(6 years, 7 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.
Each Urgent Question requires a Government Minister to give a response on the debate topic.
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The hon. Lady makes her points very strongly. It is not the view of the United Kingdom that the best way in which to engage with any country, particularly an important power and friend such as the United States, is in the manner that she suggests. Engagement, explanation and working together are the best ways in which to deal with the concerns that we have and the areas where we differ on policy.
Too many people in this place have already made up their minds about who the guilty party is in this situation, so may I praise the Minister for his balanced view from the Dispatch Box? He is absolutely right that this is not a binary issue, but I urge him to continue—as I think he has done already—to differentiate between protestors and those who have used children as shields, and have gone to the border with the sole intention of breaching it to kill innocent civilians.
Yes, I do my best to make that distinction. But some of the allegations have to be fully tested until we find out more about what happened. I stand by my remarks that the best way in which to deal with yesterday’s tragedy is to do our best for the victims of killing or wounding and to look forward to a better future for Gaza and the region.
(7 years, 5 months ago)
Commons ChamberT10. Palestinian President Mahmoud Abbas said last week that he would continue paying prisoner salaries, even to people who have murdered innocent civilians, if it cost him his job. Does the Minister agree that there is no way in which there will be peace in the middle east without co-existence projects and support for co-existence on the Palestinian side?
My hon. Friend is right: there are a number of barriers on the Palestinian side to being able to make progress, including support for incitement and terror. The Department for International Development is looking extremely carefully to ensure that no payments go in the wrong direction. It is certainly true that the Palestinian Authority needs to look very hard at ensuring that it is not giving the wrong signals as we try to make progress on the middle east peace process.
(7 years, 5 months ago)
Commons ChamberAgain, I will come on to issues such as two-track possibilities. Many people have a contribution to make. One of the agonies of the situation is that so many people urge good will and want a resolution, yet there are blockages that prevent that from happening. However, everyone with good intent is welcome into the process.
I also welcome my right hon. Friend back—again, again—to the Front Bench. It is good to see him back at the Foreign and Commonwealth Office, too.
This debate too often becomes polarised, so may we from the outset establish that in all things this debate should be reasonable? Will my right hon. Friend therefore condemn the recent march in London under the banner of Hezbollah flags and also some of the pillorying of those of us who consider ourselves to be supporters of the state of Israel, as critical friends? During the general election campaign, a supporter of the Leader of the Opposition screamed the name of the right hon. Member for Islington North (Jeremy Corbyn) in my face, and then proceeding to describe me as “Israeli scum” and “Zionist scum” because of the simple fact that I list myself as a friend of Israel—I would say that I am also a friend of the Palestinian people. That sort of behaviour is completely unacceptable.
I thank my hon. Friend for his remarks. Sadly, as Members on both sides of the House have pointed out, extremism of language and a deliberate design to hurt or belittle those of different views has become part of our modern political life and discourse. That sort of language has absolutely no place on an issue such as this, which is extremely sensitive and well-balanced, and on which there are strong views on both sides and deeply ingrained worries and insecurities about taking steps forward. That language will never have any place in this House, as we know, but it does not help the arguments of anyone outside, and nor does it help any of us to reach out to our friends to try and find the solution we are looking for.
(9 years, 1 month ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
It is a great pleasure to serve under your chairmanship, Ms Vaz. You will not find a lack of consensus here today; I am glad to start off in that way.
I congratulate my hon. Friend the Member for North Devon (Peter Heaton-Jones) on securing this debate, which has been really good. Colleagues have made some very moving and pertinent points. I find myself in the position that Ministers find themselves in; understandably, I have responsibility for an inspection and regulatory regime that we are all working hard to ensure does its job of protecting people in the manner that we all described. Inevitably, however, the issues that arise are always the things that go wrong. The question is how to strike the balance between, on the one hand, giving an assurance about the chief inspector of the Care Quality Commission, and the assurance that our degree of concern about what happens in care homes is absolutely appropriate, and, on the other hand, in no way being complacent about the issues that colleagues spoke about, and about where the problems are. That is what I hope to address.
I am really appreciative of the contributions made. I will come to the contribution of my hon. Friend the Member for North Devon in a moment. The hon. Member for Strangford (Jim Shannon) spoke with his usual decency and compassion. He wants speedier action, and he recognised our non-partisan sense of interest in those who require care. My hon. Friend the Member for Newton Abbot (Anne Marie Morris) made a number of interesting points, including about managers in care homes. When I have spoken to CQC officials and others, I have found that issue to be vital. If there is good management, it will be a good care home; if there is not, it will not be. The lack of registered managers is a genuine problem, and we are on to that. The issue of commissioning is also underplayed.
My hon. Friend the Member for Brigg and Goole (Andrew Percy) spoke movingly about the issue of loneliness and isolation. He talked about someone who was taken from a home in an emergency, needing urgent care, who found themselves on their own. That raises questions about the extent of care delivered to individuals in those circumstances, and I hope that anyone who heard that would question their procedures to ensure that it did not happen to anyone they were looking after.
This morning, I met Unison officials in the office and we had a word about training standards. We have to be absolutely certain that training is available for all who are active in care homes. As we know, there is the skills care certificate. However, I am led to believe that we cannot be sure that everyone is getting the training they need, and as a result of this conversation, I am really interested in finding out what more we can do to ensure that training is available for all.
One area of training where we really could help to take the pressure off the ambulance service is in relation to falls, which place a huge demand on our local health services. Paramedics often say to me that they feel those falls could be dealt with more appropriately by care home staff—or even avoided—if staff were trained properly.
I take my hon. Friend’s point, which confirms what I was saying about the need for training, and for appropriate treatment and rehabilitation to be available after falls. The role of occupational therapists should not be minimised after such incidents.
I am all too willing to hear from the hon. Member for Glasgow East (Natalie McGarry). The fact that this matter is devolved is of no interest; what is important is that we share best practice and best standards of care. I very much appreciate her contribution. The hon. Member for Worsley and Eccles South (Barbara Keeley) again challenged me on what we are doing, and really that is the meat of the remarks I prepared to give in response to the comments of my hon. Friend the Member for North Devon; I am grateful to him for sharing those with us before the debate.
Let me put one or two things on the record. The Government are committed to improving the quality of adult social care, and to ensuring that people receive high-quality and compassionate care. We have taken a number of firm steps in that regard, and that is partly because of the sort of issues raised today. However, we are in a relatively early phase of the use of the new powers given to the CQC, and in a sense this debate reflects the sort of baseline from which we all have to work.
My hon. Friend referred to the experiences of his constituent, whose mother died in a local care home, and he spoke powerfully about the frustration that his constituent experienced in raising concerns with the care home provider and other bodies, such as the CQC and the local clinical commissioning group. We offer our condolences to my hon. Friend’s constituent, and I share his frustration that the experiences of service users and their families have not always been central to the provision of care or the oversight of regulation. I know that my hon. Friend’s constituent has met senior staff at the CQC on more than one occasion, and I hope that those meetings were helpful to him. However, I appreciate that this debate is not an opportunity to reopen this case, which I know the CQC has investigated extremely thoroughly.
Picking up on some of the concerns expressed today, I want to reassure my hon. Friend that we have come a long way; we have made real improvements in the regulation of adult social care in quite a short time, but of course there is more to do. Our reforms to the CQC have been central to those improvements. The regulation of adult social care has three key roles: first, to identify poor practice and take action to protect service users from the risk of harm; secondly, to encourage improvement by identifying areas of weakness; and, thirdly, to highlight and share good practice and success. All these roles are built on the foundations of effective use of data and rigorous inspection. In that respect, the CQC has been transformed in recent years, not least by having been given new powers in 2014, which is obviously not all that long ago. Those powers need to be built on.
The CQC has put in place specialist inspection teams under the leadership of the chief inspector of adult social care. These teams include “experts by experience”—people who have personal experience of care—and inspections now take particular account of the views and experiences of the users of services and their families.
The great majority of CQC inspections are unannounced. In a very small number of cases, when there are good practical reasons for doing so, notice may be given, but in the vast majority of cases services are not tipped off or warned that an inspection team is on its way. Providers registered with the CQC are required to meet a new set of fundamental standards that govern the quality and safety of services. These standards only came into force on 1 April, but they are the standards of safety and quality that providers must always meet. The CQC has a range of enforcement powers that it can use against providers that breach these fundamental standards. These powers vary from issuing warning notices and fines and imposing conditions on a provider’s registration, to cancelling registration, which withdraws a service’s permission to operate, thus closing it.
The new fundamental standards include two important new registration requirements. The first—the duty of candour—requires providers to be open with service users about all aspects of their care, and to inform them when there are failures in their care. The second—a “fit and proper person” requirement for directors—ensures that accountability for poor care can be traced all the way to the boardroom if necessary.
The CQC’s model does not just assess whether providers are meeting the fundamental standards. The CQC asks five key questions of each service: is it safe? Is it caring? Is it effective? Is it responsive? Is it well led? All inspections deliver a rating for each of these five key questions on a scale running from “inadequate”, through “requires improvement” and “good”, to “outstanding”. Inspections also result in an overall rating for each location.
There was much talk about what has been found so far in relation to those ratings, with a small number of providers deemed to be “outstanding” and more providers deemed to be “good”. However, a number of providers were deemed to “require improvement” or be “inadequate”. In starting its inspection process, the CQC looked first at those providers that might have more difficulties than others. The CQC is aware of what is going on, and it started its inspections at the end of the scale where it expected to find difficulties. That was designed not to force closures, but to recognise where improvement and support, which my hon. Friend the Member for Newton Abbot mentioned, is so important. In 40% of those cases, improvement has been made; on a subsequent inspection, things were found to have improved. However, that still leaves a percentage of those providers having not improved, and I think it is those providers that have been highlighted today.
Having met Andrea Sutcliffe, I am quite confident that her determination is exactly the same as that of everyone in this room. However, it is clear that there are so many places to cover that we have to be certain of ensuring that the standards that we have spoken of, and that the CQC is working to, will be delivered by all providers. Those are standards in training, management and ensuring effective monitoring.
My hon. Friend the Member for North Devon used the phrase, “There’s nowhere to go”, in relation to someone having concern about an individual. I would not want that to be the message; I would not want anyone to feel that they had nowhere to go if they felt that someone was at risk of being, or was being, ill-treated in a care home. That is not the case. The truth is that if someone has such a fear, they can contact the CQC, which will act if it agrees that a person’s safety or wellbeing is at risk, and if need be the CQC will contact the police. I would not want anyone to think that if they knew of someone in a care home being ill-treated, there was nothing they could do as of this moment. They can and should do something.
However, it is also clear from the nature of the debate that if the CQC’s most recent report has set a baseline, there are things that we need to do and improve. The sort of information available to us through our constituents, and the sort of interest that specialists such as those here have taken, will give me good guidance on how to ensure those improvements are seen through.
(11 years, 9 months ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
I echo the pleasure of other Members in serving under your chairmanship, Mr Dobbin; as long-established friends, it is particularly good to start in such a way.
My hon. Friend the Member for Sittingbourne and Sheppey (Gordon Henderson) has secured an important and timely debate, and I appreciate his courtesy in sending me a copy of his speech earlier this afternoon. I welcome this opportunity to reiterate the Government’s position on incitement. We oppose, in all circumstances, the advocacy of national, racial or religious hatred that constitutes incitement to discrimination, hostility or violence. We deplore incitement on either side of the Israeli-Palestinian conflict, including any comments that could stir up hatred and prejudice in a region that, perhaps more than any other, needs a culture of peace and mutual respect, as my hon. Friend and other hon. Members made clear.
We do not hesitate to raise instances of incitement with both the Palestinian Authority and Israel whenever we feel that it is appropriate to do so. I am in regular contact with our colleagues in the consulate general in Jerusalem, and in answer to my hon. Friend’s questions, I can say that we have a regular dialogue with both the PA and the Government of Israel, in which we reiterate the need for both sides to prepare their populations for peaceful co-existence, and we take some of the specific issues that he has raised directly to Palestinian sources through our colleagues in Jerusalem.
By opening my response in this way, I emphasise my concern, which I know the House understands, about incitement, but I will not provide a commentary on all such allegations, not all of which we can verify, and nor can the UK be held responsible for them. As I will make clear, and as my hon. Friend made clear in his remarks, it is not possible to deal with this in isolation from the backdrop of the ongoing issues between the Palestinians and Israel that have beset the region for too long.
I do not fully share the bleakness of the rhetoric with which my hon. Friend began his remarks, particularly his comment that Palestinians have been consistently and unremittingly taught to hate Jews, Israel and the west. I genuinely find that far too wide an expression to cover all Palestinians everywhere in the region. I also feel that to neglect any sense of any activity that may have been perpetrated by Israelis during the occupation as any part of popular anger against Israel misses an important part of the context. That is not to minimise the damage done by incitement, but not to mention that and not to feel that it is part of the context is, in my view, simply wrong.
On the PA’s leadership, it is important to stress that we consider that the track record of President Abbas and Prime Minister Fayyad shows their genuine commitment to non-violence and a negotiated two-state solution. To quote the words of Israeli President Shimon Peres last April:
“President Abbas is constant in his announced position—for peace, against terror, and for a two-state solution. I think we have never had a wider basis to conclude peace than under his leadership.”
The Israeli Government have repeatedly praised the strength of the co-operation between the Palestinian and Israeli security forces in improving security and preventing violence, including violence against Israel. It is for these reasons that we firmly believe that the PA, under President Abbas and Prime Minister Fayyad, are indeed firm partners for peace.
I am a little alarmed at that statement by the Minister, because there are many examples—example after example, indeed—of senior Palestinian officials at the very top levels attending sporting competitions named in honour of people who have murdered innocent Israelis, or of their attending ceremonies to rename squares and streets after people who have murdered innocent Israelis. So while they may say one thing to the west, they may be saying something slightly different in Arabic.
The Prime Minister was clear in his denunciation of those who set up sporting tournaments or who support activities named in memory of the so-called martyrs and the suicide bombers. Of course, that is the clear position of the UK Government.
Again, however, to neglect the context in which people see the position of prisoners and those who have been engaged in activities against Israel is to fail to understand the context of the issues that we are discussing. It does not make the glorification right—it is not right—but not to understand how that operates in the occupied territories is to miss something fundamental. To place it all in terms of the rhetoric and not to understand the wider context will not help us to get to where we need to be, in our encouragement for all engaged in this issue to find a solution, which—as my hon. Friend made clear—has prime importance this year in particular.
(13 years, 3 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.
Each Urgent Question requires a Government Minister to give a response on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
I take the hon. Gentleman’s point. The barriers to progress are many, and they are very much about trust and confidence as well as the legacy of negotiations in the past. A situation where one side proclaims victory and the other feels defeat will not help anyone, no matter what the subject matter might be. Let us therefore try to work towards a situation next week where a resolution will not bring that about, which is what many parties are seeking to achieve.
I welcome the Minister’s cautious approach on this issue. As said by other hon. Members, there is no way that a unilateral declaration of statehood can make up for negotiations. There is a risk of the issue becoming a battering ram for those who seek the delegitimisation of Israel, so will he give us an assurance that the British Government will take no part in anything that seeks to do that?
I can assure my hon. Friend that neither this Government nor the previous one had any truck with the delegitimisation of Israel, and they both took many steps to reject those who tried to project such an image—and that will continue. Ultimately, the relationships between the rest of the world and Israel and, indeed, the rest of the world and the Palestinians will be much affected by the way in which they can work together to get the agreement that we all seek. We will do everything in our power to encourage that.