Acute and Community Health

Alan Brown Excerpts

Thursday 8th February 2018 Commons Chamber

[Alan Brown (Kilmarnock and Loudoun) (SNP)]

I thank the Minister for early sight of his statement. I certainly echo his comments about our sympathy for the families and staff members who have been involved over the years. I pay tribute to the hon. Member for West Lancashire (Rosie Cooper), although the tenacity required from her perhaps sums up what is wrong with the present system.

On Dr Kirkup’s observations and recommendations, as the Minister has acknowledged, some individuals did not co-operate with the investigation. Is there therefore a case for a law change to prevent that from recurring in the future, or at the very least for employment and registration sanctions ultimately to be applied to such personnel?

On the fit and proper person test that the Government have pledged to undertake, will any agreed new standards be applied retrospectively to board members who are currently in place? Again, the Government have acknowledged the revolving door culture, so it is important that the test is done properly. Will they review executive pay for chief executives and senior staff? After Mid Staffordshire and this, what will be done to properly protect whistleblowers in future to allow them to come forward?

Funding and resources are clearly really important. Dr Kirkup’s report lays bare the fact that the defining strategic objectives were foundation status and a £30 million saving, or a 22% reduction in resources, rather than the true goal of clinical quality. What will be done to ensure that regulators pick up on such contrasts in future, and what responsibility do the Government take for funding and the drive for efficiency savings?

Lastly, does the Minister agree that this situation confirms the failings of the trust system, and that any privatisation of the NHS and profit before care cannot be allowed under future free trade deals?

[Stephen Barclay]

The hon. Gentleman raises a number of important points, but particularly regarding whistleblowers. That was one warning signal that clearly failed here. The regulations have been changed, as he will be aware. In the past, there was a culture in which compromise agreements were applied with gagging clauses attached. That prevented visibility of the compromise agreements. That is why I asked, on receipt of the report, why the compromise agreements that were paid were not escalated to the board, and indeed what sight, if any, regulators had of those compromise agreements. Clearly financial payments will have been made, so there should be an audit trail.

The hon. Gentleman asked what changes had been made. An area on which my right hon. Friend the Secretary of State has placed a huge amount of importance, and in which he has given a huge amount of leadership, is patient safety guardians and ensuring that there are people in trusts tasked specifically with giving voice to patients. One of the many sensible pieces of advice that my predecessor, my hon. Friend the Member for Ludlow (Mr Dunne), gave me was that when visiting a trust, I should have a one-on-one meeting with that individual, not only because of their status within the trust but to gather information from them. He did so assiduously on all his visits.

The wider point is how, from a regulatory structure point of view, we can ensure that there are safeguards when there are cost improvement programmes and ask what visibility there is of them. NHS Improvement has set out a series of measures to ensure that trusts learn the lessons of Francis. Obviously the period covered by the report goes back as far as 2010, but it is important that the NHS learns from the issues that Dr Kirkup sets out.

Oral Answers to Questions

Alan Brown Excerpts

Tuesday 15th November 2016 Commons Chamber

[David Mowat]

The Secretary of State has already made the point that we do not give a running commentary on the status of discussions with the Treasury, but I accept my right hon. Friend’s point about his local issue.

[Alan Brown (Kilmarnock and Loudoun) (SNP)]

9. What assessment he has made of the performance of NHS England in meeting A&E waiting time targets in the last 12 months.

[The Minister of State, Department of Health (Mr Philip Dunne)]

Last year, the NHS in England handled 2.4 million more A&E attendances than when this Government took office. There has been a 4.6% increase in attendances, compared with only a 1.2% increase in Scotland. Despite that significant increase in demand the NHS has coped well, with nine out of 10 patients still seen within four hours.

[Alan Brown]

I thank the Minister for that answer, but the truth is it must do better and needs more support. In September, only 86% of patients were treated within the four hour target time in English A&E departments; by contrast, in Scotland it was 95%, for a record consecutive period. Given that winter is coming, what will the Minister do to ensure the service copes?

[Mr Dunne]

The hon. Gentleman should know that, according to figures for the most recent month available, 90.6% of A&E attendances were seen within the four hours. We are aware that the system remains under pressure, and are putting efforts into identifying steps through the A&E improvement plan, with five specific measures to improve front-door streaming, back-door discharge and patient pathways through hospitals to improve that performance.

Space Policy

Alan Brown Excerpts

Thursday 14th January 2016 Commons Chamber

[Alan Brown (Kilmarnock and Loudoun) (SNP)]

It is a pleasure to follow my hon. Friend the Member for Inverness, Nairn, Badenoch and Strathspey (Drew Hendry). He made some excellent points about women and equality in the industry. As a civil engineer, that chimes with me. My profession has seen a lack of women over the years, although it is doing its best to try to remedy it by engaging with schools. My hon. Friend has shown, both yesterday and today, that he is a great advocate for technology, and his enthusiasm certainly shone through in his speech. I congratulate, too, my hon. Friends the Members for Central Ayrshire (Dr Whitford) and for Glasgow North (Patrick Grady) on bringing forward this timely debate. I welcome the chance to participate in it.

Let me start with a confession. Anyone who knows me personally will probably be somewhat surprised that I have chosen to speak in a space-related debate. Unlike the Members who have spoken previously, when I was growing up I never had the same fascination with space. Science fiction movies did not do it for me. Although I was born in 1970, I have still not watched the early “Star Wars” movies—[Hon. Members: “Shame!”] Now I have got that confession out of the road, I should have everybody on my side. At least it shows they were listening to me.

[Carol Monaghan]

I am concerned that my hon. Friend has not watched the earlier “Star Wars” movies. Is he suggesting that he has watched the later ones?

[Alan Brown]

I have seen one or two, and I took the children along, so it was a family activity. I could not say what happened in them as I do not recall.The good news is that—in view of the earlier lack of interested nods—there will be no more puns in my speech.

I appreciate the importance of the science, technology and commercial aspects of the space industry, and I am right behind the United Kingdom Government’s proposal to focus on making the UK the European hub for commercial space flight and related space sector technologies. I also applaud the ambitious growth targets that have been set.

What other reasons have I for speaking in the debate? One of them was touched on by my hon. Friend the Member for Glasgow North (Patrick Grady): it is great to be able to make a speech that is not preceded by the words “From now on there will be a three-minute limit on Back-Bench speeches”—although some Members may wish that there was a three-minute limit on mine.

The main reason for my participation, however, is my wish to give an unashamed plug to Prestwick airport, which I would like to become the United Kingdom’s first space port hub. It is in the neighbouring constituency rather than my own, but I can appreciate the benefits that it would bring to the surrounding area in general, and many of my constituents are already employed in the aerospace industry.

Unfortunately, my constituency is among the top 15% in the UK in terms of unemployment, and 200 skilled manufacturing jobs have recently been lost from a factory in Kilmarnock, so a jobs boost would be most welcome in my constituency and the wider area. However, despite the headline unemployment rate, Ayrshire in general has a great engineering pedigree, and there are still many successful engineering and manufacturing companies in my constituency and its neighbours. As we heard from my hon. Friend the Member for Central Ayrshire, there is already a cluster of aerospace-related firms around Prestwick, and I know that they could easily expand to service a new space port. We have also heard that nearby Glasgow already contains space technology companies, including Clyde Space and Spire. That would be another advantage of choosing Prestwick.

The UK Space Agency has made clear that its activities are about much more than direct space technology, covering climate change analysis and other beneficial research on such matters as health and ageing, as well as materials innovation and plasma physics. I realise that, given that ongoing work, successful partnerships will already be operating, but there is no doubt that if Prestwick were chosen to be a space port, it could form links with the Scottish universities, which are among the best in the world. That is another advantage. As for transport infrastructure, Ayr Harbour is nearby. Prestwick also has a railway halt, and close links with the motorway network. I believe that it is easily the most accessible location on the shortlist that the Government are considering.

Yesterday I attended a breakfast hosted by the all-party parliamentary group for aerospace. One of the discussion points, which was also raised today by my hon. Friend the Member for Inverness, Nairn, Badenoch and Strathspey, was education, and preparing kids for qualifications in STEM subjects—science, technology, engineering and mathematics—and technology design. The Scottish Government are making great strides with that in their curriculum for excellence, and the local authority of which I was a member before becoming an MP has produced a STEM programme for primary schools, as well as successfully running a business enterprise initiative for secondary schools.

In Scotland, the wider implementation of the Wood report has led to a recognition that school leavers must have a greater understanding of the working environment and what will be expected of them in that environment, and, crucially, of the fact that higher or full-time further education is not for everyone. Along with the Scottish Government's investment in modern apprenticeships, that has given Scotland—and Prestwick in particular—a head start when it comes to renewing interest in STEM subjects and technology design.

Ayrshire is also home to the campus of Ayrshire college, which has recently won awards and, moreover, is willing to work in partnership with industry to develop tailor-made courses. An excellent example of that is the partnership that has been established to create courses for wind turbine technicians. That came about because the industry realised that, owing to the growth in renewables, there was not enough qualified expertise for the operation and maintenance of wind turbines. A new £53 million campus is due to open in Kilmarnock, which I expect to present fantastic opportunities for links with the space industry.

Prestwick has one of the longest runways in the UK, and it does not suffer from fog problems. It is often used when flights are diverted because of problems elsewhere. Unfortunately, there are not enough commercial flights from Prestwick to enable it to make a profit, but that does mean that there are no capacity or logistical issues that would prevent the creation of a space port there. In fact, if that mitigated some of the losses that are currently being covered by the Scottish Government, there would be benefits for Scottish taxpayers, and funds would be freed up for investment elsewhere in Scotland. Ayrshire and Dumfries and Galloway are also home to the Dark Sky project, which could provide more links and other benefits if the space port were located at Prestwick.

The Scottish Government are very supportive and positive about development in this sector, as was demonstrated by Fiona Hyslop's attendance at the annual UK-Canada colloquium in Glasgow just before Christmas. The conclusions reached at that event will be presented to both Governments, and I am confident that they will underline the strong case that I expect to be made for Scotland in general. I urge Ministers to pay due heed to those conclusions.

Let me now move slightly away from the subject of Prestwick, although I am reluctant to do so. I agree wholeheartedly with the motion: this seems to be one sector for which the UK Government are outlining a positive vision. Like many of my colleagues, I have often complained in the Chamber about the need for the Government to spend more money on social justice, rather than on projects that some people consider to be vanity projects. However, as was pointed out by the hon. Member for Hartlepool (Mr Wright), wider benefits, which could be long-lasting, accrue from this investment.

There is no doubt that Major Tim Peake's mission could inspire another generation of scientists, explorers, engineers and innovators. If the benefits are to continue, however, and if the proposed space port is to have any chance of being an operational venture by 2018—with no loss of momentum, or of the interest that is currently being generated—the Government must set clear guidelines for the submission of the final bids. The final decision-making process must be transparent and non-political, in order to ensure the best possible value for money and future success.

However, given that the Government like to cut red tape and bureaucracy, if they do not want to go down that route, they could simply award the space port location to Scotland in general or, more specifically, to Prestwick. Alternatively, in the light of the speeches that we have heard so far, we could have a show of hands in the Chamber today. That would solve any problems.