Mid Staffordshire NHS Foundation Trust (Inquiry)

Simon Hughes Excerpts

Wednesday 6th February 2013 Commons Chamber

[The Prime Minister]

The right hon. Gentleman speaks with great knowledge of, and affection for, the NHS, and I, too, am a fan of Ara Darzi and think he has a huge amount to offer. He had a big hand in giving priority to quality at the end of the last Government’s term. Francis is saying that there needs to be a culture change in respect of quality, but we must also look at what we are currently measuring. If hospital managers are measured on financial metrics and target metrics, rather than on quality of care—that is what we see flowing through the report—all the words we say and laws we pass on quality of care will not have sufficient impact. We need to look at that.

[Simon Hughes (Bermondsey and Old Southwark) (LD)]

I welcome the report and the Prime Minister’s response, including on the hospital inspectorate proposal. Will he ensure that the Government’s full response includes giving special consideration to trying to change the culture of calling for the lawyers, which is what often currently happens when there are complaints? Instead, everybody should know in advance who is responsible for the ward, who is responsible for the clinical care and who is responsible for the management, and that they will be held to account. We must also ensure that the best practice in clinical care—which we often see in our wards—is used to judge what works and we are very tough on those who have failed.

[The Prime Minister]

My right hon. Friend makes two points. First, I agree that we need clear lines of accountability so we can see who is responsible for standards of care on the ward and in the hospital, and they must be held to account for that. Secondly, I have a lot of sympathy with the point that sometimes people making a compliant are not seeking financial redress, and I think all constituency MPs would agree with that, too. They just want to be taken seriously. They want to be listened to; they want an acknowledgement. They will not go off and hire lawyers. They want an acknowledgement that their elderly relative was not treated properly, and they want it soon. I hope this report launches a debate in the NHS about how we can deliver that.