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What Britain's parties say and do in public, recorded from the source.

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Showing every spoken contribution, including 12,942 under 12 words. Hide short remarks

  1. ParliamentLabourJosh Fenton-Glynn

    Nottingham Maternity and Neonatal Services

    In her remarks this morning, Donna Ockenden noted that maternal deaths are at a 20-year high, and total clinical negligence costs are greater than the money spent on maternity services. That should give us pause for thought. It is a national emergency, one that is causing unimaginable pain. The failure of the regulation is stark, so will my right hon. Friend confirm that we will tackle the culture of defensiveness across medical regulators that has caused such harm?

    Hansard source
  2. ParliamentLabourJonathan Davies

    Nottingham Maternity and Neonatal Services

    Nottingham University hospitals NHS trust is one of the trusts that serves my constituents. For those who have been patients there, or who have had babies who have come to harm—I have met some of them—Donna Ockenden’s report is difficult reading indeed. In respect of the staff at that trust, many of them, often junior and low-paid, are on the frontline providing kind, compassionate, person-centred care, and they will be feeling raw today. We value what they do. We have heard a great deal about the appalling practices in the mortuary. They are subject to a criminal investigation, but I want to reflect on the experience of one of the several constituents I have met who have been affected by what we are discussing today. She came to see me as part of Donna Ockenden’s inquiry, and sadly she had engaged with the trust on a number of occasions because she felt that she was experiencing complications with her pregnancy. She was told to lie down and have a fizzy drink and then have an early night, and, despite repeated calls, she was repeatedly fobbed off. Sadly, her baby died. Behind that is a culture of a failure to engage. There was a very poor culture at the trust—so poor that “FOH” was written in patients’ medical notes and on whiteboards, standing for “F*** Off Home”. How could leaders not be more curious about the practices that were taking place on their watch, and where were the regulators? It is absolutely staggering. We are making some very positive changes in the NHS, but I want to push the Secretary of State briefly on changes we are making to the mechanisms that allow people to feed back on their care. We are winding down the National Guardian’s Office and Healthwatch; we are also removing NHS England, which has a regulatory function—and we know that regulators have failed in the case of this trust. What steps can my right hon. Friend take to ensure that those feedback mechanisms will enable people to be heard and action to be taken, so that we can prevent this kind of scandal from happening again?

    Hansard source
  3. ParliamentLabourJonathan Davies

  4. ParliamentLabourJonathan Davies

    Climate Change

    Does the right hon. Lady not accept that the investment her Government made in offshore wind power has insulated British consumers against the fossil fuel price hikes we have seen as a consequence of the Iran war? That is evidence that investment in renewable energy is good for consumers and businesses.

    Hansard source
  5. ParliamentLabourJonathan Davies

    Climate Change

    Owing to the three-minute speaking limit, I will do my best to summarise my speech. I also apologise to the constituents whom I told that I would raise specific issues on their behalf, because I may not be able to cover all the points that I had hoped to make. The last Labour Government made huge strides in respect of climate change, introducing the first legislation in the form of the Climate Change Act 2008 and the first carbon budget. That was taken up by other countries across the world. I also pay tribute to past Conservative Governments—David Cameron and Theresa May took that work forward—and I hope we can find a consensus across the House on the way ahead. Climate change affects so many aspects of our lives in the United Kingdom. We have made good progress, cutting greenhouse gas emissions by about 50% since 1990, but the scale of the challenge is great, and it is having a massive impact on the economy. We are on a fossil fuel rollercoaster as we pay more to support people with health problems. We may see such problems today—and perhaps I should declare an interest, as someone who would get sunburnt under a 40-watt lightbulb. We are also seeing threats to our national security as access to natural resources is challenged, and that will be a driver of conflict. While we have a moral obligation to adapt, we are also presented with a huge opportunity for our economy. The green industries of the future are already creating growth here, and creating some fantastic jobs. It is important to bear in mind that the suggestions made by the independent Climate Change Committee are just suggestions, and that it is up to the Government of the day to pursue them. For example, we have heard some talk of banning meat and dairy products. I happen to know that the Secretary of State for Energy is very fond of a bacon sandwich, as is the chairman of the Environmental Audit Committee, so I do not think we will find ourselves in circumstances in which meat is banned. Let me refer to some of the opportunities that we have. The Government’s progress with the Rolls-Royce small modular reactors is fantastic news. I understand that they will be able to power nearly a million homes, and this is good news for jobs in the sector as well. The warm homes plan will help to deal with the cost of living crisis, but it also means that people who heat their homes using gas, for example, will use less of that product. I want to impress on the Minister the importance of nature-based solutions, especially in relation to flooding, which imposes a huge economic burden on businesses and homes. I should also like her to bear in mind green hydrogen, which presents a huge opportunity for the economy. Some great work is being done in Sweden. However, a huge amount of electricity is required for the electrolysis that is needed to produce green hydrogen. If we can do more with the SMRs, I believe that we have a viable opportunity to deliver with green hydrogen. It is a shame that time is so tight in such an important debate, but I shall have to leave it there for today.

    Hansard source
  6. ParliamentLabourJon Pearce

    Farming Road Map and Profitability Review

    I very much welcome the fact that this farming road map recognises the importance of upland farmers like mine in High Peak. Will the Secretary of State set out what support will be put in place to support my farmers, and will she meet me to discuss access to the SFI for those farming on common land?

    Hansard source
  7. ParliamentLabourJohn Whitby

    Climate Change

    It is fitting that we are debating carbon budget 7 on the hottest June day in our history. I am sure that there are a few contributory factors to the latest heatwave, but we all know that one of those factors is that there is simply too much carbon in the atmosphere as a result of mankind’s activities since industrialisation. I am pleased to say that there has been a great deal of activity in this space in the previous two years, in particular on renewables. Our territorial emissions, according to Carbon Brief, are now the lowest since 1872. We are now halfway to getting to net zero, but the low-hanging fruit has been picked and the harder-to-decarbonise sectors are still emitting. Every tonne of carbon that we do not emit is better than having to remove it later, but it is increasingly clear that emissions reductions alone will not be enough. Some sectors will remain difficult to fully decarbonise. If we are serious about reaching net zero, greenhouse gas removals will have to play a crucial role. I am pleased to say that since coming to power the Government have commissioned the independent review of greenhouse gas removals, chaired by Alan Whitehead. The Whitehead review stated that greenhouse gas removals have “a supplementary but essential role in achieving net zero”. The Climate Change Committee has made it clear that we cannot get to net zero without greenhouse gas removals. It would be helpful if the Minister can say when the Government will respond to the Whitehead review and what their position is on two key recommendations from the report. First, the report suggests changing the sustainable aviation fuels mandate to become a net zero aviation mandate, using greenhouse gas removals to ensure that by 2045 “all flights taking off from the UK are made climate-neutral.” With the Government not focusing on demand management and clearly looking at airport expansion, and not assuming the same level of behavioural change that the Climate Change Committee is expecting, even more weight should be thrown behind removals and specifically direct air capture. To enable more greenhouse gas removals, the report recommends that the Government accelerate planned policies to enable non-pipeline transport. It states that the Government should also accelerate decisions on the future carbon capture, usage and storage clusters. We have one of those right on the edge of my constituency. The Hope valley is home to the Peak Cluster, the world’s largest cement decarbonisation project. If we are to build the 1.5 million homes that we need and all the roads, bridges and workplaces to support them, we will need cement, but it remains one of the most difficult industries to decarbonise, because much of the carbon dioxide is produced through the chemical process of making cement itself. For that reason, carbon capture is not an optional extra; it is essential. By capturing carbon emissions from cement and lime production and transporting them for permanent storage, the project has the potential to decarbonise about 40% of UK cement and lime production, while protecting the thousands of jobs currently in the sector and adding new skilled green jobs. It will prevent 3 million tonnes of carbon from entering the atmosphere per year. Let me put that in context: it is about a quarter of the emissions from the counties of Derbyshire and Staffordshire. This is exactly the kind of project that shows how climate action and economic growth can go hand in hand. I welcome the Government’s support so far, and the National Wealth Fund’s investment announced last year—that support has been important—but if we are to unlock the full potential of projects such as Peak Cluster, industry needs certainty, investors need confidence, and businesses need to know that there is a clear route to market for carbon capture projects beyond the existing track 1 and 2 programmes. The carbon budget process makes the Government of the day think in the longer term, because addressing climate change cannot be done quickly, but we need to stick to the path for our food security, our national security, our public health and our economy. I encourage the Government to match their ambition with the urgency that this moment demands.

    Hansard source
  8. ParliamentLabourJohn McDonnell

    Climate Change

    Can I, through my hon. Friend, ask the Minister to look at the Heathrow statement, which seems not to align with the policies we are advocating today? Also, some of the factual evidence that has been produced as part of the impact studies that the Government have also published does not seem to be reflected in the statement accurately.

    Hansard source
  9. ParliamentLabourJoe Morris

    Media Green Paper

    The Secretary of State will be aware that terrestrial television is not just an entertainment platform but a resilient form of communication that reaches into communities where digital, broadband or mobile signal quite simply do not have the reach or the reliability. Does she share my concern that the switch-off of terrestrial TV in either 2034 or 2044 could cut off communities in my constituency from that resilient communication platform, and will she meet me to discuss my concerns?

    Hansard source
  10. ParliamentLabourJo White

    Nottingham Maternity and Neonatal Services

    My mum was a midwife, and as a child I lived vicariously the life on a maternity ward. She worked to the very highest standards possible, and used to come home and talk to me about sloppy standards, falling standards and insensitivity. What happened at NUH is the lowest of the low, and I send my thoughts and condolences, and pay tribute to the families, and to the staff who tried to whistleblow. The memories of the babies must never be forgotten; it is our responsibility to ensure that those memories live forever. I also pay tribute to my hon. Friend the Member for Sherwood Forest (Michelle Welsh). She came here with the dedication, commitment and desire to ensure that this report was done. So often she spoke to me about it, and so often she has had conversations with her Nottinghamshire colleagues about what she is doing. We have tried to support her all the way through, and I am so proud to be with her today. I believe this House should congratulate her on her commitment and dedication, to what happened to her child, and to the lost babies and the support she has given to those families. [Hon. Members: “Hear, hear.”] My ask of the Secretary of State is to follow this through, so that the recommendations are implemented, reported on and monitored. I welcome his announcement that he will use the Hillsborough law to ensure that those who have failed to give evidence or to come forward are forced to do so.

    Hansard source
  11. ParliamentLabourJim McMahon

    Farming Road Map and Profitability Review

    Food security is national security, and the effort that the Government have put into this report is very clear. As chair of the Co-operative party, I am pleased that page 27 has a commitment to co-operatives and mutuals as part of the answer to this country’s food security. Does the Secretary of State agree that one of the most significant things in this report will be allowing farmers to farm? Farmers say that so much of their time is spent trying to navigate a complex system of Government agencies, so the single system that is talked about could be a game changer.

    Hansard source
  12. ParliamentLabourJessica Toale

    Violence against Women and Girls

    3. What steps she is taking with Cabinet colleagues to help tackle violence against women and girls.

    Hansard source
  13. ParliamentLabourJessica Toale

    Violence against Women and Girls

    The most dangerous place for a woman is often her own home. That is in part why I have introduced a private Member’s Bill to extend domestic abuse protections to children and young people who may be in abusive relationships. What more are this Government doing to tackle the scourge of domestic violence?

    Hansard source
  14. ParliamentLabourJenny Riddell-Carpenter

    Farming: Financial Sustainability

    My hon. Friend is making an excellent point. It is not just about identity; we also cannot be reliant on food imports if we are going to be food secure as a nation.

    Hansard source
  15. ParliamentLabourJenny Riddell-Carpenter

    Farming Road Map and Profitability Review

    Over the next 20 years we are set to see a 30% reduction in water availability for farms and producers across the country, much of which will affect Suffolk Coastal. I was glad to see that the road map talks about applying lessons from water management pilot schemes to help farmers to manage those water challenges. I want to flag the managed aquifer recharge trial in Suffolk Coastal, which has recharged for irrigation 20,000 cubic metres while complying with stringent Environment Agency conditions. I know that the Minister responsible for water and flooding is keen to visit my constituency to learn more about the scheme. I hope that the Department will look at these examples as an opportunity that could help to deliver water ambitions as set out in this very welcome farming road map.

    Hansard source
  16. ParliamentLabourJeff Smith

    Media Green Paper

    I warmly welcome the publication of the Green Paper. None of us has all the answers when it comes to the fast-moving media landscape, but setting out the challenges and some principled ways forward is a good start. I especially welcome the focus on a duty for media literacy. My personal view is that a public purpose for the BBC on media literacy might be better than one on growth, but that is a debate for another day. Is the Secretary of State slightly disappointed, as I was, in the tone of some of the contributions from the Opposition about the prominence of trusted news? We already have a prominence regime in place; we just need to update it for the modern age. In an era when misinformation and disinformation are rife, is it not more important than ever that people get access to trustworthy news, and is that not what a prominence regime allows?

    Hansard source
  17. ParliamentLabourJayne Kirkham

    Topical Questions

    T3. The Equality and Human Rights Commission’s guidelines were to provide clarity. However, washing facilities adaptations will be difficult and costly for businesses, and providers such as Girlguiding risk potentially being sued for being inclusive. Small vulnerable minorities need our protection. How will the Minister monitor the impact of the guidance on trans and disabled people to ensure that they are not left without services and they are not scared to go out?

    Hansard source
  18. ParliamentLabourJayne Kirkham

    Climate Change

    While my hon. Friend is talking about energy in the south-west, I wanted to point out what is going on in Cornwall, with floating offshore wind in the Celtic sea. This green economy could bring huge numbers of jobs, as well as skills, down to places like Cornwall and the south-west, which have really struggled on that front in the past.

    Hansard source
  19. ParliamentLabourJanet Daby

    Climate Change

    Since the last election, great strides have been made by this Government in confronting the ongoing climate crisis. There should be no doubt at all about us being in a climate crisis—we only need to step outside to feel it. We have heard from many Members already that this is one of the hottest days on record. I welcome the Government’s clear acceptance of the Intergovernmental Panel on Climate Change’s recommended reduction of carbon emissions. That is an issue that my constituents care deeply about. After all, it is about their children’s future, and when I say this, I mean that all children deserve the right to breathe clean air. This Labour Government have made historic investments in clean energy and rewilding projects across the country. Those achievements have not only worked to decrease our dependence on fossil fuels and build our national energy independence, but brought with them further private investment, training opportunities and high-skilled sustainable employment, reinvigorating our communities and building the foundations for a greener and more sustainable economy. The Government’s focus on environmental policy is demonstrated by the carbon budget, which will improve people’s lives now and for years to come. It will rebuild our natural environment, and it will save lives. In previous years, 4,000 premature deaths were linked to poor air quality in London alone. That is not acceptable. It has affected my constituency directly with the tragic death of Ella Adoo-Kissi-Debrah in 2013, following which, for the first time in the UK, air pollution was listed as a cause of death. I applaud her mother, Rosamund, who campaigns relentlessly for clean air. For far too long, Governments in Westminster have failed to take the dangers of air pollution seriously, and I am glad that that is no longer the case. Thanks to vital work on the part of the Mayor of London, enormous progress has been made to clean up our air. The implementation of ultra low emission zones—which are popular with some and unpopular with others—has removed high-emission vehicles from our streets, which, again, is to be applauded. This progress shows a Labour movement working together at local and national level to change lives. I congratulate the Government on their acceptance of the carbon budget and the emissions reduction target, and I look forward to continuing to support the work that is taking place in the UK and globally to tackle the climate crisis. However, I ask the Government to look further at the stripping of minerals from the seabed. As the Minister will know, deep sea mining puts at risk genuinely irreplaceable biomes, and may lead to the remobilisation of carbon emissions that have long been dormant on the seabed.

    Hansard source
  20. ParliamentLabourJames Naish

    Farming: Financial Sustainability

    The Minister may well know that it was only a few years ago that the UK met 40% of its own nitrogen and fertiliser needs. Would he commit to working with the Minister for Industry to look at how we can get our domestic production to grow once again, given that under the Conservative party it disappeared altogether?

    Hansard source
  21. ParliamentLabourJames Naish

    Nottingham Maternity and Neonatal Services

    I put on record my thanks and respect for the resolute campaigning of the Nottingham survivors, especially my constituents, Jack and Sarah Hawkins, who have worked so hard to bring these issues to regional and then national attention. They have made sure that baby Harriet’s death was not in vain. I also pay tribute to my hon. Friend the Member for Nottingham South (Lilian Greenwood) who was their MP for many years. As she is a Minister, she will not be speaking in this statement, but she deserves recognition for the steadfast support she gave to them as a family, as well as other families from Nottingham South. I thank Donna Ockenden who, in addition to supporting thousands of families, invested so much time in Nottingham and Nottinghamshire MPs to ensure that we understood the systemic failings that she was working so hard to identify. This is undoubtedly a shameful day for the NHS. Another fearless campaigner from Rushcliffe is Ashley Harper, who has been in touch with me about the maternity and neonatal taskforce and its perceived failure to recognise and support families who have been harmed. She would like to see a family expert for harmed children and a family expert for harmed mothers on the taskforce. I know that these asks have been raised by my brave and hon. Friend the Member for Sherwood Forest (Michelle Welsh), who has done so much for the Nottingham families, but will the Secretary of State say whether that is something he is actively considering?

    Hansard source
  22. ParliamentLabourJames Murray

    Nottingham Maternity and Neonatal Services

    With permission, Madam Deputy Speaker, I will make a statement on the independent review of maternity services at Nottingham University hospitals NHS trust. Donna Ockenden’s review is the largest into a maternity service in the history of the NHS. The nature and sheer scale of the failings it exposes are horrific. It uncovers dangerously and tragically deficient care at almost every turn. Its findings and conclusions are chilling. The report covers 13 years, including accounts from 838 members of staff and, crucially, the experiences of 2,536 affected families. I met a small number of those affected families last week, and I felt numb after hearing the depth of their pain. I felt even more numb when I considered how many families not in the room went through such trauma too, and the forgotten children who survived but live every day with the consequences of maternity care failings. I felt devastated that so many women and babies, as well as their fathers and other family members, had suffered injury, death and lasting trauma while under the care of the NHS. Now having met the families, and having seen the report, I feel appalled by the neglect, incompetence, racism, discrimination, contempt and harassment that so many suffered. I feel heartbroken to know that, so many times, when they tried to raise the alarm about their care, they were ignored, sneered at, disbelieved, blamed and lied to. How on earth could this have happened? There is no single answer, but Donna Ockenden shines a light on what was going on. First and foremost, women were not listened to. Donna Ockenden says that the staff shortages and lack of training in Nottingham were among the worst she has ever come across. Bullying by doctors and senior midwives was rife, which meant that staff who tried to speak up were intimidated and ridiculed. There was a culture of cover-up at the highest levels of the trust, and there were ineffective and inadequate responses from regulators. Perhaps most damning of all, for years the trust ignored evidence of clinical and cultural flaws in both internal and external reviews that it had itself ordered. When I met Donna Ockenden last week, she told me that those inquiries were “diligent” and of “good quality” but that they were effectively swept under the carpet by the board. That refusal to act is unforgivable. Donna Ockenden and her team deserve huge credit for their forensic and compassionate approach, as does my hon. Friend the Member for Sherwood Forest (Michelle Welsh), herself a harmed mother, as well as Members for neighbouring constituencies who have walked side by side with their constituents through years of anguish and struggle. However, the driving force behind the review has been the affected families themselves. They have demonstrated more patience, more courage and more tenacity than one might imagine is possible from those dealing with broken hearts that will never mend. Though each of their experiences is unique, one feature is common: at the very moment when they were at their most vulnerable, they placed themselves and the lives of their unborn babies in the hands of the NHS—and the NHS failed them catastrophically. To all those who have suffered so appallingly, I say today, on behalf of the NHS: I am sorry. I am sorry not just for the failures, or the heartless and undignified treatment, but because your cries of concern went unheard for too long—and so the Government will act. We will act by taking immediate steps, including to expand Martha’s rule to all maternity and neonatal settings so that parents can demand a second opinion if they feel their concerns are being ignored. I know that some people may want me to accept all the review’s recommendations today, but in the past too many recommendations have been accepted and then have sat on a shelf gathering dust, and we have seen more deaths and more suffering. I do not want to let down the families I met in Nottingham, or bereaved parents anywhere else in the country. I want to use the national maternity and neonatal taskforce, which I chair, to create a comprehensive action plan to be published by the end of this year that will address all the national-level recommendations from this review and others. I am confident that work will be welcomed by all those midwives, obstetricians, paediatricians and other healthcare workers who strive every day to make sure that babies are born safely and that women receive outstanding levels of care. It is clear that, in case after case, families felt that regulators, including the General Medical Council, the Nursing and Midwifery Council and the Care Quality Commission, were more concerned with protecting clinicians than with providing accountability. That is damning and that is wrong. As one grieving mother told me: “They put the fox in charge of the hen house.” Clinicians and trust leaders must know that their behaviour will be properly scrutinised and that their actions will have consequences. We must meet the test of the Nottingham victim who told me last week that “accountability drives action”. We are making changes to the CQC, one of which is to extend the cut-off period to initiate proceedings from three to five years so there is more time for families to bring cases. I will also call in the chair and chief executive of the GMC to hear directly their account of the failures at NUH. Let me be clear: if their response falls short, things will change at the GMC. From speaking to families in Nottingham, I know that there is real and understandable anger that some leaders and clinicians at the centre of this review were able to avoid giving evidence. Today, I make a commitment that, when passed, we will use the Hillsborough law’s duty of candour to ensure that witnesses in upcoming reviews of maternity service failures, including those in Leeds and Sussex, can be forced to provide evidence. That change will make sure no one is able to refuse to co-operate in the search for accountability and justice ever again. There is so much in the stories of the families in Nottingham that is shocking and heartbreaking, but the way the bodies of their loved ones were handled by hospital mortuary services revealed a level of disrespect and a lack of humanity that—I will be honest—left me utterly aghast. The details are disturbing, but they need to be heard to understand the gravity of what families were confronted with: deceased babies referred to as a “specimen” or “sample”; a baby placed into a mortuary space already occupied by an unknown and unrelated adult; a baby disposed of as clinical waste against the express wishes of their parents; and a baby kept in a domestic fridge in a bereavement room. The emotional and psychological effect of those dehumanising failures was to layer the most profound disrespect on the most unbearable distress. There is also evidence that the trust actively decided not to report failings in mortuary care to families. As hon. Members will know, there is an active police investigation and arrests have been made, which limits what I can say. As a start, however, I have asked NHS England to write to trusts to make sure these appalling experiences are not happening elsewhere in the NHS. I confirm today that the Human Tissue Authority will require all mortuaries to review internal records going back 10 years to ensure all incidents have been logged and reported. I have instructed them to report the findings directly to me by 16 October. When I met the Nottingham families last week, they also raised with me the issue around what are known as secondary victims. In maternity settings, fathers, partners and others are actively encouraged to be present to support mothers through labour and delivery. However, the law does not allow them to bring their own claims for the psychiatric illness suffered as a direct result of witnessing their partner or baby suffer injury or die. I have therefore asked David Lock KC to work with my officials to consider that important issue as part of his wider work on clinical negligence. Donna Ockenden acknowledges that NUH has not waited for her findings to be published to start making improvements. I will speak to the chief executive next week to interrogate the trust’s response and make sure there is a proper plan in place for implementing the recommendations speedily and effectively. But there is a long road ahead before NUH fully addresses all the issues and before it can possibly regain the full trust and confidence of the communities it serves. I close where I began: with the families. Nothing can make up for what they have gone through, but this report is a tribute to their resilience and tenacity. I say to them directly: you had to drive this for so long, but you are no longer driving this alone. We are with you and we will not stop until you have the accountability and the justice you deserve. I commend this statement to the House.

    Hansard source
  23. ParliamentLabourJames Murray

    Nottingham Maternity and Neonatal Services

    I thank the shadow Secretary of State for not only the content but the tone of his response, and for the approach that he has taken. I firmly welcome this collaborative approach, because he rightly points out that this is an area that we should work across parties and across this whole House to address. His summary of the key issues that we must address through the work that we are doing—first and foremost, ensuring that women are listened to; the cultural changes we need to see; and the delivery test, recognising that this is a chain of failure—was very well made and in line with where I and the Department are coming at this issue from. As I mentioned earlier, all the recommendations from today’s report, as well as the recommendations from the national report that Baroness Amos has been working on and from other inquiries and reviews of maternity service failures, will come to the national taskforce that I chair, precisely to deliver that delivery plan—that comprehensive plan of action. We will ensure that it is published by the end of this year, and the Government, working with the Opposition, will ensure that it is delivered across this country.

    Hansard source
  24. ParliamentLabourJames Murray

    Nottingham Maternity and Neonatal Services

    I thank my hon. Friend for her questions. Let me put on record again how much I have appreciated her advocacy, her support, her sharing of her own experience and her standing up for the many hundreds of families in the area she represents. Her contribution is invaluable to this most important work that we are doing as a Government. She talked about families driving this report and making sure that it happened, and she is absolutely right. I met some of those families last week in Nottingham, and as well as feeling numb at the depth and breadth of their pain, the feeling I left with was a sense of their exhaustion at having fought for so long to be listened to and to get this into the open. Our responsibility as a Government and as MPs is to say that, now it is out in the open for us all to see, we all bear a responsibility to help them carry this forward. I take that responsibility with the utmost seriousness. My hon. Friend asked about a plan to change maternity services in Nottingham and across the country. There will be specific local recommendations in Nottingham, and I am meeting the chief executive of the trust next week to pick that up directly with him, but there are more recommendations in the report that will have national implications, along with the recommendations from the national review that is under way. It is crucial that all those recommendations are formed into a plan of action, and the taskforce that I chair will be crucial in making sure that these recommendations do not just get accepted and then sit on a shelf gathering dust, but form a plan of action that we can stand behind as a Government. Finally, my hon. Friend mentioned the importance of action, accountability and change. I repeat what I said in my statement: one of the phrases that stuck with me powerfully from my meeting with Nottingham families last week was from the person who said that “accountability drives action”. Without that accountability, we cannot have a guarantee of action. That is why the accountability that the families seek is the change that we as a Government must seek to deliver.

    Hansard source
  25. ParliamentLabourJames Murray

    Nottingham Maternity and Neonatal Services

    I thank the hon. Lady for her words. When she spoke about ending this cycle, she sums up a feeling that I think many of us have: the cycle of inquiries and investigations revealing what has been happening in maternity services and leading to recommendations, which are accepted, but then things do not change enough, and action is not taken to address all the issues raised. That is the cycle we need to break. The national taskforce, which is established and which I chair, will take all the recommendations from Donna Ockenden’s report, as well as those from Baroness Amos’s national review, which will be published shortly, as well as some of the other hundreds of recommendations that the hon. Lady mentioned, and ensure that it produces a comprehensive action plan by the end of the year. The challenge for us is not simply to accept recommendations, but to produce and deliver that action plan.

    Hansard source
  26. ParliamentLabourJames Murray

    Nottingham Maternity and Neonatal Services

    I thank my hon. Friend for his comments and questions, and I echo his words about paying tribute to the courage, dignity and determination of the families who have driven the report and driven these shocking failures out into the open, so that we can all see the scale and depth of what has happened. He asks me about embedding the lessons from the review. I assure him that my priority is to ensure that the local lessons around the situation in Nottingham are embedded, and I will meet the chief executive of the trust next week, but also that those recommendations that have implications about national maternity services are taken directly into the taskforce that I chair, along with recommendations from other reports, and that we produce that plan of action by the end of the year. Let me also reassure him that, in that search for change, justice and accountability, I will take nothing off the table.

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  27. ParliamentLabourJames Murray

    Nottingham Maternity and Neonatal Services

    I thank the hon. Lady for her comments. She speaks about funding, which is of course a very important part of the response that we need to have to the failings in maternity care. We are investing £25 million, as I am sure she is aware, in tackling the causes of maternal death, to enhance bereavement facilities and to improve triage facilities, as well as £145 million through the estates safety fund to address safety risks in the maternity and neonatal estate. For me, this is not just about funding; this is also about culture, exactly as she says. When there is a culture of mothers and midwives not being listened to, and of the board, in this case, commissioning reviews and then ignoring them, that is where the problem lies. That is what we need to change. There is no single lever we can pull, no single change we need to make; we need to ensure that, from top to bottom, maternity services are overhauled in order to be fit for the future.

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  28. ParliamentLabourJames Murray

    Nottingham Maternity and Neonatal Services

    I thank my hon. Friend for her comments and questions. As well as thanking the families for what they have done to drive the report forward, she also thanked Donna Ockenden for her critical work in producing this report, and to those thanks I add my own. My hon. Friend asks about the timetable for action. The national taskforce, which I chair, will draw together all the national recommendations, all the recommendations from Donna Ockenden’s report, the recommendations from Baroness Amos’s report, and any other report on failures in maternity services, and the taskforce will report by the end of the year. That will be the timetable for us ensuring that there is a comprehensive plan of action. I know from my conversations with families that some have wanted a public inquiry and others have had different views. Let me be clear that, for me, no options are off the table.

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  29. ParliamentLabourJames Murray

    Nottingham Maternity and Neonatal Services

    I sincerely thank the right hon. Gentleman for his comments. I have a great deal of respect for him, as he knows, so I very much appreciate him making his suggestions in that manner. Let me add to what he said about Jack and Sarah Hawkins, who I met last week in Nottingham. Their sheer determination to push for accountability and justice is incredibly humbling. The right hon. Gentleman mentions the importance of clinical accountability, which gets to the core of how to drive change in the NHS—as he knows, and as I now know, that is not always possible through central control, or by instructions being sent out from the Department of Health and Social Care or NHS England. We must ensure that the entire system is structured in the right way to provide that accountability and to drive change and action, and I will put under careful consideration his suggestion about how that might be achieved.

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  30. ParliamentLabourJames Murray

    Nottingham Maternity and Neonatal Services

    My hon. Friend raises the important issue of compelling witnesses to give evidence. Although many members of staff contributed towards Donna Ockenden’s review, I found the fact that so many senior leaders did not shocking, and I think it is unacceptable. We will change that by ensuring that the duty of candour, which is due to come in under the Hillsborough law once that is in place, will apply to future maternity reviews, including those taking place in Leeds and Sussex. As I said a few moments ago, there are different views among different families about whether they do or do not want a public inquiry, but I am not taking any options off the table.

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  31. ParliamentLabourJames Murray

    Nottingham Maternity and Neonatal Services

    I thank the right hon. Gentleman for his remarks. The story he told was of yet another horrific and harrowing experience that a family has gone through in this scandal. He asked whether we want to prioritise a focus on regular and high-quality training across the country, and I think it is essential to ensure that such training is in place. Although I do not want to prejudge the action plan that the taskforce I am chairing will produce, I cannot imagine a world where training is not a key part of that. Having seen the report, and spoken to families and to Donna Ockenden, my strong feeling is that no single action will transform the system on its own, and that we need a comprehensive plan from every angle to truly transform maternity services across the country.

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  32. ParliamentLabourJames Murray

    Nottingham Maternity and Neonatal Services

    I thank my hon. Friend for her comments and I welcome her support for our decision to ensure the duty of candour introduced by the Hillsborough law will apply to future maternity reviews, such as those due to happen in relation to Leeds and Sussex. In terms of the process of what happens next and the implementation of the changes that we know need to happen, I reassure her that the national taskforce that I chair will produce, by the end of this year, a comprehensive plan of action that will be based on a consideration of all the recommendations that apply nationally in Donna Ockenden’s review, as well as the recommendations from Baroness Amos’s review and any other reviews that have issued recommendations on the subject too.

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  33. ParliamentLabourJames Murray

    Nottingham Maternity and Neonatal Services

    I thank the right hon. Gentleman for his comments and for telling us some of the story of Thomas and his son, Aubrey. On the need for action, I intend the taskforce that I chair, which will consider all the recommendations from Donna Ockenden’s report and other investigations into failures in maternity services, to produce a comprehensive action plan by the end of this year. That will ensure, as I said earlier, that these recommendations do not sit on shelves gathering dust and that they are put into action. I take on board his points about a public inquiry. I know that his views are shared by some of the families, but I am conscious that other families have different views on this matter. What unites them all is a desire for action, accountability and justice. We need to find the best route to deliver that for them, because that is, above all, the most important thing. However, I reassure him, as I have reassured other hon. Members, that for me no options should be off the table.

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  34. ParliamentLabourJames Murray

    Nottingham Maternity and Neonatal Services

    I thank my hon. Friend for her comments about the role of the families in fighting for justice. She is absolutely right that the recommendations of the Ockenden report, Baroness Amos’s report, which is due shortly, and other reviews and inquiries into maternity services must not simply end up on the shelf gathering dust. That is why the process that I have spoken about today, whereby the national taskforce that I chair will produce a comprehensive action plan by the end of the year, is so important. That will give us the right forum to develop a plan across all aspects and from all angles on this horrific scandal, including the inequalities faced by different families from different backgrounds that my hon. Friend alluded to. I agree with her wholeheartedly that this moment and this process that we are now going into must be a catalyst for change.

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  35. ParliamentLabourJames Murray

    Nottingham Maternity and Neonatal Services

    The hon. Gentleman makes an important point about regulators and our regulatory system. The report exposes how completely unacceptable it is that regulators have protected their own and what a serious matter that is. We need to ensure that the regulators are doing their job properly, that they have the right mandate to do so and that they have the right instructions about driving up performance in trusts across the country, because otherwise we run the risk of being in a situation in the future where we are again confronted with what he accurately described as shame.

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  36. ParliamentLabourJames Murray

    Nottingham Maternity and Neonatal Services

    Let me repeat what I said earlier about my humble admiration for Jack and Sarah Hawkins and their campaign for justice over baby Harriet. My hon. Friend is absolutely right to refer to the failings as systemic. This is not a handful of cases or problems; this truly is a problem that affects the entire system. The culture and the systems that are in place have let people down, and that is why our response must be so comprehensive. My hon. Friend mentions the input of families into the taskforce and his constituent Ashley Harper, who raised that matter. I am very happy to discuss with him after this statement how we can ensure that the taskforce represents the views of all families.

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  37. ParliamentLabourJames Murray

    Nottingham Maternity and Neonatal Services

    The right hon. Gentleman raises an important part of the dynamic that has been exposed through Donna Ockenden’s review: people not feeling able to challenge what is happening—feeling that they are being intimidated or forced to stay silent—even when they want to raise issues of great importance. We must ensure that the right structures and culture are in place not only so that women and their families can raise their concerns, but so that staff, midwives and others working in maternity and neonatal services have the confidence to raise their concerns through whatever mechanism is most appropriate in the circumstances. They must have confidence in the mechanism to raise their concerns. The right hon. Gentleman spoke about clinicians who refused to take part in Donna Ockenden’s review in Nottingham. As I said earlier, although more than 800 members of staff contributed towards the review, I was appalled at the number of senior clinicians who did not agree to take part. That is why it is so important that we change the law—applying the duty of candour through the Hillsborough law to ensure that this can never happen again.

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  38. ParliamentLabourJames Murray

    Nottingham Maternity and Neonatal Services

    My hon. Friend asks about the immediate actions that the Government are taking in response to Donna Ockenden’s review. For me, above all else—above all the shocking, harrowing detail—the review highlights the fact that women simply were not listened to. That comes up time and again. I know that it comes up in other aspects of healthcare as well, but it came up so strongly in this report and underlined so many of the shocking failures that have occurred. As a first step, extending Martha’s rule to all maternity services across the country means that when women or their family members are concerned that they are not getting the treatment or care they need, they can get a second opinion—an urgent, independent review. That is an important first step, but this must be a watershed moment that does not rely simply on one action or a small handful of actions. There must be a comprehensive plan to tackle this issue from every angle and to ensure that we have the systemic change that so many Members today have said is crucial.

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  39. ParliamentLabourJames Murray

    Nottingham Maternity and Neonatal Services

    The hon. Lady makes an important point about the fatigue, weariness and exhaustion of families at so many recommendations being made and accepted but not put into action. To pick up on the point made earlier by the Liberal Democrat spokesperson, the hon. Member for North Shropshire (Helen Morgan), we must now break that cycle to ensure that the recommendations do not simply get accepted and sit on a shelf gathering dust, but that they feed into the plan of action, which will then produce the change that we need to see. As the hon. Member for Canterbury (Rosie Duffield) said, the change must be nationwide. Although we are today rightly talking about what happened in Nottingham, we know that it is far from the only place where such failures in maternity and neonatal services have been seen. We know this is a national problem that needs a national solution.

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  40. ParliamentLabourJames Murray

    Nottingham Maternity and Neonatal Services

    I thank my hon. Friend for her comments, and for talking about the shocking situation with her daughter’s baby that she managed to avert. She spoke about the inequalities, the racism and the fact of women being silenced, all of which come through very strongly in Donna Ockenden’s report. As I have explained, the taskforce I chair will now consider the full set of recommendations from that report, as well as the recommendations from Baroness Amos’s national review and other reviews and inquiries into what has happened in maternity services. That taskforce will produce a comprehensive plan of action that will cover the whole range of actions that need to be taken, because we know it will take more than one action, or even a small handful of actions, to transform maternity services and make them as they should be. This is a problem that goes very deep; it is systemic, cultural and deeply embedded, and a comprehensive plan will be required to change that.

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