(9 years, 1 month ago)
Commons ChamberThat is a really important part of what the Government are seeking to do. There will be no one-size-fits-all approach. There will be different settlements in different parts of the country, depending on the circumstances, including the geography and the local economy. The Chancellor and other Treasury Ministers will be here on Tuesday for Treasury Questions, and I encourage my hon. Friend to make his point to them. There is a great opportunity for counties such as Somerset to be involved in devolution deals that give them greater control over matters that affect their area. I hope that everyone in Somerset and in other parts of the country will engage in the process, which gives a real opportunity to local authorities and local communities.
Given the difficult financial circumstances that the NHS finds itself in, is it not time for a debate on a national tariff for in vitro fertilisation, given that clinical commissioning groups are paying fees as varied as £2,500 and £6,500 a cycle?
My view is that we have a choice within the NHS: we can either devolve responsibilities to local practitioners or keep every decision at the centre. The moment we say that we do not like differences between areas because different local CCGs take different decisions, all the decisions will start to be centralised again. I have always believed, certainly in my own constituency, that local decisions should be taken by local doctors. That is what happens as a result of the reforms that we made and I would be very reluctant to reverse it.
(9 years, 5 months ago)
Commons ChamberI understand my right hon. Friend’s concerns. Similar concerns have been expressed to me by his neighbour, my hon. Friend the Member for Faversham and Mid Kent (Helen Whately). I understand the impact of what is happening on the people of Kent, and, indeed, on the lorry drivers who end up stranded on the motorway for days on end. I hope very much that the French Government will resolve the issue by sorting out the problems that are causing the challenges in Calais and are having a knock-on effect. I urge my right hon. Friend to raise the issue with the Home Secretary next week, but it is clear that the situation in Calais needs to be resolved in a way that will enable free trade to continue to flow through Calais and also end the problems experienced by his constituents.
Will the Leader of the House find time for a debate on how HMRC treats vulnerable taxpayers such as my constituent Mrs Latimer of Morden, who is her mother’s carer and works part time as a guide for disabled children. She cannot read and write, she has learning difficulties and she has suffered a stroke. She is being fined £10 a day because she has been unable to complete her forms. She needs the protection of this House.
It is always important that Government agencies treat vulnerable people with great care, particularly when there are personal circumstances that make it difficult for them to deal with procedural issues. We have the Budget debate, when Treasury Ministers will be present. We also have Treasury questions in 10 days’ time, but I am sure that Treasury Ministers will have noted the concerns the hon. Lady raised today.