Oral Answers to Questions

Richard Holden Excerpts

Tuesday 19th November 2024 Commons Chamber

[Wes Streeting]

Indeed there has. Medical associate roles can and do play a valuable role in freeing up other clinicians’ time to do the things that only they can do, but there are legitimate concerns within the professions about scope of practice, doctor substitution and transparency for patients. We need to grip that and address it. We will have a further announcement to make about that shortly.

[Mr Richard Holden (Basildon and Billericay) (Con)]

South Green surgery in my constituency has been given notice by its landlord that it has to move by the end of March next year. Will the Secretary of State meet me to see what we can do to ensure that other facilities can be provided if available, or to do the best for those local patients?

[Wes Streeting]

That would be a matter for the right hon. Gentleman’s ICB. I know that he is new to the area, so I am happy to make some introductions.

Infected Blood Inquiry

Richard Holden Excerpts

Tuesday 19th November 2024 Commons Chamber

[Mr Richard Holden (Basildon and Billericay) (Con)]

I should probably start by paying tribute to my predecessor in this role, my right hon. Friend the Member for Salisbury (John Glen), who has also been Paymaster General. He has done so much on this issue, and I will touch on his comments a bit later. I also thank my hon. Friend the Member for Kingswinford and South Staffordshire (Mike Wood) for opening for the Opposition today. I will just mention to the Paymaster General and other Ministers in the Department that they obviously continue to have our broad support.

We should never stop acknowledging the size and scale of this issue, which is almost unimaginable to Members from across the House. My hon. Friend the Member for Kingswinford and South Staffordshire said that we needed to see justice, and that is what all the victims would like. I thank all Members who have spoken in this debate, and agree that what happened to the victims of the infected blood scandal was profoundly wrong and should never be repeated.

The establishment of the inquiry in 2017 was the right first step towards doing what we can to repair the damage, inasmuch as that can ever be possible. I am pleased that the work started by the previous Government to adopt the recommendations put forward by the inquiry is being continued by this Government. I must point out, though, how important it is for the Government to stay on schedule and start delivering payments through the Infected Blood Compensation Authority by the end of the year, as the Paymaster General outlined. We will ensure that that happens. It is incumbent on us all in this House to do our part to restore trust in our state, because that has been damaged, as well as thousands of lives. Ensuring that those payments go out, as was committed to, is an important part of that. More broadly, I will reflect on the challenges ahead.

Before I do that, I will touch on a couple of remarks made by Members in this debate. The hon. Member for Gedling (Michael Payne) made his maiden speech, and he spoke kindly of his predecessor, who is a good friend of mine. He probably does not remember, but I campaigned against him back in 2014 when my right hon. Friend the Member for Newark (Robert Jenrick) was a young by-election candidate. Today, the hon. Gentleman spoke very strongly of his personal story. He clearly has the clarity and volume of a town crier so, even if we do not always agree with him, we will certainly hear him from this side of the Chamber. I welcome him to his place.

The hon. Member for Blyth and Ashington (Ian Lavery), the hon. Member for Eltham and Chislehurst (Clive Efford), who speaks for the APPG, and the hon. Member for Perth and Kinross-shire (Pete Wishart) talked about different aspects of this subject, but they each mentioned the children who were used for research. I am sure that the Minister will want to reflect on that in his closing comments.

All three hon. Gentlemen touched on the patient’s voice. One recommendation is that the patient’s voice should be improved with the routine collection of patient satisfaction data, and with funding for patient advocacy groups and charities. Perhaps that is one way that patients and those affected could continue to be involved.

My right hon. Friend the Member for East Hampshire (Damian Hinds) mentioned the obvious impact of the cases in his constituency, as well as the need for a memorial to those affected. I hope the Minister will touch on that, too.

My right hon. Friend the Member for Salisbury touched on broader issues not just for the Cabinet Office but for Ministers in all Departments. It is important that we encourage curiosity rather than group-think. We all have a duty of candour and, thinking of those who work for us, it can sometimes be difficult in a political environment. The Minister should also reflect on my right hon. Friend’s point about public inquiries. It is obviously important to get to the truth, but the Cabinet Office might want to reflect on the speed at which we do that, as well as on who can achieve it and how.

We have heard about the need for stronger medical screening protocols and safety measures to ensure that such a scandal can never happen again. It is also important to acknowledge the need to continue interrogating our risk assessment and mitigation measures more broadly across our health services and the Government.

While I settle into my new role as shadow Paymaster General, I look forward to working with the Government to see what assistance I can offer, as well as fulfilling the Opposition’s job of holding them to account. I will do so in the same spirit shown by Labour Members on this issue. I will hold the Government to account to ensure that we do all we can, across all areas of Government, to implement the strongest possible risk assessment, mitigation and response procedures. It is important to have considered communication with affected groups, too.

The inquiry acknowledged that there was a failure within the NHS to properly implement informed consent and to ensure that patients, at all stages of the healthcare system, understood how their personal care related to the larger risks. While I appreciate the good work being done to make progress on this issue, we must not take our eye off the ball on any aspect of the Government’s work.

I am sure that there is still work to be done in the Department of Health and Social Care, in the Cabinet Office and across Government to ensure that informed consent and patient communication are working properly at all times, and to ensure that Government frameworks in our health and care system are being properly and continually evaluated so that the need for holistic informed consent does not fall victim to a complex and often disjointed system. That requires not only work on the health and care front, but on broader governance frameworks and improved cross-Government collaboration.

That speaks to the core issue raised today, with which I agree: the Government must continue to ensure that global standards for blood safety are met and regularly updated, as hon. Members have mentioned. I look forward to working in opposition, alongside hon. Friends in other shadow roles, and undertaking cross-party work to ensure that the regulations around the sourcing of blood products and virus detection are strengthened. As with the other measures mentioned, I want to ensure that that is done robustly and ahead of time, and not as a reactive measure, as has sadly been the case in the past.

One of the most difficult elements of such an inquiry process is to acknowledge that, too often, we make the changes that are needed to prevent a problem only when the consequences of that problem have reached intolerable levels. We need to resist boxing the issues raised today into direct consequences for our health and care practices, when a much more fundamental interrogation of our governance and practice framework is needed, as my right hon. Friend the Member for Salisbury noted.

As numerous speakers have said, the inquiry shed clear light on the continuous failure on the part of institutions to properly address the issue as it came up. In far too many cases, infected patients were distrusted, disbelieved and, at points, treated with outright disrespect. Although it is important to acknowledge the significant changes that have happened across our health systems to tackle that, we should never become complacent. We must remain vigilant about the need for medical staff in the NHS to approach patients with trust, dignity and empathy. We must ensure that our communications frameworks and staff training properly reflect those issues.

The inquiry made it clear that the victims of the scandal were victims not only of institutions, but of widespread stigmatisation and prejudice. Whatever our party affiliation, we can all agree that we should continue to progress the good work that has happened since that time and to support the fantastic organisations that continue to take on that important activism.

I put on record my thanks to the brave victims of this scandal and their families. They have stepped forward bravely and steadfastly to fight for their dignity, against the wrongs committed upon them and for proper recognition. I thank the former right hon. Member for Maidenhead for introducing the inquiry back in 2017. I also thank the inquiry leaders for the essential work they conducted, without which we would have made much less progress at an even slower pace.

No amount of compensation will ever make up for the wrongs committed and the tragedies suffered. Of course, many who have been affected are no longer around to see the small benefits of compensation. I offer a small amount of hope to those affected: I am confident that hon. Members in this House, from all parties, have heard them and trust them. We know the suffering that has been brought upon them. They have fought valiantly and relentlessly, and I hope that they can take some comfort from knowing that their fight led to the recognition of the scale of the scandal and to the action that Governments of both colours have taken to ensure such a scandal never happens again. I hope history will show that further such suffering is avoided because the victims of this scandal exposed the wrongs of the past.

In closing, I once again express my deep regret for the continuous failure of Governments over the years on this issue. I express my support for the cause of those who continue to fight. I assure the infected and affected who are still fighting, and Members of this House, that I and my colleagues on the Conservative Benches will do all we can to continue our cross-party work, which we know still has to be done.

In the relatively non-political spirit of this debate, I ask the Minister, as he continues to work with Opposition Members to address the outstanding issues for the victims and their families, to be open about making adaptations and changes to address those issues, and to ensure that in the process of undertaking compensation, we do not end up alienating segments of those involved and ignoring the suffering of those who have been affected.

I thank hon. Members who have spoken today, the victims and their families, and all those who have played their part by doing what they can to ensure that something like this never happens again.

National Insurance Contributions: Healthcare

Richard Holden Excerpts

Thursday 14th November 2024 Commons Chamber

[Karin Smyth]

I respect my hon. Friend’s expertise and service to the national health service. He will understand the need to make the shift into neighbourhood health services. We have been clear that we will ensure the NHS spends all its allocations in the most effective way to enable that shift, as part of our 10-year plan.

[Mr Richard Holden (Basildon and Billericay) (Con)]

A trustee of the Hamelin Trust, a not-for-profit provider of care and support across Essex, has contacted me because he is concerned about the £92,650 rise in national insurance that Hamelin will have to pay because of the measures introduced by the Government. He said:

“This will affect what they can do to support our communities and subsequently put more pressure on the NHS and local authorities. The impact on disabled people and older adults who rely on regular, consistent, high-quality care will be profound.”

I do not believe that the Government intended to hammer the disabled or older people who need care, so will the Minister prove me right and look at the policy again?

[Karin Smyth]

The right hon. Gentleman was part of the last Government—I am pleased to note that he is talking to his new constituents. The £22 billion black hole and the report from Lord Darzi indicate the fragility of the system we have inherited. We are ensuring that vulnerable groups are supported through the allocations provided to both the Department for Health and Social Care and the Department for Work and Pensions.

NHS Performance: Darzi Investigation

Richard Holden Excerpts

Monday 7th October 2024 Commons Chamber

[Helen Morgan]

My hon. Friend is exactly right, and we put mental health and access to primary care and health prevention front and centre of our manifesto for that very reason. I encourage the Secretary of State to take our plans where they are complementary to his and run with them. We are happy to have our ideas plagiarised—we will welcome it.

Welcome as that focus is, some of what we have heard gives me cause for concern. First, some weeks ago the Prime Minister suggested that investment can come only after reform. I warn the Secretary of State that I do not think that that will work. The reforms that our NHS needs cannot be done on the cheap. Improving access to primary care means investing in more GPs, more NHS dentists and more community pharmacists. Boosting productivity means investing in better IT systems and bringing hospitals up to date with the new facilities they need. I agree that it cannot be just more investment without reforms, but nor can it be just reform without more investment. We need that investment now. The reports that we have heard of potential cuts to spending in the Budget are deeply concerning. I urge the Secretary of State to guarantee today that they will not happen.

Finally, I am afraid that there still seems to be nowhere near enough focus or urgency when it comes to care. We simply cannot fix the crisis in the NHS without fixing the crisis in care. Right now, more than 12,000 people in hospital are ready and well enough to go home but stuck there because the care they need is not available. That is awful for them and their families, and it is awful for the NHS that 12,000 beds that should be getting used by patients who need them and allowing better patient flow through hospitals are being held up because the care system is in crisis. I urge the Secretary of State again not to put this off any longer but to set up a cross-party commission now so that we can agree a long-term solution to ensure that people get the care they need, when and where they need it, and that carers are properly supported, too.

[Mr Richard Holden (Basildon and Billericay) (Con)]

I support what the hon. Lady is saying about a having cross-party group look at social care, which is a sensible long-term thing that we need to do, and discharges from hospital are an important part of that. Does she agree that discharges from mental health units are also an important part of that? On a recent visit to Basildon hospital, I saw that discharges were not happening in mental health units. That is perhaps as much of an issue in mental health social care as it is in older people’s social care, which the House is more attuned to.

Oral Answers to Questions

Richard Holden Excerpts

Tuesday 23rd July 2024 Commons Chamber

[Stephen Kinnock]

I welcome my hon. Friend warmly to his place. I hope he will not mind if I use this analogy, which is that you cannot make a prescription unless you have the diagnosis, and you cannot make policy on the hoof. We cannot have the chaos, neglect and failure that we have seen from the Conservatives for the past 14 years because they have not made policy based on evidence and data. I am absolutely on board with what my hon. Friend says, and I would be more than happy to discuss it with him further at his convenience.

[Mr Richard Holden (Basildon and Billericay) (Con)]

I welcome those on the Opposition Front Bench to their roles and those on the Government Front Bench to their new roles. One of the things that we did very well over the past few years on a cross-party basis was tackling the disparity between mental and physical health. Since 2018, £4.7 billion extra has gone into NHS mental health services. Will the Government commit to that going forward and ensure that the proportion of funding towards mental health services will increase in the coming years?

[Stephen Kinnock]

I thank the right hon. Gentleman for his question, but he appears to be living in a parallel universe. We are in the midst of a mental health crisis as a result of 14 years of Tory chaos, neglect and failure. We have a plan, with 8,500 more mental health workers, young futures walk-in hubs, specialist mental health support for young people and mental health specialists dealing with talking therapies. Of course, we will also introduce legislation following the Gracious Speech to deal with helping people who have more severe conditions. That is a plan of action with which I hope we can once again make our country proud of how we deal with this extremely serious issue.

Covid-19 Vaccines: Safety

Richard Holden Excerpts

Monday 24th October 2022 Westminster Hall

[Elliot Colburn]

No, I see nothing to concern me about the independence of the MHRA. Indeed, I saw a group of anti-vax protesters outside the House today, holding up signs saying, “Vaccines kill,” and, “Would you not believe that pharmaceutical companies kill?” It seems a bit of a strange business model for a pharmaceutical company to kill off everyone it is trying to administer a vaccine to. I have seen absolutely nothing to concern me that the MHRA has any problems with independence.

For previous vaccines, we have had to wait for a full package and for each stage to be finished before moving on to the next stage. That is one of the reasons that the covid-19 vaccine was developed at such speed; corners were not cut, but the model was changed.

Pfizer and BioNTech fed the MHRA data to be assessed even before the final clinical submission in November 2020. Once it was submitted, scientific and clinical experts robustly and thoroughly reviewed it with scientific rigour, looking at all aspects, including the laboratory studies, the clinical trials and more. That included assessing the level of protection the product provides and how long that protection is provided for, as well as its safety, stability and how it needs to be stored.

On top of that, the MHRA has a range of experts inspecting the sites used across the whole lifecycle of the vaccine, from its initial development in a lab to its manufacture and distribution once approved. The inspectors work to legislation that incorporates internationally recognised clinical standards. The MHRA seeks advice from the Commission on Human Medicines, the Government’s independent advisory body, which critically assesses the data before advising the UK Government on the safety, quality and effectiveness of any potential vaccine.

I wish I could delve deeper into the specifics of how and why vaccines work, but we would be here all night and I do not want to duplicate the work that has been done in other debates. Nevertheless, I hope I have managed to demonstrate succinctly the rigorous scientific testing that occurs prior to a vaccine being distributed in the UK. However, the main premise of much of the literature that has been distributed about the impact of the covid-19 vaccine and the nationwide roll-out needs to be looked into. As part of its statutory functions, the MHRA continually monitors the use of vaccines to ensure that their benefits continue to outweigh any risks. This monitoring strategy is continuous, proactive and based on a wide range of information sources, with a dedicated team of scientists reviewing information daily to look for safety issues or unexpected events.

[Mr Richard Holden (North West Durham) (Con)]

My hon. Friend is making a good speech. My constituent Gareth Eve lost his wife Lisa Shaw when she was only 44, as a result of the AstraZeneca vaccine. He is not an anti-vaxxer. Although the debate is on the broad issue, does my hon. Friend agree that matters such as how families get compensation could be dealt with much better, even if he does not agree with a full public inquiry into the entire body of the issue? So many families, including that of my constituent, have been left waiting for that support for a very long time.

[Sir Roger Gale (in the Chair)]

Order. I appreciate that hon. Members wish to represent their constituents, but interventions must be interventions and not speeches.

Vaccine Damage Payment Scheme: Covid-19

Richard Holden Excerpts

Tuesday 6th September 2022 Westminster Hall

[Sir Jeremy Wright]

I am sorry to hear about the hon. Lady’s constituent and I agree with her. It is important that we do something differently for what she rightly says is a relatively small number of cases. If she bears with me, I will come to the exact point she makes about disablement, as it seems to be a deficiency of the scheme.

I have mentioned the VDPS and, of course, all help for those injured by vaccines is welcome. However, in my view there are three things wrong with the scheme and I will say something about each of them. The first is that it simply takes too long to pay out. The VDPS is a no-fault scheme, but it requires, not unreasonably, a causative link between vaccination and injury to be established. The problem is the time it seems to take to establish that link in the minds of the scheme’s administrators, even in cases such as that of the Scotts, where consultant opinions are clear and unequivocal. The Scotts’ application under the scheme was submitted on 3 June 2021, and was finally approved on 20 June 2022. According to the latest figures that I have—it may well be that the Minister has more up-to-date figures—there are 2,407 applications to the scheme related to covid-19 vaccines, and cases are currently being processed at the rate of 13 a month. At that rate, it would take more than 15 years to process all the cases.

[Mr Richard Holden (North West Durham) (Con)]

My constituent Lisa Shaw, a BBC presenter in the north-east, died after getting a blood clot as a result of the vaccine, leaving her young son without a mother and her partner, Gareth, absolutely devastated. Gareth came to see me in my constituency surgery a very long time ago—months and months ago—and he is still waiting. A lot of the people in this situation will have huge financial commitments and maybe families; if they have not died or are disabled, maybe they are unable to work. Does my right hon. and learned Friend agree that speed is of the essence? It has taken decades to resolve recent scandals, such as the contaminated blood scandal. Is it not right that we need to learn the lessons of those scandals and get these payments out to people as quickly as possible?

[Sir Jeremy Wright]

Yes, I agree entirely with my hon. Friend, who puts it very well. It is important not just that we have the right scheme—I do not believe yet that we do—but that, as he says, when that scheme is in place, it pays out quickly. It is clear that the scheme in place at the moment is not doing that, and it simply is not acceptable or feasible for families in severe financial distress to have to wait the length of time that they are being asked to wait. And the example that he gives is a good one.

That example is also important in another respect, because there is something else that the Government need to do. In relation to those cases where vaccine injury is fatal, as was the case with my hon. Friend’s constituent, the Government need to protect entitlement to benefits, as they have done with other similar schemes but which they are currently not doing in relation to payouts under the VDPS. Whether that is universal credit or some other benefit, that post-death entitlement needs to be protected in a way not currently allowed by the law.

The second problem with the VDPS is that it requires a 60% level of disablement. The first thing to say about that is that the percentage of disablement can be hard to quantify in these cases, as Jamie Scott’s consultant made clear in her opinion. However, the second thing to say about it is that 60% is a very high bar. There can be significant injury or disablement that does not meet that threshold but is still life-changing. The VDPS is all or nothing: it pays out the full amount or nothing at all. In other words, someone adjudged to be 59% disabled as a direct result of vaccination would receive no compensation at all under the scheme. That cannot be right.

Oral Answers to Questions

Richard Holden Excerpts

Tuesday 19th July 2022 Commons Chamber

[Maria Caulfield]

Let me place on record my thanks to all the ambulance staff up and down the country who have gone above and beyond in the past 24 to 48 hours to be able to respond to extreme pressures that are only really seen in winter times. Let me give a scale of the pressures they are under. Compared with the situation in May last year, there have been over 100,000 more calls to the ambulance service, and there were 2.1 million attendances at A&E departments in June, which is 3.6% higher than the figure for June 2019. So they are under incredible pressure, and I pay tribute to all of them doing their best.

[Mr Richard Holden (North West Durham) (Con)]

One issue affecting waiting times in many acute hospitals is the fact that so many people could be in community hospitals instead. In my constituency, I have a bid in to replace Shotley Bridge Community Hospital, doubling the capacity to 16 beds from the current eight. However, this is not under way just yet, as a few more hoops need to be jumped through. Will the Minister or Secretary of State come on a visit with me to North West Durham to see what more we can do to speed through the replacement hospital for Shotley Bridge as quickly as possible, to help ease some of the issues in our acute hospitals?

[Maria Caulfield]

My hon. Friend is right; the delayed discharges and being able to free up those beds has a knock-on effect on A&E, which in turn has a knock-on effect on ambulances being able to unload. We have the £2 billion better care fund, which is supposed to be addressing just that, to help integrated care boards deliver and help patients get out of hospital. I have a meeting with all the integrated care boards tomorrow, so his is a timely question, but I am happy to meet him as well.

Draft Mental Health Bill

Richard Holden Excerpts

Monday 27th June 2022 Commons Chamber

[Sajid Javid]

I know that the hon. Lady speaks with experience, and I listen carefully to her when she speaks on these important issues. She may have seen the announcement earlier today that the additional support of around £150 million will go towards addressing her exact point about more provision, including crisis houses and sanctuaries—I also mentioned mental health ambulances earlier—and I think that will help.

[Mr Richard Holden (North West Durham) (Con)]

This is an enormously welcome Bill on an issue on which I have campaigned and spoken to the Secretary of State about previously. North West Durham has an historic and ongoing issue, with suicide rates at double the national average. I commend him for speaking about his personal situation, and I look forward to the 10-year mental health plan and the 10-year suicide prevention plan. Will he outline how the Bill will reform the totally outdated Mental Health Act; how it will make a particular difference to those with serious mental health issues in my constituency, including children with anorexia issues whose parents have brought them to see me recently; and how it will deliver for people and their families as they go through really difficult treatment, making it more personalised for them?

[Sajid Javid]

I commend my hon. Friend on all the campaigning he has done on mental health and suicide prevention ever since he entered the House. The meetings I have had with him have gone directly into the publication of this Bill. The Bill will make a difference. I have summarised how it will result in more personalised care. Alongside the new resources, it will really help his constituents and many others.

North East Ambulance Service

Richard Holden Excerpts

Monday 23rd May 2022 Commons Chamber

[Maria Caulfield]

I am absolutely happy to meet anyone who wants to discuss concerns, but there are routes. We introduced the whistleblowing policy so that, at any stage, those staff and their unions can raise concerns and instigate investigations with the Healthcare Safety Investigation Branch, with those investigations looking at a service as a whole. I am happy to take any concerns forward and meet any group who wants to discuss them with me.

[Mr Richard Holden (North West Durham) (Con)]

My constituents have been horrified to see and read about what has been going on in their local ambulance services. They have a right to know what has been happening, and bereaved families in my constituency and those of my neighbours really have a right to know. It is also crucial to know that so that we can get to the bottom of it and prevent it from ever happening again. Will the Minister ensure that her Department acts rapidly on this? Will she also reiterate that NDAs have no place in our NHS, because they go to the heart of preventing the positive change and learning from mistakes that we need to see?

[Maria Caulfield]

I can reassure my hon. Friend that I have already had an initial meeting with the CQC and the trust this morning and that I will instigate further meetings after today. On NDAs, a previous Health Secretary made a move to outlaw them, and I will speak to the Secretary of State about whether we need to go further, because I am concerned that we cannot have a culture of learning and disclosure while NDAs may be in place.