Mid Staffordshire NHS Foundation Trust (Inquiry)

Phillip Lee Excerpts

Wednesday 6th February 2013 Commons Chamber

[The Prime Minister]

The right hon. Gentleman makes a powerful point about whistleblowers and how we handle them, and I am sure that Health Ministers will listen to that. I just make the point that supporting whistleblowers is one thing, but we also have to respond to what is being said. There were whistleblowers in the case of the Stafford hospital, but the problem was that the response to the complaints, the campaigns and the whistleblowing was completely inadequate.

[Dr Phillip Lee (Bracknell) (Con)]

I do not necessarily share the enthusiasm of others for hospitals to gain foundation trust status, particularly those serving less than half a million people. I note with interest that the chief executive of Heatherwood and Wexham Park Hospitals NHS Foundation Trust, who oversaw the foundation trust status being secured a few years ago, has now retired with a healthy pension and so on. That trust is now £80 million in debt and unsustainable. I also note with interest that the chief executive in this case cited the old chestnut of stress-related illness in order to avoid contributing to the report. When are we going to draw up contracts so that people get sacked for poor performance, be it financial or clinical? As far as I am concerned, the same should apply to hospital managers as applied to bankers.

[The Prime Minister]

My hon. Friend speaks with considerable knowledge of the NHS, and he is absolutely right to say that it is depressing to look down the list of those responsible for the Stafford hospital at the time and see what has happened. It reads “Left on compromise agreement”, “Left on compromise agreement”, “Stepped down” and “Now working somewhere else”. As I said, the accountability mechanisms in the NHS are not good enough, which is why this report is so important. I now want to see all the organisations—the trusts, the CQC, the Department of Health, the General Medical Council and so on—answering the question: why is bad practice not punished properly? That is one of the key things that has to come out of this report. That is not everything that those campaigners from Stafford want to hear; they want more accountability from the people involved in this problem. I can understand absolutely why they want that, but I think that what we can get out of the Francis report is a sense that there are going to be proper rules to deal with failure in the future.