Mid Staffordshire NHS Foundation Trust (Inquiry)

Lord Soames of Fletching Excerpts

Wednesday 6th February 2013 Commons Chamber

[The Prime Minister]

I agree with the hon. Gentleman that when those above and beyond a hospital are making decisions on questions such as whether the hospital should become a foundation trust, they must look very closely at quality of patient care, not simply financial and other metrics. That is at the heart of what Francis is saying. The CQC believes that the hospital is currently providing an adequate standard of care. Only last week it carried out an unannounced inspection and it was content with what it found. Recent reports have been disturbing, however, and there is important work still to do in this hospital as in others, because “adequate” is never good enough; they have to strive to be better, and I know that that is what is going on.

[Nicholas Soames (Mid Sussex) (Con)]

Whatever the abject clinical and management failings, this was at heart a truly disgraceful failure of leadership at all levels. Indeed, too many inadequate and failing managers in leadership positions are repeatedly recycled through the NHS. Accordingly, will the Prime Minister consider establishing a national health service staff college to which senior managers may go, and ensure that no senior manager may take command of a hospital trust or any higher post unless he is a graduate of such a college?

[The Prime Minister]

I thank my right hon. Friend for his remarks. When he has a chance to look at the report in more detail, I think he will be pleased to see that Robert Francis suggests something along those lines: he suggests some form of leadership college. We think that has merit and will look at it carefully. I am nervous about committing instantly to creating more NHS organisations and institutions as there are a lot already, but the point my right hon. Friend makes is a good one.

The other point my right hon. Friend makes is vitally important in terms of the accountability issue: all too often when something has gone wrong in one of our hospitals, managers or overseers are recycled and reappear, as if by magic, in another part of the NHS. We need all those responsible for accountability—the CQC, Monitor, the Nursing and Midwifery Council, the General Medical Council—to take a clearer view about whether someone is up to the job or not.