(9 years, 6 months ago)
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I agree with my hon. Friend. The announcement is extremely welcome. If there is time, I will discuss the bidding processes for the 2018 and 2022 World cups.
It is important to recognise that we are sitting in the House of Commons in the United Kingdom. This House holds the Minister to account and the Minister can influence the Football Association and the other home nation associations, but she is not ultimately responsible for FIFA. All that we can do in this place is try to shine a light on what has gone on, raise the issues and seek to persuade the Minister that she and the Government can do more to ensure that the game is governed well not only in this country, but elsewhere in the world through international bodies. In that light, I venture to suggest to the Minister that the Government need to do certain things that they have not done in the past or at least have not done effectively.
The first is that better effort needs to be made at governmental level between the Minister and her counterparts in Europe, to whom I know she has now written, regarding the actions that they take regarding their football associations. The English FA is widely regarded in FIFA as pandering to this Parliament and to the media, in a way which other football associations are not. That is a reflection of the fact that the English FA and the associations of the other home nations do a good job, they are held to account through the Government, through this House and by the media, and they are, therefore, answerable to those whom this is actually about at the end of the day: the fans. That is not necessarily the situation elsewhere. In her reply, the Minister needs to indicate what actions she is taking with other Sports Ministers across Europe, and indeed the Commonwealth, to hold their football associations to account, so that ultimately the global body that is FIFA is held to account.
I also suggest that the Minister make clear the Government’s position on the continuing presidency of Sepp Blatter—because he is still the president. I am tempted to and will refer to FIFA as a “Sepp-pit” of corruption—[Hon. Members: “Boom, boom!”] Indeed. Sepp Blatter must step aside now. My hon. Friend the Member for Folkestone and Hythe suggested that others could come in to run the organisation in the interim. That would be welcome. That needs to be the Government’s position, and the Minister needs to make it clear today that that is the Government’s position.
My hon. Friend also referred to the Serious Fraud Office, which does seem to have dropped the ball. I asked an urgent question in the House on FIFA in the first week of this new Parliament about the steps that were being taken in conjunction with the Attorney General to ensure that the corruption that has been endemic in FIFA for so long is properly investigated in this jurisdiction. It is perfectly clear that it can and should be investigated here, not least because some of the allegations made in the 161-page indictment filed by the United States Department of Justice make it clear that some of the corrupt behaviour probably took place here or in places where we could take action here. If we have dropped the ball, it seems that others, in particular the SFO, have dropped the ball regarding investigations and potential prosecutions. That must be remedied and the Minister must describe precisely what is happening.
I know that the Minister feels passionately and strongly about this issue and that she is doing a good job behind the scenes. I want to hear how she is diverting the relevant rivers to cleanse the Augean stables of corruption that has grown up around FIFA in Switzerland. I look forward to her response.
I call Andrew Bingham, who has until 10.33 am.
(11 years, 7 months ago)
Commons ChamberI will not take any further interventions, but let us not hear any further speeches calling for extra spending unless we know where the money is coming from.
As I was saying, before I was so rudely interrupted, there are pressure points in the health system, and urgent care is one of them. This is about not only accident and emergency departments, but GP and out-of-hours services, community nursing, social care, ambulance services and hospital beds—there is pressure on all those points.
The hon. Member for Plymouth, Moor View and I are fortunate to go to Derriford hospital in Plymouth for briefings. I have been going slightly longer than she has—21 years—and I can tell the House that in good times and in bad times Derriford hospital is under pressure. It has a running capacity of about 95%, which means that when there are spikes, as there have been this winter, it can be running at 103% capacity, which puts the hard-working staff under enormous pressure. Even when the Labour Government were spending money as though it were going out of fashion, I have never gone to Derriford hospital and had the staff tell me, “It’s fine. There are no pressure points. Everything is working in our health service. It’s all working well and waiting lists are coming down.” That has not happened once in 21 years.
Does my hon. Friend agree that perhaps one problem with the Queen’s Speech, and one of the issues with which neither Ministers nor shadow Ministers tend to grapple, is that there is a real problem in this country with demand? Unless and until we grapple with that, the national health service will always be under pressure.
I completely agree with my hon. and learned Friend, and I might come on to deal with that point in a moment.
The point I wanted to raise with Ministers is that the funding formula for emergency work needs to be reviewed. As I understand the system, the formula is based on the 2008-09 baseline, and any extra patients who come into an acute hospital over and above that baseline are paid at 30% of the tariff. It costs hospitals 100% to meet the needs of those people coming in, yet they are paid at 30%; the extra 70% is supposed to be spent by other health care agencies in providing alternative centres of treatment, which are intended to divert people away from acute hospitals. I am pretty well plugged into what is going on in my constituency, and I have not seen anything since 2008 that looks vaguely capable of diverting pressure away from Derriford hospital. The system of allocating 30% to the hospital and 70% elsewhere is simply not working. I ask our Ministers to look urgently at that formula and to find out why, if it is not working, we are still using it and to address that. I am not calling for extra money; I am calling for money to be diverted to the acute hospitals, because they are where the pressure points are. In my constituency, there have been no realistic options for treatment other than to go to Derriford hospital. So, such hospitals should be receiving not 30% but 100% of the tariff.
My hon. and learned Friend the Member for Sleaford and North Hykeham (Stephen Phillips) is absolutely right about demand growing exponentially. In 1979, if a man reached the age of 65, they could expect to live until they were 77. If a man reaches the age of 65 now, they can expect to live until they are 88, and of course that age is rising year on year, so the demand is going up.
One thing that we are noticing is that although the number of people admitted to the emergency department at Derriford hospital in the last 12 months has been stable, there is much higher acuteness—in other words, people are much sicker and therefore it requires a lot more effort to treat them. Please, nice Ministers on the Front Bench, may we have a look at that formula for the funding for people accessing acute hospitals on an emergency basis?
My final point, in the one minute of my time that remains, is that 20 years ago or so I made a speech in this House saying that the health service had lots of challenges, issues and problems, but that one of the things we did not need to touch was primary care as it was working fine. I cannot make that speech today. I will not hammer the Opposition again about the GP contract, but in the past few years constituents have been complaining to me in a way that they never did in the previous 15 years to say that accessing their GP is becoming extremely difficult. For someone—whether they are a mum with a young baby, or a senior citizen—to get a surgery appointment when they want it has become a serious issue in the past few years. Addressing that issue does not necessarily require legislation, but may I ask Ministers whether we can please put in place a system whereby GPs give the seven o’clock in the morning to seven o’clock at night, seven days a week service that this country so desperately deserves?