Proposed Hospital: North Hampshire

Debate between Maria Miller and Andrea Leadsom

Friday 26th April 2024 Commons Chamber

[The Parliamentary Under-Secretary of State for Health and Social Care (Dame Andrea Leadsom)]

I congratulate my right hon. Friend the Member for Basingstoke (Dame Maria Miller) on securing a debate on this really important issue. I am responding on behalf of the Minister for Health and Secondary Care, my right hon. Friend the Member for Pendle (Andrew Stephenson), who tells me that she has been a tireless campaigner for Basingstoke on this matter, as well as on countless others.

The Government believe that the people of Hampshire should, of course, have a say on where their new hospital should be built. As my right hon. Friend said, we have asked people from across the county to share their views with Hampshire Hospitals NHS Foundation Trust. I am sure she understands, however, that it would be wrong of us to pre-empt their views, or indeed to interfere with their decision making, but I am happy to assure her that we remain committed to delivering the new hospital.

The trust and the integrated care board are going through the responses as we speak. They will submit a business case for NHSE regional approval through the ICB in a few months’ time. I should be clear that while the trust and the ICB do that, there will be no final decision on the new hospital’s location or the services it will deliver, but once a decision has been taken we will, of course, update the House. I am sure my right hon. Friend will have much to say about that herself, too.

I want to address the points my right hon. Friend raised on the importance of clinical guidance in forming decision making. She is absolutely right to say that decisions should be locally led and based on the best clinical evidence. That is why proposals must meet our tests for good decision making, which include a clear evidence base that is in keeping with clinical guidance and best practice. In developing the consultation, the trust has looked at a variety of options to deliver clinical care in Basingstoke and Winchester. Experts have been consulted at every stage of the process to provide appropriate clinical guidance. Two particular examples in the consultation demonstrate how the trust used clinical guidance to inform the options it has put forward.

First, on proposals around accident and emergency services, the trust received expert clinical guidance from local doctors, who strongly agree that maintaining emergency departments at both Basingstoke and Winchester would be unsafe and unsustainable. The trust also received advice from the South East Coast Clinical Senate, an independent panel of senior doctors who expressed concern over retaining an A&E department at both sites, due to serious concerns around patient safety. Instead, it has argued that acute medical services must be twinned with surgical services in order for patients to receive first-class care. Therefore, the proposal includes two brand-new 24/7 doctor-led urgent treatment centres and same-day emergency care to deal with most urgent care needs—one at the new specialist acute hospital and one at Winchester’s Royal Hampshire County Hospital.

Secondly, the proposals give the people of Hampshire an emergency department with a trauma unit and a children’s emergency department at the specialist acute hospital, which will treat the most serious conditions. As my right hon. Friend said in her remarks, it is essential for new mothers and mums-to-be to have the best possible care for themselves and their babies—she will know that this is an area of healthcare that is very dear to my heart. The trust has looked carefully at keeping obstetrician-led maternity services at the Royal Hampshire County Hospital, but found that many patient safety issues have left them not viable, particularly following the 2022 publication of the independent Ockenden review of maternity services at the Shrewsbury and Telford Hospital NHS trust, which set out the need for obstetrician-led maternity services to be in hospitals that can also provide emergency surgery and critical care.

In Hampshire, those services could only be provided at the new specialist acute hospital, because the neonatal units at the Winchester site currently do not treat enough babies to meet the requirements for level 2 care, while consolidated services at the new specialist acute hospital will meet that requirement. The rationale is that the proposals will lead to fewer babies’ being transferred out of the area to receive vital neonatal care, and I think the whole House will agree that the last thing new mothers need after giving birth is an extra journey to receive critical care.

I thank my right hon. Friend for raising this important issue and for continuing to engage with the new hospital scheme. She is a real champion for her constituents in this place, and they will have seen her fighting their corner today. We want to do everything in our power to get the people of Hampshire the world-class care they deserve. We will continue to support the trust throughout the development of the business case, to ensure that plans meet the needs of staff and patients as well as offering value for money for taxpayers. I understand that my right hon. Friend the Member for Pendle has recently committed to visiting Basingstoke and I am sure my right hon. Friend the Member for Basingstoke will take immense pride in showing him around one of England’s extremely beautiful towns.

[Dame Maria Miller]

I thank my right hon. Friend for confirming that her, and my, right hon. Friend the Member for Pendle will be taking the time to come and visit the new hospital. May I encourage her to encourage him to visit the new hospital site that the hospitals Minister has already announced that he is in the middle of procuring?

[Dame Andrea Leadsom]

I shall certainly pass that message on to my right hon. Friend the Member for Pendle, and I again congratulate my right hon. Friend the Member for Basingstoke on securing a debate on this very important topic.

Question put and agreed to.

Standards: Code of Conduct and Guide to the Rules

Debate between Maria Miller and Andrea Leadsom

Monday 12th December 2022 Commons Chamber

[Dame Andrea Leadsom]

As a matter of fact, the Standards Committee can look at whatever it wants. It was not established to look at the Independent Complaints and Grievance Scheme. In a sense, however, my hon. Friend has made my point for me: the fact that the Standards Committee is looking at how we can improve the conduct and the reputation of Parliament without looking at the Independent Complaints and Grievance Scheme is a nonsense, and that is my thesis this evening. We need a much broader review.

I am sorry to say this, because I am extremely fond of the Speaker and all the Deputy Speakers, but the Committee concluded that the behaviour of the Speakers and the Deputy Speaker was untouchable. The fact that behaviour in the Chamber is a matter for the Chair and should be above investigation by the Standards Committee is extraordinary. In very recent history, someone in the Chair was the person who wound up the Chamber the most, making people miserable and bringing the whole House into disrepute, yet for some reason the Committee will not consider the behaviour of those in the Chair. Nor will it consider what is going badly or well in respect of the Independent Complaints and Grievance Scheme. If the hon. Member for Rhondda (Chris Bryant) wants to intervene, he is welcome to do so.

Now, under the Independent Complaints and Grievance Scheme, the Parliamentary Commissioner for Standards has some sort of authority over that. It was intended that the investigation would be carried out independently and confidentially, but we are finding that investigations are now being presided over by the commissioner, who is requiring Members to stand up in the Chamber and apologise. That is outside the remit of the Independent Complaints and Grievance Scheme. Some may say, “Fine: if you have been rude to someone, you should stand here and apologise.” My response would be: “You try saying that to someone who works at John Lewis or McDonald’s. Are you seriously going to make them apologise to the entire firm, so that that will be on the record forever?”

There are serious issues involving the mental health of MPs and the way in which we behave in this place—the way in which we protect colleagues from the problems that occur and bring us all down. So many people say to me that they are sick and tired of the fact that we are all tarred with the same brush. It is very easy for people to be tribal and say, “It’s you”, “No it’s not, it’s you”, but actually it is all of us. We are all held in incredibly low esteem, and it is because we have not sorted this out.

While I am on the subject of big subjects, let me say that in my opinion—this is open to discussion and challenge; does anyone want to intervene?—it is all about the House of Commons Commission. Talk about a totally opaque organisation! It is chaired by the Speaker, it has appointments, and it is simply extraordinary. It is not accountable, and it makes financial decisions with very little transparency. Ultimately, all the authority in this place to establish Committees, to appoint Committees and so on, comes from the House of Commons Commission. In my opinion, we should have a fundamental review of that and then take it from there. The Standards Committee should look again at the Independent Complaints and Grievance Scheme and make sure it is doing what it was set up to do.

[Dame Maria Miller (Basingstoke) (Con)]

My right hon. Friend is making some very good and important points, and I hope that those who are listening to the debate may come up with a mechanism whereby we can review some of these issues. We are always told that they are issues for the House to decide, but what is never obvious to me is the process we can undertake to effect the discussions to which my right hon. Friend is referring.

International Women’s Day

Debate between Maria Miller and Andrea Leadsom

Thursday 11th March 2021 Commons Chamber

[Andrea Leadsom (South Northamptonshire) (Con)]

Today, I feel pretty angry and sad: angry that women walking home in the dark have to be scared of the person walking closely behind them, and sad because for far too many women, even getting home safely does not mean they are safe from harm. So I say to all colleagues right across the House: let us never allow party politics get in the way of protecting women and girls. I want to use my short time today to raise an issue that would help women, and that is making flexible work standard.

In 1995, I was working for Barclays. At the age of 32, and five months pregnant with my first child, I was promoted to senior executive. Of 240 senior execs, only eight were women. I was told that taking on this massive new job would mean coming back quickly from maternity leave, and I naively leapt at the chance. Three months after Fred was born, I had fallen in love with him, but he did not sleep much and I was under huge pressure from my male boss to go back to work. I will not dwell on it, but after post-natal depression and 18 months holding down the job while seeking to go part time, and two miscarriages later, I took legal advice. The head of the UK bank had said:

“We have managed without female directors until now. We certainly do not need part-time ones.”

I was advised to sue for constructive dismissal and sex discrimination, but blissfully for me, I was now pregnant with Harry, and this precious pregnancy was not worth the stress of a court case so I took voluntary redundancy. The reason that I could have sued was that, even then, employers were not allowed to refuse to consider part-time work, and 25 years on, that is still the case, but the 21st century demands change.

[Mrs Miller]

Does my right hon. Friend not agree that this is one of the many reasons why we should protect pregnant women from being made redundant, as in the case that she is talking about?

[Andrea Leadsom]

I completely agree with my right hon. Friend, and I absolutely agree with everything she said in her remarks.

During my time in the Department for Business, Energy and Industrial Strategy, a top priority was to make the UK the best place in the world to work, by encouraging flexible working as standard, transparency of employment terms and regular working hours. I planned to bring this forward in the employment rights Bill, so that applicants could propose their own working day as opposed to the employer setting the terms. Whether someone works in a supermarket or behind a desk, they should have the right to request a working pattern that suits them without negative consequences. Of course, employees can already request flexible working, but I have found that many fear to do so because of repercussions for their job security.

Flexible as standard can also be a huge advantage for employers. If job ads do not specify fixed working arrangements, applications will come from a much wider and more diverse pool of candidates. Employers must of course be able to refuse unrealistic offers, but enabling flexible as standard will, in my view, improved quality of life as well as productivity and diversity in the workplace. We know that women provide the majority of part-time workers and also the principal caring roles, so capturing all their talents will benefit both our economy and our society. So, as we look to build back better, let us put flexible work as standard at the heart of our recovery.

Oral Answers to Questions

Debate between Maria Miller and Andrea Leadsom

Tuesday 21st January 2020 Commons Chamber

[The Secretary of State for Business, Energy and Industrial Strategy (Andrea Leadsom)]

With your permission, Mr Speaker, I will first talk about my departmental priorities.

As we enter an exciting new decade, we are building a stronger, greener United Kingdom. To achieve that, my Department is focusing on three priorities. First, we are leading the world on tackling climate change, not just because it is the right thing to do but because it will create millions of new jobs and skills right across the UK. Secondly, we are solving the grand challenges facing our society—from life sciences to space, artificial intelligence and robotics—and improving lives across the world. Thirdly, we are quite simply making the UK the best place in the world to work and to grow a business.

Social enterprises are a thriving part of the UK’s economy. When I was a Back-Bench MP, and before I went into politics, I was closely involved in setting up and running a number of charities. She is absolutely right that we need to continue focusing on them as a key part of the economy.

I am always happy to hear lobbying from colleagues on both sides of the House about machinery of government changes, and perhaps we can meet another time to talk about that.

[Mrs Maria Miller (Basingstoke) (Con)]

T4. Employers like the Sovereign Housing Association and our community furniture project are giving young people with learning disabilities in Basingstoke the opportunity to get work experience through the Government-supported internship programme run by the Basingstoke College of Technology in my constituency. Will my right hon. Friend join me in encouraging even more employers to come forward, not only in Basingstoke but across the country, to help more disabled people with learning disabilities to reach their potential at work?