(10 years, 7 months ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
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My hon. Friend is absolutely right. I hope that the Minister is able to clarify the Government’s thinking, because the shortened consultation was launched with barely a week’s notice before the amendments were considered by the Public Bill Committee. That must concern parliamentarians who are keen to ensure that there is full and proper consultation on controversial and contentious issues.
The Cabinet Office guidance on consultations states:
“Timeframes for consultation should be proportionate and realistic to allow stakeholders sufficient time to provide a considered response… For a new and contentious policy, 12 weeks or more”—
that is 12 weeks, not 12 days—
“may…be appropriate. When deciding on the timescale for a given consultation the capacity of the groups being consulted to respond should be taken into consideration.”
As has been demonstrated by the objections raised by all concerned parties outside Whitehall, the policy is clearly contentious and there are a number of different viewpoints. Indeed, I have had a couple of debates over the past few days, including one this morning on local radio, and there is a huge degree of contention on the pros and cons of the three new clauses. Nowhere in the guidance do I see a reflection of the current situation, in which such a disparate industry with such disparate views, and with many different stakeholders and interested parties, was given only 10 days’ notice of the proposals.
This rushed and ill-thought-through process has caused real concern among my disabled constituents. Would my hon. Friend welcome an assurance from the Minister that the Government do not propose to make any changes to section 37A of the Disability Discrimination Act 1995, which makes it illegal for minicab drivers to refuse to carry guide dog owners simply because they are accompanied by a guide dog?
My hon. Friend makes an important point. Although I welcome the Government’s assurances on that specific issue, I am concerned about the Government’s amendment on contracting out. A customer might telephone a private hire company for a particular reason. They may have a disability or a preference, or they may get a better price. Unfortunately, some taxi operators discriminate against disabled people by charging them a higher premium. There are considerable and worrying implications for disabled people, even if we accept some of the Minister’s assurances.
(11 years ago)
Commons ChamberI will not give way to the Minister because I presume he will be winding up the debate and I hope he will spend the rest of his time listening to Members rather than trying to explain away such an appalling record.
I cannot understand why, despite all the pressures already being put on my A and E by this Government and despite its still being consistently one of the highest performing A and Es across the north-west, we are being disrupted by the Healthier Together programme, which has caused so much anxiety in Wigan.
I want to reinforce that point in relation to Durham county council. I have just been advised that Library figures show that it is facing cuts of £222 million between 2011 and 2017. That must have a huge impact on social care and a consequential impact of increased demand in A and E.
My hon. Friend is absolutely right, as always.
The Healthier Together programme has, at this time, caused huge anxiety across Wigan. In June, documents leaked to my local paper the Wigan Evening Post revealed plans to reclassify hospitals as red and green, with several hospitals downgraded, as my hon. Friend the Member for Stretford and Urmston knows only too well. That prompted real fears across Wigan that it would lose its well-regarded 24-hour A and E. The decision appeared to be based on population, not on the performance of hospitals. In September when I visited the Healthier Together offices in Manchester to explain my concerns with my hon. Friend the Member for Bolton West (Julie Hilling), I was surprised to see, at a time of funding pressures that are causing real pain, how expensive those offices were, situated in the middle of Manchester. Imagine my surprise, Madam Deputy Speaker, when Healthwatch Wigan found through a series of Freedom of Information Act requests that the total cost of the Healthier Together programme in Greater Manchester to date has been £3 million, with £1.3 million of that spent on third-party organisations. The NHS would not reveal who or what that money was spent on. To date, the programme could, in total, have paid for 90 new nurses, 20 A and E doctors or 9,000 bed days at Wigan infirmary. Instead, this hugely expensive programme has caused huge anxiety across my local area, and communication has been dire. I am not alone in thinking that that is a shocking waste of money.
Despite the chaos caused by this Government, our A and E works well: it is a consistently high performer. We are a big borough, with huge transport constraints. To ask people to travel to the nearest alternative hospital in Bolton just is not feasible. It is 15 miles away, which is at least half an hour by car. What the Minister may not know or understand is that many of my constituents do not have cars or the money to take several buses or use public transport. Our borough typically has large, tightly knit families. When someone’s granddad goes into A and E, not just them and their mum and dad but the entire family visit him, which will be impossible if this shambolic programme goes ahead.
The Secretary of State has caused real anxiety by acting unlawfully in respect of Lewisham A and E, announcing the single biggest closure programme the NHS has seen at a time of unprecedented pressure on A and E, and making changes in the Care Bill that will enable the closure of high-performing hospital services such as those in Wigan. Will the Minister give me a cast-iron guarantee that decisions will be made on clinical, not cost grounds, and will he reassure us that financial constraints do not come into this? Will he tell my constituents that the real-life situation of local people—transport, family networks, income and all the things that have a huge impact on people’s well-being—will be considered by this Government before any decision is taken that affects my constituents’ lives?