Daniel Pelka

Part of the debate – in the House of Commons at 5:00 pm on 17 October 2013.

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Photo of Geoffrey Robinson Geoffrey Robinson Labour, Coventry North West 5:00, 17 October 2013

I am delighted to hear that and I wish the hon. Gentleman well with it. I hope that it works. However, a MASH can work only if at the end of all the talking—I accept that that has to happen, because there is no other way of getting everybody to know what they need to know—there is a clear line of responsibility. Somebody has to write the minutes, somebody has to say what will be done and there must be a clearly identifiable responsible person or group of people who are charged with carrying it through. Otherwise, it will not happen.

The MASH is a committee and committees do not do anything. It serves the useful purpose of bringing people together so that they can talk and exchange the information that they need to know about. What is missing from the system is a clear way of saying at the end of the meeting what the conclusions and recommendations are. Those must be very short. A person or group of people—a lead, or whatever you want to call them—must then be responsible for carrying out those recommendations.

That was certainly what was missing in Coventry. There was meeting after meeting. Everybody was grouped together and the information was being exchanged. However, when the dreadful news broke, I asked who was actually responsible. The reply was that we were all responsible. If we are all responsible, no one is. We must not be afraid of allocating responsibilities and ensuring that they are carried out. If they are not, retraining is always a good option. People do not have to be sacked. We are not like that on this side of the House. However, people in the country cannot accept that the head of the department, Colin Green, resigned a few days or weeks before the report came out and was appointed to exactly the same position elsewhere. That was wrong. What sort of confidence does that provide?

That point reminds me of another Adjournment debate that I secured about a distinguished surgeon at Walsgrave who was almost sacked because he had reported somebody else. It turned out that the chief executive of the hospital was not up to the job—there were a whole series of these cases—and all six neighbouring MPs served by that hospital called for his resignation. He was sacked—well, that was what it was called, but within six months he was back in charge at Birmingham Heartlands hospital. It is unbelievable what such a network of controls can do.

My next point will, I am sure, again be contentious for Tim Loughton, and others who are a bit on the side of the establishment, because it concerns the compositions of serious case reviews. Each area has its own chairman—that is all it has, actually—and lay members. When it comes to the inquiry, the chairman or chairwoman brings in a rapporteur, a writer of the report, and both she and he know each other—I am not suggesting that is wrong; it could sometimes be very helpful—and have written many of these reports in the past, either together or separately. Already in my book that does not seem quite right. It is not independent, and the essence of the serious case review is that it must be seen to be independent.

My last point—I have left plenty of time for the Minister—concerns Ann Lucas, whom I begged to carry out an independent report. “Why should I be the only one to put Coventry through that when nobody else has ever done it?”—she did not say that, but that was what I felt she felt. That would have meant a completely new board, fresh blood, with people who did not know the situation in Coventry or the chair of the Coventry group, and who had a completely dispassionate view.

I do not think anybody would agree any longer with the police investigating the police. Why should the civil servants who had administered the case in question be those who were the team supporting the independent chair—she was independent—and the so-called appointed independent rapporteur, or reporter? He wrote the report and one could see he is a professional. Every perfect piece of civil service-ese was in it; it could not be faulted. However, out of that comes nothing so far, and so Ann Lucas wrote to me and asked whether I would relay this message to the House tonight. She is an outstanding council leader who has been in the job about six months. She was distraught to find that she had inherited this case, and she went along with a traditional conventional review. She said that

“we need a national debate around safeguarding issues— that is obvious—

“with the setting up of a Commons Select Committee to take evidence from all concerned. From politicians, from front-line workers, from all agencies, social workers, the police, health agencies—including GPs, hospitals, health visitors and schools. And very importantly, from experts working with Domestic Violence”,

in which she is an expert.

I do not know whether that is a runner, but I am clear that I do not see it ever working—I have not left the hon. Member for East Worthing and Shoreham time to add his comprehensive view. We need a more forensic direct attack. For example, there were four or five points at which Daniel Pelka could have been saved. That is clear. We need a mechanism so that when such a point is reached—I guess the people doing it did not know—or anything like that, the man at the top should be informed. We need a mechanism to intervene and bring things to a head, and in a way it is about management. I hope those points will have helped the Minister in his reply.