(7 years, 6 months ago)
Commons ChamberAs I said earlier, we will have 5,000 further doctors working in general practice by 2020. A chunk of those will be available for every part of the country, and Enfield is included in that. I do accept that the GP system is under stress and that we need more GPs, and the points that the right hon. Lady makes are right.
Employing more GPs is, of course, important, but the Minister is right to say that so is collaboration. How far have we got with spending the £1 billion earmarked by the Chancellor in 2014 for improving GP surgeries? Does the Minister share Ara Darzi’s vision of more polyclinics, which will enable GPs to work more closely together?
The vision set out in the GP five year forward view is of substantially more spend in the community and of an increase, as a proportion, in the amount of money in the NHS going to people in primary care. Part of that will be in polyclinics and the estate generally. As I say, one of the most innovative things we have found in the GP vanguards is that when they start to put together groups of 30,000, 40,000 and 50,000 patients in a GP hub, the quality of care increases dramatically. We are going to accelerate that.
(7 years, 10 months ago)
Commons ChamberI want to continue.
The third area I wish to address is value for money, and I make no apology for doing this. According to recent OECD analysis, the UK now spends above the OECD average on healthcare, but however much money we spend, every penny needs to be spent as efficiently as possible. If that does not happen, waiting lists can become too long, treatments can be denied to patients and drugs might not be available. We also know that efficiency savings are required of every part of the NHS, and community pharmacy must play a role in contributing to the £22 billion of savings that we need to find. I do not apologise for that.
I certainly support the amendment on the Order Paper today, but does the Minister agree that, in relation to efficiencies, the issue of category M clawback is an important one? I tried to extract an answer to that question from the hon. Member for Leicester South (Jonathan Ashworth) earlier. Also, I ask the Minister to think again about the ownership-blind point that he just made. There is not an equal playing field at the moment, and there is a real risk that small independent pharmacies will continue to be done in.
I do accept that point. We are working on the category M clawback, and I hope to be able to make some progress on that matter soon.
(9 years, 7 months ago)
Commons Chamber3. What assessment her Department has made of the role of the voluntary sector in dealing with the legacy of the past.
Voluntary sector organisations provide invaluable support for those whose lives have been changed for ever as a result of Northern Ireland’s troubled past. I have visited some of them and I pay tribute to their work, which I know from my dealings with victims and their families is deeply appreciated by many in Northern Ireland and beyond.
The recent Stormont House agreement acknowledged that victims of the troubles from outside Northern Ireland should also be formally recognised, and the oral history archive that is to be set up is a mechanism for doing that. Will my hon. Friend support a role for the Warrington-based Foundation for Peace in co-ordinating input to the archive for such victims?
Yes, and I pay tribute once again to my hon. Friend’s contribution to this and his support for the Warrington peace centre and its important work. It is explicit in the Stormont House agreement that the oral history archive will be established for the whole of the United Kingdom, and it will be keen to hear the accounts of the troubles of people in Warrington and throughout the United Kingdom. I look forward to that forming a part of the oral history archive in due course.
(10 years, 1 month ago)
Commons Chamber1. What assessment she has made of the value for money of the Saville inquiry.
When the previous Government set up the tribunal in 1998 to investigate the tragic events of 30 January 1972, no one could have anticipated that it would take 12 years to complete and cost more than £191 million. The inquiry produced the definitive account of the tragic events of that day, the value of which is very clear.
I thank the Minister for that answer. One hundred and ninety-one million pounds would have paid for 10,000 nurses for a year or, indeed, transformed a large part of the economy of Northern Ireland. It is clear that the Government completely failed to control the costs. Can the Minister confirm that never again will an inquiry be set up with no attempt whatever to control costs and that the relevant civil servants understand that as well?
Notwithstanding my remarks about the value of the inquiry, the Government have been clear that although each case will be considered on its merits, we should indeed resist further costly, open-ended inquiries. I note that the Inquiries Act 2005 will help in that regard.
(11 years, 6 months ago)
Commons Chamber3. What consideration he has given to routinely storing DNA samples for all members of the armed forces.
I congratulate my hon. Friend on taking a close interest in this matter. As the Minister responsible for defence personnel, veterans and welfare, my right hon. Friend the Member for Rayleigh and Wickford (Mr Francois), told him in November, it is MOD policy
“to offer all military, deployable MOD civilians and other entitled personnel the opportunity to provide reference samples suitable for DNA analysis.”—[Official Report, 26 November 2012; Vol. 554, c. 18.]
That is on entirely a voluntary basis, complies with the Human Tissue Act 2004, and is to enable identification post mortem if required.
The Minister may recall the case of my constituent Emma Hickman, who had difficulty in demonstrating paternity because of a dispute over the ownership of DNA. That case was resolved, and I thank him for his help in that, but we need routinely to require all active soldiers to have DNA taken so that, as in the case of armies such as that of the United States, samples can easily be made available. By what time scale might we do that?
The policy is under review, and it will certainly include reviewing practice in other countries, notably the US, where, as my hon. Friend says, there is mandatory testing on enlistment. That clearly needs to be within UK legislation, particularly the 2004 Act, and I anticipate the result of the current review being available in late spring.