Cancer Treatments

Edward Leigh Excerpts

Tuesday 19th June 2012 Westminster Hall

[Mr Edward Leigh (in the Chair)]

Order. I know that the hon. Lady will wish to leave time for the Minister to reply. The debate must finish at 12.30 pm.

[Liz Kendall]

I am about to sit down, Mr Leigh. The Minister will know that the Opposition have put forward proposals for social care to be free at the end of life, to avoid the awful situation in which families have to fill out means-test forms and might struggle to get the care package that they need at that crucial time—the end of their loved one’s life. There is evidence that such a proposal would be cost-neutral, as it would reduce the number of more expensive bed days spent in hospital. Survival rates are absolutely critical, but we must not forget other issues, such as the quality of the patient experience and end-of-life care.

NHS Risk Register

Edward Leigh Excerpts

Wednesday 22nd February 2012 Commons Chamber

[Mr Lansley]

I do not know about the debate being bad-tempered, Mr Deputy Speaker, but we at least have jokers in the House.

The shadow Secretary of State is out on his own. I will be kind to him and say that at least opposition is coming naturally to him. Whatever we propose, he opposes it, even to the extent of directly contradicting what he and his colleagues said in government. His contribution today was another shameless example. We have seen this before. The last Opposition day debate on this subject was a travesty of his previous views about the role of the private sector, the need for the private finance initiative and the role of competition in the NHS that he espoused in government. He has done a U-turn on those matters and now holds the polar opposite views from those that he held before. That may be a luxury of opposition and he may enjoy it for the moment—actually, I am not sure that he did enjoy it that much—but that kind of inconsistency will keep him in opposition for a very long time.

The shadow Secretary of State spoke for about 50 minutes and I heard not a word of appreciation for the staff of the NHS. We are asking the staff of the NHS to live in financially challenging times, but it is not mission impossible. He said that saving money in the NHS was mission impossible. That is certainly how the Labour party treated it in government. Spending money was about the only thing that it seemed to be capable of doing, but it never spent it well. We are asking the staff of the NHS to save and to reinvest, and to improve performance at the same time.

Did I hear one scintilla of appreciation from the shadow Secretary of State for what NHS staff are doing, or for the fact that we have the lowest number of hospital-acquired infections on record and the lowest ever numbers of patients waiting more than six months and more than one year for treatment? I did not. I put it on record again that whether we compare May 2010 with December 2011, during which time the number of patients waiting more than a year for treatment more than halved, or December 2010 with December 2011, in which time it went down from more than 14,000 to nearly 9,000, the number has gone down. For the shadow Secretary of State to stand at the Dispatch Box and say that it has doubled, which is transparently wrong, is a misrepresentation to the House and a travesty to the staff of the service. He ought to come to the Dispatch Box and withdraw it.

[Mr Edward Leigh (Gainsborough) (Con)]

Of course the views of staff are desperately important, but this is our NHS, and what is really important is the outcome for patients. It is because of the catastrophic decline in productivity that I say to my right hon. Friend that we urge him to keep going, with no more watering down of the Bill. His parliamentary party is 120% behind him.

[Mr Lansley]

My hon. Friend is absolutely right, and when he was Chair of the Public Accounts Committee he constantly told the last Government that they should do something to ensure rising productivity in the NHS. He was not alone in that.

Care of the Dying

Edward Leigh Excerpts

Tuesday 17th January 2012 Westminster Hall

[Mr Edward Leigh (Gainsborough) (Con)]

There is no doubt in my mind that, if we allow assisted dying, it will eventually become encouraged exit. G. K. Chesterton wrote that, when orthodoxy becomes voluntary, it will be prohibited, and we could be on a dangerous, slippery slope. One of the witnesses to the Falconer inquiry said:

“I think we can only go for terminal illness at the moment, so this doesn’t actually apply to the people who are probably about to go into care homes. But, you know, baby steps.”

That is a chilling statement.

There is a lot I could say about this issue, but time is short. We all know that it is virtually impossible to predict how long someone has to live—we know that even from the famous case of the Lockerbie bomber. We also know how people suffer from depression in their last months of life. We know what has gone on in Oregon and in the Netherlands, where 8% of all deaths are the result of euthanasia. We also know about the experience in the Northern Territory, in Australia.

However, I just want to make one simple point, and I apologise, because I suppose it is a moral point. I visited St Andrew’s hospice with my hon. Friend the Member for Cleethorpes (Martin Vickers). To us, this is a moral issue; we believe that the body is simply the mirror of the soul, and however old, crippled or useless someone might seem to society—our society seems to be dominated by the worship of youth and beauty—they are of immense value to society and should be sustained by society to the very end of their lives.

Health and Social Care (Re-committed) Bill

Edward Leigh Excerpts

Wednesday 7th September 2011 Commons Chamber

[Nadine Dorries]

No, I will carry on for a bit longer.

I want to talk about the difference between consultation and counselling. I doubt very much whether the constituents of the hon. Member for Streatham had counselling; I think they probably had consultation. There is a big difference. Every woman who turns up at an abortion clinic has a consultation, but that is about the medical process—the side effects and what is going to happen. Every e-mail that we receive from women on this subject involves a consultation. This is how the law stands today; my hon. Friend the Member for Broxtowe (Anna Soubry) might want to listen to this, as most of the way through she has been nodding in agreement with the adverse comments.

When a woman turns up at an abortion clinic, the clinic does not offer counselling. It does offer consultation, but the woman has to ask for counselling; it is not offered. She has to ask—or the doctor in the clinic has to see that a woman is in a particular position, or be alarmed enough by her state to offer counselling. I want to make the point very clear: counselling is not offered, but has to be asked for. [Interruption.] Someone says from a sedentary position that it is, but if it is, the centre is operating outside the guidelines, because counselling is not offered.

[Mr Edward Leigh (Gainsborough) (Con)]

I am sure that many abortion providers do their level best to give advice, but that is not the point being made. Surely in any field of endeavour it is not appropriate for the provider of a service to give the so-called independent advice. That is the key point—and, frankly, the only point.

[Nadine Dorries]

As I have said to many people, I will come on to the financial situation and the reasons for it.

To recap, the amendment proposes that abortion clinics make an offer of counselling, which they do not make because under the guidelines they have no provision to make it—the woman has to ask for it.

Last week, The British Journal of Psychiatry reported that women who abort are twice as likely to suffer from mental health problems.

NHS Future Forum

Edward Leigh Excerpts

Tuesday 14th June 2011 Commons Chamber

[Mr Lansley]

I hope that my colleagues would support me in saying that I have support from colleagues right across the coalition, because the coalition Government are supporting the NHS in enabling it to deliver improving services. That is what it is all about.

[Mr Edward Leigh (Gainsborough) (Con)]

It is appropriate that I am last, because I come at this from a different direction from everybody else. Given that no extra cash is available—we know that—how will the watering down of Monitor’s duty to promote core competition help to deliver the efficiency gains that are the future of the NHS? How will the Secretary of State now achieve that?

[Mr Lansley]

I say three things to my hon. Friend. First, let us be clear that there is £11.5 billion of additional cash available to the NHS over the course of this Parliament—but we have to use it better and deliver greater quality and effectiveness. The job of the commissioners and Monitor together is to deliver that—partly through tariff development in ensuring that they get those efficiencies by the price that they set, based on benchmark-to-best practice prices, but also through using their commissioning strength to design services. We all know that if we simply said every year to the NHS, “You must save money by cutting the price of what is paid to you”, its response would be to cut services, cut staffing or cut quality. In fact, achieving greater quality and effectiveness is about the redesign of clinical services—the transfer of services into the community and keeping people well at home rather than through emergency admissions to hospital. It is about clinical leadership and clinical redesign, and that is what these proposals will bring to the forefront.

Future of the NHS

Edward Leigh Excerpts

Monday 9th May 2011 Commons Chamber

[Mr Lansley]

I give way to my hon. Friend the Member for Gainsborough (Mr Leigh), the former Chairman of the Public Accounts Committee.

[Mr Edward Leigh (Gainsborough) (Con)]

Sadly, despite massive increases in funding over 15 years, there has been an undoubted catastrophic decline in NHS productivity. Does my right hon. Friend accept that many of us on the Government Benches feel that if we are to save the NHS there is no alternative to more co-operation with the private sector, and that he should stick to his guns?

[Mr Lansley]

My right hon. Friend made that point when he chaired the Public Accounts Committee, and it should silence Labour Members, because the Public Accounts Committee has said exactly the same thing since the election under the chairmanship of the right hon. Member for Barking (Margaret Hodge)—that productivity in the NHS declined consistently under Labour.

Let me make clear that if we are going to make—[Interruption.]

NHS Reorganisation

Edward Leigh Excerpts

Wednesday 16th March 2011 Commons Chamber

[Mr Lansley]

The right hon. Gentleman was not satisfied with his first speech, so he had to have a go at a second one. He did not answer any of my questions. The Labour party said in its manifesto that it would use the private and voluntary sectors alongside NHS providers. The reason for that was simple: having the NHS as the preferred provider meant that the patient could be let down time after time before another quality provider could be permitted. We are going to allow competition on quality, but the quality has to be there. Patients will get the best possible service from whoever is best placed to provide that care.

Our changes are being seen across the country already.

[Mr Edward Leigh (Gainsborough) (Con)]

This party political ding-dong is great fun, but what worries me is that we have an ageing population, there are rightly more and more expensive techniques, and the taxpayer cannot put any more money in. Who is going to save the NHS if there is no co-operation with the private sector?

HIV

Edward Leigh Excerpts

Wednesday 1st December 2010 Westminster Hall

[Mr Edward Leigh (in the Chair)]

The sitting is resumed.

[Hon. Members]

Hear, hear!

--- Later in debate ---

[David Cairns]

The hon. Lady is correct. Part of the education of GPs must be about looking at the symptoms, not only what the GP imagines a typical at-risk person would be. Having said that, we need to show that those within high-risk groups of people are being tested as well.

The tremendous progress that has been made in testing in the past few years is truly astonishing. Someone can be tested and have the result in less than a minute. I hope that he will not mind me mentioning it, but the hon. Member for Brighton, Kemptown (Simon Kirby) saw this first-hand last night when he received a test through the services provided by the Terrence Higgins Trust in the House, and he had the result in less than a minute. Testing is not the long drawn-out process that it was years ago, but can be done much more quickly.

Finally, on care and support, people are living longer with the virus, which is a very good thing, but it brings with it challenges and complications—physical, emotional and mental. It is very important that we understand the need to have a strategy for people living longer with HIV. The AIDS support grant is no longer ring-fenced, and I am not arguing that it should be re-ring-fenced, but I am arguing strongly for it to stay within the grants that go to local government as a specified budget line.

In that way, local people can hold their local authority to account in exactly the way that the Secretary of State outlined yesterday. It is his belief that local people should be able to see the services being provided for them, and argue for services. If the AIDS support grant disappears as a title altogether and is subsumed into the general pot of money that local government gets, local people will not be empowered to come forward and demand the kind of services for which money is being made available.

In conclusion, I hope that the Minister will address some of the concerns about the AIDS support grant and the Government’s vision for it. I hope too that she will be able to calm some of the fears and uncertainties out there on how HIV services are to be commissioned, how they will be accessed, and how they will be supported under the new NHS that the Government have in mind.

[Mr Edward Leigh (in the Chair)]

Order. Five Back Benchers have intimated that they wish to take part. I intend to call the wind-ups at about 3.30 pm. Hon. Members can do the maths, so I ask for brief speeches from now on.