National Maternity and Neonatal Investigation Debate
Full Debate: Read Full DebateJeremy Hunt
Main Page: Jeremy Hunt (Conservative - Godalming and Ash)Department Debates - View all Jeremy Hunt's debates with the Department of Health and Social Care
(1 month ago)
Commons ChamberI thank my right hon. Friend for her comments and agree about how shocking the failures in maternity services are, particularly because these failings and the failure to listen to women happens at a point when they are at their most vulnerable. It is at that moment when they are let down. When they need the NHS the most is when the NHS fails them, and that is one aspect of this that makes it truly devastating.
My right hon. Friend also rightly highlights the impact on black women and their babies, who are at more risk than white women and their babies, and the inequalities that exposes. As I mentioned during my earlier statement, we will begin by ensuring that the perinatal equity and anti-discrimination programme is extended to all trusts by the end of next year, but that is an immediate measure we are taking rather than the sum of all measures that we will take on this front. Inequality, racism and discrimination will be a central part of the action plan that the taskforce develops.
I strongly agree with the comments of the former Secretary of State, the right hon. Member for Ilford North (Wes Streeting), about the need for getting the culture right with accountability. When I was Secretary of State, we passed the duty of candour regulations. They were supposed to make it—well, they do make it—a criminal offence for trusts not to tell the truth to families when a tragedy has happened. Yet to this day, trust lawyers advise doctors, nurses and midwives not to be open about what has happened when there is the prospect of legal action further down the line. Does the Secretary of State—I know he is very committed to this—agree that we will clear up this anomaly in the Hillsborough law so that it is just not possible for trusts not to tell the truth and so that trust lawyers always advise their own doctors, nurses and midwives that they must tell families exactly what happened?
I thank the right hon. Gentleman for his comments. Again, I agree with him and my right hon. Friend the Member for Ilford North (Wes Streeting) on the importance of accountability for changing culture. During the statement on Donna Ockenden’s report last week, he commented that this is about having accountability structures embedded throughout the system, because this is not something that the top of the NHS, the NHS chief executive, the Secretary of State or the ministerial team can control throughout the NHS. The structure has to be embedded to ensure that accountability happens at every level—something I very much took to heart and agree with when it comes to what we need to do next.
On the right hon. Gentleman’s specific point about the Hillsborough law and how that will address the issue that he refers to about legal departments effectively advising a cover-up, that sounds concerning, so I will look into that as part of our work to ensure that the system works properly. The expectation with the duty of candour, which will come in under the Hillsborough law, is to ensure that we never again have a situation as happened in Nottingham—I could not quite believe it, if I am honest—where many senior clinicians simply refused to take part. It is outrageous. It is unacceptable that so many senior clinicians were able to, and felt able to, just say no. That is not accountability if it is optional, and that is what we need to change.