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Proceeding contribution from Baroness Browning (Conservative) in the House of Commons on Tuesday, 25 July 2006. It occurred during Adjournment debate on Adjournment (Summer Recess).


Adjournment (Summer Recess)

I should like to draw attention this afternoon to the way in which public sector contracts are written, implemented and managed and their impact on my constituents. Whether we are dealing with a service contract—for example, for hospital ward cleaning—or a procurement contract for something such as military helicopters, if the contracts are not drawn up, monitored and implemented properly, it has a huge impact on the services or goods that are ultimately provided. In the past few weeks, I have to deal with the contracts drawn up by the NHS as part of the change in the way that people in the community are provided with oxygen cylinders. Previously, oxygen cylinders were provided through pharmacies and GP practices, usually at 24 hours’ notice. Many people of all ages rely on those cylinders at home. However, the Government have decided to cut out the middle man, and Air Products Ltd now has the contract, under which it was meant to provide the cylinders, guaranteeing delivery at three days’ notice; but that is not happening and the impact on some very seriously ill people and their carers is quite profound. For example, I know of a two-and-a-half-year-old with a very serious heart condition who needs 24-hour coverage with oxygen cylinders. The parents became quite desperate because they could not get access to a delivery within three days. Equally, I know of cases of elderly people who have not been able to get hold of cylinders in time and were frequently promised, day after day, that they would get them on a certain day, including at weekends, but they did not come. I have been in touch with Air Products. I should have thought that, if the Government wanted to change the system from pharmacies and GP practices supplying the cylinders, they would have got all their ducks in a row and the contract would have been put in place and seen to be working before they made the switch, but that is not the case. One of my constituents was told by the head of the medicines, pharmacy and industry business unit—whatever that is—at the Department of Health:"““you are experiencing””" problems"““with delivery of oxygen supplies for your wife and I appreciate that you will want to be sure of a reliable service. Understandably, patients and clinicians are concerned about these service problems.””" When I looked into this, I found all sorts of problems. Cylinders are still with pharmacies. There are problems with people stockpiling things because they are in short supply, which, in itself, creates a shortage. There are also problems with people answering the phones at Air Products Ltd, and I was told that those problems are caused by the fact that so many people are ringing the company that it is having to train staff, who are not yet trained, and until they are trained, they cannot answer the phone in a timely way. I put that to the test to find out how long it took my office to get someone to answer the phone, and it took nearly 15 minutes. We see those problems right across the public sector. I am also concerned not just about the Government’s management of that contract, but about the change in Devon to adult services, particularly those for the elderly and people with learning disabilities. The contracts are about to be turned over to the people who supply the services. I asked the question, ““Please will you get the services in place before you make the change?”” However, throughout the public sector, there seems to be a lack of skill and understanding about the commissioning and negotiation of contracts and about how to make sure that, if a supplier does not fulfil a contract, the sort of things that should be written into the contract are implemented to ensure that the goods and services are delivered on time. It seems symptomatic across the public sector that people are let down and that people who seriously need goods and services, such as my constituents, are put in such a position purely because the public sector does not seem to understand procurement or how to write a proper public service contract. My hon. Friend is right, and anyone who has ever been involved in procurement or writing service contracts, whether in the public or the private sector, knows that there are some pretty rudimentary rules to follow in getting things in place before making any change. To leave it and see what happens and then decide to train people and change the contract is a back-to-front way of going about this. I wish to raise another matter. At the beginning of the Iraq war, many Members started receiving representations from constituents whose relatives were serving in the armed forces. The then Secretary of State said that it was the wrong time and place to make complaints and draw to public attention concerns about the equipment provided to our armed services. I know that there are wars going on around the world—and I must say in response to the comments of the hon. Member for Lewisham, Deptford (Joan Ruddock) that although I do not agree with the views that were expressed on Trident, I do agree with the analysis of the situation in Lebanon and the middle east—but what I am about to say must be said. Many of my constituents who have close relatives serving in the armed forces are genuinely worried not only about overstretch and various other issues that we have recently aired in this Chamber, but about the fact that people serving in the armed forces are increasingly having to buy privately basic pieces of kit and equipment that, frankly, should be provided, and the fact that, in respect of kit procured by the Ministry of Defence, it should be procured in keeping with a set of benchmarks and standards that we would expect to be met. We have increasing numbers of such debates in this House. Our armed forces serve in new theatres of war around the globe, and it is incumbent upon us—as a nation and as a Parliament—to know about these matters and to be able to reassure relatives, some of whose families have given generations of service to the armed forces, so they know what the implications of service are, that the kit is the best that we can possibly afford and that it is reliable. However, I have grave reservations in respect of both small personal kit and some of the larger procurement contracts that the MOD negotiates. I was reminded of that at the weekend. There is a family in my constituency whose son is serving in the armed forces. That family has a long history of serving this country. I felt that if such a family express concern about the provision for their son, we in this place should take such comments very seriously indeed. The issue is not only about the practicalities of the way that contracts are negotiated; it is also about knowing, when we ask people in our armed forces to carry out their duties, that from the centre—whichever party is in power—we enable them, through their equipment, to maximise their protection and their confidence in the job that we ask them to do. That links in with my theme today, which is that public sector contracts should be negotiated in a correct and proper manner, and that that should be implemented not only in respect of the public sector contracts that I have mentioned such as those to do with oxygen cylinders, but particularly in terms of the services and goods that are provided to those serving in our armed forces. My hon. Friend is right, and anyone who has ever been involved in procurement or writing service contracts, whether in the public or the private sector, knows that there are some pretty rudimentary rules to follow in getting things in place before making any change. To leave it and see what happens and then decide to train people and change the contract is a back-to-front way of going about this. I wish to raise another matter. At the beginning of the Iraq war, many Members started receiving representations from constituents whose relatives were serving in the armed forces. The then Secretary of State said that it was the wrong time and place to make complaints and draw to public attention concerns about the equipment provided to our armed services. I know that there are wars going on around the world—and I must say in response to the comments of the hon. Member for Lewisham, Deptford (Joan Ruddock) that although I do not agree with the views that were expressed on Trident, I do agree with the analysis of the situation in Lebanon and the middle east—but what I am about to say must be said. Many of my constituents who have close relatives serving in the armed forces are genuinely worried not only about overstretch and various other issues that we have recently aired in this Chamber, but about the fact that people serving in the armed forces are increasingly having to buy privately basic pieces of kit and equipment that, frankly, should be provided, and the fact that, in respect of kit procured by the Ministry of Defence, it should be procured in keeping with a set of benchmarks and standards that we would expect to be met. We have increasing numbers of such debates in this House. Our armed forces serve in new theatres of war around the globe, and it is incumbent upon us—as a nation and as a Parliament—to know about these matters and to be able to reassure relatives, some of whose families have given generations of service to the armed forces, so they know what the implications of service are, that the kit is the best that we can possibly afford and that it is reliable. However, I have grave reservations in respect of both small personal kit and some of the larger procurement contracts that the MOD negotiates. I was reminded of that at the weekend. There is a family in my constituency whose son is serving in the armed forces. That family has a long history of serving this country. I felt that if such a family express concern about the provision for their son, we in this place should take such comments very seriously indeed. The issue is not only about the practicalities of the way that contracts are negotiated; it is also about knowing, when we ask people in our armed forces to carry out their duties, that from the centre—whichever party is in power—we enable them, through their equipment, to maximise their protection and their confidence in the job that we ask them to do. That links in with my theme today, which is that public sector contracts should be negotiated in a correct and proper manner, and that that should be implemented not only in respect of the public sector contracts that I have mentioned such as those to do with oxygen cylinders, but particularly in terms of the services and goods that are provided to those serving in our armed forces.


Secondary information

Type
Proceeding contribution
Reference
449 c800-3 
Session
2005-06
Chamber / Committee
House of Commons chamber
Subjects
Contracts Armed forces Defence equipment Health services Home care services Patients Medical equipment Oxygen
Link
View this Proceeding contribution on www.publications.parliament.uk