Health Service Medical Supplies (Costs) Bill

Debate between John Glen and Jeremy Hunt

2nd reading: House of Commons & Programme motion: House of Commons
Monday 24th October 2016 Commons Chamber

[Mr Hunt]

It will deal with some of those concerns, and we will listen to all the concerns raised by hon. Members during the progress of the Bill. On the particular issue the hon. Gentleman raises, the CMA is already investigating the behaviour of pharmaceutical companies in certain situations, but it has become clear to us that there is a particularly unethical and unacceptable practice of drugs companies getting control of generic drugs for which they command a monopoly position and then hiking the prices. There was one product whose price increased by 12,000% between 2008 and 2016, and if the price had stayed the same as before the increase, the NHS would have spent £58 million less. The Government’s conclusion is that the simplest and quickest way to sort this out is through new legislation, but I will happily take the hon. Gentleman’s other concerns offline and look into them further.

[John Glen (Salisbury) (Con)]

I welcome the provisions of the Bill that will close a loophole and deal with terrible examples of where the NHS is in effect exploited, but can my right hon. Friend point to the future in light of the suggestion that the drugs bill will increase to £20 billion by 2020—a much more significant increase than can be afforded under the projected expenditure in the NHS? What bigger measures need to be put in place for us to deal substantively with that bigger problem?

[Mr Hunt]

My hon. Friend is right in that we see demand for NHS services, which includes treatment and drugs, increasing by a total of around £30 billion over the next five-year period, which is a huge amount and certainly more than we as a country can afford without changing practice. That is why we are implementing a very challenging series of efficiency reforms designed to make sure that we can afford to continue current levels of NHS service on the £10 billion increase this Government are putting in. Part of that is indeed measures such as those in this Bill to control the drugs bill. My hon. Friend is also right that going forward over the next 25, rather than five, years we will be seeing the bigger issue of the accelerating pace of innovation in science. That provides great opportunities for the NHS, but potentially great pressures for the budget, and I am sure we will continue to discuss those issues extensively in this House.

Junior Doctors Contract

Debate between John Glen and Jeremy Hunt

Thursday 19th May 2016 Commons Chamber

[Mr Hunt]

I know that that is a view that some colleagues share. Doctors have obligations even now under the Medical Act 1983 not to take action that would harm patients, and under their responsibilities to the General Medical Council; they have to be aware of those. What I hope is that that question simply does not arise again. We are now having constructive discussions with the BMA; I think that is the way forward and I hope that neither I nor any future Health Secretary has to go through what has happened in the past 10 months.

[John Glen (Salisbury) (Con)]

I applaud the tone and content of the Secretary of State’s remarks. I think this agreement will go down as a breakthrough in the NHS. It has been very uncomfortable to engage in dialogue with constituents who are junior doctors, who have felt aggrieved, so I particularly welcome the way my right hon. Friend has been able to look at non-contractual issues. I urge him to give serious consideration to the outcome of the Bailey review so that progress can be made on morale and the wider issues that have been raised.

[Mr Hunt]

I finish by saying that I completely agree with my hon. Friend. It has been a very sad dispute for all of us, because we all recognise that junior doctors are the backbone of the NHS; they work extremely hard and they often work the most weekends already. That we now have an agreement is a brilliant step forward. We all have constituents who work hard for the NHS. They are people we value, so dialogue, negotiation and constructive discussion must always be the way forward.

NHS Services (Access)

Debate between John Glen and Jeremy Hunt

Wednesday 15th October 2014 Commons Chamber

[Mr Hunt]

I will make some progress.

The right hon. Gentleman said that the reforms have made it harder to access NHS services. The opposite is true. Scrapping the primary care trusts and strategic health authorities meant the introduction of clinical leadership, which he wants to abolish, and allowed the NHS to hire 6,100 more doctors and 3,300 more nurses. Those members of staff are helping the NHS to do 850,000 more operations every single year compared with when he was in office. How can he possibly stand before the House and say that access to NHS services is getting worse, when nearly 1 million more people are getting operations every year compared with when he was Health Secretary?

[John Glen (Salisbury) (Con)]

What is more, the evidence from Labour’s last years in office shows that the number of managers was increasing at three times the recruitment rate for nurses. What does that say about Labour’s priorities in office?

[Mr Hunt]

My hon. Friend is absolutely right. That is why the management pay bill doubled under Labour and why we took the difficult decision, which the Opposition bitterly opposed, to get rid of 19,000 administrators and managers so that we could recruit the extra doctors and nurses. I notice that Opposition Front Benchers are very quiet on that point because they cannot answer the simple question of how they would pay for those extra doctors and nurses if the Health and Social Care Act 2012 was reversed. [Interruption.] Ah! They would pay for the extra doctors and nurses by bringing in new taxes that the country is not paying at the moment.

The right hon. Gentleman talked about structural reforms. We ought to discuss the structural reforms that he chose not to talk about, such as making the Care Quality Commission independent, with new chief inspectors for hospitals, adult social care and general practice. He tried to vote down that legislation in this House. So far—[Interruption.] I know that this is uncomfortable for Labour Members, but they should listen, because the new inspection regime has put 18 hospitals into special measures. Five of them have been turned around completely and have exited special measures, and important improvements are being made at the others.

The motion talks about Government mistakes, so will the right hon. Gentleman finally accept the catastrophic mistakes that he made as Health Secretary, such as failing to sort out the problems at those hospitals, even though there were warning signs at every single one of them? Does he accept that because Labour ignored those warning signs, patients were harmed and lives lost? Will he finally apologise to the relatives of patients at Mid Staffs whom he made wait outside in the cold because he refused to meet them and hear their concerns? Will he make that apology now? He has not apologised and it is clear that he does not want to do so today.

The right hon. Gentleman talked about A and E. Just as when he was Health Secretary, there have been weeks when the target has not been met. What he did not tell the House is that, thanks to our reforms, we have 800 more A and E doctors than four years ago and nearly 2,000 more people are being treated within four hours every single day than when he was Health Secretary.

As the motion refers to Government mistakes, perhaps the right hon. Gentleman might like to acknowledge some of his own mistakes on A and E, such as the 2004 GP contract that removed personal responsibility for patients from GPs, making it more likely that people would end up in A and E, or the failure over 13 years to integrate the health and social care systems, meaning that many vulnerable older people continue to end up in A and E unnecessarily—something that we are putting right through the Better Care programme.

When the right hon. Gentleman spoke about NHS performance, he talked repeatedly about missed targets. That is a really important issue and is perhaps the biggest dividing line between his approach to the NHS and mine. Of course targets matter in any large organisation, but not targets at any cost. That is why the Government have been careful to ensure that in the new inspection regime, waiting time targets are assessed not on their own, but alongside the quality and safety of care.

NHS Investigations (Jimmy Savile)

Debate between John Glen and Jeremy Hunt

Thursday 26th June 2014 Commons Chamber

[Mr Hunt]

I do not agree with that. The CRB checks that were introduced by the last Labour Government were a very important step forward when they started in 2002, but what is also important, as I am sure Labour recognises, is that they have limitations, because they identify whether someone has a criminal record. Jimmy Savile was never convicted of a criminal offence, so CRB checks alone would not have stopped this abuse. That is why we need a broader system, which is what the disclosure and barring scheme is intended to be. It is deliberately set up as something that is risk-profiled, so the higher the risk, the higher the standard of investigation, but that is one of the things that Kate Lampard will look at and we need to listen to what she says when she gives us her final report.

[John Glen (Salisbury) (Con)]

I was grateful for the opportunity early this morning to look at the thorough report of Jimmy Savile’s visits to Odstock hospital. At Odstock, although it seemed that Mr Savile visited, the report concluded that there was no evidence of any wrongdoing. However, one recommendation was that the Department of Health issue national guidance on VIP policy and VIP visits. Can the Secretary of State confirm that he will look at that, so that all hospitals, including the successor to Odstock, Salisbury district hospital, can have a reliable policy in place?

[Mr Hunt]

I think that is a very sensible suggestion. I want to wait until Kate Lampard gives her final report in September, so I do not want to pre-empt what she says, but certainly, one of the blindingly obvious things that jumps out at us from these reports is that too generous treatment was given to someone on the basis of that celebrity status, and we definitely need to learn lessons. As I am sure my hon. Friend would appreciate from his own constituents’ point of view, the fact that there is no evidence of abuse sadly does not mean that there was no abuse, and that is why it is really important for us to remember that there may well be many people who are not mentioned today who have been quietly suffering for many years. I hope today will give them encouragement to come forward.

Patient Safety

Debate between John Glen and Jeremy Hunt

Tuesday 24th June 2014 Commons Chamber

[Mr Hunt]

I hope that they are. I think that in the end we shall be judged on how successful we are in turning around hospitals in special measures. Last week I met Anne Eden, the chief executive of Buckinghamshire Healthcare. I think she has done an excellent job in extremely difficult circumstances, but I know she would agree that there is still much work to be done. Taking hospitals out of special measures is the first step, but ultimately we must reassure the public that when there are problems, we shall be on their side and try to sort those problems out.

[John Glen (Salisbury) (Con)]

I welcome today’s announcement, and I assure the Secretary of State that Salisbury district hospital, which is in Odstock in my constituency, will be keen to sign up to the campaign. However, will he acknowledge that it and several other hospitals have been alive to issues of patient safety for a long time, and have recently been involved in a new patient safety initiative launched by Wessex academic health science network? Is it not important for existing arrangements to be acknowledged, so that there is no duplication of effort?

[Mr Hunt]

That is absolutely true. A number of initiatives are taking place, and I welcome them. The involvement of universities can help us to understand some of these very difficult issues. This is uncharted territory for the NHS, because nowhere else in the world are we seeing the rigour with which we are going about our task. I think that we should be open about anyone who can contribute to the debate.

Oral Answers to Questions

Debate between John Glen and Jeremy Hunt

Tuesday 22nd October 2013 Commons Chamber

[John Glen (Salisbury) (Con)]

T10. Dr Elizabeth Stanger, a highly respected Salisbury GP, recently questioned me about the sustainability of providing multiple treatments for complex medical problems for several generations of the same family of foreign nationals. I welcome today’s announcement, and ask the Minister to reassure me that the mechanism to recover the funds will ensure that the money goes back to the clinical commissioning group so that it can provide a benefit locally.

[Mr Hunt]

I absolutely can reassure my hon. Friend about that. The point about the new, improved system for recovering charges is that we want the money to go back to the people providing the services so that they will be able to resource them better. This is not the diversionary tactic that some have accused us this morning of introducing; £500 million could have a huge impact on the NHS front line and allow his GPs to do a much better job.

Mid Staffordshire NHS Foundation Trust

Debate between John Glen and Jeremy Hunt

Tuesday 26th March 2013 Commons Chamber

[Mr Hunt]

I would also like to thank my hon. Friend for the work that he does for his local hospital in difficult circumstances directly involved in this terrible scandal. I agree with him: the corporate objective to become a foundation trust overrode everything else in the hospital, at huge expense to patient care. We must never allow that to happen again.

[John Glen (Salisbury) (Con)]

What most people want when they use the NHS is a reliable, accessible service, and to know that when something goes wrong somebody will be held to account and brought to book. Clearly, that has not happened. What can the Secretary of State say to reassure our constituents that people will be held accountable on an individual level, and that we will not see this happen again?

[Mr Hunt]

That accountability is extremely important and happens on many different levels. In particular, we have professional codes of conduct for doctors and nurses, so that in the exceptional situations where those codes are breached, we know, as members of the public, they will be held to account. Those are done at arm’s length from the Government by the General Medical Council and the Nursing and Midwifery Council, but we are talking to them about why it is that still no doctor or nurse has been struck off following what happened at Mid Staffs—I think that is completely wrong.

Oral Answers to Questions

Debate between John Glen and Jeremy Hunt

Monday 29th November 2010 Commons Chamber

[John Glen (Salisbury) (Con)]

10. What plans he has for the future of local media.

[The Secretary of State for Culture, Olympics, Media and Sport (Mr Jeremy Hunt)]

We have announced radical plans to secure the future of the local newspaper industry, and have ambitious hopes to turn this country from one of the least well served by local television to one of the best served.

[Mr Hunt]

Yes, especially when they are in one’s own constituency. My hon. Friend is absolutely right. The best way in which we can help local newspaper groups is by making it commercially viable for them to turn into multi-media operations which offer their news product over radio, television, iPods, iPads and mobiles. I do not know what the broadcast footprint of Dover television might be, but I have no doubt that it would extend my hon. Friend’s reputation as a campaigning Member of Parliament across the channel to the north coast of France.

[John Glen]

In the light of the uncertainty facing local radio operators such as Spire FM in my constituency over the path for migration to DAB, can the Minister tell us when the owners and operators of such stations will know whether they can secure a future beyond Ofcom’s seven-year licensing strategy?

[Mr Hunt]

I thank my hon. Friend for his important question. We greatly value the role of local radio, and we are also very committed to the transition to a digital future. We want to ensure that the timing is such that it does not force people to jettison their analogue radios in huge quantities. Our discussions are progressing rapidly. Last week I had a discussion with the managing director of one of the largest commercial radio groups, and we hope that our discussions will progress further in the next month.