(10 years 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.
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I understand the hon. Gentleman’s point. He is absolutely right that it would be wrong to have different types of bag that biodegrade in different circumstances and then allow them to be sold in particular places—we are absolutely not doing that. We are talking about a product that meets a standard that covers that range of circumstances. That is the super-biodegradability aspiration.
I am pleased that the Minister is saying he will use scientific evidence before he makes that decision because, right now, such a product does not exist. I hope he will assure us that, even though he is creating a category of exemption, he does not anticipate any of the current products meeting it. As the science will show, he cannot give us an assurance that the plastics properly biodegrade in the marine environment. Because they do not do so, huge harm is being done. [Interruption.]
I thank my hon. Friend for her intervention and the hon. Member for Brent North for his sedentary remark about the criteria and specifications. That is why, in the regulations that hon. Members will see by the end of the calendar year, we must ensure that we can give everyone confidence that we understand that point. We must ensure that the biodegradability is of a sufficient standard to satisfy those concerns. However, we want to stimulate the industry to explore the potential for a product to meet the circumstances that I described. We want to stimulate it to innovate and come up with something to meet the standard.
(11 years, 11 months ago)
Commons ChamberI pay tribute to the right hon. Member for Oldham West and Royton (Mr Meacher) for leading the effort to secure this debate. I was happy to accompany him and the hon. Member for Harlow (Robert Halfon) when they appeared before the Backbench Business Committee, and I am grateful to the Committee for having found time, in what is a busy schedule, for a debate on this issue. It is of great concern to many Members and, more importantly, to those who have been assessed under the WCA system and those who work to support them and are inundating us with case studies.
We have heard a lot about the history of this issue, so I will not rehearse what has been said on that. I am pleased that an annual review of the system is in place and that it is highlighting the concerns, which we are then able to address in this House. The coalition Government have moved to tackle some of the concerns, but they need to do more, such as by addressing the issues raised by Professor Harrington.
I remember a case that arose during the last Parliament—when this system was introduced—involving a constituent of mine from one of the north-coast villages. He was told he had to attend an assessment, and printed information on how to travel to the assessment venue by public transport was sent to him. The suggested journey involved an overnight stay on a railway platform. It was hardly helpful to send such a suggestion to someone who was travelling to attend a WCA.
We have moved on a little since then. As we have heard, however, people attending WCAs are often nervous and fail to get across all the points they want to make, and they frequently feel that, as a result of the process, they are railroaded into responding in a certain way. As we heard from the hon. Member for Bridgend (Mrs Moon), the people who accompany them are sometimes shut out of the process, too, even though they can perform the valuable role of giving their companion the confidence to represent themselves thoroughly.
The hon. Member for Airdrie and Shotts (Pamela Nash) raised the important point that the process is recorded. As we all know, telephone calls to many organisations are routinely recorded and people, including those undergoing WCAs, should realise that the recording of proceedings is for their benefit as well as that of the organisation concerned. Those undergoing WCAs can get a copy of that recording, too. That point was raised with me by a woman whose son had to wait for seven months to get his assessment, which serves to highlight that we must also speed up the process. Work needs to be done to help Atos understand the problems that might be leading to those delays.
Does my hon. Friend agree that we must make Atos understand that in remote rural constituencies such as those we both represent some people have to travel long distances? That problem is leading to a lot of no-shows at the Truro Atos centre, which in turn is leading to lots of delays in assessments, thereby causing a great deal of anxiety.
That is also a common problem in respect of visiting district general hospitals. I have repeatedly asked hospitals to make sure that people travelling long distances are seen in the middle of the day, rather than early in the morning. Sensible decisions like that would help.
A constituent who would rather I did not reveal her name also raised the issues of delays and recordings, and others have mentioned the lack of expertise. If Atos has practitioners with different areas of expertise—some in physical disability, others in mental health issues, for instance—it should arrange assessments in such a way as to utilise that.
The language that is used and how people are treated are also important issues—some Members of this House could probably moderate the language they use in discussing this subject.
(12 years, 1 month ago)
Commons ChamberAbsolutely, and of course the process of trusts becoming foundation trusts was just under way—it has gathered pace over the last two years—and they were bedding down. It is likely—especially given the challenges of efficiency savings that his party would still have imposed if they had won the 2010 election—that the same set of circumstances would have prevailed. In fact the managers in those trusts who are taking those decisions are the same people who would have been in post had Labour won. It is nonsense to say that because the coalition is in power, those people woke up one day and made those decisions. Those things would have happened anyway. To be fair to the right hon. Gentleman, perhaps we should say that we cannot know what would have happened because we are not in that world. We are in the world in which his party lost the last general election. However, the NHS that he left behind is the one that is allowing this to happen, and it is the one that we have to deal with.
We have private providers next door to the NHS treatment centre I mentioned. Bodmin hospital is full of great staff. It was built under a PFI contract and is now staffed by Peninsula Community Health, a community interest company on the social enterprise model. It had to move those nurses into the private sector—or the social enterprise sector, depending on how one views that form of body—on the basis of the provider/commissioner split in the primary care trusts that was set up by the right hon. Gentleman’s Government.
We also have the issue of funding, which is the background to much of this debate. It is no accident that trusts in Cornwall are looking at this. I disagree with them, and I agree with the hon. Member for Plymouth, Moor View about the process they are engaged in, but one of the reasons they are doing it is that the “distance from target” for NHS funding was massive for trusts in the area under the last Government. I have to say that I am not satisfied that our coalition Government have tackled that problem either. The problem also existed under the previous Conservative Government—health funding in our region has been lower than it should have been for decades. Trusts such as the Royal Cornwall Hospitals Trust are having to deal with the problem of funding for those historic reasons. It is not something that has suddenly been invented.
I am sure that the hon. Gentleman is proud, as I am, to be part of the coalition Government who have put lots more money into the NHS in Cornwall, so that the distance from the England average has really shrunk. Like him, I will not be happy until we hit the target, but it is now just 2% less. Under Labour, it was a maximum of 7%.
I agree with the hon. Lady up to a point, in that there has been a narrowing in the “distance from target” figure. Of course, it is much easier to get closer to target when there is more cash around and more money is being put into the NHS—in the good times. That is when the distance from target should have been tackled. We are obviously very much not in the good times in terms of the economic circumstances, for reasons that all parties would agree with.
If the trusts continue down this path, and create efficiencies by doing so—as well as making life much more difficult for their valued employees—we run the risk of what I call the boa constrictor approach. Snakes that kill by constriction wait until their victim breathes out and then tighten up, so they cannot breathe in again. My worry is that if trusts in Cornwall make these changes first, before other areas, they will make it easier for the distance from target funding to continue. The view will be, “Well, they don’t need the cash now, because they’ve dealt with the problem.” But the burden will have been borne by NHS employees, and that cannot be right.
I think this process is wrong because, as hon. Members on both sides have pointed out, there is an existing process for NHS employers and employee representatives to engage in to examine terms and conditions and pay levels, and see where savings can be made.
(13 years, 3 months ago)
Commons ChamberI defer to the right hon. Gentleman, who has lived and breathed the panels for a long time.
As we have heard, in neighbouring Devon, where they still have district councils, every council will get representation on the panel, as I understand it, regardless of the huge disparities in population between some of the smaller district councils in Devon and the Cornish unitary authority and the unitary authorities in Torbay and Plymouth—the major city on our peninsula. The message coming strongly from members of the public and elected representatives—in the form of Cornwall councillors—is that they are deeply dissatisfied that this issue has not been resolved to the point where they feel that all areas are getting equal representation. I am sympathetic to that.
The Minister has set out, very helpfully, the possibility of using co-option. As my hon. Friend the Member for Edinburgh West (Mike Crockart) said, that has been pressed for a while, and I am delighted that the Government have responded by allowing this flexibility so that local circumstances can be accommodated. We are familiar with the police authority model—I accept that it is a different type of body—under which geographical areas are represented. We want to ensure a range of views on those bodies, and co-option has been used to ensure that people from different backgrounds, for example, are represented on those organisations. That is important. Before the census this year, people in Cornwall pressed for the opportunity to recognise their Cornish identity and for it to be enumerated in the census. I was delighted when a friend of mine sent me a picture of her son’s data-monitoring form in Hertfordshire, where they were able to circle “White, Cornish”.
I am departing from the point a little, but I am merely trying to make the point that those of us in Cornwall who are proud of our Cornish identity would not want to feel that we were being given less of an opportunity to put our point across than our neighbours in the most westerly English county, Devon. Amendment (a) would give a bit more of a steer on how the power of co-option could be used to ensure that such concerns are dealt with. I do not think that the amendment goes far enough to reassure everybody in Cornwall that there is equality of opportunity in seeking representation on the panel, but given where we are in the passage of the Bill, it is as far as we can go while still being in order, given what is in Lords amendment 80.
I want to ask the Minister about the Secretary of State’s discretion to approve or not to approve the pattern of co-option that members of a panel put to her. Clearly she could decide to reject a series of proposed co-options on the basis that they did not reflect adequately the geographical make-up of that policing area. The Minister pointed that out, helpfully, although I hope that it would not be necessary. As the hon. Member for Truro and Falmouth (Sarah Newton) said, we would hope that the members of the panel who were there as of right would seek automatically to use the power of co-option constructively to secure proper representation. Hypothetically, however, should they not do so but instead seek further to entrench the position of their communities with regard to the make-up of the panel, it would be reassuring to know that the Secretary of State could have regard to the need to secure equality and therefore reject the co-options.
However, it occurs to me that were such a panel happy not to alter the geographic balance, it might simply not put forward any co-options at all. That is the fear, although we are dealing with a hypothetical situation, and I imagine—indeed, I hope—that, as the hon. Lady said, those appointed under the Bill as it stands would not seek to do that, but would listen to our debate today and to the debate out there in the community, and would reassure people by using the power of co-option in the way that the Minister has suggested would be helpful. Therefore, my question for the Minister is: if those panels decided not to go down the co-option route, what message could be sent to say that the Secretary of State would be looking to them to act in that way? What discussions might the local authorities have among themselves prior to the constitution of the panel to address some of those concerns?
My hon. Friend is making a comprehensive and thorough argument for the depth of feeling of people in Cornwall. He is getting to the essence of the issue, which is that we would prefer to have our positions in Cornwall by right, along with our colleagues from Devon and the Isles of Scilly. Therefore, our great desire is to have it made crystal clear this evening—so far we have been unable to achieve this—that we will have our positions by right and that the Secretary of State will make every effort to ensure that we truly are represented fairly on that panel.
I thank the hon. Lady for her intervention. She is absolutely right, and that is the reassurance that people in Cornwall are looking for. Our amendment (a) to Lords amendment 80 is an attempt again to put on record the strength of feeling and the concerns that exist.
There is a wider point, which is that occasionally there are anomalies in legislation—this has applied to Governments historically—which, by their nature, will not apply to the vast majority of cases and are therefore not felt to be at the heart of what that piece of legislation is trying to do. However, as we—I hope—move as a country down the route of localism, where different authorities perhaps decide to take on different responsibilities and powers, it is important that we should have different ways of working locally and that legislation be drafted to take account of that. Perhaps that could be done through secondary legislation, to address specific examples such as Cornwall. I appreciate that there is a concern about time—the Minister will want to move towards the elections for police commissioners, and therefore the appointment of panels—but where only one or two specific areas are affected, following them up through such legislation might be a better approach. It might be too late to do that in this legislation, given how it is drafted, but the message for the Government generally is that, as we have different systems in different parts of the country, we should take the opportunity to pick that up and deal with them separately without holding back the overall thrust of legislation as it applies to the country as a whole.
I am grateful to the Minister for responding to that concern—he has corresponded with people back in Cornwall about the issue. However, I seek a reassurance from him that should the panel not to seek to co-opt, there will be a direction from the Secretary of State or some discussion with the local authorities involved to ensure that the debates that have taken place outside and inside this House—those that we have had this evening, as well as over previous months, in other stages of the Bill’s progress—are taken into account, so that people are reassured and we can proceed to a panel in which people can have every confidence.
(13 years, 7 months ago)
Commons ChamberThe hon. Lady has managed to put on the record references to a number of projects in her constituency; as an assiduous local MP, it is absolutely her right to do so. It is for her local authority to consider and to reach a conclusion about what happens to these services. The local electorate will look at those decisions and no doubt respond accordingly—not this year in the hon. Lady’s area, but in other parts of the country. My point was about trying to get health spending brought more closely together with what the Department for Education does; further gains could be made from that approach, which is why I greatly welcome investment in health visitors, for example, during this Parliament. We will have extra professionals on the ground to deliver these key priorities in early intervention and support for people who, without it, might find it difficult to keep the family together. It is important to support young children in those crucial years.
I am pleased to hear from my hon. Friend that, whatever the outcome on 5 May, I can continue to work with him for the greater benefit of the coalition in Cornwall in righting some of the terrible wrongs that have been left, especially the underfunding of education for Cornwall’s younger people. Does my hon. Friend agree that health visitors, particularly in remote rural areas such as Cornwall, will play an increasingly important role in supporting families with young children?
It is crucial to ensure that programmes that sometimes seem specifically targeted at urban areas also deliver in more rural areas. Sometimes there is a misunderstanding that all rural areas are prosperous communities and that money should be targeted elsewhere. That is not the main thrust of what I am saying, however, so I do not want to get drawn further down that road. Of course I look forward to working with my hon. Friend the Member for Truro and Falmouth (Sarah Newton) to ensure that Cornwall gets its fair share of spending and investment.
Sure Start has done a fantastic job of reaching out to people in communities, but there are questions about whether all the money has been spent efficiently. When the hon. Member for Kingston upon Hull North (Diana Johnson) pointed to projects under threat in her constituency, she specifically referred to a planning team. I am not aware of how much on-the-ground work that planning team does—it might be crucial—but it does not sound to me like a front-line service that is, as her Front-Bench team seek to imply, for the chop.