Business of the House

Jeremy Lefroy Excerpts

Thursday 13th February 2014 Commons Chamber

[Mr Lansley]

The hon. Gentleman is very gracious, and I will indeed make sure that his good wishes are passed on to the Secretary of State for Environment, Food and Rural Affairs, who I know is making very good progress. As we might expect, it turns out that he is quite resilient.

The independent expert panel is still preparing its report. The timing of the completion of the report and of its submission to Ministers is a matter for the panel. The hon. Gentleman will know that the report will include an assessment of the costs, and an economic assessment is being prepared to inform decision making. We will of course keep the House informed about that.

[Jeremy Lefroy (Stafford) (Con)]

I thank my right hon. Friend for providing Government time to debate the Francis report. Officials at the Department of Health have written to a constituent of mine in respect of the trust special administration of Mid Staffordshire NHS Foundation Trust that

“the Secretary of State cannot develop his own solution or accept the proposals only in part, nor can he require any amendments to the TSAs’ proposals other than by using his veto.”

With respect, I challenge that interpretation, given the Secretary of State’s overriding powers under sections 1, 2 and 4 of the Health and Social Care Act 2012. Although they accept the broad thrust of the trust special administrators’ recommendations, my constituents look to the Secretary of State to protect local services, especially for the most vulnerable in the areas of maternity and paediatrics. May we have a debate on the powers of the Secretary of State for Health?

[Mr Lansley]

I am grateful to my hon. Friend for what he said about the debate on the Francis report and the Government response. I have said before that it is important that we have such a debate and I am glad that I have been able to announce it.

The foundation trust special administration regime could and should have been put in place by the Labour party as part of the creation of foundation trusts, but it was not. The regime has to be carefully specified. It is important that it does not become a means by which the independence of foundation trusts and the role of Monitor as the regulator of foundation trusts can be overridden, other than specifically in relation to the Secretary of State’s adherence to his general duties. The Secretary of State must use the measure only in exceptional circumstances, which implies that it is a veto, rather than to impose his view of how services should be configured over the views of the local commissioners.