Business of the House

Debate between Lord Lansley and Lord Walney

Thursday 16th May 2013 Commons Chamber

[Mr Lansley]

Yes, my hon. Friend is right. I am glad that he and other Members have been actively involved in job clubs in their constituencies, helping people to find work. That is tremendously important. There are more vacancies in the economy, and we want to match people to jobs as best we can. As my hon. Friend knows, it is also important for this Government to support job creation. Since the election, we have seen an increase of one and a quarter million in the number of private sector jobs. We knew when we came to office that we could not sustain the number of public sector jobs, which has been reduced. Happily, though, the private sector jobs are increasing at a rate several times greater than the loss of jobs in the public sector.

[John Woodcock (Barrow and Furness) (Lab/Co-op)]

Tomorrow, the Furness poverty commission will produce its report on the hidden levels of deprivation in my constituency. I am sure that the whole House will share my gratitude to the commissioners for their work and my shock at the grinding hardship that they have catalogued. Does the Leader of the House agree that we should find time to debate the important recommendations of this report and those of other local poverty commissions set up by concerned Members and citizens up and down the country?

[Mr Lansley]

I have not had an opportunity to read the report, but I can tell the hon. Gentleman that the Government are keen to assist people. We were discussing job creation a moment ago. As the hon. Gentleman knows, the best route out of poverty is finding work, and we need to enable people to do that. The number of workless households has fallen, but people who are in need and people who are unable to work require support. If the hon. Gentleman is able to raise these issues with my colleagues at the Department for Work and Pensions on Monday, when they will be responding to questions, they will, I know, be anxious to do all that they can to help.

Business of the House

Debate between Lord Lansley and Lord Walney

Thursday 24th January 2013 Commons Chamber

[Mr Lansley]

As my hon. Friend rightly says, that is important. He will know that as those measures make progress the opportunity to consider them will be offered to the European Scrutiny Committee, which will decide whether it should be debated in Committee or on the Floor of the House. We will have to wait and see, but reform of the CAP has been a continuing priority of this Government. As the Prime Minister’s speech set out yesterday, it is an illustration in one very important area of the importance of the single market and of how the single market must promote competitiveness, ensuring that not only producers but consumers get the best deal.

[John Woodcock (Barrow and Furness) (Lab/Co-op)]

May we have a debate on the challenges facing Morecambe Bay NHS Foundation Trust? The Leader of the House will know from his former role that there is a question mark over whether the forthcoming review of services will result in the retaining of key services, such as a full maternity unit, at Furness general hospital. There is also a need for lessons to be learned about the great failings at the trust over recent years.

[Mr Lansley]

The hon. Gentleman is right—I am very familiar with the issues at the trust and had opportunities in the past to meet the staff and visit Furness general hospital. I will not venture any view about the outcome of the review, but I shall certainly ask my right hon. and hon. Friends at the Department of Health to correspond with him and give him an idea about the process and any emerging conclusions.

Oral Answers to Questions

Debate between Lord Lansley and Lord Walney

Tuesday 17th July 2012 Commons Chamber

[John Woodcock (Barrow and Furness) (Lab/Co-op)]

Does the Secretary of State agree that commissioners in Cumbria must bear their share of responsibility for the deep-seated problems in the Morecambe Bay health trust, which have taken far too long to address. Will he join me in urging those commissioners to protect services such as Barrow’s maternity unit in their forthcoming review?

[Mr Lansley]

As we have seen in a number of instances over the years in the NHS, all those responsible should always be aware that, although the responsibility for quality may be, in the first instance, for the board of a trust, it is also the responsibility of those who commission the services. As the hon. Gentleman will be aware, one of the key considerations for the future in the development of services is for the NHS to respond to the commissioning intentions of local commissioners. Clearly, the matter that he raised will be determined locally as regards what commissioners require in terms of services from Morecambe Bay trust.

NHS Annual Report and Care Objectives

Debate between Lord Lansley and Lord Walney

Wednesday 4th July 2012 Commons Chamber

[Mr Lansley]

My hon. Friend makes a very important point, and I was happy to announce earlier this year that in response to the report by Professor Sir John Bell and his colleagues we will now put resources behind the establishment of genetic testing centres throughout the NHS, which will enable us to undertake what is known as stratified medicine. This means that, by identifying when medicines have particular benefits for patients with certain genetic characteristics or phenotypes, we will be able to target such treatments, as we will be much more certain of their effectiveness and be able to reduce, as my hon. Friend rightly says, the many cases in which medicines are prescribed but turn out not to be effective in a particular patient’s circumstances.

[John Woodcock (Barrow and Furness) (Lab/Co-op)]

If the Secretary of State really believes that people will accept Ministers standing back from the consequences of their decisions, will he hear from families in my constituency, who are going to be devastated if, after all the turmoil—of which he is well aware—and after the forthcoming review, they are forced to travel for an hour and for 50 miles to receive consultant-led maternity services?

[Mr Lansley]

I do not construe what we are doing as Ministers stepping back from the consequences of our decisions. The Secretary of State will continue to be responsible for the comprehensive health service, and I fully expect, in the same way as I am making a statement today on the first annual report, that I and my successors will make statements in years to come on annual reports and be held to account for the performance of the service.

The point is that delivering the best possible care is not achieved by Ministers interfering on a day-to-day basis in how the NHS goes about its task. We have been very clear, through today’s mandate, about what we are looking for the NHS to achieve: consistently improving outcomes. We are not trying to tell the NHS to do so.

Any particular service change, such as the one the hon. Gentleman describes, has to meet four tests: being of clear clinical benefit; responding to the needs and wishes of local service commissioners; responding to strong patient and public engagement; and maintaining and protecting patient choice. If there are any questions and objections, stating that such a service change does not achieve those aims, his local authority has the right under legislation to refer the matter to the Secretary of State for its reconsideration, so I am not taking the Secretary of State out of the process completely.

The safe and sustainable review was set up independently by his right hon. Friend the Member for Leigh, and it has been conducted completely independently, but, in the same way as I have just described, if local authorities have grounds for objections, they have also a mechanism, if they wish to use it, for referral.