Oral Answers to Questions

Ed Miliband Excerpts

Wednesday 7th January 2015 Commons Chamber

[The Prime Minister]

My hon. Friend makes an important point. In the last quarter, the NHS has faced some unprecedented challenges. There have been more than 5.5 million people going to accident and emergency units, which is an increase of a quarter of a million on the previous year. Gloucestershire has had £3.6 million of the £700 million of winter pressure money that we have produced, and it should use that money to make sure it provides the best possible service it can.

On the NHS 111 service, it is important to see what is actually happening. The number of people using it has almost doubled over the last year. Of those who use it, 27% say that had it not been there, they would have gone to accident and emergency, but in the event of using 111 only 7% are going. So I think it is a good service, but I am sure it can be further improved.

Recognising the pressure on the NHS, I am sure everyone in this House will want to say a thank you to our hard-working doctors and nurses and other hospital staff for all the work they do this winter.

[Edward Miliband (Doncaster North) (Lab)]

I join the Prime Minister in expressing horror and outrage about the unfolding events in Paris. We stand in solidarity with the people of France against this evil terrorist attack by people intent on attacking our democratic way of life and freedom of speech. We are united in our determination to defeat them.

Doctors, nurses and other NHS staff are doing a valiant job, but over 90,000 people in the last quarter waited on trolleys for more than four hours, at least 10 hospitals have declared major incident status in recent days, and one had to resort to Twitter to appeal for medical staff. Does the Prime Minister agree with me that our NHS is facing a crisis?

[The Prime Minister]

Our NHS is facing huge pressure this winter, particularly on its A and E units, but the point that it is important to make is this: the NHS is facing this winter with more doctors, more nurses and more money than it has ever had in its history. What is important is that we recognise the pressures that are there and put in place plans for the short term, the medium term and the long term, and that with the massive increase in the number of people going to A and E, any health system in the world would struggle to cope with some of this pressure.

[Edward Miliband]

In June 2011, this was the Prime Minister’s solemn promise:

“I refuse to go back to the days when people had to wait for hours on end to be seen in A&E…So let me be absolutely clear: we won’t.”

Will he now apologise to patients across the country for having broken that promise?

[The Prime Minister]

I deeply regret it when any patient does not get a good service, but let us be absolutely clear about the numbers of people accessing A and E. Today, compared with four years ago, over 2,500 more patients are seen within four years—within four hours compared with four years ago. That is what is happening. We knew there was pressure on our NHS, and that is why, over the last year, we have seen 1,800 more doctors in our hospitals, 4,700 more nurses in our hospitals and 2,500 more beds in our hospitals. There is more that we need to do, but let us recognise that the health service in every part of our United Kingdom faces these challenges. We must go on giving it the money, the resources and the people so that it goes on providing a great service.

[Edward Miliband]

As far as I can see, the Prime Minister is not apologising to patients; he is blaming the patients. The pressures on A and E are not just happening on his watch, but are a direct result of decisions he has taken. When he decided to close almost a quarter of walk-in centres, was it not blindingly obvious that if people could not go to a walk-in centre, it would have a big impact on A and E?

[The Prime Minister]

We have 1,000 more doctors in A and E, and we are spending £13 billion more on the NHS, when four years ago the shadow Health Secretary said that it would be irresponsible to spend more money. What is interesting is that here we are, question No. 3 on the NHS, and the Leader of the Opposition has no solutions to put forward. That only says to me that while the Government are interested in improving the NHS, he simply wants to use it as a political football.

[Edward Miliband]

This is about politics—it is the Prime Minister’s politics, and they have failed. No answer on walk-in centres, so let us try him on another decision he has made that has been a cause of the crisis. When he decided to reduce the availability of social care services, so that 300,000 fewer older people are getting the help they need, was it not blindingly obvious that if people could not get the care they needed at home, it would have a big impact on A and E?

[The Prime Minister]

Again, absolutely no solutions—presumably, if the right hon. Gentleman had any solutions, he would have implemented them in Wales. He raises the importance of social care, and I agree. That is why from 1 April we are putting £5 billion more into social care via the better care fund. Up until now, the Labour party has told us not to introduce the better care fund. I assume that it now supports that important investment.

[Edward Miliband]

There is one very simple solution: get rid of this useless Prime Minister. No answer on care for the elderly, so let us consider the next thing he did. When he decided to ignore the pleas of doctors, nurses and patients, and plough ahead with his damaging top-down reorganisation, was it not blindingly obvious that if £3 billion is diverted out of patient care, it will have a big impact on A and E?

[The Prime Minister]

Our changes have cut bureaucracy and saved £4.9 billion. That is why there are 9,000 more doctors, 3,000 more nurses, and 6 million more people getting in-patient appointments—[Interruption.]

[The Prime Minister]

You can see this as plain as you like: the Leader of the Opposition apparently said to the political editor of the BBC, “I want to weaponise the NHS.” That is what he said, and I think that is disgraceful. The NHS is not a weapon, it is a way we care for our families, it is a way we care for the elderly, it is a way we look after the frail. Perhaps when he gets to his feet he will deny that he said he wanted to “weaponise” the NHS—a disgusting thing to say.

[Edward Miliband]

I will tell the Prime Minister what is disgusting—[Interruption.]

[Mr Speaker]

Order. I said a moment ago that the Prime Minister’s answers must be heard. The Leader of the Opposition’s questions must be heard as well. It is very simple.

[Edward Miliband]

I will tell him what is disgusting—a Prime Minister who said that people could put their trust in him on the NHS. He has betrayed that trust. He is in denial about the crisis in the NHS. This is a crisis on his watch as a result of his decisions. That is why people know that if they want to get rid of the crisis in the NHS, they have to get rid of this Prime Minister.

[The Prime Minister]

If ever we wanted proof that they want to use this issue as a political football, we have just seen it. If Labour has an answer to the NHS, can it explain why it cut the budget in Wales by 8%? That is where Labour is in charge. All parts of the United Kingdom face a health challenge, but the real risk to the NHS is the risk of unfunded spending commitments bringing chaos to our economy, which would wreck our NHS. That is the risk and that is why the choice at the election will be to stick with the people with a long-term plan, not a Labour party that would wreck our economy and wreck our NHS.