Health and Social Care

Victoria Prentis Excerpts

Monday 2nd March 2020 Ministerial Corrections

The following is an extract from the urgent question on Maternity Services: East Kent on 13 February 2020.

[Victoria Prentis]

All too often when a baby dies, the shutters come down in a trust and we cannot get the answers that we need. Will the Minister—who is providing great leadership in this area—meet members of the all-party group on baby loss to discuss how best we can use MBRRACE-UK, HSIB and other investigators to get to the bottom of what happens? Will she also think about making maternal deaths a never event?

[Ms Dorries]

I fear that you will shout at me again, Mr Speaker, if I try to answer my hon. Friend’s question fully, because I agree with everything that she has said. Maternal deaths absolutely must become a never event, and we must focus on making pre-eclampsia and post-partum haemorrhage, which lead to such deaths, never events. I went to the first meeting of the APPG on baby loss and, as my hon. Friend knows, I am always happy to go and hear anything that anyone has to say about this issue that will help our work in trying to improve maternity standards.

[Official Report, 13 February 2020, Vol. 671, c. 988.]

Letter of correction from the Under-Secretary of State for Health and Social Care, the hon. Member for Mid Bedfordshire (Ms Dorries):

An error has been identified in the response I gave to my hon. Friend the Member for Banbury (Victoria Prentis).

The correct response should have been:

Maternity Services: East Kent

Victoria Prentis Excerpts

Thursday 13th February 2020 Commons Chamber

[Ms Dorries]

As my hon. Friend knows, I have been to Shrewsbury and Telford Hospital NHS Trust to reassure myself—line by line—that every recommendation that was made by the Care Quality Commission has been implemented and is working. I thank her for raising this issue, but I also want to emphasise that Shrewsbury and Telford is a safe place for women to give birth, because the same robust approach is being taken there. It is a safe environment, and, as my hon. Friend will know, a new midwife-led unit will be opening shortly.

However, there is a culture that I know concerns the former Health Secretary, my right hon. Friend the Member for South West Surrey (Jeremy Hunt). In such circumstances, trusts do not feel able to put their arms around parents, to say sorry, to explain to them what has happened, and to show compassion or care. That culture must be broken, and I think that HSIB will go a long way towards contributing to the process.

[Victoria Prentis (Banbury) (Con)]

All too often when a baby dies, the shutters come down in a trust and we cannot get the answers that we need. Will the Minister—who is providing great leadership in this area—meet members of the all-party group on baby loss to discuss how best we can use MBRRACE-UK, HSIB and other investigators to get to the bottom of what happens? Will she also think about making maternal deaths a never event?

[Ms Dorries]

I fear that you will shout at me again, Mr Speaker, if I try to answer my hon. Friend’s question fully, because I agree with everything that she has said. Maternal deaths absolutely must become a never event, and we must focus on making pre-eclampsia and post-partum haemorrhage, which lead to such deaths, never events. I went to the first meeting of the APPG on baby loss and, as my hon. Friend knows, I am always happy to go and hear anything that anyone has to say about this issue that will help our work in trying to improve maternity standards[Official Report, 2 March 2020, Vol. 672, c. 4MC.].

NHS Funding Bill

Victoria Prentis Excerpts

2nd reading & 2nd reading: House of Commons
Monday 27th January 2020 Commons Chamber

[Jeremy Hunt]

I suggest to the hon. Lady, whom I greatly respect, that the overall figure is actually what counts. I agree that public health spending matters, but it is absolutely the case that we are heading to being one of the higher spenders in our commitment to health. That is very significant and should not be dismissed.

Often, the debate about funding can distort some of the real debates that we need to have about the NHS. One of those is the debate on social care. If we do not have an equivalent five-year funding plan for social care, there will not be enough money for the NHS. That is because of the total interdependence of the health and social care systems. It is not about finding money to stop people having to sell their homes if they get dementia, important though that is; it is about the core money available to local authorities to spend on their responsibilities in adult social care. I tried to negotiate a five-year deal for social care at the same time as the NHS funding deal we are debating today. I failed, but I am delighted to have a successor who has enormously strong skills of persuasion and great contacts in the Treasury. I have no doubt that he will secure a fantastic deal for adult social care to sit alongside the deal on funding, and I wish him every success in that vital area.

The second distortion that often happens in a debate about funding is that while everyone on the NHS front line welcomes additional funding, their real concern is about capacity. The capacity of staff to deliver really matters. I remember year after year trying to avert a winter crisis by giving the NHS extra money, and most of the time I gave the money and we still had a winter crisis, because ultimately we can give the NHS £2 billion or £3 billion more, but if there are not doctors and nurses available to hire for that £2 billion or £3 billion, the result is simply to inflate the salaries of locum doctors and agency nurses and the money is wasted. Central to understanding capacity is the recognition that it takes three years to train a nurse, seven years to train a doctor and 13 years to train a consultant, so a long-term plan is needed. It is essential that alongside the funding plan, we have in the people plan that I know the NHS is to publish soon an independently verified 10-year workforce plan that specifies how many doctors, nurses, midwives, allied healthcare professionals and so on we will need.

[Victoria Prentis (Banbury) (Con)]

Will my right hon. Friend give us his views on the maternity safety training fund, which I understand is up for renewal soon, and its importance to the midwives of the future?

[Jeremy Hunt]

When we talk about the workforce, training is vital. We know from the 2018 “Mind the Gap” report on the issues at the Shrewsbury and Telford and the East Kent trusts, among others, that only 8% of trusts supply all the care needs in the saving babies’ lives bundle, so the maternity safety training fund is essential. I hope the Health Secretary will renew it, because it makes a big difference.

It is vital that we have an independent figure for the number of doctors and nurses the NHS needs, not a figure negotiated between the Department of Health and Social Care and the Treasury because the Treasury will always try to negotiate the number down and we will end up not training enough people. I know the Health Secretary is on the case.

The final distortion when we talk about funding for the NHS is the link between funding and the quality of care. It is totally understandable that many people think that the way to improve the quality of care is to increase funding, but in reality the relationship is much more complex. As the Health Secretary knows well, we pay the same tariff to all hospitals in the NHS, and with the same amount of money some of them deliver absolutely outstanding, world-class care and others do not. Almost without exception, hospitals rated good or outstanding by the Care Quality Commission have better finances than those rated as requiring improvement or inadequate, which are often losing huge sums. The reason for that, as every doctor or nurse in the NHS knows, is that poor care is usually the most expensive type of care to deliver. A patient who acquires a bedsore or an MRSA or C. diff infection, or has a fall that could have been avoided, will stay in hospital longer, which will cost more. It will cost the hospital more, it will cost the NHS more, and finances will deteriorate. Invariably, the path the safer care is the same as the path to lower cost. That is why it is so important that we recognise that the safety and quality agenda is consistent with the plan to get NHS finances under control.

It is also why it is important to remember that the Mid Staffs scandal happened in a period of record funding increases for the NHS. So when it comes to NHS funding, transparency, openness, a culture that learns from mistakes, innovation and prevention are every bit as important as pounds and pence.

--- Later in debate ---

[Victoria Prentis (Banbury) (Con)]

It is a pleasure to follow such a great speech and to see the hon. Member for Rhondda (Chris Bryant) looking so well.

There is no complacency on this side of the House, but there is a feeling that this is an upbeat debate. I am thrilled to support the Bill and, indeed, to support the great Health team. It is hard to choose a favourite among them, because I have so many asks.

No one will be surprised that I start with the exciting developments at Horton General Hospital. First, we have a new award-winning, nurse-led clinic for deep vein thrombosis. It is a one-stop diagnostic clinic for patients who need urgent treatment, and it is up and running now. Secondly, we have the Horton hip fracture clinic, which has been named as one of the best in the country for the past seven years in a row. Thirdly, we have a new chemotherapy service, launched last September, for children aged up to 19. The service provides intravenous chemo for patients who would otherwise travel to Oxford. We are now in a good place at Horton General Hospital.

We are recovering from that dreadful period in which I was first elected, when we all went to court against the clinical commissioning group. There was a botched consultation and relationships fractured. It was town versus city, and all was not a happy place. We have worked hard on repairing those broken relationships. Lou Patten, the head of our clinical commissioning group, deserves a special mention. Sadly, she moves on in March, but I spoke to her this morning and we have high hopes that her successor will continue to take things forward. We are united in our desire to make sure the Horton is fit for the future.

We have plans for a new modular building, and the Department will be hearing from us on those plans very shortly. I say to colleagues that it is worth working together to rebuild those fractured relationships. We are making real progress locally.

There is certainly no cause for complacency on primary care. GP appointments continue to be an issue, and the Horsefair surgery is in the local news a great deal at the moment. We have a great campaigning local journalist, even though she has stood against me at several general elections, and this is one example of how we can work together to put things right. Following those stories, and following the complaints I have received from constituents, I spoke this morning to the clinical commissioning group, which told me that it will investigate the issues that have been raised.

The Horsefair surgery recently changed ownership, and it is moving from the locum model to having more employed GPs, which can only be good, but bravery is needed to tackle the systemic difficulties in how GPs operate, particularly in areas of the country where the building’s ownership can make a real difference to a practice’s sustainability.

We have been hearing a great deal about palliative care in the national news this week, with our brilliant Katharine House hospice featuring heavily. We have real concerns about the funding model for palliative care. We want to enable people to die at home, or as near to home as possible, and I will be writing to the Department further about this.

I have been involved with the all-party parliamentary group on baby loss since the beginning, when I was vice-chairman because it seemed to me that other Members had more current stories to tell. This afternoon, those other Members either having left this place or having moved to ministerial office, I was elected as chairman. The hon. Member for Washington and Sunderland West (Mrs Hodgson) and I have always been involved with the APPG, and we all share in its extraordinary success so far.

I would like to claim some credit for how the APPG bolstered the Government’s ambition to reduce stillborn and neonatal deaths and also for Jack’s law, which is about to be enacted in April, but we have much more to do. My hon. Friend the Member for Dover (Mrs Elphicke) spoke very movingly about Tallulah-Rai, and we must make certain such mistakes do not happen again.

I have two specific requests of the Department this evening. The first is for data. The Department has an ambitious target to reduce the number of stillborn and neonatal deaths. We need to see what we have been doing for the past five years and we need to see what works to enable us to take forward the “Saving Babies’ Lives” care bundle in the most strategically useful and efficient way, so I will be writing to the Department on behalf of the APPG specifically to ask for data.

My second major ask is about the national bereavement care pathway. I am glad to say that only nine trusts, a very small number, have not engaged with the APPG on this at all. I will be naming them in the future, so I strongly advise them to engage pretty soon. Many trusts are starting to establish services, but the APPG is calling this year for the Department to support the roll-out of the national bereavement care pathway. We want both policy and financial support and real oomph behind this initiative.

I am particularly grateful to the Department for telling CQC inspectors that the national bereavement care pathway has to be part of the maternity section of their inspections. Can the pathway also be included in the A&E and gynaecology sections? Only if hospitals have to consider this on a nitty-gritty level will they insist that it is taken forward seriously.

I have trespassed long enough on your indulgence, Mr Deputy Speaker, but I welcome this initiative, and I really think there is hope for the future.

Baby Loss Awareness Week

Victoria Prentis Excerpts

Tuesday 8th October 2019 Commons Chamber

[Victoria Prentis (Banbury) (Con)]

As ever, I am grateful to be called to speak, Madam Deputy Speaker, although I was not anticipating it because I was not here at the beginning of the debate. I can only apologise for that, but I was elsewhere on unavoidable duties.

This is a debate in which we love to hate participating. It is not a pleasurable experience for anyone who has lost a child, and I know that some Members across the House feel exactly as I do when speaking in this debate. Nevertheless, I am grateful for the opportunity to lay my annual asks on the table.

First, I must give an enormous amount of thanks to the previous Secretary of State for Health and Social Care, my right hon. Friend the Member for South West Surrey (Mr Hunt), whose speech I am really looking forward to watching on catch-up tonight. I am immensely grateful, as are all of us who have been involved in this area for many years, for all that he did. It must be counted as one of his major achievements as Secretary of State that there has been a 19% reduction in stillbirths and an 8% reduction in maternal mortality since 2010. Those are really good figures, and I hope that he will look back on his career in many years when he retires—

[Mr Hunt]

I can retire now. [Laughter.]

[Victoria Prentis]

I hope that my right hon. Friend will count that among his most important achievements. I expect that he said, as did the hon. Member for Ellesmere Port and Neston (Justin Madders), that blame is probably not the way to go, and that we need a cultural shift in the NHS, so my ask this year is that we should make maternal death a never event. Luckily, maternal deaths are rare—I was almost one of them myself—but making them a never event, with the definition and the muscle that that provides, would be very helpful.

With my prison service background, I should add that a child or, indeed, a mother dying in custody should also probably be a never event, with all the chain of investigations that should flow from that. I know that the recent death in custody is being very well investigated, and there is no need to comment further on that case now. The never event definition is helpful, because it sets in train a course of investigations that need not be blamed-filled but which are helpful for learning.

Sadly, the situation elsewhere is not as helpful as in this country. A baby dies every 11 seconds worldwide, and many maternal deaths are completely preventable. I am pleased that the Secretary of State for International Development has chosen to make maternity a priority for the Department for International Trade. He wrote an excellent article about it in The Times last week, and I encourage hon. Members to read that article.

The Secretary of State for International Development is helping members of the Royal College of Midwives to provide training in rural Bangladesh, and he is resourcing organisations that work with women who have had female genital mutilation performed on them and who have dreadful maternal complications as a result. He is working to provide vaccinations, which are so helpful in preventing the death of newborn babies. Across the board, the fact that maternity is now a priority for DFID is really helpful.

I close by thanking you, Madam Deputy Speaker, for your support in this area and for allowing me to say a few brief words this afternoon, and by advertising the baby loss service at St Mary’s, Banbury at 6 o’clock this Sunday. It is an extraordinary event, and we have been doing it for only a few years. People came to that church in the first year who had never talked about their loss, and it is overwhelming.

Such services are taking place all over the country, as the hon. Member for Ellesmere Port and Neston said. Unfortunately we have not organised one in Parliament this year, as we normally do, because we are not sitting, but I am sure we will organise one in future years. I thank everybody who has taken part in this debate, which I think is now annual. I am thrilled that we have Government time, and I hope we have it again in future.

Health Infrastructure Plan

Victoria Prentis Excerpts

Monday 30th September 2019 Commons Chamber

[Edward Argar]

If it is any reassurance to the hon. Gentleman, I can say that I was enjoying Manchester yesterday and this morning, and then came down here to enjoy being at the Dispatch Box. Let me also say that if he wanted to see fewer of us here and rather more in Manchester, perhaps he should have voted in favour of a small recess to allow us to go and support the economy of his city. As for his question about the hospital trust, of course I should be very happy to meet him.

[Victoria Prentis (Banbury) (Con)]

We had some bad news in Banbury last week about our obstetric unit, but partly as a consequence, two positive steps have been taken. I have met the Secretary of State twice in the past week, and I have managed to get the clinical commissioning group and the head of the trust on the same page, and we were able to apply for some seed funding. Can the Minister assure me that he will look on that application favourably and that we will make Horton General Hospital fit for the future?

[Edward Argar]

I know the Horton well from my time as the parliamentary candidate for Oxford East, which I fought in 2010 and which, sadly, fought back. I also know of the work that my hon. Friend has done since before her time in the House in campaigning in the hospital’s interests. I will certainly look carefully at any application that is made, and I will judge it swiftly and fairly, as will the Secretary of State.

Oral Answers to Questions

Victoria Prentis Excerpts

Tuesday 7th May 2019 Commons Chamber

[Stephen Hammond]

The NHS long-term plan will set out vital strategic frameworks to ensure that the needs for the next 10 years are met. The hon. Lady will know that we are training an extra 5,000 GPs to work in primary care and general practice. If she writes to me about the specifics of the numbers she mentioned in respect of Nottingham, I will be happy to respond.

[Victoria Prentis (Banbury) (Con)]

Those of us who are campaigning to reopen a full obstetric unit at Horton General Hospital know how important the workforce are to safety in our NHS. At an excellent meeting today, Baroness Harding set out some of the things we can do to increase our workforce, one of which was much better leadership and career planning for the staff we are already retaining in the NHS so that they want to stay longer. What is the Department doing about that?

[Stephen Hammond]

As my hon. Friend has heard, the Secretary of State commissioned Baroness Harding to bring forward the interim workforce plan. One of the workstreams was looking at retention and the staff we currently have. More than 52,000 nurses are in undergraduate training, and it is essential that they stay in the NHS after training. What Baroness Harding outlined today will ensure that that happens.

Bereavement Counselling

Victoria Prentis Excerpts

Tuesday 26th March 2019 Commons Chamber

[Matt Warman]

I thank the hon. Gentleman for his intervention, and I agree with him and will mention that issue in a few moments.

There should be a dedicated mental health helpline provided through the NHS, which under the long-term plan will be accessed via 111. It is important that there is an understanding within that that bereavement for a long time is an exacerbating factor in loneliness, suicide and more; it is a red flag that should be recorded for a long time.

The importance of such ongoing support cannot be overstated. We have spoken in this House many times about the tragedy of the rise in male suicide; while things are improving there is still a huge stigma around men feeling unable to open up and show their emotions—although I am hopefully doing all right today.

This is why it is particularly important to normalise the support around bereavement, and we must not leave it solely to those affected to reach out to organisations such as the Samaritans or Cruse. That registrar who I spoke to 10 years ago should have been trained to offer a signpost—although I confess that if he was or if he did I was in no state to listen—and the NHS and our volunteering strategy should include better plans to encourage more people to train as volunteer bereavement friends and counsellors, as in the hugely valuable work we see with Dementia Friends, or, as Sue Ryder has called them, the bereavement “first aiders”.

[Victoria Prentis (Banbury) (Con)]

My hon. Friend is making a fantastic speech and a series of good points. I am not at all ashamed to say that I had bereavement counselling when my son died, and I cannot see why anyone would not; we go to the doctor when we are feeling unwell, and of course we go to the bereavement counsellor when we need help with grief. Does my hon. Friend agree that it is very important that we normalise this?

[Matt Warman]

I absolutely agree.

There is also a role for us to play in opening up the debate and shining light on steps outside organisations can take to make bereavement in general more bearable, but also, on the theme of this debate, to make Mother’s Day or Father’s Day less difficult for those who have experienced loss.

Oral Answers to Questions

Victoria Prentis Excerpts

Tuesday 15th January 2019 Commons Chamber

[Stephen Hammond]

My hon. Friend is right to recognise that community provision lies at the heart of the long-term plan, and that a number of health service professionals make up that community provision. If he wishes to write to me about registers, I will be delighted to respond.

[Victoria Prentis (Banbury) (Con)]

The Minister knows about our difficulties in recruiting obstetricians, which has led to what we very much hope is the temporary closure of the full obstetrics service at Horton General Hospital in Banbury. We are doing everything we can locally to rectify that situation. What more can the Minister do to help us nationally?

[Stephen Hammond]

I pay tribute to my hon. Friend’s campaign and her tireless work on behalf of her constituents. Figures from the Royal College of Midwives show that there are over 2,000 more midwives on our wards since 2010. The NHS plans to train 3,000 more midwives over the next four years, and as of last September there are over 5,000 more doctors in obstetrics and gynaecology than there were in May 2010. The NHS is hoping to fulfil what my hon. Friend wants to see.

Budget Resolutions

Victoria Prentis Excerpts

Tuesday 30th October 2018 Commons Chamber

[John McDonnell]

I always said George Osborne would get it right one day.

The consensus among economists, and the evidence of recent history, is absolutely clear. The worst possible response to a recession is for a Government to cut their own spending. In a recession, the Government should be there to support businesses and households. Instead, at the moment when Government support was most needed to help people back on their feet, Conservative Chancellors chose to impose the most severe spending cuts in generations. They did not have to, and they should not have done.

The Tories were warned that austerity would lead to slower growth and lower wages, and it has. The economic experts the Tories chose to ignore were proved right. Growth since the financial crisis, under Conservative Chancellors, has been the slowest after any recession in modern times. Real weekly average earnings are still lower today than they were in 2010. The Resolution Foundation reports this morning that real wages will not have fully recovered until 2024.

Ten years after the crash, we should be clear about the causes of the financial crisis. The Chancellor seemed confused on that point yesterday. It was not the deficit that caused the crisis; it was the crisis that caused the deficit. It was a crisis—[Interruption.] They don’t like to hear the truth. It was a crisis that resulted from the casino economy that the Tories helped construct right from the 1980s and supported every step of the way.

[Victoria Prentis (Banbury) (Con)]

The right hon. Gentleman asked us to give our personal history: I was a proud public sector employee for 17 years and I take issue with the way that Labour wrecked the economy and spent money we did not have. Would he like to tell us how he proposes to pay for his current funding system?

[John McDonnell]

Here is an answer: it is called a fair taxation system.

It was the ideology of neoliberalism that said markets were always right, that regulation was simply a barrier to growth, and that, ultimately, greed was good. The financial system this ideology helped design collapsed 10 years ago, and it was Conservative Chancellors who took the political decision to force working people, not the bankers, to pay the price for it.

--- Later in debate ---

[Victoria Prentis (Banbury) (Con)]

It is always a pleasure to follow the hon. Member for Burnley (Julie Cooper), but I disagree with her. This is a great Budget.

I am glad that the Chancellor has set aside substantial amounts to prepare for all eventualities as we approach Brexit. The Banbury constituency’s vote in the referendum was the closest in the country; by 500 people, we voted to leave. Now, I hear a great deal of unity locally over the need to get on with getting a deal. The uncertainty of Brexit is challenging for my constituents. With a good deal done, I really look forward to a pro-growth spending review early next year.

Locally, we can see that the economy is going well. There are great employment figures, but we need to focus on wage growth, which leads to more disposable income. I, for one, was pleased to hear the figures the Chancellor gave yesterday.

In my area, we are obsessed by healthcare. Everybody in this Chamber will have heard me talk, probably several times, about the Horton General Hospital, which we have been fighting to save for the past 40 years. The problem over the years has in fact been not financial, but structural. Small is beautiful and local, and we must not give in to the overweening ambition of Oxford to suck in more cases or more births. The German model of maternity offers choice but retains smaller obstetric units and, most importantly, excellent outcomes for mothers and babies. We have had a historical failure to recruit both midwives and obstetricians. Locally, we have had real progress with the clinical commissioning group since the fabulous new interim chief executive took over. The Horton has a very bright future.

I welcome the extra funding in the Budget—an average in real growth terms of 3.4% a year—but we need to ensure that it translates into extra people doing the right thing in the right place. Nobody is pretending that every sort of complicated surgery can be done everywhere, but A&E, paediatrics and simply having a baby with the benefit of an epidural should be provided locally. I know that the new Secretary of State for Health and Social Care agrees with this broad premise and I look forward to talking about my local situation with him.

In north Oxfordshire, we are proud of building three new houses a day. We are keen to welcome people to Banbury to fill our jobs and we are building them houses to live in. I am often asked how we are managing to make this progress: we have done so by having a consistent and strong local message and strong leadership. Cherwell District Council’s policy of putting housing generally on brownfield sites near towns, rather than piecemeal in villages, has seen new communities flourish. I also welcome the housing measures we heard about yesterday.

It would be wrong of me not to mention the public service I have worked in throughout my adult life. The Justice Committee, on which I am very proud to sit, recently heard that spending on justice will have fallen by 40% between 2010-11 and 2019-20. The Department does not have a protected budget. I was very pleased to hear what the Chancellor had to say yesterday and, more importantly, what I read in the Red Book afterwards, about the justice spend, and I welcome the £30 million to improve security and decency across the prison estate.

[Faisal Rashid]

Today I received a letter from the Cheshire police and crime commissioner co-signed by the acting chief constable informing me of £60 million in cuts since 2010 and a further £12 million in cuts over the next two years. There are severe pressures on policing in Cheshire. Does the hon. Lady agree that the Government have failed to provide adequate funding for policing?

--- Later in debate ---

[Victoria Prentis]

No, I do not agree, but I was able to take my local PCC’s issues up with the Chief Secretary to the Treasury directly in the last fortnight, and I encourage the hon. Gentleman to go to the Treasury with specifics; I think he will find that Treasury Ministers are listening.

We have £30 million extra to improve security and decency across the prison estate, which I feel very passionately about. We also have a whole new prison, Glen Parva, which was due to be a private finance initiative project, but the Treasury has now agreed to fund it. No specifics on the finances have been given in the Budget because it has to go out to tender and there will be all sorts of legal issues, but that is a very big commitment from the Treasury, and I for one am very proud of it. We need to put decent conditions in place for criminals so we can rehabilitate them before they are put back into society.

I also welcome the £21.5 million to be invested in the wider justice system. I feel very strongly that justice is not free; it does not just happen. The rule of law is not automatic, as we can see from the world we live in: it is a world in which people are poisoned in Salisbury, and in which the Chinese have a definition of the rule of law that does not coincide with the norms of modern international law since the second world war. I feel very strongly that we need to stand up for British justice values, and this does not happen automatically or cheaply.

We have had real difficulties in the prison service.

[Mr Jim Cunningham]

Will the hon. Lady give way?

[Victoria Prentis]

No, I will not; I am sorry, but I need to make progress, and I feel very strongly about this subject. We have had real difficulties in the prison service under successive Governments which we know can only be resolved if we can recruit more staff. The prisons Minister and the Lord Chancellor, whom I am happy to see in his place, are both working extremely hard on staff recruitment, and real progress has been made. We can see that this is making a day-to-day difference on the coalface, if you like, in prisons. People are being treated more appropriately.

However, there are other areas of justice spend that are harder to justify and even to talk about in this place. We have a crisis of judicial recruitment, for example, and it is tied up with the provision of suitable judicial pensions. The quality of court buildings also matters for morale, and it is therefore important for the recruitment of the people that we need to provide justice in a way that we all too often take for granted. The justice system stands or falls as one. What we do for the most lowly magistrates court is just as important as what we do for the Supreme Court. The system must be joined up, and if we are proud of the rule of law and the separation of powers that we talk about so often, we must be careful to fund the system as an entirety.

I am glad that the Lord Chancellor has been here to listen to this. I commend him for what he is doing. I also commend the Chancellor of the Exchequer for what he is doing for the justice system. The subject does not often get talked about in the House, and it was not talked about a great deal yesterday, but the detail in the Red Book has pleased me. Thank you for your patience, Madam Deputy Speaker.

Organ Donation (Deemed Consent) Bill

Victoria Prentis Excerpts

3rd reading: House of Commons & Report stage: House of Commons
Friday 26th October 2018 Commons Chamber

[Victoria Prentis (Banbury) (Con)]

It is always an immense honour to follow the hon. Member for Washington and Sunderland West (Mrs Hodgson). I associate myself with everything she said.

I have been asked to speak on behalf of one of our colleagues. My hon. Friend the Member for Eddisbury (Antoinette Sandbach), who cannot be here, is Max’s MP and she has asked me to say that Max has been inspirational to everybody, both locally and nationally, in fighting for change and that his work has been remarkable. As a nation, we need to understand how important the gift of organ donation is to others. Max has demonstrated how valuable that gift is.

Eddisbury is in an area of the country that was affected by the Alder Hey scandal, and my hon. Friend says that we must not fail to take into account the lessons of the past and that those affected by Alder Hey need reassurance that appropriate safeguards are in place. The wishes of the family must always be paramount. Without safeguards, the work of the Bill risks being undermined by people opting out. My hon. Friend is keen that we work together to ensure that the positive benefits of donation are made clear so that lives may be saved.

I am happy to act as a mouthpiece for my hon. Friend, because I, too, approach this Bill with the scars of my involvement in previous inquests. I was partially involved in the Marchioness inquiry. Horrific acts were carried out on the bodies of those who had died. I have always been interested—including, sadly, through my own experience, which we have already talked about this morning—in how we treat the bodies of those who have recently died. It is something that we really do not like talking about in our clean, hygienic society. Many people have never had personal experience of the bodies of the dead, and it comes as a tremendous shock when we do, often in the most dreadful circumstances because it is the person closest to us who we see lying dead.

I, too, approach this Bill with caution, but I pay enormous tribute to another friend on the Labour Benches, the hon. Member for Barnsley Central (Dan Jarvis), for steering the Bill through so sensitively. Those who, like him, have served bravely with the armed forces—or, as in my case, have helped support the armed forces from a safe place in London—have to have these conversations, and we have them when we are very young. It is important that the whole of society can learn from that. They are difficult conversations but they are not impossible. It is important that we get with it and say these things, however difficult it may be to do so.

The medical teams dealing with the recently bereaved family or the dying individual are themselves often traumatised by the experience and may not be the best people to have such sensitive conversations. Whatever else we learn from all the sharing we have done during this morning’s debates, training is key and we must be very careful about the training and support we put in place for hospital staff to be able to have those really difficult conversations.

I will close by speaking on behalf of another colleague who, though present, is not allowed to speak, namely my hon. Friend the Member for Bury St Edmunds (Jo Churchill). She has asked me to mention her constituent Liam Byrne, who is a campaigner. I should say in this context that he has also been a political opponent of my hon. Friend, but she speaks with great passion and vigour about him, and feels very proud of the campaigning he has done. He has received two life-saving liver transplants, and he strongly believes that we need to get on with this Bill and change the law before Christmas. He would like me, as I am the mouthpiece, and my hon. Friend to make it clear that time is not an option for people who need these organs.