Business of the House

Debate between Lord Lansley and Tom Blenkinsop

Thursday 10th July 2014 Commons Chamber

[Mr Lansley]

My hon. Friend has made his point extremely well. The Prime Minister will have heard it and I know he will have shared, with literally millions of people, the pleasure of seeing the Tour de France in Yorkshire over the weekend. If I may say so, I took particular pleasure in seeing the Tour de France pass through my constituency on Monday. My hon. Friend makes an interesting and good point.

[Tom Blenkinsop (Middlesbrough South and East Cleveland) (Lab)]

South Tees clinical commissioning group refused a £2,700 individual funding request, relating to gynecomastia, for a very young, lean, fit, low body mass index teenager in my constituency. May we have a debate on how funding requests are considered? Funding was refused on the basis of emotional need, but his emotional needs and mental health were not assessed.

[Mr Lansley]

To be as helpful as I can to the hon. Gentleman, if he provides me with further details I will ensure that, through my hon. Friends at the Department of Health, the CCG responds to his point.

Business of the House

Debate between Lord Lansley and Tom Blenkinsop

Thursday 26th June 2014 Commons Chamber

[Mr Lansley]

I think the hon. Lady will have heard me say that the latest figures on childhood obesity are a small step in the right direction and, after years in which it was increasing, a very welcome one. It is one step on what needs to be a very long journey to reverse probably two decades of increasing childhood obesity. Regarding a debate on universal credit, the hon. Lady will have noted that the Liaison Committee has set down a debate on the implementation of universal credit for estimates day on Monday week.

[Tom Blenkinsop (Middlesbrough South and East Cleveland) (Lab)]

In my constituency, Park End medical centre, Skelton medical centre and walk-in centre, Guisborough hospital minor injuries unit, and East Cleveland hospital’s minor injuries unit are being closed. After being dragged here on Tuesday, the Secretary of State for Health responded to my question by saying that Ministers had already met me about this subject. That is not the case at all. May we have a debate about Health Ministers’ openness and transparency, so that we can discuss how they deal with Members of this House and whether the comments they make are factually correct?

[Mr Lansley]

Ministers at the Department of Health make immense efforts to ensure that they respond fully and accurately to Members of this House and keep the House informed. We are about to hear from the Secretary of State for Health on a very important matter. However, I will, if I may, ask my hon. Friends, notwithstanding the hon. Gentleman’s complaint, to discuss with him the constituency issues he raises.

Business of the House

Debate between Lord Lansley and Tom Blenkinsop

Thursday 19th June 2014 Commons Chamber

[Mr Lansley]

My hon. Friend makes a good point, and I am glad that he has drawn attention to the good work that is done in care homes. Too often, I fear, people hear about the occasions on which the quality in care homes fails, but many care homes do first-class work and provide an important environment for people who cannot look after themselves at home.

Dementia is one of the main reasons such care is required. I was proud to launch the challenge on dementia with the Prime Minister in early 2012, and a major step is being taken today towards global action to promote dementia research. That is tremendously important. As my hon. Friend says, creating more dementia-friendly communities is equally important, and we are making tremendous progress on that. Some communities across the country are leaders, and I hope that many communities will follow them in providing dementia-friendly support to people.

[Tom Blenkinsop (Middlesbrough South and East Cleveland) (Lab)]

The UK Independence party is proud of its newly formed alliance with a Swedish party that was founded by white supremacists, one of whom is a former member of the Waffen SS. Not to be outdone, the Tory party’s latest ally in Europe is a Dutch party that banned women from its membership until 2006. May we have a debate on whether those alliances are an example of what the Prime Minister means by “British values”?

[Mr Lansley]

At the Dispatch Box, I speak on behalf of the Government. The hon. Gentleman referred to matters in the European Parliament; they are not the responsibility of the Government. [Interruption.] I speak here as Leader of the House, and for the Government. As it happens, speaking personally, I would not draw the same conclusions as the hon. Gentleman did. It is important for us to look carefully at the relationships in the European Parliament, and I think that UKIP needs to reflect carefully on the relationships it is forming.

Business of the House

Debate between Lord Lansley and Tom Blenkinsop

Thursday 12th June 2014 Commons Chamber

[Mr Lansley]

My right hon. Friend will understand that the procedures for the appointment of the new Clerk are a matter for the House of Commons Commission. Although I am a member of the Commission, my hon. Friend the Member for Caithness, Sutherland and Easter Ross (John Thurso) answers on its behalf to the House. I know that my right hon. Friend will find an opportunity in due course to ask those questions. We will face a daunting task indeed in filling the silver-buckled shoes of the present Clerk, who is not here now. I hope to announce soon an opportunity for Members to pay tribute to the Clerk before the summer recess.

[Tom Blenkinsop (Middlesbrough South and East Cleveland) (Lab)]

Long-term youth unemployment since May 2010 in my constituency is up by 18.5% and long-term female unemployment is up by 76%—from 125 to 220 women—and in the north-east average earnings are down by £49 a week. Could we have a debate about how the Government’s long-term economic plan is clearly failing my constituents?

[Mr Lansley]

As I told the hon. Member for Middlesbrough (Andy McDonald), who asked about the north-east a moment ago, the latest data show a reduction in unemployment everywhere else in the UK. [Interruption.] I am saying that it is important that we understand why the north-east is not conforming to an extremely positive trend right across the rest of the country. The latest data show that unemployment as defined by the International Labour Organisation is down by 347,000 on the year; that the claimant count is down by more than 400,000; that the number of private sector jobs has gone up by nearly 800,000 in a year; and that, since the election, the number of unemployed young people is down by 91,000 and that of long-term unemployed by 108,000.

Business of the House

Debate between Lord Lansley and Tom Blenkinsop

Thursday 8th May 2014 Commons Chamber

[Mr Lansley]

My hon. Friend will have to forgive me as I did not read the article to which he refers. From what he says, however, I completely agree with him that the rebuilding of our nuclear fleet is important to the security of energy supply in this country and to meeting our future targets for reducing carbon generation. I know that my right hon. Friend the Energy Secretary, who has kept us informed about this project in the past, would be keen to update us about it in future.

[Tom Blenkinsop (Middlesbrough South and East Cleveland) (Lab)]

Yesterday, Monitor announced that it will be investigating the South Tees Hospitals NHS Foundation Trust regarding its referral times and governance. This comes just after a trust special briefing stating that its financial gap has gone from £5 million to between £30 million and £50 million in 12 months. May we have a debate on why that foundation trust and others have recently found themselves in such massive deficits? When can we expect the £3.8 billion better care proposals from the Government?

[Mr Lansley]

I am grateful to the hon. Gentleman for raising that issue; I confess that I neglected to answer the point raised by the shadow Leader of the House about the better care fund. There is no need for a statement because there has been no slippage in the better care fund. It is to be introduced from April 2015 and it was always anticipated that at this stage Ministers would receive submissions from local authorities together with their clinical commissioning groups on how they propose to use that fund for local plans. In that sense, nothing has changed. As far as the foundation trusts are concerned, it is important to recognise that Monitor is the regulator. If I may, I shall draw the hon. Gentleman’s question to the attention of Monitor’s chief executive and seek a reply about South Tees hospitals.

Business of the House

Debate between Lord Lansley and Tom Blenkinsop

Thursday 27th March 2014 Commons Chamber

[Mr Lansley]

I am sure that my hon. Friend’s constituents will be grateful, once again, for his vocal support for interests in his constituency. I shall raise the issue with the Department for Education and the Department for Communities and Local Government to see what position they take. He and the House will understand that, important as school crossing patrols are, where they should be provided and the funding for them are matters for the county council. I do not encourage him to think that Ministers will intervene directly, but I am sure that they will give him advice on the effectiveness of school crossing patrols in promoting the safety of children.

[Tom Blenkinsop (Middlesbrough South and East Cleveland) (Lab)]

May we have a statement on the Floor of the House about the Government’s carbon floor price policy? They brought in that tax, and its effect on industry is four times worse than the taxes of our EU competitors. No company has yet received the compensation. The original compensation is not as much as was promised and has been delayed by another two years. May we have a statement to update the House on why the Government are making things so hard for industry, particularly in the north-east?

[Mr Lansley]

I encourage the hon. Gentleman to talk to energy-intensive industries and ask them what they think of the Budget. The answer he will get is that the Budget did absolutely the right things. Time and again, we are hearing the representatives of manufacturers and businesses in this country welcome the Budget. It is a disgrace that the Labour party does not put the interests of business first and that it voted against the Budget.

Business of the House

Debate between Lord Lansley and Tom Blenkinsop

Thursday 27th February 2014 Commons Chamber

[Mr Lansley]

I remember, not least through having spent time with my hon. Friend in his constituency, the issues that arose on the downgrading of maternity services. To reiterate the point I made earlier, in that case it was far from clear how the changes that were to be undertaken would deliver an improved service for the patients and communities served, which is what we are setting out to do as regards A and E. I cannot comment on the circumstances in Huddersfield and neighbouring communities, but I know what Sir Bruce Keogh’s report said about the issue, because I was involved at the outset in understanding the nature of the problems in A and E departments. Those problems are often caused by a large number of patients with the most serious conditions being brought into A and E departments that do not necessarily have the specialist skills required to give them the most effective treatment as rapidly as possible. We need to deliver that treatment while not limiting access for the great majority of patients to A and E services in their local community.

[Tom Blenkinsop (Middlesbrough South and East Cleveland) (Lab)]

The Prime Minister speaks highly of the work that food banks do in all our communities, so will a Minister, or even the Prime Minister, explain why Tory MEPs voted against a £3 million fund for food banks? Thankfully, the Tories lost heavily by 592 votes to 61, but even so, the Prime Minister still will not allow UK food banks to apply to that fund. Why?

[Mr Lansley]

I am not familiar with the vote in the European Parliament or with the character of the European fund. While we absolutely welcome and applaud the work that food banks do, the hon. Gentleman will understand that with any European scheme there are issues that relate not to the desirability of the objective but to the appropriateness, on the grounds of subsidiarity, of a European scheme for the purpose.

Business of the House

Debate between Lord Lansley and Tom Blenkinsop

Thursday 13th February 2014 Commons Chamber

[Mr Lansley]

I absolutely agree with my hon. Friend. I am happy not only that our Education Secretary has said, with verve and commitment, that he wishes to build activities in state schools that mirror those that often occur in independent schools, but that, only today, the shadow Secretary of State, the hon. Member for Stoke-on-Trent Central (Tristram Hunt), has followed his lead, as he is sometimes wont to do. Reinforcements such as extending school sport support and support for the development of cadet forces in state schools are just some examples of the ways in which we can help build character. Finally—sorry to go on, Mr Speaker—this is about not just character building in the sense of having a wider range of attributes and abilities, but the self-esteem that goes with it. Whatever can build self-esteem will develop in children and young people something that will be of value to them throughout their lives.

[Tom Blenkinsop (Middlesbrough South and East Cleveland) (Lab)]

Charlotte Pocklington from Guisborough in my constituency was diagnosed with a rare form of cancer and needed treatment at the Freeman hospital in Newcastle after attending the James Cook hospital in Middlesbrough for diagnosis. She expected the ambulance that was to take her there to arrive at 4.30 pm on the same day she was diagnosed, but no ambulance arrived until 4 am the following morning—a 12-hour wait. This time last year I raised the case of an elderly lady in Marton in my constituency who had to wait 11 hours for an ambulance to respond. May we have an urgent about ambulance responses?

[Mr Lansley]

To assist the hon. Gentleman, I will make sure that my colleagues at the Department of Health hear what he has said. This also provides an opportunity for the North East ambulance service in particular to let the hon. Gentleman know what the situation is. If he wishes to raise the issue further, Health Ministers will be available to answer questions from the Dispatch Box on Tuesday 25 February.

Business of the House

Debate between Lord Lansley and Tom Blenkinsop

Thursday 6th February 2014 Commons Chamber

[Mr Lansley]

My hon. Friend is right. The continuing generation of new businesses in rural areas—made possible not least by our planning reforms—has been important for the rural economy. It is important, too, that we continue to deliver access to fast broadband in rural areas, which I know is important to rural businesses, as it gives them the opportunity to run an international business from what would otherwise be thought a distant location.

[Tom Blenkinsop (Middlesbrough South and East Cleveland) (Lab)]

The Treasury has confirmed that 3.4 million people with an annual income of less than £7,225 each paid an average of £113 in national insurance contributions in 2011-12. Perversely, because class 1 NICs are collected weekly, someone on a fixed 20-hour contract on the national minimum wage does not pay NICs, whereas someone on a zero-hours contract with varying hours but earning the same annually does. May we have a debate on weekly calculated NICs and how we can make the system fairer for working people?

[Mr Lansley]

As the hon. Gentleman will be aware, after the Budget we conventionally introduce the Finance Bill, which affords an opportunity to debate these issues. He could also have raised the matter in the recent debate on the National Insurance Contributions Bill—I do not know whether he did. However, he should not have neglected to say that these are precisely the low earners who have benefited most from the Government’s increase in the personal allowance, which has taken 3 million out of income tax altogether.

Business of the House

Debate between Lord Lansley and Tom Blenkinsop

Thursday 30th January 2014 Commons Chamber

[Mr Lansley]

I am glad to take this opportunity to join the hon. Gentleman in supporting enterprise in his constituency. If there were an opportunity for a debate, I would welcome one, because we have in excess of 400,000 more businesses in this country. The rate of creation of new businesses is at its highest, I believe, since records began, which bodes well for the future.

[Tom Blenkinsop (Middlesbrough South and East Cleveland) (Lab)]

The UK Commission for Employment and Skills has found a worsening shortage of skills hindering UK businesses. The amount that employers spend on training has decreased from £1,680 per employee in 2011 to £1,590 in 2013. May we have a statement on whether that is linked to the £56 billion decline in investment in small and medium-sized enterprises since 2010?

[Mr Lansley]

Part of our long-term economic plan is to ensure that we have better skills to support industry. Bringing people into jobs creates many opportunities for those skills to be related directly to work opportunities—we have the highest level of vacancies. However, we are working continuously to ensure that the appropriateness of skills to employment is improved.

Business of the House

Debate between Lord Lansley and Tom Blenkinsop

Thursday 23rd January 2014 Commons Chamber

[Mr Lansley]

I think the hon. Gentleman should simply have listened to the reply given by my hon. Friend earlier today.

[Tom Blenkinsop (Middlesbrough South and East Cleveland) (Lab)]

In Middlesbrough South and East Cleveland, average weekly gross pay has fallen by 32.5% since 2010, and the number of under-25s who have claimed jobseeker’s allowance for more than 12 months has increased by 223% since December 2010. May we have a debate on the cost of living, and on yesterday’s news that the unemployment count in the north-east went up by 1,000?

[Mr Lansley]

There were regional variations in the employment data yesterday, but having predicted the loss of 1 million jobs, it ill behoves the Labour party not to celebrate the fact that there are one and two-thirds million more private sector jobs in this country than there were at the general election. I am afraid the Labour party is in complete denial about the inevitable fact that, as a consequence of its policies, the deepest recession this country has experienced took the equivalent of about £100 billion from the country’s wealth. It is not possible for everybody in a country to have more money at the same time as it has been made £100 billion poorer.

Business of the House

Debate between Lord Lansley and Tom Blenkinsop

Thursday 16th January 2014 Commons Chamber

[Mr Lansley]

As I said when I announced the future business, we expect the remaining stages of the European Union (Approvals) Bill to be debated on Monday week. I think that that will give Members an opportunity to continue to debate specific issues relating to the Europe for Citizens programme which, in my view, illustrates the capacity for positive co-operation across Europe that extends beyond the achievement of a common market.

I fear that I must inform my hon. Friend that while I said that I had voted for a common market and that I wanted one, I did not say that I had voted for a common market and nothing else. However, I think that there is as yet unfinished work to be done in the establishment of a single market, and that one of the best things that we can achieve in Europe is to become the strongest and most influential advocates of a competitive single market. I thought that the speech made by my right hon. Friend the Chancellor earlier this week amply illustrated the benefits of that competitiveness to Europe, the necessity of achieving it, and the dangers of not doing so.

[Tom Blenkinsop (Middlesbrough South and East Cleveland) (Lab)]

Tomorrow marks the 50th anniversary of the closure of North Skelton ironstone mine, which was the last ironstone mine in East Cleveland to close. East Cleveland ironstone fed Teesside’s iron and steel industry from the days of Bolckow and Pease, with great structures such as the Sydney harbour bridge being smelted from East Cleveland iron on the banks of the Tees. More than 30 men and boys were recorded as dying in North Skelton pits, so may we have a debate on making Skinningrove’s East Cleveland ironstone mining museum the nation’s ironstone mining museum?

[Mr Lansley]

I am interested in what the hon. Gentleman says and think that he makes an important point about the history and circumstances of his constituency. I cannot promise a debate, but he has put his important points on record and there may be further opportunities for him to raise them.

Business of the House

Debate between Lord Lansley and Tom Blenkinsop

Thursday 9th January 2014 Commons Chamber

[Mr Lansley]

In order to be as helpful as I can to my right hon. Friend and other Members who have a constituency interest in the procedure for the HS2 hybrid Bill, I will, if I may, look into the issues that she raises and, in co-ordination with my right hon. Friend the Secretary of State for Transport, ensure that we reply to her and place a copy of the letter in the Library of the House so that Members can see the procedure for the hybrid Bill.

[Tom Blenkinsop (Middlesbrough South and East Cleveland) (Lab)]

May we have a debate on whether the commercial arms of fire brigades, such as community interest companies, should have to pay to receive publicly funded diesel for their appliances and vehicles, and whether such commercial arms have an unfair advantage over their competitors in the market?

[Mr Lansley]

If I may, I will ask the Under-Secretary of State for Communities and Local Government, my hon. Friend the Member for Great Yarmouth (Brandon Lewis), who has responsibility for fire services, to look at that issue and respond to the hon. Gentleman. Of course, we should always try to have fair competition in markets and there should be no unfair subsidies from the public sector.

Business of the House

Debate between Lord Lansley and Tom Blenkinsop

Thursday 12th December 2013 Commons Chamber

[Mr Lansley]

I am grateful to my hon. Friend and I recall the past occasions when he has rightly raised this matter both with Treasury Ministers and with me at business questions. I am very pleased that his efforts on behalf of those pre-1992 Equitable Life annuitants have borne such fruit—and early fruit, before Christmas. We will, I hope, next week take the opportunities to make sure the people affected and the wider public are aware of this.

[Tom Blenkinsop (Middlesbrough South and East Cleveland) (Lab)]

Five weeks ago, on 6 November, I asked wither the Prime Minister thought that Tory councillor Abdul Aziz, whom the Prime Minister invited to a party in October, should return to face justice in Pakistan where there is an outstanding arrest warrant for him in connection with a brutal murder. The Prime Minister promised he would write to me. That was five weeks ago and I have had no response from the Prime Minister. May we urgently have a statement from the Prime Minister on this matter?

[Mr Lansley]

I recall the Prime Minister saying he would inquire into this matter. Along with the hon. Gentleman, I do not know the outcome of that, but I will inquire into it myself.

Business of the House

Debate between Lord Lansley and Tom Blenkinsop

Thursday 5th December 2013 Commons Chamber

[Mr Lansley]

I am grateful to my hon. Friend. It was in fact not just the shadow Chancellor but the Leader of the Opposition who, as I recall, said that what President Hollande is going to do for France, Labour would do for Britain. We are looking forward to a demonstration of the increasingly disappearing shadow Chancellor and his plan B.

[Tom Blenkinsop (Middlesbrough South and East Cleveland) (Lab)]

Average weekly gross pay for women in my constituency has fallen by £12.30 since 2010, while long-term female unemployment has risen by 144% since May 2010—[Interruption.] May we have a debate on why the Government do not have one wise man, let alone three?

[Mr Lansley]

I am sorry that I did not hear all that the hon. Gentleman had to say, but I remind him that we have record employment for women, and 1.5 million women on low earnings are out of tax all together as a consequence of the increases in the personal allowances under the coalition Government.

Business of the House

Debate between Lord Lansley and Tom Blenkinsop

Thursday 21st November 2013 Commons Chamber

[Mr Lansley]

My hon. Friend makes an important point. Opposition Front Benchers mention Sure Start. One of the most important things for mothers and young families is to get that start right, but it is not just about the availability of a centre; it is about the availability of a health visitor for every family to give them the right start in life. Under the previous Government, health visiting ceased to be a universal entitlement for mothers and young families as they started out. That is why we committed ourselves—it is in the coalition agreement—to providing 4,200 more health visitors. From memory, I think there are about 1,000 more health visitors already. We are on track to deliver on that commitment. That increase of 50% in the number of health visitors will be integral to giving mothers and young families the support they need to get the right start in life.

[Tom Blenkinsop (Middlesbrough South and East Cleveland) (Lab)]

John-Paul Conley of Middlesbrough has been missing since Tuesday 19 November, when he was caught in a current and carried away while swimming in the Don Khon 4,000 islands region in Laos. Since yesterday, more than £23,000 has been raised to aid the rescue effort. May we have a statement at the earliest opportunity from the Foreign and Commonwealth Office on the search and rescue attempt for John-Paul?

[Mr Lansley]

I know that the House will be as concerned as the hon. Gentleman and his constituents about this. I will, if I may, talk to my right hon. Friend at the Foreign and Commonwealth Office and ask him to respond to the hon. Gentleman and the House on what steps can be taken.

Business of the House

Debate between Lord Lansley and Tom Blenkinsop

Thursday 7th November 2013 Commons Chamber

[Mr Lansley]

There are two things that I would say to my hon. Friend, who makes a good point. First, the national curriculum review has revised programmes of study to ensure that teaching is directed towards a core knowledge of citizenship, including how our society is governed. That, we hope, will help young people in the future. Secondly, and perhaps more immediately and practically, the passage of legislation that ensures that the people of this country have a referendum on our membership of the European Union will educate everybody about the character of our membership of the European Union—and, I might say, about its benefits.

[Tom Blenkinsop (Middlesbrough South and East Cleveland) (Lab)]

Yesterday was the 10th anniversary of the Work and Pensions Secretary’s departure as leader of the Tory party. To commemorate that, may we have an urgent statement by him about the allegations repeated in The Times of pressure being applied to a parliamentary Committee of this House, and about whether this again is a resigning matter for the Secretary of State?

[Mr Lansley]

I refer the hon. Gentleman to the reply I gave some moments ago—and the one before that, the one before that, and the one before that.

Business of the House

Debate between Lord Lansley and Tom Blenkinsop

Thursday 10th October 2013 Commons Chamber

[Mr Lansley]

My hon. Friend is absolutely right. This important Bill is drafted in a straightforward way. Even with the best will in the world—he is very knowledgeable about the procedures of the House—seeking to improve private Members’ Bills in a way that is no more than tinkering risks prejudicing them. Those who, like me, share the view that the Bill should pass—it will give people the say that they should have, and at the right time, in the future of this country’s relationship with Europe—should accept that and get on with it.

[Tom Blenkinsop (Middlesbrough South and East Cleveland) (Lab)]

Total UK production decreased by 1.1% between July 2013 and August 2013, with manufacturing decreasing by 1.2%. Between August 2012 and August 2013, production output decreased by 1.5%. Investment in plant and machinery for factories remains below 2007 levels. The Leader of the House talks about the global race and the Chancellor talks about the march of the makers. May we have a debate on manufacturing and talk about why UK manufacturing is in full retreat at the moment?

[Mr Lansley]

I am grateful to the hon. Gentleman for the opportunity to remind the House that business confidence is up, consumer confidence is up, exports are up, construction is up, manufacturing is up, growth forecasts are up, and that only this week the International Monetary Fund’s international outlook upgraded its forecast for the UK economy for this year and next year by more than any other major economy.

Business of the House

Debate between Lord Lansley and Tom Blenkinsop

Thursday 11th July 2013 Commons Chamber

[Mr Lansley]

I am sure that many Members will understand and share the concerns expressed by my hon. Friend. He will know that we have taken many steps to ensure fair play in the planning system—I draw particular attention to the recent written ministerial statement on planning and revoking the equality and diversity in planning guidance—and to enable a sense of fairness across the community. That is not, in any sense, to underplay the needs of Traveller communities in the planning system, but to ensure that there is community cohesion because everyone is seen to be treated fairly.

[Tom Blenkinsop (Middlesbrough South and East Cleveland) (Lab)]

Unfortunately, Durham and Tees Valley airport’s regional growth fund bid was rejected in the latest round, yet the Government saw fit to give £145 million to national programmes in which HSBC and RBS were winners. Like many others, I was under the impression that the regional growth fund was meant for the regions, so can we have a statement on why £145 million has been given to the banks, rather than this country’s regions?

[Mr Lansley]

I cannot comment on the particular reasons for a decision made under the regional growth fund, but today the Deputy Prime Minister and the Minister of State, Department for Business, Innovation and Skills, my right hon. Friend the Member for Sevenoaks (Michael Fallon), will be announcing additional allocations of resources to support the regional growth fund, which has had a positive impact and played a significant part in the creation of 1.3 million new private sector jobs since the last election. I think perhaps the hon. Gentleman would be better off applauding that in the first instance.

Business of the House

Debate between Lord Lansley and Tom Blenkinsop

Thursday 13th June 2013 Commons Chamber

[Mr Lansley]

My hon. Friend makes an important point. We must take measures to ensure that we are fair. We have seen in the latest data that people in work, including and perhaps specifically in the private sector, have had very limited increases in their pay. Working-age benefits should therefore reflect such constraint. The Labour party, however, appears determined to allow welfare payments to balloon. The Opposition did not support us on that cap on welfare benefits, and their view appears to be that all the constraint on spending should be borne by pensioners. If they were to abandon the triple lock and do it that way, it would mean a £234 cut in the basic state pension. There are 11.5 million pensioners in this country who will be aghast at the thought that that is the proper policy to pursue.

[Tom Blenkinsop (Middlesbrough South and East Cleveland) (Lab)]

On fairness and wages, the Institute for Fiscal Studies confirmed yesterday that post-2010 a significant fall in average real hourly wages has occurred, so may we have a statement from the Chancellor on why he thinks that since April 2013 average earnings, including bonuses, have shot up by 5.8% in the financial sector? Maybe the Chancellor could tell us whether this has anything to do with the top rate of tax being cut from 50p to 45p in April.

[Mr Lansley]

The hon. Gentleman should know that the broadest shoulders are bearing the greatest burden and that in every year of this Parliament the richest people in this country have been paying an increasing proportion of the overall tax burden. He should also know—the Chancellor will, I know, take every opportunity to make this clear—that we are therefore focusing the help that we can give on those with lower incomes, which is why 24 million basic rate taxpayers will be £700 better off next year than they were under Labour, specifically as a result of the measures to increase the personal tax allowance.

Business of the House

Debate between Lord Lansley and Tom Blenkinsop

Thursday 6th June 2013 Commons Chamber

[Mr Lansley]

I am glad that my hon. Friend raises that matter. I am sure that the House will be delighted to host the Pendle rainbow group. In the last year for which figures are available, 2012-13, some 47,000 young people made educational visits to this place. That is some 10,000 more than in 2010-11. I know that you have attached particular importance to this matter, Mr Speaker, and that increase is testimony to the priority that you have given it. I know that you want us to go further and do better. Ultimately, I hope that schools across the country will feel confident that all young people will come here at some point in their educational life to learn about democratic processes and the history of Westminster.

[Tom Blenkinsop (Middlesbrough South and East Cleveland) (Lab)]

Can we have a debate on how sensible is the Government’s new requirement for a member of the armed forces to get their chain of command to confirm they are deployed on operations, in order for service personnel to secure an exemption from the bedroom tax? Is that efficient and practical when people are deployed to Afghanistan or at sea? May we have a statement on how many members of the armed forces are still awaiting that confirmation, and how many households are now in rent arrears?

[Mr Lansley]

I confess I do not know the difficulties to which the hon. Gentleman refers, but I will, of course, raise the point with my hon. Friends at the Ministry of Defence and ensure that he secures a reply.

Business of the House

Debate between Lord Lansley and Tom Blenkinsop

Thursday 16th May 2013 Commons Chamber

[Mr Lansley]

I am glad my hon. Friend has asked that question, as it gives us an opportunity to celebrate the success of Chester FC and all the other supporter-owned or part supporter-owned clubs, such as Portsmouth, Brentford and Exeter City. That shows the loyalty and stability that can be brought to clubs by that happening. In particular, however, I want to take this opportunity to congratulate Chester once again.

[Tom Blenkinsop (Middlesbrough South and East Cleveland) (Lab)]

May we have a debate on the £2.6 million owed in wages to armed forces personnel that was not paid in April 2013, following the 1.5% agreed pay increase, a decision arrived at by the Armed Forces Pay Review Body, which was applied only from 1 May 2013? That means that the pay increase applies for only 11 months rather than 12—something I have never heard of in the private sector or the public sector. May we have a ministerial statement and a reversal of that decision, to make sure that our armed forces are paid what they are owed?

[Mr Lansley]

If I may, I will, first, talk to my colleagues at the Ministry of Defence and establish what the position is. Of course, I will then ensure that the hon. Gentleman has a reply and that, if appropriate, any statement is given to the House.

Business of the House

Debate between Lord Lansley and Tom Blenkinsop

Thursday 9th May 2013 Commons Chamber

[Mr Lansley]

I am delighted to hear what my hon. Friend says about the development of Rugby town centre. He knows that the coalition Government provide considerable support through high-street initiatives. At the heart of that is supporting wealth creation and giving local authorities and local enterprise partnerships, through the growth incentive, the opportunity to reinvest in their town centres.

[Tom Blenkinsop (Middlesbrough South and East Cleveland) (Lab)]

Community sentences were meant for low-level offences, not serious offences. May we have a debate and a proper explanation from a Minister on why more than 10,000 domestic violence, knife crime and serious assault offences last year resulted only in community resolutions?

[Mr Lansley]

The hon. Gentleman will be aware that today’s debate on the Queen’s Speech will focus on home affairs, so rather than detain the House in response to his question, I invite him to participate in that debate. I am sure that he would get a very good answer from Home Office Ministers.

Business of the House

Debate between Lord Lansley and Tom Blenkinsop

Thursday 21st March 2013 Commons Chamber

[Mr Lansley]

My hon. Friend is right. I share with him, and with the House, the hope that that Act will give further support to charities. It is an essential part of how we support the charitable sector here and around the world. I am not entirely sure how we will mark it, but it will be a very important moment, because, despite the tough times we and others around the world are experiencing, we have demonstrated our generosity, and indeed our responsibility, to the poorest people right around the world by fulfilling, under the coalition Government, the long-held ambition of devoting 0.7% of our GNI to overseas development assistance.

[Tom Blenkinsop (Middlesbrough South and East Cleveland) (Lab)]

Following the question asked by my hon. Friend the Member for Cardiff West (Kevin Brennan), may we have a debate on the Chancellor’s policy announced yesterday on helping people to buy a home? On page 39 of the Red Book it specifically says that the scheme is

“open not only to first-time buyers but also to existing homeowners”.

As my hon. Friend said, how can a Government be taxing people in social housing for a spare bedroom but subsidising those who already own a home to purchase a new one?

[Mr Lansley]

I am very impressed that Opposition Members have made progress by actually finding page 39 and reading it. It says—[Interruption.] All I will say to the hon. Gentleman and to Labour Members is that they are asking for an opportunity to debate this issue, and it will be available in the Budget debate.

Business of the House

Debate between Lord Lansley and Tom Blenkinsop

Thursday 14th March 2013 Commons Chamber

[Mr Lansley]

And, indeed, on other parts of the country. I note the request for a statement from my hon. Friend the Member for Crawley (Henry Smith). I do not anticipate a statement from my right hon. Friend the Secretary of State at the moment, but I can assure my hon. Friend that we constantly learn from what happens and apply those lessons in ensuring that we minimise disruption to the public and business during severe weather.

[Tom Blenkinsop (Middlesbrough South and East Cleveland) (Lab)]

David Green, director of Civitas, said today:

“Labour is showing the way to the present Government, which has shown no imagination in tackling the problems facing SMEs and has ignored too many good ideas.”

Given the failure of the Government’s Project Merlin and other such programmes, may we have a debate on the only growth plan—that is, Labour’s growth plan—including a British investment bank, regionalised banking and business lending?

[Mr Lansley]

I know David Green, of course, and I suspect that he would not subscribe to the Labour party’s view of how these things should be tackled. None the less, we are determined to support small and medium-sized enterprises. We will push to ensure that small businesses can get access to the finance they need, as we did through Project Merlin, and we are supporting that through the funding for lending scheme and the finance guarantees. The tax measures that my right hon. Friend the Chancellor has put in place, including an exceptional tenfold increase in investment allowances, will support that. If the hon. Gentleman were at the conference being held by my old friends at the British Chambers of Commerce over the road today—I know that my right hon. Friend the Secretary of State for Business, Innovation and Skills will be there—he would hear their ideas. I know that many of them support what the Government are doing, including not only the deficit reduction but our infrastructure support and the business bank being set up by my right hon. Friend the Business Secretary.

Business of the House

Debate between Lord Lansley and Tom Blenkinsop

Thursday 31st January 2013 Commons Chamber

[Mr Lansley]

I am somewhat confused, Mr Speaker, because I have a letter to my hon. Friend from the Economic Secretary dated 28 January. I will ensure that a copy is placed in my hon. Friend’s hand.

[Tom Blenkinsop (Middlesbrough South and East Cleveland) (Lab)]

May we have a debate on the scrapping of council tax benefit? Currently, 5.9 million families receive this benefit, which is to be abolished on 1 April, and the Resolution Foundation says that a single parent using child care and working full time on the minimum wage could see their council tax jump from £220 to £797. This is happening at a time when the bedroom tax is coming in, when tax credits are being cut and when the minimum wage is being frozen for under-21s. May we have a debate, therefore, about why council tax benefit is being cut, while millionaires are getting a tax break?

[Mr Lansley]

The hon. Gentleman knows that council tax benefit is not being scrapped, but being localised, with local authorities taking responsibility. He also knows perfectly well that there are clear administrative benefits associated with local authorities taking responsibility for council tax benefit alongside their housing benefit responsibilities. Like any Opposition Member who asks about this, however, he must start by recognising that we are doing this because we are in the most appalling financial mess inherited from the last Labour Government, under whom spending on council tax benefit doubled. Welfare reform is necessary. They cannot create the problem and then resist every solution.

Business of the House

Debate between Lord Lansley and Tom Blenkinsop

Thursday 24th January 2013 Commons Chamber

[Mr Lansley]

Yes; my hon. Friend raises an important point. The problem is not confined to his constituency. The number of live births in this country began to rise in 2001 and since then, through to 2011, there has been about a 16% increase, so we have rising rolls in primary schools. The Building Schools for the Future plans of the previous Government did nothing to help primary schools respond to that. My hon. Friends in the Department for Education have been doing that, and through the spending review we are making available £2.7 billion to target local authority areas needing to provide places. I know that my hon. Friend will have seen in the capital allocations particular emphasis on meeting basic needs in the education system, which of course includes areas where demography demonstrates that capacity of schools is not sufficient.

[Tom Blenkinsop (Middlesbrough South and East Cleveland) (Lab)]

May we have a debate on why the Prime Minister says in a Tory party advert that he plans to pay off the nation’s debt, when in fact the Prime Minister plans to increase the national debt by 60%, according to his own Treasury forecast—a percentage that would be larger than in any other European nation?

[Mr Lansley]

It gets a bit rich, doesn’t it—the Labour party talking about debt. The debt would have been so much worse if we had carried on in the profligate way of the Labour Government. We came together as a coalition Government recognising that in the national interest we have to reduce the deficit. We have reduced the deficit by a quarter. It is a programme set out by the Chancellor in his original Budget in 2010 and maintained ever since to eliminate the structural deficit. It is a formidable task. It will not happen in one year. It will happen by 2017, and from that point we will stop the growth of the national debt, which doubled under the previous Government.

Business of the House

Debate between Lord Lansley and Tom Blenkinsop

Thursday 13th December 2012 Commons Chamber

[Mr Lansley]

My hon. Friend makes an important point, particularly in relation to his constituents, that will have been recognised by Members across the House. Today, the Government have published the draft Anti-social Behaviour Bill for pre-legislative scrutiny. The reforms in the Bill will put victims first, and they include a new community trigger that will empower victims and communities to demand that local agencies deal with persistent problems where they have previously failed to do so. I think that my hon. Friend will find that particularly relevant to the circumstances he has described. The measures will also speed up the eviction of antisocial tenants by introducing a faster route to eviction for the most serious criminal or antisocial behaviour. The Home Affairs Committee is looking forward to undertaking pre-legislative scrutiny of the draft Bill and producing a final report with recommendations in February.

[Tom Blenkinsop (Middlesbrough South and East Cleveland) (Lab)]

We know that the Office for Budget Responsibility is predicting that the UK economy will contract by 0.1% in this quarter, and that it believes that the economy will contract this year as a whole. May we have a debate on business lending? It was confirmed to me on 11 December by the Minister of State, Department for Business, Innovation and Skills, the right hon. Member for Sevenoaks (Michael Fallon), that business lending had contracted by 2.8% this year, and high streets such as the one in Guisborough in my constituency are really suffering due to a lack of funding to business.

[Mr Lansley]

The hon. Gentleman will know that this Government are literally leaving no stone unturned, as Michael Heseltine might have put it, to ensure that we support lending to businesses—especially to small and medium-sized businesses. That is why the funding for lending scheme is so important; it is clearly getting going and significant amounts are starting to be lent as a consequence. It is also why my right hon. Friends the Chancellor and the Secretary of State for Business, Innovation and Skills have together been pushing for the business bank, which will be able to leverage additional specific lending to small and medium-sized businesses—not only through that bank, but through many of the new challenger banks that are giving support in that market.

The hon. Gentleman mentions the latest OBR report. He might recognise that the OBR has published updated figures on the scale of the recession under the last Labour Government, showing a total loss of gross domestic product of 6.3%. We are having to live with the economic consequences of Labour, and I think the Labour party should start from an understanding of the recession and the depth of debt it left this country.

Business of the House

Debate between Lord Lansley and Tom Blenkinsop

Thursday 6th December 2012 Commons Chamber

[Mr Lansley]

I join my hon. Friend on all those points. We are committed to further investment in flood defences and the benefits it will deliver, and I entirely endorse his point on insurance. Negotiations are proceeding, and I hope the insurance industry and the Government arrive at an agreement soon and provide reassurance for people.

[Tom Blenkinsop (Middlesbrough South and East Cleveland) (Lab)]

May we have a debate on Fitch’s decision to put the UK’s triple A credit rating on negative watch following the Chancellor’s autumn statement yesterday? According to the Office for Budget Responsibility, debt will reach £1.5 trillion in 2018, while growth is estimated to be minus 0.1% for this quarter. May we have a debate on why the Chancellor might have exchanged our triple A for a triple dip?

[Mr Lansley]

My recollection is that, in response to the Chancellor’s autumn statement yesterday, the bond markets demonstrated that his statement reinforced the credibility of the Government’s approach, but if the hon. Gentleman wants to discuss these issues, time will be available in a debate on the economy next Tuesday.

Business of the House

Debate between Lord Lansley and Tom Blenkinsop

Thursday 22nd November 2012 Commons Chamber

[Mr Lansley]

I am grateful to my hon. Friend, who raises an important point. Many colleagues will share his view about this. I can reassure him that the Department for Culture, Media and Sport has provided no public funding to the Bureau of Investigative Journalism. Broadcasters are independent of Government, so whether they work with the bureau or any other organisation is a matter for them, but it is also incumbent on them to ensure that they maintain the tradition of strong investigative journalism—which we all appreciate and which is an essential part of public service and commercial broadcasting—in a way that maintains high standards. That is the balance—I think we will be debating this a lot in coming weeks—of achieving freedom and having a mechanism of scrutiny and accountability, which a free press and free broadcasters enable us to have, while maintaining high standards.

[Tom Blenkinsop (Middlesbrough South and East Cleveland) (Lab)]

May we have a statement on why the Government have overspent by £1 billion on their misapplication of the academies programme, as outlined by the National Audit Office? Its report says:

“DfE was unprepared for the scale of the financial implications”

of this rapid expansion. Can such a statement indicate where budget cuts to children’s services, funding cuts to underperforming schools and funding cuts to 16 to 19-year-olds staying on in education have been made, and also provide an explanation to Department for Education staff in the Tees valley who have recently been sacked?

[Mr Lansley]

The hon. Gentleman will no doubt have read the National Audit Office report to which he referred, which also says that the rapid expansion of academies schools was a significant achievement, which it is. It will have important benefits, through the increased autonomy and accountability that it brings and by delivering improved standards for our children. That is an investment worth making. As for future debates, no doubt there will be an opportunity at questions or for the Liaison Committee to consider whether it wishes to follow up on that report.

Business of the House

Debate between Lord Lansley and Tom Blenkinsop

Thursday 25th October 2012 Commons Chamber

[Mr Lansley]

Yes, I share my hon. Friend’s view. We are now in a coalition Government, but the Conservative party has always been most successful when it has reached out to all the nation. That is why I am a one-nation Conservative and why in the 1980s more trade unionists voted Conservative than voted Labour. They were right to do so and our country has consequently been transformed. It continues to be my ambition and that of my party that we continue to be a home for people of aspiration, wherever they come from.

[Tom Blenkinsop (Middlesbrough South and East Cleveland) (Lab)]

On the theme of aspiration and working people, may we have a debate and statement on why the Government regard people doing unpaid work experience as being in employment?

[Mr Lansley]

I shall gladly ask my friends at the Department for Work and Pensions to reply on how the statistics are calculated. The latest figures show an increase of more than 50,000 in the number of young people in employment and a decrease in the number of people on out-of-work benefits, and he should celebrate that.

Business of the House

Debate between Lord Lansley and Tom Blenkinsop

Thursday 18th October 2012 Commons Chamber

[Mr Lansley]

I do not share the hon. Gentleman’s view. The Minister of State, Department of Energy and Climate Change, my hon. Friend the Member for South Holland and The Deepings (Mr Hayes) answered the urgent question and made it clear that simplification and tariff reform will form part of the Energy Bill, enabling us to deliver precisely what he and the Prime Minister said we would do, which is to use legislation to get consumers the best possible tariff.

[Tom Blenkinsop (Middlesbrough South and East Cleveland) (Lab)]

Two women who ran a business called Purple Mountain for many years recently lost the business due to a tendering process conducted by the Forestry Commission. May we have a debate on tendering processes, and will the Leader of the House ensure that the Secretary of State for Environment, Food and Rural Affairs meets me and the two business owners so that we can explain the terrible circumstances that they have had to endure?

[Mr Lansley]

The hon. Gentleman raises an issue of which I was not aware. I will contact my right hon. Friend the Secretary of State and ask him to respond.

Business of the House

Debate between Lord Lansley and Tom Blenkinsop

Thursday 6th September 2012 Commons Chamber

[Tom Blenkinsop (Middlesbrough South and East Cleveland) (Lab)]

I congratulate the Leader of the House on his new position. May I also express my disappointment that the Government reshuffle did not deliver a Minister for Teesside? I say that because figures from the Office for National Statistics have today shown that South Teesside has moved from 14th to second in the country for its number of households with no work. May we have a statement on why the number of workless households in Teesside has increased so desperately in the past year?

[Mr Lansley]

I am surprised that the hon. Gentleman did not put that in the context of the overall reduction in the number of households with nobody in work, which I believe is very much to be applauded.

Care and Support

Debate between Lord Lansley and Tom Blenkinsop

Wednesday 11th July 2012 Commons Chamber

[Mr Lansley]

We are very clear—I hope I have been clear—that the adoption of a universal deferred payment scheme gives people an opportunity. We are not talking about something that people are required to do; rather, they can choose to do it. One of the things that has most distressed some of those who go into residential care settings is that, as a consequence, they are required to sell their homes—they are forced to do it. What we have announced gives people an opportunity for that not to happen, but as the White Paper and the progress report make clear, we would like to proceed on the basis of a funding model, based on the Dilnot commission, that enables people also to have a cap on their care costs. If we can do that, the combination of the two will be an effective solution.

[Tom Blenkinsop (Middlesbrough South and East Cleveland) (Lab)]

Without a cap on costs, which is what the Dilnot commission proposed for universal deferred schemes, will this measure not potentially leave some families with massive debts to pay when their loved ones die, far in excess of the £35,000 cap that the commission proposed?

[Mr Lansley]

I am sorry that the hon. Gentleman has read out the Whips’ question, but he did not listen to the last answer. We are both implementing the universal deferred payment scheme and proposing in the draft Bill that we should legislate for that. We are, as I have made clear, supporting the principle of Dilnot that we should implement a capped-cost model with an extended means test, but we have to demonstrate, as we know, that it needs to be paid for, and if those decisions involve public expenditure, they must necessarily be held for the spending review.

NHS (Private Sector)

Debate between Lord Lansley and Tom Blenkinsop

Monday 16th January 2012 Commons Chamber

[Mr Lansley]

My hon. Friend is absolutely right. That is precisely why on that basis, using the any qualified provider approach, the chief executive of the NHS can set out the ambition that a child who needs a wheelchair should get it in a day. In the past they would have to wait and then would not necessarily get the wheelchair they wanted, or in any reasonable time scale. This is about driving improvement and quality. Many NHS providers will respond positively to that and deliver the quality, but if they do not we ought to be in a position to believe that what really matters in the NHS is the quality of the service provided to patients. That used to be what the Labour party believed in, which I suppose was why its last manifesto, written when the right hon. Gentleman was Secretary of State, stated:

“Patients requiring elective care will have the right, in law, to choose from any provider who meets NHS standards of quality at NHS costs.”

That is a complete description of what we are setting out to do. It is a description of the any qualified provider policy and something that he has now completely abandoned, and he has abandoned patients in the process. It is absurd.

The objective of the Bill and of the Government is simple: continuously to improve care for patients and the health and well-being of people in this country, and that includes improving the health of the poorest fastest, and to ensure that everyone, regardless of who or where they are, enjoys health outcomes that are as good as the very best in the world. That is what we are setting out to do.

The motion states that the private sector already plays an important role in providing that care. Indeed, once upon a time the Labour party was in favour of it. The right hon. Gentleman said in May 2007:

“Now the private sector puts its capacity into the NHS for the benefit of NHS patients, which I think most people in this country would celebrate.”

Like my hon. Friends, I do not understand where he is coming from. The motion tries to face both ways, stating that Labour agrees with the private sector but also wants to have less of it. It agrees that the private sector can make a valuable contribution, but wants to stop it doing so. What matters to patients is the quality of care they receive, the experience of their care and the dignity and respect with which they are treated. Whether the hospital or community provider is operated by the NHS, a charity, a private company or a social enterprise is not the issue from the patient’s point of view. From our point of view, we should not make that the issue. The reason it will not matter is that, whoever is the provider of care, the values of the NHS—universal health care, paid for through general taxation, free and based on need, not ability to pay—will remain unchanged. No NHS patient pays for their care today; no patient will pay for their care in future under this Government. On that basis, I can absolutely restate what the Prime Minister said: under this Government and on our watch the NHS will not be privatised.

[Tom Blenkinsop]

With all due respect to the Secretary of State, I am afraid he cannot say that. We heard the excellent example of Whizz-Kidz, which is a fantastic organisation, but he cannot guarantee that it will get the contract, because Monitor, as we all know from the Bill, has primary control over who gets the service, and it will apply competition law, purely and simply. There is absolutely no guarantee that the third sector or co-operatives will get in, and in any case there is no guarantee that care quality will be applied in the decision.

[Mr Lansley]

Forgive me, Mr Deputy Speaker, but I hardly know where to start, given the degree of ignorance associated with that point. Monitor does not decide who gets the service; patients and commissioners do, and the clinical commissioning groups determine how they commission the services. Quality is absolutely at the heart of the Bill, and at the heart of how we structure the statutory duties of all organisations concerned, but the hon. Gentleman goes on about the application of competition law. Actually, there is no extension of competition law in the NHS and no extension of EU competition law as a consequence of the Bill; it simply enables the NHS to have a health-specific regulator so that the application of competition law and EU competition rules, in so far as they apply because the Bill does not change their application at all, is carried out by a health sector regulator.

Myth No. 2 is that the impact of a wider range of providers in the NHS will drive down the quality of care, but we will give patients more choice and more control over their health care. If people are given clear information about the quality of different providers, they will, with their doctors and nurses helping as their commissioners, choose the provider that is best for them, and the Health and Social Care Bill means that all providers will compete on the quality of their services, not on the prices that they charge.

There will be no incentive for doctors to encourage their patients to opt for the cheapest option, because there will be no cheapest option; there will only be the best-quality option.

[Tom Blenkinsop]

It will be Monitor’s option.

[Mr Lansley]

No, it is nothing to do with Monitor in those circumstances; those whom I have mentioned will make the choice.

The more choice there is, the more innovation there is, the more new ideas there are and the more pressure there is on all providers from all sectors constantly to raise their game for patients. The evidence supports that.

--- Later in debate ---

[Mr Lansley]

The position is very clear, as the hon. Gentleman should know from the debates that we have had. Continuity of access to services through the NHS is one of the central responsibilities of commissioners and of Monitor. If there is any threat to the continuity of those services, they can step in and take measures to ensure that the services continue, including by agreeing funding beyond the tariff to make that happen. If the extension of any qualified provider could lead directly to the loss of access to essential services for patients, the commissioners and Monitor do not have to go down that path. They can make those judgments.

I caution the hon. Member for St Ives (Andrew George) about hanging his hat on the NHS as preferred provider. Before the last election, the right hon. Member for Leigh said that the NHS should be the preferred provider. His philosophy said that the NHS should be allowed to get it wrong twice before the private sector gets a look in. From the patient’s point of view it is, of course, a very cheerful thought that they will be surrendered to the policy of NHS as preferred provider.

Curiously, in March 2010, before the election and at the same time as he said that his policy was the NHS as preferred provider, the right hon. Gentleman published the “Principles and rules for cooperation and competition”, which he seems to be very fond of and which we are maintaining. That document stated:

“Commissioners must commission services from providers who are best placed to deliver the needs of their patients.”

It also stated:

“Commissioners and providers must not take any actions which restrict choice against patients’ and taxpayers’ interests.”

The reason that the right hon. Gentleman published that document was that he knew that the policy of NHS as preferred provider was already going to be the subject of a legal challenge and that it would not survive that challenge. That is why he restated exactly the principles of co-operation and competition that we intend to incorporate directly and without amendment into the way in which Monitor does its job.

[Tom Blenkinsop]

Will the Secretary of State give way?

[Mr Lansley]

No, I am going to move on. There has to be time for people to contribute to the debate, so I do not want to go on for too long.

The Health and Social Care Bill will, for the first time, ensure that private and voluntary sector organisations have to meet the same exacting standards and be regulated in exactly the same way as NHS organisations when they provide NHS services. Because that extends to any organisation providing NHS services, whether it be private or voluntary, it is disingenuous at best and possibly disreputable for the right hon. Member for Leigh to draw any comparison with the PIP breast implants scandal. There is no comparison between the position of a private company working in the private sector providing private services and the role of a private company operating inside the NHS under NHS controls. He knows that there is no comparison. In the NHS, the patient will be wholly protected. It is our intention to ensure for the first time—this did not happen under the Labour Government—that when a private sector provider operates in the NHS, it has to provide equivalent indemnities to its patients as would be provided through the NHS. That did not happen when the independent sector treatment centres and other things were brought in. There will be better protection. The private sector operating outside the NHS is a different matter.

Myth No. 3 is that raising the cap on private income will lead to a worse deal for patients. The paradigm example is the Royal Marsden NHS Foundation Trust. Its private patient cap is set at 31%. That is because in 2002, 31% of its income was derived from private sources and that was the basis on which it became a foundation trust in 2004. Its current private patient income is 25.8% of its total income. The fact that it has a cap does not mean that it goes up to it. In fact, its private patient level has come down slightly. The effect of setting the cap at 10%, as suggested by the right hon. Member for Leigh, would be to take about a fifth out of the income of the Royal Marsden. The Royal Marsden, like Great Ormond Street, is a classic example of how having a thriving private income from research, joint ventures and patients coming from overseas can get a hospital to a place where it can also consistently be recorded as one of the most excellent hospitals in the NHS, where NHS patients get the best care. It has on one hand the highest level of private patient activity—or, strictly speaking, private income—and on the other hand the highest standard of NHS care. The two things are entirely compatible.

--- Later in debate ---

[Mr Lansley]

No.

We are giving foundation trusts freedom to generate revenue from other sources that can be invested directly into the NHS. When Moorfields, for example, sets up a clinic in the middle east in a joint venture, should we say, “No, you’re not allowed to do that, because it might imperil your ability to support NHS patients”? Actually, it will help their ability to do so, with NHS Global encouraging the NHS.

I believe in the NHS and in the ability of NHS hospitals and providers, which in the past have had their horizons limited, to move beyond those horizons and deliver much better care. That can include turning them into international providers of choice in joint ventures across the world, and even joint ventures in this country, whether in research or the provision of additional services. However, as I explained to the right hon. Member for Leigh in an intervention, under the Health and Social Care Bill the principal purpose of any foundation trust will be the provision of NHS services. Doing anything that would be to the detriment of its provision of NHS services would be unlawful. Foundation trusts cannot cross-subsidise from NHS services into private services.

[Tom Blenkinsop]

Will the Secretary of State give way?

[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.

Oral Answers to Questions

Debate between Lord Lansley and Tom Blenkinsop

Tuesday 10th January 2012 Commons Chamber

[Mr Lansley]

The Government will shortly publish our alcohol strategy, which will set out how we hope to deliver continuing success in the reduction of alcohol consumption and abuse.

[Tom Blenkinsop (Middlesbrough South and East Cleveland) (Lab)]

T6. In a written answer on 12 December, the Minister of State, Department of Health, the hon. Member for Sutton and Cheam (Paul Burstow), who has responsibility for care services, told me that the Government felt that:“Local community hospitals provide a vital community resource to support patients in need of rehabilitation, recuperation and respite care”—[Official Report, 12 December 2011; Vol. 537, c. 560W.]What steps will the Government take to prevent the closure of the Chaloner Ward at Guisborough hospital and financially secure that hospital’s vital future?

[Mr Lansley]

I am grateful for that question. I will certainly be happy to write to the hon. Gentleman on Guisborough hospital—I will not delay the House with the detail. I have those details, and will be happy to correspond with him.

Health and Social Care (Re-committed) Bill

Debate between Lord Lansley and Tom Blenkinsop

Tuesday 6th September 2011 Commons Chamber

[Tom Blenkinsop (Middlesbrough South and East Cleveland) (Lab)]

Did not the Minister of State, Department of Health, the right hon. Member for Chelmsford (Mr Burns) say in Committee that under the relevant clause,

“the OFT could make a reference to the Competition Commission to review foundation trust mergers to test whether they gave rise to a substantial lessening of competition”––[Official Report, Health and Social Care Public Bill Committee, 17 March 2011; c.885.]?

Does that not undermine the democratic element that the Secretary of State has just tried to explain?

[Mr Lansley]

I said that I would come on to the continuing role of the OFT in relation to mergers, and I will.

Returning to this substantial group of Government new clauses and amendments, the purpose of which is to set out the regime for the continuity of services, our new proposals focus on five particular changes. Together, the proposed changes significantly improve upon the existing situation. First, the Bill puts clinically led commissioning at the heart of securing high-quality services for local populations. It is therefore right that commissioners should have a leading role when continuing access to services is threatened. Our amendments therefore strengthen the role of commissioners. For the first time, commissioners will have an explicit role in working with Monitor to agree plans to secure continuity of services.

There will also be an oversight role for the NHS commissioning board. Where issues involve more than one clinical commissioning group, it will be the board’s role to co-ordinate agreement so that a joint plan is agreed. Secondly, commissioners will need to be supported in acting with providers to ensure that they have access to the scope, quality and choice of services they need. It is about promoting high-quality, effective and integrated services, as set out in clause 58. This will be the task of Monitor.

If need be, when continued access to services is threatened because of failure occurring in a particular provider, Monitor will have a range of actions it can take. For example, it could take action to secure sustainability of essential services by adjusting prices. This would be necessary where a provider is otherwise unable to cover the costs of essential services—for example, because of lower patient volumes in more remote areas of the country. That was included in the Bill from the outset, and our amendments strengthen the provisions by ensuring that Monitor must agree the methodology with the NHS commissioning board.

--- Later in debate ---

[Tom Blenkinsop]

Will the Secretary of State give way?

[Mr Lansley]

No.

The OFT and the Competition Commission would obtain Monitor’s view on how a proposed merger would affect competition in the sector and whether it would bring benefits for patients. These views would then be considered, along with other evidence. However, the OFT would have discretion not to refer, where patient benefits outweighed any adverse impacts on competition—further illustration of the fact that competition law is not about promoting competition as an end in itself.

In conclusion—

NHS Future Forum

Debate between Lord Lansley and Tom Blenkinsop

Tuesday 14th June 2011 Commons Chamber

[Mr Lansley]

It is entirely scaremongering. My hon. Friend might like to look at what the Future Forum report says in relation to choice and competition, which sets out very clearly that the extent to which EU competition rules apply in the NHS will not change as a consequence of this Bill.

[Tom Blenkinsop (Middlesbrough South and East Cleveland) (Lab)]

So far, £768 million has been wasted on this failed reorganisation. In my region, Freeman hospital’s cardiac unit for children is under threat, South Tees Hospitals trust has had £20 million removed by the Government, and the Government are proposing a national commissioning board that sits in private, is unelected, produces no minutes, remunerates itself and sets its own sub-committees. Where is the front-line quality of care for people?

[Mr Lansley]

I am afraid that that is a further repetition of invention by Labour Members, who appear to have been given one or two figures of their own. It is complete nonsense. In the impact assessment associated with the Bill, which we will now revise to reflect these changes, we explained that there was an estimated £1.4 billion total cost of reorganisation, but that that would lead to a £1.7 billion recurring annual benefit in savings, which would accumulate to more than £5 billion over the course of the Parliament.

NHS Reform

Debate between Lord Lansley and Tom Blenkinsop

Monday 4th April 2011 Commons Chamber

[Mr Lansley]

There is nothing sham about this. This is serious business, not a political game, as it appears to be for Opposition Members. Tens of thousands of people across the NHS are engaged in managing and developing new services, which will deliver improving outcomes and be more responsive to patients, through devolved decision making in the NHS. I think that we should simply help and support them, not least by listening to them.

[Tom Blenkinsop (Middlesbrough South and East Cleveland) (Lab)]

The Secretary of State told my hon. Friend the Member for Scunthorpe (Nic Dakin) that the budget for Monitor will be between £50 million and £70 million, but the Health and Social Care Public Bill Committee, on which I sat, heard that it would be between £40 million and £130 million. Does that not show that not only are the Government not listening to this side of the country but are not even listening to their own facts?

[Mr Lansley]

I answered that question earlier.

NHS Reorganisation

Debate between Lord Lansley and Tom Blenkinsop

Wednesday 16th March 2011 Commons Chamber

[Mr Lansley]

Yes. I am grateful to my hon. Friend and pay tribute to his work in this area, which is much respected. He is absolutely right—we will be doing that. Indeed, we can see the benefit already. A few weeks ago, I launched the bowel cancer awareness campaign in the east of England. The reason we were able to start that awareness campaign in that region is that we had good staging data arising out of the cancer networks in the area, which means that we will be able to make valid comparisons between the past and the future in terms of the stage at which patients are presenting for diagnosis of cancer.

[Tom Blenkinsop]

rose—

[Owen Smith]

Will the Secretary of State give way?

Oral Answers to Questions

Debate between Lord Lansley and Tom Blenkinsop

Tuesday 2nd November 2010 Commons Chamber

[Tom Blenkinsop (Middlesbrough South and East Cleveland) (Lab)]

Dr Clive Peedell, a consultant oncologist at James Cook university hospital in Middlesbrough, said that the coalition Government’s plans for the NHS

“are a roadmap to privatisation”.

That was his reaction to the King’s Fund report, which argues that the plans to make savings in direct NHS expenditure while dismantling local PCTs has the support of fewer than one in four doctors. What is the Secretary of State’s response to that overwhelming opposition from local doctors to the Government’s plans?

[Mr Lansley]

We will, of course, respond to the consultation in due course, but support for the principles of the White Paper was widespread and came from local government and the medical and nursing professions. The issues that we will address in the consultation were mainly about implementation of the principles, but support for the principles was widespread.