Health and Social Care Bill

Lord Rea Excerpts

Wednesday 12th October 2011 Lords Chamber

[Lord Rea]

My Lords, after our marathon debate, I congratulate the noble Earl on his continued clarity and stamina, and the same applies to my noble friends Lady Thornton and Lord Hunt. Time presses, so I shall be very brief, although there are a thousand things that I would like to say in reply to the Minister and to those who have spoken.

I have sensed widespread unease about the Bill among your Lordships, and this alone would be enough to justify my calling for a Division. However, more than that, like all your Lordships I have also heard a tumultuous call from the country not simply to amend the Bill but to reject it entirely. I think that the Bill is virtually unamendable—certainly in the timetable that we have been offered, even if it were extended, and even if the amendment of the noble Lord, Lord Owen, were accepted. Whole swathes of the most senior members of my profession want the Bill to be sent back to the drawing board so that the National Health Service can get back to work without a sword of Damocles hanging over it. How can the Minister expect to get high productivity from a disaffected workforce?

I end by quoting Sir Roger Boyle, the retiring National Director for Heart Disease and Stroke, whose work was praised by my noble friend Lady Andrews yesterday. He says:

“All the improvements in cardiovascular care have come from collaboration and leadership. Where is the evidence that competition between commercial providers makes a blind bit of difference to cost efficiency and quality? The competition I want to see is between clinicians vying with each other over whose service is the best. If you try and improve care by getting United Health to provide the service that would be crazy.

I absolutely think the NHS is the best public service in the world. It is horrific that its future is threatened”.

I ask noble Lords to accept my amendment, which asks the House to decline to give the Bill a Second Reading.