(6 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
Yes, I can give that assurance. The permanent secretary has been scrutinised and questioned by the Public Accounts Committee. He has made all sorts of commitments to improve the internal processes of the DWP, and, as I outlined in a previous answer, those processes are up and running. This summer I will visit the operating centre that is undertaking this administrative exercise, and I will be reinforcing to the staff on the frontline not only the importance of their work but how important it is to speak up and speak out if they experience any problems. I will be listening.
I thank the shadow disability Minister for bringing the urgent question to the House. The Minister will know that the fact that at least £390 million is owed to tens of thousands of sick and disabled people—the most vulnerable people—is a shocking revelation. I have two questions. First, will the Minister give an estimate of how long it will take for the people affected to receive the money that they are owed? Secondly, with respect, apparently the DWP learned about this 12 months ago but it is only the media that has brought it out into the open. How does the Minister respond to that?
It was not the media that brought this out into the open; there was a written ministerial statement to this House. We have been acting at speed to make sure that we identify people we have underpaid, and we have already started to make payments. In the original statement, we said that we hoped to complete the exercise within the year, which takes us up to next spring. We are absolutely working as fast as we can to make these payments.
(6 years, 7 months ago)
Commons ChamberI would of course be more than happy to meet the hon. Lady to go through the specifics of that case.
(6 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
As I say, we will be ensuring that we fully implement the findings of the appeal, and we will be doing that by working very carefully with our stakeholders to make sure that we get this right. We will be reviewing all 1.6 million PIP claimants.
l thank the Labour party for securing an urgent question on this important issue. We know that the Government’s attempt to prevent those with mental health issues receiving the higher mobility rate was, frankly, nothing but a shoddy attempt to save money. That was a disgrace. They then dragged it out through the courts for many, many months and I think that was absolutely disgraceful behaviour. I know that the Minister for Disabled People, Health and Work is new in her post, but is she proud of what her Government did over this particular PIP episode?
It is disappointing that the hon. Gentleman is not prepared to recognise the contribution of Lord Freud, a fellow Liberal Democrat, who held the ministerial position that developed PIP when he was in the coalition Government; and it is disappointing that he is not celebrating the shared achievement of PIP and how it is enabling many more people to be supported. I do think it is really important that the hon. Gentleman listens carefully to what I have said—that we are going ahead with vigour to implement the full findings of this review.
(13 years, 10 months ago)
Commons ChamberThank you, Madam Deputy Speaker, for calling me to speak in this most important debate. The scope of the Bill is far reaching and other Members have covered many aspects in their contributions, so I want to focus on one area—that of the future governance of the NHS.
The Secretary of State has identified a powerful and simple concept that resonates with people across the country—that “No decisions taken about me should be taken without me.” While this concept is usually applied to the individual relationship between the patient and clinician, I believe it is just as applicable to the communities that the NHS serves in any particular area.
As we have seen from campaigns across the country, people do not want decisions about the health and care services available to them in their community to be taken without the opportunity to get involved in the decision: “No decisions about us without us.” Over the last few years, I have seen the lack of openness, the lack of transparency, the lack of consultation and the consequent fear and suspicion that that brings.
I realise that not everyone will want to become involved in local decision-making and that many are happy to leave it to others, but I believe that we are right to enable more resilient and empowered communities to shape their own futures. Giving more power to the people is as important in the context of decisions about health and well-being as it is in the context of decisions about planning, homes and the environment.
The Bill is nothing short of a revolution in terms of the devolution of decision-making power to people in their communities, accountability, and the governance of health and care services. First, it links two crucial services. For too long the separation of those services, and the silo mentality governing the care delivered by local authorities and health services commissioned by primary care trusts, have prevented care pathways from being developed effectively in a way that works for the patient, which has often closed off the vital role played by families, carers and volunteers in supporting people. There cannot be a Member in the House who has not had personal experience of that, or shared the experiences of elderly constituents who have been bundled around the system, described as bed-blockers and made to feel a burden.
Of course, in some parts of the country health and care services have been integrated, but they are in the minority. The Bill, and the money that the Government are making available to help fund the integration, will enable all parts of the country to develop the high-quality, joined-up services that are currently available only to a few.
I agree with much that my hon. Friend is saying about integration and the need to work with the community, and I applaud many of the changes made by the Bill. For years we have all talked of using pharmacists in a smarter way. Does not the Bill provide an opportunity for much more integration of community pharmacy with the consortia, and for the Government to support the consortia in that endeavour?
As someone who represents a rural area of Cornwall where GPs’ delivery of pharmaceutical services is vital, I think that that is an extremely good idea.
Secondly, the new responsibilities of Monitor and the Care Quality Commission will make possible independent regulation of both quality and safety of care and value for money. I have observed the problems that have occurred in recent years when managers have evaluated their own compliance with standards. Good decisions can be made only with sound evidence. The powers of the National Institute for Health and Clinical Excellence and the Information Centre will be enshrined in legislation for the first time, and their independence from Government will thus be guaranteed.
Thirdly, the Bill creates a new role for local authorities in public health. Directors of public health, jointly appointed by Public Health England and local authorities, will play a leading role in the discharging of authorities’ public health functions. Arguably, it was the initiatives of local authorities in past centuries—such as the introduction of fresh water, drains, sewage management and the controlling of vermin—that led to some of the most significant improvements in life expectancy.