A and E (Major Incidents)

Debate between Jeremy Hunt and Tony Baldry

Wednesday 7th January 2015 Commons Chamber

[Mr Hunt]

We are doing an enormous amount to support social care. Some £3.9 billion of NHS funds has been given to the social care system over this Parliament, and we have strongly encouraged local authorities to ensure that any savings they have to make are done through efficiency savings, not cuts to front-line services. The hon. Lady’s local hospital has received £11 million in funding to help it through the winter. We are doing a huge amount to support the NHS through a difficult period, and she should support those efforts.

[Sir Tony Baldry (Banbury) (Con)]

It is obviously important that those who need to be treated in A and E are treated there and that those who do not go to those parts of the NHS where they can be treated best. Does my right hon. Friend agree, therefore, that the initiatives taken by clinical commissioners in Oxfordshire where, for example, they are trying to triage patients essentially at the door of A and E so that those who need to go in can do so and those who need primary care get it, will help reduce pressures on A and E and ensure that people are treated in the right part of the NHS?

[Mr Hunt]

Those are exactly the kinds of initiatives that can make a big difference—indeed, they are recommended by the College of Emergency Medicine. Of course, the long-term solution is to ensure that people are better looked after at home so that they do not need to end up at the door of a hospital. That is why more proactive care by GPs—we plan to recruit 5,000 more GPs over the next five years—should mean that that becomes less of a pressure point.

A and E and Ambulance Services

Debate between Jeremy Hunt and Tony Baldry

Thursday 18th December 2014 Commons Chamber

[Mr Hunt]

On the contrary, it is the hon. Gentleman’s constituents who do not recognise what he says or all the scaremongering leaflets about what is happening to NHS services in north-west London. We have plans to open two brand-new hospitals; we have weekend opening of GP surgeries; and we have big improvements happening in A and E departments. Let me gently say to him that, along with his Front-Bench team, he voted not to have a chief inspector of hospitals who could provide independent information about the quality of services. Now that he is quoting that information, I hope he realises that that was a mistake.

[Sir Tony Baldry (Banbury) (Con)]

Clinical commissioning groups and hospital trusts throughout the country, including those in Oxfordshire, are working very hard to ensure that they can triage people at the entrance to accident and emergency departments, so that those who need primary care get primary care and those who need A and E services get A and E services. Was the urgent question not simply a new form of political ambulance-chasing?

[Mr Hunt]

What my right hon. Friend has said about what is happening in Oxfordshire is very important. I commend the efforts that are being made there, as well as those that are being made in so many other parts of the country. It is interesting to note that all the questions that are being asked by those on the Government Benches are about the details of how we can help the NHS to get through the winter, while on the Opposition Benches it is all about politics. I think we know which side cares about patients the most.

NHS (Five Year Forward View)

Debate between Jeremy Hunt and Tony Baldry

Monday 1st December 2014 Commons Chamber

[Mr Hunt]

I am very happy we devolve responsibility for the NHS to the devolved Administrations, because it means that people can compare performance and that we can learn from each other. For example, patients wait a shorter time for operations in England compared with in Scotland and Wales.

[Sir Tony Baldry (Banbury) (Con)]

Giving clinical commissioning groups the opportunity to commission GP services as well as secondary care will provide an amazing opportunity for there to be whole-population commissioning. Does it not also provide an opportunity for health and wellbeing boards? It provides an opportunity for elected councillors to work with clinical commissioning groups to try to design health care services, both primary and secondary, for the whole of the local population.

[Mr Hunt]

It absolutely does. My right hon. Friend makes his point very powerfully. This year, the better care fund—a programme derided by the Labour party, which said that it would not work—has been a huge success, with a £5 billion integration of the health and social care systems. The enthusiasm that that unleashed encouraged me to propose today that we should go further, so that where both parties are willing, local authorities and the local NHS should consider jointly commissioning public health as well. There would be huge benefits if they chose to do that.

Five Year Forward View

Debate between Jeremy Hunt and Tony Baldry

Thursday 23rd October 2014 Commons Chamber

[Sir Tony Baldry (Banbury) (Con)]

The Commonwealth Fund’s recent study of 11 national health systems, including those of Sweden, France, Germany and the United States, found that the NHS in England was ranked top for a safe, effective, co-ordinated, efficient, patient-centred care system. Against that background, is it not rather unedifying for Labour Members constantly to try to pretend that the NHS in England is in some form of crisis, particularly given the deplorable performance of the NHS in Wales, which is run by Labour? Would not the shadow Secretary of State do rather better to remember the words,

“Or how wilt thou say to thy brother, Let me pull out the mote out of thine eye; and, behold, a beam is in thine own eye”?

[Mr Hunt]

I welcome the King James Bible reference. The independent Commonwealth Fund report that my right hon. Friend mentions contained one very startling fact, which Labour Members would do well to remember when they go on about the NHS—when they left office, we were seventh out of 11 countries on patient-centred care, whereas this year, now that we are in office, we came top. That is a huge improvement in patient-centred care. Under the new Care Quality Commission regime, his own hospital, John Radcliffe, got a “good” rating, which is an extremely impressive result.

Oral Answers to Questions

Debate between Jeremy Hunt and Tony Baldry

Tuesday 15th July 2014 Commons Chamber

[Mr Hunt]

Let me give the hon. Gentleman his answer now. According to the Royal College of General Practitioners, 40 million more appointments with GPs are being made in every single year than were made when Labour was in office, and we have 1,000 more GPs than we had when his party was in power.

Let me say very clearly that the way in which we will deal with this problem is by increasing the capacity of general practice and the capacity of primary care. The hon. Gentleman should be supporting that—and he might just think about the 48-hour target that Labour has been talking about. If a new target for GPs is introduced, they will simply cut the amount of time that is available for them to deal with the most frail and vulnerable patients, and that would be wrong.

[Sir Tony Baldry (Banbury) (Con)]

6. What steps his Department is taking to support carers.

Patient Safety

Debate between Jeremy Hunt and Tony Baldry

Tuesday 24th June 2014 Commons Chamber

[Mr Hunt]

We have a lot of discussions, and the hon. Gentleman is right: the commissioning of care is vital and we need CCGs to play their part. We have many discussions with NHS England about how to do that, and we will be considering how we can make CCGs more publicly accountable for their record in those areas.

[Sir Tony Baldry (Banbury) (Con)]

Oxford University Hospitals NHS Trust has managed to make multi-million pound recurring savings over the past couple of years and is now in the black. At the same time it has managed to create 400 new jobs in the trust, almost all of which are new doctors and nurses. Does that not demonstrate that it is possible for the NHS both to meet the Nicholson challenge, and to recruit more doctors and nurses to improve and enhance patient safety?

[Mr Hunt]

It certainly does, and that is another area where it would be refreshing to have a bit more openness from the Labour party. We can afford 8,000 more doctors and 4,000 more nurses in our NHS than when Labour was in power because we got rid of primary care trusts and strategic health authorities, and 20,000 administrative jobs that were not on the front line—a change that Labour opposed bitterly every step of the way. Labour Members must say what would happen to those doctors and nurses if we repealed the Health and Social Care Act 2012, as they have publicly committed to do.

Oral Answers to Questions

Debate between Jeremy Hunt and Tony Baldry

Tuesday 26th November 2013 Commons Chamber

[Mr Hunt]

My hon. Friend is not the only person to welcome that change. After months of telling the House that this was nothing to do with the A and E problems, the shadow Health Secretary said on the “Today” programme that he welcomed the change and that it would make a difference to A and E. So I welcome the return of the prodigal son with great pride and pleasure. For my hon. Friend’s constituents, this will mean that there will be someone in the NHS who is responsible for ensuring that they get the care package that they need. That is incredibly important, because when people are discharged from hospitals, the hospitals worry about whose care they will be under. This change will provide that crucial link and make a real difference.

[Sir Tony Baldry]

Does my right hon. Friend agree that the 2004 GP contract did enormous damage to the relationship between GPs and their patients, and that the recent changes agreed with GPs should ensure much more proactive care of our most vulnerable constituents and ease pressure on A and E departments?

[Mr Hunt]

I agree with my hon. Friend, and I am pleased that the shadow Health Secretary also agrees with him in welcoming the reversal of that disastrous contract. The personal relationship between doctor and patient is at the heart of what the NHS stands for, and at the heart of that is a responsibility to ensure that people get the care they need. That is what we need to get back, and I think that the change will make a big difference to my hon. Friend’s constituents.

Changes to Health Services in London

Debate between Jeremy Hunt and Tony Baldry

Wednesday 30th October 2013 Commons Chamber

[Sir Tony Baldry (Banbury) (Con)]

Does my right hon. Friend agree that, difficult though it may be, all NHS trusts will have to live within their budgets, because, with both Front Benches effectively having agreed public spending limits for several years to come, the amount of money that can be spent on the NHS will be finite whoever is in government?

[Mr Hunt]

My hon. Friend speaks wisely. Let us bear in mind the challenges facing north-west London, which are similar to those across the country, including in Oxfordshire. In the next two decades, its population is predicted to increase by 7%, and life expectancy has risen by three years in the last decade alone. Furthermore, the uncertainty over public finances means that the trust cannot bank on substantial increases in the NHS budget, so it has to do the responsible thing and look for better, smarter, more efficient ways to use that money to help more people. It has been brave and bold in doing this, and I think that many other parts of the country will take heart from what has happened today and come forward with equally bold plans.

Accident and Emergency Departments

Debate between Jeremy Hunt and Tony Baldry

Tuesday 10th September 2013 Commons Chamber

[Mr Hunt]

We are determined to do what is right for the people of Lewisham and of south London. Let me be clear: the problems of South London Healthcare NHS Trust were not addressed by the right hon. Lady’s Government when they were in office. We are addressing them, and sometimes those decisions are difficult, and sometimes they are not popular with local people. I took the decision that I did because it will save about 100 lives a year. I think it was the right decision, and I want to ensure that I do the right thing by her constituents.

[Sir Tony Baldry (Banbury) (Con)]

The extra £10 million for the Oxford University Hospitals NHS Trust to deal with winter pressures is very welcome. Sir Jonathan Michael and his team have already made it very clear that they will open a significant number of new beds this winter and take on a significant number of new members of staff. The Oxfordshire clinical commissioning group is already working hard on enhancing primary triage, so that fewer people have to go to A and E. Would it not be better if we just let NHS managers—the NHS—get on with this, rather than the Opposition continuously shroud-waving every winter, in the hope there might be some failing that could shore up their flagging opinion polls?

[Mr Hunt]

We have not heard any kind of policy from the Opposition today, or any suggestion as to what they would do differently. We have presented to the House a package of short-term and long-term measures, designed to address the immediate and the underlying challenges. It is a very comprehensive package, but it is going to be a very tough winter and I would urge all responsible politicians from all parties to row in behind the package, which I think will make a very big difference on the front line.

Hospital Mortality Rates

Debate between Jeremy Hunt and Tony Baldry

Tuesday 16th July 2013 Commons Chamber

[Mr Hunt]

And for the second time, I say yes.

[Sir Tony Baldry (Banbury) (Con)]

Professor Brian Jarman observed that, until recently, the Department of Health seemed to be a “denial machine” and that there was suppression and spin. Will the Secretary of State and the whole House at least agree that there is no room for denial, suppression or spin in the NHS, and that what we need for the future are total transparency, accountability and a Care Quality Commission that performs properly and professionally?

[Mr Hunt]

My hon. Friend speaks wisely, because the first step towards sorting out these problems is to have a system that Ministers cannot interfere with so that when there is failure, regulators are able to speak out without any political pressure—without any Ministers leaning on them in the run-up to elections—in the interests of patients. That is why we are completely changing the CQC. We are introducing a chief inspector of hospitals, who will be the nation’s whistleblower and who will have the independence and freedom that the old CQC never had. I hope that will help the public feel more confident that where there are problems they are properly tackled and not swept under the carpet.

A and E Departments

Debate between Jeremy Hunt and Tony Baldry

Tuesday 21st May 2013 Commons Chamber

[Mr Hunt]

It is a very important, complex and difficult decision, so I thought it was right to get independent advice from the Independent Reconfiguration Panel, and that is what I have done.

[Sir Tony Baldry (Banbury) (Con)]

There is a general acknowledgement and recognition that one of the problems for A and E departments, particularly at night and on weekends and bank holidays, is people going to them who do not need to. Does my right hon. Friend think there is scope for the new clinical commissioning groups to commission primary triage at the entrance of A and E departments, so that those who need only primary care treatment are directed towards to it, and those who need A and E treatment go through to A and E?

Mid Staffordshire NHS Foundation Trust

Debate between Jeremy Hunt and Tony Baldry

Tuesday 26th March 2013 Commons Chamber

[Mr Hunt]

Neither. The chief inspector will report to the CQC. The hon. Lady is right that one of the problems is the overlapping roles and the confusion of roles. What we are announcing today is a significant change in the responsibilities of the CQC. It will no longer be involved in putting right problems in hospitals: its job will simply be to identify problems, so it is not compromised in its ability to be the nation’s whistleblower-in-chief. The responsibility for putting right problems will lie with Monitor, the NHS Trust Development Authority, the NHS Commissioning Board and the wider NHS system. We want to make sure that the chief inspector is unconstrained and unconflicted, when his or her team goes into hospitals, from shouting loudly if there is a problem and continuing to shout loudly until it is solved.

[Sir Tony Baldry (Banbury) (Con)]

These changes all come against a background of other changes in the NHS, such as clinical commissioning groups, Healthwatch and health and wellbeing boards, and I wonder whether my right hon. Friend would be kind enough to put in the Library a plain person’s guide, so that we can understand how these new regulators, inspectors and various other bodies fit in with each other—who is accountable to whom—so we as constituency MPs will know whom to approach and on what occasion. I am sure that all these changes are very welcome, but we need to understand how they relate to each other.

[Mr Hunt]

I am sure that my hon. Friend’s sentiments are shared on both sides of the House. Indeed, I could have done with such a guide when I started this job last September. I am happy to do as he requests, but from today’s announcement the most important thing that the country should know is that when it comes to failures in care, the buck stops in one place. It will be the chief inspector’s job to identify such failures and shout publicly about them, and that will be an important clarification that the system needs.

Immigrants (NHS Treatment)

Debate between Jeremy Hunt and Tony Baldry

Monday 25th March 2013 Commons Chamber

[Mr Hunt]

Yes, they will.

[Sir Tony Baldry (Banbury) (Con)]

I am finding it rather difficult to ask a question, because I have been rendered speechless by the chutzpah of Labour Members in not saying that what the Secretary of State proposes is sheer common sense and in not agreeing with him. I have a simple question. How will GPs know which foreign nationals are entitled to NHS care and which are not?

[Mr Hunt]

My hon. Friend asks a very important question. We have to recognise the pressure on GPs and must be careful not to increase the bureaucratic burden on them. The long-term answer is to have proper digital patient records. If the first thing that people are asked for when they enter any part of the NHS is an NHS number that allows the person they are seeing to look at their medical history, which could be a trigger to identify someone who should be paying for their NHS care. We are seeing whether there is a non-bureaucratic way of achieving that in the short term, while we put that technological system in place.

Oral Answers to Questions

Debate between Jeremy Hunt and Tony Baldry

Tuesday 27th November 2012 Commons Chamber

[Mr Hunt]

I am happy to look into the issues the hon. Gentleman raises. The purpose of the reforms is to put more money on to the front line and into primary care, where we can save the most lives.

[Sir Tony Baldry (Banbury) (Con)]

T2. The new mandate for the NHS includes a very welcome objective for it to be a world leader in end-of-life care. Can we have an indicator in the commissioning outcomes framework on deaths in preferred places of care to ensure that new commissioning groups prioritise better end-of-life care, and to ensure that those who want to die peacefully at home have the best opportunity to do so?

Ministerial Code (Culture Secretary)

Debate between Jeremy Hunt and Tony Baldry

Wednesday 13th June 2012 Commons Chamber

[Mr Hunt]

I had hoped that the right hon. Gentleman would explain why it is a breach of the code when a Conservative special adviser behaves inappropriately, but not when a Labour special adviser does, but he did not.

I want to get on to the substance of what the right hon. and learned Member for Camberwell and Peckham said. Parliament rightly holds Ministers to account, and I strongly defend the right of this House to do so. Since my answer to the hon. Member for Bassetlaw in September, as a result of our gathering evidence for the Leveson inquiry, more than 2,000 pages of paperwork relating to the BSkyB bid have been assembled and placed in the House Library. That shows that time after time I sought to supply the House with as much information as possible, far beyond what was required by the Enterprise Act 2002, and probably far more than for any previous deal. It shows that I not only followed legal advice but went beyond it, seeking and publishing independent and expert advice about every key decision—an approach that was confirmed by nearly six hours of testimony under oath from myself and others, including my permanent secretary, who said that I had deliberately reduced my own room to manipulate the process to vanishing point.

Indeed, the evidence shows that the real story of this bid was insistence by me at several key stages on decisions that News Corp did not consider to be in its interests—the involvement of independent regulators; the stopping of James Murdoch being chairman of the spun-off Sky News; the refusal to rush the process; the decision to consult not once but twice. This was not an easy process, nor was it ever likely to command popular support, but the decisions were taken fairly and my Department deserves enormous credit as a result.

[Tony Baldry (Banbury) (Con)]

This was clearly a very controversial issue, and I imagine that competitors of Murdoch and News International would have been watching hawk-like to see whether there was any opportunity of taking the Secretary of State to judicial review. At any point during the process, did anyone indicate that they wished to take the Secretary of State to judicial review on the procedures and process that he used?

[Mr Hunt]

They did not, and that itself indicates the robustness with which we approached the decision.

BSkyB

Debate between Jeremy Hunt and Tony Baldry

Thursday 3rd March 2011 Commons Chamber

[Mr Hunt]

In which case Mr Murdoch would not agree with my view on reform of the House of Lords. If the hon. Gentleman cares about freedom and democracy and looks at the details of the deal, he will find that if it proceeds—if I accept it after 15 or 17 days’ consultation—it will make Sky News more independent than it is at the moment. That strengthens media plurality, which should reassure the many people who are understandably concerned to ensure that no one person has too much control. If James Murdoch wanted more control over news media in this country, he would not have proceeded with this deal. It is in order to buy the shares in the rest of Sky that he must cede significant control in Sky News.

[Tony Baldry (Banbury) (Con)]

Will my right hon. Friend confirm that he has been engaged in not a political process but a quasi-judicial process under the Enterprise Act 2002, and that if now, or at the conclusion of the consultation process in 17 days, when he eventually makes a decision, anyone thinks that he has failed in that process, their remedy lies in judicial review?

[Mr Hunt]

My learned hon. Friend is absolutely right. In reality, we have to assume, because there are so many interests at stake, that any side that is disappointed with this decision will attempt judicially to review it. For that reason, at every stage of the process, we have sought to be completely transparent, impartial and fair, which is why today we are publishing all the documents relating to all the meetings—all the consultation documents, all the submissions we received, all the exchanges between my Department and News Corporation. People can thereby judge for themselves whether the process has been completely fair, impartial and above board.