Legal Aid, Sentencing and Punishment of Offenders Bill

Baroness Laing of Elderslie Excerpts

Monday 31st October 2011 Commons Chamber

[Guy Opperman]

I did not expect to be attacked by my own side for my former profession. I agree that we all need to accept that when we make mistakes we should own up to them, and that goes for politicians, too.

In fairness, I should speak to the amendments. Surely the point is that there should be a statutory duty of candour in the health service, and that is what is missing. If it needs any encouragement, I know of three separate reports that deal with it: the Levinson and Gallagher report, “Disclosing Harmful Medical Errors to Patients”; the Robins report in the Law Society Gazette; and “Why do patients complain?”, from the Association of Personal Injury Lawyers. All three reports, and reports from across the world—there is good evidence in Australia and New Zealand—show that where there is openness and admission of blame, the amount of litigation subsequently goes down, rather than up. For nine out of every 10 clients I saw as a professional barrister practising on clinical negligence, the first two questions they asked were: “Why did they not apologise?”; and “What will be done to ensure that it does not happen to anyone else?” Nine out of 10 clients would fully understand that no doctor gets up in the morning and makes a mistake deliberately. They understand that it is because they are making clinical errors under intense pressure. In that respect, those are the things that need to be addressed by the Health Secretary, rather than in the Bill.

[Mrs Eleanor Laing (Epping Forest) (Con)]

Will my hon. Friend give way?

[Guy Opperman]

I will, but for the last time.

[Mrs Laing]

Does my hon. Friend agree that the difference between mistakes made by his profession, which is also my profession—I speak to him with sympathy—and those made by the medical profession is that in the case of the latter the consequences can be truly tragic and cannot be put right? Therefore, there must be some mechanism that is open, understandable and available to the public as a whole to try to help when something goes tragically wrong and affects a person’s life.

[Guy Opperman]

With respect, there are ways forward on those issues, not least the idea of a joint report to be completed by a defendant and the claimant together. It would be easy for the Health Secretary to address that by ordering individual chief executives, particularly in relation to cerebral palsy cases, to provide an independent expert’s report assessing the birth. If that happened, litigation would go down, as would the funding to the taxpayer, and we would have speedier and better resolution of these issues. I regret to say that those sorts of things have been said by a number of Members in both Houses in the past and no one has addressed it. However, I stress that that is a matter for the Health Secretary, rather than one that arises out of the Bill.

I am conscious of the time and want to address the other points that have been made; I apologise that I did not do this on Second Reading, but clearly I could not be present in the House at the time. I accept entirely the points made by the hon. Member for Kingston upon Hull East about the fear of the loss of legal aid, and I will address individual children’s cases, in particular, in a moment. The fear of the loss of legal aid is not something that is new to the legal profession, or in relation to negligence or the practice of personal injury law. Those same issues arose throughout the 1990s and 2000 in relation to the Woolf reforms, and many of us who were practising barristers at the time were concerned that individual litigants would be unable to go to the personal injury courts or elsewhere and bring litigation. With no disrespect to the submissions made, the matter has not been resolved, and on this particular issue conditional fee agreements have without question filled the gap. They have been extremely successful—some, including certain Ministers, would say almost too successful—at filling the gap where legal aid previously existed.