(10 years, 4 months ago)
Commons ChamberThe hon. Lady will recall that the Secretary of State and his Ministers talked about broadband in response to questions last week. I thought that they did so very persuasively. I will look back at the dates to which she refers and see whether there are specific issues on which I can encourage Ministers to respond to her further.
The 668 bus from Cheddar village connects to the main service to Bristol, where several of its residents work. The cuts that have been made by Somerset county council mean that the bus will end its journey in Shipham, leaving a 1.5 mile gap to Langford, which is across the county border. I have remonstrated with the council, but it does not see that saving £14,000 annually on a bus service means that the taxpayer will have to support people who have to give up their jobs, even though they are able to work. Is there anything that the Leader of the House can do to help?
(10 years, 5 months ago)
Commons ChamberI will, of course, be helpful to the hon. Lady and contact the Home Secretary. I am grateful that she has written to the Home Office, so that it has details of this case, and I will endeavour to ensure that she has an opportunity to meet the Home Secretary or the relevant Minister.
On 9 June, I received a written answer from NHS England via the Under-Secretary of State for Health, the hon. Member for Battersea (Jane Ellison), stating that no patients from the south-west had been sent for gamma knife treatment at University College London hospitals.
After pressing NHS England further, on Monday 23 June, I had another written answer saying exactly the opposite, admitting that it had paid for treatment of those patients. May we have a debate on the need for absolute honesty and accurate accounting from NHS England when answering Members’ questions, as I am not the only Member who has been fobbed off with inaccurate replies?
My hon. Friend will—[Interruption.] Perhaps the hon. Member for Dunfermline and West Fife (Thomas Docherty) wants to reply to the questions. I have no doubt he does, but it is my responsibility, and it is Ministers’ responsibility to ensure the accuracy of their responses to Members. My hon. Friend may be aware that the Public Administration Committee is examining the issue of the accountability of public bodies and their responses to Members’ questions. Notwithstanding all that, it is important for NHS England to ensure that it provides my hon. Friend with accurate information. I will ensure, with the Department of Health, that that is the case.
(10 years, 6 months ago)
Commons ChamberI know the hon. Gentleman will be aware that what is going on is that we are continuing to deliver high standards of care in A and E departments in circumstances where there is a consistently rising number of people attending. We need to do two things. We need to make sure that people are cared for effectively in the community to minimise their requirement to use A and E, and we need to focus A and E on the task that it needs to do. But when people go to A and E, we need to make sure that they go to an emergency department that has the skills and the capability to deal with their case, and what is available at present varies dramatically between locations. We need to ensure that people with the most serious conditions get to the emergency departments with a full range of capabilities to deal with them.
Each year more than 324,000 tenants are evicted in response to complaints they must make about the condition of their homes, so it is no surprise that 12% of private tenants do not report any problem for fear of retaliatory eviction. May we have a debate about stopping bad landlords dodging repairs when evicted tenants complain to their local councils, and giving tenants the right to appeal a notice to quit if it is a response to a problem, particularly as more than 1.3 million private rented homes do not meet the Government’s decent homes standard?
My hon. Friend will be aware that our colleagues in the Department for Communities and Local Government, through their review of property, have identified the extent to which there is a deficiency in the quality of the housing stock in part of the private rented sector. We want to make sure that people have good access to housing and that the housing is of good quality. I will, if I may, talk to my colleagues at the Department for Communities and Local Government about when we might have an early opportunity for them to respond further in relation to that.
(10 years, 8 months ago)
Commons ChamberThe hon. Lady asks that question when it is this Government who are bringing forward HS2, which will make the biggest difference since the Victorian era in terms of providing capacity and creating high-quality links between northern cities, to the rest of the rail network and beyond London. The Network Rail programme is the largest programme of rail investment since the Victorian era and many of the areas that will benefit are in the north of the country.
A £3 million gamma knife radiotherapy machine is sitting unused at University College hospital in London because NHS England refuses to send cancer patients there. Will the Leader of the House ask the Secretary of State for Health to look into that as a matter of urgency?
I will, of course, raise that matter with my right hon. Friend the Secretary of State, as the hon. Lady requests. However, the commissioning of specialist services is a matter for NHS England under the Health and Social Care Act 2012, as she will recall. I completely understand what she says. I have seen the latest radiotherapy machines of the kind that she describes, which perform stereotactic radiotherapy. That is an interesting new treatment, but it is not appropriate in all circumstances.
(10 years, 9 months ago)
Commons ChamberI will of course discuss that matter with my hon. Friends. I do not know whether there is any plan of the kind that the hon. Gentleman describes. However, I will discuss the matter with them and see if they can not only reply to him but inform the House, as he requests.
May we have a debate on recent reports by Global Witness about Congolese conflict gold being traded through Dubai and then into Switzerland, where it goes into the European supply chain? Will the Leader of the House speak to his colleagues in the Government to ensure that the UK supply chains are robust and not vulnerable to conflict gold?
I am grateful to my hon. Friend for that question. I will of course have that conversation with my hon. Friends at the Foreign and Commonwealth Office, because we always want to do whatever we possibly can to prevent such resources—conflict gold, conflict diamonds and the exploitation of mineral wealth—from feeding conflicts that are doing such immense harm to the people of those countries from which those resources come.
(10 years, 9 months ago)
Commons ChamberI would welcome a debate on employment, and, indeed, on social enterprises. I cannot promise such a debate immediately, but I know that the House would appreciate it.
The hon. Gentleman may be aware that, according to the latest data, the number of unemployed women has fallen by 61,000 to 1 million, or 6.7%. The number of women in employment rose by 104,000, or 0.3 percentage points, in the last quarter. More than half a million more women have become employed since the general election.
A constituent of mine runs a rural business which depends on internet access to Government agricultural schemes, and next week is the busiest week of his year. However, he has been without internet access for nearly six weeks, since 28 December, when the problem was reported to TalkTalk, his provider. Despite numerous calls to both TalkTalk and BT, nothing has been done. Only BT Openreach can fix the problem, but that organisation is not on the phone. Can the Leader of the House advise me on how my constituent can get urgent attention so that his line fault can be fixed, short of going to the main road and flagging down an Openreach van?
I can tell my hon. Friend that, on more than one occasion in my constituency, flagging down an Openreach engineer’s van is exactly what my constituents have done.
I know that my hon. Friend will raise this issue with BT herself, but, exceptionally, I shall refer our exchange to BT and ask it to respond directly to her. Under the programme for extending superfast broadband access, contracts are now rolling out across the country, and we are trying to make that happen as quickly as possible. However, we need to ensure that we achieve not just notional access to superfast broadband, but reliable, good-quality access. I entirely take my hon. Friend’s point.
(10 years, 9 months ago)
Commons ChamberThe hon. Gentleman might like to initiate an Adjournment debate on that subject, although I suspect we have just heard the speech.
May we have a debate on why the lobbyist John Murray, chief executive of the Specialised Healthcare Alliance—an organisation totally funded by powerful drug companies—has been allowed to co-author NHS policy on £12 billion of specialised services, including cancer radiotherapy treatment, with James Palmer, clinical director of NHS England?
Over many years I have known John Murray to be, in personal terms, somebody who is very expert on specialised health care issues. Whoever happened to be party to the authorship of the policy, the responsibility lies within NHS England. Its job is to ensure that it exercises a dispassionate and impartial approach to the making of policy.
(10 years, 11 months ago)
Commons ChamberOne of my constituents was forced to spend six months on unemployment benefit while he waited for the Driver and Vehicle Licensing Agency to process his medical, after which his large goods vehicle licence was returned to him. May we have a debate on the way in which the DVLA’s administration could be streamlined so that constituents like mine do not have to wait unnecessarily for extended periods at vast cost to the taxpayer?
I understand what my hon. Friend is saying, not least because I have a constituent who was in a similar position. If I may, I will ask my colleagues at the Department for Transport if they will look at the issue, because it is very difficult for those with medical conditions who have their driving licence suspended. If they recover, the failure to process the reacquisition of their driving licence quickly can, at the very least, be of considerable and serious inconvenience to them and potentially costly.
(10 years, 12 months ago)
Commons ChamberI cannot promise a debate, but if the hon. Gentleman is in his place he will have an opportunity to raise those issues with my right hon. and hon. Friends in the Department for Business, Innovation and Skills next Thursday when they respond to questions. None of us in the House believes that we have or should have a sweatshop economy. That is why over many years we have instituted employment protection measures, including a minimum wage. It is important that it is enforced. It is also important that we create jobs, and in this economy since the general election we have created 1.4 million private sector jobs. That should never be forgotten.
May we have a debate about Somerset county council’s rush to axe children’s centres when it has done a skewed consultation, questions were loaded, and the staff have been gagged? Its report shows that it does not even know how many children are affected, and the only failings in the Ofsted report for the two children’s centres that I have seen were caused by the council’s failings to resource them. Last week the council agreed that it would have a four to six-week period of further consultation with parents and children, and yesterday it suddenly announced that it would make the decision today. It is absolutely not fair on the children or parents.
My hon. Friend will recall that there are statutory requirements about the character of a consultation relating to local authority proposals to reconfigure children’s services. I am not in a position to comment directly on the circumstances that my hon. Friend describes, but I will ask my right hon. and hon. Friends at the Department for Education to respond to what she has said.
(11 years ago)
Commons ChamberThe hon. Gentleman might wish to raise those issues during Work and Pensions questions on Monday 18 November. I do not think that it is a matter of celebrating sanctions. I think it is important for us all that we focus the state’s resources on supporting those in need, whether that arises from disability or relative vulnerability, and those genuinely seeking work. It is therefore important that those who should be seeking work are genuinely doing so.
May we have a debate on how a co-director of a company can possibly meet the requirements for an application for financial support and assistance, including legal aid, when the company’s accounts are being withheld by her spouse, from whom she is separated?
I am grateful to my hon. Friend for her question. I will not delve into it too far, because it seems quite an interesting and difficult point. It is a statutory requirement that a company’s accounts are made available through Companies House. If I may, I will refer her question to my right hon. and hon. Friends at the Ministry of Justice, because it relates to legal aid, to see whether they can provide her with a further helpful answer.
(11 years ago)
Commons ChamberThe case of the back-to-work scheme demonstrated that the Government were operating on the basis of thoroughly sound principles, and it was important for that to be established. On Lewisham, I understand perfectly what my right hon. Friend the Health Secretary did and why he did it, and I think he was right to pursue the issue, because the relevant legislation, which we did not introduce, was not clear. The unsustainable providers regime was established in primary legislation under the previous Government, but unfortunately it was not clear, so it was important to get that clarity by taking the case further.
I am delighted that the Prime Minister has announced today that companies must publish and make public details of who owns and controls them. In the interests of further transparency, will the Leader of the House make time for a debate on demolishing the firewall between the taxpayer and private companies holding Government and local authority contracts by requiring them to meet the requirements of the Freedom of Information Act for those parts of their business paid for by taxpayers’ money?
I entirely understand my hon. Friend’s point—I recall the issue of private companies providing health care services paid for by the NHS—but it would be intensely difficult simply to apply the Freedom of Information Act to private companies and to draw clear distinctions between those parts of their activities to which public money relates and those to which it does not. That is why the public sector, when procuring services, makes clear in contractual provisions the requirement for proper transparency and openness about the nature of the contracts and services being provided to the public.
(11 years, 2 months ago)
Commons ChamberThe hon. Gentleman will understand that I cannot comment in detail on the case that he raises, although I will ask the Ministry of Justice to consider the points he has made. Generally speaking, the legislative steps taken by the Government to empower local people and local communities to identify properties of community value and to be able to intervene to secure them for community purposes have been much welcomed.
Two months ago in the Chamber, I raised the case of Nadejah Williams, a young woman with a rare form of colon cancer who had been refused life-saving CyberKnife treatment by NHS England. Last night, Nadejah was told the good news that NHS England had changed its mind and she can now be treated with Mount Vernon’s CyberKnife system. I thank Andy Lines from the Daily Mirror for doggedly pursuing her case and the Under-Secretary of State for Health, my hon. Friend the Member for Broxtowe (Anna Soubry), for intervening personally and making NHS England see sense.
May we have a debate on why six months of trauma and three appeals by Nadejah’s specialists occurred before that young woman was allowed her CyberKnife treatment, thereby ensuring that others do not suffer what can be critical delays to their treatment?
(11 years, 4 months ago)
Commons ChamberYesterday the Minister for Schools announced a welcome increase in the pupil premium, targeted at children in difficult circumstances. However, Somerset county council is proposing cuts to its school transport budget, which will hit low-income families, and wants to ask schools to cover 50% of the school transport costs for those young people from the pupil premium they receive. That seems particularly mean and insensitive at a time when those Conservative councillors are giving themselves a 3% pay rise, so will the Leader of the House allow time for a debate? Does he agree that it is unacceptable to claim the pupil premium for that purpose?
My hon. Friend invites me to enter into a debate on decisions that are properly those for Somerset county council. If she wants to raise this issue on behalf of her constituents, it would be appropriate to do so on the Adjournment, so perhaps she can seek that opportunity. However, I entirely share the sense of achievement that yesterday’s statement takes us to the point where we are fulfilling the coalition agreement to provide an additional £2.5 billion in support of the pupil premium for the benefit of the most disadvantaged pupils. [Interruption.] I would have thought that that would be something to celebrate on the Opposition Benches, but I was struck by how few Opposition Members were able to come to the Chamber yesterday and express even a sense of appreciation for the resources being provided to support some of the children who are most in need of additional support in our schools.
(11 years, 4 months ago)
Commons ChamberThe hon. Gentleman might not have had a chance to read IPSA’s report this morning. Although it says that additional employment and outside earnings are not strictly in IPSA’s remit, it does offer views on the subject. One of the crucial things that IPSA says is that relatively few Members of this House have any significant earnings from outside and about only 10% have second jobs. He might remember that the Committee on Standards in Public Life looked at this issue and reached the conclusion that there was no reason to place any bar on outside employment for Members of this House.
Will the Leader of the House comment on the need for compassion to be shown by Somerset county council on the occasion of medical emergencies? My constituent John, who lives in Cheddar, had to empty his colostomy bag because it was leaking. He needed to fix the situation urgently, but he received a parking ticket while he was doing so. In spite of his many appeals to the county council, it has not budged and he is now threatened with forced collection.
(11 years, 5 months ago)
Commons ChamberThe Government are not struggling to produce a Bill; we have set out the timetable and will introduce a Bill before the summer recess. The clauses for a Bill were published previously and were the subject of a consultation last year. In that context, it is a bit rich of the Labour party to talk about wanting cross-party talks on the issue, when no Labour MP, including those on the Opposition Front Bench, supplied any response to the Government consultation on the clauses that we published.
Some 99% of all UK limited companies have beneficial owners who are exactly the same as the legal shareholders disclosed on the Companies House website, and many people—including the Prime Minister and Will Morris, the head of tax at CBI—have expressed their preference for putting company beneficial ownership into the public domain, because the “many eyes” principle keeps data honest. Will the Leader of the House agree to a debate on the impact of an open, public register of company beneficial share ownership on UK businesses, and agree that that would not be onerous?
My hon. Friend makes a good point. She will recall that in response to questions following his statement on the Lough Erne declaration yesterday, the Prime Minister made clear his wish to see that register of beneficial ownership completed, published and made publicly available, not only in this country but in a number of countries. That multilateral, international approach extends not only to the G8 but beyond to developing countries, and, as the Prime Minister said, it was recognised as important by a number of Heads of Government of African nations who attended the lunch on Tuesday. Such an approach can make a big difference to rooting out corruption and promoting economic development in developing countries.
(11 years, 5 months ago)
Commons ChamberI will, of course, raise the point made by the hon. Gentleman and my hon. Friend the Member for The Wrekin (Mark Pritchard) with my friends in the Department for Transport, and ask them to respond directly to all Shropshire MPs about the rail service to that area.
The House should congratulate the European Parliament on its vote yesterday to make Governments and companies publish what they pay for oil, gas, timber and mining extraction in resource-rich countries. Coupled with US laws, it means that transparency standards cover 65% of the world’s revenues from those sources, and that may be followed by similar laws in Canada, Switzerland and Australia. Will the Leader of the House urge the Prime Minister not to miss the opportunity to show great leadership of the G8 by ensuring that the UK has an open, public register of company share ownership, so that we can lead the world in rooting out tax evasion, corruption and money laundering?
My hon. Friend will forgive me if I do not expose my ignorance of the precise detail of those measures. I hope that she and all colleagues know that the Prime Minister is determined that at the G8 summit, in addition to promoting trade for economic growth and measures to deal with tax avoidance and evasion, we are also concerned to promote growth and development in the context of much greater transparency. I hope that that issue will be reported positively at the G8.
(11 years, 5 months ago)
Commons ChamberWhat the Prime Minister said was very clear, and it was not just about the question of the statutory register of lobbyists, which should ensure transparency and greater accountability in relation to third-party influence with Ministers and in Parliament. We must be sure that the whole political system has not only a transparent structure, but one that is accountable and open about those who seek to exercise such major third-party influence. Not just trade unions but other organisations seek to do so; the trade unions are a major source of third-party influence in the political system, as the hon. Gentleman knows perfectly well.
Will the Leader of the House allow time for a debate on the processes in place to follow up the implementation of recommendations made in serious case reviews, and to review and report in public in the long term on the adherence to points made in action plans after incidents in care homes, so that changes to poor practice are made for the long term, and that care of the vulnerable and elderly does not slip backwards?
(11 years, 6 months ago)
Commons ChamberI had an opportunity to look at that early-day motion as the right hon. Gentleman asked his question. He once again commendably raises the interests of his constituents. I can see how distressing the problem must be for them. Social landlords in that sense should be accountable not least through their contract with social services in respect of many of those residents. Ministers from the Department for Communities and Local Government will answer questions in the House on Monday 3 June, which might afford the right hon. Gentleman an opportunity to ask a question. The relevant authorities and Contour Homes will have taken note of what he has said in the House. Perhaps the situation will have been rectified by Monday 3 June, but if not, he can ask another question of my hon. Friends.
Those who work in schools who suspect or witness abuse are guided, but not required by law, to report their concerns via local procedures to a school’s designated senior member of staff, his or her deputy, or another senior member of staff. It is easy to see that the potential for damage to a school’s reputation might cause any senior member of staff to be conflicted, and not to pass such concerns on to the police or local authority. Will the Leader of the House provide time for a debate on the merits of introducing a legal obligation on all teachers and other staff in schools to report directly to the police or a local authority designated officer?
My hon. Friend makes an important point. I will ask my hon. Friends at the Department for Education to respond directly to her, but from my recollection—I was a member of the Standing Committee on the Protection of Children Act 1999—the barring scheme applies not simply to acts of negligence or abuse, but to omissions in relation to acts of abuse. In that sense, the guidance is quite strong. People who are in positions of responsibility for children should act if they see evidence of abuse or they will risk being barred from working in a responsible position.
(11 years, 7 months ago)
Commons ChamberAs a Member of Parliament representing part of Cambridge, I am only too aware of that anniversary, of the tremendous character of those discoveries, and of the work that Crick and Watson and others did. That is recognised. For example, I was directly involved as Secretary of State in securing the future of the Francis Crick institute, which I see emerging next to the British Library. I think this Government are giving leadership on science. We are investing in science, we see it as an essential part of this country’s economic future, and we are supporting it to that effect, as well as recognising that the quality of our science has a unique contribution to make for the whole world. We are determined to build on that.
Would the Leader of the House consider arranging a debate about the conflict in which insolvency practitioners find themselves when they are appointed by a bank to deal with the administration of a company that has failed owing to the mis-selling of interest rate swaps and hedging products by the very same bank? There is therefore a requirement for them to pursue a claim against the bank and the desire to remain loyal to their employer and to maintain a long-term business relationship with that bank, which requires the skills of poacher and gamekeeper simultaneously.
Yes, my hon. Friend makes a point which has been raised at business questions before. It is important to try to ensure clarity about how mis-selling claims are to be handled in order to give confidence and reassurance to small firms in particular. I will ensure that in the time available we are in contact with the Secretary of State for Business, Innovation and Skills about getting an answer to my hon. Friend on that point.
(11 years, 8 months ago)
Commons ChamberThe Financial Services Authority authorised Barclays bank to use KPMG and Deloitte as independent reviewers of the 40,000 interest rate swap agreements mis-sold to small and medium-sized businesses. May we have a debate about the true independent City law firms, Eversheds and TLT, which Barclays is using as its fact finders to interview by phone, for sometimes up to three hours, many of the customers classified as “unsophisticated? They are discouraged from having their solicitors present, refused a transcript and often feel that they have been cross-examined. Those tactics mean that the bank’s lawyers might be breaching the solicitors’ code of conduct and only go to reinforce the bank’s reputation for bullying.
I think that the House will share my hon. Friend’s concern about the companies that have been affected by interest rate swap mis-selling. I will not attempt to answer the question she rightly asks, but I will ask our right hon. Friend the Secretary of State for Business, Innovation and Skills to write to her directly about it.
(11 years, 10 months ago)
Commons ChamberYou are absolutely right, Mr Speaker—there is a distinction between what is in order and what is charming, and that was charmless. I also noted that following oral questions earlier, the hon. Gentleman did not take the trouble to apologise for being completely wrong in suggesting that I had incorrectly informed the House about what was in the ministerial code, but be that as it may.
I think it is a tremendously positive innovation that a substantial proportion of the House’s time is not in the gift of Government but is available to the Backbench Business Committee. That includes time that was previously allocated to a range of general debates for such purposes. If the hon. Gentleman feels strongly about the need for a debate on Europe, he should get together with other Members and go to the Backbench Business Committee to seek it.
The Glastonbury road run is an established, popular and safe annual charitable fundraising event, supported with great good will by our local police and other services. Should the council choose to use the Town Police Clauses Act 1847 because the street is “liable to be obstructed”, local charities lose no funds, but if the council elects this year to use the Road Traffic Regulation Act 1984, the organisers will receive a demand for £1,000, which will have to be paid from charitable donations. Will the Leader of the House raise the matter of clarifying the regulations to separate commercial from charitable street events so that the latter are treated with reason and common sense and not as a county council fundraising effort at the charities’ expense?
I am grateful to my hon. Friend for that question and will of course raise the issue with my hon. Friends at the Department. I might be wrong, but I think that in such circumstances the local authority has the discretion to waive those fees in certain cases.
(11 years, 10 months ago)
Commons ChamberThe Prime Minister and the Deputy Prime Minister were very clear on behalf of the coalition Government in setting out some further directions, one of which, rightly, was investment in the future of child care. They made it very clear that over coming weeks further announcements will be made, and of course they will be made, as is proper, first to this House.
Will the Leader of the House note my sorrow to hear today that Shepton Mallet prison is to close—a prison where most prisoners are working? The most recent report and several previous reports have said that it is a settled and remarkably safe prison for prisoners, staff and visitors. Will he recognise the leadership of Andy Rogers, who is the governor, and his team of very dedicated staff, and note that such decisions on closure affect not only money but jobs in the prison and for those who serve it in an area without many alternatives?
I know that my colleagues at the Ministry of Justice will read what my hon. Friend has just said in response to this morning’s written ministerial statement and there will be opportunities in the future to discuss these issues. I will take this opportunity, as she has asked, to pay tribute to not only Andy Rogers, but to those working in the Prison Service, who do an often thankless and difficult task very well.
(11 years, 11 months ago)
Commons ChamberThe hon. Lady will recall that she will have an opportunity to debate this with my colleagues on Second Reading of the Welfare Benefits Up-rating Bill, on the House’s second day back. I point out to her that benefits are intended to be limited—an increase limited to 1%—but this follows five years during which benefits rose by 20%, whereas average earnings rose by 10%. We cannot ignore the simple fact that those on the lowest incomes are among those who will obtain the greatest proportionate benefit from the increase in the personal tax allowance. In April, that will increase to £9,440, which will more than halve the income tax bill of someone working full-time on the minimum wage.
In 2011, the leadership of Somerset county council announced that Somerset would be the first county to introduce partial closure and charging for the use of recycling facilities. The public expressed their concern that that would lead to increased fly-tipping. The resulting costs, which are £303,615 this year, have to be picked up by the taxpayer through the district councils. Will the Leader of the House allow a debate on how Ministers might be empowered to intervene to protect the environment and stop this irresponsible use of taxpayers’ money?
I am very interested in what my hon. Friend has to say, and I will ask my colleagues at the Department for Communities and Local Government to respond to her specifically. Where county councils and district authorities sit down to discuss these things together—I know they do that as they do it with us as Members of Parliament; we do it all together—we have a better basis on which to consider matters, rather than simply shifting costs between tiers of authorities.
(11 years, 11 months ago)
Commons ChamberThe hon. Gentleman neglects the simple fact that our measures to ensure that people pay the proper sums in tax to the Government are raising about £7 billion a year more than similar measures under the last Labour Government. We are doing more, and we will do still more. The hon. Gentleman does not take any account of the fact that my ministerial colleagues at the Treasury have announced that front-line staff will be working precisely on tax evasion and tax avoidance, and the implementation of additional measures and a general anti-abuse rule in April will enable us to do still more.
The right hon. Gentleman will know of my interest in cancer and that I am generally supportive of the idea that doctors and clinicians should make decisions about local commissioning. Last night, however, I finished reading “Securing equity and excellence in commissioning specialised services”, a document produced by the NHS Commissioning Board. It is 227 pages long, and I was stunned to learn that there are 130 specialised commissioning services groups and a series of subgroups, as well as the NHS Commissioning Board, four regional directorates and 10 sub-regional directors inside 27 local area action teams. I am unclear how introducing more bureaucracy and new layers of staff—who are appointed, not elected—will lead to an increase in the provision of local services.
We are ever so grateful to the hon. Member for Wells (Tessa Munt), who might wish further to pursue this matter by the well-known device of an Adjournment debate.
(11 years, 11 months ago)
Commons ChamberI am not sure whether the hon. Gentleman was listening to the Chancellor yesterday. As my right hon. Friend set out, not only do the Government intend to introduce a general anti-abuse rule for the first time, but as a consequence of measures already being taken to tackle evasion and avoidance, we will bring in something like £7 billion more a year in tax revenue than under the previous Government.
Will the Leader of the House make time for a short debate to question the lack of any visible merit—and the outrageous lack of sensitivity—in the NHS in Somerset granting its management a 5% pay rise, and one individual a 6% pay rise, when the majority of front-line staff have to accept a pay freeze?
I cannot promise my hon. Friend a debate on that subject. She may recall that regional pay was the subject of an Opposition day debate and a debate initiated by the right hon. Member for Exeter (Mr Bradshaw) in Westminster Hall. From what was announced yesterday it is transparent that the Government are not proposing regional pay, and that is in line with evidence I gave to the NHS pay review body earlier in the year as Secretary of State for Health. We are pursing the path of using flexibility provided by “Agenda for Change”. I take my hon. Friend’s point, however, and if such pay restraint is applied to NHS staff generally, it should apply equally to management.
(12 years ago)
Commons ChamberThe hon. Gentleman raises an issue that I freely confess I was unaware of, although it may have been evident to the Home Affairs Committee consequent on its inquiries. From the House’s point of view, one of the routes to inquire into what happened in relation to G4S is through that Committee.
Does the Leader of the House agree that we could debate the priorities of the Environment Agency’s maintenance programme, particularly in Somerset, where there has been catastrophic flooding over the summer and throughout this autumn, including yesterday and today? Water is lying in the fields for weeks, and that increases its toxicity so that it eventually kills off the fish, birds and other wildlife when it is released into the rivers; it is unable to be drained away or pumped from those hundreds of acres of agricultural land. Is it not time to rebalance these priorities and look at the value of wildlife over food and farming?
It is important to recognise that the Government have put in place partnership funding arrangements with local authorities that are contributing to substantial enabling schemes to deter flooding. We expect to exceed our objective of 145,000 households being better protected by March 2015. In addition, I will talk to the Secretary of State for Environment, Food and Rural Affairs because it is important not only that we have adequate flood protection, but that the means by which we provide it are environmentally sensitive. In the wake of the flooding in my constituency in 2001, we were able to recreate some floodplains, which was an environmentally responsible way to provide flood protection.
(12 years, 4 months ago)
Commons ChamberOver the past year, the Department of Health has made statements about the fact that radiotherapy is eight times more effective than drugs. It is said that the cancer drugs fund is £100 million underspent and the figures of £150 million and £750 million have been mentioned in connection with new radiotherapy and radiosurgery services. Will the Secretary of State consider transferring at least that underspent funding into radiotherapy and radiosurgery services so that new services in the south-west do not depend on charitable funding?
I am grateful to my hon. Friend. The issue is important. In the cancer outcomes strategy, we responded positively to the recommendations of the National Radiotherapy Advisory Group. There was a £400 million programme for the support of radiotherapy; more recently, I have added to that a commitment to build two new centres for proton beam therapy. From about 2015, patients requiring such therapy will not have to go abroad to access it.
My hon. Friend makes an important point. In the early part of this year, we made additional resources available to the NHS supply chain so that more radiotherapy machines could be readily available for purchase or lease through the NHS without costs being incurred over the same period. I will look at what my hon. Friend has said. I think that in the cancer outcomes strategy we have set out all the investment in radiotherapy that we think is clinically indicated, but I will continue to review it.
(13 years ago)
Commons ChamberThere are 3,000 cases each year of early stage inoperable lung cancer, but as yet no national stereotactic body radiotherapy treatment for lung cancer. What number of patients does the Secretary of State consider to be the appropriate threshold at which he will instruct his Department to establish a national lung cancer tariff?
I am grateful to my hon. Friend for that question. I do not think I am in a position to say what figure is appropriate, but the national clinical director for cancer has already indicated to the NHS that he wishes us to develop a national tariff for stereotactic radiotherapy. A quarter of centres across the country already provide it, and our intention is to ensure that that is supported by a national tariff as soon as possible.