Oral Answers to Questions
Liz Kendall Excerpts(8 years, 6 months ago)
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Michael Fallon
We will continue the co-operation that I have already set out—our co-operation with France under the Lancaster House treaty, and the growing co-operation we have with Germany and, indeed, with other European countries. Our recent strategic defence review is international by design and prioritises working more closely with our allies. European companies that are invested here see a rising defence budget, and we hope they will continue to invest here and to compete for the various tenders we are making available.
Liz Kendall (Leicester West) (Lab)
Our military alliances rely on strong diplomatic ties, especially with our European neighbours. What steps is the Secretary of State taking to ensure our Brexit negotiations do not sour these relationships and weaken our alliances?
Michael Fallon
As I say, I have spoken to all my fellow Defence Ministers in these key relationships, and we will have to work hard to ensure that these bilateral relationships are kept in good repair. We have strong defence relationships and defence sections in these embassies across Europe, and we will have to look at them independently and make sure in the Brexit negotiations that none of that co-operation—the joint training, the exercising and the co-operation on capabilities—is put at risk.
Trident
Liz Kendall Excerpts(9 years, 1 month ago)
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Michael Fallon
No cuts in weapons are included in the document that we published yesterday. On the contrary, there are more ships, more planes, more equipment for the special forces—more frigates being built on the Clyde. Let me very clear. The figure has increased—and we gave the House the correct update yesterday—since it was specified in a 2006 White Paper and adjusted again in 2011. The figure that we gave yesterday has been updated from the original estimate four years ago. The cost is £31 billion for the four submarines, with a contingency fund of £10 billion on top of that.
Let me now respond to the question that was asked by my hon. Friend the Member for Gainsborough (Sir Edward Leigh), from the depth of his experience as Chairman of the Public Accounts Committee. Yes, we must be eagle-eyed where costs are concerned. The new conventional submarines that are being built at Barrow, the Astute class submarines, are late, but the new Successor submarines cannot be late. We therefore believe, the Chancellor and I, that it is essential to reform the way in which the submarines are delivered, to ensure that continuous at-sea deterrence can be maintained, and to ensure that the taxpayer is given proper value for money. We are establishing a new delivery body for the Successor programme, and a new team at the Ministry of Defence, headed by an experienced commercial specialist, to act as the single sponsor for all aspects of the defence nuclear enterprise, from procurement to disposal.
Liz Kendall (Leicester West) (Lab)
Does the Secretary of State agree that, if we want to keep Britain safe, it is not a question of choosing between renewing our nuclear deterrent and taking the necessary action against ISIL—given that both are vital—and that it would be foolhardy, not to say arrogant, to believe that anyone in the House can predict the risks and threats that Britain will face in the next 30 or 40 years?
Michael Fallon
I could not have put it better. In our latest assessment, which is contained in the document that was published yesterday, we tried to estimate the threats to our country. We should be honest and humble about the fact that the 2010 review did not predict the resurgence of Russia and the action that it took in Crimea and Ukraine; nor did it predict the rise of ISIL. We try to predict, but we cannot be sure further ahead.
Last year, the people of Scotland voted to remain part of the United Kingdom.
Toby Perkins
Once again, that makes it clear that this motion is all about the Labour party’s position. I have attempted to clarify the difference between the decision this House will be facing shortly and the wording of the motion before us.
Liz Kendall
Does my hon. Friend share my disappointment that even though the SNP called this debate, it has failed to set out its position either on how it would replace jobs or how it would dispose of the weapons? Should not the debate have been about its policy, as it called this debate today?
Toby Perkins
For the second time today, my hon. Friend has hit the nail on the head. There is, of course, a whole series of inconsistencies in the SNP position. Today we were hearing that a decision to go forward with Trident would be choosing to buy nuclear capability on the backs of the poor, yet only half an hour before that we had heard SNP Members saying all the money being spent on Trident would instead be spent on conventional weapons. Either the money they are saving from Trident is going to be spent on hospitals, schools and transport, or it is going to be spent on conventional forces.
No one can blame the hon. Member for Argyll and Bute for being so confused, however, because if we look back through the history of the SNP, we see that this confusion is very long standing. In 2012, the right hon. Member for Gordon (Alex Salmond) was saying all the savings would be spent on conventional defence, then he and Nicola Sturgeon were saying in 2014 that they would be spending the money saved on Trident on childcare, then on “Good Morning Scotland” it was instead going to be spent on tackling youth unemployment and on colleges, and the Scottish Parliament motion in 2012 said it should be spent on welfare. So there is a long history of the SNP being utterly baffled about what this money is going to be spent on.
Oral Answers to Questions
Liz Kendall Excerpts(9 years, 10 months ago)
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Michael Fallon
We are not reducing our effort; on the contrary, we have the RAF flying Tornadoes virtually day and night—a huge effort—from Cyprus. We have nearly 600 service personnel involved in this battle against ISIL, including more than 140 personnel in Iraq. It is important to help the peshmerga, but it is also important to help the reconstituted Iraqi army.
Liz Kendall (Leicester West) (Lab)
What are the Government doing to identify ISIL’s funding sources, and have they taken any action, such as sanctions, against those they have identified?
Michael Fallon
The hon. Lady is right that ISIL needs to be defeated not just militarily, but diplomatically and politically with all the instruments at our command, and cutting off its financial sources of support is extremely important. We are working with our international partners to ensure that those financing streams can be cut off, and that proper sanctions can be applied where we can identify exactly where the funding is coming from.
Oral Answers to Questions
Liz Kendall Excerpts(10 years, 7 months ago)
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The Parliamentary Under-Secretary of State for Health (Dr Daniel Poulter)
Before I turn to the amendments, I want to put on record my thanks to hon. Members for their contributions to today’s debate. I also want to express my thanks once again for all the contributions made by hon. and right hon. Members throughout the passage of the Care Bill and, indeed, for the contributions made by noble Members of the other place.
The hon. Member for Lewisham East (Heidi Alexander) made a characteristically robust contribution in standing up for her local health care services. I also pay tribute once again to the contribution made by my right hon. Friend the Member for Sutton and Cheam (Paul Burstow), not only today, but at the Bill’s inception, during its scrutiny by the Joint Committee and throughout its passage through this House and the other place. He has done a tremendous amount of work to ensure that the Bill is much better than it used to be. He deserves considerable praise for what he has done and the help he has given the Government in securing a Bill that is not just fit for purpose, but which will make significant changes and improvements to our health care system.
It is worth bearing in mind that the Bill represents the most significant reform of care and support in more than 60 years, putting people and their carers in control of their care and support for the first time. The Bill will also put a limit on the amount that anyone will have to pay towards the costs of their care. It is a very big step forward and one that was long overdue. The Bill also delivers key elements of this Government’s response to the terrible events that took place in Mid Staffordshire and the recommendations of the Francis report by increasing transparency and openness and helping to drive up the quality of care across our NHS and social care system. I am pleased that the Government were able to table amendments that have been accepted in the other place, and I hope that those amendments will enjoy support in this House today.
Before I turn to the substantive amendments tabled by the hon. Member for Copeland (Mr Reed), I want briefly to address the points made about human rights legislation and the issue of direct payments. It is important to highlight that like clause 48 of the Bill, as originally drafted, and section 145 of the Health and Social Care Act 2008, which was the preceding provision, Lords amendment 11B relates to providers of social care registered with the Care Quality Commission, covering personal care provided at home and in residential care settings. The amendment covers physical assistance—for example, prompting someone to take their medication, dress, eat, drink and perform activities of daily living—but not non-personal care. To answer the question asked by my right hon. Friend the Member for Sutton and Cheam, I am happy to confirm that when self-funders start to receive support from the local authority, they will indeed be covered by the Human Rights Act 1998.
To turn to the amendments tabled by the hon. Member for Copeland, it is worth highlighting to the House that, contrary to what he asserted, the TSA regime—let us remember that the regime was laid down by the previous Labour Government—has been substantively improved by the amendments made to the Bill. In particular, clause 118, which has been debated as clause 119 at various points, will extend the requirements on the trust special administrator to consult not just the public, staff of the failing trust and its commissioners, but other provider trusts, their staff and their commissioners, local authorities and local healthwatch organisations. There is therefore a comprehensive duty of consultation and engagement in the TSA regime, and that will be further strengthened by the amendments we are now discussing.
Amendment (a) to Lords amendment 40B and amendment (c) to Lords 40C amount to wrecking amendments and, as I shall outline, amendment (b) to Lords amendment 40B is unnecessary and unworkable. Amendment (a) to Lords amendment 40B and amendment (c) to Lords 40C would mean that the recommendations of a trust special administrator could not restrict access to any services of another affected trust. Like previous ones, they are in effect wrecking amendments that would make it impossible for the administrator to do their job.
Both Houses recognise that the NHS is a network and that no hospital is an island, and have already agreed that clause 118 must allow the administrator to take a holistic view of the local health and care economy to find the very best solution for a failing trust. That is of course in the best interests of local patients. As my right hon. Friend the Member for Sutton and Cheam outlined in Committee, it is right that a trust and its patients in particular are not thrown to the wolves when the quality of care is unsustainable or letting patients down, but that a holistic and broader view of the local health care economy can be taken. That was the previous Government’s intention in setting up the TSA regime, and it is our intention now. The previous Government were not the first Government who did not necessarily make their legislation accord perfectly with the intentions they outlined in impact assessments for the TSA regime. That is why we are now in the position of having to correct and improve the regime through the Bill.
The amendments tabled by the hon. Member for Copeland would undo the effects in relation to the trust special administrator’s regard to the wider health economy, and they would reverse the effect of clause 118, such that the administration regime would not be able to create a complete and workable solution to intractable problems or failures of patient care in the NHS. I am sure hon. Members will agree that that would be entirely undesirable, and that it would not be in the best interests of NHS patients, who must be protected where a hospital cannot deliver safe or sustainable care.
Amendment (b) to Lords amendment 40B would give the trust special administrator significantly less time to finalise his or her draft recommendations about the future of a failing trust by requiring the publication of all correspondence between the administrator and commissioners at least 10 working days before publication of the draft report. Hon. Members will be aware that we have extended the time for the trust special administrator to draw up the report from 45 to 65 days and for the consultation from 30 to 40 days, because those processes need to be done properly.
I remind hon. Members that transparency is already built into such processes at every stage. The administrator is required to publish the draft report submitted to Monitor and is expected to include in it the commissioners’ statement in agreement or disagreement to the report. Following consultation, the administrator’s final report is submitted to Monitor for a decision. That report, which Monitor must publish and lay before Parliament, again needs to present to the regulator the views of all affected commissioners. The administrator is required to attach to the final report a summary of all responses to its draft report that were received during the statutory consultation. That would include the views of all affected commissioners as respondents and explain what consideration was given to those responses. There is full transparency at every stage of the process. Quite apart from being wrecking amendments, the Labour amendments are therefore completely unnecessary.
Liz Kendall (Leicester West) (Lab)
Wrecking amendments? They are saving you from yourselves!
Dr Poulter
The administrator, working closely with all affected commissioners and providers, may need to communicate in writing in the 10 working days before the draft report is published and submitted. Amendment (b) would therefore significantly reduce the time available to the administrator to develop and finalise the draft report and seek commissioners’ agreement. The hon. Member for Copeland said that he was concerned about that process, but his amendment would make it more difficult.
Clause 118 will extend the time that is available to the TSA to develop the draft report. Amendment (b) would reverse that. That is irrational, undesirable and goes against the very point the hon. Member for Copeland made about having time to consider the best interests of commissioners and the local health economy. I thought that that was an unintended and unwanted consequence of the amendment, but having heard the comments of the hon. Member for Leicester West (Liz Kendall), I am not so sure. However, I hope that the hon. Gentleman will not press the amendments.
In conclusion, the Government are committed to a TSA regime that is workable, transparent and in the best interests of patients. In cases of exceptional and significant care failure, lives are put at risk if a problem is not dealt with swiftly and effectively. It is for that reason that we are strengthening the regime in the Bill. I am very proud of the Bill and the opportunity that it offers to improve the health of and, the quality of care for, many people, particularly the frail elderly, those with disabilities and those with long-term care needs. It represents the most important step forward in integrating and better joining together health and social care for well over a generation. I hope that hon. Friends and hon. Members will support the Bill and the amendments that have been made to it.
Question put and agreed to.
Lords amendments 11B and 11C in lieu of words left out by Commons amendment 11 agreed to..
Lords amendment 32A to Commons amendment 32 and consequential Lords amendments 32C and 32D agreed to.
Clause 118
Powers of administrator etc.
Amendment (a) proposed to Lords amendment 40B.—(Mr Jamie Reed.)
Question put, That the amendment be made.