Oral Answers to Questions

Baroness Harman Excerpts

Wednesday 14th July 2010 Commons Chamber

[The Prime Minister]

I thank my hon. Friend for her question. She is absolutely right. Sometimes students can get a bad press for what they do, but we can see from the example of Loughborough that they have focused on doing things for other people and raising money for charity. They should be congratulated.

[Ms Harriet Harman (Camberwell and Peckham) (Lab)]

I join the Prime Minister in paying tribute to Bombardier Samuel Robinson, 5th Regiment Royal Artillery; to Marine David Hart, 40 Commando Royal Marines; to the Marine from 40 Commando Royal Marines who died yesterday; and to the three soldiers from 1st Battalion the Royal Gurkha Rifles who lost their lives yesterday and those who were injured. Everyone will share the Prime Minister’s concern about what happened. It is right to have a thorough investigation, but as he said, we must not lose sight of the importance of the work our troops are doing in Afghanistan.

May I ask the Prime Minister about Northern Ireland? Although it is now highly unusual for people in Belfast to see such violence on their streets, everyone will be worried about the events of recent days. Will the Prime Minister update the House and tell us what discussions he has had with the First Minister and the Deputy First Minister? Although this is a devolved responsibility, will he join me in paying tribute to the professionalism and bravery of the men and women of the Police Service of Northern Ireland?

[The Prime Minister]

I certainly join the right hon. and learned Lady in paying tribute to that police service. Anyone watching the pictures on our television screens last night could see how brave and how restrained the police were in the way that they dealt with behaviour that was, frankly, completely unacceptable. To update the House, last night was the third night of violence, the most serious of which was in the Ardoyne district in north Belfast. Over 80 police officers have been injured after being attacked with, for instance, petrol bombs, pipe bombs and bricks. The police came under fire on Sunday night, and shots were fired again last night. The police have been forced to retaliate with battle rounds and water cannons, but, as I have said, I think that anyone who watched what they did or who, like me, has had a briefing from David Ford, the Policing and Justice Minister, will know that they acted with real restraint.

I keep in touch regularly with the Secretary of State for Northern Ireland, who has been in Belfast as well, to ensure that everything that needs to be done is being done. As the right hon. and learned Lady knows, however, this is a devolved issue, and, having devolved policing and justice, we should allow David Ford and the First Minister and Deputy First Minister to give the lead that they are indeed giving.

[Ms Harman]

I am grateful to the Prime Minister for his answer. I reiterate what I said earlier: we will continue to support and work with the Government in their efforts to ensure a peaceful future for all the people of Northern Ireland.

This week the Government published their White Paper on the national health service. They say that they will get rid of targets. Can the Prime Minister tell us whether patients will keep their guaranteed right to see a cancer specialist within two weeks of seeing their GP?

[The Prime Minister]

May I first make one further response on the Northern Ireland issue, with which I think everyone will agree? Now that we have a police service that is fully representative of the whole community in Northern Ireland, there is no excuse for anyone not to co-operate with that police force. We all know that in the end these things are not dealt with just by the police; they have to be dealt by the communities as well, working with the police to bring people to justice for completely unacceptable behaviour.

As for the NHS, what we have decided is that we will keep targets only when they actually contribute to clinical outcomes. We all want to see a higher cancer survival rate. I am afraid that, after 13 years of Labour government, we have not the best cancer outcomes in Europe, and we want the best cancer outcomes. That means rapid treatment, yes, but it also means rapid follow-up, and it means people getting the radiotherapy, chemotherapy and drugs that they need. Those are all essential. The one thing that we on this side of the House will do is continue to put real-terms increases into the NHS, whereas I understand that it is now Labour policy to cut the NHS.

[Ms Harman]

Quite apart from the anxiety of having to wait, results are best if treatment starts as soon as possible. That is why it is important to be diagnosed and to see a specialist quickly.

The Prime Minister has not answered the question. The whole House will have seen that. He has dodged the question, just as his Health Secretary did. This is what the Health Secretary said in the House when he, too, was dodging the question:

“I have not said that we are abandoning any of the cancer waiting-time targets at the moment”.—[Official Report, 29 June 2010; Vol. 512, c. 698.]

I ask the Prime Minister to give us a straight answer. Will cancer patients keep their guarantee to see a specialist within two weeks—yes or no?

[The Prime Minister]

For some people, two weeks is too long. That is the whole point. If a target contributes to good clinical outcomes, it stays; if it does not, it goes.

Now let the right hon. and learned Lady answer a question. Is it your policy—[Interruption.] I know that the right hon. and learned Lady is not involved in the leadership election, which basically involves sucking up to the trade unions, but she is capable of answering a question. Is it Labour policy to cut the NHS?

[Mr Speaker]

Order. I hope that the right hon. and learned Lady will confine herself—as I know she will want to do—to her role, which is not to answer questions but to ask them.

[Ms Harman]

Thank you, Mr Speaker, and the Prime Minister has still not answered. He is obviously ditching the guarantee for cancer patients, but he has not the guts to admit it to the House. Perhaps he can be more straightforward with this question. The White Paper says that his reorganisation of the NHS will mean extra up-front administration costs, but it does not give the figure. Surely he must know the figure. How much extra will it cost next year?

[The Prime Minister]

We are cutting £1 billion of administration from the NHS. We are cutting administration costs by 45% over the next Parliament. Obviously Labour Members cannot answer questions, because they have no answers, but perhaps it is not unfair to point out that they are now defending the bureaucracy of the NHS. We say that the primary care trusts and the strategic health authorities—all that additional bureaucracy—should go. We want the money to be spent on treatments, on patients, on doctors and on nurses. The right hon. and learned Lady is left defending the vast bureaucracy that saw the number of managers go up far faster than the number of nurses. Is that still Labour policy?

[Ms Harman]

The Prime Minister is talking about longer-term speculative savings, but he has not answered my question. It is no good him resorting to his usual ploy of asking me questions. I am asking about the real costs of his reorganisation next year—the very time when he says his priority will be cutting administration and cutting the deficit. The White Paper admits that there will be extra costs because of loss of productivity, staff relocation and redundancy. Does the Prime Minister stand by what he said just a few months ago about NHS reorganisations? He said:

“The disruption is terrible, the demoralisation worse—and the waste of money inexcusable.”

[The Prime Minister]

We are not reorganising the bureaucracy; we are scrapping the bureaucracy. Is it really Labour’s great new tactic that the right hon. and learned Lady will be left defending the bureaucracy of primary care trusts and strategic health authorities and all the quangos and all the bureaucrats, all of whom are paid vast salaries and huge pensions? Is that the new divide in British politics: they back the bureaucracy, we back the NHS? [Interruption.]