Business of the House

Debate between Lord Lansley and Andrew Gwynne

Thursday 3rd July 2014 Commons Chamber

[Mr Lansley]

I am very glad that we have been able to give support to our cathedrals, which are a wonderful aspect of our overall heritage, especially as they are often the focus of commemorative events. Indeed, I was able to be with the Royal Anglian Regiment at a commemorative event in Ely cathedral just the Sunday before last. The cathedrals that have been successful in securing grants from the first world war centenary repair fund will be announced in a written statement on Thursday 10 July. I will of course ensure that my hon. Friend’s comments are noted by the Department for Culture, Media and Sport.

[Andrew Gwynne (Denton and Reddish) (Lab)]

Will the Leader of the House find time for a debate on transport connectivity in the north of England? This week, there was a suggestion—thankfully, a misleading one—that Denton and Reddish South stations may be forced to close. A review of the northern franchise is coming up. Frankly, it is no good for the Chancellor of the Exchequer to come up to Manchester to talk up improved connectivity between the city regions in the north of England if transport cuts make it more difficult to get to those city regions.

[Mr Lansley]

I do not think that the hon. Gentleman can talk about transport cuts at a time when we have an unprecedented scale of Network Rail investment in the largest rail investment programme since the Victorian era. What he said was equally misplaced in that it is absolutely appropriate, at the same time as we are investing to try to deliver improvements in the existing rail network, for the Chancellor to express his views about what the vision might be for further developments in connectivity in the years ahead.

Business of the House

Debate between Lord Lansley and Andrew Gwynne

Thursday 3rd April 2014 Commons Chamber

[Mr Lansley]

It will not surprise my hon. Friend to know that I believe we should have a debate in this country about our future relationship with the European Union, but that we should have it once we have had the opportunity that only a Conservative victory at the next general election would afford us: to have both a renegotiation of our relationship with our partners, with that mandate behind us, and the mandate for a referendum in the next Parliament. That gives force to such a debate. In the absence of a referendum, there is no force to this debate.

[Andrew Gwynne (Denton and Reddish) (Lab)]

Ofsted reports today that too many nurseries in England are failing to ensure that children are in a position to learn when they get to primary school. Worse, Sir Michael Wilshaw says that children from the poorest backgrounds are especially badly served, with only a third reaching a good level of pre-school development. May we have a statement on this damning indictment of the Government’s early years record, which is failing?

[Mr Lansley]

I am sorry to hear the hon. Gentleman characterise these things in that misplaced way. What they are is an endorsement of our determination to improve early years education, not least to enable primary schools across this country to have more teacher-led and education-driven—standards-driven—early years education. In that sense, they are very supportive of what we set out to do. Across the House we should be very clear that, as I know from my former public health responsibilities, whether children are school ready when they first go to school is one of the central measures of long-term prospective outcomes for children. We need to focus on that, and I hope the Ofsted report will enable us to do so.

Business of the House

Debate between Lord Lansley and Andrew Gwynne

Thursday 6th June 2013 Commons Chamber

[Andrew Gwynne (Denton and Reddish) (Lab)]

May we have a debate on Ministers’ responsiveness to Members? I wrote to the Exchequer Secretary to the Treasury on behalf of my constituent Karen Bawker of Thorneside, Denton, on 4 April in follow-up to correspondence on 11 January, which was answered by him on 4 February. This time I have not had so much as an acknowledgement, let alone a reply, despite my having sent reminders, including most recently at the start of this week. Will the Leader of the House investigate this discourtesy and, through his good offices, also ensure that my constituent’s query is responded to?

[Mr Lansley]

I will of course be in touch with my hon. Friend the Exchequer Secretary, who I know is an assiduous and hard-working Minister. Like all of us, he seeks to respond to Members’ correspondence within 20 working days, and I am sure he will want to address the reasons he has failed to do so in this instance.

Business of the House

Debate between Lord Lansley and Andrew Gwynne

Thursday 7th March 2013 Commons Chamber

[Mr Lansley]

My hon. Friend raises an important point for his constituents, and I completely understand it. I am pleased to assure him that the Ministry of Defence did take local opinion into account before seeking outline planning consent. That consent has now been granted, and the site is being offered for sale on the open market by formal tender in a joint sale with a private landowner. My hon. Friend will understand that as the bids were received on 28 February and are being evaluated, they remain commercially confidential for now. However, I am told that the MOD is confident of a sale being completed shortly.

[Andrew Gwynne (Denton and Reddish) (Lab)]

On 12 February, during the Environment Secretary’s statement on horsemeat, at column 742 of the Official Report, I asked him whether he had ordered the testing of gelatine and gelatine-based products for horse DNA given that they would extend to food such as children’s confectionery. The Secretary of State told the House that I had asked a good question but that these were matters for the Food Standards Agency. I therefore wrote to the agency immediately after the statement. To date, I am still awaiting an acknowledgement, let alone a reply. Will the Leader of the House secure a debate in Government time about the accountability of Executive agencies, as it seems that Ministers are unwilling to answer for agencies during statements and agencies are unwilling to reply to Members of this House?

[Mr Lansley]

I will of course seek to help the hon. Gentleman in getting a reply to his question. However, the Food Standards Agency is not an Executive agency; it is a non-ministerial Government Department that is accountable to this House through Ministers at the Department of Health, of whom I used to be one, so I fully understand the matter. I will talk to my hon. Friends to secure the response that he is looking for.

Oral Answers to Questions

Debate between Lord Lansley and Andrew Gwynne

Tuesday 21st February 2012 Commons Chamber

[Mr Lansley]

Yes, indeed. I share my hon. Friend’s view about the importance of this publication. For the first time, we are publishing the data so that we are absolutely transparent about performance in this and other areas. It is wrong that there are primary care trusts that are failing to meet the nine standards of care that are set out. That is why we published the atlas of variation. By focusing on that variation and through the commissioners’ responsibility to meet the standards, not least in the publication of the quality standards, we will deliver improving standards across the country.

[Andrew Gwynne (Denton and Reddish) (Lab)]

But the Secretary of State must surely be aware that, for seven weeks running since the new year, the NHS has missed its target for 95% of patients to be seen within four hours at A and E. That is precisely what Labour warned would happen when this Government downgraded the waiting times standard. Is it not clear that he has lost control over waiting times while he focuses on the largest top-down reorganisation in the NHS’s history? That is why he is losing public trust on the NHS. He should focus on what matters to people and drop the Health and Social Care Bill.

[Mr Lansley]

Let me tell the hon. Gentleman that the average time that in-patients waited for treatment at the time of the last election was 8.4—[Interruption.] The hon. Gentleman asked a question and I am telling him the answer. The average time was 8.4 weeks. That has gone down to 7.7 weeks. For out-patients, the average waiting time was 4.3 weeks at the time of the election. That has gone down to 3.8 weeks. The number of patients waiting for more than 18 weeks at the time of the election was—

Oral Answers to Questions

Debate between Lord Lansley and Andrew Gwynne

Tuesday 22nd November 2011 Commons Chamber

[Mr Lansley]

My hon. Friend will know that health care and social care support workers do responsible jobs and that the responsibility for them lies principally with their employers and the staff who supervise them. We made provision in the White Paper we published last December for a process of assured voluntary registration. What I announced and referred to a moment ago will give a code of conduct and standards that will form a basis for an assured voluntary registration scheme in future.

[Andrew Gwynne (Denton and Reddish) (Lab)]

One key care standard is the time that people have to wait for their treatment. Labour got waiting times down to an historic low, and we warned the Secretary of State what would happen if he relaxed the 18-week standard. Figures show that the number of patients waiting longer than 18 weeks is up by 43% and, despite the U-turn that the Government have made on the use of targets, is not the problem that they have been so fixated on their top-down reorganisation that they lost control of waiting lists? Surely it is time for them to drop the Health and Social Care Bill and focus on the things that really matter to the people using and working in the NHS.

[Mr Lansley]

I am sorry, but that was all completely synthetic anger on the hon. Gentleman’s part. The average time that patients have been waiting in the NHS for treatment continues to be between eight and nine weeks. It has been so ever since the last election. The operational standard under the previous Government and now for the 18-week waiting time is that at least 90% of patients who are admitted for treatment should be admitted and treated within 18 weeks, and 95% of outpatients. Both of those operational standards continue to be met. Last week I made it clear that whereas the previous Government abandoned people who went beyond 18 weeks—and there were 250,000 of them who went beyond 18 weeks—we will not abandon those forgotten patients. We will make sure that they, too, are brought into treatment as soon as possible.

Oral Answers to Questions

Debate between Lord Lansley and Andrew Gwynne

Tuesday 18th October 2011 Commons Chamber

[Mr Lansley]

I am afraid that the hon. Gentleman is completely wrong about that. In procurement throughout the NHS, what we have had is fragmentation, and what we need is better co-ordination. That is precisely why, since the election, for example, we have instituted a consistent bar-coding system, allowing procurement throughout the NHS to be undertaken more effectively; and why under the quality, innovation, prevention and productivity programme, the improvement in procurement —reducing the costs of procurement—is intended to achieve those savings and more.

[Andrew Gwynne (Denton and Reddish) (Lab)]

Labour is proud of its legacy, with more than 100 new hospitals built to replace the crumbling Victorian buildings that we inherited in 1997, and it is not just the National Audit Office that has blown a hole in the Secretary of State’s assertion that 22 hospital trusts are on the brink of financial collapse due to PFI. John Appleby of the King’s Fund said:

“The…pressures on hospitals are not to do with PFI but…the need to generate £20bn worth of productivity improvements.”

Is not the real issue that the Secretary of State has tied up the NHS in a distracting and wasteful reorganisation that will cost more money than it will save, and take money away from patient care?

[Mr Lansley]

I welcome the hon. Gentleman to the Opposition Front-Bench position. We are looking forward to the exchanges with him and his colleagues, including during questions today.

Twenty-two trusts have told us, in the course of our looking at where the impediments are to their financial sustainability for the future, that the nature of the PFI contracts entered into by the previous Government is a significant problem in this respect. It is absolutely right for the NHS to build hospitals, which is why we are, for example, building a new hospital at Whitehaven in the hon. Gentleman’s constituency. [Interruption.] I beg his pardon—in the constituency of the hon. Member for Copeland (Mr Reed); we are building so many new hospitals. The nature of the PFI projects we enter into must be to provide value for money and be sustainable in the future. That is something that the previous Government failed to achieve.

Oral Answers to Questions

Debate between Lord Lansley and Andrew Gwynne

Tuesday 12th July 2011 Commons Chamber

[Mr Lansley]

I agree with my hon. Friend. We have made it very clear that, contrary to the practice of the previous Government, we are not looking for dentists to deny access to NHS dentistry to children whose parents are not registered with them. Alongside increasing access to dentistry as a whole, we intend specifically to secure increased access for children to NHS dentistry. That will be even more the case in the pilots that we will start this month, which are specifically intended to secure a more preventive approach to dentistry, which maintains good oral health. That is especially important for children.

[Andrew Gwynne (Denton and Reddish) (Lab)]

Does the Secretary of State not understand that there has been real progress with the Tameside and Glossop primary care trust and their “access, booking and choice” facility, which guarantees access to NHS dentistry when they require it for anyone not already registered with an NHS dentist? Does he not understand that there are real concerns that with his reorganisation, and without that priority focus by the primary care trust, those advances may be lost?

[Mr Lansley]

On the contrary, with the progressive transfer of responsibilities to the NHS commissioning board there will be much more consistency in contracting for access to NHS dentistry, which at the moment is often a lottery in different places across the country, with the amounts paid per unit of dental activity varying dramatically between neighbouring practices. The new pilots are intended to achieve something that was not achieved under either of the two previous dental contracts, by securing a much stronger preventive approach based on capitation and registration for dentists. It has been welcomed by the dental profession and it promises a great deal for a new contract.

Public Health White Paper

Debate between Lord Lansley and Andrew Gwynne

Tuesday 30th November 2010 Commons Chamber

[Mr Lansley]

Yes. I know that the GPs in Cheshire are a very go-ahead group and I am looking forward to seeing how they take on these responsibilities. I have seen GPs recently make presentations showing that they can really take a grip on referral patterns. They can see referrals not just in terms of trying to interpret patterns and numbers, but on the basis of clinical judgment. The combination of clinical judgment and understanding and knowledge of commissioning and contracting leverage is the basis from which we can improve overall the commissioning of activity for patients.

[Andrew Gwynne (Denton and Reddish) (Lab)]

The Secretary of State mentioned that the Government are investing £560 million in encouraging sustainable forms of transport, such as walking and cycling, but given that the Department for Transport is systematically un-ring-fencing many of the transport budgets for local government, what guarantees can he give that that pot of money will be spent on that specific purpose?

[Mr Lansley]

We have been very clear in the spending review and subsequent announcements that we will take the ring fence off many of the grants provided to local government, because we trust local government and we expect those in local government who are responsible for such things to be accountable to their electors. Where public health is concerned—this is separate from the point the hon. Gentleman makes—NHS money will be ring-fenced in the hands of local authorities for health gain. There will be many appropriate uses, so the ring fence will in no sense, I hope, have a constraining effect.

NHS White Paper

Debate between Lord Lansley and Andrew Gwynne

Monday 12th July 2010 Commons Chamber

[Mr Lansley]

Yes, exactly. Last Thursday I was in Cumbria, and that is exactly what has happened there. The GP commissioners have collectively taken over responsibility for the Cockermouth community hospital. Instead of its being run down, as was intended, they have built it up as a base from which they are providing services for their area.

[Andrew Gwynne (Denton and Reddish) (Lab)]

Given that not all primary care trusts are coterminous with local authority areas, how will the public health aspect of the reorganisation be dealt with in areas such as Tameside and Glossop? It will not be as simple as just moving functions across to a single local authority in an area where a single health economy is greater than just one district.

[Mr Lansley]

As I am proposing to abolish primary care trusts, the problem of a lack of coterminosity will no longer apply. Health improvement plans, led by local authorities, will be set out on a basis consistent with many of the other services that make a significant contribution to delivering the kind of health and well-being that we are looking for.