Public Health White Paper

Debate between Lord Lansley and Joan Walley

Tuesday 30th November 2010 Commons Chamber

[Mr Lansley]

All councils will be supported to develop health improvement strategies. When we come to publish the consultation on the funding of the public health budget, that will set out how, in addition to the resources used nationally, there will be significant resources in a ring-fenced budget for local authorities. Because of the nature of the health premium, that budget will be significantly weighted towards areas of greatest disadvantage and poorest health outcomes.

[Joan Walley (Stoke-on-Trent North) (Lab)]

Whatever Government were in power, I would welcome an enhanced role for environmental health officers in improving public health policy. Given the depth of the coming cuts to local authority budgets, however, there is real concern, regardless of the ring-fencing statement we have had, as to whether there will be sufficient resources and capacity for environmental health officers. Does the Secretary of State intend to have an environmental health officer at chief officer level inside the Department of Health?

[Mr Lansley]

I have had discussions with environmental health officers and they are enthusiastic about the opportunity for much greater synergy between their work and public health responsibilities. They see their role as integral to the achievement of public health. Indeed, some of the greatest public health improvements of the past were initiated in local government and through responsibilities that are currently within environmental health legislation, so I am looking to the health and well-being boards to bring these responsibilities together more effectively.

NHS White Paper

Debate between Lord Lansley and Joan Walley

Monday 12th July 2010 Commons Chamber

[Mr Lansley]

Many GPs will find that they spend much less time trying to negotiate services for their patients through a PCT and NHS bureaucracy that get in the way. Of course GPs are operating collectively in a commissioning consortium, and I am not going to turn them into individual managers. Some GPs will be leaders—I am looking for clinical leadership—but they will also look for commissioning support. They can derive that from existing primary care trust teams if they think they are doing a good job; they can do it via local authorities or from independent sector providers of commissioning services as well.

[Joan Walley (Stoke-on-Trent North) (Lab)]

Does the Secretary of State not realise that there are greater health inequalities in some parts of the country, as in Stoke-on-Trent? Can he explain how this new arrangement of GP-led commissioning is going to deal with those health inequalities? Is it all going to be rolled out at one and the same time, or will there be pilot projects as part of a rolled-out programme? How is he going to ensure that health inequalities are dealt with, when local authorities in Stoke-on-Trent have to make £70 million of cuts over the next three years? How is it all going to be provided for?

Mid Staffordshire NHS Foundation Trust

Debate between Lord Lansley and Joan Walley

Wednesday 9th June 2010 Commons Chamber

[Mr Lansley]

I am grateful to my hon. Friend for that question. Although he has only recently arrived in this House to represent his constituents, I know from my personal experience of our conversations, our meetings and my visits to see him and others in Stafford just how diligently and consistently, and in what a compelling way, he has represented his constituents over the past year or so. In reply to his question, I can tell him that although I have made it clear to Robert Francis that we must do this swiftly—and, therefore, without incurring excessive costs—we must do it successfully and achieve a quality result in order to inform everything we need to do to improve the NHS. We need to go beyond the mere structures and the processes—we have seen all that—to find out why people in all those structures were not focusing on patient safety and quality of care, and how they can be better incentivised, encouraged and required to do that in future. I am sure that my hon. Friend knows that we are ensuring that the additional costs that the Mid Staffordshire trust has had to meet in the course of the first Francis inquiry and now, and in supporting the delivery of better care, are being met with additional resources from the strategic health authority.

[Joan Walley (Stoke-on-Trent North) (Lab)]

May I, on behalf of constituents whose families were affected by what happened at Mid Staffs, welcome the continued focus that the new coalition Government are placing on making progress on this issue and on ensuring that what happened before never happens again at Stafford hospital? I pay tribute to the work done by my former colleague David Kidney, who, along with the action group, called for a full public inquiry into this matter; that needs to be put on the record. Will the Secretary of State give me assurances about the make-up of the panel, and perhaps give consideration to making trade union representatives members of it? We need to ensure that all people affected in the provision of care can be properly represented and can be part of that panel in the further inquiry.

[Mr Lansley]

I am grateful to the hon. Lady for her support for the further inquiry. I should say, first, that I share her view that David Kidney sought to get to the bottom of what happened at his local hospital, and pressed for a further, and public, inquiry. The shadow Secretary of State must know that at the beginning of last September Robert Francis came to him in the midst of his first inquiry to raise the issue of the legal base for that inquiry and the question of whether it should be brought under the Inquiries Act. He wanted the terms of reference to be extended sufficiently widely to ensure that at that stage he could have looked beyond the question of what happened, to the question of why the primary care trust, the strategic health authority, the NHS in general, and other organisations, did not intervene earlier and in a better way. On 10 September last year, the then Secretary of State did not agree that that should happen, but had he done so the first Francis inquiry could have achieved much earlier what the second will now have to do.