Speeches by Beales.

“That is really helpful, thank you. From a provider perspective, do you feel that that is happening in your locality on the demand side? When commissioners make decisions, are you seeing increasing resources for the extra specialists that are needed to input into EHCPs and deliver the care promised in them?”

“Okay; thank you. Dawn or Elliot, what is your experience?”

“What would be best, do you think? How could that work better?”

“Dawn, from your experience, does your locality have a similar way of working, in terms of looking at demand and need in the system and mapping that on to decisions at a commissioning level?”

“So you are not seeing people being unable to access assessments or treatment early, whether that be speech and language—”

“So more speech and language therapy has been commissioned on the back of that data.”

“My hon. Friend is making a powerful speech. This place is much better for her presence, speaking up for people in her situation. It sounds like we had a similar background, but I was fortunate enough to be on a plan 1 system and, under a Labour Government, benefited not only from an educational maintenance allowance to…”

“What has that led to, in practice? That sounds like a really good practice—certainly not one that I or many others have experienced in other parts of the country. Given your increasing demand, what has that led to in terms of changing resourcing levels?”

“Are you seeing that follow through, in terms of lessening pressure to get an EHCP, if people are getting that early access sooner?”

“I, too, welcome the Secretary of State’s statement and join him in expressing our sympathies with and condolences to the families who have lost young people in recent days. Obviously, parents and students are very concerned at the moment, and there are reports online that private pharmacies are selling vaccinations for…”

“So is that how you selected the 30? Those are the characteristics you saw after selecting them, based on the data that you had seen.”

“Some of the characteristics that you were defining concern blame or fatalism in the system. Some of the actions that were identified in the meeting of those 30 trusts in February—that trust executives should walk the corridors and that there should be senior leadership in discharge meetings—seem quite basic actions, so…”

“The 4 March letter set out the 30 trusts that are being focused on. What are the common characteristics that those trusts share? Why is it those 30 trusts? Are there common factors among them?”

“That is very helpful. Finally—I am running over time—the letter also mentions the development of a new urgent and emergency care strategy. Sarah-Jane, this might be a question for you. Why is that strategy needed? How will it be different from, or add something to, the existing strategies or, for instance, the A&E mode…”

“How long do you envisage the support package for those 30 areas being in place for, in the evolution from trust to system?”

“So you see this as the first stage?”

“Do the 30 areas need system-wide plans for their area, based on all the partners rather than just the trust?”

“Sorry to interject, but in answer to previous questions you have spoken about the plans being very much focused on and owned by the trust. You are now talking about the identification, the broader systemic issues, the relationships with primary care and mental health, which we heard about from the previous panel, and h…”

“The RCN talked about accountability and leadership being key, and you have touched on that as well. This issue is vital, but can I take you back to whether it is a wider systemic issue with trusts, management and leadership performance? On leadership and accountability, it should not take a strategy or the GIRFT progra…”

“What will the support for the 30 trusts look like in practice? Professor Briggs, you may want to elaborate on this. Is it purely about giving advice and sharing knowledge? If the identification of resourcing-based issues, capital investment issues or wider systemic interrelationships with parts of the system come up, w…”