Mid Staffordshire NHS Foundation Trust

Robert Flello Excerpts

Wednesday 9th June 2010 Commons Chamber

[Mr Lansley]

If I may, Mr Speaker, I shall content myself with saying that my hon. Friend made it clear from the outset that an Inquiries Act inquiry was the right idea. He said that more than a year ago, and had we gone down that route then, we would have been much further towards getting to the whole truth now. Matters relating to the Inquiries Act and the panel membership are ones that will now be determined by Robert Francis. I have published the terms of reference to which he will be working, and under the Inquiries Act issues such as legal representation and its funding are determined under those.

[Robert Flello (Stoke-on-Trent South) (Lab)]

My constituents who were affected will also be following very carefully what happens in this public inquiry, and I associate myself with what has been said about David Kidney, who worked extremely hard and effectively on this horrific issue.

I am concerned that the horrific failure at this hospital is being used as a hook in a most appalling way for the proposals to scrap targets, which the Conservatives have talked about for a long time. In any system there will always be people who try to manipulate it; in a culture of fear and bullying, as there was in this hospital, that is exactly when systems will be manipulated. Will the right hon. Gentleman therefore take into account as wide a spectrum of advice as possible when he is considering the new outcome proposals, to ensure that whatever system he brings in is not also open to abuse and manipulation?

[Mr Lansley]

One of the hon. Gentleman’s friends says that we should take action on the basis of the first Francis inquiry, and we will, and the hon. Gentleman says that we should not take action on targets. The first Francis report made it clear that targets compromise patient care, so we do need to take action.

The hon. Gentleman asked a further question. Robert Francis and I have had two discussions and the terms of reference are very clear. He is looking beyond the structures and processes to how the culture of bullying, fear and secrecy came to pass, what effect it had and how we can move beyond that. The report will be very important, if it is successful, not just for the people of Staffordshire but right across the country in showing how we can move from a top-down, secretive, bullying culture to one that is absolutely open, transparent, focused on patient safety and entirely responsive to the needs of patients.