NHS Investigations (Jimmy Savile)

Jeremy Hunt Excerpts

Thursday 26th June 2014 Commons Chamber

[The Secretary of State for Health (Mr Jeremy Hunt)]

With your permission, Mr Speaker, I would like to make a statement on the Jimmy Savile investigations.

This morning, 28 investigations into Savile were published, including two larger reports on Leeds infirmary and Broadmoor hospital and 26 smaller reports on other institutions. I know that this House and, indeed, the whole country will share a deep sense of revulsion at what they reveal: a litany of disturbing accounts of rape and sexual abuse committed by Savile on vulnerable children and adults over a period of decades.

At the time, the victims who spoke up were not believed, and it is important today that we all publicly recognise the truth of what they have said, but it is a profoundly uncomfortable truth. As a nation at that time, we held Savile in our affection as a somewhat eccentric national treasure with a strong commitment to charitable causes. Today’s reports show that, in reality, he was a sickening and prolific sexual abuser who repeatedly exploited the trust of a nation for his own vile purposes.

The report published by Leeds infirmary today reveals that Savile was a predatory porter who abused and raped patients without scruple. Sixty people reported abuse to the investigation. One of his teenage victims believed that she was pregnant as a result of his abuse. Two witnesses told the investigation Savile claimed to have had jewellery made from glass eyes taken from bodies in the mortuary. Other reported behaviour is too horrific to recount in detail to this House, but is set out in full in the reports published today.

Savile was also an opportunistic sexual predator at Broadmoor. The investigation concludes that at least five individuals, and possibly more, were sexually abused by Savile. Inexplicably, Savile was allowed to watch female patients as they stripped naked for bathing.

There were fewer incidents reported in the other 26 investigations, but there are strong indications that they were consistent with a wider pattern of offending. I have placed the reports of all the investigations in the House of Commons Library. Five investigations are ongoing and will report later this year.

Today’s reports will shake this House and our country to the core. Savile was a callous, opportunistic, wicked predator who abused and raped individuals, many of them patients and young people, who expected and had a right to expect to be safe. His actions span five decades, from the 1960s to 2010. The family favourite loved by millions courted popularity and used it to perpetrate and cover up his own evil acts.

I and, I am sure, the whole House will want to pay tribute to all the victims who came forward to talk about their experiences. It took great courage for them to relive their often extremely distressing and disturbing experiences.

The reports paint a terrible picture, as time and again victims were ignored or, if they were not, little or no action was taken. The systems in place to protect people were either too weak or were ignored. People and institutions turned a blind eye.

Today, I want to apologise on behalf of the Government and the NHS to all the victims who were abused by Savile in NHS-run institutions. We let them down badly and however long ago it may have been, many of them are still reliving the pain they went through. If we cannot undo the past, I hope that honesty and transparency about what happened can at least alleviate some of the suffering. It is the least we owe them.

Today, changes to the way that we guard against abuse would make it much harder for someone such as Savile to perpetrate these crimes for so long. The safeguarding system, as the Leeds report makes clear, has been much improved over the past 30 years. The landmark Children Act 1989 enshrined a child’s right to protection from abuse. The first child sex offenders register was established in 1997, and 1999 saw legislation to prevent sex offenders from working with children. Criminal Records Bureau checks and the Disclosure and Barring Service have provided further protection. The Children Act 2004 requires NHS bodies to safeguard and promote the welfare of children, and to sit on the local safeguarding children board. NHS England published its safeguarding framework in 2013.

Savile was, however, never convicted of any offence, so this safeguarding system depends on much better awareness by professionals and the public and a much heightened vigilance against such abuse than there was in the past. Although that is reassuring to an extent, we cannot be complacent. Today, I am writing to all the system leaders in the NHS—NHS England, the NHS Trust Development Authority, Monitor and the Care Quality Commission—to ask them to ensure that they and all trusts review safeguarding arrangements in the light of the reports, and to ensure that they are confident about patient safety.  For its part, the Department of Health has accepted all the specific recommendations assigned to it in the Broadmoor report.

There are some painfully obvious lessons for the system as a whole. First, we must never give people the kind of access that Savile enjoyed to wards and patients without proper checks, whoever that person may be. Secondly, if people are abusive, staff should feel supported to challenge them, whoever that person may be, and take swift action. Thirdly, where patients report abuse, they need to be listened to, whatever their age, whatever their condition, and there needs to be proper investigation of what they report. It is deeply shocking that so few people felt that they could speak up and even more shocking that no one listened to those who did speak up. That is now changing in the NHS, but we have a long way to go.

In ensuring appropriate measures, we must not hinder the extraordinary contribution of thousands of volunteers and fundraisers working in the NHS every day. They are the opposite of Savile and we need to ensure that their remarkable contribution is sustained.

In parallel with this NHS work, the Department for Education is overseeing investigations into Savile’s activity in care settings, based on the same tranche of information that led to the smaller NHS investigations. There are other ongoing investigations by the police into allegations of historic child sexual exploitation. I hope this reassures the House of the seriousness of this issue and our response to it. The Department will also work with the National Society for the Prevention of Cruelty to Children and the National Association for People Abused in Childhood to ensure that information is swiftly passed on.

I conclude by paying tribute to Kate Lampard and her team. When patient safety is the issue, speed is vital. These investigations have swiftly and effectively brought to light vital issues that must be addressed. She will be publishing her conclusions and recommendations on this scandal later this year, as will the national group on sexual violence against children and vulnerable people. This report will bring together the Government’s wider work to eradicate violence against children and vulnerable people.

But today, above all, we should remember the victims of Savile. They were brave. They have been vindicated. He was a coward. He has been disgraced. The system failed to prevent him from abusing. It failed to act when people spoke up. We must not allow history to repeat itself. I commend this statement to the House.

[Andy Burnham (Leigh) (Lab)]

I thank the Secretary of State for notice and sight of his statement. I commend him for the way he introduced it to the House and welcome everything he said. The reports published today are truly disturbing, and as sickening as any ever presented to the House. How a celebrity DJ and predatory sex offender came to have unfettered access to vulnerable patients across the NHS, and gold-plated keys to its highest security hospital, surely ranks as one of the worst failures of patient and public protection our country has ever seen. It raises questions of the most profound kind about how victims of abuse are treated, how systems for protecting vulnerable children and adults work and the nature of celebrity and society’s relationship with it.

The Secretary of State was right to begin with an apology—I support him in making it—to the hundreds of people who were appallingly failed and whose lives have been haunted ever since. Our first thought must be with them today. They had a right to look to the NHS as a place of safety and sanctuary, but they were cruelly let down by the very institutions that were meant to offer protection. As one of Savile’s victims put it:

“It was like another insult. I’m in a top security hospital and someone has got to me again. When does it stop?”

Today’s statement will have evoked memories of the most painful kind for them, so will the Secretary of State ensure that all Savile’s victims have full and direct access to all the counselling and other support they will need?

One of the main purposes of this process of inquiry should have been to give all the victims the opportunity to be heard, but the Secretary of State might know that there are reports today in the Yorkshire Post that one person who tried to come forward was at first ignored in October 2012. Will he assure us that all reasonable steps have been taken by those preparing these reports to help victims come forward and tell their story, including those who might have been ignored when they first tried?

Many of Savile’s victims have suffered severe financial loss as a result of the challenges they have faced. I understand that claims for compensation will in the first instance draw on Jimmy Savile’s estate. Has there been an assessment of whether the estate’s funds will be sufficient to meet all claims? Given what has been revealed today and the abject failures of public bodies, should not the Government now consider allocating public funds to ensure that all the people damaged by Savile are properly compensated and supported?

Reading the report, it is not at all clear to me that a proper process has yet been put in place to hold people who failed in their public duties to account. If evidence is revealed in any of these reports that shows that any person still working in the NHS or the Department of Health knowingly facilitated these crimes, will the Secretary of State assure us that they will now face the full weight of the law and that those who were negligent in respect of their public duties will also be held fully to account?

It is incomprehensible how this could have been allowed to happen over 55 years. Although it relates to a different era, there are serious lessons that we can learn, given that abuse continues in our health and care system today. Let me turn to those. The first area of concern relates to how victims of abuse are treated, particularly young people or people in the mental health care system. Sadly, there are still far too many instances of abuse in our care system and in mental health settings, and the real figure is likely to be higher because of under-reporting. Will the Secretary of State consider what more needs to be done to give people the confidence to come forward and the reassurance that they will be listened to? Is there a case for more training for staff in dealing with allegations of abuse?

The second area of concern relates to how public bodies carry out vetting and barring arrangements, make public appointments and manage their relationship with celebrity. Hospitals across the country have increasingly sophisticated fundraising operations and links with celebrity endorsers. Will the Secretary of State accept the Broadmoor report’s recommendation that no celebrity should be appointed to an executive position or given privileged access to a hospital or its patients and that they should be fully vetted if appointed to a non-executive position? More broadly, is there now a case for a code of conduct setting out the appropriate relationship that the NHS should have with celebrity or business backers?

On vetting and barring, figures obtained by my hon. Friend the Member for Kingston upon Hull North (Diana Johnson) show that the number of people barred from working with children as a result of committing a sexual offence against a child has dropped by 10,000, or 75%, in the past three years. These extremely worrying figures have come about as a result of changes to the vetting and barring arrangements. This raises the concern that there are people working in our health and care system now who may pose a risk to children. Will the Secretary of State look again at this issue, consult the Home Secretary, and urgently report back to the House on why these figures have dropped by so much in such a short space of time, and on whether they believe that the current child protection regime is strong enough?

The question arises of whether this process of inquiry is a sufficient response to the scale of these atrocious crimes. It is hard to draw a clear picture and consistent recommendations from 28 separate reports and all the other inquiries that are still ongoing in schools, care homes, the BBC and the police. I, too, pay tribute to the work of Kate Lampard in assuring the quality of the reports published today, and we wait for her second phase of work, but questions remain about their independence given that each hospital has, in effect, investigated itself. There is also a question of whether this needs to be more independent of Government.

The Broadmoor report raises serious questions about the conduct of civil servants and Ministers in the Department of Health in how Savile came to be appointed to the Broadmoor taskforce. In evidence to the inquiry, the then Minister describes the main objective of Savile’s appointment as follows:

“The principal question was can Government break this hold that the Prison Officers Association has on the hospital.”

She went on to say:

“This task force was dreamed up and seemed like a very good idea and step forward Jimmy Savile who knew the place backwards and was more than happy to volunteer his time to do this. And we were happy to do it.”

That paints a picture of chaos in the Department and a complete absence of due process for such a serious appointment. This is an extraordinary revelation. Although there is no suggestion that any Minister knew of any sexual misconduct, it points to the need for a further process of independent inquiry so that we all, as Ministers and former Ministers, can learn the lessons of what happened, but also draw together the threads of the multiple ongoing inquiries. It simply cannot be left for Savile’s victims to try to pull together the details of these investigations.

As the shadow Home Secretary, my right hon. Friend the Member for Normanton, Pontefract and Castleford (Yvette Cooper), has said, there is now a clear case for a proper, overarching, independent review led by child protection experts into why there was such large-scale institutional failure to stop these abhorrent crimes. I would be grateful if the Secretary of State gave this proposal careful consideration. I finish by assuring him of our full support in helping him to establish the full truth of why abuse on this scale was allowed to happen for so long.

[Mr Hunt]

I thank the shadow Health Secretary for the constructive tone of his comments. Many of the suggestions he has made are very sensible. We will take them away and look at them, but I will go through a number of them now. First, we will indeed make sure that all Savile’s victims get the counselling they need. I think that it has been made available to them, but it is absolutely right to double-check that they are getting every bit of help they need and that we are taking all reasonable steps.

I hope that what has happened today will be, in its own way, another landmark for all victims of sexual abuse in giving them the confidence that we are changing, not just as an NHS but as a society, into being much better at listening when people come forward with these very serious allegations. It hits you time and again when reading these reports how many people did not speak up at the time because they thought that no one would believe them. We are not going to change that culture overnight, but we have to be a society that listens to the small person—the person who might get forgotten and does not feel they are important in the system.

On the claims for compensation, the right hon. Gentleman is absolutely right to say that the first draw for those claims will come from the Savile estate. I hope I can reassure him, however, that, as we have said, the Government will underwrite this so that if there are any claims that are not able to be met by the estate we finance them from the public purse. We think it is important that we should do that, although Savile’s estate is the first place to start, for obvious reasons.

The right hon. Gentleman is right to say that if there is evidence that people have criminally neglected claims that were made at the time or behaved inappropriately—even if it is not a matter for the law and they behaved in a way that could make them subject to disciplinary procedures in NHS organisations—that should be addressed. We will urge all NHS organisations to look carefully at anyone who is mentioned in the reports. Of course, the police will, naturally, look at the evidence against any individuals, who of course have the right to due process, which everyone in the House would accept.

On the specific point about the behaviour of one Minister and what it suggested about the motivation for Savile’s approval for his job at Broadmoor, my right hon. and learned Friend the Member for Rushcliffe (Mr Clarke), who was Secretary of State at the time, has said that that behaviour would be indefensible now and that it would have been indefensible at the time. I agree with him. Everyone must be held accountable for the actions they took.

We are doing a great deal to make sure that all NHS staff are trained to feel more confident about speaking out. The Mid Staffs whistleblower Helene Donnelly is now working with Health Education England to see what needs to change in the training of NHS staff in order to change that culture.

On the new disclosure and barring scheme, we are already doing work to examine the reason for the drop in the number of people who are being barred from working with children. The Minister of State, Department of Health, my hon. Friend the Member for North Norfolk (Norman Lamb) is looking into that. I have given this a lot of thought and it is important to say that in the current environment, were we to have another Savile, it is likely that the disclosure and barring scheme would bar him from working with children and in trusts, but that is not certain because he was never convicted of a crime. The Criminal Records Bureau checks would not have stopped that, but it is possible for the disclosure and barring scheme to prevent people from working with children and vulnerable adults even if they have not committed a crime. For example, their employment track record may show that they were dismissed for doing things that raised suspicions. It is also important to make the point—I think everyone in the House will understand this—that it is not possible to legislate to stop all criminal vile activity. What we depend on for the disclosure and barring scheme to work is a culture in which the public and patients feel able to speak out and staff listen when they do so, in order that these things surface much more quickly.

Finally, the question of whether any further inquiries are necessary will, of course, be considered. The first step is to let Kate Lampard do her full report. At this stage, she has not drawn together all the different inquiries and tried to draw lessons from the system as a whole. I asked her to do two things. The first was to verify independently that the reports of NHS organisations were of the necessary quality, and I think she has done that superbly. The second stage of her work is to see what lessons can be drawn from the system as a whole. We need to hear what she has to say about that and, indeed, what the Department for Education and the BBC learn from their reports, and then we will come to a conclusion about whether any further investigations are needed.

[Dr Sarah Wollaston (Totnes) (Con)]

May I join the Secretary of State in paying tribute to the victims? They were not silent. What today’s reports show is that very many people witnessed—even directly condoned—some deeply inappropriate behaviour. How could it ever be acceptable for a celebrity to be able to watch female patients showering? Will the Secretary of State join me in sending a message to NHS staff that they should always raise concerns if they witness such behaviour and that they will be protected if they do so?

[Mr Hunt]

I am absolutely happy to do that. I wholeheartedly agree with my hon. Friend’s comments. The NHS needs to move to a system where it is the norm rather than the exception to report, and where NHS staff feel comfortable that reporting any concerns is an absolutely normal part of their job. She is right to say that one of the most disturbing things in the reports is the clear evidence that some people helped Savile in what he did—for example, that people were escorted to his private room in Broadmoor—which is very shocking. That is why it is very important that everyone is vigilant. I totally agree with what she said.

[Ms Gisela Stuart (Birmingham, Edgbaston) (Lab)]

The only people who emerge with any credit are the victims, and we need to support them. However, I was slightly stung by the Secretary of State’s comment about the right hon. and learned Member for Rushcliffe (Mr Clarke). If the right hon. and learned Gentleman thought that the actions of the Minister—it was Edwina Currie, if I remember rightly—were inappropriate then, as they would be now, will he apologise for his stewardship of the Department at the time, or will the Secretary of State look at the Minister’s conduct and come back to the House to explain how it was possible?

[Mr Hunt]

I hope that I have gone some way to meet the hon. Lady’s concerns because, on behalf of the Government and the NHS, I have offered a full apology to all the victims for what happened, and I have accepted that there were failures at many levels. It is very important to say that the reports show that there was no evidence that Ministers or officials were aware of any sexual abuse by Savile. I pointed to the comments by my right hon. and learned Friend the Member for Rushcliffe because I wanted to make it clear that this Government are not defending actions which, as he has said, were indefensible then and would be indefensible now.

[Tim Loughton (East Worthing and Shoreham) (Con)]

I commend my right hon. Friend for his measured statement. Indeed, I welcome the shadow Secretary of State’s comments about joining our call for an overarching inquiry, because this is the tip of the iceberg. There are still ongoing inquiries to do with Savile in the NHS, 11 local authorities, care homes and others.

Specifically on the subject of victims, there is something that the Secretary of State can do to help immediately. So many victims have very bravely come forward after suffering trauma over many decades and many are still calling the ChildLine and NAPAC—the National Association for People Abused in Childhood—helplines. However, for too many, the therapeutic support that they need to help them through such a particularly difficult time is absolutely not there. Police and health professionals have come to me to say that they know such people, but cannot do anything for them. With the resources in the NHS, the Secretary of State can help now.

[Mr Hunt]

I commend my hon. Friend for his campaigning for vulnerable children over many years. The letter I sent to NHS England this morning asks it to make sure that all the lessons are learned from the reports, and it includes the very clear suggestion—I want the NHS to interpret my letter in this way—that it should ensure that it commissions the support needed for children in these circumstances so that they get the very support that is necessary. This is not just about encouraging people to speak out; it is about making sure that when they do, they feel listened to and supported.

[Grahame M. Morris (Easington) (Lab)]

I thank the Secretary of State for his statement and my right hon. Friend the shadow Secretary of State for his considered response. In relation to the scale of the abuse—with ages ranging from five to 75, and involving 28 hospitals—lessons need to be learned about the systematic failure not just within the NHS, but within other institutions. Will the Health Secretary have discussions with the Cabinet Office and others to make sure that appropriate lessons are learned?

[Mr Hunt]

Absolutely. I want to reassure the hon. Gentleman that we are taking a cross-Government approach—across a range of Departments, but particularly the Department for Education and the Home Office—and that the Government as a whole will draw the lessons from this whole horrific series of episodes to make sure that we have a joined-up approach.

[John Hemming (Birmingham, Yardley) (LD)]

I agree with the Secretary of State that our first thought has to be for the victims, and that in future we must listen to the powerless and not block inquiries. If we go back to 2011—before Savile died—an American journalist, Leah McGrath Goodman, was banned from coming to the UK to investigate child abuse, including by Jimmy Savile. Even more recently, she was arrested at the airport on 5 June, while coming to an inquiry. Will the Secretary of State speak to his colleague the Minister for Security and Immigration to ask why somebody in the UK Border Agency seems to be aiming to inhibit one of the inquiries?

[Mr Hunt]

I am afraid that I do not know the details of that particular case, but I will look into it and write to the hon. Gentleman.

[Ann Coffey (Stockport) (Lab)]

Is not one of the wider problems our perceptions of how a sexual predator looks and acts? When men like Savile are arrested, the usual reaction is shock that such a nice man could abuse children, but sex predators are not men in dirty raincoats; they come from all walks of life and all professions. That perception means that children are not being heard. Will the Secretary of State make preventing as well as detecting child sexual abuse a public health priority? It is only through a better informed public, more aware of how predators such as Savile behave, that we will be able to protect children from abuse.

[Mr Hunt]

I completely agree, and that is one of the big lessons. The shadow Home Secretary was absolutely right to say that this issue raises serious questions about the nature of celebrity in our society. One of the reasons that totally inexcusable things happened—such as being given the keys to Broadmoor—was that somehow on the basis of Savile’s image people made wrong assumptions about him. The hon. Lady is absolutely right. One of the things that will change as a result of this investigation is that people will be more willing to challenge those who previously were not challenged. But there is a long way to go.

[Mr Simon Burns (Chelmsford) (Con)]

I totally agree with the Secretary of State’s belief that there should be more openness, and an increased sense of need to report concerns, but is he satisfied that, particularly with regard to NHS staff who may report concerns or whistleblowers, there is enough protection within the system to encourage more people to be more open?

[Mr Hunt]

No, I am not. That is why earlier this week we asked Sir Robert Francis to do a follow-up review to his public inquiry to determine what else needs to be done to create a culture of openness and transparency in the NHS. We have come a very long way as a society in terms of our understanding, but there is more work to be done. It is also very important, as I said in my statement—I know everyone would agree with this—that we do not undermine the brilliant work done by volunteers in hospitals and that we do not create a kind of bureaucratic morass that makes it impossible for that really important work to be done. However, I know we can do better than we are at the moment and important lessons need to be learned.

[Valerie Vaz (Walsall South) (Lab)]

The Secretary of State has been very gracious in his apology given that he was not Secretary of State at the time. Might I make one further practical suggestion? Will he speak to the Prime Minister about perhaps appointing a Minister to co-ordinate all these reports across the public institutions?

[Mr Hunt]

I reassure the hon. Lady that that responsibility lies with the Home Secretary, and the Home Office has a cross-governmental committee that will bring together all the lessons from all the reports. My first priority is to ensure that we are doing everything we can to make NHS patients safe, but there are much broader lessons to be learned. That is being led by the Home Office.

[David Morris (Morecambe and Lunesdale) (Con)]

Does my right hon. Friend agree that what has happened is absolutely abhorrent and that it sends out a strong message to everyone in society that even a celebrity is not above the law of the land? May I also praise the work of Kate Lampard and her team in bringing this forward?

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[Mr Hunt]

That is absolutely right. Celebrities have never been above the law of the land, but what is clear from the report is that even though that is the case legally, in practical terms they were above the law because they were able to get away with things for a very long time that ordinary people would not have been able to get away with. That is why this is such a big moment of reflection for us. I know that everyone in the House will want to think hard about what we need to do to change that culture.

[Simon Danczuk (Rochdale) (Lab)]

We know that Savile was well regarded by many politicians; by way of example, he was friends with Cyril Smith and appeared in a Liberal party political broadcast in the 1970s, and had friends in high places. Surely an overarching inquiry into child sex abuse would help us to understand the political networks to which Savile belonged.

[Mr Hunt]

I know that the hon. Gentleman has campaigned a lot on these issues. We have not ruled out anything, but we want first to draw together the lessons for the NHS and across Government as quickly as possible. One of the important benefits of the way in which we have proceeded so far is that, because it is an investigation and not a public inquiry, we can get to the truth relatively quickly. However, we will certainly look at the cross-governmental lessons.

[Dr Phillip Lee (Bracknell) (Con)]

As a former member of the medical staff at Stoke Mandeville hospital and now as the Member representing Broadmoor hospital, I have many questions, but let me concentrate on one. In appendix 2A part V, there is a letter about Broadmoor from Jimmy Savile to the Department of Health. It is headed “National Spinal Injuries Centre at Stoke Mandeville”, and it is signed “Dr Jimmy Savile”. Indeed, the content of the letter is deeply unprofessional and remarkable, and it was copied on to a series of people, including the then Secretary of State. Will my right hon. Friend assure me that each of these individuals has been investigated in respect of their response to this correspondence, as I cannot believe that people could have received it without being deeply concerned about this vile man’s involvement in a high-security hospital?

[Mr Hunt]

My hon. Friend raises a very important point. We received the reports only this week, but I will certainly take this away with me and look into exactly the point he makes.

[Mr Frank Field (Birkenhead) (Lab)]

I thank the Secretary of State for allowing me early advance notice of the report relating to St Catherine’s hospital in Birkenhead. Much more importantly, may I associate myself with the apology that the right hon. Gentleman gave to my constituent and others? He will know that that hospital has been bulldozed and that we now have a fine community hospital. To bulldoze these practices within the NHS, will the Secretary of State consider and come back to me later on these two issues? First, it took my constituent 48 years before she was believed and 50 years before she received an apology. What steps are we going to take to ensure that justice is provided much more quickly? Secondly, Jimmy Savile was escorted around St Cath’s Birkenhead by officials, who witnessed him jumping into bed with a young patient and who thought it funny. All the rules in the world provide some defence, but how do we get people to exercise judgment—whatever the rules say, whatever the circumstances and whoever does it—and say that this behaviour is not acceptable?

[Mr Hunt]

I would like to associate myself with the right hon. Gentleman’s comments; I share his disbelief and shock that it has taken so long. In some ways justice will never be done, because Savile died before it could be served on him, which is one of the biggest tragedies of all. I agree: there was a major lack of judgment, some of it because of the different attitudes prevailing at those times. One of the big differences today is that we make links between what is disgusting but not illegal behaviour and potential abuse in a way that did not happen in those days. I want to share with the right hon. Gentleman what most shocked me personally in the reports, and it was the way in which Savile interfered and abused people who had just come out of operations and were recovering from them. The fact that Savile was able to do that, without being supervised, is shocking and when those people spoke up about what had happened, they were not believed. That is one of so many lessons that need to be learned; I know that everyone wants to learn them.

[Penny Mordaunt (Portsmouth North) (Con)]

It is clear from the Portsmouth report that there were incidents with no corroborative evidence of the abuse. In one local case, the complainant was unconscious at the time of the alleged incident and learned of it from a hospital cleaner who witnessed it. Does my right hon. Friend agree that “no proof” is not the same as “it did not happen”, that his welcome words of apology should apply to all those who think they may have been abused and that we need a clear process for how such unprovable complaints can be dealt with?

[Mr Hunt]

Absolutely right. The case that my hon. Friend mentions was a real tragedy because that person suffered very real psychological harm in subsequent years as a result of what they were told by the cleaner. There are two points. First, we cannot necessarily corroborate, but we can see a pattern. What is impressive about these investigations is the fact that the investigators say time after time that although it is not possible to prove that these things happened, they believe that they did happen because the evidence was credible. On one or two occasions, they say that they are not sure, but in the vast majority of cases, they thought that the evidence was credible. Secondly, there will continue to be times when offences are alleged, but it is not possible to prove them in a court of law. The big lesson to be learnt is that that does not mean no action should be taken. We must do what it takes to protect patients.

[Ian Paisley (North Antrim) (DUP)]

I appreciated the right hon. Gentleman’s statement. Does he agree that the fear of litigation by NHS practitioners appears to be one of the reasons why the system does not lend itself to the provision of a good listening ear, and, indeed, one of the reasons why a compassionate response to that listening is not always forthcoming? What practical steps can be taken to ensure that, at an early stage, practitioners actually listen to complaints?

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[Mr Hunt]

I agree with the hon. Gentleman. I think that we need to change the balance in the NHS, so that the safest thing for people to do if they want to avoid litigation is to report concerns rather than sitting on them. That is an interesting lesson that has been learnt in other industries, such as the airline industry, and I hope that the follow-up review by Sir Robert Francis will help us to understand it better.

[Sir Paul Beresford (Mole Valley) (Con)]

I thank the Secretary of State for what he has said about the reports. In his statement, he referred to the importance of the changes that have come about over the past few years, both under this Government—and there are more to come—and under the last Government. Many of those changes have derived from advice given by specialist police forces or by teams within police forces.

The Association of Chief Police Officers runs courses, and collects expertise for the purpose of those courses. Its aim is to catch the individuals concerned, to help those who have been attacked by them and to monitor those individuals after they have been put on the sex offenders list. Does the Secretary of State think that it would be useful to ask ACPO whether it could provide any more advice for the Government to consider? I know that the Metropolitan police’s Jigsaw team is currently considering changes that would help it to monitor and control sex offenders once they have been detected and put on the list.

[Mr Hunt]

My hon. Friend has made an important point. Of course we need to co-operate very closely with the police service, and the Home Secretary is doing a huge amount of work to establish what needs to be done to increase conviction rates for sexual offences. The point for the NHS to consider, however, is that the disclosure and barring scheme will only work properly if NHS organisers comply with it—as they are obliged to do—and report incidents, because that enables other NHS organisations to find out about them. I am not satisfied that the levels of compliance are as high as they should be.

[Barbara Keeley (Worsley and Eccles South) (Lab)]

I feel that our concern for victims must lead us to ask whether the actions of Ministers, or managers in the NHS, caused the pain that they suffered. That is one of the things that we can still do. Beyond compensation, there is accountability, and there must be accountability.

I must tell the Secretary of State that I do not think it was enough for him to say that behaviour was indefensible. Colleagues of his were Ministers at the time of that behaviour, and they must be brought to book for their actions. I agree with my right hon. Friend the Member for Leigh (Andy Burnham): we should focus on the fact that that appointment of a disc jockey to a hospital position was not appropriate. In some respects, that individual would have carried more credibility because of his appointment, and that is why I think that accountability is important.

I also think that, in future, children and vulnerable patients must be protected from certain people who have access to wards. It is not good enough to talk about bureaucracy. Volunteers, celebrity fundraisers and business backers must be subject to checks before being given access to hospitals and to wards, and they must expect to be subject to those checks. The present arrangements must change.

[Mr Hunt]

We do need more robust checks. However, I can tell the hon. Lady that I have apologised to all the victims and have said that if some of the reasons given in the reports for Jimmy Savile’s appointment to one position were as the reports claim, that was indefensible. Moreover, the Secretary of State who was in office at the time has said that it was indefensible. I think that that is accountability.

[Mr Philip Hollobone (Kettering) (Con)]

The Secretary of State has been good enough to apologise on behalf of Her Majesty’s Government and the NHS. Given that Jimmy Savile’s celebrity status was largely due to his employment by the BBC, are we not owed a big apology by the BBC, now that the report has been published?

[Mr Hunt]

My hon. Friend makes an important point. Today’s report is about the NHS and the BBC report is ongoing, as is the report being done by the Department for Education and the work being done by other Departments. We have to wait for the BBC to make its own statement on the matter, but my priority now is NHS patients, and the reason that I wanted to go at speed on this was to make sure that any changes we need to make now, we do so.

[Steve McCabe (Birmingham, Selly Oak) (Lab)]

The Secretary of State says, quite understandably, that we cannot undo the past, but there are several people culpable in this affair who are still drawing substantial NHS pensions. Why does he not consider docking their pensions, as a consequence for their behaviour and as a clear warning to others?

[Mr Hunt]

I do not rule that out at all. If someone has behaved in a way that is in breach of either the law or the regulations that were in place at the hospital in which they worked, and there is a way to have legal redress such that things like pensions can be docked, I think that they should face the full consequences of that.

[Tessa Munt (Wells) (LD)]

Child sexual abuse is always abhorrent. The victims are always innocent and nobody should be above the law. At the beginning of this month, six Members and I wrote to the Home Secretary—now we are supported by a further 104 MPs—requesting an investigation by an independent panel into at least eight cases of child sexual abuse going back over 30 years, where the evidence has been lost or destroyed by the police, by Her Majesty’s Customs and Excise and by other agencies, and where the cases have therefore been stalled or abandoned altogether. To date, we have had no reply, so can I ask the Secretary of State to encourage the Home Secretary and the Education Secretary, and anyone who else who might be moved to take the matter on, to do so, and accept that such an independent investigation is essential to search out the truth and to make sure that action is taken after that?

[Mr Hunt]

I would like to reassure the hon. Lady that we have a Home Office committee, chaired by the Home Office Minister from her own party—the Minister for Crime Prevention, the hon. Member for Lewes (Norman Baker)—that is drawing together all the lessons from Savile across all Departments. It is then going to take that view as to what needs to happen next to prevent child sexual abuse, and I would like to reassure her that the Home Office and the Government as a whole have no higher priority than that.

[Chi Onwurah (Newcastle upon Tyne Central) (Lab)]

Jimmy Savile visited the Royal Victoria infirmary in Newcastle on a number of occasions—generally, it appears, around the time of the great north run. The Newcastle hospital trust’s investigation concludes that nothing untoward happened and there was constant supervision, but it refers to an NSPCC investigation that had access to other witnesses, which suggests that unsupervised access did occur. That is obviously a matter of huge concern for everyone who put their trust in the RVI, whether as a patient or as a child. Is not my right hon. Friend the Member for Leigh (Andy Burnham) right? It is not up to them to try to draw what could be horrendous conclusions from these somewhat conflicting reports. Do we not need an overarching independent inquiry?

[Mr Hunt]

We are having an overarching independent inquiry—that is what Kate Lampard is doing—but on whether we need to have further inquiries, we need to wait until we get the response, which we are hoping for this autumn, because at the moment, we have published individual reports, but we have not drawn any wider lessons for the NHS system-wide. One of the things that I hope will be a consequence of today is that if there are any victims who were abused at the RVI, they will use today as some encouragement to come forward. I have given instructions and I am absolutely clear as Health Secretary that I want every single one of the concerns of anyone who comes forward to be investigated thoroughly—as thoroughly as all the ones that are tragically coming to light today.

[Bob Blackman (Harrow East) (Con)]

It is astonishing that this catalogue of abuse was allowed to happen and that no action was taken at the time. I commend my right hon. Friend for his statement, both for the way he has delivered it and for the content, but can he elucidate for the House what specific changes he foresees in legislation, although legislation has moved forward, and any specific changes to procedures that now need to be taken as a result of the publication today?

[Mr Hunt]

I hope my hon. Friend will forgive me if I do not try to predict Kate Lampard’s recommendations before she makes them, but I think the obvious question to ask is whether we have the procedures in place that ensure that someone like Savile would not be given the keys to an institution in the way that he was. I do not believe that would happen today. My understanding of the way that NHS organisations work is that it would be impossible for someone to be given the freedom of a trust in the way that he was at Broadmoor, but I do not want to take that as a fact. I want Kate Lampard to look at that, so that we can be absolutely sure that it would not happen. I think the other obvious area for her to consider is the functioning of the disclosure and barring scheme, and to make sure that it really is set up in a way that would make it more likely for us to catch someone like Savile. Again, I think it is likely that he would be caught by the DBS, but I would like Kate Lampard to look at that and give me her views.

[Diana Johnson (Kingston upon Hull North) (Lab)]

I am not sure that I share the Secretary of State’s view about Jimmy Savile being caught by the procedures now in place through the DBS, but I want to ask him this: under changes introduced by this coalition, a regular volunteer at a children’s hospital—acting, for example, as a reading volunteer on the ward—will not require a Criminal Records Bureau check, and given the harm done by the revelations about Jimmy Savile, I am sure that will cause concern to millions of parents around this country, so does the Secretary of State share that concern, especially in the light of the NSPCC’s comments this week that the pendulum has swung too far towards the abuser by the changes that his Government have introduced?

[Mr Hunt]

I do not agree with that. The CRB checks that were introduced by the last Labour Government were a very important step forward when they started in 2002, but what is also important, as I am sure Labour recognises, is that they have limitations, because they identify whether someone has a criminal record. Jimmy Savile was never convicted of a criminal offence, so CRB checks alone would not have stopped this abuse. That is why we need a broader system, which is what the disclosure and barring scheme is intended to be. It is deliberately set up as something that is risk-profiled, so the higher the risk, the higher the standard of investigation, but that is one of the things that Kate Lampard will look at and we need to listen to what she says when she gives us her final report.

[John Glen (Salisbury) (Con)]

I was grateful for the opportunity early this morning to look at the thorough report of Jimmy Savile’s visits to Odstock hospital. At Odstock, although it seemed that Mr Savile visited, the report concluded that there was no evidence of any wrongdoing. However, one recommendation was that the Department of Health issue national guidance on VIP policy and VIP visits. Can the Secretary of State confirm that he will look at that, so that all hospitals, including the successor to Odstock, Salisbury district hospital, can have a reliable policy in place?

[Mr Hunt]

I think that is a very sensible suggestion. I want to wait until Kate Lampard gives her final report in September, so I do not want to pre-empt what she says, but certainly, one of the blindingly obvious things that jumps out at us from these reports is that too generous treatment was given to someone on the basis of that celebrity status, and we definitely need to learn lessons. As I am sure my hon. Friend would appreciate from his own constituents’ point of view, the fact that there is no evidence of abuse sadly does not mean that there was no abuse, and that is why it is really important for us to remember that there may well be many people who are not mentioned today who have been quietly suffering for many years. I hope today will give them encouragement to come forward.

[Mike Kane (Wythenshawe and Sale East) (Lab)]

I thank the Secretary of State for advance sight of the report from Wythenshawe hospital this morning. For me, the shocking revelation that I noted was that it was an open secret among patients, as early as 1962, that this man was doing what he was doing—and I quote:

“a dirty old man up to no good”.

If there is one good thing that can come from this for the nation, it is that we implore all institutions, both governmental and in civil society, to keep their child protection, safeguarding and recruitment selection procedures up to date and under review.

[Mr Hunt]

The hon. Gentleman is absolutely right and touches on a matter that we have not touched on so far this morning. Recruitment is a very important area that we must get right in this process, and I wholeheartedly agree with what he said.

[Kate Green (Stretford and Urmston) (Lab)]

Today will be an emotional day for victims and their families as the report is published. Will the Secretary of State tell the House how victims have been supported and informed about the publication, particularly today and in the run-up to today, and how they will be kept informed as subsequent actions are carried forward? In particular, what efforts have been made to inform and support those who are most vulnerable, such as those with learning difficulties or who are severely mentally unwell, perhaps as a result of the abuse they suffered many years ago?

[Mr Hunt]

The hon. Lady is right to raise that issue, and the guidance that I have issued to NHS organisations today makes it clear that I want to give maximum protection not just to the victims identified in these reports, but to people going forward. That is the least we owe them.

[Mr Tom Watson (West Bromwich East) (Lab)]

Has the Secretary of State received intelligence, or does he have a suspicion, that victims of Savile were frightened to come forward because he enjoyed powerful political protection?

[Mr Hunt]

I do not believe there is any evidence of that in the reports, but there is a lot of evidence that people felt that they would not be believed because of Savile’s celebrity status. Part of that celebrity status was his connections in high places, and that is part of the myth that we need to puncture as a result of today’s report.

bill presented

Pension schemes

Presentation and First Reading (Standing Order No. 57)

Secretary Iain Duncan Smith, supported by the Prime Minister, the Deputy Prime Minister, Mr Chancellor of the Exchequer, Danny Alexander, Secretary Vince Cable and Steve Webb, presented a Bill to make provision about pension schemes, including provision designed to encourage arrangements that offer people different levels of certainty in retirement or that involve different ways of sharing or pooling risk.

Bill read the First time; to be read a Second time on Monday 30 June, and to be printed (Bill 12) with explanatory notes (Bill 12-EN ).