Oral Answers to Questions

Ed Miliband Excerpts

Wednesday 17th July 2013 Commons Chamber

[The Prime Minister]

My hon. Friend is absolutely right that today’s unemployment figures are welcome. They show a very large fall in the claimant count—20,000 in the past month—and encouraging signs of employment growth, some of which is due to the extra resources that we put into apprenticeships. We can be proud of the fact that more than 1 million people will have started apprenticeships in this Parliament, and I hope that the fall in unemployment is welcomed across the House.

[Edward Miliband (Doncaster North) (Lab)]

The vast majority of doctors and nurses working in the NHS perform to a very high standard day in, day out, but everyone in the country will be worried that some hospitals are letting people down. Sir Bruce Keogh’s excellent and important report found

“frequent examples of inadequate numbers of nursing staff”.

Will the Prime Minister tell the House what he is doing to ensure that there are adequate numbers of nurses in the health service?

[The Prime Minister]

First, let me agree with the right hon. Gentleman that the Keogh report is excellent. When there is a problem of relatively high mortality rates in some hospitals, it is right to hold an investigation to get to the truth, and then to take action to deal with the situation.

The right hon. Gentleman asks what steps we will take. We are putting £12.7 billion into the NHS and, over the course of the past year, we have seen an extra 900 nurses in our NHS, which backs up the 8,500 extra clinical staff in place since this Government came to office.

[Edward Miliband]

But the reality is that there are 4,000 fewer nurses than when the Prime Minister came to power. Nursing staff was one of the issues raised in Sir Bruce’s report, and that was also reflected in the Francis report with regard to benchmarks for nursing staff numbers. Given that there are 4,000 fewer nurses, will the Prime Minister say whether that is helping or hindering the process of sorting out the problems?

[The Prime Minister]

The right hon. Gentleman makes a link between the 11 hospitals that have been put into special measures and nursing numbers, but he might be interested in the figures. Eight of those 11 identified hospitals have more nurses today than in 2010. For instance, although Scunthorpe hospital is on that list of 11 hospitals, an extra 100 nurses are working there compared with three years ago. In addition, 10 of those 11 hospitals have higher numbers of clinical staff. The Francis report did not support mandatory nursing numbers, but let me say this: all well-run hospitals will have the right number of nurses, doctors and care assistants. One of the purposes of these reports is to ensure that hospitals are better run.

[Edward Miliband]

The reality is that the Prime Minister’s reforms are diverting money from patient care and that across the health service the number of nurses is falling. Let me turn to one of the biggest health problems the country faces: deaths from cancer. The Government planned legislation on plain cigarette packaging but changed their view after the Prime Minister hired Lynton Crosby, who also happens to work for big tobacco in the shape of Philip Morris. Are we really supposed to believe that is a coincidence?

[The Prime Minister]

First, it is clear that the right hon. Gentleman does not want to have a proper conversation about the health service and that he has not done his homework on nursing numbers. He asks about plain packaging for cigarettes. Let me be absolutely clear about this: the decision not to go ahead for the time being was made by me and the Health Secretary. If the right hon. Gentleman does not agree with that decision, he can attack me for making it. Funny enough, it is the same decision the previous Government made. I have here the letter that the former Labour Secretary of State for Health wrote to another Minister, the right hon. Member for Dulwich and West Norwood (Dame Tessa Jowell), explaining why he was not going ahead. He said this:

“No studies have shown that introducing plain packaging of tobacco products would cut the number of young people smoking… Given the impact that plain packaging would have… we would need strong and convincing evidence”

in order to go ahead. He did not go ahead. Let me summarise: if the Leader of the Opposition’s attack on me is that we are not doing something he decided not to do, I suggest a different line of questioning.

[Edward Miliband]

Once again the Prime Minister does not know his facts, because in February 2010 my right hon. Friend the Member for Leigh (Andy Burnham), in his tobacco strategy, set out quite clearly that he was in favour of plain cigarette packaging, and that quote is from before then. Here is the difference: my right hon. Friend moved to that position in February 2010; but the Prime Minister used to be in favour of plain cigarette packaging and then changed his mind. Can he now answer the question that he has not answered for weeks: has he ever had a conversation with Lynton Crosby about plain cigarette packaging?

[The Prime Minister]

I have answered the question: he has never lobbied me on anything. If the right hon. Gentleman wants a lobbying scandal, why does he not try the fact that the trade unions buy his policies, buy his candidates and even bought and paid for his leadership? That is a scandal, and he should do something about it.

[Edward Miliband]

The whole country will have heard the same weasel words that the Prime Minister is sticking to. He cannot deny that he had a conversation with Lynton Crosby about this issue. Even by the standards of this Prime Minister, this is a disgraceful episode. His own hon. Friend the Member for Totnes (Dr Wollaston) described it as

“A day of shame for this government.”

He is the Prime Minister for Benson and Hedge funds, and he knows it. Can he not see that there is a devastating conflict of interest between having a key adviser raking it in from big tobacco and then advising him not to go ahead with plain packaging?

[The Prime Minister]

All this on a day when this Government are doing something the Labour party never did for 13 years: publishing a lobbying Bill. Let us remember why we need a lobbying Bill. We had former Labour Ministers describing themselves as cabs for hire, Cabinet Ministers giving passports for favours and a Prime Minister questioned by the police over cash for honours. They are in no position to lecture anyone on standards in public life. Is it not remarkable that on a day of a massive fall in the claimant count, a fall in unemployment and a rise in employment the right hon. Gentleman has nothing to say, and is not this the reason: last year he said that

“next year, unemployment will get worse, not better, under his policies. Nothing that he can say can deny that”—[Official Report, 18 January 2012; Vol. 538, c. 739.]?

Is it not time he withdrew that and admitted he was wrong?

[Edward Miliband]

The reality the Prime Minister cannot admit is that against the advice of every major public health organisation he has caved in to big tobacco. That is the reality about this Prime Minister and he knows it. It is Andy Coulson all over again. He is a Prime Minister who does not think the rules apply to him. Dinners for donors, Andy Coulson, and now big tobacco in Downing street—he always stands up for the wrong people.

[The Prime Minister]

The reason the right hon. Gentleman’s leadership is in crisis is that he cannot talk about the big issues. We are getting to the end of a political session when the deficit is down, unemployment is falling, crime is down, welfare is capped, and Abu Qatada is back in Jordan. Every day this country is getting stronger and every day he is getting weaker.