Oral Answers to Questions

Ed Miliband Excerpts

Wednesday 22nd February 2012 Commons Chamber

[The Prime Minister]

I am grateful to my hon. Friend for raising this desperately sad case. I know that Peter Rippington was much respected in the local community and at the school. He will be hugely missed. I am sure that the thoughts and sincere condolences of everyone in the House will be with my hon. Friend’s constituents and everyone who has been affected. Our consular staff in France continue to provide support to all those who are still in France. Our ambassador, Sir Peter Ricketts, has visited passengers in hospital and is liaising with the local authorities. We will do everything we can, with the French authorities, to get people home safely.

[Edward Miliband (Doncaster North) (Lab)]

I join the Prime Minister in paying tribute to Senior Aircraftman Ryan Tomlin from 2 Squadron, RAF Regiment. He died bravely and courageously serving our country, and our thoughts are with his family and friends.

We are also thinking today about the tragic death of Marie Colvin. She was a brave and tireless reporter across many continents and in many difficult situations. She was also an inspiration to women in her profession. Her reports in the hours before her death showed her work at its finest, and our thoughts today are with her family and friends.

On Monday, the Prime Minister held his emergency NHS summit and managed to exclude the main organisations representing the following professions: the GPs, the nurses, the midwives, the pathologists, the psychiatrists, the physiotherapists and, just for good measure, the radiologists. How can he possibly think it is a good idea to hold a health summit that excludes the vast majority of people who work in the NHS?

[The Prime Minister]

What I want to do is safeguard our NHS. We are putting more money into the NHS—money that Labour is specifically committed to taking out. But let us be frank: money alone will not be enough. We have to meet the challenge of an ageing population, more expensive treatments and more people with long-term conditions, and that is why we have to reform the NHS. My summit was about those organisations, including clinical commissioning groups up and down the country—8,200 GP practices—that want to put the reforms in place.

[Edward Miliband]

So the Prime Minister has got no answer about his ridiculous summit that excluded the vast majority of people who work in the medical professions. Let us remind ourselves of what he said just a few short months ago during his so-called listening exercise. He said that

“change—if it is to…really work—should have the support of people who work in our NHS. We have to take our nurses and doctors with us.”

Now he cannot even be in the same room as the doctors and nurses. Does that not tell him that he has lost the confidence of those who work in our national health service?

[The Prime Minister]

What I want to know is, when is the right hon. Gentleman going to ask a question about the substance of the reforms? He does not want to ask about choice, because the Opposition used to be in favour of choice but will not back it in the Bill. He does not want to ask a question about competition, because they used to favour competition but now will not support it in the Bill. They used to support GPs being put in charge of health budgets. They backed that, but they will not support it now it is in the Bill. Why not ask a serious question? Incidentally, as we are being kept here to vote at 7 o’clock on the publication of the risk register, why does he not ask a question about that?

[Edward Miliband]

Does the Prime Minister not think it was a serious question about his exclusion of the vast majority of people who work in our NHS? He should not worry—[Interruption.]

[Mr Speaker]

Order. The House must calm down. Tranquil and statesmanlike is the mode for which Members should strive.

[Edward Miliband]

We will come to the substance of the Prime Minister’s Bill, but let me ask him this very important question. There were people who attended the summit and expressed deep concerns about his Bill. Even those who were invited to his summit did so. Following his health summit, can he tell us what changes, if any, he is planning to make to his Bill?

[The Prime Minister]

Why does the right hon. Gentleman not stop worrying about my diary and start worrying about his complete lack of substance? We are going ahead with these reforms because we think it is good for patients to have choice, good to have the involvement of the independent and voluntary sectors in the NHS and good to have more emphasis on public health. That is why we are doing these reforms.

Let me remind the right hon. Gentleman of one thing that he used to believe. He used to believe—this was what his Health Secretary said—that

“the private sector puts its capacity into the NHS for the benefit of NHS patients, which I think most people in this country would celebrate.”—[Official Report, 15 May 2007; Vol. 460, c. 250WH.]

The Opposition are now committed to a 5% cap on the private sector, which would mean hospitals such as the Marsden hospital sacking doctors, sacking nurses and closing wards. Let me ask the right hon. Gentleman again: we are here at 7 o’clock to vote on the risk register. Are you going to ask a question about it, or are you frightened of your own motion?

[Mr Speaker]

Order. I think it would be good if we could preserve some parliamentary manners in this place, and the Prime Minister will know that I am not frightened of anything.

[Edward Miliband]

Nobody believes the Prime Minister and nobody trusts him on the health service. At the Homerton hospital on Monday, I met senior staff working in HIV services, who explained to me how the Bill will fragment and disrupt services—[Interruption.] The Health Secretary should be quiet and listen to the people who work in the health service. If he had done some listening before—[Interruption.] He should calm down.

The senior staff working in HIV services explained that HIV treatment is currently commissioned by one organisation: the primary care trust. Under the Prime Minister’s plans, treatment will be commissioned by three organisations: the national commissioning board, the clinical commissioning group and the health and wellbeing board. The staff said that that will damage the world-class service they provide for patients. Why will he not listen to the people who actually know what they are talking about in the NHS?

[The Prime Minister]

If the right hon. Gentleman is opposing other organisations that have expertise in AIDS and AIDS treatment taking part in the NHS, he is opposing the Terence Higgins Trust, which does an enormous amount to support HIV. The fact is that we are seeing complete opportunism from the Labour party, which used to back choice, the independent sector and reform. I say to you, Mr Speaker, you don’t save the NHS by opposing reform; you save the NHS by delivering reform.

[Edward Miliband]

The Prime Minister does not even understand his own Bill. Let me explain to him. The question was about the fragmentation of commissioning. The experts at the Homerton—[Interruption.]

[Mr Speaker]

Order. Opposition Members are becoming over-excited. There is a long time to go and I want to get to the bottom of the Order Paper.

[Edward Miliband]

Let me say to the Health Secretary that I do not think the Prime Minister wants advice from him.

Let me explain to the Prime Minister that the question was about the fragmentation of commissioning—[Interruption.] Good: I am glad you have got it. Maybe when you get up you can answer the question.

[Mr Speaker]

Order. I say to the Leader of the Opposition: keep me out of it. I said that to the Prime Minister and I am saying it to him.

[Edward Miliband]

The reason why the Prime Minister has lost the—[Interruption.]

[Mr Speaker]

Order. [Interruption.] Order—I say that to the shadow Chancellor as well—[Interruption.] Order. Members might be enjoying themselves, but I ask them to think of what the country thinks—[Interruption] Order. I ask Members to think of what the country thinks of how we conduct ourselves.

[Edward Miliband]

The Prime Minister has lost the confidence of the NHS professions because of the promises he made before the election. Will he now give people a straight answer to the question I asked him two weeks ago and admit that he has broken his promise of no top-down reorganisation?

[The Prime Minister]

If the right hon. Gentleman took any longer, we would have to put him on a waiting list for care, his question took so long. He asks about integration. Let me explain to him, because I do not suppose he has read the Bill, that clauses 22 and 25 place a specific duty on key organisations to integrate health and social care. The Bill is all about integration, but here we are, on his fifth question, and he still will not mention his vote on the risk register. I think I know why. I have here Labour’s brief for this afternoon’s debate. There is an excellent section explaining why we do not publish risk registers. The second argument is particularly strong. It goes like this:

“Andy Burnham blocked the publication of the Department of Health’s risk register in September 2009.”

There we are. The Opposition are absolutely revealed as a bunch of rank opportunists, not fit to run opposition, not fit for government.

[Edward Miliband]

I will tell the Prime Minister what happened under the previous Labour Government: the lowest waiting times in history; more doctors and nurses than ever before; and the highest patient satisfaction with the NHS. I will match our record on the NHS with his any day of the week. The problem with this Prime Minister is that he asks people to trust him but he has betrayed that trust. The problem with this Prime Minister is that on the NHS he thinks that he is right and everyone else is wrong. It has become a symbol not of how his party has changed but of his arrogance. I tell him this: this will become his poll tax. He should listen to the public and drop the Bill.

[The Prime Minister]

Six questions and not one mention of the motion that the Opposition are putting before the House tonight! To put it forward and then not back it up shows an absence of leadership. [Interruption.]