Oral Answers to Questions

Ed Miliband Excerpts

Wednesday 24th April 2013 Commons Chamber

[The Prime Minister]

I send my fond regards to my hon. Friend’s mum and wish her a long, happy and healthy life. I remind her that if she votes Conservative in 2015, she will have the in/out referendum that the country deserves.

[Edward Miliband (Doncaster North) (Lab)]

First, I join the Prime Minister in paying tribute to Lance Corporal Jamie Jonathan Webb of 1st Battalion the Mercian Regiment. He showed the utmost courage and bravery, and the thoughts of the whole House are with his family and friends.

People are hearing today about patients waiting on trolleys in A and E, in some cases for more than 12 hours. We have even heard of one hospital pitching a treatment tent outside its premises. What does the Prime Minister have to say to those patients who are waiting hour upon hour in A and E?

[The Prime Minister]

First of all, this Government believe in our NHS and are expanding funding in our NHS. We will not take the advice of the Labour party, which thought that the increases in spending on the NHS were irresponsible. That is its view. We will go on investing in our NHS. With 1 million extra patients visiting A and E every year, we need to continue hitting the important targets that we have so that people are treated promptly.

[Edward Miliband]

The Prime Minister obviously does not realise that he is singularly failing to meet the targets that he has set himself. The number of people waiting more than four hours in A and E is nearly three times higher than when he came to office. First he downgraded the A and E target. Now he is not even hitting it. As he approaches his third anniversary as Prime Minister, he needs to explain why an A and E crisis is happening on his watch.

[The Prime Minister]

Let me give the right hon. Gentleman the figures. For the whole of last year, we met the target for A and E attendance. That is the fact. The number of occasions on which it was breached in the last year— 15 times—is lower than the 23 times that it was breached when he was in power in 2008. Those are the facts.

The other point that I would make to the right hon. Gentleman is that there is one part of the country where Labour has been in charge of the NHS for the past three years. That is in Wales, where no A and E target has been hit since 2009. Perhaps he will apologise for that.

[Edward Miliband]

Let me give the Prime Minister the figures. In 2009-10, 340,000 people waited longer than four hours in A and E. Last year, it was 888,000 people. If he wants to talk about records, the Labour Government left office with higher patient satisfaction than ever before in the NHS, lower waiting lists than ever before in the NHS and more doctors and nurses than ever before in the NHS.

Part of the problem is that the Prime Minister’s replacement for the NHS Direct service is in total chaos. He now has a patchwork, fragmented service in which, over Easter, 40% of calls were abandoned because they were not answered. What is he going to do about it?

[The Prime Minister]

If anyone wants a reminder of Labour’s record on the NHS, they only have to read the report into the Stafford hospital.

The right hon. Gentleman mentions the number of people waiting a long time for NHS operations. That number has come down since this Government came to office. The fact that he cannot ignore is that since this Government came to office, there are 1 million more people walking into A and E and half a million more people having in-patient treatments. The fact is that waiting times are stable or down, waiting lists are down and the NHS is performing better under this Government than it ever did under Labour.

[Edward Miliband]

Let me just say that what happened at Stafford was terrible, and both of us talked about that on the day, but what a disgraceful slur on the transformation of the NHS that took place after 1997 and the doctors and nurses who made that happen.

The main reason why the Prime Minister is failing to meet his A and E target month after month is that he decided to take £3 billion away from the front line in a top-down reorganisation that nobody wanted and nobody voted for. As a result, there are 4,500 fewer nurses than when he came to power. Can he explain how it is helping care in the NHS to be giving nurses their P45s?

[The Prime Minister]

First of all, the right hon. Gentleman is clearly in complete denial about what happened to the NHS under Labour. Let me just remind him what his spending plans are. His shadow Health Secretary was asked,

“does he stand by his comment that it is irresponsible to increase NHS spending?”—[Official Report, 12 December 2012; Vol. 555, c. 332.]

He said, “Yes, I do.” That is Labour’s official policy—to cut spending on the NHS, just like it is cutting spending on the NHS in Wales, where waiting times are up, waiting lists are up and quality is down. That is what is happening in the NHS under Labour.

The Leader of the Opposition also mentions what we have done in terms of reorganisation. That reorganisation will see £4.5 billion extra put into the front line compared with the cuts from Labour.

[Edward Miliband]

Let me just say to the Prime Minister that he is the guy who cut NHS spending when he came into office and was told off by the head of the UK Statistics Authority for not being straight with people about it.

A and E is the barometer of the NHS, and this Prime Minister might be totally out of touch, but that barometer is telling us that it is a system in distress. According to the Care Quality Commission, one in 10 hospitals do not have adequate staffing levels, and during the winter every hospital was at some point operating beyond the recommended safe level of bed occupancy. Hospitals are full to bursting. He is the Prime Minister. What is he going to do about it?

[The Prime Minister]

The right hon. Gentleman’s answer is to cut NHS spending, whereas we are investing in it. Let me give him some simple facts about what has happened to the NHS under this Government: 6,000 more doctors; 7,000 fewer managers; 1 million more treated in A and E; half a million more day cases; mixed-sex wards, commonplace under Labour, virtually abolished; infection rates in our NHS at record low levels; and, as I said, waiting times for in-patients down and waiting times for out-patients stable—all of that happening under this coalition Government, a far better record than he could boast.

[Edward Miliband]

People up and down the country will have heard that this is a Prime Minister with no answer for the crisis in our A and E services across the country. There is a crisis in A and E, and it is no surprise: he has cut the number of nurses; his NHS helpline is in crisis; and he is wasting billions of pounds on a top-down reorganisation that he promised would not happen. The facts speak for themselves: the NHS is not safe in his hands.

[The Prime Minister]

Let us examine the NHS in Labour’s hands in Wales. Here are the figures. Is the NHS budget being increased? No, it is being cut by 8% by Labour. The last time the urgent cancer care treatment target was met in Wales was 2008. The last time A and E targets were met was 2009. The Welsh ambulance service has missed its call-out target for the last 10 months. And, of course, there is no cancer drugs fund. That is what you get under Labour: cuts to our NHS and longer waiting lists—and all the problems we saw at the Stafford hospital will be repeated over again.