Mid Staffordshire NHS Foundation Trust (Inquiry)

Tristram Hunt Excerpts

Wednesday 6th February 2013 Commons Chamber

[The Prime Minister]

My right hon. Friend makes two points. First, I agree that we need clear lines of accountability so we can see who is responsible for standards of care on the ward and in the hospital, and they must be held to account for that. Secondly, I have a lot of sympathy with the point that sometimes people making a compliant are not seeking financial redress, and I think all constituency MPs would agree with that, too. They just want to be taken seriously. They want to be listened to; they want an acknowledgement. They will not go off and hire lawyers. They want an acknowledgement that their elderly relative was not treated properly, and they want it soon. I hope this report launches a debate in the NHS about how we can deliver that.

[Tristram Hunt (Stoke-on-Trent Central) (Lab)]

There remains real trauma and anguish in Stoke-on-Trent about the abuse, poor treatment and unnecessary deaths of relatives and friends in Stafford hospital. I welcome the focus on delivering a culture of care in the management of hospitals and on the accountability of boards, and I also welcome the questioning of nursing and medical bodies about the absence of accountability. I have two questions, however. What elements of the new NHS reforms make it less likely that a Mid Staffs will occur again, and are we absolutely sure that HealthWatch will be fit for purpose in April? On the north Staffordshire health care economy, the University hospital of North Staffordshire is taking a lot of slack from Mid Staffordshire. Can we ensure that the Department of Health supports North Staffordshire in addressing any problems?

[The Prime Minister]

Let me go directly to the important question about the reforms, the status quo once they are in place and how that will help deliver what Francis talks about. As I said in answer to the Leader of the Opposition, Francis says he is content this can be delivered:

“it requires changes which can largely be implemented within the system that has now been created by the new reforms.”

I hope the reforms will help in a number of ways. I hope HealthWatch can be created as a robust independent organisation that is taken seriously by those in the health service and more widely. I hope that having clinical leadership of the clinical commissioning groups, with local GPs and others in charge, will mean they will reach further into their hospital and perhaps ask better questions than the primary care trust put. As I said at Prime Minister’s questions, I also hope that the Department of Health sets a mandate for the national Commissioning Board and that we put quality and care for patients at the heart of it. While I accept that we need some process targets because things such as waits in A and E matter, I hope that the move towards judging outcomes rather than processes will reinforce the importance of quality, because if we do not get quality care, we will not get quality outcomes.