Lord Harris of Haringey: My Lords, can the Minister give us an assurance that Ministers did not express the view that it was too easy to call a state of emergency for NHS trusts. Can she give us an absolute assurance that special advisers did not convey such a message to those who might make those decisions?
Lord MacKenzie of Culkein: ...to be considered is the possibility of reputational damage to the trust if it declares an emergency? That is nothing to do with clinical decision-making locally. Consulting the duty officer of NHS England before declaring an emergency is nothing to do with local clinical decision-making either. Perhaps the Minister can help the House.
Baroness Jolly: As I have said, patient safety and quality of care have to be absolutely paramount. Certainly, under the old system, if an NHS trust decided that it needed in effect to blow the whistle, I imagine that one would have informed somebody in the old strategic health authority that that was happening. I imagine that a trust would out of courtesy inform the person with whom they normally work in...
Lord Hunt of Kings Heath: My Lords, I am very grateful to the noble Baroness for repeating that Statement, and I echo her thanks to the staff of the NHS and other agencies who are coping with such pressure at the moment. The noble Baroness said that there is no definition of a major incident. Can she tell me why there is no national definition of a major incident, given that the NHS is a national service and that we...
Baroness Jolly: ...met—up until probably the middle of November, we were hitting our target—but, from the middle of November through the cold Christmas and New Year season, demand was really very high. In 2013, NHS England produced guidance on such issues that would, clearly, have gone to all CCGs, trusts and interested organisations. It is up to local trusts, following the guidance, to make their own...
Baroness Jolly: ...friend the Secretary of State for Health to an Urgent Question in another place. The Statement is as follows. “Mr Speaker, as you know, I am always happy to come to the House to discuss the NHS. However, today I feel that we have been brought here to discuss a local operational issue which, regrettably, the Opposition have tried to spin as part of their policy to ‘weaponise the NHS’....
NHS England: Major Incidents — Statement