(11 years, 4 months ago)
Commons ChamberI cannot make any such guarantee; it is not in my gift to do so. The will of the House was expressed very plainly but it has not been possible to comply in terms of timing. I will ensure that if not I then my right hon. Friend the Secretary of State for Culture, Media and Sport writes to the hon. Gentleman.
Yesterday’s announcement of new funding for joint health and social care was a welcome step towards the integration of health and social care, and I think all of us across the House would welcome that. Yet some short-sighted councils are closing down care home facilities without providing proper alternatives. Labour-run Reading borough council wants to close the Arthur Clarke home in my constituency, which will cause great distress to residents and families, risks breaking up a successful work force and will end up putting greater stress on the local NHS. Will my right hon. Friend support a debate to highlight the issue of care home closures and their impact on the local communities they serve?
The Liaison Committee has timetabled a debate on public expenditure and health care services on Tuesday. Clearly the issues that my hon. Friend raises are relevant to that debate and he may wish to utilise that opportunity. I felt strongly that the Chancellor’s announcement yesterday was extremely important and welcome, and it followed the announcement made in the spending review of 2010. The NHS has used its resources, together with local authorities, in developing health and social care interactions very effectively, which has demonstrated how these additional resources might make a much greater difference in terms of promoting independence and preventive health care.
(11 years, 11 months ago)
Commons ChamberI thank you for that kind introduction, Mr Speaker. Following the publication of yesterday’s Ofsted report on the performance of local education authorities, may we have a debate in Government time about why some LEAs, such as Reading, are so much worse at providing, for example, primary school education than either surrounding authorities or demographically comparable local education authorities?
My hon. Friend is right. We might examine that. He might like to raise the matter at Education questions on Monday, but in any case it is an illustration of the benefits that come from the transparency of the publication of data. In a number of fields, including education, that enables us and the public to examine unwarranted variation between different parts of the country, and to try to drive out poor performance and drive up good performance.
(12 years, 8 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
The amendments on Report that we will support will, by their nature, be significant.
Will my right hon. Friend assure my constituents that our NHS reforms will outlaw the practice common under the previous Government of the private sector being paid more than the NHS for exactly the same operation?
Yes, that is absolutely correct. For the first time, we will have a provision in law that prevents the kind of discrimination in favour of the private sector that was practised in government by the Labour party.
(13 years ago)
Commons Chamber14. What steps he is taking to reduce NHS hospital indebtedness.
The national health service is forecasting a surplus for 2011-12, but the previous Government left a legacy of up to six hospital trusts whose private finance initiative payments are a risk to their financial sustainability and up to 24 trusts with such high levels of debt, following years of bail-outs, that they might not meet tests of their future financial sustainability. We are working with all of those to identify their individual needs so that we can help trusts to achieve consistent standards of quality and financial sustainability, and I will make an announcement on that later this year.
I thank my right hon. Friend for spelling out the appalling debt that some parts of the NHS inherited from the previous Government. Can he assure me and the House that this Government will deal with the root causes of hospital debt, rather than with the continuing bungs and bail-outs that the previous Government left?
My hon. Friend is absolutely right. We are determined to root out poor performance, by which I mean not only that we should deal with waste, inefficiencies and poor value for money in the NHS, but that we must identify where standards and quality of care are being met. Both are equally important, and one depends on the other. He will know from the Royal Berkshire NHS Foundation Trust how important it is to sustain finances and quality through foundation trust status. We are seeking to ensure that many NHS trusts reach foundation trust status, something that the previous Government failed to achieve and we aim to achieve.
I made no decision contrary to the advice of the Advisory Committee on Resource Allocation. If the hon. Lady cares to look at the increase in revenue allocations to primary care trusts across the country, she will see that many of the lowest allocations are in richer areas and the highest are in the most needy areas.
T8. Last week, a survey found that 80% of people want more choice in how and where they are treated. Does that not show that the Government are absolutely right to press on with modernising the NHS?
Yes, it was absolutely clear that the public wanted choice of treatment. That is one of the reasons that we have published some of the patient decision aids for the first time, and we will continue to do more. People want a choice in the consultant-led team that will provide their treatment, and in the hospital where that will happen. In the past few weeks, we have set out the details of how we are going to give patients the choice that they seek.
(13 years, 6 months ago)
Commons ChamberThe Secretary of State knows that many of us have received e-mails from constituents, the majority of which have been cut and pasted from a left-wing website. The impression given of the role of the GP consortia bears little relationship to that of GP leaders in my constituency such as Elizabeth Johnston. Will he confirm that he will listen very carefully to the experience and expertise of my local GP leaders, and not a left-wing motivated campaign?
My hon. Friend will know, like I do, that his GPs in Reading have already commissioned a new care pathway for people with lower back pain, which means that instead of having to go to hospital appointments, patients can be seen in their own homes by physiotherapists or occupational therapists offering practical advice and assistance in managing pain. Those are practical steps led by front-line staff, the purpose of which is to improve care for patients.