(7 years, 8 months ago)
Commons ChamberI am very grateful to the hon. Gentleman for his point of order. He is certainly a witty wag. I would add that, as far as Veolia is concerned, the hon. Gentleman is a formidable foe. I rather imagine the company is discovering that now, if it did not know it before.
Further to that point of order, Mr Speaker. As you will appreciate, my hon. Friend the Member for Broxbourne (Mr Walker) was put in a most unfortunate situation because he was given duff information that he used in good faith. It then turned out that the incorrect information he gave was an underestimate of the severe impact those journeys were going to have on his constituents and local community. Could you advise us, Mr Speaker, of any satisfactory way, notwithstanding my hon. Friend’s generous apology to the House, for the perpetrators of this disinformation to be called to this place to explain why they embarrassed my hon. Friend in a way that led to misleading figures being given in a debate, which had an effect on the views of other hon. Members listening to the debate?
I am very grateful to the right hon. Gentleman for that point of order. Summoning someone to the Bar of the House is rarely used as a disciplinary device and is an extremely serious matter. I would have to reflect very carefully on whether it would be appropriate in this case. Even if it were not, I think the right hon. Gentleman would agree with me, and I think other hon. Members would agree, that in the circumstances the least we all might expect is for an apology to be proffered by the company. There is no shame in making a mistake, but there certainly is in failing to recognise the fact that one has done so and failing to apologise for having done so. I will wait to see whether we receive an apology. If I receive any such apology, the right hon. Gentleman will be the first to hear of it.
Pension Schemes Bill [Lords] (Programme) (No. 3)
Ordered,
That the Order of 30 January 2017 (Pension Schemes Bill [Lords] (Programme)), as varied by the Order of 22 March 2017 (Pension Schemes Bill [Lords] (Programme) (No. 2)) be further varied as follows:
(1) The Order of 22 March 2017 (Pension Schemes Bill) [Lords] (Programme) (No. 2)) shall be rescinded.
(2) Paragraphs (4) and (5) of the Order of 30 January 2017 (Pension Schemes Bill [Lords] (Programme)) shall be omitted.
(3) Proceedings on Consideration shall be brought to a conclusion immediately after the conclusion of proceedings on the Motion for this Order.
(4) Proceedings on Third Reading shall (so far as not previously concluded) be brought to a conclusion 90 minutes after the commencement of proceedings on the Motion for this Order.—(Richard Harrington.)
(7 years, 10 months ago)
Commons ChamberGiven that it is now 42 years since Barbara Castle’s Equal Pay Act, why is there any gender pay gap, not only for 30 and 40-year-olds but for people in their teens, twenties, fifties and sixties?
I thought it was 47 years this year, but maybe my maths is wrong. It was certainly a long time ago.
I thought it was 1970. [Interruption.] Anyway, we are agreed that it is a long-standing statute.
(7 years, 11 months ago)
Commons ChamberThere was no danger of the Secretary of State not hearing the right hon. Gentleman. I rather assumed that she would give way, because Chelmsford prison has been referred to.
The extra prison officers my right hon. Friend proposes to recruit are welcome, but I understand that it takes about nine months to fully train a new prison officer. As a short-term stopgap, would it not be sensible to relax the rules or give more powers to governors so that they could bring back into work retired, experienced prison officers on short-term contracts?
(8 years, 1 month ago)
Commons ChamberAlthough there is no vacancy, does not the Foreign Secretary think it is extremely generous of Donald Trump to suggest who should be our ambassador in the United States? In that spirit of fraternity, might he suggest that the best person to fill the vacancy for the ambassador to the United Kingdom next year would be Hillary Rodham Clinton, although I suspect the last thing she would want to do is to be associated with the incoming Administration?
I think the right hon. Gentleman might want to be the ambassador to the United States.
(8 years, 10 months ago)
Commons Chamber14. What assessment he has made of the adequacy of provision of GP practices in Chelmsford constituency.
(9 years 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
Does my right hon. Friend agree that the most important thing about HS2 is not improved journey times per se, but creating the capacity we need on the west coast, where the conventional line will be full to capacity by 2024? Will he please tell the House whether phases 1 and 2 are still on time and confirm that his announcement about Crewe means that it will be built six years prior to the original deadline?
Mr Speaker, given that you have been so generous in congratulating people today, may I ask you to congratulate the Secretary of State on his birthday?
I am very happy to do so. If I had known to remember to congratulate the Secretary of State, I would have done, but I did not, and so I did not, but I do now, and I am very happy to do so. It is always helpful to have a bit of information, even if it is not put across quite as pithily as it might be.
I am grateful to the right hon. Gentleman. I also thank him for giving me notice of the point of order. I confirm that it is a well established convention that, unless otherwise agreed between the Members concerned, the interests of electors should be represented only by the constituency Member. It is not possible or appropriate for me to ensure that that convention is enforced, however. It is best to leave it to the good sense of Members to work out any problems between them. I know both Members involved, and I have every confidence that they can be relied upon to do just that.
On a point of order, Mr Speaker. Given your customary helpfulness, may I please seek your guidance? You have rightly said in the past that the criteria for granting an urgent question should be that it is newsworthy and that people are talking about the issue in the Dog and Duck. As you will appreciate—
Order. I am grateful to the right hon. Gentleman for his attempt. Let me just say that the responsibility for determining whether a matter warrants an exchange on the Floor of this House in the form of an urgent question lies with the Chair. I discharge that responsibility assiduously. The right hon. Gentleman is an experienced Member of the House and he knows full well that those decisions are not subject to questioning by Members. He has had a go, but I am afraid that he made a bit of a mess of it.
(9 years, 11 months ago)
Commons ChamberThank you, Mr Speaker. On the question of infrastructure, will my hon. Friend impress on Network Rail the importance of building the loop line north of Witham during control period 6 to ensure and enhance capacity on rail services from Liverpool Street to Chelmsford, Ipswich and Norwich?
(10 years 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
Will my right hon. Friend join me in congratulating the staff of Broomfield hospital in Chelmsford and the GP surgeries in mid-Essex on the fantastic job they are doing to look after patients in difficult circumstances because of the significant increase in the number of patients needing and accessing care? Furthermore, does he agree that it is rather demoralising for staff and sad that Labour seeks to turn the NHS into a party political football simply—
Order. The Secretary of State does not need to concern himself with Opposition policy, as I think the right hon. Member for Chelmsford (Mr Burns), on his good days, knows. The Secretary of State should focus on a brief statement of the Government’s policy, for which we will be grateful.
(10 years, 3 months ago)
Commons ChamberNo, no. There is nothing further to that point of order. [Interruption.] Order. I simply say, with all due courtesy to the hon. Gentleman, who I am sure is sensitive to the interests and wishes of the House as a whole and to its desire to get on with Back-Bench business, that he has raised his point of order, that I have answered it and that there is nothing further to it. Whatever he thinks, I hope that he will be prepared to observe the normal courtesies that obtain in the House of Commons. That is the end of the matter for today.
Mr Speaker, given your knowledge, which you have just explained to my hon. Friend, would you be kind enough to tell the House why you and/or the Commission felt that, unlike for the previous two panels that considered a Clerk of the House, the Deputy Speaker—the Chairman of Ways and Means—should not be on the panel but should be replaced by another right hon. Member who, in their role as the Chair of a Select Committee that governs the scrutiny of finance, had a potential conflict of interest?
I am very happy to answer the right hon. Gentleman, and I am extremely grateful to him for raising this point. There are two responses to him. The first is that in the selection of panels that make judgments of this kind, it is perfectly normal practice to vary the membership from one instance to another. There is nothing disorderly, irregular or particularly surprising about that, and I am sorry if he thinks that there is.
Secondly, I say to the right hon. Gentleman, whom I recall raising the point before about an alleged or perceived conflict of interest in respect of the right hon. Member for Barking (Margaret Hodge) on account of her chairmanship of the Public Accounts Committee, that I thought when he raised the point before it was a poor point, and it has not improved with time. There is no conflict of interest at all. I also say to the right hon. Gentleman, who I am sure would wish to be consistent in what I will describe as his thesis, that if he wishes to pursue that line of argument, which I believe to be erroneous, he would presumably apply it also to the Chair of the Finance and Services Committee, the right hon. Member for Caithness, Sutherland and Easter Ross (John Thurso), in front of whose Committee the Clerk can periodically appear. He did not make that point about the right hon. Gentleman—rightly, because he would have been wrong to do so, and he is similarly wrong to keep making that point in respect of the right hon. Member for Barking.
I think the House will agree that I have set out the matters with crystal clarity, and I have done so a number of times. I would hope that, having had the point made to them a number of times, people would see it and acknowledge its veracity.
(10 years, 3 months ago)
Commons ChamberOn a point of order, Mr Speaker. In the light of your statement on Monday, I would be very grateful if you could clarify something, and that is the status of the letter that you sent to my right hon. Friend the Prime Minister. Given that there is a pause and we cannot anticipate the outcome of that pause, what are you going to do, Mr Speaker, about that letter? Will you be withdrawing it until after the pause has been completed and decisions have flowed from that, or will it just float around in No. 10 until some relevant point?
I am extremely grateful to the right hon. Gentleman for his point of order. The answer is very straightforward. It is not for me to withdraw a recommendation that was agreed by a panel, but as I made abundantly clear on Monday afternoon, in the presence of the right hon. Gentleman, I am seeking a modest pause in the recruitment process. I am not pressing that recommendation, and that point has been—or will be—conveyed to the Prime Minister with crystal clarity; and I am sure that that clarity is something, in a spirit of good will, public interest and the pursuit of consensus, that the right hon. Member for Chelmsford will warmly welcome.
I am grateful to the hon. Gentleman for his point of order, and I understand where he is coming from on the matter. It is not entirely fortuitous that he should raise this in the presence both of the Foreign Secretary and the Leader of the House. I say just two things in response. First, I am sure that he would be the first to acknowledge that the Foreign Secretary is absolutely fastidious about coming to the House when it is appropriate to do so, and he has always volunteered statements without any pressure being required to be applied to secure that outcome. Secondly, I rather agree that it would be good if we could have a more substantial debate on these matters. As he rightly says, with sadness—a sadness that I share—it is not in my hands; it is in the Government’s hands and I hope that it will happen sooner rather than later so that these matters can be explored in the detail and at the necessary length that are required.
I am not sure that there is one, but, as I always operate according to my standards rather than those of the right hon. Gentleman, I will be generous to him. Let us hear from him and see whether he has anything worthwhile to raise.
(10 years, 7 months ago)
Commons ChamberI call Mr Simon Burns. [Hon. Members: “More!”] There will indeed be more, which is why we must hear the right hon. Gentleman and then, at my request, others. We are concerned also, I am sure, about others.
Q11. The Prime Minister will be aware that last week the service sector grew at its fastest level this year, with the ensuing creation of jobs. Does he agree that that demonstrates that we must stick with the long-term economic plan, because it is working? I trust my right hon. Friend has enough time to answer the question in full.
19. Will my right hon. Friend tell me how many businesses in Chelmsford will benefit from this rate reduction? Does he agree that it is a significant step forward in helping to regenerate businesses, cut unemployment by expanding the work force and encourage small businesses to thrive?
(11 years, 5 months ago)
Commons ChamberI begin by adding my congratulations to the Transport Committee on its important report, which comes up with a number of important and interesting recommendations. As the hon. Member for Liverpool, Riverside (Mrs Ellman), the Committee Chair, will know, the Government have responded in full to the recommendations, and on a number of issues we have considerable sympathy and agreement with them.
Like the Select Committee’s, the Government’s vision is for a transport system that is an engine for economic growth—one that is environmentally sustainable and promotes quality of life in our communities. Rail offers commuters a safe and reliable route to work. It facilitates business and leisure travel, connects communities with their public services and workplaces and transports millions of tonnes of freight around the country, relieving congestion on our roads and bringing huge environmental benefits.
It is easy for some to criticise our railways, but as the Transport Committee itself noted:
“In many ways the railway has been a success in recent years.”
We have made tremendous progress. As hon. Members, including my hon. Friend the Member for Milton Keynes South (Iain Stewart), have said, since privatisation passenger journeys have almost doubled—from 735 million in 1994-95, to more than 1.5 billion in 2012-13. That point was made by the hon. Member for Liverpool, Riverside in her introductory comments. There are some 4,000 more services a day on our railways than in the mid-1990s. Rail freight, which the hon. Lady also mentioned, has grown by over 60%, with traffic reaching over 21.5 billion net tonne km in 2012-13.
With an ageing network built in Victorian times, coupled with underinvestment over a number of decades by successive Governments, operating today’s railway is a task of colossal proportions, but we are getting better at it. GB Railfreight has been ranked as the EU’s most improved rail network. Passenger satisfaction is up by about 10 percentage points in the past decade. Punctuality is up by about 12 percentage points, with just under 91% of trains arriving on time last year compared with just over 79% in 2002-03. That rather meets the point made by my hon. Friends the Members for Milton Keynes South and for Ipswich (Ben Gummer)—that the performance and the quality of service today is better than it was under British Rail, to which the hon. Member for Luton North (Kelvin Hopkins) is wedded, as we have now heard on at least two occasions in the past week. As other hon. Members have said, we are among the safest railways in the world.
Just running today’s railways is not an option. We have the fastest growth rate of any of the major European railways so the Government have committed over £16 billion to running and expanding the network between 2014 and 2019. We are providing capacity for an extra 140,000 commuter journeys into our major cities during the morning peak. Schemes such as Crossrail, Thameslink and the northern hub cross-Manchester link will have a transforming effect. They will increase capacity and connectivity and reduce journey times. [Interruption.] It is interesting that the hon. Member for North Durham (Mr Jones) is chuntering—I think that is the right word—from the Back Benches. He seems to be able to get away with it in a way that others cannot.
Order. The Minister will resume his seat. Let me be clear and explicit. There is a saying about pots and kettles. It is a point so obvious that I think it is within the comprehension of the Minister of State, who should now continue uninterrupted with his speech.
Improved rail links to major ports and airports will support inward investment, trade and connectivity.
Electrification will provide faster, more reliable services on the midland and great western main lines and elsewhere. We have confirmed funding for the completion of electrification of over 324 route miles and added a new requirement for a further 537 route miles. That means that we are funding electrification of 11% of all route miles in England and Wales. Our programme contrasts with the approach of the previous Administration, under whom fewer than 10 miles of track was electrified during their 13 years in power. By 2020, about three quarters of passenger miles travelled in England and Wales will be on electric trains, compared with just 58% today.
We have provided a £300 million fund to improve passenger journey times. There is £200 million for stations across England, including £100 million to support accessibility. A further £200 million will build a better network for freight.
My hon. Friend makes an extremely valid point. We have to learn from some of the mistakes of the past and what happened to the railways post-Beeching. I accept what my hon. Friend says.
We are well on the way to delivering a new high-speed railway for Britain, bringing extra capacity, faster journeys and better services and changing our economic geography. I am sorry that the hon. Member for North Durham is not as enthusiastic about this exciting way of improving connectivity, journey times and increasing capacity. [Interruption.] The hon. Gentleman is chuntering, but I am surprised—
Order. Actually, the hon. Gentleman was not chuntering. There are many Members who do chunter in the House, in some cases extremely noisily, and an exemplar of that approach is the right hon. Gentleman. I suggest that it would be in his own best interests, of which he is not always the most appropriate guardian, that further references to chuntering by him might seem singularly inappropriate. Continue.
Well, let’s move on.
I was just saying that I am surprised and disappointed that the hon. Member for North Durham does not share the enthusiasm of his colleague the Leader of the Opposition for the new high-speed railway. I hope that he will be reassured, however, that rail is thriving. It makes a vital contribution to the UK’s economic competitiveness and the Government’s investment ensures that that will continue.
The Government recognise, however, that we need to work to make rail even better. As recent surveys have shown, although passenger satisfaction is high on average across Great Britain, it can vary significantly across franchises, and although nine out of every 10 trains are running on time, with historically high levels of performance, punctuality is not yet as good as it should be, particularly on long-distance services, but also on London, south-east and regional services. Finally, the railway still costs more than it should.
We fully understand the importance of achieving the McNulty savings, which have been mentioned by the hon. Member for Liverpool, Riverside and others. Our railways must become more efficient and financially sustainable. It is crucial that we ease the pressure of fares on hard-working families and reduce the burden on taxpayers, which is another issue of concern, not only to members of the Transport Committee, but to other hon. Members who have taken part in this debate.
That was the challenge in the Government’s rail Command Paper: how to reduce the costs of running the railway while keeping the passengers at the heart of everything we do. We are making progress. Network Rail will have delivered 40% efficiencies over 2004-2014 and the regulator recently announced a new 20% target for 2019. Further efficiencies will be made through the programme of franchising competitions and the initiatives of the Rail Delivery Group. The key message is that aligning incentives between train operators and Network Rail is one of the most important reforms to drive down costs and bring passenger benefits.
Order. The Minister of State is a slow learner, but he must try to grasp the point that it ill behoves a right hon. Gentleman who regularly shouts, hollers, chunters and accuses other people of all sorts of things from a sedentary position to make something of the fact that somebody else mutters from a sedentary position. I gently advise the Minister to raise his game and operate at the level of events. Minister of State, continue with the speech and the reading thereof.
As I was saying in answer to the hon. Member for Nottingham South (Lilian Greenwood), the Secretary of State made it clear last September that what happened with regard to the west coast main line was unacceptable and apologised for it. Even more importantly, he set up the Brown inquiry and the Laidlaw inquiry. I will not rehearse what they did, but the Brown inquiry came up with recommendations to ensure that we learn from that mistake and that it never happens again. We have a new franchise timetable, in keeping with the recommendations of that report, to ensure that we minimise the opportunities for that mistake to happen again.
(11 years, 8 months ago)
Commons ChamberMy hon. Friend raises a very interesting point. As you will know as a politician yourself, Mr Speaker, if one makes promises, they must have some validity and credibility, and one must have the ability to fund them. As my hon. Friend rightly said, the UKIP manifesto at the last election, which you probably read more than most of us, Mr Speaker, stated that it would:
“Invest in three new 200mph plus high-speed rail lines including a new line between London and Newcastle with a spur to Manchester, a London-Bristol-Exeter line and a linking route via Birmingham”.
It really is extraordinary—
Order. We will leave it there, although I have much enjoyed it. The Minister of State has many important responsibilities and no one in this House would disagree with the proposition that he always tries, which he advanced a few moments ago, but one thing for which he has no responsibility is the promises and policies of the United Kingdom Independence party.
There is a growing view that by the time the second phase of HS2 is complete, Crossrail 2 will be essential to cope with the additional passengers travelling through Euston station. Is the Minister content that last week’s revised plan for Euston addresses that problem, or will the DFT now take the sensible step of assessing fully the case for Crossrail 2?
(11 years, 11 months ago)
Commons ChamberThe Chancellor says it is essential to cut unnecessary public expenditure, but the review of the inter-city express programme by Sir Andrew Foster shows that the Thameslink rolling stock programme will cost hundreds of millions of pounds more than necessary. How can the Transport Secretary justify wasting British taxpayers’ money to create highly skilled manufacturing jobs in Germany when he could have re-run the procurement process in a matter of months, with a tender process that better ensured that this massive investment of taxpayers’ money led to manufacturing jobs in Britain? I am worried that the same thing is going to happen with—
Order. We are grateful to the hon. Gentleman; we have got the gist of it.
(12 years ago)
Commons ChamberAs my hon. Friend will appreciate, that is the responsibility of the Highways Agency. However, I can give him an assurance from the national Government that we are determined to investigate all parts of the road network and rail network to identify pinch points, and problems that stifle economic development and create congestion, to ensure that Britain moves faster, swifter and more effectively.
(12 years, 5 months ago)
Commons ChamberI am most grateful.
Of course, the hon. Gentleman is playing with the figures. As he knows from previous discussions, he is talking about the SITREP—situation report—figures, which do not form the basis of the figures the Government use. [Interruption.] If he will keep quiet for a minute and listen, I will reiterate the point I made last night. Regarding A and E waits of under four hours and the percentile of 95, we are at 96%, which means we are within and above the level set down by the Government’s figures.
Order. There is, frankly, too much noise on both sides of the House. It does not suit the Minister now for the hon. Member for Eltham (Clive Efford) to shout from a sedentary position, and I absolutely understand, similarly, that it does not suit Opposition Members when the right hon. Gentleman and his colleagues chunter from a sedentary position. Let us have a truce, and the right hon. Gentleman can be a statesman—we look forward to it.
As ever. I do not share the hon. Gentleman’s analysis of the interpretation of what has happened with regard to the trust’s performance. There has been an historic problem with its performance, but I pay tribute to the staff, who have made tremendous efforts to improve performance, and have achieved some improvement. The trouble is that it is not sustainable not to put the trust on a sustainable financial footing. The hon. Gentleman said that he would like a meeting with me or my right hon. Friend the Secretary of State. [Interruption.] As he will know, if he keeps quiet for a minute, I have written to him offering a meeting with my right hon. Friend, on 24 July; I hope that the hon. Gentleman can attend.
(12 years, 6 months ago)
Commons ChamberThe Minister is literally falling over himself to do so. We must hear from the Minister.
I hope that I am not falling over, Mr Speaker.
It may be useful to the House if I correct the shadow Minister’s misapprehension. What I gave, and what I stand by, were the latest figures for full-time equivalents in the NHS work force. Since May 2010, the number of qualified nursing staff has fallen by 2,693. That is the figure I gave the shadow Minister, and it comes from the category in the work force statistics headed “qualified nursing staff”—[Interruption]—which includes, as the chorus are echoing, midwives and health visitors.
I am reassured that the Minister has not fallen over, and I think that we are all better informed. What we cannot have, and what I am sure no one would seek, is a rerun of Health questions, but we have been given that clarification, for which we are grateful.
(12 years, 8 months ago)
Commons ChamberOrder. The hon. Gentleman should resume his seat. I do not wish to be unkind, but topical questions are about short questions, and that was not. I am very sorry. The Minister may give a brief reply if he wishes.
The industrial action to which my hon. Friend refers showed both the best and the worst sides of industrial relations in this country. On the one hand, it showed the worst excesses of union militancy and intransigence in failing to put effective contingency plans in place ahead of strike day, and then in refusing to call off the strike. On the other hand, it showed the best traditions of public services when the Metropolitan police, St John Ambulance and many out-of-hour providers came to the aid of the London ambulance service. Were it not for their help, the situation could have been even more serious.
The Minister’s power to anticipate what will be said to him is extremely impressive, and I congratulate him immensely warmly.
(12 years, 9 months ago)
Commons ChamberI beg to move, That this House agrees with Lords amendment 1.
With this we will consider the following:
Lords amendments 2 to 10 and 13 to 30.
Lords amendment 31, and amendment (a) thereto.
Lords amendments 32 to 42, 54 to 60, 74, 242, 246, 248, 252, 287, 292 to 294, 299 to 326, 328 to 332 and 335 to 342.
The aim of this Bill is to secure a national health service that achieves results that are among the best in the world. Through it, the Government reaffirm their commitment to the values and principles of the NHS: a comprehensive service, available to all, free at the point of use and based on need, not ability to pay. However, we have always been prepared to listen and make changes to improve the Bill, and we have continued to do so in another place. The Lords amendments in this group fall within five main areas.
First, we recognised that concerns had been expressed about the Secretary of State’s accountability for the health service. Although it was never our intention in any way to undermine that responsibility, we have worked with Members of another place and the House of Lords Constitution Committee to agree Lords amendments 2 to 5, 17, 18, 24, 39, 40, 74, 246, 287 and 292. Those amendments put beyond doubt ministerial accountability to Parliament for the health service. In addition, they amend the autonomy duties on the Secretary of State and the NHS Commissioning Board, to make it explicit that the interests of the health service must always take priority. They also amend the intervention powers of the Secretary of State and the board, to clarify that they can intervene if they think a body is significantly failing to exercise its functions consistently with the interests of the health service. Finally, a new provision will make it explicit that the Secretary of State must have regard to the NHS constitution in exercising his functions in relation to the health service.
Although clinical commissioning groups will have autonomy in their individual decisions, Lords amendment 9 clarifies that CCGs must commission services consistently with the discharge by the Secretary of State and the board of their duty to promote a comprehensive health service, and with the objectives and requirements in the board’s mandate.
The Government also tabled amendments in response to the recommendations of the House of Lords Select Committee on Delegated Powers and Regulatory Reform, all of which we have accepted. Amendments 15 and 16 ensure that the requirements set out in the mandate, and any revisions to those requirements, must now be given effect by regulations.
Commissioning will be led by GPs, who know patients best. However, with that responsibility must come accountability. Therefore, further to the amendments made in the House requiring CCGs to have governing bodies, the other place has strengthened requirements in relation to CCGs’ management of conflicts of interest. We recognised how important it is to ensure the highest standards of probity in CCGs and accepted amendments 31, 300, 301 and 302, which were tabled by the noble Baroness Barker, and which require CCGs to make arrangements to ensure that members and employees of CCGs, members of the governing body, and members of their committees and sub-committees, declare their interests in publicly accessible registers.
The amendments also require CCGs to make arrangements for managing conflicts of interest and potential conflicts of interest in such a way as to ensure that they do not, and do not appear to, affect the integrity of the board’s decision-making processes. The board must issue statutory guidance on conflicts of interest, to which CCGs must have regard.
Taken together, those amendments provide certainty that there will be clear and transparent lines of accountability in the reformed NHS. However, I cannot support Opposition amendment (a) to Lords amendment 31. The Bill is clear that CCGs must manage conflicts of interest in a way that secures maximum transparency and probity. In most cases, that would mean that a conflicted individual withdraws from the decision-making process, but that might not always be possible, for instance when a CCG is commissioning for local community-based alternatives to hospital services, and determines that the most effective and appropriate way to secure them is to get them from all local GP providers within its geographic area. In that event, it would not be possible for every GP to withdraw from the decision-making process. We cannot, therefore, agree to a blanket ban.
(12 years, 10 months ago)
Commons ChamberI suspect that the hon. Lady does not get out and about much to meet doctors who are beginning to commission care for their patients. If she did, she would know that the mantra she is repeating from organisations that are not representative of doctors in this country—[Interruption.]
Order. The Minister of State is such an emollient fellow that I cannot imagine why people are getting so worked up, but they are getting very worked up, and they must calm themselves. We are only on Tuesday; we have got some time to go. Let us hear the Minister.
(13 years, 1 month ago)
Commons ChamberNo, I do not think that the register should be published before then, in so far as we are still considering whether or how to move forward within the time scale that the Information Commissioner has given us—[Interruption.] Before the hon. Lady gets too pious, I must tell her—I do not say “remind her”, because in the previous Government she will have been too busy tweeting, as the tweeting tsar, to know what the Department of Health was doing—that in September 2009 the right hon. Member for Leigh (Andy Burnham) similarly blocked release of the Department of Health’s strategic risk register, using the non-disclosure provisions under section 36 of the Freedom of Information Act 2000, and that his predecessor, the right hon. Member for Kingston upon Hull West and Hessle (Alan Johnson), did the same on two occasions in 2008.
Order. It seems that the subject matter for an Adjournment debate is being provided.
Two, or even three, wrongs do not make a right. Regarding an exemplary risk register, does the Minister consider that the mitigation plans for any risks identified there may serve to reassure Members of the other House, if it were to be published in advance of the conclusion of the Committee stage there?
(13 years, 1 month ago)
Commons ChamberWith regard to the hon. Gentleman, I have over the past few months been very restrained. In the light of his question, however, I shall now share with the House what was going on.
The hon. Gentleman is referring to the foundation trust status of his local hospital. A leaked document got into the public domain, but it was nothing to do with me or other Department of Health Ministers; it was an early draft of a tripartite formal agreement. What the hon. Gentleman did then—because he is an Opposition MP and he is entitled to do so—was to run a campaign in his area stating that the Tories were going to privatise his local hospital. I assured him from day one that that was utter rubbish, that there was no truth in it and that he should wait until the TFA was finally published. It was published recently, and of course there was no proposal in it to privatise the health service—[Interruption.]
The hon. Lady shakes her head, but of course she is a Member for the north-west, whereas I understand from the Under-Secretary of State for Justice, my hon. Friend the Member for Huntingdon (Mr Djanogly), who is the MP for Hinchingbrooke, that it does have an A and E. I will check and write to her immediately, and no doubt if I am right and she is wrong, she will in her charming way correct the record in due course.
I am grateful to the Minister and to colleagues, because everybody who wanted to question him had the chance to do so.
(13 years, 5 months ago)
Commons ChamberI appreciate that question, because I understand how important the issue is to the hon. Gentleman. We have had considerable discussions on this matter, which is currently being further discussed by the Department of Health and the Treasury. We hope to reach some decisions shortly, and he will be one of the first to know.
(13 years, 6 months ago)
Commons ChamberI am grateful to the hon. Lady for her point of order. I would simply say that no, I have had no indication on that matter. Of course, she and I came into the House together in 1997, and she will be as aware as I am that precisely who moves motions on the part of the Government is a matter for the Government. I think I know the Minister who is going to move the motion, and if he wants to respond he is perfectly welcome to do so. He is under no obligation, but he may.
Further to that point of order, Mr Speaker. It might help you and the hon. Member for Warrington North (Helen Jones) if I point out that the precedents for recommittals are not that common, but that if one looks at the previous recommittal, it was done in 2003, by the then Minister of State, one Mr Tony McNulty.
I am grateful to the Minister of State. I think that we will leave that as a no-score draw or a score draw, as the case may be. I am happy to take any further points of order, but if the House’s appetite has been satisfied, we will move on.
Bill Presented
Legal Aid, Sentencing and Punishment of Offenders Bill
Presentation and First Reading (Standing Order No. 57)
Mr Secretary Kenneth Clarke, supported by the Prime Minister, the Deputy Prime Minister, Mr Chancellor of the Exchequer, Mrs Secretary May, Mr Secretary Lansley, the Attorney-General and Mr Jonathan Djanogly, presented a Bill to make provision about legal aid; to make further provision about funding legal services; to make provision about costs and other amounts awarded in civil and criminal proceedings; to make provision about sentencing offenders, including provision about release on licence or otherwise; to make provision about bail and about remand otherwise than on bail; to make provision about the employment, payment and transfer of persons detained in prisons and other institutions; to make provision about penalty notices for disorderly behaviour and cautions; and to create new offences of threatening with a weapon in public or on school premises.
Bill read the First time; to be read a Second time tomorrow, and to be printed (Bill 205) with explanatory notes (Bill 205—EN).
(13 years, 7 months ago)
Commons ChamberI should like to reassure my hon. Friend. As he will know, we do not propose to introduce price competition into the NHS; rather, we propose to introduce competition based on quality. His clinicians are correct that the price will be the same. However, they must remember that we are going to stop the practice of the last Government, who, with independent sector treatment centres, paid the private sector over 11% more per operation than they were prepared to pay the national health service.
(13 years, 9 months ago)
Commons ChamberI am grateful to the Minister of State. My sense is that the hon. Member for Copeland (Mr Reed) is seeking a meeting. The Minister is perfectly at liberty to say more if he wishes, or if he does not think it is worth it, he does not have to do so.
Wise owl is the kindest description that the hon. Gentleman has ever offered of me. I shall take it that he means it. It’s the best I’ll get.
(13 years, 11 months ago)
Commons ChamberLet me begin by congratulating my, in fact, right hon. Friend the Member for Charnwood on the report that his Committee produced. The Government will give a full response to it in due course, as is usual. What I would tell the hon. Lady is that what happened in the Bill and the White Paper was what we and our coalition colleagues, the Liberal Democrats, had outlined in our election manifestos, which—[Interruption.] Hon. Members may say that, but I suggest that they look at pages 45 to 47 of the Conservative manifesto, which probably very few of them have bothered to do. GP commissioning, along with “any willing provider” et al, are there, and if one looks at the Liberal Democrat one—[Interruption.]
I am extremely grateful, Mr Speaker.
If we look at the Liberal Democrat manifesto, we can see that it also contains proposals for the abolition of strategic health authorities. The hon. Member for Hackney North and Stoke Newington (Ms Abbott) has alluded to the abolition of PCTs, and the reason for their abolition is that, when we have given the commissioning to GP consortia and the public health responsibilities to local authorities, there will be no job for the PCTs to do. Why keep them? There will be £5 billion savings during this Parliament that can be reinvested in front-line services.
(14 years ago)
Commons ChamberI have to tell the hon. Lady that, in this very difficult financial situation, which we inherited from her Government, it is only by making efficiency savings and getting rid of excess bureaucracy that we can generate the income to reinvest to save front-line services—[Interruption.] She and the Greek chorus in front of her must understand that, if we had not been left in this mess in which £43 billion a year is being spent on the interest on the debt that we inherited, we would not have the problems that we now have—
Order. I think we understand what the Minister is trying to get at.
My hon. Friend is absolutely right. Although the last Government significantly increased health spending —I do not dispute that; it is a self-evident fact—the trouble is that we did not see increases in productivity pro rata. That is the challenge that we face; that is what we are addressing; that is what we are going to achieve through QIPP—quality, innovation, productivity and prevention—by cutting out inefficiency, cutting out excess management and administration so that every single penny can be reinvested in improving front-line services and giving our constituents the finest health they—
Order. The Minister will resume his seat. His answers have been excessively long-winded and repetitive—and it must not happen again. I have made the position clear and I hope that the Minister will learn from that.
18. What estimate he has made of the change in average waiting times for patients waiting for diagnostic tests since May 2010.
Just as the answers from the Minister of State, the hon. Member for West Chelmsford, were too long, those questions were too long as well.
Order. I do not require any assistance from the hon. Gentleman. We must speed up from now on. That is the situation.
(14 years, 1 month ago)
Commons ChamberAs my hon. Friend says, NHS Warwickshire is consulting on the future of intermediate care at Bramcote hospital. I hope that he will engage with that consultation and that the views of local people will be taken fully into account by NHS Warwickshire in deciding the way forward. As he knows, the Secretary of State has set out various tests and NHS Warwickshire’s decision must have the support of the GP commissioners; must strengthen public-patient engagement; and must be based on sound clinical evidence. I hope that my hon. Friend is reassured that those tests will be fully taken into account as part of the consultation process.
(14 years, 5 months ago)
Commons ChamberI am extremely grateful to my right hon. Friend, who is absolutely right, and I can give him the categorical assurances he is seeking, but I would also like to add one more: we need information to empower patients, because if patients are going to be at the heart of the NHS they must have the information to take the decisions that are important to their health care.
Order. May I gently ask the Minister to face the House? I am sure that Opposition Members will want to see his face.
We do, Mr Speaker, very much; we want to see him squirm.
First, let me say that we welcome the Minister back to the Department of Health; he was a Minister in the Department 13 years ago. As I have said before, we trust that he finds the NHS in much better condition than when he left office. Last week we had an independent verdict on those 13 years. The independent and respected Commonwealth Fund said that the NHS was one of the best health care systems in the world, and, indeed, that it was top on efficiency: a ringing endorsement of Labour’s stewardship of the national health service. That verdict reflects the huge progress on waiting times that has been made over those 13 years. So does not the abolition of the 18-week target, which the Minister announced last week, put all that progress at risk? Will he today give us a straight answer to this question: can he guarantee that waiting times will not rise, and that patients will still be treated within 18 weeks?