(11 years, 1 month ago)
Commons ChamberThey are from an independent assessment commissioned by the Department of Health. As I mentioned, I have tried to get information through FOI requests, and the figures from those trusts that hold statistics are quite staggering, but more than three quarters were unable to provide any figures at all, which suggests that the scale of the problem is probably larger than the Department recognises.
I need to make progress and other right hon. and hon. Members are yet to speak, so I will not give way.
It is estimated that if we could recover just three quarters of the money spent treating foreign nationals on the NHS, through insurance or reciprocal arrangements such as the European insurance health card scheme, that would be the equivalent of being able to employ an additional 4,000 doctors or 8,500 nurses, so the scale of the issue is quite acute. This is a point of fairness, both to the British taxpayer and to the patients using the health service, whether residents of this country or people visiting it, and it is one that I think this House has taken too long to address properly. That is why I very much support the provisions of the Bill and look forward to its swift passage through the House.
(11 years, 6 months ago)
Commons ChamberI agree with the hon. Gentleman. The previous Government’s abandonment of exit checks has led to the appalling situation whereby we cannot tell who is in the country. I would certainly welcome it if they were put back in.
(12 years, 8 months ago)
Commons ChamberI believe I do understand the difference between the different types of risk register, but if we simply stand still and have inertia in our health service, it will become less relevant.
The right hon. Member for Holborn and St Pancras (Frank Dobson) accused members of my party of being chancers. I prefer to consider us as reformers, and only if we embrace reform will we be able to provide a better NHS.
One reform that I imagine the hon. Gentleman will welcome is the Chancellor’s proposal, which we gather we will learn about tomorrow, that every taxpayer can find out where their taxes go. As the taxpayers have paid for the compiling of the risk register, why should they and we not be able to read it?
I am a great supporter of transparency across all our public services, and the people of this country thirst for transparency about how their hard-earned money is spent.
The Health and Social Care Bill provides for the democratisation of the national health service. The experience of the NHS in my constituency over the past decade was the sad loss of the maternity department at Crawley hospital, followed four years later by the closure of its accident and emergency department. One reason why those two units and others were transferred from my constituents’ local hospital was that decisions about the national health service were made nowhere near where they took effect.
The Bill will allow local clinicians, in conjunction with their patients—and, I might add, with democratically elected local government—to have a much greater say in how the NHS is delivered and greater scrutiny of it. We will have a far more responsive health service. It has been almost decades since health decisions in Crawley were made by clinicians, patients and elected councillors. By repatriating many decisions, we will have a more transparent and responsive health service.
It was a great privilege to be able to open the new digital mammography unit at Crawley hospital a few weeks ago. That is a classic example of a health service that develops in line with technology and with the changing needs of our population. I am confident that the Bill will give local clinicians, patients and democratically elected local representatives the tools to provide a far safer and more relevant national health service to the people of my constituency and constituencies up and down the country.
In conclusion, after 14 months of careful consideration of the Bill, it is time we get on with the reform of the national health service, which goes hand in hand with the increased investment in it that the Government have guaranteed at least to the end of this Parliament. I might add that that is in stark contrast to what is happening in Wales, where Labour is in control of the NHS and where budgets have been cut. The people of Wales are feeling the result. I want to resist that happening to patients in England and therefore believe that it is time to get on and pass this legislation for the good of our NHS.