(10 years, 9 months ago)
Commons ChamberI would be very happy if we were to have such a debate. It would give us an opportunity to highlight the fact that there are more women in jobs than ever before; we are giving parents access to good and affordable child care; we are creating, as I know from my previous responsibilities at the Department of Health, more than 1,000 extra health visitor posts to support women in the initial months after they have given birth; we are increasing the number of midwives to ensure that women have the right care they need during childbirth; and in this Parliament we are making the most positive and comprehensive reform of pensions, including pension entitlements, particularly in respect of the state pension, that give women access to the security of the single-tier pension, which is very important for their peace of mind in older age.
Greater devolution is being passed to the Scottish Parliament and the Welsh Assembly. This has resulted in places like Carlisle looking on enviously at the devolved powers and responsibilities granted to them. Will the Leader of the House agree to a debate on the future of local government in England, so that places like Carlisle can have the opportunity to see greater powers and responsibilities devolved to them?
I agree with my hon. Friend that this is an important matter. He will have noted the debate on local government finance reports on Wednesday next week, which provides the opportunity for Members to raise issues relating to local government. We can put the matter in a positive context not only through what has been achieved under the Localism Act 2011, but, more recently, through the ability of local authorities to retain business rate revenue and generate growth in their areas, and to benefit from that through the new homes bonus and growth bonuses. The devolution of the generation of growth and resources in local government in England mirrors what is happening in the national Governments of Scotland and Wales.
(13 years, 10 months ago)
Commons ChamberWell, I do not wish to embarrass the chief executive of the NHS, but actually, he told me he made an error—he was referring to health visitors, not midwives, when he was talking to the Public Accounts Committee. We are short of health visitors precisely because, through the life of the last Government, the number was continuously going down, and we are going to recruit more. Actually, we share the last Labour Government’s commitment to increase the number of midwives, not least because of the increase in the number of births, and to do so in pace with that. As a consequence, in conversations that the Under-Secretary of State for Health, my hon. Friend the Member for Guildford (Anne Milton), and I have had with the Royal College of Midwives, we have made it clear that we will do all we possibly can. We already have more midwives in training than at any other time in our history.
T4. As Ministers are aware, GPs in north Cumbria are supportive of GP commissioning and are already working hard for its success. However, given the rural nature of the area, what support will be given to the local hospitals to ensure that they can provide secondary health care within the new regime, when they have to accommodate the additional costs of providing health care in a rural environment?
Yes, I entirely endorse what my hon. Friend says about GPs in Cumbria. They are indeed very forward-looking and show that, even under the last Government, practice-based commissioning was demonstrating its benefits, and we are building on that. I mentioned earlier the duty in the Health and Social Care Bill on the NHS commissioning board to reduce inequalities in access to health care. That will be important for rural areas. The pricing arrangements, led by the commissioning board and Monitor, must also take into account varying costs associated with the delivery of care in different localities.