Mid Staffordshire NHS Foundation Trust (Inquiry)

Sarah Champion Excerpts

Wednesday 6th February 2013 Commons Chamber

[The Prime Minister]

I certainly think Health Ministers should look at what my hon. Friend says. One of the outcomes should be a discussion about what sort of contracts are appropriate for board members, both for their service in the NHS and if anything goes wrong.

[Sarah Champion (Rotherham) (Lab)]

I would like to speak from my recent experience of being a chief exec of a children’s hospice. The CQC is a very good organisation, but in my own area, each officer is responsible for up to 40 organisations, so the attention they can give each one is not that much. I was pleased that the leaders of both parties have said that they would support more funding for the CQC and support strengthening it.

All nurses have to register with the Nursing and Midwifery Council, which is a disciplinary body, but it can take up to 18 months for the disciplinary process to go through. The NMC is the investigator, the judge and the jury. I am supportive of the Royal College of Nursing, which genuinely seems to be trying to help and support its nursing staff to give better care. It is prioritising care but, again, it is under-resourced.

To try to end on a positive, I urge the Prime Minister to look at examples of good practice. Rotherham Doncaster and South Humber NHS Foundation Trust has an exemplary service of putting patients first. It has 12,000 members who select a governing body, and the board is responsible to that governing body. It seems that one of the problems with Mid Staffordshire was that the public were not right at the heart of the organisation.

[The Prime Minister]

I am sure the hon. Lady is right, and I agree that there are many examples of excellent practice, not only in health care and patient care but in responding to complaints and involving the local public; I see that across the country.

I have just read out what the report says about MPs, and this is what it says about the Royal College of Nursing:

“At Stafford, the RCN was ineffective both as a professional representative organisation and as a trade union. Little was done to uphold professional standards among nursing staff or to address concerns and problems being faced by its members.”

That is uncomfortable for the RCN to read, just as it is uncomfortable for us to read what it says about MPs, but it must be acted on. Likewise, the Care Quality Commission is improving, but more work needs to be done. Francis is pretty excoriating, and says on page 931 of volume 2:

“The CQC has an unhealthy culture, in which senior managers are more concerned about public image than delivery, which is hostile to internal and external criticism, and in which staff feel under pressure and unsupported.”

There is real work to be done in all these organisations to get this right.