Francis Report: Update and Response

Debate between Martin Horwood and Jeremy Hunt

Wednesday 11th February 2015 Commons Chamber

[Mr Hunt]

Yes. We have set out new guidelines. The right hon. Member for Cynon Valley (Ann Clwyd) helped us a great deal when we were looking into how to improve the NHS complaints procedure, in particular advising people about how to complain and ensuring they knew that they could talk to someone independent if they needed to. I try to look at a letter of complaint about something that has gone wrong in the NHS every day before I start my work, and I make sure that the trusts are aware of that.

[Martin Horwood (Cheltenham) (LD)]

Before Christmas, I alerted Ministers to attempts by Gloucestershire Hospitals NHS Trust to prevent a governor from expressing concern to the local media about the care of local people. Does the Secretary of State agree that gagging governors is also unacceptable, and that the new spirit of openness should apply to governors and board members as well as staff?

[Mr Hunt]

I do, and I think it important to bear in mind the role of the press as a last resort for whistleblowers. Many of the problems of which we are aware have come to light because people have spoken to the press, and that is to be welcomed, but I think we would all agree that it is a real shame if things have to reach that stage. We need a culture in which people are listened to straight away. That governor should have felt that he or she could talk to someone in the hospital who would do something about the problem, rather than having to go to the press.

UK Ebola Preparedness

Debate between Martin Horwood and Jeremy Hunt

Monday 5th January 2015 Commons Chamber

[Mr Hunt]

I have spoken to several European Health Ministers, and the Under-Secretary of State for Health, my hon. Friend the Member for Battersea (Jane Ellison), who has responsibility for public health, is in regular touch with them about the international effort. The hon. Lady is right that no one country can solve this on its own, and we collaborate well with others—perhaps most closely with the French, who have taken responsibility for the fight against Ebola in Guinea.

[Martin Horwood (Cheltenham) (LD)]

I declare an interest, as my wife worked for Public Health England. I am sure that all PHE staff will appreciate the Secretary of State’s calm and supportive words today.

Local directors of public health have traditionally formed part of the response to such incidents, not least in reassuring the general public—perhaps the hon. Member for Kettering (Mr Hollobone) as well—so is the Secretary of State confident that they still have the resources and organisational support to do this effectively now that they are part of local government, not the NHS?

[Mr Hunt]

To date, no issues have been raised about resourcing for those very important responsibilities, but we will keep an eye on that. Every local area has had a resilience exercise to ensure it is prepared for what happens if someone contracts Ebola in its area, and so far we have been satisfied with the response, but obviously we will keep it under review.

A and E and Ambulance Services

Debate between Martin Horwood and Jeremy Hunt

Thursday 18th December 2014 Commons Chamber

[Mr Hunt]

My hon. Friend is right about that. Just as this Government have taken a very robust attitude towards poor care in hospitals—we now have 6,000 more nurses on our hospital wards following the Francis report—we need to take an equally robust attitude towards what is provided in people’s homes, to make sure that we have proper care. It is a false economy to cut back on out-of-hospital care to pay for hospital care, as we need both.

[Martin Horwood (Cheltenham) (LD)]

rose—

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[Martin Horwood]

Mr Speaker, your festive generosity equals only that of Father Christmas.

Gloucestershire hospitals have been under severe pressure in recent days, but is not one complicating factor that, in Gloucestershire and elsewhere, every unplanned GP admission to hospital goes via the emergency department? Although such cases may be relatively urgent, they are not necessarily what most of us would understand as an accident or an emergency.

[Mr Hunt]

The hon. Gentleman is absolutely right to make that point. There has been a lot of support for the NHS today from Liberal Democrats. If they are ever considering which is the best partner to back the NHS at any hypothetical time in the future, they should know that there is only one party that can provide the strong economy to fund a strong NHS.

Ebola

Debate between Martin Horwood and Jeremy Hunt

Monday 13th October 2014 Commons Chamber

[Mr Hunt]

The hon. Gentleman is right in what he says. This morning, my hon. Friend the Under-Secretary spoke to Alex Neil, the Scottish health Minister, and on Wednesday we will have a Cobra meeting with the devolved Administrations to test how resilient the structures are between the constituent parts of the UK. That is a very important part of our effort.

[Martin Horwood (Cheltenham) (LD)]

Perhaps I should declare a non-pecuniary interest, Mr Speaker, as my wife works for Public Health England. I join the Secretary of State in applauding all of her colleagues and the others who are putting themselves in harm’s way in the front-line battle against Ebola. Given his predecessor’s reorganisation of the NHS and of public health, does the Secretary of State need to check whether there are now sufficient local directors of public health in post and whether they have sufficient resources, qualified staff and seniority within local authorities to take a local lead, should that be necessary, in the fight against Ebola?

[Mr Hunt]

We are absolutely checking that, and it is all in hand.

Urgent and Emergency Care Review

Debate between Martin Horwood and Jeremy Hunt

Tuesday 12th November 2013 Commons Chamber

[Mr Hunt]

The hon. Gentleman makes my point for me extremely eloquently. Under the previous Government, we had a top-down, ham-fisted policy of opening walk-in centres everywhere as a sticking plaster solution to the disasters with their GP contract. Sometimes they were valuable services, sometimes they were not. We are clearing up the mess, but sometimes, when those centres are useful and important for the public, we will keep them.

[Martin Horwood (Cheltenham) (LD)]

The origins of the recruitment crisis in A and E obviously predate this Government. Will Sir Bruce Keogh’s review highlight the local trusts, like that in Gloucestershire, which appear to have significantly worse recruitment and retention records than neighbouring trusts and have used it as a rationale for downgrading services—such as, in this case, those at Cheltenham general hospital?

[Mr Hunt]

I hope that it will. I hope that it will give clarity about the long-term future for A and E departments, which has been a difficult issue for this Government and for the previous Government. What people want is stability, and they want to know that there is a Government who are prepared to face up to difficult decisions. They want to know that they have a future, and I hope that tomorrow’s review is the first step towards providing that security.