(11 years, 10 months ago)
Commons ChamberI think that is always a good motto to pursue, but from our point of view it is sometimes necessary to legislate. That is what we are doing, not least in the progress that we have already made on the Infrastructure (Financial Assistance) Bill, and also with the publication today of the Growth and Infrastructure Bill and the Bill relating to HGV road user levies. We are taking further measures that will promote growth and the development of infrastructure in this country, getting us the growth that we know is an absolute necessity, alongside deficit reduction, for improving our competitive position.
When the Leader of the Opposition is out marching with the TUC and it is saying that it wants long-term economic progress but does not think that political leaders today are offering that, he might reflect that that is exactly true in relation to him—that the Labour party’s leadership are not addressing the long-term economic problems of this country, they are denying the deficit and they have no policies for growth. We in the coalition are putting forward those policies for growth.
Will the Leader of the House allow me to record my thanks to the many people who have made my job so simple during the 29-plus years that I have been in the House? I am thinking of the Clerks of the House and those who clean for us and staff the cafés and bars to make our lives straightforward.
I also offer my thanks and appreciation to colleagues on both sides of the House—more enthusiastically to some than to others, perhaps—for being part of the enormous privilege of serving my constituents in Stretford and Manchester Central over those years, in what is still a wonderful and great experiment in representative parliamentary democracy.
I am grateful to the hon. Gentleman. Members on both sides will appreciate not only his sentiments, but how he expressed them. I share in that and know that the staff of the House will appreciate it too.
(12 years, 1 month ago)
Commons ChamberOn the latter point, my hon. Friend will be aware that the national eligibility threshold that we are legislating for will come into effect in 2015. We will of course make it clear before that at what level it will be set. I cannot provide that information at the moment, not least because we have reservations about the overall effectiveness of the classification of need under the fair access to care services system in the intervening period. If we can improve the eligibility framework, we will set out to do so.
I say to the right hon. Member for Leigh and his colleagues that I am very happy to continue to talk. I know that he did not want us to proceed on a unilateral basis from the progress report, but in truth what we published did not represent our making decisions unilaterally but instead reflected the point that we had reached. I am happy for further talks to take us beyond that point.
If we are to offer people the dignity and respect that the Secretary of State has talked about and prevent the type of abuse that both shocks the nation and frightens care users and their families, although training is very important, so is monitoring. Will he guarantee that the money necessary for monitoring will be available to HealthWatch, the Care Quality Commission and similar agencies? At the moment, people do not believe that those agencies are requested to monitor them properly.
The hon. Gentleman will know that we are making resources available for HealthWatch. It also has additional powers and a remit that extends in a way that the remit of LINks never did. There is therefore a patient and care users’ voice, and a much more effective power to enter, view and report. The link of HealthWatch England to the Care Quality Commission is important. We have increased the resources of the latter. I am sure that when he sees its annual report, he will appreciate the steps it is taking to extend its inspection more reliably on an unannounced basis, including into domiciliary care provision.
(13 years, 9 months ago)
Commons Chamber5. What plans he has for future funding of specialist children’s hospitals.
Specialist children's hospitals will continue to be funded through local commissioning and specialised commissioning based on payment by results and local contracting while also recognising the specific additional costs of specialist paediatric services.
The Secretary of State will know that his Department has written to specialist children’s hospitals threatening to withdraw the top-up moneys that are recognised as important in treating the most critically ill children. That is outrageous and seems to run counter to the Government’s commitment not to cut funding. Will he go back to his Department and tell his officials that he will not go ahead with the reduction in top-up fees?
I am afraid that I have to correct the hon. Gentleman. We are not withdrawing specialist top-up payments; the Department has acted on the basis of a review conducted by the university of York which was initiated by the Opposition Front Bench team’s predecessors when they were in government. They set up a review on specialist top-ups which said that the payments should go down from 78% to 25%, not that they should be withdrawn completely. We are reviewing that outcome with the specialist children’s hospitals and a meeting is taking place today to consider whether the review’s conclusions were accurate and applicable.
(14 years, 1 month ago)
Commons ChamberI am grateful for my hon. Friend’s question. There is an unprecedented opportunity for local authorities and the NHS to create a much more integrated and effective strategy for health and social care working together. That is partly about focusing on outcomes, partly about listening to patients, and partly about extending personal budgets for patients, so that they themselves can break down such barriers. However, critically, it is also about local authorities exercising the responsibility that we will give them, plus their existing powers in relation to well-being right across their areas, to seal that working together, to deliver better public health and better integration between their social care responsibility and NHS commissioning plans.
Without any shame, the Secretary of State is introducing an internal market in the health service. In that context, how will he guarantee that GPs will not look for cheaper medicine rather than better medicine?
Because patients will have increased choice—[Hon. Members: “How?”] Because patients will make their choices on the quality of service they receive, because the service will be free to them.