Jimmy Savile (NHS Investigations)

Duncan Hames Excerpts

Thursday 26th February 2015 Commons Chamber

[Mr Hunt]

What we are announcing today will be closely fed into the report that the Home Office is currently overseeing. My hon. Friend makes an important point. Clearly, some things in the report would not happen today. We can be confident that the culture across the NHS and social services has changed significantly in a positive way. There is much greater awareness of safeguarding issues. However, the report also said that elements of other things that it highlighted could happen today. That is why it is so important that we learn the necessary lessons.

[Duncan Hames (Chippenham) (LD)]

The reports make it clear that Ministers’ appointment and use of Savile was improper and often contrary to advice from clinicians and officials. Former Minister Edwina Currie is quoted as telling the investigation last year:

“He knew how to pin people to the wall and get from them what he wanted. … he’d had a look at everything he could use to blackmail the POA … I thought it was a pretty classy piece of operation.”

Ministers Vaughan and Jenkin appointed Jimmy Savile to oversee the rebuilding of the national spinal injuries centre, contrary to advice, we are told in today’s report, from officials who thought that it would be better for those funds to be spent on centres of expertise around the country. Is it not critical that we understand the governance failures in this sorry saga, and that that insight feeds into the work of the Goddard inquiry?

[Mr Hunt]

Of course it is important that we learn the governance lessons, but the report is careful. It does not use the word “improper” in relation to the behaviour of Ministers or civil servants. It says that they acted reasonably. It raises some important questions, and I hope that the tone of my statement will reassure my hon. Friend that I do not seek to duck the fact that there are clearly questions about whether Ministers and civil servants behaved in the appropriate way. It is important that we learn the lessons from what went wrong.

Oral Answers to Questions

Duncan Hames Excerpts

Tuesday 24th February 2015 Commons Chamber

[Mr Jeremy Hunt]

I am accountable for what happens in the NHS, so let me tell the hon. Gentleman what is actually happening in Bolton: compared with four years ago, 2,756 more people are being seen at A and E within four hours. That is a record of investment and success.

[Duncan Hames (Chippenham) (LD)]

What alternatives do clinical commissioning groups have to a full-scale commercial procurement when their existing contracts for community health services approach the time when they have run their course?

[Norman Lamb]

That is a matter for local commissioners. There is no requirement on them to tender competitively if their judgment is that it is right for the local community that services remain with the existing provider. We have been very clear that that is a matter for local commissioners.

GP Services

Duncan Hames Excerpts

Thursday 5th February 2015 Commons Chamber

[Liz McInnes (Heywood and Middleton) (Lab)]

rose—

[Duncan Hames (Chippenham) (LD)]

rose—

[John Howell]

I give way to the hon. Member for Heywood and Middleton (Liz McInnes).

[John Howell]

I will give way to the hon. Member for Chippenham (Duncan Hames) and then respond to both interventions.

[Duncan Hames]

I do not find fault with the patients, but does the hon. Gentleman agree that a significant difference between the funding patterns for primary and secondary care is that in secondary care the more treatment provided and the more patients seen, the more funding provided by commissioners to the provider, yet the same pattern, where funding is proportionate to the amount of activity undertaken, is not typically seen in what we ask of general practice?

--- Later in debate ---

[Dr Poulter]

Indeed, there was an increase in the number of GPs, as there has been under this Government, but it is not good enough to lay the blame for a lack of GPs at this Government’s door, as the hon. Gentleman and the shadow Minister tried to do, when it takes a long time to train more GPs. What may have been a better decision for the previous Government in the advanced work force planning would have been to follow this Government’s example, by saying that 50% of medical graduates should become GPs. Currently, the rate is 40%. That needs to rise to 50%, and we need to encourage more people to become GPs. If we had more equality in where medical graduates end up practising medicine, that would be a big step in the right direction in training the extra GPs needed. If that had been done 10 years ago, we might not have some of the problems that the hon. Gentleman outlined. Indeed, he said that only 27% of GPs were under the age of 40. That reinforces my point about medical graduates.

[Duncan Hames]

I agree with the Minister that there is no substitute for persuading more medical graduates to train as GPs, but will he look at what can be done to attract women who were GPs back into general practice after they have started a family if that was the reason why they left? Will he also look at the working practices that we require of GPs to find out how that can be a more reliable way to make the most of the GP training that we have committed to?

[Dr Poulter]

Indeed. My hon. Friend makes an important point and echoes that made earlier by my hon. Friend the Member for Truro and Falmouth (Sarah Newton). At the moment, a valuable part of our general practice work force, perhaps due to life circumstances or the fact that they have started a family and have had two children quickly one after another, face difficulties in going back into practice. Issues to do with the operation of what is called the performers list need to be looked at, and I will ensure that NHS England does so and considers how we can better support GPs to get back into practice when they have had career breaks for legitimate family and other reasons.

Oral Answers to Questions

Duncan Hames Excerpts

Tuesday 13th January 2015 Commons Chamber

[Mr Hunt]

What I can tell the hon. Gentleman is that what happened at Hinchingbrooke completely destroys what Labour has been saying about privatisation, because it was this Government who introduced an independent inspection regime, which did not exist before, that roots out poor care without fear or favour. That is what we have done in 18 hospitals run by the NHS and it is what we are doing at Hinchingbrooke run by the private sector.

[Duncan Hames (Chippenham) (LD)]

T3. The three GP surgeries in Chippenham were turned down by the Prime Minister’s challenge fund, despite developing imaginative plans to bring together all the town’s acute GP care at a new urgent care centre at Chippenham community hospital. They received no feedback, even from NHS England. Will the Secretary of State be more flexible when receiving further proposals from the doctors, who are, after all, very busy looking after their patients?

[Mr Hunt]

I have met the doctors in Chippenham and been personally lobbied on that plan. I thought it sounded very promising, so I am happy to take it away and look at it again, and hopefully at some stage they can get some of the funding.

Oral Answers to Questions

Duncan Hames Excerpts

Tuesday 25th November 2014 Commons Chamber

[Dr Poulter]

I certainly remember being actively encouraged to register with a local GP when I was a student at Bristol university, and I understand that that continues today. As for the important question of children’s and young people’s mental health, the children’s mental health and well-being taskforce is looking at the mental health and well-being of students. Student Minds is involved in the process, and that in particular will help to inform the work of the taskforce in improving access to students with mental ill health.

[Duncan Hames (Chippenham) (LD)]

Students do register with a practice in their university cities, but I was told recently by one of my constituents that she had experienced difficulty in gaining access to timely health care as a temporary resident when she was back at home. What options are available to ensure that students remain registered in the place where they are likely still to be spending half the year?

[Dr Poulter]

We recommend that all students register with university services, or with a GP in their university areas, but if patients are away from the GP with whom they are registered for more than 24 hours and less than three months—and that would include students—they can see a GP in the area where they are staying as temporary residents. GPs should be aware of that entitlement.

Oral Answers to Questions

Duncan Hames Excerpts

Tuesday 15th July 2014 Commons Chamber

[Mr Hunt]

We are working extremely hard to make sure that people do not have those long waits. We are doing about 3.5 million more diagnostic tests, for example, every year in the NHS than four years ago. I am happy to look into the individual case and see what lessons can be learned and to see whether we can help the hon. Lady’s constituent.

[Duncan Hames (Chippenham) (LD)]

Is it ever acceptable, as reported to me in my constituency surgery last week, for a GP to tell their patient, “There is nothing I can do, so I don’t want to hear any more about your mental health”?

Oral Answers to Questions

Duncan Hames Excerpts

Tuesday 10th June 2014 Commons Chamber

[Norman Lamb]

I mentioned that NHS England will very soon publish a report following its analysis of existing facilities across the country, so the hon. Gentleman will get the answer in the next few weeks.

[Duncan Hames (Chippenham) (LD)]

When will the public health Minister publish the regulations for the plain packaging of tobacco products, on which she proposes to consult?

[Jane Ellison]

As my hon. Friend knows, Parliament has already granted us the regulation-making powers in the Children and Families Act 2014 and we have said that we are minded to proceed with those. We are still committed to consult. The regulations are being drafted. I had hoped to publish them before the end of April. We were caught by the pre-election purdah period, but I hope to publish them soon.

Oral Answers to Questions

Duncan Hames Excerpts

Tuesday 26th November 2013 Commons Chamber

The Secretary of State was asked—

[Duncan Hames (Chippenham) (LD)]

1. What steps he is taking to improve signposting to support and information for carers by health bodies and local authorities.

[The Minister of State, Department of Health (Norman Lamb)]

The Care Bill will require local authorities to ensure that information and advice is available to their local populations, including carers, and to co-operate with health bodies in fulfilling this function. The Bill will extend carers’ rights to an assessment of their needs so that carers receive appropriate support and signposting to local services.

[Duncan Hames]

I welcome those measures in the Care Bill to support carers, but for them to benefit from that support, they first need to be identified. It is estimated that only one in 20 carers of people with cancer, for example, receives a carer’s assessment. How does the Minister propose to get local authorities to work with the NHS and other health bodies to identify carers and ensure that their needs do not go unnoticed?

[Norman Lamb]

The Care Bill will introduce a right to an assessment for all carers, which I think is an incredibly important advance for them. We are also giving money—£1.5 million—to the Royal College of General Practitioners and other bodies, including nursing bodies, to raise awareness of the vital role of carers in working with GPs to improve the care of those who need it.

Oral Answers to Questions

Duncan Hames Excerpts

Tuesday 22nd October 2013 Commons Chamber

[Mr Hunt]

We will obviously respect the legal processes, but if the scrutiny committee were to take such a view tonight, we would certainly look very closely at its concerns and ensure that we had satisfied ourselves on them before proceeding.

[Duncan Hames (Chippenham) (LD)]

A written answer from the former Minister, my hon. Friend the Member for Broxtowe (Anna Soubry), to my recent parliamentary question has on this subject revealed that people living in the south-west of England are three times as likely to contract Lyme disease as those in the rest of the country, yet I have a constituent doing what he calls drug runs to the rest of Europe to access the medicines necessary to tackle his symptoms. Will the Minister meet me to discuss how we can ensure the continuing availability of treatments for Lyme disease on the NHS?

[Jane Ellison]

I learned a great deal about Lyme disease in the course of answering my first parliamentary questions, so I would be very happy to meet my hon. Friend to have that discussion.

Oral Answers to Questions

Duncan Hames Excerpts

Tuesday 27th November 2012 Commons Chamber

[Duncan Hames (Chippenham) (LD)]

Valued health workers in Wiltshire will appreciate the Minister’s commitment today to national pay negotiations, but they will be frustrated that he does not have the power to force them on foundation trusts. Will he at least make a direct appeal from the Dispatch Box today to the management of those trusts in the south-west consortium to participate fully in national pay negotiations?

[Dr Poulter]

I thank my hon. Friend for his question. He is absolutely right. I made it clear earlier that I felt there had been some heavy handedness in the way some of those trusts had behaved—although they are quite understandably exercising freedoms that the previous Government gave them. We want national pay frameworks to remain fit for purpose, which is why we endorse the national pay negotiations that are under way. I would recommend that trusts in the south-west listen to what happens in those negotiations, so that we can ensure that national pay frameworks are fit for purpose in the south-west.