That is perfectly possible. For that to be the case, a self-denying ordinance is required on the part of people who otherwise wish to raise points of order with me, but I note what the hon. Gentleman has said, and colleagues either will be guided by him or not.
Further to that point of order, Mr Speaker. May I make a helpful suggestion, which is that you send a photocopy of “Erskine May” to members of the Government? On a more serious note, the Government keep insisting that Members of this House should have the opportunity to change their minds. Is it not time that they extended the same courtesy to the British people?
I note what the hon. Lady has said. The second point is a political one, to which I will not respond. In relation to “Erskine May”, it is available free online. In relation to the same question convention, I simply make the point that when I pronounced on the same question convention on 18 March, one of the early responses came from an hon. Member who said:
“may I say how delighted I am that you have decided to follow precedent, which is something I am greatly in favour of?”—[Official Report, 18 March 2019; Vol. 656, c. 778.]
He went on to make other supporting points. The person who responded in that way was none other than the current Leader of the House, the right hon. Member for North East Somerset (Mr Rees-Mogg). The Leader of the House was very much with me at that time on the same question convention. I take the same view seven months later, and it is for him to explain whether he does.
(5 years, 2 months ago)
Commons ChamberI thank the hon. Gentleman for what he says but, above all, I am enormously appreciative of his remarks about the team in the Speaker’s Office, to whom I referred. They have been steadfast, unwavering, efficient and magnificent, all of them, and I have worked with many of them for several years in succession—a point of absolutely no interest to the bigoted faction who form their view and do not want any facts to get in the way. They will not write about it. They will scribble their bigoted drivel, because that is what they do. When their grandchildren ask, “What did you do for a living?”, they will say, “Well, I scribbled my bigoted drivel for some downmarket apology for a newspaper.”
Calling it a newspaper is probably a breach of the Trade Descriptions Act, but they will not mind—they are probably very proud. Trashy articles by trashy journalists for trashy newspapers. It goes with the turf. It is downmarket, substandard and low grade. There is no intellectual weight to it, but that is what they do. It will always be about ad hominem attacks, because that is what makes their world go round.
But the fact is that the people who work in my office have been outstanding. I know their worth. We know the strength of our relationship, and the person standing on my left is one of several who have worked with me for many, many years and has worked with me throughout the 10 years I have been in post as Speaker. He was in the office for a decade before. He was educated at the university of life. There is not a pompous bone in his body. He would not know the meaning of the word “snobbery” if it hit him over the head, but he is absolutely brilliant, and I am grateful to him—Peter Barratt.
On a point of order, Mr Speaker. Thank you for being one of the great reforming Speakers; it is you who is trying to take back control for this Parliament, and others should learn from your example. You have also been a great champion of Select Committees, and, as Chair of the Liaison Committee, I would like to thank you for that. You have also been a champion of allowing Back Benchers to hold the powerful to account. That is what my point of order is about now, and it is further to a previous point of order. Not only are NHS staff entitled to raise genuinely held concerns about patient safety, but they have a duty to do so, and they must be able to do this without fear of intimidation or bullying from people in positions of power, including Members of this House. Last week, the Leader of the House made highly offensive comments about Dr David Nicholl. I reiterate: unless the Leader of the House comes to this place to make an apology from the Floor of the House, what message does that send to NHS whistleblowers and what does it mean for patient safety?
(5 years, 2 months ago)
Commons ChamberThat is a political observation, and not a matter for procedural adjudication by the Chair.
On a point of order, Mr Speaker, on behalf of the Liaison Committee. The Prime Minister gave an undertaking that he would appear before the Committee this Wednesday at 3.30 pm. The Committee met today, and we have written to the Prime Minister asking whether he will still appear, because—
Order. I recognise the hon. Lady’s sincerity and the strength of her conviction. If she wishes to contribute to the debate in an orderly way, on her feet, in a speech, because she has caught my eye, she can do so, but she should not use the device of a bogus point of order.
(5 years, 5 months ago)
Commons ChamberI am grateful to the right hon. Gentleman for giving me notice that he wished to raise this matter. The new edition of “Erskine May” states in paragraph 2.12:
“By convention, the motion”
—the motion to which reference is being made is that for the issuing of a warrant for a new writ—
“is moved by the whip of the party which last held the seat.”
I emphasise that that is the starting premise in these matters. I am confident that the right hon. Gentleman is aware both of that convention and of the recourse open to him if there is what he considers—indeed, others might agree—an unreasonable delay in the Government Chief Whip moving the motion. The timing of the by-election, after the House agrees to the relevant motion, is a matter for statute law and those empowered under the relevant statute. It is not something on which I can pronounce, but I hope that the two parts of the right hon. Gentleman’s concern have been at least adequately addressed by my initial response.
On a point of order, Mr Speaker. The Prime Minister has just clarified that there will be no opportunity to debate the motion on the summer Adjournment dates. This is an extremely grave matter. About 0.25% of the population will be selecting the next Prime Minister at a crucial time in our history. Is there anything you can do to make sure that the House has an opportunity, when other Members are here, to properly debate this issue and make sure that the next Prime Minister can be held to account by this House without there being an extended period of summer recess in the way?
(5 years, 7 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
Everybody in Kettering must be aware of the hon. Member for Kettering (Mr Hollobone). It is beyond my vivid imagination to suppose that there is any resident of the area who is not aware of him.
The truth is that it is very difficult for the NHS to make plans without knowing what the Government’s plans are for social care. We know, following a response to a question in yesterday’s debate, that the Green Paper has actually been written. There is simply no excuse for the continued delay in its publication which would allow the House to scrutinise it and the NHS to be able to provide a truly integrated approach to health and social care. Just saying that it will be published soon is no longer acceptable. Will the Minister set out when we can expect to see this vital document, so that we can scrutinise the Government’s plans?
On a point of order, Mr Speaker. When the Secretary of State comes to the Dispatch Box and makes a clear commitment that the publication date of the Green Paper will be before Christmas, and we know that the document has been written, what are the consequences of an absolute failure to honour such a commitment made at the Dispatch Box by a Secretary of State?
The consequences are political more than anything else. Quite what form that political consequence takes, if there is to be any, very much depends upon the view of the House of Commons; so the matter is the property of the House. I do not wish to incite strong feeling on this matter and the Minister has answered questions fully—whether to the hon. Lady’s satisfaction or not is another matter—and courteously. There are proceedings that can be brought to the House, but those are rarely brought and they would require a written communication with me. If, for example, a Member thought that the behaviour were contemptuous of the House, it is perfectly proper to bring that to my attention and I would have to consider it very carefully. But my instinctive reaction is that the consequence is a political consequence in terms of what might be considered a negative opinion of the failure to honour an earlier commitment. We shall leave it there for now.
(5 years, 7 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
There was I thinking that the Secretary of State would be the first to congratulate the hon. Member for Watford (Richard Harrington) on his prodigious efforts and output as a Minister, but I am sure that that will come ere long.
I warmly welcome the measures announced by the Secretary of State today, but will he go further in discussing the importance of clinical trials and answer some of the many questions about striking the right balance between THC and CBD? We have heard in the Select Committee that some pharmaceutical companies are refusing to make their products available for clinical trials. Will he look specifically at that point? We need to ensure that safe and consistent products are regularly available and that they are of a predictable pharmaceutical grade, as we have heard.
The short answer is that I am cautiously optimistic on that front. Steps are being put in train to ensure that Royal Assent is obtained before the House rises tonight. I thank the right hon. Gentleman for giving me the opportunity to provide that information to the House.
On a point of order, Mr Speaker. May I put it on record that today the Prime Minister has found time to meet the 1922 committee but, I regret to say, we still do not have a date for her to meet the Liaison Committee? I know that you have already pointed out to the House that that is part of the House’s ability to hold the Prime Minister to account at this important time. Will you join me in hoping that the Government Front Bench will, again, pass on to the Prime Minister a formal request for her to set a date?
I am certainly very happy to join the hon. Lady in the expression of that request. I make no comment on the other gathering in front of which the Prime Minister may have appeared. Certainly, as far as the House is concerned, the point that the Chair of the Liaison Committee makes is of the highest importance. The role of the Liaison Committee in holding the Executive to account and, in particular, holding the Prime Minister to account can hardly be overstated. The Liaison Committee is a greatly respected body. The custom and practice whereby the Prime Minister regularly appears before it are now very well established. It would seem to me to be highly desirable that an appearance should take place sooner rather than later.
(5 years, 7 months ago)
Commons ChamberOn a point of order, Mr Speaker. The Liaison Committee, which consists of all the Select Committee Chairs, is the only Committee that can call the Prime Minister. She has said on several occasions this afternoon that she is willing to sit down with Members from across the House, but I regret to say that, despite repeated requests, the Liaison Committee has been unable to secure a date for a hearing with the Prime Minister. Could I please seek your advice, Sir?
The hon. Lady can do and has done. I thank the hon. Lady, the Chair of the Liaison Committee, for giving notice that she intended to raise this matter on a point of order with me. I appreciate that the Prime Minister’s diary will have been even busier than usual recently, but I am sure the Prime Minister recognises that her regular appearances before the Liaison Committee form an important part of her accountability to Parliament.
The hon. Lady asks how she can persuade the Prime Minister to confirm a date. I suggest that by raising the matter today, the hon. Lady may have helped to achieve that objective. If she is not immediately successful, I have no doubt that she will—following, perhaps, my repeated advice to colleagues—persist, persist and, if necessary, persist again until she accomplishes her objective. Those sessions matter. They are part of respect for, and the proper functioning of, the legislature.
(5 years, 7 months ago)
Commons ChamberI think the hon. Gentleman can readily extrapolate from things that I have said before on this matter. I made a clear statement on 18 March, and I responded to a miscellany of questions on that occasion, possibly including an inquiry from him—I do not recall for certain but there might have been such. On that occasion, I indicated that it seemed to me that there was a matter not just of precise wording but of thrust: what was the essential thrust of the proposition that was being put, and had it changed or had it not. I invoked evidence, in support of the propriety of the second vote on 12 March, of the publication of documents consequent upon discussions that took place with the European Union. Those were examples it seemed to me of facts, of evidence and of circumstances that were relevant. I note the opinion of the hon. Gentleman that the situation has in some way now changed. He is perfectly entitled to that opinion. One has to look at the specifics. If people come with specifics, the specifics are considered. As a wise and discerning fellow, who is unfailingly fair-minded, I feel sure that the hon. Gentleman will appreciate the wisdom of such an approach.
On a point of order, Mr Speaker. This is both a national tragedy and a national embarrassment. Is this situation not partly down to the fact that we tried to reduce a complex issue with very many possible versions of Brexit into a simple, binary choice? Does this evening not demonstrate that we must now set out clearly what the choice is and return it to the British people? Will you confirm, Mr Speaker, that the greatest number of votes cast today were for a confirmatory public vote on a defined choice?
The factual record speaks for itself. The political point that the hon. Lady perfectly reasonably makes—it is not a party political point, of course—is not one for me, but she has made her point with her typical sincerity and sense of insistence on what she believes to be right, and I respect that. How these proceedings—in all the time I have known the hon. Lady, she has been concerned about this—are viewed by people outwith this place, I do not know. However, it seems to me, if I may say so, that it is a matter not just of the content of what is said but of how it is said that is of the foremost importance. In my experience, the hon. Lady plays the ball rather than the man or woman. If we can, albeit amid inflamed passions and strong conflicts of opinion, maintain that basic respect for each other and that civility of discourse, that has to be in our interests, both in respect of this issue and reputationally for the future.
On a point of order, Mr Speaker. My hon. Friend the Member for Liverpool, Wavertree (Luciana Berger) is currently on maternity leave. She has served with great distinction as a member of the Select Committee on Health and as a spokesperson who is nationally recognised for her work on mental health. I am deeply concerned to hear that the Labour party has been seeking names to replace and oust her from her position on the Select Committee. Surely this is unacceptable and sends entirely the wrong message about how we value maternity leave in this place. I am very relieved that none of her former colleagues was prepared to be nominated in that way. May I seek your guidance, Mr Speaker, on that point and on the wider point that Select Committees are surely at their best when Members can leave their narrow party politics at the door rather than being a tool of the Whips Office?
(5 years, 9 months ago)
Commons ChamberOrder. I thank the Leader of the House both for her opening statement and for her response to the shadow Leader of the House. I think the position is clear, but this is of course very important in relation to Brexit business, and the right hon. Lady has been, I think, most solicitous in trying to attend to the concerns of the House. Last night, I received notice of the draft business for next week, and I noted with dismay that the scheduled debate on an amendable motion had been removed and that we were in fact due to have a debate on Back-Bench business on Thursday the 14th. I confess that I was very alarmed by that. In so far as that has now been reversed, as in the statement that the Leader of the House has announced, and the debate on an amendable motion will take place, I am greatly heartened by that.
I just want to say to the House, because I think it is very important that there is clarity, that I hope the position reflects—I think it does—the commitments made in the Chamber. On 29 January, at column 671, the Prime Minister said:
“Furthermore, if we have not brought a revised deal back to this House by Wednesday 13 February, we will make a statement and, again, table an amendable motion for debate the next day.”—[Official Report, 29 January 2019; Vol. 653, c. 671.]
Two days later, at the business question, the Leader of the House—responding, I believe, to the hon. Member for Cardiff West (Kevin Brennan)—reiterated the position by saying:
“We will, of course, have the opportunity to enjoy the Prime Minister coming back for a second meaningful vote as soon as possible. Just to be clear, if we have not brought a revised deal back to this House by Wednesday 13 February, we will make a statement and again table an amendable motion for debate the next day.”—[Official Report, 31 January 2019; Vol. 653, c. 975.]
As recently as yesterday, the Chancellor of the Duchy of Lancaster and Minister for the Cabinet Office, the right hon. Member for Aylesbury (Mr Lidington), deputising for the Prime Minister, said very specifically:
“She”—
the Prime Minister—
“said that the meaningful vote itself would be brought back as soon as possible, and if it were not possible to bring it back by the 13th, next Wednesday, the Government would then make a statement and table a motion for debate the next day.”—[Official Report, 6 February 2019; Vol. 654, c. 322.]
So I think we have the commitment that had previously been made, and I believe that it is the full intention of the Government to honour that commitment. But the dependability of statements made and commitments given, whatever people’s views on the merits of the issues, is absolutely critical if we are to retain or, where lost, to restore trust, so there can of course be no resiling from the commitment which I think is explicit and which has been made: no dubiety, no backsliding, no doubt. I think that is clear.
It seems clear to me that we are simply not going to be able to get the primary and secondary legislation required through by 29 March. However, could we, as soon as time allows, have a debate on the operation of Home Office rules on TB certification and access to approved testing clinics? A young family in my constituency are facing imminently being torn apart because of entirely illogical and unreasonable application of these rules. Despite my constituent having had an X-ray and obtained a TB certificate, at her expense, at a UK hospital, she has been told that it will not count because it is not an approved centre, but the Home Office is telling her that there are no approved centres within the United Kingdom. To add further illogicality, if she returned to her home country of Canada to reapply, she would not need a TB certificate because it is more than six months since she was in a TB-prone country. I am very grateful to a Home Office team for agreeing to meet me to look at this case in detail. However, I do think that it raises a wider issue about applications and access to TB centres in the United Kingdom.
(5 years, 10 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
I simply say that the Secretary of State is perfectly entitled to his assessment of whether it is appropriate in political terms. No breach of order has taken place procedurally, but the Secretary of State has made his judgment, and I accept that.
I am glad to hear the Secretary of State confirm that no money will change hands, but there will undoubtedly be vast manpower and bureaucracy costs in no-deal planning, and we know that there are actual costs when it comes to commissioning refrigerated warehousing and special air freight. All that could be avoided if the Government ruled out no deal. No deal would be catastrophic, and no sensible Government should inflict that on their people.
(5 years, 11 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
That was a very engaging wave from the right hon. Member for Wantage (Mr Vaizey), but it is not the normal means by which to procure the attention of the Chair. It would be a pity to squander the right hon. Gentleman at such an early stage of our proceedings, so I shall come to him in due course.
In 108 days we run out of road, and the only red line that has not been laid down is the one in front of the cliff’s edge, over which we would fall into a chaotic no deal. I urge the Minister and the Government to bring forward the meaningful vote to next week, because by then at least we will know what cosmetic changes have been made in Brussels.
(5 years, 12 months ago)
Commons ChamberI beg to move amendment 1, page 1, line 16, after “police” insert
“for a police area in England and Wales”.
This amendment and Amendments 2 and 6 would allow the chief constable of the Ministry of Defence Police and the Chief Constable of the British Transport Police Force to apply for stalking protection orders and interim stalking protection orders, and to take part in related procedures.
With this it will be convenient to discuss the following:
Amendment 2, in clause 4, page 3, line 24, leave out from “police” to the end of line 27 and insert
“who applied for the stalking protection order and (if different) the chief officer of police for the area in which the defendant resides, if that area is in England or Wales.”
See the explanatory statement for Amendment 1.
Amendment 3, in clause 9, page 6, line 2, leave out “within” and insert “before the end of”.
This amendment would ensure a person can give notice that they are going to use a new name before doing so.
Amendment 4, page 6, line 8, leave out “within” and insert “before the end of”.
This amendment would ensure a person can give notice that they are going to change their home address before doing so.
Amendment 5, in clause 10, page 6, line 30, leave out
“whose home address is not”
and insert
“who does not have a home address”.
This amendment would cater for the possibility that a person might not have a home address.
Amendment 6, in clause 14, page 8, line 9, at end insert—
““chief officer of police” means—
(a) the chief constable of a police force maintained under section 2 of the Police Act 1996 (police forces in England and Wales outside London);
(b) the Commissioner of Police of the Metropolis;
(c) the Commissioner of Police for the City of London;
(d) the chief constable of the British Transport Police;
(e) the chief constable of the Ministry of Defence Police;”
See the explanatory statement for Amendment 1.
Amendment 7, in clause 15, page 9, line 4, leave out from “force” to the end of line 5 and insert
“two months after the day on which this Act is passed.”
This week we celebrate the 100th anniversary of the first woman taking her seat in this House. I am immensely proud, as a Devon MP, that that woman was Lady Nancy Astor, and I think all of us in this House owe her an enormous debt of gratitude for the work she did, particularly in fighting on behalf of women and girls. I am proud that this Government have continued that work. Indeed, Members from across this whole House have done so much to advance this cause.
Of course, stalking does not just affect women—it affects men as well, and it is a vile crime of an insidious nature. I am very grateful to all those, both within this House and beyond, who have contributed to the passage of this Bill, including with advice, which has caused me to table some important amendments. They are minor in nature, but I think they will greatly improve the Bill.
Amendments 1, 2 and 6 would enable the chief constables of the Ministry of Defence police and the British Transport police to apply for stalking protection orders and interim orders, and to initiate related proceedings in connection with the variation and renewal of an order. That is because stalking occurs across a range of contexts and situations, with devastating consequences, and it is essential that a stalking protection order is available to police in a variety of situations. There may be circumstances in which the British Transport police or MOD police are best placed to seek an order, for example if the stalking conduct has taken place on the railway network or a perpetrator lives or works in MOD premises.
Amendments 3 and 4 would modify the notification requirements on a person subject to a stalking—
I thank my hon. Friend for his point, which we could consider in the House of Lords as the Bill continues its passage.
Amendments 3 and 4 would modify the notification requirements on a person subject to a stalking protection order. Under the notification requirements, as drafted, a perpetrator must notify the police within three days of a change taking place. These amendments simply enable the perpetrator to give such notice in advance of a change taking place, and I hope that colleagues from across the House will recognise that that is a small, technical, but important change.
Finally, amendment 5 also relates to notification requirements. It caters for circumstances where the subject of a stalking protection order has no home address. In such a case, the amendment provides that the perpetrator can instead notify of a place where they can regularly be found. That simply mirrors notification requirements related to registered sex offenders. My hon. Friend the Member for Christchurch (Sir Christopher Chope) also has an amendment in this group, but I do not see him in the Chamber today, so I think we will assume that he does not wish to press that amendment. For now, I commend the amendments standing in my name to the House.
We are immensely grateful to her; she has been the epitome of succinctness, which serves as a useful model for other colleagues.
(6 years ago)
Commons ChamberI am grateful to the Secretary of State for what he has just said. A lot of Members wish to take part in this exchange, but I remind the House that there are two debates to follow. The Government have chosen to put on two ministerial statements, which is entirely their prerogative. Naturally, people do then tend to stand to ask questions, as that is what we do here, but I have also to protect the subsequent business. I therefore politely say to colleagues: if you have a long question in mind, cut it or do not bother. That would be really helpful. Let us start with the Chair of the Select Committee, Dr Sarah Wollaston.
In the Secretary of State’s vision for prevention he rightly points out that £14 of social benefit accrues from every £1 spent in public health. Therefore it is going to be much more challenging for him to deliver on his objectives if there is a further transfer from the public health budgets into NHS England budgets. However, I recognise that this requires action across all Departments, so will he set out what he is going to do to encourage cross-government action on physical activity, because we all know that that is a vital part of public health and prevention?
(6 years, 4 months ago)
Commons ChamberOrder. I will just say to the hon. Member for Wycombe (Mr Baker)—an immediate past Minister in the Brexit Department—and to the hon. Member for Totnes (Dr Wollaston), that I will not take points of order now, because the Secretary of State has to finish his statement. However, if Members are concerned that ordinarily if they leave the Chamber to get a document they are then precluded from taking part in the statement, I will waive that normal arrangement in this instance, because I am concerned to operate in a way that serves Members of the House.
I cannot see why there has to be a point of order now. I always attach the very greatest importance to the observations of the hon. Lady. If she wants to beetle over to the Chair and explain to me privately, she may, but it foxes me as to why she needs to make any point of order now. [Interruption.] Good, I am very pleased to see that the right hon. Member for Chingford and Woodford Green (Mr Duncan Smith) has a copy of the document. Meanwhile, let us hear the conclusion of the statement. [Interruption.] Order. I say to the Secretary of State that it would be very unseemly—discourteous to him and to the Members of the House—for his statement to be delivered while copies of the document are being distributed. I will therefore suspend the sitting of the House for five minutes. It is most regrettable that this situation has arisen, but I am dealing with it in a way that I think is constructive.
Order. I invite the Secretary of State to continue with the delivery of his statement.
Just before that, I will, exceptionally, take the point of order. These situations do not arise very often, and it is very much to be hoped that they will not arise frequently in future. I say for the benefit of the people observing our proceedings that I call the hon. Lady to raise a point of order in the knowledge that she is not only the Member for Totnes and the Chair of the Health Committee but serves also as the Chair of the Liaison Committee, which embraces all the Chairs of all the Select Committees of this House.
Thank you, Mr Speaker. Given the exceptional importance of this document, and the fact that Members on both sides of the House have not had a chance to read it in advance, may I ask, exceptionally, that you suspend the sitting for longer to give Members a chance to read it before the Secretary of State continues?
I am grateful to the hon. Lady for her point of order. I do not think it is right for me to suspend for a sustained period off my own bat, in the expectation—perhaps even the knowledge—that there would be very strongly differing views about such a suspension. [Interruption.] Order. Even as the hon. Lady raised her point of order, I heard Members expressing enthusiasm for the idea and Members expressing opposition. I do not think it would be the right thing to do now, in all honesty. There will be an opportunity for a general debate on our relationship with Europe post Brexit on Wednesday, and Members know that there are other opportunities to put urgent questions. I know that the hon. Lady is concerned about the legislative business on Monday. My advice to her is that she should form the clearest possible impression of Government policy and intent today before making such judgments as she and others have to make. The exchanges on this statement will be run fully. I think I will leave it there for today. I thank the Secretary of State for his forbearance.
(6 years, 4 months ago)
Commons ChamberOrder It is unsurprising that there is significant interest in this matter, but in order to facilitate timely progress to the ministerial statement, and indeed to the subsequent debate which I can advise the House is heavily subscribed, there will need to be a premium on economy from Back and Front Benches alike, as will now be brilliantly exemplified by the Chair of the Select Committee on Health, Dr Sarah Wollaston.
I warmly welcome the second chapter of the childhood obesity plan, which takes us so much further in a number of areas. Can my hon. Friend the Minister set out the timescale for these consultations and confirm that the responses will be considered in a timely manner, treating this with the urgency it deserves?
(6 years, 6 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
It is shocking, as the right hon. Gentleman observes in a disorderly manner from a sedentary position.
The clean air strategy rightly sets out the compelling case for action to reduce public exposure to air pollution in order to save lives and improve the quality of life for many. We also know that there is a compelling case to get Britain moving and get us out of our cars, and that cycling and walking, even where there is a lot of traffic, exposes people to less air pollution than driving. Does the Secretary of State share my disappointment that there is only a single paragraph in the strategy on active travel? I urge him to go further by strengthening measures to get people out of their cars and, where possible, on to their bikes and walking for their benefit.
(6 years, 6 months ago)
Commons ChamberI have been enjoying listening to my colleagues so much that I inadvertently lost track of time, but it seems only right that the final question should go to the Chair of the Health Committee—I call Dr Sarah Wollaston.
Thank you, Mr Speaker. Will the Secretary of State commit to publishing the progress report on sugar reduction and the next steps strategy on the reformulation programme, so that the Health Committee can examine that when Public Health England appears before us on 22 May?
(6 years, 7 months ago)
Commons ChamberOrder. There is far too much noise in the Chamber. I was always taught that you should listen to a doctor. The hon. Lady is a doctor so the House should listen to her, particularly when she is talking about contaminated blood, which is a very serious matter.
The victims of the contaminated blood scandal have waited decades for answers. Will my right hon. Friend update the House on progress on the inquiry? Is there any room to revisit the decision to deny victims and their families legal aid in order to prepare adequately for the inquiry?
(6 years, 9 months ago)
Commons ChamberAs the hon. Member for Wallasey (Ms Eagle) is sporting what appears to me to be a very fetching suffragette rosette, it is perhaps timely to record that in the great success our national health service has been under successive Governments, I think I am right in saying, as things stand, that well over 70% of the people who make it great are women.
Following the recent inquiry by the Select Committee on Health into the nursing workforce, we absolutely welcome the new routes into nursing, including the new role of nursing associate. However, one of the issues highlighted strongly was the need to retain our existing nursing workforce as well as to recruit into it. Will the Secretary of State comment on that?
(6 years, 11 months ago)
Commons ChamberOrder. This is an extremely important and sensitive matter, and we appreciate the statement on it. However, the business to follow—the final day of debate on the Budget—is also extremely important, and no fewer than 67 right hon. and hon. Members have indicated a wish to speak. Exceptionally, therefore, I may not feel able to call everybody on this statement. In any event, there is a premium on brevity from Back Benchers and Front Benchers alike.
I warmly welcome the Secretary of State’s announcements today, including the move to allow coroners to investigate full-term stillbirths. Will he set out the current waiting time for post-mortems for infants because, as he will be aware, there is a shortage of the very highly specialised pathologists who carry out this vital work?
(7 years ago)
Commons ChamberThere is no other avenue open to the hon. Gentleman, whose indefatigability and commitment are understood in all parts of the House. Moreover, it would not be right, and I am sure he would not attempt, to read into what I have said anything more than what I have said.
Traditionally, such motions have been regarded as binding or effective. Consistent with that established pattern and tradition, I would expect the Humble Address to be presented by the Vice-Chamberlain of the Household in the usual way.
However, I would add that I think it sensible for the House to wait for the Government’s response. I do not propose to leap ahead. I will wait for the Government’s response. If I receive a representation, I will reflect upon it, and then I will revert to the House. Although the hon. Gentleman generously refers to my ruling, I have given only a very limited ruling to date. What I have given is on the record, and I do not resile from it, but I would need further to reflect on the basis of the Government reaction and any written representation which I may receive. I would then revert to the House. Obviously, I would intend to do so sooner rather than later, but I must assure him that it will not be tonight.
On a point of order, Mr Speaker. Would it be helpful for you to inform the House what you feel a reasonable timeframe would be for the Government to respond?
I do not think I am obliged to do that, and I am not sure how much difference it would make. The issues are important but I do not think—I may be contradicted by senior procedural experts, to whose wisdom I should defer—that the matters are particularly complicated. One can take a view about this, one can consult “Erskine May” and one should reflect in a sober and considered fashion, but if the hon. Lady is asking me whether I envisage this being something that needs to be deliberated on over a period of several days, the answer is no.
(7 years ago)
Commons ChamberExceptionally, I will take this point of order now. It is germane and should be heard by occupants of the Treasury Bench.
It is now more than four months since the general election, but still the Liaison Committee cannot meet formally to carry out its functions on behalf of the House. Will you assist us, Mr Speaker, because I am afraid that repeated representations from across the House by Select Committee Chairs are not yet making a difference in ensuring that all Select Committees are properly constituted?
I am grateful to the hon. Lady for her point of order. It is absurd and indefensible that more than four months after the state opening of Parliament, that Committee, which, of course, consists of the Chairs of the Select Committees, has yet to be constituted. I might add—almost in parentheses, because I am sure that the hon. Lady will feel empathy with other colleagues on this front—that the same situation, I think, applies to the European Scrutiny Committee, and also to another Committee which is not a Select Committee but which is a Committee of Parliament, and a very important Committee at that, namely the Intelligence and Security Committee. Those Committees are there to scrutinise the Executive branch.
I discussed this important matter in a most co-operative exchange with the Leader of the House at the start of the summer recess, and I know that she used her best endeavours, with others, to ensure the constitution of many of the Select Committees some little while ago. However, the fact that the remaining Committees are as yet unconstituted is simply not acceptable.
It would obviously be most unfortunate if it were necessary for Members to keep raising points of order day after day after day after day before those Committees were established, and, as I am sure the whole House would want to avoid such an embarrassing fate, I can only assume that proper action will now follow. However, the hon. Lady is always attentive to her responsibilities, and I am certain that, in the grisly event that it is necessary for her to raise a further point of order, she will not hesitate to do so.
(8 years ago)
Commons ChamberWe now come to the Select Committee statement. Dr Sarah Wollaston, the Chair of the Health Committee, will speak on the subject for up to 10 minutes, during which—I remind colleagues of this relatively new procedure—no interventions may be taken. At the conclusion of the statement, the Chair will call Members to put questions on the subject of it and call Dr Wollaston to respond to them in turn. Members can expect to be called only once each. Interventions should be questions and should be brief. Those on the Front Bench may take part in questioning.
The Health Committee held an inquiry into winter pressures in accident and emergency departments. What we found, however, was that those pressures are now year-round, and that they worsen in the winter.
I would like to start by thanking all those who work in our national health service and our ambulances services, and all those who submitted written evidence and presented oral evidence to our inquiry. I also want to thank all fellow members of the Committee and the Committee team, especially Huw Yardley and Stephen Aldhouse, for their contribution to the report.
The root of the problem is unprecedented demand. It is not just about the sheer number of people arriving in our accident and emergency departments—on average, around 40,000 people attended a major accident and emergency department per day in 2015-16, which was 6,000 more per day than five years previously—it is also about the complexity of the conditions with which they are presenting. The worsening performance that we are seeing, which is of great concern to the Committee, is also a reflection of system-wide pressures across the whole NHS.
We noted that only approximately 88% of patients arriving at major accident and emergency departments are being admitted, transferred or discharged within four hours. That is concerning, because it falls considerably short of the target performance standard of 95%. We should not think of this as just an arbitrary target or a tick in a box; it matters for patient safety and for patients’ experience of the care they receive.
Our report identifies a number of factors. We are also concerned about the level of variation in performance of accident and emergency departments. Often that performance cannot be attributed only to local pressures or demographics. We acknowledge that there are many things that hospital trusts can do to learn from the best performing departments to help improve the flow from the front door to the point of discharge, and to prevent people from getting caught in that revolving door by being readmitted. I pay tribute to the efforts of NHS England and of all those working locally and regionally to try to make sure that the NHS starts to learn from best practice, and I particularly commend Pauline Philip and her team for what they are doing.
One thing, however, comes across very clearly from our report: the impact that the deficiencies in social care are having on accident and emergency. If we cannot discharge patients at the end of their journey because no social care packages are available, it has a domino effect throughout the whole system. Not only that, but people arrive in accident and emergency departments who could have stayed at home if they had had the right social care package. The Committee therefore repeats its request to the Chancellor to look at social care in his autumn statement and to prioritise it.
We also recognised that many accident and emergency departments are under particular pressure because of their working infrastructure—the premises may be completely inadequate to cope with the increase in demand and complexity—so we repeat our call to the Chancellor to look in his autumn statement at the capital budgets in the NHS and to make sure that the funds are available to allow the transformative changes that can bring struggling A&Es up to the same performance level as those that are functioning the best.
There are also, of course, issues with the workforce. We are concerned about the impact of workforce shortfalls in the NHS, and we ask Health Education England to redouble its efforts to look at them.
When we visited East of England ambulance trust we found that it was concerned, as were others who submitted evidence, about the impact of delayed transfers at the front door of accident and emergency departments. Again, there is great variation, and it is not all about infrastructure. If ambulances are all gummed up in one accident and emergency department it has a serious knock-on effect within an ambulance trust area, so we call on those who are not putting in place the correct procedures to look carefully at the impact that that is having and to make changes this winter.
The Government also need to look at issues around alcohol policy. Anybody who has attended an accident and emergency department on a Friday or a Saturday night will know of the pressures that problem drinking creates. We ask the Government to consider making health an objective for licensing and to look at doing all they can to reduce the impact of alcohol. That impact is felt not just on waiting times, of course, but on the morale and wellbeing of staff working in our emergency services.
I thank all those who have contributed to this inquiry, and I look forward to hearing the Government’s response.
(8 years, 2 months ago)
Commons ChamberAs always, I am keen to accommodate everybody who wants to take part, but I think it not unreasonable, given the relatively small number, for me to hope that we might conclude these exchanges by 10 past 7—quarter-past at the latest. Brevity is of the essence. We do not need long narratives. We just need questions and short answers. We will be led in that mission by the Chair of the Health Committee.
I welcome the BMA’s suspension of next week’s damaging industrial action. It is clear from its statement that thousands of doctors had been in touch to say that they wanted to keep their patients safe. Doctors know that they cannot do so with full, rolling, five-day walkouts. Will the Secretary of State therefore join me in asking the BMA to ballot its members to hear their views before they proceed with the other proposed, damaging, five-day walkouts?
(8 years, 8 months ago)
Commons ChamberFollowing the very welcome announcement of a graduated levy on sugar, sweet and drinks manufacturers, will the Minister please tell the House what discussions she is having with manufacturers to speed up the reformulation process and also to introduce a differential in price at the point of sale? Given the importance of childhood obesity, will the Department welcome the opportunity to take over the lead on this strategy so that we can make progress on this vital issue?
(9 years, 5 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
Order. I understand that there is a high-spirited atmosphere in the Chamber and a great deal of interest in this subject, but I remind Members that brief questions and brief answers should be on the subject of the urgent question—namely, the success regime. It is with that matter that we are dealing this morning.
I welcome the additional support for struggling health economies, even if it is a classic example of NHS newspeak to call it a success regime. Will the Minister reassure the House that, in looking at a wider approach to health economies, he will also look at the funding formulae for health and for social care, which do not adequately take into consideration the impact of age or rurality?
(9 years, 5 months ago)
Commons ChamberI thank my hon. Friend for his points. There is an important piece of work that can be done by the next Health Committee in looking at all the wider workforce issues across the NHS, including those to which he refers.
I shall now touch on seven-day access for the NHS. Such a service is vital, but we must focus on safety. The primary focus of seven-day access must be eliminating the unacceptable variation in mortality rates across the NHS on different days of the week. It is important that we address the issue of reducing avoidable and unnecessary hospital admissions. Perhaps the Minister could look at the frailty service in Newton Abbot which considers how GPs can work together to prevent unnecessary hospital admissions. If we broadened access to general practitioners at the weekends, we might be able to reduce unnecessary admissions to hospital, for example of children with asthma. There is much that can be done, but if we are prioritising providing 8 till 8 access in very rural areas there might be unintended consequences in general practice. If we are diverting funding into areas where we are providing a service in which several practices over a large geographical area have to federate, we could inadvertently end up with patients having to travel further than they would to visit a local out-of-hours service.
Will the Minister carefully consider the unintended consequences when we implement seven-day access to ensure that we do not divert essential funds that could be used for safety and avoiding unnecessary admissions into something that is worth while in theory but that might not give the best outcomes for patients? I hope that the Minister will be able to reassure me that the Government will allow local CCGs to look carefully at what is best, while consulting local communities, and to be as flexible as possible.
I also ask the Minister to consider the importance of volunteering across the NHS. In all our constituencies there will be extraordinary organisations that work as partners with the NHS, but I have some concerns, one of which I would like to share with the Minister. In my area, a wonderful charity called Cool Recovery worked with users of mental health services and their families to provide an extraordinary level of support. Sadly, particularly given that I was a patron of this charity, I have to report that it is having to fold for the want of a relatively small amount of stable long-term funding. The voluntary sector—those partner organisations across the NHS—is calling out for access to stable long-term funds. Newly set-up charities gain access to very valuable funding sources, but when they apply for funds once they are established, the response is that it should be provided by commissioners. I ask the Minister to consider carefully how we can sustain some of the extraordinary charities working across the country by giving them access to stable long-term funding so that they can carry on with their work. This issue was raised with the Select Committee by the voluntary sector during our inquiry into children and adolescent mental health services, so it is an issue across the NHS that is causing real problems.
Order. I am listening intently to the hon. Lady, as always, and as I know the House will be. It is by accident that the clock is not operating as I had intended it to. In short, I had intended the seven-minute limit to apply to the hon. Lady. It would be unfair suddenly to apply it, but she ought to operate according to its spirit, and I know she is approaching what will be a very impressive peroration.
A flourish! I apologise, Mr Speaker. I was indeed looking at the clock.
As a final flourish, let me mention prevention. We cannot address the financial challenges that face the NHS without considering prevention, and I congratulate the Under-Secretary of State for Health, my hon. Friend the Member for Battersea (Jane Ellison), on everything she achieved in this regard during the previous Parliament. I hope that she will give us further detail on her plans to tackle childhood obesity, particularly as we face a tsunami of health inequality and need in our young people unless we go further.
(9 years, 11 months ago)
Commons ChamberThe Secretary of State confirms that he is not making any allegation of personal dishonesty against any individual. Enough: we are grateful. We will leave it there for now.
I warmly welcome the statement. The extra funds for the NHS constitute a clear endorsement of Simon Stevens’s excellent “Five Year Forward View”. I particularly welcome the announcement of multi-year budgets and investment in patients’ ability to control their own records. Will the Secretary of State confirm that the process of creating paperless NHS hospitals will move seamlessly from primary to secondary care, and will be controlled by patients themselves?
(10 years, 2 months ago)
Commons ChamberOrder. May I invite the Minister to remember the merits of the third person, of which I am sure he is very conscious?
I thank the Minister for his reply. He will know that local residents and South Hams district councillors were very disappointed that he did not haul in the application for another 58 acres of solar arrays near Diptford. That is the fourth large-scale development within a three-mile radius of a tiny community in my constituency. He will also know that district councillors are under great pressure to accept such applications, because when they turn them down, as they did in Kingsbridge recently, the applications are overturned on appeal, with punitive costs. Will the Minister reassure me, and meet me to discuss how the situation can be resolved?
(10 years, 5 months ago)
Commons ChamberI will now announce the result of the ballot held today for the election of a new Chair of the Select Committee on Health. A total of 433 votes were cast, with two spoilt ballot papers. The counting went to four stages and 421 valid votes were cast in the final round, excluding those ballot papers whose preferences had been exhausted. The quota to be reached was therefore 211 votes. Dr Sarah Wollaston was elected Chair with 226 votes. The other candidate in that round was Dr Phillip Lee, who received 195 votes. Dr Wollaston will take up the post immediately. I warmly congratulate her on her election. The results of the count under the alternative vote system will be made available as soon as possible in the Vote Office and published on the internet for public viewing.
On a point of order, Mr Speaker. I thank my right hon. Friend the Member for Charnwood (Mr Dorrell) for his exemplary leadership of the Health Committee for more than four years. That leadership has been widely respected. I thank him for everything that he has done on behalf of patients, acting, as he has done, as their voice. The NHS touches people’s lives a million times every 36 hours. It is the most extraordinary achievement and also the most extraordinary challenge. The new chief executive of NHS England has called on everyone in the NHS to think like a patient and act like a taxpayer. The role of the Select Committee is to ask those challenging questions on behalf of patients and taxpayers so that this most cherished institution can continue to be there for all of our constituents when they need it the most.
(10 years, 8 months ago)
Commons ChamberI remind the House that with this we are discussing the following:
Amendment (a) to Government new clause 34, in subsection (3), after ‘of’, insert ‘improving’.
Amendment (b) to Government new clause 34, in subsection (3), after ‘adult social care’, insert
‘; and if it has satisfied itself that the recipient is competent to handle the data in compliance with all statutory duties and to respect and promote the privacy of recipients of health services and adult social care.”.’.
New clause 25—Misuse of data provided by the Health and Social Care Information Centre: offence—
‘(1) A person or entity commits an offence if they misuse, or negligently allow the misuse of information they have requested and received from the Health and Social Care Information Centre.
(2) “Misuse” means—
(a) using information in a way that violates the agreement with the Health and Social Care Information Centre;
(b) using information in a way that does not violate the agreement with the Health and Social Care Information Centre, but that gives rise to use that is outside the agreed limits of use; or
(c) using information supplied by the Health and Social Care Information Centre in such a way as to allow or enable individual patients to be identified by a third party.
(3) A person who is guilty of an offence under subsection (1) is liable—
(a) on summary conviction, to an unlimited fine;
(b) on conviction on indictment, to imprisonment for not more than two years or a fine, or both.
(4) An entity who is guilty of an offence under subsection (1)—
(a) is liable to an unlimited fine; and
(b) must disclose the conviction on all future applications to access data from the Health and Social Care Information Centre.’.
Government amendment 8.
Amendment 29, in clause 116, page 100, line 29, after ‘Authority’, insert
‘and the Secretary of State’.
Government amendments 17, 18, 15 and 16.
I love medical data. They have undoubtedly saved my life and the lives of almost everybody in the House. Medical data, particularly big data, allow us to identify which drugs and procedures work and which do not work. They enable us to pick up the rare side effects of medications that have recently been released on to the market before they can wreak the kind of havoc that we have seen in the past. They enable us to identify which are the good hospitals and which are the failing hospitals. They allow us to identify which clinicians need serious retraining and from which clinicians the public need protection.
I would argue that evidence-based medicine is one of the greatest advances of our age. Evidence-based medicine works a lot better if we have access to big data. I state for the record that I do not intend to opt out. I hope that the Government will use the six months that we have to mount a clear campaign to the public that sets out just what the possibilities are.
I also feel that some of the concerns about releasing big data to pharmaceutical companies are misplaced. We need our pharmaceutical companies to be able to access those data, and there is a virtuous circle. We know that if we attract more research to the UK, not only will that benefit our universities, it will create more employment.
Order. I was going to call the hon. Member for Totnes (Dr Wollaston), as she had applied to speak in the Third Reading debate, but if she does not wish to speak, I will call the right hon. Member for Charnwood (Mr Dorrell) instead. Does the hon. Lady wish to catch my eye?
(10 years, 9 months ago)
Commons ChamberI thank my hon. Friend for making that point. This is not just about people who live within national parks and AONBs but those who use them and feel passionately about their importance and the need to conserve this very precious landscape.
It would really help us all to hear the Minister’s comments on the many wonderful projects that are out there encouraging affordable housing. I know that he has visited Don Lang of the Land Society. I am very encouraged to hear today’s comments by the Secretary of State about how we can bring down costs for self-builders. It would be helpful if the Minister were able to elaborate on that. I hope that he is able to provide the reassurance we are all seeking that we will not see unrestrained building across our national parks but, rightly, the building of affordable housing that sustains living communities and brings young people and families back into our national parks and areas of outstanding natural beauty.
To reply to the debate, I call the Under-Secretary of State at the Department for Communities and Local Government, Mr Nicholas Edward Coleridge Boles.
(11 years, 5 months ago)
Commons ChamberOrder. The Chair is minded to take all remaining colleagues on these extremely important matters. The Prime Minister is helpfully providing pithy replies, which of course now need to be matched with comparably pithy questions.
I congratulate the Prime Minister on the progress made at the G8 and on his commitment today to come to the House before taking major action on Syria. Will he confirm that that would include an opportunity for the House to vote before any arms were sent to Syria?
(12 years, 1 month ago)
Commons ChamberThe Government support transparency in publishing results of clinical trials, and they recognise that more can, and should, be done. In future, greater transparency and the disclosure of trial results will be achieved via the development of the European Union clinical trials register, which will make the summary results of trials conducted in the EU publicly available. Greater transparency can only serve to further public confidence in the safety of medicines, which is already robustly assured in the UK by the Medicines and Healthcare products Regulatory Agency. By law, the outcomes of clinical trials undertaken by companies must be reported to that regulator, including negative results.
Order. We are grateful to the Minister but some of these answers are simply too long. If they are drafted by officials, Ministers are responsible—[Interruption.] Order. I require no assistance at all from the Under-Secretary of State for Health (Anna Soubry). She should stick to her own duties, which I am sure she will discharge with great effect.
I thank the Minister for his answer and for recognising that missing data from clinical trials distorts the evidence and prevents patients and their doctors from making informed decisions about treatment. Will the Minister meet a delegation of leading academics and doctors who remain concerned that not enough is being done to see how we can ensure that all historic and future data are released into the public domain?
(12 years, 6 months ago)
Commons ChamberWill the Home Secretary join me in paying tribute to the work of special constables in tackling antisocial behaviour associated with alcohol? A group of special constables from Brixton are in the Gallery today. Between them they have put in more than 680 hours of voluntary work, and they are quite clear that the bulk of antisocial behaviour is associated with alcohol and/or drugs.
The sentiment is greatly appreciated, but just for future reference, we do not in this place refer to the Gallery, no matter how distinguished or worthy the people in it are.
(13 years, 5 months ago)
Commons ChamberOrder. I am keen to accommodate remaining Back Benchers, but I reiterate my ritual appeal for brevity.
On legal aid for medical negligence cases, can the Secretary of State reassure the House that he has made an assessment and we are not going to end up transferring additional costs to the NHS Litigation Authority?