(10 years, 5 months ago)
Commons ChamberI do not recall the detail in relation to that, so I will ask my right hon. Friend the Secretary of State for Health to update the hon. Gentleman and me.
It is two years since the Chancellor halved the bridge tolls on the Humber bridge, and figures out this month show that local car users have saved £19 million in crossing tolls. At the same time the number of Humber bridge crossings have gone up. Businesses have also saved money through the halving of heavy goods vehicle tolls. May we have a debate next week on how our long-term economic plan is helping the Humber? That would give us an opportunity to explain to the House why the HS2 college should be in Doncaster.
I am glad that my hon. Friend can illustrate with evidence the success of what the Chancellor of the Exchequer has announced. It is part of the broader process of ensuring that we have effective infrastructure to support the growth that our long-term economic plan is generating. I am delighted that it is having that effect on infrastructure, as well as on employment, which is going up, and on the deficit, which is coming down, and with taxes now being able to be brought down and with education and skills being promoted, not least through apprenticeships. That is all very much part of the long-term economic plan for regeneration on Humberside.
(11 years, 1 month ago)
Commons ChamberMy hon. Friend will be aware of the benefits of joint working and the sharing of services between Departments. I do not think that any decision has been made, other than that services will continue to be provided out of York and Alnwick. Beyond that, I do not know what the situation is. I will ask colleagues at the Department for Environment, Food and Rural Affairs to write to him about where shared services might be delivered.
Between 1997 and 2010, 50,000 hospital beds were cut, including a number in my constituency. We were told those beds were no longer needed, but in recent years, hospitals in and around my constituency have had to open emergency beds to deal with winter pressure, due to a failure of intermediate care services. In my constituency at the moment, the local Labour party is fighting against proposals for a new 30-bed intermediate care centre. May we have a debate on the urgent need for proper intermediate care services across the country?
I cannot promise a debate immediately, although I suspect the House will recall just how strongly Members have felt in the past about the availability of intermediate care services, often in the context of locally accessible community hospitals. The devolution of responsibilities to clinical commissioning groups with active GP involvement gives an opportunity for that to be reconsidered, in particular by GPs who recognise the needs of their patients for treatment locally, accessible admissions and step-down care after admission to acute services. We might see a reduction in the number of beds in the most acute context, but care of the kind my hon. Friend refers to must also be available. I know that clinical commissioning groups will focus on that point.
(12 years, 2 months ago)
Commons ChamberAs the hon. Gentleman knows from the business I have announced, I have no immediate plans to do that. If he feels strongly about this issue, he might like to promote it by way of an Adjournment debate or through the Backbench Business Committee. As I said to my hon. Friend the Member for Portsmouth North (Penny Mordaunt), the Culture, Media and Sport Committee is looking at many of the issues relating to the governance of sport, and he might like to correspond with it too.
There continues to be a lot of concern on both sides of the House about education funding. We know that this situation has not been established overnight but goes back many years. However, children in the poorest part of my constituency continue to receive hundreds of pounds less for their education than those in the wealthy part. May we have a debate on this important issue?
I am grateful to my hon. Friend. I think he will recognise that under this coalition Government the pupil premium plays a vital part in ensuring that those who come from the most disadvantaged families and communities have education resources put behind them to enable them to achieve better results. That is particularly true this year because of the resources being made available for the catch-up premium for those in year 7. In addition, my right hon. Friend the Education Secretary has set out proposals on the future of education funding that are still subject to consultation.
(13 years, 6 months ago)
Commons ChamberThe hon. Lady will have a further opportunity to discuss that shortly. She will know that the NHS trust in Trafford is examining whether it might merge with one of two possible foundation trusts and whether it might change its corporate configuration, as it were, but entirely within the NHS.
Last Friday, I met two members of the local Labour party in my constituency who presented me with an apparently independent petition on the NHS reforms. At that meeting, they told me that it was a fact that our reforms would lead to the removal of a comprehensive health service; we now know that that is a load of old nonsense. They also told me that it was a fact that these changes would open up the NHS to European Union competition law in a way that it is not at the moment. Is that a fact, or is it just shameless scaremongering?
It is entirely scaremongering. My hon. Friend might like to look at what the Future Forum report says in relation to choice and competition, which sets out very clearly that the extent to which EU competition rules apply in the NHS will not change as a consequence of this Bill.
(13 years, 8 months ago)
Commons ChamberI 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.
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?
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.
(14 years ago)
Commons ChamberI am grateful to my hon. Friend, because I think that through these measures we will help to integrate drug, alcohol and sexual health services, rather than see them in silos. Even in primary care trusts, those services have often been treated as completely discrete activities, because they have been related to specific targets that central Government have set, rather than part of an holistic community view of how we improve health.
Inside the NHS we are shifting public health to that degree of protection, because back in 2005 when the Labour party was in charge, the Chief Medical Officer said:
“There is strong anecdotal information from within the NHS which tells a…story for public health of poor morale, declining numbers and inadequate recruitment, and budgets being raided to solve financial deficits in the acute sector.”
Under Labour, public health was raided and denigrated; under this Government, public health will be given the place it deserves.
I support any moves to reduce the use of tobacco throughout the country, and that is why I support the smoking ban so much, but will the Secretary of State assure us that when we look at the tobacco display ban we will consider all the international evidence from countries such as Canada and Ireland, which have found that the ban has not been the slightest bit effective in reducing the number of people who smoke?
Yes, and I believe very strongly that we must work on the basis of evidence in public health, rather than simply on anecdote and assumptions.