Whorlton Hall

John Bercow Excerpts

Thursday 23rd May 2019 Commons Chamber

[Several hon. Members rose—]

[Mr Speaker]

Order. This is an extremely important and sensitive matter, but I am looking to move on to the business question at 11 o’clock, so short questions and short—though, I am sure, informative—replies are required.

[Sir Desmond Swayne (New Forest West) (Con)]

What happens at the Care Quality Commission’s headquarters when a story such as this emerges? Are the inspectors who so recently rated the facility summoned in for a meeting without coffee, or perhaps with the rough end of a pineapple?

Learning Disabilities Mortality Review

John Bercow Excerpts

Wednesday 15th May 2019 Commons Chamber

[The Minister for Care (Caroline Dinenage)]

I would like to start by restating our commitment to reducing the number of preventable deaths among those of our population with a learning disability and to addressing the persistent health inequalities that they experience. It is completely unacceptable that people in our country with a learning disability, and indeed autism, can expect a shorter life than the population as a whole.

Each and every death that might have been prevented is an absolute tragedy, and we must not compound that tragedy by failing to learn any lessons we can that might improve the care that is provided in the future. That is why the Government asked NHS England in the first place to commission the learning disabilities mortality review programme, known as LeDeR. The principle behind it is a relentless determination to learn from these deaths and to put in place changes to the way care is organised, provided and experienced, to make a real difference locally and nationally. It means challenging often deep-rooted, systematic or cultural issues that have existed for decades. It is driven by the fact that we are clear that the quality of care offered to people with a learning disability sometimes falls very short of the standards we expect, and that is simply not good enough. The existence of the LeDeR programme testifies to our commitment to address this issue so that people with a learning disability can access the best possible care and support. The annual reports published by the LeDeR programme and the recommendations it makes are all part of this.

Over the weekend, the media reported on the findings of a draft of the third annual LeDeR report, which is due to be published shortly. In making this statement, I would like to record my deep regret at this apparent leak. It is also a regret that Her Majesty’s Opposition should table an urgent question based on leaks and, indeed, that the Speaker’s Office should see fit to grant it. More generally, the House—

[Mr Speaker]

Order. The Minister will resume her seat. Forgive me, but I was being approached by the right hon. Member for South Holland and The Deepings (Sir John Hayes).

I have the highest regard for the Minister, who is always a person of the utmost courtesy. She can have an opinion about the decision of a Member to apply for an urgent question; it is not for a Member on the Treasury Bench to seek to offer a judgment on the way in which the Speaker discharges his responsibilities as Speaker. I have made a judgment that this matter warrants the attention of the House, and that judgment is not to be argued with or contradicted by a Member of the House. The Minister’s duty is to come to the House and answer the question, but do not argue the toss with the Chair. That is the wrong way to behave.

[Caroline Dinenage]

Thank you for clarifying that, Mr Speaker. I do not dispute that this is absolutely the right place and time to discuss this very important issue, but more broadly I think that Members across the House need to take a clearer view on how we discuss and view leaks, and to take a more consistent approach to that, because in recent weeks we have seen leaked information discussed in a very different way in the House.

[Mr Speaker]

I understand. I hope I heard the hon. Lady correctly and I think I heard her correctly. She said what she said, and I am happy that she has offered that clarification or explanation of her thinking. I have no desire to have any argument with her about the matter. The issue is what needs to be aired, rather than the procedural question, but she has said what she has said on that, and I am sure she will now want to attend to the specifics of the inquiry.

[Caroline Dinenage]

Thank you, Mr Speaker.

With regard to the LeDeR programme, I have committed in the past and will commit once again to bringing the final report before Parliament on the day of publication, which we are told by NHS England will be in the next few weeks. Members will feel as concerned as I do about some of the things in the report that have been leaked, and I will be happy to discuss the more detailed information when the report is fully published.

Health

John Bercow Excerpts

Tuesday 14th May 2019 Commons Chamber

[Several hon. Members rose—]

[Mr Speaker]

The hon. Member for Scunthorpe (Nic Dakin) does not need to raise his hand as though he were in a classroom. I can see him clearly, he is unmistakeable and we will come to him ere long.

[Barbara Keeley (Worsley and Eccles South) (Lab)]

On a point of order, Mr Speaker. I raised a point of order yesterday highlighting the fact that the annual report of the learning disabilities mortality review has not been published despite its being handed over by its authors on 1 March and being leaked in The Sunday Times this week. Now we have leaks not only of details from the report about the deaths of people with learning disabilities who had a do not resuscitate order placed on their care, but of the full recommendations of the report in the Health Service Journal.

It is a pity that the Under-Secretary of State for Health and Social Care, the hon. Member for South Ribble (Seema Kennedy), has left her place before I have finished this point of order. Ministers do not seem to care about this report, which deals with the deaths of 4,300 people with learning disabilities.

Have you had notification that the Secretary of State has finally decided that this vital report is too important to have published by selective leaks, or has he indicated that he will come to the House tomorrow, as he should, to make a statement on this report?

[Mr Speaker]

I am grateful to the hon. Lady for her point of order. The short answer is that I have received no indication from any Minister of an intention to come to the House to make an oral statement on this matter. I note what she says about leaks to the media of sections and parts, even substantial elements of the report. That is not conducive to the best public debate, it has to be said. I know not how those leaks occurred: it is not the first time and it will not be the last.

If the hon. Lady is concerned that these matters should be aired in the Chamber, there are options open to her and she will have to reflect on that. I certainly have no aversion whatever to a proper focus on that important matter, affecting very many vulnerable people indeed, in the Chamber. Knowing her as I do, I have a feeling that I will probably hear further from her.

[Nic Dakin (Scunthorpe) (Lab)]

On a point of order, Mr Speaker. There has been a lot of speculation today about British Steel, which employs 4,000 people in my constituency and across the country. It is a significant business. In the light of that speculation, while I recognise the sensitivities of the situation, have the Government given any notice of an intention to update the House about what is going on?

[Mr Speaker]

No. I have received no recent indication. If the hon. Gentleman has in mind the Secretary of State for Business, Energy and Industrial Strategy, I should, in fairness, say that that right hon. Gentleman is a most solicitous member of the Government. From time to time, as he judges appropriate, he does come to see me to apprise me of matters of which he thinks I need to be aware, sometimes as a prelude to a ministerial statement. In this case, in recent days—that is to say, this week—I have received no such indication. The hon. Gentleman may wish to conduct his own private discussions or make inquiries about Government intentions. He may thereby be satisfied. If he is not, and on a different subject but, in the same way as the hon. Member for Worsley and Eccles South (Barbara Keeley), he feels the Chamber has improperly been denied a chance to air the issue, he knows there is a recourse open to him.

Tessa Jowell Brain Cancer Mission

John Bercow Excerpts

Monday 13th May 2019 Commons Chamber

[Matt Hancock]

The hon. Gentleman is right that screening is vital. One of the reasons why we are looking at the whole screening programme is that the use of technology has not been nearly good enough. For many people, but not all, that can be valuable, especially in rural areas. Technology is not only used for the screening itself, but for notification and for ensuring that we get to everybody who needs to be reached. Professor Sir Mike Richards is undertaking the review of all screening, and I would be happy to put Sir Mike in contact with the hon. Gentleman to ensure that the review properly considers the impact of rurality on the need to get screening to everybody who needs it.

[Mr Speaker]

I thank the Secretary of State, the shadow Secretary of State, the hon. Member for Leicester South (Jonathan Ashworth), and all colleagues for both the content and the spirit of the exchanges that have just taken place. Let us hope that Tessa’s husband David and children Jess, who has rightly been referred to, and Matthew will derive some succour from knowledge of the continuing interest in Tessa’s passionate crusade that exists in the House. We know in our heart of hearts that that continued interest will endure for as long as is necessary, both because of the supreme importance of the cause and because we are united across the House in this. We have huge respect for the courage, stoicism and unrelenting determination to make progress on this subject that Tessa Jowell, in extreme adversity, exhibited at all times.

Oral Answers to Questions

John Bercow Excerpts

Tuesday 7th May 2019 Commons Chamber

[Jackie Doyle-Price]

The hon. Lady is entirely right. I am particularly concerned about the impact on young people going through a period of mental ill health who have neurodiverse conditions and other conditions. It is very important that we tackle the entirety of the individual’s need. Clearly, we need to do more to make sure that all children with whatever conditions can access help when they need it.

[Mr Speaker]

My ambition is to reach Question 17 so that the House, Mid Sussex, the nation, the European continent and the world can hear the right hon. Member for Mid Sussex (Sir Nicholas Soames).

[Sir Nicholas Soames (Mid Sussex) (Con)]

17. What progress he is making on the dissemination of best practice throughout the NHS.

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[Matt Hancock]

I always love visiting Scotland and would love to come and see this programme in action; I have heard and read about it. In improving quality across the NHS, we need to improve the ability of the NHS to look everywhere—outside the NHS in England, as well as at other hospitals—to find and emulate best practice.

[Mr Speaker]

This is a general question about best practice in the NHS, into which the hon. Member for Bosworth (David Tredinnick) could legitimately shoehorn his concerns about acupuncture, chiropractic therapies, osteopathy and other non-drug based, non-addictive options for pain management, about which I think he is keen to expatiate.

[David Tredinnick (Bosworth) (Con)]

19.   Mr Speaker, I am clearly in your good books and I am most grateful. Will my right hon. Friend the Secretary of State explain why so little use is made of these three therapies in the health service, and why NICE has not made any attempt to look at hospitals in China, 50,000 of which use acupuncture for lower back pain?

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[Mr Steve Baker (Wycombe) (Con)]

Over many years, High Wycombe has established a dramatic way to help tackle obesity. To that end, a week on Saturday, the mayor, a number of councillors and I will be weighed in public, to check whether we have put weight on at taxpayers’ expense. If the Government wish to extend that programme to other Members of the House, I will be happy to ask to borrow the weighing tripod.

[Mr Speaker]

The only thing that is weighty about the hon. Gentleman, in my experience as a county colleague, is his brain.

[Matt Hancock]

I would be delighted to encourage that which my hon. Friend encourages. One thing that leads to people putting on weight is high levels of stress, so perhaps we could put some contentious issues behind us to reduce stress levels and allow all of us to lead healthier and happier lives.

[Several hon. Members rose—]

[Mr Speaker]

I am sure that the hon. Member for Manchester Central (Lucy Powell) is experiencing no stress. I rather imagine that she is still celebrating that rocket of a goal last night by Vincent Kompany.

[Lucy Powell (Manchester Central) (Lab/Co-op)]

It was a magnificent and very important goal, Mr Speaker.

I would like to put it on record that my husband is an A&E consultant. The Secretary of State will know that one of the massive factors in gaps in rotas is that A&E doctors and other hospital doctors are facing notional tax rates of 90% or more from taking on extra shifts. It is not a very Tory policy, this. What is he doing about it?

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[Several hon. Members rose—]

[Mr Speaker]

Order. We have a lot to get through. I shall take one more question, and then we must move on.

[Bambos Charalambous (Enfield, Southgate) (Lab)]

Today I met representatives of the Teenage Cancer Trust. As we await the publication of the workforce implementation plan following the publication of the NHS long-term plan, what plans does the Minister have to ensure sustainable funding for the teenage and young adult cancer specialist workforce?

Social Media and Health

John Bercow Excerpts

Tuesday 30th April 2019 Commons Chamber

[Alison Thewliss (Glasgow Central) (SNP)]

rose—

[Mr Speaker]

I call Alison Thewliss.

[Alison Thewliss]

Thank you, Mr Speaker. My tactic of wearing a dress so big I can hide a colleague behind it is working.

Will the Secretary of State look at the harm that celebrity endorsements on social media can do to young people? The Empowered Woman project in Scotland highlighted how Marnie Simpson of “Geordie Shore” had been plugging Thermosyn diet pills, which are marketed as “skinny caffeine”. When I asked the Secretary of State for Digital, Culture, Media and Sport about that, he said that the UK Government were looking at

“user-generated content, not necessarily commercial activities”—[Official Report, 8 April 2019; Vol. 658, c. 73.]

Celebrity endorsement veers into the commercial area, however, and has a very significant effect on young people in terms of body image and eating disorders.

Government Mandate for the NHS

John Bercow Excerpts

Thursday 25th April 2019 Commons Chamber

[Stephen Hammond]

I have said, as the hon. Gentleman has heard many times, that we are finalising that. Again, it is more important to get it right. On the long-term plan for workforce implementation, a draft plan is being produced and I expect that plan to be published in the very near future—[Interruption.]

[Mr Speaker]

Order. The shadow Secretary of State exceeded his time on his feet. He must not now chunter in borderline delinquent fashion from his seat.

[Ms Angela Eagle (Wallasey) (Lab)]

He’s too old to be a delinquent.

[Mr Speaker]

No one is ever too old to behave in a delinquent fashion.

[Stephen Hammond]

There are all sorts of lines I could follow that with, Mr Speaker.

It is clear that it is this side of the House that is putting in the funding to make sure that the NHS can deliver for the patients, staff and families.

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[Stephen Hammond]

My hon. Friend and I have sometimes disagreed on certain things, but one thing we agree on is his advocacy for his constituents, and he is right that I have been to see for myself the issues in Kettering in terms of the current configuration of the accident and emergency department. He is right to press for that urgent care centre, and he knows that he has impressed the case on my mind.

[Mr Speaker]

Everybody in Kettering must be aware of the hon. Member for Kettering (Mr Hollobone). It is beyond my vivid imagination to suppose that there is any resident of the area who is not aware of him.

[Dr Sarah Wollaston (Totnes) (Change UK)]

The truth is that it is very difficult for the NHS to make plans without knowing what the Government’s plans are for social care. We know, following a response to a question in yesterday’s debate, that the Green Paper has actually been written. There is simply no excuse for the continued delay in its publication which would allow the House to scrutinise it and the NHS to be able to provide a truly integrated approach to health and social care. Just saying that it will be published soon is no longer acceptable. Will the Minister set out when we can expect to see this vital document, so that we can scrutinise the Government’s plans?

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[Dr Wollaston]

On a point of order, Mr Speaker. When the Secretary of State comes to the Dispatch Box and makes a clear commitment that the publication date of the Green Paper will be before Christmas, and we know that the document has been written, what are the consequences of an absolute failure to honour such a commitment made at the Dispatch Box by a Secretary of State?

[Mr Speaker]

The consequences are political more than anything else. Quite what form that political consequence takes, if there is to be any, very much depends upon the view of the House of Commons; so the matter is the property of the House. I do not wish to incite strong feeling on this matter and the Minister has answered questions fully—whether to the hon. Lady’s satisfaction or not is another matter—and courteously. There are proceedings that can be brought to the House, but those are rarely brought and they would require a written communication with me. If, for example, a Member thought that the behaviour were contemptuous of the House, it is perfectly proper to bring that to my attention and I would have to consider it very carefully. But my instinctive reaction is that the consequence is a political consequence in terms of what might be considered a negative opinion of the failure to honour an earlier commitment. We shall leave it there for now.

Access to Medical Cannabis

John Bercow Excerpts

Monday 8th April 2019 Commons Chamber

[Matt Hancock]

I should like my hon. Friend to write to me with the exact details of that case. The process for prescription by someone on the specialist register is well trodden; it is used for all sorts of unlicensed drugs, and it should be available. We are making a second opinion available to ensure that it can be brought to bear in cases such as these. I am interested in hearing about specific cases—this applies to everyone, not just to my hon. Friend—so that we can ensure that the appropriate clinical decisions can be made.

[Mr Speaker]

There was I thinking that the Secretary of State would be the first to congratulate the hon. Member for Watford (Richard Harrington) on his prodigious efforts and output as a Minister, but I am sure that that will come ere long.

[Dr Sarah Wollaston (Totnes) (Ind)]

I warmly welcome the measures announced by the Secretary of State today, but will he go further in discussing the importance of clinical trials and answer some of the many questions about striking the right balance between THC and CBD? We have heard in the Select Committee that some pharmaceutical companies are refusing to make their products available for clinical trials. Will he look specifically at that point? We need to ensure that safe and consistent products are regularly available and that they are of a predictable pharmaceutical grade, as we have heard.

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[Tim Loughton]

My hon. Friend the Member for Daventry (Chris Heaton-Harris) was a good Minister, too.

[Mr Speaker]

Another ex-Minister to compliment. I am bit surprised by the Secretary of State. He is slipping from his usual standard. I thought that he would be busily cultivating his hon. Friend. [Laughter.]

[Tonia Antoniazzi (Gower) (Lab)]

I congratulate the right hon. Member for Hemel Hempstead (Sir Mike Penning), my co-chair of the APPG on medical cannabis under prescription. The situation is, frankly, intolerable. I have spoken with all of the families requesting medicinal cannabis with THC—let us not forget the THC. I am sure that Teagan will get a second opinion and that she is another child who will get access to medical cannabis, but what about all the others? They cannot wait. My right hon. Friend the Member for Exeter (Mr Bradshaw) spoke truthfully about the inquiry and the evidence it has taken. The BPNA has not spoken as it should have and it has not done enough to support the families.

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[Patrick Grady (Glasgow North) (SNP)]

rose—

[Mr Speaker]

Order. It is in the interest of the hon. Member for Cumbernauld, Kilsyth and Kirkintilloch East (Stuart C. McDonald) that I call his Chief Whip before him.

[Patrick Grady]

The expectations of too many families have been raised by the Government’s previous announcements. It really is time that they get a move on. I will write to the Secretary of State about my young constituent who has Aicardi syndrome. Her parents firmly believe that medical cannabis would help her symptoms and seizures. What steps is he taking to ensure that those kinds of rare syndromes are taken into account at trial stage?

Oral Answers to Questions

John Bercow Excerpts

Tuesday 26th March 2019 Commons Chamber

[Matt Hancock]

My hon. Friend is absolutely right to raise this. The most forward-looking CCGs in the country are working with all sorts of partners—the voluntary sector, charities, local authorities—to deliver better services that make people healthier, even if they are not purely medicinal in the first instance. For instance, tennis lessons may sometimes help people, Mr Speaker, as may all sorts of other activities. This is all part of a broadening social-prescribing agenda to get people healthy, however that is best done.

[Mr Speaker]

Splendid.

[Chris Elmore (Ogmore) (Lab)]

The Secretary of State will be aware that, last Monday, I published my report, with the Royal Society for Public Health, on children’s mental health and social media. May I place on the record my thanks to him for his tweet in support of the report? I have asked Education Ministers and I will be doing this with the devolved institutions as well, but would he agree to a meeting with me—and with the Mental Health Minister, the Under-Secretary of State for Health and Social Care, the hon. Member for Thurrock (Jackie Doyle-Price)—to look at the report and the recommendations so that we can start working across Departments and across devolved institutions?

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[Jackie Doyle-Price]

I do not accept that at all. Apart from anything else, we are seeing younger generations be more technologically savvy. We are taking advantage of that technological innovation to spread good health prevention and to help people look after themselves.

[Mr Speaker]

I call Dr Philippa Whitford.

[Dr Whitford]

I wish to come in on Question 5, Mr Speaker.

[Mr Speaker]

I beg the hon. Lady’s pardon; I thought she wanted two questions on this. Maybe I was misinformed. Very well—she can have another question later.

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[The Minister for Health (Stephen Hammond)]

Health Education England is leading a national nursing associate expansion plan to train 7,500 apprentice associates in 2019, building on the 5,000 who were trained in 2018.

[Mr Speaker]

Will the Minister face the House, please? Andrew Lewer.

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[Several hon. Members rose—]

[Mr Speaker]

Order. Last night, in the heat of the moment, I was discourteous to the right hon. Member for Chelsea and Fulham (Greg Hands), and thereafter I apologised to him. However, I take this opportunity in the Chamber today to repeat that apology unreservedly to the right hon. Gentleman, and I hope he will accept it in the genuine and sincere spirit in which the apology is intended.

[Greg Hands (Chelsea and Fulham) (Con)]

T4. Mr Speaker, I thank you for your apology, and I think we will call it a day.My right hon. Friend the Secretary of State knows I have been a long-standing supporter of Charing Cross Hospital in Fulham, but I am concerned by the politicised rumours that have surrounded the hospital in recent years. Will he update the House on the “Shaping a healthier future” programme, which many of my constituents believe to be anything but healthy?

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[Several hon. Members rose—]

[Mr Speaker]

Order. I am sorry for disappointed remaining colleagues, but we must now move on. Before I take a possible point of order appertaining to business of which we have just treated, I want to say something with reference to yesterday’s decisions and tomorrow’s business.

Exiting the European Union (Food and Agriculture)

John Bercow Excerpts

Tuesday 19th March 2019 Commons Chamber

[Mr Speaker]

With the leave of the House, we will debate motions 2 to 5 together.

[The Parliamentary Under-Secretary of State for Health and Social Care (Steve Brine)]

I beg to move,

That the draft Materials and Articles in Contact with Food (Amendment) (EU Exit) Regulations 2019, which were laid before this House on 5 February, be approved.

[Mr Speaker]

With this, we shall consider the following motions:

That the draft Genetically Modified Food and Feed (Amendment etc.) (EU Exit) Regulations 2019, which were laid before this House on 4 February, be approved.

That the draft Novel Food (Amendment) (EU Exit) Regulations 2019, which were laid before this House on 4 February, be approved.

That the draft Animal Feed (Amendment) (EU Exit) Regulations 2019, which were laid before this House on 5 February 2019, be approved.

[Steve Brine]

The instruments, which all concern food and feed safety, relate to those substances collectively known as “regulated products” and to animal feed hygiene and marketing. They are made under the powers in the European Union (Withdrawal) Act 2018 to carry out necessary amendments to the overarching food regulations so that those can continue to protect public health from risks that may arise in connection with the consumption of food. These are protections that our constituents would expect us to pass.

As the UK leaves the European Union, the Government remain committed to maintaining the high standards of food and feed safety and consumer protection that we enjoy in this country. As some hon. Members are aware, I have recently presented numerous instruments that will help to deliver a functioning body of food and feed law. I say “some hon. Members” because, by and large, they have been taken upstairs—so I like to think that today is a bit like me moving from BBC2 to the primetime slot on BBC1. The instruments will correct deficiencies in the regulations to ensure that the UK is prepared in the event we leave the EU without an agreement.

As with all the previous statutory instruments I have presented, I wish to make it clear that these instruments make no policy changes and that it is not our intention to make any at the present time. Similarly, they are crucial to maintaining the effective controls and standards that protect public health and consumer interests in relation to regulated products used in and on food and animal feed.