(11 years, 5 months ago)
Commons ChamberMy hon. Friend makes a helpful point. Many opportunities to achieve the ends that he sets out are afforded by having more public services online. We are introducing digital registration in 2014, which will be very helpful in achieving that shared aim.
T1. If he will make a statement on his departmental responsibilities.
As Deputy Prime Minister, I support the Prime Minister on the full range of Government policy initiatives and I have responsibility for the Government’s programme of political and constitutional reform.
In this flatlining economy, nearly 1 million young people are unemployed. In my constituency there has been a 10% increase in youth unemployment. Most worryingly, there is a disproportionate impact on young people from black, Asian and minority communities. One in two young black men is unemployed, compared with one in four young men in the white community. Why are the Government not addressing that appalling inequality?
I am sure that all Members from all parts of the House will agree that it is important that we give young people more opportunities to get into work. That is why we have massively expanded the number of apprenticeships that are available to young people, on a scale that dwarfs anything the previous Government had planned, and why we have made available £1 billion for the Youth Contract. I urge the hon. Lady, if she has not done so—[Interruption.] She says that it is not working. It offers funding for 250,000 new work experience places, which is a great way of getting young people into work. If she worked with us, she could explain to employers in her constituency that wage subsidies are available under the Youth Contract so that if a local employer takes on a young person, they get paid for doing so by the Government.
(11 years, 5 months ago)
Commons ChamberThere were no specific discussions at the G8. Obviously I had a series of conversations with Barack Obama about all the things that we should be doing to put pressure on President Assad, but we do not have any plans to take those steps.
Will the Prime Minister confirm that the NHS is exempt from the EU-US trade negotiations?
I am not aware of a specific exemption for any particular area, but I think that the health service would be treated in the same way in relation to EU-US negotiations as it is in relation to EU rules. If that is in any way inaccurate, I will write to the hon. Lady and put it right.
(11 years, 6 months ago)
Commons ChamberI will ask the Ministry of Defence to look carefully at that. MOD police do important work, but as a House of Commons and a country we should be frank about the fact that our communities positively welcome having military bases and barracks at their heart. That is what I found in Woolwich and what I find in my own constituency with RAF Brize Norton. We should recognise that we do not protect our services by surrounding them with some ring of steel; we protect our services because we love and revere what they do.
On Syria, like many Members and many people across the country I am increasingly uneasy about the potential escalation of the conflict with the lifting of the EU arms trade embargo. It seems a bit like cat and mouse tactics. I urge the Prime Minister to focus—I am sure that he is doing so—on the peace conference and a negotiated peace settlement. What plans are there, and what discussions have taken place, concerning support for Syria’s post-conflict position? We must learn the lessons from history, as other Members have said.
The hon. Lady is absolutely right. Any peace process worth its name has to start with a peace conference, getting the parties around the table and trying to work out the elements of the Syrian opposition and the Syrian Government that could form a transitional Government, but then we have to plan what the Syrian Government and a Syrian political settlement will look like afterwards. One of the lessons from history is that we do not want to see the institutions of the state destroyed. We want to see them properly serving the people.
(11 years, 8 months ago)
Commons ChamberT5. Perhaps I can think of one. Ministers have said that the second set of NHS privatisation regulations due to come into effect on 1 April will not force clinical commissioning groups to put health services out to competitive tender—in spite of legal analysis showing that they are just as bad as the first such regulations. Since the warnings about the Health and Social Care Bill have turned out to be true, if NHS services are privatised, will the Deputy Prime Minister resign?
This is typical scaremongering from the Labour party. It was the hon. Lady’s party that wasted £250 million of taxpayers’ money subsidising the private sector in a deliberate act to undermine the NHS. It is the Government who have made it illegal, directly in the Health and Social Care Act 2012, to have competition based on price rather than on quality. The hon. Lady would know, if she looked in detail at the new regulations—the so-called section 75 regulations—that they make it quite clear that clinical commissioning groups are not forced to open services to competition unless they think it is clinically justified in the interests of patients to do so.
(11 years, 8 months ago)
Commons ChamberI recognise that there are all kinds of challenges for small organisations and, in particular, for small voluntary groups and charities in competing for public service contracts. We are opening up many more opportunities for them than there were under the previous Administration. We are working actively through things like the commissioning academy and new master classes around the country to tool up small organisations so that they can compete more effectively for such contracts.
11. What steps his Department is taking to reduce the level of late payment by public sector contractors to small and medium-sized enterprises.
As I have noted, Government policy is to pay undisputed invoices within five days and to pass 30-day payment terms down supply chains. The Crown representative team in the Cabinet Office is encouraging prime contractors to do that more quickly on a voluntary basis. We have tasked Departments to manage their contracts to ensure that prime contractors pay sub-contractors within 30 days.
I am glad that the Government are now taking seriously late payments to small and medium-sized enterprises, after I received such a dismal response on the issue in 2011. When are the Government going to ensure that public sector contractors have the need to pay SMEs in their supply chain promptly in their contracts?
I congratulate the hon. Lady on the award that she has won in connection with her work on this matter. My previous answer covered what the Government are doing. We are extremely keen to see good practice pushed throughout the supply chain. We are ensuring that more business goes to SMEs, which is good for growth. All told, that is a good thing and something of which the Government can be proud.
(11 years, 9 months ago)
Commons ChamberI note what my hon. Friend has said, and I will look carefully at the issue she raises. The whole point about the Francis report is that we should use this as an opportunity to say, “Yes, of course we support the NHS and its founding principles, but not everything in the NHS is right.” Where there is bad practice and where things are going wrong, we need to shine a very bright light on it and make sure not only that we deal with it but that we hold people to account.
Q7. Further to the question asked by the hon. Member for Torbay (Mr Sanders) on the new regulations laid on 13 February, the Government gave categorical assurances that GP commissioners would not be forced to put health services out to competitive tendering, but the regulations go completely against that. What is the Prime Minister’s excuse for this?
GP commissioners are not forced to put services out to competitive tender. We have GP commissioners, and the point is that it is going to be doctors making the decisions about whether they want to expand choice and diversity in the NHS. What is the hon. Lady worried about? What is the Labour party worried about? Is it not the case that lots of voluntary bodies, charities, the hospice movement, organisations like Mind and Whizz-Kidz in Tower Hamlets, which provides an amazing service for children with wheelchairs, are already involved? What are we frightened of in allowing doctors to say, “Let us have some diversity, let us have some choice and let us make sure we are on the side of patients”?
(11 years, 10 months ago)
Commons ChamberI will look closely at what my hon. Friend has said, but I will make a couple of points. Within the education budget we have prioritised per pupil funding, so there has not been a reduction in per pupil funding. It is very important that schools can see forward to future years to the sorts of budgets that they will have, given the roll of children coming to their school. The second thing we have done, through the academy programme, is to encourage the devolution of more of the schools budget to schools directly, and I still think there is more we can achieve on that agenda.
Q14. The Prime Minister said that he would give the public a strong voice in the NHS, and his former Health Secretary said that he would put patients at the centre of the NHS. Why then was a motion to strengthen patient and public involvement in the new patient watchdog rejected by the Government in the other place last night?
We do want to see patients have a stronger voice in the NHS, and we are about to debate, at some length in terms of the Mid Staffordshire inquiry, how that is done. One of the most important ways of doing that will be to make sure that the NHS Commissioning Board mandate has at its heart quality nursing, quality care and the voice of patients. We also need to look at how HealthWatch will work to ensure that it is truly independent. We have to understand that some of the ways we have tried to empower patients in the past—the report we are about to discuss goes into this in some detail—and give them a better voice, always with good intentions from Governments on both sides of the House, just have not worked, and we have to listen to Francis when he says that.
(12 years, 6 months ago)
Commons ChamberThe team does some very interesting work on encouraging behaviour to change in cost-effective ways. If my hon. Friend looks at the annual report, she will see some good examples. For instance, by slightly changing the wording in letters sent out by Her Majesty’s Revenue and Customs to self-assessment taxpayers who owed money, the team increased payment rates from 68% to 83%, which is estimated to lead to savings of £30 million a year in administrative and court costs if rolled out across the country.
10. What steps he has taken to ensure clarity and efficiency in the delivery of policy across Government.
On 31 May we published business plans for 17 Government Departments, which clearly set out the actions that Departments will take to implement the Government’s reform priorities and by when. The No. 10 website publishes monthly updates on which actions have been completed and which are overdue.
Will the Minister explain how one Government policy operating in direct conflict with another—for example, the withdrawal of the right to flexible working conflicting with support for carers—amounts to efficiency?
(12 years, 8 months ago)
Commons ChamberOrder. There are far too many very noisy private conversations taking place in the Chamber. That is unfair to the questioner and deeply unfair to Ministers, who may well be greatly wounded by the experience.
11. The Government say that they are committed to ensuring that 25% of all Government contracts will be awarded to SMEs, but official figures and the experience of SMEs in my constituency show that the situation is getting worse. When are the Government going to get their act together on this?
I fear that the hon. Lady wrote her question before hearing my answer. We cannot make a commitment; it would be illegal to do that. We have an aspiration to move to 25%. The Government formed by the party of which the hon. Lady is a member did not even bother to measure how much of this was happening. In the past year, we have more than doubled the amount of spend that goes directly to SMEs, but there is further to go and we will go that distance.
My hon. Friend will know that we are looking at the funding formula for schools. We want to try to make it simpler, so that people can see what the criteria are and why their area receives the money that it does. At the same time, we are introducing the pupil premium, which will mean that parts of the country such as his, where there are quite high levels of deprivation in parts, will get specific funding for those children who are on free school meals. That should help the funding of those schools that need the money the most.
Will the Prime Minister do the honourable thing and publish the risk register, including the action that is needed to mitigate the risks that the Health and Social Care Bill still poses to patients?
(13 years, 7 months ago)
Commons ChamberWhat is absolutely clear is that phone hacking is not only unacceptable but against the law. It is illegal; it is a criminal offence, and I would urge the police and the prosecuting authorities to follow the evidence wherever it leads. That must happen first, and we must not let anything get in the way of criminal investigations.
Will the Prime Minister explain why, if there is a genuine pause in the enactment of the Health and Social Care Bill, the inception of cluster primary care trusts that are preceding the GP consortia, including the Greater Manchester cluster PCT, has been brought forward from 1 June to 3 May? Is not this pause nothing more than window dressing? It is political manoeuvring before next week’s elections.
No, I think the hon. Lady is wrong. This is a genuine exercise in trying to ensure that we get the very best out of these reforms. We are looking specifically at areas such as public accountability, choice and competition, education and training, and the patient involvement aspects of the reforms. Of course we have to go ahead with driving out the bureaucracy and additional costs from the NHS. We inherited from Labour, I think rightly, a £20 billion efficiency programme, and we have got to take that through, but there is a genuine opportunity to make these reforms better still.