Oral Answers to Questions

Debate between Ben Gummer and Philip Hollobone

Wednesday 7th September 2016 Commons Chamber

[Ben Gummer]

I thank the hon. Gentleman for his kind comments. In my previous ministerial post, it was a great pleasure for me to work with civil servants, especially in Yorkshire, including senior civil servants working there. I saw myself how it is possible to have senior civil servants around the country. I completely agree that the more we can get senior positions of all kinds around the country, the better we will be able to serve the people whom we were elected to serve.

[Mr Philip Hollobone (Kettering) (Con)]

The speed with which the new Brexit Department has been established from scratch since 24 June has been truly impressive. Is not the key to a modern Government who can respond to modern needs to have as much flexible, open-plan office space as possible?

[Ben Gummer]

I completely agree with my hon. Friend. The way in which we have been able to set up the new Department and the other Departments of State so rapidly is a tribute to the work done by my predecessors as Ministers at the Cabinet Office in reforms to the civil service and to the Government Property Unit. He will have heard the comments of my right hon. Friend the Secretary of State of State for Exiting the European Union about the very significant support that he has received, in number and in quality, from the civil service so far.

Oral Answers to Questions

Debate between Ben Gummer and Philip Hollobone

Thursday 14th April 2016 Commons Chamber

[Ben Gummer]

I can confirm that. It will also ensure that women will not be subjected to the enormously onerous hours enforced under the current contract, which make the balance between work and family life completely impossible.

[Mr Philip Hollobone (Kettering) (Con)]

Can my hon. Friend confirm that under the existing contract two doctors doing the same job with the same level of responsibility and the same hours can be paid differently, but that under the new contract the total number of hours that can be worked will be reduced from 91 to 72, and that that will be especially welcomed by female doctors?

[Ben Gummer]

I can confirm that and it shows once again my hon. Friend’s attention to the detail of the contract. It should be made clear to the House that the British Medical Association agreed almost all of the contract that we are now putting in place, including many of the aspects that the Opposition are now seeking to attack.

Junior Doctors’ Contract Negotiations

Debate between Ben Gummer and Philip Hollobone

Monday 8th February 2016 Commons Chamber

[Ben Gummer]

The hon. Lady does dangerous work if she tries to conflate the comments that I and others have made about the leadership of the BMA with the motivations of junior doctors, none of whom I have impugned. I recognise that junior doctors work incredibly hard, care passionately about their patients and have a vocational drive to do the best for the people they care for, but that is different from an organisation that refuses to talk, refuses to negotiate, lies to its members and is very slippery in the statements it puts out to the press.

[Mr Philip Hollobone (Kettering) (Con)]

Kettering general hospital is always under huge pressure, and the junior doctors there do a fantastic job. May I tell the Minister that my constituents will be extremely disturbed to hear him tell the House today that the BMA said at the ACAS talks that it would negotiate about Saturday pay but is now refusing to do so? The consequence will be a strike on Wednesday, and my constituents are appalled that 2,884 operations have already been cancelled, with that number possibly set to go even higher.

[Ben Gummer]

My hon. Friend is right about that. He mentions one of a number of agreements that we have come to with the BMA in the course of these discussions that have subsequently been reneged upon by that organisation. That is why this whole process has been so torturous for everyone involved.

Oral Answers to Questions

Debate between Ben Gummer and Philip Hollobone

Tuesday 17th November 2015 Commons Chamber

[Mr Philip Hollobone (Kettering) (Con)]

In Northamptonshire, 80% of end-of-life patients die in hospital, whereas 80% of end-of-life patients want to die at home, assisted by the hospice movement. I have discovered that GPs are ticking the end-of-life box on the quality outcomes framework form, but that that information is not being passed automatically to local hospices. What can the Department do about that?

[Ben Gummer]

My hon. Friend raises a terribly important matter. Clinical outcomes can be assessed in a complete sense only if they include end-of-life care for those for whom there is no clinical outcome in the commonly received understanding of the term. If that is what is happening in his clinical commissioning group area, it is unacceptable. I point him to the work that the Government are doing on a paperless NHS to ensure that the kind of bureaucratic muddle he has identified no longer occurs.

Hospital Services (South Manchester)

Debate between Ben Gummer and Philip Hollobone

Tuesday 8th September 2015 Westminster Hall

[Ben Gummer]

I am acutely aware of the huge spread of sensibleness on both sides of the Chamber, and I would not want any of my remarks to be construed as suggesting otherwise. On the contrary, I restate that it is not only reasonable but right that local Members respond to the views expressed by very experienced clinicians in their local hospital.

In my short discussions so far with local commissioners —I am sure there will be more discussions—I have impressed on them the need to engage fully with all clinicians. I understand that they began the process afresh before I made that request and that they will continue that engagement. We will only get good reconfigurations across the country if we have the general buy-in of clinicians and the public. We are now doing that better than we were five, 10 or 15 years ago, when every reconfiguration of every kind was fought tooth and nail by everyone. There is now a general move to an understanding that we need to make some changes to some areas. Indeed, the shadow Secretary of State for Health, the right hon. Member for Leigh (Andy Burnham), has made clear his desire to see some services centralised:

“If local hospitals are to grow into integrated providers of Whole-Person Care, then it will make sense to continue to separate general care from specialist care, and continue to centralise the latter. So hospitals will need to change and we shouldn’t fear that.”

I could not agree with him more on that general principle, but it does not change the fact that commissioners need to engage with every single party.

My hon. Friend the Member for Altrincham and Sale West, and every other Member, can be sure that I will pass back to commissioners their specific concerns about that engagement. In the discussions, which I am sure will continue between all of us, I hope that he and other Members will notice continued engagement between commissioners and clinicians at the hospital, and I hope that there will be a happier outcome than the one that might come about through judicial action.

The hon. Member for Blackley and Broughton (Graham Stringer) and the shadow Minister both spoke about Manchester airport and made interesting and valid points about the need for a stated relationship between important national infrastructure and centres of major trauma care. I will respond to the shadow Minister in writing on that specific question, if he does not mind sharing that response with his colleagues. This is an important matter, and I want to ensure that I can answer it in detail and in full.

If I interpreted his remarks correctly, the shadow Minister also said that consultations had been taken out of the hands of clinical commissioning groups specifically to be conducted by a third party, such as health and wellbeing boards. Again, I have not previously heard that idea, but I am happy to respond to that specific point once I have been able to give it greater thought, with no implication for the current consultation.

I will now close in order to give the hon. Member for Wythenshawe and Sale East time to reply to my comments. We all agree that reconfiguration needs to happen. In this instance, there has clearly been support from those Members who have been the beneficiaries of the reconfiguration in their constituencies, but the most important beneficiaries will be the people of Manchester, who I expect will see world-leading trauma care connected to emergency stomach and bowel surgery as a result of these changes. We must be proud that clinicians are leading the review, we must be proud that clinicians have been prepared to make bold and difficult decisions and we must be proud that Members present have come forward to represent the concerns of some that clinicians have not made those decisions in the right way. Members have made those points with lucidity, care and passion.

I hope that in the next few weeks we will resolve this matter in a rather happier way than it might otherwise have been resolved, and I pledge to continue my discussions with Members on both sides of the House to ensure that that is the case.

[Mr Philip Hollobone (in the Chair)]

I will call Mike Kane to give a winding-up speech of two or three minutes. Members who are here for the next debate should get ready, because we will go straight on to that debate rather than waiting till 11 o’clock.

Contaminated Blood

Debate between Ben Gummer and Philip Hollobone

Monday 20th July 2015 Commons Chamber

[Ben Gummer]

The hon. Gentleman raises the issue of English votes for English laws. That has been deferred, because the House wishes to discuss it further.

On the issue before us, a report was delivered in March, but the general election then intervened, which effectively took six weeks out of the time in which the Government could make decisions. We began work the minute we returned to government, and I have now provided an update and the prospectus for a consultation in the autumn. It will be the first consultation that the sufferers have ever been able to enjoy, and we will finish it as quickly as possible in order to arrive at a settlement. That is rapid progress, given that it has taken us more than 30 years to reach this point.

[Mr Philip Hollobone (Kettering) (Con)]

I have been listening very carefully to my hon. Friend. Will he be kind enough to make it crystal clear to the House exactly what his intentions are? I understand from what he has said that he expects a new scheme to be up and running by the end of calendar year 2015. If that is incorrect, by when does he expect such a scheme to be established?

[Ben Gummer]

We shall be consulting this year, the consultation will be concluded by the end of the calendar year, and we hope that a new scheme will be up and running as soon as possible after that. It will, of course, depend slightly on the outcome of the consultation, but I expect the scheme to follow very rapidly on the heels of its conclusion. None of us has an interest in delaying this any further.

Oral Answers to Questions

Debate between Ben Gummer and Philip Hollobone

Tuesday 7th July 2015 Commons Chamber

[Ben Gummer]

Thank you Mr Speaker—helpful as ever.

The hon. Gentleman is entirely right that those who seek to access acute services on a regular basis require special treatment. That is why we issued guidance in the previous Parliament. I very much hope that his local hospitals will be looking at that with due care and attention.

[Mr Philip Hollobone (Kettering) (Con)]

Kettering general hospital is looking to develop a £30 million urgent care hub—one of the first of its type in the country—to replace and enhance the accident and emergency department, which is under growing strain. This project enjoyed the support of the previous Government. Will my hon. Friend agree to meet me and the two other MPs from north Northamptonshire to make sure that it remains on track?

[Ben Gummer]

I very much look forward to meeting my hon. Friend and his colleagues, and I have already committed to doing so. I hope that the lead he has taken with his colleagues in forging a cross-party consensus will be copied across the House.

NHS Success Regime

Debate between Ben Gummer and Philip Hollobone

Thursday 4th June 2015 Commons Chamber

[Ben Gummer]

I repeat to my hon. Friend the observation that I made earlier: it is interesting that in his opening contribution, the right hon. Member for Leigh did not make a single statement about patients and their centrality to what we are trying to do. The NHS has devised its own plan for its own success over the next five years, and the safety and care of patients lie at the heart of it. Only one party is supporting that plan, and that is why the Conservatives are the only party backing the NHS.

[Mr Philip Hollobone (Kettering) (Con)]

I congratulate my hon. Friend on his response to the urgent question and the new Government on acting so swiftly. Having listened to the exchanges across the Floor of the House today, I think it would be particularly sensible and grown up for Her Majesty’s Government, first, to admit that there are geographical parts of our NHS that are not working as well as they might and, secondly, to seek local holistic solutions to put them right as soon as possible.

[Ben Gummer]

As so often, my hon. Friend is on the money. He has described exactly what NHS England is trying to achieve with the success regime.