(7 years, 1 month ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
I thank the hon. Gentleman—he did do the maths. That is a lot of money, and the BBC needs to be held to account for it. I do not, for one minute, stand here and say that everything about the BBC is perfect. We absolutely need more transparency and more accountability, and the hon. Member for East Londonderry (Mr Campbell) made that point extraordinarily well. It frustrates me that the BBC seems to show an extraordinarily defensive attitude whenever complaints are made about it. Whenever a member of the public or, indeed, a Member of this House, raises a perfectly reasonable concern about something the BBC has done—how it has covered a story or how it has spent public money, for example—its first thought is defence: “Fold the arms and try to pretend it didn’t happen”.
Does my hon. Friend think that the BBC sometimes co-opts its talent in its defence, so to speak? Is that really the right way to go about things, rather than with the openness and transparency he rightly talks about?
There is sometimes a tendency, I think, for BBC managers not to be front and centre or, when they are, if they appear on a programme like “Feedback” or “Points of View”, the defensive attitude is the one that comes to the fore. What we need sometimes, just sometimes, is for the BBC to say, “We got this wrong. We didn’t do it right and we’re gonna do it differently next time”. I do not see enough of that.
When I worked for the BBC as an editor, and then again as a programme presenter, my manager would come to me once a week with a spreadsheet of the complaints I had received. He used to say, “As long as I’m getting about equal numbers of complaints, Peter, from either side in politics, you’re probably getting it about right.” That is probably as good a yardstick as any. The BBC does get stick from all sides.
The BBC is an organisation that gets a lot of our money and we need more analysis of how it chooses to spend it. There is one particular area of the BBC that I know best, and that is radio, particularly local radio, as that is where I worked. After all, I have the perfect face for radio. As has been mentioned, regional telly and local radio—in my area, BBC Radio Devon and “Spotlight”—do a fantastic job of covering news, which no other broadcaster would be able to do without that public service funding input. That is why I welcome the recent announcements by the BBC director-general at the Gillard awards, which celebrate local radio broadcasting. The first of the two main decisions he announced was that the £10 million of funding cuts he had asked the BBC to find from local radio will not now have to happen. He has found that funding from other sources, and I welcome that. Secondly, the national shared evening programme that local radio has had to have for three years now will be scrapped and local services restored. That is an example of the BBC listening, doing the right thing and saying, “We understand we have all this money and that we’ve got to spend it in a way that benefits the majority of licence fee payers”.
The alternatives do not stack up. Subscription or advertising would be extraordinarily retrograde steps. If we allow the BBC to take advertising, not only do we immediately raise questions about impartiality and neutrality but, frankly, come midnight most nights we will have a live roulette wheel, which is exactly what we have on ITV most nights.
On subscription services, I have been undertaking a text conversation with a constituent of mine in North Devon ever since I said I would be taking part in this debate. He said, “Netflix costs me half as much as the BBC and has five times the content”. Here is what Netflix does not have: radio, regional broadcasting, news and current affairs, and huge educational programmes. It does not put computers into schools or cover live sport. It does not have the huge community events that bring the country together, like Children in Need, which raised £50 million last Friday. That is what Netflix does not give us.
I rise to present this petition on behalf of many hundreds of residents in Solihull in the same terms as my hon. Friend the Member for Beverley and Holderness.
The Petition of the residents of Solihull.
[P001604]
I rise to present this petition on behalf of many residents of North Devon. In doing so, I applaud this Government for pledging to put right this historic wrong. This petition is in the same terms as that of my hon. Friend the Member for Beverley and Holderness.
The Petition of the residents of North Devon.
[P001602]
I rise to present this petition on behalf of many hundreds of residents in Solihull in the same terms as my hon. Friend the Member for Beverley and Holderness.
The Petition of the residents of Solihull.
[P001604]
I rise to present this petition on behalf of many residents of North Devon. In doing so, I applaud this Government for pledging to put right this historic wrong. This petition is in the same terms as that of my hon. Friend the Member for Beverley and Holderness.
The Petition of the residents of North Devon.
[P001602]
(9 years, 1 month ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
I beg to move,
That this House has considered regulation of care homes.
It is a pleasure to serve under your chairmanship this afternoon, Ms Vaz. The purpose of today’s debate is to highlight what I believe to be serious shortfalls in the current system for the regulation, inspection and investigation of private care homes and nursing homes. At the moment, I believe, quite simply, that we are letting people down—the people who are least able to speak up for themselves. They are the estimated 300,000 older people who currently live in around 17,000 registered care homes in England. Their average age is 85 and a significant proportion suffer from dementia. They are people largely without a voice and that, I believe, needs to change.
Two and a half years ago, some time before being elected to this place, I was contacted by a constituent in North Devon. He told me the very moving story of his mother, a former resident at a private care home, who had died in 2009. Her son believed then, and still believes to this day, that there are serious questions about the care that she received in the final months and weeks of her life.
In the following years, my constituent has pursued all the avenues open to him to have his mother’s case fully investigated. Invariably, though, he hit a brick wall, so he began to look beyond his individual case at the more general question of how care homes are regulated and complaints investigated. He came to the conclusion that the current system is simply not fit for purpose. It is a conclusion that I share, which is why I sought today’s debate.
Let me stress that this debate is not about my constituent’s individual, specific case. I do not seek to reopen it nor to raise any questions about the standard of care in that establishment today, six years on. Indeed, last night, I spoke to a senior director at the home’s parent company to give her that assurance, which she accepted. However, my constituent’s individual case is the starting point. That is how it must be, because at the heart of this issue are people, and we must always remember that when we talk about systems, institutions and processes. It is the people who matter, and at the moment, I believe that we are letting them down.
To seek evidence for that, we have to look no further than the website of the Care Quality Commission, the body that currently has responsibility for the regulation and inspection of care homes. Today, that website tells us that of the 700 care homes most recently inspected by the CQC, a staggering 44% have been rated as either “Requires improvement” or “Inadequate”. There is no reason to believe that those figures are unrepresentative of the sector as a whole, so that means that four in 10 of all establishments are not currently reaching the required standard. Surely the purpose of any system of inspection and regulation must be to drive up standards. Those figures alone, therefore, suggest that currently the system is simply not working.
Let us look at that system, because it has undergone some significant changes in the recent past, and indeed it still is undergoing change, even as we speak today. It seems to be a process, however, that in its fluidity is encountering considerable difficulty. We are in a flexible mode, I think it is fair to say, as far as the CQC’s arrangements are concerned.
In June 2013, the CQC issued a consultation called “A new start”, which proposed a whole new approach to inspection across all sectors, including care homes. That approach was confirmed in October two years ago, and the new provider handbook for residential care came into effect from 9 October last year. In April this year, the CQC introduced a special measures regime, as it was called, for failing services. However, it is clear that there are problems in the implementation of some of those new processes.
The CQC’s most recent publication, which was published as recently as 28 October, is called “Building on strong foundations”—I have a copy here, hot off the press. It sets out
“some of the choices it faces in responding to changes to how health and social care is delivered”.
Well, it must face some pretty tough choices, because it is pretty clear that what it seeks to do in changing its processes is not fully working.
Let me quote an article from The Guardian, which I admit is not one of my usual media choices. The columnist, Michele Hanson, wrote on 28 September this year:
“Do you fancy being a CQC inspector? You can. Anyone can. You don’t have to be a social care expert, just have a six-week induction course. And luckily, once you start inspecting, you don’t have to inspect everything. You can just inspect a couple of the Key Lines of Enquiry (KLOE), because they’re not all mandatory.”
The article goes on to say:
“You can leave out management of medication, or quality of life, or complaints, and you can inspect different KLOEs in different homes, which means you can’t compare”
what is good and what is not good. She concludes:
“Which is perhaps why our local care home, rated ‘excellent’ by CQC”
was exposed on the television a short time afterwards
“over the fearful abuse of one resident”.
Clearly, something is wrong with the system. What is the cause of that? It seems, as I said, that the CQC has encountered particular problems recruiting sufficient expert inspectors. In July this year, the National Audit Office found that just 9% of care homes have so far been assessed, because of a shortfall of 160 inspectors. Indeed, the February 2016 deadline to complete the work has now been pushed back to next October.
I have a great deal of respect for the many hard-working staff at care homes and at the CQC. Those at care homes in particular receive low wages for a job that I would never want to do. I also have some sympathy for the many care home providers who are having to cope with the ever-changing regulation regime. The goalposts are constantly moving, and it is costly for those care home providers to comply with the system. Care homes have to pay to be registered by the CQC, and, depending on how many residents they have, the cost can be anything from £276 to more than £13,000 a year. It is fairly obvious where those costs are going to be passed on to.
Let us make no mistake. In cases where something goes wrong, it is the care homes and the people who own and manage them who bear the ultimate responsibility for getting things right, but the regulatory framework that we—the state—impose has to help them, encourage them, and yes, force them to improve. At the moment, it does not.
My hon. Friend is making a powerful case and is clearly a strong advocate for fairness and transparency in the care home sector. On whether providers are being managed in the right way by the CQC, is not the point that they have said to Department for Business, Innovation and Skills that they feel that they are being asked to provide paperwork and not care, and that there is sometimes duplication between the local authority and the CQC in how the sector is regulated?
My hon. Friend makes an extremely good point. This must be about the elderly people who are in the care homes. They must be the entire focus of those who work in, manage and own those care homes, not the bureaucracy and the paperwork.