Mid Staffordshire NHS Foundation Trust (Inquiry)

Paul Farrelly Excerpts

Wednesday 6th February 2013 Commons Chamber

[The Prime Minister]

I thank my hon. Friend for what he has said. He did call repeatedly for a public inquiry, and he was right to make such a call. That is reflected in the report, and he can read it today. What was required was not an investigation of the failure in the hospital, but an investigation of the wider systemic failure. For instance, why was this not brought to light more quickly? What was the role of the regulator? What was the role of the Nursing and Midwifery Council? All that is laid out in the report.

However, I think that there was another very profound reason for holding a public inquiry, although I know that it will not satisfy some of the victims. They feel incredibly strongly, and rightly strongly. These terrible things happened to their loved ones, but where is the criminal prosecution? Where are the people who have been struck off? There has not been proper accountability, and there is not proper accountability in our system. A public inquiry can look to the future and say, “Here’s what needs to change,” so if this ever happens again—I hope to God it does not—there will be much better accountability than the people of Stafford have had.

[Paul Farrelly (Newcastle-under-Lyme) (Lab)]

The tragic events at Stafford are having a continuing impact on both management and care at the University hospital of North Staffordshire. A and E closures at Stafford have caused major strains, for example, and our new hospital was already struggling as a result of bed closures ordered a few years ago by Sir David Nicholson’s travelling troubleshooter, Antony Sumara. For reasons of patient safety, our hospital’s chief executive last year rightly reopened many of those beds to cope with the added A and E pressures. That has only added to the financial pressures, however. When rather distant bureaucrats at the Department of Health and the regional health authority play their part in responding to those pressures, will the Prime Minister ensure that they do so with sympathy and local understanding and put patient safety and care at the heart of the response?

[The Prime Minister]

I agree with the hon. Gentleman that when those above and beyond a hospital are making decisions on questions such as whether the hospital should become a foundation trust, they must look very closely at quality of patient care, not simply financial and other metrics. That is at the heart of what Francis is saying. The CQC believes that the hospital is currently providing an adequate standard of care. Only last week it carried out an unannounced inspection and it was content with what it found. Recent reports have been disturbing, however, and there is important work still to do in this hospital as in others, because “adequate” is never good enough; they have to strive to be better, and I know that that is what is going on.