(1 year, 4 months ago)
Commons ChamberI am sure the hon. Gentleman will do what he thinks is right—I think we can all guess what that will be—when we vote. I note that the way in which this House has traditionally worked is that there are Standing Orders and there is Erskine May, but there are also unwritten assurances about how this House should behave when these issues are before it. Certainly, the Leader of the House was correct to ask, rather philosophically, at the beginning of this debate what had changed to cause the emergence of behaviour that I would not have expected to see when I first came into this House 31 years ago. I would not have expected to see people’s integrity being impugned in quite the way that it has been while they were doing duties that this House had unanimously asked them to do. But, of course, social media did not exist when I first came into this House, and neither did GB News. Before things get any more heated, we need to stop and think about the consequences of allowing the behaviour that we have seen in the past few months, as the Privileges Committee has done its report, to continue.
It is to the credit of this House that the Privileges Committee’s original report—its fifth report—was debated and carried by such a majority. That puts a line in the sand. It enables us to begin to rebuild the reputation of this House and to use the Privileges Committee to ensure that this House can police itself on the Floor in the Chamber and bring Ministers to account by insisting that they tell the truth.
The special report, again as the Leader of the House pointed out, is unprecedented, because people have never behaved this way in the past when a Privileges Committee was attempting to carry out the duty that was given to it by a motion that was passed unanimously by the House. It is important, given that similar rules apply to the Committee on Standards, that, in what I hope will be the rare occasions in the future when the Privileges Committee may have to meet to do its job and be convened, it will be allowed to do so.
As I said to my right hon. and learned Friend the Member for Camberwell and Peckham (Ms Harman), if we cannot restore the respect that the Privileges Committee must have to do its job in future, we will have to create an outside body to do it. That would be a very profound constitutional change, with far greater implications for the freedom of people to speak in this House than simply abiding by decency, courtesy and proper rules when the Privileges Committee is meeting.
Why on earth would outside individuals want to serve on such a body, if they are to be subjected to the kinds of public abuse that we have seen in this case?
That is the problem, and I think the special report has done us a service by bringing it to the attention of this House. It is something we have to think about as we consider the motion.
We have been living through febrile times. We have seen two Members of this House assassinated in the past few years while doing their jobs. There is a lot of anger and controversy out there, wound up and heated up by the way social media works. I think everybody in this House, especially those who have been subjected to some of those outside pressures—there will be many Members of this House who have—needs to think very carefully about how they conduct themselves and the kinds of words they use.
If there is no respect in this House for the Privileges Committee and the things that we try to do to maintain good behaviour and decency in this House, there will be even less respect outside, and that will damage our ability to ensure that our democracy works properly, because without truth there is no democracy. Although this looks like quite a small report, it is a very significant one, and it is important that Members on all sides of the House, whatever faction they are in, consider seriously the implications of not voting for the motion tonight.
I have to say that, now that a little of the heat has gone out of the situation, I would have liked to see the Members mentioned in the report have the good grace to stand up and apologise to the House for some of the language they have used, such as kangaroo courts, marsupials and comments about “calibre, malice and prejudice”. The House voted for the members of the Committee to be tasked with a very difficult job. Nobody in their right mind would want to find themselves in that position. It is not a nice way to spend parliamentary time—much less attending 30 meetings, under enormous stress and with the outside social media pressures coming in at them from all angles.
As someone who stood against the leader of my party, I can tell hon. Members that I have had some experience of how that works out. I have also had experience of how what one does in here can translate out there into threatening behaviour and difficulties—[Hon. Members: “We all have!”] Yes, and I said that earlier in my speech, if Conservative Members were listening.
Therefore, no matter how high the stakes, it is extremely important that when Members comment, they do so within the Standing Orders and the rules of this House, and that they save comments about witch-hunts, kangaroo courts, malice and the rest of it for when the Committee has reported. One unique thing about this House is that while a report is being compiled and evidence is being collected, that Committee cannot respond to what is being put to it in a 24-hour news cycle. It must wait and let its report do the talking.
I suspect that those Members who tried to blacken the names of those compiling the report, and unleash that kind of process against them, knew exactly what they were doing and knew exactly the pressure they were trying to bring to bear. It is absolutely shameful that some Members named in the report indulged in that kind of behaviour, including two ex-Cabinet Ministers, members of the Privy Council and an ex-Leader of the House—the right hon. Member for North East Somerset —who knows better, and who knows that he knows better than to behave in that way.
When I came to this House, I never thought that I would see such behaviour. It is to the great detriment of Conservative Members that we have seen such behaviour. I ask them, one last time, to have the grace to get up during the debate and apologise to the House for the way in which they behaved prior to the Privileges Committee publishing its report, and give us an assurance that they will not do it again.
(6 years, 8 months ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
My right hon. Friend is absolutely right. We have had debates about that before. He reminds me of the time when we talked about the police in France using Citroëns and Renaults; the police in Germany using Mercedes and BMWs; and the police in Spain using SEAT vehicles. As a nation and as an economy, we should do much more to take advantage of our procurement power.
I congratulate my hon. Friend on securing this important debate. Does he recognise that my constituency contains Vauxhall workers as well? Their economic future is reliant on the Government’s decisions in the Brexit negotiations, particularly given that they have decided to leave the single market, which puts those jobs at risk.
(8 years ago)
Commons ChamberOur manifesto was very clear that we would put in £2.5 billion immediately, plus whatever was needed. Indeed, research by the House of Commons Library has shown that if health spending had continued at the levels maintained by the previous Labour Government, there would be an extra £5 billion a year by 2020.
The NHS has deteriorated on every headline performance measure since the Health Secretary took office. It now faces the biggest financial crisis in its history, with providers reporting a net deficit of almost £2.5 billion last year. That deficit was covered only by a series of one-off payments and accounting tricks that do not disguise the true picture of a service that is creaking at the seams, of a workforce stretched to the limit, and of a Health Secretary in denial about his own culpability for this shocking state of affairs. While he rightly paid tribute to the work of NHS staff, he must know that when morale is so low, his platitudes are just not enough.
I asked my sister whether Liverpool had had any input into the Merseyside and Cheshire STP. Obviously my hon. Friend represents part of the area that it covers, so can he tell us whether Ellesmere Port has had any involvement in the development of that STP?
Only last week Cheshire West and Chester Council, which covers the Ellesmere Port area, put forward a resolution indicating that it was not satisfied with its level of involvement in the STP. Indeed, I do not think any council in the Cheshire and Merseyside area is satisfied, including even the Conservative-controlled Cheshire East Council.
Faced with an unprecedented crisis, what did the Secretary of State have to say for himself when asked by the Health Committee about investment in the NHS over the next five years? He said:
“Whether you call it £4.5 billion or £10 billion does not matter.”
Well, it might not matter to him, but it matters to people up and down the country who are desperately worried about the future of their local health services. This is not loose change down the back of the sofa. We know the Secretary of State will not accept what the Chair of the Health Committee said about giving a
“false impression that the NHS was awash with cash”,
so perhaps he will listen instead to the head of the National Audit Office, who said yesterday:
“With more than two-thirds of trusts in deficit in 2015-16 and an increasing number of clinical commissioning groups unable to keep their spending within budget, we repeat our view that the financial problems are endemic and this is not sustainable.”
Perhaps he will listen to the Nuffield Trust, King’s Fund and the Health Foundation, which in a joint statement released this week said:
“The Department of Health’s budget will increase by just over £4 billion in real terms between 2015/16 and 2020/21. This is not enough to maintain standards of NHS care, meet rising demand from patients and deliver the transformation in services outlined in the NHS five year forward view.”
Ministers need to stop trying to hoodwink the public, patients and even their own Back Benchers about the extent of the crisis engulfing our health and social care sector. Every day we hear more about a service crumbling as six years of underinvestment and cuts in social care and public health come home to roost. At the weekend, we heard about the Yorkshire ambulance service piloting a new scheme that might involve heart attack victims waiting up to 40 minutes to get an ambulance. Only yesterday, there were claims from GPs that very young and elderly patients are dying because of worsening delays involving 999 calls. Indeed, the most recent ambulance figures were the worst on record, but what did we hear from the very top of the Government about the NHS this weekend? The only comment we heard was one reportedly attributed to one of the Prime Minister’s assistants that they were going to “fix” Simon Stevens, the chief executive of the NHS, because he had dared to contradict the Prime Minister over funding. I have a suggestion: instead of trying to fix him for telling the truth, why do they not try fixing the NHS instead?
It is time to be honest about where we are and the true nature of the STPs, which are now finally starting to emerge. Let me be clear that we are not opposed to the idea of a more localised strategic oversight of the NHS and the health sector, but it is becoming increasingly obvious that these plans are putting money ahead of everything else. As the British Medical Association set out yesterday:
“There is a real risk that these transformation plans will be used as a cover for delivering cuts, starving services of resources and patients of vital care.”
The few documents released so far reveal cuts to hospitals, services, beds and, in some cases, staff. As we have set out previously, we are deeply concerned by the lack of public, political and even clinical consultation, with two thirds of doctors not having been consulted on the plans and a third of them not even aware that the STPs exist. What a shambles!
It is also clear that without adequate resourcing, these plans will not lead to financial sustainability, and the only transformation that they will deliver will involve reduced services and longer waiting times. If the plans are as wonderful and transformative as Ministers claim, why will they not let us see them? The secrecy and the deliberate instruction not to release any of the information relating to the plans has only increased concern and cynicism among the public. That was, I believe, a serious error of judgment that the Government will come to regret.
We therefore call on the Government to publish immediately the plans that are not already in the public domain. We also ask them to ensure that there is a full consultation process before any of the changes are implemented. Consultation with the public does not mean presenting people with a completed plan and asking them whether they support it; it means involving them from day one, and the bigger the change, the better it is to start the consultation early. We are already playing catch-up, but genuine engagement can start now.
As we heard from my hon. Friends the Members for Wallasey (Ms Eagle), for Garston and Halewood (Maria Eagle) and for Wirral West (Margaret Greenwood), there are major concerns about the Cheshire and Merseyside STP. My hon. Friend the Member for Wallasey identified the three fatal flaws in the STP process: it is more about finances than patients; it is secretive; and it is run to deadlines that make consultation impossible. Every Member who talked about the Cheshire and Merseyside proposals rightly expressed concern about the devastating effect that they might have on local services. It seems that just about every council in the area has rejected them, or has said that it has not been involved. Indeed, there has been very little involvement with anyone.
My hon. Friend the Member for Garston and Halewood produced what I think was the runner-up in the competition for the worst use of management speak when she quoted the phrase
“The financial component has been a strong driver”.
That is the nub of it—this is all about money. Ministers must stop trying to pull the wool over our eyes and be realistic about the extent of the crisis that is engulfing our health and social care sector, because not one serious commentator or senior NHS manager believes that the sector will be financially sustainable without additional funding.
The Nuffield Trust, the Health Foundation, the King’s Fund, Unison, the Health Committee, the Association of Directors of Adult Social Services, the Local Government Association, NHS Providers, the British Medical Association, the Joseph Rowntree Foundation, the NHS Confederation and Age UK are all calling on the Government to act urgently to address the funding gap. I do not know whether that list was long enough for the Secretary of State—he does not appear to be too hot when it comes to numbers at the moment—but there were a dozen respected organisations there. Will he listen to them? Will he implore the Chancellor not to repeat the mistakes of his predecessor, and to ensure that the health and social care sector is given the funding that it needs? This is the last chance before the crisis overwhelms us. I commend the motion to the House.