NHS Major Incidents

Debate between Jeremy Hunt and Steve McCabe

Wednesday 28th January 2015 Commons Chamber

[Mr Hunt]

That is absolutely right, but Members on the two sides of the House hold different views. We believe in devolving power locally and we want local decision-making. We accept that that might mean that sometimes services are slightly different in one part of the country compared with another, but the benefit is that we do get that local knowledge. In the past few weeks, I have spoken to South Western ambulance service, which had particular pressures over Christmas, to ask whether there is anything we can do from the centre. What I want to ensure is that the decisions that keep my hon. Friend’s constituents safe are made locally, because they are likely to be better than any that I could make in Whitehall.

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

The Secretary of State is very reassuring when he says that, under him, the NHS is free from political news management. If that is the case, why does he not free it from the constraints of election purdah, and allow these officials to get on with their jobs without having to second-guess the consequences of some of the decisions?

[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.

Oral Answers to Questions

Debate between Jeremy Hunt and Steve McCabe

Tuesday 13th January 2015 Commons Chamber

[Mr Hunt]

I have met the doctors in Chippenham and been personally lobbied on that plan. I thought it sounded very promising, so I am happy to take it away and look at it again, and hopefully at some stage they can get some of the funding.

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

T4. The Bournbrook Varsity medical centre is about to face a double-whammy financial crisis, as NHS England scraps its minimum practice income guarantee and forces it to switch from a personal medical services contract to a general medical services contract. Why should that excellent practice, which has done all that could be asked of it, and its patients be victimised because a high proportion of the patients are young students? Will the Secretary of State agree to look at this disaster immediately?

[Mr Hunt]

I am very happy to look at that issue.

NHS Investigations (Jimmy Savile)

Debate between Jeremy Hunt and Steve McCabe

Thursday 26th June 2014 Commons Chamber

[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.

Oral Answers to Questions

Debate between Jeremy Hunt and Steve McCabe

Tuesday 10th June 2014 Commons Chamber

[Mr Hunt]

Well, I must say that that sounds like a pretty irresistible offer, and I will give it careful consideration. Local community hospitals have an important role to play in our NHS because of the high standard of compassionate care that they deliver, and because they are easy for relatives to get to. I am delighted to see my hon. Friend campaigning for his local hospital, and delighted that it is doing so well.

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

T2. A Birmingham trust has recently announced that it will be possible to cut 1,000 beds across the city by setting a maximum stay of seven days for most patients. Not surprisingly, this has caused some alarm. Are Ministers aware of that proposal? What guidance, if any, can they offer in regard to such proposals?

Oral Answers to Questions

Debate between Jeremy Hunt and Steve McCabe

Tuesday 14th January 2014 Commons Chamber

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

T7. The Secretary of State has had a letter from 118 specialists about the MenB—meningococcal B— vaccine. It is available to parents who pay privately, but denied to most of our children by the Joint Committee on Vaccine and Immunisation. Will the Secretary of State agree to meet the families of children who have had meningitis B and consider all the points raised by the clinicians before letting the JCVI rule out access to the vaccine?

[Mr Hunt]

I recognise the real concern over the previous advice given by the JCVI. I hope that the hon. Gentleman agrees that, on something as important as this, it is helpful to have an independent body coming to these decisions and making a ruling. When a ruling is made, we are legally bound to accept the advice, which means that there is a measure of independence. I have met families campaigning for the MenB vaccine. We are waiting to hear what the JCVI says in February. We should let it come to its conclusion after re-reviewing all the advice and the literature.

Oral Answers to Questions

Debate between Jeremy Hunt and Steve McCabe

Tuesday 22nd October 2013 Commons Chamber

[Mr Hunt]

I am greatly looking forward to visiting my hon. Friend’s hospital on Thursday and going out on the front line. I agree that we need to celebrate success. This has been a difficult year for the NHS as we have learned to be much more transparent about problems when they exist, but one of the advantages of having a chief inspector is that his team will be able to identify and recognise outstanding practice, so that everyone will understand that, as well as some of the problems that get more attention, brilliant things are happening throughout our NHS.

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

Is the Secretary of State comfortable with a surgeon such as Ian Paterson flitting between the NHS and the private sector, making the same blunders in both but being subject to different levels of accountability and his victims having access to different levels of redress?

[Mr Hunt]

As I said in response to an earlier question, the responsibility to be transparent about care should apply equally in the public and the private sector. Obviously, in the public sector we have more levers, because we are purchasing care and we can impose more conditions than it is possible to do in the private sector. The most important thing is to have a culture in which such problems come to light quickly when they happen, so that they are dealt with and not repeated.

Accident and Emergency Departments

Debate between Jeremy Hunt and Steve McCabe

Tuesday 10th September 2013 Commons Chamber

[Mr Hunt]

My hon. Friend is absolutely right. The truth is that many in the NHS had their fingers burnt when the previous Government, with the best of intentions, tried to address the problem, unfortunately with abysmal results and billions of pounds wasted. I do not think that we should let that failure stop us doing what we know can transform services. When we look at the changes that have been made in the banking, airline and retail industries, we see that we need to use the benefits of modern technology in the NHS. It will save thousands of lives.

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

How could any Secretary of State imagine that it is okay to preside over a situation in which there are only five consultants working overnight in A and Es across the entire country?

[Mr Hunt]

I agree with the hon. Gentleman that consultant cover is not as good as it needs to be, and not just in A and E departments, but across NHS hospitals, so I hope that he will support me in moving forward with a seven-day NHS, which is a very big change and might be opposed by people working in the NHS. I am delighted that I can be assured of his support.

Oral Answers to Questions

Debate between Jeremy Hunt and Steve McCabe

Tuesday 16th July 2013 Commons Chamber

[Mr Hunt]

We are considering whether something can be done with the NHS number. At the moment, people can visit any GP and, completely legally—whether or not they are entitled to NHS care—get an NHS number. That number can then become a passport that can be used throughout the system, so we are examining whether there is a way of giving people either a temporary NHS number, or a different NHS number, that can be tracked through the system so that if they undergo complex medical care that is chargeable, we are able to trace that and collect the money from them.

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

If we are to make this work, do not we need a clearer idea about the real cost? Is it the £200 million that the Secretary of State has been quoted as using, the £10 million suggested by the Prime Minister, or the £33 million that the Under-Secretary of State for Health, the hon. Member for Broxtowe (Anna Soubry), has cited in a parliamentary written answer?

Oral Answers to Questions

Debate between Jeremy Hunt and Steve McCabe

Tuesday 16th April 2013 Commons Chamber

[Mr Hunt]

I wholeheartedly agree with my right hon. Friend. I was in the accident and emergency unit at Watford hospital last week when a lady with advanced dementia was admitted. She had bruises all over her face after having had a fall. The shocking reality was that that A and E department knew nothing about that lady. It did not know her medical history, and it did not know whether that was her normal condition. There was no proper joined-up link between the social care system and the NHS. Tackling that issue is probably the single biggest long-term and strategic challenge that we have to address in the NHS.

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

Was Professor Malcolm Grant, the chairman of NHS England, talking about dementia sufferers when he said today that the NHS would have to charge for particular treatments? If not, will the Secretary of State specifically rule that out?

[Mr Hunt]

Professor Malcolm Grant did not say that. What he actually said was that if the NHS considered charging, he would oppose it. I agree with him; I would oppose it, too.

Social Care Funding

Debate between Jeremy Hunt and Steve McCabe

Monday 11th February 2013 Commons Chamber

[Mr Hunt]

I thank my hon. Friend for his question. The shadow Health Secretary complained this morning that we have not adopted the precise cap that Andrew Dilnot said he would have liked. That would have cost an extra £2.4 billion a year by 2020, on top of the plans that we have announced. It is up to the Opposition to tell us how they would find that money if that is what they want to happen.

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

Is it not likely that the decline in domiciliary services will accelerate to the point at which people are forced to enter residential care? Has the Health Secretary factored those rising costs into his calculations?

Regional Pay (NHS)

Debate between Jeremy Hunt and Steve McCabe

Wednesday 7th November 2012 Commons Chamber

[Mr Hunt]

May I gently remind the hon. Lady that she stood for election on a manifesto that did not include abolishing the 2003 Act or the Health Act 2006, which gave foundation trusts the freedom to set their own pay and conditions? [Interruption.] I ask Labour Members to let me answer the question. May I also remind her that the previous Government, whom she supported, introduced “Agenda for Change”, which does not pay the same amount throughout the country for the same work? It actually includes a lot of flexibility for regional pay.

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

So far, the Secretary of State is describing what he sees as the benefits of flexibility. I put it to him that if a number of regions adopt the south-west’s approach, he will eventually be confronted by the fact, as the Secretary of State, that the poorest parts of this country will not be able to attract the doctors they need. What will he do then?

[Mr Hunt]

All we are doing is supporting what the hon. Gentleman’s Government did, which was to introduce flexibilities for the people who run foundation trusts to set pay and conditions in order to get the best health care in their areas, including in his constituency, in that of the right hon. Member for Leigh and in mine. The previous Labour Government did not just support that; they legislated to require it. They introduced foundation trusts—

Public Confidence in the Media and Police

Debate between Jeremy Hunt and Steve McCabe

Wednesday 20th July 2011 Commons Chamber

[Mr Hunt]

They were irrelevant because the person who was making the decision was myself, and I was making it on my own. This was not a matter of collective responsibility. This was a quasi-judicial process. I wish I could take more decisions completely on my own without any reference to the Prime Minister, the Chancellor or other Cabinet colleagues. This is the only such decision I have ever been privileged to make.

[Steve McCabe]

I do not believe that any discussion that the Prime Minister has is irrelevant. But is the right hon. Gentleman confirming that the Prime Minister did have discussions about BSkyB, and will he tell us who he had them with and what they were about?

[Mr Hunt]

I will confirm that the Prime Minister had no inappropriate conversations with Rebekah Brooks at any time.