Abuse and Deaths in Secure Mental Health Units

Debate between Andy McDonald and Maria Caulfield

Thursday 3rd November 2022 Commons Chamber

[Maria Caulfield]

As I highlighted to the Father of the House, we are increasing the mental health workforce dramatically, with 27,000 extra mental health workers in the system. We have already increased those numbers this year, compared with last year. We are also providing self-referral mechanisms for patients. For psychological and talking therapies patients can now refer themselves without having to go and see a GP, and more than 1 million patients have taken up that offer. I fully agree with the hon. Lady that early intervention is a key factor, and we are supporting early intervention services so that patients can access them more easily and we have the staff to make that happen.

[Andy McDonald (Middlesbrough) (Lab)]

I thank colleagues across the House for their kind remarks. We must also pay tribute to the parents, who have so resolutely stuck at this campaign for two and a half years, and we now have these reports. I recognise what the Father of the House said: we admire the work that people do in this sector. It is so difficult. But in these particular instances, we had three young women whose needs were known. It was not as if they came by surprise —those families camped outside the hospital saying, “This hospital is killing my child”. Michael, Christie’s dad, cycled down to London. These issues were known by the families and by the parents. I welcome the Minister’s consideration of a public inquiry and a wider inquiry, but I ask that she meet me, the families and colleagues to discuss these matters. The purpose of this is to secure truth, justice and change. We need change in this environment hook line and sinker. A fundamental review is needed, and I trust the Minister will meet us to discuss these matters further.

[Maria Caulfield]

May I put on record my thanks to the hon. Gentleman for all he has done in raising these issues and supporting families? He is right. One area of concern with mental health care—we have also seen inquiries into maternity services—is that often patients and families have flagged issues and raised concerns to regulators and the individual trust, but they go unheard.

That is why I want to look at things such as making the whistleblowing process easier. The CQC recognises that and is changing its inspection process to ensure that families, staff, friends and patients have input into inspections. That is also why we introduced the patient safety commissioner, who took up her role in September, so that patients, staff and families have another avenue for raising concerns. If they feel that they are not being listened to at a local level, they have someone to go to who will raise concerns on their behalf.

It is absolutely devastating that the families recognised the problems and their voices were not heard. I would be very happy to meet him and the families to discuss that further.

North East Ambulance Service

Debate between Andy McDonald and Maria Caulfield

Monday 23rd May 2022 Commons Chamber

[Maria Caulfield]

I can reassure my hon. Friend that I have already had an initial meeting with the CQC and the trust this morning and that I will instigate further meetings after today. On NDAs, a previous Health Secretary made a move to outlaw them, and I will speak to the Secretary of State about whether we need to go further, because I am concerned that we cannot have a culture of learning and disclosure while NDAs may be in place.

[Andy McDonald (Middlesbrough) (Lab)]

This cover-up totally stinks. It will stink to the family of a gentleman who tragically died while waiting for an ambulance which, unbeknown to the family, had been dispatched to Middlesbrough from Bishop Auckland, around 25 miles and 40 minutes away. If the family had been allowed to know how long the ambulance would take to get there, they would indeed have tried to save his life by driving him to the hospital less than 3 miles away. The people of Middlesbrough and the north-east are entitled to the security of knowing that an ambulance will get to them promptly in the event of an emergency. Will the Minister guarantee that?

[Maria Caulfield]

I would like to hear more from the hon. Gentleman about his constituent’s case. I have concerns about what was reported in The Sunday Times. I am concerned that the process followed in investigating those concerns has not got to the bottom of some of the fundamental problems, so if he would like to meet me afterwards I would be very happy to take it further.

Medical Cannabis under Prescription: Children with Epilepsy

Debate between Andy McDonald and Maria Caulfield

Wednesday 3rd November 2021 Westminster Hall

[Maria Caulfield]

These are clinical decisions. No one is saying that these products are not safe, but there is not the evidence base to get the licence. The MHRA does this for every single medicine, not just medicinal cannabis.

I want to set out how we can get to a place where we can get these drugs licensed and clinicians will feel confident in prescribing them. We recognise that, for many children, these drugs improve their quality of life—individuals have reported improvements—but without that research evidence base, the MHRA will not give a licence. The MHRA is an independent body—it is not controlled by the Government—and the clinicians will take advice and guidance from it. We may agree or disagree with how the MHRA licenses a medicine, but that is the process for all drugs. It is not just the MHRA—no country in the world has licensed this product. The Food and Drug Administration has not; the European Medicines Agency has not; the MHRA has not. The solution is in pushing the clinical research needed for a licence to be granted, which would open up prescribing for clinicians around the country.

[Andy McDonald]

Do the Minister and the MHRA not recognise that there is an abundance of practical evidence from the families who have scrimped and saved and raised money through charitable activities to fund the administration of the drug, and that it works? Surely that is persuasive. These families have not got time to wait for the research that the Minister is talking about, and I am yet to hear anybody tell me what harm would be done if that drug were to be given to those who need it and want it.

[Maria Caulfield]

There are concerns, particularly around the THC element, that there could be some effect on the developing brain and on heart conditions. Research is needed not just on the effect of the drugs, but on their safety.

I want to point out that the Government have made funds available for good-quality research. That does not have to be done by the manufacturers; it can be done by charities, clinicians or researchers. A range of people can come forward to carry out clinical research. The MHRA—

Chris Gibb Report: Improvements to Southern Railway

Debate between Andy McDonald and Maria Caulfield

Tuesday 4th July 2017 Commons Chamber

[Maria Caulfield]

If union members are concerned about the points that the shadow Minister raises, why will they not get back around the table to discuss them and resolve the situation, calling off the overtime ban and any ballot for strike action?

[Andy McDonald]

To put it quite simply, because they could not get in the door, as has quite rightly been pointed out, when the Government were holding talks at the TUC that were an attempt to divide and conquer—a typical Tory trick to keep the critically important trade union out of the discussion in the first place. Had the Secretary of State had any real intent in that regard, he would have got everyone around the table and got on with resolving the dispute—[Interruption.] He says from a sedentary position that it was the TUC that oversaw things. It did its level best to try to bring this to a conclusion, but not because of the assistance of the DFT or this Secretary of State, because he deliberately excluded the relevant parties.

Sadly, the inference that the Government apparently seek to draw from the ORR report—that all is well and that there is, in effect, no cause for concern over safety—does nothing to assist the process of resolution. Indeed, the Rail Safety and Standards Board has been reluctant to describe DOO as definitively safe, saying:

“DOO does not create additional undesired events but may increase the likelihood of an event occurring or increase the severity of its consequence.”

By the way, Mr Deputy Speaker, you can no longer find that entry on the website—I wonder why.

At a time when there are increased risks of terrorist attacks and a spike in hate crimes, it seems foolish in the extreme to prioritise removing trained staff from services. The safe management of a train when difficulties arise is also key: a case in point was the derailment—