Health and Social Care Bill

Baroness Anelay of St Johns Excerpts

Tuesday 6th March 2012 Lords Chamber

[Baroness Anelay of St Johns]

My Lords, I think the noble Lord on the Woolsack is trying to assist the noble Lord, Lord Davies of Stamford, to realise that the rules as they pertain in this House are that if the noble Lord, Lord Davies, wishes now to speak further to his amendment, he must go through the process of moving it, speaking to it—and I am sure the Minister would hope he might then withdraw it. Having spoken to it already, it is not up to him simply to make an extempore statement; he has to go through a procedure to achieve that.

[Lord Davies of Stamford]

My Lords, I am very grateful for that guidance. In accordance with it, I have moved my amendment. I think that the Minister and I are still some distance apart. Once again, I put it to the noble Earl that a price that is not based on competition is not an economic price. A price that is negotiated with one vendor and based on the costs of that vendor, even if they are very transparent, is not an economic price. You cannot rest content that you have done an honest job if you accept that price. A fixed price that may be even remotely correct one day will not be correct in six months’ time or 12 months’ time. You need to continue to put that price to some sort of competition discipline. These points are fundamental. The noble Baroness, Lady Murphy, came nearer to the mark when she suggested that the reasons for the Government’s position had more to do with PR, politics or the media than with the economics of the health service. I was grateful to the noble Earl for the offer to discuss this matter in greater detail. Given that offer, I shall not detain the House further on this matter and will not put my amendment to a vote.