(10 years, 8 months ago)
Commons ChamberWhat I have learned is that the most important thing is to follow the scientific evidence. Where there is good evidence for the impact of Chinese medicine, we should look at that, but where there is not, we should not spend NHS money on it.
T7. How is the Government’s pledge to get hospitals operating on a seven-day basis going? Many GP commissioners are refusing to provide the funding for hospitals to provide that service.
(11 years, 7 months ago)
Commons ChamberI agree with the hon. Lady that the amount of financial support is important. I gently say to her that her party wants to cut the NHS budget, which would make the situation vastly worse.
The Bill is a vital element of our plans to improve the lives of the frail and elderly and of people with long-term conditions and disabilities, but it is only one element. Other areas that do not require legislation will come together in a plan for vulnerable older people. The plan will consider all aspects of how we look after older people most in need of support from the NHS and social care system. It will look at how our hospitals are set up to support frail and elderly patients, particularly those with dementia, in emergencies. Of course, we must continue to give people with serious needs immediate access to highly specialised skill, but in many cases we could offer better alternatives outside hospital. That would improve clinical outcomes and reduce pressure on A and E departments.
Secondly, the plan will look at primary care—in particular, the role of GPs in supporting vulnerable older people. Active case management of vulnerable people is making a huge difference in some parts of the country and we will look at whether the primary care sector as a whole has the incentives, investment and skills to deliver that. We will also consider the provision of out-of-hours services and how to restore public confidence in them following the disastrous changes to the GP contract in 2004.
Thirdly, the plan will look at the barriers and incentives that prevent joint commissioning and stop people from getting joined-up care. In particular, it will consider the operation of financial incentives in the system, which can act as an unnecessary and counter-productive barrier. The Minister responsible for care, my hon. Friend the Member for North Norfolk (Norman Lamb), who is leading on integration, will announce further practical steps forward later this week.
I intend to announce the plan in the autumn, with implementation from April 2014. It will require a great deal of careful work, ask difficult questions and make tough decisions, but if it leads to more personal, more integrated and more compassionate care, it will stand alongside the Care Bill as an important step forward in reforming the care received by millions of people.
Does the Secretary of State agree that that can work only if social services budgets are increased? Where will the resources come from to deal with the problems we face, and will there be an increase in social services budgets to pay for the services we need?
There is currently a difficult environment for public finance, for which the hon. Gentleman’s party bears considerable responsibility. The Labour party has given up on the budget; it says it wants to cut the NHS budget. We say that these changes are possible without cutting the NHS budget and in dealing with the inefficiencies caused when care is not joined up. Taken together, the measures represent more progress in three years than the Labour party made in 13 years. They represent our determination to prepare the country for the consequences of an ageing population.
(12 years, 6 months ago)
Commons ChamberLet us be absolutely clear about what the Secretary of State seems to be saying. He is saying that he did not know what went on with the actions of his special adviser. Is he trying to tell the House that he is so incompetent that he did not know what his special adviser was doing?
No, I am saying that we knew that he had a role as one of a number of official points of contact in the process, and we knew that he was in contact with News Corporation, but we did not know about the volume and tone of that correspondence.
If I may say so, the right hon. and learned Member for Camberwell and Peckham was brave to call an Opposition day debate on the topic of accuracy, because in the past few weeks that has not been her strong point. Let us look at a few of the things that she has said, and we will see who has been the more accurate. First, on 25 April, she said that I was not judging the bid but backing it—quite a big claim, for which we would think she had some evidence. But she was wrong, because as she knows perfectly well, in every case I followed advice from one, and sometimes two, independent regulators. Were they biased as well? Of course not, and nor was I in following their advice.
The right hon. and learned Lady’s next claim was that I went against Ofcom’s advice by not referring the bid to the Competition Commission. Wrong again. As she should now know, if she has read the evidence that she brandished, my first decision was to refer to the bid to the Competition Commission, but I then had a legal obligation to send News Corp a letter saying that I was minded to refer it, and then to consider undertakings offered in lieu of a referral. Had I not done that, I would have been going against legal advice. Her party wrote the Enterprise Act 2002, so she must be the first politician to call on someone to resign for following the law that her party itself wrote into statute.
Then there was the claim that I used my special adviser as a secret back channel throughout the bid. Wrong yet again. As the right hon. and learned Lady knows perfectly well, my special adviser was one of many official points of contact, which my permanent secretary was aware of and content with. Then she wanted to claim that I somehow authorised my special adviser’s behaviour when it was inappropriate. Unfortunately for her, after I released texts and e-mails between me and him, the evidence showed that she was wrong. Finally, there was the very serious claim that I misled Parliament, which I have dealt with.
Why has virtually every claim that the right hon. and learned Lady made been proved wrong? Because she did not even read the evidence before making her judgment.
(12 years, 8 months ago)
Commons ChamberMy hon. Friend makes the most important point in this whole process. If one looks at the evidence of the decisions that I actually made, one finds that it is clear that at every stage I actually made the decision that News Corporation did not want. That includes the final decision, which was to ask whether I should take account of the Milly Dowler revelations, which was what precipitated the collapse of the entire bid.
Is it not the case that the Secretary of State did not need to speak to Murdoch because his right-hand man was feeding Murdoch all the information he needed?