Ockenden Review of Maternity Care: Shrewsbury and Telford

Debate between Lucy Allan and Jeremy Hunt

Wednesday 15th January 2020 Commons Chamber

[Lucy Allan (Telford) (Con)]

I am delighted to have been granted this Adjournment debate on this very important issue. I want to raise it because the issue deserves the platform that Parliament affords. It concerns the safety of women and babies receiving maternity care at hospitals in Shropshire. I raise that in the context of the Morecambe Bay trust inquiry into maternity deaths in 2015, which at the time was considered to be a one-off. What has come to light at Shrewsbury and Telford Hospital NHS Trust suggests that there may be systemic problems within the NHS and maternity care, and there are without doubt significant concerns about the lack of transparency and openness around what went wrong.

The Ockenden review was set up two and half years ago to look at 23 possible cases of maternity malpractice at the Shrewsbury and Telford Hospital Trust. So far there have been no formal published findings. However, in November 2019 interim findings were leaked to the media. Those findings show not only that had some very serious failings indeed been uncovered by the review, but that the scale of the malpractice, and the number of women and babies affected by it, exceeded anything that had been expected when the review was initiated.

The interim findings stated that there had been in excess of 40 avoidable maternity deaths and 50 brain-injured babies. NHS Improvement was given that information almost a year ago and appears to have kept quiet about the findings. The findings also make reference to “widespread failings, a toxic culture and a failure to learn lessons.” Since those findings were made public, many, many more women have come forward—women who knew nothing about a review being held. The review is now looking at over 600 cases of possible maternity care malpractice.

Those interim findings directly contradict what senior management were saying publicly at the time when the review was commissioned. Senior management claimed that this was all overblown by the media, that it was all historical, and that good practice was in place now. The chief executive claimed that concerns raised about the possible scale of malpractice were “scaremongering”—his word. Senior hospital management adopted the stance that “it simply couldn’t happen here.” The CEO said that the media, particularly the BBC, had it in for them; that is what they actually said to me, the MP. How, in that kind of environment, can lessons be learned if there is no acceptance that anything has gone wrong?

We had the same response from the authorities in Telford when the scale of child sexual exploitation in the town was revealed. That denial, or perhaps being in denial, seems to be the standard response from those in positions of authority—minimising the problem, blaming the media and depicting those affected as being in some way troublesome.

Let us compare the review from Shrewsbury and Telford Hospital NHS Trust with that from Morecambe Bay, where there were 11 avoidable baby deaths and one maternal death. The Morecambe Bay inquiry reported promptly, and the then Secretary of State, my right hon. Friend the Member for South West Surrey (Jeremy Hunt), came immediately to the House, made a statement, and apologised to the families. He pledged that lessons would be learned, and that the legacy of those tragic deaths would mean that such things could not happen again. My right hon. Friend is in the Chamber today, and I am grateful that he did not just accept the position taken by senior management, NHS bureaucrats, and officials from Shrewsbury and Telford NHS Hospital Trust at face value. I commend him for initiating the Ockenden review, and for his commitment to encouraging a culture of transparency and openness across the NHS. We must continue with that approach.

[Jeremy Hunt (South West Surrey) (Con)]

I wish to repay the compliment and thank my hon. Friend for her tireless campaigning on this issue. It is not easy publicly to criticise a local hospital trust, and for an hon. Member to do that, as in this case, shows enormous courage. Does she agree that the biggest mistake the Government could make when they publish and respond to the Ockenden review would be to say that this is a one-off incident? The most important thing is to consider what went wrong at Shrewsbury and Telford, and to learn those lessons for the whole NHS. The big thing that we learned from Morecambe Bay and Mid Staffs was that such lessons apply across the system.

[Lucy Allan]

My right hon. Friend makes an important point—I was going to come to it in my speech, so I will bring it in now. The Morecambe Bay inquiry was led by Dr Bill Kirkup, who said of the recent findings at Shrewsbury and Telford Hospital NHS Trust that

“two clinical organisational failures are not two one offs”,

and that that points to an “underlying systemic problem” that may exist in other hospitals. My right hon. Friend is right to make that point, and I thank him for his kind comments.

The interim findings in the Ockenden review were not published, and I understand that the hospital trust has not been told about them. The families were certainly not told about them, and neither were MPs. There has been no statement to the House, and we do not know what action is being taken to ensure the safety of women and babies at Shrewsbury and Telford Hospital NHS Trust.

Oral Answers to Questions

Debate between Lucy Allan and Jeremy Hunt

Tuesday 20th December 2016 Commons Chamber

[Lucy Allan (Telford) (Con)]

1. What plans he has made to improve the quality of clinical leadership in the NHS.

[The Secretary of State for Health (Mr Jeremy Hunt)]

As we wish each other a merry Christmas, the whole House will also this morning remember the people of Berlin as they face up to yesterday’s horrific suspected terrorist attack. Germany and its capital Berlin have been beacons of freedom and tolerance in modern times, and all our thoughts and prayers are with them today.

Evidence from all over the world suggests that higher standards of care for patients relate directly to the quality of clinical leadership, which was why last month I announced a number of measures to increase the number of doctors and nurses in leadership roles in the NHS.

[Lucy Allan]

I thank my right hon. Friend for his response. Clinicians in Telford have been showing real leadership by rejecting a proposal to close a brand new women and children’s unit, and elements of our emergency services. The quango responsible for this idea has spent £3 million and taken three years to come up with the proposal, which has been rejected by local people and clinicians. Will my right hon. Friend meet me and my local colleagues to bring an end to this farce, and to ensure that we do not continue in limbo any longer?

[Mr Hunt]

I recognise the extent of my hon. Friend’s campaigning on this issue in Telford, and that she expresses the concerns of many of her constituents. As she knows, service changes must be driven locally and must have the support of local GP commissioners. She will also know that the actual situation, very frustratingly, has not led to consensus between clinicians in different parts of Telford and Shropshire. I agree that the process has taken much too long, and I am more than happy to meet her and to try to bring this situation to a close as quickly as possible.

Oral Answers to Questions

Debate between Lucy Allan and Jeremy Hunt

Tuesday 11th October 2016 Commons Chamber

[Lucy Allan (Telford) (Con)]

Local health commissioners have concluded that Telford’s brand new women and children’s centre, which serves some of the most deprived populations in the country, should be closed and moved to a more affluent area where health is better than the national average. The commissioning process has lost the confidence of local people. Will the Secretary of State intervene and ensure that local health commissioners fulfil their legal duty to reduce health inequalities?

[Mr Jeremy Hunt]

I thank my hon. Friend for standing up for her constituents—it is absolutely right that she should do so. She would agree that that has to be a local matter led by commissioners locally, but she can be reassured that we are always watching what is happening to ensure that people follow due process, and that the results of any changes proposed benefit patients as intended. I will therefore watch very carefully what is happening in Telford and in Shropshire more broadly.

Junior Doctors Contract

Debate between Lucy Allan and Jeremy Hunt

Thursday 19th May 2016 Commons Chamber

[Mr Hunt]

Let us be absolutely clear: there was never a refusal to negotiate on the Government’s side. We have now developed a lot of trust between the Government and the BMA leadership, but until that point it balloted for industrial action without even sitting down and talking to the Government, and it refused to discuss the issue of weekend pay premiums, which was the crucial change we needed for a seven-day NHS. It was when the BMA changed its position in those areas that we were able to have constructive talks, and that is why it deserves great credit for coming to the table and negotiating—something it had not wanted to do previously—and that led to the solution.

[Lucy Allan (Telford) (Con)]

I thank the Secretary of State for working so hard to bring about this resolution and for always putting users of the NHS at the heart of everything he does. Will he join me in urging junior doctors to consider the new contract with an open mind when voting, and to strip out some of the politics that we have heard? Let us consider what is best for patients, what is best for the NHS and then what is best for junior doctors.

[Mr Hunt]

My hon. Friend speaks wisely. I understand that in a contentious industrial relations dispute junior doctors will not necessarily look to me for advice on which way they should vote, but it was not just me doing the agreement. It was a negotiated agreement and the leader of the junior doctors committee says that it is a good agreement. He will encourage people to support it in the ballot and he thinks it is a good way forward for doctors as well as for patients. The people who have been closest to the detail of the negotiations think that it is the right step forward for junior doctors, and that is something that they will want to take account of.

Oral Answers to Questions

Debate between Lucy Allan and Jeremy Hunt

Tuesday 10th May 2016 Commons Chamber

[Lucy Allan (Telford) (Con)]

I thank the Secretary of State for working so tirelessly to get the BMA back to the negotiating table. Will he confirm that Saturday pay for junior doctors will be at a 30% premium, which is above that for any of the hard-working midwives, nurses, firefighters, paramedics and so on in my constituency?

[Mr Jeremy Hunt]

I thank my hon. Friend for her question. She makes the important point that the proposals on the table in the new contract are incredibly generous compared with the terms of the other people working in hospitals. That is why it is very important that we have some flexibility from the BMA on Saturday pay so that we can deliver the seven-day service that we all want. It is a very good deal for junior doctors, and I think that if they look at it objectively, we should be able to come to an agreement this week, but it will take flexibility on both sides.