King’s College Hospital Foundation Trust

John Bercow Excerpts

Tuesday 12th December 2017 Commons Chamber

[Mr Speaker]

Order. I have selected the urgent question because I judge it to be urgent. However, I should advise the House that it is focused very much on London, and I have that in mind. I am sensitive to the interest in the subject, but I am conscious also that we have other business that will run for several hours and in which there is intense interest. That is a guide to the House that I do not intend to run the urgent question beyond approximately half an hour.

Maternity Safety Strategy

John Bercow Excerpts

Tuesday 28th November 2017 Commons Chamber

[Several hon. Members rose—]

[Mr Speaker]

Order. This is an extremely important and sensitive matter, and we appreciate the statement on it. However, the business to follow—the final day of debate on the Budget—is also extremely important, and no fewer than 67 right hon. and hon. Members have indicated a wish to speak. Exceptionally, therefore, I may not feel able to call everybody on this statement. In any event, there is a premium on brevity from Back Benchers and Front Benchers alike.

[Dr Sarah Wollaston (Totnes) (Con)]

I warmly welcome the Secretary of State’s announcements today, including the move to allow coroners to investigate full-term stillbirths. Will he set out the current waiting time for post-mortems for infants because, as he will be aware, there is a shortage of the very highly specialised pathologists who carry out this vital work?

[Dr Philippa Whitford (Central Ayrshire) (SNP)]

Last month’s debate on baby loss has been mentioned, and I too took part in it, although I have thankfully been spared the pain suffered by some Members of the House. Such a debate really helps to bring out for everyone on both sides of the House how important this issue is, and I do not think there will be anyone who does not welcome this statement and the ambition it shows.

In Scotland, we had a higher stillbirth, neonatal and perinatal death rate in 2012, but our new chief medical officer was actually an obstetrician, and that may have led to the change of focus in 2013, when she established the maternity and children quality improvement collaborative and the national stillbirth group—all as part of the Scottish patient safety initiative—as well as the neonatal managed clinical networks across Scotland. That has enabled us to drop our stillbirth rate by more than a quarter, and to drop our neonatal death rate by 50%.

This has been achieved despite the challenges we face of really difficult geography, including getting people off islands. It is easy to spot the woman who has a history of difficult births or to spot a woman with comorbidities, such as obesity or diabetes, but anyone who has been involved in birth knows that even the healthiest pregnancy can go wrong at the last minute. For us, as in rural parts of the north and west of England, there are transport issues in relation to how women with problems during labour are identified and transported if a higher specialism is required, and those issues must be looked at.

This is very much about the provision of neonatal services, including the movement of patients, and the availability of expertise and of neonatal intensive care units. However, as came out several times during the debate on baby loss, another issue is that of pre-term birth and stillbirth, so this is also about trying to change some of those things. After Scotland’s recent review in February, the focus will be on the consistent monitoring of growth, as a failure to thrive can identify a third of impending stillbirths; the continuity of care, which the Secretary of State has referenced; and especially smoking. Although the Secretary of State mentioned getting smoking rates down—and in Scotland, sadly, they are higher—the rate in the most deprived communities is more than four times that in the least deprived communities. That has an impact on every level of child loss.

Finally, on research, it is important that we learn, for example from the new information about women sleeping on their side in the last trimester. We need to fund the research to learn those things and then share the information—

[Mr Speaker]

Order. I have the highest regard for the hon. Lady, who is a considerable medical authority. I gave her a little leeway, but I say very gently that not only did she exceed her time by a minute, but she pursued her usual, rather discursive approach. In these situations, what is required is a question or a series of questions with a question mark or a series of question marks, rather than general analysis. We will leave it there for now. I say that in the most good-natured spirit to the hon. Lady.

I call Antoinette Sandbach.

[Mr Hunt]

rose—

[Mr Speaker]

I forgot that we had heard from the hon. Member for Central Ayrshire (Dr Whitford), but we had not yet heard from the Secretary of State. Apologies.

[Mr Hunt]

I actually agreed with everything the hon. Member for Central Ayrshire said. I will give a rather more brief response.

[Mr Speaker]

Order. As I have just been advised by the distinguished Clerk at the Table, who swivelled round so to advise me, there is really no need for a response, because there was no question. However, I will indulge the right hon. Gentleman to the point of a paragraph.

[Mr Hunt]

Let me simply say that there is an excellent Scottish patient safety programme. Given that one of the main objectives behind the statement is to share best practice, I would be very happy to talk to the chief medical officer in Scotland and to Jason Leitch about how we can exchange information and learn from each other’s systems.

Hormone Pregnancy Tests

John Bercow Excerpts

Thursday 16th November 2017 Commons Chamber

[Yasmin Qureshi]

I am so disappointed with the Minister’s response. Clearly he is just reading what his staff and the Department have been telling him. I wish the Minister would actually go through the documents submitted to the inquiry and those documents that we had, because if he had read them, he would never have to come the Dispatch Box and said what he has said.

You will be aware, Mr Speaker, that I have raised this issue in Parliament on a number of occasions. In 2014, an expert working group was set up to look at a possible association—not a casual link or a causal link. I am sure that hon. Members agree that that means that a lesser burden of proof is required. The first thing that the commission did was to say that it had found no causal connection, but it was never asked to do that—it was asked to look for a possible association. In 2014, the then Minister made promises about statutory oversight. From the papers we had, there appeared to be a clear criminal responsibility regarding the statutory body, the Committee on the Safety of Medicines, and the people who ran it, given that so much evidence was adduced to them. They were alerted to the fact that Primodos was causing deformities and miscarriages in women, but they totally ignored that evidence. In fact, the person in charge actually said that he wanted to cover it up so that nobody could be sued. It is therefore highly surprising that the commission has come up with this recommendation.

The commission was shown evidence from many studies, the majority of which showed conclusively that when the drug was given to rabbits and rats—mammals, like ourselves—the tissues were damaged. There were—

[Mr Speaker]

Order. I am grateful to the hon. Lady, but I am afraid, although she is highlighting an immensely important matter, and one that she has highlighted before, she has not asked a question—[Interruption.] Order. She has reached her limit and that is it. I have told her, as I have other Members. I have lost count of the number of times Members have been told that if they have an urgent question, they can begin with a few observations—a sentence or two—in response to the Minister, and then questions must follow, but that is not what has happened. I have the highest respect for the hon. Gentleman’s knowledge of and commitment to this subject, but she cannot speak for two minutes and then indicate, “I’m about to get to my questions.” Sorry, I say to her—[Interruption.] Order. No, sorry, but you have had your time. It is up to Members to stick to the limits, so other colleagues will now have to pursue this matter. I genuinely thank her for what she has said, but Members really must observe procedures. If I may say so, there has never been a more enthusiastic friend of the House than me in the granting of urgent questions, but Members must then follow the procedure. That is the situation. I call Anna Soubry.

[Anna Soubry (Broxtowe) (Con)]

Thank you, Mr Speaker.

[Mr Speaker]

Order. I beg the right hon. Lady’s pardon. First, let us hear the Minister respond to the statement made by the hon. Member for Bolton South East (Yasmin Qureshi). It was an important statement; it just did not contain a question.

[Steve Brine]

You are, indeed, a friend of the House, Mr Speaker.

I have the utmost respect for the hon. Member for Bolton South East (Yasmin Qureshi), with whom I have served on Select Committees, and I will try to help her out. I have seen some of her public criticisms in the past 24 hours. I know that she has been very consistent about this, but I am not just reading notes put before me; I am citing evidence from an expert working group. It really would come to something if Members suddenly started to second-guess expert, scientific and medical evidence. I am not just quoting what is before me. The review’s conclusions do not take away—I do not pretend for one minute that they do—from the very real suffering experienced by these families. This was a comprehensive, independent, scientific review of all the available evidence carried out by the best experts in a broad range of specialisms. Ministers are confident in the report and the review process, and the focus now must be on implementing the recommendations.

--- Later in debate ---

[Steve Brine]

I could have sworn I heard the hon. Gentleman bring the word “party” into this. That is deeply unfortunate, and I do not think it is helpful to anybody. Last time I checked, there have been Governments of both colours since the 1950s.

As for bringing Stafford and patient safety into this, the Secretary of State for Health takes many criticisms but he has placed patient safety and getting to the bottom of the issues around Stafford at the heart of his agenda. It is because we do not bury our head in the sand and sweep these things under the carpet—as, I am sorry to say, happened in the past—that we are uncovering this and doing the best for the families with the report’s recommendations. Nothing can turn the clock back and nothing can undo the suffering of these families.

[Mr Speaker]

As has been said, this is absolutely not a party matter. Colleagues have expressed their interest in a debate on this matter, and I can simply say from the Chair that, one way or the other, through one vehicle or another, this matter will be debated if Members want it to be debated.

Oral Answers to Questions

John Bercow Excerpts

Tuesday 14th November 2017 Commons Chamber

[Steve Brine]

Absolutely. I have just returned from a meeting of G7 Health Ministers, and one of the subjects under discussion was environmental factors in climate change and its impact on human health. We had challenging discussions on many areas, but air quality and its impact on respiratory disease was not one of them.

[Mr Speaker]

I gather the meeting was in Rome. Is that correct?

[Steve Brine]

Milan.

[Mr Speaker]

It is always useful to have a bit of additional information, for which the House is grateful.

[Mrs Sharon Hodgson (Washington and Sunderland West) (Lab)]

Under this Government we have seen lung disease admissions to A&E rise at double the rate of general admissions. That is even more concerning when the bulk of lung disease admissions happen over the winter months, when A&E departments are already under significant pressure. Will the Minister commit today to introducing a lung disease strategy to ensure that we can reverse these worrying trends and this pressure on people’s lives and on our NHS?

--- Later in debate ---

[Jamie Stone (Caithness, Sutherland and Easter Ross) (LD)]

21. I am a reformed smoker—it was quite a battle. What proposals do Her Majesty’s Government have to enlist people like me to help other people to kick the weed? We know how to do it.

[Mr Speaker]

What a fine role model the hon. Gentleman is.

[Steve Brine]

What an offer, Mr Speaker! Sustainability and transformation partnerships in all areas are to draw up local plans across one NHS area, including on the public health prevention agenda. I suggest that the hon. Gentleman volunteers his services to his local STP; I suspect it will take his hand off.

--- Later in debate ---

[Jackie Doyle-Price]

I cannot disagree with the hon. Lady’s point. One reason why we set up the accelerated access review and pathway was to make sure that we invest where innovation is taking place. There is no reason why Manchester cannot be a part of that.

[Mr Speaker]

I call David “Top Cat” Davies.

[David T. C. Davies (Monmouth) (Con)]

22. Thank you, Mr Speaker. [Laughter.] It goes back a long way, and one day it will be no more.One of the innovative treatments that is being offered in my constituency that concerns me is the use of puberty blockers and hormone replacement therapy for children who identify as transgender. Does the Minister agree that an improvement would actually mean the restriction of such treatments for under-18s?

[Several hon. Members rose—]

[Mr Speaker]

Oh, a Liberal Democrat competition. I call Jo Swinson.

[Jo Swinson (East Dunbartonshire) (LD)]

Thank you, Mr Speaker.

A strong UK pharmaceuticals industry is important for ensuring that the NHS can access innovative treatments, but there is uncertainty over whether UK-qualified persons who certify medical products and devices as safe will be able to continue to do so for European countries post-Brexit. This is unwelcome, and risks countries choosing to relocate outside the UK. When will there be clarity about the future European relationships for medical device approval?

--- Later in debate ---

[Mr Barry Sheerman (Huddersfield) (Lab/Co-op)]

T8. If the Health Secretary does visit Huddersfield and Dewsbury, can I join the party? [Interruption.] I will not spoil his visit. I would like him to meet our local vice-chancellor, who would be very interested in having a teaching hospital in Huddersfield if the money were available to start one up. Will the Secretary of State meet my vice-chancellor when he comes to Dewsbury and Huddersfield?

[Mr Speaker]

I met the fellow on 24 June last year. He is a splendid chap.

[Mr Hunt]

In principle, I would be delighted to meet the hon. Gentleman’s local vice-chancellor, but I have to tell him that the decision about where the new medical schools will be based will be taken independently of me, because I have a constituency interest in the issue as well.

--- Later in debate ---

[Several hon. Members rose—]

[Mr Speaker]

Order. We must now move on.

Mental Health Units (Use of Force) Bill

John Bercow Excerpts

2nd reading: House of Commons
Friday 3rd November 2017 Commons Chamber

[Several hon. Members rose—]

[Mr Speaker]

I was going to call Mr Malthouse, but although he is on the list he is not standing up. He is showing an unaccustomed reluctance to favour the House with his views.

[Kit Malthouse (North West Hampshire) (Con)]

I think there has been an error, Mr Speaker. I am here for the second debate, not the first.

[Mr Speaker]

I thought the hon. Gentleman wanted to speak on this Bill, but if I am mistaken and he wishes to preserve his thunder then so be it. We will hear from him at a later stage.

[Several hon. Members rose—]

[Mr Speaker]

Gosh, what a delightful choice awaits me. I call Victoria Prentis.

--- Later in debate ---

[Oliver Dowden]

I was responding—

[Mr Speaker]

Order. I am immensely grateful to the hon. Member for St Helens South and Whiston (Ms Rimmer), but may I gently point out that interventions must be brief? I recognise the sincerity and seriousness of what she said, but there is huge pressure on time in respect of this Bill and of what might follow, so a certain self-denying ordinance is needed.

[Oliver Dowden]

I thank the hon. Lady for her intervention. I know that she, like me, greatly values the work of our public sector workers. With respect, I was seeking to respond to interventions from other Opposition Members, and if they will refrain from making political interventions, I will happily refrain from rebutting them.

The root of this can be traced back to my constituency of Hertsmere, which I proudly represent and in which I was born and grew up. I remember the way in which mental health was treated during my childhood. We are on the edge of London, and London was historically surrounded by very large mental health institutions. In my own constituency, we had facilities such as the very large hospitals at Harperbury and Shenley. In many ways, those institutions had a positive ethos. I am fortunate to represent many mental health nurses who worked in those institutions and who still live in the constituency, and there was certainly a positive ethos of rehabilitation and providing a safe, calm space for people. However, the flipside of that was a tendency to put people in those institutions, shut them away and never think about the problem again. It is absolutely right that, under successive Governments, we have sought to change that approach. We now mainstream mental health problems, certainly in my own constituency and I am sure in many others.

Oral Answers to Questions

John Bercow Excerpts

Tuesday 10th October 2017 Commons Chamber

[Tim Farron (Westmorland and Lonsdale) (LD)]

The Secretary of State may know that because of a reduction in the number of mental health clinicians in Cumbria, the Cumbria Partnership NHS Foundation Trust has now chosen to end consultant psychiatric call-out care from 8 pm to 9 am. It would have started last week, but it is going to start in the next two or three weeks. That means, as I am sure he is aware, that it will not be possible to section people under the Mental Health Acts between those hours unless they are within an NHS facility. People in police stations, people in care homes and people at A&E departments will not be—

[Mr Speaker]

Order. If the hon. Gentleman wants to make an application for an Adjournment debate, he can do that on a subsequent occasion. I think we have got the gravamen of his question.

[Tim Farron]

The question is: does the Secretary of State agree that that is not an appropriate use of resources, and will he provide the resources that are needed?

--- Later in debate ---

[Thelma Walker]

Huddersfield Royal Infirmary, which is in my constituency, is currently facing plans for a downgrading that would result in the loss of 500 hard-working professionals. Is it too much to ask for the Minister, or the Secretary of State, to visit the hospital, as I have requested, before those hard-working trained professionals are lost, and can he assure me—and my constituents—that those cuts, and the pressures on nearby hospitals, will not jeopardise the safety of patients?

[Mr Speaker]

Order. There is a growing tendency for colleagues to ask two questions rather than one, which is not fair on other colleagues who are trying to get in. Forgive me, but the questions are too long, and frequently the answers are as well.

[Mr Dunne]

I will try to keep this answer short, Mr Speaker.

As the hon. Lady will know, the local joint health overview and scrutiny committee has referred those proposals to the Secretary of State, and it would not be appropriate for me to visit the hospital while the referral is in progress.

--- Later in debate ---

[Mr Hunt]

My right hon. Friend is absolutely right to point out that a GP is often the first point of contact for many people. What are we doing? Three thousand mental health professionals will be seconded to GP surgeries over the next few years to give GPs the back-up they need in that area.

[Mr Speaker]

Not for the first time, I implore the right hon. Member for New Forest West (Sir Desmond Swayne) to issue to colleagues his textbook on succinct questions.

--- Later in debate ---

[Steve Brine]

We are confident that we have some of the best STP leaders in place. I was looking last night at the figures for south-east London, and I saw that my hon. Friend’s local STP is highly rated, both on leadership and overall. I was thinking about him in the gym last night and I thought he might say what he did, so let me say that I am very happy to meet him and to broker a meeting between him and the NHS.

[Mr Speaker]

It is interesting to hear about the thoughts of the hon. Gentleman when he is on the treadmill or the exercise bike—it is always useful to have a bit of additional information.

[Rachael Maskell (York Central) (Lab/Co-op)]

20. Despite co-operation between the CCG and the local authority, we have had severe rationing and cuts and a seriously underfunded mental health service: the funding formula is seriously failing the health economy in York. In particular, the capped expenditure process will make it far, far worse. Instead of just slashing budgets, will the Secretary of State meet me to understand York’s health economy and to put real solutions in place?

--- Later in debate ---

[Several hon. Members rose—]

[Mr Speaker]

Order. I gently remind Ministers that answers from the Front Bench must be very brief during topical questions, because many other colleagues are waiting to contribute and I do not want to disappoint them, as that would be unfair.

--- Later in debate ---

[Several hon. Members rose—]

[Mr Speaker]

Order. I am sorry, but we must move on. Demand invariably tends to exceed supply.

NHS Pay

John Bercow Excerpts

Wednesday 13th September 2017 Commons Chamber

[Mr Speaker]

Order.

[Helen Whately]

None of us would want anyone to be paid any less, but it has been difficult but necessary, in order to control the overspending by Government and put right the financial mess that the country was left in after the last time the hon. Gentleman’s party was in government.

Access to NHS Dentists

John Bercow Excerpts

Tuesday 12th September 2017 Commons Chamber

[Mr Speaker]

Order. Before we start the Adjournment, it might be for the benefit of the House if I explained—because a lot of people do not seem to realise this, including sometimes Members who have been in the House for quite a long time—what the rules appertaining to participation in the end-of-day Adjournment debate are. Any Member can seek to intervene on the person whose Adjournment debate it is. Equally, the Member whose debate it is not obliged to accept the intervention, though he or she can. That process does not require any involvement by the Chair or the Minister. If, however, a Member wishes to make what he or she might call an intervention but what we would regard as a speech of two or three minutes or more, that is permitted only if the Member whose debate it is agrees, the Minister agrees, and the occupant of the Chair agrees.

I thought it might be useful to make that point at the outset of this Parliament, because I have often come across very experienced and sometimes distinguished Members who do not seem to be aware of the distinction between intervening and making a speech in such circumstances. I hope that is helpful to colleagues.

Motion made, and Question proposed, That this House do now adjourn.—(Andrew Stephenson.)

Contaminated Blood

John Bercow Excerpts

Thursday 20th July 2017 Commons Chamber

[Several hon. Members rose—]

[Mr Speaker]

Order. I am grateful to the Minister for the clarity of what she has just said. I should emphasise that this is not an occasion for a general debate on the contaminated blood scandal. We have had that on many occasions, and I have also granted urgent questions previously to the hon. Member for Kingston upon Hull North (Diana Johnson) on this matter. The issue is very specifically the locus, the responsibility and possibly, at a stretch, the scope. If Members can tailor their questions accordingly, it would be greatly appreciated.

[Diana Johnson]

Thank you for granting this urgent question, Mr Speaker.

Although I welcome last week’s announcement of an inquiry into the contaminated blood scandal, the vast majority of people affected by this scandal, their families, campaign groups and legal representatives, plus many cross-party parliamentarians, are, like me, dismayed to see the Department of Health leading on the establishment of this inquiry. The Department of Health, an implicated party at the heart of so much that has gone wrong over the past 45 years, must have no role in how this inquiry is established—in my view, it is akin to asking South Yorkshire police to lead an inquiry into the Hillsborough disaster. I regret that the Government have not been able to understand that putting the Department of Health in charge at this time immediately undermines their excellent decision to call a public inquiry last week. In consequence, contaminated blood campaigners boycotted a meeting organised by the Department of Health at 10 am today in protest. Another Department must surely now take over the responsibility for consulting on the remit of this inquiry.

I am pleased that the Government acknowledge the overwhelming and unanimous opposition to the Department of Health consulting on the inquiry, including from more than 250 campaigners and 10 campaign groups, the Haemophilia Society, and the law firms Collins Law and Leigh Day, which together represent 716 claimants. Nevertheless, the Minister needs to address two questions urgently. Why, on Tuesday 18 July, did the Department of Health call a meeting for 10 am today, with just two days’ notice, in central London, and at a time that is most difficult, inconvenient and expensive for people affected to attend? When I spoke to the Minister, she told me that the Government plan to update the House by September and get the inquiry up and running as soon as possible. That had not been made clear to campaigners or MPs, and I wondered why.

I still believe that the case is even more pressing for another Department to take over the work of establishing this inquiry now. That Department must then have a true and meaningful consultation with everyone affected, so that they can be fully involved and have confidence in this public inquiry.

Contaminated Blood

John Bercow Excerpts

Tuesday 11th July 2017 Commons Chamber

[Several hon. Members rose—]

[Mr Speaker]

Order. Just before I call the first speaker from the Back Benches, I should say that at this stage I have not imposed any formal time limit, but a substantial number of people wish to contribute. Therefore, I know that the hon. Member for Stratford-on-Avon (Nadhim Zahawi) will exercise a magnificent self-denying ordinance in the length of his oration.

[David Hanson (Delyn) (Lab)]

On a point of order, Mr Speaker.

[Mr Speaker]

Do we really have to have it? I know what I am doing and am perfectly capable of handling the matter. If it is about the order of speeches—

[David Hanson]

It is the Minister—

[Mr Speaker]

No, no. I do not need to be advised by the right hon. Gentleman on the handling of the debate. Let me just say that in so far as this was not clear, it was as a result of a failure of communication between the two Front-Bench teams. These matters should be sorted out between the Government and the Opposition, not with people yapping at each other across the Floor of the House or very close to the Speaker’s Chair. The Speaker is happy to give effect to what the two sides of the House want, within reason, but that was not made easy on this occasion, and I am seeking to address the matter by consensus. I know that the right hon. Gentleman means well and his offer of assistance is greatly appreciated, but I do not need to take him up on it on this occasion.

--- Later in debate ---

[Several hon. Members rose—]

[Mr Speaker]

Order. I am extremely grateful to the hon. Gentleman for that. Just before more Opposition Members are minded to grumble about the fact that the Minister has not yet spoken, and that he is not necessarily next, I should point out that I was in receipt of representations from Opposition Front Benchers on this matter. Some communication between Members on the Opposition Front Bench and Back Benches would be greatly advantageous to the conduct of our proceedings. Before I call the shadow Minister for public health, the hon. Member for Washington and Sunderland West (Mrs Hodgson), may I gently implore her to speak for no more than 10 minutes, and preferably for fewer, because there are a lot of Members who wish to contribute? After the hon. Lady, the Minister of State, the hon. Member for Ludlow (Mr Dunne), will helpfully set out the Government’s position. We will then open up to a wider debate. I will not promise complete satisfaction, because that is without precedent in the House, but I will try to ensure that there are as many happy Members as possible.

--- Later in debate ---

[Mr Speaker]

I appeal to the Scottish National party spokesperson certainly not to exceed 10 minutes, and preferably less. The Minister took a little longer, but he did take several interventions and was setting out the Government’s position, but there is no requirement or need for the hon. Member for Central Ayrshire (Dr Whitford) to take quite as long.

--- Later in debate ---

[Several hon. Members rose—]

[Mr Speaker]

Order. May I just advise the House that with the exception of the maiden speaker whom I am about to call, colleagues should be thinking in terms of speeches of five minutes each, or at most six, if the Chair is to accommodate everybody? I am sure there are colleagues who would like to expatiate eloquently and at length, and on other occasions they might be free to do so, but that will have to wait, I say to the hon. Member for Hammersmith (Andy Slaughter), for the long winter evenings that lie ahead. Before that, I hope that we can give a warm, enthusiastic and encouraging welcome to our maiden speaker, Anneliese Dodds.