(11 years, 10 months ago)
Commons ChamberI will gladly discuss that with the hon. Lady and the right hon. Member for Berwick-upon-Tweed (Sir Alan Beith), the Chair of the Liaison Committee, to ensure that we have, if possible, a format for these reports that works for Select Committee Chairs and which also suits the Backbench Business Committee in the allocation of its time.
Will my right hon. Friend see whether he can find a day for the House to debate the impact of the important news that the United States of America and the European Union are to start formal talks over a new free trade agreement, which would greatly increase trade between us? Will he also confirm that even though this is a pretty dismal time for free trade, with the collapse of the Doha round, our Government believe that free trade is a great and powerful tool for growth?
My right hon. Friend is absolutely right. Like me and others across the House, I am sure that he was heartened by the conclusions of the European Council and the EU’s determination to seek free trade agreements. Today’s agreement to commence EU-US free trade discussions is only one part of the EU’s ambitious agenda. That is absolutely right. I cannot identify now when time would be available for such a debate, but it would of course be entirely relevant not least to the Budget debate on maintaining the pace of economic recovery.
(12 years, 6 months ago)
Commons ChamberNo-shows and people failing to keep appointments in out-patient departments are costing Brighton and Sussex University Hospitals NHS Trust nearly £6 million a year. Does my right hon. Friend agree that this is extremely selfish, and would he propose sanctions on those who fail to show up for their appointments?
I am grateful to my right hon. Friend. I have no proposals for sanctions, but I commend to him and his trust the many mechanisms that are available, which they may know about, such as sending text messages to mobile phones. I have seen them in practice, and they do stimulate patients to attend their appointments and so reduce what has been an unacceptable level of non-attendance.
(14 years, 5 months ago)
Commons ChamberThat is my statement. When the right hon. Gentleman reads the White Paper, it will become obvious to him that, yes, we are looking to GPs to take responsibility for commissioning, but, unlike the problems that arose with fundholding, there will not be an opportunity for GPs to generate surpluses on their commissioning budget, and so money in their pocket. It will not work like that: there will be a clear separation between the commissioning budget and their personal budget. We will focus on the thing that really matters, which is GPs taking a commissioning responsibility in designing services.
I welcome the Secretary of State’s bold and imaginative statement on a White Paper that I am sure will be broadly welcomed in the NHS, not least because it will give people within the NHS the opportunity to give true vent to their creativity. Does he agree, however, that he is setting very demanding targets and challenges; and what time line does he envisage before this is finally implemented?
I am grateful to my hon. Friend. I will not go through the White Paper in detail now, but within it he will find that we look towards some GP commissioning consortiums taking an early adopter place from 2011-12, with consortiums generally taking, as it were, a shadow responsibility but not a legal responsibility in 2012-13, and then taking full responsibility, subject to the passage of the legislation to establish that, from April 2013 onwards—the point at which we anticipate that primary care trusts will be abolished.