Business of the House

Debate between Lord Lansley and Nadhim Zahawi

Thursday 8th November 2012 Commons Chamber

[Mr Lansley]

It will not surprise the hon. Gentleman to know that in my view his question is better directed towards Labour Members, who voted for the Bill on Second Reading and made it clear that this House was supportive of the principle of reform of the House of Lords, and then failed to vote to give it the time to be debated.

[Nadhim Zahawi (Stratford-on-Avon) (Con)]

May we have a debate on dementia? There are nearly 700,000 dementia sufferers in England, but sadly only half of them are diagnosed, and awareness of the condition is shockingly low. The Prime Minister has made this a personal priority and has today announced the dementia friends initiative whereby we will look to recruit 1 million people and train them to spot the signs of dementia early, as well as putting £10 million towards dementia research and £50 million towards making wards more comfortable for dementia sufferers. May we have a debate on this ailment, which is very serious for the nation?

[Mr Lansley]

I am grateful to my hon. Friend for raising an issue of concern to all Members across this House. Back in March, when the Prime Minister launched the Prime Minister’s challenge, we set a number of very ambitious objectives for ourselves. It is great to see some of those coming through and further, very important measures being put in place. In the west midlands, some of the best work that I have seen is being done in making hospitals understand dementia, identify where patients have dementia, and then provide more appropriate care to look after them. Today’s initiative relating to 1 million volunteers across the country can be a tremendous boost in providing what are known as dementia-friendly communities that people with dementia find accessible and understanding, enabling them to derive the best possible quality of life from a very sad condition.

Business of the House

Debate between Lord Lansley and Nadhim Zahawi

Thursday 13th September 2012 Commons Chamber

[Mr Lansley]

I will, if I may, make an announcement on that in business questions at a later date.

[Nadhim Zahawi (Stratford-on-Avon) (Con)]

May we have a debate about donations to political parties and their influence? I and many colleagues are concerned about the unions that are calling for co-ordinated action to bring the country to its knees and the amount of money that they donate to the Opposition.

[Mr Lansley]

Yes, of course. As Leader of the House, I do not engage in any partisan activity, but it is important that all parties recognise on whose behalf we make representations to the House—we make them on behalf of our constituents. We should not do so, whether as individual Members or as parties, on the basis of outside vested interests, and that applies to the Labour party with regard to the trade unions.

Oral Answers to Questions

Debate between Lord Lansley and Nadhim Zahawi

Tuesday 12th June 2012 Commons Chamber

[Nadhim Zahawi (Stratford-on-Avon) (Con)]

17. What progress clinical commissioning groups have made in improving care for patients.

[The Secretary of State for Health (Mr Andrew Lansley)]

This year, developing CCGs have delegated responsibility for more than £30 billion of local commissioning. Clinical leadership is using NHS resources more effectively, as part of improvements in care. In particular, we are seeing many improvements in community-based services—for example, a pulmonary exercise programme in Durham; a community spinal service in Reading; and a new musculoskeletal service in the Vale of York CCG.

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[Mr Lansley]

I am very grateful to my hon. Friend for demonstrating how these new developing relationships that CCGs and local authorities are creating with NHS providers and care providers are delivering improvements in care for the constituents we all represent. I urge other hon. Members to follow her example in stimulating exactly those relationships.

[Nadhim Zahawi]

The CCG covering my constituency is interested in improving patient care by looking at new methods of contracting and management, but it has been told that it must use a clinical support service set up by the primary care trust, staffed by ex-PCT staff and most likely based in Birmingham, rather than south Warwickshire, at a cost of £4 million a year. Could the Secretary of State—

[Nadhim Zahawi]

I apologise, Mr Speaker. Will the Secretary of State confirm that there is no need for the CCG to use such an organisation and that it is free to form its own commissioning structure without incurring redundancy and wind-up costs from the PCT?

[Mr Lansley]

Yes, I can confirm that CCGs have the freedom to decide which commissioning activities they will do themselves and which they choose to secure from external organisations, thus enabling them to carry out their functions effectively. They can, if they wish, develop their own organisations and staff or contract with other organisations, and they are not required to contract with the commissioning support services hosted by the NHS Commissioning Board.

Future of the NHS

Debate between Lord Lansley and Nadhim Zahawi

Monday 9th May 2011 Commons Chamber

[Mr Lansley]

I do not accept the right hon. Gentleman’s premise. Waiting times in the NHS are stable. We had a conversation about that during the last session of Health questions, but perhaps the right hon. Gentleman was not in the Chamber and did not hear it. The average waiting time is nine weeks. The operational standard requires 90% of admitted patients to be seen within 18 weeks—that is in the NHS constitution—and it has been maintained, although the figure was 89.9% in February after a winter during which critical care beds were full because of flu.

The right hon. Member for Wentworth and Dearne talked of four-hour waits in A and E as if the fact that a patient had been discharged within four hours were the only issue. He should go and talk to the families of patients who, in the past, were discharged from the emergency department at Stafford general hospital and left to die.

What matters is how long it is before a patient is seen by a qualified professional, and how long it is before that patient is treated. What about those who leave without being seen? What about those who are not given the care that they need, and have to return to the emergency department? Those are the things that matter to patients, and those are the things that are now part of the accident and emergency quality indicators which, this April, we said that we would publish for the first time. It is we who are focusing on services for patients. Labour Members had 13 years to look at what really mattered to patients and at the real quality of what was delivered to patients, but they did not do it, and we are going to do it.

[Nadhim Zahawi]

Pausing and listening and getting the detail right are about grown-up politics. Opportunism and flip-flopping are about the Opposition.

[Mr Lansley]

My hon. Friend is absolutely right.

NHS Reform

Debate between Lord Lansley and Nadhim Zahawi

Monday 4th April 2011 Commons Chamber

[Mr Lansley]

No, the hon. Gentleman misunderstands. I was very clear in my statement and in subsequent responses to questions. Right across the country, there are thousands of people who are developing the pathfinder consortia, taking NHS trusts through to foundation trust status, and building the health and well-being boards and new public health structures in local government. They should be confident in doing that, because the Government continue to be committed to achieving those changes. In the process of doing so, we will engage with them to ensure that the legislation specifically gives them the support that they need.

[Nadhim Zahawi (Stratford-on-Avon) (Con)]

I congratulate my right hon. Friend on engaging and listening. We have all received the 50 or so e-mail circulars from constituents who are concerned, but that does not reflect the evidence on the ground. GPs in Shipston in my constituency are absolutely passionate about the reforms and want to engage fully with them, as do 220 other groups—87% of the country. May I make a suggestion to the Secretary of State? Perhaps we should bring all those people who are passionate about this reform and want to take party politics out of it together with Labour Members on a platform so that we can take this forward without petty politics derailing a brilliant piece of legislation.

[Mr Lansley]

I am grateful to my hon. Friend. Labour Members sit and laugh about this, but they ought to realise that 1 million patients a day visit their local general practice surgery. GPs across the country who have come together to form pathfinder consortia—87% of the country—are doing it on the basis that they can improve services for patients. I suspect that they understand the needs of their local community and patients better than many Labour Members, who are not listening to their GPs locally.

NHS Reorganisation

Debate between Lord Lansley and Nadhim Zahawi

Wednesday 16th March 2011 Commons Chamber

[Mr Lansley]

All GPs and their colleagues who were part of the first wave of pathfinders were invited to No. 10—there were far more than we ever expected—and Charles Alessi was one of them. It is a complete illustration. I do not know what Charles said or why he said it, but he is the doctor, not me. Frankly, I think that it is clinical leaders in the NHS who are responsible for what they say, not me.

[Nadhim Zahawi]

Does my right hon. Friend agree that the way in which the Opposition are conducting themselves, when they proposed a 20% cut to the NHS, is scaremongering among our constituents and entirely irresponsible?

[Mr Lansley]

My hon. Friend makes an extremely good point, and he made it to the shadow Secretary of State, who did not answer it.

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[Mr Lansley]

I think I know why he has changed his mind.

[Nadhim Zahawi]

Opportunism.

[Mr Lansley]

Yes, that is one possibility. Another is that Labour Members are paid for by the trade unions.

Our changes are driving real improvement. Our investment means that more than 1,300 patients are now getting the life-extending cancer drugs they need; that is investment in cancer drugs that the Labour party opposed.