to colleagues in the Cabinet the importance of reviewing penalties for subcontractors in the UK who are illegally mixing waste for export? This is not the sort of export that the Foreign Office or the Department for International Trade want to support.
The hon. Gentleman is a very well connected fellow indeed. I have had cause to observe that before and I do so again.
My hon. Friend is extremely well connected, Mr Speaker. You are absolutely right. Prime Minister Mahathir is just one of many Prime Ministers that I know he knows. Perhaps he should be doing my job. What he says is right. As was mentioned in an earlier question, we are responsible for only 2% of emissions, so the power of UK leadership is the power of the example that we set. That is why on these issues we have to ensure that we get it right.
(5 years, 6 months ago)
Commons ChamberI am extremely grateful to the Foreign Secretary. As ever, we have observed one simple fact today: Foreign Office is box office. The level of interest is great; the number of questions continues to rise; and Ministers can go about their business with an additional glint in their eye and spring in their step.
(5 years, 7 months ago)
Commons ChamberMy right hon. Friend the Secretary of State for International Development will consider any need for that kind of support with the greatest of sympathy, but I thank the hon. Gentleman for drawing attention to the people who have had life-changing injuries. Around 500 people were injured in addition to the more than 300 people who tragically lost their lives, including a local employee of the British Council and his wife.
I thank the Foreign Secretary, the shadow Foreign Secretary, and all colleagues who have spoken in the course of these exchanges both for what they said and for the way in which they said it. It is the right thing to do in itself, but I think I speak for all colleagues in expressing the hope that it might offer some very modest comfort and succour to the families and friends of those who have been slaughtered or injured in the course of these horrific attacks.
(5 years, 9 months ago)
Commons ChamberI thank my hon. Friend, the consul for Taunton Deane. On the expansion of the diplomatic network, among the 14 new overseas posts will be three new resident commissioners, in Antigua and Barbuda, in Grenada and in St Vincent the Grenadines, which I hope might be of interest to colleagues thinking about their careers.
When the hon. Lady is not in Taunton Deane, she could trog around some of those territories if she were so inclined.
As the chair of the all-party parliamentary group for Africa, I welcome the expanded network. Following our recent constructive meeting with the Immigration Minister, may I urge the Secretary of State to meet her to see how the network can be used to support cultural and business exchanges between African countries and the UK, and particularly to provide the local knowledge that is essential for visa applications, which remain a matter of huge concern?
(5 years, 9 months ago)
Commons ChamberAs the British Foreign Secretary, my right hon. Friend is an international statesman. One hundred years ago, his predecessor was drawing the borders of all the countries we are talking about in this discussion this afternoon. In the treaty of Versailles 100 years ago, the Kurdish people were in effect ignored by the western powers. One hundred years on, after their valiant efforts against Daesh, will my right hon. Friend assure the House that we will not abandon the Kurds again and that we will help them to achieve if not independence, at least autonomy in Syria, Iraq, Turkey and Iran?
Notwithstanding the validity of what the hon. Gentleman has said about the status of the Foreign Secretary as an international statesman, my hunch is that the right hon. Gentleman is altogether a wilier soul and too discerning a dad to try that one on with the kids.
I am slightly perplexed, Mr Speaker, but someone will enlighten me about your pearls of wisdom.
I think what my hon. Friend says is worthy of serious reflection. The truth is that we have seen what important allies the Kurds have been in this battle against Daesh. Were we to let them down now, it would send a terrible signal about our commitment to our allies for any future conflict in which we might be engaged. With respect to reflecting on what my predecessors did 100 years ago, it tells any Foreign Secretary that they do need to approach the job with a degree of humility.
(5 years, 10 months ago)
Commons ChamberWe were told earlier that the Foreign Secretary has raised the brutal treatment of Muslims in China. I am interested to know what possible excuse his Chinese counterpart came up with for their medieval behaviour.
It is fair to say that the responses we got in no way assuaged our concerns about what is happening. We do raise these issues: we raise them in private but we raise them persistently, and it is very important for the Chinese to know about the concern in this House and indeed across the country.
(5 years, 10 months ago)
Commons ChamberMy hon. Friend is absolutely right. I want to reassure everyone in this House that it is a paramount negotiating objective for the Government to make sure that we maintain an independent foreign and security policy. It always has been, incidentally, and it always will be.
The hon. Member for Glenrothes (Peter Grant) was right to warn about the dangers of xenophobia and small-minded isolationism. No one in this House would think in those terms. However, he is totally wrong, as my hon. Friend the Member for Ochil and South Perthshire (Luke Graham) said, to suggest that the view of Conservative Members in any way reflects that approach. I can tell the hon. Gentleman that, within the framework of the new immigration policy, there will be no cap on the number of skilled workers who can enter the UK.
The hon. Members for Liverpool, Wavertree and for Oxford West and Abingdon spoke about the impact of leaving the EU on our universities. I can reassure them that the new immigration policy means there will be no limit on the number of international students who can study in our universities. This is very important because our international reputation benefits immensely from the excellence of our universities. We are coming to a close, but one group whose rights we have not talked about is the nearly 1 million Brits living in Europe, The withdrawal agreement protects their rights as well.
In conclusion, as time is marching on and the weekend approaches, we are now in the final stages of leaving a supranational organisation that has been central to our national life for 46 years. We all have deeply held opinions on this issue, but the voters who sent us here are looking for hon. Members to reach consensus on the way ahead. Britain’s friends across the world—the Governments I deal with every day—hope and expect that we will leave the EU in an orderly way and emerge as a reinvigorated ally on the international stage. Let us rise to the moment, meet those expectations and show that whatever our views may be—leaver or remainer—we are democrats, and proud to be in one of the oldest democracies in the world, where we do what the people tell us.
Order. The right hon. Gentleman has talked the matter into the buffers.
(5 years, 11 months ago)
Commons ChamberAh yes, the Political Studies Association’s Back Bencher of the year, Diana Johnson.
Thank you, Mr Speaker. I listened carefully to what the Foreign Secretary said about Iran and journalists. With the UN special rapporteur on freedom of expression, David Kaye, describing the recent attacks in the state media and online in Iran on the BBC Persian service as “deplorable”, what more can we do to support those journalists who so bravely work in the BBC Persian service?
Given the stresses and strains in British politics at the moment, I thought I might share with the House some good news: we will open a new British embassy in the Maldives. That small country has made important strides towards democracy with the recent elections and we wish to extend it every support possible, doubtless supported by several colleagues making fact-finding visits.
I wonder whether the Foreign Secretary is opening the said embassy, or whether he is generous enough to devolve that to his deputy.
I will be first up for coming on the opening visit.
Does my right hon. Friend agree that through programmes including the prosperity fund, but particularly through working with MPs in Parliaments in developing countries, the UK could establish itself as a leader in accelerating renewable energy, electric cars and other business opportunities to promote sustainable development and climate action in developing countries?
(6 years, 2 months ago)
Commons ChamberI welcome the Secretary of State to his new role, and I welcome his words of assurance that war crimes will not go unpunished in Myanmar, or indeed anywhere in the world. On the latter point, will he do the same for the Syrian and Russian regimes, which according to Syrian doctors are currently bombing hospitals as priority and primary targets, and will he update me on how we are going to take the Russian and Syrian regimes to the ICC?
Order. That is audacious to the point of extreme chutzpah. Much as I admire the hon. Gentleman’s ingenuity, I am not sure that I altogether salute his cheekiness. [Interruption.] “Go on”, says the hon. Gentleman from a sedentary position. If the Secretary of State wants to issue one of his brief but eloquent replies, we are happy to hear it.
(6 years, 5 months ago)
Commons ChamberThis morning, the Gosport Independent Panel published its report on what happened at Gosport Memorial Hospital between 1987 and 2001. Its findings can only be described as truly shocking. The panel found that, over the period, the lives of more than 450 patients were shortened by clinically inappropriate use of opioid analgesics, with an additional 200 lives also likely to have been shortened if missing medical records are taken into account.
The first concerns were raised by brave nurse whistleblowers in 1991, but then systematically ignored. Families first raised concerns in 1998 and they, too, were ignored. In short, there was a catalogue of failings by the local NHS, Hampshire constabulary, the General Medical Council, the Nursing and Midwifery Council, the coroners and, as steward of the system, the Department of Health.
Nothing I say today will lessen the anguish and pain of families who have campaigned for 20 years for justice after the loss of a loved one. But I can at least, on behalf of the Government and the NHS, apologise for what happened and what they have been through. Had the establishment listened when junior NHS staff spoke out, and had the establishment listened when ordinary families raised concerns instead of treating them as “troublemakers”, many of those deaths would not have happened.
I pay tribute to those families for their courage and determination to find the truth. As Bishop James Jones, who led the panel, says in his introduction:
“what has to be recognised by those who head up our public institutions is how difficult it is for ordinary people to challenge the closing of ranks of those who hold power...it is a lonely place seeking answers that others wish you were not asking.”
I also thank Bishop Jones and his panel for their extremely thorough and often harrowing work. I particularly want to thank the right hon. Member for North Norfolk (Norman Lamb), who, as my Minister of State in 2013, came to me and asked me to overturn the official advice he had received that there should not be an independent panel. I accepted his advice and can say today that, without his campaigning in and out of office, justice would have been denied to hundreds of families.
In order to maintain trust with the families, the panel followed a “families first” approach in its work, which meant that the families were shown the report before it was presented to Parliament. I, too, saw it for the first time only this morning, so today is an initial response and the Government will bring forward a more considered response in the autumn.
That response will need to consider the answers to some very important questions. Why was the Baker report, completed in 2003, only able to be published 10 years later? The clear advice was given that it could not be published during police investigations and while inquests were being concluded, but can it be right for our system to have to wait 10 years before learning critically important lessons that could save the lives of other patients? Likewise, why did the GMC and NMC, the regulators with responsibility for keeping the public safe from rogue practice, take so long? The doctor principally involved was found guilty of serious professional misconduct in 2010, but why was there a 10-year delay before her actions were considered by a fitness to practise panel? While the incidents seemed to involve one doctor in particular, why was the practice not stopped by supervising consultants or nurses who would have known from their professional training that these doses were wrong?
Why did Hampshire constabulary conduct investigations that the report says were
“limited in their depth and range of offences pursued”,
and why did the Crown Prosecution Service not consider corporate liability and health and safety offences? Why did the coroner and assistant deputy coroner take nearly two years to proceed with inquests after the CPS had decided not to prosecute? Finally and more broadly, was there an institutional desire to blame the issues on one rogue doctor rather than to examine systemic failings that prevented issues from being picked up and dealt with quickly, driven, as the report suggests it may have been, by a desire to protect organisational reputations?
I want to reassure the public that important changes have taken place since these events that would make the catalogue of failures listed in the report less likely. These include the work of the Care Quality Commission as an independent inspectorate with a strong focus on patient safety, the introduction of the duty of candour and the learning from deaths programme, and the establishment of medical examiners across NHS hospitals from next April. But today’s report shows that we still need to ask ourselves searching questions as to whether we have got everything right. We will do that as thoroughly and quickly as possible when we come back to the House with our full response.
Families will want to know what happens next. I hope that they and hon. Members will understand the need to avoid making any statement that could prejudice the pursuit of justice. The police, working with the Crown Prosecution Service and clinicians as necessary, will now carefully examine the new material in the report before determining their next steps, in particular whether criminal charges should now be brought. In my own mind, I am clear that any further action by the relevant criminal justice and health authorities must be thorough, transparent and independent of any organisation that may have an institutional vested interest in the outcome. For that reason, Hampshire constabulary will want to consider carefully whether further police investigations should be undertaken by another police force.
My Department will provide support for families from today, as the panel’s work has now concluded, and I intend to meet as many of the families as I can before we give our detailed response in the autumn. I am also delighted that Bishop James Jones has agreed to continue to provide a link to the families, and to lead a meeting with them in October to allow them to understand progress on the agenda and any further processes that follow the report. I commend the role played by the current MP for the area, my hon. Friend the Member for Gosport (Caroline Dinenage), who campaigned tirelessly for an independent inquiry and is unable to be here today because she is with the affected families in Portsmouth.
For others who are reading about what happened and have concerns that it may also have affected their loved ones, we have put in place a helpline. The number is available on the Gosport Independent Panel website and the Department of Health and Social Care website. We are putting in place counselling provision for those affected by the tragic events and who would find it helpful.
Let me finish by quoting again from Bishop Jones’s foreword to the report. He talks powerfully about the sense of betrayal felt by families:
“Handing over a loved one to a hospital, to doctors and nurses, is an act of trust and you take for granted that they will always do that which is best for the one you love.”
Today’s report will shake that trust, but we should not allow it to cast a shadow over the remarkable dedication of the vast majority of people working incredibly hard on the NHS frontline. Working with those professionals, the Government will leave no stone unturned to restore that trust. I commend this statement to the House.
Just before I call the shadow Secretary of State—the Secretary of State made reference to this point in passing—I think that it is only fair to mention to the House that a number of colleagues whose constituencies have been affected by the events at Gosport Hospital are unable to speak in these exchanges because they serve either as Ministers or, in one case, as Parliamentary Private Secretary to the Prime Minister. It should be acknowledged and respected that a number of those affected individuals are present on the Front Bench. I am of course referring to the Minister for Care, the hon. Member for Gosport (Caroline Dinenage); the Secretary of State for International Development, the right hon. Member for Portsmouth North (Penny Mordaunt); the Under-Secretary of State for Exiting the European Union, the hon. Member for Fareham (Suella Braverman); and the hon. Member for Meon Valley (George Hollingbery).
(6 years, 5 months ago)
Commons ChamberI dare say that it will be, but the Secretary of State has heard the hon. Gentleman and is nodding enthusiastically from his sedentary position, and I take the nod as an indication of good intent.
Forthwith. Splendid. The hon. Gentleman looks satisfied—at least for now.
We have an urgent question in a moment from Alison Thewliss. I advise the House that it is on an extremely important matter that warrants urgent treatment on the Floor of the House, but it does not warrant treatment at length. I do not intend to run it for any longer than 20 minutes, because there is other business to protect.
(6 years, 5 months ago)
Commons ChamberIt was a valiant effort, but the hon. Gentleman could not get away from the truth in British politics: when it comes to the NHS, Labour writes the speeches, Conservatives write the cheques. He gamely managed to avoid smiling when he said that this settlement was not enough. He said the same thing on “Sunday Politics” yesterday. Let me remind him that at the last election his party was promising not the 3.4% annual increases that we are offering today, but 2.2%. What today he says was not enough he said in the election was enough to
“'restore the NHS to be the envy of the world”.
His leader said that it would
“give our NHS the resources it needs”.
What we are offering today is not 10% or 20% more than that, but 50% more. In five years’ time this Conservative Government will be giving the NHS £7 billion more every year than Labour was prepared to give. [Interruption.] It is funny, isn’t it, that Labour Members talk about funding the NHS but when we talk about it they try to talk it down? They do not want to hear the fact that under a Conservative Government there will be £7 billion more funding every year—that is 225,000 more nurses’ salaries under a Conservative Government. [Interruption.]
Order. There is far too much noise in this Chamber. As is my usual practice, I was addressing Education Centre students via Skype this morning. They were from a primary school from Wythenshawe and Sale East. One of the youngsters said to me, “Is it not the case, Mr Speaker, that often Members speak very rudely to and at each other?” I could not dissent from that proposition. I think it would be helpful if Members calmed themselves. The Secretary of State is accustomed to delivering statements and responding to urgent questions in this place, and he knows, and will expect, that there will be plenty of opportunity for people to question him. As he gives his answers, it is only right that he be heard, as I want then to hear every Member.
Thank you, Mr Speaker. The hon. Gentleman said just now that there is
“no such thing as a Brexit dividend”.
I have heard lots of other people say that from a sedentary position. But what did their leader say on 26 February? These were his exact words:
“and we will use the funds returned from Brussels after Brexit to invest in our public services and the jobs of the future”.
So who is right: is it the hon. Gentleman or his leader?
After paying the Brexit divorce bill this Conservative Government will use the contributions that would have gone to Brussels to fund our NHS—that is what the British people voted for. But the main reason we are able to announce today’s rise, one of the biggest ever single rises in the history of the NHS, is not the Brexit dividend but the deficit reduction dividend, the jobs dividend, the “putting the economy back on its feet” dividend, after the wreck left behind by the Labour party. Every measure we have taken to put the economy back on its feet has been opposed by the Labour party, but without those measures there would be no NHS dividend today; with the Conservatives you don’t just get a strong NHS, you get the strong economy to pay for it.
In the next few weeks, as Labour scrabbles around to raise its offer on the NHS, we will no doubt hear that it is offering more for the NHS, but when the Labour party comes forward with that offer, the British people will know that the only reason it has done so is that a Conservative Government shamed it into doing so with an offer far more generous than anything Labour was prepared to contemplate.
Another thing I have heard said about NHS funding is, “Whatever the Conservatives offer, we’ll match and do more,” but the trouble is that the opposite is true, because under this Government NHS spending in England is up 20% in the past five-year period, but in Wales it is up just 14%. That is to say that for every extra pound per head invested in England, in Wales it is just 84p, which is why people are 70% more likely to wait too long in A&Es in Wales. The right response to this statement would be for Labour to say that every additional penny though the Barnett formula will go into the NHS in Wales, but we did not hear that pledge.
The hon. Gentleman also talked about social care, and this matters. I fully agree with him that we need to have a strong plan for social care and that it needs to go side by side with the NHS plan, and we have made some important commitments to the social care sector today. But if he is going to criticise social care cuts, he might at least ask why austerity happened. It was not, as he continually suggests, because of an ideological mission to shrink the state, but to save our economy and create jobs so that we could reinvest in public services. The evidence for that is shown today, with the first ever five-year NHS funding plan, to go alongside a 10-year plan. This is a Conservative Government putting the NHS first and shooting to pieces his phoney arguments about Conservative values.
(6 years, 6 months ago)
Commons ChamberThank you, Mr Speaker, for graciously allowing a second contribution from the Government Front Bench.
Some people may wonder why a Conservative Government are so determined to mark the legacy of a Labour Cabinet Minister, but those who know, or knew, Tessa will not be surprised at all, because she had an incredible gift for bringing people together and breaking down barriers in a way that was unique and inspiring. As many have said this afternoon, we saw that in London 2012, when as Culture Secretary I had the terrifying responsibility of making her dream come true—and faced with Tessa, I never dared to put a foot wrong. What an incredible success that was: real Tessa magic, bringing the whole country together.
We saw those qualities latterly, and more tragically, when almost as an aside in her final harrowing few months, she decided that the Government needed to tear up our policy on brain cancer and start again, so basically we have done so. Thanks to her, and many other campaigners from this House and outside this House, we are proud to announce today the Dame Tessa Jowell brain cancer mission, which seeks massively to increase research and improve the treatment of this most challenging of cancers. Today, the thoughts of all of us are with David, Jess and Matthew. We hope and pray that, as a result of her efforts, many more will survive this terrible disease—a final and most wonderful gift of Tessa magic to the nation.
Thank you, colleagues, for what you have said and the manner in which you have said it, which has witnessed the House at its best.
(6 years, 6 months ago)
Commons Chamber(6 years, 6 months ago)
Commons ChamberThe whole House is thinking of my hon. Friend who, like many people in this country, is going through a huge amount of personal pressure as cancer strikes close to home. He is right that back-office systems are often poor when it comes to contacting patients, which is in contrast to the superb clinical care that we are usually able to offer, so we will absolutely consider that as part of the review.
I wish the hon. Gentleman well in the period ahead. I was not aware of those personal circumstances, but the whole House will wish his nearest and dearest all the best.
(6 years, 8 months ago)
Commons ChamberThanet enjoys an ageing population and I am pleased to be a part of it. We will be delighted to know that one of the five new medical schools designated by the Secretary of State today is going to be based in east Kent: the bid from the University of Kent and Canterbury Christ Church University was successful. It will not have escaped my right hon. Friend’s notice that the Christ Church campus is in close proximity to an A&E hospital— the Queen Elizabeth The Queen Mother Hospital—and we hope very much to see all the benefits very soon. Thank you.
May I just say to the hon. Gentleman that if memory serves me correctly, he was born on 20 August 1943, and therefore, he is really not very old at all?
I congratulate my hon. Friend on being born five years before the NHS was founded—a very short while ago. Kent is an area that, although it is the garden of England, has some profound challenges in its health economy. One of those challenges is attracting doctors to work in Kent and other more geographically remote areas, so I am very hopeful that this big new announcement for the University of Kent will be a big help.
If these cases were decided on the persistence and strength of the lobbying of local Members, for sure my hon. Friend’s would be at the very top of the list. I have been to the hospital and heard about the issues from staff—it was a very good visit. She has campaigned persistently on this and I very much hope that we can give her good news because I am aware of how urgent the need is.
Not only was the hon. Lady present in Speaker’s House this morning, but her sister and distinguished speech and language therapist Rosalind Pow was present as well, so we had two doses of Pow in the course of a breakfast meeting. It was an unforgettable experience for all concerned.
I cannot compete with that, Mr Speaker. Back in November, I wrote to the Secretary of State about the increased service charges on GP practices. Ambleside surgery in my constituency, which serves an increasingly ageing population, faces a huge increase of £25,000—more than double—and the staff there fear they cannot keep the surgery going long term with that kind of increase. A ministerial written response in November did not mention Ambleside once, so will the Secretary of State commit now to intervening directly to guarantee that Ambleside will not have to pay this unjustified additional £25,000 a year?
(6 years, 9 months ago)
Commons ChamberJust an hour ago I met my constituent Carol Short and Emma Friedmann, a constituent of the hon. Member for Leicester South (Jonathan Ashworth), to discuss the next stage of the valproate campaign, but because of the statement, that meeting was adjourned. I am happy that they are now in the Chamber, and I am sure that they are pleased to hear about the review.
Is it possible to ensure that GPs are giving out the excellent advice that the Medicines and Healthcare products Regulatory Agency has put together? I am sorry to say that it seems that far too many are not, and there appear to be no regulatory sanctions to ensure that they do.
Order. I mean no discourtesy to the hon. Gentleman, but I hope that the people whom he mentioned are in fact in the Gallery rather than in the Chamber. That would be greatly reassuring to us, and quite possibly to them.
I can give my hon. Friend the assurance for which he has asked. We have announced today that we are improving the system of alerting both general practices and community pharmacies to ensure that the right advice is given and the right safeguards are in place, so that people who are pregnant or might become pregnant do not take a medicine that is very powerful and very effective in the right circumstances, but incredibly dangerous in the wrong ones.
(6 years, 9 months ago)
Commons ChamberI am most grateful. That is a very rare compliment, so I shall savour it. I would gently say to her that the point about nurse degree apprenticeships is that it is possible to transition into nursing from being a healthcare assistant without any fees being paid at all. That is why it is a huge and highly significant change.
As the hon. Member for Wallasey (Ms Eagle) is sporting what appears to me to be a very fetching suffragette rosette, it is perhaps timely to record that in the great success our national health service has been under successive Governments, I think I am right in saying, as things stand, that well over 70% of the people who make it great are women.
Following the recent inquiry by the Select Committee on Health into the nursing workforce, we absolutely welcome the new routes into nursing, including the new role of nursing associate. However, one of the issues highlighted strongly was the need to retain our existing nursing workforce as well as to recruit into it. Will the Secretary of State comment on that?
I do not know whether the right hon. Lady is referring to my age, a proposition on which I think the House would have to divide, or the rosette. [Interruption.] Yes, I thought she meant the rosette.
On the day that we mark the 100th anniversary of giving a voice to women, I want to update the House on concerns in the medical profession that we may not be giving a voice to doctors and other clinicians who want the freedom to be able to learn from mistakes. The House will know that, as a Government Minister, I cannot comment on a court ruling, but it is fair to say that the recent Dr Bawa-Garba case has caused huge concern, so today I can announce that I have asked Professor Sir Norman Williams, former president of the Royal College of Surgeons and my senior clinical adviser, to conduct a rapid review into the application of gross negligence manslaughter in healthcare.
Working with senior lawyers, Sir Norman will review how we ensure the vital role of reflective learning, openness and transparency is protected so that mistakes are learned from and not covered up, how we ensure that there is clarity about where the line is drawn between gross negligence manslaughter and ordinary human error in medical practice so that doctors and other health professionals know where they stand in respect of criminal liability or professional misconduct, and any lessons that need to be learned by the General Medical Council and other professional regulators. I will engage the devolved Administrations, the Justice Secretary and the Professional Standards Authority for Health and Social Care in this vital review, which will report to me before the end of April 2018.
We are very focused on reducing all suicides. As the hon. Gentleman will know, we have a plan to reduce suicide rates by 10%, and last week we announced a plan to reduce in-patient suicides to zero, which is a big aspiration to which the NHS in England is certainly committed. We are very committed to this agenda.
(6 years, 11 months ago)
Commons ChamberOrder. We must observe the terms of debate. It is not for the Secretary of State to ask questions. He has been in the House long enough to know that. Please do not play games with the traditional and established procedures of the House, Secretary of State. You can do better than that.
Yes, I am delighted that the local hospital of the hon. Member for Ellesmere Port and Neston (Justin Madders) got £2.8 million in the Budget, but I am disappointed that he did not feel able to issue a press release to his local press. I have much enjoyed debating with the hon. Gentleman over the years, but the difference between me and him is that although we both want to find extra money for the NHS, he would do so by hiking corporation tax, which would destroy jobs, whereas Government Members want to get money into the NHS by creating jobs, which is what we are doing.
(6 years, 12 months ago)
Commons ChamberLast month’s debate on baby loss has been mentioned, and I too took part in it, although I have thankfully been spared the pain suffered by some Members of the House. Such a debate really helps to bring out for everyone on both sides of the House how important this issue is, and I do not think there will be anyone who does not welcome this statement and the ambition it shows.
In Scotland, we had a higher stillbirth, neonatal and perinatal death rate in 2012, but our new chief medical officer was actually an obstetrician, and that may have led to the change of focus in 2013, when she established the maternity and children quality improvement collaborative and the national stillbirth group—all as part of the Scottish patient safety initiative—as well as the neonatal managed clinical networks across Scotland. That has enabled us to drop our stillbirth rate by more than a quarter, and to drop our neonatal death rate by 50%.
This has been achieved despite the challenges we face of really difficult geography, including getting people off islands. It is easy to spot the woman who has a history of difficult births or to spot a woman with comorbidities, such as obesity or diabetes, but anyone who has been involved in birth knows that even the healthiest pregnancy can go wrong at the last minute. For us, as in rural parts of the north and west of England, there are transport issues in relation to how women with problems during labour are identified and transported if a higher specialism is required, and those issues must be looked at.
This is very much about the provision of neonatal services, including the movement of patients, and the availability of expertise and of neonatal intensive care units. However, as came out several times during the debate on baby loss, another issue is that of pre-term birth and stillbirth, so this is also about trying to change some of those things. After Scotland’s recent review in February, the focus will be on the consistent monitoring of growth, as a failure to thrive can identify a third of impending stillbirths; the continuity of care, which the Secretary of State has referenced; and especially smoking. Although the Secretary of State mentioned getting smoking rates down—and in Scotland, sadly, they are higher—the rate in the most deprived communities is more than four times that in the least deprived communities. That has an impact on every level of child loss.
Finally, on research, it is important that we learn, for example from the new information about women sleeping on their side in the last trimester. We need to fund the research to learn those things and then share the information—
Order. I have the highest regard for the hon. Lady, who is a considerable medical authority. I gave her a little leeway, but I say very gently that not only did she exceed her time by a minute, but she pursued her usual, rather discursive approach. In these situations, what is required is a question or a series of questions with a question mark or a series of question marks, rather than general analysis. We will leave it there for now. I say that in the most good-natured spirit to the hon. Lady.
I call Antoinette Sandbach.
I forgot that we had heard from the hon. Member for Central Ayrshire (Dr Whitford), but we had not yet heard from the Secretary of State. Apologies.
Order. As I have just been advised by the distinguished Clerk at the Table, who swivelled round so to advise me, there is really no need for a response, because there was no question. However, I will indulge the right hon. Gentleman to the point of a paragraph.
Let me simply say that there is an excellent Scottish patient safety programme. Given that one of the main objectives behind the statement is to share best practice, I would be very happy to talk to the chief medical officer in Scotland and to Jason Leitch about how we can exchange information and learn from each other’s systems.
(7 years ago)
Commons Chamber(7 years, 1 month ago)
Commons ChamberMy right hon. Friend is absolutely right to point out that a GP is often the first point of contact for many people. What are we doing? Three thousand mental health professionals will be seconded to GP surgeries over the next few years to give GPs the back-up they need in that area.
Not for the first time, I implore the right hon. Member for New Forest West (Sir Desmond Swayne) to issue to colleagues his textbook on succinct questions.
(7 years, 4 months ago)
Commons ChamberWill the Secretary of State reassure my constituents that the component parts of the NHS can communicate with each other sufficiently to ensure that decisions such as the one by a medical dean to remove accreditation for anaesthetic training will not lead to the closure of A&E departments in hospitals such as Houghton general, where my father was treated so well last Friday?
The hon. Lady’s father is a splendid fellow, and he is now in another place. [Laughter.] I was referring to another House of Parliament.
I was concerned about the general laughter following that comment, Mr Speaker.
I am delighted that my hon. Friend’s father was treated so well, and I very much enjoyed my visit to the hospital recently. She is right: where there are changes in the patterns of training, we need to be very careful to ensure that they do not interrupt the delivery of local services in a disadvantageous way.
(7 years, 4 months ago)
Commons ChamberOn a point of order, Mr Speaker. The Secretary of State has just announced a consultation on access to abortion in English hospitals, but as far as anyone is aware, no such consultation exists. Can you inform us whether there will be a written statement on the consultation, given that Members on both sides of the House are concerned about the issue and no information has been given, and whether we will be allowed to test the will of the House on the matter?
I have had no notification on that subject, but knowing the hon. Lady as I do, I feel sure that she will return to it before long.
This is the difference between the two parties. The Labour party wants to use the NHS as a political football. We want to make it better for patients, and that means difficult decisions to grow the economy so that we can fund the NHS, and difficult decisions to raise standards. The party of the NHS, however, is not the party that uses it to milk votes; it is the party that fights to make it better for patients. That is why it is the Conservative party that is making those difficult decisions. It is the Conservative party that is on the side of patients. It is the Conservative party that is seeing the highest standards of care for cancer, mental health conditions, strokes, heart attacks and nearly every major disease category that we have ever seen in the history of the NHS. It is the Conservative party, not the Labour party, that is the party of the NHS.
Question put, That the amendment be made.
(7 years, 5 months ago)
Commons ChamberUrgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.
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I welcome the Secretary of State to his place, but is it not an absolute scandal that 709,000 letters, including blood test results, cancer screening appointments and child protection notes, failed to be delivered, were left in an unknown warehouse and, in many cases, were destroyed? Does not the National Audit Office reveal today a shambolic catalogue of failure that took place on the Secretary of State’s watch?
As of four weeks ago, 1,700 cases of potential harm to patients had been identified, with this number set to rise, and a third of GPs have yet to respond on whether unprocessed items sent to them indicate potential harm for patients. Does the Health Secretary agree that this delay is unacceptable? When will all outstanding items be reviewed and processed?
The Secretary of State talks about transparency, but he came to this House in February because we summoned him here. In February, he told us that he first knew of the situation on 24 March 2016, yet the NAO report makes it clear that the Department of Health was informed of the issues on 17 March and that NHS England set up the incident team on 23 March, before he was informed, despite his implying that he set up the incident team. Will he clear up the discrepancies in the timelines between what he told the House and what the NAO reported?
The Secretary of State is a board member of Shared Business Services, and many hon. Members, not least my right hon. Friend the Member for Exeter (Mr Bradshaw), have warned him of the problems and delays with the transfer of records from SBS. Given that those warnings were on the record, why did he not insist on stronger oversight of the contract?
The cost of this debacle could be at least £6.6 million in administration fees alone, equivalent to the average annual salary of 230 nurses. Can the Health Secretary say how those costs will be met and whether he expects them to escalate?
Finally, does the right hon. Gentleman agree with the NAO that there is a conflict of interest between his role as Secretary of State and his role as a board member? Further to that, can he explain why his predecessor as Secretary of State sold one share on 1 January from the Department to Steria, leaving the Secretary of State as a minority stake owner in the company, and never informed Parliament or reported that share in the Department’s annual report—
Order. We are immensely grateful to the hon. Gentleman, but sooner or later the discipline of sticking to the two minutes has to take root. I am afraid that it is as simple as that and I am sorry, but he has had two and a half minutes.
Let me respond to those points. First, what happened at SBS was totally unacceptable. It was incompetent and it should never have allowed that backlog to develop, but before the hon. Gentleman gets on his high horse, may I remind him that SBS and the governance arrangements surrounding it were set up in 2008, at a time when a Labour Government were rather keen on contracting with the private sector? I know that things have changed, but the fact of the matter is that throughout this process our priority has been to keep patients safe. Transparency is nearly always the right thing; I am the Secretary of State who introduced transparency over standards of care in hospitals—[Laughter.] It is interesting that Opposition Members are laughing, as Labour was the party responsible for sitting on what happened at Mid Staffs for more than four years, when nothing was done.
Transparency is incredibly important but it is not an absolute virtue, and in this case there was a specific reason for that. If we had informed the public and the House immediately, GP surgeries would have been overwhelmed—we are talking about 709,000 pieces of patient data—and they would not have been able to get on as quickly as we needed them to with identifying risk. That was the priority and that is what today’s report confirms: patient safety was the priority of the Department and NHS England. I put it to the hon. Member for Leicester South (Jonathan Ashworth) that if he were in my shoes, and faced with advice that said that it was wrong to go public straight away as that would compromise the very important work GPs had to do to keep patients safe, he would have followed exactly the same advice. That is why, while I completely recognise that there is a potential conflict of interest with the Government arrangements, I do not accept that there was an actual conflict of interest, because patient safety concerns always overrode any interests we had as a shareholder in SBS.
The NHS is a large organisation. It has a huge number of contracts with both the public and private sectors, and no Government of any party can ever guarantee that there will be absolutely no breach of contract. However, what we can do is ensure that we react quickly when there is such a breach, which happened on this occasion, and that we have better assurance than we had on this occasion. I assure the House that the appropriate lessons will be learned.
The NAO’s findings are deeply concerning for the families of patients caught up in this chaotic shambles. For those involved and the wider public, this will only deepen their mistrust and misgivings in how the Tories are running the NHS; we can be grateful that they are not in charge in Scotland. Surely it is simply astonishing that a company partly owned by the Department of Health failed to deliver 500,000 NHS letters, many of which contained information critical to patient care. Not only were 1,700 people potentially at risk of harm, but thousands of others were put at risk. Was this SBS contract properly scrutinised by the Secretary of State? Was patient care or cost-cutting at the forefront of that decision? Why did he publish a vague written statement in July 2016 when he actually knew what was going on four months earlier?
Splendid—the hon. Gentleman was within his time. He gets an additional brownie point.
I gently say to the hon. Gentleman that it is totally inappropriate to try to make political capital from this incident. The facts of the case are that the NAO today published a report saying that patient safety was the primary concern of both the Department of Health and NHS England throughout. There were some problems with the assurance of that contract, but the contract and the relationship with SBS in particular dates back to 2008. Both sides of the House need to learn the lessons of properly assuring NHS contracts, and I dare say the same is true in Scotland.