Oral Answers to Questions

Baroness Harman Excerpts

Tuesday 18th January 2011 Commons Chamber

[The Deputy Prime Minister]

Absolutely; that is why I marvel at the Labour party’s objection to saving £12 million every year by reducing the size of this place from 650 seats to 600. That is a modest cut of 7.6% which will bring the size of this Chamber into line with Parliaments in many other mature democracies. It is resisted only by Labour Members.

[Ms Harriet Harman (Camberwell and Peckham) (Lab)]

May I ask the Deputy Prime Minister about his Government’s actions on the national health service? By unleashing the biggest ever reorganisation at the very time when the NHS faces a real-terms cut in its budget, he is posing a huge threat to our national health service. How on earth can he justify that?

[The Deputy Prime Minister]

The only party in this House that wants to cut the NHS budget is the Labour party. The coalition Government have increased spending on the NHS. We recognise that if we want to preserve the very best of the NHS, it needs to be reformed in the years ahead. Crucially, we need a people’s NHS—[Interruption.] We need an NHS that is there to serve patients, and is not a plaything of unaccountable bureaucracies. That is why we are reducing the layers of unaccountable administration in the NHS and ensuring that the people who know patients best—the GPs—have more say in how the system works.

[Ms Harman]

Yes, it is the people’s NHS, and the Deputy Prime Minister has no mandate for the changes. Even after the general election, the coalition agreement said that there would be no “top-down reorganisation”. This is a smash and grab on the NHS. Will he make the Government think again?

[The Deputy Prime Minister]

As it happens, in opposition we continually made the case against an over-centralised NHS that was not responsive enough to the needs of communities and patients, and insufficiently accountable to them. That is why we are giving more power, not less, to local authorities, particularly in the area of public health, and why we are giving more financial authority to GPs, rather than less, because they know patients best—[Interruption.] Hon. Members say “The private sector”, but it was the Labour party that rigged the market through the introduction of independent treatment centres to force private sector providers in the NHS. Through the reforms, we will ensure that there is a level playing field, on which public, voluntary and private providers can compete.