(10 years, 7 months ago)
Commons ChamberI can understand how strongly my hon. Friend feels about this matter and the desire of the staff at the depot to have greater clarity on their future position. I will certainly urge the future franchisee to engage with the affected work force to provide that clarity as soon as possible. He does, I am afraid, say correctly that we cannot divulge at this stage the details of the Thameslink, Southern and Great Northern franchise bidders’ plans for rolling stock or maintenance. That is commercially sensitive information in a live bidding process. We currently expect all depot staff currently employed to transfer to the successor franchisee at the outset. It will then be for that operator to decide how best to manage the maintenance of the fleet. It is not yet possible to give firm assurances on the nature of depot posts. However, as I am sure he would expect, I will ensure that Ministers are happy, once an announcement has been made, to discuss this matter with him, and for other interested Members of Parliament, staff and unions to be able to engage directly with the successful bidder.
Given today’s poll demonstrating that the public believe that the NHS is deteriorating under this Government’s rule, may we have a debate on why that is, and may we have some indication of how they intend to repair the damage they have done?
What is very clear is that after the election we actually managed to eliminate many of the long waits that patients were experiencing. Approximately 180,000 people had been waiting over a year for treatment and we have reduced that figure to below 1,000. That is what people across the country are experiencing in the NHS. The NHS, with rising demand, is managing to use its resources more effectively to sustain the quality of services.
(10 years, 9 months ago)
Commons ChamberI know that there have been such debates, if not in the most recent past. If my hon. Friend and other Members feel strongly about these issues, they might together choose to ask the Backbench Business Committee to find time to explore them—if not in the Chamber, then in Westminster Hall.
As my hon. Friend knows, a range of factors affects the number of prescriptions. During as long a period as 1997 to 2010, much of course happened in relation to awareness about such conditions and the overall level of prescribing and treatment for ADHD generally. The National Institute for Health and Clinical Excellence guidance in 2006 and the clinical guidelines in 2008 have had an impact on prescribing by clinicians. I say all that merely to illustrate that there is a range of issues, but he is right to say that it is sometimes useful for this House to take the time to look at them.
Given the fact that Barclays and Lloyds bank have now created more millionaires than the national lottery, as reported in the Daily Mirror, may we have a debate in the House about why this Government are allowing the banks to continue to rip off customers and Britain?
It is not this Government; we are doing no such thing. This Government have seen the level of bankers’ bonuses substantially reduced compared with the rate under the previous Government. It is astonishing. I will not go on about this, but when Labour Members were in government they mismanaged regulation of the financial services sector to such a point that we had bust banks and immense bail-outs, with bonuses wildly out of control, but they have the brass neck to stand up and complain about the reduced level of bankers’ bonuses being implemented under this Government. Frankly, we are making very clear that where we have shareholdings, bonuses have to be within a very controlled framework, and they are coming down relative to last year.
(10 years, 10 months ago)
Commons ChamberThe Government applaud the way in which the royal household has been managing its affairs more cost-effectively in recent years and securing greater value for money while living, in what are inevitably tough times, in a way that reflects the pressures that exist throughout the public sector and in many organisations. The Chancellor of the Exchequer was absolutely right to establish a new arrangement—my hon. Friend will recall it—that gives more certainty and security for future funding in relation to revenues from the Crown Estate.
Four weeks ago, I asked for a statement on the publication of a report on food banks, and last week I asked the same question. Will the Leader of the House get in touch with the Department for Work and Pensions to get it to publish that report? May I suggest that he sends some dogs in, because the Department has had the report for so long that it must be out of date by now?
(10 years, 11 months ago)
Commons ChamberTwo weeks ago, I asked the Leader of the House to make a statement on when the Government would publish their report on food banks. Given the fact that it has still not been published, may we have an urgent statement to tell us when the report will be made public?
I confess that I do not have a publication date, but I will, of course, speak to my right hon. Friend the Secretary of State for Work and Pensions, and if he can update the House, I am sure he will.
(10 years, 11 months ago)
Commons ChamberMy hon. Friend makes important points. The Government are working very closely with our allies and some of the multilateral mechanisms to try to deliver greater stability in this area. With regard to the Central African Republic, for example, we have welcomed the Africa-led security mission and December’s United Nations Security Council resolution. We continue to work with our partners in the UN and the European Union to support the Economic Community of Central African States and the African Union. Our working relationship with the French Government concerning the Central African Republic and the Sahel is a good one and that should continue.
Given the range of issues in the Sahel, central Africa, the Democratic Republic of Congo and South Sudan, my hon. Friend makes an important point about whether there may be an opportunity for a debate at some stage on African issues. I cannot promise one in Government time, because there is pressure on Government time. [Interruption.] I have explained why previously. There may be an opportunity through the Backbench Business Committee. I will, if I may, take the issue away and continue to think about the possibilities.
May we have an urgent statement on the Government’s lost report on food banks? May I suggest that a search party be sent into the Department for Work and Pensions to track it down and then publish it? While that is being done, may I offer the Prime Minister the opportunity to visit a food bank in my constituency that is open, so that he can avoid doing what he did last time—when he visited a food bank in his own constituency that was shut?
The hon. Gentleman will know that both my right hon. Friends the Secretary of State for Work and Pensions and the Prime Minister have repeatedly responded to questions about food banks, as we will continue to do. For my part, I know, having visited a food bank, the value of food banks’ work. It is important to recognise that, and we have supported them. That is why, when my right hon. Friend the Secretary of State came into office, he changed the decision of the previous Government not to refer people from jobcentres to food banks.
(11 years ago)
Commons ChamberI suggest to my hon. Friend that, given the widespread interest among Members in the roll-out of broadband across the country, this may be a subject that he and other Members collectively wish to approach the Backbench Business Committee about? I thought last week’s announcements were very positive. With Connecting Cambridgeshire, in my constituency, we are looking forward to having 98% superfast broadband coverage by the end of 2015, and that is very encouraging.
May we have an urgent statement on Government secrecy, given that they are still refusing to release the document they commissioned on food banks, that they will not give any information on the financial position of the NHS trusts, and that they are refusing to release the Shrewsbury documents, citing “national security”? What happened to transparency?
This is the most open and transparent Government ever. We are publishing more data about more of the activities of government than has ever been the case. We are not only publishing what is available, but, increasingly, we are making sure that we genuinely audit the outcomes of what we are doing and publish those results.
(11 years, 1 month ago)
Commons ChamberI understand the point that my hon. Friend makes because his constituency and mine are not far apart. I quite often note the difference in prices as I go around the country. Of course, that is happening for a simple reason—there are different markets in different parts of the country. So I have noticed in the past that if one is buying petrol in the Wirral close to where it is refined it might be a little cheaper than in Cambridgeshire. But the truth is that, wherever people are buying petrol or diesel, they are buying it 13p a litre cheaper than would have been the case if the fuel duty escalator introduced by the Labour party was still in place. That is £7 for an average fill-up.
May we have a debate on the appalling employment practices of Amazon, which were demonstrated on “Panorama”, so that the Secretary of State for Business, Innovation and Skills can set out what action he intends to take to stop those practices and stop Britain slipping into some form of sweatshop economy?
(11 years, 1 month ago)
Commons ChamberLet me take this opportunity to congratulate my right hon. Friend personally on his 40 years in the House.
I have indeed seen those reports, and, as my right hon. Friend will know, my right hon. Friend the Home Secretary has made clear our intention to enable the House to consider what the Government have proposed in relation to the opt-out and the measures in respect of which we think that it may be appropriate to opt back in, and to express its view.
The allegation in The Times that the Secretary of State for Work and Pensions has been smearing a civil servant is a serious one. May we have a statement tomorrow—or a resignation?
(11 years, 2 months ago)
Commons ChamberMy hon. Friend makes an important point about funding. If he has an opportunity to speak in today’s debate, I am sure that it will be relevant. I will say two things. First, while small local authorities have a valuable role in ensuring that democracy is accessible and relevant to their populations, many such public authorities have successfully explored ways of sharing costs and back-office services with other authorities, and that is very useful. Secondly, the BBC survey discovered that it is possible to secure more and better services with less money. That point will be important in this afternoon’s debate. It illustrates how public services have responded to the tough times that we inherited from the Labour Government and is a credit to those who are running local authorities.
Given that the general public think their regulators are ineffective, can time be found for a debate on whether we should replace the current regulators with organisations that can stop British consumers being ripped off?
It is particularly important that we ensure that regulators and the competition authorities are effective. Competition is what delivers for consumers, and regulators have access to concurrent competition powers with the competition authorities. We need to be sure that those powers are being used to deliver the benefits for consumers that competition should deliver.
(11 years, 6 months ago)
Commons ChamberI have seen the early-day motion to which my hon. Friend refers. He knows, as hon. Members will understand, that HMRC is vigilant in ensuring that companies, including Thames Water, pay the taxes that they are legally obliged to pay. In this context, I would add one further point that it is important to bear in mind. The benefits from investment relief and tax relief enjoyed by water and sewerage companies to encourage infrastructure investment are passed on to customers through lower bills via the regulator Ofwat’s five-yearly price reviews. Those reviews, if they are also vigilant, can ensure that those benefits do reach consumers.
May we have a debate on loan sharks and the increasing number of payday loan companies that are springing up in our communities, and an explanation of why the Government are failing to control them? Could it be that one of them is bankrolling the Tory party?
No, I do not think the hon. Gentleman is right about that at all. The evidence is to the contrary. The Government are serious about this. That is why we announced in March a strong action plan with immediate and longer-term measures relating to evidence of abuse of payday loans, which is not to say that such short-term loans are wrong, but they must not be abusive or harm consumers. One of the things that we therefore wait to find out is whether the Office of Fair Trading intends to refer the matter to the Competition Commission.
(11 years, 8 months ago)
Commons ChamberWe have not seen any detailed proposals. It is important to say that the Government will not support any actions that contravene the United Nations drugs conventions or the Misuse of Drugs Act 1971. Permitting premises to be used for consuming or possessing substances controlled under section 8 of the Act is illegal. As I say, we have not seen detailed proposals. The establishment or operation of drug injection rooms risks encouraging illicit trafficking and carries a significant risk of harm in local communities.
May we have a debate in Government time on the future arrangements for the funerals of ex-Prime Ministers, given the fact that we have spent extravagantly— £10 million or £20 million—on Mrs Thatcher’s funeral? May we have a debate on future rules for future Prime Ministers, and can the Government publish all the detailed costs to aid that debate?
(11 years, 9 months ago)
Commons ChamberI am grateful to my hon. Friend. As he will know, I am aware of this issue, having been the responsible Secretary of State when that written ministerial statement was made. I do know—this was true before I moved from the Department of Health last September—that we were encountering complex issues relating to the preparation of this legislation. The interface with EU legislation is one such issue, but it is not the only one. We need to get the legislation right, and I know that my colleagues in the Department are working on it and will, of course, make an announcement as soon as they can.
Now that we can all see that the Prime Minister is in the pocket of Murdoch, may we have the Prime Minister making a statement explaining to the families, including the Dowlers, why he has gone back on the pledges he made?
I do not accept for a minute what the hon. Gentleman says. I think that what the Prime Minister has described this morning as the proposals that will be brought forward for discussion in our proceedings on the Crime and Courts Bill next Monday is the toughest structure of press regulation this country has seen. I think it is entirely consistent with the Leveson principles, not least in the link with the Crime and Courts Bill and the introduction of a system of exemplary damages.
(11 years, 9 months ago)
Commons ChamberI understand the point that my hon. Friend is making. These matters are discussed through the usual channels and determined by the House collectively. I will of course take the opportunity to discuss with colleagues whether there is a case for any change.
May we have a debate on the millionaires’ tax cut, and can it be led by the Prime Minister so that he can clarify whether he will benefit directly from the cut?
The Opposition have decided to debate tax fairness next week, so the hon. Gentleman might like to contribute to that debate. Government Members will also be able to contribute to it, and to highlight the fact that somebody on the minimum wage who is working a full week will have seen their income tax halved under this Government as a result of the increase in the personal allowance.
(11 years, 10 months ago)
Commons ChamberMy hon. Friend is right to highlight that, and I am sure the Pennine Sailing Club and the Valley Bowmen of Huddersfield archery club are very deserving recipients of lottery funding support. Some 400,000 groups and organisations across the country have now benefited from lottery funding since the lottery was established in 1994. There are some very good mechanisms for organisations to access lottery funding, including the funding search tool at lotterygoodcauses.org.uk/funding.
At yesterday’s Prime Minister’s questions it was clear that the Prime Minister had no idea about the implications of his bedroom tax. May we have an urgent debate on that, so the Prime Minister can get up to speed?
On the contrary, the Prime Minister absolutely understood that housing benefit has risen dramatically and that it is essential to control it. He was absolutely clear, too, that under the last Labour Government the kind of rules that were applied to social housing had been applied to private rented accommodation, and that raises the question of why there should be a difference. He was also very clear that, as resources are finite in the current circumstances, we should ask why we are funding almost 1 million unused bedrooms in the social housing sector when there are 1.8 million people on the social housing waiting list.
(11 years, 10 months ago)
Commons ChamberMy hon. Friend and I share a common understanding that the decisions that we have had to make on the defence budget were not ones that we sought but ones that were effectively forced upon us by the financial circumstances that we were left in. None the less, they have been responsible decisions. For example, we have looked at the simple fact of dealing with the £38 billion black hole in the defence budget. Today, in a written ministerial statement, my right hon. Friend the Secretary of State has set out a future equipment plan for the Ministry of Defence, including a degree of contingency, that is extremely encouraging, compared with the past. He and the rest of the Government are committed to delivering the Future Force 2020 plan that we set out, notwithstanding the fact that it has involved some difficult decisions. I know that there will be opportunities for the House to debate that matter, but we in the coalition Government have committed ourselves to achieving those aims.
I recently took a delegation to the previous Housing Minister to discuss the bedroom tax. At that meeting, it was clear that the Minister did not understand his own policy. Yesterday, the Prime Minister again showed that no one understands the implications of the tax that the Government are introducing. May we have an urgent debate on the issue, so that Ministers can turn up and listen to the implications of the tax for ordinary people in our constituencies?
(11 years, 11 months ago)
Commons ChamberThe FSA—I am grateful to my hon. Friend for prompting me. The FSA is investigating the matter. As we have discussed at business questions before, it is important to try to help small businesses in the interim, but it is particularly important that the FSA pursues its investigation with rigour. I know it will.
May we have an urgent debate on the Government’s red lines on their negotiations with Europe? We know that the Prime Minister is going to take a tough line on this issue, but we do not know what he is taking a tough line on. Will he make a statement to clarify what the red lines are?
The hon. Gentleman will have noted that I announced a general debate on Europe next Wednesday. I know that one key aspect of that debate will be the Foreign Secretary setting out how the balance of competences review is under way. The Government are pursuing that now. The first set of reports covering four semesters has already been published and is open for consultation. I hope Members will have an opportunity to respond before February.
(11 years, 11 months ago)
Commons ChamberI am happy to assure my hon. Friend that I have every confidence that the Prime Minister’s speech will be correct in all the respects that he has identified. Personally, I think that a lot of nonsense is being talked about this matter. The Government are undertaking a review of competences, and we are very clear about the necessity of understanding how we can create a new settlement with the European Union. The Prime Minister is very clear about that, and I entirely share his view that we want to be in a European Union, but a changed European Union. The EU is undergoing changes in the eurozone and in other areas, but this is an opportunity for us to have a better, more flexible and more competitive Europe, and that is what we will seek to achieve.
May we have a statement on changes in mobility benefits that will affect both children and adults, given that they were sneaked out without any consultation?
(11 years, 11 months ago)
Commons ChamberIt is not the case that issues of conscience in a Bill are always considered in a Committee of the whole House. It is a matter for further discussion on how we take the Bill forward, as we have not yet introduced it. I am sure that, at that time, I will have the opportunity to inform the House about our plans for effective scrutiny of the legislation.
Will the Leader of the House find time to have a debate on the impact that benefits, housing and tax changes will have on poverty in the UK, and will he tell us when the Prime Minister will visit a food bank?
It is interesting that, when it comes to tackling poverty, the hon. Gentleman might have included in his list of things that impact on poverty the extent to which people are in work. The level of poverty in this country is not simply a product of the redistributive changes by Government. It is about getting people into work, and one of the central achievements of this country over that past two and a half years has been—we can see it in the contrast between the United Kingdom and many other European countries—the extent to which the private sector is creating jobs and people are going into work. As has been acknowledged by Labour Members, although they appear not to follow through the logic, work is the best means of escaping poverty.
(12 years ago)
Commons ChamberI am very interested in what my hon. Friend has to say, and I will ask my colleagues at the Department for Communities and Local Government to respond to her specifically. Where county councils and district authorities sit down to discuss these things together—I know they do that as they do it with us as Members of Parliament; we do it all together—we have a better basis on which to consider matters, rather than simply shifting costs between tiers of authorities.
May I inform the Leader of the House that the insulation companies in my constituency, large and small alike, wrote to the Department of Energy and Climate Change four months ago expressing their concern about the Government’s green deal? I chased that up two months ago to get a response, but to date that Department has not responded to me or to the companies, which have legitimate concerns. May we have a statement from the Secretary of State on what he is going to do to sort out his dysfunctional Department?
I will, of course, talk to my colleagues at the Department of Energy and Climate Change about this, but I would hope that the hon. Gentleman welcomed the green deal. It is going to have a positive impact on up to 8 million homes over the next eight years and create up to 60,000 jobs in the insulation sector over the next three years. The further roll-out of the green deal is going to take place over the months and years ahead, but I hope that early in the new year we will have an opportunity for him and others to see how the green deal will be having a positive impact.
(12 years, 1 month ago)
Commons ChamberI am sure that, like me, the House will have seen my hon. Friend’s early-day motion. I hope that we can find an opportunity for such a debate. To accelerate the process, it might be advisable for him and others to seek time to discuss the issue on the Adjournment.
Given the Government’s promise to review the way in which the work capability test is carried out, may we have a statement on their progress, because to many Members it seems that nothing is improving?
The Secretary of State for Work and Pensions made a written ministerial statement yesterday on the further report by Professor Harrington, which has enabled us to make considerable progress in improving the work capability assessment.
(12 years, 2 months ago)
Commons ChamberI can tell the House that I have met IPSA since becoming Leader of the House, and nobody at that meeting would have regarded it as in any way compromising IPSA’s independence. I regard it as my responsibility to be fully informed, not least as a member of the Speaker’s Committee for the Independent Parliamentary Standards Authority, so that we can express views to IPSA. Members have rightly taken the view that there should be independent scrutiny of their pay, pensions and terms and conditions through IPSA. It is important that having established that independence, we make it real.
The Government’s council grant cuts, housing benefit cuts, welfare benefit cuts and health funding cuts are having the worst effect on the poorest families and individuals. May we have a debate on the overall impact that all the Government’s cuts are having on the poorest families and communities?
The hon. Gentleman should recognise that our policy is about the reform of the benefits system. As my right hon. Friend the Secretary of State for Work and Pensions is making clear today, if we can encourage people into work, that is the best route out of poverty. The benefit reforms will change the culture for good.
(12 years, 2 months ago)
Commons ChamberI understand my hon. Friend’s point, as will my right hon. Friend the Secretary of State for Wales. He and the Wales Office are addressing this issue and will continue to work with the Welsh Language Commissioner and with the non-devolved Departments and organisations to champion the Welsh language. I will further contact the Secretary of State and ask him to be aware of my hon. Friend’s comments and to respond.
It is 18 months since the then Health Minister promised to make the allocation for my local private finance initiative hospital in St Helens available to the trust, but it still has not got its budget and is weeks away from being required to set one. May we have a statement on when funding will be made available to those trusts?
The hon. Gentleman will be aware that Ministers from the Department of Health will be here on Tuesday, when he may wish to raise that issue. Under this Government, we as Health Ministers for the first time addressed the problems created by the mismanaged PFI programme under the previous Government. We made it clear that where the problems were most deep-seated, not least in relation to the St Helens and Knowsley Teaching Hospitals NHS Trust, we were prepared, on the basis of a good business plan, to give continuing support in order to resolve any problems.
(12 years, 5 months ago)
Commons ChamberIt is clear that the Secretary of State is moving on from causing chaos in the NHS to causing it in the care service. Given the crisis in the budgets of social services, will he set up an independent body to look at how much money local authorities require to provide high-quality social care?
I am sorry, but the hon. Gentleman simply demonstrates his ignorance of what is in the White Paper. Those who work in social care, those who represent care users, care recipients and carers want the changes in legislation and in support to focus on looking after people. That is absolutely our agenda. We know that there are funding needs. That is why, in the spending review, we have provided the sums that I have set out. That will enable local authorities to maintain their eligibility to care. This year, only six authorities have reduced their level of eligibility to care from moderate to substantial.
(12 years, 5 months ago)
Commons ChamberMy hon. Friend makes an important point. When the shadow Secretary of State was attempting to suggest that there were trusts in trouble across the country, he might have had the humility to admit that the hospital trusts in the greatest difficulty are the ones that were saddled with unsustainable debt by the Labour Government’s poorly negotiated PFI projects. He might have instanced Peterborough and Stamford Hospitals NHS Foundation Trust. Monitor wrote to him and his colleagues, telling them that that PFI project should not have proceeded. The Labour Government went ahead with it anyway and it is now unsustainable.
We have been very clear. We have gone through a process of identifying where trusts can manage, not least with us assisting them. In the latter part of last year we identified seven trusts that we will step in and support if we believe that they are otherwise unable to restore their finances to good health. It will entail about £1.5 billion of total support for them to be able to pay for their PFI projects. Where there are opportunities for renegotiation we will exercise them, but unfortunately it is in the nature of coming into government that we inherit what the previous Government left us. We were left with 102 hospital—[Interruption.] The shadow Secretary of State says from a sedentary position that they were our PFI schemes. No NHS PFI scheme was signed before the Labour Government took office in 1997. Two years ago we inherited 102 hospital projects with £73 billion of debt, yet the Opposition thought that in the years before they had used taxpayers’ money to build these new hospitals. No, they did not. They saddled the NHS for 30 years with that debt.
Talking about waste, will the Secretary of State explain why his Department has wasted hundreds of thousands of pounds on consultancy fees looking at my acute trust, and why his Department refuses to publish the reports? Could it be that they are a complete waste of time?
In the year before the election the Department of Health spent about £110 million on consultancy and we reduced it to £10 million. I will tell the hon. Gentleman about waste. In the past two years we have already racked up £1.4 billion of administration savings across the NHS—money that goes straight back into the front line. The Department is having to do work in relation to the hon. Gentleman’s hospital at Whiston only because of the PFI deal that his Government signed before the last election. We will have to help St Helen’s and Knowsley trust deal with that debt in the future.
(12 years, 10 months ago)
Commons ChamberUrgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.
Each Urgent Question requires a Government Minister to give a response on the debate topic.
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I had the pleasure—before Christmas, I think—of meeting the local authority, the director of public health and the three clinical commissioning groups from across Leicestershire, who are all enthusiastic about the opportunities presented by the modernisation of the NHS legislation.
Is it not clear to even this Secretary of State that the Bill is now a dog’s breakfast? Given that doctors, nurses, the public, the Lords and many Government Members oppose the Bill, what mandate does he have for such a radical change of the NHS?
I refer the hon. Gentleman to the point I made about the mandate. Beyond the mandate, staff across the NHS have been clear for years that they want more clinical leadership and clinically led commissioning; they want local authorities to integrate health and social care services more effectively; and they support the transfer of leadership in health improvement into the hands of local authorities. The Bill achieves those principles. That is why all through last year, the Royal College of Nursing told me that it supported the Bill.
(13 years, 1 month ago)
Commons ChamberI am grateful to my hon. Friend and completely concur. I have had the privilege of visiting Treliske hospital and seeing the good work that is being done there. In the course of the last financial year, the trust returned a surplus and it is projecting a surplus this year. As she knows, it has a legacy of debt that is being financed by a working capital loan. As with other NHS trusts, we are looking to ensure that through the process of becoming a foundation trust it will move from having legacy debts from the previous Government’s regime to being financially sustainable year-on-year while meeting the viability and balance sheet criteria for foundation trust status.
When will the Secretary of State get a grip and sort out the problems of PFI long-term funding—[Laughter]—given the fact that Ministers promised to do that six months ago and that we are no nearer a resolution than we were before?
I do not know whether Hansard will record it, but the mirth with which that remark was met is an indication from Members that they know perfectly well, as the hon. Gentleman ought to know, that the previous Labour Government left a terrible legacy of unaffordable PFI projects that were poor value for money when they were introduced. He knows perfectly well the position his local trust has been put in. We are working through that, and out of the work that has been done to resolve that poor legacy, we identified 22 NHS trusts which said that their PFI was an impediment. We are working with all of them to resolve that.
(13 years, 5 months ago)
Commons ChamberMy hon. Friend is absolutely right. I have a Southern Cross care home in my constituency and I am sure that most Members do. We cannot know precisely how the commercial discussions will turn out, but what we can be sure about is that we have put together with the directors of social services in local authorities clear contingency plans to protect the residents if need be.
The Secretary of State will be aware that many people both inside and outside the House believe that this matter is going to be kicked into the long grass by the Government. Can the Secretary of State set out the time scales for the consultation process and for the introduction of the legislation that will be needed?
Many people would therefore be wrong in that respect, because we are clear about taking this report forward as the basis for engagement in the autumn, publishing a response and carrying out other related work on palliative care in the spring, publishing a White Paper and a progress report on funding reform and legislating at the first available opportunity thereafter.
(13 years, 7 months ago)
Commons ChamberThat is complete nonsense. This is not about me: it is about what the staff of the NHS want. They want the ability to be able to deliver care for patients without being told what to do by the top-down bureaucracy and targets of the Labour Government. They want the ability to deliver the care that patients need, to join up health and social care and to integrate the pathways of care. Our Bill is about giving them the structure that will allow them to do that. They want every penny that we as taxpayers provide to the NHS to get into the hands of front-line staff, and for the absolute minimum to go in waste and inefficiency. That is what they want, and that is not about me, it is about them.
A stronger NHS will require change, so that it no longer spends £5 billion a year on bureaucracy.
Perhaps the hon. Gentleman will explain why all that money was being spent on bureaucracy.
Given that today and on previous occasions the Secretary of State has claimed that the Government are not trying to privatise our hospitals, will he publish all the documents that have passed between his Department and my NHS trust, because they will demonstrate that that is exactly what he intends to do? He intends to try to privatise my hospital.
The hon. Gentleman will know, because the Minister of State, my right hon. Friend the Member for Chelmsford (Mr Burns) has told him in the past, that when NHS trusts are moving to foundation trust status, there will be an agreement, but it is not about privatisation. When the hon. Gentleman’s party was in government, it said that the only way Hinchingbrooke NHS trust could turn its management around was for it to be prepared to look for the best possible management. That is the extent of what we are talking about, and it was done under his Government.
This will require change. We are not going to spend £5 billion on bureaucracy. We are not going to let the number of managers double in future as it did under Labour, and we are not going to let the number of managers increase six times as fast as the number of nurses. Since the general election, we have 3,500 fewer managers and, as a consequence, 2,500 more doctors and 200 more nurses.
(14 years, 6 months ago)
Commons ChamberI am glad that my hon. Friend raises this point, because I know from the four occasions on which I have visited Stafford and talked to members of the Cure the NHS group just what a desperate struggle they had to be listened to. We should therefore be clear not only about changing the culture inside the NHS, so that patients’ issues and complaints are treated seriously from the outset in an open and transparent way, but that the patient voice should be strengthened in the NHS. Even people who are literally self-appointed voices for patients should not be dismissed and pushed to the margins. We have to be prepared to listen to patients however their views are brought forward.
The Secretary of State was unclear about his proposals for waiting times. Will he clarify this issue? He seems to be saying that he will do away with waiting times but then introduce a new system. Will the new waiting time be four hours, five hours, six hours, 10 hours or 12 hours?
I am afraid that the hon. Gentleman does not seem to understand. I was very clear in saying that I am going to abolish the four-hour accident and emergency target. I will issue guidance to the NHS shortly, the purpose of which is to amend the four-hour A and E target, alongside others, to ensure that we deliver better quality. That is not just about the time spent waiting in an emergency department; it is about the quality of the service provided and it is based on clinical evidence.