(10 years, 4 months ago)
Commons ChamberThe only reason I did not refer to the statement next Thursday is that I announced it last week. My right hon. Friend the Secretary of State for Northern Ireland will make a statement next Thursday on the Hallett review.
The Prime Minister has visited India more than any other country, and the Chancellor and Foreign Secretary are both in India this week, building on our wonderful relationships with that country. May we have a statement or a debate on building relationships with India and the new Modi-led Government?
It is welcome that the Foreign Secretary and Chancellor visited India this week and were able to meet Indian Prime Minister Modi, as well as the Finance and Foreign Ministers. That enabled us to engage with the new Indian Government, and allowed the Foreign Secretary to announce a quadrupling of funding for the Chevening scholarship scheme, as well as an expansion of our diplomatic network in India. The Chancellor announced significant inward investments and substantial UK export finance credit to support investment in Indian infrastructure projects. Not least, I am delighted that my right hon. Friends announced plans for a statue of Mahatma Gandhi—the inspiration for non-violent civil rights movements around the world—to be erected in Parliament square early next year.
(10 years, 4 months ago)
Commons ChamberThe hon. Gentleman makes an interesting point. I do not know whether we have time available before the Commonwealth games for such a debate. We are very much looking forward to the Commonwealth games, which will be a tremendous event, and to the opportunity to see this country, not least Scotland, showcasing itself as a venue for great sporting achievement. In that context, in Cambridge and in my constituency, we are also very much looking forward to seeing the Tour de France coming through on Monday.
At the end of this month NatWest bank proposes to close the final bank branch in Harrow Weald high street, which will have a devastating effect on businesses and individuals in the area. The key point nationally is why banks are allowed to close the last branch in a high street. May we have a debate in Government time on the future of retail banking and the effects on the high street?
I know that my hon. Friend raises a point that will be of interest to many Members across the House, not least at the moment when there is a sort of secular change taking place in the structure of retail banking, with the withdrawal of retail banking from many high streets, including in my own constituency, and the loss of the last remaining bank in some villages. It is difficult to go anywhere else for that kind of access. My hon. Friend and other Members might exploit the opportunity, through the Backbench Business Committee or otherwise, to see whether there is demand among Members for such a debate. He is a member of the Backbench Business Committee, so I know that he is familiar with how that Committee works.
(10 years, 4 months ago)
Commons ChamberYouth unemployment in my constituency in May 2010 stood at the scandalously high figure of 430. Last month, it was reduced to 200, showing that the coalition Government had reduced youth unemployment by half. We cannot be complacent and there is still more to be done, but can we have a debate in Government time on the measures that are being taken to improve apprenticeships to provide new opportunities for work and to encourage young people to understand that opportunities are out there, rather than a life on benefits, as was delivered by the last Government?
I am grateful to my hon. Friend; what he says about his constituency is welcome and a good example of what is happening across the country, with the youth claimant count down by 129,000 in a year—the largest reduction in a year since 1997. The number of 16 to 24-year-olds not in education, employment or training is at its lowest in five years. The 1.7 million apprenticeships in this Parliament thus far are one of the central things that have made a big and positive difference, as has the Youth Contract and work experience more generally.
(10 years, 7 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 and other members of the Government are clear about the nature of the austerity required in public expenditure and across the country because the income of this country reduced by more than 7%, equivalent to £3,000 per household, under the previous Government, so yes, everything has changed. In this Parliament, in relation to the expenses system for Members of Parliament, things have changed. It is more rigorous; it is controlled; it is controlled independently; any complaints or failures are investigated independently; and any enforcement is done independently. This is not about Members of this House or me being complacent because for now and for the future the system has changed.
Will my right hon. Friend update the House on how many legacy cases from before 2010 remain? The system has changed—I was one of those elected to see fundamental change—but we want the House to be cleaned up and cleared up and to know that those cases are at an end.
I wish that I could say that they are, but I cannot. The answer may well not be “None” and that such legacy cases remain. I do not know; new issues may be raised, but I hope that they are relatively few. Following the Legg inquiry and others, they ought to have been thoroughly considered and the public should have confidence that the issues that were brought out have been dealt with. I hope that that is the case, but I cannot say that there are no such cases. I think that might be over-optimistic.
(10 years, 8 months ago)
Commons ChamberWe all share the evident sense of deep disappointment expressed by the hon. Gentleman at this third anniversary about how damaging the situation in Syria has been to the people there and to international peace. He will recall that the Foreign Secretary made a statement on Monday, 24 February, which included reference to the situation in Syria and ongoing questions there. I cannot promise a debate at the moment. It is something that is regularly reported to this House, and if time were to be available for a debate at this stage, I know that it is something that the Backbench Business Committee would certainly want to consider.
Recently, a large cargo ship was apprehended by the Israeli navy with a record haul of rockets being transferred from Iran to Gaza. Yesterday, a record number of rockets were launched from Gaza into Israel. Given that my right hon. Friend the Prime Minister is in Israel for the first time as Prime Minister, may we have a wide-ranging debate on the middle east, including our relations with Israel and the sanctions to be imposed on Iran?
My hon. Friend makes a good point. I will not repeat what I said to the hon. Member for Edmonton (Mr Love). There are Members throughout the House who might seek to initiate a debate with that broader scope.
(10 years, 8 months ago)
Commons ChamberThe hon. Gentleman may want a yes or no answer, but he will not get one. As must always be the case, the answer is subject to the progress of business and an agreement that we will bring such a measure forward at any time.
Earlier this week, Raquel De Andrade was imprisoned for a string of offences. She was apprehended at Harrow registry office trying to marry a Nigerian national who had overstayed his visa. Her big problem was that she was already legally married to three other men who had also overstayed their visas, and she was caught when officials became suspicious because she wore the same wedding dress each time. On a serious point, may we have a debate in Government time on what extra support can be given to efforts to combat the menace of bogus and sham marriages?
It is an abuse, and it is important that it is dealt with. My hon. Friend will recall that we are taking further powers in the Immigration Bill which is now before the House of Lords. I will raise the issue with my colleagues at the Home Office, but I hope that my hon. Friend will be reassured that we take it seriously. We are legislating on it, and he may have an opportunity to raise it further in Home Office questions or in consideration of Lords amendments to the Immigration Bill in due course.
(10 years, 8 months ago)
Commons ChamberThe hon. Gentleman may be aware that as a member of the House of Commons Commission I am one of those whose responsibility it is to employ members of staff of this House. We continue to regard the staff of this House as among its principal assets. We value what they do. The pay award that is now available to them is one which we believe brings it into line, as we are statutorily obliged to do, with the pay environment in the civil service more generally; that is particularly true in relation to hours. But we also think that it is as generous as we can make it, and I think it would be in the interests of members of staff of this House to accept it.
In the run-up to the Indian elections, it appears that opponents of Narendra Modi will stop at nothing to smear him, including using rooms in this House to publish thoroughly scurrilous reports attacking him personally. May we have a debate on the relationship between Britain and India—and in particular on the Indian elections—which would give the Foreign Secretary an opportunity to welcome Narendra Modi as the next Prime Minister of India?
India is the world’s largest democracy, and the question of who should be its next Prime Minister is one for the people of that country to decide. I do not think it is one for the United Kingdom to interfere in, or even that it is proper for us in government to debate the merits of that. That is for them to decide. We enjoy excellent relations with politicians in India from across the political spectrum and a number of Indian Chief Ministers have visited the United Kingdom in recent years. We have very much welcomed them.
(10 years, 9 months ago)
Commons ChamberI will of course ask my right hon. Friend the Secretary of State for International Development to respond to the right hon. Gentleman and, if appropriate, to inform the House by means of a statement.
When we spoke earlier this week, Mr Speaker, modesty clearly forbade you from alerting me to those splendid honours.
This week, Travellers illegally occupied the Chandos recreation ground in my constituency, creating a climate of fear among residents and concern among people using the park legally. Harrow council has taken prompt action to get them evicted. May we have a statement or a debate in Government time about what further action the Government can take to stop that scourge on our society?
My hon. Friend will recall a recent statement from Ministers at the Department for Communities and Local Government on policy relating to Travellers. They take the issue extremely seriously. My hon. Friend the Member for South West Bedfordshire (Andrew Selous) has a debate in Westminster Hall on Tuesday on policy relating to Gypsies and Travellers, and my hon. Friend the Member for Harrow East (Bob Blackman) might well find it helpful to raise the matter then.
(10 years, 9 months ago)
Commons ChamberIt is very important to give people a greater sense of security and peace of mind, and that is what we have set out to do. The fact that the number of households in which nobody is in work is at a record low makes an enormous difference. The fact that the latest data show that inflation is at 2%—it has come down to its target level—also gives people a sense of security. The fact that we are dealing with the deficit is not just some debate at a global or national level, but a practical matter: if we stick to the long-term economic plan to bring down the deficit, that will increasingly allow us to do what we have done with the money available, which is to relieve the tax burden, not least on the low-paid.
On Monday, we had the welcome news that Harrow council and the Department for Education are conducting a feasibility study with the aim of putting a brand new Hindu free school on Whitchurch playing fields in my constituency. May we have an urgent debate on the principle of religious schools, particularly in relation to their impact on Britain, so that Britain’s 1.6 million Hindus have the right to provide an education of their choice for their children?
My hon. Friend raises an important point, and I wish him well with the plans that his constituents are putting together. As he will know, our view is that there is a valuable long-standing tradition of faith schools in this country, and we support the contribution that they make. They are often high-performing schools that are popular with parents, and many of them are therefore over-subscribed. Two Hindu free schools have thus far been established—the Krishna Avanti primary school in Leicester and the Avanti House school in London, which opened in 2012. I hope that this continuing trend of support for faith schools will be sustained.
(10 years, 9 months ago)
Commons ChamberI cannot comment on the particular case, but I will of course ask my right hon. Friend the Secretary of State for Education to look at the matter and respond. I will discover more about the circumstances then. In my experience, there is an undoubted determination on the part of councils—I know Hammersmith and Fulham as a council pretty well—to ensure improvement in the provision of schools.
Earlier this month, we had the welcome news that £29 million is being allocated to Harrow council for the creation of new school places. As a result, 13 schools will get 2,845 new places. That is in direct contrast to two years ago when the then Labour-run council failed even to submit a bid for much-needed school places. May we have a debate, on the Floor of the House, on the issue of school places and on ensuring that there is a place for every child in this country to get a proper and decent education?
My hon. Friend raises an issue, which I, if I had time available, would welcome a chance to debate. The announcement before Christmas of additional funding for school places was important and welcome. He will know that since 2011 Harrow has been allocated a total of £36 million for new school places and has also benefited from £34 million of investment through the targeted basic need programme, which will fund the expansion of 15 schools by September 2015.
(10 years, 10 months ago)
Commons ChamberI will of course, because of the personal circumstances of the hon. Lady’s constituent, raise that with Home Office Ministers and ask them to respond to her directly. If she has any additional information, I would be happy to include it in the query. On the general point, it is encouraging that the most recent data show a reduction in unemployment in the north-east.
Merry Christmas, Mr Speaker, and happy Gita Jayanti. Yesterday we launched the all-party parliamentary group for British Hindus in a packed Committee Room 14—there was literally standing room only—as hundred of Hindus from across the country came together for what was possibly the biggest ever launch of an all-party group. May we have a debate in Government time on the enormous contribution made by the 1.6 million British Hindus to the economy, the stability of our society and the fabric of Great Britain?
I am glad my hon. Friend has had an opportunity to raise that. I am sure that many Members across the House share his evident pleasure at the establishment of the all-party group and the fact that so many Hindus from across the country came here to celebrate it. I cannot promise a debate at the moment—he will understand the pressure on legislative time. As a member of the Backbench Business Committee, he will understand how precious its time is, too, but it might be able to give the matter the necessary priority in due course.
(10 years, 11 months ago)
Commons ChamberI think the hon. Lady was referring to clause 118 of the Care Bill, which will be the subject of debate on Second Reading as announced, and I am sure she will be able to make those points then. For my part, I will simply say that it is a matter of necessity in any sector of activity for there to be proper competition rules. Monitor is responsible for those competition rules in relation to the health sector, except in relation to mergers, where the Office of Fair Trading and the Competition Commission, or the new Competition and Markets Authority, have wide-ranging expertise across all sectors.
One of the items that did not make the oral statement on the autumn statement was the welcome news that the pre-1992 trapped annuitants—the most vulnerable victims of the Equitable Life scandal—will receive their compensation before Christmas, so may we have an urgent statement next week from the Minister responsible laying out exactly what the Government have done to compensate the victims of the Equitable Life scandal compared with the Labour party, which did nothing for 13 years?
I am grateful to my hon. Friend and I recall the past occasions when he has rightly raised this matter both with Treasury Ministers and with me at business questions. I am very pleased that his efforts on behalf of those pre-1992 Equitable Life annuitants have borne such fruit—and early fruit, before Christmas. We will, I hope, next week take the opportunities to make sure the people affected and the wider public are aware of this.
(10 years, 11 months ago)
Commons ChamberAs it happens, I have read the Scottish White Paper. Having read it, I was surprised to find that assumptions within it were overturned within hours. The House might want to seek an opportunity to debate that paper, not least through the Backbench Business Committee, because it is important to Members across the House.
In Harrow, reported crime is down by 10%, the clear-up rate is up by 22% and the number of police on our streets will be at record levels next March. May we have a debate on crime and policing so that we can proclaim the good news?
I am grateful to my hon. Friend, as I am sure the Home Secretary and other Home Office Ministers will be. I cannot promise a debate straight away because the amount of legislation is putting such pressure on Government time that it is precluding us from debating the many successes of this Government, of which the reduction in crime is an important one.
(10 years, 11 months ago)
Commons ChamberAcross London and the south-east, we have the scandal of accommodation being erected in gardens and landlords charging exorbitant rents from people who are not paying council tax but are receiving benefits. May we have an urgent debate in Government time on beds in sheds, so that we can examine that problem in detail and get some action?
My hon. Friend raises an interesting point. Not least because I would like to hear more about the matter, I will ask my right hon. and hon. Friends at the Department for Communities and Local Government to reply to him and to allow me to see that reply. My hon. Friend and other hon. Members may want to take further steps to secure a debate on the matter, for instance on the Adjournment.
(11 years, 2 months ago)
Commons ChamberThe hon. Lady will know that my right hon. and hon. Friends at the Foreign and Commonwealth Office update the House regularly on Burma and our concerns. We were very pleased that President Thein Sein’s visit to the United Kingdom in July gave us an opportunity to raise some of those concerns while reinforcing our determination to provide support for Burma, including the increases in humanitarian aid—I was looking up the numbers while the hon. Lady was asking her question—announced by my right hon. Friend the Member for Sutton Coldfield (Mr Mitchell), who was Secretary of State for International Development at the time.
The House will have welcomed your visit to Burma, Mr Speaker, from 29 July to 4 August, when you led a cross-party delegation of Members of Parliament. The relationship between this Parliament and the emerging democracy in Burma is an important one that we all value.
May I take this opportunity to wish all my Jewish constituents shanah tovah? As we enter the year 5774 with record levels of employment, unemployment going down, business confidence increasing and all the forecasts on growth going up, is it not surprising that the Opposition do not want to debate the issue? Is it not time to have a general debate on the economy, so that we can expose the Opposition for what they are?
My hon. Friend makes a good point and I join him in wishing a happy new year to our Jewish constituents. As we enter the new year, it is encouraging that GDP has been revised up and many independent forecasters are increasing their estimates for growth and that employment is up and unemployment down. We know we have to work hard to sustain the recovery and that it will not be easy, but we can all take a great deal of encouragement from the statistics published over the summer.
(11 years, 6 months ago)
Commons ChamberThe hon. Lady makes a point that I know is important to Members, and I do not know whether she had the chance to raise it with Ministers at Culture, Media and Sport questions a few minutes ago. I cannot at this stage promise any business in this Session—we are looking at business in the next one—but it would probably not be appropriate for the Government to raise the matter that she mentions, save, further on, as part of the debate leading to the renewal of the BBC’s charter. However, she might find opportunities elsewhere in the House to debate the issue.
Very graciously, you, Mr Speaker, came to my constituency last week to open the first London office of the Silver Star Appeal diabetes trust, and later that week I handed over a Ladbrokes cheque to St Luke’s hospice as a result of a grand national bet I had placed. To my horror, I discovered that mean-minded Harrow council has removed discretionary rate relief from all charities in Harrow, as a result of which St Luke’s hospice alone will lose £17,000 a year. May we have a debate on the operation of non-domestic rate relief by local authorities, as we try to build a big society in which charities can provide services that the public sector does not?
(11 years, 8 months ago)
Commons ChamberThe hon. Gentleman has put that point on the record. He will know that the Home Affairs Select Committee have been pursuing this issue. I cannot promise him an urgent debate on this matter, but if he were in the House and caught the Speaker’s eye, Home Office questions on Monday 25 March might present a suitable opportunity for him to reiterate his point.
Welfare benefits exist to provide a safety net for people who are not able to work, or the weak and vulnerable, and also a hand-up for people seeking return to work. May we have a statement or a debate in Government time on ensuring that welfare benefits are contribution-based so that those people who paid in through national insurance and taxation receive those benefits, and those who have not paid in are assessed on their personal need?
Only a few weeks ago we were celebrating the anniversary of the Beveridge report, and it is important to recognise that the contributory principle was at the heart of that report. I cannot immediately offer my hon. Friend a debate. I am resting at the moment on the wide-ranging character of the Budget debates to allow many such issues to be raised. The House will recognise the importance of the benefit system being fair. It is important to distinguish between the contributory principle for many and the circumstances of those who are so vulnerable and dependent that we are talking about something that does not rely on contributions but is based on need.
In the reforms that we are putting through now, we are focusing on making work pay and ensuring that those who can work do work, but also on making sure that resources are focused, and on increasing resources for those who are most in need through disability.
(11 years, 9 months ago)
Commons ChamberThe hon. Gentleman is very knowledgeable about these matters, and I will ask my colleagues at the Department for Transport to respond to his question. What I will say, however, is that we are looking for outcomes, and what really matters is finding the mechanisms that enable us to improve road safety.
Harrow council tops the league for both the number of staff suspended and the length of time for which they have been suspended. One member of staff has been suspended for two and a half years on full pay. The council has also refused £3.6 million in Government grant to freeze the council tax, preferring to raise it to the third highest in London. May we have a debate on inefficiency and ineffectiveness in local government?
My hon. Friend makes important points relating to his constituency and local authority. If he catches your eye, Mr Speaker, in the debate on the local authority finance report, he will have the opportunity to raise the issue of securing value for money in his constituency and others.
(11 years, 9 months ago)
Commons ChamberI am grateful to the hon. Gentleman, who makes an important point. The House had an opportunity to debate global hunger yesterday in Westminster Hall, and I know that will not be the last opportunity. It might be for the usual channels, and indeed the Backbench Business Committee, to discuss how and when the priorities for the G8 summit, including, as he rightly says, the Enough Food for Everyone campaign, are debated by the House prior to the summit.
May we have a debate in Government time on the success of our free schools policy? The Hindu free school in my constituency is heavily oversubscribed and the I-Foundation is now applying for a network of Hindu free schools across the country so that parents, if they wish, can choose a Hindu ethos for their children’s education.
My hon. Friend makes an important point. I am surprised that the Labour party appears to be openly sceptical about free schools, 79 of which have opened in little more than two years. They are playing an important part in increasing the diversity and character of state education. No doubt my hon. Friend has in mind the Avanti House free school in his constituency. I hope that it and other free schools will continue to demonstrate that they can create not only a more diverse and appropriate range in state education, but higher standards by responding directly to the needs and wishes of parents and pupils.
(11 years, 10 months ago)
Commons ChamberAs I said to the hon. Member for Wrexham (Ian Lucas), a written ministerial statement setting out what are, frankly, detailed and substantial issues was placed before and announced first to the House. There will be both formal and informal opportunities for Members to get together with Justice Ministers to discuss how to take this forward.
At this time of year, local authorities are determining their budgets. Harrow council, uniquely in London, is increasing its council tax by 2%, while Hammersmith and Fulham is reducing it for the sixth time in seven years. May we have a debate in Government time about what is happening to Government money in local authorities and expose the wastage in Labour-run authorities?
If I recall correctly—I will correct myself if I am wrong—we have had a debate on the local government finance settlement. It is important that we in the House vote for resources to support local government, but it is the responsibility of local government to use those resources effectively and to secure value for money. I know that many authorities are achieving that, but others—I look to the Labour party to explain some of them—are not achieving value for money in what are, frankly, tough financial times. I hope that all authorities will achieve best practice in terms of value for money.
(11 years, 11 months ago)
Commons ChamberI am grateful to the hon. Gentleman for raising that point. It is a pity that that further information was not available when the House debated Scotland and the Union—just last Thursday, I believe. The House expressed its view very forcibly in that debate. As the hon. Gentleman says, the evidence demonstrating that Scotland is better off in the Union and the Union is better off with Scotland will continue to grow.
The Government moved swiftly to compensate victims of the Equitable Life scandal who were so shamefully treated by the Labour party. The one set of people excluded from compensation were the trapped pre-1992 annuitants, all of whom could be compensated within the envelope of money set aside by the Treasury. Could my right hon. Friend arrange for a statement or a short debate so that we can ensure that these weak, elderly, vulnerable pensioners are properly compensated in their later life?
(11 years, 11 months ago)
Commons ChamberThe hon. Gentleman may be aware that this issue is being considered by the Backbench Business Committee, on the basis of representations made to it by a number of hon. Members. Clearly I am happy for the Committee to consider whether time should be made available for such a debate.
May we have a debate on the success of our free schools policy? In my constituency, the I-Foundation has opened the first state-sponsored Hindu primary school and a secondary school. They are both so over-subscribed that capacity is having to be doubled in just two years. The I-Foundation is now launching a campaign to have five further Hindu free schools across the country, with a further five to follow. This demonstrates parental choice, both for a religious type of education and for the type of education that new organisations are providing.
My hon. Friend sets out a good argument both for free schools and for our taking the opportunity to celebrate the successes coming from them. That is happening around the country and often in this place we do not take enough opportunities to recognise what the successes in policies mean in practice for the populations we serve. It is not easy, as time is short in this House, but we will continue to look for where such opportunities might arise.
(12 years ago)
Commons ChamberI share the right hon. Lady’s sense of shock and outrage at what happened, and I know that the whole House does, too. These events took place many years ago, but in a sense that makes the situation even worse; there has not been any recognition of what took place even though so much time has passed. The victims have had to live with the consequences without a satisfactory resolution, and it is therefore all the more important that we take action now.
My right hon. Friend the Home Secretary set out the action we will be taking, and we continue to consider how best to achieve a proper resolution. There are ongoing police investigations into the abuses in north Wales and, as my right hon. Friend said, judicial investigations into what happened in respect of the Waterhouse inquiry, but I will draw her attention to what the right hon. Lady has just said.
The Hindu festival of Diwali is next week. Will my right hon. Friend join me in wishing Hindus, Sikhs and Jains across the world, and in particular in this country, a very happy Diwali, and may we have a debate on the wonderful contribution the Ugandan Asians have made to this country, and the wisdom of the Conservative Government in admitting them in 1972, when no one else would?
Yes, I entirely share every sentiment my hon. Friend has expressed, including those about the tremendous contribution made by the Ugandan Asians. I know from my past responsibilities for the health service what a tremendous contribution they have made to medical services in this country, as well as, as we all know, the contribution they have made over many years in enterprise and business creation.
Festivals such as Diwali play an important role in helping us appreciate and celebrate the cultural diversity of this country. Diwali is a vibrant celebration of the victory of light over darkness, of good over evil, of knowledge over ignorance. It is a time for celebration and reflection about what we have achieved and our ambitions for the future, and I know that Members across the House will extend our best wishes to our constituents for the festival of Diwali.
(12 years ago)
Commons ChamberAs a relatively new business manager, I will of course be very glad to discuss these matters with colleagues, not least the House authorities and my hon. Friend the Member for Broxbourne (Mr Walker)—he is no longer in his place—who chairs the Procedure Committee. [Interruption.] I know, as does the hon. Lady, that there are circumstances in which it is proper to allow time for debate and not proper to assume that there will not be a substantive debate on an issue that will take all the time available, so it can sometimes be difficult to anticipate when business will finish sooner than it might otherwise do.
The improved economic figures are clearly welcome, but it is important that we improve our trade with developing nations. The Indian state of Gujarat has achieved record year-on-year growth, yet its First Minister, Narendra Modi, was denied access to the UK by the previous Government. May we have a statement from the Foreign and Commonwealth Office facilitating a state visit by Shri Narendra Modi to this country so that we can hear at first hand what wonders he has performed in Gujarat?
I will, of course, talk with colleagues in the Department for Business, Innovation and Skills about what opportunities there might be to look at Gujarat’s economic performance, but I remind my hon. Friend that, as he probably knows, over the past two years British exports of goods have increased to China by 72%, to India by 94% and to Russia by 109%. The Government are only too conscious of the importance of developing our trade with these leading emerging economies and will continue to give that real push.
(12 years, 4 months ago)
Commons ChamberI reiterate to the hon. Gentleman and to the House that the purpose of reports across the NHS is not to isolate individual conditions and to report on all of them, because if we attempted to do so the resulting document would be not the size of the one before me, but 10 times that. The object is to improve outcomes across the board.
Let me make two points. First, one thing that the NHS did achieve last year involved 528,000 people having access to talking—psychological—therapies, and that in itself should substantially reduce dependence on medication for depression. Secondly, and I think importantly, of the 22 overall objectives established in the NHS Commissioning Board’s draft mandate, the ninth is about making mental health as important as physical health—creating a parity of esteem between the two. The measure is in the Health and Social Care Act 2012, it is being carried through into the objectives of the NHS Commissioning Board and it will, in itself, be important when carried through into practice.
I warmly welcome the improvements in screening, diagnostics and treatment for those suffering from cancer, but patient outcomes are wildly different. For some, 10% of treatment will be successful, for others, 85% will be, and this means that we need more research to highlight which drugs and treatments should be introduced. May I make a bid for part of the surplus to be directed to the expensive equipment that is required to make such research happen, so that treatment and outcomes can be improved?
My hon. Friend makes a very important point, and I was happy to announce earlier this year that in response to the report by Professor Sir John Bell and his colleagues we will now put resources behind the establishment of genetic testing centres throughout the NHS, which will enable us to undertake what is known as stratified medicine. This means that, by identifying when medicines have particular benefits for patients with certain genetic characteristics or phenotypes, we will be able to target such treatments, as we will be much more certain of their effectiveness and be able to reduce, as my hon. Friend rightly says, the many cases in which medicines are prescribed but turn out not to be effective in a particular patient’s circumstances.
(12 years, 6 months ago)
Commons ChamberI will repeat what my noble Friend Earl Howe said: we have every intention of publishing the risk register, but will do so when it is no longer directly relevant to the formulation and development of policy.
Having been involved in the production of risk registers for many years, I know that they are pertinent to the point in time at which they are produced and require free thinking by those who put them together. There must then be a mitigation strategy to prevent the risks from ever happening. The key issue is this: what does my right hon. Friend think would happen to the policy advisers who put together risk registers for Ministers if these highly sensitive documents were put in the public domain?
I am grateful to my hon. Friend. To be absolutely clear, some risk registers are designed to be published. For example, strategic health authorities publish risk registers, and have done for a period of time, because they are designed to be published. The way in which the Labour party used the risk registers published by strategic health authorities, I think at the last Health questions, amply demonstrated that not only are they open to misrepresentation and misuse, but that the Labour party is very keen to misuse and misrepresent them. Even more so would it misrepresent and abuse the information in risk registers that were designed for the frank expression of advice if they were published. I do not need to speculate further in reply to my hon. Friend, because Lord O’Donnell, the former Cabinet Secretary, made it very clear that we would end up with bland, anodyne documents that did not serve the management purpose for which they were created.
(12 years, 10 months ago)
Commons ChamberOf course, as the hon. Lady knows, we have been thinking hard about precisely this issue. The NHS Future Forum made further recommendations to us only yesterday about achieving access for patients to their own records by 2015 across the NHS. The NHS should keep records, but the patients themselves should have access to them. We will pursue that issue in the NHS, although frankly, I am not in a position to mandate that in the private sector. However, any patient would be well advised to say, “Why can’t I hold my own record from a private provider?”
I welcome the Secretary of State’s statement, but PIP is not the sole supplier of breast implants across the industry. What assurances has he received from the industry that no other company has embarked on the practice of using non-medical grade silicon in its breast implants, so that women who have had such implants can feel safe?
I have no evidence of such behaviour on the part of other companies. My hon. Friend is right: PIP is only one of a number of suppliers, and in this country probably only one in seven breast implants were PIP implants. Other countries have looked at this, and across Europe the regulatory process should ensure the scrutiny of these implants, including proper testing. The European review must look at whether that surveillance, including unannounced inspections and appropriate testing, gives us the assurance we are looking for.
(13 years ago)
Commons ChamberThe second reason the House should reject the motion is that it fails to pay tribute to the hard-working staff of the NHS. I participated in many debates such as this when I was shadow Secretary of State and I thought that they provided an incredibly good opportunity for Members to raise issues relating to their own constituencies. I hope that that happens in this debate, as it is important. Every one of us has in our constituencies thousands of committed and hard-working NHS staff who want to know that we recognise it. I do not see any of that in the motion.
(13 years, 8 months ago)
Commons ChamberMy hon. Friend will know that through the plans set out in the Health and Social Care Bill the commissioning of those services will be the responsibility respectively of the NHS commissioning board and local authorities. Through local authorities, and as part of our public health responsibilities, we will be looking to promote good sexual health and high-quality support for people who need assistance with reproduction.
My right hon. Friend has referred to the ring-fencing of the money that is going to be given to local authorities. Will he advise the House how long he expects that ring-fencing to last? Is it until such time as local authorities can be trusted to spend the money on public health?
(13 years, 11 months ago)
Commons ChamberMy hon. Friend makes a very important point, and that was not all that happened. On the money available to primary care trusts for what is termed the healthy living programme, there is no correlation between how much trusts spend relative to health deprivation, so in places with the poorest health outcomes trusts on average do not spend any more on discretionary health improvement activity. That is why our proposed health premium is so important. The places with the poorest health outcomes will clearly have the money they need to undertake specifically preventive work to raise health outcomes.
I warmly welcome the proposals to transfer public health to local authorities and, indeed, the ring-fencing, but will my right hon. Friend clarify how we will enforce the spending of that money on public health, so that there are no blurred edges and local authorities cannot fund their other services from within that ring-fencing?
I bow to my hon. Friend in his understanding of local government. My experience and understanding of local government is such that I know that the people involved are very concerned about improving health in their communities, and these resources will be available for that. Those people will not only be accountable to the people who elect them but accountable through the incentive mechanism of the health premium for the delivery of improving outcomes in the reduction of health inequalities. They will have an in-built incentive in the funding system to use those resources to deliver the outcomes that are collectively agreed, co-produced with local government. If they do not do so—if they spend the money elsewhere—they will not see the increase in resources that would otherwise flow.
(14 years, 4 months ago)
Commons ChamberAh! That was one of the Opposition Whips’ handout questions, wasn’t it? I will tell the hon. Gentleman that actually, patients are more likely to get their treatment more quickly. Let me give him an example. Patients with rheumatoid arthritis need rapid treatment, but they were losing out and suffering as a consequence of the 18-week target, because hospitals were hitting 18 weeks, but not providing the care needed by those patients in the light of their conditions. We must focus on what is in the best interests of patients, not on what is in the best interests of political grandstanding.
The Secretary of State’s announcement will be warmly welcomed in my constituency. On Friday, I went to see a group practice of 12 GPs who are totally frustrated by the local PCT. They are concerned that when the reforms are introduced, they will also be frustrated by the GP consortiums. Will my right hon. Friend give me some assurances on how the GP consortiums will be formed? What will happen if some GPs disagree with how a consortium is set up?
I can tell my hon. Friend that I am looking to GPs in a locality to create GP commissioning consortiums that represent an area. They must decide on the geography of that and make proposals. It will not be possible for GPs simply to say, “This is nothing to do with us,” because in future, we must expect GPs, who are senior professionals in public service and paid appropriately, to be responsible not only for the care of the individual patient in front of them, but collectively for the quality of care provided to their population at large.