(5 days, 12 hours ago)
Commons ChamberI thank the right hon. Gentleman for his comments. Again, I agree with him and my right hon. Friend the Member for Ilford North (Wes Streeting) on the importance of accountability for changing culture. During the statement on Donna Ockenden’s report last week, he commented that this is about having accountability structures embedded throughout the system, because this is not something that the top of the NHS, the NHS chief executive, the Secretary of State or the ministerial team can control throughout the NHS. The structure has to be embedded to ensure that accountability happens at every level—something I very much took to heart and agree with when it comes to what we need to do next.
On the right hon. Gentleman’s specific point about the Hillsborough law and how that will address the issue that he refers to about legal departments effectively advising a cover-up, that sounds concerning, so I will look into that as part of our work to ensure that the system works properly. The expectation with the duty of candour, which will come in under the Hillsborough law, is to ensure that we never again have a situation as happened in Nottingham—I could not quite believe it, if I am honest—where many senior clinicians simply refused to take part. It is outrageous. It is unacceptable that so many senior clinicians were able to, and felt able to, just say no. That is not accountability if it is optional, and that is what we need to change.
Andy MacNae (Rossendale and Darwen) (Lab)
I hugely welcome the report and join in the thanks to all those who made it possible, but most fundamentally the families who shared their experiences and showed extraordinary courage through the whole process. Many of those stories were shared with us in the all-party parliamentary group on baby loss, and I assure those families that we will carry on listening to and being a voice for them through this process.
The reports makes many powerful recommendations—I welcome the action plan and the maternity commissioner—but the Government must retain responsibility for the ultimate outcomes. Following the expiration of the national maternity safety ambitions in 2025, will the Secretary of State recommit to meaningful targets to reduce stillbirths and neonatal deaths and introduce a target to finally fully eliminate inequalities in baby loss?
My hon. Friend draws out an important point: a key part of developing the national action plan is to ensure we have the right metrics and mechanisms for monitoring its implementation and the right structures in place to make sure it is implemented across all trusts. In working with members of the taskforce, I will ensure that those accountability mechanisms for the delivery of the plan are in place, because I have spoken many times today about the importance of recommendations not sitting on shelves. We need to ensure we have the structures in place such that the actions in the national action plan are implemented, we can see they are being implemented, and we can give people confidence that that is the case.
(8 months ago)
Commons ChamberAt the spending review, as announced earlier this year by my predecessor, my right hon. Friend the Member for Bristol North West (Darren Jones), we set out record investment into the farming and rural communities right across this country. That is only possible because of the choices that we have made on taxation and to balance the public finances.
Andy MacNae (Rossendale and Darwen) (Lab)