(13 years, 5 months ago)
Commons ChamberI am grateful to the right hon. Lady for her critique, but I think she has to decide whether her objection is that the White Paper does not do as many of the things that the previous Labour Government were doing already—that was part of what she seemed to be arguing—or that the proposals will do damage. If she is maintaining both positions, she must be admitting that the Labour Government did great damage, which I doubt is what she wants to admit.
To some degree, the White Paper continues where the previous Labour Government left off—they did some things that we think were good and which we are carrying through, evolving and developing. That is a sensible and, I hope the House will agree, grown-up way of conducting politics because not everything our opponents think or do is necessarily wrong. However, the White Paper carries the previous Government’s programme much further, deeper and wider to deal with the very questions that the right hon. Lady addressed. For example, under the previous Administration, there was no proper system for continuity of service. One reason for the problems with Southern Cross—a legacy issue left by the previous Government—is that the previous Government did not design proper continuity-of-service regimes for the health and social care services. We are now attempting to design such regimes for all services. I hope that on mature reflection she will welcome that.
The right hon. Lady asked whether we would accept competition by price, which we have made abundantly clear we will not accept, including in the NHS. We want competition by quality, which is very different, although I assume she would agree that it makes sense to accept competition partly by price when trying, as the Government are doing, to tender through central procurement. That is certainly something that the previous Government did all the time. There are differences here, but they do not amount to inconsistencies; they amount to a coherent attempt to apply a set of principles differently in different services precisely because different services demand different treatments. She must know that. If she is claiming that much of this depends on what the Labour Government did, I would point out that they certainly did different things in different places. The White Paper is about carrying forward a programme that will benefit those using public services by giving them choice and power.
May I congratulate my right hon. Friend on basing his reforms on the admirable principles of choice and of giving people the information to make informed choices and, where possible, a diversity of providers to choose between? Choice is good not only for the people making the choice, but for the vast majority who will not exercise that choice but will see the quality of services rise under the influence of choice. However, may I caution him about trying to shoe-horn too many services under one elegant, all-embracing umbrella? Experience shows that it is better to do it section by section, service by service, because the real world is never as elegant as one’s intellectual constructions.
I entirely agree with my right hon. Friend, which is why the White Paper specifically makes clear not only that we will treat individual services differently from community services and services commissioned centrally, but that we will take each service on its own merits and design a regime that applies the general principles differently. That is clearly the right way to go. However, his point is vital. The purpose of giving choice and power to individuals and communities is not just to benefit the particular individuals making the choices; it is to benefit everybody by ensuring that those choices are brought to bear in a way that improves services for all.