First Capital Connect (Hertford Loop)

Debate between Nick de Bois and David Burrowes

Tuesday 28th January 2014 Westminster Hall

[Nick de Bois]

My hon. Friend’s point would be well backed up if we added up the number of tweets that are, shall we say, less generous. In fairness—I will come to this later—FCC does at least try to confront some of the issues raised on Twitter during some peak times.

Let me set out for the Minister what the problem is, the responses from FCC and Network Rail, and my analysis and that of some of my constituents. I will not be able to cover all the issues, but I know that colleagues will mention problems common to all of us, and certainly to my constituents. I will conclude by sharing views on how the future franchise should secure commitments from operators, and why public satisfaction should be a consideration when awarding or extending franchises—a measure for which my hon. Friend the Member for Stevenage (Stephen McPartland) was an early champion.

For clarity, what is the Hertford loop? It is a line that leaves the east coast main line at Langley South junction, just south of Stevenage—why it is called the Langley junction baffles me—and passes through the stations of Watton-at-Stone and Hertford North, represented here by my hon. Friend the Member for Hertford and Stortford (Mr Prisk); Cuffley, represented by my hon. Friend the Member for Broxbourne; Crews Hill, Gordon Hill and Enfield Chase in my constituency; and Grange Park, Winchmore Hill, Palmers Green and Bowes Park in the constituency of my neighbour and hon. Friend the Member for Enfield, Southgate (Mr Burrowes). However, what is most significant in this debate and draws wider interest, including that of my hon. Friend the Member for Stevenage, is the fact that the Hertford loop is also a diversion route for the main line when necessary. Thereby hangs a tale.

Turning to the operational shortcomings, my neighbour and hon. Friend the Member for Enfield, Southgate, and I have had considerable representations from constituents served by FCC; he will, I am sure, speak for his constituents and their experiences further down the line. There has been a severe and sudden drop in service levels, most noticeably since late August 2013. The situation remains unchanged. In particular, the pre- and post-Christmas periods proved utterly unacceptable. At that point, I pressed FCC for a meeting to represent my constituents’ views and to try to learn what plans were afoot to mitigate the operational failings. Unfortunately, it took until 6 January to get a meeting with FCC, along with my hon. Friends the Members for Stevenage and for Enfield, Southgate. I am pleased to say that Network Rail also attended.

[Mr David Burrowes (Enfield, Southgate) (Con)]

My hon. Friend is making a strong case for his constituents. I understand from FCC that during the three-month period leading up to Christmas, on 83% of occasions, it did not meet its target for punctuality. He is someone with great experience in business. What would happen to him if he did not meet his core business target on 83% of occasions?

Accident and Emergency Departments

Debate between Nick de Bois and David Burrowes

Thursday 7th February 2013 Commons Chamber

[Nick de Bois (Enfield North) (Con)]

I am not sure I can keep up with the pace of the hon. Member for Lewisham West and Penge (Jim Dowd), but I am delighted to follow him and I have some sympathy with one of his points. I felt compelled to write to the NHS medical director, Sir Bruce Keogh, having seen his comments about the role of politicians.

[Mr David Burrowes (Enfield, Southgate) (Con)]

It is 2-1.

[Nick de Bois]

It is true. As my hon. Friend says from a sedentary position, the Evening Standard claimed, “Nick de Bois 2, Sir Bruce Keogh 1”, so I hope I wrote on behalf of all Members. The medical profession is at the root of this issue. If it wants to win arguments based on evidence, so be it, it can win those arguments against politicians, but it also has to win the hearts and minds of the people it serves. That is why we should not be taking lectures on the role of MPs and democrats.

I would like, unapologetically, to talk about my hospital, which has been introduced briefly by my neighbour, the hon. Member for Edmonton (Mr Love). As a hospital facing threats of change—not all good by any means—Chase Farm hospital must predate almost every Member present in the Chamber, perhaps with the exception of the hon. Member for Islington North (Jeremy Corbyn). Going back to the early 1990s, it was promised the proceeds from the disposal of the Highlands hospital. As my hon. Friend the Member for Newark (Patrick Mercer) said, the story I am telling crosses more than one Government, so I will try to tell it in a non-partisan way because my interest is in getting the best for my constituents.

After my constituents were let down by the promise of investment from the sale of Highlands hospital—now a pleasant residential area—no money was forthcoming, and in 1999 an administrative merger between Barnet and Chase Farm hospitals was proposed, which we were assured would lead to no clinical changes and have advantages. The effect of the merger was that the healthy balance sheet of Chase Farm was sucked dry to support a hospital that was bleeding payments—the hon. Member for Lewisham West and Penge may identify with that. Again, my constituents were let down.

Just before May 2005 we were told that we would have £80 million investment in our district general hospital. Sadly, that investment did not materialise, and shortly afterwards, in 2006, a programme of downgrade—reconfiguration, as it is known—was started, particularly in our maternity and A and E units. That was confirmed in 2008, but judicial review by the local council held it up. Hopes were just beginning to rise, and with the change of Government those hopes were raised again from the moratorium. I have said this before on the Floor of the House but I will repeat it for the avoidance of doubt: my constituents were utterly let down by the Secretary of State when we were again downgraded.

Hon. Members will therefore understand why my constituents—I am sure this resonates with hon. Members on both sides of the House and their constituents—and the public the acute hospitals serve are so sceptical when they are on the receiving end of advice and recommendations. It is a question of trust and transparency.

Like every hon. Member, I understand the full implications of the strategic drive for, and some of the benefits of, centralisation. However, I oppose the reconfiguration because of the inconsistency in what we have been told. There has been a clinical case for change, and a clinical and safety case for change, and yet in 2011, the Care Quality Commission said that Chase Farm hospital was running up to standards.

At that point, the PFI situation emerged. The PFI deal sealed for North Middlesex hospital—a neighbouring hospital in the south of the constituency—meant an investment of £129 million over 31 years, meaning a total repayment of £640 million. That £2 million a month comes off the operational budget. On 22 November, the then Secretary of State was quoted in the very reliable Daily Mail as saying that the recent downgrade was partly because of unsustainable PFI debt.

One reason often cited for the proposed downgrade of my hospital is that GPs support it. Three hospitals—Barnet, North Middlesex and Chase Farm—were part of the downgrade plan, and GPs from Haringey, Barnet and Enfield were asked about the proposals. The vote was organised like a communist meeting. If we ask people in Haringey or Barnet whether they have a problem with the downgrade in Chase Farm, I suspect they will say no if it benefits their hospital. The figures show that only 44% of Enfield GPs approved, but of 129 GPs asked, only 48 responded, so only a positive 16% recorded their support. I hope the Minister asks her officials to reflect on that point.

I oppose the reconfiguration but recognise that I need to fight for the best possible deal for Enfield. It is therefore important to examine the so-called pre-conditions of implementation of the strategy that we were promised —we were guaranteed that they would be put in place.

[Mr Burrowes]

I commend my hon. Friend for his continuous efforts, although perhaps he should take his seat since he has given way.

[Mr Burrowes]

My hon. Friend has continuously stood up, not just in the House but in his constituency, against the closure of the A and E in Chase Farm and for securing health improvement in Enfield. He has secured a cross-party delegation meeting with the Secretary of State, at which we want an assurance that the £10.6 million being invested in primary care in Enfield ensures we get effective primary care improvements before the reconfiguration.

[Nick de Bois]

That goes back to my point—it is a question of trust. It is vital that that promise is delivered, but it is already some four years since the change was envisaged, and very little has been put in. It is therefore right that we press the case for implementation and delivery on the ground if the strategic review goes ahead.

I welcome the opportunity to meet the Secretary of State—I hasten to add that a cross-party delegation will meet him—but I have some questions to put to the Minister on the Floor of the House. Is she aware of the growing health inequalities in the borough, which have increased since the original 2008 assessment? According to the latest census, the population is far removed from the original assessment—there are 40,000 more people.

Cyprus

Debate between Nick de Bois and David Burrowes

Tuesday 17th July 2012 Westminster Hall

[Mr Burrowes]

I welcome my hon. Friend’s intervention on the issues of fraudulent titles and illegal occupation of land. The Foreign Office website advises UK citizens to be clear about property ownership in the north. It advises against exploiting the situation and highlights the illegality in the north. It is a huge problem that needs to be resolved.

I imagine the Minister who took up the brief today may have approached the debate with some weariness given the stalemate in the talks between the Cypriot leaders. The House is familiar with the debate. The main purpose of the debate today is to seek to break new ground and to urge the Government not to sit on the sidelines or just cheer or cajole from the terraces, but to take seriously our historical responsibilities and our responsibilities as a guarantor power. We have responsibilities to many of those represented here. I see my hon. Friends here. The Minister of State, Department for Transport, my right hon. Friend the Member for Chipping Barnet (Mrs Villiers), has a significant number of Cypriot constituents, as do my hon. Friends the Members for Enfield North (Nick de Bois), for Hendon (Dr Offord) and for Congleton (Fiona Bruce). It is clear that many Members are concerned that we do not simply let the next six months pass.

One of the areas of new ground is curiously an old one: religious and cultural heritage. Last May, I led an all-party group delegation, including my hon. Friends the Members for Enfield North and for Hendon and the hon. Member for Paisley and Renfrewshire North (Jim Sheridan), to clean up some cemeteries and churches in Cyprus. Some of the cemeteries had been neglected, but most had been desecrated. Having visited the north last November, I witnessed for myself the desecration and damage. I resolved that the next time I returned we would do something practical about it.

Our delegation did not visit national political leaders, which is what usually happens. We wanted to focus on the local communities and villages to try not only physically to restore respect to trashed cemeteries and pillaged churches, but to restore the link between the village associations—both Greek and Turkish Cypriot—which, through the conflict, has sadly been lost.

Our visit’s aim was not to try to change the world or to solve the Cyprus problem—or indeed to restore all religious and cultural heritage—in a few days. The aim was to take some small but practical steps through cleaning a cemetery or a church to rebuild confidence and to make the point that, as British Members of Parliament with responsibilities, along with the Cypriots who were with us, we would not tolerate the desecration of religious heritage.

We will not accept the status quo. We made the point loud and clear that the situation cannot just be accepted and allowed to carry on. The memories of loved ones and the places of worship that people want to go to matter. Such respect transcends faiths, backgrounds and countries. It is about respect for common shared values. In building those small steps of confidence, the aim was to lead to a better future.

[Nick de Bois (Enfield North) (Con)]

I am delighted that my hon. Friend has secured this debate. Does he agree that when we visited heritage sites on the north and the south of the island they were sadly not as they should be? By reaching beyond the politicians in the villages of Pigi and Peristerona, we saw people coming together from both sides of the island who have not seen each other for a long time. They shared that wish for respect and for restoration. We can reach above the politicians, and civic society has a role to play in helping to bring about the right solution.

[Mr Burrowes]

That visit was one of the most positive that I have been on, because we were able to see that. The common refrain is that the problem is not the people but the politics and the involvement of an outside political force in the form of Turkey. For example, in Peristerona—because of our presence, no doubt—there was a feeling of wanting to do something about a church that, throughout the time of division, had not been touched. Over time, debris, rubbish and droppings had accumulated. While we were there, we were able to see that church cleared of the debris—we were able to make a video—for the first time. A Cypriot who lived in Liverpool just happened to turn up on a visit. He had been baptised in the church before it was destroyed and desecrated. To see someone take an interest and some care—local Turkish Cypriots were helping to restore it as well—made a big difference to him. He said that there is a brighter future and that we can do something about it—not just so much talk that we often hear about, but real, practical action.

There were, however, some who warned us against doing that. Particularly in the north, politicians tried to lobby against us and build division where there was none. The media also seemed to be against us. There was caution, too, from the Foreign and Commonwealth Office. I see some of the team here, and I pay tribute to its helpful advice throughout the trip, for which I was grateful. There was a cautionary note saying that we should do things only when we had the approval of various people, not least Mr Kucuk in the north, the so-called Prime Minister. He would give us direction on whether we were able to go ahead with our cleaning activities.

What we actually found was that Cyprus does not wholly work like that—quite properly so. It works through villages. It works through different villages that take their orders from no one; they run themselves as they have done in years gone by. They will not simply take orders from those on high. They were concerned more with the relationship they had with us and the village association people, and they were willing to take steps. They said very clearly that they would give permission for future cleaning programmes, which was encouraging and we need to make progress.

One of the highlights was our visit to Assia. Again, there were cautionary notes about it being in a nationalist area and close to an army base. However, with Greek Cypriot association villagers who had the confidence to come over for the first time with us, we were able to build a good degree of confidence with local Turkish Cypriots, mukhtars and mayors and say, “Yes, together we can do something about this.” In that village, a mosque and a church need restoring, and together they want to work on them. We also went to a cemetery that had been trashed over the years, but they were able to go there for the first time and see that we cared about the fact that the cemetery needs to be in a better condition.

[Mr Burrowes]

Those were poignant moments. The villagers of Assia have agreed to go back, in agreement with Bishop Porfyrios, to restore the crosses that have been broken and put them back in their place. That will be an important symbolic moment that says that this is a village where we care for our loved ones. In fact, when I went back in November, which was a motivation for this visit, they were saying, “How can we respect the living if we cannot respect the dead?”

[Nick de Bois]

I am grateful to my hon. Friend for letting me make a very brief intervention. I hope that he will understand why, at this point, I am also keen to remind hon. Members of our visit to the south. For example, in Kivisili we also saw a willingness to put right some of the graveyards that were not in a satisfactory condition. The spirit he talks about relating to our visit to the north is also reflected in the south.

[Mr Burrowes]

We agreed to go across the whole island, so we visited Limassol, Larnaca, Dromolaxia, Kivisili and Kalo Choiro, as well as Afania, Assia, Genagra, Pigi, Peristerona and Nicosia. That was important. For example, we went to the Limassol mosque which, not long before we visited, had been partially burned by vandals. We were able to visit the mosque with Bishop Porfyrios and Imam Shakir, who were affirming their united support for a greater respect for religious and cultural heritage. The problem is not one of division or religious division—that is not a problem at all. They were saying that we can look at the issue of religious cultural heritage as one where we can respect religion, which can be a uniting, not dividing, force, to build confidence and trust for all Cypriots. I ask the Minister to support such confidence-building measures in areas of religious cultural heritage. Citizens from this country will be going to Cyprus to carry out such visits in the future.

This is a current issue, and there is a concern that it is not all positive. There are reports this week that the cemetery in the village of Trachoni in the north has been completely destroyed to make way for the building of a new police station. That does not help at all when we want to build a common future for Greek and Turkish Cypriots, and I ask the Minister to condemn that approach.

Charging for Access to Parliament

Debate between Nick de Bois and David Burrowes

Thursday 15th March 2012 Commons Chamber

[Mr David Burrowes (Enfield, Southgate) (Con)]

I pay tribute to my hon. Friend the Member for Harlow (Robert Halfon), and I can confirm, having known him since the age of 10, that he has always wanted to be here. He made his case as a 10-year-old, and he does so now with great passion and verve. I rise to support his motion.

No one disputes that Big Ben is iconic; it has featured in our culture on many occasions. Hon. Members will recall “The Thirty-Nine Steps”, in which Richard Hannay was hanging off the second hand. They will recall it featuring in the James Bond film, “Thunderball”. They will remember the extra chime. They might also recall, as my children do, Doctor Who watching the Clock Tower being blown up, and more besides. The sounds of Big Ben also have iconic value. The chimes are broadcast worldwide by the BBC, and “News at Ten” gives us the image.

No one disputes that that is all of great value, and we should not understate that value and importance. Many Members have described speaking to primary school children about Parliament. We talk to them about what happens in this Chamber and in the House of Lords, and soon their eyes start to glaze over. As soon as we mention Big Ben, however, they wake up and come alive. They see it as an important part of Parliament.

[Nick de Bois (Enfield North) (Con)]

Many years ago, when I was 10 years old, I was able to walk up to the front door of No. 10, and I was duly inspired. We have lost the ability to do that, because of the daily threat of terrorism that we face, but surely we do not want to lose the opportunity to visit Big Ben as a result of the accountants.

[Mr Burrowes]

Absolutely not. It is excellent to hear what inspired and motivated my hon. Friend as a 10-year-old, and we can help to inspire others.

This is not just about primary school children attending this place as a tourist attraction, however. I recently hosted a tour of students from Burma. They were unable to access Big Ben, but they were nevertheless amazed at the direct access that the public have to their Members of Parliament. Obviously, that does not happen in Burma. I want to see that access maintained for primary school children and others. It is important to maintain that relationship, and part of that involves the access to Big Ben that Members of Parliament and Officers can provide. That access would be lost under this proposal.

We also need to recognise that this is not just about MPs acting as tour guides; it is about us opening up the doors of our democracy. That involves not only the working part of our Parliament but access to Big Ben. It is part of our heritage, and people having access to Parliament helps them to understand where we have come from as a democracy and where we want to go. Big Ben is very much part of our heritage, and we need to ensure that it is as accessible as possible.

The hon. Member for Chippenham (Duncan Hames), who is no longer in his place, gave the House some statistics, including the number of people who visit Parliament but do not take the tour of the Clock Tower. My view is that not enough people know about the tour. Those who do know about it grab the opportunity to do it, and we need to make it more accessible, not less.

There are hidden gems that we discover only when we climb those 344 steps inside the Clock Tower. I commend my hon. Friend the Member for Harlow for attempting the climb; it has defeated many others. Anyone who goes up the Clock Tower is reminded of our heritage, including our Christian heritage and the relationship between Church and state. Among the hidden gems are the chimes alongside Big Ben, near to which are written these words:

“All through this hour

Lord, be my guide

And by Thy power

No foot shall slide”.

Those who go up there can see those words, near to the chimes that are broadcast worldwide by the BBC each day. They illustrate our recognition of our Christian heritage, which is an important part of our democracy. We would lose that under the proposal, and I hope that our feet here will not slide into the realms of the accountants and others. Let us keep the Clock Tower open so that many more feet can go up and down it, and so that people can recognise our democracy for what it is.

Health and Social Care (Re-committed) Bill

Debate between Nick de Bois and David Burrowes

Wednesday 7th September 2011 Commons Chamber

[Mr Burrowes]

It will not surprise the House to learn that I strongly support what my hon. Friend has said about the importance that should be attached to the life-saving cause of collecting cord blood and transplantation. As he has said, the Government are wholly committed to investing in and improving collections and to transplantation, but is it not important for us to consider whether that should form part of the duty of the Secretary of State? Is it not a priority, given that one in five members of black and ethnic minorities cannot obtain a match for the purposes of the transplantations that are sorely needed for life-saving operations?

[Nick de Bois]

My hon. Friend raises a key point. If we were to make prospective parents aware of the possibility of donation, we could address the major deficit in the BME community.

--- Later in debate ---

[Mr Burrowes]

Is it not also important to ensure, through the Bill or other means, that commissioners are able to make the right decisions? Evidence of some commissioners questioning the economic value of proceeding with stem cell transplants was brought before the all-party group on stem cell transplantation. It is important that we pursue commissioning excellence.

[Nick de Bois]

I understand that the UK Stem Cell Strategic Forum recommended to the Government that there should be a regional centre of excellence, and I hope Ministers will let us know by letter if that policy is indeed being pursued, as I think it might deal with the issue that my hon. Friend raises.

Cord blood is a natural, safe, ethical and sustainable resource, and it offers many advantages over using traditional bone marrow transplants. We in this country should be proud that the NHS was one of the first bodies to recognise the potential importance of cord blood and significant breakthroughs were made in Britain. In 1996 an NHS cord bank was established, which is now working alongside the Anthony Nolan trust. At a time when the health service is mindful of the need to inform patients fully about their health care, the issue of the collection of a mother-baby’s cord blood does not seem to get the same degree of attention. The principles of full information and consent do not seem to apply to cord blood, which is, in general, treated as a waste product, unbeknown to parents, apart from in exceptional circumstances. By agreeing to my amendments, we can change that situation and the Government can demonstrate that they are giving a lead in the dissemination of information to expectant parents.

Last year academic research said that in order to have a truly effective operation we should strive to obtain 50,000 units of cord blood. I congratulate the Government, who have already committed £4 million to reach the first benchmark of 20,000 cord blood units. I commend the work of the Anthony Nolan trust and the NHS, which have also been sharing in building up to this target. Of course this is only the start, and I know that the Government have already expressed their commitment to helping to develop this very important work.

We have an opportunity for more lives to be saved, for valuable scientific research to be undertaken and for the UK to become a centre of excellence in cord blood. We can avoid the current situation whereby every day two people die waiting for a stem cell transplant, and 65,000 litres of cord blood are discarded every year. I welcome the Minister’s words of support and I appreciate the sentiments behind the Government’s thinking. I urge them to continue to get behind this valuable cause.

Public Disorder

Debate between Nick de Bois and David Burrowes

Thursday 11th August 2011 Commons Chamber

[Nick de Bois]

My hon. Friend makes a good point. Indeed, he reflects the views of my constituents in advance of what I was going to say. Of course they were very distressed, and one of the questions—one of the wishes—was, “Why do we not use water cannon or rubber bullets? They have proved effective in other locations.” I accept that they are limited in their effectiveness in some parts—indeed, around London it would be difficult—but this case was a classic example of a wide town centre where dispersal could have been achieved, which might have changed things. Indeed, I believe that the mere threat would also restrict any future activity.

Unfortunately, later in the evening, when the outburst grew more serious and the thugs attacked a police vehicle containing a territorial support group unit, they would disperse and run up nearby residential streets—quiet, detached streets. It was there, at around 9.30, that 30 or 40 of them ran past me, pushing a 70-year-old man out of the way. We were face to face with them in the garden of some neighbours, and as they ran past, with their foul-mouthed abuse—these brave individuals, hidden behind their hoodies across their faces, clutching their expensive mobile phones—they embarked on finding their rather souped-up cars, which were parked in the same residential street. This was no moral crusade. This was not a campaign for social justice; this was simply criminal activity by those determined to profit from it. My constituents are furious at what happened to their town, but what is worrying was the extreme arrogance of the individuals involved. They had no fear of being recognised and no sense of right and wrong. As a country we now have to address this issue, and we will look at how to deal with such issues in the future.

[Mr Burrowes]

My hon. Friend describes the high street that we share as constituency neighbours. On the subject of what we will do about it, he will go home on the tube with me and we will see the headlines about the fury at the soft sentences being handed down to the latest offenders. Does he share my concern that the punishment must fit the crime? If it is not to be prison, it must be proper restitution, paying for their plunder and repairing the damage that they have done to our communities.

[Nick de Bois]

My hon. Friend and neighbour, who suffered similar problems, identifies a key point. One of the other wishes of my constituents was that justice should be seen to be served. It is not unreasonable to expect that the thugs involved should receive custodial sentences and be put to good use in repairing some of the damage that they have done. We must take them out of this cycle of crime and make efforts to reform them.

I have three questions and I would be grateful for answers. The railway line ends at Enfield Town station. During the course of the day, the trains were packed with people coming to cause mayhem. A request was made to Transport for London to stop some of those trains, and the buses that were coming from other parts of London. It never happened, and my constituents would like to know why.

Secondly, we believe that the vast majority of these criminals were not from Enfield, as I saw first hand myself. If we share information from CCTV and YouTube with the education authorities and the police, they can work together to identify more of them. Thirdly, why were we not able to disperse the more than 100 people who were there in the early hours?

Let me pay tribute to the borough commander, Dave Tucker, and his team, and to Enfield council, who are now working together. Enfield is open for business. It has recovered well.

Legal Aid, Sentencing and Punishment of Offenders Bill

Debate between Nick de Bois and David Burrowes

Wednesday 29th June 2011 Commons Chamber

[Nick de Bois (Enfield North) (Con)]

rose—

[Mr Burrowes]

I give way to my hon. Friend and constituency neighbour.

[Nick de Bois]

My hon. Friend knows that my constituents in Enfield North will very much welcome the mandatory proposals on using a knife in a threatening way, but is he aware that, of those cases followed up involving individuals carrying a knife or using a knife offensively, more than 30% involved people under 18, and that the legislation before us will not apply to such people? Perhaps that is something we should press for.

[Mr Burrowes]

My hon. Friend may be making an early bid to be on the Public Bill Committee, but we certainly need to recognise, particularly in areas such as Enfield, that such behaviour is prevalent, that sadly all too often those under 18 are involved in gangs and possess knives, and that clause 113 does not apply to them.

Clostridium Difficile

Debate between Nick de Bois and David Burrowes

Tuesday 9th November 2010 Commons Chamber

[Mr Burrowes]

I am glad that the Minister fully shares my concern. It is good to know that hospitals cannot expect any additional payment for treating those who have suffered a recurrence during those 30 days. However, I ask him whether there could be any sanctions on trusts that sadly fail to reduce the rate of infection.

Along with the Department of Health, my constituent Graziella has produced a leaflet, which my hon. Friend the Minister helpfully distributed just before the debate. It is called “C. difficile—now you are going home”, and it sets out the best ways for patients to protect against the infection spreading. It is intended to be given to patients so that they can be aware of the risks and know how to prevent other vulnerable people from catching the infection. However, although both Graziella and I would like to see this leaflet distributed by every hospital and GP, there is no requirement that that happen. Many patients return home without the information in that fantastic leaflet about how best to protect themselves and others. Will the Minister consider requiring—or, in the more localising language that Conservative Members prefer, incentivising—hospitals to provide the leaflet or similar information to all patients leaving their charge who have had the infection?

Although improvements have been made in acute trust hospitals such as my local North Middlesex university hospital, it is important that we do not lose sight of the need to pay attention to what is happening in our primary care trusts. In fact, in every month of last year, PCTs reported far more cases of C. diff than acute trusts. Enfield PCT, which is by no means extraordinary in this regard, reported 144 cases in patients aged over two in just the past year.

[Nick de Bois (Enfield North) (Con)]

To pick up on my hon. Friend’s point about Enfield, as he knows, at our local hospital, Chase Farm, there has been an extraordinary improvement in recent months, particularly since August. That is essentially down to a massive concentration of effort on this one problem, and there, in part, lies the solution.

[Mr Burrowes]

I am grateful to my hon. Friend, and I support the work that has happened. It has very much been prompted by Graziella, who has been going from ward to ward to ensure that what people say is being done is, in fact, reflected in their actions.

We also need to get to grips with the problem of C. diff in the community. In the past, there has been too little interest in what happens to a patient once they leave the hospital walls, and too little attention to the problem of infection being spread between hospital and home, or worse, between hospital and care home. Sadly, many of my hon. Friends will have witnessed that situation. That two-way corridor of infection must be addressed, as must the associated lack of care that care home residents can sometimes receive, as they are sadly away from the public eye.

Given the clear danger of allowing infections to spread within an enclosed community of elderly and vulnerable people, I would be interested to know what the Department is doing to monitor cases within the care home setting, and specifically to monitor whether cases are being reported consistently and dealt with promptly and according to the most recent hygiene code.

As we move boldly to a health care system that puts the patient and their recovery at the heart of every decision, it is essential that health care-associated infections such as C. diff are on GPs’ radars, especially as they take on responsibility for commissioning in their area. There needs to be an assumption in favour of testing for the infection when patients are suffering from diarrhoea. GPs must also be properly aware of the need to check up on patients, and avoid prescribing them certain drugs that are known to increase the risk of infection and the likelihood of patients suffering from severe symptoms. The C. diff support group has identified a number of worrying cases of GPs prescribing antibiotics. I also ask colleagues to look on its website and check out Imodium, which is known negatively to affect patients suffering from C. diff.

In December 2008, the Department of Health’s report on C. diff strongly recommended that

“all cases of diarrhoea among people in the community aged two years and above should be investigated for C. diff unless there are good clinical reasons not to.”

Such good practice needs to be extended to all GPs. Does the Minister know what more the Government can do to ensure that GPs are fully briefed on C. diff and that they are responding to this knowledge efficiently and consistently?

Perhaps the Minister would consider enabling the NHS computer systems in both hospitals and GP surgeries to tag an alert to Imodium and other drugs that are known to increase the risk of C. diff in vulnerable patients. Doctors intending to prescribe such drugs would be reminded to consider whether the patient might have the infection before doing so.

As for the careful monitoring of patients in the community, I would be interested to know what, if any, guidelines GPs follow with regard to the treatment of patients with C. diff. Perhaps the Department would be willing to provide such advice to doctors. Doctors could perform a simple blood test on elderly patients in the community to provide an early warning against the possibility of renal failure.

I very much welcome the Health Secretary’s attendance today and his commitment to comprehensive, trustworthy and easy-to-understand information on how to look after patients’ health. The data on C. diff infection rates already exist and can be found online, but they are often inaccessible in their format. They can be sketchy and incomplete at best.

Yesterday, NHS Choices listed 12 hospitals within five miles of one of the postcode areas in my constituency. Of those 12 hospitals, data on the prevalence of C. diff cases within the last 12 weeks were available for only two of those hospitals—North Middlesex University hospital and St Ann’s hospital. On the same day, the Department published business plans with a focus on transparency. To ensure that we see even more marked improvements in the next three years, will the Minister tell us what he intends to do to ensure that “easy to understand” information is available, especially on those websites that patients are most likely to use and at those locations that they are most likely to frequent?

Finally, I look forward to the time when the Minister can declare to the House that preventable healthcare-associated infections such as C. diff can be eradicated. However, I am conscious, as the Minister will be, of George Bush’s regret when he prematurely declared “mission accomplished” and there is much to be done before we can get near to such a declaration. I hope that this debate, which supports the great work of campaigners such as my constituent Graziella Kontkowski, can move us closer to a time when we have no need to raise this important issue in the House again.