National Maternity and Neonatal Investigation
Debate between Rosie Duffield and James Murray(1 month ago)
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James Murray
My hon. Friend asks about the timing, and the process for establishing a commissioner. As a first step, in the next two weeks, I will meet members of the taskforce to agree the scope, and a detailed role for the commissioner, because I want that scope and role to be agreed with them, given that they will be developing the national action plan. We then need to get the commissioner on a statutory basis, and I want to do that as quickly as possible. I am keen to look for options to do that through the Health Bill, but that will obviously be subject to discussions with the usual channels. Once that is in place, we can appoint the commissioner as quickly as possible.
It is worth emphasising that the role of the commissioner will be to implement the national action plan, so work on developing the plan and on establishing the commissioner will begin immediately. When the commissioner is appointed, they will have a role in implementing the national action plan. The issue is not simply about developing a national plan; it is about ensuring that it gets implemented, and that we hold trusts and other organisations across the system to account.
Rosie Duffield (Canterbury) (Ind)
Our APPG on birth trauma report in 2024 was the first in Parliament on that subject. We heard from more than 1,300 women and families. The report was titled, “Listen to Mums”. I am glad that an independent maternity commissioner will finally be implemented, after our years of calls for one. Bill Kirkup’s headline finding in his 2023 review of east Kent was also that we should listen to women. The Health Secretary has repeated the importance of listening to women—the mothers, midwives, and experts, and even the MPs who have worked for years on this issue. Why does he think that we have not been listened to, and are often not even invited into the room? How will he work to demonstrably change that in his time in the Department?
James Murray
The hon. Lady is absolutely right to draw further attention to the issue of women being ignored in health services generally, but specifically when it comes to maternity services. That goes back to the culture in maternity services. It is a devastating conclusion to come to, but we see a culture there of misogyny, of women being ignored, and of their concerns not being listened to and acted on. We need to change that culture, and one of the first actions that we can take to do so is to have accountability. We must ensure accountability, through the duty of candour that we have discussed, and through other actions that we can take to enhance accountability throughout the system. That is a critical first step in ensuring that we change the culture.
Nottingham Maternity and Neonatal Services
Debate between Rosie Duffield and James Murray(1 month ago)
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James Murray
My hon. Friend asks about the immediate actions that the Government are taking in response to Donna Ockenden’s review. For me, above all else—above all the shocking, harrowing detail—the review highlights the fact that women simply were not listened to. That comes up time and again. I know that it comes up in other aspects of healthcare as well, but it came up so strongly in this report and underlined so many of the shocking failures that have occurred.
As a first step, extending Martha’s rule to all maternity services across the country means that when women or their family members are concerned that they are not getting the treatment or care they need, they can get a second opinion—an urgent, independent review. That is an important first step, but this must be a watershed moment that does not rely simply on one action or a small handful of actions. There must be a comprehensive plan to tackle this issue from every angle and to ensure that we have the systemic change that so many Members today have said is crucial.
Rosie Duffield (Canterbury) (Ind)
In the 25 months since Theo Clarke and I produced the first ever parliamentary report on birth trauma, and nearly four years since we discussed the East Kent Kirkup report in this place, we have seen more and more reports, more and more scandals, more and more heartbreaking stories, and several Health Secretaries. Campaigners are grateful to the brilliant Donna Ockenden but, frankly, expectations are pretty low about ending this crisis in maternity care all these years later. Does the Secretary of State agree that as well as training, we have to end this patchwork postcode lottery of care, and introduce basic, nationwide standards and accountability across all NHS trusts?
James Murray
The hon. Lady makes an important point about the fatigue, weariness and exhaustion of families at so many recommendations being made and accepted but not put into action. To pick up on the point made earlier by the Liberal Democrat spokesperson, the hon. Member for North Shropshire (Helen Morgan), we must now break that cycle to ensure that the recommendations do not simply get accepted and sit on a shelf gathering dust, but that they feed into the plan of action, which will then produce the change that we need to see.
As the hon. Member for Canterbury (Rosie Duffield) said, the change must be nationwide. Although we are today rightly talking about what happened in Nottingham, we know that it is far from the only place where such failures in maternity and neonatal services have been seen. We know this is a national problem that needs a national solution.
Pathways Study: Puberty Suppression
Debate between Rosie Duffield and James Murray(1 month, 1 week ago)
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James Murray
I share my hon. Friend’s disappointment that the cross-party consensus that was in place about the way to approach the issue does not currently seem to be holding. I urge Opposition Members who are not aligned with that cross-party consensus to reconsider their position, because that is the best way forward for our country.
Rosie Duffield (Canterbury) (Ind)
The Secretary of State mentioned following the advice of clinical experts, but has he sought any meetings with whistleblowers, former clinicians at the now closed Tavistock clinic, detransitioners and psychologists such as James Esses and Marcus and Sue Evans, who are all campaigning to stop this trial and the testing of children as young as 11 years old, who are too young to access social media and certainly too young to give meaningful consent to taking banned drugs?
James Murray
I reassure the hon. Lady, as I set out in my responses to earlier questions, that while my starting point is that clinical evidence should be the basis for our way forward, I have taken the responsibility to interrogate that with the highest level of scrutiny in order to ensure that the conclusions are as robust as possible. That has involved my ensuring that my clinical advisers at the Department for Health and Social Care and the other bodies associated with the Department have provided me with the highest level of detail and reassurance about the safeguards in place. Although I stand behind the principle of following clinical advice and basing conclusions on clinical evidence, I feel that it is important for me, as Health Secretary, to have an extremely high bar for a decision of this magnitude.