Situation in the Gulf

Debate between Lord Soames of Fletching and Jeremy Hunt

Monday 22nd July 2019 Commons Chamber

[Mr Hunt]

I can give the right hon. Gentleman a little bit of the answer to that, which is that it will not be a sudden switching on and off. There will be a gradual build-up of presence, because it takes time for ships to get to the region from all over the world. HMS Duncan will arrive on 29 July, or possibly even before that, as the first step in this process, but we are having substantive discussions later this week with allies from across the world in which things such as the timescales will become a lot clearer. I would be happy to write to him after that.

[Sir Nicholas Soames (Mid Sussex) (Con)]

I entirely support what the Foreign Secretary has said and the actions that he intends to take. May I ask him three particular points? The strait of Hormuz must be the most overflown and monitored sea area in the entire world, and I would be grateful, therefore, for these answers. First, when did the Stena Impero leave Fujairah? Secondly, what time was HMS Montrose first alerted to her passage? Finally, what advice did the Stena ship seek of the British Government before she sailed?

[Mr Hunt]

On the first question, I will write to my right hon. Friend, because I do not have to hand the exact time and date that the Stena Impero left Fujairah. The warning that HMS Montrose had was 60 minutes, which was not long enough. We ask all shipowners to give us at least 24 hours’ notice. We did not get that in this case, but that does not excuse a criminal act of piracy. We do hope now that all shipowners will co-operate fully in giving us the notice that we need to give them the protection that we are able to give.

Oral Answers to Questions

Debate between Lord Soames of Fletching and Jeremy Hunt

Tuesday 2nd April 2019 Commons Chamber

[Mr Hunt]

This is something on which my right hon. Friend the Minister for Asia and the Pacific has done an enormous amount of work through his contacts with the Sri Lankan Government. The hon. Gentleman is absolutely right to raise that issue, not least because many members of the Sri Lankan community in this country have a great deal of concern about it. Overall, the picture in Sri Lanka is remarkably better than it was a decade ago. However, there will never be lasting peace unless there is justice and accountability for the things that went wrong.

[Sir Nicholas Soames (Mid Sussex) (Con)]

Is it not a matter of the greatest regret that our most important ally, the United States, is in clear contravention of United Nations Security Council resolution 497 by recognising Israeli sovereignty claims over Golan? As annexation of territory is prohibited under international law, will the Foreign Secretary send a very strong message to the United States that the British House of Commons condemns unreservedly this breach of the rules-based order?

[Mr Hunt]

I am happy to do that. My right hon. Friend is absolutely right—we should never recognise the annexation of territory by force. That has been one of the great achievements since the founding of the United Nations. I do that with a very heavy heart, because Israel is an ally and a shining example of democracy in a part of the world where that is not common. We want Israel to be a success, and we consider it to be a great friend, but on this we do not agree.

Oral Answers to Questions

Debate between Lord Soames of Fletching and Jeremy Hunt

Tuesday 22nd January 2019 Commons Chamber

[Sir Nicholas Soames (Mid Sussex) (Con)]

12. What steps he is taking to co-ordinate the use of soft power in British foreign policy.

[The Secretary of State for Foreign and Commonwealth Affairs (Mr Jeremy Hunt)]

According to the Portland Soft Power 30 index, the UK is the world’s leading international soft power country. Post Brexit, this will be a vital asset for us to continue to exploit.

[Sir Nicholas Soames]

I thank my right hon. Friend for that important answer, but does he agree that, like so many things that we do well in this country, we tend to take that for granted? Will he therefore assure this House that he will pay greater attention to the co-ordination of soft power across all Departments?

[Mr Hunt]

I thank my right hon. Friend for making that very important point. I can reassure him that I have presented to Cabinet on the subject of soft power and written to every head of mission across the world to underline its importance and to ask what they are doing about it. I am also in charge of a cross-Government taskforce aimed at making sure we do everything we can in this area.

Death of Jamal Khashoggi

Debate between Lord Soames of Fletching and Jeremy Hunt

Monday 22nd October 2018 Commons Chamber

[Mr Hunt]

Let me take all of those points. When it comes to arms sales, we have strict guidelines in place, and we are following those guidelines. They involve an independent assessment as to whether the licences that we grant for arms sales present a clear risk of a future breach of international humanitarian law. We will keep those constantly under review. With respect to the situation in Yemen, I hope that he, like me, is proud that in the last year we have contributed £170 million to famine relief, one of the biggest contributions of any country.

With respect to the rules-based international order, I agree with the hon. Gentleman and it is a grave cause for concern that there are a growing number of breaches across the world. The rules-based order that we all want to protect has to be one that is based on values. What is shocking about the stories that we hear about what potentially happened in the Saudi consulate in Istanbul is the fact that it so clearly contravenes the values in which we all believe.

The hon. Gentleman mentioned other points about which I will happily write to him.

[Sir Nicholas Soames (Mid Sussex) (Con)]

It grieves me to have to say this, as a friend of the Saudis for nearly 40 years, but the Saudi explanation on this matter is completely implausible, and there can be no doubt that the order for this terrible crime came from the very top. Therefore, as good friends and allies of Saudi Arabia for many years, it behoves us to be extremely robust and candid with the Saudi Government. Yes, we have vital security and commercial interests with Saudi Arabia, and we do not wish just to blow them up. It is wrong to drop an inconvenient friend, but we in this country cannot tolerate such vile and brutal behaviour, and it cannot be allowed to pass without consequence.

[Mr Hunt]

My right hon. Friend puts it characteristically powerfully, not least because of his deep understanding and knowledge of the Saudi regime. Sometimes friends have to speak very frankly to each other. All I say is that, when we have full accountability for the crimes that have been committed, which we note that the Saudi Foreign Minister himself has described as murder, that accountability must extend to the people who gave the orders for any crime that was committed and not just to the people who were there on the ground, and that is an essential part of this investigation.

Oral Answers to Questions

Debate between Lord Soames of Fletching and Jeremy Hunt

Tuesday 14th November 2017 Commons Chamber

[Mr Hunt]

The hon. Gentleman is right to say that we need more midwives. We have 6,000 midwives in training, and we have 2,000 more midwives than we had in 2010. It is also important to recognise the progress that is being made. Stillbirth rates were down 14% between 2010 and 2015, and neonatal death rates are down 10%, so there is some really important progress happening.

[Sir Nicholas Soames (Mid Sussex) (Con)]

Will my right hon. Friend join me in congratulating my constituents in Group B Strep Support, and the Royal College of Obstetricians and Gynaecologists, on the September update to the green-top clinical guidelines on group B strep infection, which I am sure he will agree are a significant step forward in preventing that wicked and wholly unnecessary neonatal infection?

[Mr Hunt]

I am happy to offer my congratulations, because that is an incredibly important area. We have done really well on clostridium difficile and MRSA infections, but the rates of other infections such as group B strep and E. coli are higher than they need to be. In fact, I am speaking at a conference on infection prevention and control this afternoon.

Mental Health and NHS Performance

Debate between Lord Soames of Fletching and Jeremy Hunt

Monday 9th January 2017 Commons Chamber

[Sir Nicholas Soames (Mid Sussex) (Con)]

As a frequent user and admirer of the Red Cross, I regard its claims as being grossly over the top. I join the Secretary of State in his tribute to the wonderful work of the frontline staff of the NHS at a very difficult time. Does he agree that the pressures are not going to go away, and that there must be a continuing drive for reform and to do these things better? What exactly are the impediments in the NHS to the sharing of best practice, and what steps is he taking to create a more experienced and better trained leadership who are more prepared for the exceptional medical and management challenges that the NHS now faces?

[Mr Hunt]

My right hon. Friend speaks extremely wisely. I, too, think that we have to be very careful about the language we use in these situations because many vulnerable people can be frightened if we get the tone wrong. The vast majority of NHS services are performing extremely well under a great deal of pressure. His point about leadership is extremely important and one to which I have given a lot of thought. At the heart of the problem is that we do not have enough hospitals being run by doctors and nurses. Around 56% of our managers have a clinical background, compared with 76% in Canada and 96% in Sweden. To put it bluntly, doctors like to be given instructions by other doctors. Exceptional people from a non-clinical background can do it, but it is hard because doctors have many years of training and are highly experienced people. I have put in place measures to try to make it easier for more clinicians to become our managers of the future.

Junior Doctors Contracts

Debate between Lord Soames of Fletching and Jeremy Hunt

Monday 18th April 2016 Commons Chamber

[Mr Hunt]

I think that sums up the difference between the two parties. It is true that Labour would take “as long it as takes” to negotiate the changes, which is why we ended up with poor contracts in 1999, 2003 and 2004. After three years of trying to get reforms to contracts to make the NHS safer for patients and better for doctors, we need to proceed with a manifesto commitment. Ministers have to decide and act as well as talk. We did not choose this outcome and tried hard for a negotiated decision, but when the hon. Lady says that talks should go on for “as long as it takes”, she is actually saying that the other party has a veto over change. No one should have a veto over an elected Government’s manifesto commitments.

[Sir Nicholas Soames (Mid Sussex) (Con)]

One thing that the whole House can agree on is that the postponement of treatment or operations is never cost-free for patients. Every hospital has an ethics committee, so does my right hon. Friend agree that all striking doctors should consult their hospital’s ethics committee? Does he agree that the removal of emergency cover by any doctor for industrial reasons would be unlikely to meet with the approval of any medical ethic committee? Finally, does he agree that it is unacceptable for any doctor to act unethically, and that that would place him or her in serious jeopardy?

[Mr Hunt]

My right hon. Friend speaks wisely. A whole chorus of senior doctors, from Professor Sir Bruce Keogh to Dame Sally Davies to Lord Darzi, have urged doctors to think hard about the ethics involved. My right hon. Friend is absolutely right to say that consulting the ethics committee in the trust is a wise thing to do. Doctors might also take note of what the General Medical Council said about it being increasingly difficult to justify the withdrawal of emergency care and about the ethics involved. In the end, this is a personal decision for doctors, and it is about whether it is right to withdraw emergency care from patients in an industrial dispute about pay. This is a bridge that the NHS has never crossed before. It is a very big decision, not only for the NHS, but for every single doctor inside it.

NHS (Five Year Forward View)

Debate between Lord Soames of Fletching and Jeremy Hunt

Monday 1st December 2014 Commons Chamber

[Mr Hunt]

I hope I can reassure the hon. Lady, because today’s announcement includes £1.5 billion extra for the NHS front line next year. That will include mental health services, and we would expect commissioners to observe parity of esteem as they decide how to allocate those additional resources. It also includes £1 billion to improve primary care facilities, which will be used by many mental health patients. There is a lot in today’s announcement that I hope will relieve pressure. She is right to say that we need to do better on child and adolescent mental health services. This has been a long-standing problem, but we have been taking forward some important work to make a reality of our commitment to parity of esteem, which is something we are very proud to have legislated for.

[Sir Nicholas Soames (Mid Sussex) (Con)]

May I report to my right hon. Friend that, despite the dismal rant he heard from the shadow Secretary of State, the Princess Royal hospital in Haywards Heath and the Royal Sussex county hospital in Brighton, and their doctors and nurses, are doing a magnificent job in treating local people? Will he also accept that the problem with mental health services in this country goes back a long way? It will not be fixed overnight. I have had the same problem in my constituency of someone being put in a police cell. The problem fell entirely on the staff of the local trust, who simply did not deal with the matter properly. This is going to take a long time to fix, and I greatly welcome my right hon. Friend’s statement.

[Mr Hunt]

I thank my right hon. Friend for his comment, because the use of police cells is not an issue with which we should be playing party political games. As it happens, their use was much higher under the last Labour Government. We are starting to address that issue, and he is right: even one person spending a night inappropriately in a police cell is one person too many. That is why we are making good progress, but in the end it will require people who purchase health care in local areas to look at people with mental health needs in a holistic way—not just trying to solve issues problem by problem, but looking at and addressing the whole problem and making sure they get the treatment they need.

Oral Answers to Questions

Debate between Lord Soames of Fletching and Jeremy Hunt

Tuesday 25th February 2014 Commons Chamber

[Mr Jeremy Hunt]

I welcome the hon. Gentleman to the House and congratulate him on representing in his constituency a fantastic hospital; I have been to Wythenshawe hospital and it is superb. Some big changes are happening in the Greater Manchester area that will lead to that part of the country having some of the best NHS care in the country. Obviously there is a difficult transition in A and E services between Trafford and Wythenshawe, and I am happy to meet him to discuss it further.

[Nicholas Soames (Mid Sussex) (Con)]

Does my right hon. Friend agree that it is unacceptable that investigations into failures in hospital services take so very long? There has recently been one in my constituency: a very sad and badly handled case connected with mental health. Does my right hon. Friend agree that the authorities need to provide answers very promptly to families who are left completely beleaguered by such behaviour?

[Mr Hunt]

I absolutely agree with my right hon. Friend. One of the tragedies that the Francis report helped us to uncover was that so many failings had been allowed to persist for so long: in the case of Mid Staffs, between 2005 and 2009. We owe it to families to be much quicker, which is why there is now a time limit on the failure regime: hospitals must be turned around within a fixed period of time or go into administration. Otherwise, we will not have safe hospitals in our areas.

Immigrants (NHS Treatment)

Debate between Lord Soames of Fletching and Jeremy Hunt

Monday 25th March 2013 Commons Chamber

[Mr Hunt]

The directive to which the right hon. Gentleman refers was issued by an independent NHS body, not my Department. The sorry truth is that it is consistent with the current rules on access to primary health care, which is what we believe is wrong. I think that one of the big problems in the current system is that we have free access to primary care for anyone visiting the UK, however short their visit is. Through that access to primary care, they get an NHS number, which should not entitle them to free care but is often treated by hospitals as such. That is what we have to put right. He is absolutely right that we need a system that properly identifies whether people should have care that is free at the point of access without impinging on the ease of access for British citizens, which is one of the things they treasure most about the NHS.

[Nicholas Soames (Mid Sussex) (Con)]

Does my right hon. Friend agree that it is through access to primary care that the initial control must take place, but that all hospitals should have an overseas visitors manager who should be designated and required to collect overseas visitors’ moneys on a more regular basis and using a more joined-up and coherent way of working with the other agencies involved?

[Mr Hunt]

What my right hon. Friend says bears very careful consideration. He is absolutely right that primary care is a critical access point, and we need to look at that. We also need to look at the burdens we place on GPs. I think that ultimately the easy way we will do that is through proper digital patient records, which will allow NHS professionals to find out about the medical history of people accessing the NHS at any point, including whether they are likely to be eligible for free treatment.

With regard to hospitals, my right hon. Friend makes a very interesting point about an overseas visitors manager. One of the problems we have is that the incentives in the system positively disincentivise hospitals from declaring foreign users of the NHS. If they declare someone not to be entitled to free NHS care, they have to collect the money from that person themselves, whereas if they do not declare the person not to be entitled to free NHS care, they get paid automatically by their primary care trust or clinical commissioning group. The incentives in the system have acted to suggest that this is a much smaller problem than I believe it is.

Accountability and Transparency in the NHS

Debate between Lord Soames of Fletching and Jeremy Hunt

Thursday 14th March 2013 Commons Chamber

[Mr Hunt]

I obviously take on board what my hon. Friend says, but I want to move on to other aspects of the report.

[Nicholas Soames]

rose—

[Mr Hunt]

I shall give way on that point, and then I will make some progress.

[Nicholas Soames]

I am grateful to the Secretary of State. May I follow up on one point that he raised? He said that a number of those managers have disappeared or melted away to other jobs in the service. Does he agree that whatever else happened, there was a monumental failure of leadership at many levels, and that it is a failing of public services in this country—and the national health service in particular—that failing managers are too often recycled through the service to the great and constant cost of patient care?

[Mr Hunt]

I absolutely agree with my right hon. Friend. We will respond to the Francis report this month, as the Prime Minister has committed to do, and make plain measures to ensure that the situation cannot continue. My right hon. Friend is right to raise that point.