Debates between Jeremy Hunt and Andy Slaughter during the 2010-2015 Parliament

Wed 7th Jan 2015
Thu 18th Dec 2014
Tue 24th Jun 2014
Patient Safety
Commons Chamber
(Urgent Question)
Mon 9th Jun 2014
Wed 5th Feb 2014
Tue 12th Nov 2013
Tue 10th Sep 2013
Tue 21st May 2013
Wed 25th Apr 2012

A and E (Major Incidents)

Debate between Jeremy Hunt and Andy Slaughter
Wednesday 7th January 2015

(9 years, 10 months ago)

Commons Chamber
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Jeremy Hunt Portrait Mr Hunt
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I agree with pretty much all the College of Emergency Medicine’s 10-point plan. That has very much informed our approach to helping the NHS over this winter. Co-location of GP surgeries on hospital sites is very helpful, but we also need more proactive care for the most vulnerable older people before they feel the need to go to hospital. That will be at the heart of the changes that we want to see.

Andy Slaughter Portrait Mr Andy Slaughter (Hammersmith) (Lab)
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The reason that west London now regularly has the worst waiting times for A and E, with up to 50% of patients waiting more than four hours, is a direct result of the Secretary of State’s decision to close the Hammersmith and Central Middlesex A and E four months ago. These are sick people who need A and E, not GP services. We have GP services at those hospitals. What we need is for him to cancel or at least review the downgrading of the A and E departments at Charing Cross and Ealing hospitals to GP-led emergency centres. Will he at least do that?

Jeremy Hunt Portrait Mr Hunt
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I say gently to the hon. Gentleman that if we are to solve the problems in his area and others, we should listen to the doctors about the structures that will work best. The structures that we put in place are the structures that doctors advised us to set up. That is why we are supporting them.

A and E and Ambulance Services

Debate between Jeremy Hunt and Andy Slaughter
Thursday 18th December 2014

(9 years, 11 months ago)

Commons Chamber
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Jeremy Hunt Portrait Mr Hunt
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I commend my hon. Friend for championing this cause. He is absolutely right that we need first aid. I think that my hon. Friend the Member for Brigg and Goole (Andrew Percy)—I am not sure he is here—is a first responder, and I want to commend him for the work he does in that respect, because it makes a big difference in emergency situations if we can people to patients more quickly.

Andy Slaughter Portrait Mr Andy Slaughter (Hammersmith) (Lab)
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The CQC report into Imperial, to which my hon. Friend the Member for Westminster North (Ms Buck) referred, found poor standards of cleanliness, too few nurses and thousands of patients awaiting surgery. It is the third CQC report in west London in four months, and it has found five major hospitals as requiring improvement and three A and E departments inadequate. The only one that is not inadequate—Charing Cross, which is good—is the one the Secretary of State wants to close. Waiting times are down to some of the worst in the country, yet they used to be among the best. We in west London do not recognise what he is saying. After two years of refusing, will he now meet me and other west London MPs to talk about the crisis in west London health care?

Jeremy Hunt Portrait Mr Hunt
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On the contrary, it is the hon. Gentleman’s constituents who do not recognise what he says or all the scaremongering leaflets about what is happening to NHS services in north-west London. We have plans to open two brand-new hospitals; we have weekend opening of GP surgeries; and we have big improvements happening in A and E departments. Let me gently say to him that, along with his Front-Bench team, he voted not to have a chief inspector of hospitals who could provide independent information about the quality of services. Now that he is quoting that information, I hope he realises that that was a mistake.

NHS (Five Year Forward View)

Debate between Jeremy Hunt and Andy Slaughter
Monday 1st December 2014

(9 years, 11 months ago)

Commons Chamber
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Andy Slaughter Portrait Mr Andy Slaughter (Hammersmith) (Lab)
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Will the Secretary of State confirm a report in The Guardian today that he shelved the downgrading of the majority of accident and emergency departments in England under the Keogh review because that is “political suicide” and because of criticisms from the College of Emergency Medicine, the Care Quality Commission and chief executives of trusts? Will this mean that he can now suspend Shaping a Healthier Future and remove the threat to the Charing Cross and Ealing A and Es?

Jeremy Hunt Portrait Mr Hunt
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I am always happy to confirm that a Guardian story is wrong. Let me tell the hon. Gentleman that there was no plan to downgrade the majority of A and Es. The plan is to invest in A and Es—to continue with broadly the same number of A and Es as we currently have but to recognise that some of them will need to specialise in different things. We will stick to that plan—it is a good one.

Patient Safety

Debate between Jeremy Hunt and Andy Slaughter
Tuesday 24th June 2014

(10 years, 5 months ago)

Commons Chamber
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Jeremy Hunt Portrait Mr Hunt
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I am happy to do that, and I would particularly like to congratulate my hon. Friend on the insight he has brought with regard to the power of data. In one example of why this is so important, the latest figures showed 43 or 44 people dying in the NHS because of medication errors, but if the person giving the medication had been able to see the patient’s entire prescription history, those horrific tragedies might have been avoided. That is why proper sharing of data is so important.

Andy Slaughter Portrait Mr Andy Slaughter (Hammersmith) (Lab)
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I want to ask about the safety of the 22,000 patients who use Hammersmith hospital A and E every year. There is no increased capacity in the acute primary or community care services locally, which the Secretary of State set as a prerequisite for any A and E closures in west London. Will he ask Imperial Healthcare Trust to review plans to close the A and E at Hammersmith on 10 September? Will he answer that question, as my constituents in Shepherd’s Bush and White City deserve an answer to it, not the spin and the game playing that I always get from the Secretary of State?

Jeremy Hunt Portrait Mr Hunt
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I am afraid I will take no lessons in spin and game playing after what the hon. Gentleman wrote in local election leaflets in Hammersmith and Fulham, failing to tell his own constituents about the brand new hospitals, the opening of a seven-day GP surgery and the 800 out-of-hospital professionals. I think he behaved absolutely disgracefully.

Oral Answers to Questions

Debate between Jeremy Hunt and Andy Slaughter
Tuesday 10th June 2014

(10 years, 5 months ago)

Commons Chamber
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Andy Slaughter Portrait Mr Andy Slaughter (Hammersmith) (Lab)
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T10. Last October the Secretary of State said that Hammersmith accident and emergency would be closed when it was safe to do so. Imperial proposes to close it on 10 September, when on its own admission there is insufficient capacity at St Mary’s and it is not safe to do so. Will he keep his promise and ensure that Hammersmith A and E does not close, especially when there is not sufficient capacity in the system?

Jeremy Hunt Portrait Mr Jeremy Hunt
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I keep my promises, but may I point out to the hon. Gentleman that the way in which he has campaigned on those issues has been totally irresponsible? He put out leaflets in the local election campaign saying that Charing Cross hospital would be demolished. He failed to mention that it was going to be rebuilt as a brand-new hospital with an A and E department. I hope that he will not be invited to it when it is reopened unless he apologises to his constituents for the way he has presented this issue.

Health

Debate between Jeremy Hunt and Andy Slaughter
Monday 9th June 2014

(10 years, 5 months ago)

Commons Chamber
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Jeremy Hunt Portrait Mr Hunt
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The right hon. Gentleman should have listened to what I said: I said he was right to say it is tough out there, and I also said that this week we will be announcing measures to help the NHS deal with operational pressures. He talks about how long people are waiting for operations, so let us look at one particular statistic that sums up what I am saying: the number of people waiting not 18 weeks but a whole year for a vital operation. Shockingly, when the right hon. Gentleman was Health Secretary, nearly 18,500 people were waiting over a year, and I am proud that we have reduced that to just 500 people. Those results would not be possible without the hard work and dedication of front-line NHS staff, and whatever the political disagreements today, the whole House will want to pay tribute to their magnificent efforts.

Andy Slaughter Portrait Mr Andy Slaughter (Hammersmith) (Lab)
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Will the Health Secretary comment on the shambles he has reduced the NHS to in west London, where he is closing A and E departments, like that at Hammersmith on 10 September, while there are inadequate numbers of beds at the only hospital people have been directed to? It means that there is no acute care, and primary care is in such a state that there is an emergency in-year redistribution of money across north-west London. How is he going to sort that out?

Jeremy Hunt Portrait Mr Hunt
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What is happening in north-west London is going to make patient care better. It involves the seven-day opening of GP surgeries, over 800 more professionals being employed in out-of-hospital care, and brand new hospitals. That is a huge step forward, and the hon. Gentleman is fighting a lone battle in trying to persuade his constituents that it is a step backwards.

This Government recognise the pressure that the NHS is under, as I was telling the shadow Health Secretary. The fact that the population is ageing means that the NHS now needs to perform 850,000 more operations every year than when he was in office, which we are doing. That means that some patients are not receiving their treatment as quickly as we would like, so NHS England is this week announcing programmes to address that, ensuring that we maintain performance while supporting the patients waiting longest for their treatment, something that did not happen when he was in office. We will not allow a return to the bad old days when patients lingered for years on waiting lists because once they had missed their 18-week target, there was no incentive for trusts to treat them.

A and Es, too, are facing pressure and are seeing over 40,000 more patients on average every week than in 2009-10. NHS staff are working incredibly hard to see and treat these patients within four hours, and it is a tribute to them that the median wait for an initial assessment is only 30 minutes under this Government, down from 77 minutes under the last Government. However, as we did last year, we will continue to support trusts to do even better both by improving their internal processes and working with local health economies to reduce the need for emergency admissions. This will be led by NHS England, Monitor and the NHS Trust Development Authority.

NHS

Debate between Jeremy Hunt and Andy Slaughter
Wednesday 5th February 2014

(10 years, 9 months ago)

Commons Chamber
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Jeremy Hunt Portrait Mr Hunt
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The hon. Lady is right to highlight the fact that there has been a long-standing issue with recruitment into A and E. We have made some good progress. We have 350 more consultants in post than at the time of the election, but we need to do even better, so we are looking at the training process for A and E consultants. We are also looking at the contractual terms for A and E consultants, particularly as they relate to things such as shift work, to try to make it a more attractive profession. I am confident that these issues are now being addressed—in fact, I have had some encouraging feedback from the College of Emergency Medicine saying that it, too, is confident about that.

Andy Slaughter Portrait Mr Slaughter
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Will the Secretary of State give way?

Jeremy Hunt Portrait Mr Hunt
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I will give way in a minute, but this is an Opposition day debate, so I want to return to the central motion. Let me remind the right hon. Member for Leigh that he told this House—in fact, he had an Opposition day debate to do it—that the NHS budget had been cut in real terms. It had not: it rose. He also claimed that the number of nurses was being cut, when actually it went up. His attempts to talk up a winter crisis have been disproved time and again. That is important, because we have not had a proper apology to this House in relation to the letter he received from the chief executive of the south-western ambulance trust complaining about his spinning, which stated:

“information provided to your office in response to a Freedom of Information request…has been misinterpreted and misreported in order to present a grossly inaccurate picture for the purposes of apparent political gain.”

The right hon. Gentleman should not be playing politics with the pressures in A and E; he should be getting behind front-line staff, who are working extremely hard and who find that kind of tactic extremely demoralising.

Jeremy Hunt Portrait Mr Hunt
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I will tell the right hon. Gentleman exactly what the facts are. The other word I heard him use several times in his speech was “complacency”. I will tell him what complacency is: it is complaining about an English NHS that is hitting its A and E targets and completely ignoring Labour-controlled Wales, where the NHS has been missing its A and E targets since 2009. Something else that is complacent is this idea Labour has that, almost a year after the Francis report, the lessons of Mid Staffs stop at the border of England and Wales—that Wales has nothing to learn and does not need to do a Keogh report into excess mortality rates, which the Welsh Labour Government have consistently refused to do. People in Welsh hospitals are suffering because the Welsh NHS has refused to bite the bullet on excess mortality rates.

Andy Slaughter Portrait Mr Slaughter
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Tonight, at a “Save Our Hospitals” meeting in west London, I shall be speaking to A and E doctors and GPs about the largest-ever closure programme: four NHS emergency departments are to close in west London. Eight west London MPs, including me, have asked the Secretary of State to meet us and discuss the issue. Shall I tell those who attend tonight’s meeting that the Secretary of State is still refusing to meet eight MPs who collectively represent nearly a million people in west London?

Jeremy Hunt Portrait Mr Hunt
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As the hon. Gentleman knows, I must follow a strict legal process in relation to such decisions, and we have had an extensive consultation. However, let me say this to him. When he talks to those MPs, he should tell them the facts about the proposals for north-west London which I approved—proposals for three brand-new hospitals in which seven-day working is to be introduced, 24/7 obstetrics, 16/7 paediatrics, seven-day opening of GP’s surgeries, and a range of other services which will help to address precisely the issues raised by the right hon. Member for Leigh in connection with transforming out-of-hospital care, which I support. As a result of those proposals, the services that I have listed will be available in north-west London before they will be available in many other parts of the country. I hope that the hon. Gentleman will inform the MPs whom he is meeting of those important facts.

Urgent and Emergency Care Review

Debate between Jeremy Hunt and Andy Slaughter
Tuesday 12th November 2013

(11 years ago)

Commons Chamber
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Jeremy Hunt Portrait Mr Hunt
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I am in regular contact with the Northern Ireland Minister for Health, Social Services and Public Safety about good practice in Northern Ireland, and I am delighted to hear that they are doing some good things in urgent and emergency care. We should be open to all good practice, not just in our country but all over the world.

Andy Slaughter Portrait Mr Andy Slaughter (Hammersmith) (Lab)
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The Secretary of State may have seen the report in The Sunday Times at the weekend about the dispute between the medical director for London, who said that 20% to 30% of blue-light A and Es should close, and Sir Bruce Keogh, who said that less than that should close. Disgracefully, the Secretary of State has not told us what is in Sir Bruce Keogh’s report, but we know that it is below that figure, so why did he announce to the House two weeks ago that four out of nine—45%—of blue-light A and Es in west London would close, pre-empting the Keogh review?

Jeremy Hunt Portrait Mr Hunt
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Because it is going to save the lives of the hon. Gentleman’s constituents; it will mean that 800 more people are employed in out-of-hospital care; it will mean three brand-new hospitals for the benefit of his constituents; it will mean seven-day working; and it will mean seven-day opening of GP surgeries. That is why.

Changes to Health Services in London

Debate between Jeremy Hunt and Andy Slaughter
Wednesday 30th October 2013

(11 years ago)

Commons Chamber
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Jeremy Hunt Portrait Mr Hunt
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My hon. Friend speaks wisely. It is disappointing that we are not having a more intelligent debate. When Labour was in power, it closed or downgraded 12 A and E units in 13 years. The then Government realised that there were problems. He is right that they started the problem in Chase Farm. That is why, when we are facing such difficult decisions, it is important to have a responsible debate. I accept that MPs have views on their constituencies, but we have to start looking above the parapet to the wider interests of patients. That is a difficult thing to do, but I would have hoped for more leadership from the shadow Secretary of State, who used to be Health Secretary.

Andy Slaughter Portrait Mr Andy Slaughter (Hammersmith) (Lab)
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The Secretary of State is destroying services in four great London hospitals, two of which are in my constituency, in the biggest closure programme in the history of the NHS. Why is he closing A and Es in two of the most deprived communities in London—Brent and White City—and why, rather than certainty, is he installing chaos into Ealing and Charing Cross hospitals? What is happening to the 500 beds at Charing Cross? What is happening to the best stroke unit in the country? What does he mean by A and Es that are different in size and shape? When will he answer those questions? This is a cheap political fix. How can anyone have confidence in the Secretary of State—

John Bercow Portrait Mr Speaker
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Order. We understand the general drift of the observations—[Interruption.] Order. I understand how strongly the hon. Gentleman feels, but he should really ask one question. The Secretary of State is a man of dexterity and no doubt will meet the hon. Gentleman’s needs as he sees fit.

Accident and Emergency Departments

Debate between Jeremy Hunt and Andy Slaughter
Tuesday 10th September 2013

(11 years, 2 months ago)

Commons Chamber
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Jeremy Hunt Portrait Mr Hunt
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I congratulate my hon. Friend and his Milton Keynes colleague on their assiduous and regular conversations with me on the pressures on their A and E. I recognise that it is operating way above its original planned capacity and hope that today’s announcement will make some difference, but we will continue to look at long-term solutions because we recognise that there are long-term pressures.

Andy Slaughter Portrait Mr Andy Slaughter (Hammersmith) (Lab)
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In view of the continuing and worsening crisis in A and E, will the Secretary of State concede that closing four out of nine A and E departments and 500 beds at Charing Cross hospital is now unsustainable? Will he abandon those plans, or at least suspend them until the crisis is over?

Jeremy Hunt Portrait Mr Hunt
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I take issue with the hon. Gentleman’s suggestion that this is a worsening crisis in A and E. We have hit our A and E target for the last 22 weeks. We recognise that there are real pressures and are seeking to address them. On the proposals for north-west London, he knows that I cannot comment until I have received the Independent Reconfiguration Panel’s advice. I will look at it very carefully, but obviously, considering the pressures on A and E departments across the country, I will want to ensure that any proposed solution makes sure that his constituents get the service they need when it comes to urgent and emergency care.

A and E Departments

Debate between Jeremy Hunt and Andy Slaughter
Tuesday 21st May 2013

(11 years, 6 months ago)

Commons Chamber
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Jeremy Hunt Portrait Mr Hunt
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All decisions on reconfigurations have to be taken on a case-by-case basis. The really important thing is to ensure that, when we reconfigure services, we have a good alternative in place and we are able to give the public the confidence that it is in place. As the hon. Gentleman knows, we follow the four tests before any ministerial approval is given for a reconfiguration to go ahead.

Andy Slaughter Portrait Mr Andy Slaughter (Hammersmith) (Lab)
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Tomorrow is the 40th anniversary of the opening of the present Charing Cross hospital. The Secretary of State is welcome to come to the party, although he might be unpopular, as the A and E department there is one of the four in west London that he wishes to close. Three months ago, at Health questions, he told me that he would refer those decisions to the IRP, but he now appears to be telling my hon. Friend the Member for Ealing, Southall (Mr Sharma) that he is taking advice on whether to do that. Will he stick to his promise and make that referral for a full review?

Jeremy Hunt Portrait Mr Hunt
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Yes, I will.

Oral Answers to Questions

Debate between Jeremy Hunt and Andy Slaughter
Tuesday 26th February 2013

(11 years, 9 months ago)

Commons Chamber
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Andy Slaughter Portrait Mr Andy Slaughter (Hammersmith) (Lab)
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Last week’s decision to close four north-west London A and Es, including Charing Cross and Hammersmith in my constituency, will shortly be on the Secretary of State’s desk, as he predicts. It was referred by Labour Ealing council because Tory Hammersmith and Fulham council supports the closures. Will the Secretary of State refer the matter for independent review? This is the biggest hospital closure programme in the history of the NHS. It will see a world-class hospital downgraded to 3% of its size.

Jeremy Hunt Portrait Mr Jeremy Hunt
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I am aware how concerned people are throughout north-west London about the proposals. If the matter is referred to me by Ealing council, I will indeed ask the independent reconfiguration panel for its independent view on the proposals.

Oral Answers to Questions

Debate between Jeremy Hunt and Andy Slaughter
Tuesday 23rd October 2012

(12 years, 1 month ago)

Commons Chamber
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Andy Slaughter Portrait Mr Andy Slaughter (Hammersmith) (Lab)
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The excellent children’s heart surgery unit at the Royal Brompton hospital will be pleased that a full review has been announced. Why does it have to report within four months, including the Christmas period, and why were previous referrals by both Brompton and Leeds refused? Will the review be full and impartial or not?

Jeremy Hunt Portrait Mr Jeremy Hunt
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It will be a totally impartial and very thorough review. This is an extremely important decision, and that is why I asked the Independent Reconfiguration Panel to take the time that it needs to do the review properly; that is the least that the hon. Gentleman’s constituents would want.

Leveson Inquiry

Debate between Jeremy Hunt and Andy Slaughter
Wednesday 25th April 2012

(12 years, 7 months ago)

Commons Chamber
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Jeremy Hunt Portrait Mr Hunt
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I do wish that Labour would allow these issues to be considered in a calm manner, because they are very, very difficult issues. We need to get the right solution. We are not saying that we got everything right in our party over the years; we are saying that there is a process of reform that needs to happen—very importantly, a process of reform that protects freedom of expression, which is the foundation of our democracy, and we want to work with all parties to sort this out. That is the way to deal with this issue—not the rank opportunism that I am afraid we have seen this morning.

Andy Slaughter Portrait Mr Andy Slaughter (Hammersmith) (Lab)
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On the key issue of reference to the Competition Commission, the Secretary of State did not take independent advice, so his protestations that he did not always act in Mr Murdoch’s interests sound rather lame. Is he not in fact following his own office’s advice to Murdoch, which is to find some political cover for a decision that he had already taken?

Jeremy Hunt Portrait Mr Hunt
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I did take the independent advice. The independent advice was that this should be referred to the Competition Commission, and I immediately did as I am required to do in the legal process: I wrote to News Corporation and said, “I am minded to refer this to the Competition Commission.” It then has the right to offer undertakings in lieu, and I have a duty to consider those undertakings. I then wrote to the independent regulators again, to get their opinion before I took any further decisions. We have been scrupulously fair in this entire process. The proof of the pudding is that we took decisions that News Corporation did not like.