Monday 4th April 2011

(13 years, 1 month ago)

Commons Chamber
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Lord Lansley Portrait Mr Lansley
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I am afraid the hon. Gentleman is wrong on a number of counts. First, we have listened and we will continue to listen. Secondly, of course there are costs in reducing the number of managers in the NHS, but it is absolutely essential that we reverse the decade of declining productivity in the NHS that took place as the number of managers went up by 78%. How can that be the right way forward? Under Labour, we had more managers and less productivity.

Andrew Percy Portrait Andrew Percy (Brigg and Goole) (Con)
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The Secretary of State will be keen to know that many of the GPs I have met in my constituency are keen on the idea of GP commissioning, but there is undoubtedly concern about the exact role of the private sector in the NHS. May I urge the Secretary of State to use these next few weeks or months to ensure that in the country and if necessary in the Bill we make it perfectly clear that the private sector will not be allowed to undercut or undermine our local hospitals?

Lord Lansley Portrait Mr Lansley
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Yes. I am grateful to my hon. Friend. Our manifesto was clear that patients should be able to have access to a provider who gives them the best quality, be it the NHS, a private sector provider or a voluntary provider. That was in the Liberal Democrat manifesto and in the Labour manifesto. It is always about ensuring that that provider is properly qualified and that the basis of that choice is quality, not price. There cannot be a race to the bottom on price. We make it very clear in the legislation—it is important to set this out—that the commissioners of local services will also, through designating services, be able to ensure that where patients need services to be maintained and need continuity of services they can set that out themselves.