(2 years ago)
Commons ChamberMy right hon. Friend is an immensely experienced colleague. She is right to point out that there is always inaccuracy in any forecast, and there is always variation from fiscal event to fiscal event, so we keep all those decisions under review in the round. I think it is still important to have forecasts—that is better than not to have them—but we keep all those decisions under review.
May I take the Chancellor back to the issues of housing, which other hon. Members have raised? Raising the local housing allowance merely in line with inflation does not necessarily help many people on benefits living in the private rented sector, particularly in constituencies such as mine where, generally speaking, many of those people end up being exported away from the area in which they live. It is more important to give local authorities the power to introduce rent controls in areas of very high private sector rent. Excessive rent levels are the biggest problem that many people, particularly young people, face in their lives.
Yesterday, the Secretary of State for Levelling Up, Housing and Communities made an interesting and helpful statement on the issues of safety within all housing. His remarks mean that much more inspection will have to be done by local authorities. Will the Chancellor ensure that local authorities are sufficiently funded to increase the levels of public health inspection to provide a safe living environment for people in all housing situations?
These are very important issues. Obviously, the safety of properties in the private rented sector is extremely important. I am not a fan of rent controls, because I am worried that that would reduce the supply of housing to the private rented sector. I point out to the right hon. Gentleman, however, that we lifted the local housing allowance during the pandemic to help people and we are keeping it at that higher level.
(2 years, 1 month ago)
Commons ChamberIt will. It is not just my responsibility, but that of the whole Government. Good government is about fixing long-term issues as well as dealing with short-term crises, and that is definitely an important long-term issue.
We live in a deeply divided country and a deeply divided society. There are more poor people than ever, more people accessing food banks than ever before and more children growing up in absolute poverty and, as a result, not achieving their best in life. Twice the Chancellor has refused to answer the question whether he will raise benefits in line with inflation. I ask for the third time: can he please assure people who rely on benefits for their very existence that they will be increased at least in line with inflation, to tackle the appalling poverty so many people face?
I respect the right hon. Gentleman for pressing me on that issue, because I understand how important it is. The reason I am not able to give him the answer he seeks is that I am not giving that answer on any area of spending or tax policy. The situation we face is extremely grave, and we must look at those issues in the round. We will come to the House with those decisions just as soon as they have been made and then independently audited by the Office for Budget Responsibility.
(10 years, 1 month ago)
Commons ChamberWe have not yet made a decision on Birmingham and Manchester, and we will continue to review the risk advice from the chief medical officer and PHE on whether such action would be appropriate. It is important to say that the measures we take must be proportionate, but they must also look forward to potential changes in the risk, so that we can react very quickly were that risk to increase dramatically, and that is exactly what we are doing at other UK airports.
I thank the Secretary of State for his statement and for the support given to health services in west Africa, but does he not agree that this terrible time shows the massive health inequalities that exist all around the world and that, although there will be a big international effort to deal with Ebola, it calls into question the effectiveness of the millennium goals on preventive health measures, not just in west Africa, but in a much wider sense? Do we not need to redouble our efforts to reduce health inequalities around the world for the protection of everyone?
The hon. Gentleman is right, although the millennium development goals have been successful in making a start on the process of reducing health inequalities. We can see that in other areas, such as the provision of antiretroviral drugs to HIV-positive patients in Africa, and that has been completely transformed in the past decade. But he is right: while some countries have very underdeveloped health care systems, the risk of such public health emergencies is much higher and therefore the risk to the UK is higher.
(11 years ago)
Commons ChamberMy hon. Friend is absolutely right. When the dust settles on these decisions—there is rightly so much local passion, concern and uncertainty relating to hospitals, such as Charing Cross, which has a great tradition—what people will notice is whether their local NHS services are getting better. I am afraid that one of the legacies from the previous Government was the abolition of named GPs in 2004 and a sense that it has become more difficult to access one’s local GP. The proposals mean that her constituents will be some of the first in the country to have seven-day GP services, a big step forward that her constituents will welcome.
Will the Secretary of State give me an assurance, following the huge debate that took place over the future of the A and E department of the Whittington hospital—and, by extension, the neighbouring Royal Free hospital—that its future is secure and that he will not try to reconfigure services once again in north London? Does he recognise that during that debate, my right hon. Friend the Member for Leigh (Andy Burnham), who was then Secretary of State, intervened to assure the future of the Whittington A and E department? I would like the same assurance from the Secretary of State, if that is possible.
(12 years ago)
Commons ChamberMy hon. Friend, as a GP, will recognise from the mandate that a lot of the improvements that we need in the NHS are in primary care. The budget for the NHS is protected, but demand for services is going up, so we need to make these changes. I will give her one example where I think that this is particularly important. The number of hours it will save GPs if the majority of prescriptions are ordered online, which does not happen at the moment, could transform life for more than 8,000 GP surgeries up and down the country.
One of the great problems the NHS has is the millstone of private finance initiative costs that are so damaging to so many hospitals. The other millstone is the huge profit made by the private sector on contracted out and privatised services. Is it not time for the Government to give a clear directive to the NHS to employ its staff to deliver its services and borrow money in the traditional way to build new facilities, so that public money goes into a public service and the public are not lining the pockets of the banks and private health providers instead?
I hope we can move beyond the debate about public good, private bad and private good, public bad that has dogged the NHS for many years. I believe there is a role for the independent sector and the voluntary sector. Of course, the primary role will be for the traditional NHS. However, when the private and voluntary sectors are used will not be a matter not for politicians or parties; but for local doctors on the ground. I think that in the vast majority of cases, they will want to use and contract with traditional NHS services, but it is important that they have the choice to do what is in the interests of the patients for whom they are responsible.