(2 years, 9 months ago)
Commons ChamberI am grateful to the hon. Lady; to be fair, we may not always agree, but she always makes thoughtful points and knows this subject well. However, many right hon. and hon. Members across the House have regularly said that Exercise Cygnus gave everyone everything they needed to know in how to manage this pandemic, which is completely not the case. That was a flu pandemic exercise with a number of preconditions, one of which was that, at a certain point, it was assumed that antivirals would become available within—I think, off the top of my head—nine weeks of the pandemic beginning. That was not the case, because we were dealing with a completely new virus, so although there are valuable lessons to be learned, we need to be very careful about drawing direct parallels.
The hon. Lady rightly talked about the sum of money and highlighted the impact. She is right that £8.7 billion is a very significant sum of public money, but she also must acknowledge that that £8.7 billion was not wasted, because the PPE exists. This is an accounting point about what the purchase price was compared with the value now, with a stable marketplace for that. Only a very small fraction of that stockpile has been deemed not fit for use and, in those cases, we continue to investigate, through contractual mechanisms and elsewhere, what we can do to recover that money.
The embassy of one of our major international partners had to send staff to Sofia with a suitcase of money handcuffed to their wrist in order to procure PPE for their health and social care. Does my hon. Friend not think that the Opposition would be better off celebrating the herculean efforts that meant that PPE could be got to our NHS providers and our local authority and social care providers, rather than engaging in such transparently cynical party political point scoring?
I agree entirely with my hon. Friend. As I said in response to the SNP Front-Bench spokesman, the hon. Member for Coatbridge, Chryston and Bellshill (Steven Bonnar), I hope the whole House could agree on paying tribute to all those civil servants and others who moved heaven and earth to ensure that we got the PPE that we needed for the frontline. That is the most important factor. We did what we needed to get the PPE to protect people and to protect lives.
(2 years, 11 months ago)
Commons ChamberMy hon. Friend is absolutely right to highlight that. My hon. Friend the Minister for Care and Mental Health has done a huge amount of work on both investment and working with local systems to improve hospital discharge for those who do not need to be in hospital any more, to give them that step-down support, be that domiciliary care or in other settings. In the current context, we must do that safely, but she is working extremely hard to deliver that and doing a fantastic job.
The investment that the Minister has announced together with the 100 community diagnostic hubs will make a big difference in helping people to get the referrals that they need. Does my hon. Friend agree that early diagnosis depends on being able to see the appropriate clinician face to face where necessary, whether in hospital or in a GP’s surgery?
My hon. Friend is right. The key words are “where necessary”, and that is a clinical judgment. I have highlighted the improvements that we are seeing in terms of the number of face-to-face appointments going up in primary care. Equally, we do not want to lose the benefits of telephone appointments or other appointments for those who wish to interact in that way. It is about trying to craft the system around the patient and taking those clinical judgments into account.
(3 years, 8 months ago)
Commons ChamberUrgent 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
The Government will meet their legal obligations to publish contracts under regulation 50 and the requirements that that places on us for the information that needs to be published. Those that meet the criteria for a CAN—a contract award notice—under that, and that have been awarded by the Department of Health and Social Care directly, have been published. All contracts will be published—all details under CANs will be published—where that is required by the regulation, and the information specified as to what is published in a CAN notice is of a standard format. We will continue to meet that obligation.
Does my hon. Friend accept the finding of the independent National Audit Office that no health trust in the UK went without the PPE it needed, in contrast with many other countries? My constituents rightly expect transparency in procurement, but most would never want pursuing paperwork to be prioritised over providing proper protective equipment.
My hon. Friend is absolutely right. The people of this country would expect the Government’s No. 1 priority in March, April and May of last year to have been, as it was, to move heaven and earth to get the PPE that was needed in a very challenging environment to the frontline. I think that what he was alluding to in the NAO report was paragraph 18 of the summary, which said:
“The NHS provider organisations we spoke to told us that, while they were concerned about the low stocks of PPE, they were always able to get what they needed in time.”
That is not necessarily an NAO conclusion, but it is a reflection of what it was told and cited in this report, so he is right to highlight it.
(3 years, 9 months ago)
Commons ChamberUrgent 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
I am grateful to the hon. Gentleman, who is absolutely right to pay tribute to the officials and those who were working flat out at the height of the pandemic, often through the night and at weekends. Even when working from home, they did not see much of their families because they were working incredibly hard to procure the PPE we needed to keep people safe. I pay tribute to them. On the hon. Gentleman’s final point, my understanding is that the additional information required by the judgment must be supplied to the court by Friday, and I expect that the judge will make that public.
Speed is vital during a public health emergency, but transparency remains important. What assurances can my hon. Friend give us that, although paperwork can never come before delivering essential medical equipment and services to the frontline, the Government are committed to publishing contracts in a timely manner to ensure that my constituents in Dudley South can have confidence that the processes are fair, open and transparent?
I thank my hon. Friend. He is absolutely right. Getting PPE to the frontline, procuring what we needed and getting it delivered was the absolute priority. As I have expressed throughout my remarks, I recognise that transparency is hugely important, and we will supply the court with the further information it needs. As the judge said, we are now virtually in complete compliance, and we will continue to work hard to ensure we comply with the requirements under regulation 50 and the other requirements of the Public Contracts Regulations 2015.
(4 years ago)
Commons ChamberUrgent 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
I am always pleased to receive messages and inquiries from the hon. Gentleman. He raises two important points. The Under-Secretary of State for Health and Social Care, my hon. Friend the Member for Bury St Edmunds (Jo Churchill) is working on the national cancer recovery plan at pace. I am happy to revert to the hon. Gentleman when I have had an opportunity to speak to her. On his broader point, he is right that it is important that we in this House recognise that, in our democracy, people consent and comply because they are persuaded. It is important that we use this House and all the mechanisms within it to persuade and bring the public with us.
We have all had enormous increases in constituency correspondence during the pandemic, so I can only imagine what it must be like at the Minister’s Department. However, in looking at how his Department responds to MPs’ questions, will my hon. Friend reassure the House that any changes will not come at the expense of his Department’s excellent parliamentary engagement and briefings for Members with Ministers and scientific experts that allow us to question advisers on detailed scientific and medical matters?
(4 years ago)
Commons ChamberThe Prime Minister has announced £3 billion to support NHS capacity this winter. Among other things, that money funds our Nightingale hospitals, so that surge capacity is available, and the NHS’s ongoing access to additional independent sector capacity. It also supports the safe discharge of patients, helping to reduce pressure on beds. In addition, £450 million of capital funding has been announced to upgrade and expand A&Es across the country, to help prepare the NHS for winter, and that money is already being spent.
The £3 million announced to increase winter capacity in Dudley is hugely welcome, but will my hon. Friend also look at Dudley’s bids for capital funding for a hybrid theatre and reconfiguration of critical care? Will he join me on a visit to Russells Hall, so that he can see the transformative effect that those projects would have on care for patients in Dudley South?
I am delighted that my hon. Friend’s constituents will benefit from £3 million to increase capacity at Russells Hall Hospital in Dudley as part of the investment to upgrade A&Es ahead of winter. Future NHS capital spending will, of course, be determined at the upcoming spending review, but once our settlement has been confirmed with the Treasury, we will consider carefully how projects are prioritised within it. In the meantime, I encourage the Dudley Group NHS Foundation Trust to discuss its proposals with NHS England and NHS Improvement. I would be happy to meet my hon. Friend to discuss this, because I know how hard he campaigns on this issue, and I would be delighted to take him up on the offer of a visit when I am able to.
(5 years, 4 months ago)
Commons ChamberUrgent 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
The hon. Lady is right, and I spoke to the Chairman of the Justice Committee this morning to discuss his visits, the Committee’s work and the urgent notification. The hon. Lady is right to highlight the violence and self-harm. I would sound a slight note of caution—it is only a slight one—on the incidences of self-harm; it is also important that we look at the number of individuals involved, because some individuals might be prolific self-harmers who account for a very large number of incidents, so there will be a small number of individuals. That is in no way to detract from its significance, but it is important that we are clear about that.
The hon. Lady asks about specific steps that are being taken. First, as I have made clear, we have placed a temporary block on the further placement of young people in Feltham; its capacity is 180, but about 110 young people are there at present, so there is room within Feltham for the staff to stabilise the situation and work on improving matters. The second step has been an urgent review of cell buttons—call buttons. That was highlighted in the report; it may appear to be a small issue, but it is extremely important that when someone buzzes for help or they need help that call is answered, so we have undertaken a review to check that the buttons are working effectively.
As I have also said, additional senior level resource is already going in, to bring additional experienced resource in, but also to support the governor in delivering on the action plan and driving forward rapid improvements. Andrew Dickinson, the governor of Wetherby, will be playing a key role in that; we have seen the positive inspection report he got at Wetherby and it is important that we draw on those lessons to work with the very able governor we have in Feltham.
In terms of the buildings, a programme is already under way for works to improve showers and other facilities, and I have asked the director of the youth custody service to undertake a review of the overall state of the estate there, to identify if any capital or other works are urgently needed.
Finally, we need to ensure that, as swiftly as we can, we address the challenges the chief inspector highlighted on how particular policies were applied, especially the keep-apart policy; while that has an important role to play in tackling gang-related or other violence, it must not lead to a curtailment of the regime and the active regime, which can play a key part in keeping young people active and keeping a lid on tensions and violence.
Notwithstanding the context my hon. Friend has set out, the high levels of self-harm at Feltham are particularly concerning. What is he doing to improve the mental health of young offenders?
My hon. Friend is absolutely right to highlight the importance of mental health, and healthcare more broadly, for offenders and particularly young people. The levels of self-harm are deeply concerning, and we need to do more to drive them down. More broadly, we are seeking to have better liaison and diversion services, which divert those who genuinely have a mental health need and, where that can be better treated in the community, to have that option. We are also working on our health and justice plan, which is about improving the mental health and physical healthcare pathways for all those who enter custody.
(5 years, 9 months ago)
Commons ChamberThe victims strategy is the first time that we have looked in such detail and in such a joined-up way at how we treat victims of crime. The strategy provides the vision for the Government’s approach to victims. The Government’s violence against women and girls strategy refresh and draft domestic abuse Bill have been developed with this vision in mind, and have been designed to sit within the framework of the wider victims strategy. The Bill is a joint Home Office and MOJ Bill, with close ministerial and official-level working to ensure close alignment.
Building on the answer that I gave to the shadow Minister, I hear what my hon. Friend says and I know his work in this area and his commitment on the issue. I am very happy to look at the points that he raises. It is a draft Bill and I very much hope that he will consider putting his views to us in that process.
For many victims of domestic violence and coercive control, like my constituent Chloe, and for their families, the process of giving evidence and preparing for trial adds to the pain of the original abuse. What is the Minister doing to support vulnerable witnesses, including victims of domestic abuse?
We are determined to improve the family justice response to vulnerable witnesses, including people such as my hon. Friend’s constituent Chloe and victims of domestic abuse. Family judges have a range of powers to make sure that difficult courtroom situations are handled sensitively. In particular, we are looking to give the courts a specific power to prevent perpetrators of certain offences, including domestic abuse, from cross-examining their victims in person. We will also give the courts the power, in certain circumstances, to appoint a lawyer to conduct cross-examination on the preventive party’s behalf.