All 15 Debates between Lord Lansley and Dennis Skinner

Business of the House

Debate between Lord Lansley and Dennis Skinner
Thursday 1st May 2014

(10 years, 6 months ago)

Commons Chamber
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Lord Lansley Portrait Mr Lansley
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My hon. Friend will have heard our colleagues responding in Department for Culture, Media and Sport questions on issues relating to rural broadband. Some 20,000 homes in rural areas are acquiring broadband each week. It can be difficult to provide broadband in some rural areas, but the Government have a clear focus on ensuring not only that we achieve the objectives we set out on broadband in total, but that we focus on the most difficult-to-reach areas, finding technological and financial solutions for those, too.

Dennis Skinner Portrait Mr Dennis Skinner (Bolsover) (Lab)
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Is the Leader of the House aware that there cannot be a more deserved debate than one about the demise of the two deep coal mines in Thoresby and Kellingley, and that it should be held as soon as possible? There are three pits left in Britain, two of which are hanging on by their fingernails. As there is plenty of time to deal with the matter, will he arrange a debate so that we can discuss ways of saving those two collieries? Applications could be made for EU state aid. The Government could also find £70 million out of the £700 million that they took out of the miners pension scheme last February. Those are ways to save these pits, save the jobs and keep the coal mining industry afloat.

Lord Lansley Portrait Mr Lansley
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The hon. Gentleman will have heard, as I have, the Minister of State, Department for Business, Innovation and Skills, my right hon. Friend the Member for Sevenoaks (Michael Fallon) respond precisely to some of the questions that he has just put. I completely understand that he and other Members may well wish to have a debate on this. It would be appropriate for them to seek to apply for an Adjournment debate, or to go through the Backbench Business Committee. I cannot promise Government time for this matter—

Dennis Skinner Portrait Mr Skinner
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It is about state aid.

Lord Lansley Portrait Mr Lansley
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The hon. Gentleman says that it is about state aid, but my right hon. Friend has made it clear that there is no mechanism by which the EU can provide state aid; that is not how it works. It is about whether this country is in a position to provide aid that would qualify as state aid and be accepted. He has heard my right hon. Friend respond directly to that point at this Dispatch Box.

Parliamentary Standards

Debate between Lord Lansley and Dennis Skinner
Tuesday 8th April 2014

(10 years, 7 months ago)

Commons Chamber
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Urgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.

Each Urgent Question requires a Government Minister to give a response on the debate topic.

This information is provided by Parallel Parliament and does not comprise part of the offical record

Lord Lansley Portrait Mr Lansley
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I understand what my hon. Friend is saying but we all—not least my hon. Friend and the other Members who came to this House in May 2010—have a responsibility to explain to the public that things have changed. The system is independently regulated, and under the expenses system that we have had for the past four years and will have in the future there is no sense in which Members of this House are directly engaged in the process of judging other Members. The process is independent. We do not have any say in it; IPSA does.

Dennis Skinner Portrait Mr Dennis Skinner (Bolsover) (Lab)
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Do the Leader of the House and the Government not realise that we are living in an austerity-riddled Britain where there have been more than 40% cuts in local government and where more than 1 million people have lost their benefits in the last few years? That is the climate for the people outside and Governments of all kinds should realise that set against that backcloth they cannot keep saying from that Dispatch Box, “We’re going to carry on regardless.” Listen to the tune and the noise outside.

Lord Lansley Portrait Mr Lansley
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I and other members of the Government are clear about the nature of the austerity required in public expenditure and across the country because the income of this country reduced by more than 7%, equivalent to £3,000 per household, under the previous Government, so yes, everything has changed. In this Parliament, in relation to the expenses system for Members of Parliament, things have changed. It is more rigorous; it is controlled; it is controlled independently; any complaints or failures are investigated independently; and any enforcement is done independently. This is not about Members of this House or me being complacent because for now and for the future the system has changed.

Business of the House

Debate between Lord Lansley and Dennis Skinner
Thursday 20th June 2013

(11 years, 5 months ago)

Commons Chamber
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Lord Lansley Portrait Mr Lansley
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I am grateful to the shadow Leader of the House for her response to the business statement and to the Opposition, in particular, for equipping me to announce the business for the Supply day next Tuesday. I join her in paying tribute to all those recognised in the birthday honours list. I congratulate, on behalf of the House, my right hon. and learned Friend the Member for North East Fife (Sir Menzies Campbell), my hon. Friend the Member for Gainsborough (Sir Edward Leigh) and my right hon. Friend the Member for Hazel Grove (Sir Andrew Stunell) on their awards. I would also like to congratulate Elizabeth Gardiner, from parliamentary counsel, and Roland Hunt, head of parliamentary support in the Opposition Whips Office, and I think that the House will be particular pleased to learn that Robin Fell, Principal Doorkeeper of the House, was made an Officer of the Order of the British Empire.

Honours are of course very appropriate for our Liberal Democrat colleagues in the coalition, and much deserved, so we are delighted to have seen them. I am nervous about the reference the shadow Leader of the House made to the benefit of the Liberal Democrat knights sitting at a round table. In this morning’s newspapers it was noted how good a round table is in enabling consensus to emerge in office meetings. The trouble is that the only round table I know that could accommodate all the Liberal Democrat knights is the one in my office, so do not tell the Deputy Prime Minister or there might be a furniture raid.

The shadow Leader of the House talked about the literature in south-west London—[Interruption.] Yes, it was this week. As she will be aware, and as the Deputy Leader of the House has advised me, that is a manifestation of the Liberal Democrats’ green policies; they do not waste paper. One should not waste a good leaflet.

On Syria, the shadow Leader of the House will have heard what the Prime Minister said yesterday, and the Foreign Secretary and other Foreign Office Ministers have kept the House fully informed. I think that I have been clear about this at business questions before, but for the avoidance of any doubt I will say it again: no decision has been made within Government for us to arm the Syrian National Coalition. Were any such decision to be made we would not implement it unless and until it secured the support of this House on a substantive motion. I believe that that meets the concern of colleagues. In addition, the Prime Minister yesterday accurately reflected on the simple fact that where national security interests are engaged it must be correct that the Government reserve the right to take any necessary action in defence of our security. I emphasise, however, that this in no sense qualifies the commitment I have given to the House on the question of arms and Syria.

The shadow Leader of the House asked about HS2. Her points will be addressed in the debate on the High Speed Rail (Preparation) Bill, which will no doubt give an opportunity to look toward the introduction of the HS2 hybrid Bill. The pace at which the hybrid Bill will be able to progress will be debated next Wednesday in a number of motions relating to its procedure. It might benefit the House to know that the motions have now been tabled and are available, along with an explanatory memorandum, from the Vote Office.

The hon. Lady asked about banking, in particular the banking Bill. The Chancellor of the Exchequer was clear at the Mansion House last night that the Government welcome the Parliamentary Commission on Banking Standards. Indeed, I think we can all say now that it demonstrates what a good decision it was to proceed with a parliamentary commission. If we had gone down the line of a public inquiry, I suspect that evidence would still be being taken rather than measures being implemented. The Financial Services (Banking Reform) Bill is before the House and the Chancellor has made it clear that, where measures require legislation, we will seek to introduce them during the consideration of the Bill. I have not yet had the opportunity to announce the remaining stages of that Bill in this House.

I have seen press reports about the Chancellor being referred to as Jeffrey. I heard this morning that there was a bit of a debate about who was cool at the G8 summit. Jeffrey Osborne would have been cool—that is for sure. From the Chancellor’s point of view, it is probably just as well that the President of the United States did not refer to him as Ozzy, which would have been worse.

Dennis Skinner Portrait Mr Dennis Skinner (Bolsover) (Lab)
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It’s better than Gideon, though, isn’t it?

Lord Lansley Portrait Mr Lansley
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I will just settle for George, if that is all right.

On the European Union (Referendum) Bill, I have announced that private Members’ Bills will be considered on Friday 5 July and I know that my colleagues are all looking forward to supporting my hon. Friend the Member for Stockton South (James Wharton).

I do not think that the hon. Member for Wallasey (Ms Eagle) asked any further questions, but I want to say one more thing. She and her colleagues have scheduled a debate on lobbying next week and I want to emphasise that the Government are committed to enhancing the transparency of political life. This Government are the most transparent ever, proactively publishing details of ministerial meetings, Government procurement and other items of public interest. I am looking forward to next Tuesday’s debate, because it will be an opportunity to make very clear that we are proceeding with the coalition programme, as we always said we would, whereas the Labour party, over 13 years, never took a step. In fact, it put the issue in the “too hot to handle” basket. We as a Government are making it clear that we are going to do it and have said so time and again. It is curious that an Opposition motion is asking for a Bill to be introduced when we have said that we will introduce such a Bill before the summer recess.

Business of the House

Debate between Lord Lansley and Dennis Skinner
Thursday 16th May 2013

(11 years, 6 months ago)

Commons Chamber
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Lord Lansley Portrait Mr Lansley
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If I may, I will say to my right hon. Friend that because this matter relates to a particular case, I do not want to talk about it in any detail from the Dispatch Box. For his convenience, and that of the House, I note that there is scope for the Speaker’s Committee for the Independent Parliamentary Standards Authority, of which I am a member, to ask questions about how IPSA undertakes its activities and the value for money it achieves. We held public evidence sessions last Tuesday, which of course affords an opportunity for IPSA to be held accountable.

Dennis Skinner Portrait Mr Dennis Skinner (Bolsover) (Lab)
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Does the Leader of the House recall that a few weeks ago after the fire at Daw Mill colliery I asked him for a statement on the coal industry, with particular reference to UK Coal, which owns another two pits—Thoresby and Kellingley? I drew his attention specifically to the fact that because Daw Mill was the big money pit owned by UK Coal, the other two pits could be in serious jeopardy. More importantly, it could cost the Government up to £450 million to pay out for the pensions and redundancies if UK Coal goes under. Would it make a lot of sense for this Government, this coalition, to say to the coal authority that they should be allowed to take over the remaining assets of UK Coal and save what remains of the coal industry—in other words, to nationalise it?

Lord Lansley Portrait Mr Lansley
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I do remember the questions the hon. Gentleman and other hon. Members have asked on that subject. I repeat that I cannot, in the House, remotely enter a discussion of the commercial prospects of UK Coal. However, I again say that the Minister of State, Department of Energy and Climate Change, my right hon. Friend the Member for Sevenoaks (Michael Fallon), is closely engaged. I will encourage him to correspond with the hon. Gentleman and other Members who are directly involved.

Business of the House

Debate between Lord Lansley and Dennis Skinner
Thursday 7th March 2013

(11 years, 8 months ago)

Commons Chamber
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Lord Lansley Portrait Mr Lansley
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The High Court’s decision on the failure to disclose the sub-scores of the Kennedy scoring system was announced only this morning, but the judge has not made a further decision on the implications for the review itself or on the order she might make in that regard. I reiterate to my hon. Friend that it would be premature for Ministers to make a statement. Indeed, it is not for Ministers to make a decision in the first instance, as this is an independent review conducted by primary care trusts. They should decide how to proceed once the court has made its decision.

Dennis Skinner Portrait Mr Dennis Skinner (Bolsover) (Lab)
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Twice the Leader of the House has given sympathy to those people at Daw Mill colliery who have lost their jobs. UK Coal owns other mines—not many, but they are still in business—and it may fold up completely as a result of the Daw Mill closure. It is one of the main employers left in the coal-mining industry. Do the Leader of the House and this Government want to be in power when the remaining part of the coal industry in England is closed down?

Lord Lansley Portrait Mr Lansley
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The hon. Gentleman will be aware that the closure at Daw Mill is the result of the catastrophic fire. I reiterate to him and the House that Ministers are in direct contact with UK Coal. The Minister of State, Department of Energy and Climate Change, my hon. Friend the Member for South Holland and The Deepings (Mr Hayes), met UK Coal on Monday and is co-ordinating a cross-Government response. Some 1,300 people are employed at UK Coal’s other sites, Thorseby and Kellingley, and the company believe that they remain viable operations. On that basis, it does them no good to speculate in a damaging way about the viability of those operations.

Business of the House

Debate between Lord Lansley and Dennis Skinner
Thursday 28th February 2013

(11 years, 8 months ago)

Commons Chamber
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Lord Lansley Portrait Mr Lansley
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The House will have noted that I announced in the provisional business for the week after next the Second Reading of the Financial Services (Banking Reform) Bill, which will allow hon. Members an opportunity to debate the issues my hon. Friend raises. In addition, the shadow Chancellor, who was the City Minister responsible at the time of a banking collapse, will perhaps have the opportunity to explain and apologise to the people of this country.

Dennis Skinner Portrait Mr Dennis Skinner (Bolsover) (Lab)
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Will the Leader of the House arrange for a statement to be made by the appropriate Minister on the scandalous treatment by Tesco of more than 400 workers in a high-unemployment area in Bolsover? Tesco is transferring those workers 170 miles down south, which is a complete contradiction of the regional policy of sending jobs up to the north. Tesco has been there for only a few years. Will the Leader of the House ensure that all the assistance that Tesco got to set up its distribution factory—all the money it received from development agencies, Europe, central Government and local government—is paid back? Does he agree that that scandalous treatment shows that Tesco stinks worse than the horsemeat it has been selling?

Lord Lansley Portrait Mr Lansley
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The commercial decisions of Tesco are not a matter for me. My hon. Friend the Member for Harlow (Robert Halfon) is in his place. I am sure that he, like the hon. Gentleman, has issues to raise regarding the decisions that Tesco has made. However, they are commercial matters for the companies concerned.

Health and Social Care Bill

Debate between Lord Lansley and Dennis Skinner
Tuesday 28th February 2012

(12 years, 9 months ago)

Commons Chamber
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Urgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.

Each Urgent Question requires a Government Minister to give a response on the debate topic.

This information is provided by Parallel Parliament and does not comprise part of the offical record

Lord Lansley Portrait Mr Lansley
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My hon. Friend knows perfectly well that we are a coalition Government and, therefore, this is a coalition Bill that reflects the views of the whole coalition. To that extent, I reiterate to her and to the House that, as the Deputy Prime Minister has quite rightly said, the legislation will not allow discrimination in favour of the private sector in the way that the Labour party did.

Dennis Skinner Portrait Mr Dennis Skinner (Bolsover) (Lab)
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All those royal colleges, all those nurses and all those doctors know that this Bill is about privatisation. Along come these tin-pot Liberals, who put forward an idea to make a few marginal shifts. It is the biggest con trick of all time. This is about trying to save the face of those people, who should have opposed the Bill from the very beginning. Drop this lousy Bill.

Oral Answers to Questions

Debate between Lord Lansley and Dennis Skinner
Tuesday 21st February 2012

(12 years, 9 months ago)

Commons Chamber
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Lord Lansley Portrait Mr Lansley
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Yes, and I am grateful to my hon. Friend for the invitation that he extended to me to visit Winchester, which is now forming part of the Hampshire Hospitals NHS Foundation Trust and looking to do so very successfully. I share with him the optimism derived from a meeting with the members of the West Hampshire clinical commissioning group. They, like others across the country, are demonstrating how they will use the responsibilities that they will be given to improve care for patients.

Dennis Skinner Portrait Mr Dennis Skinner (Bolsover) (Lab)
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As the House will know, I have been a regular customer of the NHS over the last 12 years, and it hurts me to think of what is happening, after all the wonderful treatment that I had for cancer, as well as a bypass and a hip replacement. I am still here to tell the story because of the treatment by those nurses and doctors. Please stop this savage attack on the NHS, and drop this dreadful Bill.

Lord Lansley Portrait Mr Lansley
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The hon. Gentleman clearly has no idea of what is actually in the Bill or the modernisation process. It is only about simple things. It is about giving patients information and choice. It is about empowering doctors and nurses and health professionals, and it is about strengthening the ability of the NHS to improve care in the future. That is all that it is about, and it cuts the cost of bureaucracy in so doing. It will enable us and the NHS to do the things that his Government supported in the past—he might not have supported them, but his friends did—including commissioning by clinicians, patient choice and using the best qualified provider. Those are the things that his Government used to believe in, and they are the things that we are doing. There is no privatisation, no charging and no break-up of the NHS. There is only supporting the NHS.

Life Sciences

Debate between Lord Lansley and Dennis Skinner
Monday 5th December 2011

(12 years, 11 months ago)

Commons Chamber
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Lord Lansley Portrait Mr Lansley
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I am grateful to my hon. Friend. The figures from the evaluation of the 6,000 or so patients who have participated in the three pilots in Cornwall, Kent and Newham suggest that if telehealth is appropriately and properly provided, there are benefits. There was a total reduction of 45% in mortality, about 21% in accident and emergency visits, about 15% in planned admissions and bed stays in hospital and about 8% in costs. Those are dramatic benefits, but the most important aspect is the empowerment that telehealth gives patients so that they can be at home and be confident about their care, rather than be prey to rapid crises leading to admission to hospital.

Dennis Skinner Portrait Mr Dennis Skinner (Bolsover) (Lab)
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Is this whole idea not being driven by the pharmaceutical industry in order to make money? In the real world, when I have been in hospital in these past 10 or 15 years for all sorts of different problems, all of us have relied on the care and attention of the doctors and nurses. There was an increase of about 30,000 doctors and 80,000 nurses, because we put a lot more money in. I did not meet anybody at all who ever said to me, “I’ve just been given some drugs to look after my heart, but I don’t like them and I want something else”. The whole thing is a money-making exercise by the pharmaceutical industry, which has friends in the Tory party. We are supposed to be short of money in this country and in the health service. What we really need is to stop sacking nurses, which will make it a lot better.

Lord Lansley Portrait Mr Lansley
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The hon. Gentleman will have to talk to the right hon. Member for Leigh (Andy Burnham), who claimed to be the friend of the pharmaceutical industry. The truth is that we should all be friends of it and support it. Why? Because it has the capacity to bring in new medicines and new treatments that are to the benefit of patients. From my point of view, it is not about the profitability of the pharmaceutical industry, it is about working with those who have the greatest potential to bring investment to this country for economic benefit and, more importantly, to improve benefits for patients. The hon. Gentleman, who has no doubt been the beneficiary of many therapeutic improvements generated by investment in the pharmaceutical industry, should not decry it.

Dennis Skinner Portrait Mr Skinner
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Yes, but in a free health service, not a privatised health service, which it will be—

Reform of Social Care

Debate between Lord Lansley and Dennis Skinner
Monday 4th July 2011

(13 years, 4 months ago)

Commons Chamber
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Lord Lansley Portrait Mr Lansley
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My hon. Friend will be pleased to know that the statement I have made is the product of collective discussion, which of course fully involved the Treasury.

Dennis Skinner Portrait Mr Dennis Skinner (Bolsover) (Lab)
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Does the Secretary of State agree that it would be a big mistake to miss this opportunity for root-and-branch change of the present system? Would it not be handy if local authorities played a bigger role than the billionaires who run Southern Cross, Winterbourne and the rest? Would it not also be nice for him to acknowledge that when he blurted out about the death tax he got it all wrong?

Lord Lansley Portrait Mr Lansley
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On the hon. Gentleman’s point about local government, he should remember that the overwhelming majority of the residents in Southern Cross care homes are funded by local authorities, and that is precisely why we are working with local authorities to ensure that those residents’ interests will be protected. I recognise the problems that we have seen with Southern Cross, although I do not know of any other companies in a similar position. None the less, it is one of the reasons why we seek the powers in the Health and Social Care Bill to regulate social care provision in the same way as health care provision.

NHS Future Forum

Debate between Lord Lansley and Dennis Skinner
Tuesday 14th June 2011

(13 years, 5 months ago)

Commons Chamber
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Lord Lansley Portrait Mr Lansley
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Yes, I am grateful to my hon. Friend; I can do that. It is essential to move to a world where we reduce administration costs, relieve bureaucracy in the service and free those providing services by offering them the resources to deliver improving care without the burden of bureaucracy, cost and waste inflicted by a Labour Government in the past.

Dennis Skinner Portrait Mr Dennis Skinner (Bolsover) (Lab)
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Does not the Secretary of State understand that when the Labour Government were in power, they increased spending from £33 billion to £111 billion in one decade, and that we are now witnessing, at a cost of £2 billion, a new Frankenstein monster all to pacify these tin-pot Liberals? Judas only got 30 pieces of silver.

Lord Lansley Portrait Mr Lansley
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I have a mission for the hon. Gentleman— he should head to Wales. In England, this coalition Government have committed to increasing the NHS budget in real terms in the life of this Parliament. The King’s Fund reported the other week that in Wales, a Labour Government intend to reduce the NHS budget in real terms by over 8%.

NHS Reform

Debate between Lord Lansley and Dennis Skinner
Monday 4th April 2011

(13 years, 7 months ago)

Commons Chamber
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Lord Lansley Portrait Mr Lansley
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Yes. I am grateful to my hon. Friend. Our manifesto was clear that patients should be able to have access to a provider who gives them the best quality, be it the NHS, a private sector provider or a voluntary provider. That was in the Liberal Democrat manifesto and in the Labour manifesto. It is always about ensuring that that provider is properly qualified and that the basis of that choice is quality, not price. There cannot be a race to the bottom on price. We make it very clear in the legislation—it is important to set this out—that the commissioners of local services will also, through designating services, be able to ensure that where patients need services to be maintained and need continuity of services they can set that out themselves.

Dennis Skinner Portrait Mr Dennis Skinner (Bolsover) (Lab)
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Why does the Secretary of State not admit that the policy is unravelling before the eyes of the British public? The thousands that have been writing to MPs in every constituency now know that the truth is out. Instead of waiting for the natural break, and then a reshuffle, and then a resignation, he should do the honourable thing now and resign today.

Lord Lansley Portrait Mr Lansley
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I will tell the hon. Gentleman one thing: I and my colleagues on the Government Benches talk to people in the constituencies who are getting on with this. That is what is so impressive. People across the NHS are seeing the opportunity to bring more clinical leadership and more democratic local accountability to fashioning an improving health service. That is what I am determined to achieve.

Oral Answers to Questions

Debate between Lord Lansley and Dennis Skinner
Tuesday 25th January 2011

(13 years, 10 months ago)

Commons Chamber
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Lord Lansley Portrait Mr Lansley
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I wish, first, to say two things, but there may be further to add. First, my right hon. and learned Friend the Secretary of State for Justice is working on the implementation of the Jackson review. That, in itself, will help considerably in reducing the extent to which these costs are consumed in legal fees, rather than proper compensation for clinical negligence. As we made clear in response to Lord Young’s report, we will also pursue the question of whether we can have a fact-finding phase following up a claim against the national health service, so as to mitigate what is otherwise considerable additional cost on conditional fee arrangements and getting expert witnesses.

Dennis Skinner Portrait Mr Dennis Skinner (Bolsover) (Lab)
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Why is it that the Secretary of State does not compliment the Labour Government on providing £110 billion, starting with £33 billion in 1997? Is it not a fact that waiting times have fallen as a result of the nurses, the doctors and that money? Is he frightened to utter the words because in 2001 every single Tory MP marched through the Lobby not to give the money to the national health service?

Lord Lansley Portrait Mr Lansley
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Let me remind the hon. Gentleman that at the general election we just fought we were the party that was committed to increased resources for the national health service. We are the coalition Government who, over this Parliament, will increase resources for the national health service by £10.7 billion, even in the face of the deficit we inherited from Labour. The hon. Gentleman’s party’s response was to tell us that we should cut the NHS, and we are not going to do it.

Oral Answers to Questions

Debate between Lord Lansley and Dennis Skinner
Tuesday 7th December 2010

(13 years, 11 months ago)

Commons Chamber
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Lord Lansley Portrait Mr Lansley
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I am grateful. Tomorrow, I hope to assure myself, among other things, that the closure is temporarily demanded by virtue of the inability to secure enough staff to maintain a safe service for the time being and that it will not and does not pre-empt the question of availability of services at Queen Mary’s, Sidcup, on which a decision has not yet been reached locally or referred to me.

Dennis Skinner Portrait Mr Dennis Skinner (Bolsover) (Lab)
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On the NHS campaign against obesity, does the Secretary of State welcome the magnificent support of the thousands of schoolchildren who have come down to demonstrate for school sports funding outside No. 10 Downing street? Will he fight in the Cabinet against the Education Secretary’s silly proposal, which will damage children’s health?

Lord Lansley Portrait Mr Lansley
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The Secretary of State for Education rightly believes in schools making decisions about how they should best use their resources, including for school sport. I hope the hon. Gentleman will welcome the fact that through my Department we have supported school sports clubs under Change4Life and intend to expand them.

NHS White Paper

Debate between Lord Lansley and Dennis Skinner
Monday 12th July 2010

(14 years, 4 months ago)

Commons Chamber
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Lord Lansley Portrait Mr Lansley
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Yes. The commissioning responsibility will include urgent and out-of-hours care. I commend to my hon. Friend what the White Paper says about how we can deliver improvements in efficiency and effectiveness in terms of urgent care, 24 hours a day, seven days a week.

Dennis Skinner Portrait Mr Dennis Skinner (Bolsover) (Lab)
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Speaking as someone with a successful outcome, twice, under the national health service in recent times, could the Secretary of State explain to me why these private elements within the NHS—that is, the GP practices—which are getting another £80 billion to spend are not going to be watched over by the primary care trusts or, seemingly, anybody else? Who is going to watch them spend that money—the private sector?

Lord Lansley Portrait Mr Lansley
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I am astonished that Labour Members are still attacking general practice. I thought that shadow Ministers—former Ministers—had had enough of doing that. [Interruption.] I will answer the hon. Gentleman. GP practices will be accountable to patients who exercise choice; accountable to their local authority, through which a strategy is established; and accountable to Parliament and to Ministers through the NHS commissioning board with which they will have their contract.