(2 years ago)
Commons ChamberMy hon. Friend will know that Margaret Thatcher said that there is nothing moral about spending money you do not have, precisely because of what my hon. Friend says: it passes the burden on to future generations to pay it back. Currently, our debt to GDP ratio is about 98% and we are spending debt interest of £22 billion more in the year to date than at the same time last year—that is more than the entire budget of the Home Office. So I absolutely agree with her.
Our growth rate in the 12 years since 2010 has been just 1.4%, which is lower than the OECD average, and behind that of the USA, Canada and Germany. The public should have an answer to this: why does the Chancellor think that is?
What the public know is that unemployment is the lowest for nearly half a century under a Conservative Government.
(5 years, 7 months ago)
Commons ChamberMy hon. Friend is absolutely right. He is also right to point out that there has been great progress in Sri Lanka, and great progress in religious tolerance. It is important to recognise that the extent of religious tolerance in any developing country is also a function of its political leadership. If there is leadership from the Prime Ministers and Presidents of those countries, it is possible to set the right tone when it comes to religious tolerance, but if those leaders fan the flames of populism or extremism, things can go wrong very quickly.
Let me express my sympathy and sincere condolences—and those of constituents who have contacted me following these horrific attacks—to the families of all who were killed or injured, and to the injured themselves. Words cannot describe the shock that was felt around the world. The despicable terrorist attacks which targeted the Christian community also killed or injured people of all faiths and none. This was an attack on humanity, on the values of respect and compassion, and on freedom of religion and faith.
The Sri Lankan diaspora community, including many people in my constituency and across the country, will currently be experiencing huge fear, anxiety and great concern for their friends, families and loved ones. Will the Foreign Secretary confirm that as well as continuing to provide vital security, intelligence and consular support in Sri Lanka, he will ensure that support is extended to the diaspora communities here, given what they will be going through, and given that they will also have a vital role to play in helping Sri Lanka to heal?
I can certainly assure the hon. Lady of that. I will be talking to my right hon. Friend the Secretary of State for Housing, Communities and Local Government about what support the Sri Lankan diaspora community might need. I will also be signing the book of condolence in the Sri Lankan high commission tomorrow, and I hope that I will have a chance to talk to the high commissioner as well.
(6 years, 5 months ago)
Commons ChamberMy hon. Friend is absolutely right not to use the word “bung” in his question and to correct that very quickly indeed. He is also right to talk about productivity. The last Labour Government made important progress in bringing down waiting times. That required significant extra resources. When Alan Milburn had a 10-year plan, there was not a big productivity element to it. This time, when resources are much tighter, we have to make sure that productivity and efficiency gains are at the heart of the progress we make.
The Secretary of State is right that more funding is urgently needed, because he knows better than anyone that the percentage of NHS trusts in deficit rose from 5% in 2010 to 44% last year. Today, he has talked repeatedly about prevention, but he has failed to say directly what will happen to public health. Will he therefore clarify whether any of the settlement he has announced today will go towards public health services, vital for prevention and tackling health inequalities, which are being cut by £800 million over five years?
Today’s settlement covers NHS frontline services. As I explained in the statement, it does not cover public health, but we fully recognise its importance. The hon. Lady talks about the increase in trust deficits. It is true that the number of hospitals in deficit has gone up, but that is because we deliberately decided to be very careful in the way that we performance-managed trusts with deficits. In Mid Staffs, getting rid of the deficit was one of the reasons why the number of nurses in wards was stripped down to totally inappropriate levels. We have to make sure that we handle this in an appropriate way.
(7 years, 4 months ago)
Commons ChamberDuring the election campaign, a lady in my constituency told me that she had had to wait nearly four hours for an ambulance to arrive at her home to help her off the floor. Does the Secretary of State have confidence in the ambulance service in London and other regions where targets have been consistently missed? Will he now look at extra resources for the ambulance service across the country, which is so urgently needed by all of our constituents?
If I may say so, that was a brilliant recovery. The hon. Lady is absolutely right to focus her attention on the performance of ambulance services. They are under pressure. They are hitting around 71% for their category A calls, and the target is to hit 75%. However, there are some bigger issues with the way those targets work, which we are looking at. Her ambulance service has just had a Care Quality Commission inspection.
(7 years, 10 months ago)
Commons ChamberThe hon. Lady is absolutely right. One example where that is particularly true is in addiction services. Highly vulnerable people whom we are trying to help kick a drugs habit may also have a housing problem, a debt problem or a work problem. Unless we solve those problems holistically, we are unlikely to be able to address the health problem that sits at the heart of those challenges. In essence, that is what the STP process is trying to address—I am talking about providing more joined-up integrated services. I am happy to have further discussions with her as to how we can make more progress in that area.
In his statement, the Secretary of State promised a Green Paper on children and young people’s mental health before the end of the year. That could be 11 and a half months away. One in four people have a mental health disorder, and the Government’s own research says that young people are disproportionately affected. We have all heard stories—I certainly have in my constituency—of young people waiting more than a year for support, including those who have been victims of domestic violence. Schools and parents are picking up the pieces. Young people deserve better. Will he clarify the reasons for what appears to be quite a long delay and commit to bringing forward the Green Paper so that action can be taken more quickly and that this pressing issue is not kicked into the long grass?
May I reassure the hon. Lady that we will not be kicking the issue into the long grass? The Prime Minister has made a statement that we will have a Green Paper. There is a very specific reason why we need a bit of time: we want to ensure that the changes that we make—[Interruption.] We are getting a bit of chuntering from the Labour Front-Bench team. They might want to listen to the answer. The reason why we need to take some time is that a number of pilots concerning the improvement of mental health provision are taking place in schools at the moment, and we want to see them go through and evaluate them to inform what we do in the Green Paper. That will take a bit of time, but, at the end of it, we will get a better evidence base for the right way forward.
(9 years, 10 months ago)
Commons ChamberUrgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.
Each Urgent Question requires a Government Minister to give a response on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
My hon. Friend is right. It is important to say that lots of people in the NHS have been asked in the past few days on the media what the issues are, and they have not been saying that it is about money. They have been saying that it is about reforming the structures. That is why, as well as the money that is available for this winter, we need to look at the plans that we can put in place to improve access to GPs, to improve the co-ordination between the health and the social care systems, to deal with issues that prevent people from going to hospital in the first place. That is what this Government want to do.
Many of my constituents in Feltham and Heston have raised with me their concerns about being able to access GP services, some having to wait weeks and in the mean time having to seek emergency help. Does the Secretary of State now regret the Government’s decision to axe Labour’s guarantee of a GP appointment within 48 hours?
If the hon. Lady regrets that, she might want to ask her Labour colleagues in Wales why they also axed the 48-hour target. We do need better access to GPs. That is why we are funding the training of 5,000 more GPs over the next five years. With targets, we must be careful of unintended consequences. When we had that target in place, a quarter of people who asked for an appointment in more than two days were told that that would not be possible, because we found that people played the target. That is why we do not want to go back to that system.
(11 years, 6 months ago)
Commons ChamberUrgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.
Each Urgent Question requires a Government Minister to give a response on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
I recently visited the London ambulance service. When ambulance staff cannot hand over a patient to A and E, the patient is kept waiting in the ambulance. Will the Secretary of State confirm that the number of handover delays lasting more than 30 minutes has doubled to 200,000 in the past three years? Will he also update the House on when he expects that trend to be reversed?
Handover delays are unacceptable, and the short-term and longer-term measures that I am putting in place will, I hope, help to reduce them. The hon. Lady might want to talk to her own Front Benchers about this, however, because they seem to be setting their face against improving primary care as a way of reducing the pressures on A and E departments, even though that goes against the grain of what the public and the NHS want.