Mid Staffordshire NHS Foundation Trust (Inquiry)

William Cash Excerpts

Wednesday 6th February 2013 Commons Chamber

[The Prime Minister]

I will consider carefully what the right hon. Gentleman has said about no-fault compensation. The cost of litigation in the NHS is clearly a rapidly rising part of the budget, and that is of concern.

The right hon. Gentleman’s point about the laws that he changed is important. What I think we have observed in Governments of all parties is the belief that changing the law to make it clear that quality is important as well as cost, and that patient care matters, does not necessarily lead to a change in the culture.

That returns me to the point made by my hon. Friend the Member for Cannock Chase (Mr Burley). The report makes it clear that when the issue of foundation trust status arose, those who were judging it did so on the basis of a whole series of metrics that were mainly financial, and on the basis of targets, rather than looking behind those for the quality. It is a culture change that will ensure that, when a hospital board meets, the first things that it considers are clinical standards, quality and patient care. That is the first stuff: that is actually what the organisation is meant to deliver. The board can think about the finances, the targets and all the rest of it afterwards. It is that culture change that needs to take place.

[Mr William Cash (Stone) (Con)]

On behalf of my constituents and the victims and relatives who have been so grievously traumatised by these tragic events and the lack of patient care, I congratulate my right hon. Friend on realistically listening, as Leader of the Opposition, to my repeated calls in Parliament for a real public inquiry, which he established under the Inquiries Act 2005, I also congratulate him on his statement, and on his praise for the inquiry itself and for Cure the NHS—in particular, Julie Bailey, my constituents Debra Hazeldine and Ken Lownds, and all the others who have campaigned so effectively and with such passion for patient care.

[The Prime Minister]

I thank my hon. Friend for what he has said. He did call repeatedly for a public inquiry, and he was right to make such a call. That is reflected in the report, and he can read it today. What was required was not an investigation of the failure in the hospital, but an investigation of the wider systemic failure. For instance, why was this not brought to light more quickly? What was the role of the regulator? What was the role of the Nursing and Midwifery Council? All that is laid out in the report.

However, I think that there was another very profound reason for holding a public inquiry, although I know that it will not satisfy some of the victims. They feel incredibly strongly, and rightly strongly. These terrible things happened to their loved ones, but where is the criminal prosecution? Where are the people who have been struck off? There has not been proper accountability, and there is not proper accountability in our system. A public inquiry can look to the future and say, “Here’s what needs to change,” so if this ever happens again—I hope to God it does not—there will be much better accountability than the people of Stafford have had.