Francis Report: Update and Response

Debate between Jeremy Hunt and Marcus Jones

Wednesday 11th February 2015 Commons Chamber

[Mr Hunt]

I am glad to note that this is rapidly becoming one of the most open and transparent exchanges of questions and answers we have had in the Chamber. I am, of course, aware of trusts which say that they will find it difficult to meet stretching efficiency targets, but I would say to them that if they look at some of the safest hospitals in the world—such as Salford Royal in England and Virginia Mason in Seattle—they will find that they have the lowest costs. It is not a choice between cost and safety; better safety leads to lower cost.

[Mr Marcus Jones (Nuneaton) (Con)]

Will my right hon. Friend join me in welcoming the progress that has been made at George Eliot hospital since the Keogh review? The employment of 91 extra doctors and nurses has certainly helped, but does he agree that we cannot be complacent and must continue to root out bad practice wherever it exists, in a very open and transparent fashion?

[Mr Hunt]

Absolutely. I have visited George Eliot hospital, and observed a few beds in the A and E department. One of the most inspiring things about it is that it came out of special measures by developing a strong link with University Hospitals Birmingham NHS Foundation Trust—under the leadership of Dame Julie Moore—which enabled it to learn very quickly what changes were needed. The “buddying” of trusts in difficulty with high-performing trusts is one of the measures that have worked the best.

NHS Major Incidents

Debate between Jeremy Hunt and Marcus Jones

Wednesday 28th January 2015 Commons Chamber

[Mr Hunt]

We are not in election purdah. The point is that during election purdah we will continue to publish the weekly A and E performances and other figures from the Office for National Statistics, and that has always been the system. But there is a difference between what is happening in the run-up to this election and what happened in the run-up to the previous election. This time, the CQC is free to speak up, without fear or favour, about the quality of care in every single hospital in this country, and it will continue to do so.

[Mr Marcus Jones (Nuneaton) (Con)]

The Leader of the Opposition and the shadow Secretary of State visited the George Eliot hospital on Monday. The Leader of the Opposition praised the hospital for its progress under this Government. If we consider that, and then look at the way the Opposition come to this House and make political point scoring their No. 1 aim, we can see not only that they are hypocritical but that they want to put politics before patients.

[Mr Hunt]

I commend my hon. Friend for the support he gives to his local hospital. I visited it and did part of a shift in the A and E department. This was a hospital that, under the previous Government, had one of the highest mortality rates in the country. We introduced a new special measures regime and independent inspections. Labour tried to vote them down, but the result is that that hospital has come out of special measures, forged a strong new partnership with UHB and gone from strength to strength. Things are getting better because we are being honest about poor care, and did not sweep it under the carpet.

National Health Service

Debate between Jeremy Hunt and Marcus Jones

Wednesday 21st January 2015 Commons Chamber

[Mr Hunt]

That is the reality: there are new and improved services for the NHS up and down the country, but what we get from the Labour party in my hon. Friend’s constituency is scaremongering leaflets saying that hospitals are being closed when they are not. Labour should apologise for scaring very vulnerable people. It claims to stand up for them, but by scaring them it is doing the exact opposite.

[Mr Marcus Jones]

Unfortunately, the right hon. Member for Leigh (Andy Burnham) did not do me the courtesy of giving me a right of reply when he mentioned the walk-in centre in my constituency. Does the Secretary of State not think that it was completely irresponsible for the right hon. Gentleman to make such comments, given that the issue was raised by a whistleblower and that the information does not come from the clinical commissioning group that is considering walk-in centres in my constituency?

[Mr Hunt]

Exactly. My hon. Friend makes the point very well, and I will tell him something else about the hospital in his constituency. The George Eliot hospital was a failing hospital with very high mortality rates, and its deeply entrenched problems were swept under the carpet by the previous Labour Government, but this Government have turned it around and it is now a successful hospital. It is doing incredibly well because we faced up to the problems that Labour ignored.

NHS (Five Year Forward View)

Debate between Jeremy Hunt and Marcus Jones

Monday 1st December 2014 Commons Chamber

[Mr Hunt]

I am happy to do so. It is an absolutely brilliant hospital. I was really impressed when I saw that it has integrated its IT systems with those of local GPs better than anywhere else I have seen in the UK, and it is now looking at integrating those systems with local residential care homes. It has a fantastic Skype system for patients who are vulnerable and have mobility problems. It is an amazing place, and my hon. Friend is absolutely right to draw attention to it.

[Mr Marcus Jones]

The previous Labour Government left my constituents with one of the worst health funding allocations in England. Despite the extra investment that this Government have put in, the issue still has not been properly resolved. Having heard my right hon. Friend’s advice earlier, I will be making representations to NHS England. Will he join me in supporting my constituents in getting a fairer funding deal?

[Mr Hunt]

I want everyone to have a fairer funding deal, and today’s announcement is significant in that respect. One of the reasons it has been difficult to help people to move closer to their target funding allocations is that the increases in the NHS budget have been only 0.1% every year, so we have not had the margins necessary to make changes. Precisely by how much, and where, we make those changes is a matter for NHS England, but I will happily refer my hon. Friend’s concerns to it.

Special Measures Regime

Debate between Jeremy Hunt and Marcus Jones

Wednesday 16th July 2014 Commons Chamber

[Mr Hunt]

I thank the hon. Lady for her support for the new special measures inspection regime for care homes. With respect to the merger of UHNS and Mid Staffs, we will make sure that the funding is available that is necessary for that merger to happen. Money is not the issue. The issue is doing what the TSA asked to be done quickly and in full, and making sure that we have the right leadership across both hospitals on a long-term sustainable basis. I do not think it is about money; it is about taking rapid action to make sure there are stable services and that there is continuity of care.

[Mr Marcus Jones (Nuneaton) (Con)]

Will my right hon. Friend join me in congratulating the staff at George Eliot hospital on their hard work in the past year and on the excellent result they achieved in the CQC review? Does he acknowledge that we need to do more at George Eliot to keep that improvement going and agree that we have now built a very strong platform on which to build the future of George Eliot as an important district general hospital in my constituency?

[Mr Hunt]

I agree with my hon. Friend on both points. We have seen 31 more doctors there since special measures, 52 more nurses, a new acute medical admissions unit and better flow throughout the hospital, reducing the number of moves that patients make between wards during their stay, so lots has been done. When I did a stint in the A and E department at George Eliot, I was very well looked after by the nurses there, but they told me how bad the IT systems were—I think they said there were 16 different IT systems in the hospital—and how they were constantly filling out new forms. I therefore hope that the partnership with University Hospitals Birmingham, which has one of the best hospital IT systems in the country—a fantastic system, developed by the trust itself—will mean that George Eliot can move to having really good IT, so that nurses have more time with patients, which is what they want.

NHS

Debate between Jeremy Hunt and Marcus Jones

Wednesday 5th February 2014 Commons Chamber

[Mr Hunt]

I shall give way one last time.

[Mr Marcus Jones]

Will my right hon. Friend join me in welcoming the progress being made under the Keogh review at the George Eliot hospital, where changes to working practices and more innovation are meaning that the A and E department is turning into one of the best performing in the country?

[Mr Hunt]

I am delighted with the progress being made at the George Eliot and I commend my hon. Friend on the interest he has shown. A lot of that progress has come also from the outstanding support from Dame Julie Moore and the Queen Elizabeth hospital in Birmingham.

Mid Staffordshire NHS Foundation Trust

Debate between Jeremy Hunt and Marcus Jones

Tuesday 19th November 2013 Commons Chamber

[Mr Hunt]

My hon. Friend is absolutely right. It is incredibly important that Ministers never, whether deliberately or inadvertently, give a signal to the system that they do not want poor care to be highlighted as quickly as possible. I am afraid that there is evidence that, whether or not former Ministers intended this, it was interpreted that the emergence of bad news stories would be met with a great deal of ministerial disapproval, and that did enormous damage.

[Mr Marcus Jones (Nuneaton) (Con)]

Out of Francis has come Keogh, which is leading to seven-day working and more doctors and nurses on the wards at George Eliot hospital. Increasing staffing numbers is important in our NHS, but does my right hon. Friend agree that having the right ratio of staff to suit the needs of individual patients is equally if not more important?

[Mr Hunt]

That is absolutely vital. I have been to the A and E department in George Eliot hospital, and reports I have heard say that morale is really turning a corner. I want to back the staff: it is incredibly difficult to work in a hospital that has been put into special measures, knowing that everything is not as it should be. They now have a sense that a corner is being turned and that the problems that they have long worried about are finally being addressed, particularly because of the link with University Hospitals Birmingham, which is one of the best in the country.

I agree with my hon. Friend that safe staffing is one of the measures that matters. George Eliot hospital has some pretty antiquated IT systems that mean staff spend much longer than they should filling out forms, rather than spending time with patients.

Accident and Emergency Departments

Debate between Jeremy Hunt and Marcus Jones

Tuesday 10th September 2013 Commons Chamber

[Mr Hunt]

We have designed the immigration rules so that they are flexible enough to make sure that NHS hospitals can recruit trained staff where they are needed and where we cannot find people with those skills in the UK. I say to the hon. Gentleman that although some challenges may be the same in England and Wales, one challenge is very different in Wales, because Labour there decided to cut the budget by 8%, which has made life a great deal harder for NHS trusts.

[Mr Marcus Jones (Nuneaton) (Con)]

Since May 2010 an extra 300 clinical staff are working at the George Eliot Hospital NHS Trust, which is now recruiting more nurses and more A and E consultants in response to the Keogh review. Does that not show that under this Government more resources are being directed towards front-line patient care?

[Mr Hunt]

It absolutely does. There are nearly 4,000 more front-line staff under this Government than there were under the previous Government at the time of the last election. More importantly, where there are problems in hospitals—my hon. Friend’s hospital has had a number of problems—this Government are not sitting on them or seeking to cover them up. We are addressing them and I hope that by the time of the next election we will be able to demonstrate that we have turned around my hon. Friend’s hospital and a number of others and that finally these serious problems are being addressed.

Hospital Mortality Rates

Debate between Jeremy Hunt and Marcus Jones

Tuesday 16th July 2013 Commons Chamber

[Mr Hunt]

Clinical staff numbers have gone up by 8,000 since 2010: there are 6,000 more doctors, 1,000 more midwives and 1,000 more health visitors. The numbers have gone up since 2010. If we followed the shadow Secretary of State’s advice and cut the NHS budget from its current levels, that would not be possible.

[Mr Marcus Jones (Nuneaton) (Con)]

I am pleased that the Secretary of State has sought to take tough decisions to bring more openness and transparency to our NHS and not keep sweeping things under the carpet. Improving quality for patients is the immediate priority, and I support him in the decisive action he has taken, but will he also now seek to establish a sustainable future for the George Eliot hospital, which has suffered from a great deal of uncertainty since 2006?

[Mr Hunt]

I absolutely intend to do that. As my hon. Friend knows, I have been to the George Eliot hospital, working part of a shift in its accident and emergency department. I thought the staff there were working extremely hard, under great pressure. I noticed that the hospital did not have the systems in place that others have; I believe that hospital had 16 IT systems, which meant that if someone in the A and E department needed a blood test, all the details would have to be re-entered on a different system. That takes up a lot of clinical time, so making changes in these areas can make a big difference. But I do think it is important, as we expose these problems, that we recognise that even at the 14 hospitals mentioned today good care is being provided every day and the staff in those hospitals are working very hard. We need to back them, and the best way of doing so is to give them confidence that we are going to turn around their hospital.