(8 years, 10 months ago)
Commons ChamberLast year the NHS paid £300 million to claimants’ lawyers. Indeed, for small and medium claims, the lawyers made two to three times as much as the claimants themselves. Is there more we can do to stop this abusive behaviour?
There certainly is. We spend £1.3 billion every year on litigation claims—money that could be used to look after patients on the front line. The way to avoid spending that money is to have safer care, and that is why it is so important that we have a seven-day service.
(9 years, 1 month ago)
Commons ChamberI am really grateful to the hon. Lady for making that point. NHS managers have one of the most difficult challenges in the country. Not only do they have to balance revenue and expenditure; they have patients’ lives at risk and public accountability. It is really difficult to run a hospital or a clinical commissioning group. These are some of the most difficult jobs one can imagine. We need to support them. I hope they will agree and welcome a move away from targets as the main way of driving change in the NHS to intelligent transparency and peer review. This is not a confrontation with doctors. Doctors overwhelmingly support a seven-day service. It is, I am afraid, a battle with the BMA, with which we have been trying to negotiate on the matter for nearly three years. It has refused to move. It needs to get in touch with what its members want and what the public want, and then I hope we can make much faster progress.
A characteristic of the health system in our country is that we have something like 20% to 25% fewer doctors per head of population than comparable countries such as France, Germany and Spain. Is it part of the Secretary of State’s vision to correct this over time, and will that make reforms such as these easier to push through?
We do need more doctors and more nurses. We saw an increase of about 8,000 nurses and 10,000 doctors in the previous Parliament. We will need more for the simple reason that we will have 1 million more over-70s by the end of this Parliament. That said, the NHS is admired in the other countries my hon. Friend talks about for our models of care, which are sometimes less hospital-centric and therefore inherently more efficient than what happens in some other systems. The learning should go both ways.
(10 years, 9 months ago)
Commons ChamberThe funding formula is decided independently, and no final decision has been made. The decision will be made by NHS England, which I know is looking at that at the moment. It has to decide equitably across the whole country, based on need, population, social deprivation and other factors. Like the hon. Lady, I am waiting to see what it decides.
Some 14% of the entire NHS budget goes on complaints relating to injury compensation. Of that, a third or £4 billion per year goes to lawyers. That diversion of cash away from the front line to lawyers makes it much harder to get the staffing levels that Francis envisaged. Will the Secretary of State address that as part of the wider issue?
My hon. Friend is right that it is absolutely shocking that we spend more than £1 billion a year on litigation claims in the NHS. The only long-term way of reducing that bill is to improve the safety record of the NHS, so that we do not have the terrible incidents that lead to high claims. The only way to do that is through openness and transparency, which is why today’s measures will make a big difference.
(12 years, 6 months ago)
Commons ChamberFirst, the right hon. and learned Lady, like me, knows that it is important that we respect the BBC’s editorial independence. There is cross-party agreement on that. I am sure that she will welcome the huge progress that the BBC has made, including the clear acceptance by the director-general of the BBC today that something needs to be done to address this issue urgently. The Under-Secretary of State for Culture, Olympics, Media and Sport, my hon. Friend the Member for Wantage (Mr Vaizey) has made big efforts in this respect. We have arranged for my hon. Friend the Member for Mid Bedfordshire (Nadine Dorries) to meet the director-general to talk about this issue. I am hopeful that we will make progress without the need to resort to legislation or regulation.
T3. Each year, the Football Association raises a surplus of about £100 million, mostly from the England football team. By convention, 50% of that money goes to the professional game, where it is not needed, and not to the community and grass-roots game, where it is badly needed. I declare an interest as a director of Warrington Town football club, which badly needs the money. When will the Minister address this governance issue?
(14 years, 1 month ago)
Commons ChamberThe hon. Gentleman makes an important point. Our real concern on this side of the House is about the sexualisation of young people in particular; we take a liberal view of adults’ ability to make decisions about what they see on television. I do not want to pretend that there is an easy answer, because traditional linear viewing, which allowed the watershed, made it possible to be much more definite about what would be seen by children and what would be seen by adults. To answer the hon. Gentleman’s question directly, we have no plans to relax any of the taste and decency regulations for terrestrial broadcasts.
9. What progress has been made on implementation of the proposals set out in the coalition agreement to give the National Audit Office full access to the BBC’s accounts.