Transparency of Lobbying, Non-Party Campaigning and Trade Union Administration Bill

Debate between Lord Lansley and Glenda Jackson

Tuesday 3rd September 2013 Commons Chamber

[Mr Lansley]

All right, all right. I have given way before and will do so again. The hon. Member for Hampstead and Kilburn (Glenda Jackson) was the first to rise, so I give way to her.

[Glenda Jackson (Hampstead and Kilburn) (Lab)]

I am grateful to the Leader of the House, and I am quite delighted to have the opportunity to burst his bubble of confidence, because his Bill has created almost a fire-storm in my constituency. My constituents are appalled at what they regard as a gagging Bill. They wish to see a list of lobbyists that is transparent to ensure that Government cannot be bought—even though that is a debatable issue. They know that the Bill as it stands would prevent democratic voices from being heard.

[Mr Lansley]

I look forward to the hon. Lady having an opportunity after today’s debate to go back to her constituents to tell them that the things they are alarmed about will not happen. I am very clear and the Bill is very clear. [Interruption.] I will come on to deal with this in more detail later, but let me explain to hon. Members that election law already has a clear provision that determines that if third parties wish to engage in expenditure, the intention or effect of which is to procure electoral success, they are required, beyond a certain point, to register with the Electoral Commission in respect of that expenditure—and there are limits on it: that expenditure is controlled.

At the last election, I think that only a couple of charities registered for this purpose and the levels of expenditure were relatively modest. Other third parties—a larger number of them—that were not charities engaged in such third-party expenditure, but charities by and large did not. That does not mean that they cannot campaign during an election period, because they campaign on policies and issues and they interact with political parties on those issues, and they will continue to be completely free to do so. All the Bill does—it is the right thing to do—is, first, to make sure that the limit is more appropriate for the future so that it does not allow those third parties to engage in distorting activity during elections; and, secondly, to extend the definition of controlled expenditure so that it includes advertising, rallies and such like, as well as electoral material, and to disaggregate the total into parliamentary constituencies so that third parties cannot disproportionately concentrate their spending in individual constituencies. I think that all of that is perfectly rational.

Care and Support

Debate between Lord Lansley and Glenda Jackson

Wednesday 11th July 2012 Commons Chamber

[Mr Lansley]

In this instance, I completely understand where the Alzheimer’s Society is coming from. We all want to achieve what Andrew Dilnot made very clear in presenting his report. Any of us or any members of our families could be subject to catastrophic care costs as a consequence of a diagnosis of dementia and several years’ need for care. We want people to be able to plan and prepare, and to protect themselves against that. From the Government’s point of view, and as I have said today, the Dilnot commission’s report is the basis for a funding model for that, but it must be paid for. As with anything else, we are not going to start promising things that we do not know we can pay for. We therefore have a job of work to do, and I am determined that we will do it as speedily as we can.

[Glenda Jackson (Hampstead and Kilburn) (Lab)]

The Secretary of State referred to deferred payments. In the time before the individual dies, who will pay for that care? Is there any estimate of how much the care will cost? It seems to be an extremely bad deal for the individual if they must also carry the interest rates of that loan. Will it be administered by local authorities? Who will fund that local authority?

[Mr Lansley]

From the care user’s point of view, it will be funded by local authorities. Central Government will back that up.

NHS Reform

Debate between Lord Lansley and Glenda Jackson

Monday 4th April 2011 Commons Chamber

[Mr Lansley]

I will indeed do that, and I am very grateful to my hon. Friend for her comments. She represents a Cornwall seat, and she and I know that over the years many people in Cornwall have felt they wanted a greater sense of ownership of the decisions made in the health service, not only for individuals but for the health service in Cornwall itself. That is precisely what we are going to make available through both local commissioning and local authorities.

[Glenda Jackson (Hampstead and Kilburn) (Lab)]

The Secretary of State listed in his statement concerns to which he intends to listen, but every single one of them has been raised with him before, going back to the time of the publication of his White Paper. As he did not listen to those concerns then, why should any of us believe his positive commitment to listen to them now?

[Mr Lansley]

I am afraid the hon. Lady is completely wrong about that. We have continuously listened. After the publication of the White Paper, we had a full 12-week consultation with more than 6,000 responses, and in December’s Command Paper we set out a whole series of changes that were consequent on that, including to the structure of commissioning and the timetable for the transfer of NHS trusts into foundation trusts. In Committee, we have introduced further amendments, not least to make it clear that competition in the NHS will be on the basis of quality not price, which is very important because that is a concern that people raised.

NHS White Paper

Debate between Lord Lansley and Glenda Jackson

Monday 12th July 2010 Commons Chamber

[Mr Lansley]

I am grateful to my hon. Friend, who is absolutely right. That is why, as I said in my statement, not only will we be clear about what we are trying to achieve—for example, where cancer is concerned, one and five-year survival rates at least as good as the European average and hopefully as good as any in Europe—but we will require the NHS to look towards clinically led, evidence-based quality standards that enable those working in the NHS to be clear about what constitutes quality. That will enable us to deliver those outcomes.

[Glenda Jackson (Hampstead and Kilburn) (Lab)]

Some of the greatest health inequalities occur in areas of the greatest deprivation, which are not infrequently areas that are not attractive to GPs. We also have in London a very large number of people who have never registered, and will never register, with a GP. They tend to use accident and emergency departments. How will their medical needs be presented to this top-down body, the NHS commissioning agent, when there can be no input from GPs? If I read the Secretary of State’s statement correctly, GPs’ recommendations will be disregarded by the NHS commissioning board.

[Mr Lansley]

I do not recognise the hon. Lady’s latter point. Some 7% of the population in London are not registered with a GP, which is one reason why commissioning consortiums of GPs will take responsibility for their locality, not just their registered patient population.

In relation to hospitals such as the Royal Free, one reason why the hon. Lady, I and other Members were campaigning against her Government before the election was that we recognised that we cannot shut down accident and emergency departments when patients are coming in the door by the tens of thousands because there is no alternative provision. The best way to design services in the community that better meet the needs of patients is through general practitioners designing them around the needs of their patients.