(10 years, 6 months ago)
Commons ChamberThe allocations are made to the United Kingdom, whose Government then have a degree of discretion about the distribution of those funds within the UK. What was at stake in the Court challenge and is at stake in this debate is whether those decisions were fair, whether they were justifiable and whether they were lawful. That is the point at stake and it is where things have changed since the debate I introduced about eight months ago.
The right hon. Gentleman has mentioned Northern Ireland. Does he accept that Northern Ireland’s fuel costs are the highest in the whole UK, its levels of unemployment exceed those in other parts of the UK and its educational standards do not match those of some areas of the UK, and that allocations of EU moneys are based on the criteria of need and Northern Ireland falls into that category? I would be happy to see Yorkshire getting its true worth, but I would hate to see it happening at the expense of those in Northern Ireland.
I understand that. Northern Ireland, South Yorkshire and Merseyside all face similar problems, and under this funding period arrangement they have all been designated as transition regions. I must say to the hon. Gentleman that the GDP—the wealth, product and income—in Northern Ireland is in fact higher than it is in South Yorkshire and in Merseyside, yet the decisions the Government have taken mean that Northern Ireland will be protected, with its drop in funding for these seven years compared with the previous seven years being limited to just 5%, whereas we face a funding cut of more than 50%. I think he would agree that that simply is not fair.
The Minister will have a chance to respond in full, but he is perfectly aware—I have had meetings with him and written to him on this point—that the comparison I make is regarding the special protection put in place for Scotland, Wales and Northern Ireland. Scotland has a GDP higher than that of South Yorkshire, Northern Ireland has a GDP higher than that of South Yorkshire and Wales has a GDP roughly on the same level. That is not fair, and it does not make good policy sense.
I thank the right hon. Gentleman for bringing this very important issue before the House for consideration. Obviously, as an MP for Northern Ireland, I am concerned that Northern Ireland receives its full share. Unemployment is higher, youth unemployment is higher and job opportunities are even scarcer than in other parts of the United Kingdom. Does the right hon. Gentleman want to see the same opportunity given to Rotherham and Barnsley as has been given to Northern Ireland?
Indeed. The hon. Gentleman sums up my full argument in a nutshell, and I am grateful to him for that.
(11 years, 9 months ago)
Commons ChamberSome of the most important matters that MPs discuss in Parliament start with concerns that are raised with us by constituents, as is the case with this debate. People are routinely placed on hold for half an hour when calling the local jobcentre, or they are charged £40 in a single month for the cost of calls to Departments, when they simply try to report a change in circumstances. Such bills are run up because, as I established through freedom of information requests and parliamentary answers, the Department for Work and Pensions has 148 separate phone lines all using 0845 numbers that can cost up to 10p per minute from a landline and 41p per minute from mobile phones.
People who need to call those numbers are usually on a fixed, low income. They are elderly, vulnerable or unwell, and they are being charged rip-off rates to sort out problems or simply get information about sickness and disability benefits, carers support, jobs, pensions, child support, and even crisis loans.
Does the right hon. Gentleman believe that the best way would be not to charge at all for such phone lines, which are used by the elderly, single parents, those on low incomes and those in poverty?
I welcome the hon. Gentleman’s support for my argument. He is right that thousands of people in his constituency, in mine and in the Minister’s will be affected by those premium-rate lines and the rip-off call charges that people can suffer. The cost of the call takes a big chunk out of already stretched budgets. That can put people off making calls to get the help they need.
(12 years, 5 months ago)
Commons ChamberSadly, Ruth Murphy’s experience is more and more common. By the end of last year, the number of people having to wait more than 18 weeks to get into hospital for the operation they needed was up 13% since the previous year.
Like many in the House, the right hon. Gentleman will have received a lot of correspondence from professional bodies, such as the British Medical Association, the Royal College of Midwives, the Royal College of Nursing, the Chartered Society of Physiotherapy and many, many others, and they all say that these changes will lead to an unsafe foundation for the NHS. Does he feel that they all want change, but the right change, and the right change is not what will be delivered by the Government here?
The hon. Gentleman is right. One of the great tragedies here is that the Government have squandered the good will and confidence of NHS staff that is necessary to make the changes to the NHS that it must make. This health Bill will make making those changes more difficult, not easier.
The Government could have built on the golden legacy and the great improvements that patients saw under 13 years of Labour investment and reform: hundreds of new hospitals and health centres; thousands more doctors, nurses and specialist staff; and millions of patients with the shortest ever waits for tests and treatments. Instead, we have a Tory-led Government, backed by its Lib Dem coalition partners, who have brought in the chaos of the biggest reorganisation in NHS history; wasted billions of pounds on new bureaucracy; and betrayed our NHS with a health Bill that will, in the long run, break up the NHS as a national health service and set it up as a full-blown market ruled, in time—for the first time—by the full force of competition law.
Everything about this NHS reorganisation has been rushed and reckless. This has been a master class in misjudged and mishandled reform—implementing before legislating, and legislating before being forced to call a pause to listen and consult on the plans already in hand. This health Bill was introduced last January. What was a very bad Bill is still a bad Bill. Make no mistake: this legislation will leave the NHS facing more complex bureaucracy and more confusion about who decides what and who accounts for what, and mired in more cuts and wasted costs for years to come.
Risk has been at the heart of the concern about these changes from the outset. There has been a lack of confidence and a lack of evidence, yet the Government are ready to manage the risks of introducing the biggest ever reorganisation in NHS history at the same time as the biggest financial squeeze since the 1950s. These risks were the reason for the growing alarm among the public, professionals and Parliament in the autumn of 2010, when I made my freedom of information request for the release of the transition risk register.
Last Friday the courts dismissed the Government’s efforts to keep secret the risks of their NHS reforms. Apocalyptic arguments were made in court, in defence of the Government, about how releasing the register would lead to the collapse of the Government’s system for managing risk. That did not happen when the Labour Government were forced to release the risk register for the third runway at Heathrow. Nor will it lead to the routine disclosure of Government risk registers, because the tribunal’s decision, like the Information Commissioner’s decision before it—both saw the transition risk register—was based on my argument that the scale and speed of these changes was unprecedented, and therefore that the public interest in their being disclosed was exceptional.
The Government have dragged out their refusal to release this information for 15 months. That is wrong. They have now lost in law twice. This is not a political argument but a legal and constitutional argument. It is about the public’s right to know the risk that the Government are running with our NHS, and about Parliament’s right to know, as we are asked to legislate for these changes.
(13 years, 2 months ago)
Commons ChamberI give way for the last time to the hon. Member for Strangford (Jim Shannon).
The Committee had 28 meetings, 100 Divisions and hour upon hour of debate. That has been reflected in public opinion. The electorate who put us all in the House to represent their views are clear about what they want: a full debate in Committee, not a short-term Committee. They want it to sit until 18 October, not until 14 July.
The hon. Gentleman served on the Public Bill Committee. I hope he will continue to serve when the Bill is recommitted. He is right. The public and NHS patients expect us to do our best to get the legislation right. To do that, we require the detail, we require the time, and we require the whole Bill to be recommitted.
The House cannot do its proper job without an impact assessment. The current assessment says that
“the full benefits of these changes will not be realised unless there is a change to regulation to promote competition”.
The Government now say that this policy will be altered. There will also be greater bureaucracy, longer time scales and more bodies with more complex accountabilities. Both the supposed benefits and the stated costs have changed, yet the Government tell us that the new impact assessment will not be published until the Bill reaches the Lords.
How much will this reorganisation now cost? How much can the Government now claim this will save? What are the risks? Why has the Health Secretary being blocking my freedom of information requests to release the official risk register since November? Why will the Government not welcome and allow full scrutiny of the Bill in view of the significant policy changes they say they are making? Why are they preventing this elected House from doing its proper job of fully scrutinising the legislation?
If the programme motion is passed, more will need to be done on Report in this House and during the Bill’s passage through the other place. We will continue to oppose this reckless and needless NHS reorganisation, lead the detailed scrutiny this legislation requires and speak up as patients start to see their NHS services suffer again under the Tories. We will oppose the motion.