John Healey - Gus O'Donnell

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    Sir Gus ODonnell KCBCabinet Secretary

    Cabinet Office

    70 Whitehall

    London

    SW1A 2AS

    08 April 2011

    Dear Sir Gus

    I am writing to you to ask you to investigate the event held at Frimley Park Hospital onWednesday 6 April 2011, at which the Prime Minister, the Deputy Prime Minster and the

    Health Secretary spoke, and the associated Government document published on the same day,

    Working together for a stronger NHS.

    The Prime Minister was leading what was described as a future forum to listen and

    engage with the public over the Governments NHS reorganisation plans and legislation. It

    was reported that the main purpose of the Ministers visit was to reassure the public over

    widely-held fears that their plans will harm the NHS and to respond to widespread criticism

    of the Governments handling of the reorganisation. The event gained a great deal of news

    coverage across the country.

    The NHS is highly and politically sensitive. It is therefore undeniably relevant to local

    elections being held in England, especially as the Health and Social Care Bill contains a

    number of far-reaching provisions that would change the role and responsibilities of local

    authorities.

    This event staged at Frimley Park Hospital raises serious questions about a breach of Cabinet

    Office guidance on the use of Government resources and property during a pre-election

    period.

    In particular, paragraph 12 of the Cabinet Office guidance states: In the pre-election periods,particular care should be taken in respect of proposed visits to areas holding elections...

    Official support must not be given to visits and events with a party political or campaigning

    purpose.

    Department of Health guidance to Strategic Health Authorities and NHS Foundation Trusts is

    also relevant and clear: Special care should be taken in relation to proposed visits if in

    doubt it is best to avoid having councillors or other politicians undertake visits to NHS sites

    during this period, unless the visit is clearly for government purposes rather than party

    political ones.

    I am therefore writing to ask you to investigate and confirm: whether or not any CabinetOffice rules or official guidance have been broken in the planning and staging of the event on

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    6 April, including what formal advice was sought by and provided to those responsible for

    the event. In doing so, I would also ask you to consider the disgraceful way that nurses in

    uniform and other NHS staff were used as stage dressing for the Prime Minister, Deputy

    Prime Minister and Health Secretary to speak.

    In addition to your inquiries into the Frimley Park Hospital event, I am also writing to askyou to investigate whether or not the Civil Service Code has been breached by the

    Government document Working together for a stronger NHS, which was published

    alongside the event.

    In particular, paragraph 8 of the Civil Service Code states: You must set out the facts and

    relevant issues truthfully and paragraph 9 asserts: You must not deceive or knowingly

    mislead Ministers, Parliament or others.

    This document contains a number of highly questionable passages, but I would draw your

    attention to two in particular.

    First, on page 9, the apparent factual assertion that For years doctors and nurses have been

    burdened by bureaucracy and crushed under the weight of top-down targets. This has been

    bad for morale and terrible for patient care. This is clearly and completely inconsistent with

    recent established facts such as waiting times being the lowest since records began and

    patient satisfaction at the highest ever levels. As you make your inquiries, I would be grateful

    if you could establish and confirm the official facts on which these Government assertions

    have been made.

    Second, on page 1, the opening passage which asserts: We love the NHS because its there

    when the people we love fall ill. Because its there all the time. Because whoever you are,

    wherever youre from, however much money youve got in the bank, theres somewhere you

    can go to get looked after. And because that says amazing things about our country. Thats

    why we love our NHS. In making your inquiries into the document, I would be grateful if

    you could establish and confirm who the we is supposed to be in this official Government

    publication.

    I would ask you to consider the synthetic sentimentalism which fall short of the standards that

    official Government publications should meet.

    I look forward to your response on all these points.

    Yours sincerely

    John Healey MP

    Shadow Health Secretary