(10 years, 1 month ago)
Commons ChamberI am grateful to have the opportunity to make a few short remarks. The hon. Member for Worsley and Eccles South (Barbara Keeley) is right to be concerned about any problem that occurs in the NHS, but I am sure she would accept that it is an enormous organisation and that the key point is that when things go wrong, the lessons are learned and things are put right. Most of the life of the NHS has been under Conservative Governments, and we on the Government Benches are as proud of the NHS as Labour Members are.
I congratulate the hon. Member for Eltham (Clive Efford) on being a strong voice for Labour principles, but I am concerned that the effect of his Bill will be to undermine the operational independence of the NHS, cause disruption and introduce unnecessary bureaucracy. Putting powers back with the Secretary of State through the re-establishment of powers of direction is going in the wrong direction. Preventing illness, diagnosing and treating patients are not political activities. They should be in the hands of professionals and the operational independence of the NHS means that clinical considerations are paramount. When I was a health spokesperson, I went to look at health systems in Europe, and the key point I took away was that the best systems were those with a lot of clinical input in management.
It is not necessary to rewrite the Act. Instead, the changes we have made need to work their way through. The shadow Secretary of State said that the competition element is dominant in the Act, but that is not true. The procurement policy is set out to secure the needs of patients and improve quality and efficiency. I want to give an example from my constituency of how the reforms are working. Royston is part of the Peterborough and Cambridge CCG. Before that was so, we had a proposal for the redevelopment of Royston hospital. A Royston hospital action group was formed, while the friends of Royston hospital were concerned about the proposals, which were top down. However, Tom Dutton, the CCG strategic lead, has worked tirelessly with the NHS and the local community, as has the local chairman, Dr John Hedges, a GP in Royston, and they understand local needs, so we are now getting tailored provision that suits the needs of my constituents.
I meet the CCG, councillors, local groups and other stakeholders every six weeks, and I believe that we are now getting a service for Royston and a proposal that meet local needs. The £1 billion tender for older people’s services was in our CCG area. The hon. Member for Eltham criticised the cost, but we had a consultation meeting in Royston that 150 local people attended, while 250 local people filled out the questionnaire. The proposal and consultation will have cost money, yes, but the end result was that the tender process was won by the Uniting Care partnership, an NHS partnership involving Addenbrooke’s hospital and the Cambridge and Peterborough NHS trust, and it is now delivering more joined-up care.
I was delighted with that outcome. One of the successes I hope the hon. and learned Gentleman will mention is the better joint working between acute care, mental health care and community services to avoid delays in the transfer of care. This could be a very good outcome for the NHS and patients.
That is exactly the point I was going to make. The process, which involved local people, has resulted in a reform that gives us the sort of joined-up care the hon. Gentleman mentions.
To conclude, the Bill seeks to prevent privatisation that is not happening on the ground, while some of the changes we have made are bringing positive benefits for people in my constituency.
(10 years, 11 months ago)
Commons ChamberThe inter-departmental committee on violence against women and girls, which I mentioned earlier, is involved with representatives of various organisations who attend its meetings, so there is that connection. The new guidelines on child sex abuse that were issued last October are intended to bring about a big change in the way in which such cases are dealt with. They recommend an holistic approach and consideration of the credibility of the allegation rather than just the credibility of the witness, and I think that that will help a great deal.
In July 2012, Canadian police closed a child abuse network. They released hundreds of children and passed 2,345 names of suspects to British police, who then did absolutely nothing for 16 months. What assessment has the Solicitor-General made of the effect that that has had on the number of successful prosecutions?
The way in which the police investigate cases is independent. The hon. Gentleman could raise it with the Home Secretary, but it is not dealt with by the Crown Prosecution Service. The new CPS guidelines constitute a major step forward, as do the new national network of rape and child sex abuse prosecutors, which provides a source of expertise on such offences in each area. That will lead to more effective prosecutions.
(12 years, 5 months ago)
Commons ChamberI am grateful to the hon. Gentleman for giving way as he chose to name me. Let me say that I am not sure it is a three-way marginal, although I suspect that my constituents would be delighted to hear more.
Does the hon. Gentleman accept that what he has described is very similar to what happens now? There are extra representatives in Scotland, Wales and Northern Ireland, in the European Parliament and on councils. Giving the people a say in the composition of the other House merely means that they will be able to exercise some direct influence, which does not happen when Members are appointed through patronage.
What is happening is the creation of a culture of the multi-Member constituency. An individual constituent will be able to choose whether to go to the Liberal Democrat, the Conservative or the Labour representative in Parliament, and I do not believe that that is good for our country. I believe that it is important for a Member of Parliament to represent all his constituents, and for the constituents to know where to go when they need help or want to raise an issue. That is good for them, and it is good for us.