Business of the House

Debate between Nick de Bois and Lord Lansley

Thursday 13th March 2014 Commons Chamber

[Mr Lansley]

I am very glad that those representing leisure parks and piers were able to be here at Westminster. Those who watch our proceedings in the House sometimes might not realise the sheer volume and extent of interest in what goes on in the Palace of Westminster far beyond the debates in the Chamber. My hon. Friend is right about the issues for coastal towns, which he understands so well. That is why we created the coastal communities fund of £23.7 million in 2012 to help coastal towns and villages provide training and employment opportunities. In August last year, we announced that that fund would be increased to £29 million, and that it would be extended until 2016. That in itself is a manifestation of the Government’s support for the issues that my hon. Friend raises.

[Nick de Bois (Enfield North) (Con)]

In manslaughter cases in which a single punch to the head has resulted in death, we are seeing absurdly low sentences, as permitted under sentencing guidelines. Obviously, I want much tougher sentences. Will my right hon. Friend agree to give the Chamber the chance to debate this very serious issue?

[Mr Lansley]

I am interested in what my hon. Friend has to say. I think that the subject may be in the scope of debate on the Criminal Justice and Courts Bill. I encourage him to raise these issues; it is important for Parliament to set out its expectations regarding sentencing guidelines. The Bill will, I hope, be an opportunity for the issue to be debated.

Business of the House

Debate between Nick de Bois and Lord Lansley

Thursday 16th January 2014 Commons Chamber

[Mr Lansley]

Yes, I am still in the 1970s—that is when I used to organise concerts. My approach to this matter would be to say that we are better together.

[Nick de Bois (Enfield North) (Con)]

If the Leader of the House was unfortunate enough to be commuting on the Hertford loop over the past four months, he would know that First Capital Connect and Network Rail have combined to give the most sustained period of heavy delays, cancellations and limited rolling stock, resulting in passengers having to resort to bikes on some days. My hon. Friend the Member for Enfield, Southgate (Mr Burrowes) has joined me in meetings with those companies, but we feel that yet more progress has to be made, particularly with negotiations for a new franchise coming up. Will the Leader of the House find time for us to have a debate on this appalling service in our constituencies?

[Mr Lansley]

My hon. Friend will know that if he were able, with others, to go to the Backbench Business Committee, he might find time in an Adjournment debate or in Westminster Hall to raise these specific issues. However, in order to be as helpful as I can, I will ask my right hon. Friend the Secretary of State for Transport to look specifically at the issues that he and his colleague raise.

Business of the House

Debate between Nick de Bois and Lord Lansley

Thursday 28th February 2013 Commons Chamber

[Mr Lansley]

I do not in the least feel under any kind of duress in respect of the allocation of time. I just need to remind Members from time to time that the House has resolved that a substantial part of its time—something approaching half the total number of sitting days—is made available to the Backbench Business Committee, to the Opposition, to the Liaison Committee—[Interruption.] We have to secure the business of government. From my point of view, it is absolutely transparent that a House business committee should add value to the measures that have made progress in this Parliament in giving Back Benchers access to parliamentary time, rather than detracting from them.

[Nick de Bois (Enfield North) (Con)]

In connection with this question, I remind the House that my daughter is a practising medical student.

Final-year medical students face uncertainty this week over their foundation programme jobs because of application scoring errors in the new SJT—situational judgment test. This week, more than 7,000 final-year medical students who were initially delighted to receive their foundation school allocations may be concerned that those allocated jobs are now at risk. Students were informed of this by e-mail at 6.30 on Tuesday, with no apology for the error, causing some distress and anxiety. That is completely unacceptable. Will the Leader of the House request a statement from the Secretary of State?

[Mr Lansley]

The UK Foundation Programme Office is working urgently to resolve these problems so that there is minimum disruption to doctors and the affected hospitals, and to ensure that everyone is notified as quickly as possible about their placements for August. The error should not have happened and we are concerned about the anxiety that this has caused to students. I reiterate—and I recall making this clear when I was the Secretary of State for Health—that all eligible graduates of a UK medical school will receive a training place for August 2013.

Business of the House

Debate between Nick de Bois and Lord Lansley

Thursday 22nd November 2012 Commons Chamber

[Mr Lansley]

The UK Border Agency chief executive will have written to the right hon. Gentleman as Chair of the Home Affairs Committee to address some of the issues raised by the report and make clear that UKBA has accepted all the chief inspector’s recommendations. The chief inspector was clear that UKBA is now tackling those problems—and has been since April 2012—although I would not diminish the scale of the legacy problems it inherited and some of the difficulties and errors that have occurred. My colleagues in the Home Office are determined to ensure that UKBA not only deals with those legacy issues, but that it continues to improve the service it provides, and they will report on that to the House.

[Nick de Bois (Enfield North) (Con)]

May I press the Leader of the House on the present crisis in the middle east and urge him to reconsider and try to find time for an urgent debate so that the House can make clear its views?

[Mr Lansley]

My hon. Friend will be aware, not least from the statement I have just made, of the many pressing issues that the House has to consider. There are opportunities through the Backbench Business Committee for Members to pursue those issues, which may—and often have—extend to international affairs.

Life Sciences

Debate between Nick de Bois and Lord Lansley

Monday 5th December 2011 Commons Chamber

[Mr Lansley]

I think that the hon. Gentleman is wrong about that. The MHRA operates, in scientific and expert terms, in an independent fashion. In so far as it is accountable, it is accountable to me as Secretary of State and to this House. It is not accountable to the pharmaceutical industry. If he is proposing a major transfer of costs from the pharmaceutical industry to the taxpayer, I am afraid that I do not agree with him.

[Nick de Bois (Enfield North) (Con)]

I warmly welcome the commitment to telehealth and the expansion of it over the next five years. Does the Secretary of State agree, however, that that represents a step change for patients? Will it be the responsibility of councils and stakeholders to demonstrate the value and benefits of telehealth to their patients, so that there is full buy-in?

[Mr Lansley]

I am grateful to my hon. Friend. The figures from the evaluation of the 6,000 or so patients who have participated in the three pilots in Cornwall, Kent and Newham suggest that if telehealth is appropriately and properly provided, there are benefits. There was a total reduction of 45% in mortality, about 21% in accident and emergency visits, about 15% in planned admissions and bed stays in hospital and about 8% in costs. Those are dramatic benefits, but the most important aspect is the empowerment that telehealth gives patients so that they can be at home and be confident about their care, rather than be prey to rapid crises leading to admission to hospital.

Oral Answers to Questions

Debate between Nick de Bois and Lord Lansley

Tuesday 22nd November 2011 Commons Chamber

[Nick de Bois (Enfield North) (Con)]

6. What steps he is taking to raise the standards of care provided by health care workers and care assistants.

[The Secretary of State for Health (Mr Andrew Lansley)]

I have commissioned Skills for Health and Skills for Care in partnership with employers, unions, regulators, educators and others to develop a code of conduct and minimum training standards for health care support workers and adult social care workers in England. This will give employers and patients confidence in the employment and standards of staffing at all levels. I expect the final report and recommendations by September 2012.

[Nick de Bois]

The Secretary of State knows that I believe in less, not more, regulation, but given the increasing role and responsibilities of health care assistants, particularly with the elderly, does he agree that the time has come both to recognise their increased responsibilities and to provide safeguards at a national level by requiring them to be on a national register?

[Mr Lansley]

My hon. Friend will know that health care and social care support workers do responsible jobs and that the responsibility for them lies principally with their employers and the staff who supervise them. We made provision in the White Paper we published last December for a process of assured voluntary registration. What I announced and referred to a moment ago will give a code of conduct and standards that will form a basis for an assured voluntary registration scheme in future.

Reform of Social Care

Debate between Nick de Bois and Lord Lansley

Monday 4th July 2011 Commons Chamber

[Mr Lansley]

The hon. Lady will know that we are continuously seeking to improve the standards of care that older people receive, and, in so doing, we sometimes have to tackle what are clearly serious abuses. In the wake of the Winterbourne View events, for example, we will bring forward a report to Parliament on standards and the means by which they are to be met. With regard to hospital care, it was I who asked the Care Quality Commission to undertake specific unannounced nurse-led inspections to look at dignity and nutrition. We will work continuously to ensure that we deliver the standards of care that people have a right to expect.

[Nick de Bois (Enfield North) (Con)]

My right hon. Friend might be aware that more than 100,000 people a year are not receiving the palliative care that they need. Can he assure the House that that will be a key priority, following the issue of this report?

[Mr Lansley]

My hon. Friend is right. I very much welcomed and encouraged the dialogue that took place between Andrew Dilnot’s team and Tom Hughes- Hallett’s team, and they have made complementary recommendations. My hon. Friend is absolutely right to say that, as far as end-of-life care is concerned, there is widespread unmet need. The disparity in the quality of care and the services provided in different parts of the country is staggering. Just as the Dilnot commission deals with care and support, we certainly aim to deliver greater consistency in eligibility and in the quality of care provided.

Oral Answers to Questions

Debate between Nick de Bois and Lord Lansley

Tuesday 7th June 2011 Commons Chamber

[Nick de Bois (Enfield North) (Con)]

13. What recent assessment he has made of progress by GP pathfinder consortia in delivering improvements in NHS services.

[The Secretary of State for Health (Mr Andrew Lansley)]

We have taken time to pause, to listen and to reflect on our reforms; none the less I am pleased to report that there remain 220 pathfinder consortia, covering nearly 90% of England. In my hon. Friend’s constituency, the Enfield consortium group is established and is focusing on quality and productivity improvements to local health care services. I have been greatly encouraged by the initiative that clinicians have taken to improve patient services, and examples are available at the pathfinder learning network, a forum through which we are supporting their development.

[Nick de Bois]

My right hon. Friend the Secretary of State knows my view on the need to ensure that there is a comprehensive network of commissioning consortia across the whole country by April 2013. Does he share my view that that essential requirement will not only improve patient choice but ensure that we can pass a further £5 billion in savings back into front-line services?

[Mr Lansley]

Yes, I think my hon. Friend is absolutely right about that. What has been interesting in the listening exercise is the clear expression—on the part of front-line clinicians, general practitioners, doctors, nurses and other health professionals—of a desire to take greater responsibility for commissioning. They are only too aware of a decade of decline in productivity in the NHS, in which administration costs and staffing ballooned while front-line staffing did not increase to anything like the same extent. They want to deliver better clinical services for their patients, and to have the responsibility to do so. We are determined to give that to them.

Oral Answers to Questions

Debate between Nick de Bois and Lord Lansley

Tuesday 25th January 2011 Commons Chamber

[Mr Lansley]

My hon. Friend makes an important point. He will recall that before the election, the Select Committee on Health severely criticised the way in which primary care trusts were going about commissioning. We are looking to consortia because they are clinically led and responsive to patients in designing far better clinical services, and they will have considerable support in doing so. Over the next two years, we will enable them to develop support arrangements, whether through existing primary care trust teams, local authorities, the NHS commissioning board, or a range of voluntary and independent sector organisations.

[Nick de Bois]

Will the Secretary of State outline the role that charities and voluntary organisations will play under GP commissioning to ensure that the needs and views of patients are at the heart of services?

[Mr Lansley]

To give my hon. Friend one example, last Friday I spoke to the Motor Neurone Disease Association, which has developed a commissioning support organisation with the Multiple Sclerosis Society and Parkinson’s UK. The voluntary sector can therefore be involved directly in helping GP consortia to commission for those critical diseases more effectively. My hon. Friend might have seen what Sir Stephen Bubb, the chief executive of the Association of Chief Executives of Voluntary Organisations, said last week:

“These reforms could herald a new and dynamic relationship between local GPs and charities that both deliver good services and act as a powerful voice for patients.”

Oral Answers to Questions

Debate between Nick de Bois and Lord Lansley

Tuesday 7th December 2010 Commons Chamber

[Mr Lansley]

I am sure that I or one of my hon. Friends will be happy to meet the hon. Lady. I do not know why she thinks that the abolition of the PCT will make that change. We have yet to set out how PCT assets will be dealt with when they are abolished. She must talk to her local GPs as I know that GPs in Durham have come together in a consortium and they will be well placed to give precisely the kind of assurance about the security of services in the future that she is looking for.

[Nick de Bois (Enfield North) (Con)]

The Secretary of State will be aware that the Barnet, Enfield and Haringey clinical review has been concluded. It notes that the Secretary of State’s four tests have been passed, despite health scrutiny establishing that they have not. In addition, the majority of Enfield GPs do not support the proposals. Will the Secretary of State therefore conclude that the four tests have not been passed?

[Mr Lansley]

My hon. Friend will know that all that has not yet come to me, so I will not prejudge this issue. However, I have made it clear, not least in a letter I recently sent to Baroness Margaret Wall, who is the chair of the Barnet and Chase Farm Hospitals NHS Trust, that I expect us to examine not only the Barnet, Enfield and Haringey proposals, but any other proposals that the trust might put forward about the level of acute services provided through Chase Farm.

NHS White Paper

Debate between Nick de Bois and Lord Lansley

Monday 12th July 2010 Commons Chamber

[Mr Lansley]

The hon. Gentleman has not talked to GPs across England who are keen to take on this responsibility. In the process, we will reduce the costs of bureaucracy in the NHS by more than £1 billion a year.

[Nick de Bois (Enfield North) (Con)]

Does the Secretary of State agree that where moratoriums are in place, practising GPs should be encouraged to seize the opportunity to determine the future of hospital accident and emergency departments, as with Chase Farm hospital in my constituency?

[Mr Lansley]

Yes, I very much agree. As he knows, his local GPs, patient representative groups and the local authority are already demonstrating how they can come together to devise the right solutions for the people of Enfield and the district around Chase Farm.