Business of the House

Debate between Lord Lansley and Valerie Vaz

Thursday 10th July 2014 Commons Chamber

[Mr Lansley]

My hon. Friend will know that it is established practice that outline business case documents are not shared outside the Government in advance of decisions being made, to protect commercial confidentiality and the integrity of decision making. However, I completely recognise the importance of ensuring that Members are given as much information as possible, and I understand that Public Health England has been discussing, and will continue to discuss, the progress of that business case with my hon. Friend.

[Valerie Vaz (Walsall South) (Lab)]

May we have an urgent statement on patient budgets and the change of policy by NHS England? Without a statement to Parliament or an impact assessment, who is in charge of the NHS?

[Mr Lansley]

I do not think it is a fundamental change in policy. When I was Health Secretary I was clear, for example, that for those with continuing health care needs, personal budgets would be established that embraced health needs and social care needs. As the Health and Social Care Act 2012 continues to make clear, the Secretary of State is responsible for the national health service and will—and does—report to the House whenever there are major changes in policy affecting the NHS as a whole.

Business of the House

Debate between Lord Lansley and Valerie Vaz

Thursday 26th June 2014 Commons Chamber

[Mr Lansley]

I am delighted that my hon. Friend was able to attend that conference. It reflects the fact that many of our leading employers across the country, large and small, are recognising the opportunities to support those with learning needs and disabilities in work. In July last year the Prime Minister launched the “disability confident” campaign, which has reached over 1,100 local and national employers throughout the country, increasing the confidence of employers in employing disabled people. I am very familiar with this in my own constituency over the years, through the work of the Papworth Trust. I cannot promise an immediate debate, but I know that the point my hon. Friend made will be much shared among Members and he may find opportunities, not least with other Members, to seek a debate of that kind at some point in the future.

[Valerie Vaz (Walsall South) (Lab)]

In the light of Mr Justice Saunders’ comments in the Coulson trial, may we have an urgent debate to publish the legal advice given by the Attorney-General to the Prime Minister, who may have inadvertently placed himself above the law?

[Mr Lansley]

The hon. Lady will know that successive Governments have never published legal advice offered by the Attorney-General, nor commented on it. All I can say is that what the Prime Minister said the day before yesterday was not intended in any way to prejudice any aspect of the completion of the trial.

Business of the House

Debate between Lord Lansley and Valerie Vaz

Thursday 1st May 2014 Commons Chamber

[Mr Lansley]

My right hon. Friend makes an interesting suggestion, but I fear that it is not one we will take up. When the Leader of the Opposition asks his six questions, often what he leaves out speaks volumes, and I think that will inform the public as he continues to be bereft of anything to say on Labour’s plans for the economy.

[Valerie Vaz (Walsall South) (Lab)]

We all rightly condemn the abduction of more than 200 girls from their school in Nigeria, so may we have an urgent debate on how Britain can help to ensure that they are returned to their rightful place, which is with their families and, more particularly, are in education?

[Mr Lansley]

The hon. Lady is absolutely right. We will all have been horrified by what we have seen and by the continuing trauma that those girls and their families and friends must be experiencing. We will do everything we can to help. I will of course speak with my right hon. and hon. Friends in the Foreign and Commonwealth Office to see whether they can advise Members on what more can be done.

Business of the House

Debate between Lord Lansley and Valerie Vaz

Thursday 27th February 2014 Commons Chamber

[Mr Lansley]

I am grateful to my right hon. Friend, and I am sure that the House appreciates the opportunity to go to the Ash Wednesday service that he advertises. I think that there is nothing on the Order Paper at the moment that would require us to extend our proceedings beyond the moment of interruption at 7 o’clock on Tuesday.

[Valerie Vaz (Walsall South) (Lab)]

I am disappointed that I have not received a response to my question to the Leader of the House of two weeks ago about the European solidarity fund. In the meantime, may we have an urgent debate on what “Money is no object” means, and whether it could apply to those waiting for personal independence payment assessments?

[Mr Lansley]

I endeavour to secure replies for hon. Members, but not inevitably within a fortnight; sometimes it takes a bit longer. I will endeavour to get a full reply to the hon. Lady.

Business of the House

Debate between Lord Lansley and Valerie Vaz

Thursday 13th February 2014 Commons Chamber

[Mr Lansley]

I am grateful to my hon. Friend and I know that she has raised this matter with my right hon. Friend the Secretary of State. I cannot promise a statement, but I will of course look with our colleagues at whether, in the light of these events, there is something we can do, in addition to the debate I announced, to enable us at an appropriate time to look at all the issues relating to resilience and climate change adaptation and mitigation.

[Valerie Vaz (Walsall South) (Lab)]

Rather than raiding the Department for International Development budget, which is committed expenditure, may we debate urgently an application to the European solidarity fund, which exists to help people during a flooding crisis?

Business of the House

Debate between Lord Lansley and Valerie Vaz

Thursday 30th January 2014 Commons Chamber

[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.

[Valerie Vaz (Walsall South) (Lab)]

May we have an urgent debate on why action on the Corston review on women in prisons has stalled across Departments?

Business of the House

Debate between Lord Lansley and Valerie Vaz

Thursday 16th January 2014 Commons Chamber

[Mr Lansley]

My hon. Friend is right that that Committee has important new responsibilities and powers under that Act. It was not an invariable practice that the Government would hold an annual debate, but it is also the case that, when the Backbench Business Committee was established, it was clear that a number of general debates that had taken place in Government time previously should properly be considered by the Backbench Business Committee as debates in its time. I have had a continuing conversation about that with the Chairs of the ISC and the BBC.

[Valerie Vaz (Walsall South) (Lab)]

Any attack on a place of worship must be condemned so, on behalf of my constituents and those of other Members, may I ask that all the documents in respect of what happened at Amritsar in 1984 that are in the custody and control of the Government are released so that we have full transparency?

[Mr Lansley]

Without wishing to repeat myself, let me say that I completely understand and share the concern the hon. Lady raises, but I urge Members not to prejudge the circumstances then until we know more.

Business of the House

Debate between Lord Lansley and Valerie Vaz

Thursday 31st October 2013 Commons Chamber

[Mr Lansley]

I apologise to the shadow Leader of the House for not answering that point. My recollection is that last week the limit on the number of special advisers was further reiterated by my colleagues at the Cabinet Office. If I may say so—this will not make me popular with my hon. Friend—it has to be understood that coalition Government creates special circumstances and a necessity for independent sources of advice to the two parties working together in coalition.

[Valerie Vaz (Walsall South) (Lab)]

It is extraordinary that in one week two decisions by Secretaries of State have been held by the courts to be legally flawed. May we have a statement on whether they acted against civil servants’ and legal advice, and could the legal costs be published?

[Mr Lansley]

The 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.

Business of the House

Debate between Lord Lansley and Valerie Vaz

Thursday 5th September 2013 Commons Chamber

[Mr Lansley]

Yes, the situation is very encouraging. We all know that the nature of the economic crisis we inherited, with the economy having declined to a gross domestic product of 7.2%, meant that the recovery was inevitably going to be long and difficult; we cannot expect it to be easy. However, it is happening, and on a more sustainable basis. My hon. Friend rightly points out that it is more sustainable if growth is better dispersed around the country rather than merely being based on financial services in the City of London, important as that sector is. It is especially sustainable given the development of exports and manufacturing in many regions of the United Kingdom.

[Valerie Vaz (Walsall South) (Lab)]

May we have an urgent debate in Government time on Burma, where Daw Bawk Ja, a land rights activist, was arrested in July? In particular, will the Government support the United Nations General Assembly resolution noting that while there has been progress in Burma, there are still human rights and constitutional issues that need to be addressed?

[Mr Lansley]

The hon. Lady will know that my right hon. and hon. Friends at the Foreign and Commonwealth Office update the House regularly on Burma and our concerns. We were very pleased that President Thein Sein’s visit to the United Kingdom in July gave us an opportunity to raise some of those concerns while reinforcing our determination to provide support for Burma, including the increases in humanitarian aid—I was looking up the numbers while the hon. Lady was asking her question—announced by my right hon. Friend the Member for Sutton Coldfield (Mr Mitchell), who was Secretary of State for International Development at the time.

The House will have welcomed your visit to Burma, Mr Speaker, from 29 July to 4 August, when you led a cross-party delegation of Members of Parliament. The relationship between this Parliament and the emerging democracy in Burma is an important one that we all value.

Business of the House

Debate between Lord Lansley and Valerie Vaz

Thursday 4th July 2013 Commons Chamber

[Mr Lansley]

I say to all Members, and Opposition Members in particular, that they should not come here because their Whips tell them to or absent themselves because their Whips advise them not to be here. On the contrary, the reason they should be here is to explain to their constituents whether they are in favour or not of giving the people of this country a say over our relationship with Europe.

[Valerie Vaz (Walsall South) (Lab)]

May we have an urgent debate about who is in charge of the Department of Health? They are like Laurel and Hardy. The Secretary of State appears to be more interested in—I am sorry, I have completely forgotten the rest of my question.

[Mr Lansley]

Suffice it to say that the Secretary of State is in charge of the Department of Health.

Business of the House

Debate between Lord Lansley and Valerie Vaz

Thursday 20th June 2013 Commons Chamber

[Mr Lansley]

My hon. Friend has examined the work of the Care Quality Commission carefully and critically through his work on the Public Accounts Committee. What is clear from what we saw yesterday, as well as the report produced by Grant Thornton, is that decisions were made—in fact, under the last Government—relating to the generalist character of inspection and the disbandment of the specialist investigations team, which is one of a number of a things that, on reflection, contributed to a very poor regulatory performance at that time. The CQC has new management, new chief inspectors and a lot of opportunities. I hope we will have an opportunity at some point for a debate that not only looks at the causes of that regulatory failure in the past, but gives an opportunity to the CQC to demonstrate how it can be a changed organisation.

[Valerie Vaz (Walsall South) (Lab)]

The national planning policy framework states that it is inappropriate to build on the green belt, yet a ministerial statement last September said that local plans would be fast-tracked if they included the green belt. My constituents want to know whether the green belt is safe, so may we have an urgent debate on Government guidance to local decision makers on this conflicting policy?

Business of the House

Debate between Lord Lansley and Valerie Vaz

Thursday 13th June 2013 Commons Chamber

[Mr Lansley]

My hon. Friend is very knowledgeable on these matters and I completely understand her point, not least because my constituency has substantial arable production. I cannot promise a debate at the moment, but I am sure it would not be beyond the bounds of possibility to cover some of these matters in next week’s debate on the reform of the common agricultural policy.

[Valerie Vaz (Walsall South) (Lab)]

Will the Leader of the House ask the Lord Chancellor to come to the House to explain his flawed policy on legal aid? He refuses to meet the chairman of the Criminal Bar Association, the Law Society is threatening legal action, the Lord Chief Justice and the Master of the Rolls are against it, and it undermines the English legal system. We need a statement or a debate in Government time.

[Mr Lansley]

I sat here with my right hon. and hon. Friends during Justice questions a few days ago when almost exactly the same point was made to them, and I heard them reply and say how often they meet the Criminal Bar Association and others and that they had done so recently. I will, of course, draw their attention to what the hon. Lady has said, but I heard them say that it is not true that they are not discussing this issue with those affected.

Business of the House

Debate between Lord Lansley and Valerie Vaz

Thursday 6th June 2013 Commons Chamber

[Thomas Docherty (Dunfermline and West Fife) (Lab)]

It is called a Business Question.

[Valerie Vaz (Walsall South) (Lab)]

The Leader of the House has to answer it.

[Mr Lansley]

I know it is a question, but in the course of her questions the shadow Leader of the House might have indicated to the House what the subjects for the Opposition day debates next week might be, not least as she seems to have an idea of the issues that she regards as important. She might think, for example, that 19 June would be a good opportunity to debate tax evasion and tax avoidance in the wake of the initiative, which is, I think, unprecedented in scale and success, that the Prime Minister has led in securing international co-operation, not least through the G8 summit that will have taken place over the previous weekend. No doubt by that date there will have been an opportunity for the Labour party to have paid to the Revenue any tax that would have been due on any donations that might have been given to it.

In the light of the speeches that have been made this week, the hon. Lady might also try to have a debate about the credibility of Opposition policy. On Monday, the shadow Chancellor was in complete denial about the simple fact that he talked with the former Chancellor of the Exchequer and Prime Minister about “iron discipline” just ahead of the biggest spending spree by a Government that this country has ever seen, which left us in the biggest debt that this country has ever encountered. That is no iron discipline; there is no credibility in that.

If the Opposition are going to make speeches about welfare reform, they have to answer some simple questions. To give just one example, do Labour Members now believe that they were wrong to oppose the Bill that became the Welfare Reform Act 2012, with its cap on welfare uprating for working-age benefit recipients? If the shadow Leader of the House is able to say that they were wrong about that, there might be some credibility; otherwise it was a completely empty policy.

--- Later in debate ---

[Mr Lansley]

As chance would have it, as I announced earlier the House will discuss a motion on reform of the CAP. Members greatly welcomed Gloucestershire coming to Westminster—many other areas have held similar events—to tell us about its local produce, something we all value in our constituencies.

[Valerie Vaz (Walsall South) (Lab)]

May we have a debate on the Olympic legacy? Walsall has the only brine swimming pool in the west midlands, which is used for hydrotherapy and general fitness. Walsall also nurtured Ellie Simmons, the Paralympic champion. However, the Gala baths are threatened with closure. May we have an urgent debate on how to protect these vital community services?

[Mr Lansley]

I cannot offer time at the moment, but we attach the greatest importance to the Olympic legacy, which Lord Coe is pursuing actively. We committed to the legacy as part of our Olympic bid, and I hope it will be as successful as the Olympics and Paralympics themselves. As regards securing a debate, I suspect that the hon. Lady might like to get together with other colleagues with a view to making representations to the Backbench Business Committee.

Business of the House

Debate between Lord Lansley and Valerie Vaz

Thursday 16th May 2013 Commons Chamber

[Mr Lansley]

What my hon. Friend says is interesting. I will of course raise with my hon. Friends at the Home Office, how the system is working, but from our point of view we need to ensure proper regulation where required and move increasingly towards payment by results, a mechanism that I hope will enable us to deliver more effective drug rehabilitation.

[Valerie Vaz (Walsall South) (Lab)]

May we have a debate in Government time on the reforms to legal aid and judicial review? Judges are now having to support litigants in person instead of hearing reasoned argument, which is seriously undermining the rule of law and weakening one of the checks and balances on the state. May we please have an urgent debate on that issue?

[Mr Lansley]

The hon. Lady will have noticed that the Ministry of Justice will be answering questions on Tuesday, and she might wish to raise this matter at that time. I cannot offer Government time, but such issues may also be raised on the Adjournment or, collectively with other Members, through the Backbench Business Committee. Many days in this Session have been provided for the Backbench Business Committee. I am happy to listen to applications for Government time for general debates, but the intention was for Back-Bench Members collectively to decide where their priorities lie.

Business of the House

Debate between Lord Lansley and Valerie Vaz

Thursday 18th April 2013 Commons Chamber

[Mr Lansley]

I am grateful to my hon. Friend for that suggestion and think it would be very helpful if we found such an opportunity. Of course, the debate on the Gracious Speech at the start of the next Session might well provide an opportunity to talk not just about helping councils to fund a council tax freeze for the third consecutive year but about addressing the issue of precepting authorities, too. In the debates on the Finance Bill, we can discuss the fact that we have cancelled Labour’s planned fuel duty increase, which is saving a typical motorist £40 a year. We have increased the personal income tax allowance, leading to a cash tax cut of £267 in the tax year ahead. Those are a range of changes with a direct impact on supporting people with the cost of living during tough times.

[Valerie Vaz (Walsall South) (Lab)]

The Leader of the House suggests that we should wait until Foreign Office questions on Tuesday to raise the issue of Burma, but that might be too late. Human Rights Watch’s report on crimes against humanity and against the Rohingya people in Burma is out on Monday and the sanctions will be discussed on Monday, so Tuesday will be too late. Will the Leader of the House urgently raise the subject of the report with the Foreign Secretary before he goes into the debate on EU sanctions?

[Mr Lansley]

I am grateful to the hon. Lady and I will of course ask the Foreign Secretary or Foreign Office Ministers about that issue and, if appropriate, whether there is any update that they can give the House when it sits on Monday.

Business of the House

Debate between Lord Lansley and Valerie Vaz

Thursday 7th March 2013 Commons Chamber

[Valerie Vaz (Walsall South) (Lab)]

May we have an urgent debate, or at least a statement, on the marine conservation zones? Given that £8.8 million of taxpayers’ money has been spent on consultation, and 127 such zones have been proposed, could the Leader of the House find out when all 127 of them will be designated?

[Mr Lansley]

The hon. Lady was no doubt in the Chamber for questions to the Secretary of State for Environment, Food and Rural Affairs. That subject might have been raised in the course of those questions, but I hope she will forgive me for not being here at the time, so I do not know whether it was. If it was not, and if she particularly wishes to pursue the matter, may I suggest that she seeks an Adjournment debate in order to do so?

Business of the House

Debate between Lord Lansley and Valerie Vaz

Thursday 7th February 2013 Commons Chamber

[Mr Lansley]

My hon. Friend knows that the legal position is straightforward. The licence gives to the university of Leicester an obligation, but also discretion as to the choice of location for the interment of Richard III’s remains, but there will be other claims. I completely understand the claims of both Westminster abbey in relation to the burial of Anne Neville, and York minster.

[Valerie Vaz (Walsall South) (Lab)]

We need an urgent debate on the bedroom tax and particularly the exemptions. I have a constituent who is a foster carer and who needs the extra bedroom. She provides a service for vulnerable children and she should not be penalised for that.

[Mr Lansley]

The deductions from housing benefit were explained by the Prime Minister yesterday, and I have heard them being explained very carefully to the House previously. The hon. Lady should understand that in addition, as the Prime Minister said again yesterday, resources are provided to meet the specific requirements she raises and local authorities can respond to such circumstances.

Business of the House

Debate between Lord Lansley and Valerie Vaz

Thursday 31st January 2013 Commons Chamber

[Mr Lansley]

I am grateful to my hon. Friend, who continues to argue forcefully for the fairest fuel prices possible for consumers. I completely understand that. As a Government, we have continually listened to my hon. Friend’s and other arguments, which is why the price of fuel at the pumps is 10p a litre lower than it would have been if we had allowed the last Government’s escalator to proceed. My hon. Friend understands, as do I, that the Office of Fair Trading is independent in its investigations and in the judgments it makes. There will be opportunities for colleagues to question Treasury Ministers, for example, about their approach to fuel pricing at the next Treasury questions.

[Valerie Vaz (Walsall South) (Lab)]

Like Mr Speaker’s lectures, the Christmas lectures at the Royal Institution are part of our cultural life. They were started by Michael Faraday in 1825 at 21 Albemarle street, which is now under threat. I ask the Leader of the House for an urgent debate and will he facilitate a meeting between leading scientists and the Minister for Universities and Science to save 21 Albemarle street for the nation?

[Mr Lansley]

I cannot promise a debate, but I will of course talk to my right hon. Friend the Minister for Universities and Science. The hon. Lady knows of his remarkable interest in, and his devotion to, supporting science, which is reflected across the Government. If I may presume for him, I think he might well be willing to take an opportunity to talk to scientists, without promising that it is the Government’s responsibility in any way.

Business of the House

Debate between Lord Lansley and Valerie Vaz

Thursday 10th January 2013 Commons Chamber

[Mr Lansley]

I completely understand, and my hon. Friend makes an important point very well. I recall, particularly in relation to the health service, how strongly we felt that on many occasions too few attacks had been followed up, and that too few cases had led to appropriate action. The Government were looking at the extent to which such issues were taken into account as an aggravating factor in sentencing, but I will ask my colleagues at the Ministry of Justice to look at the issue and respond to my hon. Friend.

[Valerie Vaz (Walsall South) (Lab)]

Sixty per cent. of agricultural land in countries such as Burma and Indonesia that have serious hunger problems have been subjected to land grab. Given that the UK has the presidency of the G8 summit, may we have an urgent debate on how we can use that presidency to stop such practices and return the land to the people who live on it so that they can feed themselves?

[Mr Lansley]

Yes, I am interested in the subject raised by the hon. Lady although I do not think it is one of the issues set as a priority for the upcoming G8 summit. Such summits always afford opportunities, however, not least because of the increasing influence that we are able to exert through the strength of our overseas aid programme and the like. I will therefore talk to my hon. Friends to see whether we can continue to follow up strongly the issues raised by the hon. Lady.

Business of the House

Debate between Lord Lansley and Valerie Vaz

Thursday 6th December 2012 Commons Chamber

[Mr Lansley]

I am happy to join my hon. Friend in congratulating the chief executive and her staff at Airedale general NHS foundation trust, which I had the privilege and pleasure of visiting several years ago—it is a fine hospital. It has a high reputation not only locally, but nationally.

[Valerie Vaz (Walsall South) (Lab)]

According to the same guide, there has been an increase of 13% and 17% over time in the deaths of my constituents. Given the difficulties outlined by my right hon. Friend the Member for Cynon Valley (Ann Clwyd) on the death of Owen Roberts, may we have an urgent debate on why £3 billion has been taken out of the NHS and not used for front-line services?

[Mr Lansley]

I am not quite sure what the hon. Lady is saying. Hon. Members listened to the right hon. Member for Cynon Valley yesterday at Prime Minister’s questions and had the utmost sympathy with her circumstances. That is precisely why Members on both sides of the House are determined to support the leaders of the nursing profession in improving the quality of care and the care and compassion with which patients are treated—they should always be treated with dignity and respect. Frankly, that is not about resources. Resources are rising in the NHS, with the exception of the NHS in Wales, where there is an 8% real-terms cut. The hon. Lady is talking about England, but she bracketed England and Wales together. In Wales, the NHS budget is being cut; in England, the NHS budget is being increased.

Business of the House

Debate between Lord Lansley and Valerie Vaz

Thursday 29th November 2012 Commons Chamber

[Mr Lansley]

My hon. Friend is right. We might examine that. He might like to raise the matter at Education questions on Monday, but in any case it is an illustration of the benefits that come from the transparency of the publication of data. In a number of fields, including education, that enables us and the public to examine unwarranted variation between different parts of the country, and to try to drive out poor performance and drive up good performance.

[Valerie Vaz (Walsall South) (Lab)]

May I raise again the issue of a signal-controlled crossing on Darlaston road in my constituency? A four-year-old child was knocked over and suffered serious head injuries, and a woman suffered a fractured pelvis—all this on the crossing. Three hundred local people have signed a petition, yet the council refuses to upgrade the crossing to a signal-controlled crossing. I have written to everybody—the Department for Transport, the council—and still they refuse. Can the Leader of the House use his good offices to point me in the right direction, perhaps with an urgent debate, or tell me where to go next before there is a death on the crossing?

[Mr Lansley]

I am sorry to hear that about the hon. Lady’s constituents, with whom I am sure we all sympathise. I will of course take the opportunity to talk with colleagues, not least in the Department for Transport, because I know from experience in my constituency that the lead for that comes best through the Department to Network Rail. I will be happy to correspond with the Department on that.

Business of the House

Debate between Lord Lansley and Valerie Vaz

Thursday 8th November 2012 Commons Chamber

[Mr Lansley]

My hon. Friend makes an extremely good point, as ever. I absolutely agree and find it astonishing that the Labour party’s objective yesterday was to have a debate on regional pay in the NHS and completely to ignore all the ways in which the NHS is being supported by the Government and is achieving more as a consequence. As he says, there has been investment in Burnley in facilities for those with urgent care requirements, which were downgraded by the previous Government. That shows the commitment on our part. It is now clear that in the past year, we increased the NHS budget in real terms relative to the year before. Under Labour’s plans, it would have gone down and the shadow Secretary of State for Health told us that it would be totally irresponsible to increase the NHS budget in real terms. It is our responsibility, we are doing it and we will defend and support the NHS.

[Valerie Vaz (Walsall South) (Lab)]

The West Midlands ambulance service has seen an increase of 210 calls a day for 999 emergencies, and refused to pick up a four-year-old constituent of mine who had suffered a head injury. It is now bringing in St John Ambulance to cover front-line services. May we have an urgent debate on why charities are propping up NHS front-line services?

[Mr Lansley]

The hon. Lady will know that St John Ambulance, like some other ambulance services, has always worked with the NHS ambulance services. She should recall that the latest data published in the summer showed that, for the first time, all the ambulance services across England were meeting the recommended standards for responding to category A calls. There are always individual cases where things go wrong. I know that from my constituency and she will know it from hers, but if she would care to provide me or my right hon. Friend the Secretary of State for Health with details, of course we will ensure that any individual case where things went wrong is investigated.

Business of the House

Debate between Lord Lansley and Valerie Vaz

Thursday 25th October 2012 Commons Chamber

[Mr Lansley]

Yes, I do indeed support that. I and the Deputy Leader of the House look forward to being there, and I think the shadow Leader of the House hopes to be there too. I am sure that that is supported by hon. Members on both sides of the House and look forward to the Speaker joining us in expressing our appreciation to Her Majesty on her diamond jubilee.

[Valerie Vaz (Walsall South) (Lab)]

Will the Leader of the House find time to remember Noor Inayat Khan who was an operative in Winston Churchill’s Special Operations Executive? May I express my thanks to the Speaker for helping in the campaign and to Members of the House who signed early-day motion 109?

[That this House congratulates the Memorial Trust of Noor Inayat Khan set up to honour and to recognise her extraordinary bravery; notes that Noor Inayat Khan was posthumously awarded the George Cross as one of only three women in Winston Churchill's Special Operations Executive and was also awarded the Croix de Guerre by France; recalls that under the code name Madeleine she was the first female radio operator in occupied France in 1943; further notes that despite being tortured she remained silent and her last word was Liberté; further notes that she was executed in Dachau at the age of 30; welcomes the permission given by the Vice Chancellor of the University of London for a bust to be installed in Gordon Square, near the house where Noor lived and from where she left on her fatal mission; further notes that the majority of the funds needed to fund the statue has already been raised by the Trust; congratulates the donors; encourages further donations to the Fund; and looks forward to the unveiling of the first memorial to a British Asian woman when the sculpture by Karen Newman is completed in Autumn 2012.]

May I also thank the university of London, which agreed to my request to place a memorial to Noor on its land in Gordon square? The sculpture by Karen Newman will be unveiled on 8 November. Noor was executed in Dachau concentration camp; this will be an opportunity for us to remember a true British heroine.

[Mr Lansley]

I am sure that the House is grateful to the hon. Lady, especially at this time of year, for drawing attention to the courage and example of the men and women of the Special Operations Executive, and of Noor Inayat Khan in particular. The House will also recall early-day motion 109 in that respect. I hope that the memorial to her—the sculpture to which the hon. Lady referred—will constantly remind people of the remarkable courage of those in the Special Operations Executive and the contribution they made.

Business of the House

Debate between Lord Lansley and Valerie Vaz

Thursday 18th October 2012 Commons Chamber

[Mr Lansley]

As I said, I will talk to my right hon. Friend the Secretary of State for Business, Innovation and Skills and secure a response to the issues that have been raised. The hon. Gentleman may wish to raise the matter at Business, Innovation and Skills questions on 8 November.

[Valerie Vaz (Walsall South) (Lab)]

May we have an urgent debate on the sale of publicly owned freehold assets—the so-called family silver? In a written answer to me, the Parliamentary Secretary, Cabinet Office, the hon. Member for Norwich North (Miss Smith) said that that information was not held centrally. Will the Leader of the House say how such matters are being audited and how there is accountability for this public money?

[Mr Lansley]

The House will remember that the gold was sold by a former Chancellor, losing this country £5 billion. From our point of view, not least following resource accounting, it is important that we use assets efficiently. It is the responsibility of Ministers across Government to ensure that they are aware of where they have freehold assets and to use them.

Business of the House

Debate between Lord Lansley and Valerie Vaz

Thursday 13th September 2012 Commons Chamber

[Mr Lansley]

I recall that development. Clearly, these are commercial matters for the companies concerned, but there will be matters of substantial public interest in relation not only to the Government as a customer, but to the Government holding a golden share. I will make sure that my colleagues are aware of the need, as I am sure they are, to report to the House when the time comes.

[Valerie Vaz (Walsall South) (Lab)]

The Government appear to be indulging in a mashup, as popularised by the television programme “Glee”. Last week, the Leader of the House told me that there was no variance in policy on Sunday trading pre and post-Olympics; yet the Secretary of State for Communities and Local Government has told The Daily Telegraph that he is willing to take a long, hard look at different trading patterns. May we have an urgent statement to clear up this mashup?

[Mr Lansley]

What I said last week was accurate and continues to be true. The fact that one is continuously looking at issues, as one does in government—I know that only too well—does not mean that one has changed one’s position.

Business of the House

Debate between Lord Lansley and Valerie Vaz

Thursday 6th September 2012 Commons Chamber

[Mr Lansley]

I am pleased to hear what my hon. Friend has to say, and I welcome what he said about Holmfirth high street. Indeed, we have accepted and implemented virtually all Mary Portas’s review recommendations. I hope that the pilots will show how we can extend some of the lessons further to invigorate high streets across the country—something that, as my hon. Friend illustrates, can be achieved.

[Valerie Vaz (Walsall South) (Lab)]

I welcome the Leader of the House to his new position and place on record my thanks to the right hon. Member for North West Hampshire (Sir George Young) for the helpful and courteous way in which he dealt with Back Benchers. I hope that that will continue.

Can we have an urgent debate on the Sunday trading laws, given that the announcements outside this House are at variance with the undertakings given inside it? If there is any consultation, will the Leader of the House ensure that retail staff, the unions, the Churches and the Association of Convenience Stores are included?

[Mr Lansley]

I am grateful to the hon. Lady for her kind words about my predecessor. I do hope to emulate in many respects the way in which he fulfilled his responsibilities so wonderfully. As to Sunday trading legislation, however, I do not accept the premise of her question. I do not think there is any variance between what the Government said when we introduced the legislation about the extension of Sunday trading hours during the summer and what has been said subsequently.

NHS Annual Report and Care Objectives

Debate between Lord Lansley and Valerie Vaz

Wednesday 4th July 2012 Commons Chamber

[Mr Lansley]

One reason why the NHS continues to deliver such significant improvements in performance is that through the transition, we are increasing clinical leadership, which will make an important, positive difference, and can already be shown to have done so. For example, we are managing patients more effectively in the community, and reducing reliance on acute admission to hospital. The number of emergency admissions to hospital in the year just ended went down, which is a strong basis on which to develop services in future, and that is happening not least because of leadership in the primary care community. I hope that my hon. Friend from Cornwall, along with other Members, supports the assumption of clinical leadership through clinical commissioning groups by those clinicians.

[Valerie Vaz (Walsall South) (Lab)]

Like my right hon. Friend the Member for Rother Valley (Mr Barron), the former Chair of the Select Committee on Health, I have not had sight of the report, but will the Secretary of State say what the cost to the public purse of the pause and the reorganisation will be?

Oral Answers to Questions

Debate between Lord Lansley and Valerie Vaz

Tuesday 27th March 2012 Commons Chamber

[Valerie Vaz (Walsall South) (Lab)]

One year on, are the pledges under the responsibility deal working?

[Mr Lansley]

One year on in the responsibility deal we are seeing successes, including the elimination of artificial trans fats, further reductions in salt in manufactured foods, and over 8,000 high street outlets sharing and showing calorie information. The monitoring and evaluation of the deal is vital. We are committed to this and we are making up to £1 million available to fund an independent evaluation.

Health and Social Care Bill

Debate between Lord Lansley and Valerie Vaz

Tuesday 13th March 2012 Commons Chamber

[Valerie Vaz]

I am sorry, but I have nearly finished my speech and must press on.

There was a chorus of disapproval from professionals when the White Paper was published, as they wanted more information. As Rogers and Walters say in the sixth edition of “How Parliament Works”, if there is pre-legislative scrutiny, Ministers have less political capital at stake and changes are not seen as defeats; the scrutiny of a Bill in draft gives higher quality legislation. That is not a description of the Health and Social Care Bill. The pre-legislative scrutiny was in the Secretary of State’s head, not in a draft Bill.

What about my constituent Stephen Wood, who went to his local GP’s surgery only to be told that doctors would only refer him to a consultant privately, not on the NHS, as he had apparently used up his budget?

[Mr Lansley]

Rubbish.

[Valerie Vaz]

It is true. This has become personal. The NHS is an organisation in which miracles sometimes happen, which is why people are fighting to protect and save the very essence of its existence. Those who have paid their taxes do not want the Bill, and the health professionals do not want it. From all parties, professionals and patients in the NHS, we can say that we oppose the Bill, and when the NHS unravels, as it is now beginning to, we can say, “We told you so.” I support the motion.

Oral Answers to Questions

Debate between Lord Lansley and Valerie Vaz

Tuesday 21st February 2012 Commons Chamber

[Mr Lansley]

The hon. Gentleman will recall that his foundation trust was looking to receive more than £400 million in capital grant from the Department, which went completely contrary to the foundation trust model introduced under the previous Government. I pay credit to North Tees and Hartlepool NHS Foundation Trust, which is developing a better and more practical solution than that which it pursued before the election—many of the projects planned before the election were unviable. The hon. Gentleman will know that projects are going ahead, and last November, together with the Treasury, we published a comprehensive call for reform of PFI. We achieve public-private partnerships and use private sector expertise and innovation, but on a value-for-money basis.

[Valerie Vaz (Walsall South) (Lab)]

John Appleby of the King’s Fund says that PFI represents less than 1% of the total annual turnover of £115 billion. Does the Secretary of State agree?

[Mr Lansley]

I gave the hon. Lady the figure: £67 billion of debt. Seven NHS trusts and foundation trusts are clearly unviable because of the debt that was left them by the Labour Government.

Breast Implants

Debate between Lord Lansley and Valerie Vaz

Wednesday 11th January 2012 Commons Chamber

[Mr Lansley]

As my hon. Friend points out, to that extent the NHS has always stood behind the private sector provision of health care. If things go wrong, people have the right to access NHS treatment as they must be looked after on the basis of clinical need. Referring back to points I made earlier, the Health and Social Care Bill gives us an opportunity to look more systematically at continuity of care for patients both in the NHS and the private sector and at the responsibilities of providers under their licence.

[Valerie Vaz (Walsall South) (Lab)]

I thank the Secretary of State for coming to the House and making this statement. How many clinics will the CQC be reviewing, and what will happens in respect of any clinics that are no longer practising? Presumably the CQC will not have access to their records.

[Mr Lansley]

I cannot tell the hon. Lady how many clinics the CQC will visit, but it will be a sample of providers, not all of them. As she may know from the material we published last Friday, there were 93 private providers. The operations were heavily concentrated in that a lot of them were carried out by a small proportion of providers, but about 87 other small providers, or even single-handed providers, are involved and accessing data from all of them will be difficult. I also recognise that, as the hon. Member for Edinburgh East (Sheila Gilmore) said, some may not be in business any longer, or there may be surgeons who have retired.

Oral Answers to Questions

Debate between Lord Lansley and Valerie Vaz

Tuesday 10th January 2012 Commons Chamber

[Mr Lansley]

I should be grateful if my hon. Friend would write to me about that. The cancer drugs fund is focused on an identified lack of access to cancer medicines, but if a drug is of particular benefit to a cancer patient, such as in the instance he describes, it should be possible for SHA panels to include it within the scope of the fund.

[Valerie Vaz (Walsall South) (Lab)]

Will the Secretary of State confirm whether those receiving treatment under the cancer drugs fund will also be guaranteed treatment under the new scheme?

[Mr Lansley]

The intention is that from January 2014 as new medicines are introduced through the value-based pricing system, the reimbursement price in the NHS will reflect their value and therefore, by extension, they will all be available through the NHS.

Health and Social Care (Re-committed) Bill

Debate between Lord Lansley and Valerie Vaz

Wednesday 7th September 2011 Commons Chamber

[Valerie Vaz (Walsall South) (Lab)]

It is always a pleasure to follow the hon. Member for Hexham (Guy Opperman), and it is good to see him sitting in his place. I welcome him back to the House and commend him on his great recovery. He is actually looking better than before, if I may say so.

Let me take up one point that the hon. Gentleman made. As a barrister, he will want people to go to litigation, but as a solicitor I mostly counsel people not to. It is the most terrible, prolonged and costly event—but I appreciate that he wants litigation, because that is his bread and butter.

As for the legal advice, I asked on a number of occasions for the legal advice that the Department had and it was refused on all those occasions. The hon. Gentleman can talk about 38 Degrees, but thankfully that organisation is interested in the public and knows that they need the legal advice that was not provided, even though it was paid for with taxpayers’ money. I challenge the Secretary of State to lay it in the House of Commons Library, if the other advice is so hurtful to him. What is the problem? His Bill is being discussed and there is nothing to hide. I say that he should place his legal advice in the Library.

I am a Member of the Select Committee on Health and Sir David Nicholson, the new chief executive of the NHS commissioning board, appeared before us when I was first elected. He was then on the verge of retirement—

[Mr Lansley]

No, he wasn’t.

[Valerie Vaz]

He was: he had a very big smile on his face and he said, “I’m about to retire.” [Interruption.] With the greatest respect, the Secretary of State was not there. Sir David was asked to stay on to preside over the NHS commissioning board, which he has described as

“the greatest quango in the sky.”

I think that the NHS commissioning board is going to be the new Secretary of State for Health, with all the powers but none of the accountability. The NHS has been quangoed—not coloured orange, as in the advert, although that might happen when the Bill goes to the other place, but coloured the blue of betrayal. These are not reforms: they are a complete dismantling and looting of our precious resource. This is not selling off the family silver, but selling off the whole estate, the freehold and the family crest.

It is not just Opposition Members who are concerned about accountability. There are widespread concerns about the accountability of the NHS commissioning board and commissioning consortia regarding public money.

NHS Future Forum

Debate between Lord Lansley and Valerie Vaz

Tuesday 14th June 2011 Commons Chamber

[Mr Lansley]

Yes, my hon. Friend makes an important point. If we had listened to the Labour party last year, we would have cut the NHS and would not have increased the resources going into it. The £20 billion efficiency savings required to respond to demand and cost would have been £30 billion, which would have put an unsupportable degree of pressure on the NHS. As it is, we are giving the NHS not only resources but the opportunity to deliver improving care.

[Valerie Vaz (Walsall South) (Lab)]

After the White Paper was published in July last year, 6,000 representations were received from health professionals and from the Select Committee on Health asking the Secretary of State to think again about breaking up the NHS, so this “listening exercise” has been a waste of public money. Either the Secretary of State was wrong then, or he is wrong now. Which is it?

[Mr Lansley]

I am afraid I have to say that that was all nonsense. As the hon. Lady knows, we responded positively to the consultation last year and made changes then. However, as the details of the Bill have been emerging, people have been trying to work out how they will make it all work in the future. They have been saying, “We want to set out in the legislation precisely how it will work.” There is no better way of making that process effective than talking to people in the NHS, engaging with them, listening to them, and then implementing the changes.

Oral Answers to Questions

Debate between Lord Lansley and Valerie Vaz

Tuesday 7th June 2011 Commons Chamber

[Mr Lansley]

I am sure that my hon. Friend is aware of the evidence—for example, in reports published by the London School of Economics and by Imperial college, London—on this country’s experience of the Labour party’s implementation of choice in elective care and the impact that had on the quality of services. What is clear from that evidence is that where there was an NHS price—a tariff structure—the more competitive areas of the country secured greater improvements in quality.

[Valerie Vaz (Walsall South) (Lab)]

I thank the Secretary of State for writing to me on 12 May about the listening exercise and its cost, although he could not quantify that. Now that the listening exercise is over, can he say how much the cost to the public purse has been?

[Mr Lansley]

I will, by all means, write again to the hon. Lady. The cost is not dramatic. Many organisations and people across the NHS have participated, giving freely of their time. Some 8,000 people have participated in the listening exercise events, of which there were more than 250. This has been immensely valuable; its value far exceeds any costs involved.

Oral Answers to Questions

Debate between Lord Lansley and Valerie Vaz

Tuesday 26th April 2011 Commons Chamber

[Mr Lansley]

That, indeed, will be one of the areas on which the quality and outcomes framework for individual GP practices will focus. In addition, however, through the commissioning outcomes framework for the NHS as a whole, one area in which we want to see continuing improvement in quality is patient experience and outcomes as reported by patients. GPs and their clinical colleagues will therefore be incentivised continuously to improve quality.

[Valerie Vaz (Walsall South) (Lab)]

Can the Secretary of State tell us how much this consultation exercise is costing the public purse?

[Mr Lansley]

No, I cannot, but I will write to the hon. Lady.

NHS Reform

Debate between Lord Lansley and Valerie Vaz

Monday 4th April 2011 Commons Chamber

[Mr Lansley]

Yes, I agree. Indeed, in north-east Essex, the consortium under Dr Shane Gordon’s leadership is doing exactly that. I personally think that leadership and listening are not mutually exclusive, and we are going to continue to do both.

[Valerie Vaz (Walsall South) (Lab)]

In the spirit of openness, will the Secretary of State please place in the House of Commons Library a copy of the legal advice on whether EU competition law will apply to the provisions in the Bill?

[Mr Lansley]

The hon. Lady should know, as a member of the Health Select Committee, that I wrote to the Chair of the Committee just last week and set out the position very fully. The Bill does not extend the scope or application of competition law at all.

Oral Answers to Questions

Debate between Lord Lansley and Valerie Vaz

Tuesday 8th March 2011 Commons Chamber

[Mr Lansley]

Local attention, through the public health responsibilities that currently lie with PCTs, but which in future will lie with local authorities, is a means by which we can improve health and the health of some of the groups most at risk of HIV. We have a number of pilot schemes that my hon. Friend might know about and that we are currently assessing, which have looked at opportunistic HIV screening for the many people who are currently undiagnosed with HIV. That is encouraging, and we might well be able to follow up on it.

[Valerie Vaz (Walsall South) (Lab)]

T10. Given that the chief medical officer does not have a background in public health, and despite the existence of Public Health England, should the Secretary of State not ensure that there is a public health expert on the national commissioning board, because that is where all the power lies?

[Mr Lansley]

I am surprised, because the hon. Lady is on the Select Committee on Health and should know that responsibility for public health will lie both with Public Health England, inside the Department of Health, and with local authorities. The NHS commissioning board will have a responsibility for prevention, but the population health responsibility will lie with Public Health England, and I have absolute confidence that Dame Sally Davies, the newly appointed chief medical officer, will be a leader in public health delivery, through Public Health England.

Swine Flu

Debate between Lord Lansley and Valerie Vaz

Monday 10th January 2011 Commons Chamber

[Mr Lansley]

I am grateful to my hon. Friend for that question. His local hospital, the Glenfield in Leicester, leads on specialised ECMO bed services. In this country, we have increased the number of ECMO beds; we have more per head of population than any of the developed health economies, including the United States. As for treatments and vaccinations, I continue to rest upon the scientific and expert advice. Indeed, I hope that patients will consult their clinicians about their treatments.

[Valerie Vaz (Walsall South) (Lab)]

Will the Secretary of State say whether he took the decision to delay the advertising campaign and, if so, when?

Oral Answers to Questions

Debate between Lord Lansley and Valerie Vaz

Tuesday 2nd November 2010 Commons Chamber

[Mr Lansley]

I am grateful to my hon. Friend. He knows that the criteria that I set out, which were repeated earlier during questions, must be applied, not only to the strategies that were previously presented, but to potential new strategies that Barnet and Chase Farm hospitals might wish to present, in order to ensure that GP commissioning intentions, future patient choice and public views are properly reflected.

[Valerie Vaz (Walsall South) (Lab)]

Many of my constituents are being offered the swine flu vaccine in combination with the seasonal flu vaccine. Will the Secretary of State ensure that they have the choice to have those vaccines separately?

[Mr Lansley]

The hon. Lady will forgive me, but I do not propose to make that available, as it would be a great deal more expensive. Each year, and on an international basis, the World Health Organisation advises on what the seasonal flu vaccine should consist of, and it almost always consists of the three most likely strains combined together into one vaccine.

Oral Answers to Questions

Debate between Lord Lansley and Valerie Vaz

Tuesday 7th September 2010 Commons Chamber

[Mr Lansley]

I am grateful to my hon. Friend. Many people are concerned about their experience of a postcode lottery and access to new cancer drugs. Indeed, there is not just a postcode lottery but an international lottery, with patients in this country not getting access through the NHS to new cancer drugs while patients in other countries do get access to those drugs in the same clinical circumstances. That is why we will not only establish the cancer drugs fund next year, but, this year, we have found £50 million by making savings on management and marketing costs to enable new cancer drugs to be made available, at a regional level across England, where they are not funded locally.

[Valerie Vaz (Walsall South) (Lab)]

Has the Secretary of State had any discussions with the National Institute for Health and Clinical Excellence about the fund, and is it cash-limited?

[Mr Lansley]

Yes, I did have discussions with NICE. The interim measure this year is indeed cash-limited—£50 million is available between October and the end of March.

NHS White Paper

Debate between Lord Lansley and Valerie Vaz

Monday 12th July 2010 Commons Chamber

[Valerie Vaz (Walsall South) (Lab)]

The Secretary of State talks about choice in the NHS, but could he confirm that GPs will be given the choice to join a consortium?

[Mr Lansley]

GP practices will all have to be members of a consortium, otherwise it will not be possible for them collectively to commission emergency and urgent care, and they will need to do that.