Oral Answers to Questions

Philip Hollobone Excerpts

Tuesday 15th July 2014 Commons Chamber

[Mr Hunt]

I am delighted that the hon. Lady is delighted that I am in my position here today—we can all be delighted about that wonderful piece of news. Let me tell her that we are doing a lot to improve access to GPs. We have recruited 1,000 more GPs over the course of this Parliament. Let me gently say to her that we can afford those 1,000 GPs only because we pushed on with difficult reforms, getting rid of the PCT bureaucracy and removing 19,000 managers. We would not have been able to afford them if we had listened to her party and continued to spend money on bureaucracy and management.

[Mr Philip Hollobone (Kettering) (Con)]

In every area, there are some very good GPs and some less good ones. How does my right hon. Friend think that clinical commissioning groups should celebrate those GPs who go the extra mile and provide an example for others to follow?

[Mr Hunt]

My hon. Friend has made a very good point. We have learnt from the big efforts to improve standards of care in hospitals—of which I think everyone in the House should be proud—that the best way in which to improve those standards is to be transparent about how well people are doing. What the new chief inspector of hospitals has done is identify not just the failing hospitals that have been put into special measures, but the good and outstanding hospitals, so that they know what they should and can aspire to. I think that we shall hear shortly how the chief inspector of general practice intends to implement the same regime in general practice.

NHS Investigations (Jimmy Savile)

Philip Hollobone Excerpts

Thursday 26th June 2014 Commons Chamber

[Mr Hunt]

We do need more robust checks. However, I can tell the hon. Lady that I have apologised to all the victims and have said that if some of the reasons given in the reports for Jimmy Savile’s appointment to one position were as the reports claim, that was indefensible. Moreover, the Secretary of State who was in office at the time has said that it was indefensible. I think that that is accountability.

[Mr Philip Hollobone (Kettering) (Con)]

The Secretary of State has been good enough to apologise on behalf of Her Majesty’s Government and the NHS. Given that Jimmy Savile’s celebrity status was largely due to his employment by the BBC, are we not owed a big apology by the BBC, now that the report has been published?

[Mr Hunt]

My hon. Friend makes an important point. Today’s report is about the NHS and the BBC report is ongoing, as is the report being done by the Department for Education and the work being done by other Departments. We have to wait for the BBC to make its own statement on the matter, but my priority now is NHS patients, and the reason that I wanted to go at speed on this was to make sure that any changes we need to make now, we do so.

Patient Safety

Philip Hollobone Excerpts

Tuesday 24th June 2014 Commons Chamber

[Mr Hunt]

No Member of this House has done more for their local hospital than my hon. Friend, and I commend him on what he has done. We certainly will not leave that hospital to its own devices; we are following very closely what is happening. I want to pay tribute to him, too, on the issue of safety, because when the Francis report came out, he was one of the earliest voices saying, “Yes, this is about compassionate care, but it is also about safety.” I do not at all rule out the aspiration of zero harm and zero avoidable deaths, but that is a point we will have to get to step by step, and I am very proud that we are taking the steps that we are today.

[Mr Philip Hollobone (Kettering) (Con)]

A few years ago, Kettering general hospital had some of the very worst hospital infection rates in the whole country; now it has some of the very best. Last year, it had some of the very worst rates for attendance at A and E within the four-hour target; now it has some of the very best. Does this not demonstrate that determined local hospital leadership, plus dedicated and committed nursing staff, can transform the patient experience in our hospitals?

[Mr Hunt]

It absolutely does, and I think that is very important. There are huge pressures on NHS hospitals. I have been to Kettering hospital at my hon. Friend’s invitation, and it is a very busy hospital. There is a lot of pressure in the system, but with the right leadership it is absolutely possible to deal with these challenges, and I know that my hon. Friend has had a huge impact in Kettering, supporting the hospital through a difficult period.

Organ Donation Register

Philip Hollobone Excerpts

Tuesday 17th June 2014 Westminster Hall

[Mark Durkan (Foyle) (SDLP)]

Thank you, Mr Hollobone, for calling me to speak. It is a pleasure to join in this debate under your chairmanship. I pay tribute to the hon. Member for Burton (Andrew Griffiths) for introducing the debate in a sensitive but passionate way.

I recognise that the hon. Member for Montgomeryshire (Glyn Davies) and I may come at this issue from slightly different perspectives, and may put slightly different emphases on the issues of presumed consent, opt-outs and soft opt-outs, but there is absolutely no difference between us—or between any of us who are present—as regards our fundamental motivation, which is to secure the optimum number of organ donations, and the optimum benefits for the lives of so many of our constituents.

Like other hon. Members, I have personal experience of this issue. I had a friend who, many years ago, benefited from a kidney transplant provided under the fairly primitive arrangements then in place in the grounds of the then Belfast City hospital. It did not seem to be the most propitious setting in which such a significant life-improving operation could take place, but it was life-improving, thanks to the skill and commitment of those involved. Of course, services have developed in so many ways since then.

I have seen a number of people in a family suffer from cystic fibrosis; that family lost children who died while waiting for transplants. Like others, I have made commitments and promises to do everything that I could in any opportunity that fell to me in public life to improve the prospect of more transplants being available for people in such circumstances.

I have also seen people take some consolation in their bereavement and grief from the organ donations of their loved ones, which has meant that someone else has had the gift of life, or improved life. Obviously, I have also seen people who have benefited from organ transplants, although perhaps not for as long as they would have wished. Again, those benefits will be achieved and extended if we can develop and improve the services of those very special skilled people who are involved in delivering the benefits of transplants to people.

I also speak as someone who witnessed, as we all did in Northern Ireland, an act of altruism by a fairly public figure, Joe Brolly, a brilliantly skilled sportsperson and all-Ireland championship winner who played for Derry back in the early 1990s. He donated a kidney to help a friend, Shane Finnegan, whom he had met as a volunteer coach in his local Gaelic Athletic Association club in Belfast, because he knew the difference that it could make. Unfortunately, the transplant has not worked out for Shane, but the cause goes on. Both Shane and Joe are absolutely united in encouraging politicians and legislators in Northern Ireland and elsewhere to achieve more progress on organ donation. They are categorically in favour of moving towards a soft opt-out system.

All of us are sensitive to some of the concerns that are feeding back to us in that regard, however. I was in this Parliament back in 2008, and was supportive of the initial indications coming from the organ donation taskforce, but we were all sensitive to the issues and considerations that came back to us. We want to move forward on this issue, and to achieve progress that is sustainable and durable, with no unforeseen consequences or counter-productive effects. I believe that presumed consent leads to higher donation rates, but the way that it is framed is important.

I note the important point, made by the hon. Member for Burton, that the current opt-in system is essentially a soft opt-in, in that families are able to override it. It might be more productive to discuss and take forward some of the issues connected to the soft opt-out, rather than to go for a hard opt-in; the latter might be more difficult and could create other issues or difficulties, particularly given the point made by the hon. Member for Strangford (Jim Shannon) about the apprehensions or misgivings that are shown in survey research to underlie some of the concerns and reservations that kick in whenever people are asked to think beyond whether they simply support organ donation in principle. When they think about it in practice, reservations or concerns seem to come into play, and all of us who might have a different perspective on how to legislate on this issue need to be sensitive to those concerns. We should not conduct the debate in such a way as to create mixed signals, or leave people thinking that there might be something untoward going on in relation to how organ donations are secured.

It is important to respect the fact that there will be legislation at different levels, not just within the UK but within these islands. The Welsh legislation has been cited, and the Irish Government are committed, under their programme for government, to legislate for a form of soft opt-out. In arguing about the different legislative choices, we need to be careful that we do not send out messages that create any doubts or difficulties.

Steps taken here since 2008 have achieved a much higher rate of organ donation. If the legislation in Wales achieves a higher rate of donations, and if legislation in the Republic does the same—there is also a consultation going on in Northern Ireland—we need to remember that those organs may not necessarily all be used within the jurisdiction in which the relevant legislation has arisen. That is another consideration. If we are to optimise not just the number of organ donations but the number of people benefiting from donations and transplants, we need to look at the networks, systems and infrastructure, to make sure that we fully utilise as many organs as are donated. Some organs are available on a so-called national basis, and others on a regional basis. That creates a disparity in terms of benefits and effects.

One concern I have heard about whether organ donation was worth while came from a constituent, who told me that they had watched a TV drama—I am not sure whether it was “Holby City”, “Casualty” or something else—in which being able to get the relevant organ for donation came down to whether a doctor in one hospital knew somebody in another hospital. My constituent was concerned about the idea that whether the organ donation system actually worked could come down to something so coincidental; they were left thinking that the system was not that sophisticated, and was hit and miss. I do not know whether that anecdote is accurate. If it is, it proves that there is a need to improve networks; if it is not, it proves that broadcasters and others need to be careful about the kinds of indications and suggestions they give about topics such as this, and should not use dramatic licence in a way that gives people cause to doubt the efficacy of the transplant system.

The British-Irish Council takes in all eight Administrations around these islands who legislate and provide services in different ways. It seems to me that it would be a good forum in which to not just discuss the balance, comparability and compatibility of legislative arrangements throughout those jurisdictions—the more consistent they are, the better—but make sure that we optimise the networks, so that organs that become available in any one part of these islands can benefit anybody in any other part. It should not be left to a random mix of different networks, as that sub-optimises the use of organs. They are given for the best of motives, so we need to make sure that we have the best arrangements to extend the benefits of these important gifts.

[Mr Philip Hollobone (in the Chair)]

We have 23 minutes left, so if the Front Benchers will split the time between them in a fair and equitable way, it will be much appreciated.

Oral Answers to Questions

Philip Hollobone Excerpts

Tuesday 10th June 2014 Commons Chamber

[Mr Hunt]

Let us look at why the number of agency nurses has increased. It is because trusts have responded to the Francis report, published just over a year ago, and are seeking to end the shocking under-staffing of wards that was endemic under the last Labour Government. Of course we want people to recruit full-time nurses on proper contracts, and that is happening. That is why we have 3,000 more nurses—not agency nurses, but proper full-time nurses on proper NHS contracts—than when the hon. Lady’s Government were in power, and we will continue to make progress.

[Mr Philip Hollobone (Kettering) (Con)]

6. What recent assessment he has made of the performance of the A and E department at Kettering general hospital.

[The Parliamentary Under-Secretary of State for Health (Jane Ellison)]

We are aware that the trust did not meet the four-hour standard for a period, and obviously Monitor took action and worked with the trust. In the week ending 1 June 2014—the most recent period for which data are available—99.7% of patients who attended Kettering A and E were treated, admitted or discharged within four hours, continuing a recent improvement in performance. I am sure that the staff are justly proud of that, and I know their local Member of Parliament will want to champion it.

[Mr Hollobone]

In April 2013, Kettering general hospital was one of the worst performing acute hospitals in England on the A and E target, admitting only 74% of patients within the four-hour A and E target time. Now, as the Minister has said, it is almost 100% and the hospital is one of the best performing trusts in the country. Will the Minister congratulate all involved at the hospital on that rapid turnaround, and tell the House how the lessons learned at Kettering might be applied elsewhere?

[Jane Ellison]

I absolutely join my hon. Friend in congratulating everyone involved in turning that performance around—it is really, really impressive. He is right to say there are lessons to be learnt everywhere from people innovating, joining up services and the various things that have gone on in the background. I know that the local Members have been involved and engaged in the process and I congratulate them on that. That is really valuable and I urge everyone to get involved. We should congratulate A and E staff everywhere on dealing with the pressures they are under. We know they are considerable, but they do a great job.

Care Homes

Philip Hollobone Excerpts

Thursday 1st May 2014 Commons Chamber

[Norman Lamb]

I am grateful to the hon. Gentleman for raising that point. In a way, he makes the case for why the inspection regime needs to be much more robust and not a tick-box exercise. More effective inspection, with inspectors talking to staff and, crucially, relatives of those in the care home, will provide a much better picture of what is going on there. It is for the CQC as the employer to address any concerns it has about the way in which its staff have conducted themselves, but the new tough inspection regime is being introduced, with 1% of care homes already covered. It will be fully implemented by October this year.

[Mr Philip Hollobone (Kettering) (Con)]

I applaud the Minister for his efforts to change the prosecution regime for residential care home abuse, but is he optimistic that he can get the changes through so that we might see some exemplary prosecutions by the end of this year?

Tobacco Products (Standardised Packaging)

Philip Hollobone Excerpts

Thursday 3rd April 2014 Commons Chamber

[Jane Ellison]

Some of the issues to which my hon. Friend alludes have been debated on many occasions in the House. Today’s statement is about standardised tobacco packaging, not about banning anything. It is to consider the potential of this policy to stop children taking up smoking, and I welcome my hon. Friend’s support for that.

[Mr Philip Hollobone (Kettering) (Con)]

The Minister keeps saying that this is not about banning anything, but she is proposing the banning of promotional packaging—that is what she is doing today. Before she does that, will she consider bringing the law in England into line with that in Scotland, where the sale to, purchase by, or possession in public of cigarettes by anyone under the age of 18 is illegal? That is not the case at the moment in England.

[Jane Ellison]

My hon. Friend draws attention to the Scottish regime, which has regulatory differences to our regime. It is a matter that I consider and that we keep under review. Indeed, where measures have proved to be effective in any jurisdiction, we take great interest in that.

Oral Answers to Questions

Philip Hollobone Excerpts

Tuesday 1st April 2014 Commons Chamber

[Mr Jeremy Hunt]

The number of nurses overall is up by 1,600 since the general election. Let me be absolutely clear that I do not believe in a system where the Secretary of State is micro-managing precisely how many nurses there are in every ward in every hospital in the country. Because we have protected funding that Labour wanted to cut, there are more doctors and more nurses than there were when it was in government.

[Mr Philip Hollobone (Kettering) (Con)]

Ten babies a day are born at Kettering general hospital. May I welcome the recent award of £400,000 of NHS modernisation funds to the hospital’s 33-bed maternity unit and urge the Minister to encourage NHS England to prioritise areas of high population growth such as Kettering for future funding?

[Dr Poulter]

I know that the staff at my hon. Friend’s maternity unit work tremendously hard to look after patients, and it is important that we gave them the right facilities in order to do so. I am delighted that, like over 100 other birthing units in the country, they have received money to make sure that women are treated with greater dignity and that the quality of care is as high as it can be.

Oral Answers to Questions

Philip Hollobone Excerpts

Tuesday 14th January 2014 Commons Chamber

[Mr Philip Hollobone (Kettering) (Con)]

Would the Minister like to congratulate the Northamptonshire Healthcare NHS Foundation Trust, Kettering general hospital and the Northampton General Hospital NHS Trust for coming together to form the frail and elderly crisis hub in Northamptonshire, to prevent unnecessary admissions of elderly people to local accident and emergency departments?

[Dr Poulter]

I would very much like to do that. It is important, given that we sometimes have adversarial discussions on these matters, to highlight the examples of good practice. The example in my hon. Friend’s local area of Kettering is exactly the sort of initiative that we need to see elsewhere in the country. That is why we have given £3.8 billion to better support the integration of health and care.

--- Later in debate ---

[Mr Hunt]

No one wants to go back to the bad old days of junior doctors working all the hours God gives, but the working time directive has had a negative impact on patient safety. It has made training rosters more difficult and it has meant that there is less continuity of care as people do not see the same doctor when they go back to hospital. We need to look at whether we can do that better, because it is not helping patients.

[Mr Philip Hollobone (Kettering) (Con)]

By Christmas, almost 2,000 staff at Kettering general hospital had received their flu jab—that is about 60% of front-line staff. Would the Secretary of State like to congratulate the hospital and its members for its bid to become the acute trust in the east midlands with the best flu jab record for three years in a row?

[Mr Hunt]

Absolutely. I am very encouraged that across the NHS trusts have had a much higher uptake of flu jabs for staff than in previous years, but Kettering is leading the way.

Accident and Emergency

Philip Hollobone Excerpts

Wednesday 18th December 2013 Commons Chamber

[Mr Philip Hollobone (Kettering) (Con)]

Kettering general hospital will be well known to the Secretary of State, because he was good enough to visit it a year ago to see the excellent service provided by its doctors, nurses and ancillary staff. The hospital has been in existence for 116 years and it is badly needed and much loved. At one time or other, every resident of Kettering has had a member of their family go through the hospital.

The hon. Member for Corby (Andy Sawford), my hon. Friend the Member for Wellingborough (Mr Bone) and I have put our party political differences aside and joined forces to campaign for extra investment for the accident and emergency facility at Kettering general hospital, because it is needed by all of our constituents. We are working as one on the issue. The other good news is that both the hospital trust and the local clinical commissioning groups are working as one on the issue.

I thank the Under-Secretary of State for Health, my hon. Friend the Member for Central Suffolk and North Ipswich (Dr Poulter), who is not in his place, for meeting all three of us, together with representatives from the hospital and the CCGs, over the summer. He has been good enough to agree to meet us again on 15 January.

All the professionals have come together and agreed that, despite their best efforts and despite following the advice of the Department of Health’s intensive support team to the letter, whichever Government are in power would have to face the fact that the A and E at Kettering is, sadly, not fit for purpose and needs extra capital investment. Their bid to the Department of Health will be for £20 million for Kettering A and E and an extra £3 million to create community hubs—in other words, urgent care centres-plus—in Corby, Kettering and Wellingborough. The three hon. Members, the CCGs and the hospital trust will make a joint bid for that money when we meet the Minister in January.

The challenge the A and E at Kettering general hospital faces is serving one of the fastest growing populations in the country. In the last decade, Kettering’s population growth ranked 31st out of 348 districts around the country and it had the sixth highest increase in the number of households. Few other parts of the country are growing as fast as the Kettering area, which also has an increasingly ageing population.

The A and E department at Kettering general hospital was constructed in the 1970s for about 25,000 to 30,000 attendances a year. In 2001 attendances had hit 56,000 and that figure is now 85,000. The A and E centre is effectively bursting at the seams, and attendances show absolutely no sign of falling off. Typically, there could be between 170 and 230 attendances a day—the highest has been 260 in a 24-hour period this year.

The professional staff—the clinicians—in the A and E have made multiple operational changes. They have adopted all the best practice ideas provided by the Department’s intensive support team, but the key issue remains the estate, and the only way to solve that problem is an injection of capital investment. With that investment and with the development of community facilities in Corby, Kettering and Wellingborough, the professional clinicians are confident that the A and E department could at long last start hitting its A and E targets. At the moment, it is treating only 89% —well below the 98% target specified by the Government—of patients within a four-hour period.

[Mr Peter Bone (Wellingborough) (Con)]

I apologise for being out of breath, Madam Deputy Speaker, but I just wanted to ask my hon. Friend whether the proposal he is talking about has all-party support in the north of the county?

[Madam Deputy Speaker (Dawn Primarolo)]

Order. Mr Peter Bone has just arrived in the Chamber, but one is normally expected to be in the Chamber for more than just a few seconds so as to hear the debate before intervening. I am sure the hon. Gentleman apologises to the House.

[Mr Hollobone]

I am very grateful for the intervention from my hon. Friend the Member for Wellingborough because he has many duties to attend to in this House on behalf of his constituents and he has been at the forefront of the campaign to get extra investment into Kettering’s A and E, and also to develop the community hub patient facilities in Corby, Kettering and Wellingborough.

With the £3 million capital expenditure bid going to the Department, one of the options would be for a community hub at the Isebrook hospital, which would help to serve my hon. Friend’s constituents in Wellingborough and, by doing so, would take the pressure off the A and E at Kettering. If we are successful in this cross-party bid, the A and E at Kettering would be transformed into an A and E plus an urgent care centre on the site of Kettering general hospital. It would be a one-stop shop for local patients. The A and E at Kettering has the confidence of local people, but the local population growth means that capital investment is needed more than ever, and we look to the Government to provide that in early January.

[Mr Bone]

On a point of order, Madam Deputy Speaker. I apologise to the House for the discourtesy shown, but I was very surprised that my hon. Friend the Member for Kettering (Mr Hollobone) was called so early in the debate.