I thank the hon. Member for raising this serious issue, as he has done on a number of occasions. It affects both his constituents and others across the country. It is simply unacceptable that customers and staff have been so badly let down. I know he will be meeting the relevant Minister, but let me update him now in a couple of respects. Officials are currently reviewing whether the integrated care boards and General Pharmaceutical Council need additional powers to address pharmacy businesses that do not play by the rules—I think that is exactly the point he raises. That could include powers for the council to go after business owners in addition to the pharmacy professionals. More detail will be provided when the hon. Member meets with the Minister, but I thought it helpful to give those two indications.

I thank the hon. Member for raising this serious issue, as he has done on a number of occasions. It affects both his constituents and others across the country. It is simply unacceptable that customers and staff have been so badly let down. I know he will be meeting the relevant Minister, but let me update him now in a couple of respects. Officials are currently reviewing whether the integrated care boards and General Pharmaceutical Council need additional powers to address pharmacy businesses that do not play by the rules—I think that is exactly the point he raises. That could include powers for the council to go after business owners in addition to the pharmacy professionals. More detail will be provided when the hon. Member meets with the Minister, but I thought it helpful to give those two indications.

Q8

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Simon Hoare (North Dorset) (Con):

As last week’s urgent question highlighted, Jhoots—the pharmacy non-provider—is effectively de facto bankrupt and possibly even insolvent too. Last week we discussed at great length the impact that is having on patients securing their prescriptions. It is now becoming increasingly evident that while His Majesty’s Revenue and Customs is being told by Jhoots that staff are being paid, they are not. Lana-Olivia Gulston and Blake Horwood in my constituency have not been paid since 18 July. They are resorting to the kindness of friends and the support of food banks to make ends meet.

The Minister for Care—the hon. Member for Aberafan Maesteg (Stephen Kinnock)—is doing fantastic work to try to drive forward modernisation of the regulations, but this situation is now impacting the work of the Department for Business and Trade, HMRC and the Department for Work and Pensions. Could I urge the Prime Minister to convene those three Departments alongside the Department of Health and Social Care to secure a better, fair deal for patients and for those who are currently trapped in employment—not being released by being made redundant and not being paid?

Q8

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Simon Hoare (North Dorset) (Con):

As last week’s urgent question highlighted, Jhoots—the pharmacy non-provider—is effectively de facto bankrupt and possibly even insolvent too. Last week we discussed at great length the impact that is having on patients securing their prescriptions. It is now becoming increasingly evident that while His Majesty’s Revenue and Customs is being told by Jhoots that staff are being paid, they are not. Lana-Olivia Gulston and Blake Horwood in my constituency have not been paid since 18 July. They are resorting to the kindness of friends and the support of food banks to make ends meet.

The Minister for Care—the hon. Member for Aberafan Maesteg (Stephen Kinnock)—is doing fantastic work to try to drive forward modernisation of the regulations, but this situation is now impacting the work of the Department for Business and Trade, HMRC and the Department for Work and Pensions. Could I urge the Prime Minister to convene those three Departments alongside the Department of Health and Social Care to secure a better, fair deal for patients and for those who are currently trapped in employment—not being released by being made redundant and not being paid?

Q7

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Jo Platt (Leigh and Atherton) (Lab/Co-op):

Alongside other Greater Manchester MPs, I recently met constituents who shared distressing accounts of a spinal surgeon’s malpractice affecting many across the region. They have formed an injured staff and patient group, but despite a review, they feel that justice has not been served, and the hospital trust is yet to conduct a full patient recall. Will the Prime Minister arrange a meeting with the group and the relevant Minister to help them to get the justice they deserve?

Q7

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Jo Platt (Leigh and Atherton) (Lab/Co-op):

Alongside other Greater Manchester MPs, I recently met constituents who shared distressing accounts of a spinal surgeon’s malpractice affecting many across the region. They have formed an injured staff and patient group, but despite a review, they feel that justice has not been served, and the hospital trust is yet to conduct a full patient recall. Will the Prime Minister arrange a meeting with the group and the relevant Minister to help them to get the justice they deserve?

I thank my hon. Friend for raising this awful case—the stories and accounts are heartbreaking and deeply concerning. I will make sure that she and the group receive a meeting with the relevant Health Minister at the earliest opportunity.

I thank my hon. Friend for raising this awful case—the stories and accounts are heartbreaking and deeply concerning. I will make sure that she and the group receive a meeting with the relevant Health Minister at the earliest opportunity.

In his report, Sir Brian identified a number of individual failures, even cover-ups, but alongside that he also found equally important and harder to reach institutional and cultural failings, including in the NHS: a defensive attitude that refused to acknowledge problems, the silencing of those who raised concerns and a total failure of leadership when faced with the truth. The NHS does a remarkable job every day, but those failings are indefensible. Does the Prime Minister agree that the very culture of the NHS needs to change?

In his report, Sir Brian identified a number of individual failures, even cover-ups, but alongside that he also found equally important and harder to reach institutional and cultural failings, including in the NHS: a defensive attitude that refused to acknowledge problems, the silencing of those who raised concerns and a total failure of leadership when faced with the truth. The NHS does a remarkable job every day, but those failings are indefensible. Does the Prime Minister agree that the very culture of the NHS needs to change?

Yes, Mr Speaker. I discussed this issue on Monday in my response to the question asked by my right hon. Friend the Member for Bromsgrove (Sir Sajid Javid). The NHS provides lifesaving care to so many people every single day, for which we are enormously grateful, but the report makes it crystal clear that there were significant failings. The NHS failed: it failed people and it let them down. It is right that the NHS is held accountable for that and learns the lessons. There clearly have been improvements and changes in medical practice since that time, but going forward we need to go through the full recommendations of Sir Brian Langstaff’s report and hold the NHS to account for bringing through the changes that are necessary.

Yes, Mr Speaker. I discussed this issue on Monday in my response to the question asked by my right hon. Friend the Member for Bromsgrove (Sir Sajid Javid). The NHS provides lifesaving care to so many people every single day, for which we are enormously grateful, but the report makes it crystal clear that there were significant failings. The NHS failed: it failed people and it let them down. It is right that the NHS is held accountable for that and learns the lessons. There clearly have been improvements and changes in medical practice since that time, but going forward we need to go through the full recommendations of Sir Brian Langstaff’s report and hold the NHS to account for bringing through the changes that are necessary.

Q8

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Mr David Davis (Haltemprice and Howden) (Con):

It seems clear that the junior doctors’ strike is causing a serious risk of loss of life, and certainly causing harm and pain to thousands of our constituents. The first line of the Hippocratic oath is “First, do no harm”. When does the Prime Minister think the British Medical Association abandoned this central tenet of its profession?

Q8

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Mr David Davis (Haltemprice and Howden) (Con):

It seems clear that the junior doctors’ strike is causing a serious risk of loss of life, and certainly causing harm and pain to thousands of our constituents. The first line of the Hippocratic oath is “First, do no harm”. When does the Prime Minister think the British Medical Association abandoned this central tenet of its profession?

Q7

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Rosie Duffield (Canterbury) (Lab):

This week, the Women’s Rights Network published a report by criminologist Professor Jo Phoenix called “When we are at our most vulnerable”. It revealed that, between January 2019 and October 2022, which includes the pandemic lockdown, of course, there were a staggering 6,539 reported rapes and sexual assaults in UK hospital settings. That is an average of 33 incidents every single week. As eight police forces did not provide any data, the real figures are bound to be significantly higher. What can the Prime Minister and his Government do to ensure that all women, staff and patients are safe in Britain’s hospitals?

Q7

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Rosie Duffield (Canterbury) (Lab):

This week, the Women’s Rights Network published a report by criminologist Professor Jo Phoenix called “When we are at our most vulnerable”. It revealed that, between January 2019 and October 2022, which includes the pandemic lockdown, of course, there were a staggering 6,539 reported rapes and sexual assaults in UK hospital settings. That is an average of 33 incidents every single week. As eight police forces did not provide any data, the real figures are bound to be significantly higher. What can the Prime Minister and his Government do to ensure that all women, staff and patients are safe in Britain’s hospitals?

We value the work of junior doctors and are keen to find a fair and reasonable settlement that recognises their role and the wider economic context facing the UK. My right hon. Friend is right to highlight the impact on patient safety, and that is why this Government have brought forward minimum safety legislation to ensure that patients can rely on a core

level of emergency service to protect vital patient care. That is something that we on this side of the House support, but I know it is not something that is supported by the party opposite.

We value the work of junior doctors and are keen to find a fair and reasonable settlement that recognises their role and the wider economic context facing the UK. My right hon. Friend is right to highlight the impact on patient safety, and that is why this Government have brought forward minimum safety legislation to ensure that patients can rely on a core

level of emergency service to protect vital patient care. That is something that we on this side of the House support, but I know it is not something that is supported by the party opposite.

First, may I say that I was deeply shocked and appalled, like the hon. Lady, to hear about the cases of sexual assault and abuse in the NHS. I pay tribute to her for her long-standing campaign on these issues. NHS organisations are responsible for protecting their staff and patients from sexual harassment and conduct. They have recently established a domestic abuse and sexual violence programme to build more robust safeguarding processes for protecting patients, and we will work very closely with them to ensure that that is implemented. I know that she will hold us to account for doing that.

First, may I say that I was deeply shocked and appalled, like the hon. Lady, to hear about the cases of sexual assault and abuse in the NHS. I pay tribute to her for her long-standing campaign on these issues. NHS organisations are responsible for protecting their staff and patients from sexual harassment and conduct. They have recently established a domestic abuse and sexual violence programme to build more robust safeguarding processes for protecting patients, and we will work very closely with them to ensure that that is implemented. I know that she will hold us to account for doing that.

The conclusions of the Gosport independent panel, which I set up with the Secretary of State’s support when I was a Minister, are truly shocking, not only because of the fact that 456 people lost their lives following the inappropriate prescribing of opioids, but because there was a closing of ranks that prevented families from getting to the truth. Does the Prime Minister agree that there now needs to be an independent and thorough police investigation by another force? Will she agree to meet me and family representatives to discuss the report’s implications? Does she agree that we must never again ignore families in this way and that there must be a mechanism whereby when allegations of wrongdoing are raised, they are investigated immediately, and that that mechanism must include the family?

The conclusions of the Gosport independent panel, which I set up with the Secretary of State’s support when I was a Minister, are truly shocking, not only because of the fact that 456 people lost their lives following the inappropriate prescribing of opioids, but because there was a closing of ranks that prevented families from getting to the truth. Does the Prime Minister agree that there now needs to be an independent and thorough police investigation by another force? Will she agree to meet me and family representatives to discuss the report’s implications? Does she agree that we must never again ignore families in this way and that there must be a mechanism whereby when allegations of wrongdoing are raised, they are investigated immediately, and that that mechanism must include the family?

My thoughts, and I am sure those of everybody in the House, will be with all the families of the patients who died as a result of what happened at Gosport War Memorial Hospital. The events there were tragic and deeply troubling, they brought unimaginable heartache to the families concerned, and they are a matter with which the whole House should be concerned. The right hon. Gentleman raised the way in which the public sector often, in his terms, closes ranks; that is an issue that we have to deal with across the public sector.

I pay tribute to the right hon. Gentleman for establishing the inquiry when he was a Minister. I am sorry that it took so long for the families to get the answers from the NHS. I thank Bishop Jones and his fellow panel members for what they have done, and I would be happy to meet the right hon. Gentleman with Bishop Jones. This case shows why it is absolutely right that my right hon. Friend the Secretary of State for Health and Social Care has been putting such a focus on patient safety and transparency in the NHS, because we need to ensure that we do not see these things happening in future. The findings are obviously distressing and deeply concerning. Of course, measures have been put in place to deal with issues, and my right hon. Friend the Secretary of State will make a statement on the report shortly.

My thoughts, and I am sure those of everybody in the House, will be with all the families of the patients who died as a result of what happened at Gosport War Memorial Hospital. The events there were tragic and deeply troubling, they brought unimaginable heartache to the families concerned, and they are a matter with which the whole House should be concerned. The right hon. Gentleman raised the way in which the public sector often, in his terms, closes ranks; that is an issue that we have to deal with across the public sector.

I pay tribute to the right hon. Gentleman for establishing the inquiry when he was a Minister. I am sorry that it took so long for the families to get the answers from the NHS. I thank Bishop Jones and his fellow panel members for what they have done, and I would be happy to meet the right hon. Gentleman with Bishop Jones. This case shows why it is absolutely right that my right hon. Friend the Secretary of State for Health and Social Care has been putting such a focus on patient safety and transparency in the NHS, because we need to ensure that we do not see these things happening in future. The findings are obviously distressing and deeply concerning. Of course, measures have been put in place to deal with issues, and my right hon. Friend the Secretary of State will make a statement on the report shortly.

Q6

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Rachael Maskell (York Central) (Lab/Co-op):

The findings of the NHS England report on the sudden closure of Bootham Park mental health hospital in York have confirmed that the relationships between the NHS bodies, as defined under the Health and Social Care Act 2012, are dysfunctional and have failed patient safety. A Healthwatch report showed that harm has occurred because life has been lost. Will the Prime Minister now accept that, because of the serious risk that has been created, the 2012 Act has to change in line with NHS England’s recommendations?

Q6

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Rachael Maskell (York Central) (Lab/Co-op):

The findings of the NHS England report on the sudden closure of Bootham Park mental health hospital in York have confirmed that the relationships between the NHS bodies, as defined under the Health and Social Care Act 2012, are dysfunctional and have failed patient safety. A Healthwatch report showed that harm has occurred because life has been lost. Will the Prime Minister now accept that, because of the serious risk that has been created, the 2012 Act has to change in line with NHS England’s recommendations?

I will look very carefully at what the hon. Lady has said. My understanding is that she called for action on an outdated and dangerous facility back in July last year, and that is exactly what happened. I am pleased that action was taken. Bootham Park was not fit for purpose. The Care Quality Commission identified serious and life-threatening issues on patient safety, which were not put right. As a result, there was a decision to close and then subsequently reopen the facility after changes. Of course there will be incidences of poor practice; what matters is whether we intervene fast enough and put them right. In this case, I will look again at what she says, but it does look as if action was taken.

I will look very carefully at what the hon. Lady has said. My understanding is that she called for action on an outdated and dangerous facility back in July last year, and that is exactly what happened. I am pleased that action was taken. Bootham Park was not fit for purpose. The Care Quality Commission identified serious and life-threatening issues on patient safety, which were not put right. As a result, there was a decision to close and then subsequently reopen the facility after changes. Of course there will be incidences of poor practice; what matters is whether we intervene fast enough and put them right. In this case, I will look again at what she says, but it does look as if action was taken.

Q12

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Andrea Jenkyns (Morley and Outwood) (Con):

My constituent Deborah Reid and her sister watched their mother Joan waste away in hospital due to inadequate care after a fall, as has been admitted by the consultant in charge. Last week, my right hon. Friend the Health Secretary hosted a global summit on patient safety and announced the creation of the new healthcare safety investigation branch. What more can the Government do to ensure that patient safety is at the heart of the NHS and to prevent such instances from occurring in the future?

Q12

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Andrea Jenkyns (Morley and Outwood) (Con):

My constituent Deborah Reid and her sister watched their mother Joan waste away in hospital due to inadequate care after a fall, as has been admitted by the consultant in charge. Last week, my right hon. Friend the Health Secretary hosted a global summit on patient safety and announced the creation of the new healthcare safety investigation branch. What more can the Government do to ensure that patient safety is at the heart of the NHS and to prevent such instances from occurring in the future?

My hon. Friend is absolutely right to raise such cases, which are obviously horrendous and should be properly investigated, but, as she said, we then need to learn the lessons from them. I think we have made some progress. The proportion of patients being harmed in the NHS has dropped by over a third in the last two years, and MRSA bloodstream infections have fallen by over half in the last five years. My right hon. Friend the Health Secretary was absolutely right to hold the conference and to examine what other industries and practices have done to ensure a zero-accident safety culture. We have seen it in other walks of life, and it is time we applied it to the NHS.

My hon. Friend is absolutely right to raise such cases, which are obviously horrendous and should be properly investigated, but, as she said, we then need to learn the lessons from them. I think we have made some progress. The proportion of patients being harmed in the NHS has dropped by over a third in the last two years, and MRSA bloodstream infections have fallen by over half in the last five years. My right hon. Friend the Health Secretary was absolutely right to hold the conference and to examine what other industries and practices have done to ensure a zero-accident safety culture. We have seen it in other walks of life, and it is time we applied it to the NHS.

In dementia, we face an enormous challenge in our country and, indeed, across the world, because so many people have this condition and so many people are likely to get it. This Government have increased massively the research that is going into dementia. We have trained over 1 million dementia friends so that we build more dementia-friendly communities, and we have trained over 100,000 NHS staff in how better to treat people with dementia. We are putting something like £50 million into hospitals to try to help them with the way that we treat dementia sufferers. But the hon. Lady is absolutely right: the more people who we can treat in the community and who we can maintain at home the better, because very often being in a hospital, particularly in A and E, is not the right answer for someone with dementia.

In dementia, we face an enormous challenge in our country and, indeed, across the world, because so many people have this condition and so many people are likely to get it. This Government have increased massively the research that is going into dementia. We have trained over 1 million dementia friends so that we build more dementia-friendly communities, and we have trained over 100,000 NHS staff in how better to treat people with dementia. We are putting something like £50 million into hospitals to try to help them with the way that we treat dementia sufferers. But the hon. Lady is absolutely right: the more people who we can treat in the community and who we can maintain at home the better, because very often being in a hospital, particularly in A and E, is not the right answer for someone with dementia.

Q11

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Lorely Burt (Solihull) (LD):

One in four beds in our hospitals is occupied by a patient with dementia. Being treated in ordinary wards can cause them distress and confusion, hampering their recovery and that of other patients. Does the Prime Minister agree with me, and with health practitioners in my local hospital in Solihull, that patients with dementia should be cared for by specially trained staff and, where necessary, in separate wards, and will he support my campaign to make it so across England?

Q11

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Lorely Burt (Solihull) (LD):

One in four beds in our hospitals is occupied by a patient with dementia. Being treated in ordinary wards can cause them distress and confusion, hampering their recovery and that of other patients. Does the Prime Minister agree with me, and with health practitioners in my local hospital in Solihull, that patients with dementia should be cared for by specially trained staff and, where necessary, in separate wards, and will he support my campaign to make it so across England?

As someone who has spent a lot of time in hospitals, I absolutely share my hon. Friend’s frustrations. It was the last Government who introduced these charges on televisions in hospital in the year 2000. I have spent many an hour battling with that very complicated telephone and credit card system that people have to try and make work. I am afraid, though, that these are devolved decisions that local hospitals can now make for themselves.

In terms of prisons, my right hon. Friend the Lord Chancellor is doing something. He is taking the unacceptable situation that he inherited from the Labour party, whereby people could take out a Sky subscription when they were in prison, and saying that they cannot do that any more. He is also making sure that prisoners pay if they use the television.

As someone who has spent a lot of time in hospitals, I absolutely share my hon. Friend’s frustrations. It was the last Government who introduced these charges on televisions in hospital in the year 2000. I have spent many an hour battling with that very complicated telephone and credit card system that people have to try and make work. I am afraid, though, that these are devolved decisions that local hospitals can now make for themselves.

In terms of prisons, my right hon. Friend the Lord Chancellor is doing something. He is taking the unacceptable situation that he inherited from the Labour party, whereby people could take out a Sky subscription when they were in prison, and saying that they cannot do that any more. He is also making sure that prisoners pay if they use the television.