Mid Staffordshire NHS Foundation Trust

Peter Bone Excerpts

Wednesday 9th June 2010 Commons Chamber

[Mr Lansley]

The inquiry will look at both the West Midlands SHA and its predecessor bodies. My hon. Friend will know from what I said a couple of weeks ago that proposals for such reconfigurations in the national health service must now answer to the clinical evidence—the clinical base. They must answer to patients—current and prospective patient choice—and to the referral intentions and commissioning intentions of general practitioners exercising responsibility for commissioning. That will change the nature of such decisions from a top-down, unaccountable process to one that is much more locally accountable and effective.

[Mr Peter Bone (Wellingborough) (Con)]

The excellent new Secretary of State for Health was right to praise the men and women of the health service, but when things go wrong there needs to be an early-warning system. Does he agree that standardised mortality rates are an indication that something might be going wrong, and that such indicators should be used more often to investigate hospitals?

[Mr Lansley]

I am grateful to my hon. Friend. First, the Francis inquiry will go on to understand why one of those hospital SMRs, from 2003, indicated the nature of a potential problem. The SMRs are not a sufficient measure of quality across the board. The National Quality Board has already undertaken some work on how we can ensure that hospital SMRs are consistent and meaningful, and beyond that how we can identify the early-warning signs and act on them. As one of the things we derive from that, I shall be working with the quality board and across the NHS to ensure that we act on warning signs, including looking at potential risks either across the system or in relation to individual trusts.