Care Bill [Lords]

Debate between Simon Burns and John McDonnell

Tuesday 11th March 2014 Commons Chamber

[John McDonnell]

I will send the hon. Gentleman a few books about council socialism and the socialism of the grass roots.

Today’s debate is about trust, about listening to local people, and about not allowing any further powers to accrete in the Secretary of State’s hands and override local wishes. People do not trust central Government. That is not a party-political point; I think that people have been ill used over a long period by not being listened to at local level, which is why I urge Members to support the new clauses and the amendment.

Let us not denigrate organisations such as 38 Degrees which are merely expressing a view. Others may not agree with that view, but it has been expressed to me not just by 38 Degrees, but in e-mail after e-mail and letter after letter from people whose views I respect because they have gone through the same local experience as me. All that those people want is long-term stability and investment in a publicly funded and democratically accountable health service.

[Mr Simon Burns (Chelmsford) (Con)]

It is a pleasure to follow the hon. Member for Hayes and Harlington (John McDonnell). He said at the beginning of his remarks, and he kept to his pledge, that he was going to speak without party rancour. I, too, would like to do that because I think there is very little difference between my views on the health service and those of the right hon. Member for Leigh (Andy Burnham). We may perhaps have a divergence of view on how to achieve what we both passionately believe in, as does my right hon. Friend the Secretary of State, which is the finest health service for the provision of care for all people in this country, but on the core principle of a national health service, free at the point of use for all those eligible to use it, there is not one iota of difference, despite the speech I heard from the endearing hon. Member for Easington (Grahame M. Morris). I almost felt I had woken up from a nightmare. Having listened to the same speech in 39 of the 40 sittings of the Health and Social Care Bill Committee, I regarded it as my good fortune that during the 40th sitting, my right hon. Friend the then Secretary of State was giving evidence to the Health Committee which prevented the hon. Gentleman being in our Committee.

The point I want to make is this: the national health service has from day one constantly evolved in the delivery of health care, partly because of changing medical science, partly because of changes in the diseases that people have suffered from owing to improved and enhanced preventive care, and partly because many conditions that in the past one would stay in hospital for no longer need to be treated in hospital but can be treated in a GP surgery or elsewhere. We all—politicians, medical practitioners and others—have to recognise that the NHS is constantly evolving and revolving, and we have to adjust to those changes and meet those challenges.

I passionately believe that decisions within the NHS should be taken locally. I supported the Health and Social Care Bill so strongly because it devolved powers and decision making to the people who I think are best qualified to take commissioning decisions on behalf of patients—local GPs. I also welcome the fact that my right hon. Friend the Secretary of State is no longer micro-managing the running of the NHS on a day-to-day basis. However much admiration I have for my right hon. Friend, or even for the shadow Secretary of State when he was in post, I do not think he is best qualified to be running the health service on a day-to-day basis.

If we are going to evolve and meet the challenges, difficult decisions will have to be taken, and politicians in particular—politicians of all political parties; this does not apply simply to Opposition Members of Parliament or to Conservative Members or to Liberal Democrats—have got to be braver. When there is any consideration of a reconfiguration to meet new challenges or address problems, the knee-jerk reaction is to take the populist, easy route, say no and oppose for opposition’s sake, rather than look at the reasons behind any reconfiguration.

Civil Aviation Bill

Debate between Simon Burns and John McDonnell

Tuesday 20th November 2012 Commons Chamber

[John McDonnell (Hayes and Harlington) (Lab)]

There is not much more to say after that contribution, except that the key issues of noise and emissions pollution are absolutely critical to my constituents and, as the hon. Gentleman said, to a much wider area of the south-east. That is why I welcome the amendments, wherever they were drafted—I think forensics could prove where they come from.

The key issue for my constituents is how the targets will be set, monitored and reported. It would be useful if the Minister clarified what role this House will have in monitoring the implementation of this legislation. In the past we have received the CAA’s annual reports and individual determinations but, given that the legislation represents a significant break, I think that a regular report from the Secretary of State would be extremely useful, even if it was only an annual report. We could then have a full debate on the Floor of the House to monitor issues such as the environmental impact.

[Mr Simon Burns]

It might be helpful at this point if I reassure the hon. Gentleman that, as I said in my introductory remarks, there is and will continue to be an annual report from the CAA, and it will be up to this House to debate it, in a variety of shapes and forms, at any time it wishes.

[John McDonnell]

That is incredibly helpful. I encourage Members to join me in ensuring that we have that annual debate, which we have not had up to now. The legislation places duties not only on the CAA, but on the Secretary of State. Therefore, I think that it is important that we have an annual report from the Secretary of State on the fulfilment of his or her duties that we can debate, because this is a critical piece of legislation for so many of our constituents.

[Mr Burns]

I intend to speak very briefly and not to detain the House for long, because I understand that many hon. Members wish to contribute to the important debate that will follow. I will deal briefly with some of the issues raised by hon. Members because, as those aficionados who attended Second Reading and Committee will know, there has been a thorough debate and considerable engagement between those with differing views and opinions, not least in another place. [Interruption.] I will not get involved in the little squabble between the official Opposition and the hon. Member for Argyll and Bute (Mr Reid).

The hon. Member for Poplar and Limehouse (Jim Fitzpatrick) mentioned the important matter of emissions. I do not want to get into an in-depth debate or to regurgitate what has already been said. On the question of the duty to work with others to meet the UK’s emissions targets, we believe that the Opposition amendments are unnecessary, as was pointed out in Committee and on Report. That is because, as he will accept, this Government and the CAA already take environmental matters very seriously, and the Government’s approach is to ensure that the aviation sector makes a significant and cost-effective contribution towards reducing global emissions. Moreover, the Opposition amendments were technically flawed, although I accept that that could have been remedied during the subsequent procedures in this House. We feel that our general approach, with the way in which we have listened to the arguments and the amendments that have been made, is the right way forward and that it gives the protections whereby the environmental issues will be taken very seriously.