Oral Answers to Questions Debate

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Department: Wales Office

Oral Answers to Questions

Edward Miliband Excerpts
Wednesday 11th May 2011

(13 years ago)

Commons Chamber
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Lord Cameron of Chipping Norton Portrait The Prime Minister
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My hon. Friend is absolutely clear that the House of Commons has given a very clear view that prisoners should not have the vote and my own view is that prisoners should not have the vote. I think that we should do two things. First, we should be trying to reform the European Court, as we are doing; my right hon. and learned Friend the Justice Secretary is leading this charge to make sure that it does pay more attention to national judgments and national Parliaments. But at the same time we will have to consider our response to this issue, and I want it to be as close as possible to the clearly expressed will of the House of Commons.

Edward Miliband Portrait Edward Miliband (Doncaster North) (Lab)
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I want to start by paying tribute to our much-loved colleague David Cairns. His death is a tragedy at such a young age, and we send our deepest condolences to his partner, Dermot, and to the whole of his family. He was what any Member of Parliament would aspire to be in this House: he was warm, principled and independent-minded, even if that was not always comfortable for the leadership of our party. He fought for the causes that he believed in, he was Labour through and through, he will be missed throughout the labour movement, and I know that he will be missed throughout this House as well.

A year into his Government, how would the Prime Minister rate his handling of the NHS?

Lord Cameron of Chipping Norton Portrait The Prime Minister
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I think that the most important thing we have done is increase spending on the NHS, which is something that has happened only because of the commitment we made at the last election. So an extra £11.6 billion will be going into the NHS because of the decisions we have taken. In addition, there is a £200 million cancer drugs fund, so that people get the drugs they need and, for the first time in a long time, the number of doctors is growing very quickly and the number of bureaucrats is actually falling.

Edward Miliband Portrait Edward Miliband
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In case the Prime Minister did not realise, it takes seven years to train a doctor, so I would like to thank him for his congratulations on our record on the NHS. I have to say to him, if it is all going so well, why have we seen the number of people waiting for diagnosis rising again this morning? More than 10,000 people are waiting to get their tests, three times the number it was a year ago. I also noticed that he did not mention his top-down reorganisation when he talked about his handling of the NHS. Let me remind him of what he said just a month ago. He said:

“I’ve been involved in designing these changes way back into opposition with Andrew Lansley”.

Will he therefore confirm that the failing NHS plans are not the Health Secretary’s fault, but his?

Lord Cameron of Chipping Norton Portrait The Prime Minister
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The Leader of the Opposition himself has said that no change is not an option. We are seeing the usual empty opposition. I am glad that he mentioned waiting times, because, two weeks ago, at that Dispatch Box, he said that waiting times

“have risen month on month under this Government”.—[Official Report, 27 April 2011; Vol. 527, c. 169.]

That is not true. The figures, which he had at the time, show that in-patient waiting times fell from 9.1 to 9 weeks. For out-patients, they went down from 4.8 weeks to 3.5 weeks, the lowest for a year. It is important when we come to this House and make statements that are inaccurate that we correct the record at the first available opportunity.

Lord Cameron of Chipping Norton Portrait The Prime Minister
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Hold on. Would he like to take this opportunity to correct that specific mistake?

Edward Miliband Portrait Edward Miliband
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No, waiting times are rising. I notice that the Prime Minister did not even take the opportunity to take responsibility for the health policy. Where is the Health Secretary, after all? Where is he? It is becoming a pattern with this Prime Minister. This morning, in the papers, we saw the Universities Minister being dumped on for his tuition fees policy; we see the Schools Secretary being dumped on for his free schools policy; and the poor Deputy Prime Minister just gets dumped on every day of the week. The Prime Minister must believe that something has gone wrong with his health policy, because he has launched his so-called listening exercise. Can he reassure doctors, nurses and patients that it is a genuine exercise?

Lord Cameron of Chipping Norton Portrait The Prime Minister
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Of course it is a genuine exercise. Let me be clear: the right hon. Gentleman is wrong on the waiting times. The figures are clear and I shall place them in the Library of the House of Commons. Waiting times went down last month and he ought to have the guts and the courage to correct the record when he gets it wrong. He asks about my Health Secretary, and perhaps I can remind him of what his health spokesman has said. He said it this week. He said the general aims of the reform are sound. That is what he said. He said earlier, “I have no problem with the broad aim of the changes,” and went on to praise them. When I look at this, it all reminds me of Labour 30 years ago. They had a leader with the ratings of Michael Foot and he was being undermined by someone called Healey, as well.

Edward Miliband Portrait Edward Miliband
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We read in the papers about a PMQs makeover, but I have to say that it did not last very long. Flashman is back. Of course, the thing is that Flashman does not answer the questions, so let me ask the right hon. Gentleman again. Can he explain why the chief executive of the NHS, Sir David Nicholson, wrote to NHS staff on 13 April, after the Prime Minister’s so-called pause had begun, and said that they should “press on with implementation” of the plans? That does not sound like a pause to me.

Lord Cameron of Chipping Norton Portrait The Prime Minister
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I can absolutely guarantee that there will be significant and substantial changes to the reforms because we want to get them right and because we want to guarantee an NHS that is free at the point of use and available based on need rather than the ability to pay. Unlike the Labour party, which is now cutting the NHS in Wales, this Government will put more money into the NHS.

The right hon. Gentleman talks about what is in the newspapers today, but he ought to be looking at the GPs representing 7 million patients who wrote to the papers today to say that this is evolution, not revolution, that it is good for patients, and that it will help some of the “most vulnerable” people in our community. I have to accept that some of the recent cultural references—Michael Winner, Benny Hill—are all a little out of date, but I must say that when I look at the right hon. Gentleman, who told us that the fight back would start in Scotland before going down to a massive defeat, he rather reminds me of Eddie the Eagle.

Edward Miliband Portrait Edward Miliband
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Let me congratulate the Prime Minister on getting 42 GPs to write to The Daily Telegraph supporting his plans. The Royal College of General Practitioners represents 42,000 GPs and it says—the Prime Minister said that he would protect the NHS, so I would have thought he would be embarrassed by this—that his plans will cause “irreparable damage” to the core values of the NHS. I do not know whether he even knows about the letter that David Nicholson sent, but the truth is that the Prime Minister’s pause is nothing more than a sham.

Lord Cameron of Chipping Norton Portrait The Prime Minister
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Why does not the right hon. Gentleman for once in his life actually deal with the substance of the reform? The truth of the matter is that he has said, quite rightly, that no change is not an option. We believe that no change is not an option and that is what the overwhelming amount of people in the NHS feel. Let us look at the elements of the reform: GP fundholding started under Labour and is now being improved under this coalition; foundation hospitals started under Labour and are now being taken forward by this coalition; payment by results—so that we make sure that we get good value for money in the NHS—started under Labour and is now being carried forward under this coalition. That is the point. He should be seriously engaging in how we make sure we have a strong NHS for all our people for the future. Instead, we have empty opposition, which got him absolutely nowhere last week.

Edward Miliband Portrait Edward Miliband
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In a phrase that the Prime Minister is familiar with, “Calm down, dear.” Calm down. Does not his mess on the NHS tell us all we need to know about this Prime Minister? He breaks his promises, he does not think things through and when the going gets tough, he dumps on his colleagues. On a day when waiting lists are rising, this confirms what we always knew about the Tories—you cannot trust the Tories on the NHS.

Lord Cameron of Chipping Norton Portrait The Prime Minister
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What we have seen is just the product of empty opposition and weak leadership. It is this Government who are putting more money into the NHS; it is this Government who are putting money into the cancer drugs fund; it is this Government who are seeing the number of doctors and nurses grow while the number of bureaucrats shrinks. It is this party that is defending the NHS and it is Labour in Wales that is cutting the NHS. That is the truth. There is only one party you can trust on the NHS and it is the one that I lead.