Cass Review

Debate between Victoria Atkins and Caroline Johnson

Monday 15th April 2024 Commons Chamber

[Victoria Atkins]

As I have said, we hope to expand it to Bristol later in the year, and there will be a further three or four sites across England. However—this is a really important part of the report—this is not just about specialist services but about giving clinicians the necessary confidence to look after children and young people who may well be presenting at their clinics or surgeries with this condition as one of a number of conditions. We want to give them back that confidence, and the comfort of knowing that they need not just go down the narrow pathway of specialist services. Of course that will be appropriate for many, but we want to treat the whole child rather than treating just this particular condition, as has happened in the past.

[Dr Caroline Johnson (Sleaford and North Hykeham) (Con)]

I must first declare my interest as a practising NHS consultant paediatrician whose practice sometimes involves caring for children with the condition we have been describing.

The Cass Review makes for sobering reading. This is an example of ideology being allowed to trump evidence and safeguarding. Let me give the Secretary of State a specific example. Individuals have thwarted the attempts of those working on the report to conduct research that would give them a better understanding of the outcomes for some children. I am pleased to hear that those people are now co-operating, but we should note the contents of a letter from John Stewart, the national director of specialised commissioning, which is appended to the report. He says that although NHS England wrote to the chief executives and medical directors of all NHS trusts, the research data was not released. One of the duties of doctors that are specified by the General Medical Council is to

“Engage with colleagues to maintain and improve the safety and quality of…care.”

May I ask the Secretary of State who exactly blocked that data, what investigations will be carried out to find out which individuals were responsible, and how they will individually be held accountable for their actions? How was it possible for them to do this in the first place, and what is she doing to ensure that data cannot be blocked in the same way in the future?

NHS Winter Update

Debate between Victoria Atkins and Caroline Johnson

Monday 8th January 2024 Commons Chamber

[Victoria Atkins]

I am so sorry, I do not know who the hon. Lady is referring to. On the Conservatives’ plans, at the 2022 autumn statement we announced up to £7.5 billion of additional funding—an historic increase—and we did not stop there. This summer, we announced an additional £600 million, which brings it up to £8.1 billion of additional funding over two years. That will support our care workforce, and the majority of the funding will end up in the pockets of the amazing people who provide care and support to the patients we are all concerned about.

[Dr Caroline Johnson (Sleaford and North Hykeham) (Con)]

I declare my interest as a member of the BMA and an NHS consultant who has worked during the industrial action. Let us make no mistake that these strikes are causing suffering to patients, both adults and children. The derogation process has not worked because, as the Secretary of State said, the BMA has not returned junior doctors to work when they have been asked to—where there has been a risk of dangerous harm to patients. The first duty of any Government is to protect their citizens, so when will the Secretary of State bring forward the minimum service levels to protect patients from these dangerous strikes?

[Victoria Atkins]

First, I sincerely thank my hon. Friend. I was in contact with her over the weekend when she had come off a very long shift in emergency care, looking after patients locally. I have nothing but admiration for her and the many, many other people who stepped in at short notice to cover urgent and emergency care in our NHS during the strikes. On minimum service levels, she will know that we have already introduced them for ambulance services—something that was opposed by the Labour party—but we have just closed the consultation on minimum service levels in hospitals and we are, of course, carefully analysing the responses. Again, the point that 40—four zero—patient safety mitigations were made by NHS leaders yet only two were granted by the BMA, is very, very worrying when it comes to how seriously the BMA is taking concerns about patient safety.

Oral Answers to Questions

Debate between Victoria Atkins and Caroline Johnson

Tuesday 7th February 2023 Commons Chamber

[Victoria Atkins]

Very much so. The hon. Member knows, I hope, that I used to prosecute tax fraudsters for a living, so this is a cause close to my heart. In the autumn statement, we announced even more investment in compliance teams to ensure that we are investigating, prosecuting or finding other remedies for those attempting to defraud the taxpayer, because these are crimes committed against the whole of society.

[Dr Caroline Johnson (Sleaford and North Hykeham) (Con)]

Constituents of mine face having their land and livelihoods taken from them by compulsory purchase order to build a reservoir. Compulsory purchase orders may sometimes be necessary, but does my hon. Friend agree that it is not morally right for the state to take the land and then tax as a capital gain the money given in compensation, leaving the landowner with the invidious choice of paying a hefty tax bill, or trying to find a way of rolling over that land money into an overinflated market?

[Victoria Atkins]

My hon. Friend has raised this with me before orals today and, if she writes to me, I will be happy to look into it further for her.

Oral Answers to Questions

Debate between Victoria Atkins and Caroline Johnson

Thursday 13th September 2018 Commons Chamber

[Victoria Atkins]

Very much so. We have a packed agenda of meetings with business leaders but also with industry leaders, so that we can trickle down good practice from the largest employers, who obviously have the most resources in terms of HR departments and so on. We want to get the best practice from them and trickle it down so that we help those employers who under the legislation are required to report. My aspiration is also for employers who fall under that threshold to start adopting the same good practice as well.

[Dr Caroline Johnson (Sleaford and North Hykeham) (Con)]

4. What steps she is taking to promote LGBT equality in the UK.

[The Minister for Women (Victoria Atkins)]

In July, we launched the Gender Recognition Act 2004 consultation and a 75-point LGBT action plan in response to the findings of the national LGBT survey. The action plan includes a £4.5 million fund to support delivery of these commitments—ranging from bringing forward proposals to end conversion therapy to appointing a national LGBT health adviser. This work marks a culture change to ensure that LGBT people feel respected at every level of our society.

[Dr Johnson]

The “Safe to talk to me” initiative pioneered by Dr Mike Farquhar gives badges, such as the one I am wearing, to NHS staff to encourage members of the LGBT community to understand that they can raise such issues in an open and safe environment. Will my hon. Friend welcome that initiative?

[Victoria Atkins]

Very much so. I thank my hon. Friend for the work that she does in the national health service looking after ill children. I am admiring her badge from afar. It looks very colourful. I hope that it will draw exactly the sort of reaction intended—namely, encouraging people who perhaps need extra reassurance that they are welcome and they are safe in the NHS to talk about their needs.

G4S: Immigration Removal Centres

Debate between Victoria Atkins and Caroline Johnson

Tuesday 8th May 2018 Commons Chamber

[Victoria Atkins]

G4S is held to account not just by the Home Office but centrally through Cabinet Office reporting requirements. The new procurement process will provide a basis for further progress on all these issues, and the progress of G4S will continue to be monitored very closely.

[Dr Caroline Johnson (Sleaford and North Hykeham) (Con)]

Morton Hall in my constituency is an immigration removal centre facing significant challenges and issues. Will my hon. Friend update the House on what is being done to improve immigration removal centres including not just Brook House but Morton Hall?

[Victoria Atkins]

My hon. Friend will know of the issues in her own constituency. Morton Hall is in a slightly different category because it is run by the Prison Service and not by G4S. That reflects the fact that these are people who are being detained in a prison environment awaiting their removal. The Government take very seriously the treatment of people whose immigration status is not to their liking and who have appeals and so on in the process. The fact that the vast majority of people who are liable to removal from the UK are in the community being dealt with through alternatives to detention should, I hope, give comfort to the House.