(6 years ago)
Commons ChamberThe hon. Lady says that she wants certainty; it is the certainty of a deal and leaving in good order that is what most businesses—most of the people who employ people in jobs—want to see, and that is what the Government are offering.
Like his predecessors, the Secretary of State is kept in the dark about a lot, but he must know when he was first told that tomorrow’s vote was off. We know that it was not yesterday, when he said the vote would be on Tuesday. Did he know it was off when at 11.07 this morning the Prime Minister’s spokesman said that it was definitely on? Or did he know only when the conference call with the Cabinet happened at 11.30?
(6 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.
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We continually hear this myth about privatisation. The reality is that this Government appointed to run NHS England, first, Sir David Nicholson, who had previously been appointed by the Labour party, and then Sir Simon Stevens, who has worked for both sides of the House. Numbers show that the level of private healthcare provision has not changed this year compared with last year. I understand that the Health Committee is due to look into ACOs and integration within a matter of weeks as part of its deliberations, and I very much look forward to reading the conclusions in that Committee’s report.
The programme to reduce acute hospital services and close blue-light A&Es, like that at Charing Cross Hospital, is about to undergo its fourth change of name in five years—“Shaping a healthier future,” “sustainability and transformation,” “accountable care,” and “integrated care”. Would it not be better to reconsider that policy, which is being driven not by local clinicians, but by his Department?
The impression given by the hon. Gentleman is that he always seems to oppose reconfiguration of any sort. The reality is that most clinicians will say, “We do need to reconfigure. We do need to look at how services are operated.” The evidence of that can be seen within London in terms of the reconfiguration of stroke, which from memory, he opposed—
If the hon. Gentleman did not oppose it, I will happily correct that, but he will recognise that the reconfiguration of stroke in London to fewer sites significantly improved outcomes for patients. There is always a discussion to be had about how reconfiguration operates, but clinicians and the royal colleges recognise that the benefits of reconfiguration are better outcomes for patients as well as better outcomes for the NHS.