Acute and Community Health

Debate between Steve Barclay and Cheryl Gillan

Thursday 8th February 2018 Commons Chamber

[Stephen Barclay]

The hon. Gentleman raises a number of important points, but particularly regarding whistleblowers. That was one warning signal that clearly failed here. The regulations have been changed, as he will be aware. In the past, there was a culture in which compromise agreements were applied with gagging clauses attached. That prevented visibility of the compromise agreements. That is why I asked, on receipt of the report, why the compromise agreements that were paid were not escalated to the board, and indeed what sight, if any, regulators had of those compromise agreements. Clearly financial payments will have been made, so there should be an audit trail.

The hon. Gentleman asked what changes had been made. An area on which my right hon. Friend the Secretary of State has placed a huge amount of importance, and in which he has given a huge amount of leadership, is patient safety guardians and ensuring that there are people in trusts tasked specifically with giving voice to patients. One of the many sensible pieces of advice that my predecessor, my hon. Friend the Member for Ludlow (Mr Dunne), gave me was that when visiting a trust, I should have a one-on-one meeting with that individual, not only because of their status within the trust but to gather information from them. He did so assiduously on all his visits.

The wider point is how, from a regulatory structure point of view, we can ensure that there are safeguards when there are cost improvement programmes and ask what visibility there is of them. NHS Improvement has set out a series of measures to ensure that trusts learn the lessons of Francis. Obviously the period covered by the report goes back as far as 2010, but it is important that the NHS learns from the issues that Dr Kirkup sets out.

[Dame Cheryl Gillan (Chesham and Amersham) (Con)]

May I add my tribute to the hon. Member for West Lancashire (Rosie Cooper)? She is a formidable parliamentarian and has done some very good work on this. The report is shocking. Back in March 2015, following other incidents, the Public Administration Committee produced a report investigating clinical incidents in the NHS, in which it recommended the setting up of the health service’s safety investigation branch. The Government have now published the draft Bill for that. When will it enter pre-legislative scrutiny, so that we can change the culture and have the open learning culture that we should have in our NHS, very much as is seen in the airline industry?

[Stephen Barclay]

My right hon. Friend raises an important point on the draft Bill and the consultation. I am not in a position to announce a date; that will be announced by business managers in the usual way.

My right hon. Friend is right to allude to that Bill as one of a suite of measures following Sir Bruce Keogh’s review and the Francis report, which are all part of changing the culture. I acknowledge the importance of those measures, but I want to signal to the House today that Dr Kirkup’s report identifies remaining issues that need to be tackled. He has done us that service, and that is where I am keen that we focus as a Government.

High Speed Rail (Preparation) Bill

Debate between Steve Barclay and Cheryl Gillan

Thursday 31st October 2013 Commons Chamber

[Stephen Barclay]

Of course, there will be some give and take. My hon. Friend the Member for Warrington South (David Mowat) highlighted the issues involved, but let us consider, for example, the Heathrow spur, on which we have had interventions. If Howard Davies decides to go with a hub airport at Heathrow—and one would think it logical for HS2 to connect to it—the cost of that is not in this budget, and neither is the cost of the connection in Camden, so the cost of tunnelling and the additional work that is likely to flow are not in these figures either. I wish, then, to draw the House’s attention to the pressure that is likely to follow from what Donald Rumsfeld would probably refer to as the “known unknowns”, which we know are going to be huge.

[Mrs Gillan]

My hon. Friend is listing all the items that are not included but which will add to the price of this project. The Government have now indicated their intention to accept the official Opposition’s amendment. I have been looking at some paperwork, and I believe that the cycling lanes in Birmingham, Manchester and Leeds will add up to another £750,000; the light rail construction, if it goes ahead, in Liverpool and Birmingham will cost about £1.6 billion; and if there is a walking programme for the seven cities, that will cost about £750,000. Those projects are all in the infrastructure pipeline, so we are looking at adding between £3 billion and £4 billion just to provide the connectivity to which the Government have agreed.

--- Later in debate ---

[Mrs Gillan]

I do not think there is anything wrong with this amendment at all. It was a probing amendment, and just as the Government managed to slip their name under the official Opposition’s leading name on one amendment, I hoped that the Opposition might slip their name under mine as it contains the cap they wanted. Also, if we had had some adjustments to this Bill, it would have encompassed the spend. If we are going to have a money Bill, it should not just cover the open-ended preparatory work—now my right hon. Friend is wanting to have his cake and eat it—but should cover the money that is going to be spent on the project. After all, he has been arguing for—[Interruption.] Well, we know the hybrid Bill is coming. It will be a gargantuan monster of a Bill that will take up more time in this House than any other Bill has ever done.

Amendment 15 seeks to restrict the preparatory expenditure. I am sure my Front-Bench colleagues will say that these amendments are contradictory, but they are probing amendments. I did not serve on the Bill Committee so this is the opportunity for me to get these matters discussed. I think we need to restrict the expenditure to those items that are on the face of the Bill. Currently, the word “includes” in clause 1(3) means that the Bill is the blank cheque to which I referred earlier. I think that, in the Bill’s current form, there is no restriction. I am sure the Government will not accept any restriction, but they would have been in a much better place if they had done so.

I shall move on now, as I know many other Members want to speak. There are colleagues who are not in the House today but whom I have consulted in Buckinghamshire. The Attorney-General, my right hon. and learned Friend the Member for Beaconsfield (Mr Grieve), knows his residents at Denham are wholly opposed to this proposal, and I know that the Minister for Europe, my right hon. Friend the Member for Aylesbury (Mr Lidington), is continuing to work tirelessly within Government to put to the most senior Ministers the arguments and interests of his constituency. He has asked me to point out today that there are serious mitigation issues both in Wendover and Aylesbury that are still not resolved, yet the Department’s current plans make no adequate provision either for the measures to reduce noise or for fair compensation. I am also concerned for Mr Speaker, whose constituents in Buckingham continue to express overwhelming opposition.

This money Bill writes a blank cheque for the Government, or it purports to write a blank cheque and give the Government a fig leaf to cover their embarrassment about the hundreds of millions they have already spent and the £1 billion they will spend by the time we reach the next election. I was, however, hoping that we could regularise some of the terms and conditions of the people working on this project, which is the aim of amendments 21 and 22.

Amendment 21 deals with payments made through service companies. I do not know how many people in this House pay close attention to this matter, but there has certainly been a lot of fuss about service companies, particularly in connection with the BBC and others. When I asked a fairly innocuous parliamentary question, I was surprised to find out that in the past 12 months HS2 Ltd has engaged 48 people paid through personal service companies. Apparently, eight of those people have either left the company or transferred to the payroll, and a further 12 will have left or transferred by 31 December. That means that there will still be many people who are paid through personal service companies. Apparently, the Department was carrying out an assurance process at the time to ensure that all those people were compliant with their tax and national insurance obligations, and the good news is that the response was that they were—none was not compliant. But on a Government project of this sort, being paid for from the public purse, people should be paid as civil servants and they should not be in receipt of bonuses.

Much has been made about bonuses in and around this House in connection with many other professions. MPs do not get a bonus, and neither would I be asking for one as an MP, but I was shocked to find that between 2011 and 2013 people in the Department for Transport, including people working on HS2 Ltd, have been paid bonuses of more than £3 million between them. I admit that many of those bonuses will be small, but we should still put our money where our mouth is and the practice should cease. I also understand that HS2 Ltd, which was operating bonus schemes, is no longer doing so for its employees. I am pleased about that, because I do not think we can say one thing in one area of government and practise a different set of procedures in another.

[Stephen Barclay]

When my right hon. Friend tabled that parliamentary question, did she get clarification of whether any of those on personal service contracts were ex-staff of the Department for Transport and whether they had received any pay-off from the Department?

[Mrs Gillan]

No, I did not, but that is the sort of fine detail of the finance that we will need to look at, as it should be examined. One thing I have been trying to have a look at is Mr Higgins’s new employment contract, which I understand does not start until January. I have been denied sight of that, but I wanted to see what performance bonuses, or any other inducement or performance-related measure, it contained.

Amendment 27, tabled by the—[Interruption.] Forgive me, a year is a long time, and I cannot recall the constituency.