Health and Social Care Committee

Debate between Sarah Wollaston and Liz Saville Roberts

Thursday 1st November 2018 Westminster Hall

[Dr Wollaston]

I thank the hon. Gentleman for his own really important role in the course of our inquiry. He highlights the point about the CQC. The CQC has no powers of entry into our prisons. We now know that it can carry out unannounced inspections just about anywhere else, but it cannot in prisons. The other challenge that it faces is being able to take a whole-system approach to the way services are commissioned. We heard from it again, in relation to a separate inquiry, earlier this week that it would like to have the powers independently to look at a whole-system approach, rather than just very narrowly looking at one aspect of it. It was very clear to us that a whole-system public health approach needs to be taken to the commissioning and provision of healthcare.

The hon. Gentleman’s other point was about the conditions in our jails. Keeping people in conditions where there are broken windows, cockroach infestations and so on is wholly unacceptable. No one should be living in those conditions in Britain today.

[Liz Saville Roberts (Dwyfor Meirionnydd) (PC)]

The Select Committee on Welsh Affairs is undertaking an ongoing inquiry into the prison estate in Wales, and one issue that has been raised is the fact that health is of course devolved, but there appears to be relatively little consideration of how health is managed differently there from how it is managed in English prisons—of the difference between Wales and England. There is a particular anomaly with the only private prison in Wales, the question of answerability to the health ombudsman, and to whom actually that prison is answerable. Has the hon. Lady made any assessment of accountability between the Welsh and English regimes and to what degree we should perhaps be measuring the difference between health provision in prisons in Wales and that in England?

[Dr Wollaston]

I thank the hon. Lady for making that point. We did not look at devolved issues, because the remit of the Health and Social Care Committee is England only, but the hon. Lady makes a very important point. As the Justice Committee has an ongoing interest in this issue, there might be an opportunity for that Committee to take the matter up more quickly than we would be able to, but I would be very interested if the hon. Lady wanted to write to me about it.

I again thank all those who contributed to the inquiry, and I look forward to hearing the ongoing thoughts of the Justice Committee.