Junior Doctors Contract

Debate between Jeremy Hunt and Mark Durkan

Thursday 19th May 2016 Commons Chamber

[Mark Durkan (Foyle) (SDLP)]

I do not wish to invite the Secretary of State to provoke or pre-empt by presumption, but if the agreement changes the shape of services, it will have implications for other health professionals. Is he prepared to have the further conversations that will need to be had, and the wider conversations that will be needed with his ministerial counterparts across these islands on workforce planning, professional education and training?

[Mr Hunt]

We are, of course, willing to have those discussions with colleagues in other parts of the UK. The hon. Gentleman is right to say that having a seven-day service does not just involve junior doctors; it involves widespread changes across the service. I should say that nurses, healthcare assistants, porters, cleaners—other people who work in hospitals—already operate on 24/7 shifts, so the changes necessary to those contracts are much less profound than they are to some of the doctors contracts, which is why it is important that we change not just the junior doctors contract, but the consultants contract. The fact that we have been able to reach a negotiated agreement with the junior doctors bodes well for the consultants contract, which is the next step.

Oral Answers to Questions

Debate between Jeremy Hunt and Mark Durkan

Tuesday 10th May 2016 Commons Chamber

[Mr Hunt]

I thank the hon. Lady for her reasonable tone and absolutely give her that assurance. We have always wanted a negotiated outcome to this dispute. That is why we paused the introduction of the new contracts last November to give talks a chance to succeed, and it is why this week I have said we will further pause the introduction of the new contracts to see whether we can get a negotiated outcome. We want a motivated workforce and we are highly cognisant of the fact that hospitals that offer seven-day care and higher standards of care for patients are the very hospitals that have some of the highest levels of morale in the NHS. It takes two to tango, and I very much hope that the British Medical Association will play ball and its part this week in helping us to deliver a safer seven-day NHS.

[Mark Durkan (Foyle) (SDLP)]

6. What steps he is taking to improve the outcomes of people with rarer cancers.

Oral Answers to Questions

Debate between Jeremy Hunt and Mark Durkan

Tuesday 22nd March 2016 Commons Chamber

[Mr Jeremy Hunt]

I absolutely recognise the excellent work that is happening in Hednesford, and in South Staffordshire, as a dementia-friendly community. I know that there are more than 2,000 dementia friends in Cannock Chase. Fantastic work is going on, and I thank my hon. Friend for her support.

[Mark Durkan (Foyle) (SDLP)]

When will we have a decision on the future of the human papilloma virus vaccination programme? Will it be clear, and is there due engagement with the devolved counterparts?

Southern Health NHS Foundation Trust

Debate between Jeremy Hunt and Mark Durkan

Thursday 10th December 2015 Commons Chamber

[Mr Hunt]

I can of course give my right hon. Friend that assurance, but there is a note of hesitation in my response. That is partly because professional standards, as my right hon. Friend knows, are not a matter for politicians—they have to be set independently by the General Medical Council and the Nursing and Midwifery Council—and partly because if we are going to improve the reporting culture, which in the end is what the report is about, we have to change the fear that many doctors and nurses have that if they are open and transparent about mistakes they have made or seen, they will get dumped on. That is a real worry for many people. Part of this is about creating a supportive culture, so that when people take the brave decision to be open about something that has gone wrong they get the support that they deserve.

[Mark Durkan (Foyle) (SDLP)]

As well as asking the Secretary of State how the learning on this very important issue will be shared with the devolved Administrations, may I ask whether all other trusts are being advised that they will now probably receive approaches from families —no doubt Members may be contacted in this regard, too—who have questions about their own experiences? Will he ensure that they will be sensitive to such approaches about possible historical cases?

[Mr Hunt]

I can give the hon. Gentleman that reassurance. Trusts understand that that is already happening and has been happening. All trusts will have families that have been in touch with them with concerns about potentially avoidable or preventable deaths. I hope that this will be a reminder to all trusts that they need to take those concerns very seriously indeed.

Mid Staffordshire NHS Foundation Trust

Debate between Jeremy Hunt and Mark Durkan

Tuesday 26th March 2013 Commons Chamber

[Mr Hunt]

My hon. Friend knows that I have a different view of the level of responsibility of Sir David Nicholson, but I agree that everyone working in the system at that time shares some responsibility for what happened. We must make sure that it can never happen again. The accountability that we are introducing, including criminal sanctions for boards that fail in their statutory duties, will be a significant change. The body that was responsible for what went wrong at Mid Staffs, according to Francis, was the board of the hospital, so that is where our focus must be. Today is also about getting the right structures outside the hospital to make sure there is accountability there too.

[Mark Durkan (Foyle) (SDLP)]

The Secretary of State has referred to the fact the chief inspector will inspect hospital performance at specialty or department level. How will that be done? If records, paperwork and bureaucracy are being reduced in hospitals, will hospitals’ own records be used to make those assessments or will the inspector use other information?

[Mr Hunt]

Of course we need to rely on good information being supplied by hospitals, and that is why we have said today that it will be a criminal offence for hospitals knowingly to supply wrong information. This goes back to an earlier question, and we will work closely with outside bodies, such as the royal colleges, to ensure that we establish the best way to judge, for example, cancer survival rates. One of the lessons of the success of measuring heart surgery survival rates is the importance of having a good risk-adjustment process in place. We will do that across the other 10 specialties that I announced today.

NHS Commissioning Board (Mandate)

Debate between Jeremy Hunt and Mark Durkan

Tuesday 13th November 2012 Commons Chamber

[Mr Hunt]

There is an element of postcode lottery now—there is a huge and unacceptable variation in treatment throughout the country—but the structures we are putting in place have a much better chance of reducing that variation than what went before, which failed to reduce it.

[Mark Durkan (Foyle) (SDLP)]

I think we can all welcome the four stated priorities of the new mandate, not least in respect of cancer, mental health and dementia, and I recognise that the statement will have predictive implications for devolved policy making as well. Is the Secretary of State confident that the means and methodology are there to fulfil this mandate? Are resources sufficient and responsibilities sufficiently clear? Will this be workable in practice, or just a worthy presentation from a Minister?

[Mr Hunt]

The mandate sets some very high ambitions in challenging times, but those ambitions can help to reduce costs and make the NHS more sustainable. Embracing the technology revolution should mean that we give people better care, as should allowing clinicians more time to spend with patients and allowing nurses to spend more time with the people they are responsible for, but those things should also save the system money. There is not an either/or, but I accept the hon. Gentleman’s point that this is very ambitious.

Oral Answers to Questions

Debate between Jeremy Hunt and Mark Durkan

Tuesday 23rd October 2012 Commons Chamber

[Mr Hunt]

The hon. Lady is right to highlight this growing issue. One million people will have dementia by 2020, so we have to take it very seriously. It is not an either/or situation, though, because about 25% of patients in hospitals have dementia, and hospitals would like them placed in the community or at home, where they can be better looked after. This is one of those examples where, under the new reforms, we need much greater integration of services to ensure that those people are treated in the way they need to be.

[Mark Durkan (Foyle) (SDLP)]

10. What recent progress he has made on improving early diagnosis of pancreatic cancer.