Thirlwall Inquiry: Final Report and Recommendations
Debate between Scott Arthur and Yvette Cooper(3Â weeks ago)
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Yvette Cooper
I thank the hon. Member for her comments, her tribute to the families and her recognition of how much they have endured. She is right to highlight the importance of the duty of candour. One of the most shocking findings of the inquiry was that an “exercise in spin” was put above patient safety, including the safety of some of the most vulnerable patients of all, newborn babies, which is truly shocking. Boards are already responsible for ensuring that they follow the duty of candour. The inquiry found crucial breaches of the board’s duty of candour and responsibilities in a series of areas, including the responsibility to provide information to the reviews done, and safeguarding responsibilities that should have been clear. We will look further at the responsibility framework, the regulation of managers and clinicians, and the leadership’s responsibilities to ensure that what should happen takes place.
The hon. Lady will know that the local guardians remain; that is extremely important. On HSSIB, I agree with her that that role needs to continue. It is the intention for that role to continue as part of the CQC, but I have undertaken to look again at those arrangements to ensure that they meet the expectations of the inquiry’s report.
Fundamentally, the point that the hon. Lady makes is about the anger and sense of deep frustration and injustice about the fact that we are here again, discussing some of the same issues. For me, that is about two things. The first is patient safety, which has been discussed time and again when we have these kinds of recommendations. The second is the sense of the sidelining of maternity and neonatal care, which have been seen as a side issue in too many places, rather than being central. We have to put the cradle back at the heart of the NHS. We have always talked about the NHS being there from cradle to grave. The very start of a child’s life, and the very start of a family’s life, is one of the most important moments, and we have to make sure that our NHS keeps that at the centre of what it does.
Dr Scott Arthur (Edinburgh South West) (Lab)
This report does not make easy reading, and I cannot imagine how the families feel when they even just look at it. I want to pay tribute to the vast majority of NHS staff right across the UK who do a great job every single day, including my fantastic wife.
The families’ legal team have been very clear that they expect all the recommendations to be implemented, and they are asking for a timeline for that. I know that cannot be given today, but it would be good to hear the Secretary of State say that her ambition is for all the recommendations to be implemented in full as soon as possible. The timeline is really important.
Chapter 39 is about one of the more difficult problems. It talks about culture, and says that in the past, there has been an overreaction to blame culture, which means that some managers have been unwilling to confront bad behaviours. Will the Secretary of State commit to addressing that most difficult of problems?
Yvette Cooper
My hon. Friend is right to pay tribute to the staff right across our national health service who work immensely hard every day, including in our neonatal units and maternity units, to provide compassion, support and quality care for people who need it at an important time in their life. That includes the staff across the NHS who were devastated when the police investigation, prosecutions and convictions identified terrible crimes taking place, and who are determined to ensure that the best quality of care is provided.
Interestingly, it is an unwillingness to think the unthinkable that is identified as having held some people back from facing up to what happened. It does feel unthinkable that any staff member should deliberately harm a child, but we have a responsibility to be prepared to think the unthinkable. The report identifies that safeguarding arrangements are not a finding of fact; they are a step to be taken when there is a concern or a suspicion—that is when safeguarding action has to be taken, in order to put safety first, and we have to be clear about that right across not just the NHS but all our services. Safeguarding is about what we do when things are still unknown, to put safety first.
My hon. Friend rightly recognises some of the real challenges around culture, concerns about blame, and people having the confidence and support to speak out. Again, the remarks from Lady Justice Thirlwall are really strong on this. It is a responsibility for everyone to ensure that if there are concerns, they are expressed and investigated. That is an act of good faith, not of bad faith. We must all keep patient safety and, above all, the safety of the most vulnerable patients of all—the little babies—in the forefront of our minds. That is what should guide us as we deal with these sensitive issues.
Iran
Debate between Scott Arthur and Yvette Cooper(8Â months, 3Â weeks ago)
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Yvette Cooper
There is a wider issue of the impact of Iranian regime activity across the region, including supporting terrorist and extremist proxies and other organisations. We are particularly sensitive to that, and it is part of what makes this a broader issue about how we properly get peace and stability in the region. That will continue to be a central part of the discussions.
Dr Scott Arthur (Edinburgh South West) (Lab)
When I was in Balerno on Saturday, a constituent politely reminded me that I had a moral obligation to be optimistic—not always easy when you are Scottish, I am afraid. But I do hope that what has happened in Iran will bring the international community together to take action and bring this horrible regime to an end. I hope the Secretary of State will commit to that. These murders are fuelled by oil exports, which were worth $78 billion in 2024. To what extent can we reduce that in the coming years? We have heard about tankers being apprehended, but is there more we can do? Surely that is not just an event.
Yvette Cooper
As we have seen with the case of the Bella, which was interdicted by US forces with the support of the UK, there is often a nefarious link, including through the shadow fleet, with the Iranian regime, Russia and more widely. We are continuing to increase pressure on the shadow fleet and the broader threats posed.
Venezuela
Debate between Scott Arthur and Yvette Cooper(9Â months ago)
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Yvette Cooper
As the hon. Gentleman rightly points out, successive Governments have not recognised the Venezuelan regime, which is the basis on which the independent Bank of England took its decision. We continue not to recognise the Venezuelan regime because it is important that we have the pressure in place to have a transition to a democracy, which is also about the will of the Venezuelan people. Obviously, there are independent decisions for the Bank of England to take, but our principles are about maintaining and pursuing stability and a transition to democracy, and that is what is guiding our approach to recognition.
Dr Scott Arthur (Edinburgh South West) (Lab)
I thank the Foreign Secretary for her statement. She has been getting lots of advice in response, but I do not think any of us really envy her position. I thank her for talking to the leader of the opposition, MarĂa Corina Machado, which is the right thing to do. The Foreign Secretary outlined how she had spoken to Secretary of State Rubio about a transition to democracy, but is there a timeline associated with that? Will the recognition of the Venezuelan Government only happen once a Government has been democratically elected?
Yvette Cooper
We do not currently have a timeline for that transition. The Venezuelan opposition have said that the first step has to be an end to political repression, the release of political prisoners and the safe return to Venezuela of opposition politicians, because without that there cannot be free and fair elections. So the first step that we are pressing for is an end to political repression, and that is what we are urging the acting President to do.
Borders and Asylum
Debate between Scott Arthur and Yvette Cooper(1Â year, 1Â month ago)
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Dr Scott Arthur (Edinburgh South West) (Lab)
Thank you, Madam Deputy Speaker; I had forgotten how much I enjoyed bobbing.
We all want to be proud of the UK’s asylum system, but because of the mess we inherited from the previous Government, none of us are there right now; that is just a fact. I thank the Home Secretary for the methodical work that she is doing to get a grip of the situation and get the system back on track. It really pains me, though, that some of the people who are behind this mess are now sitting on the Opposition Benches and seeking to weaponise it, rather than apologising to the country. Does the Home Secretary share my hope that extending the Ukrainian visa scheme and the refugee student scheme, bringing Gaza students here and supporting injured Gazan children will provide a chance to show the UK immigration system at its best?
Yvette Cooper
I hope the Conservatives will support Gazan students being able to take up their places and scholarships in the UK, just as I hope they will also support the Border Security, Asylum and Immigration Bill, which they are still opposing.
Immigration System
Debate between Scott Arthur and Yvette Cooper(1Â year, 4Â months ago)
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Dr Scott Arthur (Edinburgh South West) (Lab)
I thank the Home Secretary for her statement and for the steps she is taking to bring order to the chaotic immigration system we inherited. I want to ask a question in the context of my entry in the Register of Members’ Financial Interests. Universities in Edinburgh are on their knees because of changes the Tory Government made to immigration and because of SNP cuts to the sector. The staff are keen to contribute to economic growth in the UK, but they are concerned that what is in the White Paper may make that harder. Can she commit to working across Government to ensure that our universities come out of this stronger so that they can contribute to economic growth?
Yvette Cooper
My hon. Friend may be aware that the biggest increases in the number of student visas were often for lower-ranking universities in the league tables, and people often did not do graduate jobs afterwards. We hugely support international students, and he is right to refer to Edinburgh University and other universities across the country. We want to work with universities to ensure that high standards of compliance are met, and that when international students stay in the UK they are doing graduate jobs.
Migration and Border Security
Debate between Scott Arthur and Yvette Cooper(1Â year, 10Â months ago)
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Yvette Cooper
Obviously, each individual case needs to be decided on a case-by-case basis. It has been agreed through the courts that, for example, some people could be safely returned to Iraq, but the process, or the bureaucracy, is extremely slow. Many people are currently in the immigration enforcement system. The previous system was just not following up and taking action, which is why we have been able to increase the returns substantially in a short period. Of course, each case has to be looked at on its merits, but we can do substantially more to ensure that the rules are properly respected and enforced.
Dr Scott Arthur (Edinburgh South West) (Lab)
I thank the Secretary of State for her statement, and I ask my question in the context of my entry in the Register of Members’ Financial Interests. I also thank her for talking about the UK’s strong history of welcoming people who are trying to escape persecution. We should not forget that at the heart of the organised people smuggling into this country are people being exploited and dying. The last Government were reduced in their final days to sloganising about people coming on boats, and about the Rwanda scheme, which brought shame on our country. I was appalled to hear the right hon. Member for Croydon South (Chris Philp) try to defend the scheme, and shocked to hear him describe the drop in the number of students coming to the UK as something to be celebrated.