Health and Care Bill (Third sitting)

Hywel Williams Excerpts

Committee stage
Thursday 9th September 2021 Public Bill Committees

[The Chair]

Could I just ask you to keep your answers to within the scope of the Bill, please? Also, I ask if we could perhaps have more succinct answers. I still have several people who want to ask questions and we do not have a lot of time to get them in. I intend to call the Front Bench spokespeople at about 10 minutes to 12. I now move to the hon. Member for Arfon (Hywel Williams), but if we could keep to the confines of the Bill, that would be good.

[Hywel Williams (Arfon) (PC)]

Q This question is specifically for Sara. You said in your response to the Bill that you agree with the Select Committee recommendation for an annual report on workforce shortages. The workforce move, specifically between England and Wales, very freely and the Governments of Wales, Scotland and Northern Ireland have their own appreciation of workforce shortages and how to respond. For example, after a long campaign, we now have a medical school being set up in Bangor in my constituency. Anyway, the point of my question is how do you see the Governments in those parts of the United Kingdom being able to feed into the process without ceding their power to decide for themselves? How do you see it going?

Sara Gorton: This is a matter of no small significance to organisations such as my own that have membership across the UK. That ability to understand and translate the statistics that we get from one environment in the UK to another, and understand how that feeds through and get a whole picture of it, is really difficult at the moment. That is not just for the basic nuts and bolts of who is in the workforce at the moment, doing what job—the training plans, the workforce planning, and other aspects of workforce are really difficult to compare.

The short answer is that we would like to be involved in the interpretation, assuming that we do get that amendment through and the workforce reporting is on a more frequent basis than five years. We would like to be involved in the conversation about what that looks like, and how it can answer some of the issues that you have raised about feeding into a UK-wide perspective as well.

[Hywel Williams]

Q You see that in Wales, acting through the Welsh Government, so would you be seeking direct access regarding Welsh issues to the Government here in Westminster?

Sara Gorton: That is not something we have considered in the passage of the legislation so far, but we are certainly willing to talk about it in future.

[Hywel Williams]

Q Lastly—if I may, Chair, very briefly—a great number of people from Wales receive treatment in England, mainly from north Wales. They go to Merseyside and Manchester, and sometimes to London as well, so I am sure you would be in favour of the health bodies in those areas taking due regard of not only the health needs of their own population, but those of the population that comes in from Wales.

Sara Gorton: There are all sorts of workforce aspects that are very relevant to the England and Wales environment. The joint systems we have for pay and pensions, and workforce planning as well, all need to be factored in, but lots of work on the detail of the workforce reporting is needed.

[Hywel Williams]

Thank you.

[Dr James Davies]

Q I am interested in Unison’s position on the social care aspects of the Bill, and in particular the CQC inspection that is proposed, and also the data collection powers, please.

Sara Gorton: That is not an area of the Bill that we focused on. Our main focus is on extending the provisions of the provider selection regime—the procurement. I can do some more work and send in something.

--- Later in debate ---

[The Chair]

Thank you very much. We have about 10 minutes, and three people have indicated that they want to ask questions, so if we could direct our questions to one person and keep questions and answers brief, that would be very helpful, because I would like to include everybody.

[Hywel Williams]

Q I have a question for Pat. You have indicated some concern about the new powers regarding professional regulators and the fact that there may be changes, including the dismissal of regulators and that sort of thing, through secondary legislation. Given that those bodies are UK-wide, do you think that the Senedd, the Welsh Government in Cardiff, and the other Governments should have some input into those sorts of decisions about professional regulators?

Pat Cullen: We have had some thoughts about this across the countries—and we can learn from all of the countries, really. Of course, you will know from my accent that I come from Northern Ireland, and our regulator is a four-country regulator. In relation to the standards that are referred to within the Bill, I think our royal college will play an important role in terms of working with our regulator to look at some of the devolved responsibilities and the role that we can play in setting standards for our profession, and assisting and supporting our regulator in the setting of those standards right across the country, and obviously the other countries as well.

More recently, we have just brought out our nursing workforce standards, which apply across the four countries, and we had significant engagement in those right across the four countries. If you look at those standards being aligned in the new Bill and reading across to the new Bill, working across with our regulator and having more powers devolved to a royal college will enhance the regulator’s response to standards and the applicability of those standards, and their implementation across the countries.

[The Chair]

Thank you very much, Mr Williams. I now turn to Edward Timpson.

Health and Care Bill (First sitting)

Hywel Williams Excerpts

Committee stage
Tuesday 7th September 2021 Public Bill Committees

[Chris Skidmore (Kingswood) (Con)]

Q I want to return to the issue of workforce planning, which obviously is integral to both of your organisations. You have discussed the strategic framework you have been working on, and hopefully that will evolve into a workforce strategy, which is addressed in clause 33 of the Bill. I have tabled an amendment to clause 33 which is to make the workforce report annual rather than once every five years. I think that the pandemic has demonstrated the futile nature of trying to produce a report once every five years, when we know that the nature of the workforce could change radically during that period. Would your organisations agree that it would be better for that report to be produced on an annual basis? Clause 33 states that NHS England and Health Education England

“must assist in the preparation…in this section,”

but only

“if requested to do so by the Secretary of State.”

You have talked about locally led decision making and planning. Do you both agree that we need better co-creation? My amendment covers the fact that a plan should be developed and agreed by stakeholders in particular. Would your organisations welcome this amendment, which would result in an annual workforce strategy and require it to be developed by all other healthcare organisations working in this sphere?

Dr Navina Evans: From HEE’s perspective, we will deliver on the duties that Parliament decides that we ought to deliver. We feel that we have the capacity and the capability. We can organise ourselves to deliver whatever is required of us by the Bill. The work that we do is lithe—it is iterative. We do iterative planning, in a meaningful way, at the national and system level, so we will be able to respond and fit in with whatever is required of us by the Bill and Parliament.

Danny Mortimer: Thank you for the question. Absolutely, there is an opportunity for the Bill to define a wider range of stakeholders. The systems at the centre of the Bill—integrated care boards and integrated care partnerships—are central to that, and their perspectives, as we have just talked about with Ms Smyth, in terms of the needs of their population and the services they need to put in place to respond to them, need to be at the centre of the process that Navina and others would lead on behalf of the Secretary of State. That is the first thing. Secondly, there is an opportunity through those systems to broaden our conversation to include social care as well as health. That is really important to us on this day of all days, in terms of the announcements later.

In terms of the regular appraisal, we absolutely believe that five years is absolutely insufficient for the task. We also believe that it cannot just be about process. It has to be about setting out clear requirements and clear specificity about those requirements over different time periods. There is something about the short-term need, and there is also something about five, 10 and 20 years. It needs to be regular. We have proposed two years because it is a huge amount of work and that feels to us to be a minimum in terms of how regular the perspective could be, but it may well lend itself to an annual update, as you have described.

We also see that organisations such as Health Education England and Skills for Care, which operates in the social care sector, absolutely have the capacity and capability to lead this work. Their way of working, similar to the Department’s way of working throughout the preparation of this Bill, is about engaging, convening and trying to bring stakeholders together to get a broad range of perspectives. That is our experience of the long-term process that Navina and her colleagues are leading on behalf of the Department at the moment. The Bill confirming that would confirm ways of working that we are starting to see develop with stakeholders in a really healthy and constructive way.

[Hywel Williams (Arfon) (PC)]

Q Good morning. This Bill is mainly about services in England, apart from the part about the health services safety investigations body and clause 112 on Welsh health bodies requesting help. However, there is significant traffic from Wales to England, and a certain amount in the other direction, to access health and care services. This might impact on services in the north-west of England and along the Welsh border. This is a very broad and quick question: in what ways do you see yourselves and other health bodies in England taking account of the priorities and needs of the Welsh Government and of the Welsh population to access health services in England?

Danny Mortimer: There are important links with Wales, and of course with Scotland as well, in many parts of the country. There are a couple of things to say. The first is that there are undoubtedly things that the English system can learn, and is learning, from our colleagues in Wales, Scotland and Northern Ireland who are taking similar approaches in terms of how they respond to the challenges we face in social care and health. In my own organisation, we represent organisations in Wales and Northern Ireland, and there is a really rich learning that we can do there.

Secondly, in practical terms, there are good lines of communication and liaison between healthcare organisations that operate along the borders that you have described. It will carry on being really important that those lines of communication, that liaison, the financial arrangements and the sharing of care between different teams on various sides of the borders continue, and we see nothing in the Bill that prevents that. If anything, we see opportunities through better co-ordination in England at a system level to be able to help patients who travel across from Wales into England, or patients who travel from Scotland into England. If anything, I think we can improve the planning and liaison through what is in this interesting Bill.

Dr Navina Evans: We already have very strong four-country relationships, particularly in the education and training space, where we make sure that we share standards, that we do planning around the curriculum and the reform of education, that we ensure quality and that we go for improvements in the way in which we support and train our future healthcare workers. In the regulation space, we work very closely with the General Medical Council, the Nursing and Midwifery Council and other bodies, to make sure that that happens. They obviously have four-country oversight, so we already work very closely with them. Also, all our professional bodies, such as the royal colleges, have to represent members from across the whole UK. In that space, there is a lot of good work that we can continue to build on, learn from and share as a result of this Bill.

[Hywel Williams]

Q I am very glad to hear what you have said. Professional staff are notoriously footloose, as far as Wales is concerned, so there is a certain issue about workforce planning. In my own area, I used to teach in social work education. We have a nursing school at Bangor University, which is a very valuable provision, but I am not sure how many are retained in the health service in Wales—or the other way around, of course.

There is one other point I would make, and this is more philosophical than practical. The Welsh Government’s approach to health is based on a wellbeing model. It is much more proactive than other models. I hope that, philosophically, that sort of approach is useful and interesting for you, and that you will be taking full notice of it.

Danny Mortimer: The second point, in particular, is really well made. That is absolutely the focus that we see integrated care systems taking. The engagement with population health that Navina described is about trying to gear a system much more to long-term investment in the quality of people’s lives.

We have become, in recent years—even before the pandemic—much more geared towards crisis response. That is not in the best interests of the long-term health of the population. It does not help us to address the inequities that we see in our population, and that we saw very starkly during the pandemic.

Navina may be aware of the issues around workforce mobility between the four countries. The co-ordination that Navina leads, and that we have with our professional regulators, is really important. We have a shared workforce, and we have shared approaches to education as well as things such as pay and contracts. That is really important to ensuring that the job market is stable, particularly if we experience supply issues in particular geographies or parts of the workforce.

Dr Navina Evans: I have nothing to add on the movement of the workforce between the four countries, but I take the point that this is something we need to be mindful of, and I will make sure that the issue is a priority in our conversations with our counterparts in the four countries.

On wellbeing services, that is absolutely the way in which the reform of education and the curriculum is moving. Health Education England is working with partners to develop that. Our integrated care systems, and our colleagues running services who are closest to the point of care, and who know their populations best, have been saying for some time that we need to focus on wellbeing, prevention, intervening earlier and keeping people well. That is a priority for our partners in NHS England and NHS Improvement as well. We already have programmes of work to take this forward.

[Hywel Williams]

Thank you.

[Justin Madders (Ellesmere Port and Neston) (Lab)]

Q Good morning. Thank you for coming. I am sure that you will be aware that everyone in the country, and the whole Committee, is very grateful for the work done by frontline health and social care staff, not only over the past 18 months, but over many years. The consequences of that work have been starkly drawn to everyone’s attention by the Health Committee report on staff burnout. What in the Bill will address the issues raised in the report?

Dr Navina Evans: I will give you three points that are really important. One is the absolute priority, focus and prominence given to looking after our workforce. Again, we will build on work that we have already been doing in the last few years. For example, in the interim pupil plan, there is a very strong focus on wellbeing, culture, leadership and retention. We have been working, together with Danny’s organisation and others, on thinking with staff about retention. One thing that is really important is looking after people. There are lots of good examples of work being done all around the country to improve wellbeing and therefore retention, and to minimise or prevent burnout. This is quite high on the agenda for our partners in NHS England and NHS Improvement. It is very high on the agenda for us in HEE, because we look after our students, trainees and learners, who are also part of the workforce, and they tell us what helps to keep them well and prevent burnout. We need to start doing that work, which is part of our business, very early on.

I am pleased to say that our partners in the universities, royal colleges and other professional bodies are really mindful of this. They all have work streams around wellbeing and preventing burnout. In the Bill, we can highlight the importance of this, and build on work that is already being done to look after our staff.

Covid-19: Government’s Publication of Contracts

Hywel Williams Excerpts

Tuesday 9th March 2021 Commons Chamber

[Edward Argar]

I pay tribute to my right hon. Friend for that question. I started out in Government as his Parliamentary Private Secretary when he was the apprenticeships Minister, and that is something that he has taken a huge and passionate interest in throughout his time in the House. I am sure that colleagues in the Cabinet Office responsible for Government procurement across the piece will be very happy to have a conversation with him about the point that he has just made as to how greater use of apprenticeships can be baked into procurement decisions.

[Hywel Williams (Arfon) (PC) [V]]

Initially, the Welsh Government anticipated a UK-wide approach to buying PPE; they then took responsibility for their own procurement, but they have still worked with this Government when the opportunity has arisen. Therefore, did the Secretary of State seek the agreement of the Welsh Labour Government before awarding any relevant contracts without competitive tendering or transparency, and did the Welsh Government themselves raise any concerns about the lack of competition on their own initiative?

[Edward Argar]

My understanding is that the procurement process for PPE, as the hon. Gentleman rightly highlights, was a UK procurement process. As he will have seen, we invoked regulation 32, recognising the speed needed to meet the demand for PPE in the frontline, and throughout this process we worked at pace to ensure that the focus was on the procurement of the PPE required. Throughout this process—throughout this pandemic—we have worked closely with the Welsh Government.

Covid-19 Update

Hywel Williams Excerpts

Tuesday 2nd March 2021 Commons Chamber

[Matt Hancock]

I do not have those specific figures to hand, but the MHRA—the regulator—regularly publishes what are called adverse events when somebody still has a problem with coronavirus having had the vaccine or has a response to the vaccine, and I will ensure that the appropriate body, whether it is MHRA or Public Health England, publishes both the number and the percentage.

[Hywel Williams (Arfon) (PC) [V]]

The covid testing package reservation form for international travellers from red list countries into England requires proof of purchase of two covid-19 tests before they can travel on to England and Scotland. However, there is no reference to Wales on the form. Will the Secretary of State assure me that that is an oversight that will be remedied immediately and that international travellers from England continuing on to Wales are indeed required to comply with the testing and quarantine rules?

[Matt Hancock]

Yes, all international passengers are required to comply with the rules. It is the first time I have heard of that particular issue. I will write to the hon. Gentleman to set out either why the system is done in that way or that it has been rectified, if that is what is needed.

Covid Contracts: Judicial Review

Hywel Williams Excerpts

Wednesday 24th February 2021 Commons Chamber

[Edward Argar]

I have made it clear that I and Ministers always respect the courts and the judgments delivered in them. I also have great respect for, and recognise the importance of, transparency. I would say to the hon. Lady, however, that I also respect the need to rapidly deliver the PPE that was needed last year at the height of the pandemic, which is what our constituents would expect us to do. As we cast our minds back, I think that is what they would have wanted us to focus on at that time. On her final point, yes I am quite happy to restate the Government’s commitment to the importance of transparency.

[Hywel Williams (Arfon) (PC) [V]]

Using the VIP lane, a PPE contract for £313 million was awarded to PestFix, a company that had never before supplied medical PPE. To put this fantastical sum into perspective, a free school meal every day for a year for every child in Wales in a family getting universal credit would cost £101 million —less than a third of the sum gifted to PestFix. Given the Minister’s unapologetic replies so far, does he even begin to understand why the perception of his Government’s default cronyism has angered so many people?

[Edward Argar]

I am grateful to the hon. Gentleman. I will not comment on specific cases because, as I mentioned at the beginning, some are still subject to actions before the courts and I do not want to cut across those legal processes. The broader point I would make is that I think people will understand that this Government and the unsung heroes of the pandemic—the civil servants and officials who have worked throughout it—pulled out all the stops to do what was necessary and essential to procure the PPE. If we look back 10 months or so, it was the most pressing issue in this country to ensure that our frontline workers got the protection they needed.

Covid-19 Update

Hywel Williams Excerpts

Tuesday 9th February 2021 Commons Chamber

[Matt Hancock]

Yes, of course I will.

[Hywel Williams (Arfon) (PC) [V]]

Yesterday, the number of deaths from covid in Wales passed the grim total of 5,000. Our public health leaders say that the Welsh Government’s £500 self-isolation payment is not enough and is indeed an economic driver for people to go to work. Sick pay, on the other hand, is the responsibility of this Government, so will the Secretary of State now commit the Government to increasing the paltry level of sick pay, as suggested, from £96 per week, to enable working people to self-isolate safely?

[Matt Hancock]

We have put in place the extra £500 for those on low incomes to ensure that everybody can get the financial support that they may need while self-isolating.

Covid-19 Update

Hywel Williams Excerpts

Tuesday 2nd February 2021 Commons Chamber

[Matt Hancock]

I can confirm what the Prime Minister has set out: schools will be the first in the queue for reopening. We will consider the data in the middle of this month, my right hon. Friend the Prime Minister will set out a statement after that, and we will give two weeks’ notice. Schools will not open before 8 March, and of course we will look at the data, as I set out in a previous answer.

[Hywel Williams (Arfon) (PC) [V]]

The Health Minister in Wales has now admitted, at last, that many lives could have been saved had the Welsh Labour Government locked down sooner last year. Does the Secretary of State believe that an earlier general lockdown in England would have saved many lives? If so, how does that belief inform the quarantine and lockdown decisions that his Government now face?

[Matt Hancock]

We have taken action very rapidly when we have seen rises in cases. The most recent example here in England was, of course, right at the start of this year, when we saw the sharp spike in cases and took very rapid action to close schools after some of them had been open for just one day. We do not take such measures lightly and we understand the impact that they have, but they were absolutely necessary.

Contaminated Blood

Hywel Williams Excerpts

Tuesday 11th July 2017 Commons Chamber

[Diana Johnson]

That is an excellent point, and it needs to be considered.

[Hywel Williams (Arfon) (PC)]

Will the hon. Lady give way?

[Diana Johnson]

I will give way one last time.

[Hywel Williams]

I am grateful to the hon. Lady for giving way. I pay tribute to her on behalf of my constituent Jane Jones, whose family have had to deal with great privation for many years because of the scandal. In a written answer to the Welsh Assembly on 27 March there was confirmation that the payments continue to be made on an ex gratia basis, but with no liability being accepted. The answer was in Welsh, but it confirms that the payment of £10,000 to a partner or widow continues on an ex gratia basis.

[Diana Johnson]

That goes to the heart of it. There has never been any finding of liability, which has resulted in very low payments being made on a support basis, rather than on a compensatory basis.

I strongly believe, and I think the majority of the APPG believe, that a Hillsborough-style inquiry is the best way forward in this case, putting those affected at the heart of whatever is created and set up. They should be given the opportunity to have an input into the terms of reference. They should be able to look at people being considered as the chairperson or panel members of the inquiry, which has to have the support and confidence of all those affected. That is why the Hillsborough inquiry seemed to work effectively. In the case of Hillsborough, this was known as “Families First”, and I hope that approach might be able to continue in this inquiry as it is set up. All those affected need to be treated with the utmost respect and reverence, and to be fully consulted; any information that becomes available should first go to them.

In the remaining few minutes, I wish to talk about the four questions that I think the inquiry needs to look at. Andy Burnham set out in his speech why an inquiry was necessary, and of course he was one of two former Health Secretaries, the other being Lord Owen, who had raised serious concerns about the scandal. We know that the “Panorama” programme and the Daily Mail article followed. Given what Andy Burnham said and all the developments in the past few months, serious questions still need to be addressed by a public inquiry. First, why did the Government not act sooner to protect blood supplies once the risks became known? And why were we so reliant on American commercial products for haemophilia patients?

The UK was not self-sufficient in blood supplies, so profit-making American companies played a considerable role in supplying factor concentrates to haemophilia patients. That blood was sourced from much riskier patients, including prison inmates, who were much more likely to have infections and had a financial incentive to be less than honest about their risks of infection. The dangers of American products were discussed in public not from the 1990s, nor the 1980s, but from 1970. As the Daily Mail reported last week, files now suggest that at least as early as 1980 officials had even put an estimate on the number of haemophilia patients being infected from these products with what we now know to be hepatitis C. They put the figure at 50 a year, yet it was not until 1986 that they took any action to address that.

If the whole of the UK had been self-sufficient in blood supplies, fewer haemophilia patients would have been infected. We know that, because Scotland had higher levels of self-sufficiency than England. As the BBC “Panorama” programme outlined, that meant that haemophiliacs in England were twice as likely to be infected with HIV as those in Scotland. Even in the mid-1980s, when the dangers of hepatitis C and HIV became known, it appears we could have acted sooner to remove risky blood products. And when the United States started screening its commercial products from March 1983, we carried on using non-screened American supplies that we had purchased before then; how can that possibly be justified?

My second question for the inquiry is: why were patients kept in the dark and not told of the risks once they became known? There are many aspects to this controversy that I know other hon. Members may wish to touch on, but I want to draw the House’s attention to developments in 1983, in the midst of the AIDS epidemic, when there was still uncertainty over whether AIDS was a blood-borne disease.

In November 1983, the then Health Minister, the right hon. and learned Member for Rushcliffe (Mr Clarke), told Parliament that there was

“no conclusive evidence that…AIDS is transmitted by blood products.”—[Official Report, 14 November 1983; Vol. 48, c. 327-8W.]

Yet earlier that same year his Department was preparing internal documents that said the opposite: in August 1983, that same Department was telling practising homosexuals and drug users not to give blood because of the risk of transmitting AIDS; in the summer of 1983, the Department was preparing a blood donor leaflet that said AIDS was “almost certainly” transmitted by blood and blood products; in July 1983, the UK Haemophilia Centre Doctors’ Organisation said that young children with haemophilia should receive a less risky form of blood product due to the dangers of AIDS; and between March and May 1983, the Scottish National Blood Transfusion Service prepared a leaflet for blood donors, which included “haemophiliacs” and “recipients of blood transfusion” on a list of people who could get AIDS, and asked those same individuals not to give blood. Of course, the Scottish Penrose inquiry itself acknowledged that in adopting its position in November 1983, the then Government relied on

“a highly nuanced use of language.”

My third question is: why were some people tested for viruses without their knowledge and only told of the results many years later? There are many such cases of this happening, but I will make reference to just one: Jonathan Evans first tested positive for HIV in 1984 yet was not told of this until seven months later, in mid-1985. That posed a huge health risk to his wider family, and the history of this scandal is full of cases of spouses infecting each other. Tragically, the virus took his life. His son, Jason, was just four years old when his father died. He is still campaigning for justice for his father, and he has been instrumental in generating recent news coverage in the Daily Mail article and elsewhere.

Fourthly, there are allegations of a criminal cover-up, on an industrial scale, from the highest ranks of government downwards. At every stage of this scandal, there are concerns that officials knew more than they were letting on. Almost everyone affected by the scandal has encountered issues with lost medical records. Others have recovered their files, only to find that any mention of the connection with contaminated blood has been removed. Some individuals today are unable to access financial support via the Skipton Fund because of what has happened to their medical records. These cases of lost records also extend to the highest level of government. During the Archer inquiry, Lord Owen requested his departmental papers from the time when he was a Health Minister in the 1970s. He was told they had been destroyed

“under the 10-year rule”,

even though there is no evidence of the existence of such a rule.

Finally, when people were forced to sign waivers in 1991, as I mentioned earlier in my speech, they were asked to commit to bringing no further hepatitis C litigation as well as HIV litigation. These individuals did not yet know they had hepatitis C, as the disease has a long incubation period. It seems that the inescapable conclusion is that departmental officials knew more than they were willing to disclose.

In conclusion, earlier this week the Prime Minister expressed her intention to work more with other party leaders to act in the best interests of this country. She has shown a laudable commitment to that with respect to other public disasters, including the child abuse inquiry and the Hillsborough disaster. Alongside the many thousands of people who have campaigned for justice for so long, I want to personally thank her for showing that same commitment with respect to the contaminated blood tragedy.

There are still questions to be answered on the detail of an inquiry. In welcoming this announcement, we must also be mindful of those who will never see its results: the more than 2,400 people who have tragically lost their lives. Many never even knew of the true scale of the scandal that was impacting on them. Those infected, and their families, will be waiting anxiously to know that the Prime Minister’s announcement will truly give them the justice they have so long been denied. But today the Prime Minister has earned a place in history as someone who has listened to an issue that her predecessors had ignored, and put party politics aside in the name of giving people the answers that are their basic right. For that, she has my gratitude.

--- Later in debate ---

[Dr Philippa Whitford (Central Ayrshire) (SNP)]

As the hon. Member for Kingston upon Hull North (Diana Johnson) said, 2,400 people have died following the worst disaster in NHS history. That was due to a shortage of blood and clotting factors, which led to the NHS sourcing products from America. The problem is that the factor IX concentrates for men with haemophilia or women with Von Willebrand disease are made from thousands of samples. The moment one or two people within that collection are affected is the start of the virus, and that was why these patients were affected at a much higher rate than those who had a single blood transfusion. The problem is that the issue goes back decades and it has not been properly dealt with, as has been said already.

There have been multiple debates, statements and urgent questions on the issue during the two years in which I have been in the House—I, too, pay tribute to the hon. Member for Kingston upon Hull North for keeping at it with the all-party parliamentary group—but most of them have been about support. It was only last July that the Government finally came forward with a strengthened support package for these people. It is important to recognise that the payments are not compensation; they are ex gratia support payments, and they do not recognise the loss and suffering of the victims of contaminated blood. This seemed to come about only after the Scottish Government came up with a much more generous package in the form of a much larger lump sum, ongoing payments and, in particular, a 75% pension to the spouse and bereaved families. Such people still do not get sufficient support here in England, but it is not right that someone who has lost a partner to this scandal is not compensated.

We heard in March this year—a mere seven months after the announcement of a support package—that the Government were consulting on perhaps restricting who would qualify for the highest payments, and that the payments would not be index-linked. The youngest remaining victim is approximately 35. They have a whole lifetime to go through. That might be a shortened lifetime in comparison with ours, but we cannot suddenly leave people in poverty further down the line. These things need to be dealt with. I welcome the Minister’s commitment that the payments will be linked to the consumer prices index. We may need a debate on support, but that is not what this debate is about.

[Hywel Williams]

I am reluctant to interrupt the hon. Lady’s remarks, but may I point out that the support also extends to Wales, not just to England? As far as I understand it, there is also a £10,000 payment for spouses in Wales. Is it the hon. Lady’s understanding that the inquiry’s terms of reference will include the actions of the Governments in Wales, Scotland and possibly Northern Ireland, as well as what has happened in England? I had intended to ask the Minister that question, but could not make an intervention.

Meningitis B Vaccine

Hywel Williams Excerpts

Monday 25th April 2016 Westminster Hall

[Hywel Williams (Arfon) (PC)]

I am glad of the opportunity to speak in the debate, and I congratulate the hon. Member for Bath (Ben Howlett) on securing it. I am grateful for the somewhat unexpected opportunity to make a brief contribution. I should explain my late arrival: I was detained because I had another, long-standing engagement. I was able to leave because I was in the fortunate position of being the chairman and so could curtail discussion in order to attend this debate.

An overwhelming case has been made on this matter by the petitioners, but also, importantly for us as Members, by our constituents in the campaigns carried out locally. My constituent Janice Roberts has been instrumental in raising the issue locally and in raising awareness among other families. She has combined that with being a champion for local families. We are all very grateful to her for the work that she has done.

An hon. Member referred earlier to being a parent of some standing. I am a new parent, with a three-month-old daughter and a son of two and a half, and I think I can imagine the pain and anguish that parents face with this appalling and terrible illness. As a new parent, I live in fear of what might happen to my child. For me and other parents, cost is obviously not an issue where our own children are concerned, but in the real world, of course, cost is an issue. Inflation is higher in the health service than in the rest of the country, whether one wants to use the retail prices index or the consumer prices index, but in the face of the pain and anguish and the illness of little children, cost just has to take a back seat. From what we have heard, and from what I had already read, this drug is safe. The cost should not be an issue. Every child should have this vaccine, and I am very glad to add my voice to that call.

National Health Service

Hywel Williams Excerpts

Wednesday 21st January 2015 Commons Chamber

[Andy Burnham (Leigh) (Lab)]

I beg to move,

That this House notes comments from leading experts that the NHS is under unprecedented levels of pressure and that this is putting patient care at risk; further notes that attendances at hospital A&E departments increased by 60,000 in the last four years of the previous Government and 600,000 in the first four years of the current Government; believes that this is linked to decisions taken by this Government, including cuts to adult social care, the abolition of NHS Direct, the closure of almost one in four walk-in centres and removing the GP access guarantee; and calls on the Government to match the Labour Party’s plans to raise an extra £2.5 billion a year for the NHS, funded by measures including a tax on properties worth over £2 million, to help ease the current pressure and ensure that the NHS is fit for the future.

We have called this debate today to see if we can establish a shared analysis across the House of the causes of the current crisis in accident and emergency departments, and from that, shared solutions. I hope we can all agree that the staff of the national health service and of the ambulance service are working wonders in the most trying circumstances, and that it behoves all of us to put forward our ideas today to relieve the pressure on them, but more importantly, to reduce the risks that too many patients are facing right now.

As I have said to the Secretary of State before, things cannot carry on as they are. As the British Medical Association said last week,

“these ongoing challenges are placing patient care and safety at risk.”

Very poorly people are waiting hours for ambulances to arrive, hours to be seen in A and E, and hours on trolleys in corridors, and too many elderly people are then being held on hospital wards, trapped for days, weeks, even months or, in one case that I will come to later, a full calendar year.

[Hywel Williams (Arfon) (PC)]

Can the right hon. Gentleman establish for the benefit of the House whether the figure quoted in his motion applies to England and Wales or to England only?

[Andy Burnham]

I am not sure which figure the hon. Gentleman is referring to, but the figures in the motion apply to England. I will say more about them in a moment.

The stories of failure keep coming. Today we read that a 38-year-old man in Bristol died of meningitis after an ambulance took four hours to arrive. This is by no means an isolated example. The response time target for the most serious calls has been missed for the past six months in a row. We need to hear today what the Secretary of State is doing about this. Rather than work to improve response times, the only proposal we have heard so far is to allow a pilot relaxing response time standards. There will be two pilots, one in the south-west and one in London. London, as the right hon. Gentleman knows, is the worst-performing ambulance service in the country right now, and we hear today that the chief executive of London ambulance service, Ann Radmore, has resigned. The Secretary of State will need to explain to us today why it makes sense, in the middle of a difficult winter, to run an experiment in the most troubled ambulance service in the country.