Oral Answers to Questions

Edward Miliband Excerpts

Wednesday 19th January 2011 Commons Chamber

[The Prime Minister]

We will listen very carefully to the professionals, but the reason for making modernisation of the NHS such a priority is simply that this country now has European levels of health spending but does not have European levels of success in our health service. Of course, what we want is a level playing field for other organisations to come into the NHS. What we will not have is what we had from Labour, which was a rigged market.

[Edward Miliband (Doncaster North) (Lab)]

Does the Prime Minister think it is a sign of success or failure that unemployment is rising and employment is falling?

[The Prime Minister]

Of course every increase in unemployment is a matter of huge concern, and that is why we are launching the biggest back-to-work programme that this country has ever seen, the Work programme.

There are some very disappointing figures today, particularly on youth unemployment, and I am sure we will talk about that in a moment, but there are some mixed pictures. The claimant count has gone down for the third month in a row, the number of vacancies is up and the average of the independent forecasts published today sees growth revised upwards. The biggest task for this Government, and frankly for this country, is to get to grips with the long-term structural problem of youth unemployment, which has been going up for years in our country and went up by 40% under Labour.

[Edward Miliband]

After that complacency, when 50,000 people have lost their job, it is no wonder they rumbled the Prime Minister in Oldham. The truth is that he is cutting too far and too fast, and British people are paying the price.

The Prime Minister mentioned youth unemployment. It is at its highest since 1992, yet he is abolishing the future jobs fund and the new programme does not even come into force until the middle of the year. After these figures, why does he not change his mind, reinstate the future jobs fund and help create an extra 100,000 jobs this year?

--- Later in debate ---

[The Prime Minister]

I hope we can get into the curriculum the idea that we should fix the roof while the sun is shining. What we heard at the weekend from the right hon. Member for Doncaster North (Edward Miliband) was interesting: he has now had nine months to digest Labour’s mistakes, and he has come up with the answer that they did not spend too much and they did not borrow too much, and his message to the British people is, “Vote for me and we’d do it all over again.”

[Edward Miliband]

Can the Prime Minister guarantee that under his NHS plans hospital waiting times will not rise?

[The Prime Minister]

We want waiting times and waiting lists to come down. [Interruption.] The whole aim of these NHS reforms is to make sure we get the value for the money we put in. [Interruption.] I have to ask the right hon. Gentleman this: it is clear now that Labour—[Interruption.]

--- Later in debate ---

[The Prime Minister]

I would love to know what your answer was, Mr Speaker.

The point is this: we are putting the money in—£10.6 billion extra during this Parliament; money that, by the way, the Labour party does not support—but we want to get value for that money because, frankly, today we do not have the right outcomes for cancer and for heart disease. We want to do better. Is the right hon. Gentleman in favour of reform, or is he going to oppose it all?

[Edward Miliband]

I notice that the Prime Minister did not answer the question. Patients want to know something quite simple: how long will they have to wait for treatment? They all remember waiting for years under the last Conservative Government, and they know that we now have the shortest waiting times in history because of what the Labour Government did. If the Prime Minister thinks his reforms are so good, why cannot he give us a simple guarantee that waiting times will not rise?

[The Prime Minister]

Waiting times will rise if we stop putting the money into the NHS. The right hon. Gentleman’s shadow Chancellor is not here today, but this is what he said about our plan to increase NHS spending by more than inflation every year: “There is no logic” or rationale to it. That is the answer: we get investment in the NHS from this coalition Government, but we would get cuts from the Labour party.

[Edward Miliband]

The Prime Minister cannot make a guarantee because he has abolished the guarantees. He has abolished the guarantees that Labour brought in, such as the 18-week waiting list guarantee. He is taking the “national” out of the national health service. Patients are worried, and doctors and nurses say his reforms are extremely risky and potentially disastrous. Why is he so arrogant as to think he is right and all the people who say he is wrong are wrong?

[The Prime Minister]

First, the right hon. Gentleman is simply wrong: the waiting time points he made are written into the NHS constitution and will stay under this Government. So, first of all, he is wrong. The second point is that we will not be able to get waiting times down and improve our public health in this country unless we cut bureaucracy in the NHS. That is what this is about. We are spending £1.4 billion—a one-off—to save £1.7 billion every year. That will save £5 billion by the end of this Parliament. If the right hon. Gentleman opposes the reforms, where will that money come from?

[Edward Miliband]

The Prime Minister has obviously not noticed that people are not convinced by his reforms. Even the GP sitting on his own Benches said this is like tossing a hand grenade into the NHS. Is not the truth that, just like on every other issue, we get broken promises from this Prime Minister? He is breaking his promise on no top-down reorganisation of the NHS; he is breaking his promise on a real-terms rise in NHS funding; he is breaking his promise for 3,000 more midwives; and he is breaking his promise to put patients first. It is the same old story: you can’t trust the Tories on the NHS.

[The Prime Minister]

It is the same old feeble pre-scripted lines. The right hon. Gentleman practises them every week; I am sure they sound fantastic when they are spoken before the bathroom mirror. The facts are these: this Government are putting the money into the NHS, but the Opposition do not support that; this Government are cutting the bureaucracy in the NHS, but they do not support that; and this Government are reforming the NHS so that we get the best in Europe, but they do not support that. So this is the right hon. Gentleman’s policy: no to the money, keep the bureaucracy, do not reform the NHS. I would go back to the blank sheet of paper.