Mid Staffordshire NHS Foundation Trust (Inquiry)

Charlotte Leslie Excerpts

Wednesday 6th February 2013 Commons Chamber

[The Prime Minister]

I am sure the hon. Lady is right, and I agree that there are many examples of excellent practice, not only in health care and patient care but in responding to complaints and involving the local public; I see that across the country.

I have just read out what the report says about MPs, and this is what it says about the Royal College of Nursing:

“At Stafford, the RCN was ineffective both as a professional representative organisation and as a trade union. Little was done to uphold professional standards among nursing staff or to address concerns and problems being faced by its members.”

That is uncomfortable for the RCN to read, just as it is uncomfortable for us to read what it says about MPs, but it must be acted on. Likewise, the Care Quality Commission is improving, but more work needs to be done. Francis is pretty excoriating, and says on page 931 of volume 2:

“The CQC has an unhealthy culture, in which senior managers are more concerned about public image than delivery, which is hostile to internal and external criticism, and in which staff feel under pressure and unsupported.”

There is real work to be done in all these organisations to get this right.

[Charlotte Leslie (Bristol North West) (Con)]

“Systems so perfect that no one will need to be good.” That is T. S. Eliot, but it is a slightly pithier version of many recommendations in the Francis report. Does the Prime Minister agree that it is a tragedy that it has taken a tragedy to produce the report? My dad, as president of the British Orthopaedic Association in 2006, gave a lecture entitled “A New Professionalism” to reflect the alarm of clinicians at the changing culture in the 2000s, with a burgeoning management system and management priorities, tick boxes and targets taking precedence over clinical priorities. The Prime Minister has acknowledged that systems cannot replace professionalism, but will he listen to current professionals, who say that professionalism, which is what keeps the NHS afloat, is being eroded by things such as the working time directive?

[The Prime Minister]

My hon. Friend packed a lot into her question, but I agree that we need greater clinical leadership across the system. When we look at Francis carefully, what he is saying is that things such as targets and better financial management were important. We cannot have an organisation such as a hospital, which is a multi-million-pound organisation with thousands of staff, without proper management, proper finances and the rest of it. We have to make sure that there is proper clinical leadership, and that the focus is on care and quality, as her father said.