(8 years, 2 months ago)
Commons ChamberOrder. Comments are to be reflected upon and discussed; they are not be made from a sedentary position. If the hon. Member for Darlington wishes her comments to be noted, she should stand up and make them. If not, she should not make them.
(8 years, 8 months ago)
Commons ChamberI am obliged to you for calling me, Madam Deputy Speaker, although I apologise if I leapt to my feet rather more quickly than colleagues had anticipated. I am keen to speak in this debate, having served on the Bill Committee and, for a number of years, as chair of the London Fire and Emergency Planning Authority. I feel that I speak with a fair degree of authority on the implications of different governance models, because the LFEPA had to go through the process of making substantial changes to the London fire brigade and I saw at first hand the widespread misunderstanding of the governance arrangements, both of the London fire brigade, through the London fire authority and to the Mayor, and more widely and nationally.
I like clarity; it is a cornerstone of democracy that people can follow the golden thread from the decisions they make at the ballot box, through to the people who make the decisions about the provision of their public services and, ultimately, on to the delivery of those services. This is important, because when things go right in the delivery of those services, people should know who to reward at the ballot box. Perhaps more importantly, if things do not go well, voters should know who they can punish at the ballot box. That is a cornerstone of the democratic model, to which I am sure we all subscribe.
Previously, when we had police authorities, there was a break in that golden thread, because people did not know who ran their police force. They were probably aware of where the police headquarters were, although I am being generous when I say that. I suspect that in many parts of the country people might have had a vague idea that the police headquarters would be in the big town—the county town. People in my constituency are aware that the police headquarters were in Chelmsford, but I would be surprised if many were able to name their chief constable and absolutely amazed if any were able to name the local councillors who sat on the police authority.
Just before we proceed, may I say with great respect to the hon. Lady that, although she has many points to make which the House should hear, interventions must be short.
London’s exceptionalism is often held up as the reason why things that happen in London cannot possibly happen elsewhere. I have to say that, having served in office both in London and in Essex, I do not subscribe to that view. There are many things that national Government can learn from what a Conservative administration has done in London. I will go even further and say that London could learn plenty of things from other parts of the country, including from my wonderful county of Essex.
(9 years, 6 months ago)
Commons ChamberI am not taking interventions.
The fact that the ability to discharge patients back into the community is dependent on the ability to care for them while they are in the community means that adult social care must be considered an essential and integral part of the A&E mix. If general wards are not able to discharge into the community, they are not able to make bed spaces available and, in turn, A&E departments are not able to transfer to other wards within the hospital.
I therefore pay tribute to the excellent work done on the Manchester model, putting together NHS provision and adult social care, so that the obvious inter-relationship between the two could be looked at holistically. I am happy that some Opposition Members—perhaps only some of them—welcomed the introduction of the Manchester model. Again, if we could work in a cross-party, collegiate way to learn the lessons from that integrated service model in Manchester and roll it out nationally, I think we would be in a much better place for looking at and subsequently dealing with the problem of A&E waiting times.
It has been alleged—I am sure Opposition Members will all leap to their feet to deny it—that Labour Members were keen during the last general election to weaponise the NHS. [Interruption.] Those were not my words. This is too important an issue to turn into a party political football. I will make this commitment—[Interruption.]
I am obliged, Madam Deputy Speaker.
Let me make this commitment: if I perceive that my own Front Benchers are trying to turn the issue into a political football, I will be as critical of them as I am of Opposition Members.
Money is a very important part of the NHS mix, and I welcome the fact that my party has committed itself to funding the NHS to the levels recommended by experts in the field, but money alone is not enough. More money has been given to GPs’ surgeries, but the St Lawrence medical practice in my constituency is still struggling, which is forcing a number of people to use local A&E services.
This is an important issue; let us discuss it with decorum. I commend the Government’s actions.