(10 years, 4 months ago)
Commons ChamberI have read my hon. Friend’s early-day motion and had the pleasure of hearing him and colleagues make their application for a debate to the Backbench Business Committee. It will be for that Committee to determine whether a debate should take place. I will say—I freely admit that this is a personal view—that although there is a hospital in my constituency with very high parking charges, I am concerned about deciding simply to subsidise or pay for car parking, as happens in Wales. This is money that would otherwise be available for clinical—[Interruption.] It is a simple fact that that money would otherwise be available for clinical services. When the NHS in Wales is underperforming on standards and achievements relative to England, one has to reflect on whether that subsidy could form part of the problem.
Earlier this year, Argentina absurdly started issuing a 50 peso note with a map on it of the Falklands Islands, in the colours of the Argentine flag. Far more sensibly, in contrast, earlier this year my right hon. Friend the Chancellor of the Exchequer announced a new £1 coin, which will be more secure and reaches back to the heritage of our coinage. May we have a statement from the Treasury as to whether the tails side of that new £1 coin could feature the coat of arms of the Falkland Islands and of other overseas territories, in the same way as England, Scotland, Wales and Northern Ireland feature?
(10 years, 6 months ago)
Commons ChamberI am afraid that the hon. Gentleman planned his question but did not listen to the answer I just gave. There is no change in the planning for the better care fund. In response to what he and the shadow Leader of the House said, I should point out that this Government have taken the necessary steps to further integrate health and social care delivery. We made significant resources available to local authorities, in each of the first two years of this Parliament, to support social care-health service interaction. The health and wellbeing boards are creating a powerful structural mechanism to enable that to happen, and the better care fund will put the resources behind that capacity to deliver integrated care.
On state visits and certain other occasions—although, interestingly, not during the recent Irish state visit—flags of the constituent countries of the United Kingdom and the overseas territories are flown from Parliament square and then taken down. May we have a statement from the Culture Secretary on the possibility of flags of the constituent countries of the UK and the overseas territories flying full-term from Parliament square?
(10 years, 8 months ago)
Commons ChamberAs the hon. Lady will know, the House has had many opportunities to debate how we are proceeding with welfare reform, and rightly so. I hope she understands that we are proceeding on the basis of reforming what we inherited, because it was the previous Government who put work capability assessments in place. We have gone about ensuring that they work more effectively for the future, which is a continuing process. Welfare reform, and indeed the need to maintain the downward pressure on what would otherwise be escalating welfare budgets, which were not controlled under the previous Government, is not the issue. We need to focus resources on the people who are most in need, and that is what we are doing. I will talk with my right hon. and hon. Friends at the Department for Work and Pensions about the circumstances of the case she describes—[Interruption.] I completely understand that, but I will talk with them so that she can have a response on the circumstances and how we are addressing those issues.
Will my right hon. Friend join me in congratulating Crawley borough council on its plan to plant Flanders and wild flower poppies in every single neighbourhood and park in my constituency later this year to mark the centenary of the first world war? Will he ensure that there are ample opportunities throughout this year for the House to commemorate that most important event in our history?
I applaud my hon. Friend and Crawley borough council for the way they are commemorating the first world war. I can remember talking with my grandfather about the great war, so in a way I can conjure up a sense of what it must have been like. Younger generations should also have an opportunity to understand the nature of what happened, the character of those who went from this country to fight and what they achieved. I think that is well worth commemorating. The House had an important and constructive debate on the first world war at the end of last year, and I hope that we will have another opportunity between now and August to debate how to commemorate it.
(10 years, 9 months ago)
Commons ChamberI had the benefit of hearing my hon. Friend’s reply to the right hon. Member for Birkenhead (Mr Field) at DEFRA questions. I have also responded to the hon. Member for St Helens North (Mr Watts) on this subject. We are ensuring that the report is in a position to be published. However, I am afraid that I am not in a position to say when that will happen.
Will the Government consider updating the role of the Minister for cities, the Minister of State, Cabinet Office, my right hon. Friend the Member for Tunbridge Wells (Greg Clark), to make him the Minister for cities and counties, in recognition of the fact that growth deals are just as important in non-metropolitan and county areas as they are in our great cities?
My hon. Friend will know that some 20 areas have been included in the second tranche of city deals. Those are not only major conurbations, but cities and towns with a population of about 100,000. Many of the deals include the surrounding rural areas, where an awful lot of economic activity and growth can be generated. I say that advisedly because Cambridge and South Cambridgeshire are promoting a city deal jointly. The Minister for cities and constitution is pursuing that model. He is identifying where growth is happening in order to construct city deals that support that growth.
(10 years, 9 months ago)
Commons ChamberI am sure that the House will have an opportunity to discuss that when we consider Lords amendments to the Children and Families Bill.
My constituents Mr and Mrs D’Costa-Manuel have been trying to get disability living allowance for their autistic son. Despite the fact that they have lived in this country for over three decades and their son was born here, they have been unsuccessful in the application, because of a short period of time spent in Australia. Will the Leader of the House ask our right hon. Friend the Secretary of State for Work and Pensions to look into the case and make a statement?
I appreciate my hon. Friend’s concern for his constituents, but one of the conditions for entitlement to disability living allowance, as he will know, is that a claimant must have been present in the country for two of the past three years. He will understand that all decisions on benefit claims must be made in accordance with the relevant legislation, but if he provides further details I will ask the Department for Work and Pensions to look into the matter.
(10 years, 10 months ago)
Commons ChamberI am proud to be part of a parliamentary party that is seeking to legislate to let Britain decide through the European Union (Referendum) Bill. In the meantime, may we have a debate about greater EU democracy, and in particular the idea that the UK should directly elect its commissioner?
I am grateful to my hon. Friend and I fully agree with him about giving the British people a say. Given the particular circumstances of this year, I do not think it possible to contemplate what he proposes for the nomination of the next European commissioner. Speaking at the Dispatch Box it is probably sensible for me to say that I do not necessarily subscribe to the view that the Prime Minister is not best placed to make a decision about who our next commissioner should be.
(10 years, 11 months ago)
Commons ChamberI did indeed hear that question, and I heard the reply from the Under-Secretary of State for Transport, my hon. Friend the Member for Wimbledon (Stephen Hammond), and his explanation of how this programme was being rolled out in the way that was anticipated from 2011. I know how carefully the hon. Gentleman looks after the interests of his constituents, and I will take the opportunity to speak to my hon. Friend to see whether he can provide any further information.
May we have a debate on the oversight and support given to free schools? I very much regret that on Friday last week an Education Minister in the other place announced a withdrawal of funding from the Discovery New school in my constituency, despite the fact that a new management team had just been put in place and there was a new head teacher. May we also have a statement from my right hon. Friend the Education Secretary?
I am sure my hon. Friend knows, as do other hon. Members, that the vast majority of free schools are performing well, with three quarters of them rated good or outstanding. But he also knows that where there is failure, we will not hesitate to intervene and take action. Children must be given the education they need and deserve, no matter what type of school they attend. Since Discovery New school was placed in special measures by Ofsted in May, the Department monitored progress closely. The trust had not provided evidence that it was making the changes required to secure the long-term future of the school. As my hon. Friend said, my noble Friend Lord Nash did notify the trust that the Department would terminate its funding agreement. If I may, I will speak to my noble Friend and make sure that he has an opportunity to speak directly to my hon. Friend about the circumstances for the children. The children will be looked after as a consequence of this, but in relation to the business of the House, if my hon. Friend has any continuing concerns, my right hon. Friend the Secretary of State will be responding to questions on Monday 6 January.
(11 years ago)
Commons ChamberI confess that I did not see that, but the hon. Gentleman makes an important point very clearly. I am not sure whether I can promise Government time for a debate, but if he is in conversation with colleagues across the House who, quite rightly, share his concern, they could seek an Adjournment debate or Back-Bench time, perhaps in Westminster Hall, to allow those important issues to be raised.
My late and courageous constituent, Private John Brackpool of the Welsh Guards, was killed while on active duty in Afghanistan in July 2009. I understand that the Australian military offers visits to the place where loved ones fell in Afghanistan, and I would be grateful for a statement from the Defence Secretary on whether the Ministry of Defence could offer a similar scheme for British families.
I am grateful to my hon. Friend for that question. The Ministry of Defence is committed to giving the families of service personnel all the support it can, especially when they tragically lose a loved one on operations. The most recent loss of a soldier from 3rd Battalion The Mercian Regiment provides us with a painful reminder of the sacrifices our armed services personnel make. The Ministry of Defence is sensitive to requests from families who wish to visit the place where their sons and daughters have died while on operation in Afghanistan. However, its overriding responsibility is one of safety, both for those visiting and for our service personnel. Afghanistan, as the House will know, remains a dangerous environment, and the Ministry of Defence has a responsibility to ensure that those who are escorted are not exposed to unnecessary risk, and that doing that does not expose service personnel to additional risk.
(11 years ago)
Commons ChamberI know. I am just making the contrast. If the hon. Gentleman thinks it appropriate to abolish those charges, he will have to find the money from somewhere else. In Wales, they have cut the money for patient services and care in order to subsidise car parking, and that cannot be the right decision.
A recent report by the TaxPayers Alliance showed that one fifth of house purchases in my constituency last year were subject to stamp duty of more than £7,500, and that is projected to rise to more than 41% of purchases in the next five years. May we have a debate on the reform of stamp duty?
It will not surprise my hon. Friend to learn that stamp duty land tax is an important source of revenue; it raises several billion pounds each year. It is important to consider how best we can support the housing market, and we have taken action in relation to first-time buyers. There are also effective ways of doing this through Help to Buy and the NewBuy guarantee scheme, among others. This is of course something that we continue to look at.
(11 years, 4 months ago)
Commons ChamberI will not promise a statement at the moment but, if I may, I will draw the hon. Gentleman’s point to the attention of my colleagues on the Speaker’s Committee for the Independent Parliamentary Standards Authority. I know that the Committee has raised a number of issues with IPSA as a consequence of its examination of the organisation’s estimate. We will take the hon. Gentleman’s point on board when we further consider some of these IPSA issues.
In recent months, my visually impaired constituent, Doug Hollingsworth, has been having great difficulty in accessing audio correspondence from the Department for Work and Pensions. May we have a debate on how people with visual impairments can gain better access to that Department?
I am sure that the House will be sorry to hear of the difficulties that my hon. Friend’s constituent is experiencing. I am grateful to my hon. Friend for bringing them to our attention. I will raise the matter with the Department for Work and Pensions, which I know has the facility to offer a range of formats, provided as “reasonable adjustments”, for visually impaired or blind people, including materials in audio format, large print or Braille. I shall bring the case to the Department’s attention, so that it can look into whether it is making the necessary adjustments.
(11 years, 5 months ago)
Commons ChamberFor a moment there I was pleased that the hon. Lady was drawing attention to the presence in the Houses of Parliament of the Canadian Prime Minister, Stephen Harper, who will be speaking in an hour or so. I rather regret the way she then went on to speak about Canada. Canada is among our very closest friends and allies in so many ways. The Prime Minister is a distinguished occupant of that post in Canada and I think that we should welcome him wholeheartedly.
On 17 April, my 18-year-old constituent, Georgina Woodley, sadly lost her brave battle with cancer. Hospice care for those at the beginning of life and at the end of life is extremely good, but her courageous family are now campaigning for better palliative care for teenagers and young adults. May we have a debate about this issue at the earliest convenience?
I am sure that the whole House will share my hon. Friend’s sadness at the loss of his constituent and express our condolences to her family. Considerable strides have been taken in palliative care, particularly in relation to teenagers. I have met the youngsters at Christie hospital and University College London hospital, which, not least with the support of the Teenage Cancer Trust, have done a tremendous amount to improve the age-appropriate character of care for teenagers with cancer. There is more that we can do, absolutely, especially in support of the hospice movement. I hope that, following up on the Tom Hughes-Hallett report, we can introduce a system where money follows the patient so that the hospices that provide care that would otherwise be provided by the NHS get the support they need to provide the very high-quality personal care that they specialise in.
(11 years, 6 months ago)
Commons ChamberThe hon. Lady may wish to take the opportunity to raise this issue in next Wednesday’s debate on economic growth. My right hon. Friend the Prime Minister, the Secretary of State for Northern Ireland and others are absolutely committed to supporting Northern Ireland and the Government of Northern Ireland in promoting economic growth and, in particular, rebalancing the economy further, so that Northern Ireland can participate in the private sector employment and wealth creation that, happily, has characterised the success of the coalition Government.
Earlier this year, I had the privilege of opening a new manufacturing plant facility at Vent-Axia in my constituency. May we have a debate on the importance of manufacturing in the UK, and, as with this case, on bringing jobs back from China and other countries to the British work force?
My hon. Friend makes an important point, which will be appropriate to raise in tomorrow’s debate on jobs and business and in Wednesday’s debate on economic growth. I hope that when the Opposition make their case they will start by acknowledging their failure in allowing the economy to become increasingly unbalanced under their tenure, and recognise the loss of so many manufacturing jobs when they were in government and the necessity now of ensuring that we support manufacturing, as the Government are doing.
(11 years, 7 months ago)
Commons ChamberI will of course contact Health Ministers and ask whether they can expedite those discussions, but I should add that in the NHS we are publishing not only more data but more relevant data than ever before. That is particularly true of not just A and E waiting times, but the whole set of quality indicators on the A and E dashboard. Much more relevant information is being provided, and is being provided at hospital level. I am surprised by what the hon. Lady has said, given that we are now publishing more and better data.
May we have a statement from the Home Office on the Animals (Scientific Procedures) Act 1986, in the light of revelations from the British Union for the Abolition of Vivisection about serious cruelty during experimentation at Imperial College London?
I know that my hon. Friend has secured a debate in Westminster Hall on 5 February on the regulation of animal experiments and testing. He will be aware that the use of living animals in scientific procedures that may cause pain, suffering, distress or harm is strictly regulated under the Act.
I know from working with companies and with the university in my constituency that we have what is, in my view, the strongest regime in the world in this regard, but we must always be vigilant. Home Office inspectors are investigating the allegations of cruelty and bad practice at Imperial college’s Hammersmith campus, and will make recommendations in regard to any action that needs to be taken as a matter of urgency. However, I cannot prejudice what their investigations may lead to.
(11 years, 8 months ago)
Commons ChamberMr Speaker, you would imagine when listening to the hon. Gentleman that May 2010 was year zero and that nothing happened beforehand. At the heart of all this is the 6.2% reduction in the gross domestic product of this country as a consequence of the bust under a Government who said that there would be no boom and bust. It was the biggest bust we have ever seen and we were left with the biggest deficit we had ever seen. It is not possible to pay down debt, to cut the deficit and to cut consumer debt without having a negative impact on people’s living standards.
Late on Monday night and in the early hours of Tuesday morning, hundreds of motorists were stranded by the freezing weather conditions on the A23 and M23 in west Sussex. I pay tribute to Sussex police and many of my constituents, who came to the assistance of those who were stranded. May we have a statement from the Transport Secretary about Highways Agency winter preparedness?
I echo my hon. Friend’s praise for the emergency services and for his constituents—I was taken with the reports that the Red Cross, for example, was reaching out to people and giving them support. I know that they worked together around the clock in partnership with the Highways Agency and I, too, pay tribute to them. The extreme weather, which was probably experienced to a greater extent in much of northern Europe, had a heavy impact on the south of this country—
(11 years, 8 months ago)
Commons ChamberI say to the hon. Gentleman—equally, party politics aside—that we are not powerless in this House. We are discussing an Energy Bill that will require energy companies to give their customers access to the lowest possible tariffs. The Parliamentary Commission on Banking Standards is currently looking at the question of standards in banking and the way in which customers are treated by the banking industry. We are not powerless and the Financial Services (Banking Reform) Bill and the Energy Bill can be instrumental in giving consumers a better offer in relation to these industries.
I congratulate the Government on their recent decision to stop backing World Bank and IMF loans to Argentina, because Buenos Aires has an appalling record of defaulting on international loans. Unbelievably, the country is still a member of the G20 despite its appalling economic record and how it behaves internationally. Can we have a debate on how G20 membership is decided?
My hon. Friend may wish to raise that issue with Foreign Office Ministers on Tuesday, but I appreciate what he has to say about World Bank loans to Argentina. The G20 is an informal organisation with no formal criteria for membership, and that has remained unchanged since it was first established. Any change to G20 membership, or the introduction of criteria for membership, would require consensus agreement by its members. Currently, there are no plans to revisit either.
(11 years, 9 months ago)
Commons ChamberI noted the hon. Gentleman’s point of order yesterday and I will reiterate what I said to the shadow Leader of the House earlier: I and my colleagues will ensure that there is a report to the House next week before the House rises. I will not reiterate all that I said last week, but we continue to look carefully to ensure that we meet fully the convention that before there is a commitment of our armed forces to conflict and combat for any substantial period, when it is not an emergency, this House should have the opportunity to debate that. As the hon. Gentleman understands from what I said previously, this involvement has an urgent character but it is not the Government’s intention or plan to commit our forces to combat and conflict.
I welcome the fact that the Government have increased the income tax threshold, lowered corporation tax, worked with local authorities to freeze council tax for the third year and scrapped Labour’s fuel duty escalator. A report earlier this week said that if we were to abandon air passenger duty we could increase economic activity by £18 billion a year and increase GDP by 0.46%. May we therefore have a debate on how tax reductions can stimulate the economy further?
My hon. Friend will understand that the level of tax must be set in a way that optimises revenue while minimising the adverse impact on economic performance. That is a constant effort on the part of the Treasury, and it is one reason—this is not specifically related to air passenger duty—why reducing the top rate of tax to 45p makes good economic sense as well as revenue sense. That has been done in the context of completely understanding, as the Institute for Fiscal Studies has agreed in its analysis, that following the Government’s tax changes the wealthiest 10% are making the greatest contribution to meeting our requirement for fiscal consolidation.
(11 years, 9 months ago)
Commons ChamberI am sure the House is grateful to my hon. Friend for informing it about the discussions in the Political and Constitutional Reform Committee. From my point of view, I know the Deputy Prime Minister’s commitment to constitutional reform. I think the boundaries review and the introduction of greater equality and fairness in constituencies and between voters is an important constitutional reform, and I hope he would want to see it put through before the next election.
I will carry on for a moment, if I may.
Some argue that the boundaries review may spend further money this year and then not be approved—that argument was adduced in the Lords. One might equally say that several millions have been spent and the process should be completed. Either way, the amendments in lieu, if passed today, would settle that question. They would bring the review into effect without any further political interference, which, given the independent character of the review, has merit in any case.
(11 years, 10 months ago)
Commons ChamberThe hon. Gentleman makes an important point. The disparity in survival outcomes for some of the main cancers is at the heart of the improving outcomes strategy for cancer that the Government set out; indeed, I set it out when I was Secretary of State for Health. I visited the very large-scale research project on ovarian cancer. From memory, I think 200,000 women formed part of that trial, which should soon—in the next couple of years or so—start to give us results that might lead to much better options for screening for ovarian cancer, and hence early access to treatment.
Can we have a debate on the long-standing problem of interference on licensed radio stations, particularly in London and south-east England, from illegitimate broadcasters?
My hon. Friend tempts me a little. He will remember “The Boat that Rocked”, a recent film that was in part about trying to suppress pirate radio stations. When I watched it with my wife, I had to confess to her that in the mid-1980s, as Private Secretary in the Department of Trade and Industry with responsibility for the Radiocommunications Agency, I was the official sending teams out to shut down pirate radio stations. Happily, that is now Ofcom’s responsibility, and I will of course ask the chief executive of Ofcom to let my hon. Friend know what steps it is taking to ensure that the integrity of broadcasting on the spectrum is maintained.
(11 years, 11 months ago)
Commons ChamberI was here when the Chancellor was asked that question, and I do not think he ignored it at all. The hon. Lady must recognise that the most important thing we can achieve is to enable people to be in work. It is staggering to see the way in which the Opposition have completely ignored this week’s data showing one of the fastest quarterly increases in employment that we have seen for a decade. Despite the economic inheritance from the last Government, and despite the deficit, we are stimulating job creation. In fact, the Office for Budget Responsibility has said that something like two jobs are being created in the private sector for every one lost in the public sector, which is a consequence of deficit reduction. The latest data show a reduction of 24,000 jobs in the public sector and an increase of 65,000 in the private sector. Since the election, the figure is netting out at something like 1.1 million jobs. The answer to poverty, whether it is child poverty or food poverty, is work. Work is the best route out of poverty.
I very much welcome some of the measures that the Government have taken to tackle antisocial behaviour, but may we have a debate on chronic antisocial behaviour by neighbours? The Leigh, Sanger and Ferreira families in Black Dog walk in my constituency have been the victims of the Clarke family for over a quarter of a century. A debate on how we might further address such unacceptable situations would be much appreciated.
My hon. Friend makes an important point, particularly in relation to his constituents, that will have been recognised by Members across the House. Today, the Government have published the draft Anti-social Behaviour Bill for pre-legislative scrutiny. The reforms in the Bill will put victims first, and they include a new community trigger that will empower victims and communities to demand that local agencies deal with persistent problems where they have previously failed to do so. I think that my hon. Friend will find that particularly relevant to the circumstances he has described. The measures will also speed up the eviction of antisocial tenants by introducing a faster route to eviction for the most serious criminal or antisocial behaviour. The Home Affairs Committee is looking forward to undertaking pre-legislative scrutiny of the draft Bill and producing a final report with recommendations in February.
(11 years, 11 months ago)
Commons ChamberI am not aware that I am making any excuses whatsoever. We have made it clear that we will bring forward legislation on that, and that is still our intention.
Argentina has consistently reneged on repaying World Bank loans worth around £10 billion. The United States Government have decided not to allow any more World Bank loans to be granted. France, Germany and even countries such as Spain have followed. May we have a statement from the Secretary of State for International Development on when the United Kingdom will refuse to grant further loans to Argentina from the World Bank?
(12 years ago)
Commons ChamberI was not aware of any reduction of such facilities, but I will of course talk to my colleagues in the DWP. I know from conversations I have had with them that they are looking for Members to continue to be able to access dedicated support in looking after their constituents’ interests, but I will take a personal interest in the matter and ask DWP colleagues to reply to the hon. Lady.
Tragically, in 2006 Captain James Philippson was killed in Helmand province. Disturbingly, a year later, the Ministry of Defence blamed my constituent, Army Major Jonny Bristow, for his death, yet in 2007, a coroner’s inquest exonerated Major Bristow of any wrongdoing and, indeed, identified a lack of proper equipment supplied by the Ministry of Defence at the time. May we have a statement from the Defence Secretary about the lack of equipment that used to exist for our troops in Afghanistan and about the way in which the Ministry of Defence handles its justice procedures?
I am grateful to my hon. Friend for raising this clearly important issue. I am aware that Major Bristow has submitted a formal service complaint, and I understand that the Ministry of Defence is in direct contact with him. That complaint is ongoing and is being considered at the highest level within the Army’s internal complaints mechanism. I am sure that my hon. Friend would not expect me to comment—it would be inappropriate for me to do so—while that process is continuing. He has had the opportunity to put the matter on the record; I will raise it with my right hon. and hon. Friends in the Ministry of Defence and ensure that they are made aware of it.
(12 years, 1 month ago)
Commons ChamberI answered that question earlier. It is interesting that nobody on the Opposition Benches has requested a debate on employment. Given that we have seen a further reduction in unemployment and a dramatic improvement in jobs in the private sector in this country since the election, it is interesting that they want to pursue a party political point rather than an issue that is in this country’s interests.
In recent weeks there has been a spate of burglaries in my constituency and in other parts of the country, targeting the Asian community in particular. The issue has been heightened by the fact that many safety deposit boxes, which used to be available in banks and in which people could store their jewellery, are no longer available. Could we have a debate on the importance of the availability of safety deposit boxes in high street banks, so that people can keep their valuables safe?
My hon. Friend raises an important issue that also affects the constituencies of other hon. Members. The Association of Chief Police Officers lead on burglary is due to meet banks to establish the extent of the problem caused by the closure of secure storage and to offer crime prevention advice, including, where appropriate, the use of home safes. Moreover—I know that my hon. Friend will fully endorse this—this is further evidence of how police and crime commissioners, following their election, will be able to address such issues so that police forces can respond to them as part of their operational priorities.
(12 years, 2 months ago)
Commons ChamberI must confess that I am slightly staggered that the hon. Gentleman now seeks to make a virtue of the fact that he and his party voted by a substantial majority for the principle of House of Lords reform, and then effectively sought to obstruct any progress. My definition of opposition is not obstruction. It may be his definition, but it is not mine.
I warmly welcome my right hon. Friend to his position. Will he consider arranging a debate on over-zealous health and safety regulation? Apparently my local authority, Crawley borough council, has been told to remove all park benches that are under trees.
I hope my hon. Friend will not be surprised to learn that we in the Government have been working actively over the last two and a half years to ensure that common sense is at the heart of the way in which we apply health and safety regulations. It must be evidence-based, common-sense and proportionate. Measures have been taken, but I will certainly draw my hon. Friend’s comments to the attention of my colleagues in the Department for Business, Innovation and Skills so that they can continue the process.
(12 years, 9 months ago)
Commons ChamberMy hon. Friend makes an important point that I understand precisely. He has been a strong advocate on behalf of not only George Eliot hospital but the whole health service in his constituency. I appreciate that.
I shall give a practical example. When I was at the Stobart centre meeting hundreds of general practitioners from across the north-west, those from St Helens said, “We’re really worried about Whiston hospital”—a PFI approved by the previous Secretary of State—“and we can’t deliver the service that we want to for our patients, because all the money will be eaten up by the PFI project at Whiston.” That is precisely why we are tackling the risks that we inherited from Labour.
The NHS also faces risks from Labour’s failed approach to public health. Under Labour, public health budgets were raided and alcohol-related admissions to accident and emergency departments, and levels of obesity and sexually transmitted infections, all rose sharply. I was staggered to hear the Leader of the Opposition talking about fragmentation of sexual health services at the last election. The last Conservative Government—I hope that my coalition colleagues will forgive me for a moment, because I am talking about the Conservative Government before the Labour Government—acted on sexual health, not least in relation to HIV. As a consequence, not only were HIV rates among the lowest anywhere in Europe but sexual infection rates fell for a decade. After the 1997 election the Labour party failed on sexual health, and sexual infection rates rose for a decade. Labour’s position has no basis. We had some of the highest HIV rates at the end of the previous Government’s term. It is outrageous. The Opposition have completely wiped out their recognition of what went wrong under the Labour Government, including on sexual health matters. That is why we are dealing with those risks.
I will mention one more risk, and then give way to my hon. Friend.
There is one more risk: Labour’s IT programme—not a small risk, but a risk of £7.4 billion-worth of contracts, and a risk not just of money not being spent properly or being wasted, but of the opportunity cost to the NHS of not getting high-quality IT in place. This morning I had the pleasure of launching a “Maps and apps” event, showing how we are promoting the use of the latest technologies across the NHS, not on the basis of the Government saying, “Here’s the single app that everybody must use in the NHS: it’s a centralised system,” but by allowing literally hundreds of people—enterprising people from across the NHS and beyond—to bring in new technology applications for the benefit of patients and clinicians across the service.
I am grateful to my right hon. Friend for giving way. Going back to the Labour PFI burden that we have been left with, can he confirm a figure that I heard recently, which is that the burden on the NHS budget amounts to about £3,000 a minute?
(12 years, 10 months ago)
Commons ChamberThere will not be any transfer of responsibility for services from the NHS to the private sector; the NHS will continue to be responsible. The balance in the NHS—[Interruption.] No, I shall answer the right hon. Gentleman’s point. He is trying to interpret “privatisation” as every service currently provided by an NHS provider being provided by an NHS provider in the future, but whether services are provided by the NHS or by a private enterprise, a social enterprise or a charity will be determined by patients choosing who is the best-quality provider. So that is not privatisation; the service remains free, and it remains an NHS service. It is guaranteed to patients in exactly the same way, and there is no presumption in the legislation—in fact, it excludes any presumption—in favour of a private sector provider as against an NHS provider.
The right hon. Gentleman is in absolutely no position to make any criticism of that, because he served in a Government who introduced independent sector treatment centres. They went through the process of giving the private sector contracts that were not available to the NHS, with an 11% higher price on average and a guarantee that they would be paid even if they did not necessarily provide the treatment. The net result was £297 million spent on operations that never took place, and the private sector walked away with that money, so he is in absolutely no position to make any criticism, because we are going to exclude such practices. The contracts that the Labour party gave to the private sector when he was a Minister are exactly the contracts that our legislation will exclude.
Will the Secretary of State confirm that, under the previous Administration, private sector involvement in the NHS went up by 78%?
Interestingly, under the so-called extended choice network that the Labour Government introduced, the number of elective operations conducted in the private sector went from, I think, 16,000 in 2005-06 to 208,000 in 2009-10—an enormous increase. From the right hon. Gentleman’s point of view, it was marginal capacity that did not really matter, but the point is that patients said that they thought it provided good quality care. In a Care Quality Commission survey, some 96% of NHS patients using independent facilities said that the elective surgery they received was “excellent” or “very good”. The figure for NHS facilities was 79%. On the NHS Choices website, nine of the top 20 highest-rated NHS-funded providers were run by the independent sector; there were no independent-sector hospitals in the bottom 20. The general proposition is that the private sector is worse in the NHS, but there is no evidence to support that.
The right hon. Gentleman will recall that the Royal College of Surgeons conducted a study of the quality of care, and its general conclusion was that the quality of clinical care offered to NHS patients by private sector providers was as good as the care offered by the NHS. So what is his point? He used the private sector, patients used the private sector and patients were happy. What is his point?
(13 years, 4 months ago)
Commons ChamberI think that it has been conventional over many years for the calculation of real terms in public accounting to use the GDP deflator. Given that it includes the prices of investment goods, Government services and exports and subtracts the price of UK imports, it gives a more appropriate overall measure of inflation.
Does my right hon. Friend welcome the increase in the NHS West Sussex budget of £35 million this year, which, coupled with the provisions of the Health and Social Care Bill, means that we will have far greater patient choice in our local area?
Yes, I do indeed welcome that. We all know that last year, this year and in future years, increases in the NHS budget in real terms will not be the kind of real-terms increases we saw in the past, but they will be real-terms increases. What we are already seeing in the NHS—we saw it last year—is that with a 2.2% increase in cash spending, there is none the less an ability to sustain, and in many respects improve, performance.
(13 years, 10 months ago)
Commons ChamberI announced just after Christmas the “catch it, bin it, kill it” campaign. I had not—[Interruption.] Let me explain to Opposition Members. In 2009, the campaign took place in November. Why? It was because the spread of flu took place in late October, early November. Therefore, it occurred at the point at which there was a substantial spread of the influenza in the community. That is precisely what we did this year.
As an asthma sufferer, I am pleased to report that just this morning I had the benefit of the flu jab and it was professionally and painlessly administered. However, constituents have come to me concerned about, in one case, a child who has had the respiratory syncytial virus, or RSV and, in another case, an adult who has had pneumonia, who have been denied the flu vaccine. Will he examine how the guidance to GP practices can be amended to include such groups?
I will of course write to my hon. Friend about the nature of the advice provided by the joint committee, but we follow and have followed at each stage the advice given to us by that independent expert committee, the Joint Committee on Vaccination and Immunisation. I will certainly write to him to explain how it has determined the at-risk groups for these purposes.
(13 years, 11 months ago)
Commons Chamber13. What recent progress he has made on the introduction of GP-led commissioning consortiums.
On 21 October, I invited general practice-led commissioning consortiums to put themselves forward as pathfinders, and I have been absolutely delighted by the response. The pathfinder consortiums will be announced shortly. They have formed in response to the needs of local communities, and there is, sensibly, variation around the country to take account of those differing needs. Some consortiums map on to local authority boundaries; others organise themselves around catchments for hospitals or smaller populations. This bottom-up, locally determined approach is exactly in line with what we envisaged in the policy framework.
Under the previous Government, Crawley hospital saw the removal of services such as accident and emergency and maternity. Can my right hon. Friend explain how, under the new GP-led consortiums, doctors will have the freedom and the flexibility to be able to refer their patients to local services if they so choose, as well as to new services?
That is exactly what our reforms will allow. We are putting not only the freedom to refer in the hands of general practices but choice in the hands of patients, and allying that to the power on the part of commissioners to commission services that meet the needs of their local community. That is precisely the change that will empower front-line clinicians and patients.
(14 years ago)
Commons Chamber8. What mechanisms he plans to put in place to provide for GP revalidation after the ending of primary care trusts.
The General Medical Council is responsible for the revalidation of doctors, rather than primary care trusts. In the current structures, subject to parliamentary approval, responsible officers in primary care trusts will make recommendations to the GMC on the fitness to practice of doctors in primary care. Before the dissolution of primary care trusts, we will consult on options for responsible officers in primary care.
I am very grateful for that answer from my right hon. Friend. I welcome the commissioning role that GPs are to have. Does he believe, however, that there needs to be a distance between revalidation and local GP practices, and that that would best sit at a county or metropolitan borough level?