Oral Answers to Questions

Debate between Lord Lansley and Sarah Newton

Thursday 27th June 2013 Commons Chamber

[The Leader of the House of Commons (Mr Andrew Lansley)]

The introduction of the coalition Government’s e-petitions system has been a successful improvement for public engagement with Parliament. However, it is clear that the public expect to be able to petition their Parliament and seek action from their Government. I want to work with the Procedure Committee, the Backbench Business Committee and interested Members from across the House to develop the current system into something that more fully meets that expectation.

[Sarah Newton]

I thank the Leader of the House for his answer, but can he really assure the House that any changes to the e-petition will not impact on or restrict the work of the Backbench Business Committee?

[Mr Lansley]

I agree that reforms of this House should not have an adverse effect on the successful work of the Backbench Business Committee, which this coalition Government established. It may be possible, none the less, that there is a role for a Select Committee or Committees in examining petitions, taking evidence on petitions, seeking information from Government, and even recommending debates in Parliament. However, I envisage that it would remain for the Backbench Business Committee to consider and schedule debates.

Oral Answers to Questions

Debate between Lord Lansley and Sarah Newton

Thursday 17th January 2013 Commons Chamber

[Sarah Newton (Truro and Falmouth) (Con)]

5. What assessment he has made of the pilots of public reading stages for Bills.

[The Leader of the House of Commons (Mr Andrew Lansley)]

We have conducted pilot public reading stages for the Protection of Freedoms Bill and the Small Charitable Donations Bill, and an online consultation was conducted on the draft Care and Support Bill.

Following evaluation, I have today informed the House in a written ministerial statement that public reading stages will form part of a tool kit to consider legislation on a case-by-case basis. I hope we will continue to improve public engagement in the legislative process—for example, through pre-legislative scrutiny and evidence sessions in Public Bill Committees rather than by adopting a uniform approach to legislation.

[Sarah Newton]

I very much welcome my right hon. Friend’s response and congratulate him and his predecessor on the great innovations in this Parliament to make this place more relevant to the people who sent us here. I urge that we use the new tool in our tool kit as often as we can.

[Mr Lansley]

I am grateful to my hon. Friend, with whom I share an appreciation of my predecessor. Over the past two and a half years, the House has made considerable progress in engaging the public directly with legislation. We can do that through a number of routes. Sometimes, pre-legislative scrutiny on draft legislation or evidence sessions before Public Bill Committees are very effective, and public reading stages are a further option. We do not want to specify in relation to any particular legislation that all those things must be applied, but we have the mechanisms to engage the public more fully.

Business of the House

Debate between Lord Lansley and Sarah Newton

Thursday 13th September 2012 Commons Chamber

[Sarah Newton (Truro and Falmouth) (Con)]

Yesterday the Department of Health announced the warm home scheme. May we have a debate on the wide range of measures that the Government are introducing to tackle fuel poverty, so that Members of this House can work with their communities to make sure that the people who most need the help get it this winter?

[Mr Lansley]

I am pleased that my colleagues at the Department of Health were able to follow up last year’s initiative of a warm homes healthy people fund and support local authorities and charities with further provision, which was announced earlier this year. It is all about taking practical steps to ensure that people who are vulnerable and frail can be supported by community action.

Care and Support

Debate between Lord Lansley and Sarah Newton

Wednesday 11th July 2012 Commons Chamber

[Mr Lansley]

We have consulted not only the Local Government Association but my colleagues at the Department for Communities and Local Government, and I can assure the hon. Lady that that is indeed the case.

[Sarah Newton (Truro and Falmouth) (Con)]

There is much to be welcomed in today’s announcement. After so many years, people all over the country will be pleased that so much progress has been made, particularly for carers and in improving the quality of care and professional standing of paid-for carers. Will the Secretary of State confirm what I think I heard him say—that if the Opposition were to redouble their efforts and the whole country were to engage in the debate that today’s announcement will trigger, the mechanisms to solve the bigger problem of how the funding can be provided could be included in the forthcoming Bill within the next 12 months?

[Mr Lansley]

Yes, and I am grateful to my hon. Friend. I will not reiterate what I said in response to the Chair of the Health Committee, but I hope that as we make progress we will be able to see what legislative provisions are required and make them available at the earliest opportunity. She makes an important point, because we must not lose sight of the opportunity to improve quality. There are certain things that require resources, such as access to quality profiles of care providers so that people can make proper assessments of the quality of service that they will receive, increasingly using their personal budgets or direct payments. There is dramatic potential in that. Starting today, quality profiles of 12,000 care providers will be made available.

NHS (Private Sector)

Debate between Lord Lansley and Sarah Newton

Monday 16th January 2012 Commons Chamber

[Mr Lansley]

No.

Individual staff in the NHS have a duty not to allow their private activity to be to the detriment of their NHS activity. Foundation trusts will have an obligation to be transparent in accounting for the two sources of income, and they will have an obligation to report at their general meeting how they have used their private income to benefit their NHS patients.

I am afraid that what the right hon. Member for Leigh says is a tissue of nonsense. The 49% amendment was introduced only to make it abundantly clear that if the principal purpose of a foundation trust is the provision of NHS services, by extension that would not be consistent with the balance of its activity being private rather than NHS activity—hence 49%. There is no specific intention that NHS foundation trusts should increase their private income to any specific degree.

[Sarah Newton (Truro and Falmouth) (Con)]

Is it not true that the cap is “up to” 49%? Does my right hon. Friend agree that the best decisions are made not at the Dispatch Box by plucking numbers out of the air, but by patients, clinicians and hospital trusts?

[Mr Lansley]

My hon. Friend is absolutely right. The Labour party appears to be going backwards. Its 2010 manifesto said:

“We will support an active role for the independent sector working alongside the NHS in the provision of care”,

but tonight’s motion says that Labour has abandoned that policy. I quoted earlier the Labour party’s commitment to giving patients the choice of the best available provider. Its policy tonight is to abandon patients, including the 81% who told a survey that they want to exercise choice. Labour’s manifesto said it would give foundation trusts freedom to expand and increase their private services. It has now abandoned that policy.

Why does Labour do that? Why did it abandon those policies? Perhaps it is because the Labour party is a wholly owned subsidiary of the trade unions. Labour is interested not in patients or the NHS, but in the trade unions, because its policy is all about the protection of trade union interests—vested interests. The guarding of the vested interests is the remaining activity of the Labour party, but it will diminish over time.

Let me tell the shadow Health Secretary very simply what we are setting out to do. Under this Government, the power to choose will increasingly lie in the hands of patients, doctors and nurses, and incentives will encourage all providers to integrate their care and improve the quality of their care. The result is not a fragmentation of the NHS or inequalities, but better, higher-quality care, and integrated NHS care that offers everyone the very best care available. We will use choice—patients’, doctors’ and nurses’ interests in delivering that choice—and the best quality provision to deliver better outcomes for patients. That is why I urge the House to reject the Opposition motion.

Oral Answers to Questions

Debate between Lord Lansley and Sarah Newton

Tuesday 22nd November 2011 Commons Chamber

[Sarah Newton (Truro and Falmouth) (Con)]

4. What steps he is taking to reduce the burden of debt for NHS hospitals.

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

Although the overall financial position remains healthy, we will continue to focus on the small number of organisations in the NHS that are struggling to manage their finances. We are working to help all NHS trusts to be sustainable providers of high-quality health care and move forward to foundation trust status. That will include, where appropriate, agreeing solutions to resolve the regrettable legacy of debt from the previous Government.

[Sarah Newton]

Despite the fact that the staff of the Royal Cornwall Hospitals NHS Trust have made big strides forward in improving patient care while delivering efficiency savings, the trust is saddled with historic debt, largely as a result of Labour accountancy measures. Does my right hon. Friend agree that that is grossly unfair and will he meet me to find ways of writing off the remaining Labour debt so that my constituents can stop worrying about the future of the only acute hospital in Cornwall?

[Mr Lansley]

I am grateful to my hon. Friend and completely concur. I have had the privilege of visiting Treliske hospital and seeing the good work that is being done there. In the course of the last financial year, the trust returned a surplus and it is projecting a surplus this year. As she knows, it has a legacy of debt that is being financed by a working capital loan. As with other NHS trusts, we are looking to ensure that through the process of becoming a foundation trust it will move from having legacy debts from the previous Government’s regime to being financially sustainable year-on-year while meeting the viability and balance sheet criteria for foundation trust status.

Reform of Social Care

Debate between Lord Lansley and Sarah Newton

Monday 4th July 2011 Commons Chamber

[Mr Lansley]

I am grateful to the right hon. Gentleman for the welcome that he gives to the report by Andrew Dilnot and his colleagues, and indeed to the report that Tom Hughes-Hallett and Alan Craft produced on palliative care. They are both immensely valuable.

The right hon. Gentleman rightly says that it is important for us to move beyond many of the suggestions that have been made in the past. One of the essential purposes of the Dilnot commission was to seek something that was affordable and sustainable, that met tests of choice, fairness, value for money and ease of understanding, and that would be sustainable for the longer term. Dilnot has responded immensely well to the issues that we put to him, but that is part of a broader process of reform. In that sense we have not waited for Dilnot, because we have made progress on the wider aspects of reform. Now we have to ensure that we bring them together in a way that is coherent and works to deliver long-term, sustainable reform across the whole social care sphere.

The right hon. Gentleman rightly points to the fact that we inherited a fragile system in which there had already been a substantial tightening of eligibility and loss of care and support, with increasing levels of unmet need. That was precisely why, in an interim report last year, Andrew Dilnot and his colleagues asked us to make additional resources available in the spending review. I set out in my statement precisely how we have done so.

The concerns in relation to Southern Cross are particular to that company, and the Minister of State, my hon. Friend the Member for Sutton and Cheam (Paul Burstow), has made clear to the House how we are interacting with those who are involved with the company. We are making it very clear to the public—I reiterate it today—that we are prepared to act to secure the interests of individuals if there were any threat to their position in care homes. We are working with the Association of Directors of Adult Social Services and local authorities to ensure that those contingencies are in place. What I said today in the statement, and which people have not previously recognised, is that as early as last year we set out in the Health and Social Care Bill that we were prepared for regulatory powers to be available to ensure the future viability of social care providers, as we intend to do in relation to health care providers.

Let me may make one final point. I believe that my statement makes it absolutely clear that we will engage on the basis of the Commission on Funding of Care and Support, and that we will do so on a timetable that will work and that gives stakeholders and the public, and indeed the Government and the Opposition, an opportunity to come forward with a consensus. I discussed that timetable with Andrew Dilnot, and he is clear that he supports it. It will lead to a White Paper in the spring and an associated progress report on funding reform. I am clear that that assures stakeholders that we will take this forward as a priority.

[Sarah Newton (Truro and Falmouth) (Con)]

I very much welcome the report and the Secretary of State’s statement. It was the previous Government who kicked the fixing of our broken care system into the political long grass. Will my right hon. Friend reassure me that we will work with all parties in both Houses to find a lasting solution?

[Mr Lansley]

Yes, I agree with my hon. Friend. That is indeed what we will set out to do. There have been many false starts, and not just under the previous Government. It is important for us to make progress, and for us to do so on a basis that is sustainable for the longer term.

NHS Reform

Debate between Lord Lansley and Sarah Newton

Monday 4th April 2011 Commons Chamber

[Mr Lansley]

As we have demonstrated, NHS performance is continuing to improve, and it will improve further with clinical leadership, but we can achieve that effectively only if we achieve a £1.9 billion a year reduction in administration costs in the NHS. We have started that process: since the election, we have reduced the number of managers in the NHS by 3,000 and increased the number of doctors by 2,500.

[Sarah Newton (Truro and Falmouth) (Con)]

I very much welcome the Secretary of State’s continued support for the NHS in Cornwall, with the cash increases this year, the long overdue integration of adult social care with the NHS, and the real opportunity of giving power to local people through the health and well-being boards. Will he ensure that the central changes he wants to introduce to achieve the aim of “no decision about me without me” are kept absolutely at the heart of what he does?

[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.