Oral Answers to Questions

Debate between Simon Burns and Andrew Turner

Thursday 12th September 2013 Commons Chamber

[Mr Burns]

I can only assume that the hon. Gentleman, despite his 10 years as Chair of a Select Committee, when he was presumably assiduous about detail, has not read the KPMG report that was published yesterday, which categorically shows that the exact opposite is the case and that significant benefits are coming north of London. London gets some benefit but noticeably less than the northern parts of this country. That is why local authorities in the north support the project so much.

[Mr Andrew Turner (Isle of Wight) (Con)]

11. What assessment he has made of the (a) cost and (b) reduction in service of ferries between the Isle of Wight and the English mainland; and if he will make a statement.

NHS: Negligence

Debate between Simon Burns and Andrew Turner

Tuesday 1st February 2011 Ministerial Corrections

[Mr Andrew Turner]

To ask the Secretary of State for Health how much the NHS has paid to patients in ex-gratia payments to avoid ligation proceedings in each of the last three years.

[Official Report, 18 January 2011, Vol. 521, c. 732-33W.]

Letter of correction from Mr Simon Burns:

An error has been identified in the written answer given to the hon. Member for Isle of Wight (Mr Turner) on 18 January 2011. Unfortunately two of the figures in the table were incorrect.

The answer given was as follows:

[Mr Simon Burns]

HM Treasury consider ex-gratia payments to be a form of special payment. HM Treasury’s definition includes personal injury claims that are settled out of court. Information about local ex-gratia payments made by the national health service to patients to avoid litigation is not held centrally. Local NHS bodies record ‘losses and special payments’ in their consolidated accounts and these will include all ex-gratia payments, not just those paid to patients or to avoid litigation.

The NHS Litigation Authority (NHSLA) records data held centrally specifically on ex-gratia payments made for clinical, employer and public liability claims settled out of court. As the NHSLA settles the vast majority of its claims this way, they fall under HM Treasury’s definition of ex-gratia. Data provided by the NHSLA will cover payments to patients, although some will be made to families/dependants, employees and visitors.

Data on actual payments made each year can be provided only at disproportionate cost. The NHSLA has therefore supplied data in the following table which shows the total amount of damages paid on claims settled out of court where the claim was closed between 2007-10. It should be noted that some actual payments for these claims may have been made in earlier years to when the claim was closed.

Health Funding

Debate between Simon Burns and Andrew Turner

Tuesday 22nd June 2010 Westminster Hall

[Mr Burns]

No. I have been generous, and I want to make progress.

That is the principle for the criteria, but it will not mean automatically that there will never be any changes because there is a block. We are strengthening the process to take account of local wishes and needs. There is a balance to be struck, which will emerge during the reconfiguration process.

[Mr Andrew Turner (Isle of Wight) (Con)]

Is my hon. Friend aware that we have a unique arrangement for health, and that a single organisation is responsible for both commissioning and delivery—the local hospital? That works for the Isle of Wight, and it has turned round a deficit of £3 million and broken even in the past three years. Can he assure me that the forthcoming White Paper will allow the success of the island’s health services to continue?

[Mr Burns]

I am grateful to my hon. Friend for that intervention. I assure him that the White Paper will be aimed completely at improving and enhancing the provision of health care throughout the country—not just on the Isle of Wight, but on the mainland from Cornwall and the south-west up to Hadrian’s wall in the north. That will be based on a principle of putting patients first and at the heart of health care provision so that they drive the national health service and so that it is there for them and their needs, rather than the needs of management bureaucracy or of politicians micro-managing the system from Whitehall down the road. However much affection and respect I have for my hon. Friend, I cannot be tempted to outline in detail now the White Paper’s contents, but I assure him that when it is published he will share my enthusiasm for the way in which the Secretary of State will unveil his vision for the national health service, not simply for the next five years, but thereafter. I trust that that satisfies my hon. Friend, if not the hon. Member for Worsley and Eccles South (Barbara Keeley).

My honourable colleague the Member for St Ives mentioned the current pace of change, and particularly the distance from target measurements used to assess relative progress towards target allocations. His constituency is in Cornwall and Isles of Scilly primary care trust. It received an allocation of £808 million in 2009-10, which increased to £856 million in 2010-11—an increase, as he knows, of 12.4% above the national average of 11.3%. However, under the formula established by the previous Government, and as many contributors to the debate have noted, that is still 6.2% or some £56.3 million below its target allocation for 2010-11.

I hope that my honourable colleague will appreciate that until the spending review is complete, I cannot comment on specific time scales or the future plans for NHS allocations, nor on the financial standing of specific local health services. I trust that he will be reassured that his partners in Government share a common assessment of both the problems facing the NHS and the solutions available to us.

During the spending review, we will examine rigorously all areas of health spending to identify where we can make savings—for example, by maximising the NHS’s buying power, renegotiating contracts and improving financial accountability throughout the system. The picture that I have painted is of an NHS in which decisions on resource allocation centrally are made by an independent NHS board. But although I cannot give the hon. Member for St Ives the commitment and promise that he wants now, the matter will be examined as part of the spending review between now and the autumn. When our reforms become reality, the NHS board will be responsible for the allocation of spending and will consider a whole range of areas.