Oral Answers to Questions

Debate between Jeremy Hunt and Diana Johnson

Tuesday 19th March 2024 Commons Chamber

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

Does the Chancellor accept that he has caused a great deal of anxiety and further distrust among those who have been infected and affected by the contaminated blood scandal by not making any provision in his Budget for compensation, although the recommendations for compensation were made to the Government last April?

[Jeremy Hunt]

I gently say to the right hon. Lady that I stand by every word I said when I gave evidence, twice, to the infected blood inquiry. The Government have an absolute moral responsibility, not just to pay the compensation owed, but to pay it as speedily as possible.

Oral Answers to Questions

Debate between Jeremy Hunt and Diana Johnson

Tuesday 6th February 2024 Commons Chamber

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

The Chancellor knows jolly well that in April 2023 Sir Brian Langstaff made his final recommendations on compensation for those infected and affected by the contaminated blood scandal. The Chancellor also gave evidence in July to Sir Brian and said that work was under way. In December, this House voted for a compensation body to be set up. I would like the Chancellor to answer my question, please, not a junior Minister, and explain exactly what is going on in the Treasury, what work is being undertaken and whether there will be an announcement in the Budget.

[Jeremy Hunt]

With great respect to the right hon. Lady, who has campaigned formidably on this issue, I do not think she is giving a fair representation of what the Government have done. I stand by every word I said as a Back Bencher, and as Chancellor I have tried to do everything I can to speed the process up. She has not mentioned that the Government have already given £100,000 to the families affected. We have accepted the moral importance of the duty to give compensation, and we will now work with colleagues in the other place to make her amendment workable.

Autumn Statement

Debate between Jeremy Hunt and Diana Johnson

Thursday 17th November 2022 Commons Chamber

[Jeremy Hunt]

I assure my hon. Friend that I will absolutely do that. We have a little time, and I know that fuel duty is an important issue to him and many other colleagues.

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

The Prime Minister said he was going to deliver Northern Powerhouse Rail in full. With the Chancellor’s announcement this morning, Hull remains excluded from Northern Powerhouse Rail for the next 30 years, in stark contrast to the go-ahead on the Oxford to Cambridge line. Could the Chancellor just explain to me and my constituents why the last areas to see investment in infrastructure are the first areas to have it ruled when this Tory Government crash the economy?

[Jeremy Hunt]

As the hon. Lady knows, the economy has been growing faster than France, Germany, Italy and Japan over the last 12 years, so that is not a fair characterisation. What I am able to do, because of the difficult decisions we have taken today, is largely protect the capital budget, which means we can do more to improve infrastructure to Hull and other parts of England. That is the right thing to do. I would just say to her that if we did not take the difficult decisions we are taking today, we would never be able to improve our transport infrastructure. We do not want that, which is why we are taking difficult decisions that her party is not supporting.

Economic Update

Debate between Jeremy Hunt and Diana Johnson

Monday 17th October 2022 Commons Chamber

[Jeremy Hunt]

There is no more formidable an advocate of science and technology than my hon. Friend, and he knows that I also care very much about the sector. With respect to reassuring the markets, the most important thing is, as we said earlier, that there is no disagreement about the policies announced today. It is important for the markets to know that there is that consensus in the House.

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

Last month, the Prime Minister told the BBC in Hull that we would be included in Northern Powerhouse Rail despite not being included in the Government’s integrated rail plan. Was the Prime Minister wrong to say that?

[Jeremy Hunt]

I do not know, but I will write to the right hon. Lady.

Oral Answers to Questions

Debate between Jeremy Hunt and Diana Johnson

Tuesday 14th May 2019 Commons Chamber

[Mr Hunt]

Shall I say diplomatically that I was as intrigued by those media reports as my hon. Friend was?

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

T3. What representations have Ministers made regarding the persecution and mistreatment of members of the Baha’i faith by the Iran-backed Houthi authorities in Yemen, in particular on getting Hamed bin Haydara’s death sentence from January 2018 overturned and getting him and other detainees released?

[Mr Hunt]

We have not had good relations with the Houthis since the start of the Yemen conflict. I have met them twice, most recently on 1 March and before that on 13 December, and we are establishing a sort of relationship. We can start to raise that issue.

Oral Answers to Questions

Debate between Jeremy Hunt and Diana Johnson

Tuesday 4th December 2018 Commons Chamber

[Mr Speaker]

Ah yes, the Political Studies Association’s Back Bencher of the year, Diana Johnson.

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

Thank you, Mr Speaker. I listened carefully to what the Foreign Secretary said about Iran and journalists. With the UN special rapporteur on freedom of expression, David Kaye, describing the recent attacks in the state media and online in Iran on the BBC Persian service as “deplorable”, what more can we do to support those journalists who so bravely work in the BBC Persian service?

[Mr Hunt]

I, too, congratulate the Back Bencher of the year.

I raised this issue when I was in Tehran on 19 November. I pointed out to the Iranian Government that if they are unhappy with the coverage of the BBC Persian service, there is a very simple thing that they can do: allow their representatives to be interviewed on it and allow them to put across their point of view, at which they smiled and changed the subject. We will, however, continue to press on that point.

Gosport Independent Panel: Publication of Report

Debate between Jeremy Hunt and Diana Johnson

Wednesday 20th June 2018 Commons Chamber

[Mr Hunt]

Yes, I will absolutely do that. I ought to say that I know my hon. Friend met many families and relatives during his time as a Minister in my Department, and he always dealt with those cases with a huge amount of compassion. The facts of the matter are, according to the report, that 650-plus people had their lives shortened, but we are in touch with only about 100 families, so we are expecting more people to come forward.

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

I, too, join in the comments that have made about the remarkable work of Bishop James Jones—not only in this important report, but on Hillsborough and on mediating with the Government last summer about moving the contaminated blood inquiry away from the Department of Health. I seek an assurance from the Secretary of State about the approach that Bishop Jones has put forward, which is the “families first” approach. Is there now a commitment from the Government to making that approach—families first—the hallmark of any inquiry that is ever held in the future?

[Mr Hunt]

I think actions speak louder than words. Such an approach is what Bishop Jones requested on this occasion, and we have done that. We obviously need to think through some process issues, because when a Minister wants to report to the House, they need to be a little bit informed as to what they are talking about. However, I think we have found a way to do that with this report and with the Francis report, so I think it is a good template.

NHS Long-Term Plan

Debate between Jeremy Hunt and Diana Johnson

Monday 18th June 2018 Commons Chamber

[Mr Hunt]

I am happy to do that. My hon. Friend asks the same question as my hon. Friend the Member for Stafford (Jeremy Lefroy). These matters are now decided at arm’s length by NHS England because we think that the fairest way is to take the politics out of it, but I am happy to work with him to engage with NHS England on the Cornish questions.

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

I listened to what the Secretary of State said earlier about how there can be no transformation of the NHS without a proper emphasis on public health. How will the planned £800 million of cuts to public health help with that transformation, particularly when it comes to tackling the child obesity crisis, the growing sexual health services crisis and the cuts to addiction services, which are causing enormous problems for individuals and the communities now having to deal with them?

[Mr Hunt]

I fully recognise the pressures the hon. Lady is talking about. I said what I said about public health because I do not believe there is a sustainable long-term solution to NHS funding pressures unless we have an equally sustainable solution for public health, and indeed for social care, which she also talks about. She will have to wait for us to negotiate our next spending review settlement to understand how we intend to address those.

Breast Cancer Screening

Debate between Jeremy Hunt and Diana Johnson

Wednesday 2nd May 2018 Commons Chamber

[Mr Hunt]

My right hon. Friend is absolutely right, and I assure him that the review being done by Lynda Thomas, one of the most senior cancer campaigners in the country, and Professor Gore, one of the most senior oncologists in the country, will look at what lessons can be learned for the entire cancer programme, and not just at the specific issue of why this particular IT problem occurred.

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

The statement the Secretary of State has made today is truly shocking, and many women and their families will be very worried this afternoon. The Secretary of State said that it is estimated that 309,000 women in this group are still alive and that the first 65,000 letters are going out this week. Why are the letters not going out this afternoon to all 309,000 women? Why are we having to wait until the end of May to put at rest the minds of these women and their families?

[Mr Hunt]

That is a reasonable question, and I assure the hon. Lady that we are sending these letters out as quickly as we possibly can, but we felt that, even though we are not able to send them all out this afternoon—for example, because we have to reconcile with the clinical databases in Scotland, Wales and Northern Ireland for women who have moved to those areas and that is going to take place later this month—it was important to come to the House as soon as possible, without delay, to inform Members that this was happening. There will be a period of a few weeks during which people will have to wait to see if they get one of the letters, and we fully appreciate that that will cause a lot of worry to the women involved.

NHS Staff Pay

Debate between Jeremy Hunt and Diana Johnson

Wednesday 21st March 2018 Commons Chamber

[Mr Hunt]

I am happy to do so. Work-life balance is something that we need to handle a lot better. I think we have been slow to recognise that today’s NHS staff are likely to live in households in which both partners are working and that juggling life and work has therefore become much more complex than it was 30 or 40 years ago. The reform of the increments system means that there will be more focus on training and skills, which will be much more motivating for NHS staff, so I hope that my hon. Friend’s wife is pleased.

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

I welcome the Government’s change of heart in awarding a pay rise to our hard-working NHS staff. May I pursue the point made by the Chair of the Health Committee, the hon. Member for Totnes (Dr Wollaston)? Our Committee’s report emphasised that continuing professional development was key to the retention of nurses. It was not clear to me from what the Secretary of State said whether money would be ring-fenced—sadly, the amount has been cut—to ensure that nurses can access CPD not only in the NHS, but in social care settings.

[Mr Hunt]

I recognise that there have been pressures on the CPD budget, and that is because we have made increasing the number of nurse training places our main priority. We have increased that by 25%, which has meant that difficult decisions have had to be made about other parts of the budget. I can reassure the hon. Lady, however, that I think that CPD will continue to have a vital role, and we will need to return to the issue.

Medicines and Medical Devices Safety Review

Debate between Jeremy Hunt and Diana Johnson

Wednesday 21st February 2018 Commons Chamber

[Mr Hunt]

That is the right question to ask. I suggested in the statement that we might need a patients’ champion whose job would be to collect the experiences and views of patients who think that they may have suffered as a result of medicine or medical devices. However, we want Baroness Cumberlege to look at the issue in much more detail. The central point is that if we are to avoid the agonies experienced by my hon. Friend’s constituents, the patient’s voice needs to be as strong as the clinician’s in discussions about the efficacy of medicines or medical devices. That clearly has not been happening to date, but I think that we are moving away from the paternalist system that has operated in the past, and the review will constitute a further step in that direction.

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

The Secretary of State will know the phrase

“the patronising disposition of unaccountable power”,

which applied in the Hillsborough families’ fight to get justice, and applies, it seems to me, in what has happened to the groups affected by today’s statement. Will the Secretary of State explain why Baroness Cumberlege’s report will not come straight to Parliament, so it can make a decision about how patients can get justice quicker than has happened in many cases such as the ones we are discussing today?

[Mr Hunt]

Those words about the patronising disposition of unaccountable power came from Bishop James Jones, who has made an extraordinary contribution as a voice for people whose voices have been ignored for too long. The House will have every opportunity to debate Baroness Cumberlege’s report. The Government will decide their actions and we will put them to the House, which will have every opportunity to listen, make suggestions for improvements, and to become involved at every stage of the process as we take this forward.

Maternity Safety Strategy

Debate between Jeremy Hunt and Diana Johnson

Tuesday 28th November 2017 Commons Chamber

[Mr Hunt]

My hon. Friend is absolutely right. As he knows, because he has spoken so movingly on this subject many times, there is absolutely nothing we can do to make up for the searing loss of losing a loved one—a baby. It is the worst thing any parent can go through. We can at least give them the commitment that we will learn. If we are honest, we do not do so at the moment, because we sometimes wait 10 years for a court case to be settled, and even then it is not always clear to me that the lessons of what happened are properly learned around the system. This statement is an attempt to change that.

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

I very much welcome the Secretary of State’s approach to more openness and transparency in the NHS around baby deaths. However, he will remember signing a letter in May 2016, along with the then Secretary of State for Communities and Local Government and the then Secretary of State for Justice, on an independent inquiry into the baby ashes scandal in Hull. That inquiry has never happened and parents still do not have the answers about what happened in the NHS and Hull City Council in respect of their babies’ ashes. Will the Secretary of State recommit to that independent inquiry going ahead with his permission?

[Mr Hunt]

I am happy to recommit to that. I apologise to the hon. Lady and her constituents for the delay. I will look into what happened right away.

Oral Answers to Questions

Debate between Jeremy Hunt and Diana Johnson

Tuesday 21st March 2017 Commons Chamber

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

T5. Will the Secretary of State explain why my area of Hull, with its in-built health inequalities and poorer health outcomes, is getting just £13 million out of the additional money for social care set out in the Budget, while the local authority area that the Secretary of State represents in Surrey is getting £21 million-worth of additional support?

[Mr Hunt]

The formula is based on the better care fund formula, which is based on the spending power of local authorities. Let me tell the hon. Lady that, over the next year, that improved better care fund is going up by 35%, and Surrey’s allocation is going up by only 5%.

CQC: NHS Deaths Review

Debate between Jeremy Hunt and Diana Johnson

Tuesday 13th December 2016 Commons Chamber

[Mr Hunt]

I am happy to look personally at the case that my hon. Friend talks about. I think he speaks for all patients and families who have suffered tragedies when he says that the only thing people want is for lessons to be learned. A more challenging issue is that staff sometimes do not feel empowered to speak out in such situations, and they worry about the consequences. A number of trusts have an outstanding learning culture that is really supportive of staff, but that is not the case everywhere. One of the big lessons from today is that we must work out how to spread that positive culture across the NHS.

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

On 10 December last year, I asked:

“Is the Secretary of State satisfied that families seeking truth and justice for their loved ones are having to rely on pro bono lawyers for advice and representation, and on crowdsourcing to get legal advice?”

He said:

“It should never come down to lawyers.”—[Official Report, 10 December 2015; Vol. 603, c. 1147.]

Sadly, we all know that, on occasion, it will come down to lawyers getting involved. Will any of the recommendations from the CQC cover such eventualities?

[Mr Hunt]

It is a difficult one, because access to lawyers is a matter for the Ministry of Justice. I am not trying to duck the issue, but my responsibility, in what we are trying to do today, is to try to make sure that families do not feel as though they need to go to lawyers, because the NHS is open and transparent enough. With the values of people in the NHS, I think that ought to be achievable. I am happy to look at the case that she raises, and to bring it up with my colleague the Lord Chancellor.

Junior Doctors: Industrial Action

Debate between Jeremy Hunt and Diana Johnson

Monday 5th September 2016 Commons Chamber

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

In the light of the ongoing dispute and concerns about patient safety, has the Secretary of State given any consideration to the idea of compulsory independent arbitration, binding on both sides, to settle disputes where patient safety and public safety is in dispute? Will he look at that?

[Mr Hunt]

I do not think that is the way forward, because the best way to solve these disputes is by an agreed solution. That is actually what we had, which is why it is so disappointing that the BMA has chosen not to work to try to implement it.

Junior Doctors Contract

Debate between Jeremy Hunt and Diana Johnson

Wednesday 6th July 2016 Commons Chamber

[Mr Hunt]

I am absolutely prepared to give that assurance and I thank my hon. Friend for his comments. He is right. We can look at MTAS and such changes. We can go even further back and look at the introduction of the European working time directive—strange to bring that up in the current context—and the shift system, which sensibly reduced some of the crazy hours that junior doctors were being asked to work, but unfortunately at the same time got rid of the “old firm” system which gave junior doctors a sense of collegiality, meant that there was a consultant whom they knew and related to, and made their training a lot more rewarding and satisfying. That was disrupted when we introduced the shift system and the maximum hours limits. We need to think about—and we are doing some very important work on this—how we could recreate some of that sense of collegiality, which is particularly missing for junior doctors in the first two years of their training, before they have joined a specialty.

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

With morale among junior doctors at rock bottom, and Hull having an historic problem with recruitment and retention, what particular initiatives is the Secretary of State going to use to allow the health service in Hull to have the number of doctors that we need to function properly and provide the high-quality care that we all want to see?

[Mr Hunt]

There is one very good doctor in the Hull A&E department, and that is Dr Ellen McCourt, who has taken over as leader of the junior doctors committee—at least, I imagine she is very good; I have been very impressed every time I have met her. There are particular pressures at Hull, and as the hon. Lady knows we have had management changes. So far we have not seen the improvement in performance that we would like. I am aware that there are big issues with the infrastructure— the physical buildings. We will continue to work with the NHS locally and with the trust to try to improve the situation. She is right to bring it to my attention.

Junior Doctors Contracts

Debate between Jeremy Hunt and Diana Johnson

Monday 25th April 2016 Commons Chamber

[Mr Hunt]

I absolutely give my hon. Friend that commitment. He is absolutely right to say that professionals should not withdraw emergency care in pursuance of a pay dispute. It is totally and utterly inappropriate. It is not just me saying that; it is what very experienced doctors such as Professor Bruce Keogh are saying. This is the wrong way to go about this dispute. In the end, the public recognise a simple truth: you cannot choose which day of the week you get ill. If we are to have the best health service in the world, we need to reflect that in the medical cover we provide at the weekends as well as during the week.

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

I have previously raised with the Secretary of State the problems with recruitment and retention in Hull and East Yorkshire. I would like an undertaking from him. If he moves forward with the imposition of the new contract and evidence comes to light that retention and recruitment are going to be difficult, will he stop the imposition and think again?

[Mr Hunt]

We are constantly monitoring what will happen with the new contract, and we want to make sure that we get it absolutely right. If the hon. Lady makes such a plea to me, she should also talk to the BMA and say that the way to make sure we implement this contract correctly is to sit down with the Government and talk about how to make it successful, rather than to refuse to talk to us, which is what is happening at Hull Royal infirmary and many other hospitals.

Junior Doctors Contracts

Debate between Jeremy Hunt and Diana Johnson

Thursday 11th February 2016 Commons Chamber

[Mr Hunt]

The biggest threat to morale for doctors is not being able to deliver the care that they came into the profession to deliver. That is why we are sorting out a proper seven-day NHS, particularly for junior doctors who work in A&E departments at weekends, where they often do not have the support they would get during the week and do not have as many consultants around as there would normally be. That is what we are trying to put right. I appreciate that it is very difficult when the counter-party in the dispute does not want to negotiate, but in the end Governments have to decide what is right for patients and what is right for the service, as well as what is right for doctors.

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

Hull has traditionally struggled to recruit doctors in specialties such as A&E, general practice and psychiatry. I am concerned about the royal colleges’ warning that the imposition of the contract will have a detrimental effect on staff morale and staff retention in the NHS. Will this not make things even more difficult for areas such as Hull, which struggle to recruit in the first place?

[Mr Hunt]

We want more doctors and more nurses in the NHS, but in the end, if we are putting extra money in to recruit these extra doctors and nurses, it is fair to the public who are paying for their salaries to have reforms that mean their care gets better. That will apply to the hon. Lady’s constituents in Hull, who want a seven-day NHS, just as my constituents in Surrey do.

William Mead: 111 Helpline

Debate between Jeremy Hunt and Diana Johnson

Tuesday 26th January 2016 Commons Chamber

[Mr Hunt]

I am grateful to my hon. Friend for raising that issue, which has not been raised so far this afternoon. He is right. We have a pressing global need—not just a UK need—to reduce the inappropriate prescribing of antibiotics. That is why training of clinicians is so important. In the case of sepsis, not only is the prescribing of antibiotics appropriate but it is essential and it is essential to do it quickly. We need to make sure that, as we train GPs to reduce their prescribing of antibiotics so that we do not develop the resistance to antibiotics that could be so disastrous for global health, they do not avoid prescribing them when they are absolutely essential.

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

The Health Secretary said that NHS 111 was a victim of its own success. I agree with what my right hon. Friend the Member for Exeter (Mr Bradshaw) said, which is that it is used because it is so difficult to see a doctor. On 2 January, the Hull Daily Mail reported that Hull Royal Infirmary was telling people not to come to A and E but to use services such as NHS 111. In the light of the findings of this investigation, which have national implications, does the Secretary of State agree that there should be more clinicians at NHS 111?

[Mr Hunt]

I do agree that we need more clinicians in primary care. We also need to invest in secondary care, which is why the hon. Lady has a new A&E centre opening in Hull, which I am sure she welcomes. We need more clinicians in primary care so that we can deal with these issues more quickly, before people need hospital care and to spot conditions such as sepsis. This Government are investing £10 billion in the NHS annually in real terms in order to step up the improvement in the services that we offer.

Southern Health NHS Foundation Trust

Debate between Jeremy Hunt and Diana Johnson

Thursday 10th December 2015 Commons Chamber

[Mr Hunt]

My hon. Friend is absolutely right. That is why Professor Sir Bruce Keogh is developing a methodology to help us understand the number of avoidable deaths and the reporting culture at a trust level. We have a good methodology for understanding the number of avoidable deaths on a national level. The Hogan and Black analysis says that about 3.6% of deaths have a 50% or more chance of being avoidable. However, we will not get real local action until we localise it, and that is the next step.

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

Is the Secretary of State satisfied that families seeking truth and justice for their loved ones are having to rely on pro bono lawyers for advice and representation, and on crowdsourcing to get legal advice?

[Mr Hunt]

I am afraid that that probably does happen. We all, in all parts of the House, passionately believe in and support the NHS. It should never come down to lawyers. When there is a problem, we need a culture where the NHS is totally open and as keen as the families are themselves to understand what happened, whether it could be avoided, and what lessons can be learned. If nothing else, that is the big lesson that we need to make sure we act on as a result of today’s leaked report.

NHS Reform

Debate between Jeremy Hunt and Diana Johnson

Thursday 16th July 2015 Commons Chamber

[Mr Hunt]

We do need more doctors and more nurses. We saw an increase of about 8,000 nurses and 10,000 doctors in the previous Parliament. We will need more for the simple reason that we will have 1 million more over-70s by the end of this Parliament. That said, the NHS is admired in the other countries my hon. Friend talks about for our models of care, which are sometimes less hospital-centric and therefore inherently more efficient than what happens in some other systems. The learning should go both ways.

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

My question is about whistleblowers. I want to know whether the Secretary of State is really satisfied that the fit and proper person test for managers is working, when it allows a chief executive who bullies and mismanaged, as happened in Hull, as the Secretary of State knows, to move with the help of the Trust Development Authority to another job as a chief executive, paying £170,000, and yet the whistleblower has to fight for her rights. When the fit and proper person test was invoked, the TDA investigated and the new trust, unsurprisingly, said that that chief executive was okay. I do not think that that is independent, transparent or in the spirit of Francis.

[Mr Hunt]

I recognise that the hon. Lady has legitimate concerns about the way that the whistleblower, who I think is one of her constituents or is near to her constituency, was treated. I have, as she requested, looked into that very carefully. She will understand that it would not be right or proper for me to comment on an individual case. She knows that, as a result of requests by her and fellow MPs, I looked into whether due process was followed in the case that she mentioned. All I will say is that bullying behaviour should not happen anywhere in the NHS. That is a very important part of the culture change that I want to see.

Francis Report: Update and Response

Debate between Jeremy Hunt and Diana Johnson

Wednesday 11th February 2015 Commons Chamber

[Mr Hunt]

Yes, and I remember the conversation I had with the hon. Gentleman about that issue. I will look into the case carefully. I am not saying that the NHS culture is changing today, because I think it is a very long journey. That is why it is important to have cross-party agreement. This is something that will take decades to happen. If we look at the best hospitals in the world, in England or abroad, we find that they get their culture right over decades. We must understand that. Breaking down those silos, putting patients first and making sure that that is not compromised, whatever the external pressures—that is the heart of the matter.

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

When Pauline Lewin, a whistleblower, came forward in Hull to raise concerns about the then chief executive, Phil Morley, she found herself subject to hostility and bullying and has not been able to return to work—despite corroboration from a damning Care Quality Commission report, an ACAS report that established bullying and an independent KPMG report on financial irregularities. Meanwhile, the chief executive has moved on to another such post, earning £170,000 a year. I listened carefully to what the Secretary of State said—that he was “calling time on bullying…and victimisation” in the NHS—so will he reassure me that that will apply to this case, which his Department is currently investigating?

[Mr Hunt]

I remember the good meeting I had with the hon. Lady and the former Secretary of State about that issue, which we are looking into. I hope she will understand that it would not be right for me to comment on that individual case, but let me say that it seems to exemplify exactly how things have gone wrong. That is why we need to look into it very carefully. We need to create a culture through which the management actually want to listen to their staff. I do not want managers to do so because of something I say; I want them to feel that they want it happen. It is as much about making sure that organisational priorities are correctly set from the centre, as it is about changing the law.

NHS Major Incidents

Debate between Jeremy Hunt and Diana Johnson

Wednesday 28th January 2015 Commons Chamber

[Mr Hunt]

I will take no lessons in stamping out news stories on poor care because I am worried about the impact on reputation. That is what happened when the shadow Health Secretary was behind my desk, and it was totally unacceptable. That is why we had a clutch of hospitals where poor care was swept under the carpet year in, year out because a Labour Government did not want bad news to come out in the run-up to an election. It was a disgrace and this Government are putting it right.

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

Two weeks ago I asked the Secretary of State about a comment that had been made to me by a senior clinician in Hull that the trust in Hull at Hull royal infirmary had been on internal major incidents on and off since December. The Secretary of State told me that that was not really an issue and that it was down to the trust, but the documents that have been produced today show that the real reason is that it is politically much more expedient to have an internal incident than to declare one externally and get all the bad publicity and reputational risk mentioned in the document to which my right hon. Friend the shadow Secretary of State referred to. That is the case, is it not?

[Mr Hunt]

Let me make two points to the hon. Lady. When I talk to the House about the number of major incidents, we make no distinction between internal and external incidents. We talk about them all as major incidents. There is no benefit, if one looks at it in that way, to Ministers from it being either an internal or an external incident. What matters is the right thing for patients. Rather than trying to politicise the issue and turning it into a political football, the Opposition should listen to Dame Barbara Hakin, chief operating officer of the NHS, who said clearly today that the decision was nothing to do with Ministers, they did not know about it and it was not taken at the request of Ministers. Labour should concentrate on supporting the NHS where it could do with its help—in Wales today.

National Health Service

Debate between Jeremy Hunt and Diana Johnson

Wednesday 21st January 2015 Commons Chamber

[Mr Hunt]

I will make some progress because I want to answer some of the questions asked by the right hon. Member for Leigh. One reason for the pressure I have outlined is that people increasingly expect to get medical care 24/7, just as they are able to bank, shop and book their holidays 24/7. The NHS cannot be King Canute and try to stop that—I am not blaming patients, but that is how patient expectations are changing, and we need to give them better alternatives to turning up in A and E.

Over the past two years, we have expanded weekend and evening GP appointments for more than 5 million people. We have also rolled out the 111 service, which now handles—these are the facts—three times more calls every year than its predecessor, NHS Direct. The right hon. Gentleman criticised 111, so let us look at the facts. Of those who call 111, 30% say they would have gone to A and E but decided not to as a result—that is 2 million journeys to A and E and around 600,000 ambulance call-outs avoided because of 111. Unlike NHS Direct, one third of all 111 centres can now access a summary of people’s GP records, and that will apply to nearly all 111 centres this year. Not only can people talk to a doctor or nurse, as they did with NHS Direct, but if they give consent they can do something that they could never do under NHS Direct and talk to someone who knows about them and their medical history.

Another big challenge facing A and Es is the increasing complexity of the illnesses that people are presenting with, including many older people with conditions such as dementia, diabetes or asthma. Such people often end up being admitted to hospital rather than treated and sent home, and that is not just challenging for the system; it is often wrong for the individual. A busy A and E can be the worst possible place for a frail, older person with dementia, which is why in our vision for the NHS every vulnerable person has a doctor who is continually responsible for their care, whether or not they are in hospital, and who ensures that they have proper care wrapped around them, thereby reducing the likelihood of emergency hospital admissions. Too often, that does not happen. Too often, the buck stops with no one. That is why, this year, we reversed the 2004 decision and brought back named GPs with personal responsibility for everyone aged 75 and over. That is helping 4.5 million people. With 800,000 of the most vulnerable people, we are going even further, giving them guaranteed rights to prompt and proactive care from their GP.

On social care, for too long, some of the most vulnerable people in our country have suffered from disjointed care with NHS and social care systems that, rather than talk to each other, constantly try to pass the buck. For the first time from this April, we have required all local authorities and NHS organisations to work together to plan care in a joined up and seamless way, as part of the better care programme.

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

Will the Secretary of State give way?

[Mr Hunt]

I am going to make progress.

When that happens, we should see, for the first time ever, not an increase but a reduction in emergency hospital admissions. For patients, that will mean something important: a doctor or nurse will be in charge of every person in the social care system; medical records will be shared, so that people get safer and more joined-up care; and joint teams will work together across the NHS and social care systems, rather than the silos and boundaries that have plagued the system till now.

The Government have never pretended that the challenges facing the NHS are straightforward, but with more doctors, more nurses, more operations and safer care than ever before, we have shown our commitment to that most precious institution. We have put our money where our mouth is, with protection for the NHS budget during cuts, financial help this winter and support for the NHS’s plan for the future. More important than the money are the values behind it: our passion for the highest standards of compassionate care for every person who needs the NHS. Good care, not clever politics, is the future for our NHS.

A and E (Major Incidents)

Debate between Jeremy Hunt and Diana Johnson

Wednesday 7th January 2015 Commons Chamber

[Mr Hunt]

The services that the Ipswich team have been delivering are absolutely brilliant, and I congratulate them. I thank my hon. Friend for his support for their work, which I know is so important for the people of Ipswich.

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

The Secretary of State said that 14 major incidents have been declared. I am told by a senior front-line worker that many hospitals are declaring internal major incidents—they have done so for some time—because that is more politically expedient and does not get into the press. How many internal major incidents have been declared in the past month?

[Mr Hunt]

To my knowledge, over the past few weeks there have been 15 major incidents, including internal ones. Three have now been stood down, making a total of 12 at the moment.

Oral Answers to Questions

Debate between Jeremy Hunt and Diana Johnson

Tuesday 15th July 2014 Commons Chamber

[Mr Hunt]

I thank my hon. Friend for his question. He is right that the chief inspector raised concerns about some issues that persist at Medway. It is important to praise the staff for the progress that they have made in the past year. We have put in place 113 more nurses, the Bernard dementia unit, which has made some really good progress, and a twinning arrangement with University Hospitals Birmingham, which is one of the best in the country. There are some encouraging signs. I wish to reassure him and his constituents that we will stop at nothing to ensure that we turn that hospital around

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

The former chief executive of Hull and East Yorkshire Hospitals NHS Trust, Phil Morley, left his post suddenly just before the publication of a very poor Care Quality Commission report, leaving behind a culture of bullying in the trust. Is the Secretary of State as surprised as I am that he has now been appointed chief executive of a hospital in Essex?

[Mr Hunt]

I do not know the details of the individual case, and it would not be right for me to comment. However, what I will say is that we have changed the rules to prevent people who are responsible for poor care from popping up in another part of the system. From now on, when trusts appoint people to boards, they can check their prior records on a central database administered by the CQC. Let me tell the hon. Lady that we are absolutely determined to change the culture in the NHS so that we stamp out the bullying and intimidation that were such a factor for so many doctors and nurses for many years.

NHS Investigations (Jimmy Savile)

Debate between Jeremy Hunt and Diana Johnson

Thursday 26th June 2014 Commons Chamber

[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.

Patient Safety

Debate between Jeremy Hunt and Diana Johnson

Tuesday 24th June 2014 Commons Chamber

[Mr Hunt]

I would agree with that, and I am grateful to my hon. Friend for talking to me on many occasions about the issues at North Cumbria hospital and for sharing his determination to turn things around— [Interruption.] I find it extraordinary that Labour Members are making all this noise. My hon. Friend will know that that hospital had to give £3.6 million in compensation to just one person because of an appalling mistake when Labour was in power. They should be welcoming these changes, not criticising them.

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

On 1 May I asked the care Minister why there had been a 60% drop in the number of people barred from working with vulnerable adults in the health and social care sector, and an even bigger drop of 75% in those barred from working with children. The Minister said that he was going to investigate, but I have heard nothing since. Does the Secretary of State share my concern that fewer unsuitable people are being barred from working in the social and health care sectors on his watch?

[Mr Hunt]

I do not know the answer to that question, so I will look further into the matter and get back to the hon. Lady.

Mid Staffordshire NHS Foundation Trust

Debate between Jeremy Hunt and Diana Johnson

Tuesday 19th November 2013 Commons Chamber

[Mr Hunt]

Our intention is that the maximum period when a hospital is put into special measures should never be longer than a year. After that, if it is not making significant progress, there is the possibility of it being put into administration. The reason for that, precisely as my hon. Friend said, is that we cannot let poor standards and poor care persist over a long period. I am pleased about the progress made at Medway Maritime in recent months; Frimley Park, which is my local hospital, delivers truly outstanding care. He is absolutely right to say that it should never have taken so long to get to the heart of the problem.

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

The Secretary of State said that it is impossible to deliver safe care without a safe staffing level, which of course depends on resources. Under the coalition’s new funding formula, Hull NHS is due to lose £28 million, and it will not get any money for the A and E winter pressures that are bound to happen. How does he think that that will help safe staffing levels in Hull?

[Mr Hunt]

The funding formula is decided independently, and no final decision has been made. The decision will be made by NHS England, which I know is looking at that at the moment. It has to decide equitably across the whole country, based on need, population, social deprivation and other factors. Like the hon. Lady, I am waiting to see what it decides.

Accident and Emergency Departments

Debate between Jeremy Hunt and Diana Johnson

Tuesday 10th September 2013 Commons Chamber

[Mr Hunt]

I would be delighted to go to Princess Alexandra hospital, where I am sure the work is indeed excellent. I agree with my hon. Friend’s fundamental point, which is that this Government took the very difficult decision not just to protect the NHS budget, but to increase it. That was described as irresponsible by the right hon. Member for Leigh (Andy Burnham). We are spending £600 million more in real terms this year than we would have spent if we had followed his advice. That makes a very big difference to hospitals such as that in my hon. Friend’s constituency.

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

Will the Secretary of State be clear: did the risk register warn the Government that their reorganisation would hit the A and E performance targets?

[Mr Hunt]

There has been exhaustive analysis of the problems in A and E departments and whenever I have visited such departments I have not heard a single person say that the reorganisation was the cause of them. What they talk about is the underlying problems, which we are addressing today.

Children’s Heart Surgery

Debate between Jeremy Hunt and Diana Johnson

Wednesday 12th June 2013 Commons Chamber

[Mr Hunt]

If there are management consultants responsible for what went wrong, I am sure that the NHS will draw the appropriate conclusions.

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

I am pleased to hear that care pathways as a whole will be looked at and given consideration. Will the Secretary of State confirm, as he made clear in response to a number of questions, that the genuine concerns of constituents, including mine in Hull, will be listened to? Transport and access are very important to my constituents because of the city’s geographical location. Whoever makes these decisions should fully understand the geography of the country and be able to make a proper decision.

Heart Surgery (Leeds)

Debate between Jeremy Hunt and Diana Johnson

Monday 15th April 2013 Commons Chamber

[Mr Hunt]

I agree with my hon. Friend. There are two types of reason for people going into hospital. With geriatric care, for example, there are clear advantages in someone being treated as near as possible to their home. All other things being equal, it makes sense for people to be treated where it is easy for friends and family to visit them, as that can aid recuperation and convalescence. When more complex surgery is required, however, there is clinical evidence that mortality rates are better if we specialise surgery in a fewer number of centres. That is the debate that we are having about children’s heart surgery, and I hope to resolve the matter as quickly as possible.

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

Given that the Safe and Sustainable review is being dogged by so many problems, and given the inaccuracies and the prejudice against Leeds in particular, has the Secretary of State thought about scrapping the whole process?

[Mr Hunt]

That is the subject of legal proceedings at the moment, and I want to ensure that we have a process that is fair and that is recognised to be fair by all the people who are affected by this possible decision. I therefore want to ensure that the decision will be judicially robust, but I also want to get independent advice from the IRP before I make my final decision. If that means that it takes longer to get to a decision, then I am afraid that that might be the case, but the most important thing is to get to a decision that is fair and that is recognised to be so.

Mid Staffordshire NHS Foundation Trust

Debate between Jeremy Hunt and Diana Johnson

Tuesday 26th March 2013 Commons Chamber

[Mr Hunt]

My hon. Friend is right: we have to ensure that the inspectorate works in the successful way that Ofsted has worked in the school system, and does not make the mistakes that have been made by other regulators inside the NHS system. It is important that it is based on respected peer review, is thorough and is respected in terms of the input that it is able to give hospitals on improving their performance. We will work hard to make sure that we deliver that.

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

Who is expected to pay for the additional year that nurses will spend as health care assistants?

[Mr Hunt]

We are piloting the scheme to ensure that we do not end up discriminating against nurses for financial reasons. We want to attract the best people into the profession, whatever their financial background.

Social Care Funding

Debate between Jeremy Hunt and Diana Johnson

Monday 11th February 2013 Commons Chamber

[Mr Hunt]

I can absolutely confirm that, yes.

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

On the financial products that will be available, will the Secretary of State produce evidence so that constituents in Hull can find out what kind of figures we are talking about as regards their protecting themselves for the future?

[Mr Hunt]

I am making the announcement today, so we have to give the financial services industry some time to respond to the proposal. However, the indications are encouraging, and I think that we will all see, in plenty of time for the 2017 start of this plan, what products are available. There may be separate products, but it may also be something that becomes part of people’s pension planning. In the same way that people decide what arrangements they want in their pension for an annuity and for a lump sum payment, payment towards these costs up to the level of the cap may become another part of the pension plan. We need to let the pension and insurance industries have the time to respond and to come up with these plans.

Leveson Inquiry

Debate between Jeremy Hunt and Diana Johnson

Wednesday 25th April 2012 Commons Chamber

[Mr Hunt]

I am afraid the evidence is in black and white. They did not want to take on the Murdoch empire.

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

The ministerial code is very clear that the Minister is responsible for the actions of his special adviser. On that basis, was the Secretary of State negligent in not finding out what his special adviser was doing and controlling him? For the fifth time, did the Secretary of State ask for him to be appointed as the point man?

[Mr Hunt]

For the fifth time, the arrangements were approved by the permanent secretary. I do not think there was any process of me asking for certain people to play certain roles. As I said, I think it was a more fluid process than that, but the permanent secretary approved the processes that were happening.

Oral Answers to Questions

Debate between Jeremy Hunt and Diana Johnson

Thursday 15th December 2011 Commons Chamber

[Mr Hunt]

That is why next year we will have the biggest ever marketing campaign to encourage people to take a holiday at home. It is designed to encourage the whole UK not to take for granted what we have on our doorstep. I know that my hon. Friend has great local stories, such as the Pendle witches, which he would like the whole country to find out more about, and next year is the moment to do so.

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

What discussions has the Olympics Minister had about the security implications of the cuts to police funding and the changes to control orders, which will allow very dangerous people back into the capital in the months leading up to the games?

Phone Hacking and the Media

Debate between Jeremy Hunt and Diana Johnson

Monday 11th July 2011 Commons Chamber

[Mr Hunt]

I will happily pass on the hon. Lady’s request to the Prime Minister, who will make a decision on what he wishes to place on the public record.

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

Due to the confusion about who knew what and when in Downing street, is it not about time that the Cabinet Secretary was asked to conduct a review and get to the bottom of who knew what and when?

[Mr Hunt]

With respect to the hon. Lady, we have two independent reviews, one of which is looking into all illegal and improper activity, and the other of which is looking into press ethics. I think that all the activities about which she is concerned will be covered.

Oral Answers to Questions

Debate between Jeremy Hunt and Diana Johnson

Monday 25th October 2010 Commons Chamber

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

T1. If he will make a statement on his departmental responsibilities.

[The Secretary of State for Culture, Olympics, Media and Sport (Mr Jeremy Hunt)]

During the summer, despite the pressures of the comprehensive spending review, we made good progress in our priority areas of tourism, philanthropy, broadband roll-out, local television and the schools Olympics. We will have announcements on all those areas before Christmas.

[Diana R. Johnson]

Many of my constituents have contacted me, concerned about the local independent BBC news that runs in East Yorkshire and Hull through Radio Humberside and programmes such as “Look North”. There is great concern that, because of the cuts to the BBC budget, areas such as East Yorkshire will lose that local independent news. What guarantee can the Minister give me that we will continue to have that?

[Mr Hunt]

There is no bigger supporter of local news than me. I made it one of the most important parts of our media policy, but if we are to have a thriving local media sector, people in the sector need an assurance that the BBC will not undertake more local activity than it does; otherwise, they simply will not take the risk of setting up newspapers, radio and television stations, and so on. We have come to a very good solution in this licence fee settlement, which is that the BBC has made a commitment that it will go no more local than it does currently. It is confident that it will be able to continue with its current obligations for the period of the settlement.