(2 years, 2 months ago)
Commons ChamberI thank the hon. Gentleman for that point of order. I do not know whether that would have been better, because it is not a matter for me to comment on; it is an additional point of debate.
Our responsibility is to consider the long-term sustainability and future of Channel 4. As a responsible Government, we are prepared to acknowledge those challenges head-on, and to do what is needed to protect one of our most important public service broadcasters not just today, but in the years to come. We therefore believe that it is time to unleash Channel 4’s full potential—the hon. Member for Manchester Central (Lucy Powell) slightly misquoted me on that—and open up the broadcaster to private ownership while, crucially, protecting its public service broadcasting remit. That is a fundamental point: we are protecting its public service broadcasting remit. For those Opposition Members who are complaining and throwing up faux concerns, I repeat that we are protecting it as a PSB.
A sale will allow Channel 4 to grow and access greater investment, meaning that it can create more great programming, made by people who live and work in the UK, without losing what makes it distinctive. Just look at another public service broadcaster, Channel 5. After its sale to Viacom, Channel 5’s overall content budget grew by, on average, 7% a year. It is my genuine belief that this much-needed, long-term investment and the associated risk that comes with it—because investment does not come without risk—should come from private ownership, rather than being borne by the taxpayer.
It is exactly as my hon. Friend has outlined. The hon. Member for Manchester Central asked me what Channel 4 said, and one of its responses was that it wants to raise money. It wants to invest and raise money. The state—[Interruption.] Channel 4 is state-owned. The state cannot own a public service broadcaster that takes on the risk of borrowing money. If that goes wrong, it is the taxpayer who has to pay that debt. We as a Government cannot burden the taxpayer with risk, potential debt and responsibility.
Removing the restriction will allow Channel 4 to do exactly what my hon. Friend the Member for Folkestone and Hythe (Damian Collins) says: to raise that revenue stream and improve its long-term sustainability. We can do all those things with a sale, while protecting all that makes Channel 4 unique. We are not looking for any old buyer for this broadcaster. We are looking for the right one—one who shares our ambition for the business and our belief in what makes it special. It is precisely because of what Channel 4 does, and how it does it, be that distinctive programming, news content or film, that we are confident that we will find the right buyer.
Unsurprisingly, though it is early days, there has already been a lot of initial interest from a wide range of potential bidders. When a sale is secured, it will not just benefit Channel 4; we intend to use the proceeds to benefit the entire country. As I said, Channel 4 was originally established to help boost independent production, and it has been successful in that mission—so successful, in fact, that we face a new and very positive challenge. Production studios across the country are booming. They are so in demand that we need more and more people to work in them. We therefore intend to funnel some of the proceeds of the sale into addressing that new challenge and giving people up and down the UK the skills and opportunity to fill those jobs, delivering a creative dividend for all.
As I have to keep reminding those who choose to ignore it, the sale of Channel 4 is just one crucial part of a much larger piece of broadcasting reform, and the question of Channel 4’s long-term sustainability is—[Interruption.] The accusation is being thrown at me from a sedentary position that I am going to get rid of the BBC. It is not good enough to invent accusations from the Front Bench. Commentary has to be based on what the Government are actually proposing and what is actually happening. [Interruption.] Okay, so we did freeze the licence fee—yes. In this environment, that is a cost of living saving. There is absolutely no way, in today’s environment, that we could go to the country and ask individuals to pay for an increase in the BBC’s licence take. I am absolutely amazed that Opposition Front Benchers think that would be an acceptable thing to do, when hard-pressed families are struggling to pay their bills—[Interruption.]
Order. The shadow Secretary of State must stop shouting at the Secretary of State from a sedentary position. If she wants to make a point, she should get up and intervene. I cannot hear what the point is. I can hear the Secretary of State’s answer, because presumably she can hear the hon. Lady, but nobody else can. That is why we debate properly in here by standing up and making a point, not shouting like football supporters—[Interruption.] I withdraw that. I am not criticising any group in society; I am just saying that it is unacceptable.
Perhaps the Secretary of State will give way on that point, then, Madam Deputy Speaker.
(2 years, 3 months ago)
Commons ChamberSome 53% of people in a public poll actually thought that Channel 4 was already privately owned. They did not realise—[Interruption.] As my hon. Friend the Minister for Media, Data and Digital Infrastructure has already said, we have to address a rapidly changing broadcasting landscape in the UK at the moment. It is a bad business model for any organisation to depend on one form of revenue. As we know, linear advertising is decreasing and Channel 4 is dependent on that advertising. It is a decision we have to take for the benefit of Channel 4. As I have already said, Channel 4 itself—[Interruption.]
Order. Stop shouting at the Secretary of State, because we cannot hear her answer these important questions.
As Channel 4 highlighted in its own document, “4: The Next Episode”, it wants to raise investment and invest in more content, and we are setting Channel 4 free to be able to do that. If Channel 4 does that while state-owned, it is offset against the public balance sheet. We cannot allow that, because Governments do not own money—we only have taxpayers’ money—so we have to enable Channel 4 to be set free to raise investment and to continue to make the amazing and distinctive British content and edgy, diverse programmes that it does.
(3 years, 2 months ago)
Commons ChamberI am grateful to the right hon. Gentleman for having given me notice of his intention to raise this point of order. Mr Speaker shares his concern that sensitive correspondence appears to have been passed from the Department to a private company for a response, and Mr Speaker will be drawing this matter to the attention of the Leader of the House to ensure that these important issues are understood across Government and not only by the people who are paying attention to this particular point of order this afternoon.
The 2016 guidance produced by the Cabinet Office on the handling of parliamentarians’ correspondence goes into some detail, which I will not quote in full now, but the right hon. Gentleman is right in pointing out that that guidance says that
“departments should treat correspondence with great care to ensure that confidentiality is not broken.”
It also states that
“official replies to letters from MPs should only be authorised in exceptional circumstances”.
It would appear that guidance has possibly not been followed in this case.
I would have said to the right hon. Gentleman that I would make sure that the Minister gives an answer, but I am delighted to say that the Minister in question is here in the Chamber, so I shall call her to respond to the point made by the right hon. Gentleman.
Further to that point of order, Madam Deputy Speaker. I thank the right hon. Member for North Durham (Mr Jones) for the advance notice of his point of order, because the very short time that I have had has enabled me to do some investigation, and enabled officials to investigate, to find out what has happened.
The chronology is that the Department was passed a letter sent to me by the right hon. Gentleman on 26 May. The letter raised some very serious concerns about the conduct of a doctor working for a cosmetic-surgery provider referring UK patients for consultations with a former doctor who was struck off by the General Medical Council in August 2020 and is now based in Italy.
The right hon. Gentleman and I have had a number of conversations about the cosmetics industry and issues of this nature, so he will understand why I have taken this matter so seriously. Due to the nature of the allegations and the potential implications for patient safety—which I take very seriously, particularly when they pertain to women—my Department raised the issues set out in the letter with the GMC and it was also passed to the Care Quality Commission, which is responsible for regulating providers of cosmetic surgery in England, to enable it to consider the issues that were raised. The CQC needed to go back to the provider to find out whether the allegations were true and what had happened.
I take the complaints very seriously. I assure the right hon. Gentleman that, as he is aware—we have spoken about this—I had not even seen the letter yet myself. I can only believe that the letter was shared with the GMC and the CQC to ascertain what happened in order to inform a letter that I would then send to the right hon. Gentleman. I have yet to see the letter. I take these complaints incredibly seriously and my Department is reviewing how this information and the letter were handled and how the information was leaked. I will write to the right hon. Gentleman once our inquiries have been satisfied and, as he and I have previously discussed, I shall also write to his constituent.
I hope that the right hon. Gentleman is satisfied that the point that he has raised has been taken very seriously by the Minister. The House will be pleased to know that the Minister and her Department are taking this matter very seriously indeed, and I will happily tell Mr Speaker that that is the case.
I shall now briefly suspend the House for three minutes in order that arrangements can be made for the next item of business.
(3 years, 10 months ago)
Commons ChamberAs my right hon. Friend the Secretary of State and others have made clear during this debate, although so much has been done to get this virus under control, the fight is not over. I thank all the Members who have spoken in this debate. It is clear that this pandemic has had a huge effect on everyone’s constituents, across the country. I wish to start by paying tribute to all the hard work of NHS workers, social care staff and volunteers throughout the pandemic. I also pay tribute to the British public for the sacrifices they have made to help us combat coronavirus and for observing the essential social distancing measures that have kept us all safe. Thanks to that hard work, we are able to protect the NHS, just as it is always there to protect us. As my right hon. Friend said, this has been an incredible national effort, and we are seeing the increasing effects of it today in the compliance with social distancing, particularly among young people, which is helping us very much to slow down the progression of the virus.
I wish briefly to outline to the House a few further areas to those set out by the Secretary of State where we have strengthened our response. I will go through these quickly because I want to answer some of the points raised today. We know that we have delivered more than 4.2 billion items of PPE since last February, and our adult social care winter plan, published in September, sets out the actions for the Government and every local care provider.
I want to get straight on to some of the points that have been raised, because some really important issues have been discussed today. I cannot mention everybody and every point, but some people will definitely be receiving a letter from me, particularly the hon. Member for Twickenham (Munira Wilson). I will write to you and answer your points, because you are always very constructive in the way you ask for information and I will make sure you get that information. The hon. Member for Rhondda (Chris Bryant) made the best speech I have ever heard you make in this House—
Order. I am going to stop the Minister. I let her do it once; she called the hon. Member for Twickenham “you” and now she is calling the hon. Member for Rhondda “you”. Please call him “the hon. Gentleman”.
I do apologise, Madam Deputy Speaker, it is because I have not been here very often lately.
The hon. Gentleman made one of the best speeches I have heard him make in this House, probably because he agreed with every word I have been saying—indeed, I almost ripped up this speech. I applaud him for some of the comments he made.
(3 years, 11 months ago)
Commons ChamberThat is distressing to hear.
Women should also be advised that the procedure can be stopped at any time— but, although they are aware of that, that is an incredibly difficult decision to make. When we are in pain, we do not think rationally. It is important to put this on the record as women must be informed of their rights and have their voices heard. Finally, after the procedure, if the woman believes that there have been issues with the treatment that should be raised with the trust.
I want to talk about progress. NHS England advises that progress is being made through the implementation of clinical guidance. Within that, commissioners, and providers should advise service user feedback to be monitored to identify where the guidance is not being followed. As the hon. Member may be aware, women’s health is a personal priority of mine, and I have been looking at improving the experiences of women in the healthcare system since I arrived in the Department. As I recently set out in my statement to the House on the Independent Medicines and Medical Devices Safety Review, we cannot accept the status quo whereby it takes women so long to have their voices heard and for their concerns to be taken seriously. Whether we are talking about the Shipman or Paterson inquiries or the Cumberlege review or another maternity incident, it is sobering to reflect on the amount of inquiries that we have taking place that are about women-only issues. As I work with the team to evaluate every recommendation and every aspect of the Cumberlege review, I want to assure the hon. Member and the House that it remains an absolute priority of mine to tackle these issues.
I understand that the hon. Member has ongoing concerns with the best practice tariff. The aim of the best practice tariff is to encourage procedures in an out-patient setting where clinically appropriate. Out-patient procedures provide the patient with a quicker recovery, as well as allowing them to recuperate at home. I understand that NHS England and NHS Improvement will shortly be engaging with the sector on policy proposals for the 2021-22 national tariff. The tariff engagement document due for October publication will lay out NHS England and NHS Improvement’s initial proposals for the 2021-22 national tariff and will be followed by a statutory consultation. I understand, drawing on the momentum created by changes in the payments system this year due to covid-19, NHS England and NHS Improvement expect to propose an accelerated shift towards the use of a blended payment approach. This proposal would include the majority of services providing hysteroscopy. Blended payment would not differentiate between in-patient and out-patient procedures and, as such, the out-patient procedure’s best practice tariff would no longer be necessary. NHS England and NHS Improvement are currently planning to propose the removal of the best practice tariff from April 2021.
I hope the hon. Member will be pleased to hear this update, and I encourage her and patient groups to comment and contribute to NHS England and NHS Improvement’s proposals both in the tariff engagement document and the subsequent statutory consultation. I myself will be contributing to that consultation.
Once again, I thank the hon. Member for raising this important matter for discussion. She raised the issue of what was the women’s taskforce. I am not aware of any work that has taken place so far on hysteroscopies, but I will look into that. What I will say is that we have established something called the women’s health agenda, which has met this year. Sadly, it had to be stopped because of covid. We are already looking at restarting that agenda now and hysteroscopies will very definitely be on the table, as with all women’s procedures, when we are discussing the women’s health agenda. I really feel strongly that there is more we can do to ensure that we empower women to talk about their health, and I hope that we enjoy better outcomes as a result. Women are not listened to. They are not listened to in so many areas within health as a whole, and we have to change that. We have to ensure that a woman’s voice is heard throughout all the settings in the NHS.
I have heard this debate before, and I am very, very glad to hear that progress is being made. Fifteen minutes is the time that the Minister took to speak, not two minutes. [Interruption.] No, I am not criticising the Minister. I am pointing out that being in pain for the whole of the Minister’s speech would not have been amusing.
We were not in pain for that time.
Question put and agreed to.
(4 years, 10 months ago)
Commons ChamberWhat I will say to my hon. Friend in response is that, in the long-term plan, the NHS commits to
“improve access to and the quality of perinatal mental health care for mothers, their partners and children”.
We have committed in the long-term plan that an additional 24,000 women will have access to specialist perinatal mental health support, including more support for fathers and partners. That is part of the £2.3 billion investment in mental health that this Government recently announced. I will say it again: £2.3 billion. That is over half the annual prisons budget. Of course, some of that money has to be directed towards mothers in this situation.
My hon. Friend the Member for Banbury (Victoria Prentis) made an important point about infant mortality in other countries around the world. The Secretary of State for International Development announced a £600 million reproductive health supplies programme to help end preventable deaths of mothers, newborn babies and children in the developing world by 2030. It will give 20 million women and girls access to family planning, prevent 5 million unintended pregnancies each year up to 2025 and focus on the most vulnerable women, including FGM survivors. We are committed to working with Gavi, the Vaccines Alliance, to vaccinate a further 300 million children in the world’s poorest countries by 2025.
My hon. Friend also talked about making maternal mortality a never event. I am not sure that that will be an achievable objective, but NHS England is supporting the establishment of maternal medicine networks, which ensure that women with acute and chronic medical problems have timely access to special advice and care at all stages of their pregnancy.
The hon. Member for Ellesmere Port and Neston (Justin Madders) spoke about grief. Grief, for me, is the last taboo; it is the one thing that people still do not talk about. People still do not talk about how grief affects them, and I hope that some of the investment we are putting into mental health services and community services will help people to address grief.
My hon. Friend the Member for Brigg and Goole (Andrew Percy) spoke about somebody who works in his office who has raised funds for the Cherished suite, and the right hon. Member for Broxtowe (Anna Soubry) spoke about the serenity suite. Over 50% of hospitals now have such suites, which are so important. I do not want to reiterate what anybody has said, but the fact that babies are born in a part of a hospital that is traditionally filled with joy is incredibly difficult. My hon. Friend the Member for Colchester has told me that it makes such a difference if people have somewhere to go and even to stay overnight with their baby, and where the family can go. Over 50% of hospitals in the UK have these suites, and I am going to ask that these suites are made available in the maternity areas at all the 40 new hospitals that are being built. [Hon. Members: “Hear, hear.”] I will ask; I will certainly push.
I want to continue with the points raised, and please pull me up if I miss anybody out. The hon. Member for Strangford (Jim Shannon) spoke so passionately—thank you. I know he has spoken in every baby loss debate we have had, and he has also spoken in the past about the important role that chaplains play in such situations. I would like to thank him for his incredible contribution. He asked about the pregnancy loss review. It is currently working with key partners to make recommendations to the Government about improving the care and support that women and families receive when experiencing a pre-24 week gestation baby loss. We are hoping the report will be published in due course and not too long from now.
I would like to speak about an area that I have particularly focused on, which is group B strep support. I have spoken about this many times, and I had my own Adjournment debate on it before I was a Minister. When I arrived in the Department, I set five key priorities, and this is No. 1 in the key priority areas because this in itself will prevent infant mortality. Group B strep is a leading cause of bacterial infection in newborn babies—just to put that on the record. I fully support the review that is taking place, and I hope that it has some further information so that we can make progress on this in, I hope, the not-too-distant future.
The hon. Member for Rotherham (Sarah Champion) spoke about hospices. I have Keech Hospice in my own constituency. I think hospices and their role is slightly outside the debate, bearing in mind the level of investment that we are putting into mental health services and counselling services. Somebody mentioned improving access to psychological therapies and the importance of talking therapies. I hope that any mother or family who needs mental health counselling as a result of baby loss will in future be able to access those services. I will write to her about the role of hospices in this particular area.
I appreciate the support from Members on both sides of the House in relation to the maternity safety ambition. I echo your words, Madam Deputy Speaker, about the tone of this House in such important debates. One of the most important things to come out of the debate today is the importance of learning for improvement and what we are beginning to learn through the perinatal mortality review tool and the Healthcare Safety Investigation Branch, which I have mentioned, that was introduced by the former Secretary of State.
I would like to remind Members that the NHS is still—and the NHS in the UK is still—the safest place in the world to have a baby: 0.7% of all births result in a stillbirth or a neonatal death. Having said that, on a day like today, 12 babies in England and 15 across the UK will be stillborn or die soon after birth, and many more families will lose a baby through miscarriage, ectopic pregnancy and other causes. We are, however, making progress: in 2015, the figure was 17 babies a day. Maternity and neonatal safety initiatives are beginning to improve outcomes, with most of the anticipated impacts still to be realised, as safety improvements are embedded in maternity and neonatal services and as we learn more from research and investigations about which babies die and why.
Finally, as we have discussed, the theme of Baby Loss Awareness Week 2019 is psychological support for those bereaved parents who need it. I understand that a working group is being convened to support the development of maternity outreach clinics that will integrate maternity reproductive health and psychological therapy for women experiencing mental health difficulties arising from and directly related to the maternity experience. I will undertake to ask this working group if it could consider extending the maternity experience to those who have lost a child in pregnancy, during labour and childbirth in the neonatal period.
I would like to finish by thanking all the midwives, doctors and healthcare support workers who do such a fantastic job in delivering more than 600,000 babies successfully every year and in helping the parents who, sadly, do not experience the happiness of a healthy baby.
Thank you. What an excellent, calm and constructive debate.
Question put and agreed to.
Resolved,
That this House has considered baby loss awareness week.
(9 years, 8 months ago)
Commons ChamberOrder. The hon. Lady is about to conclude.
I am, and I would like to conclude by saying that if the Minister could answer my questions, I and my firefighters in Bedfordshire would be very grateful.