(13 years, 4 months ago)
Commons ChamberI am grateful to my hon. Friend for that. The Health and Social Care Bill establishes the commissioning consortia as public statutory bodies and, as such, that Act will apply to them.
As part of his consultation exercise on NHS reform, the Secretary of State recently visited Liverpool, where he met nurses. When he was listening to the nurses at the Royal College of Nursing conference, what did he hear?
I heard many things, including the nurses’ concerns about front-line services, which I share; Dr Peter Carter has said time and again that he is very worried that the NHS might go through a process of trying to salami-slice services to the detriment of patients when it is actually possible to deliver greater efficiency through cutting out waste, administration and bureaucracy. I agree with many of the things I heard and I want to make sure, as a matter of urgency, that right across the country that efficiency is achieved and we do not act to the detriment of front-line services.
(14 years, 1 month ago)
Commons ChamberMay I reassure the hon. Lady that in my lexicon no one “deserves” to wait longer. What I want, and my right hon. and hon. Friends want, is a first-class health service that makes decisions based on clinical reasoning and gives treatment swiftly and relevantly to those who need it. My right hon. Friend the Secretary of State has made some changes to some of the targets to ensure that clinicians and clinical decisions dominate, not political decisions by politicians and bureaucrats.
16. What progress he has made on establishing his proposed commission on funding long-term care; and if he will make a statement.
The coalition agreement sets out our plans to establish an independent commission, which will consider how we ensure responsible and sustainable funding for long-term care. Further details on the commission will be announced shortly.
I am grateful to the Minister for his response. Can he assure us that when the commission is established it will consider all options for funding long-term care, including a compulsory inheritance levy?
The Government’s intention is not to fetter the commission but to allow it to do its job.
(14 years, 2 months ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
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I respect the hon. Lady’s ingenuity and I can see where she is hoping I will go. I do not want to disappoint, but I understand the situation and all I can do is reiterate that the project will be reviewed, as a lot of other projects across Government will be reviewed, in line with the Treasury guidelines for the review of projects from 1 January.
A decision will be taken by or at the time of the spending review in the autumn. I cannot go further than that. However frustrating it is for the hon. Lady, I know that in her heart of hearts she understands what I am saying. If the roles were reversed, she would probably say the same thing. It would be wrong and irresponsible, and potentially misleading, to go any further.
I am grateful to the Minister for giving way and I join in the congratulations to him on his well deserved appointment to the Department of Health. I understand that he cannot go further on timing, but can he tell us more about the nature of the review? Is it likely that his Department will say that certain projects will go ahead as planned and others will not, or will it ask projects to look again at the cost, to achieve more projects at the lowest cost to the taxpayer?
I thank the hon. Gentleman for his kind and gracious comments, which I greatly appreciate. I also pay tribute to his experience in coming at the question from a different angle. I do not want to, but I am afraid that I must disappoint him. I will not go down the route he suggests because it could be open to misinterpretation. I can only repeat what will happen: all spending projects from 1 January are being reviewed. Decisions will be taken by the time of the spending review.
I return to the reconfiguration of cancer treatments in the area, which the hon. Member for Liverpool, Riverside raised, to give her a brief explanation of the current position, because that will put it in context and, I hope, be of help to her. Local health organisations in Cheshire and Merseyside are working together to ensure better cancer facilities for the local population. However, I am advised that the primary care trusts plan to review the first facility at the University Hospitals Aintree site before committing to further facilities at the Royal Liverpool. As the hon. Lady will appreciate, that is a local decision and it would not be appropriate for Ministers, at this stage, to compromise the processes, intervene or comment. There are local procedures to be gone through before final decisions are taken.
I welcome the opportunity to discuss the future of Liverpool Royal University hospital and fully appreciate how important it is to all hon. Members present and their constituents. We will have to wait until the spending review is concluded in the autumn for a decision. In the nicest possible way, I urge hon. Members, however difficult it is, to be patient and wait. If I were a constituency MP in Liverpool, I would be in the same position as them.
Question put and agreed to.