The National Health Service

Debate between Bernard Jenkin and Matt Hancock

Wednesday 23rd October 2019 Commons Chamber

[Matt Hancock]

The hon. Gentleman is saying yes, which I am grateful for. I am open-minded to changes and improvements, and to listening to the experts and those with constituency cases that they can bring to bear, to make sure that the Bill is the best it possibly can be.

[Sir Bernard Jenkin (Harwich and North Essex) (Con)]

I hope very much to address the Health Service Safety Investigations Bill in my remarks later, but my right hon. Friend did not include one important element among the characteristics of the investigations, which is that they are to find the causes of clinical incidents without blame. It is not about satisfying a complaint; it is about finding without blame so that we can talk about things that have gone wrong without blaming people. It is about understanding the clinical, human factors that lead people to make perfectly understandable mistakes.

[Matt Hancock]

My hon. Friend is quite right. I was trying to shorten my speech, Madam Deputy Speaker, so I missed out a paragraph. I should have said that the purpose of the Bill is to enable staff to speak openly and honestly about errors without fear of blame or liability. That is exactly the point that my hon. Friend made and to which he paid an awful lot of attention in the drafting and prelegislative scrutiny of the Bill.

Finally, let me turn to the proposals on mental health. This country has been on a journey, over a generation, towards recognising that mental health is as important as physical health. There have been contributions to this change in mindset from all sides of the political debate—from Labour Members; especially from the right hon. Member for North Norfolk (Norman Lamb), to whom I pay tribute; and very much from Government Members, too.

I would like to take a moment to say how much I value the enormous contribution that the Duke and Duchess of Cambridge and the Duke and Duchess of Sussex have made to changing attitudes towards mental health on this journey. The Mental Health Act 1983 is nearly 40 years old and some of our law is still shaped by 19th century Acts and, indeed, their views of mental illness, and that is completely out of place in the 21st century.

NHS Long-Term Plan: Implementation

Debate between Bernard Jenkin and Matt Hancock

Monday 1st July 2019 Commons Chamber

[Matt Hancock]

I completely agree with the hon. Gentleman. The whole plan—the whole NHS long-term plan—is about prevention as well as cure. The focus of the NHS needs to switch more towards prevention as well as, of course, helping people get better when they get ill. Taking the example of stroke, there is a lot on the prevention of stroke in the draft prevention Green Paper—just to give him a bit of a teaser for that. At the core of improving prevention of stroke is both behaviour change but also better use of data, because being able to spot people who have symptoms that are likely to lead to stroke can then help much more targeted interventions. I find it striking that with the big stroke charities, as with the big heart charities, their big ask is for better and more access to data.

[Sir Bernard Jenkin (Harwich and North Essex) (Con)]

May I thank my right hon. Friend for his statement and his commitment to this implementation plan, alongside the commitment to increase clinical standards? That is not a criticism of the medical professions; it is just a determination to make sure that the NHS is an infinite learning organisation and can learn from its mistakes. In that respect, will he recommit to HSIB—the healthcare safety investigation branch of his Department—which is devoted to doing clinical investigations without finding blame, so that these problems can be surfaced and the learning can be implemented across the NHS? In particular, will he recommit to the legislation, which has been through prelegislative scrutiny and is still waiting to be introduced?

[Matt Hancock]

Yes, I am looking forward to that legislation being introduced. The work that my hon. Friend’s Select Committee—the Joint Committee on the Draft Health Service Safety Investigations Bill—did in the prelegislative scrutiny was incredibly important. The HSIB Bill promises to improve patient safety, which is an important part of the agenda, and I look forward to its being brought forward to the House.

Russian Interference in UK Politics

Debate between Bernard Jenkin and Matt Hancock

Thursday 21st December 2017 Commons Chamber

[Matt Hancock]

As several Members pointed out in the debate, there is already evidence of activity in the public domain. The question is about the scale of that activity and whether it is significant or not significant. As I say, there is not yet evidence of successful interference in UK democratic processes.

[Mr Jenkin]

I, too, question the criteria for success, because there is evidence of success in that it is provoking consternation at and the questioning of democratic results and policies in our country. Those are the criteria for success. We want to hear that GCHQ will aggressively target the generation of such material, do its best to block it and be much more proactive, but perhaps the Minister is coming to that point.

[Matt Hancock]

I will come on to that important point in relation to the cyber-attacks.

As the Prime Minister made clear in her speech at the Guildhall in November, we want to build a more productive relationship with Russia, but we also want to see Russia play its full and proper role in the rules-based international order. We will therefore not hesitate in calling out behaviour that undermines that order or threatens our interests at home and overseas.