Health and Social Care

Yasmin Qureshi Excerpts

Thursday 16th January 2020 Commons Chamber

[Jeremy Hunt (South West Surrey) (Con)]

Let me start by saying that it is wonderful to see you in the Chair, Mr Deputy Speaker, and that your presence there is a signal to every new Member that it is possible to undergo the ups and downs of politics and come through on the other side.

I thank the Health Secretary for his personal commitment to patient safety in including the Health Service Safety Investigations Bill in the Queen’s Speech, and I thank the Under-Secretary of State for Health and Social Care, my hon. Friend the Member for Mid Bedfordshire (Ms Dorries), for her personal commitment in ensuring that it featured in both last year’s Queen’s Speech and the current one, despite many competing pressures. It is about patient safety that I wish to talk in my brief six minutes. When I became Health Secretary in 2012, I had not heard the phrase.

The first crisis with which I had to deal was the one at Mid Staffs. I remember the then chief executive of the NHS, Sir David Nicholson, taking me aside and saying, “You just need to understand, Jeremy, that in healthcare we harm 10% of patients. That is what happens all over the world.” I then asked the awkward question about how many people actually died because of mistakes in healthcare.

It is important to point out that this is not about the NHS; it is about how healthcare is practised everywhere. However, being the good old NHS, we have carried out endless academic studies on this. The Hogan and Black analysis shows that, at that time, 4% of hospital deaths had had a 50% or more chance of being preventable. If we do the maths, that works out at about 150 preventable deaths every single week—the equivalent of an aircraft falling out of the sky every single week.

Then I met a group of people who persuaded me that this issue should be my main focus as Health Secretary. I met Scott and Sue Morrish, a young couple from Devon who lost their son Sam to sepsis when he was three because it was not picked up early enough; James Titcombe, who lost his son Joshua at Morecambe Bay when he was nine days old; Deb Hazeldine, who lost her mother in a horrible death at Mid Staffs; Martin Bromiley, who lost his wife Elaine because of a surgery error at a hospital in Milton Keynes; and Melissa Mead, who lost her son William when he was just 12 months old—in December 2014, when I was Health Secretary—again because sepsis was not picked up.

Those people all did something that most of us would never do. Most of us, when we have a tragedy in our lives, want to close the chapter and move on, but they chose to relive their tragedy every single day because they wanted to tell their story and make the NHS change so that other families did not go through what they had been through. They paid a terrible price for doing that. James Titcombe had to write more than 400 emails over several years before we were prepared to admit why Joshua died. Martin Bromiley sacrifices 40% of his salary as an airline pilot so that he can go round the NHS talking in hospitals free of charge about what happened to Elaine. Melissa Mead carries William’s teddy everywhere. She goes into TV studios to try to alert people to the dangers of sepsis, and she brought it to her first meeting with me. Inside that teddy were William’s ashes. That is a meeting I will never forget as a Minister.

We must not let this blind us to the fact that the vast majority of NHS care is absolutely brilliant. I have three beautiful healthy children, thanks to the NHS. About a year before I was Health Secretary, I was in the Cabinet and I had a basal cell carcinoma removed from my head. A local anaesthetic was administered, and the surgeon had his scalpel out. The head nurse looked at me and said, “By the way, Mr Hunt, what is it you do for a living?” This was a time of austerity and cuts, and I froze before giving the answer to that question. But thanks to substantial additional funding by the last Labour Government and by this Government, the NHS has improved dramatically, and we now have record survival rates for every major disease category.

[Yasmin Qureshi (Bolton South East) (Lab)]

I thank the right hon. Gentleman for giving way. Three years ago my mother died of sepsis, and sepsis is still a big problem that needs to be addressed in hospitals.

[Jeremy Hunt]

I thank the hon. Lady for raising that. We have made huge progress in sepsis care, and the vast majority of people who go to A&E now are checked for sepsis, but mistakes still happen, and I am sure that it affected her as it affected the families of the people I have talked about.

We must not be complacent about the things that go wrong. In the NHS, we talk about “never events”—the things that should never happen. Even now, after all the progress on patient safety, we operate on the wrong part of someone’s body four times a day. It is called wrong site surgery. When I was Health Secretary, we amputated someone’s wrong toe, and a lady had her ovary removed instead of her appendix.

--- Later in debate ---

[Yasmin Qureshi (Bolton South East) (Lab)]

When Labour came to power in 1997, there were 1.3 million people on a waiting list—the highest number since the NHS was created in 1948. The Labour Government used targeted and sufficient funding to bring all those figures down, to the point where A&E waiting times were down to four hours and waiting lists were down to 18 weeks. It is regrettable that the Government now want to abolish the A&E waiting time target. Is that simply to spare Ministers’ blushes? Since last October, 320,034 people waited more than four hours at A&E, whereas in 2010 the figure was just 41,231.

My constituents have to wait three weeks to see a GP, and many cannot find an NHS dentist at all. In relation to targets, one of the things that helped, of course, was treating cancer patients. In my constituency, 60% of patients received treatment within 62 days of their GP referral, but 40% did not get the treatment they wanted in time.

One of the main problems is the abolition of nursing bursaries, which has led to difficulties recruiting and training nurses. As we have heard, there are 100,000-odd nursing vacancies still to be filled. In relation to the doctors contract, the abolition of the golden pension meant that many doctors took retirement at age 60, which led to an acute shortage. I therefore ask the Government please to return the 6,000 GP contracts that they abolished, so that my constituents can see a GP when they need to, rather than having to wait three weeks.

Many hon. Members have spoken today about social care provision, but there is one further aspect that I would like Ministers to consider. Many care workers provide home visits of 30 or 45 minutes throughout the day. Their paid work might be for only four hours in total, but often they spend six or seven hours travelling between visits. They have to pay for their transport and are on low incomes, so often they travel by public transport. They might do only four hours of paid work each day, but they will have spent six hours travelling. I know that Ministers are looking into the whole issue of financing care for elderly and vulnerable people, but this is an immediate problem that needs to be resolved. I hope that the Minister, when he responds, will set out what he plans to do about that.

My hon. Friend the Member for Birmingham, Edgbaston (Preet Kaur Gill) referred to the provision of mental health facilities for young people. Young people in my constituency are having to wait around 10 weeks to be seen by child and adolescent mental health services, which help young people in schools who have mental health and psychological issues. The services are much needed but very underfunded. This is important, because at the moment we are hearing not just about loneliness, but about serious issues such as bullying, and the fact that many young people are very distressed, and some are taking their own lives. Proper funding for the provision of mental health services for young people is really important.

Finally, may we please have more provision within the funding for dentists? It really is appalling that across the country, but especially in the north, it takes people months to find an NHS dentist.

[Several hon. Members rose—]