Oral Answers to Questions

Wednesday 5th December 2012

(12 years ago)

Commons Chamber
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The Secretary of State was asked—
Ann McKechin Portrait Ann McKechin (Glasgow North) (Lab)
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1. What her policy is on tackling youth unemployment in Northern Ireland.

Mike Penning Portrait The Minister of State, Northern Ireland Office (Mike Penning)
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Specific measures to tackle youth unemployment in Northern Ireland are the responsibility of the Northern Ireland Executive. The Government’s efforts to reduce the largest structural deficit in our peacetime history and set the country back on the path of sustainable economic recovery will attract growth and help young people throughout the United Kingdom.

Ann McKechin Portrait Ann McKechin
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Given that almost one in five young people in Northern Ireland are currently unemployed, is it not time for the Minister to consider a national insurance break for small employers, which are predominant in the private economy in Northern Ireland, to allow them to take on young people and get them back to work?

Mike Penning Portrait Mike Penning
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There will be a statement, believe it or not, later in the day in which the Chancellor sets out our economic measures—the autumn statement. I know that the hon. Lady speaks in good faith and cares about this problem, but it is not something that suddenly happened when the coalition Government came into power, or when the Northern Ireland Executive came into power; youth unemployment started to rise quite quickly in 2004 when her Government were in power, and that was in a time of boom before it went bust under the last Administration.

Baroness Ritchie of Downpatrick Portrait Ms Margaret Ritchie (South Down) (SDLP)
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Will the Minister say what discussions have taken place with Ministers in the Northern Ireland Executive, apart from the talks about corporation tax, about greater devolution of economic levers to give the Northern Ireland Executive greater authority in dealing with youth unemployment, which currently stands at one in 20 of the population?

Mike Penning Portrait Mike Penning
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I meet Ministers in the Northern Ireland Executive regularly to talk about a range of issues. They have not requested the devolution of specific powers in this area, but if they do, we will listen to them.

Gregory Campbell Portrait Mr Gregory Campbell (East Londonderry) (DUP)
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Youth unemployment is an escalating problem in Northern Ireland. Last week, I hosted an event with Invest Northern Ireland to give young people the skills that they need to get into employment. Does the Minister agree that young people who are unemployed and marginalised, particularly those in areas of deprivation, can fall prey to unacceptable activity? Will he join me in condemning the major and reprehensible decisions of two councils in Northern Ireland last week—Newry and Mourne, and Belfast—that could worsen the situation and send us down into a cycle of unemployment and deprivation, rather than lift us out of it?

Mike Penning Portrait Mike Penning
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As you can imagine, Mr Speaker, I will not be drawn into comments on individual decisions taken by local authorities in Northern Ireland. However, it is not all bad news. There are in excess of 11,000 youngsters in apprenticeships in Northern Ireland on more than 100 apprenticeship schemes. That is good news for them and we should not denigrate the good work that they are doing.

Lord Coaker Portrait Vernon Coaker (Gedling) (Lab)
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First, will the Minister join me in condemning the violence in Belfast on Monday evening, which was wrong, unacceptable and without justification?

Does the Minister agree that young people will be the force behind further progress in Northern Ireland? What specific measures have he and the Northern Ireland Office asked the Chancellor to include in the autumn statement to tackle youth unemployment in Northern Ireland?

Mike Penning Portrait Mike Penning
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The shadow Secretary of State is trying to draw me into territory that is way above my pay grade. Like the rest of the House and the country, I will wait to hear the autumn statement.

I join the shadow Secretary of State and shadow Minister in saying that what happened the other night was fundamentally wrong. Police and security officers were assaulted and battered while just doing their job. People may not have liked what was said and done in the council chamber, but it was done in a democratic way.

Lord Coaker Portrait Vernon Coaker
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From what the Minister has said, it appears that the Northern Ireland Office has asked the Chancellor to include absolutely nothing in the autumn statement to tackle youth unemployment in Northern Ireland. The Minister and the Secretary of State have to realise that the Government have a duty to young people in Northern Ireland that must be met. More than one in five young people in Northern Ireland are out of work. Westminster has a responsibility to act. There has been no action from the Government to date; are we to get nothing in the autumn statement later today? When will the Minister and the Government get a grip, not only on the economy in the rest of the UK, but on youth unemployment in Northern Ireland?

Mike Penning Portrait Mike Penning
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The hon. Gentleman, who is a friend of mine, needs to get a grip on his comments and wait for the autumn statement. He will then find out whether we have done nothing or something. The autumn statement will clearly show what we have asked for and how much success we have had. Wait and see.

Fiona Bruce Portrait Fiona Bruce (Congleton) (Con)
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2. What recent discussions she has had with the Northern Ireland Executive on attracting inward investment.

Theresa Villiers Portrait The Secretary of State for Northern Ireland (Mrs Theresa Villiers)
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Responsibility for inward investment is largely a devolved matter, but the Government have assured Executive Ministers that we will work closely with them and make every effort to help rebalance the Northern Ireland economy and secure inward investment.

Fiona Bruce Portrait Fiona Bruce
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The “Lonely Planet” guide has rated Londonderry/Derry the fourth best city in the world to visit in 2013—the only UK destination in its top 10. Does my right hon. Friend agree that this could help boost tourism and investment in Northern Ireland and support the Londonderry-Derry 2013 UK city of culture programme?

Theresa Villiers Portrait Mrs Villiers
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I am very grateful to my hon. Friend for that question. Derry/Londonderry will have a great year next year, with its UK city of culture designation enabling it to project on the world stage what a brilliant city it is. It is also hosting the Fleadh. Such events demonstrate that Northern Ireland is forward-looking, and a great place in which to invest. I was in Derry/Londonderry last week and I was particularly interested in the plans for Digital Derry and the boost that the chamber of commerce wants to give the local economy.

Lord McCrea of Magherafelt and Cookstown Portrait Dr William McCrea (South Antrim) (DUP)
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One of the main tools used to attract business into the United Kingdom is regional aid. On future regional aid guidelines, will the Secretary of State support our efforts to have all of Northern Ireland eligible for regional aid, just as we support the UK Government’s efforts to allow support to continue for larger companies?

Theresa Villiers Portrait Mrs Villiers
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I believe that it is important that Northern Ireland continues to be able to offer regional aid, given the history of its economy. I have met Arlene Foster to discuss how I can help the Northern Ireland Executive’s efforts to persuade the Commission, when it makes decisions on assisted area status, that the interests of Northern Ireland and its economy should be properly defended.

Laurence Robertson Portrait Mr Laurence Robertson (Tewkesbury) (Con)
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Has the Secretary of State had a chance to look at the Northern Ireland Affairs Committee report, published last week, which identified air passenger duty as a stumbling block on the road to economic recovery in Northern Ireland? Will she consider accepting our central recommendation and discussing with the Treasury and the Northern Ireland Assembly the prospects of reducing air passenger duty on flights to and from Northern Ireland from Great Britain, or, preferably, removing that tax altogether?

Theresa Villiers Portrait Mrs Villiers
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My hon. Friend’s report is strong and he is right to consider the importance of transport links. The Government moved swiftly when the Northern Ireland Executive requested devolution of long-haul air passenger duty. The possibility of reducing short-haul air passenger duty in future is made difficult, of course, by the record deficit that we inherited from Labour. However, the Chancellor is very much aware of the concerns about air passenger duty, and I have discussed the matter with Treasury Ministers on several occasions.

Mark Durkan Portrait Mark Durkan (Foyle) (SDLP)
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Coming back to the wonderful city of Derry or Londonderry, one of the best examples of inward investment is the Invista, formerly DuPont, plant in my constituency. It won that investment to be the only lycra-producing plant in Europe in worldwide internal competition within the company. Its ability to win future such investment could be compromised by proposed changes in the EU’s REACH—registration, evaluation, authorisation and restriction of chemical substances—legislation. Will the Secretary of State use her position to influence her ministerial colleagues here to ensure that, at the Member State Committee meeting next week, the UK resists those changes?

Theresa Villiers Portrait Mrs Villiers
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I am happy to work with ministerial colleagues to ensure that we get the right outcome on REACH. I understand the hon. Gentleman’s concerns. Although the underlying purpose of that directive—to ensure that chemicals are handled safely—is laudable, it would be counter-productive if it destroyed jobs and enterprise and simply exported them outside the European Union. I will therefore press my colleagues to ensure that we get a sensible outcome on REACH, which will not have the damaging impact that the hon. Gentleman fears.

Lady Hermon Portrait Lady Hermon (North Down) (Ind)
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This is an unusual request, but I shall make it anyway. As part of the inward investment power of the G8 summit in Fermanagh next June, will the Secretary of State kindly meet my constituent, Mr Peter Meanley, who is a very distinguished craftsman and wishes to make beautifully glazed Toby jug replicas of all eight Heads of Government and State? It is an usual request, but will the Secretary of State please my constituent and the North Down MP by granting it?

Theresa Villiers Portrait Mrs Villiers
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I would be happy to meet the hon. Lady’s constituent. It sounds as though he has an excellent project. Over the coming months, the Government will work hard to ensure that Northern Ireland gets the maximum possible benefits from the G8, which is an opportunity to showcase Fermanagh and the whole of Northern Ireland as a brilliant place to visit as a tourist and a brilliant place in which to invest.

Gareth Johnson Portrait Gareth Johnson (Dartford) (Con)
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3. What recent assessment she has made of the security situation in Northern Ireland; and if she will make a statement.

David Rutley Portrait David Rutley (Macclesfield) (Con)
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6. What recent assessment she has made of the security situation in Northern Ireland; and if she will make a statement.

Mel Stride Portrait Mel Stride (Central Devon) (Con)
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10. What recent assessment she has made of the security situation in Northern Ireland; and if she will make a statement.

Theresa Villiers Portrait The Secretary of State for Northern Ireland (Mrs Theresa Villiers)
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The Government are committed to doing all we can to keep people in Northern Ireland safe. The threat level in Northern Ireland remains “severe” but the Police Service of Northern Ireland and its partners are working with dedication and determination in their efforts to frustrate the attacks planned by terrorists.

Gareth Johnson Portrait Gareth Johnson
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Northern Ireland is as much a part of the United Kingdom as Dartford, so does the Secretary of State share my deep disappointment that the Union flag will not fly continuously over Belfast city hall, and does she agree with the principle that no law should prevent the Union flag from flying anywhere in the United Kingdom?

Theresa Villiers Portrait Mrs Villiers
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I fully appreciate the strength of feeling on the flying of flags, but nothing could possibly justify the scenes of disorder witnessed outside city hall in Belfast earlier this week. Yes, there are serious and significant sensitivities about flag flying, but these decisions must be taken on the basis of sound, reasoned discussions and democratic votes, and not as a result of mobs seeking to beat down the door of city hall.

David Rutley Portrait David Rutley
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Given the upcoming G8 summit at the Lough Erne hotel near Enniskillen, which will be important for the whole country and not just Northern Ireland, will my right hon. Friend assure the House that security plans are being drawn up to ensure that the summit is the success it truly deserves to be?

Theresa Villiers Portrait Mrs Villiers
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I can give my hon. Friend that assurance. Planning is already very much under way. The Government are committed to working closely with the PSNI and its partners to ensure that the policing and security operations around the G8 are a success.

Mel Stride Portrait Mel Stride
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As we have heard, Londonderry will be the city of culture next year. Will my right hon. Friend join me in congratulating the divisional commander of the PSNI, Mr Stephen Martin, on the exemplary way in which he and his officers have countered the terrorist threat locally so that we can look forward to a full cultural programme next year in that city?

Theresa Villiers Portrait Mrs Villiers
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I certainly join my hon. Friend in that. I met PSNI officers from Derry/Londonderry just a week or so ago. They do an incredibly good job in very difficult circumstances with great bravery and dedication. They are determined to continue community policing close to the community. They will not compromise on that, but delivering it in the face of a continuing terrorist threat, and continuing attempts to target and attack officers, is extremely difficult. I am only too happy to join him in congratulating the police in Derry/Londonderry on the job they do.

Lord Dodds of Duncairn Portrait Mr Nigel Dodds (Belfast North) (DUP)
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The Secretary of State will agree that there can be absolutely no justification at any time for attacks on police officers or anyone, or for threats to elected representatives. Those of us who have been the subject of threats, assassination attempts and bombs in our constituency offices and homes know that very well indeed—and we have no time for it whatever.

Further to a previous question, does the Secretary of State agree that naming a playground after an IRA gunman, as Newry and Mourne district council did the other day, and tearing down the national flag at civic buildings in Belfast, do nothing for community relations and are deeply destabilising?

Theresa Villiers Portrait Mrs Villiers
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As I have said, the flying of flags outside city hall is a matter for Belfast city council to decide. It is important that it is allowed to make that decision free from any kind of intimidation, including riots outside. I entirely join the right hon. Gentleman in condemning any attempts made to intimidate elected representatives or politicians from whichever party.

As to the decisions local authorities make on naming playgrounds, I do not think it would be sensible or wise for me to interfere in that discussion. We need to move towards a genuinely shared future in Northern Ireland, where such sensitive decisions can be taken on the basis of reason and mutual respect for the points of view of different parts of the community.

Lord Dodds of Duncairn Portrait Mr Dodds
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I welcomed recently the Secretary of State’s statement that she was not neutral on the Union. People in Northern Ireland will be disappointed that she cannot bring herself to condemn a decision to name a playground after an IRA gunman. A clear message needs to be sent out by the Secretary of State and the House that such behaviour and gestures are deeply destabilising and very damaging to community relations, especially with respect to those parents who will now not take their children to a playground where they feel intimidated.

Theresa Villiers Portrait Mrs Villiers
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I entirely respect the right hon. Gentleman’s point of view, but I also totally respect the devolution settlement, whereby a whole range of decisions are now made locally in Northern Ireland. It is not for the Secretary of State to seek to interfere in those decisions, and I have no intention of doing so.

Paul Goggins Portrait Paul Goggins (Wythenshawe and Sale East) (Lab)
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Once again this year disputed parades have led to community tension and serious disorder. Has the Secretary of State recently held discussions with the First Minister and the Deputy First Minister about plans to devolve the legal framework for parading in line with the agreement that they reached at Hillsborough castle in 2010?

Theresa Villiers Portrait Mrs Villiers
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Parading has been one of the issues I have discussed with the First Minister, the Deputy First Minister and other politicians in Northern Ireland. As the right hon. Gentleman points out, it was discussed as part of the devolution settlement. The Government remain entirely open to a devolved solution on parading, if the political parties in Northern Ireland can build a consensus to deliver it.

David Simpson Portrait David Simpson (Upper Bann) (DUP)
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4. What practical support she can give to the families from Northern Ireland of those (a) serving in and (b) who have returned from Afghanistan.

Mike Penning Portrait The Minister of State, Northern Ireland Office (Mike Penning)
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I pay tribute to our brave armed forces who have served with such distinction in Afghanistan and other parts of the world. The MOD Service Personnel and Veterans Agency and many other service charities provide support and services to our 900,000-strong armed forces community and to their families.

David Simpson Portrait David Simpson
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I thank the Minister for his comments. Will he agree to meet a group of families in my constituency who have loved ones serving in Afghanistan, so that they can raise some of the practical issues themselves?

Mike Penning Portrait Mike Penning
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It will be a pleasure and an honour to meet the families in the hon. Gentleman’s constituency. We are working very closely with the brigadier and his staff at 38 (Irish) Brigade to ensure that concerns are addressed.

Stephen Pound Portrait Stephen Pound (Ealing North) (Lab)
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Members on both sides of the House welcome the community covenant, which is a long-overdue recognition of the heroic sacrifice of our armed forces. Have the Secretary of State or the Minister given thought to naming an individual contact point for returning veterans—perhaps a community covenant champion, bearing it in mind that the Minister of State already has rather a busy job?

Mike Penning Portrait Mike Penning
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I thank the hon. Gentleman, and my friend, for his comments. I have a very busy and a very important job, but correctly looking after those who have served their country, which the military covenant was designed to do, is exactly what I intend to do. I sit on the Prime Minister’s military covenant committee. When I was asked that question in the military covenant debate, I committed to having a round-table discussion on how we better help our servicemen and women when they leave the armed forces in Northern Ireland.

John Bercow Portrait Mr Speaker
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I have known the Minister of State for 20 years, and I have never regarded him as softly spoken. May I exhort him to speak up a bit?

Jim Shannon Portrait Jim Shannon (Strangford) (DUP)
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5. What discussions she has had with the Chancellor of the Exchequer on the likely positive effects on families in Northern Ireland of introducing a transferable allowance for married couples.

None Portrait Hon. Members
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Come on!

Mike Penning Portrait Mike Penning
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Well then, Mr Speaker! We are committed to finding ways, which were in the manifesto—[Interruption.] You’ve got me going now, Mr Speaker. Treasury Ministers have undertaken to consider a range of options, some of which we might hear later, and make proposals to support marriage.

Jim Shannon Portrait Jim Shannon
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I thank the Minister for his response. My party and that of the Minister of State support a transferrable tax allowance. Marriage in Northern Ireland has risen by 15% since 2001, which reinforces its importance and relevance in today’s society. Does the Minister agree that that must be reflected in the introduction of a transferable tax allowance to allow family units to obtain the benefit, rather than be penalised?

Mike Penning Portrait Mike Penning
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There are many ways in which we can support marriage within a tax allowance, and my hon. Friend will have to wait a little longer to hear exactly what is in the autumn statement—you never know, but we will wait and see.

Jack Lopresti Portrait Jack Lopresti (Filton and Bradley Stoke) (Con)
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7. What recent assessment she has made of the level of cross-border security co-operation between the Police Service of Northern Ireland and An Garda Siochana; and if she will make a statement.

Theresa Villiers Portrait The Secretary of State for Northern Ireland (Mrs Theresa Villiers)
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Co-operation between the PSNI and An Garda Siochana has never been stronger. It has made a real difference in tackling terrorism and other forms of criminal activity. I have no doubt that it has saved lives.

Jack Lopresti Portrait Jack Lopresti
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I thank my right hon. Friend for her answer. Will she assure the House that co-operation between the PSNI and the Garda covers not only terrorism, but other activities, such as organised crime, that help to finance terrorism? With that in mind, will she tell us what recent discussions she has had with counterparts in Dublin as part of our joint efforts to combat terrorism?

Theresa Villiers Portrait Mrs Villiers
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I have had discussions with the Irish Justice Minister, Alan Shatter, the Garda Commissioner, Martin Callinan, and the Taoiseach about the importance of cross-border co-operation. As I said in my opening answer, that co-operation has never been stronger, and we are always open to options for deepening that co-operation in our joint fight against terrorism and criminality.

Ian Paisley Portrait Ian Paisley (North Antrim) (DUP)
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After congratulating my right hon. the Member for Lagan Valley (Mr Donaldson) on reaching his 50th birthday, will the Secretary of State tell us when she intends next to meet representatives from Her Majesty’s Revenue and Customs to discuss how they will tackle fuel and cigarette smuggling on a cross-party basis? It is depriving her Government of billions of pounds in lost tax revenue.

Theresa Villiers Portrait Mrs Villiers
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I am happy to join the hon. Gentleman in wishing the right hon. Member for Lagan Valley (Mr Donaldson) a happy birthday. I have met Treasury Ministers on many occasions, and my colleague, the Minister of State, has recently met representatives from HMRC and will be meeting them again soon. I am happy to do that as well. The Government are strongly committed to cracking down on tax evasion in all forms. We have devoted £917 million, and—who knows?—further announcements on cracking down on tax evasion might be made later this afternoon.

Valerie Vaz Portrait Valerie Vaz (Walsall South) (Lab)
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8. What representations she has received from the Finucane family in advance of the scheduled publication of the de Silva report on 12 December 2012.

Theresa Villiers Portrait The Secretary of State for Northern Ireland (Mrs Theresa Villiers)
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I have not received any representations from the Finucane family since taking office, but my officials are in touch with the family’s legal advisers on the arrangements for publication of the de Silva review next week.

Valerie Vaz Portrait Valerie Vaz
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I thank the Secretary of State for her answer. It seems that we take a long time to bring justice to grieving families, and I am surprised that the Government have been involved in checking the de Silva report. How does she intend to bring justice for the death of Pat Finucane, given that the family have not been involved in the review?

Theresa Villiers Portrait Mrs Villiers
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I strongly believe that the de Silva review will reveal the truth. It has been a very serious exercise. One reason the Prime Minister and my predecessor chose the review process, as opposed to a public inquiry, was the experience of public inquiries taking many years. It would not have been right to wait that long or for the family to have to wait another 12 years to get to the truth. The truth is what counts, and I am sure that the de Silva review will reveal it next week.

Jeffrey M Donaldson Portrait Mr Jeffrey M. Donaldson (Lagan Valley) (DUP)
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I thank the Secretary of State for her premature, but nevertheless welcome, birthday wishes.

The Secretary of State takes a great interest in the Finucane case, but will she cast her mind to the families of the 10 people murdered at Kingsmill in south Armagh, and will she note that one of the guns was found in possession of Raymond McCreesh, after whom a play park in Newry has now been named—shamefully—by the Social Democratic and Labour party and others? Will she cast her mind to those innocent victims who today are hurt by the decisions of Newry and Mourne district council, which frankly are a disgrace?

Theresa Villiers Portrait Mrs Villiers
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It is important, both today in the House and next week when the de Silva review is published, to remember all the victims of the troubles. There were far too many despicable murders and tragedies, and the focus on individual cases should not blind us to the gravity of the suffering imposed on so many people across so many years. We will be emphasising that next week when we look at the Finucane case. [Interruption.]

John Bercow Portrait Mr Speaker
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Order. I remind the House that we are discussing extremely serious matters of life and death, and it would be appreciated if the House would respond accordingly.

Alasdair McDonnell Portrait Dr Alasdair McDonnell (Belfast South) (SDLP)
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Does the Secretary of State agree that the Finucane case is not just about truth but about justice, and that there is a need to follow through and obtain justice, as much as truth, for the Finucane family?

Theresa Villiers Portrait Mrs Villiers
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Of course, the review is about finding the truth and obtaining justice, but whether prosecutions follow will, of course, be a matter for the prosecution authorities, not the Government. [Interruption.]

John Bercow Portrait Mr Speaker
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Order. Let us have some order for Mr Bob Stewart.

Bob Stewart Portrait Bob Stewart (Beckenham) (Con)
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9. What recent assessment she has made of the activities of dissident republican groups.

Theresa Villiers Portrait The Secretary of State for Northern Ireland (Mrs Theresa Villiers)
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Attack planning by these terrorist groupings continues. The level of threat in Northern Ireland remains at “severe”. These groups possess lethal intent and we remain vigilant. The Police Service of Northern Ireland and its partners are working strategically to tackle the threat, to keep the people of Northern Ireland safe and secure.

Bob Stewart Portrait Bob Stewart
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In view of the continuing activities of the IRA under a new guise—the “new IRA”, and indeed the Continuity IRA—can my right hon. Friend assure me that she has done as much as humanly possible to identify long-term hides of weapons?

Theresa Villiers Portrait Mrs Villiers
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The PSNI and its partners, including the Garda Siochana, are focused on suppressing terrorist activity. They are absolutely determined to keep people in Northern Ireland safe and secure. That means combating the efforts the terrorists are making to access weaponry, whether by seeking to import them, steal them or access hides from the past. This is an important priority for the PSNI, and it has the full support of Her Majesty’s Government in the brilliant work it does on these matters.

Naomi Long Portrait Naomi Long (Belfast East) (Alliance)
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Dissident groups have been responsible for bomb attacks on my party headquarters and party members. I thank the Secretary of State for the attention she gives to that issue. However, the most recent attacks on my party colleagues and our party offices—our constituency offices and our staff—with threats and intimidation, have come from loyalist sources. Will she confirm that all threats of politically motivated violence will be treated with the same vigour as dissident republican attacks?

Theresa Villiers Portrait Mrs Villiers
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I was discussing this matter with David Ford, the Minister of Justice, this morning. It is unacceptable if elected representatives or their staff are intimidated in any way. I know that the Minister of Justice and the PSNI will continue to defend robustly the ability of politicians in Northern Ireland to carry out their duties without intimidation.

The Prime Minister was asked—
Julian Lewis Portrait Dr Julian Lewis (New Forest East) (Con)
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Q1. What his strategy is to deal with any re-emergence of al-Qaeda in Afghanistan after 2014.

Lord Cameron of Chipping Norton Portrait The Prime Minister
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Before I answer my hon. Friend’s question, I am sure the whole House would wish to join me in congratulating the Duke and Duchess of Cambridge on the wonderful news that they are expecting their first child. This is the perfect piece of news to end what has been an extraordinary jubilee year.

Turning to my hon. Friend’s question on Afghanistan, the threat to global security from the al-Qaeda presence in Afghanistan has been significantly reduced. This is in large part the result of the brave work of UK, international security assistance force and Afghan armed forces. We remain committed to Afghanistan for the long term, and we will continue to support the development of the Afghan national security forces after 2014 through continued funding and involvement in training. Our continued contribution to aid and the political process, combined with our armed forces’ efforts, underpin a state that is capable of policing its own lands. It is by this path that al-Qaeda will, I believe, be unable to re-establish itself in Afghanistan.

Julian Lewis Portrait Dr Lewis
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The Taliban have been told when most of our troops will be leaving, and they need to be told what sanctions to expect if they help al-Qaeda to return. What would those sanctions be and would an allied regional strategic base serve to make them credible?

Lord Cameron of Chipping Norton Portrait The Prime Minister
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The most important sanction for everyone to bear in mind is the fact that the Afghan national security forces are already at a level of 335,000 and are increasingly capable and increasingly able to police and secure their own country, but of course we will continue to be involved, not least through the officer training academy we will establish. The Americans will have a strong relationship—as we will have a strong relationship—with the Government of Afghanistan, and we will obviously want to help them in all the ways we can to ensure that Afghanistan never again becomes a haven of international terror.

Seema Malhotra Portrait Seema Malhotra (Feltham and Heston) (Lab/Co-op)
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Q2. If he will list his official engagements for Wednesday 5 December.

Lord Cameron of Chipping Norton Portrait The Prime Minister
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This morning I had meetings with ministerial colleagues and others. In addition to duties in my house—[Interruption]—I am sorry, in this House. [Laughter.] You would have thought I’d got used to it by now. In addition to my duties in this House I shall have further meetings later today.

Seema Malhotra Portrait Seema Malhotra
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I visited my critically ill constituent Mrs Swaran Kaur Mudhar in hospital last week. There were only two nurses on a ward of 30 very ill patients. She has asked me to ask the Prime Minister why he has cut the number of nurses.

Lord Cameron of Chipping Norton Portrait The Prime Minister
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The number of clinical staff in our NHS since this Government came to power has gone up, and the number of managers is significantly down, but as my right hon. Friend the Health Secretary has said, we are not the slightest bit complacent. There are parts of our NHS where standards of care and standards of nursing are not acceptable. That is why we are introducing things like the friends and family test to ensure that all hospitals come up to the highest standards of the best.

Baroness Bray of Coln Portrait Angie Bray (Ealing Central and Acton) (Con)
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Following the publication of the Leveson report last week, does my right hon. Friend agree that what we need is a strong, independent regulator, preferably without statutory underpinning?

Lord Cameron of Chipping Norton Portrait The Prime Minister
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I think this is a moment when we should try to maximise the amount of consensus in this House and in the country about what is required. Everyone agrees that we need strong, independent regulation along the lines that Leveson suggests. Everyone agrees that we need million-pound fines. Everyone agrees that we need prominent apologies and independently handled complaints. This is absolutely vital, and I have been encouraged by the meetings I have had with the editors of national newspapers that they will put in place that Leveson-compliant regulation. We should continue the cross-party talks and make sure that we can deliver a regulatory system of which this House, this country and, above all, the victims can be proud.

Ed Miliband Portrait Edward Miliband (Doncaster North) (Lab)
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Let me join the Prime Minister in congratulating the Duke and Duchess of Cambridge on their very happy news. They have the best wishes not just of this House but of the whole country.

The Conservative party manifesto, published in April 2010, said that

“we will increase health spending in real terms every year.”

However, the head of the UK Statistics Authority says clearly and unequivocally that this has not happened. So what is today’s excuse?

Lord Cameron of Chipping Norton Portrait The Prime Minister
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This Government are putting £12.6 billion extra into the NHS. Let me quote the right hon. Gentleman the figures directly from the head of the Office for National Statistics. In real terms, spending in 2010 was £104.2 billion. In 2011, it was £104.3 billion in real terms. That is a real-terms increase, and I can tell the right hon. Gentleman that there will be further real-terms increases in 2012, in 2013 and in 2014, whereas there would be cuts under Labour.

Ed Miliband Portrait Edward Miliband
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Let me just say to the Prime Minister that, even by his standards, that was the most slippery answer we could possibly imagine. He is unbelievable. He has come to this House 26 times since he became Prime Minister and boasted about how he is increasing health spending every year of this Parliament—[Hon. Members: “Hear, hear!”] Government Members are cheering, but he has failed to meet that promise. This is not an argument between me and him; we have a ruling from the chair of the independent UK Statistics Authority who says that that has not happened. I would be grateful if the Department of Health could clarify the statements made. Instead of his usual bluster, why does he not just correct the record?

Lord Cameron of Chipping Norton Portrait The Prime Minister
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It is a very simple point. The spending figures for 2010 were set by the last Labour Government. Those are the figures we inherited. All the right hon. Gentleman is doing is proving that his Government were planning for an NHS cut. We have taken that figure in 2010, we have increased it in 2011 and we will increase it again in every year of this Parliament. People do not have to look at manifestos for a contrast; they can look at what Labour is doing in Wales. The Labour party is in charge in Wales, and it has cut the NHS in Wales by 8%. As a result, waiting times are up, waiting lists are down, quality is down. That is what you get with Labour and the NHS.

Ed Miliband Portrait Edward Miliband
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The Prime Minister knows the reality, which is that he made a promise about every—

Lord Cameron of Chipping Norton Portrait The Prime Minister
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indicated dissent.

Ed Miliband Portrait Edward Miliband
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There is no point in him shaking his head and getting annoyed. He made a promise that he would keep the NHS budget rising in real terms in every year of this Parliament. Labour’s plan, which we set out at the election, was to increase the health budget in 2010-11, and he cut the budget. He knows the reality. Let me give him one more opportunity. He made a solemn promise to the British people of year-on-year increases in the health budget, including in 2010-11. He failed to meet the promise. Come on, why don’t you just admit it?

Lord Cameron of Chipping Norton Portrait The Prime Minister
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I do not know whether I need to remind the right hon. Gentleman that the general election was after the 2010 year had begun. This was Labour’s plan, and what we have done is increase the budget every year. If he does not believe that, perhaps he will listen to the Labour shadow Health Secretary, who gave an interview in the New Statesman, when he said, about the Tories:

“They’re not ring-fencing it. They’re increasing it.”

He went on:

“Cameron’s been saying it every week in the Commons: ‘Oh, the shadow health secretary wants to spend less on health than us.’”

The question was asked:

“Which is true, isn’t it?”

He said:

“Yes, it is true…that’s my point.”

There we have it, confirmed: it is official—Labour wants to cut our NHS. It would never be safe with them again.

Ed Miliband Portrait Edward Miliband
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No, the reality is that my right hon. Friend the Member for Leigh (Andy Burnham) left a rising health budget and this Prime Minister cut it—that is the reality.

Now, let me try the Prime Minister on another fact, which I am sure he will be able to give to the House. Can he tell us how big an income tax cut he is giving next April to people earning over £1 million a year as a result of the reduction in the top rate of tax?

Lord Cameron of Chipping Norton Portrait The Prime Minister
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I am not surprised the right hon. Gentleman wants to get off health. That was the biggest own goal I think I have ever seen.

On the issue of the top rate of tax, when the right hon. Gentleman’s Government put it up to 50p, what it actually meant was that many fewer millionaires paid it, as a result of which the tax take suffered by £7 billion. I remind him that under this Government the top rate of tax will be higher in every year than any year when he was working in the Treasury.

Ed Miliband Portrait Edward Miliband
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I will give the right hon. Gentleman the answer, because of course he did not give it to us. Next April, everyone earning over £1 million will have a tax cut of £107,000 a year—£107,000 a year! [Interruption.] It is no good the Deputy Prime Minister shouting from a sedentary position: he went along with it—the party of Lloyd George!

The Prime Minister has not kept his promise on us all being in it together. Let us ask him about his central promise. Two years ago, he said that by 2015

“we will have balanced the books.”

Can he explain why he is so badly failing to keep that promise?

Lord Cameron of Chipping Norton Portrait The Prime Minister
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First, let me give the right hon. Gentleman the figures on the top rate of tax because it is important. In 2009-10, 16,000 people were earning more than £1 million, with a tax liability of £13 billion. In 2010-11, when the rate went up, this plummeted to 6,000 people with a tax liability of £6.5 billion. Therefore, his 50p election gambit cost the country £7 billion. When is he going to realise that setting tax rates is about raising money, not about punishing success? That is what Labour needs to understand.

In terms of the deficit, we have cut the Budget deficit by 25%, and the right hon. Gentleman will be getting an update on progress from the Chancellor in a minute, but let me ask the right hon. Gentleman this: how on earth can you deal with a borrowing problem by pledging to borrow more?

Ed Miliband Portrait Edward Miliband
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Let us be clear about the Prime Minister’s answer on the 50p rate. His answer to the problem of tax avoidance is to give the people doing it a tax cut. That is the answer he gave—give them another big giveaway. The reality that the Prime Minister could not get away from is that the deficit is going up, not down, on his watch. We all remember the posters, with his airbrushed face, saying,

“I’ll cut the deficit, not the NHS.”

The facts speak for themselves: he has cut the NHS and he is not cutting the deficit.

Lord Cameron of Chipping Norton Portrait The Prime Minister
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The right hon. Gentleman is 100% wrong: we are increasing spending on the NHS and we are cutting the deficit. Yes, we have cut the deficit by 25%, there are a million more private sector jobs, businesses are starting up at a higher rate than at any time in our history, this economy is on the right track, we are equipping Britain for the global race and, unlike the Labour party, we are on the side of people who work hard and want to do the right thing. And what is the right hon. Gentleman’s answer? More borrowing, more spending, more of the things that got us into the mess in the first place.

Richard Bacon Portrait Mr Richard Bacon (South Norfolk) (Con)
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Q3. Three years ago, the NHS spent £500 million on Tamiflu without having seen all the data on effectiveness or safety. Given that, far from that being an isolated case, it is normal for the drugs industry to have almost complete control over the evidence base on which crucial public decisions are made, will the Prime Minister ask Roche to make available the full clinical study reports on Tamiflu, so that doctors, patients and taxpayers are not misled?

Lord Cameron of Chipping Norton Portrait The Prime Minister
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My hon. Friend does excellent work on behalf of the taxpayer, partly through all the good questions that he asks. He has raised an important issue, involving not only the cost to the taxpayer but the possible overstatement of benefits to patients. There needs to be more transparency in clinical trials data, and we are committed to ensuring that that happens. The European Medicine Agency’s work in this regard is supported, and from next year there will be a legal requirement to publish summary reports from clinical trials.

Lindsay Roy Portrait Lindsay Roy (Glenrothes) (Lab)
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Q4. This week we learned that, despite assurances that exhaustive checks were taking place, the UK Border Agency had made minimal attempts to trace 124,000 asylum seekers and migrants, and that 150 boxes of mail had been left unopened. Does that not demonstrate that the 20% cut in the agency’s budget has put our efforts to secure our borders at risk?

Lord Cameron of Chipping Norton Portrait The Prime Minister
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I think that this is a week in which to recognise that we said that we would cut immigration, and that, under this Government, net immigration is down by 25%. However, I want us to do far better in chasing up illegal overstayers and illegal migrants. Good work is being done in that respect, which also involves private sector organisations finding these people and getting them to leave. Of course we had to make reductions in the UKBA budget, as we have had to make them in all budgets, but the hon. Gentleman should have noticed by now that government these days is about getting more for less.

Caroline Dinenage Portrait Caroline Dinenage (Gosport) (Con)
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Q5. The Prime Minister will be aware that Portsmouth has been the home of the Royal Navy and a working dockyard for more than 500 years. Given that the Business Secretary appears to have prejudged the findings of a study of the future of shipbuilding, what reassurance can the Prime Minister give me—and 1,500 shipbuilders—that Portsmouth will remain integral to the building and export of warships, and will continue to be the base port for our future surface fleet?

Lord Cameron of Chipping Norton Portrait The Prime Minister
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My hon. Friend quite rightly speaks up for Portsmouth, which is and will continue to be an excellent home for the Royal Navy. The Navy is fully committed to Portsmouth, and, whatever decision is made on the future of shipbuilding, the Navy will remain a major employer in the city, not least once the new carriers arrive in Portsmouth in a few years’ time. I am sure that my hon. Friend will also welcome the recently announced enterprise zone on the Gosport peninsula, a £25 million package which could create up to 1,200 jobs.

Baroness Beckett Portrait Margaret Beckett (Derby South) (Lab)
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Q6. In June 2010, the Prime Minister said that despite the Government’s deficit reduction plan, he would ensure that there was “ no increase in child poverty.”—[Official Report, 23 June 2010; Vol. 512, c. 294.]Does he still stand by that assurance?

Lord Cameron of Chipping Norton Portrait The Prime Minister
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We are doing everything that we can to tackle child poverty, and according to some estimates it has come down. What we have specifically done is increase the element of child tax credit that goes to the poorest families.

Paul Burstow Portrait Paul Burstow (Sutton and Cheam) (LD)
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In the wake of the criminal convictions of staff who repeatedly abused people living at Winterbourne View hospital, is it not time that those who take the fees, employ the staff and then supervise those staff were themselves held to account through the creation of a new offence of corporate neglect?

Lord Cameron of Chipping Norton Portrait The Prime Minister
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I have listened very carefully to what my right hon. Friend has said. There have indeed been some appalling instances of completely unacceptable levels of care. Of course people working in such organisations are fully subject to the law, as they should be, and if the law has been broken, the proper consequences should follow.

Jim Shannon Portrait Jim Shannon (Strangford) (DUP)
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Q7. One of the main industrial issues in my constituency, and indeed throughout the United Kingdom of Great Britain and Northern Ireland, is the price of electricity. What action is the Prime Minister taking to mitigate spiralling costs, especially in Northern Ireland?

Lord Cameron of Chipping Norton Portrait The Prime Minister
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For consumers, we have announced our plan to ensure that companies put people on the lowest available tariff, which I think has been warmly welcomed throughout the House and throughout the country. For business, given that there is an issue with the energy-intensive industries, the Government have announced their intention to exempt such industries from contract-for-difference costs under electricity market reform. That is subject to state aid clearance and further consultation, but I think it shows that the Government are working hard to help those industries and ensure that they continue to compete and succeed in Britain.

Baroness Laing of Elderslie Portrait Mrs Eleanor Laing (Epping Forest) (Con)
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Q8. The whole House does indeed join the Prime Minister in congratulating the Duke and Duchess of Cambridge on their excellent good news. Will the Prime Minister please confirm to the House that the Commonwealth has at last agreed—after many of us have been asking for this for years—to change the rules on royal succession? Will the Prime Minister undertake to bring a Bill before the House very soon, so that if this baby is a girl she can follow in the footsteps of her much-loved great-grandmother and become our Queen?

Lord Cameron of Chipping Norton Portrait The Prime Minister
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I am very grateful to my hon. Friend for her question. I think I can answer positively on all the points she made. At the Perth Commonwealth conference, I chaired a meeting of the Prime Ministers of all the different realms and we agreed we should bring forward legislation to deal with this issue. All the realms have now agreed to do that. We will introduce legislation into this House very shortly. It will write down in law what we agreed back in 2011: that if the Duke and Duchess of Cambridge’s first child is a girl, she can one day be our Queen. That is the key point. But it is important to explain that the changes will apply to a child born after the date of the Perth announcement of last year even if the birth is before the legislation is passed. I hope it will not take long—certainly not nine months—to pass this legislation, but, just in case, there would not be a problem.

Baroness Hodge of Barking Portrait Margaret Hodge (Barking) (Lab)
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Q9. I welcome the Government’s commitment to increasing their efforts to tackle tax avoidance. Starbucks has now caved in to public pressure and announced that it will review its tax arrangements in the UK, so naming and shaming clearly works. Surely it is time to stop companies engaged in tax avoidance hiding behind taxpayer confidentiality. Will the Prime Minister now commit to publishing the names of the companies found by Her Majesty’s Revenue and Customs to have avoided paying their fair share of tax?

Lord Cameron of Chipping Norton Portrait The Prime Minister
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I very much welcome the right hon. Lady’s initiative on this and her Committee’s work, and I thank her for her warm words of support for what the Government have done thus far. We have recovered £29 billion of additional revenues from large businesses in the last six years, including £4 billion in the last four years from transfer pricing inquiries alone, which is one of the issues the press has covered in detail. I am certainly committed to doing everything we can to look at all the options to make sure that companies pay their taxes properly, and I agree with what the right hon. Lady said about public, and even some political, pressure. On some occasions I myself have made one or two remarks on this subject that were seen as rather controversial. It is important that people feel that companies meet their responsibilities and pay their taxes.

Robert Buckland Portrait Mr Robert Buckland (South Swindon) (Con)
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Q10. Will my right hon. Friend do everything he can to ensure that education, health and social services work together to commission services jointly, in order to ensure that the very welcome reforms in the forthcoming children and families Bill will be workable on the ground?

Lord Cameron of Chipping Norton Portrait The Prime Minister
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My hon. Friend makes a very important point. We need to get away from the idea of Government—or, indeed, local government—operating in silos with different budgets and different departments not working together. My hon. Friend represents a Swindon constituency, and I know that Swindon borough council has taken huge steps in bringing the various agencies together, particularly in the area of problem families, and I commend them for the work they do.

Sheila Gilmore Portrait Sheila Gilmore (Edinburgh East) (Lab)
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Q11. Whatever announcements the Chancellor makes on pension tax relief shortly, is it not a fact that when this Government came to power, they made changes to pension tax relief that gave a tax cut of £1.6 billion to people earning more than £150,000? [Interruption.] I see that the Chancellor has to give the Prime Minister his crib sheet.

Lord Cameron of Chipping Norton Portrait The Prime Minister
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I am afraid the hon. Lady is wrong. We inherited a plan to raise £4 billion in taxes from the wealthiest people, and we raised that further. My right hon. Friend the Chancellor will make some further announcements in a moment.

Robert Smith Portrait Sir Robert Smith (West Aberdeenshire and Kincardine) (LD)
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The north-east of Scotland makes a major contribution to the UK economy through the offshore oil and gas industry. Will the Prime Minister commit to maximise investment in the industry so we get the maximum number of jobs and the maximum energy security and taxation for the future of this country?

Lord Cameron of Chipping Norton Portrait The Prime Minister
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My hon. Friend rightly speaks up for the North sea industry and for everyone who works in it in Scotland. I have been incredibly impressed when I have visited Aberdeen to see the health of, and the wealth generated by, that industry. What we have done, on decommissioning and on new field allowances, has helped to bring some certainty, and we should keep working on that to make sure that we recover as much oil and gas from the North sea as possible and make the most of this precious national asset.

Nicholas Dakin Portrait Nic Dakin (Scunthorpe) (Lab)
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Q12. Some 7,000 fewer nurses, longer waits in accident and emergency, and hospitals full to bursting, according to Dr Foster—the Prime Minister is cutting the NHS while the deficit rises. Will he put that on his posters for the next general election?

Lord Cameron of Chipping Norton Portrait The Prime Minister
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I think the hon. Gentleman was describing the situation in Wales, where Labour has put in place an 8% cut. Let me tell him what is actually happening in the NHS in England: we have got 1,350 extra clinical staff; we have taken down the number of managers by 6,700; mixed-sex accommodation is right down; the cancer drugs fund is making sure that many more people get access to those drugs; waiting times are down; the number of people waiting a long time is down; and the number of people waiting longer than 52 weeks to start treatment is at its lowest level since records began. He should be supporting this Government for their health policy and telling his Front Benchers to stop cutting the NHS.

Bernard Jenkin Portrait Mr Bernard Jenkin (Harwich and North Essex) (Con)
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Does my right hon. Friend recall receiving a visit at No. 10 from the pupils of Market Field special school, which had been nicknamed “shed city” as there were so many demountables on its site? Does he share my delight that Essex county council has allocated £8.4 million to build a new school, and may I thank him for his support for that campaign?

Lord Cameron of Chipping Norton Portrait The Prime Minister
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I am very grateful to my hon. Friend for his question. I am a very big supporter of Britain’s special schools; I think they provide an absolutely vital service for parents and for children who have those special and sometimes quite acute needs. I am proud of the fact that this Government have invested in special schools and they are doing such a good job, including in his constituency.

Adrian Bailey Portrait Mr Adrian Bailey (West Bromwich West) (Lab/Co-op)
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Q13. Following the Government’s new funding formula for universities this year, student admissions dropped by more than 50,000. Despite meeting its target, the university of Wolverhampton—my local university—suffered a cut in its core allocation and has been told that there will be another cut next year. What guarantees can the Prime Minister give that universities such as Wolverhampton’s will not suffer year-on-year reductions in student numbers as a result of this new formula?

Lord Cameron of Chipping Norton Portrait The Prime Minister
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The whole point is that this Government took difficult decisions to make sure we could maintain the number of people going to our universities, and the question really goes right back to the Labour party: if you don’t support a proper system of student contributions, how on earth are you going to pay for our universities? We have set out our plans, and they are actually working well. You don’t start paying back money until you earn £21,000, and you don’t start paying back in full until you earn £35,000. We have a method for making sure we invest in our universities; the Labour party has not got a clue.

John Glen Portrait John Glen (Salisbury) (Con)
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Q14. Naomi House children’s hospice, which serves my constituency, receives just 10% of its funding from the Department of Health, whereas adult hospices receive rather more. This is especially difficult because, as private institutions, hospices have to pay for all prescriptions. Will the Prime Minister look again at the reasons for the different treatment of children’s and adult hospices, and meet me and Professor Aziz to discuss the different funding levels that they attract?

Lord Cameron of Chipping Norton Portrait The Prime Minister
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I am very happy to discuss this issue with my hon. Friend. For many years, my family used a children’s hospice in Oxford that got absolutely no state support at all. What this Government have done is continue with the £10 million going annually to support children’s hospices, and this year we have added an extra £720,000. However, what we want to put in place, and what we are discussing with the providers of both adult and children’s hospices, is a per-patient funding system that would be for all hospices. I think that would bring a greater logic and consistency to how we support this absolutely essential part of both our health service and, I would argue, our big society.

Anas Sarwar Portrait Anas Sarwar (Glasgow Central) (Lab)
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Q15. Is the Prime Minister aware that Amazon, a global company, turned over £3.3 billion in the UK this year, paid not a single penny in corporation tax and yet was rewarded with a £10 million grant from the Scottish National party Government in Scotland? Does that not demonstrate that both our Prime Minister and our First Minister stand up for the wrong people? When will this Government move away from punishing the poorest in society and focus on those who avoid and evade?

Lord Cameron of Chipping Norton Portrait The Prime Minister
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The point I would make to the hon. Gentleman is that there is common ground between us, which is that we want those large multinational companies to pay proper taxes here in the UK. We believe that you do that by having low tax rates—and we have reduced the rate of corporation tax—and ensuring that they declare their income properly. On the specific issue of transfer payments, some companies have been pursuing rather strange practices to pretend that their revenues are not delivered here in the UK to run down their tax bills. As I have said, in the past four years we have recovered £4 billion in tax revenue in that way, but the Treasury and the HMRC very much know that there is more we can do.

Thérèse Coffey Portrait Dr Thérèse Coffey (Suffolk Coastal) (Con)
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Residents of Suffolk Coastal were very excited when the Energy Bill was published last week, because it gives a potential green light to the building of Sizewell C nuclear power station and many jobs. Will the Prime Minister commit to continuing to invest in apprenticeships and skills training so that Suffolk people can get the jobs that will be created?

Lord Cameron of Chipping Norton Portrait The Prime Minister
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My hon. Friend is absolutely right. The presentation of the Energy Bill to Parliament means that we can get out there and sell to all the energy companies the clear and stable framework that the UK has for offshore wind, nuclear, renewables and gas. It is a very positive development and there is a huge amount of potential pent-up investment, and we need to ensure that that results in British jobs and British apprenticeships. The Government are fully committed to making that happen.

Elfyn Llwyd Portrait Mr Elfyn Llwyd (Dwyfor Meirionnydd) (PC)
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The Prime Minister obviously believes that within the Leveson report there lurks something that is bonkers. Given that, how would he characterise the views of his Planning Minister—the Under-Secretary of State for Communities and Local Government, the hon. Member for Grantham and Stamford (Nick Boles)—who has just said that over the coming months and years tens of thousands of new homes will have to be built on greenfield sites?

Lord Cameron of Chipping Norton Portrait The Prime Minister
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Let me deal with the question about the Planning Minister first. It is absolutely clear that yes, we should build on brownfield land and try to deal with the problem of empty homes, but we need a frank conversation about the need to build more flats and houses so that we do not have the situation we currently have, whereby if people do not have help from the bank of mum and dad they are in their mid-30s before they buy their first home or flat. I do not think that is acceptable in our country, so all credit to the Planning Minister for trying to fix the problem.

On the question of Leveson, I think there is a wide agreement about what a new regulatory system ought to look like. It is set out there in black and white in Leveson, and we need to challenge the press to introduce it. If they do not, we will obviously have to take further action.

Brooks Newmark Portrait Mr Brooks Newmark (Braintree) (Con)
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With more men in work than ever before, more women in work than ever before, a deficit that has been cut by 25% and interest rates at historic lows, does my right hon. Friend agree that the Opposition’s plan B—code for more debt—would jeopardise all those achievements?

Lord Cameron of Chipping Norton Portrait The Prime Minister
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My hon. Friend is entirely right; we are making progress. Of course it is tough when there are so many economic headwinds against us, but with 1 million more private sector jobs, the deficit down by 25% and a record number of businesses starting up last year, we are on the right track. It is quite clear that plan B stands for bankruptcy—that is what Labour would give us.

John Bercow Portrait Mr Speaker
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Last but not least, I call Ann Clwyd.

Ann Clwyd Portrait Ann Clwyd (Cynon Valley) (Lab)
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A universal health care system free at the point of delivery is what the overwhelming majority of the British people want and is something to which I remain firmly committed. However, there are increasing complaints about nurses who fail to show care and compassion to their patients. What exactly will the Prime Minister do about that?

Lord Cameron of Chipping Norton Portrait The Prime Minister
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The right hon. Lady speaks for the whole House and the whole country in raising this issue. I know how painful what she witnessed in her own life and her own family must have been. I am, as she is, a massive fan of our national health service and an enormous fan of the fact that it is free at the point of use and that we do not produce a credit card when we go to hospital. My family has had extraordinary care from our NHS, but we do not do our NHS or our nurses any favours if we do not point out that there are some very real problems in parts of our health and care system.

As a constituency MP, I see quite a few letters—particularly from elderly people and their relatives—who are not getting the sort of care that is appropriate in hospitals. I set up a nursing care quality forum that I have attended myself to discuss these issues with nurses and nurse leaders. There is no silver bullet and no magic wand, but some simple steps, such as asking every hospital to carry out a friends and family test, asking the patients and the staff whether they would be happy for their family or friends to be treated in that hospital, can make a real difference. So can hourly rounding, which is not something to do with statistics but the idea that the nurse should be there by the bedside of elderly patients once an hour checking that they have had water and something to eat, that they do not have bedsores and that they are properly looked after. We should not have to dictate those things, but a proper conversation with our nurses—who are angels to a vast degree—can get the situation sorted out for all our relatives.