Health
Debate between Barbara Keeley and John Bercow(5 years ago)
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Mr Speaker
The hon. Member for Scunthorpe (Nic Dakin) does not need to raise his hand as though he were in a classroom. I can see him clearly, he is unmistakeable and we will come to him ere long.
Barbara Keeley (Worsley and Eccles South) (Lab)
On a point of order, Mr Speaker. I raised a point of order yesterday highlighting the fact that the annual report of the learning disabilities mortality review has not been published despite its being handed over by its authors on 1 March and being leaked in The Sunday Times this week. Now we have leaks not only of details from the report about the deaths of people with learning disabilities who had a do not resuscitate order placed on their care, but of the full recommendations of the report in the Health Service Journal.
It is a pity that the Under-Secretary of State for Health and Social Care, the hon. Member for South Ribble (Seema Kennedy), has left her place before I have finished this point of order. Ministers do not seem to care about this report, which deals with the deaths of 4,300 people with learning disabilities.
Have you had notification that the Secretary of State has finally decided that this vital report is too important to have published by selective leaks, or has he indicated that he will come to the House tomorrow, as he should, to make a statement on this report?
Mr Speaker
I am grateful to the hon. Lady for her point of order. The short answer is that I have received no indication from any Minister of an intention to come to the House to make an oral statement on this matter. I note what she says about leaks to the media of sections and parts, even substantial elements of the report. That is not conducive to the best public debate, it has to be said. I know not how those leaks occurred: it is not the first time and it will not be the last.
If the hon. Lady is concerned that these matters should be aired in the Chamber, there are options open to her and she will have to reflect on that. I certainly have no aversion whatever to a proper focus on that important matter, affecting very many vulnerable people indeed, in the Chamber. Knowing her as I do, I have a feeling that I will probably hear further from her.
Point of Order
Debate between Barbara Keeley and John Bercow
Barbara Keeley (Worsley and Eccles South) (Lab)
On a point of order, Mr Speaker. The learning disabilities mortality review programme is vital in trying to learn from the early deaths of people with learning disabilities. The programme’s second report was handed over by its authors on 1 March. The Government have not published the report, but yesterday it was leaked in The Sunday Times. We now know that only one quarter of more than 4,300 cases have been reviewed and that there are some serious scandals, including 19 patients with learning disabilities or Down’s syndrome having “do not resuscitate” notices put on their care because of their learning disability. That should never happen and it is appalling that this report has had to state that to doctors.
Mr Speaker, has a Minister notified you of their intention to make a statement to the House about the leaked report? That would allow hon. Members to question them on the vital issues, some of which I have just touched on. Some have emerged from the leak, but we should see the final report.
Mr Speaker
The short answer is no. The issues that the hon. Lady has highlighted are of enormous salience and there is great interest in them among Members across the House—of that I feel certain. I have not received any notification that a Minister intends to come to the House to deliver an oral statement on the matter. The hon. Lady can, of course, seek to ascertain, through the usual channels, whether such an intention exists. If not, through consultation with the Table Office she can explore opportunities to extract the information that she understandably seeks. I hope that is helpful to her for now.
Points of Order
Debate between Barbara Keeley and John Bercow
Barbara Keeley (Worsley and Eccles South) (Lab)
On a point of order, Mr Speaker. Four Seasons Health Care provides residential care for 17,000 old and vulnerable people in 322 homes across the country and employs 22,000 staff. Some 80% of Four Seasons residents are in nursing or high-dependency beds, with only 20% of its places in residential care. Yesterday, it was announced that the Four Seasons Health Care group was going into administration. The care homes it runs are now up for sale, which leaves residents and their families facing considerable uncertainty, with no guarantees of what the future may hold.
Despite this collapse and the fragility of the care market, there is still no sign of the Government’s long-overdue Green Paper on adult social care funding, which the Secretary of State pledged to bring forward by April—not May, but April. In the last hour we have seen a written statement, but given the numbers of extremely vulnerable people affected by this situation, hon. Members should have the chance to question Ministers. Mr Speaker, have you been notified of an intention by the Government to make an oral statement to reassure hon. Members about the future care of their constituents who are resident in those Four Seasons care homes and nursing homes?
Mr Speaker
The short answer is that I have not been so notified. However, this is an extremely serious matter, which I myself of course have seen covered in the media in the last 24 hours. My advice to the hon. Lady is that she pursue the issue with her usual indefatigability. The fact that no ministerial oral statement has been proffered does not mean that the possibility of an oral exchange on the matter in the near future does not exist. There is a possibility of such an exchange, and she might wish to reflect on how she might achieve her objective.
Assessment and Treatment Units: Vulnerable People
Debate between Barbara Keeley and John Bercow(5 years, 6 months ago)
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Urgent 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
Mr Speaker
Order. I remind the House that this question must finish no later than 1.45 pm, and if people have not got in by then, I am afraid that it is too bad.
Barbara Keeley
I want to put on record my disappointment that the Secretary of State tried to shoehorn an issue of this severity into an NHS policy announcement yesterday, and my thanks to you, Mr Speaker, for allowing this urgent question.
The treatment of people with autism and learning disabilities in assessment and treatment units is nothing short of a national scandal. Six years ago, these units were described by the then chief executive of NHS England and the chief executive of the Care Quality Commission as a model of care that has
“no place in the 21st century”.
Seven years after the Winterbourne View scandal, the Government have not rid the country of these units or substantially cut their use. Indeed, as the Minister said, there are still 2,315 people in assessment and treatment units, including 230 children, and the number of under-18s has been increasing.
A Sky News investigation last week revealed that, since 2015, at least 40 people with a learning disability or autism have died while in assessment and treatment units, and nine of those who died were aged 35 or under. Some of the country’s most vulnerable people are being exposed to physical abuse in institutions that the chief inspector of mental health services described as being
“in danger of developing the same characteristics that Winterbourne View did.”
Can the Minister tell us why the NHS is still sanctioning the use of settings that expose thousands of vulnerable people to abuse, at a cost of half a billion pounds, despite the Government pledging to close them?
The transforming care programme has manifestly failed. What are the Government going to do to ensure funding is available for cash-strapped local councils to pay for community placements with care support for autistic people and people with a learning disability? The Times has revealed that the private companies running these units are making millions of pounds out of detaining vulnerable people in unsafe facilities, in one case funnelling £25 million into a secret bank account in Belize. Can the Minister tell us what the Government are doing to immediately stop private companies that have a vested interest in keeping people with learning disabilities in these Bedlam-like conditions from doing that?
On Saturday, as the Minister has outlined, the Secretary of State ordered the Care Quality Commission to undertake a thematic review of assessment and treatment units, and he has ordered a serious incident review in the case of one young autistic woman, Bethany. Reviews are not urgent action, there are very many Bethanys trapped in seclusion, and 40 people have died in these units. Will the Minister tell us the timetable for the completion and publication of the CQC review and what urgent action can be taken to free all the young people and adults trapped in these appalling conditions?
Learning Disabilities Mortality Review
Debate between Barbara Keeley and John Bercow(6 years ago)
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Barbara Keeley (Worsley and Eccles South) (Lab)
To ask the Secretary of State for Health and Social Care to make a statement on the learning disabilities mortality review. [Interruption.]
Mr Speaker
Order. There is a certain amount of chuntering from a sedentary position. The Secretary of State has been with us, but Minister Caroline Dinenage will answer the urgent question, and we look forward to her answer.
The Minister for Care (Caroline Dinenage)
The Government are absolutely committed to reducing the number of people with learning disabilities whose deaths may have been preventable and have pledged to do so with different health and care interventions. The learning disabilities mortality review programme was established in June 2015; it was commissioned by NHS England to support local areas in England to review the deaths of people with a learning disability. Its aims were to identify common themes and learning points, and to provide support to local areas in their development of action plans to take forward the lessons learned.
On 4 May, the University of Bristol published its first annual report of the LeDeR programme, covering the period from July 2016 to November 2017. The report included 1,311 deaths that were notified to the programme and set out nine recommendations based on the 103 reviews completed in this period. The Government welcome the report’s recommendations and support NHS England’s funding of the programme for a further year at £1.4 million. We are already taking steps to address the concerns raised, but the early lessons from the programme will continue to feed into our work, and that of our partners, to reduce premature mortality and improve the quality of services for people with learning disabilities.
Social Care
Debate between Barbara Keeley and John Bercow(6 years ago)
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Barbara Keeley
On a point of order, Mr Speaker. The motion that has just been unanimously agreed calls on the Government
“to meet the funding gap for social care”—
widely said to be £1.3 billion—
“this year and for the rest of this Parliament.”
Given that Ministers have agreed to the motion, can you advise when we might expect an announcement from the Government on this important agreement on social care funding?
Mr Speaker
The most pertinent response that I can offer to the hon. Lady—I understand her perfectly legitimate point of order—is as follows. On 26 October 2017—obviously this was done in the light of a number of Opposition-day debates and motions voted thereon—the Leader of the House said in a written ministerial statement:
“Where a motion tabled by an opposition party has been approved by the House, the relevant Minister will respond to the resolution of the House by making a statement no more than 12 weeks after the debate.”—[Official Report, 26 October 2017; Vol. 630, col. 12WS.]
That is the position as things stand. The hon. Lady has registered her point with considerable force, it is on the record, and I do not dispute the fact of what she said about the motion being carried unanimously.
Points of Order
Debate between Barbara Keeley and John Bercow(6 years, 2 months ago)
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Mr Speaker
I will come to the hon. Gentleman, but I have another point of order first.
Barbara Keeley (Worsley and Eccles South) (Lab)
On a point of order, Mr Speaker. In an oral statement on social care on 7 December 2017, the then care Minister, the hon. Member for Thurrock (Jackie Doyle-Price)—as it happens, she is in her place on the Front Bench at the moment—replied to a question I asked about the Government abandoning the carers strategy, which had been due to be published in summer 2017. Of the thousands of carers who had responded to a consultation and then been left waiting, the Minister said:
“We have listened to them, and we will consider what they have said in bringing forward the Green Paper. In the meantime, it is very important to pull together exactly what support there is at present and then respond to that, and we will publish our action plan in January.”—[Official Report, 7 December 2017; Vol. 632, c. 1238-39.]
It is now March, and this is the second time I have raised this on a point of order. Not only do we no longer have any prospect of a carers strategy from the Government, but they have not met their own target to publish an action plan. That is a shabby way to treat carers. Mr Speaker, have you had any indication that the current Minister for Care or, indeed, any Health Minister plans to come to the House to update us on what, if anything, the Government propose to do for carers?
Mr Speaker
I have certainly not been advised of any intention on the part of a Minister to make an oral or, indeed, written statement to the House. There is a Health Minister on the Treasury Bench, who has heard what the hon. Lady said. She is welcome to respond if she wishes, but is under no obligation to do so.
Points of Order
Debate between Barbara Keeley and John Bercow(6 years, 7 months ago)
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Barbara Keeley (Worsley and Eccles South) (Lab)
On a point of order, Mr Speaker. In health oral questions on 16 October, the Health Secretary answered questions on the mental health workforce. It was clear that two of his answers were not correct. He stated twice that the mental health workforce had increased by 30,000 staff, but, as I understand it, the correct figure is about 690. There has been an attempt today to correct the record, but it is still not correct. Although the questions were about mental health staff, the corrections are about the total numbers of NHS clinical staff. May I ask through you, Mr Speaker, that the Health Secretary makes a further correction to give the House the correct figures for mental health staff?
Mr Speaker
I have heard what the hon. Lady has said. It is up to any Member who errs to take responsibility for the correction of the record. It cannot be ultimately for the Chair to seek to arbitrate where there might be a dispute as to which is the correct statistic in a particular case. The hon. Lady, who is extremely experienced and dextrous in the use of parliamentary devices to achieve her objective, should keep a beady eye on the situation and if there is neither a correction forthcoming nor what she regards as an adequate or fully accurate correction, she can, through the Table Office, table further questions, which might elicit the same. On the whole, it is presumably desirable to reach a conclusion on these matters sooner rather than later. If that point is obvious to the hon. Lady, I trust that it will be similarly obvious to the Minister concerned.
Adult Social Care Funding
Debate between Barbara Keeley and John Bercow(6 years, 10 months ago)
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Urgent 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
Barbara Keeley (Worsley and Eccles South) (Lab)
Does the Minister share my deep concern about the state of social care highlighted—
Mr Speaker
Order. What the hon. Lady needs to do is just ask the Minister for the statement on the matter, and then she follows with her substantive question when the Minister has given his response.
Barbara Keeley
(Urgent Question): To ask the Minister to respond to the Care Quality Commission report on the state of adult social care and on issues of funding social care.
The Parliamentary Under-Secretary of State for Health (Steve Brine)
Thank you, Mr Speaker—take two.
There are few things more important to any of us than the way in which the oldest and most vulnerable are cared for in our society. First, let me pay tribute to the 1.4 million people who work in the country’s social care sector. They support many of the most vulnerable people in our communities, often in the most difficult of circumstances. I am proud that we have done more than any Government before to improve the quality of social care, introducing a tough system of CQC ratings, new qualifications for care workers, and new standards to ensure that everyone receives the highest-quality support. I am heartened that today’s CQC report shows that even in a time of acute fiscal pressure, 79% of adult social care services are now providing good or outstanding care.
However, it is impossible to ignore the pressure that our ageing population and advances in medicine are putting on the system. We have seen the number of over-65s increase by nearly 1.2 million, or about 14%, over the past five years. Today’s CQC report shows that in some areas, it is completely unacceptable that standards in some settings are below those rightly expected by care users and their families. This Government view social care as a priority, which is why in the spring Budget this year we announced an additional £2 billion over the next three years for councils in England to spend on adult social care services. That means that, in total, councils will have access to £9.25 billion more dedicated funding for social care over the next three years—enough to increase social care spending in real terms. We have also been clear that later this year we will be consulting widely on the future of social care in this country to put it on a stable footing.
My right hon. Friend the Health Secretary updated the House on Monday about action he is taking to address delayed discharges from hospital in advance of this winter. Last year there were 2.25 million delayed discharges, up by 24.5% from 1.81 million in the previous year. The Government are clear that no one should stay in a hospital bed longer than necessary—it removes people’s dignity, reduces their quality of life, leads to poorer health and care outcomes for people and is more expensive, ultimately, for the taxpayer. Since February, there have been significant improvements in the health and care system, with a record decrease in month-on-month delayed discharges in April of this year.
However, we must make much faster and more significant progress well in advance of next winter to help free up hospital beds for the sickest patients and reduce pressures on accident and emergency departments. That is why we have introduced a further package of measures to support the NHS and local government in reducing delays. That package includes guidance, a performance dashboard, plans for local government and the NHS to deliver an equal share of the expectation to free up 2,500 hospital beds, and of course CQC reviews. We have also been clear that we will consider a review in November of the 2018-19 allocations of the social care funding provided at spring Budget 2017 for poorly performing areas. We have been clear that the Budget funding will all remain with local government, to be used for adult social care.
Points of Order
Debate between Barbara Keeley and John Bercow
Barbara Keeley (Worsley and Eccles South) (Lab)
On a point of order, Mr Speaker. On Monday evening, the Secretary of State for Health published a written ministerial statement suggesting that local authority access to the £2 billion funding for social care announced in the spring Budget will now be dependent on performance against targets for delayed transfer of care, meaning that some councils could lose funding which they have already planned to spend this year. Today, the Local Government Association has announced it has been left with
“no choice but to withdraw”
its support for the guidance on better care funding. Social care is already in crisis and this can only make things worse, so have you had any indication from the Health Secretary as to whether he intends to come to the House to make a statement on where this leaves funding for social care and to give hon. Members the chance to ask questions on this matter?
Mr Speaker
I am very grateful to the hon. Lady for her point of order, to which the short answer is that I have received no indication of any intention by a Minister to come to the House to make a statement on that matter. I am very conscious of the importance that the hon. Lady and probably others attach to it, and of the evident urgency that she attaches to the subject. She is an experienced Member of the House, and as we approach the summer recess, I rather imagine that she will diligently keep an eye on the subject. If she is dissatisfied with what is said, or with the absence of anything being said, she knows that there are options available to her to secure the attention of and a comment by the relevant Minister.