NHS Risk Register

Debate between Lord Evans of Rainow and Andy Burnham

Wednesday 22nd February 2012 Commons Chamber

[Andy Burnham]

Let me make this point, and I will give way in my own time.

People talk of confusion and drift, of a huge loss of experienced staff and established relationships and of an NHS in which no one knows who is making the decisions. That leads to concerns about the risks being run with our NHS—risks to patient safety, service standards and in relation to the efficiency challenge. The chief executive of the NHS confirmed that to the Public Accounts Committee when he said:

“I’ll not sit here and tell you that the risks have not gone up. They have.”

So, that is a fact. The Prime Minister who promised to protect the NHS has put it at risk. That much is clear, but what are the precise risks that the Health Secretary and the Prime Minister are taking with the NHS, and how serious are the risks? Does not the public have a right to know what they are? You would think so, would you not, Mr Speaker, given how much the NHS matters to people and how utterly so many people with long-term illnesses and disabilities depend on it.

[Graham Evans (Weaver Vale) (Con)]

When the right hon. Gentleman was Secretary of State he refused a freedom of information request to publish risk registers in September 2009. Why was that? Was he aware of the request, and why did he not publish?

[Andy Burnham]

I will come to that in a moment. If the hon. Gentleman is patient, I will answer his point directly.

Given the risks that are being taken, and given how much the NHS matters to people and how utterly they depend upon it, particularly those with long-term illnesses and disabilities, one would think they had a right to know about the risks that the Secretary of State is running with their health service. Well, one would be wrong. Instead, Members of this House and of another place have been asked to approve the most far-reaching reorganisation of this country’s best-loved institution by a Government who have not had the courtesy to give them the fullest possible assessment of its potential impact on the NHS.

Funding and Schools Reform

Debate between Lord Evans of Rainow and Andy Burnham

Wednesday 17th November 2010 Commons Chamber

[Andy Burnham]

I had the good fortune to meet head teachers from my hon. Friend’s constituency very soon after I came into this job. They told me how that cluster of free schools could undermine other local schools. I am at a loss, and I wonder whether the Secretary of State can help me. Why is a school specialising in Latin exactly what Acton needs? I am yet to be persuaded that that is the best route for modern education in west London.

I mentioned outdoor space. A good example of schools achieving more together than they can alone is sport. School sports partnerships are a wonderful example of schools working together. The Australians have described our system as world class. I urge the Secretary of State to think again on that. School sports partnerships, which created a new delivery system for school sport, have worked well and given more opportunities to young people. I hope that he is open to the arguments of Darren Campbell and others who are pleading with him to keep that infrastructure rather than dismantle it.

My worry is that in the long term the free school experiment will lead to a much more segregated schools system—a splintered system in which narrow social groups impart a narrow world view. Are we heading towards an unaccountable free-for-all in our local education systems? Experience in Sweden suggests that the Secretary of State’s schools will have a negative impact on standards.

[Graham Evans (Weaver Vale) (Con)]

Will the right hon. Gentleman give way?

[Andy Burnham]

I will not.

I have never heard how that negative impact will be addressed in the Secretary of State’s world view, in which schools are free to fail. I am worried that he is creating a world where each school exists within a walled garden, with no obligation to other schools. The local authority co-ordinating role is important, and I cannot see why the Government want simply to wipe it away with a national funding formula. Local authorities look out for the needs of all children within an area, including the vulnerable and the voiceless. Who will speak up for them in his brave new world?

My vision is of a truly comprehensive education system, in which there is diversity of provision, and in which we help all children to be the best that they can be. I want a collaborative rather than a competitive system, and I want all schools to recognise their obligations to each other. I am worried that the Secretary of State is creating an elitist education system.

We fear that Sure Start centres are about to close, and we heard today that the pupil premium will take money from some of the most deprived communities in our country. We have just had a debate on how the Government’s policy on EMA could depress aspirations, particularly those of working-class kids. We have heard that the Secretary of State, in closed meetings in Westminster, has nodded and winked to the effect that his foot is hovering over the pedal when it comes to allowing more selection and allowing grammar schools to use the free school route to set up more grammar schools. He needs to come clean on those things. Does he want to create a more elitist system, where opportunities exist for the few but not the many?

That is the Opposition’s critique of the Secretary of State. We have had broken promises and free market reforms with no evidence, and there is a whiff of elitism in everything the Department introduces. That spells danger for our schools. We need a plan not just for some schools, but for all schools. That is what our motion is about, and I commend it to the House.