Business of the House

Jeremy Lefroy Excerpts

Thursday 5th September 2013 Commons Chamber

[Mr Lansley]

I cannot promise a debate immediately, but my hon. Friend will know that considerable effort is being put in by the Public Accounts Committee, the Treasury Committee and other Select Committees. The Government are seeking to ensure that people pay the tax that is due, and that we minimise tax avoidance and act against tax evasion. As far as corporation tax is concerned, the Prime Minister will update us on the G20 summit. Acting on an international basis on profit shifting and so on could make a dramatic difference. Following on from the G8, the Government and the UK are taking an excellent lead in trying to ensure that we have that kind of tax regime of an international basis.

[Jeremy Lefroy (Stafford) (Con)]

A report by the Royal College of Physicians last year pointed out that whereas there are 30 medical specialties in Norway, there are 63, and rising, in the UK. It explained the pressures that this brings on to the NHS. May we have a debate on medical specialties in the UK and the consequences for the NHS—particularly on smaller, acute hospitals—and on the important work that generalists do?

[Mr Lansley]

My hon. Friend tempts me, because this is a very interesting subject. At the same as we have had greater specialisation and continue to try to ensure that we drive forward with excellence and the highest standards in clinical terms, there has been something of a revival in the medical profession of generalist positions, for example, general surgeons. From personal experience I know it is important sometimes to establish specialties. We did that about five years ago in relation to strokes, for which there was not previously a stroke speciality. It is a complicated issue that would no doubt merit debate. I cannot promise a debate, but what my hon. Friend has said may well start the ball rolling.