(7 months ago)
Commons ChamberI agree with my hon. Friend that speed is absolutely critical, first for the detection of the issue itself and the remediation of any health risk, and then in speed of communication so that there is no vacuum in which misleading information can arise. On the wider point about the speed of comms, I think this is an ongoing issue, because one of the concerns that my hon. Friends the Members for Totnes (Anthony Mangnall) and for Torbay (Kevin Foster) have raised with me is the impact that negative publicity might have on tourism in the area. That is exactly the sort of area I have been pushing South West Water to think about proactively, so that it can get ahead with support for comms and advertising. It should be working with the business groups on which there has been a significant impact, so that it can demonstrate that it gets it, support the business community and create processes that are simplified, streamlined and easy to access.
The belated and pitiful offer of compensation by South West Water is somehow symbolic of the complete disconnect that the very wealthy people who run our privatised water industry seem to be suffering from, and I am afraid the Secretary of State is suffering from the same disconnect. He has given the impression that he is not responsible for the water industry and its failings over recent years. He is responsible, so please can he answer the perfectly reasonable questions from my hon. Friend the Member for Kingston upon Hull West and Hessle (Emma Hardy): why will he not make the bosses of the water industry criminally liable, why will he not put the industry into special measures, and why will he not stop these outrageous bonuses being paid to their CEOs?
The right hon. Member seems to have missed what we have done. First, as I touched on in my response to the urgent question, I personally have been chairing calls with the chief executive and key stakeholders —for example, on Friday and Saturday. The Minister for Food, Farming and Fisheries, who has responsibility for agriculture, visited the community on Friday morning and has had daily contact with the chief executive. Indeed, my hon. Friend the Member for Totnes (Anthony Mangnall) and I have been speaking multiple times a day on these issues, so the right hon. Member’s suggestion that we have not been involved just does not cut the mustard.
On bonuses, we have already taken action. We have a consultation with Ofwat on restricting bonuses, because I actually agree with the right hon. Member that, where there is serious criminal wrongdoing by a water company, bonuses should not be paid to executives. We actually agree on that point, and we are taking action.
On the right hon. Member’s third point, about prosecution, as I touched on in my answer to the hon. Member for Kingston upon Hull West and Hessle (Emma Hardy), we currently have the largest criminal prosecution by the Environment Agency of water firms. Much to my frustration, I am restricted in some of the things I am allowed to know about that investigation, because it is a matter for an independent body—the Environment Agency. However, that investigation is ongoing and it is the largest in the EA’s history. It shows that we are prepared to get tough with the water companies.
(1 year, 3 months ago)
Commons ChamberThe key reforms include Getting It Right First Time, the work of Professor Tim Briggs—I raised with him the issue around Chester and the fact that his team have been reviewing that data—the strengthening of the freedom to speak up guardians, the appointment of a new patient safety commissioner, the strengthening of the Public Interest Disclosure Act, the role of child death overview panels and the scrutiny they provide, and the expanded role of medical examiners, which were not in place. So significant actions have been taken, but it is right that through the inquiry we look at the specific issues raised at Chester and any further steps that are appropriate.
When I saw the list of hospitals that the former chief executive of Chester hospital went on to after the Lucy Letby case, I could tell—I speak as a former Health Minister—that it had an eerily familiar ring about it, because failed managers from previous scandals went on to at least some of the same hospitals. Why is the Secretary of State waiting for another review or for the inquiry before finally closing this revolving door and introducing independent regulation for hospital managers similar to that to which medical staff are subjected?
Just to reassure the right hon. Gentleman, it is not that we are waiting. Having discussed it with NHS England, not least in last week’s meeting looking at the Kark recommendations that were accepted and why recommendation 5 was not accepted, the view at the time was that the accepted recommendations were sufficient in addressing the concern about the revolving door. It is right that we test that, but it is also right that we get the balance right.
The right hon. Gentleman mentions concerns that certain trusts may be seen as more difficult to manage. We do not want to create an environment where people are unwilling to go to those more difficult trusts because they fear the risk that they carry. It is important that we get the right support for managers, particularly around some of the more difficult trusts to manage, alongside having the accountability. Getting that detail right requires us to work closely with NHS England and the wider NHS family. [Interruption.]
(1 year, 11 months ago)
Commons ChamberMy right hon. Friend is absolutely right. That is where virtual wards have potential significant benefits in both demand management—avoiding elderly, frail patients coming to emergency departments in the first place—and releasing capacity in hospitals. The virtual ward at Watford General Hospital, equivalent to an additional ward of the hospital, is able to release patients with the comfort of knowing that they are still under supervision. Their medical information is being tracked and monitored and they get a daily phone call from a nurse. They also know that, if they need to come back to the hospital, they can do so much more quickly. That gives patients the comfort and confidence to recover at home, which is often where they want to be. Indeed, patient satisfaction from that trial at Watford was over 90%.
Given that there are currently 165,000 vacancies in social care—a 51% increase in just a year—where will the Secretary of State magic up the people to look after those he wants to put in hotels?
The whole purpose of the £500 million is to put more support into local authorities’ funding for social care. About a quarter of that funding is going specifically on workforce interventions, but we are also using other measures. One of the other things we have been doing is boosting workforce recruitment through international recruitment, with care sector staff on the shortage occupation list.
(6 years ago)
Commons ChamberI agree with my hon. Friend that the Prime Minister has always been clear that we are coming out of the jurisdiction of the European Court. That is a key part of the deal that she has secured, and it is a key part of us delivering on our commitment to take back control of our money, borders and laws.
The Secretary of State has been asked twice now how much British taxpayers’ money has been wasted fighting this case, and he has failed to answer. He could show the House some courtesy by answering that question. If he does not know the answer, he should just say so. However, is he honestly telling the House that if it instructed the Government to revoke article 50, they would simply ignore the will of the House?
As the right hon. Gentleman will understand from his time as a Minister, the judgment was only today, so some of those costs for lawyers’ fees are still to come in. Costs such as that are declared, as is always the case, in the Department’s accounts. That is the standard way in which such accounts are itemised. This was a judgment that was reached today.
(6 years, 6 months ago)
Commons ChamberBut the Royal College of Nursing and the Nursing and Midwifery Council are both now so worried about Brexit’s impact on the staffing crisis that they have called for a people’s vote on a deal. Given their on-the-ground experience and the demolition of the myth of a Brexit dividend for the NHS, is it not becoming ever more clear that the dogmatic hard Brexit being pursued by the Government is already doing untold damage to our NHS?
The right hon. Gentleman, as a former Minister of State, will not want to choose selectively from the data on European economic area recruitment into the NHS. He will know full well that there are 3,200 more NHS staff from the EU since the referendum, which shows that people are still coming. If he has an issue with the Brexit dividend, perhaps, as my right hon. Friend the Secretary of State pointed out yesterday, he will raise that with his party leader, who sees that there is a Brexit dividend.