Managing Risk in the NHS

Debate between Kevin Barron and Andy Burnham

Wednesday 17th July 2013 Commons Chamber

[Andy Burnham]

I would not close my mind to that suggestion, but I think it important also to take account of what Keogh said about other similarities between those hospitals—and, probably, between them and Mid Staffordshire. What they have in common is geographic isolation. Hospitals serving smaller market towns are not supported by the same clinical networks as others, and may find it more difficult to attract qualified staff. I agree with the hon. Gentleman that there are a number of important issues that need to be considered.

[Mr Kevin Barron (Rother Valley) (Lab)]

My right hon. Friend knows well, and knows personally, that in the past two months there has been a marked change in the coalition Government’s approach on the national health service. It started with the absurd argument that the problems in accident and emergency departments were the result of the 2004 GP contract. Is it not more likely that what is happening is that Mr Lynton Crosby is telling Government Members to squeeze the lead that Labour has had over the Conservative party for many decades on the NHS, and attacking NHS workers, scaring patients and attacking the Opposition is what they are trying to do? They ought to be ashamed of themselves for being involved in it.

[Andy Burnham]

It used to be, “We love the NHS”—the Prime Minister said, “I love the NHS”—but now it is about running down the NHS. I say to the Secretary of State, in all sincerity, that he will not improve patient care by continually blaming doctors and nurses. As I have said before, the NHS is fragile right now because of his reorganisation, and it cannot keep taking these knocks on a daily basis. The blame game is destructive and polarising, and it has to end. He is in real danger of losing any remaining good will in the NHS work force, and none of us and, more importantly, none of our constituents can afford to see those crucial staff become fed up, lose heart and walk away. Government Members can throw whatever they like at me, because that is politics, but I will not allow the NHS and its staff to become collateral damage in this orchestrated political campaign.

Accident and Emergency Waiting Times

Debate between Kevin Barron and Andy Burnham

Wednesday 5th June 2013 Commons Chamber

[Andy Burnham]

My right hon. Friend rightly identifies some of the contradictory chaos that now passes for Government health policy. I will deal directly with her point later in my speech.

[Mr Kevin Barron (Rother Valley) (Lab)]

In the preceding debate, the Government tabled an amendment of great worth answering all the points with regard to badgers, but there is no amendment for this debate. They have no answer and are not prepared to put anything on paper about how to get over this current crisis in A and E. Does that not speak volumes?

[Andy Burnham]

The Government have more to say about badgers than about the current crisis that NHS staff up and down the country are dealing with. That says a lot about this Government.

National Health Service

Debate between Kevin Barron and Andy Burnham

Wednesday 26th October 2011 Commons Chamber

[Andy Burnham]

Let me first acknowledge the hon. Gentleman’s courage in standing up and voting against the Health and Social Care Bill. I just wish that more of his Liberal Democrat colleagues had similar conviction and principle, and could stand up to the Government on a Bill that he knows—and which, in their heart of hearts, many of them know—will seriously damage the NHS.

The hon. Gentleman also asked me about the introduction of private sector capacity. I will not apologise for that, because that additional capacity was brought in to bring down NHS waiting lists, something that benefited his constituents. By bringing in that extra capacity we brought down NHS waiting lists to an all-time low and delivered the 18-week target. I am not going to apologise for that. The reason the NHS commands such strong support in the country today is that people’s experience of it improved in those years. I mentioned the preferred provider policy a moment ago. I believe that the private sector has a role to play in delivering world-class care to patients, and I am happy to put that on record.

[Mr Kevin Barron (Rother Valley) (Lab)]

At the heart of the current Bill are the 98 clauses that introduce competition law into the national health service—something that the last Government did not pass even one clause to do. Is not the ideology lying at the heart of the Bill what will wreck our national health service?

[Andy Burnham]

My right hon. Friend makes an incredibly important point. Make no mistake: if the Bill passes, the NHS will never be the same again. The Bill will unpick the fabric of a public national health care system—a planned system—and turn it into a free-for-all, as he says. Indeed, it is unbelievable to see a letter in The Guardian today from senior Liberal Democrats—many of whom made the same argument a few weeks ago as my right hon. Friend—now saying that, because of a few tweaks to the Secretary of State’s powers, the time has come to abandon all their concerns about the provisions. That is a ridiculous statement to make. If they still have concerns about competition and privatisation, they should have the courage of their convictions and stand up against the Bill, instead of writing sanctimonious letters to The Guardian.

Grip has been lost; the NHS is drifting. However, the Government cannot say that they were not warned. Sir David Nicholson, the chief executive of the NHS, told the Public Accounts Committee that the reorganisation had increased the scale of the financial challenge:

“I’ll not sit here and tell you that the risks have not gone up. They have. The risks of delivering the totality of…the efficiency savings that we need over the next four years have gone up because of the big changes that are going on in the NHS as a whole.”

This has been a lost year in the NHS—a crucial year, when it needed to face up to the financial challenge—but things are not getting better. We face months of further uncertainty, as the Secretary of State battles on with his complicated and unwanted Bill. Four-hundred and ninety pages, 70-page letters to peers, amendments made on the hoof: it is a total mess. The NHS deserves better than this. Even the man the Secretary of State brought in to run his new NHS Commissioning Board describes his Bill as “completely unintelligible,” and went on to say:

“It is going to be messy as we go through a very complex transitional programme.”

And this from the Secretary of State’s friends.

The harsh truth is that the Secretary of State has comprehensively failed to build the consensus he needs behind his Bill. GPs do not want it; nurses do not want it; midwives do not want it; patients do not want it. I say to the Prime Minister and the Health Secretary today: stop digging in. Drop this Bill. If they do, my offer still stands, as our motion makes clear. We will work with the Secretary of State to reform NHS commissioning, giving GPs and other clinicians a bigger role. That can be achieved without legislation and a major structural upheaval of the entire NHS. It can be done through existing legal structures, giving immediate stability and saving millions.

We make our offer again today, as it is time for all politicians to put the NHS first. It is slipping backwards, and the warning signs are there for all to see. Waiting lists and waiting times are getting longer, with a 48% rise in the last year in the numbers of patients waiting more than 18 weeks. When patients are waiting longer, it is unforgivable that £2 billion to £3 billion has been set aside to pay for the costs of reorganisation. It is also unforgivable that £850 million is being spent on making people redundant who will end up being re-employed elsewhere in the system, in the new clinical commissioning groups.

We are witnessing a return to the bad old days of waiting longer or paying to go private. This is just a glimpse of the future. If the Bill passes, the NHS will never be the same again. We have all seen the adverts on television for the health lottery. Is this the right hon. Gentleman’s early marketing and his new brand name for our NHS?