(10 years, 6 months ago)
Commons ChamberOf course, I have to remind the hon. Lady that the contract was awarded to Atos by Labour in the first place. As she says, we are exiting the contract early, and of course there will be a substantial financial settlement to the Department for Work and Pensions as a result. We will continue to monitor the performance of Atos until its exit early next year and we will find a new provider to deliver the best possible service for claimants.
Will the Leader of the House arrange for us to have a debate on the future of the beef industry in Britain, which is currently experiencing a catastrophic collapse in prices as a result of imports, in which we can focus particularly on the country of origin, whether it be Ireland or other European countries?
I am not sure whether my hon. Friend had an opportunity to catch your eye, Mr Speaker, during Environment, Food and Rural Affairs questions. If he did not, I will of course ask my hon. Friends at DEFRA to respond directly to him about the issues that he raises.
(10 years, 7 months ago)
Commons ChamberWell, good for her. I cannot promise a debate, but I entirely endorse the hon. Lady’s sentiments.
Bowel cancer is often a completely curable disease, but a key to successful treatment is early diagnosis. May we have an urgent statement about the effectiveness of bowel cancer screening programmes, particularly in relation to access to colonoscopies, and a comparison between the effectiveness of bowel cancer screening services in Wales and in England so that we can gain best practice?
I will ask my hon. Friends at the Department of Health to respond in detail, particularly on the point about comparisons. We should be very pleased that during this Parliament we have seen the roll-out of the bowel cancer screening programme across England. We look forward very positively to being able to roll out flexible sigmoidoscopy, as we plan over the next three years, which will enable not only early diagnosis of bowel cancer but early interventions. That will make a further big, positive step forward.
(10 years, 9 months ago)
Commons ChamberThe Government have been very clear that in banks where we exercise a shareholding responsibility on behalf of the taxpayer, the level of bonuses will come down, bonuses should be paid in a form that can be recovered if people do not deliver and bonuses should often be deferred so that they can be linked directly to the long-term increase in the value of the business and the benefit to customers. Of course, there are many banks in which we do not have that shareholding responsibility. Those banks are subject to the law and to their shareholders, but that is as far as it goes.
What is important is that we have a more competitive banking system. That is what the Financial Services (Banking Reform) Act 2013 and the measures that we are putting in place will achieve. There should be more challenger banks. People can and should make their own judgments about which banks are providing them with the right service.
This afternoon a general debate on Welsh affairs will be held in this Chamber. Does my right hon. Friend agree that that is a hugely welcome development, so close as it is to St David’s day, and that it should be standard practice to hold a similar debate every year as part of the programme of the House?
I am grateful to my hon. Friend, and in this instance credit goes to the Backbench Business Committee. It has demonstrated that it is responsive to Members in this House, and the Welsh affairs debate today is very positive. I hope, for example, that Members will look forward to the changes that the Government are planning to bring forward in the draft Wales Bill, and it might be an opportunity for those on the Opposition Front Bench to explain why they are opposed to further devolution of tax powers to the Welsh Government.
(10 years, 10 months ago)
Commons ChamberI am glad that my hon. Friend has had this opportunity to pay tribute to the work that is being done in his constituency. I cannot promise a debate immediately. He will have heard what I said about opportunities for questions, but it is important, none the less, that we have the opportunity to discuss how the implementation of our commitment to increase places for two-year-olds—this follows the introduction of our scheme for three-year-olds—will enable all young people to have access to the best possible early start in education.
At yesterday’s Welsh Grand Committee, the Opposition completely torpedoed what we thought was an all-party agreement to grant tax-raising powers to the National Assembly for Wales and to make the Welsh Government fiscally accountable. May we have a statement in this Chamber on what was a stunning U-turn by the Opposition so that we can expose Labour as an anti-devolutionary and anti-Welsh party?
I am interested in what happened at the Welsh Grand Committee. In fact, the Deputy Leader of the House and I visited it yesterday morning for the first hour of the debate. Like my hon. Friend, I was astonished to hear the Opposition saying that they were opposed to this major extension of devolution to Wales. We are in a position to give the people of Wales the opportunity, through a referendum, to decide whether they want devolution. The Opposition seem to be against that.
(10 years, 11 months ago)
Commons ChamberI do not think that the hon. Lady should get too carried away until the statisticians have quantified the error. One should not characterise the situation as she did and certainly should not exaggerate. The Government have been assiduous in bringing this issue back for the House to consider, and I know that my right hon. Friend the Secretary of State will continue to do so.
One of the potential benefits of devolution is that different Administrations can follow different policies, giving us the opportunity to learn from each other. There is particular concern about the performance of education in Wales. May we have a debate about how devolution operates, and about possible mechanisms for making direct comparisons so that we can learn from each other about how different Administrations work?
My hon. Friend rightly points to concerns, not least those captured in the OECD’s statistics on educational attainment. Those statistics, which make comparisons between countries, including England and Wales, show a worrying lack of attainment in reading and mathematics in Wales, and it is important to deal with that. In my view, this is not an intrinsic criticism of devolution, but much more a criticism of the policies pursued by the devolved Administration in Wales. We do not need a change in the devolution settlement to tackle these issues; we need a change of Government in Wales—away from a Labour Government.
(10 years, 11 months ago)
Commons ChamberI felt that the debate that took place in the House late last year exemplified the importance of commemorating the events of 100 years ago. Although I cannot confirm that there are plans for another debate on the subject, I can say that there is probably a case for further such debates in the future.
Over the last year unemployment in my constituency has fallen by 25%, from 903 to 682. May we have a debate in which we can consider the policies that have delivered such a spectacular result, and ensure that we continue those policies in order to build on it?
I think that the figures cited by my hon. Friend are testimony not only to the achievements of businesses in his constituency, but to the effectiveness of the long-term economic plan that the coalition is pursuing. Flexible labour markets are also important. There have been widespread pressures on many economies throughout the world, some of which have manifested themselves in rapidly rising unemployment. The fact that we in this country have been able to produce 1.6 million extra private sector jobs is testimony to the fact that we have been prepared to make difficult decisions in controlling public sector expenditure and the reduction of public sector jobs, and maintaining a flexible labour market.
(11 years ago)
Commons ChamberThe autumn statement included commitments to investment in several much-needed improvements to roads in England, and the Welsh Government will take similar decisions in Wales. May we have a debate or written statement on the establishment of a process to deal with improvements across the border between England and Wales, which have collapsed as a consequence of devolution?
My hon. Friend raises an interesting point that I will talk to my right hon. Friend the Secretary of State for Wales about. I know he will share his interest in the issue. Devolution has many merits, but all of us in the devolved Administrations and the UK Government want to work together to deliver the infrastructure improvements we all want.
(11 years ago)
Commons ChamberI will be responsible for discharging my responsibility to the House and the hon. Gentleman can be in charge of his. It is important for the House to recognise two things. First, putting a written ministerial statement before the House is announcing something to the House; it should not be disregarded. Secondly, on the day of the autumn statement it is perfectly reasonable for the Secretary of State for Work and Pensions, who will be seeing the Select Committee on Monday, not to be making an oral statement.
The most effective way of reducing incidents of stroke disease is by identifying and treating atrial fibulation. May we have a debate on improving access to and take-up of newly developed National Institute for Health and Care Excellence-approved drug treatments?
I cannot promise a debate immediately, but this is an important issue. My hon. Friend will appreciate that during my several years as chair of the all-party group on stroke, it was one of the issues that emerged. We are making progress on a wide front in relation to the improvement of stroke services and on fast identification and treatment of stroke. On prevention, I hope that what my hon. Friend says about AF will be emphasised in our discussions about improving stroke services for the future.
(11 years, 1 month ago)
Commons ChamberI hope there will be an opportunity for the House to consider this issue. We all appreciate the work of children’s hospices in our constituencies. I was pleased to attend the reception my hon. Friend sponsored and to meet people from East Anglian children’s hospices. I was very glad to meet Lucy and to hear directly from her. I hope that as a Government we will be able to respond to some of the things that children’s hospices have wanted for a long time. In particular, pilot sites are doing important work to prepare for a change in the funding system, so that children’s hospices can be assured of a per patient system of funding. While that is being prepared for 2015, we continue to provide more than £10 million annually to support children’s hospices. I personally think that the assurance of per patient funding will enable children’s hospices to plan with even greater confidence.
The terrible impact of Typhoon Haiyan on the Philippines will continue long after the tragedy no longer dominates headlines across the world. May we have regular statements over the coming year to update the House on progress in bringing relief to the people suffering in the Philippines?
I hope we can find time for statements—written statements and, if possible, a further statement to the House—on the support we are giving to the Philippines. The public have demonstrated, in a magnificent way, their compassion and support for the people of the Philippines through their donations to the Disasters Emergency Committee. The Secretary of State for International Development and the Government have shown that we are able to lead the world in the scale and quality of that support. The House heard from the Prime Minister on Monday that we are now able to do so much more to provide support. For example, the Big Lottery Fund can provide longer-term support to help to rebuild damaged communities. I hope the House will have a chance to hear about that shortly.
(11 years, 1 month ago)
Commons ChamberI would have thought that our introduction of the general anti-abuse rule, the fact that our Second Reading debate on the National Insurance Contributions Bill next Monday will cover the extension of anti-abuse legislation into national insurance, and our announcement today of the registration of beneficial company ownership all demonstrated that we were taking further steps beyond the many already taken by the Treasury to deliver on the reduction of tax avoidance.
This week, the right hon. Member for Cynon Valley (Ann Clwyd), who is no longer in her place, published an important report on the need for transparency and genuinely independent powers of review in the NHS in England. Will the Leader of the House schedule a debate on her report, so as to enable Welsh MPs, many of whose constituents are treated in English hospitals, to make the case for the same approach to transparency and genuinely independent review in Wales?
My hon. Friend is right to welcome, as I do, the right hon. Lady’s report on complaints. I hope that it will be taken up by the NHS not only in England but in Wales, not least because of the circumstances that gave rise to her serious concerns. I hope that the NHS in Wales will recognise that the NHS in England is making changes in regard to listening and responding to complaints, and that it will emulate the steps we are taking to deliver services on which patients can rely. Cutting the budget in Wales, which Labour is doing, is undermining the delivery of those services.
(11 years, 5 months ago)
Commons ChamberI will of course talk to my hon. Friends in the Department for Work and Pensions; it seems that I shall need to do that quite a lot today. The hon. Gentleman is describing the transfer of those funds into the hands of local authorities. Those local authorities will have the ability to look at a range of benefits and assess how they will work in the context of the link to people’s own housing responsibilities, and I know that that is proving to be a positive way of enabling people to manage to a budget more effectively. In so many of these circumstances, however, the ability to have discretion at the margin to deal with difficult cases is something that every council will have to look at carefully.
In recent days, two companies in Montgomeryshire—Control Techniques and Invertek Drives—have announced 90 new local high-tech jobs. Will my right hon. Friend ask the Secretary of State for Business, Innovation and Skills to make a statement on how we can work with the Welsh Government to build on this success as the UK moves out of recession?
My hon. Friend is a great cheerleader for mid-Wales, and he is absolutely right to suggest that there are some great businesses helping the UK to compete in the global race by investing and expanding their operations. I will draw his comments to the attention of the Secretary of State, but if he is in his place next Thursday when the Secretary of State is responding to questions, he might have a further opportunity to raise the matter then.
(11 years, 5 months ago)
Commons ChamberI am not sure whether the hon. Gentleman and I listened to the same statements yesterday and today. What I heard, including today, was an announcement of £2 billion a year going into the single pot to support local enterprise partnerships across the country, and that will accumulate into a substantial sum of money. This is a devolution of resources that never happened under the Government the hon. Gentleman supported. Additionally, if I heard it correctly, £500 million extra is going into the regional growth fund, and we have all seen how that has made a big difference to projects. I am afraid that I do not recognise his premise; we are supporting manufacturing and growth across the regions.
There has been a huge and resounding welcome throughout Wales of yesterday’s confirmation that the budget for Sianel Pedwar Cymru or S4C is to be protected—demonstrating a commitment to Welsh language and culture by the Prime Minister and the Department for Culture, Media and Sport, as well as the Wales Office. May we have a debate on the importance of S4C to demonstrate its significance for Wales, the economy, the language and the culture as well as to the Union?
I cannot offer my hon. Friend the prospect of an immediate debate, but he used his opportunity at business question last week, if I recall correctly, to raise this issue. I am pleased that he has found that his representations have been successful.
(11 years, 5 months ago)
Commons Chamber8. What plans he has to introduce an e-petitions system applicable to both Parliament and Government.
The introduction of the coalition Government’s e-petitions system has been a successful improvement for public engagement with Parliament. However, it is clear that the public expect to be able to petition their Parliament and seek action from their Government. I want to work with the Procedure Committee, the Backbench Business Committee and interested Members from across the House to develop the current system into something that more fully meets that expectation.
My hon. Friend makes a good point. Improving engagement with Parliament and politics must be the focus of any improved system. I am grateful to him for his suggestion on how we can achieve that. However, I alert him to the fact that more than 11 million signatures have been added to petitions in the two years or so since the Government’s e-petitions system was established. I am not sure that hon. Members would welcome an e-mail for each of those signatures, but I do agree that there are ways in which we can open up the data overall to help Members and their constituents to identify and work together on popular petitions.
In order to increase opportunities for debate on e-petitions with 100,000 signatures, will my right hon. Friend consider bringing forward a motion to reopen Westminster Hall on Mondays?
(11 years, 6 months ago)
Commons ChamberThe right hon. Gentleman understands these matters well and knows that the ratification in Jordan is a positive step forward. As he said, the House will ratify the treaty, but that does not preclude opportunities for appeal on behalf of Mr Qatada. I cannot offer a statement at the moment, but the Home Secretary has kept the House fully informed and I am sure she will continue to do so.
Diolch. Sianel Pedwar Cymru, or S4C, is hugely important to the cultural life of Wales and underpins the success of the Welsh language. Broadcasting is not a devolved matter; it is the responsibility of this House. Will my right hon. Friend ensure that we have a debate at an early opportunity on the value of S4C and its contribution to the future of the Welsh language?
I am familiar with some programmes. Pobol y Cwm is my favourite programme on S4C, because it is filmed in Menai Bridge, which I know well. My hon. Friend is right about the importance of S4C and it is good for the House to have opportunities from time to time to examine and reiterate that, but the best thing would probably be for him to secure the support of other Members from Wales and make an approach to the Backbench Business Committee.
(11 years, 6 months ago)
Commons ChamberOf course, my hon. Friend understands that I take very seriously my responsibility to represent both the Government in this House and the House as a whole, including within the councils of Government. From my point of view, in my recent experience I do not see any mischief—in the sense that there have been issues on which it was thought appropriate for the House to be recalled when Ministers did not take a suitable initiative—but I will keep this under review.
This morning the Government issued an important statement about the public voice in relation to onshore wind farms. Three times this morning you have called me, Mr Speaker, and I have asked a similar question about how the statement will affect Wales. I have not received a satisfactory answer. I have been left in a position of deep frustration, and I am sure the people of Wales feel the same. Will my right hon. Friend ensure that we have an early statement clarifying the position, so that people in Wales will know that applications for developments over 50 MW, which are not devolved, will be subject to today’s new guidelines?
I completely understand my hon. Friend’s concern about this, and his desire to secure proper answers. If I may, I will talk to my right hon. Friend the Secretary of State for Wales to see how we might expedite a response.
(11 years, 7 months ago)
Commons ChamberThe hon. Lady can of course ask about those issues during the debate on the Queen’s Speech, but as I said to my hon. Friend the Member for Kettering (Mr Hollobone), the immigration Bill will be published later in the Session.
During yesterday’s excellent Gracious Speech, reference was made to a Bill to make changes to the electoral arrangements in Wales. Given that changes to electoral arrangements in devolved regions are hugely important right across the United Kingdom, will my right hon. Friend ensure that, despite the full legislative programme this Session, adequate time is provided for all Members to make a contribution to the debate about changes to Welsh arrangements?
My hon. Friend rightly refers to the reference in the Queen’s Speech to a draft Wales Bill. I am grateful for his question, because it gives me the opportunity to make it clear that more than half of the 17 Bills referred to in my written ministerial statement this morning are the subject, either in whole or in part, of pre-legislative scrutiny. That will ensure, I hope, that the issue that he quite properly raises—about the important debate on electoral and constitutional legislation—will be fully scrutinised this Session before the Bill is introduced.
(11 years, 7 months ago)
Commons ChamberI fear I do not think it will be possible for the Secretary of State to be here today to make a statement or answer an urgent question on that. I also recall that we had exchanges on this issue at business questions, and it has been the subject of meetings that have taken place, in particular with the permanent secretary at the Department for Education, who explained why the move was necessary to help secure the administration cost savings—and I must say that my right hon. Friend the Education Secretary has been exemplary in securing administration cost savings in his Department.
The National Assembly for Wales has now resolved to take forward the Welsh Government’s proposal to introduce presumed consent into the organ donation system. Will my right hon. Friend ensure that the view of the Department of Health at Westminster is made clear through a written statement on the consideration that has been given to the impact that change will have on the increasingly successful organ donation system in the rest of the United Kingdom?
As my hon. Friend will be aware, my personal view is that the decision the Welsh Assembly Government are proceeding with is not the right one. From the Government’s point of view, I know that the Department of Health provided evidence in the consultation that illustrated that consequences and difficulties would flow to the organ donation system in England as a consequence of the proposed changes in Wales. If I may, in pursuance of this request I will ask my right hon. Friend the Health Secretary when and how he intends to follow through on those issues and on the concerns expressed at an earlier stage.
(11 years, 8 months ago)
Commons ChamberAs far as I could see, the House was happy when I published a calendar for the year ahead last October. Most of the issues the hon. Gentleman raises are a simple consequence of that calendar. In so far as they are not, they appear to be the consequence of his engaging in speculation about the date of Prorogation. The date of Prorogation, of course, has not been set.
Sheep farmers in upland areas of Britain have suffered unprecedented disaster as a result of recent snowfalls. Today’s written statement by the Minister with responsibility for agriculture, my hon. Friend the Member for Somerton and Frome (Mr Heath), is welcome, and I have just learned that I have secured an Adjournment debate on this matter next Tuesday. Will the Leader of the House encourage hon. Members who want to represent the people who are suffering in their communities to attend that debate, where their contributions will be very welcome?
Many people across the country, including those who live far from the upland areas where sheep farming is pursued, will none the less have felt distressed about what happened to hill farmers and their sheep. I declare an interest, as my sister-in-law is responsible for sheep farming in a part of north Wales. Many people living in my hon. Friend’s part of north Wales have been particularly hard hit, and I am glad that my hon. Friend the agriculture Minister was able to announce details of additional support today. I hope Members will support my hon. Friend’s Adjournment debate next week. This would demonstrate not only that practical support will be available to those affected, but that a great deal of shared feeling exists about the circumstances that have hit these people so hard.
(11 years, 9 months ago)
Commons ChamberI cannot promise an immediate debate, but I reassure my hon. Friend that Her Majesty’s Revenue and Customs and UK Border Force published their latest strategy to tackle tobacco smuggling in April 2011, building on success already achieved in tackling tobacco fraud. Since the launch of the first tobacco anti-fraud strategy more than a decade ago, the illicit market for cigarettes has reduced from 21% to 9%, and from 61% to 38% for hand-rolling tobacco.
Yesterday’s Budget was very good news for Wales and added more than £100 million to the Welsh Assembly budget— £161 million for capital investment. Will my right hon. Friend arrange an opportunity for the House to consider the impact on Wales of investment decisions in England by the UK Government? Cross-border investment is hugely important to my Montgomeryshire constituents as well as to the efficient operation of devolution.
I cannot promise an immediate debate, but I hope that opportunities will continue to manifest themselves for us to debate those important cross-border issues. Some decisions that have been made—for example, on the electrification of the rail line in south Wales to Cardiff and Swansea—are tremendously important for economic recovery in Wales. If the Welsh Assembly Government have any resources available, it might be an opportunity to reconsider what seems to be the completely misplaced priority of cutting the NHS budget by 8% in real terms in Wales, with all the damaging consequences illustrated in Wales itself.
(11 years, 9 months ago)
Commons ChamberMy hon. Friend knows that the NHS staff survey this year shows an increased proportion of members of staff who feel they know how to raise issues, but unfortunately no corresponding increase—in fact, a very slight reduction—in the number who fear that their position might be prejudiced if they do so, although the majority still feel that they can and would raise these issues. As he knows, we have to arrive at a position where all staff feel entirely confident and empowered to raise any issues affecting the safety of patients and if necessary—although it should not be necessary—to blow the whistle if they are not being listened to.
In responding to a debate in Westminster Hall yesterday, the Minister of State, Department of Energy and Climate Change, my right hon. Friend the Member for Bexhill and Battle (Gregory Barker), made clear his view that consideration of planning approval for onshore wind farms should take place at the same time as planning approval for essential associated infrastructure. In mid-Wales, however, a planning inspector appointed by the Minister has taken exactly the opposite view. May we have a statement outlining the Government’s position?
I will ask the Minister of State to respond to my hon. Friend on that issue and, if there is any question of more general application, to report to the House.
(11 years, 9 months ago)
Commons ChamberI do not recognise the point that the hon. Gentleman is making. This Government are pursuing issues relating to constitutional reform. We have reformed Parliament in the Fixed-term Parliaments Act 2011, we have changed the arrangements in this House and we are taking forward measures relating to the recall of MPs. As a Conservative, I always like the need for constitutional reform to be proven by evidence, and that is how we are proceeding.
Council-provided services in Montgomeryshire are under threat of devastation because of the legal costs of defending decisions, arrived at democratically, to refuse planning permission for wind farms. The foreign-owned energy leviathans that are taking those actions seem to have unlimited access to subsidies to pay for their costs. May we have a statement on the Government’s position on this matter, to determine how democracy might be retained in Montgomeryshire?
I recall that my hon. Friend and I have discussed the issue previously at business questions and I will, of course, go back to my right hon. Friend the Secretary of State for Communities and Local Government. We want to make sure that there is a kind of equality of arms before the law so that people feel that they are not inhibited from getting access to planning opportunities or planning decisions simply because of the deep pockets of those seeking planning approval.
(11 years, 10 months ago)
Commons ChamberThe hon. Gentleman has made an important point, which I completely understand. The length of time that it took for the FSA to undertake its investigation, and its explanation of the difficulties of investigating individual cases, demonstrate the scale of the problem in relation to any individual policy, but today’s report indicates the need for the sector across the board to try not to deepen the harm done to companies, in terms of the policies that they have taken up and also in terms of where they stand at present. I will consult my colleagues on possible opportunities for a debate, but it might also be possible to arrange one by means of an application to the Backbench Business Committee.
My local planning authority, Powys county council, is a small, hard-pressed rural authority which is currently having to divert £2.8 million of its funds to defend its rejection of wind farm applications in a public inquiry, while developers have access to unlimited moneys which are demanded from consumers. This is a David versus Goliath position. May we have an urgent debate on the way in which appeals are funded? That would give us an opportunity to demonstrate that the Government are not entirely on the side of Goliath.
I hope that my hon. Friend will forgive me when I say that I did not listen to all the questions to the Secretary of State for Energy and Climate Change and his fellow Ministers, which I think may have touched on the issues that he has raised. I will of course discuss those issues with them, but it must be said that there often seems to be a disparity between the resources available to those making planning applications and those available to the—sometimes small—local authorities that respond to them.
(11 years, 11 months ago)
Commons ChamberI will say two things. First, I am afraid that the hon. Gentleman is wrong. The Prime Minister will speak tomorrow in the Netherlands as Prime Minister. [Interruption.] The position is very clear—he will speak as Prime Minister and if, during the course of that speech, he refers to the Conservative manifesto or beyond the next election, he will, of course, be referring beyond the scope of the coalition agreement. That is quite usual—there is nothing unusual about it at all.
I do not have the figures in front of me, but if the hon. Gentleman wants to have a debate about the cost of ministerial travel in this Parliament relative to its cost in the previous Parliament, we would be very happy to have it.
I have raised in previous business questions the potential negative impact on the organ donation system in England of plans by the Welsh Government to change the system in Wales to one based on presumed consent. Yesterday I received a copy of a letter to the Welsh Government from the UK’s foremost expert on the issue, pointing out that the consultation process adopted by the Welsh Government was fundamentally flawed. Will my right hon. Friend arrange an early opportunity for MPs to discuss this crucial issue before damage is done and it is too late?
My hon. Friend makes a very important point. These issues do not relate solely to Wales; they also relate to England, because they have direct implications for the organ donation system in England. I made that clear to the Welsh Assembly Government when I was Secretary of State for Health and I know that my right hon. Friend the Welsh Secretary will have done so, too. I do not know what opportunities there may be for a debate on the matter in this House or, indeed, in the Welsh Grand Committee, but I will certainly discuss it with my colleagues.
(11 years, 11 months ago)
Commons ChamberThat is an important example for others to follow. In Cambridgeshire, I might say, we are also seeing resources being focused on the front line and an increase in police numbers. It is important to achieve that. There are good examples, and I hope that we can find opportunities when they can be set out for others to follow.
In a week when a hugely welcome new renal dialysis unit opened in Welshpool, on the Welsh side of the England-Wales border, and it was announced that Shrewsbury prison, on the English side, was to close, may I ask my right hon. Friend to programme a general debate on the implications for provision of public services that straddle the border, in the light of the advent of devolution?
I am interested in what my hon. Friend says. On health services, in particular, I know about the sensitive border issues when it comes to accessing services between the two countries, and that needs to be got right. I will raise that matter with my hon. Friends to see whether there is an opportunity for a discussion. Otherwise, of course, it could be considered by the Welsh Grand Committee. I would just say that it is important that we get the financing right, and I encourage the Welsh Assembly Government to work with the Department of Health to set that financing, so that patients can exercise real choice over where they go, either side of the border, in order to access the best services.
(12 years ago)
Commons ChamberDuring the past few days the Beacon of Hope, a hospice that has premises in my constituency and the neighbouring constituency of my hon. Friend the Member for Ceredigion (Mr Williams), has gone into voluntary receivership. Although hospices are a devolved issue, we know that charities, including hospices, are under huge pressure right across the UK, and it is especially poignant for hospices. Will my right hon. Friend arrange for an opportunity, whether by statement or debate, so that we can discuss the financial arrangements under which hospices operate?
I am grateful to my hon. Friend for raising that matter and share his concern, and that of his constituents, about the financial situation the local hospice is in. As he says, it is a devolved matter, but I will of course talk with my hon. Friend about it. We might not be able to offer an immediate opportunity for debate, but I hope that we can discuss the hospice movement at an early date. From my point of view, I have listened on the issues relating to regulation and know that we do not have to impose additional regulation on the hospice movement. At the same time, in England the Government are supporting the hospice movement by conducting pilot projects for per-patient funding, which would make an enormous difference for hospices, and indeed those with life-limiting illnesses, because they would be able to choose the provider and location of their care and the resources the NHS and social services give to support them would be used directly to support the provider of their choice, including hospices.
(12 years ago)
Commons ChamberLast Tuesday, if I recall correctly, the House had a full opportunity to debate the autumn statement and the economy generally, and full and clear answers were given. I think that when the hon. Gentleman takes into account not only the working-age benefits that are available to those who are in work, but the positive impact of tax changes on those people, he will recognise that the coalition Government are focusing on ensuring that work does indeed pay.
The Welsh Government’s proposals to pass a new law changing the organ donation rules from an opt-in system to an opt-out system are far advanced. That is, of course, a matter for the Welsh Government, but there is no evidence that the move will result in an increase in the number of donated organs. There may well be negative impacts on the donation system in England, however. Will my right hon. Friend arrange for the Secretary of State for Health to make a statement before the Welsh law is passed on its possible impacts across the UK as a whole?
If I may, I will ask my right hon. Friend the Secretary of State for Health to respond to my hon. Friend on that issue. I responded to the Welsh Government on behalf of the Government, and I made some points about the relationship between the organ donor register and its administration in England and in Wales. That is important, and should be taken into account.
(12 years ago)
Commons ChamberI am sure that the hon. Lady will have heard the reply that I gave earlier, but she might also wish to raise this issue at Department for Work and Pensions questions on Monday, as that would be an appropriate time to do so.
Over the past week, there has been yet more negative publicity about the Liverpool care pathway, which is so important in minimising end-of-life suffering. Will my right hon. Friend ensure that Members of the House have an opportunity to debate this complex issue, rather than leaving it to the sensationalist reporting in national newspapers?
My hon. Friend will be aware that that matter is being reviewed by some of the leading clinical bodies and by those representing families and other groups. I will of course talk to my colleagues in the Department of Health about it. The Liverpool care pathway, when properly used with informed consent, can ease people’s circumstances as they move towards the end of life, and it is important to recognise how it can be used properly.
(12 years, 1 month ago)
Commons ChamberI am grateful to my hon. Friend, who makes an important point very well. Five or six years ago, when I was shadow Health Secretary, Labour Health Ministers regularly claimed to have eliminated mixed-sex wards, although they did no such thing. As my hon. Friend said, when we first measured the situation about 12,000 patients a month were being admitted to mixed-sex accommodation, and that should not have been happening. We have demonstrably changed that situation, and through reducing such cases by 98% have made a great improvement to the care and dignity of patients.
The Liverpool care pathway is a crucial part of palliative care in our country although it has recently received negative media coverage. Will my right hon. Friend the Leader of the House arrange an opportunity for hon. Members, either in response to a statement or in a debate, to discuss the importance of maintaining the integrity of the Liverpool care pathway, which is such an important part of end-of-life care?
My hon. Friend expresses his point well. In many thousands of cases, the Liverpool care pathway has enabled the right care for people at the end of life. We must look at the patient experience—as the national end-of-life care programme is doing with Dying Matters and the Association for Palliative Medicine—and where patients are complaining, we must understand what that tells us. In particular, as my right hon. Friend the Secretary of State for Health made clear, the right treatment is not the only issue and we must ensure that patients and their families understand what treatment has been provided and why, and give it their informed consent.
(12 years, 5 months ago)
Commons ChamberI know it is difficult for hon. Members when documents are published alongside a statement and they have not had an opportunity to read them, but when the hon. Gentleman does so he will know that what he has just said was utter nonsense.
I, too, greatly welcome today’s statement and congratulate my right hon. Friend on taking forward this important policy. Health and social care is devolved to the Welsh Government, but it is inevitable that statements, decisions and policy changes in England have a major effect on Wales as well, because some of the services provided to people in Wales are over the border in England. As well as cross-party talks, may we have cross-border talks to ensure that the system works well in Wales?
My hon. Friend makes an important point. We want people who move from England to Wales or from Wales to England to have continuity of care, so I will make it clear to my counterpart in Wales that I am entirely open to discussions about that. Given that it is a devolved matter, it is better in a sense if the initiative for those discussions comes from Wales, because I do not want to be interpreted as trying to impose any solution on Wales, but if the Welsh Government look for such discussions I will be open to them.